Zimayambitsa, Zizindikiro, ndi Chithandizo cha Mndandanda wa GERD uwu
Chimodzimodzinso ndi matenda ochepa kwambiri omwe amachititsa kuti vuto likhale lochepa , ndipo madokotala amadziwa kuti pafupifupi 10 peresenti ya odwala awo omwe ali ndi matenda a gluroesophageal reflux.
Kodi Zimatheka Bwanji Kuti Makhalidwe a Esophageal Akule?
Chimodzi mwa zifukwa zomwe zimayambitsa matenda osokoneza bongo ndi matenda a reflux a gastroesophageal , kapena a GERD, omwe nthawi zambiri asidi amachokera m'mimba mpaka kufika pamimba.
Izi zimayambitsa kutupa m'munsi mwa chigawochi. Kuphulika kudzachitika pambuyo povulaza mobwerezabwereza ndi kuchiritsidwa, kubwezeretsanso kachiwiri ndi kuchiritsidwa, ndipo potsiriza, kupweteka kumawombera mimba.
Kuwonjezera pa GERD, pali zifukwa zinanso zomwe zimayambitsa kupopera kochepa ngati:
- Kugwiritsira ntchito kwa nthawi yaitali phokoso la nasogastric (izi zimawonjezera asidi m'mimba)
- Kusakaniza kwa zinthu zowononga (mwachitsanzo, osamba m'nyumba)
- Matenda opatsirana kapena tizilombo toyambitsa matenda omwe amachititsa kuti asophagitis ayambe kugwiritsidwa ntchito
- Kuvulala komwe kunayambitsidwa ndi mapulogalamu osungirako zinthu
- Kuchita opaleshoni musanayambe kugwiritsidwa ntchito (mwachitsanzo, khansa yowopsya)
- Kutentha kwa dzuwa kumatulutsa mpweya
- Ososinophilic esophagitis
- Piritsi-inachititsa kuti magazi asokonezeke
- Khansara (iyi imatchedwa kuti yoipa kwambiri)
Kodi Zizindikiro Zomwe Zimagwiritsidwa Ntchito Zokwanira?
- Zovuta kumeza, wotchedwa dysphagia (angayambe ndi zolimba kenako nkupita ku zakumwa)
- Sangalalani ndi kumeza
- Kumverera kuti chakudya chimakanikizika mu dera kapena chifuwa
- Kubwezeretsa chakudya
- Kutaya thupi
Ngati kugwiritsidwa ntchito kwanu kumayambira ku GERD , mumatha kupwetekedwa m'mimba, m'mimba kapena kupweteka pamtima, mpweya woipa, kutentha m'mtima mwako kapena pakamwa panu, chifuwa, pakhosi, kapena kusintha kwa mawu anu.
Kodi Kusanthula Kwambiri kwa Esophageal ndi kotani?
Ngati dokotala akuda nkhaŵa kuti akhoza kukhala osakwanira, kawirikawiri mayesero awiri amalamulidwa:
- Pulojekiti yogwiritsa ntchito barium imadya chinthu chotchedwa barium ndi x-ray chimatengedwa ngati barium ikuyenda pansi. Ngati kugwiritsidwa ntchito kulipo, barium ikhoza kuyenda pang'onopang'ono kapena ikhoza kugwira.
- Kufufuza kosatha kwapadera -ndi njira yomwe imachitidwa ndi gastroenterologist. Zimaphatikizapo kuika chubu chochepa chomwe chimakhala ndi kuwala ndi kamera pamakamwa, pansi pamimba, ndi m'mimba. Amalola dokotala kulingalira mkati mwa malo anu kuti awone ngati pali zovuta kapena zosavuta zina.
Kodi Kugonjetsedwa kwa Esophageal Kunatani?
Chithandizo chachikulu cha kuchepa kwa matenda ndi kupyolera mu ndondomeko yotchedwa dilation. Mwa njirayi, mimba imatambasulidwa pogwiritsira ntchito makina opanga mavitamini ambiri kapena bulononi yodzazidwa ndi mpweya, yomwe imadutsa mu endoscope. Pali vuto lochepa kwambiri la mavuto akuluakulu okhudzana ndi kuchepa kwa magazi, ndipo amaphatikizapo kutuluka mwazi ndi kupuma kwa magazi (pamene dzenje likuwonekera).
Ngakhale kuti mankhwalawa amachititsa kuti zikhale zovuta kwambiri, kuyesetsanso mobwerezabwereza kungakhale kofunikira kuti zisawonongeke kuti musabwerere. Ndipotu, chiwerengerochi chimapezeka pafupifupi 30 peresenti ya anthu pambuyo pa kuchepa kwa chaka choyamba, malinga ndi nkhani ya Current Treatment Options ku Gastroenterology .
Proton pump inhibitors, monga Prilosec (omeprazole), (Nexium) lansoprazole kapena (AcipHex) rabeprazole, amatha kusunga zizindikiro kuti abwerere. Izi nthawi zambiri zimaperekedwa pambuyo pa ndondomekoyi, ngati munthu sakhala atatenga kale. Nkhani yabwino ndi yakuti atatha kuchipatala, munthu amatha kubwereranso kuzinthu zamakono komanso zakudya, ngakhale kuti angayambe kukhazikika m'tsogolo, choncho muyenera kusamala kuti mavuto omwe amatha nthawi zonse amame.
Kuchiza opaleshoni ya kuchepa kwa magazi sikofunikira. Zimagwiritsidwa ntchito ngati simungathe kusungunuka moyenera kuti mulole chakudya cholimba chidutse.
Ndipotu, kusapeza madzi okwanira komanso zakudya zabwino ndizovuta kwambiri. Chinthu chinanso chovuta ndi vuto lalikulu la chakudya, madzi, kapena masanzi omwe amabwera m'mapapu ndikuyambitsa chikoka kapena chibayo.
Kuchitidwa opaleshoni kumachitanso ngati kusinthana mobwerezabwereza sikusungunula zizindikiro izi kuti zisabwerere. Nthawi zina njira zina zimagwiritsidwa ntchito pamene zizindikiro zimapitiliza kubwereza, kuphatikizapo mankhwala opatsirana ndi majeremusi a steroid kapena malo osungirako malo.
> Zotsatira:
> Society of American for Masitepe Endoscopy. Kumvetsa Kusokonezeka Kwambiri.
> Fass R. (May 2016). Chidule cha dysphagia mwa akuluakulu. Mu: UpToDate, Feldman M (Ed), UpToDate, Waltham, MA.
> van boeckel PGA. Siersema PD. Zosakaniza zosayembekezereka zowonjezereka: Zomwe mungachite pamene kuchepetsa kuchepa. Tsamba Njira Zosankha Gastroenterol . 2015; 13 (1): 47-58.