Zvinodhaka Zvinogona Kukonzera Kushushikana Kwemwoyo uye Chii Chingaitwa?
Nepo isu tichiwanzofunga nezvekudya zvimwechete zvichikonzera kushungurudza, asi kunewo mimwe mishonga inogona kukonzera kuora mwoyo. Iyi mishonga inogona kukonzera kuora mwoyo pachako, kana kushanda pamwechete nezvimwe zvinokonzera kupisa ichocho muchipfuva chako.
Mishonga seCause
Kune nzira dzakasiyana-siyana kana nzira dzinoshandiswa nemishonga inogona kukonzera kushungurudzika kunorondedzerwa zvakare pasi apa, asi zvakakosha kutanga kuratidza kuti munhu wese akasiyana, uye kuora mwoyo kunobatsira mishonga kunopesana zvikuru kana uchifunga nezvevanhu varipo.
Mamwe mishonga inokonzera kushungurudza mumunhu mumwe chete ingasava nemigumisiro pane imwe. Muzvokwadi, kune munhu mumwe chete, chirwere chinogona kukonzera kuora mwoyo pane imwe nguva asi kwete pane imwe; Iko pachako kunokanganisa kukanganisa kunopesana nekufamba kwenguva.
Kana iwe uchifungidzira kuti imwe yemishonga yako iri kuwedzera kukuvadza kwako, zvakakosha kutaura nemutungamiri wako wekutanga wehutano. Iwe haufaniri kurega kutora mishonga yako kunze kwekunge wakurudzirwa kuti uite saizvozvo semamwe mamiriro ezvinhu, izvi zvinogona kuva nengozi. Chinhu chakanaka ndechokuti pane dzimwe nguva nzira dzekuderedza mishonga-inokonzera kuora mwoyo kana zvimwe zvingasarudzwa pamishonga yakasiyana kana izvo zvisingaiti.
Mishonga Inogona Kukonzera Kuora Mwoyo
Inenge chero mishonga inogona kukonzera kushungurudzika kana vamwe vachikwanisa kuisa chiratidzo ichi kupfuura vamwe. Dzimwe nguva inguva yemishonga chete inotungamirira pakuora mwoyo, asi dzimwe nguva chiratidzo ichi chinogona kunge chiripo nokuda kwekubatanidzwa kwezvikonzero zvakasiyana.
Zvinodhaka Zvinogona Kukonzera Mwoyo
Mishonga iyo yave ichizivikanwa inokonzera kuchema kunosanganisira:
- Mishonga yeAn anti-anxiety, yakadai seValium diazepam) - Iyi mishonga inogona kunge isinganyadziswi mafungiro ako, asi pasi yako sphincter zvakare.
- Mimwe mishonga inorwisa mabhakitiriya, yakadai sedetracycline, inogona kutsamwisa zvakananga sophagus.
- Anticholinergics yakadai seCompazine (prochlorperazine) uye Phenergan (promethazine) inogona kukonzera kupera kwepasi esophageal sphincter.
- Aspirin - Kune vamwe vanhu vasingakwanisi kubvumira aspirin nekuda kwekuputika, aspirin yakagadzirwa ne-enteric inogona kunge yakasarudzwa. Usambofa wakamira aspirin usati wataura nachiremba wako.
- Bisphosphonates yakadai seFosomax (alendronate), Actonel (resendronate), uye Boniva (ibandronate) - Mamwe mavara bisphosphonates anogona kukonzera kuputika nekutsamwisa zvakananga sopu. Kana mishonga yako iri kukonzera kushungurudza, pane zvingagadzirirwa zvekugadzirira zvinopiwa sejojo iyo isingagoni kuisa chiratidzo ichi.
- Calcium channel blockers yepamusoro-blood yeropa, yakadai seProcardia (nifedipine), uye Cardizem (diltiazem) inogona kukonzera kuora simba kwechepasi esophageal sphincter uyewo kunonoka kutora gastric. Ndinofara, kune mazvikwata mazhinji akasiyana-siyana eropa remishonga yemishonga inowanikwa, uye kuchinja kune rimwe kirasi kunogona kubatsira kana zviratidzo zvako zvichienderera mberi.
- Mamwe mishonga yemidzimu yakadai saProventil (albuterol) uye theophylline.
- Chemotherapy drugs.
- Corticosteroids (steroid) yakadai seDeltasone (prednisone) uye Medrol (methylprednisolone) inogona kukonzera kushungurudza uye zvimwe zvinokonzera kudya.
- Hormone replacement therapy (HRT), iyo inobatanidza isrogen uye progesterone.
- Narcotics inogona kukonzera kushungurudzika nekukanganisa gastric kubvisa. Zvisarudzo zvinogona kusanganisira kushandisa maitiro akasiyana-siyana emishonga inorwadza, asi zvinonakidza kuti anti-inflammatories, iyo inokurukurwa inotevera, inogonawo kukonzera zvinetso.
- NSAIDs (nonsteroidal anti-inflammatory drugs) yakadai seAppil (ibuprofen) uye Aleve (naproxen) inogona kuwedzera acidity mudumbu nekudzivisa prostaglandin - Sarudzo dzekurwadziwa zvakadai seTylenol (acetominophen) kana kunyange mishonga inorapwa inogona kudiwa apo NSAIDS inokonzera kuora mwoyo kana kugadzikana kwegumbo kunokanganisa. Mune mamwe mamiriro ezvinhu, kuve nechokwadi kuti kutora NSAIDS pane dumbu rakazara kunogona kubatsira.
- Tricyclic zvinodzvinyirira, zvakadai seTofranil (imipramine), Sinequan (doxepin), Norpramin (desipramine), uye Pamelor (nortriptyline) inononoka kugadzirisa gastric kubvisa. Vakawanda vevanhu vatsva vanorwisa zvinodzvinyirira havakwanisi kukonzera chiratidzo ichi.
- Potassium inogona kukonzera kushungurudza nekutsamwisa zvakananga sopu.
- Iron inowedzera - Iron inowedzera inogona kutsamwisa zvakakwana dumbu. Vamwe vanhu vanowana zororo kuburikidza nokutora izvi zvigadzirwa zvekudya nekutya kana kuvashandisa pakutanga kwezuva.
- Vitamin C.
Zvisarudzo
Kana mishonga yako ichiita sokuti inokonzera kuora mwoyo, usangomira mishonga. Taura nachiremba wako. Kune mimwe mishonga inofanirwa kusurumurwa kana kuputsika kwechiitiko kunogona kuitika. Mune zvimwe zviitiko, kana mishonga inokosha zvikuru, chiremba wako anogona kukurudzira kuporesa kuora mwoyo panzvimbo pokurega mishonga.
Dzimwe nguva, kushanduka nyore nyore mumararamiro ako kunogona kugadzirisa kuora mwoyo. Kutora mishonga paunenge wakagara uye wogara wakagara kana kumira kwehafu yeawa kunogona kubatsira. Uyezve, kushambidza mishonga pasi negirazi remvura yakazara kunogona kubatsira. Neimwe mishonga, kuitora nechingwa kunogona kubatsira, asi kutanga ita nechokwadi chokuti mishonga yako haisi imwe iyo inofanira kutorwa pachirwere chisina chinhu chekudya.
Mamwe mishonga, yakadai sa aspirin, inowanikwa mune enteri-yakavezwa iyo inogona kubatsira kune vamwe vanhu. Nemimwe mishonga, kuumbwa kwakasiyana kunogona kuita mano. Semuenzaniso, pamwe ne-bisphosphonate inoshandiswa muhutachiona, chiremba wako anogona kukurudzira fomu yejojo panzvimbo yehuwandu hwemuromo hwechirwere.
Pakupedzisira, funga nezvimwe zvinhu muhupenyu hwako izvo zvingave zviri kukonzera kushungurudza uye kuwedzera dambudziko rako. Semuenzaniso, dzidzai kudya kupi kwekugadzirisa , kurega kusvuta , uye kurega doro .
Nzira dzeKutsamwa Kwemhepo
Kushungurudza kunogona kuva chiratidzo chimwe chete asi kunogona kukonzerwa nenzira dzakasiyana-siyana. Zvimwe zvezvirongwa zvinogona kuita kuti mishonga inokonzerwa nokuputika kunosanganisira kutsamwisa zvakananga kwesophagus, kushaya simba kwechepasi esophageal sphincter, kushungurudzika kwemaitiro kwesimba rekudya kunokonzera kukanonoka kwechingwa chekudya, uye zvichida hiatal hernias.
Esophageal Irritation
Mimwe mishonga, yakadai sematare, potasium, uye bisphophonate inogona kutsamwisa zvakananga bhandi rehangu uye kunokonzera kuora mwoyo. Nemishonga iyi inogona kuita mutsauko kuti ugare wakarurama kwemashure memaminitsi makumi maviri nemakumi matatu mushure mekutora mishonga, uye kutora mapiritsi negizi rose remvura.
Lower Esophageal Sphincter (LES) Dysfunction
Bhenu remisungo iri pamagetsi pakati pepopu uye mudumbu inonzi " low esophageal sphincter" (LES). Iyi musuru inokonzera kupfiga nekuzarura mugumo wepasi weeophagus uye inoita sekumanikidza kunopesana nezviri mukati mudumbu. Kana iine simba kana kuti inorasikirwa nehutoni, iLes haizovhari zvachose mushure mokunge zvokudya zvichisvika mudumbu. Dumbu remasidhoni rinokwanisa zvakare kudzokera mudenga. Zvimwe zvokudya uye zvinwiwa, zvinodhaka, uye manzwiro emamiriro ezvinhu zvinogona kuderedza LA uye kuparadza basa racho.
Kushungurudzika Kwemhepo (Slow Stomach Emptying)
Muzvokudya zvinowanzogadzirwa, zvokudya zvinoshandiswa kuburikidza nehutano hwekudya nekunyora kwemashoko kunonzi peristalsis. Kana mumwe munhu ane chirwere chekudya chirwere chinonzi motility disorder , izvi zvinopesana hazvina kujairika. Izvi zvinogona kuitika nekuda kwechimwe chezvikonzero zviviri: Dambudziko mukati memisumbu pachayo, kana dambudziko nemisungo kana mahomoni anodzora maitiro emisumbu. Chimwe chidzidzo chakaratidza kuti kupfuura hafu yevanhu vane hutachiona reflux disorder (GERD) yakanga ine mitsipa isingawanzoiti kana musimba inoshanda mumimba yavo iyo inogona kukonzera kusakanganiswa kwemaitiro.
Apo masumbu ari mudumbu kuti asaite chibvumirano kazhinji, mudumbu hauna chinhu mukati memukati maduku nokukurumidza sezvazvaiwanzoita. Kubatanidzwa kwezvimwe zvokudya zvakasara mumudumbu pamwe nekuwedzerwa mukati mukati mudumbu nekuda kwekurumidza kunonoka kuwedzera kunowedzera dambudziko remuviri weAidamu kunonyorera kumashure.
Hiatal Hernia
Imbeu inoberekwa inowanikwa apo chikamu chepamusoro chemudumbu chinosimudzirwa kumusoro muchipfuva kuburikidza nemuvheti mudiapragm. Izvi zvinogona kuitika nekuda kwekuderera mu diagpragm kana nekuda kwekuwedzera kwepamuviri (sekuwedzera nekudisa.) Iyi mukova inonzi isophageal hiatus kana diaphragmatic hiatus. Zvinotendwa kuti hutano hwechibereko hunoita kuti kuderedza sophageal sphincter uye kuderedza reflux, zvisinei, zvidzidzo zvakakundikana kuratidza kuti iyo inowanzokonzera GERD.
Genetic Factors
Zvidzidzo zvakaratidza kuti pane njodzi inowanikwa nhaka yeGERD. Izvi zvinogona kunge zvichida nekuda kwematambudziko anokonzerwa nemasimba kana maitiro muhuputi kana mudumbu. Nhengo dzepabonde dzinogonawo kuva chinhu chinokosha mukurwara kwemurwere kumusana weBarrett , chinonyanya kuitika chinokonzerwa neGERD yakaoma.
Kurapa
Zvakakosha kutaura nechiremba wako kana uri kurwadziwa kwepfungwa. Mukuwedzera pakuratidza maitiro ekuchinja mararamiro anokwanisa kuderedza zviratidzo , anogona kutaura newe pamusoro pezvimwe zvirongwa zvekurapa zvinowanika kuora mwoyo .
Pasi Pepamusoro Pamishonga uye Mucheto
Inenge chero mishonga inogona kukonzera kupisa, asi pane zvakajeka mimwe mishonga inenge yakakura kupfuura dzimwe. Pane nzira imwe chete iyo mishonga inogona kukonzera kushungurudzika, uye kunzwisisa kwemaitiro kunogona kukubatsira kushanda nachiremba wako kuti uwane nzira dzekutora mishonga yako kuderedza zviratidzo zvako, kana kutenderera kune imwe mishonga isingakoshi kukonzera kuchema.
Sources:
Castell, D. Mishonga-Inophagitis Inobatsira. UpToDate . Updated 10/15/15.