Gastroesophageal reflux chirwere (GERD) iri kuva dambudziko rinowedzera kune vanhu vezera rose muUnited States. Izvi zvichida zvichienderana nechikamu chekuwedzera kwekushandiswa kwezvokudya zvinokurumidza, izvo zvinowanzova mafuta uye mafuta, uyewo kuwedzera kwekuwedzera kwekuneta. Kana iwe uchifungira mwana wako, mubereki, shamwari, kana mumwe munhu waunoda ari kutambura neAxid reflux, zvakakosha kuti iye aone chiremba uyo achakwanisa kuziva kana kuongororwa kweGERD kwakakodzera uye kusabvisa zvimwe zvinetso zvose nezviratidzo zvakafanana .
Kuoma kwemudiwa wako weGERD zviratidzo zvinosarudza nzira dzakanakisisa dzokurapa. Panguva ino, heyi nzira dzaunogona kubatsira kubatsira kuderedza kuoma kwemararamiro ake epfungwa pamusha.
Zvokudya Zvisarudzo
The lower esophageal sphincter (LES), iyo valve pakati peeophagus and stomach, inowanzovhara zvakasimba kuchengetedza kudya uye mudumbu asidi. Kana ikadzoka kana isingafaniri, zvokudya uye mudumbu asidi inodzokera mudumbu uye inokonzera kuora mwoyo.
Kushungurudza kunowanzokonzerwa nezvimwe zvokudya. Batsira iwe waunoda kuti azive izvi zvinokonzera uye edza kuramba achikonzera kudya kunze kweimba kuitira kuti asazoedzwa uye apedze kurwadziwa.
Zvokudya izvo zvinogona kusununguka iLes zvinosanganisira:
- Fried (marashi) zvokudya
- Zvokudya-zvakakora
- Butter uye margarine
- Mayonnaise
- Creamy sauces
- Saladi kupfeka
- Iko-mukaka wose wemishonga yemisi
- Chocolate
- Peppermint
- Zvokudya zvekhoffeinated (semuenzaniso, zvinonwiwa, coffee, tea, kocoa)
Kushushikana kunogonawo kuitika apo dumbu rinounza asidi yakawandisa, uye ichi chinopinda muchikamu.
Zvokudya zvinogona kukurudzira kubudisa asidi uye kuwedzera kuputika kunosanganisira:
- Zvinyorwa zvekakineine
- Zvimwenje zvinokonzerwa
- Doro
- Zvokudya zvinonaka
- Black pepper
- Citrus michero nemishu (semuenzaniso, machungwa, mazambiringa)
- Tomato juice
Eating Out
Kana iwe uchidya kunze, bvunzurudza kuti zvakasiyana sei zvakagadzirirwa ndiro, kana mudiwa wako asingaiti.
Iwe unogona kukumbira kuti nyama yakabikwa pane kunyohwa, somuenzaniso. Zvokudya zvizhinji zvinosanganisira mafuta akawanda-mafuta uye iwe unogona kukumbira kuti uchinje kune imwe nzvimbo yakaderedza mafuta kana kushanda kune rumwe rutivi. Kunyange zvazvo vanhu vakuru vachida kusarudza ivo pachavo pazvinouya nezvokudya, kutanga kukurukurirana kunogona kubatsira kutungamirira nzira yekusarudza zviri nani.
Kuchikoro
Kuti ubatsire mwana wako kuti arege kudya izvi pavanenge vari kuchikoro, unogona kutakura mabiko ekuchikoro zvishoma kuderedza kukanganisa kwemazuva apo zvinotyisa zvinoshandiswa. Zvokudya zvechikoro zvinowanzowanzo zvine zvakawanda zve acid-zvinosimudzira kudya. Kuziva kuti zvipi zvekudya zvakachengeteka kuti vanetseke kutsamwa vanozobatsirawo .
Kudya nguva
Kurudzirai mudiwa wenyu kuderedza ukuru hwezvokudya zvake, sezvavanowedzera mudumbu uye vanogona kukurira kukwira kunopesana nechezasi esophageal sphincter (LES), iyo inokonzera kupisa mwoyo . Nokuti vana nevechiri kuyaruka vari kukura, vangave vachinzwa nzara pavanodzokorora zvigaro zvemazana avo pakutanga. Kana izvi zviri izvo, chiyeuchidza mwana wako kuti anogona kudya zvishoma, asi kuti haafaniri kudya kusvikira azere pane imwe kudya. Iyi shanduko ku "snacking" inogona kukwezva kune vamwe vana.
Kushandisa zvidimbu zviduku pamusha, kugadzira zvokudya zvishomanana, uye kushumira zvokudya kubva pikofu (panzvimbo petafura, uko zviri nyore kusvika kwemaawa mashoma) zvinogona kuva mazano anobatsira.
Usiku husiku hunopedza kudya kunogona kunge iri nguva yekurara yomudiwa wako, asi kana iye ane chirwere cheGERD, inogona kuita kuti usiku hurwere, hunovhiringidza hunovhiringidza. Edza kumudzivisa kubva pakudya mumawindo maviri kusvika kutatu asati aenda kunorara, zvichida nekudzivisa kuzvinyima.
Giravhiti inobatsira kuchengeta maitiro emudumbu kubva pakutsigira kusvika mudumbu uye anobatsira kubuda kwezvokudya uye uturu hwekudya kubva mudumbu kusvikira kumatumbo. Saka, mushure mokunge kudya kwekudya kwemanheru kusati kwaudzwa, kuramba uchikwanisa kwechinguva mushure mekudya kunogona kubatsira kupa muviri nguva yekushandisa masimba emagetsi ezvo zvokudya zviri kugadzirwa.
Nguva yokurara
Usiku hwekumhanya kweusiku hunogona kuva dambudziko. Kana kazhinji kuora mwoyo kweusiku kuchiitika, njodzi yezvinetso inowedzera. Pane zvikonzero zvakawanda zveizvi. Semuenzaniso, refluxed acid inowedzera kuramba iri mudenga kwenguva yakareba, ichibvumira kuti iite kukanganisa kwakanyanya kune sophagus. Kune, zvisinei, nzira shomanana dzekudzivirira kuora mwoyo kweusiku .
Kuvata pasi zvakanyanyisa zvinyorwa zviri mumimba zvinopesana nechezasi esophageal sphincter (LES). Nemusoro wepamusoro kupfuura mudumbu, kukuvadza kunobatsira kuderedza izvi. Bvunza chiremba wako waunoda kuti yakakwirira sei kusimudza musoro webhedha. Kusimudza musoro wose wemubhedha nekuisa zvidhinha kana matanda ematanda pasi petsoka kune rumwe rutivi, kuitira kuti mubhedha uri patsika shoma, unoshanda zvakanaka. Chiremba wako angapawo kushandisa kushandisa asidi reflux mubhedha kana mutezo wedge kukwidziridza musoro womuda wako uchirara.
Zvokupfeka Zvisarudzo
Nguo dzakasungirirwa kumativi ose mudumbu dzinomesa mudumbu, dzichimanikidzira zvokudya zvinopesana neLAT, zvichiita kuti zvokudya zvifuratire zvakare. Ichokwadi, zviri nyore, kuti zvive nyore kuchinja zvipfeko zvipi zvinoitwa nemwana anofananidzwa nevechiri kuyaruka, uyo angangodaro ane maitiro ake. Zvisinei, kutaurira mwana wako nezvekugadzirira kunyaradza kunogona kuderedza kukanganisa kwake kunogona kumutungamirira kuita zvisarudzo zvakadaro. Nguo dzinogona kukonzera zvinetso dzinosanganisira mabhanhire akasungirirwa, zvakasimba-waisted jeans, uye slenderizing nguo.
Symptom Tracking
Tenga wako waunoda bhuku uye, kana akakwanisa uye achida, ita kuti aone kana paanoona zviratidzo zvekurwadziwa, izvo zvikafu zvaidyiwa, uye / kana kuti basa ripi raaiita zvisati zvaitika. Kuoma kwepfungwa imwe neimwe yepfungwa uye chii chakamupa ruzivo kunofanira kuonekwa zvakare. Anokwanisa kutarisa kushungurudzika kwake pachiyero che1 kusvika kune gumi uye 10 ari kunyanya kunetseka kwaanogona kufungidzira uye 1 ari kurwadziwa kusinganzwisisiki ikoko.
Anokwanisa kuunza ruzivo urwu kune chiremba wake, uyo anogona kumubatsira kuti agadzirise kudya kwake, basa, kana mishonga, kana zvichidikanwa.
Iri urongwa hunobatsira kuvabereki vevechiri kuyaruka vasingawirirani nemazano avo; zvinorayirwa kubva kuna chiremba zvingave zviri nani kugamuchirwa.
Dzidzira
Kana mudiwa wako ari kuwandisa kana kuti akareruka, kunyange kurasikirwa nemapiritsi mashanu kana gumi kunogona kubatsira kuderedza zviratidzo zvekunetseka kwepfungwa uye kurovedza muviri, kazhinji, kunobatsira zvikonzero zvakawanda. Mukurudzire kuti aende, anofambisa bhasikoro rake, kana kumhanyira pamusoro pezvinyorwa paanotarisa TV. Edza zvinhu zvinonakidza zvemhuri se bowling, kufamba, kumunda, kana kushambira. Kushanda pamwe neshamwari yako kunogona kumubatsira kunzwa achikurudzirwa.
Mishonga
Antacids seTums, Rolaids, uye Mylanta dzinotapudza musimba acid. Zvinobatsira kuti uzvichengetedze, kunyanya kana mudiwa wako kazhinji akanganwa. Zvisinei, kana iye achida kushandisa antiacids kweinopfuura vhiki kana kudaro, kana kana saracid isakurumidza kugadzirisa zviratidzo, kushanya kwachiremba kunokurudzirwa. Kushandisa antiacid kwemavhiki anopfuura maviri kusvika maviri kunongoitwa chete nekutungamirirwa kwechiremba.
Kana mudiwa wako akasika kudya uye mararamiro emararamiro anoita kuti kuderedza kuora mwoyo kusina kubudirira, inogona kunge iri nguva yekushandisa imwe yemishonga yakasimba. Kunze kwevanopikisa, kune zvikamu zviviri zvakakosha zvemishonga yekuora mwoyo:
- Acid blockers (H2 blockers), yakadai seTagamet (cimetidine), Pepcid (famotidine), Zantac (ranitidine), uye Axid (nizatidine)
- Acid pump suppressors ( proton pump inhibitors , PPIs), sa Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), Aciphex (rabeprazole), uye Protonix (pantoprazole)
Kunyange zvakadaro, kushandiswa kwenguva refu kwemishonga iyi yakabatanidzwa nehosha yepvo, kurwisa kwemwoyo, uye kuputika kwepfupa. Zvimwe zvinokonzerwa nemigumisiro inofanira kukurukurwa nachiremba. Yenguva refu-asidi reflux inogonawo kukonzera zvinetso, saka chiremba wako waunoda angakubatsira iwe kuongorora njodzi uye kubatsira kwekurapa.
Kana wako waunoda kazhinji akanganwa kutora mushonga wake (kana iwe, somubereki, kukanganwa kuipa iyo kumwana wako), unogona kuwana mishonga yeuchiyeuchidzo smartphone apps inobatsira.
Support
Iyo yakanakisisa kurapwa kweAic acid reflux ndiyo yekudzivirira, uye kuchinja kudiwa kwemudiwa wako, nzvimbo yekurara, uye basa ndiyo nzira yakanakisisa yokutanga. Izvi, zvisinei, dzimwe nguva zvinogona kuva zvakaoma kuita. Ita zvose zvaunokwanisa kukurudzira uye kuisa wako waunoda kuti ubudirire, uye edza kuva nemoyo murefu sezvavanowana nzira yavo (kana iwe, semubereki wemwana ane GERD, ita zvakafanana).
Kubatanidza chiremba wako waunoda kunogona kubatsira, kwete kungodzidza zvakawanda nezvekugadzirisa zviratidzo zvake nekuwana mishonga inobatsira, asi nokuti inosanganisira mumwe munhu anogona kukutsigira uye kukudzorera pane mazano ako. Kana iwe uri mubereki, yeuka kuti pakupedzisira vechidiki vakawanda vari kunze kwemazuva ekushora uye vanoita basa guru mukushanda kuderedza zviratidzo zvavanofanira kurarama nazvo.
> Sources:
> Baird DC, Harker DJ, Karmes AS. Kuongororwa nekurapa kweGastroesophageal Reflux mucheche nevana. American Family Physician . October 15, 2015; 92 (8): 705-14.
> Lightdale JR, Gremse DA, Chikamu cheGastroenterology, Hepatology, uye Nutrition. Gastroesophageal Reflux: Kutungamirirwa Nhungamiro yevanachiremba. Pediatrics . May 2013; 131 (5): e1684-95. doi: 10.1542 / peds.2013-0421.