Gamuchira Kununurwa Kubva Kushushikana Kunofadza
Pane hutano humwe hutano hungave hunokonzera kupisa kwehuro. Nhau dzakanaka ndeyokuti zvakananga kune chiremba kuti abvise chikonzero, zvichienderana nezvimwe zviratidzo uye kuongorora kwepanyama. Tsvaga zvikonzero zvakakosha zvekutsva kwehuro uye kuti chiremba wako angangotora sei kuitira kuti uwane zororo.
Gastroesophageal Reflux Disease (GERD)
Apo dumbu reAidhi rinodonhedzwa mukati mechiri, dzimwe nguva rinogona kusvika pahuro.
Kana izvi zvichiitika, huroti hutsamwa uye manzwiro anopisa angaitika. Kusuruvara uku kunopisa kunokonzerwa neGERD kunogona kubuda kumusoro kana kuti kuderera pasi mumutsipa, uye kurwadziwa kunogona kuwedzera kukurira nekumedza. Mukuwedzera kune manzwiro anopisa, vanhu vane GERD dzimwe nguva vanocherechedza ronda, rune, kana kuti acidic mumuromo mavo.
Iwe unogona kushamisika kuti zvakadini mumoyo wemunhu mukati maro unogona kuratidzira kana kudzokera shure mukati mehutu (iyo tube inobatanidza muromo wako kusvika mudumbu rako). Inophagus uye mudumbu zvakabatanidzwa neboka remafudzi ane masisita anonzi esophageal sphincter (LES). Kazhinji, iLES inoshanda sevhavha, inotanga kubvumira kudya kudarika mukati mudumbu nekuvhara kuchengetedza kudya uye kunwa kwemajisi kubva pakuyerera kumashure. Asi kana sphincter ichidzoka kana isingafaniri, kana inenge isina simba, mudumbu acid inogona kutenderera shure kumashure inokonzera kutsva kwemaziso tinoziva sekumhanya kwemoyo.
Zvakakosha kuziva kuti kuwedzera kune zviratidzo zvehuroti, munhu ane GERD angasangana nedzimwe zviratidzo zvakadai se:
- Chipfuva chepfu
- Hoarseness
- Kuramba uchikanganiswa
- Kufema kwakaipa
Kurapa kweGERD kunosanganisira mararamiro ekugadzirisa akadai sokurega kusvuta, kuderedza kana kubvisa doro uye kudya kweGERD-kukurudzira (somuenzaniso, chokoti, zvokudya zvinonaka, uye michero yemicrorus), uye kuora muviri kana uwandisa kana uwandu.
Dzimwe nguva mishonga, yakafanana neproton pump inhibitor , inodiwa mukuwedzera kune mararamiro ehupenyu.
Esophagitis
Chimwe chiitiko chinogona kukonzera kupisa mumutsipa wako isophagitis iyo kuvhiringidza kwehuyo. Kwete zvisinganzwisisiki, chikonzero chinowanzovhiringidzika chekutsvaga ndecheGERD. Apo dumbu reAidhi rinodonhedzwa mukati mehuro, rinogona kukonzera kutsamwa nekuputika, izvo zvinowanzoendesa kunzwa kunopisa mumutsipa, kunze kwekuoma kunzwisa uye / kana kurwadziwa nekumedza.
Kunze kweGERD, zvimwe zvikonzero zvinokonzera kusuruvara zvinosanganisira zvirwere, kupisa kwemaawa kusvika kumutsipa, kuiswa kwemimwe mishonga (inonzi pill-induced esophagitis), makemikari inopisa (somuenzaniso, kushambidza vatsva), kana kuti mugumisiro wezvokudya zvekudya (zvinonzi eosinophilic esophagitis ).
Kurapa kwesophagitis kunoenderana nechikonzero chinokonzera. Semuenzaniso, kana chirwere chinokonzera fungal chiri kutamba, zvino mushonga unofungidzirwa unoda. Kana GERD ichi ndicho chinokonzera, mararamiro ehupenyu anochinja uye proton pump inhibitor inowanzorudzirwa.
Burning Mouth Syndrome
Iyi syndrome inotungamirira kumanzwi anopisa mumutauro, miromo, kana pamuromo uye pamutsipa, pasina chinoratidzika chinokonzerwa nehutano. Munhu ane moto unopisa murwere anogonawo kuve nemuromo wakaoma uye / kana kuti munyu kana saroni inonaka mumiromo yavo.
Kakawanda, kupisa muromo chirwere chirwere chakaoma kwazvo uye kuongororwa kwekuregererwa, kutaura. Izvi zvinoreva kuti zvimwe zvikonzero zvekutsva uye / kana muromo wakaoma zvinofanira kutongwa kunze kwekutanga, zvinowanzodikanwa kuongorora muviri uye kuongorora ropa. Zvinosuruvarisa, kune zvishoma zvesayenzi uchapupu hunotsigira chero kurapwa kwakadaro, kunyange zvazvo vanachiremba vakaedza kunzwisisa-maitiro ekurapa uye antidipressants, seCymbalta (duloxetine).
Utachiona hweHIV kana Bhakitiriya
Munhu wose ane chirwere chepuropa pane imwe nguva muhupenyu hwavo, nechinowanzokonzera kuva viral pharyngitis. Mukuwedzera kune kupisa, tsvina, kana yaiwirwa nehope, kunyanya kana ichimedza, munhu ane hutachiwana hwehutachiona hwehuro hunogonawo kuve nokukanganiswa, mhepo inoputika, uye / kana chirwere.
Kurapa kwehuro rinorwara nehutachiona huri nyore uye kunosanganisira kuderedza zviratidzo zvako kusvikira utachiona huchienda. Nepo zororo uye mvura inoshandiswa inokosha, anti-inflammatory yakafanana ne ibuprofen inogona kuderedza glands rako rinoputika.
Pashoma pacho, chinokonzera utachiona ibhakitiriya, uye izvi zvinonzi strep throat . Zvinoda rwendo kuenda kunechiremba wako kune antibiotic sezvinenge zvasara isina kutenderwa iwe unogona kutyisa rheumatic fever kana glomerulonephritis. Zvimwe zviratidzo nezviratidzo zve strep throat zvinowanzobatanidza:
- Fever
- Kupfigira uye runyoro lymph nodes mumutsipa
- Zvigaro zvakachena pamatoni
Postnasal Drip
Kudonha kwemvura, iyo inonziwo yakakwirira mumhepo inokonzera chirwere, inowanikwa apo mumascus uye mvura inonaya kubva muzvivi uye mhino mumvura. Inowanzotsanangurirwa nevanhu sekunzwa kwechimwe chinhu chinodonha mumutsipa, uye izvi zvinogona kuvhiringidza uye zvinotungamirira kumanzwi anotsva.
Chifukidziro chinowanzonowanzoonekwa kana iwe uine kuvhara mushure, kana iwe uchiedza nguva dzose kubvisa muhuro wako.
Kune zvikonzero zvakawanda zvakasiyana-siyana zvemashure ekudzika kwemvura kunosanganisira:
- Allergies
- Sinus zvirwere
- Utachiona hwepachirwere hwakafanana nehuwandu
- Anatomic kusagadzikana kwendima yechipfu uye yechinus
- Kunyanya kushandiswa kwevamwe vanopfuura-the-counter decongestants (inonzi rhinitis medicamentosa )
An antihistamine / decongestant mishonga (somuenzaniso, Claritin-D, iro loratadine uye pseudoephedrine) inowanzoshandiswa kurapa mushure mekudonha. Kurapa chinokonzera kukonzera kwepakupedzisira kunokosha zvakare (somuenzaniso, kutora antibiotic nokuda kwehutachiona hunokonzerwa nebhakitiriya).
Zvinonakidza kuziva kuti chirwere chegastroesophageal reflux, kana GERD, inogona kutevedzera kana kunyange kuwirirana nepamusoro pemhepo yekukanda chirwere, zvichiita kuti kuongororwa uye kurapwa zvinyanye kuoma.
Shoko Rinobva
Pakupedzisira, kune zvikonzero zvakawanda zvezvikonzero zvekuti ungave uchiona moto unopisa. Kunyange zvazvo chiremba wemhuri yako kana chiremba wekunyanya kukwanisa kugona kuongorora mamiriro ezvinhu akawanda, dzimwe nguva kutumira kune unyanzvi kunodiwa, segastroenterologist kana nzeve, mhuno, uye nehuro (ENT).
Kuona chiremba kunyatsoongorora chirongwa uye chirongwa chekurapa chakakosha, saka iwe unogona kudzokera panzira kuti uchinzwe zvakanaka.
> Sources:
> Choby BA. Kuongorora uye Kurapa kweStreptococcal Pharyngitis. Ndiye Chiremba weNzara . 2009 Mar 1; 79 (5): 383-90.
> Katz PO, Gerson LB, Vela MF. Kuongororwa uye Kutungamira kweGastroesophageal Reflux Disease. Am J Gastroenterol 2013; 108: 308-28.
> McMillan R, Forssell H, Buchanan JA, Glenny AM, Weldon JC, Zakrzewska JM. Zvinyorwa zvekurapa moto unopisa muromo. Cochrane Database Syst Rev. 2016 Nov 18; 11: CD002779.
> Sylvester DC et al. Chirwere Chisingaperi, Reflux, Postnasal Drip Syndrome, uye Otolaryngologist. Int J Otolaryngol. 2012; 2012: 564852.