Matenda a reflux a Gastroesophageal (GERD) akukhala vuto lalikulu kwa anthu a misinkhu yonse ku United States. Izi ziyenera kuti ndizofunika kuwonjezeka pa kudya kwachangu, zomwe zimakhala zobiriwira komanso mafuta, komanso kukula kwa kunenepa kwambiri. Ngati mukuganiza kuti mwana wanu, kholo, mnzanu, kapena wokondedwa wanu akudwala asidi reflux, ndikofunika kuti aone dotolo yemwe angathe kudziwa ngati matenda a GERD ndi oyenera komanso osatengera matenda ena onse omwe ali ndi zizindikiro zofanana. .
Kuopsa kwa zizindikiro za GWD za wokondedwa wanu zidzasankha njira zabwino zothandizira. Padakali pano, pali njira zomwe mungathandizire kuchepetsa kuopsa kwake kwa zizindikiro zake zopweteketsa mtima kunyumba.
Zosankha Zakudya
Mankhwala otsika otchedwa sophgeal sphincter (LES), valve pakati pa mimba ndi m'mimba, nthawi zambiri amatseka mwamphamvu kuti asunge chakudya ndi m'mimba mwa asidi. Ngati izo zimasintha pamene siziyenera, chakudya ndi m'mimba ya asidi imabwereranso ku mimba ndipo imawombera.
Kutentha kwapakhosi kumawoneka ndi zakudya zina. Thandizani wokondedwa wanu kuti azidziwe bwino ndi zovuta izi ndikuyesetsani kusunga chakudya kunja kwa nyumba kotero kuti asayesedwe ndikumapeto.
Zakudya zomwe zingathe kumasula a LES zikuphatikizapo:
- Zakudya zokazinga (mafuta)
- Zakudya zamtengo wapatali
- Butter ndi margarine
- Mayonesi
- Masizi obiriwira
- Saladi kuvala
- Mkaka wonse wa mkaka
- Chokoleti
- Peppermint
- Zakumwa zakumwa za khofi (mwachitsanzo, zakumwa zofewa, khofi, tiyi, koka)
Kutentha kwapakhosi kungabwerekenso pamene mimba imapanga asidi ochulukirapo, ndipo izi zimabwerera m'mwamba.
Zakudya zomwe zingayambitse kupanga acid ndi kuonjezera kupweteka kwa mtima ndizo:
- Zakumwa za khofi
- Zakumwa zakumwa
- Mowa
- Zakudya zokometsera
- Tsabola wakuda
- Citrus zipatso ndi timadziti (mwachitsanzo, lalanje, mphesa)
- Madzi a phwetekere
Kudya kunja
Mukamadya, funsani momwe zakonzera zakudya zosiyanasiyana, ngati wokondedwa wanu sakudziwa.
Mukhoza kufunsa kuti nyama imakulungidwa m'malo mokazinga, mwachitsanzo. Zakudya zambiri zimaphatikizapo miyala yamtengo wapatali ya mafuta ndi masaupu omwe mungapemphe kuti asinthire m'malo mwa mafuta ochepa kapena amatumikira kumbali. Ngakhale kuti akuluakulu adzafuna kupanga zosankha zawo pankhani ya chakudya, kuyamba kukambirana kungathandize kutsogolera njira yabwino.
Kusukulu
Kuti muthandize mwana wanu kupeĊµa zakudya izi ali kusukulu, mutha kunyamula chakudya chamasukulu mochepetsetsa kuchepetsa kupuma pa masiku pamene zakudya zowonongeka zikugwiritsidwa ntchito. Chakudya chamaphunziro chapadera nthawi zambiri chimakhala ndi zakudya zambiri zosakaniza acid. Kudziwa kuti ndi zakudya ziti zomwe ziri zotetezeka kuti odwala matenda a kupweteketsa mtima azithandizanso.
Nthawi yodyera
Limbikitsani wokondedwa wanu kuchepetsa kukula kwa chakudya chake, pamene akukulitsa m'mimba ndipo angathe kuwonjezera kukakamizika kwapakati pazitsulo zochepa zomwe zimayambitsa kupweteka kwa mtima . Chifukwa ana ndi achinyamata akukula, amatha kumva njala pamene akulephera kubwezeretsa zigawo zawo poyamba. Ngati ndi choncho, kumbutsani mwanayo kuti angadye kawirikawiri, koma asadye mpaka atadzala kudya. Kusintha kumeneku kuti "kuseketsa" kungakhudze ana ena.
Pogwiritsa ntchito mbale zing'onozing'ono pakhomo, kukonzekera chakudya chochepa, ndi kudya zakudya kuchokera ku stowe (osati gome, kumene kuli kovuta kufika kwa masekondi) zingakhale njira zothandiza.
Usiku wam'mawa umatha kukhala mwambo wokhala ndi wokondedwa wanu, koma ngati iye akudwala GERD, izo zingapangitse kugona kwa usiku, kosasangalatsa. Yesetsani kumuletsa kuti asadye pawindo la maora awiri kapena atatu asanagone, mwinamwake mwa kupewa kudzikuta.
Mphamvu yamagetsi imathandiza kuti mimba ya m'mimba isamathandizidwe mpaka kufika pamimba ndikuthandizira kudya ndi zakudya zam'mimba kuyambira m'mimba mpaka m'mimba. Choncho, mutatha kudya chakudya chamadzulo sichilangizidwa, kukhala kanthawi kochepa mutatha kudya kungathandize thupi kukhala ndi nthawi yogwiritsira ntchito mphamvu yokoka pamene chakudya chikugwedezeka.
Nthawi Yogona
Kuphuka kwa usiku kungakhale koopsa kwambiri. Ngati kupweteka kwa usiku kumakhalako, chiopsezo cha mavuto chimakula. Pali zifukwa zambiri za izi. Mwachitsanzo, asidi osakanikirana amatha kukhalabe m'mimba kwa nthawi yayitali, kuti izi zisawonongeke kwambiri. Komabe, pali njira zingapo zothandizira kutaya kwa usiku .
Kugona pansi kumapangitsa kuti m'mimba muli nkhani za m'mimba mwazitsulo zam'mimba. Ndi mutu wapamwamba kuposa mimba, mphamvu yokoka imathandiza kuchepetsa vutoli. Funsani dokotala wa wokondedwa wanu momwe mungakwezere mutu wa bedi. Kukwezera mutu wonse wa bedi mwa kuyika njerwa kapena matabwa pansi pa mapazi kumbali iyi, kotero kuti bedi liri pogona pang'ono, limagwira ntchito bwino. Dokotala wanu angathenso kulingalira pogwiritsa ntchito bedi la reflux bedi kapena mtolo wolowetsa kukweza mutu wa wokondedwa wanu pamene akugona.
Kusankha Zovala
Zovala zomwe zimakhala zozungulira pamimba zimapweteka m'mimba, zimakakamiza chakudya cha LES, zomwe zimachititsa kuti chakudya chibwerere m'mwamba. Zimakhala zosavuta kuwonetsa zovala zomwe mwana amavala poyerekezera ndi wachinyamatayo, yemwe ali ndi kalembedwe kake. Komabe, kuyankhula ndi mwana wanu za momwe kuvala chitonthozo kungachepetse kukwiya kwake kungamupangitse kupanga chisankho chotero. Zovala zomwe zingayambitse mavuto zimaphatikizapo mikanda yolimbitsa thupi, jeans yolimba kwambiri, ndi zovala zosasunthika.
Kuwona Chizindikiro
Gulani wokondedwa wanu nyuzipepala ndipo, ngati ali wokhoza ndi wololera, am'lembetsere pamene akukumana ndi zizindikiro za kupweteketsa mtima, ndi zakudya zotani zomwe akudya, ndi / kapena ntchito yomwe anali kuchita asanayambe kuphulika. Kuwopsa kwa chiwonongeko chilichonse chakumtima ndi chimene chinam'pumula chiyenera kudziwikiranso. Amatha kulephera kulemera kwake pa 1 mpaka 10 ndi 10 kukhala osokonezeka kwambiri omwe angaganizire komanso 1 kupweteka kumene kulibe.
Angathe kubweretsa chidziwitso kwa dokotala wake, yemwe angathe kumuthandiza kusintha zakudya zake, ntchito yake, kapena mankhwala, ngati kuli kofunikira.
Iyi ndi njira yothandiza kwa makolo a achinyamata omwe sagwirizana ndi malingaliro awo; Malangizo ochokera kwa dokotala akhoza kulandiridwa bwino.
Kuchita masewera olimbitsa thupi
Ngati wokondedwa wanu ali olemera kwambiri kapena olemera kwambiri, ngakhale kutaya mapaundi 5 kapena 10 kungathandize kuchepetsa zizindikiro za kupweteka kwa mtima ndi kuchita masewera olimbitsa thupi, makamaka, zimapindulitsa pa zifukwa zambiri. Mulimbikitseni kuti ayende, ayendetse njinga yake, kapena adzalumphira pamtunda pomwe akuyang'ana TV. Yesani kuchita zinthu zosangalatsa za banja ngati bowling, kuyenda, kulima, kapena kusambira. Kuchita mwakhama ndi wokondedwa wanu kumamuthandiza kuti amve zolimbikitsa kwambiri.
Mankhwala
Antacids monga Tums, Rolaids, ndi Mylanta amaletsa m'mimba asidi. Ndizowathandiza kuti aziwathandiza, makamaka ngati wokondedwa wanu amawakumbukira nthawi zambiri. Komabe, ngati akuyenera kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yoposa mlungu kapena kuposera, kapena ngati mankhwalawa sakufulumira kuthetsa zizindikiro, kuyendera dokotala kumalimbikitsa. Kugwiritsira ntchito mankhwala ophera tizilombo kwa milungu yoposa imodzi kapena iwiri kumachitika kokha ndi chitsogozo cha dokotala.
Ngati wokondedwa wanu wapanga zakudya ndi zamoyo zomwe zasintha kuchepetsa kupweteka kwa mtima, zingakhale nthawi yogwiritsira ntchito mankhwala amodzi. Pambuyo pa mankhwala osokoneza bongo, pali mitundu iwiri yapadera ya mankhwala opweteka mtima:
- Acid blockers (H2 blockers), monga Tagamet (cimetidine), Pepcid (famotidine), Zantac (ranitidine), ndi Axid (nizatidine)
- Acid pump ( adhesive pump inhibitors , PPIs), monga Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), Aciphex (rabeprazole), ndi Protonix (pantoprazole)
Komabe, kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kwagwirizanitsidwa ndi matenda a impso, matenda a mtima, ndi mafupa. Zotsatira zoyenera ziyenera kukambidwa ndi dokotala. Kuchokera kwa nthawi yaitali kwa asidi kungayambitsenso mavuto, kotero dokotala wa wokondedwa wanu angakuthandizeni kuganizira zoopsa ndi phindu la mankhwala.
Ngati wokondedwa wanu amakumbukira kuti amamwa mankhwala (kapena inu, monga kholo, muiwale kuupereka kwa mwana wanu), mungapeze mankhwala akukumbutsa mafoni apulogalamu mapulogalamu othandiza.
Thandizo
Chithandizo chabwino kwambiri cha asidi reflux ndi kupewa, ndipo kusintha kwa chakudya cha wokondedwa wanu, malo ogona, ndi ntchito ndiyo njira yabwino yothetsera. Kusintha uku, komabe, nthawi zina kumakhala kovuta kupanga. Chitani zomwe mungathe kuti mulimbikitse ndi kuika wokondedwa wanu kuti mupambane, ndipo yesani kukhala oleza mtima pamene akupeza njira yawo (kapena inu, monga kholo la mwana yemwe ali ndi GERD, chitani zomwezo).
Kuphatikiza dokotala wa wokondedwa wanu kungakhale kothandiza, osati pokhapokha podziwa zambiri za momwe mungayambitsire zizindikiro zake ndi kupeza mankhwala omwe amathandiza, koma chifukwa akuphatikizapo wina amene angakuthandizeni ndikubwezeretsani malingaliro omwe mwawapanga. Ngati ndinu kholo, kumbukirani kuti pamapeto pake nthawi yambiri yotsutsidwa ndikugwira ntchito yaikulu kuti muchepetse zizindikiro zomwe ayenera kupirira.
> Zotsatira:
> Baird DC, Harker DJ, Karmes AS. Kuzindikira ndi Chithandizo cha Reflux ya Gastroesophageal kwa Ana ndi Ana. American Family Physician . October 15, 2015; 92 (8): 705-14.
> Lightdale JR, DA Gremse, Gawo la Gastroenterology, Hepatology, ndi Nutrition. Reflux Yamagetsi: Kutsogoleredwa kwa Odwala kwa Ana. Matenda . May 2013; 131 (5): e1684-95. lembani: 10.1542 / peds.2013-0421.