Ngati mphumu yanu isalephereke, makamaka ngati muli ndi zizindikiro za usiku, matenda a reflux a gastroesophageal (GERD) angakhale akuimba mlandu. Pafupifupi 75 peresenti ya odwala omwe amavutika kuti athe kuchiza mphumu amakhalanso ndi vuto la kupwetekedwa mtima. GERD ndi imodzi mwa zinthu zomwe zimachititsa kuti mphumu ikhale yosasinthasintha, ndipo mungafunikire kuyesedwa.
Zizindikiro za GERD zikuphatikizapo:
- Kubwezeretsa kapena kutengeka kwa asidi ndi zakudya zanu zothandizira; 'Burp burp' ndi njira ina yomwe odwala nthawi zina amafotokozera izi.
- Kutentha kwa mtima kapena pyrosis, kupweteka kowawa m'mimba mwako ndi pakati pa chifuwa chifukwa cha asidi m'mimba mwako kukwera ndi kukwiyitsa mimba yako
- Kulawa kowawa kapena kowawa m'kamwa mwako - Malingana ndi kuuma kwake, reflux ikhoza kuyambitsa kulawa kowawa kapena kowawa, kapena mumatha kumva mwadzidzidzi madzi amchere mumlomo mwanu wotchedwa madzi brash. Mphepo yamadzi imabweretsa kuchokera m'mimba ya asidi yomwe imachititsa kuti tizilombo tomwe timatulutsa timadzi timene timapanga mphala.
Amadzimadzi amatetezedwa kuti asatuluke m'mimba kuchokera kumimba ndi mitsempha yomwe imakhala pampando wa m'mimba. Pamene chovalachi chimapangitsa kuti asidi amuke kuchokera m'mimba kupita mmwamba. Pamene asidi ali mmimba ali pamimba, n'zotheka kuti ufunefune m'mapapu.
Lingaliro lina ndilo kuti asidi omwe alowa m'matumbo amachititsa mitsempha pamenepo ndipo amachititsa mpweya kupita kufupi.
Kodi Dokotala Wanga Adzachita Chiyani Ngati Akumana Wachibadwa Ndicho Chifukwa Choyambitsa Chisokonezo Chosalamulirika?
Wopereka mphumu wanu angasankhe kukonza mayeso chifukwa cha zizindikiro zanu, kapena angayambe kuyesayesa kuti awone ngati zizindikiro zanu zosasinthika zikusintha.
Wopereka wanu angakupatseni mankhwala angapo othetsera GERD:
- Kusintha kwa Zakudya: Kupewa kapena kusintha kusintha kwa zakudya zomwe zimadziwika kuti GERD zingakhale zonse zomwe mukusowa. Zakudya izi ndi monga mowa, zakudya zokazinga, chokoleti, ndi zakumwa za khofi.
- Kusintha kwa moyo : Pali zinthu zambiri zimene mungachite kuti mukhale ndi zizindikiro za mphumu. Zitha kuphatikizapo kupewa kudya kapena kumwa maola atatu musanagone ndikukweza mutu wa bedi lanu. Kudya zakudya zing'onozing'ono nthawi zambiri ndi njira ina yochepetsera chiopsezo cha kukomoka. Kutsika pang'ono kungathandize kuti mphamvu yokoka ikugwiritsireni ntchito komanso kuchepetsa zizindikiro. Kukweza mutu wa bedi lanu ndi mainchesi angapo amagwiritsa ntchito mphamvu yokoka monga njira yosunga asidi mmimba.
- Mankhwala: Dokotala wanu angapereke mankhwala owonjezera, monga Pepcid AC kapena Prilosec OTC (odwala nthawi zambiri amagwiritsa ntchito mankhwala ena OTC omwe ali Maalox, Mylanta, Gelusil, Gaviscon, Rolaids, ndi Tums). Dokotala wanu angalimbikitsenso mankhwala a mankhwala. Izi zikuphatikizapo H-2-receptor blockers monga cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid) kapena ranitidine (Zantac). Proton pump inhibitors ndi gulu lina la mankhwala omwe ali ndi Dexlansoprazole (Dexilant), Esomeprazole (Nexium), Lansoprazole (Prevacid), Omeprazole (Prilosec, Zegerid), Pantoprazole (Protonix), ndi Rabeprazole (Aciphex). Mankhwalawa sapereka chithandizo msanga monga antacids koma amaletsa mavitamini m'mimba kwa maola 12 mpaka 24. Ngati mankhwalawa athandiza GERD yanu, sikungatheke kuti wina ali wogwira mtima kuposa wina. Chimodzimodzinso, ngati mmodzi m'kalasi sakugwira ntchitoyi sizingatheke kuti mankhwala ena m'kalasi lomwelo angakhale othandiza. Ngati zizindikiro zanu zikupitirira, wothandizira wanu angakulozereni kuti muyesedwe.
- Kuchita opaleshoni: Ngakhale kuti nthawi zambiri sikofunikira, odwala ena omwe ali ndi vuto loipa amafunika kusankha opaleshoni ngati mankhwala amalephera kapena sakanayenera kumwa mankhwala kwa moyo wawo wonse.
Kodi GERD Chithandizo Chingakuthandizeni Kuti Ndikhale ndi Pumupumu?
Mankhwala ndi opaleshoni awonetseredwa kuti achepetse zizindikiro za usiku, kuchepetsa kuchulukitsa kwa kuphumuka kwa mphumu, komanso kusintha moyo wa odwala mphumu. Onetsetsani kuti dokotala adziwe zambiri zomwe mumamva - zabwino kapena zoipa. Komabe, ngati mankhwala sakuthandizani zizindikiro zanu za mphumu, inu ndi dokotala muyenera kuganizira zifukwa zina.
Zotsatira:
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Information Patient Information. Anapezeka pa March 8, 2016. Kutentha kwa mtima, Matenda a Gastroesophageal (GER), ndi Matenda a Reflux a Gastroesophageal (GERD)