Mhando yeGERD Iyo Inoratidza Hapana Kuoneka Kuoneka kuEsophagus
Gastroesophageal reflux chirwere (GERD) inowanikwa apo pasi shoma esophageal sphincter (LES) haisati yavhara zvakanaka, saka zviri mukati mutezo zvinoputika shure, kana kuti zvinoputika, mukati meiyo.
Kune vamwe varwere, GERD inogona kukonzera uropopititis , chiitiko chinokonzera kuvhiringidzika, erosions, uye zvionda kuti zvigadzike muhutachi. Kusuruvara kwehutachiona kunogona kuonekwa ne endoscope-chiridzwa chine chiedza uye kamera pane iyo inobvumira chiremba kufungidzira manzwiro emagetsi evanhu.
Asi vanhu vazhinji vane izvo zvinonzi nonerosive reflux, kana NERD. NeNERD, vanhu vanowanzoona zviratidzo zveGERD zvinokonzerwa ne acid reflux, asi hazvina kuonekwa kwekukuvara kwemashoko.
Kurapa kweNERD kwakafanana neyoyo yeGERD yakawanda. Zvichienderana nekuoma kwezviratidzo, kurapwa kungave kunosanganisira chimwechete kana zvimwe zvezvinotevera: mararamiro ekuchinja, mishonga, kana kuvhiyiwa.
Upenyu hwekuchinja hunobata NERD
Maererano neAmerican College of Gastroenterology, maitiro ehupenyu ndeyekushandisa kugadzirisa asidi reflux chirwere.
- Kurasikirwa kwehuremu: Kana iwe uri kupfutika kana kuti wanyanyisa (izvo zvinoreva muviri wehuwandu hukuru hunopfuura 25), kana kana uchangobva kuwedzera uremu, kurasikirwa kunokurudzirwa zvikuru. Sayenzi shure kweiyo ndeyekuti humwe humwe uremu hunosvika pamakumbo ako hunogona kuwedzera kumanikidzwa kwemuviri, izvo zvinogona kukonzera mukati mechirume kusvika mudumbu.
- Kusimudza musoro wemubhedha wako , kunyanya kana zviratidzo zvako zvekuregerera zvakanyanya kuitika usiku uye / kana kumutsa usiku, zvinoratidzwa.
- Kuderedza kusvuta uye kunwa doro kunogona kubatsirawo, kunyange zvazvo kuchinja uku kusina kunyatsoratidzwa mune zvidzidzo zvezesayenzi kubatsira neGERD zviratidzo. Kunyange zvakadaro, vanachiremba vakawanda vanozvikurudzira iyo pane mumwe munhu.
- Kurega zvimwe zvokudya zvinogonawo kubatsira kugadzirisa zviratidzo zve acid asiri reflux, kunyanya chokoti, caffeine, zvokudya zvinonaka, macroviris, uye carbonated drinks. Kuchinja uku kunogona kunyanya kubatsira kuvanhu vanocherechedza kubatana pakati pezviratidzo zvavo uye chimwe kana zvimwe zvokudya zvakasiyana.
- Kudya zviduku zvishoma (sekudya kukuru kunogona kuwedzera kukwira kunopesana ne esophageal sphincter) uye kudzivisa kudya kudya kwemaawa maviri kana matatu asati avata kana kurara kunogonawo kubatsira.
Mishonga Yokubata NERD
Chiremba wako anogona kukurudzira kupfuura-the-counter antiacids, iyo inoshanda kuburikidza neutralizing asidi mudumbu, kana mishonga inomisa kushandiswa kweasiti.
- Anacidid , zvakadai seMaalox , Mylanta , Tums , uye Rolaids inowanzotanga kushandisa mishonga inorambidza kubvisa kuora mwoyo uye dzimwe zviratidzo zveGERD zvinyoro. Mishonga yakawanda pamusika inoshandisa kusanganiswa kwakasiyana kwezvinhu zvitatu zvinokonzera saliti-magnesium, calcium, uye aluminium-ne hydroxide kana bicarbonate ions kuti irege kuisa asidi mudumbu mako. Izvo zvakaderera ndezvokuti zvinopesana nezvimwe zvinogona kuve nemigumisiro. Magnesium munyu inogona kutungamirira kumararha, uye aluminium salt inogona kukonzera. Aluminium uye magnesium salt zvinowanzobatanidzwa mune chimwe chigadzirwa kuenzanisa izvi.
- H2 blockers , zvakadai seTagamet , Pepcid , Axid, uye Zantac , inopedzerwa asidi yakagadzirwa. Zvinowanikwa mune simba remishonga uye pamusoro-the-counter. Iyi mishonga inopa rubatsiro rwenguva pfupi, asi pamusoro pe-counter-H2 blockers haifaniri kushandiswa kwemasvondo mashomanana panguva imwe isina kutungamirirwa kwakakodzera kwechiremba.
- Proton pump inhibitors dzinosanganisira Prilosec , Prevacid, Protonix , Aciphex, uye Nexium , iyo yose inowanikwa nemishonga. Prilosec inowanikwa mune imwe yomupepeti (Prilosec OTC). Proton pump inhibitors (PPIs) iboka remishonga inodzivisa kusunungurwa kweAic acid mudumbu uye mumatumbo. Proton pump inhibitors haifaniri kushandiswa kwemasvondo mashomanana panguva imwe isina kutungamirirwa nachiremba.
Kuvhiya Kwokubata NERD
Maererano neAmerican College yeGastroenterology, kusarudzwa kwevanhu vane GERD kunosanganisira laparoscopic fundoplication kana kuvhiyiwa chirongwa mumunhu anenge akaoma.
Mune laparoscopic fundoplication, nzvimbo yepamusoro yemudumbu yakapoteredzwa nechepamusoro pepasi.
Chisarudzo chekuvhiyiwa chinhu chakaoma uye chinoda kukurukurirana kunofungidzira pakati pemunhu uye navanachiremba.
> Sources:
> Hershcovici T, Fass R. Nonerosive Reflux Disease (NERD) - Chirongwa. J Neurogastroenterol Motil. 2010 Jan; 16 (1): 8-21.
> Katz PO, Gerson LB, Vela MF. Nhungamiro yehutano uye hutano hwegastroesophageal reflux chirwere. Am J Gastroenterol 2013; 108: 308-28.
> Kahrilas PJ. (March 2016). Kurapa kurapwa kwegastroesophageal reflux chirwere kuvanhu vakuru. Mu: UpToDate, Talley NJ (Ed), UpToDate, Waltham, MA.
> Sigterman KE, van Pinxteren B, Bonis PA, Lau J, Numans ME. Kurapwa kwenguva pfupi neproton pump inhibitors, H2-receptor vanopikisa uye prokinetics yegastro-oesophageal reflux chirwere-sezviratidzo uye endoscopy-negative reflux chirwere. Cochrane Database Syst Rev. 2013 May 31; (5): CD002095.