Kunyange zvazvo vanhu vakawanda vane kushaya mwoyo kwenguva nenguva, kana ichiramba ichiitika kaviri pavhiki kana kuti inokonzera zviratidzo zvakanyanya, unogona kuva ne gastroesophageal reflux chirwere (GERD). GERD chirwere chisingagumi chekudya chekudya kunokonzerwa nechezasi esophageal sphincter (LES) isati yavhara zvakanaka, zvichibvumira musikana weAidamu kuti uve mudumbu rako.
Inenge 20 muzana yevanhu vanogara muUnited States inofungidzirwa kuti inokanganiswa neGERD uye inogona kukanganisa vanhu vezera rose. Ndinofara, vanhu vakawanda vanogona kudzora zviratidzo zvavo nemararamiro ekuchinja uye / kana mishonga.
Zviratidzo
Chiratidzo chikuru cheGERD kuora mwoyo , chinotyisa chinowanikwa pasi pechifuva, kazhinji chinopenya zvichienda kumuromo. Haasi munhu wose ane GERD ane kuputika. Kudzorera kune imwe nzira yakaoma umo mudumbu asidi inosvika kumashure kwehuro, zvichiita unhu hwakasviba, hwechidimbu. Zviratidzo izvi dzimwe nguva zvinogona kutungamirirwa nekunyunyuta. Kushungurudza uye kugadzirisa zvakare kunowanzoipisisa chaizvo mushure mekudya uye kunowedzerwa zvakanyanya pavanenge vakavata pasi kana kupfugama.
Zvimwe zviratidzo zveGERD zvinosanganisira muromo unoramba uripo, unotyisa, chifuva chisingaperi, kuputika, kufema kwakaipisisa, kurwadziwa kwepfupa, uye kunzwa sekunge kune bundu mumutsipa wako. Zviratidzo izvi zvinowanzoonekwa kana iwe usina kuora mwoyo.
GERD inogonawo kukonzera musimba weAIDS kuti iwedzere mitsipa mukati menyu kana kuti inokonzera kukuvadzwa kwayo yakagadzikana iyo inogona kuguma kusakonzera.
Dzimwe nguva, GERD inogona kukonzera zvinetso zvinogona kutungamirira kune mamwe matambudziko akakomba. Zvinetso zvinowanzoitika zveGERD zvinosanganisira maziso aBarrett , kuora mwoyo kwemasimba , uye kugadziriswa kwepfungwa .
Mukuwedzera kune zvinetso zvekufungidzira, GERD inogona kutungamirira kune zvimwe zvinetso zvinosanganisira musoro, mitsipa, uye mhepo inoita seyemahm, chronic laryngitis, kupeterera kwemhepo yakakomberedza rakasvibiswa (izwi bhokisi), mazino emeno, uye zvirwere zvisingaperi.
Zvinokonzera
GERD inokonzerwa nekunatswa kwezvokudya zvemukati mukati memoyo. Kazhinji, reflux inodzivirirwa nechezasi esophageal sphincter (LES), rwonzi rwemasisita riri pamagumo ehuputi uye mudumbu. Kazhinji yenguva, iLes inobvumirana kuitira kuti ivhare kuvhura uye kugadzirisa chigadziro pakati pemudumbu uye sopu. I-Les transiently inodzosera kana iwe ukamedza kubvumira kuti zvokudya zvipinde mudumbu. Iyo inodzosera zvakare apo iwe kubvumira kubvumira gesi kutiza.
Muzviitiko zvakawanda zveGERD, iLes transiently inodzokorora apo isingafanirwi, kuitira kuti nguva inopedzisira nguva iyo mukati mechiramu inogona kupinda mukati. Hazvisi pachena nei vanhu vakawanda vachikurumidza kugara vachizorodzwa kweLes.
Zvishoma nezvishoma, GERD inogona kubudiswa apo iLES inogara isinganzwisisiki, inobvumira kuti reflux iitike chero nguva ipi zvayo. I-pressure inogona kuderedzwa-uye reflux yakakurudzirwa-nekugadzirisa gastric (dumbu rakazara), kusvuta, mishonga yakawanda, kunwa doro, caffeine, uye marudzi akawanda ezvokudya, kunyanya mafuta ekudya uye chocolate.
Zvimwe zvinhu zvinogona kuita kuti GERD inosanganisira kuva nehutano hwekuberekwa , kuwandisa kana kuora, nekuzvitakura.
Kuziva
Muzviitiko zvakawanda, GERD inorwara yekuongorora. Izvi zvinoreva kuti zviratidzo zveGERD zvinowanzova zvekare zvekuti vanachiremba vanowanzoita kuti vawane chivimbo chekuvimba kubva kwavari voga.
Kuongorora kuongororwa kunowanzoitwa chete kana iwe ukundikana kupindura kurapwa kana kana chiremba wako achifungira kuti imwe yezvinetso zvakakomba zveGERD zvingave zvakaitika. Miedzo inowanzoshandiswa pakutsvaga GERD inogona kusanganisira endoscopy , maawa makumi maviri nemaviri ekuongorora pH, manyore emanometry, uye barium swallow X-rays.
Kurapa
Kana uine GERD, nhau dzakanaka ndeyokuti zvinogona kunge iwe uchakwanisa kudzora zviratidzo zvako kana iwe ukatora mararamiro akakodzera ehupenyu.
Izvi zvinosanganisira:
- Kuonda
- Kukwidza musoro wemubhedha
- Kudzivisa kutanga kudya
- Kudzivisa kudya kwemaawa matatu kana kudaro asati avata
- Kudzivisa zvipfeko zvakaoma
Munawo wose, kana uine zviratidzo zvishoma, chiremba wako achakurudzira kuchinja kwakadaro uye zvichida anopa mamwe mairi-over-the-counter (OTC) mishonga. Antacids haidzivisi GERD, asi inogona kutorwa kuti ibatsire kubvisa zviratidzo. Kakawanda inoshandiswa antiacids inosanganisira Gaviscon , Maalox , Mylanta , Rolaids , uye Tumus .
Kana izvi zvisingashande, chiremba wako angakuisa pamishonga yemishonga, iyo yakasimba kudarika zvaunogona kutenga kubva pashefu. Iviri mbiri dzinowanzoshandiswa, iyo inewo OTC vamwe, ndeyi:
- Histamine-2 blockers (H2 blockers): H2 blockers rubatsiro rwekugadzirisa kugadzirwa kwemuviri acid, kuitira kuti mudumbu mukati maro zvinokonzera zviratidzo zvishomanana pazvinenge zvichinyanya kubuda mukati. H2 vachengeti vanotanga kushanda mukati peawa imwe, vachiva vanobudirira zvikuru pakati peawa neawa matatu mushure mekutora chirwere, uye kubudirira kwavo kunopfuurira kwemaawa gumi nemaviri, Vanonyanya kukosha pavanotorwa nguva dzose kusvika 2 kusvika ku 4- vhiki yekurapa. H2 blockers dzinosanganisira Axid (nizatidine), Pepcid (famotidine), Tagamet ( cimetidine) , uye Zantac (ranitidine).
- Proton pump inhibitors (PPIs): PPI inoshanda nekudzivisa pombi mumasero akagadzikana anogadzira mudumbu acid. Ndivo vanonyanya kushaya acid inhibitor uye vanobudirira kupfuura H2 blockers pakubvisa zviratidzo nekuporesa esophagitis. Zvisinei, vanowanzokonzera migumisiro yakaipa , saka vanachiremba vachaedza H2 blocker kutanga. I-PPIs inosanganisira Prevacid (pantoprazole), Nexium (esomeprazole) , uye Prilosec (omeprazole) .
Kana zviratidzo zvako zvisingavandudzi nemararamiro ekuchinja uye mishonga yemishonga, chiremba wako anogona kukurudzira kuvhiyiwa. Nyaya yakakurumbira ndeye fundoplication, iyo apo chikamu chepamusoro chemuviri wako chakavharwa neAIDS kuitira kuti chisimbise uye kudzivirira reflux. Nzira dzisingagoneki uye kuiswa kwechindori chemagnetic beads anonzi LINX device, inogonawo kufungwa.
Caregiving
Kana iwe uri kutarisira mumwe munhu ane GERD, ingave mwana, mubereki, kana shamwari, kune nzira dzamungabatsira mubatsiri wenyu kubata nezviratidzo zvake kumba. Iwe unogona kutaurirana uye kumubatsira kuti arege kudya zvinogona kukonzera kuchema kwemoyo, kumukurudzira kuti apfeke zvipfeko zvisina kushandiswa, kushandisa mushonga sezvaunoda, kumudzirudzira kuti aite zvekuita, uye kuchengeta musoro wake uchikwirira usiku.
Shoko Rinobva
GERD inowanzovhiringidza zvirwere zvinowanzoita zvishoma, asi zvinogona kukonzera zvinetso zvakakomba kana zvisiyiwa zvisina kutenderwa. Kana iwe kana mwana wako ane zviratidzo zveGERD, unofanirwa kushanda nachiremba wako kuti ave nechokwadi chokuti une chirwere chakakodzera uye kuti uve nechokwadi chokuti iwe unogamuchira chirongwa cherapa chichabvisa chinetso chako chisati chikawedzera. Nenzira yakanaka, nekugadzirisa mararamiro akakodzera uye nemishonga iripo nhasi, ruzhinji rwevanhu vane GERD rinogona kubudirira kurapwa dambudziko risati ravhiringidza risati rava nengozi.
> Sources:
> Kahrilas PJ, Shaheen NJ, Vaezi MF, American Gastroenterological Association Institute, Clinical Practice uye Quality Management Committee. American Gastroenterological Association Institute Technical Review pamusoro peKubata kweGastroesophageal Reflux Disease. Gastroenterology . Gumiguru 2008; 135 (4): 1392-1413,1413.e1-5. doi: 10.1053 / j.gastro.2008.08.044.
> Katz PO, Gerson LB, Vela MF. Mirayiridzo Yekuziva uye Kutarisa kweGastroesophageal Reflux Disease. The American Journal of Gastroenterology . March 2013; 108 (3): 308-29. doi: 10.1038 / ajg.2012.444.
> Mikami DJ, Murayama KM. Physiology uye Pathogenesis yeGastroesophageal Reflux Disease. IMakiriniki Okuvhiya eNorth America . June 2015; 95 (3): 515-25. doi: 10.1016 / j.suc.2015.02.006.
> Ness-Jensen E, Lindam A, Lagergren J, Hveem K. Kurasikirwa Kwemafuro uye Kuderedza muGastroesophageal Reflux. Chidzidzo Chinofanirwa Nevanhu-Kubva Kuchengetedza Cohort Chidzidzo: Chidzidzo cheHUNT. The American Journal of Gastroenterology . March 2013; 108 (3): 376-82. doi: 10.1038 / ajg.2012.466.