Unewo kuda kupukuta pahuro nguva dzose here? Unonzwa sekunge pane bundu pahuro pako here? Inzwi rako rinonzwika zvakasiyana uye rakashoshoma here? Vazhinji vedu tinotora zvinhu izvi sechikosoro kana kuti allergy. Asi zvinogona kunge zvakasiyana nezvaunofunga. Izvi ndizvo zvatinodaidza kuti LPR, kana kuti "Silent Reflux" mukurapa. Ngatitaure nezvazvo nhasi.
Chii chaizvo chinonzi LPR iyi?
Zvichitaurwa zviri nyore, LPR rudzi rwakakosha rwechirwere chegastritis. Acid reflux inoitika kana acid yemudumbu nemajusi emudumbu zvichidzokera muhuro. Izvi zvinowanzonzwika muchipfuva, muchikamu chezasi chegurokuro. Tinozvidaidza kuti chirungurira.
Asi muLPR, maacid aya emudumbu anowedzera kukwira osvika padundundu redu, pabhokisi renzwi, uye pahuro. Nekuti inobuda ichipfuura nepagurokuro, zviratidzo zvakasiyana zvikuru negastritis yenguva dzose. Ndosaka vanhu vazhinji vasingatombozivi kuti imhando yegastritis. Panzvimbo pekurwadziwa nechirungurira nekurwadziwa mudumbu, LPR inonyanya kukanganisa zvikamu zvezwi rako, pahuro, nemhino. Inonziwo "Silent Reflux" nekuti hairatidzi zviratidzo zvegastritis zvakajairika.
Ndeupi musiyano uripo pakati peLPR neGERD?
Ungave wakambonzwa izwi rekuti GERD. GERD inomiririra Gastroesophageal Reflux Disease. Izvi zvinoreva chirwere chegastritis chinogara kwenguva refu. Kunyangwe zvirwere zvese izvi zvichisanganisira acidity yemudumbu, pane musiyano mudiki pakati pezviviri izvi.
Yeuka, havasi vese vane LPR vanorwara nechirungurira. Ndosaka ichinzi 'Silent Reflux.' Vamwe vanhu vanogona kuva neGERD neLPR. Asi vamwe vanhu vane zviratidzo zvine chekuita neLPR chete.
Ngatinzwisisei musiyano uyu zvakajeka zvishoma.
| Hunhu | GERD (chirwere chegastritis chakajairika) | LPR (Lysine Gastritis) |
|---|---|---|
| Nzvimbo yakakanganiswa | Zvikuru muchikamu chezasi chegurokuro. | Kukwira nemuhuro, ndiko kuti, kupinda muhuro nepaburi remuromo (voice box). |
| Chiratidzo chikuru | Chirungurira, kurwadziwa mudumbu, acid reflux. | Kunzwa kurira kwezwi, kukosora pahuro nguva nenguva, kunzwa chimwe chinhu chakanamira pahuro, kukosora kusingaperi. |
| Kazhinji kunzwa | Kazhinji kana wakarara pasi kana mushure mekudya zvakanyanya. | Inogona kunzwikwa mukati mezuva rose, kunyanya kana uchitaura kana pakumuka mangwanani. |
Ndezvipi zviratidzo zveLPR?
Nekuti zviratidzo zveLPR zvakasiyana zvishoma, dzimwe nguva zvinogona kufungidzirwa kuti asthma, allergies, kana dzihwa rakaipa. Zviratidzo zvikuru ndeizvi:
- Kushoshoma kana kudzikira kwenzwi.
- Kunzwa sekuti chimwe chinhu chakaita sebhora kwakanamirwa pahuro.
- Kuda kugara uchigeza pahuro .
- Kukosora kwenguva refu kunogara kwenguva refu.
- Mate akawandisa muhuro nemumhino.
- Kuomerwa nekumedza chikafu.
- Huro inorwadza nguva dzose.
- Kurasikirwa nenzwi kana laryngitis.
- Kufema kwemhepo kurira kwemuridzo kana uchifema.
- Kudonhedza mvura mushure memhino.
- Kurwara nezvirwere zvekufema zvakaita sedzihwa nefuruu kakawanda.
- Kutanga kutsva kweasthma kana kuwedzera kweasthma iripo .
Sei LPR iyi ichiitika? Ngatitarisei zvimwe zvikonzero.
Fungidzira kuti kune magedhi maviri akakosha mumugwagwa kubva mudumbu redu kusvika pahuro. Aya ndiwo marongero emhasuru ari pamusoro nepazasi peguropu redu. Akafanana nemavharuvhu. Tinoadaidza kuti `(esophageal sphincters)`.
1. Lower Esophageal Sphincter (LES): Iyi iri pakati pegurokuro nedumbu. Basa rayo guru nderekudzivirira acid yemudumbu kuti isadzokere ichikwira mugurokuro.
2. Upper Esophageal Sphincter (UES):Izvi zviri pakati pegurokuro nepahuro. Zvinodzivirira chero chinhu chapinda mugurokuro kuti chisapinde muhuro.
Kuti LPR iitike, mavharuvhu ese aya haafanire kuvharwa zvakanaka. Gastritis yakajairika inoitika kana lower esophageal sphincter (LES) yava kushaya simba. Zvisinei, kuti LPR iitike, upper esophageal sphincter (UES) haifanirewo kuvharwa zvakanaka yobva yasununguka. Apa ndipo apo acid yemudumbu inogona kubuda ichipinda mugumbo.
Saka sei masuo aya asina simba?
Panogona kuva nezvikonzero zvakawanda zveizvi. Zvimwe ndezvenguva pfupi, nepo zvimwe zvichikura nekufamba kwenguva.
1. Zvinhu zvinoderedza simba re sphincter yepazasi yegurokuro (LES)
- Mimwe mishonga: Mimwe mishonga yakaita secalcium channel blockers yeBP yakakwira, benzodiazepines yekudzikama kwepfungwa, uye mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs).
- Zvimwe zvekudya nezvinwiwa: kofi, chokoreti, doro, mint, gariki, nehanyanisi.
- Maitiro ehupenyu:
- Kurara pasi kwemaawa matatu mushure mekudya.
- Kudya zvakawanda panguva imwe chete.
- Kupfeka mbatya dzakasimba kana mabhandi anosunga dumbu.
- Mamwe mamiriro ezvinhu:
- Hernia yemudumbu: Kubuda kwechikamu chedumbu muchipfuva.
- Kubata pamuviri: Nekuda kwekuchinja kwemahormone uye kuwedzera kwekumanikidzwa kwedumbu.
- Kufuta: Kuwedzera kwekumanikidzwa mudumbu.
- Kusvuta: Makemikari ari mufodya anozorodza mhasuru iyi.
2. Zvinhu zvinoderedza simba regedhi repamusoro (UES)
Kana maasidhi apinda nepamusuwo wezasi obuda, anofanira kumiswa kusvika pahuro nepamusuwo wepamusoro uyu. Asi zvinhu izvi zvinogonawo kuita kuti asashande zvakanaka.
- Kurara pasi: Patinorara pasi husiku, magedhi ese ari maviri anozorora zvishoma.
- Kubhowa: Paunobhowa, mavharuvhu ese aya anovhurika, zvichiita kuti acid shoma ipinde muhuro mako pamwe chete nemabubble emhepo.
- Kukotama mberi, kurovedza muviri, kuimba: Mabasa aya anogona kuwedzera kumanikidzwa mudumbu uye kuisa kumanikidzwa pamusoro pechibereko.
- Kusvuta nekushandisa doro: Zvese izvi zvinovhura mikana yese.
Ndezvipi zvinetso zvinogona kuitika nekuda kweLPR?
Kana LPR ikasarapwa zvakanaka, mamwe matambudziko anogona kuitika nekufamba kwenguva.
- Mate akawandisa uye hutachiona hunowanzoitika: Kupinda kweasidhi mudumbu muhuro kunokanganisa maitiro akajairwa ekubvisa mate kubva pahuro nemumhino. Kana mate awanda, utachiona hunogona kuungana, zvichikonzera hutachiona hunowanzoitika.
- Matambudziko ezwi nepahuro asingarapiki: Kuzvimba uku kwenguva refu kwehuro nepahuro kunogona kuita kuti zviome kutaura nekumedza. Nekufamba kwenguva, mapundu madiki (maronda ezwi) anogonawo kukura pahuro.
- Matambudziko ekufema:Asidhi inopinda muhuro dzimwe nguva isingazivi, inogona kufamba ichipinda mumapapu nekufema kwedu, kunyanya panguva yekurara husiku. Izvi zvinogona kukonzera hutachiona hwemapapu nezvimwe zvinetso zvekufema.
Ndingaziva sei kuti iyi iLPR zvechokwadi?
Kana uine zviratidzo zvatakambotaura nezvazvo, kunyanya kana usingakwanise kuwana chikonzero, zvakanaka kuona chiremba wezvenzeve, mhino, nehuro (ENT Surgeon). Chiremba achateerera zviratidzo zvako uye achaongorora huro yako.
Kune bvunzo huru dzinoverengeka dzakaitwa pakuita izvi:
- Kuvhiyiwa kweLaryngoscopy Inochinjika: Maitiro ekuongorora kamera diki yakabatana nechubhu inochinjika, yakatetepa inopfuudzwa nemumhino nepahuro kuti iongorore mukati meguro nepahuro. Iyi bvunzo iri nyore inogona kuitwa muhofisi yachiremba.
- Upper Endoscopy: Izvi zvinosanganisira kuisa chubhu ine kamera kuburikidza nemuromo wako kuti uongorore gumbo rako nedumbu. Izvi zvinogona kubatsira kuona chikonzero cheLPR yako.
- Kuongororwa kwepH yemudumbu: Kuongororwa kunoyera huwandu hweasidhi muhuro nepahuro mukati memaawa makumi maviri nemana.
- Esophageal Manometry: Muedzo unoyera mashandiro uye simba remhasuru dziri mugurokuro.
Ndeapi marapirwo eLPR?
Chinangwa chikuru mukurapa chirwere cheLPR ndechekuchinja mararamiro edu nemaitiro edu ekudya.
Kuchinja mararamiro uye tsika dzekudya
Pane zvinhu zvakawanda zvaunogona kuita wega kuti udzore LPR. Izvi ndizvo zvinhu zvinonyanya kukosha.
| Zvekuita | Tsananguro |
|---|---|
| Zvekudya | Panzvimbo pekudya katatu kukuru, idyai zvekudya zvidiki zvishanu kana zvitanhatu. Dzivisai kudya zvakawandisa panguva imwe chete. |
| Usati warara | Idyai kudya kwemanheru maawa matatu musati marara. Dzivisai kurara pasi mushure mekudya. |
| Kurara | Rara nerutivi rwako rweruboshwe. Uyewo, shandisa piro yekuwedzera kuti musoro wako urambe wakasimudzwa zvishoma. |
| Zvekudya zvekudzivisa | Dzivisai zvekudya zvine mafuta, zvinopisa, zvine acid yakawanda (maranjisi, matomatisi), chokoreti, kofi, minti, zvinwiwa zvine carbonated (soda). |
| Tsika dzakaipa | Rega kusvuta nekunwa doro zvachose. Izvi zvinoita kuti mamiriro eLPR awedzere kuipa. |
| Kurema kwemuviri | Kana wakafuta zvakanyanya, zvakakosha kuderedza huremu. Taura nachiremba wako nezvenyaya iyi. |
Kurapa nemishonga
Paunenge uchichinja mararamiro ako, chiremba wako anogona kukupa mimwe mishonga yekubatsira kurapa kukuvara kwehuro negurokuro.
- MaProton Pump Inhibitors (PPIs): Aya anoshanda nekuderedza kugadzirwa kweasidhi mudumbu. Aya angangoda kushandiswa kwemwedzi yakati wandei.
- H2 Blockers: Iyi ndeimwe mhando yemishonga inoderedza kugadzirwa kweasidhi.
- MaAlginates: Mishonga iyi inodzivirira dumbu, ichidzivirira acid kuti isabude.
Chinhu chinonyanya kukosha ndechekuti, usashandise chero mishonga iyi usina kurayirwa nachiremba wako.
Kuvhiya
Kuvhiyiwa hakudiwi zvakanyanya paLPR. Kuvhiyiwa kunongoonekwa chete kana paine chikonzero chaicho, senge hiatal hernia, kana kana mamwe marapirwo akundikana.
Mharidzo Yekuenda Nayo Kumba
- LPR chirwere chinonzi "silent reflux," apo acid yemudumbu inofamba ichikwira muhuro nemubhokisi rezwi.
- Zviratidzo zvakasiyana nezvechirwere chegastritis, zvinonyanya kukanganisa inzwi nepahuro (semuenzaniso, kukosora kusingaperi, kurira, madzihwa pahuro).
- Haasi munhu wese ane LPR anonzwa kurwadziwa pachipfuva.
- Chikamu chakakosha chekurapa kushandura maitiro ekudya uye mararamiro.Zvakakosha kuti usashandise fodya zvachose.
- Kana uine zviratidzo izvi kwenguva yakareba, iva nechokwadi chekutsvaga mazano echiremba. Kana ukaongororwa uye ukarapwa zvakanaka, LPR inogona kurapwa zvinobudirira.
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