Gastroesophageal reflux chirwere (GERD) inokonzerwa nekusawirirana kwemukati weAidha muchikamu apo apo pasi yako esophageal sphincter (LES) iine simba kana inodzokorora kana isingafaniri. Zvimwe zvinogona kukonzera zvinogona kusanganisira kurema, kusvuta, kudya, nekuzvitakura, pakati pevamwe. GERD inogonawo kuva nekuda kwemamiriro akasiyana-siyana, kusanganisira kusagadzikana kwechiologic kana zvikonzero.
Kana iwe uchitambura nekugara uchitsvaga, zvakakosha kuti ubvunze nachiremba wako kuti awane chikonzero che acid yako reflux uye anobvumirana pane chirongwa chekurapa.
Zvinowanzokonzera
Pane zvinhu zvakawanda zvinogona kukonzera GERD. Dzimwe nguva chikonzero cheGERD yako chinogona kuoma uye chinosanganisira zvinhu zvakawanda.
Kusarudzwa kweEsophageal Sphincter (LES)
Kune vakawanda vanotambura, asidi reflux inokonzerwa nekuzorodzwa kweZE, iyo inofanirwa kuvhara nekuzarura mugumo wepasi weeophagus uye inoita sechisungo chinopesana nezviri mukati memudumbu. Kana isina simba kana kurasikirwa nehutoni, iLes haizovhari zvachose mushure mokunge zvokudya zvichipinda mudumbu rako. Dumbu remasidhoni rinokwanisa zvakare kudzokera muchikamu chako.
Iyo yakagadziriswa yakafanana haina yeyo yemudumbu uye haikwanise kurarama neAic acid zvakare, saka inokuvara nyore nyore. Icho ichi chinoramba chichikanganiswa chechidimbu mumukati weiyo inogadzira zviratidzo uye zvinogona kukuvadza.
Dzimwe nguva kusabatwa uku kwakagadzikana, asi zvimwe zvokudya uye zvinwiwa, zvinodhaka, nezvimwe zvinhu zvinogona kuderedza iLES uye kuipa basa racho.
Kuwedzera muviri
Kuva wanyanyisa kunowedzera kukanganisa pamimba yako, zvichiita zviratidzo zveGERD zvakanyanya. Kunyatsobatanidza pakati peGERD nekurema hakunzwisisi zvakakwana, asi kuve kurema kunofungidzirwa kuti zvose zvinokonzera uye chikonzero chekukudziridza GERD.
Mishonga
Pane mishonga yakasiyana-siyana inogona kukanganisa dambudziko remunhu weGERD nekuwedzera zviratidzo.
Nonsteroidal anti-inflammatory drugs (NSAIDs) dzinosanganisira aspirin , Motrin kana Advil (ibuprofen), uye Aleve (naproxen), uye miviri yemigumisiro inowanzoonekwa kana ichivatora. Iyi mishonga inowanzobatanidzwa nekukonzera maronda emapupa , uye inogonawo kuita kuti kuora mwoyo uye kushungurudzika kuwedzere kuwedzerwa nekuderedza kana kupumudzisa LES.
Muvanhu vanotova neGERD, mishonga iyi inogona kuwedzera kuoma kwezviratidzo; mune vanhu vasingaiti, kushandiswa kwenguva refu kweNSAID kunogona kuita kuti kuve neGERD.
Imwe mishonga yemishonga inogona kukonzera kana kuwedzera zviratidzo zveGERD. Zvakakosha kubvunzurudza chiremba kana iwe uchingotanga kuona zviratidzo chero zvipi zvese pamishonga. Heano mamwe maitiro akafanana:
- Calcium channel blockers, inoshandiswa kuporesa ropa rakanyanya uye chirwere chemwoyo
- Anticholinergics, inoshandiswa mumishonga inobata zvirwere zvekuvhiringidza, urwere, uye glaucoma
- Beta-adrenergic agonists, inoshandiswa kuhutachiona uye zvirwere zvemapapu zvinoparadza
- Tricyclic zvinodzvinyirira zvakadai seamitriptyline, Tofranil (imipramine), uye Pamelor (nortriptyline)
- Antihistamines, inoshandiswa pamakemikari
- Zvinyorwa zvepaintericers se codeine nemishonga ine acetaminophen uye hydrocodone
- Progesterone
- Quinidine, chirwere chemishonga chepfungwa chinoshandiswa kurapa mwoyo arrhythmias uye malariya
- Sedatives uye benzodiazepines, dzakadai saValium (diazepam)
- Theophylline, inoshandiswa mu bronchodilators yeAhma, chronic bronchitis, nezvimwe zvirwere zvemapapu
- Diazepam, inoshandiswa pakurapa
- Dopamine, yakashandiswa muPalinson's disease
- Bisphosphonates inoshandiswa kurapa osteoporosis
- Mishonga inorwisa mabhakitiriya, se tetracycline
- Potassium inowedzera
- Iron inowedzera
Kusvuta
Kusvuta kana kufema mune utsi hunoshandiswa zvakare hunofanirwa kuonekwa sechikonzero uye chinokonzera kukanganisa GERD. Pane nzira dzakawanda umo kusvuta kunogona kutungamirira pakuora mwoyo , zvakadai sokuderedza chiyero chemuti iwe unobereka, zvichiita kuti dumbu rako riduruke zvishoma nezvishoma, uye kugadzira mamwe musimba acid.
Kusvuta kusvuta ingangodaro chimwe chezvinhu zvakanakisisa zvaunogona kuita kuti kuderedza zviratidzo zvako kana kuderedza ngozi yako yekuvandudza mafungiro ekutanga.
Hiatal Hernia
Mhuka inoberekwa inowanikwa apo chikamu chekumusoro chemuviri wako chiri pamusoro peiyo, mutsara wemasumbu unoparadzanisa dumbu kubva muchipfuva. Izvi zvinoderedza kushungurudzwa kweZE, izvo zvinokonzera reflux. Imbeu inoberekwa inogona kuitika kuvanhu vezera ripi neripi; vakawanda vane hutano hwakanaka vanhu vanopfuura 50 vane zvishoma.
Dambudziko reDumbu Basa
Vaya vane GERD vangave vane nharo isina kushamisa kana musimba inoshanda mumudumbu iyo, iyo inokonzera, kudya uye mudumbu weAidhiya kunyorerwa zvishoma nezvishoma. Izvi zvinokonzera kukanganisa mumudumbu kubudisa zviri mukati mavo, kuwedzera kukumani mukati maro nekuwedzera dambudziko rekushandura asidi.
Motility Kuipa
Muzvokudya zvinowanzogadzirwa, zvokudya zvinoshandiswa kuburikidza nehutano hwekudya nekunyora kwemashoko kunonzi peristalsis. Kana iwe uchitambura kubva mukudya kwemaitiro motility kusina kusimba , izvi zvinopesana hazvina kujairika. Izvi zvinogona kuitika nekuda kwechimwe chezvikonzero zviviri: Dambudziko mukati memisumbu pachayo, kana dambudziko nemisungo kana mahomoni anodzora maitiro emisumbu. Matambudziko muhutachiona munharaunda inowanikwa muGERD, kunyange zvisingave pachena kana zviitiko zvakadaro zviri chikonzero kana chigumisiro chemigumisiro yakareba yeGERD.
Kuberekwa
Kuwedzera kwehomoni isrogen uye progesterone panguva yekuzvitakura inoderedza THE, uyewo dumbu rako rinowedzera rinowedzera kuoma pamimba yako. Nemhaka yeizvi, zvakakosha kuti vakadzi vane pamuviri vabate kuora mwoyo, izvo zvinogona kutungamirira kuGERD.
Asthma
Vanopfuura 75 muzana yevanhu vane astmma vanotenda kuti vane GERD. Hapana anonyatsoziva kana asthma inokonzera GERD, kana kuti ndiyo imwe nzira yakapoteredza. Pane zvikonzero zviviri nei zvikonzero zviviri zvakabatana. Chokutanga ndechokuti kukwezva kunoenda nekurwiswa kwechirwere kunogona kutungamirira kuchinje chepfuva, izvo zvinogona kuita kuti reflux iite. Zvadaro pane imwe chokwadi chokuti mamwe mishonga inonzi asthma inotenderera mumhepo, ichizorodza i-LES uye inotungamirira kuratidza. Zvirwere zvose izvi zvinowedzera humwe zviratidzo, asi kurapa GERD kazhinji kunobatsira zviratidzo zvechirwere zvakare.
Zvokudya
Pane mhirizhonga inoramba ichitaura nezvekuti zvimwe zvokudya zvinogona kukonzera kushungurudza mwoyo. Kana iwe usingawanzove nokuputika, zvokudya kazhinji hazvibatanidzi nekurwisa. Asi kana iwe uine izvi nguva dzose, unogona kuona kuti zvimwe zvekudya zvinoita sokuti zvinokurudzira iwe. Mamwe marudzi ezvokudya anokurudzira kugadzirwa kweAsiri uye vamwe vanozorora the LES.
Zvokudya Zvinozorodza Lower Esophageal Sphincter
Kazhinji, the LES inogadzirisa zvakasimba kuchengetedza kudya uye mudumbu acid mukati mudumbu rako. Kana ikashandura kana isingafaniri, zvokudya uye mudumbu asidi inodzokera mudenga rako uye iwe unganzwa kuora mwoyo.
Izvi zvinotevera mienzaniso yezvokudya zvinogona kusununguka neLes:
- Fried (marashi) zvokudya
- Zvokudya-zvakakora
- Butter uye margarine
- Mayonnaise
- Creamy sauces
- Saladi kupfeka
- Iko-mukaka wose wemishonga yemisi
- Chocolate
- Peppermint
- Zvokudya zvekakineine sezvinonzi zvinwiwa, coffee, tei, uye cocoa
Zvokudya Zvinokurudzira Acid Kubudisa
Kushungurudza kunogona kuitikawo kana dumbu rako richibereka yakawanda asidi, iyo inopinda muchikamu chako. Zvokudya zvinogona kuita kuti chigadzirwa cheAsiri chiwedzere uye kuwedzera kuputika ndezvekuti:
- Zvinyorwa zvekakineine
- Zvimwenje zvinokonzerwa
- Doro
- Zvokudya zvinonaka
- Black pepper
- Citrus michero nemiti yakadai semarangi kana mazambiringa
- Tomato juice
Munyu
Zvidzidzo zvakaratidza kuti kudya kunowedzera mu sodium kunogona kuita kuti asidi reflux inogona kutungamirira kuGERD. Zvisinei, kune vanhu vane hutano, kudya kwakanyanyisa kwemanyu hakuratiki kuwedzera asidi reflux. Zvimwe zvidzidzo zvinoda kuitwa, asi kana zvisinganyanyi, munyu unogona kunge uri kushungurudzika kunokonzera vamwe vanhu. Nzira chete yekuziva nayo ndeyekuedza kuvhara munyu wako kuti uone kana ichiita mutsauko.
Genetics
Ongororo dzakawanda dzakaratidza kuti kune chimiro chezvibereko mumatambudziko akawanda eGERD, ayo dzimwe nguva angave aripo nekuda kwezvinetso zvakagadzirirwa mumatambudziko kana maitiro muhutachi kana mudumbu. Chimwe chidzidzo chakawana kuti kuchinja kweDNA kunonzi GNB3 C825T kwakanga kuripo mune vose vanoita chidzidzo neGERD, asi yakanga isiri muboka rekutonga rakanga risina GERD.
Genetic factors zvinoita sokuti inotora basa guru mukurwara kwemurwere kumusana weBarrett, chiitiko chisina kunaka chinokonzerwa nehosha yakanyanya gastroesophageal reflux . Chimwe chekudzidza chakawana kuti GERD, sopu yaBarrett, uye kenza yekunyanya kusangana yese ine ruzivo rwakakura rwemajini.
Masayendisiti anodavira kuti GERD inosimudzira inobatanidza mazita ezvisikwa uye zvakatipoteredza, uyewo mararamiro ehupenyu. Nemhaka yokuti mubereki wako kana munin'ina wako ane GERD haireve kuti iwe unoda, kunyange zvazvo njodzi yako ichiwedzerwa. Kutsvakurudza kwakawanda kunofanira kuitika pamararamiro evanhu kuitira kuti kuongororwa uye kurapwa kweGERD kunogona kunyanya kubudirira uye kunangwa.
Health Risk Factors
Vanhu vakawanda vakura vanoona kushungurudza uye chero ani zvake pazera ripi zvaro anogona kuvaka GERD. Heano zvimwe zviitiko zvinogona kuwedzera njodzi yako.
Scleroderma
Ichi chirwere chekudzivirira muviri, umo maitiro ezvirwere mumuviri anorwisa utano masero mumuviri, inowedzera ngozi yako yeGERD. Vanhu vazhinji vane hanya iyi vanewo GERD nokuti inophagus ndiyo nhengo inowanzobatwa mu scleroderma.
Nyota neCOPD
Zvakare, nyanzvi haazive kuti ndeiyi kana mazai pazvinouya nezvehutachiona neGERD, asi vazhinji vanobvumirana kuti kune hukama hunokosha. Mukuwedzera kune zvinotaurwa pamusoro apa, GERD yakabatanidzwa nedzimwe dzakawanda zvepamusoro zvinopfumisa zvinetso uye inogona kuva chikonzero chechirwere chinotanga muhukuru, pane chikonzero.
Chirwere chekuporesa maperembudzi (COPD) chinokuisawo pangozi yakakura yekukura GERD, uye kuva neGERD inogona kuita kuti zviratidzo zveCOPD zviwedzere.
Chirwere cheshuga
Vanhu vane chirwere cheshuga, kunyanya rudzi rwechirwere cheshuga , kazhinji vanogadzira chirwere chinonzi gastroparesis . Ichi chiitiko chinoratidzirwa nekunonoka kusununguka kwemudumbu. Dambudziko mukati memudumbu rinogona kuwedzera, iro rinogona kukonzera kuguma, zvichiita kuti iwe uwedzere kugadzirisa kukura GERD.
Celiac Disease
Vanhu vane chirwere chisina kuchena vanoita sokuti vane huwandu hwepamusoro hweGERD kupfuura huwandu hwevanhu, kunyanya kana ivo vachangobva kuongororwa. Zvidzidzo zvakaratidza kuti kudya kunokonzera gluten kunonyanya kuderedza zviratidzo zveGERD. Nyanzvi haisi chokwadi kana kudya gluten kunokonzera GERD kana kuti GERD inosanganiswa nemamiriro ezvinhu echilliac. Dzimwe nguva GERD haina kuitika kusvikira mushure mekunge munhu aonekwa kuti ane chirwere checelac, chinoratidza kuti panogona kunge pane chimwe chinhu chinokonzera.
Lifestyle Risk Factors
Pane humwe hupenyu hwehutano hunokonzerwa nekugadzira GERD. Izvi zvingave zvikonzero zvaunogona kuchinja kana kudzora.
Kuwedzera muviri / Kuwandisa
Yeuka, kuneta kwechose chinhu chinokonzera uye chinokonzera chikonzero chekuvandudza GERD. Kunyanya kuwedzera mukati memimba yako, kunyanya, kunokuisa pangozi yakakura yekukura GERD uye inosangana nematambudziko akadai saBarrett uye sophageal kanha. Kuita zvese zvaunogona kuti urambe uine hutano hutano unogona kuenda munzira yakareba mukugadzira GERD.
Kusvuta
Kufanana nokuneta, kusvuta ndeimwe chikonzero uye chiitiko chekukuvadza chekuvandudza GERD. Kana iwe utsi, dambudziko reGERD chimwe chikonzero chakanaka chokurega.
Eating Patterns
Kudya kudya kukuru panguva imwechete, kunyanya kana iwe uchingorara pasi shure, uye kudya kamwe musati warara, kuwedzera mukana wako wekuvandudza asidi reflux, izvo zvinogona kutungamirira kuGERD. Edza kudya zviduku, kudya kakawanda uye usadya kwemaawa akawanda usati warara.
Hormone Replacement Therapy
Vakadzi vari muhomoni inotsiviwa nehutachiona vanowanzogadzira GERD. Kana uchinge uri pairi uye iyo yakakosha mibare yeestrogen, inowedzera ngozi.
> Sources:
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> National Institute of Diabetes and Digestive and Kidney Diseases. Kudya, Kudya, & Nutrition yeGER & GERD. Yakabudiswa muna November 2014.
> National Institute of Diabetes and Digestive and Kidney Diseases. Zviratidzo Nezvikonzero zveGER & GERD. Yakabudiswa muna November 2014.
> Mayo Clinic Staff. Gastroesophageal Reflux Disease (GERD). Mayo Clinic. Yakaperedzwa March 9, 2018.
> Ping W, Xiao-Hu Z, Zi-Sheng A, et al. Dietary Intake uye Ngozi yeReflux Esophagitis: A Case-Control Study Gastroenterology Research and Practice. 2013; 2013: 691026. doi: 10.1155 / 2013/691026.