Apo Kunetseka Kunodzoka
Izwi rokuti refractory gastroesophageal reflux chirwere (refractory GERD) inotsanangura avo varwere vanoramba vachiine zviratidzo zvegastroesophageal reflux pasinei nekurapa kwakakwana neproton pump inhibitors (PPIs).
Varwere vanoona vanoratidzira GERD vanowanzowira mune rimwe remapoka maviri:
- Avo vanoda kurapwa kwakanyanya
- Avo vane zvimwe zvinokonzera zviratidzo zvavo zvekuratidza
Zvimwe zvekurwadza kwechirwere chekufungidzira GERD
Needing mamwe masimba ekurapa hazvirevi kuti chisarudzo chega chevarwere ava chirwere. Ichokwadi, avo vanove nemigumisiro yakanakisisa kubva pakushandurwa kunorwisana nevaya ndivo vakamboita mishonga. Vaya vanoratidzira varwere havawanzopindure zvakare kuvarwere vanorambidza kupora. Izvi, zvisinei, hazvirevi kuvhiyiwa, zvakadai sokubhadhara mari, hazvizove sarudzo. Chiremba achayera zviitiko zvinogona kuipa uye zvinetso zvekuvhiya pamusoro pezvinobvira zvakabatsirwa uye kukurukura nemurwere kana chirwere chisarudzo chakanaka.
Vamwe varwere havatauri pamwe chete nemaitiro emitambo yePPIs, uye chiremba angafunga kuti kuwedzerwa chirwere, uyewo kuva nevarwere vanoenda kuviri kwemazuva ose panzvimbo yeiyo kamwe chete pazuva.
Zvakakosha kudzora usikutime acid reflux. Kutora H2 blocker musati wamborara wakaratidzwa kubatsira kune zviratidzo.
Dzimwe nzira dzokudzora reflux yeusiku dzinosanganisira:
- Kurara nemusoro uye mapepa akakwirira
- Kurara kuruboshwe
- Kumirira maawa maviri kana matatu mushure mekudya kuti vaende kunorara
- Kupfeka mbatya dzisina kukodzera
Vanachiremba vanogonawo kuratidza kushandiswa kwekuchengetedza vashandi, zvakadai seReglan, vasati vadya uye vasati vavata kuti vabatsire kuderedza dambudziko re acid reflux.
Zvimwe Zvinokonzera Reflux Zviratidzo
Apo murwere asingabvumiri kurwisana ne-reflux mishonga, kunyanya mushure mekunge kurashwa kunorwadza kuri kuedzwa, mamwe matambudziko kunze kweGERD angaswedera.
Kunyange zvazvo GERD ndiyo iyo inonyanya kukonzera zviratidzo zve reflux, haisi iyo chete inokonzera. Zvimwe zvinetso zvekudya zvinogona kukonzera reflux zvinosanganisira hiatal hernias uye kushungurudzika kwemaitiro .
Miedzo iyo chiremba angashandisa kuongorora kufungidzirwa ndeyikuti:
- PH Test
- Endoscopy yapamusoro
- Esophageal Manometry
Migumisiro yezviedzo izvi ichabatsira chiremba kusarudza pane chirongwa chekurapa chakakodzera.
Kuratidzira GERD haigoni. Kana zviitiko zvevarwere zvichiri kuramba zvichiratidza zviratidzo pasinei nekurapa, chiremba anofanira kubvunzurudzwa. Kurukura mhando dzezviratidzo zvinowanikwa, nguva yavo, uye kuchengetedza zvingaita zvinoita kuti zvirwere zvinenge zvichitibatsira zvichabatsira pakuwana chirongwa chakakodzera chekurapa.
Sources:
> Kenneth R. DeVault MD, FACG, MD Donald O. Castell, MACG > "Zvakarevedzwa Zvinyorwa Zvokuziva uye Kurapwa kweGastroesophageal Reflux Disease." doi: 10.1111 / j.1572-0241.2005.41247.x. American College of Gastroenterology. 5 Dec 2007.
> Ikuo Hirano, MD, 1 Joel E. Richter, MD, "ACG Practice Guidelines: Esophageal Reflux Testing." doi: 10.1111 / j.1572-0241.2006.00936.x. American College of Gastroenterology. 5 Dec 2007.