Iyo inoramba ichipisa kutsamwa iwe unonzwa kunogona kuitika nekuda kwezvikonzero zvakawanda
Kana iwe uchitambura neGastroesophageal reflux chirwere , unogona kushamisika kuti nei, uye kana pane zvimwe zviitiko zvaungave nazvo zvinogona kukonzera GERD.
Inotanga neAse Esphageal Sphincter
Iyi tsvina inosvinura uye inovhara kupera kwepasi kweeophagus. Iyo yepasi esophageal sphincter (LES) inzvimbo yehutendere hwakashata uye mahomoni anobatsira kuchengetedza kunetseka kwepakati pakati pemudumbu uye inophagus.
Kana mishonga inowedzera uye inorasikirwa nenzwi, iLes haigoni kuvhara zvachose mushure mokunge zvokudya zvinopinda mudumbu, izvo zvinobvumira asidi kubva mudumbu kuti idzoke shure. Pane zvinhu zvakasiyana siyana zvinokonzera kuti LA isabudirire:
Dambudziko reDumbu Basa
Vanopfuura hafu yevarwere veGERD vane nharo isina kufanana kana musimba inoshanda mumudumbu iyo, iyo inokonzera, inodyisa zvokudya uye mudumbu asidi kuti ichekwe zvishoma nezvishoma. Izvi zvinokonzera kukanganisa mudumbu kubudisa zvayo zviri mukati, kuwedzera kukurira mukati mudumbu uye kuwedzera dambudziko re acid reflux.
Mishonga Inokonzera GERD
Kune mishonga yakasiyana-siyana, iyo-over-the-counter uye mishonga, iyo inogona kuwedzera njodzi yeGERD, uye zviratidzo zvinowedzera kune avo vanototambura neGERD.
Nonsteroidal anti-inflammatory drugs (NSAIDs) dzinosanganisira aspirin , ibuprofen (Motrin, Advil, Nuprin) uye naproxen (Aleve). Zvinowanzobatanidzwa nekukonzera peptic ulcers , uyewo zvinogona kukonzera GERD.
Mune vanhu vakatova neGERD, vanogona kuwedzera kuoma kwezviratidzo. Kutsvakurudza kwakaratidza kuti vashandi venguva refu veNSAID vaiwanzove vane zviratidzo zveGERD sevasingashandisi NSAID.
Chiremba zvinodhaka zvinogona kukonzera kana kuipa GERD. Iri rondedzero harisi iro rinosanganisira zvose zvinodhaka zvinogona kukonzera GERD. Zvakakosha kuti uone chiremba wako kana iwe uchingotanga kuona zviratidzo chero panguva ipi zvayo pamishonga ipi zvayo.
Heano mamwe maitiro akafanana:
- Calcium channel blockers - inoshandiswa kuporesa ropa rakanyanya uye angina.
- Anticholinergics - inoshandiswa mumishonga inobata zvirwere zvekuvhota, urwere, uye glaucoma.
- Beta-adrenergic agonists - inoshandiswa kuhutachiona uye zvirwere zvemapapu zvinoparadza.
- Dopamine - inoshandiswa muPalinson's disease.
- Bisphosphonates - inoshandiswa kurapa osteoporosis.
- Sedatives
- Antibiotics
- Potassium
- Iron mapiritsi
Asthma
Vanopfuura hafu yevanosangana nehutachiona vanewo GERD. Iyo ichiri kukakavhiringidzika kana asthma inokonzera GERD, kana kuti iyo imwe nzira iyo yakapoteredza. Pane zvikonzero zviviri nei chiremba wezvechiremba achibatana nemamiriro maviri aya.
Chokutanga ndechokuti kukwezva kunoenda nekurwiswa kwechirwere kunogona kutungamirira kuchinje chepfuva, izvo zvinogona kuita kuti reflux iite. Zvadaro pane imwe chokwadi chokuti mamwe maitiro ekurapa kwepachimusi anokonzera mhepo yepamhepo kuitira kuti igare yakasununguka iLes, uye iyo inotungamirira kuratidzika.
Kuberekwa neHormoni
Mahomoni anopikisa kuL. Semuenzaniso, kuwedzera kwehomoni progesterone panguva yekuzvitakura kunounza iLes. Nokudaro, hazvisi zvisiri izvo kuvakadzi vane pamuviri kuti vanzwe kuora mwoyo.
Chirwere cheshuga
Vanhu vane chirwere cheshuga, kunyanya rudzi rwechirwere cheshuga , vanowanzotanga chirwere chinonzi gastroparesis . Izvi zvinokanganisa 20 muzana yevanhu vane chirwere cheshuga uye inoratidzirwa nekunonoka mudumbu kubvisa.
Izvo zvinetso mukati memudumbu zvinogona kuwedzera, izvo zvingaguma nekuguma.
Hiatal Hernias
Iko hiatus igomba duku mumusana weharura, uye sopu inopindirana sezvainobatana nedumbu. Iko gomba kazhinji inenge yakakodzera, asi kune vamwe vanhu, inogona kuderedza nekuwedzera. Kana izvi zvikaitika, chikamu chemuviri chinogona kupindira mairi, zvichiita mamiriro ayo anonzi hiatal hernia. A hernia inogona kukanganisa LA basa. Kusvika ikozvino, hakuna humwe uchapupu hwekuti hutano hwekuzvarwa hunokonzera GERD, asi hunogona kuwedzera zviratidzo zveGERD kune vanhu vane zvinhu zviviri.
Kusakanganiswa muEsophagus
Kune zvimwe zvidzidzo zvinoratidza kuti vanhu vazhinji vane zviratidzo zveGERD zvinotyisa, zvakadai sekunzwa sokuti kune bundu riri mumutsipa, kunetseka kana kuora mwoyo kusingaperi, kunenge kusina kuitika mukati memoyo.
Zvinetso nehutachiona hwemasimba muhuputi, inonzi peristalsis , inowanzoitika kune vane chirwere cheGERD. Zvidzidzo hazvina kugadzirisa kana peristalsis chiri chikonzero kana chigumisiro cheGERD kwenguva refu.