Dzimwe nguva unonzwa sekunge muromo wako wangoerekana wazara mate, sekunge pane chinhu chanamira pahuro pako, uye paine kuravira kunovava here? Ichi chinhu chinokonzera kusagadzikana kune vanhu vazhinji. Mukurapa, chirwere ichi tinochidana kuti water brash . Ichi chiratidzo chinowanzoonekwa neGERD (Gastroesophageal Reflux Disease), inova mhando yechirwere chegastritis chakakomba. Sezvo vanhu vazhinji vasingazive izvi, ngatitaure nezvazvo nhasi.
Chii chinonzi Water Brush?
Zvichitaurwa zviri nyore, manyoka ane mvura anoitika apo maronda ako emate anongoerekana ashanda nesimba uye anoburitsa mate akawanda mumuromo mako. Izvi zvinoitika kana gastritis yanyanya, zvichireva kuti acid yemudumbu inodzokera mugurokuro ichipinda muhuro nemumuromo mako.
Fungidzira, kana acid yemudumbu yabuda, muviri wedu unoedza kuibvisa nekuwedzera kugadzirwa kwemate. Ndosaka mate achingoerekana apinda mumuromo. Vamwe vanhu vanogona kugadzira mate anosvika matisipuni maviri (10 milliliters) paminiti. Kana mate aya akasangana neacid yemudumbu, anopa muromo kuravira kunorwadza, kusinganzwisisike uye kunzwa kwechimwe chinhu chakanamira pahuro.
Vanhu vazhinji vanosanganisa dambudziko iri remanyoka ane mvura neregurgitation. Asi izvi zvinhu zviviri zvakasiyana. Regurgitation zvinoreva kudzosera chikafu chakagayiwa zvishoma kubva mudumbu kuenda muhuro. Manyoka ane mvura kuburitsa mate akawandisa.
Zvimwe zviratidzo zvinogona kuperekedzwa nekutsva nemvura
Manyoka ane mvura inoyerera chiratidzo chimwe chete cheGERD. Unogonawo kusangana nezvimwe zviratidzo zvakanyorwa pazasi.
| Chiratidzo | Tsananguro |
|---|---|
| Chirungurira | Kurwadziwa nekupisa pakati pechipfuva kunokonzerwa neacid yemudumbu. |
| Kudzokera kumwedzi | Asidhi yemudumbu nechikafu chakagayiwa zvishoma zvinokwira muhuro. |
| Kuoma kumedza chikafu | Kunzwa sekunge chikafu chanamira pahuro. |
| Kurwadziwa kwechipfuva kusiri chirwere chemwoyo | Kurwadziwa muchikamu chegurokuro chiri pedyo nemoyo. |
| Kusvotwa uye kurasikirwa nechido chekudya | Kunzwa kuda kurutsa uye kusada kudya. |
Sei tichiwana mapundu emvura?
Chikonzero chikuru cheizvi iGERD. Pakati pegurokuro redu nedumbu, pane vharuvhu inonzi Lower Esophageal Sphincter (LES) . Yakaita semusuwo. Patinodya, musuwo uyu unovhurika kuti chikafu chipinde mudumbu, uye wobva wavhara zvakasimba zvakare kudzivirira acid yemudumbu kuti isabude.
Asi kana vharuvhu iyi inonzi LES ikashaya simba, ikakuvara, kana kuti ikasavhara zvakanaka, maasidhi akasimba ari mudumbu anotanga kubuda. Kana acid iyi yasvika pagurokuro, tinonzwa kupisa muchipfuva chedu. Izvi ndizvo zvinokonzera kusagadzikana senge chirungurira.
Nyanzvi dzichiri kuferefeta izvi. Dzinotenda kuti acid inopinda mugurokuro inoratidza kuti mate abudise mate akawanda. Izvi zvinogona kunge zviri nzira yekudzivirira muviri.
Izvi zvinorapwa sei?
Kurapa manyoka ane mvura kwakafanana nekurapa GERD. Kazhinji, chirwere ichi chinogona kudzorwa nekuchinja kudiki kwemararamiro edu uye maitiro edu ekudya, uye, kana zvichidikanwa, nemishonga inotorwa sezvakarairwa nachiremba.
Kuchinja mararamiro aunofanira kuita
| Zvekuita | Tsananguro |
|---|---|
| Kudzivisa kusvuta | Kusvuta kunoderedza simba re LES valvu. |
| Kuramba uine huremu hwakanaka | Kufuta zvakanyanya kunogona kumanikidza dumbu uye kuwedzera acid reflux. |
| Kuderedza kunwa doro | Doro rinogonawo kuwedzera zviratidzo zveGERD. |
| Kugadzirira chikafu | Pane kudya katatu kakuru, zviri nani kudya kakati wandei kadiki pazuva. |
| Kudya zvishoma nezvishoma | Ipa muviri wako nguva yekugaya chikafu nemazvo. |
| Kudya usati warara husiku | Idyai kudya kwemanheru maawa matatu musati marara. Musarara pasi mushure mekudya. |
Mishonga (kuburikidza nezano rechiremba chete)
Chiremba wako anogona kukupa mishonga yekudzora kana kuderedza acid mudumbu.
Zvakakosha: Chero mishonga iyi inofanira kushandiswa chete kana chiremba wako akuudza. Usatore mishonga pa pharmacy wega. Chiremba chete ndiye anogona kusarudza mushonga wakakodzera uye mwero wako.
| Rudzi rwemushonga | Mashandiro |
|---|---|
| Mishonga inorwisa asidhi | Izvi zvinopa zororo nekukurumidza (mukati memaminitsi makumi matatu). |
| H2 blockers | Kunyangwe izvi zvichitora inenge awa kuti zvishande, zororo racho rinotora anenge maawa gumi. |
| Inhibitors dzepombi yeproton (PPIs) | Izvi zvinopa zororo renguva refu kubva kuzviratidzo zveGERD uye zvinogona kutora mazuva 1-4 kuti zvishande. |
Ndezvipi zvekudya zvisina kunaka zvekudzivirira chirwere ichi?
Hapana runyorwa rwezvikafu zvisina kunaka pakurwisa manyoka ane mvura kana GERD. Zvisinei, zvikafu zvinozorodza vharuvhu yeLES kana zvinotora nguva yakareba kugaya zvinogona kuwedzera zviratidzo. Kana uchinzwa kusagadzikana, edza kuderedza kudya zviri pazasi.
- Zvikafu zvine mafuta, mafuta, uye zvinonhuhwirira
- Zvinwiwa zvine caffeine (semuenzaniso chokoreti, kofi)
- Zvinwiwa zvine kabhoni (semuenzaniso soda)
- Michero yeCitrus yakaita semaremoni nemaorenji
- Hanyanisi negariki
- Minti
Asi yeuka kuti havasi vese vanozorwara nezvikafu izvi. Zvakanaka kungwarira zvishoma woona kuti ndezvipi zvekudya zvinokugumbura.
Chii chaunoita kuti unzwe zviri nani kana ukangoerekana wasangana nematambudziko?
Kana ukangoerekana wava nezviratidzo izvi wobva wanzwa kusagadzikana, edza zvinhu izvi:
- Simuka wakatwasuka: Paunomira, simba rinokwevera pasi rinobatsira kuti acid idzokere mudumbu.
- Sunungura mbatya dzakasimba: Dzivisa kupfeka mbatya dzakasimba (mabhandi, bhurugwa rakasimba) paunenge wakarara . Kumanikidzwa kunogona kuwedzera acid iri kukwira.
- Inwa mushonga unorwisa asidhi sezvawakarairwa nachiremba wako: Kana chiremba wako akambokukurudzira, unogona kukurumidza kuwana rubatsiro kubva pamushonga unorwisa asidhi.
Ndinofanira kuona chiremba rini?
Kana uine zviratidzo izvi (kupisa kwemoyo, maziso ane mvura) kweanopfuura mavhiki maviri, iva nechokwadi chekuona chiremba. Kunyange zvazvo maziso ane mvura asina njodzi, kana chirwere cheGERD chisina kurapwa, chinogona kukuvadza gumbo rako nekufamba kwenguva.
Kunyangwe chirungurira, kurwadziwa pachipfuva, uye kudzoka kwegurokuro zviratidzo zvisingafadzi zveGERD, zvinogona kurapwa zvakanaka nekuchinja mararamiro uye mishonga. Saka usatya. Taura nachiremba wako nezvechirongwa chakanakira iwe.
Mharidzo Yekuenda Nayo Kumba
- Maziso ane mvura chiratidzo cheGERD (acute gastroesophageal reflux disease).
- Chikonzero chikuru cheizvi iacid yemudumbu inokwira mugumbo.
- Dambudziko iri rinogona kudzorwa zvakanyanya nekuchinja mararamiro nemaitiro ekudya zviri nyore.
- Kana zviratidzo zvikaramba zviripo kweanopfuura mavhiki maviri, iva nechokwadi chekuona chiremba.
- Usashandise mishonga sezvaunoona zvakakodzera usina kupiwa mazano nachiremba.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Kuoma Kumedza / Dysphagia?
Zvakajairika kuti pave nekuomerwa nekudya kana pahuro parwadza. Asi 'Dysphagia' imhaka yekuti mupunga, chingwa, kana mvura yauri kudya inonamira pakati pehuro/chipfuva chako pachinzvimbo chekudzika pahuro. Izvi zvinoita kuti utsenge chikafu chako zvakanyanya, uye unotanga kukosora/kudzipwa paunenge uchidya. Ichi chiratidzo chenyevero chine njodzi yekenza kana chirwere chetsinga mudumbu/pahuro.
💬 Ndezvipi zvikonzero zvikuru zvinoita kuti chikafu/chinwiwa chigare pahuro kana pachipfuva (Dysphagia)?
Zvikonzero zvikuru zvina uye zvine njodzi zvikuru zveizvi ndeizvi: 1) 'Cancer yemudumbu / Bundu' - Kenza inoumbwa mukati megurokuro (chubhu inoenda kudumbu) uye inovhara chubhu! (Kutanga zvinova zvakaoma kumedza chikafu, zvobva zvave zvakaoma kumedza mvura). 2) Gas/Gastritis (GERD) inoita kuti gurokuro rikuvare (nekuda kweacid reflux) uye inoita kuti chubhu itete/ivhare (Strictures). 3) Kushaya simba/kurasikirwa netsandanyama dzekumedza nekuda kwestroke kana Parkinson's.
💬 Sei munhu anomedza zviri nyore sekufema kwake, achifanira kuona chiremba/kuenda kuchipatara nekukasika kana achinge aomerwa nekumedza chikafu (Dysphagia)?
Ichi hachisi chirwere chinoda kurapwa kumba (endoscopy inofanirwa kuitwa). Njodzi huru! Pamwe chete nekuoma kwekumedza, 1) 'Kuderedza uremu kusingatsananguriki pasina chikonzero', 2) Marwadzo asingatsungiririki pahuro/pachipfuva (Odynophagia) pakudya, 3) Manyoka ekufema (kupinza chikafu mumapapu pakudya), chirwere chegomarara/chinouraya 100%! Unofanira kuendeswa kuchipatara nekukasika!
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