Mishonga Inowanzobatanidza Maitiro Oupenyu Hwose Kuchinja uye Mishonga
Kana iwe uchingogara usingagumi , zvakakosha kuva nezivo pamusoro pokuti ungazviita zvakanakisisa sei. Izvo zvisina kufanira asidi reflux inogona kutungamirira kumatambudziko akaita sekenza yemahara .
Zvinyorwa zviri pasi apa ndezvisere masere ekurapwa kweAid reflux. Zvechokwadi, zvinokosha kuti iwe ukurukure chero sarudzo dzese dzokurapa nachiremba wako kutanga.
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Lifestyle ChangesSezvo chikamu cheAxy yako inoratidzira kurapwa, chiremba wako angangodaro anoratidza imwe kana humwe hupenyu hunochinja kana usati watarisa mishonga kana pamwe chete nemishonga, seH2 blocker kana proton pump inhibitor .
Nokuda kwehuwandu hwevaya vane kuora mwoyo, chinonyanya kukosha kuchinja mararamiro ndiko kushaya kurasikirwa (kana kuwedzererwa kana kuwedzera). Kukurumidza kuwedzera pfuma zvakare kunogona kuva chikonzero chekurwadza. Kusiya kusvuta nekudzivirira kana kurega doro kunowanzobatsirawo.
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Kudya kuchinjaPakave nedzimwe nharo pamusoro pekuti zvokudya zvinogona kukonzera kana kutadzisa kuora mwoyo. Kunyange zvazvo zvakaoma kuratidza zvesayenzi, vanhu vakawanda vane kuora mwoyo vanobatanidza zviratidzo zvavo kune imwe kana zvimwe zvokudya zvakananga kana zvimwe zvinwiwa, kunyanya chokoti, caffeine, zvokudya zvinonaka, zvinonwiwa, uye carbonated zvinwiwa. Nokudaro, zvinokosha kuti vanhu vane kuora mwoyo kubvise kana kupedza zvidyo izvi uye zvinwiwa kubva pazvokudya zvavo. Izvo zvataurwa, iwe unofanira kuita izvi pasi pekutarisirwa kwachiremba wavo kuti uone kuti hausi kunyanyisa.
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Histamine Receptor Antagonists (H2 blockers)H2 blockers, kufanana neproton pump inhibitors, inoderedza kuwanda kwechidimbu mudumbu, asi kuburikidza nenzira yakasiyana. Vanotanga kushanda mukati meawa yekutora iyo. Dzimwe nguva chiremba angakurudzira H2 blocker yekurapa kwenguva refu ye gastroesophageal reflux chirwere (GERD). H2-blockers inoshandiswawo kubata mamwe mamiriro ezvinhu eAidhi sezvinoita chirwere chechirwere chechirwere .
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AntacidsAnatacids inowanika pane-the-counter uye haina kusimba seH2 blockers kana kuti proton pump inhibitors. Izvo zvinotaurwa, kana zvichishandiswa zvakakodzera, antiacids inogona kubatsira mukudzikisa nguva inokonzerwa nekuputika uye kusadirika . Kunyange zvakadaro, zviri nani zvikuru kana iwe uchidzivisa kupisa kwepanyika kubva pakuitika panzvimbo yekutanga, panzvimbo yekurapa kuora mwoyo mushure mekunge kwaitika.
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Proton Pump InhibitorsProton pump inhibitors (PPIs) iboka remishonga inodzivisa kusunungurwa kweAic acid mudumbu uye mumatumbo. Vanachiremba vanopa PPIs kuti vabate vanhu vane mwoyo (acid reflux), zvipembenene zvemuviri kana mumukumbo, kana kuti kudarika muviri mudumbu ( Zollinger-Ellison Syndrome ). Vamwe proton pump inhibitors inowanika pane-the-counter asi vamwe vanowanika nemishonga chete. Kuteerera kudii yakatarwa uye kutora PPI yako panguva yakakodzera (maminetsi makumi matatu nemakumi matatu asati adya) zvakakosha kuti ikashande zvakanaka.
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Mishonga yeMushaKune vamwe vanhu vane chronic acid reflux, vanoda imwe nzira, yemasikirwo ekurapa kushungurudza kwavo, kunyanya kana vakave vachishandisa mishonga kwechinguva. Izvi zvinoshandiswa kubva kumagariro evanhu uye homeopathic kune kudya kwakanaka uye mararamiro ehupenyu.
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Fundoplication SurgeryNzira yekuvhiya yekurapwa kweGERD ndiyo laparoscopic fundoplication, inosanganisira kuvaka "valve" mutsva pakati pechipupuri uye mudumbu nekuputira chikamu chepamusoro chemuviri (fundus) chakakomberedza chiteshi chepasi chepasi.
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Stretta ProcedureNzira ye Stretta ndiyo nzira inogamuchirwa yegastroesophageal reflux chirwere muvanhu vakuru vane zviratidzo kwemwedzi mitanhatu kana kupfuura, havasi kuwana chero kana kubatsirwa zvishoma kubva pamishonga yeGERD yemagariro (seproton pump inhibitors), uye vakaramba kuvhiyiwa kana kuti vasati vambovhiyiwa vakatsvaga.
Iyi nzira inoitwa panguva yepamusoro endoscopy uye inoshandisa kushandiswa kwemhepo yakawanda inoshandiswa kumusana wepasophageal sphincter uye gastric cardia (kumucheto kwedumbu).
> Sources:
> Katz PO, Gerson LB, Vela MF. Nhungamiro yehutano uye hutano hwegastroesophageal reflux chirwere. Am J Gastroenterol 2013; 108: 308-28.
> Triadafilopoulos G. Stretta: Chirwere chekupedzisira chinogadziriswa chirwere chetachiona chegastroesophageal reflux. World J Gastroenterol . 2014 Jun 28; 20 (24): 7730-38.