Kulimbana ndi Hernia ya Hiatal

Moyo umakhala ndi ntchito yofunika kwambiri monga mankhwala

Anthu oposa theka la anthu omwe amapezeka kuti ali ndi vuto lachiberekero sakhala ndi zizindikiro. Kwa iwo omwe amachititsa, kupweteka kwa mtima ndi kudzikuza kudzakhala kofala kwambiri. Ngakhale kuti mankhwala angapatse mpumulo, njira zothetsera vutoli zimachokera ku kuchepetsa mavuto. Ngati muli ndi nthendayi, njira zina-kuchokera ku zakudya zimasintha kulemera kwa madzi-zimatha kukuthandizani kuthetsa vuto lanu ndikugonjetsa nthawi zina.

Zakudya

Sizodabwitsa kuti anthu omwe akudwala matendawa amatha kupweteka kwambiri kuti zakudya zina zimakhala zowonjezera. Zambiri mwazikudyazi ndizofala kwa onse odwala. Mavuto enanso, akugwirizana ndi kuchuluka kwa chakudya chomwe timadya.

Zimene Mumadya

Izi zowonjezereka, zikuwonetsedwa bwino ndi phunziro la 2014 kuchokera ku bungwe la National Food and Nutrition Institute ku Poland lomwe linayang'ana mgwirizano pakati pa asidi reflux ndi omwe amachititsa kuti anthu ambiri azidya zakudya zowonongeka mu 513 akuluakulu omwe ali ndi matenda a reflux a gastroesophageal (GERD) .

Chimene adapeza chinali chakuti kuwonjezeka kwawiri kapena katatu kuopsa kwa zizindikiro pamene anthu amadya zakudya izi:

• Zakudya zaukhondo
• Zakudya Zakudya
• Zakudya zokometsera
• Zakudya zokazinga
• Tiyi ya Peppermint
• Zipatso za zipatso
• Zakudya zakuda
• Chipatso chatsopano
• Mowa

Ngakhale kuti phunziroli silinalowe muzinthu zina zomwe zimayambitsa zakudya , monga zitsamba kapena caffeine, chiwerengerochi sichimawonetsa zomwe zinachitikira wodwala GERD.

Kuti izi zitheke, pali zakudya zina zomwe muyenera kuzipewa ngati muli ndi zizindikiro zowonongeka kapena mumakonda kuchepa. Amakhala ndi nyama zofiira, zakudya zowonongeka, mayonesi, batala, margarine, sauces, makale, chokoleti, khofi, tiyi ya khofi, zakumwa za carbonate, juisi a citrus ndi zipatso zamchere.

Kumalo awo, zakudya monga nkhuku, nsomba, masamba, mbewu, ndi mkaka wotsika mafuta zingakupatseni mapuloteni, mafuta, ndi zakudya zomwe mukufunikira popanda kusokoneza mimba ya asidi.

Mowa ayenera kupewedwanso osati mochuluka chifukwa amachititsa kupanga acid. M'malo mwake, mowa umakhudza kwambiri mimba ndipo imatulutsa zizindikiro za reflux, nthawi zina katatu katatu pangozi ya kupweteka kwa mtima ndi kupweteka pachifuwa. Zotsatira zofananazi zawonetsedwa kwa anthu omwe amamwa mowa mopitirira muyeso .

Mmene Mungadye

Pankhani ya reflux ya asidi , momwe mumadyera zimakhala zofunikira kwambiri pakuonekera kwa zizindikiro monga zomwe mumadya. Izi ndizoona makamaka ngati magwero a vutoli ndi nthenda yotsegula .

Ndi nthendayi yochizira, kutuluka kwa m'mimba mpaka m'kati mwa chifuwa kungasinthe kayendedwe ka LES, valve yomwe imateteza mimba yanu kuchokera m'mimba mwanu. Zotsatira zake, chakudya ndi asidi zimatha kuthamanga kudzera mu chipatala chotetezera-nthawi zambiri.

Pofuna kuthetsa izi, muyenera kukumbukira mmene mimba yanu imachitira. Muyeneranso kuonetsetsa kuti musadumpha m'mimba komanso kuti chakudya chimatha kudutsa m'magawo osakaniza popanda vuto.

Kuti tikwaniritse izi:

• Nthawizonse khalani mmwamba mu mpando pamene mukudya. Izi zimatsimikizira kuti m'mimba mwanu muli bwino kulandira chakudya. Mosiyana ndi zimenezi, slouching (kunena, pa sofa) sikuti imangokhala m'mimba mwakuya, imaphatikizapo mgwirizano pakati pa mimba ndi mimba, kumalimbikitsa kubwerera.
• Idyani zakudya zocheperako, nthawi zambiri. Ndipo, makamaka chofunika, musadye zakudya. Kuchita zimenezi kumangokutsogolerani kuti mudye mopitirira muyeso .
• Nthawi zonse idyani patebulo. Chinthu chokhudzana ndi kuthamangira kapena kutsegula patsogolo pa TV ndikuti mungathe kumangika chakudya m'kamwa mwako popanda kuzizindikira. Kukhala pa tebulo ndi magawo okonzekera kumathandiza kupewa izi.

• Tengani zilonda zing'onozing'ono ndikusaka nthawi yayitali. Cholingalira ndi chosavuta: Pamene chakudya chanu chimapangidwanso musanawame, mochepa mimba imayenera kuchita kuti imire. Izi zikutanthawuzira ku asidi osachepera pang'ono ndi reflux zochepa.
• Khalani okonzeka kwa ola limodzi mutatha kudya. Ndibwino kuti tichite zimenezi mu mpando wolimba koma womasuka. Komanso, pewani kugwada kapena kugona pansi mutangodya.
• Pewani kudya maola atatu musanagone. Izi zikuphatikizapo zopsereza. Kugona ndi matumbo kumatanthawuza kuti padzakhala mwayi wochuluka kwambiri wa reflux pakati pa usiku.

Kuchepetsa Kulemera

Chifukwa chodziika payekha, kunenepa kwambiri kumawonjezera chiopsezo cha kupweteka kwa mtima kwa anthu omwe ali ndi mitsempha ya hiatal yomwe imayesetsa kupondereza kwambiri khoma la m'mimba. Izi zimapangitsa kuti mimba ikhale yovuta kwambiri, osati kusintha kokha malo ake koma kumapangitsa kuti chifuwacho chikhale chofufumitsa.

Ngati muli olemera kwambiri kapena ochepa kwambiri, muyenera kuphatikiza kulemera kwa thupi ndi gawo limodzi la dongosolo lanu la mankhwala. Pulogalamuyi iyenera kuyang'aniridwa ndi dokotala kapena katswiri wokhudzana ndi zakudya zokhudzana ndi matenda opatsirana .

Zina mwa magawo a ndondomekoyi:

• Kuchepetsa chiwerengero cha thupi lanu (BMI) kuchokera pamwamba (30) oposa) mpaka pansi pa 25 (yachibadwa) akhoza kutenga theka la reflux ya asidi.
• Zakudya zochepa kwambiri zamtundu wa mafuta ndizomwe zimapangitsa kuti thupi lanu likhale lolemera komanso kuti thupi lanu likhale lokhazikika. Zakudya zonenepa siziyenera kukhala zotsika kwambiri, koma zimakhala ndi zakudya zovuta zomwe zimakhudza kwambiri shuga lanu la magazi. Zakudya zowonjezera zowonjezereka zimathandiza kuthandizira komanso kuchepetsa kupweteka komwe kumapangitsa kuti azisamalidwa.
• Kumwa madzi osachepera asanu ndi atatu pa tsiku kumathandiza kuthetsa kudzimbidwa pamene mukuchepetsetsa asidi m'mimba mwanu. Ngati muli olemera kwambiri kapena ochepa kwambiri, kumwa madzi kumafunika kwambiri. Chilamulo chophweka ndikumwa theka la kulemera kwa thupi lanu mumadzi. Mwachitsanzo, ngati mukulemera mapaundi 200, muyenera kumwa madzi osachepera 100 pa tsiku (kapena pafupifupi theka la galoni).
• Tengani njira yolingalira yochita masewera olimbitsa thupi. Pulogalamu yochizira matenda nthawi zonse iyenera kuyamba mosavuta (mwinamwake masewera olimbitsa thupi 10 kapena 15 apita katatu mlungu uliwonse) ndipo pang'onopang'ono kuwonjezeka mwamphamvu komanso nthawi. Cholinga cha pulogalamuyi ndi kukhazikitsa chizoloŵezi cha moyo ndikupewa kupsa mtima. Kuti mupeze izi, ganizirani kugwira ntchito ndi wophunzitsa kuti muyambe ndi / kapena kusintha ndondomeko yanu pamene mumapirira chipiriro ndi mphamvu.

Tsiku Lililonse

Pankhani ya zizindikiro zokhudzana ndi chiberekero, kudzikonda kungapite patsogolo pochepetsa iwo ndi kuwaletsa kuti asabwerere. Yesetsani kutembenuza malingaliro awa:

• Khazikani mtima pansi. Ngakhale kupanikizika sikungachititse kuti asidi reflux, umboni wochulukirapo wochuluka wasonyeza kuti kupweteka kungakhudze momwe thupi lathu limayendera ndi zizindikiro za reflux. Kotero, osati kudzimangiriza mu mfundo, kuyesera kukhala pansi mukukhalitsa ndikuchita zozizira kwambiri kapena kusinkhasinkha. Pezani malo osasunthika kumene mungakhale mosamala mpaka zizindikiro zikudutsa.
• Tulutsani lamba wanu ndi kuchotsa zovala zolimba. Pamapeto pake, chirichonse chimene chimayambitsa mimba chingayambitse zizindikiro pamene mukuyendayenda ndikugwedeza zomwe zili m'mimba mwanu. Dzipatseni mpumulo ndipo pewani nsanamira za cinchine kapena chirichonse chomwe chimadetsa nkhawa m'mimba.
• Tengani zina zowonjezera. Ngati mukudwala matenda osakanizidwa, kuthandizira tsiku ndi tsiku kumathandiza kuti mukhale ndi nthawi yambiri. Ma supuni angapo a mafuta amchere amathandizanso kuchepetsa zipsinjo zovuta panthawi yovuta.
• Kwezani mutu wa bedi lanu masentimita anayi mpaka asanu ndi atatu . Izi ndi zothandiza makamaka kwa anthu omwe ali olemera kwambiri kapena odwala zizindikiro za GERD . Kuika mimba m'mwamba kumalo okwera (m'malo mokwanira) kumachepetsa kwambiri chiwopsezo cha msana wobwerera m'mimba wokhudzana ndi nthendayi.
• Pewani kukweza kwakukulu. Ngati mwapezeka kuti muli ndi nthenda yaikulu, kukweza katundu wolemetsa kumangopangitsa zinthu kukhala zovuta kwambiri. Ngati muyenera kusuntha chinachake cholemetsa, gwiritsani ntchito ngolo kapena trolley, kapena, bwinobe, funsani wina kuti achite. Muyeneranso kusintha momwe mumagwirira ntchito ngati mumagwiritsa ntchito zolemera kapena kuchita zovuta zomwe zimapangitsa kupanikizika kwambiri m'mimba (kuphatikizapo squats kapena crunches).

Pomalizira, asiye kusuta. Pamene kusuta sikupangitsa kuti asidi ayambe kutaya, imatha kugwilitsila ntchito chapamimba motility ndi momwe chakudya chimayendera kupyola. Kusuta kungathenso kuchepetsa kukhudzidwa kwanu kwa EN ndikulimbikitsa dysphagia (kukumeza zovuta). Zotsatirazi ndizokhalitsa ndipo zingakhale zothazikika mwa osuta kwambiri, kutembenuzira ngakhale nthano yaing'ono kukhala magwero a chisoni chopitirira.

> Zotsatira:

> Chen, S: Wang, J .; ndi Li, Y. "Kodi kumwa mowa kumakhudzana ndi matenda a reflux a gastroesophageal?" J Zhejiang Univ Sci B. 2010; 11 (6): 423-28. DOI: 10.1631 / jzus.B1000013.

> Jarosz, M. ndi Taraszewka, A. "Zowopsa za matenda a reflux a gastroesophageal: udindo wa zakudya." Prz Gastroenterol. 2014; 9 (5): 297-301. DOI: 10.5114 / pg.2014.46166.

> Khan, A .; Kim, A .; Sanossian, C. et al. "Chikoka cha kunenepa kwambiri pa matenda a reflux a gastroesophageal." World J Gastroenterol . 2016; 22 (4): 1627-38. DOI: 10.3748 / wjg.v22.i4.1627.

> Ness-Jensen, E .; Onani, K .; El-Serag, H. et al. "Moyo wathanzi mu matenda a reflux a gastroesophageal." Clin Gastroenterol Hepatol. 2016; 14 (2): 175-82.e3. DOI: 10.1016 / j.cgh.2015.04.176.

> Nyimbo, E .; Jung, H ;; ndi Jung, J. "Msonkhano pakati pa Reflux Esophagitis ndi Psychosocial stress." Dig Dis Sci . 2013; 58 (2): 471-77. DOI: 10.1007 / s10620-012-2377-z.