Kushungurudza uye kushandura asidi ndiyo zviratidzo zvegastroesophageal reflux (GERD), kunyange zvazvo vamwe vanhu vane GERD pasina kuora mwoyo. Zvimwe zviratidzo zvinosanganisira marwadzo mubhokisi rako uye / kana mimba, kunetseka kumedza, kuora, kuora, kuora, kusuruvara, kufema kwakaipa, kuputika, nekuvhiringidza kurara.
Zviratidzo Zvakare
Kunyange zvazvo GERD ine zvimwe zviratidzo zvechiratidzo, zvakakosha kutarisisa zvakanyanya pane zvingakonzera vanhu vakuru nevana vemakore akasiyana-siyana.
Vakuru uye Vechiduku
Kuora mwoyo nekusingaperi uye gastroesophageal reflux chirwere (GERD) inowanzoonekwa sekushushikana kwevanhu vakuru, asi vari kuwanda kupfuura vechidiki. Icho chiri chikamu pamusana pokufarirwa kwekutsanya kwekutsanya pakati pevanhu vezera iri uye kuwedzera kwavo kuyerwa. Zviratidzo zvinowanzove zvakafanana kune vechidiki nevakura.
Zvichida kana usina kuora mwoyo, kana uine GERD, iwe unogona kunge uine zvimwe kana zviratidzo zvose izvi, zvinosanganisira:
- Acid reflux: Unogona kunzwa kunzwa kunopisa mubhokisi rako uye / kana mudumbu, uye iwe unogona kutora mutezo yemudumbu pamwe chete nechikafu chipi zvacho chawakadya, kunyanya kumashure kwehuro pako. Izvi zvinoreva kuti valve iri pakati pemudumbu mako uye yako-iyo inotakura zvokudya zvako kubva mumuromo wako kusvika mudumbu rako-haisi kupfigira zvakanaka, uye iri kubvumira zviri mukati momuviri wako kuenda nenzira isina kururama, kudzokera kumuromo wako.
- Chifuva kana kurwadziwa kwepamuviri: Izvi zvinowanzotangira mushure mako, kana sternum, uye inogona kuenda kumutsipa wako uye inopenya kumutsipa wako. Iwe unogonawo kunzwa kurwadziwa mukati memucheto wepamusoro kana pakati wepamuviri wako. Zvinorwadza zvinowanzoitika nguva pfupi mushure mekudya uye zvinogona kupera kubva pamaminitsi mashomanana kusvika maawa akawanda. Zvakakosha kuyeuka kuti dzimwe nguva kurwadziwa kwepfungwa kunogona kuvhiringidzwa nekurwadziwa kunopisa kweGERD, uye nguva dzose kunokosha kutsvaga kurapwa kana pane kusava nechokwadi kupi zvako kunotangira kurwadziwa kwepfupa.
- Kutya: Kurwisa kunokonzerwa nekudengenyeka kwemukati asidi mumutsipa wako kunogona kutungamirira kune hoarseness kana laryngitis, kunyanya mangwanani.
- Dambudziko kukumedza : Matambudziko ane kumedza, anozivikanwa seDysphagia , anoitika kana zvokudya zvisingapfuuri zvinowanzobva mumuromo mako kuburikidza nenyuchi kusvika mudumbu. Ikoko kunogona kuva nekunzwa kwezvokudya zvinonamatira mumutsipa wako, chepfu chepfuva kana kupisa mushure mekudya, kana manzwiro ekugunzva. Kuoma kunomedza kunogona kuva chiratidzo chemamiriro akasiyana-siyana, kusanganisira kukanganiswa kwemasimba uye kenza yemahara , uye inofanira kugara ichiongororwa nachiremba.
- Rambai muchiomesera kuoma: Kana musingafurati mudumbu asidi inoshuva, inogona kukonzera kuora. Kukanganiswa uku kunogona kukonzerawo maronda.
- Kufuridza kwakaipa: Izvi zvinogona kuitika apo asiria kubva mudumbu yako inouya mumutsipa wako uye mumuromo.
- Kugadzirisa: Unogona kunzwa sokuti uri kutambudzika kufema, uye iwe unogona kunzwa kurira kuridza kana iwe uchifema.
- Nausea kana kurutsa: GERD inogona kukonzera kushungurudza uye / kana kudzoka zvakare, izvo zvingaita kuti meno ako apfeke kubva mudumbu acid.
- Dambudziko rokurara: GERD inogona kukanganisa kurara kwako kana zviratidzo zvichishungurudza.
Vana vaduku nevakuru vakwegura vanogona kuona GERD zvakasiyana.
Vana vacheche
Gastroesophageal reflux inowanzoonekwa mucheche uye inowanzotumidzwa nezita rinoreruka: kupfira.
Reflux inowanikwa mumwedzi mitatu yekutanga yezera mumakore anopfuura hafu yevese vacheche, uye vana vakawanda vari mukati mamiriro acho uye havadi kurapwa. Zvinoratidzirwa se "vanochera marara," zviratidzo zvavo zvinowanzopera kumativi ose ekuberekwa kwemwedzi mitanhatu uye hazviwanzoitiki kunoitika kwemwedzi 18. Zvisinei, nokuda kwechiverengero chechecheche, zviratidzo zvekuregerera zvakanyanya uye kuongororwa kwechiremba uye kurapwa kunodiwa.
Nemhaka yokuti mwana wako haagoni kukuudza kuti chii chakakanganisika, zvakakosha kuchengeta ziso kunze kwezviratidzo. Kuzvarwa kwevana GERD zviratidzo zvinosanganisira:
- Kuramba uchipfira kana kurutsa: Izvi zvinogona kuitika munguva kana kuti pakarepo mushure mekudya, kana pane dzimwe nguva.
- Kunyangadza kana uchidya: Izvi zvinotsamwisa zvinosanganisira kuchenesa, kuchema, kuchema, uye kukakavara, izvo zvinogona kugara kwenguva yakasiyana. Inogona kubva kunotyisa uye kurwadziwa mukati mehutu kana mukaka kana mazamu uye mudumbu asidi yakasanganiswa mukati memoyo.
- Kuramba kudya kana kudya zvishoma chete: Kushungurudzika kwakasangana kwehuputi kunogona kuita kuti vacheche varambe kudya, sezvo kurwadziwa kunogona kuitika kana vachimedza.
- Kubata musana pavanenge vachidya: Kana vacheche vari kurwadziwa mumimba kana kusagadzikana, vanowanzomisa misana yavo kana kutora makumbo avo.
- Mvura yakadzika: Neizvi, shoma shoma remvura rinodzokorora sezvaanovhara.
- Kakawanda hiccups: Hiccups inogona kukonzerwa nekukurudzirwa kwemitsipa inowanikwa kumucheto wepamusoro mudumbu kana kuti chikamu chepakati chesophagus. Iyo vagus nerve , iyo inomhanya kubva muuropi kuenda kumimba, inogona kutsamwa. Izvi zvinotsamwisa zvinogona kuuya kubva mumvura zviri mukati zvichipinda mumusango.
- Kurwiswa kunowanzogara : Kurwiswa kunowanzoitika kana kusagadzikana mukati mudumbu asidi inoshuva, inogumbura mhepo, kana apo mudumbu weAgasiti inogumbura nehuro.
- Kutadza kurara nekugara uchimuka: Kana mwana achinge akarara uye musoro wake hauna kukwirira, izvi zvinobvumira zviri mumumbu kuti zvipikisane nechezasi esophageal sphincter (LES), uye zvinogona kuita kuti izarure zvisina kunaka. Kana chirwere chemukati chiri mukati mechirwere ichi, chinogona kukonzera kukwezva uye kunzwa, izvo zvinogona kuita kuti kurara kuve kwakaoma.
Vana
Gastroesophageal reflux (GER) inowanzotanga mucheche, asi nhamba shomanana yevana vacharamba vachida kufanana nevana vaduku.
Zviratidzo zvinotevera zvinogona kuitika kana mwana wako ari kutarisa asidi, uye kuongororwa nachiremba anorayirirwa kana chero upi zvake achiramba achiti:
- Maviri omumapfupa pamusoro pebhomba
- Chipfuva chepfu
- Kupisa kunzwa mukati
- Kunyanya kunetseka pamusoro pezvokudya kana kuramba chikafu
- Kudya zvishomanana chete nekucheka pasinei nenzara
- Kugunun'una kana kukanganisa
- Kushaya uremu kana kuora kurasikirwa
- Kufema kwakaipa
- Nguva dzose runny nose
- Vanowanzoora maronda
- Sinus zvirwere
- Zvinetso zvokuputika zvakadai sebronchitis, kuruka, kana chirwere
- Nighttime chifuva
- Kuvhara kuoma kuoma
- Hoarseness
- Kutambura kurara, kugara uchimuka
- Kazhinji hutachiona hutachiona uye / kana nzeve kusangana
- Kunyanyisa kunetseka kana kuderedza
- Kusagadzikana kwekumanikidzwa pamusoro pemudumbu
Vakwegura
Varwere vakwegura vangave vasina kubatanidza zviratidzo zvavo nekurwadziwa mwoyo kana GERD nokuti zviratidzo zvavo zvinogona kunge zvakasiyana nezvinoonekwa sezviratidzo zvechirwere. Kazhinji, patinofunga nezvezviratidzo zveGERD tinofunga nezvekurwadziwa kwepfungwa. Mune vakwegura, zviratidzo zvinowanzoonekwa mumuromo, puroti, kana mapapu.
Zviratidzo zvinogona kuitika mumutsipa zvinosanganisira:
- Hoarseness
- Dry chikwama
- Kunzwa sokuti pane bundu mumutsipa wako kana zvokudya zvakanamirwa mumutsipa wako
- Dambudziko rinomedza (dysphagia)
- Chirwere chisingaperi
- Zviratidzo zvekupumha, zvakadai sekukanganiswa uye kuputika
Varwere vakwegura vane mamwe mararamiro asingagumi vari pangozi yakawanda yekuvandudza GERD. Vanogona kutora mishonga inokonzera kuti LES izorore, izvo zvingaita kuti asidi reflux. Murwere uyu akwegurawo anowanzove akaderedza kushandiswa kwemateya. Saliva inogona kubatsira neAxy reflux nokuti salivha is alkaline, saka inogona kubatsira kusimbisa asidi. Saliva inogonawo kugadzirisa kupisa mwoyo nekushambidza denga uye kuderedza migumisiro yeasiti yakagadziriswa mukati mechirungu nekuishambidza ichidzokera mudumbu.
Kazhinji Zviratidzo
Nhamba shomanana yevana vachabata zviratidzo zvinotevera zvishoma, zvinosanganisira:
- Dambudziko kukumedza: Hurwa hunokonzerwa nekudengenyeka kwemukati asidi mumukati unogona kuita kuti zvive nyore kuti vacheche zvirambe. Kuvhiringidzika mune denga kunogona kukonzera izvi, saka chero zviratidzo zvekugomera dambudziko zvinoda kuongororwa nachiremba.
- Chirwere chepuropa kakawanda: Kana mudumbu uri mukati maro mukati mehuro, zvinogona kukonzera kutsamwa uye nehuro.
- Zvinetso zvokuputika zvakadai se-asthma, pneumonia, bronchitis, kana kuputika: Ongororo dzinoverengeka dzinoratidza kubatana kukuru pakati peGERD neAsthma . GERD inogona kukanganisa chirwere chepimma apo refluxed acid kubva mudumbu inoshuva mumapapu uye inogona kuita kuti kufema kuome uye kuita kuti mwana wako aende uye afukidze. Izvi zvinokonzerwa ne-acluxed acid zvinogona kukonzera mamwe marudzi ekutsamwisa mumapapu, zvichikonzera kuwedzera kwemaitiro echirwere uye bronchitis.
- Kunyanyisa kudonha: Izvi zvinowanzoitika kubva mukusaziva, kusina kukwana, kana kudarika kunowedzera. Kana kutsamwirwa kuripo mumutsipa wemwana wako nekuda kwekusagadzikana mudumbu asidi, iye angawana zvakaoma kumedza nguva dzose, uye nenzira iyo ichaderedza zvimwe.
- Inzwi rakasuruvara: Yatsamwisa inokonzerwa nekudengenyeka kwemukati asidi mumutsipa inogona kuita kuti urege kutya.
- Kurasikirwa nekurema kana kushaya uremu hunofu: Izvi zvinogona kuitika kana mwana wako achidzoka zvakare mukaka wake kana mukomanda, zvichimuita kuti arege kuwana makirogiramu akakwana.
- Kuteerera kwenguva refu kana utachiona hwechivi: Chiratidzo ichi, chakabatanidzwa nevamwe, chinogona kubatsira chiremba wako kuongorora GERD.
Matambudziko
Matambudziko anokonzerwa nekusingaperi acid reflux haana kujairika muvana nevechiri kuyaruka, sezvo vazhinji vavo vane ukama hwezviratidzo zvekare. Kunyange zvakadaro, zvichiri kukosha kuti uzive zvinetso sechiyeuchidzo chekuiti kurapa GERD kunopfuura kupfuura kungoita zviratidzo. Pasinei nezera rako, kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge Ichi chiitiko chinogara chiripo che-acid-ine mukati momuviri mukati maro chinodzoka muchipinda chako chinogona kutsamwisa bhandi uye, kana isina kusiyiwa, zvinetso zvinogona kuitika chero ipi zvayo.
Barrett's Esophagus
Bhuretta yaBarrett inzvimbo iyo inophagus, muscular tube iyo inotakura zvokudya nemateve kubva mumuromo kusvika mudumbu, inoshanduka kuitira kuti imwe yeripi iyo ichinjwe nehutachiwana hwakafanana nehwaiwanowanikwa mumatumbo. Iyi asidi inoratidza kusawirirana haina chero zviratidzo zvayo zvinorondedzerwa, zvayo chete zviratidzo zveGERD .
Vanhu vane Barrett vane makumi matatu kusvika ku12 mukana wekuwedzera kuva nekenza yekushaya simba kana vachienzaniswa nevaya vasina, asi vashoma kupfuura 1 muzana yevarwere vaBarrett vanokonzera kenza iyi. Kunyange zvakadaro, ichiri kukosha kana iwe uine chirwere cheBarrett chekuongorora nguva dzose-kazhinji kacho kuongorora kwepamusoro endoscopic uye biopsy -kuchengetedza kwemasero anokonzera.
Kana zvasvika pakubata chirwere chaBarrett , kutora matanho anowanzoita kuti kuderedza zviratidzo zveGERD, zvakadai semararamiro, mararamiro, uye mishonga, zvichabatsira kusunungura marwadzo. Kana iri kuchinja chirwere ichi, pane ikozvino hapana mishonga yekuita izvozvo.
Esophageal Cancer
GERD ndechimwe chezvinhu zvinokonzera kukanganisa kenza yeropa . Chirwere chekenza chepayipi chinotanga kukura mumuchiri wechipupuriro uye, kana ikakura zvakakwana kuti ibudirire murusvingo rwemasimba, inogona kupararira kune dzimwe nhengo dzomuviri wako uchishandisa lymphatic system seyokutakura kwayo.
Kuoma uye / kana kunorwadza kunomedza, kutyisa, uye kusingazivikanwi kurasikirwa kwemazivi zviratidzo zvekushayikwa kwekenza . Kana uri kutarisana nechimwe cheizvi pamwe chete ne acid yako reflux, taura ne gastroenterologist yako. Kune maitiro akasiyana-siyana ekurapwa kwekemukari yekushaya simba .
Eroophagitis Erosive
Apo sopu yako inopisa uye ichibvunda, inonzi isophagitis. Acid reflux ndiyo inonyanya kukonzera, kunyange utachiona hunogonawo kuva chikonzero. Zviratidzo zvekutsvaira zvinosanganisira kurwadziwa kana kuchimedza uye kutsamwa kunopisa mukati.
Kurapa chirwere chinonzi hoophagitis kunobva pachikonzero. Mishonga yakadai seproton pump inhibitors uye H2 blockers inogona kurongerwa kana sophagitis is acid reflux complication. Mishonga inorwisa mabhakitiriya inogona kurongerwa kana chinokonzerwa neesophagitis chirwere.
Esophageal Strictures
Chimwe chikonzero chemaawa akawanda kwenguva refu chinogona kunge chichiremba, kana kuti kuderera zvishoma nezvishoma kweiyo, iyo inogona kutungamirira kumedza matambudziko. Chimwe chezvinhu zvinokonzera sophageal strictures zvinogona kuva zvisikwa zvitsvuku izvo zvinowedzera mudumbu. Apo bhandi rehuputi rinoparadzwa-somuenzaniso, apo reflux yakasviba inowanikwa pane nguva yakareba-kupera kunogona kuitika. Zvimwe zvinokonzera kugadzirisa zvinogona kusanganisira zvirwere uye kumedza zvinhu zvinoparadza.
Matambudziko Okuputika
Nokuti GERD inogona kukonzera kuti ufema mweya weAidoma mumapapu ako anokwanisa kutsamwisa mapapu ako nehuro, zvinetso zvekupemha zvinogona kuitika. Zvimwe zvezvinhu izvi zvose zviratidzo uye zvinetso uye zvinosanganisira:
- Chirwere, chive chitsva kana kuwedzera kana iwe uchitova nacho
- Chest kusanganiswa
- Dry chikwama
- Inotanga mumapapu ako
- Laryngitis kana kumira
- Huro inorwadza
- Pneumonia
- Wheezing
Nighttime Reflux
Apo zviratidzo zve gastroesophageal reflux chirwere (GERD) inoitika usiku, inogona kuva yakanyanya kukuvadza kupfuura kana ichiitika masikati. Manheru anogona kuisa danho rezviitiko zvinotevera, izvo zvinogona kuita kuti kupisa kweusiku kuve kunokonzera zvinetso:
- Kurara mumutsetse wepamusoro: Kuvata pamubhedha kunobvumira mudumbu weAgasiti kuti iende nyore nyore muhomwe yako uye ugogara imomo kwenguva yakareba kupfuura apo iwe uri panzvimbo yakarurama. Kunyanya kusimudzira musoro wako uye mapepa matanhatu kusvika masere inches zvichabatsira kuchengetedza musimba asiri.
- Kukundikana kunwa kana kumedza nguva dzose apo asidi reflux episode inowanzoitika: Paunenge uine GERD uye iwe wakamuka panguva yechikamu cheA acid reflux , unowanzoshambidza muromo wako kana kumedza zvimwe mvura. Kunyangwe kumedza samate kunobatsira. Kana wakarara, kamwechete iyo refluxed asidi iri muhuputi kana huro hwako, hausi iwe unoziva nguva dzose uye naizvozvo hautore matanho ekuchenesa asidi kure.
- Iyo yakawanda inogona kuvharwa mukati memhepo yakanyanyisa mukati maro: Kana refluxed acid iri mumutsipa wako uye mumuromo, unogona kuisa izvi mumapapu ako. Kana kangova mumapapu ako, zvinogona kukonzera kukwezva nekugunzva pane izvi zvinenge zvichitsvaga. Iyo asidi inogona kukonzera kukanganisa kwakafanana kumapapu ako sezvaanogona kukonzera paunenge usingafariri mukati mako.
Nguva Yokuona Chiremba
Kana iwe uchingogara uchiwanzoita uye / kana kuora mwoyo kukuru, ita chiitiko nechiremba wako. Kana uri kutora mishonga ye-counter-the-counter yokuputika sePrevacid, Zantac, kana Prilosec, kanopfuura kaviri pavhiki, iwe unofanirawo kutaura nechiremba wako.
Pasinei nezera, ona chiremba wako pakarepo kana iwe uchinge uine chero chezviratidzo izvi:
- Kukurira zvakawanda
- Kuramba, kusimba kana kupikisa kurutsa
- Vomit iyo yakasvibirira kana yerozha, ine ropa, kana inotaridzika semafisi ekofi
- Kutambudzika kufema pashure pokurutsa
- Pain muhuro mako kana muromo kana iwe uchidya
- Kuoma kunomedza kana kumedza kunorwadza
Vana vacheche
Kana mwana wako ane chimwe chezviratidzo zvinotevera, iye anofanira kuonekwa nachiremba pakarepo. Zvimwe zviratidzo kuti inguva yekushanyira chiremba wako dzinosanganisira:
- Kwete kudya uye kurasikirwa kana kukura zvakashata
- Kuchemera kwemaawa matatu kana kupfuura mumazuva
- Zviratidzo zvekudzikisa mvura, kusanganisira diapers dzakaoma
> Sources:
> Kay M, Tolia V. Zuva Rokudya Dambudziko Matambudziko muVachipatara. The American College of Gastroenterology.
> Mayo Clinic. Gastroesophageal Reflux Disease (GERD). Mayo Clinic Staff. Yakaperedzwa March 9, 2018.
> National Institute of Diabetes and Digestive and Kidney Diseases. Acid Reflux (GER & GERD) mucheche. Dhipatimendi reUnited Health Health and Human Services.
> National Institute of Diabetes and Digestive and Kidney Diseases. Zviratidzo Nezvikonzero zveGER & GERD. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa munaNovember 2014.
> Vandenplas Y, Hauser B. An Updated Review pamusoro peGastro-Esophageal Reflux muPediatrics. Ongororo Ongororo muGastroenterology uye Hepatology . 2015; 9 (12): 1511-21. doi: 10.1586 / 17474124.2015.1093932.