Kushungurudza kunogona kukonzerwa nenzira dzakasiyana-siyana. Nokunzwisisa zvikonzero zvinowanzokonzera kukanganisa, iwe unogona kuchinja mararamire ako uye mararamiro ayo ari chikamu chekurapa kwegastroesophageal reflux chirwere (GERD). Dzimwe nzira dzinogona kuita kuti kupisa kunetseke kunosanganisira kutsamwisa zvakananga kwesophagus, kushaya simba kwechepasi esophageal sphincter (LES), kushungurudzika kwemotility kweropa rekudya rinokonzera kukanganisa kunonoka kwechingwa, uye chibereko chekuzvarwa.
Kazhinji, zvinopfuura chimwe chezvikonzero izvi zvinokonzera kukanganisa kwepfungwa.
Kuora Kwemhepo uye Digestive System
Kunzwisisa kunetseka kunotanga nekuziva kuti chirwere chekudya chinopa utano chinoshanda sei. Nzira yako yekudya inotanga nemuromo wako, apo zvokudya zvinodzingwa uye zvinosanganiswa nematare, kutanga nzira yekudya. Kubva pano, zvokudya zvinofamba kuenda kunopera kana kumedza tube. Iyi mushubhu inoita kuti zvipembenene zviduku, zvinonzi peristalsis , kuendesa zvokudya kusvika mudumbu.
Inophagus uye mudumbu zvakabatanidzwa neboka remafudzi ane masisita anonzi esophageal sphincter (LES). Kazhinji, iLES inoshanda sevhavha, inotanga kubvumira kudya kudarika mukati mudumbu nekuvhara kuchengetedza kudya uye kunwa kwemajisi kubva pakuyerera kumashure. Asi kana sphincter ichidzoka kana isingafaniri, kana inenge isina simba, mudumbu acid inogona kutenderera shure kumashure inokonzera kushungurudzika kunonzi inovhiringidza.
Zvinowanzokonzera
Nzira dziri pasi dzinogona kukonzera kushungurudza kunogonawo kutungamirira kukurudzirwa kweGERD kana kuora mwoyo kwako kunowanzoitika.
Esophageal Irritation
Mamwe marudzi ezvokudya, zvinwiwa, kusvuta, uye mishonga inogona kutsamwisa zvakananga bhandi rekuvhara uye kukonzera kuora mwoyo. Mune mishonga yemishonga, inogona kuita mutsauko kuti ugare wakarurama kwemaminitsi makumi maviri kusvika makumi matatu mushure mekutora mishonga, uye kutora mapiritsi negizi rose remvura.
Lower Esophageal Sphincter (LES) Dysfunction
Kana soro reesophageal sphincter risina simba kana kurasikirwa nehutoni, iLes haizovhari zvachose mushure mokunge zvokudya zvichipinda mudumbu. Dumbu remasidhoni rinokwanisa zvakare kudzokera mudenga. Zvimwe zvokudya uye zvinwiwa, doro, zvinodhaka, uye nervous system zvinogona kukanganisa LA uye kuparadza basa racho.
Kushungurudzika Kwemhepo (Slow Stomach Emptying)
Muzvokudya zvinowanzogadzirwa, zvokudya zvinoshandiswa kuburikidza nehutano hwekudya nekunyora kwemashoko kunonzi peristalsis. Apo mumwe munhu ane chirwere chekudya chinonzi motility disorder , izvi zvinopesana hazvina kujairika. Izvo zvisina kufanira zvinogona kuva nekuda kwechimwe chezvinhu zviviri zvinokonzera-dambudziko mukati memisumbu pachayo, kana dambudziko nemisungo kana mahomoni anodzora maitiro emuviri. Vanopfuura hafu yevanhu vane hutachiona reflux disorder (GERD) vane nhengo dzisina kufanana kana musuru inoshanda mumimba yavo iyo inogona kukonzera kusagadzikana motility.
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.
Kushushikana paMadzi
Kuwedzeredza kumanikidza mimba kunogona kuisa dambudziko kumucheto we-esophageal sphincter, zvichibvumira mudumbu weAidha kupinda mukati-kati kana muromo.
Vakadzi vane pamuviri uye vanhu vane simba kupfuura vamwe vanogona kunyanya kuora mwoyo nekuda kwechikonzero ichi.
Mamwe Mamiriro Ezvokurapa
Mimwe mishonga yezvoutano inogona kuita kuti GERD iwane asthma uye chirwere cheshuga .
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.
Lifestyle Risk Factors
Vamwe vanhu vane unhu hweAIDS husingakwanisi kurwisa zvinowanzoita zvinowanikwa kubva mukati mechirimu. Asi zvimwe zviitiko zvinogonawo kuita kuti izvi zvisike uye zvinotungamirira kukuvhiringidza zviitiko.
Doro
Doro rinodzosera iLES , richibvumira kubuda kwemukati mukati memvura. Inowedzerawo kugadzirwa kwemuviri weAIDS uye inoita kuti hove yako ive nechepamusoro pemudumbu weAIDS. Kunwa doro kunogonawo kutungamirira pakuita zvisarudzo zvishoma zvekudya zvine utano uye kudya zvamunoziva zvinogona kuita kuti utadze.
Kusvuta Fodya
Mikemikari mumusvuta wefodya inokonesa iLes sezvavanopfuura kubva pamapapu kusvika muropa. Kusvuta fodya kunokonzera kugadzirwa kwemate, iyo ndiyo imwe yemutumbi wako unochengetedza kukanganisa kweroyo. Vakasvuta vanobudisawo mashoma emakemikari asiri neutralizing mumate, anonzi bicarbonates. Uyewo, kusvuta kunokonzera kugadzirwa kwemuviri asidi uye kuchinja maronda acids nekusimudzira kufamba kwe bile salt kubva mumatumbo kusvika mudumbu. Kuchengetedza kunonoka paunenge uchiputa uye mudumbu inotora nguva refu kuti urege.
Zvokudya Zvinowanzokonzera Kuora Mwoyo
Vanhu vanosiyana zvakasiyana nezvokudya izvo zvinokurudzira kuora mwoyo. Izvi ndizvo zvakanyanya kuitika:
- Kafi, tei, nezvimwe zvinwiwa zve caffeinated: Caffeine inogona kusunungura pasi pe esophageal sphincter (LES) , ichibvumira mukati mutezo kuti irege kupinda mukati. Zvinyorwa zvekhoffeinated zvinogonawo kukurudzira chigadzirwa cheasiti.
- Chokoti: Tsokoroti ine zvikamu zve theobromine, chimiro chinowanzoitika mumiti yakawanda yakadai sekocoa, tei, uye kofi. Izvi zvinodzosera sophogeal sphincter muscle , kurega dumbu reAidri squirt kusvika mudenga.
- Yakabikwa, mafuta, kana kudya kwemafuta: Izvi zvokudya zvinowedzera kuderedza kudya uye kuchengetedza zvokudya mudumbu rako kwenguva yakareba. Izvi zvinogona kukonzera kuwedzera kudzvinyirira mukati mudumbu, iyo inowedzera kuwedzera kuomesa kune vasina simba LES. Zvose izvi zvinobvumira kufara kwezviri mukati mako.
- Peppermint inowanzotora mwoyo.
- Utamatisi uye tomato-based products: Chero chipi nechipi chikafu chine tomato chinokurudzira musimba wekuita asidi.
- Zvokudya zvinosemesa uye pepuru yakasvibirira zvinokurudzira musimba wekuita acid.
- Michero yeCitrus namajisi: Maorivhi, mandimu, limes, nemimwe michero yemicromu inoita kuti muviri ushushike.
Madyiro
Zvamunoita zvinogonawo kuita kuti mapuropa epamusoro apinde.
- Zvokudya zvakakura: Dumbu rakazara rinogona kuwedzera zvakamanikidzwa kuZE, izvo zvichange zvichiwedzera mukana wekuti zvimwe zvekudya izvi zvichange zvichinyanya kumira.
- Kudya maawa maviri kusvika matatu asati asvika pakubhedha: Kuvata nedumbu rakazara kunogona kukonzera mukati momuviri kuti uite zvakanyanya kukurwisana neLes. Izvi zvinowedzera mikana yekudya zvisina kumira.
Mimba Yokumanikidza
Kuve uwandu hwepamusoro kana nzvimbo dzakanyanyisa kunetseka pamusoro pemimba inogona kukonzera kuora mwoyo, uye kurasikirwa kwemairi kunokurudzirwa. Kunyange kupfeka zvipfeko zvakasimba-zvinokonzera zvinogona kukonzera kudzvinyirira mudumbu. Izvi zvinomanikidzira zvokudya zvinopesana neLES uye zvinokonzera kuti irege kuratidzika mune imwe nharaunda. Bhandi-yakagadzika mabhanhire uye kusungira zvidzitiro pasi pejasi zvivi zviviri zvakajairika. Iwe unogona kunzwawo zviratidzo zvinowedzera paunorara pasi kana uine dumbu rakazara.
Vamwe vanhu vanowana mamwe maitiro ekugadzirisa zvinokonzera kuora mwoyo. Masimba-maitiro anoshandiswa anosanganisira kusvetuka, pamwe chete nekurovedza kwakadai semagunches iyo nzvimbo inodzvinyirira pamimba ndiyo inowanzokonzera.
Mishonga
Inenge chero mishonga inogona kukonzera kupisa, asi pane zvakajeka mimwe mishonga inenge yakakura kupfuura dzimwe. Kune nzira inopfuura imwechete iyo zvinodhaka zvinogona kukonzera kuora mwoyo uye dzimwe nguva kunetseka kwepfungwa kunokonzerwa nekubatanidzwa kwezvikonzero zvakasiyana. Iwe unogona kushanda nachiremba wako kuti uwane nzira dzekutora mishonga yako iyo inoderedza zviratidzo zvako zvekushaya moyo, kana kuti uchinje kune imwe mishonga inenge isingagoni kukonzera kuora mwoyo.
Mishonga iyo yave ichizivikanwa inokonzera kuchema kunosanganisira:
- Mishonga inopesana nekuzvidya mwoyo, yakadai seValium (diazepam), inogona kunge isinganyadziswi mafungiro ako, asi iwe wepopugeal 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, enter-yakavezwa aspirin inogona kunge yakasarudzwa. Usambofa wakamira aspirin usati wataura nachiremba wako.
- Bisphosphonates yakadai saFosomax (alendronate), Actonel (resendronate), uye Boniva (ibandronate) inogona kukonzera kushungurudza 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.
- Mishonga yeAsmafu yakadai seProventil (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.
- NSAIDs (nonsteroidal anti-inflammatory drugs) yakadai seAppil (ibuprofen) uye Aleve (naproxen) inogona kuwedzera acidity mudumbu nekudzivisa prostaglandin. Zvisarudzo zvekurwadziwa zvakadai saTylenol (acetominophen) kana kunyange mishonga inorapwa inogona kudiwa apo NSAIDS inokonzera kuora mwoyo kwepamusoro kana kukanganiswa kwemagetsi. 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 kudya. Vakawanda vevanhu vatsva vanorwisa zvinodzvinyirira havakwanisi kukonzera chiratidzo ichi.
- Potassium inogona kukonzera kushungurudza nekutsamwisa zvakananga sopu.
- Iron inowedzera inogona kutsamwisa zvakakwana dumbu. Vamwe vanhu vanowana zororo kuburikidza nokutora izvi zvigadzirwa zvekudya nekutya kana kuvashandisa pakutanga kwezuva.
- Vitamin C
> Sources:
> Kuchema. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/heartburn-gerd/basics/definition/CON-20019545?p=1.
> GERD Lifestyle uye Mishonga yeMusha. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/gerd/basics/lifestyle-home-remedies/con-20025201.
> Inongova Kungova Nemwoyo Chete Here Kana Kuti Chimwe Chaicho Chine Basa? Kunzwisisa GERD . American College of Gastroenterology. http://s3.gi.org/patients/pdfs/UnderstandGERD.pdf.
> Zviratidzo Nezvikonzero zveGER & GERD. National Institute of Diabetes Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes.