Kodi Mankhwala Angayambitse Bwanji Kupweteketsa Mtima Ndiponso Zimene Mungachite?
Ngakhale kuti nthawi zambiri timaganiza za zakudya zina zomwe zimayambitsa kupweteketsa mtima , koma palinso mankhwala omwe angayambitse kupweteka. Mankhwalawa angapangitse kupsinjika nokha, kapena kugwira ntchito limodzi ndi zina zomwe zimayambitsa kupsa mu chifuwa chanu.
Mankhwala monga Chifukwa
Pali njira zingapo kapena njira zomwe mankhwala angayambitse kupweteka kwa thupi zomwe zili pansipa, koma ndizofunikira kuti muyambe kunena kuti munthu aliyense ali wosiyana, komanso kutsekemera kwa mankhwala kumasiyana mofanana ndikuganizira anthu.
Mankhwala ena omwe amachititsa kupweteka kwa munthu m'modzi sangasokoneze wina. Ndipotu, kwa munthu mmodzi, mankhwala akhoza kuyambitsa kupweteka nthawi imodzi koma osati pena; Zomwe munthu amakhudzidwa nazo pakupsa mtima zimasiyanasiyana pakapita nthawi.
Ngati mukuganiza kuti mankhwala anu akupweteketsa kupweteketsa mtima kwanu, ndikofunikira kuti mulankhule ndi wothandizira odwala. Musalole kumwa mankhwala anu pokhapokha mutapatsidwa uphungu kuti muchite zimenezi nthawi zina, izi zingakhale zoopsa. Chinthu chabwino ndi chakuti nthawi zambiri njira zochepetsera mankhwala zimapangitsa kupwetekedwa mtima kapena zosankha za mankhwala osiyana ngati sizingatheke.
Mankhwala Amene Angayambitse Kutentha
Pafupifupi mankhwala alionse angayambitse kupweteka pamene ena ali ndi vuto lalikulu kuposa ena. Nthawi zina ndi mankhwala okha omwe amachititsa kukhumudwa, koma nthawi zina chizindikiro ichi chikhoza kukhala chifukwa cha kuphatikiza zosiyana.
Mankhwala Osokoneza Bongo
Mankhwala omwe adziwika kuti amachititsa kupweteka ndi awa:
- Mankhwala osokoneza bongo, monga Valium diazepam) - Mankhwalawa sangathe kungosokoneza maganizo anu, koma ndizomwe mumazembera pansi.
- Maantibayotiki ena, monga tetracycline, amatha kukhumudwitsa mwachindunji.
- Anticholinergics monga Compazine (prochlorperazine) ndi Phenergan (promethazine) amachititsa kuti thupi likhale lochepa kwambiri.
- Aspirin - Kwa aspirin omwe satha kulekerera chifukwa cha kupweteka kwa mpweya, aspirin yowonjezera mkati ikhoza kusankha. Musayime aspirin musanalankhule ndi dokotala wanu.
- Mabisphosphonates monga Fosomax (alendronate), Actonel (resendronate), ndi Boniva (ibandronate) - Ma oral bisphosphonates amatha kuyambitsa kupweteka mwachindunji kupweteka. Ngati mankhwala anu akuyambitsa kupweteketsa mtima, pali njira zomwe mungakonzekere zomwe zimaperekedwa monga jekeseni omwe sungapangitse chizindikiro ichi.
- Njira ya calcium yomwe imayambitsa kuthamanga kwa magazi, monga Procardia (nifedipine), ndi Cardizem (diltiazem) ingachepetse kuchepa kwapopugeal sphincter komanso kuchepetsa kutaya kwa m'mimba. Mwamwayi, pali magulu osiyanasiyana omwe amapanga mankhwala, ndipo kusintha kwa gulu lina kungakhale kothandiza ngati zizindikiro zikupitirira.
- Mankhwala ena a mphumu monga Proventil (albuterol) ndi theophylline.
- Chemotherapy mankhwala.
- Corticosteroids (steroids) monga Deltasone (prednisone) ndi Medrol (methylprednisolone) ingayambitse kupweteketsa mtima komanso zinthu zina zofunika kwambiri m'mimba.
- Hormone replacement therapy (HRT), yomwe ikuphatikizapo estrogen ndi progesterone.
- Mankhwala osokoneza bongo angayambitse kupweteka pochedwa kuchepetsa kutaya kwapamimba. Zosankha zingaphatikizepo kugwiritsa ntchito mtundu wina wa mankhwala opweteka, koma ndizodabwitsa kuti anti-inflammatories, yomwe ikufotokozedwa motsatira, ingayambitsenso mavuto.
- NSAIDs (antisteroidal anti-inflammatory drugs) monga Advil (ibuprofen) ndi Aleve (naproxen) amatha kuonjezera asidi m'mimba poletsa prostaglandin - Zosankha zowononga kupweteka ngati Tylenol (acetominophen) kapena mankhwala osokoneza bongo angafunikire pamene NSAIDS imayambitsa zofunikira kupweteketsa mtima kapena kupweteka kwa m'mimba. Nthawi zina, kutsimikiza kuti kutenga NSAIDS kumakhala kwathunthu kungakhale kothandiza.
- Matenda a Tricyclic, monga Tofranil (imipramine), Sinequan (doxepin), Norpramin (desipramine), ndi Pamelor (nortriptyline) amachepetsa kutaya kwapakati. Ambiri mwa atsopano odana ndi depressants sangawononge chizindikiro ichi.
- Potaziyamu ingayambitse kupweteka kwachangu mwachindunji kukhumudwitsa mimba.
- Iron imathandizira - Iron imathandizira imatha kupweteka mimba. Anthu ena amapeza mpumulo mwa kutenga zakudya zowonjezereka ndi chakudya kapena kuzigwiritsa ntchito kumayambiriro kwa tsiku.
- Vitamini C.
Zosankha
Ngati mankhwala anu akuwoneka akuwombetsa, musangomaliza mankhwala. Lankhulani ndi dokotala wanu. Palinso mankhwala omwe amafunika kuyamwitsa kapena kuwonongeka kwabwino kungatheke. Nthawi zina, pamene mankhwala ndi ofunika kwambiri, dokotala wanu angakulimbikitseni kuthetsa kupweteka kwa mtima kusiyana ndi kusiya mankhwala.
Nthaŵi zina, kusintha kosavuta m'moyo wanu kungathetsere kutsekemera. Kutenga mankhwala mukakhala pansi ndikukhala pansi kapena kuima kwa theka la ora kungathandize. Komanso, kutsuka mankhwala ndi madzi ambiri kungakhale kothandiza. Ndi mankhwala ena, kuwatenga ndi zakudya kungathandize, koma choyamba onetsetsani kuti mankhwala anu si amodzi omwe ayenera kutengedwa pamimba yopanda kanthu kuti amve.
Mankhwala ena, monga aspirin, amapezeka mu enteric-yokutidwa omwe angakhale othandiza kwa anthu ena. Ndi mankhwala ena, mawonekedwe osiyana akhoza kuchita chinyengo. Mwachitsanzo, ndi bisphosphonate yogwiritsiridwa ntchito kwa osteoporosis, dokotala wanu angapangire mawonekedwe a jekeseni m'malo mowongolera tsiku lililonse mankhwalawa.
Pomaliza, ganizirani zina mwa moyo wanu zomwe zingayambitse kupweteka ndi kulemberatu vuto lanu. Mwachitsanzo, phunzirani zakudya zomwe zimachepetsa , kusiya kusuta , ndi kupewa kumwa mowa .
Njira Zopweteka
Kutentha kwa khungu kungakhale chizindikiro chimodzi koma chingayambitsidwe m'njira zosiyanasiyana. Zina mwa njira zomwe zingapangitse mankhwala omwe amachititsa kupweteka kwa mpweya zimaphatikizapo kukhumudwa mwachindunji kwa mimba, kufooketsa kwapansipophageal sphincter, kusokonezeka kwa motility kwa kapangidwe ka zakudya zomwe zimabweretsa kuchepetsa kupweteka kwa mimba, ndipo mwina nthendayi.
Kutentha kwa Esophageal
Mankhwala ena, monga chitsulo, potassium, ndi bisphophonates amatha kukhumudwitsa mwachindunji chidebe cha mitsempha ndi kuyambitsa kutentha kwa mtima. Ndi mankhwalawa angapangitse kusiyana kuti akhale oyenera kwa mphindi 20 mpaka 30 mutatha kumwa mankhwala, komanso kumwa mapiritsi ndi madzi onse.
Kusokonezeka kwa Lower Esophageal Sphincter (LES)
Gulu la minofu yomwe ili pamphambano pakati pa mimba ndi m'mimba imatchedwa low esophageal sphincter (LES). Minofuyi ndi yothetsa ndi kutsegula kumapeto kwa chiwindi ndipo zimakhala ngati chotchinga chotsutsana ndi zomwe zili mmimba. Ngati ili yofooka kapena kutaya volo, LES sayenera kutseka kwathunthu chakudya chitapita m'mimba. Matenda a m'mimba amatha kubwerera m'mimba. Zakudya zina ndi zakumwa, mankhwala osokoneza bongo, ndi zinthu zamanjenje zikhoza kufooketsa LES ndi kuwononga ntchito yake.
Kusokonezeka kwa Motility (Kutsika Kwambiri Kumimba)
Mwachizolowezi chimbudzi, chakudya chimachotsedwa kudzera m'magulu opatsirana pogwiritsa ntchito zizindikiro zomveka zomwe zimatchedwa peristalsis. Pamene wina akudwala matenda a motility , izi zimakhala zosazolowereka. Izi sizingatheke chifukwa cha chimodzi mwa zifukwa ziwiri: vuto mkati mwa minofu yokha, kapena vuto la mitsempha kapena mahomoni omwe amachititsa kuti mitsempha iwonongeke. Kafukufuku wina anasonyeza kuti anthu opitirira theka la anthu omwe ali ndi matenda a m'mimba (GERD) ali ndi mitsempha yambiri kapena minofu m'mimba mwawo yomwe ingawononge motility.
Pamene minofu m'mimba siimagwira ntchito bwino, mimba sichitha kulowa m'mimba mwachangu mofulumira. Kuphatikiza kwa zakudya zambiri zomwe zimasiyidwa m'mimba komanso kuwonjezeka kwa m'mimba chifukwa cha kuchepetsa kuchepetsa kutaya kumawonjezera chiopsezo cha mimba ya mimba kuti ifike m'mimba.
Hatalia ya Hiatal
Nthenda yotaya pathupi imapezeka pamene gawo lakumtunda la mmimba limakankhira mmwamba mu chifuwa kudzera mu kutsegula kwa chifuwa. Izi zikhoza kuchitika chifukwa cha kufooka kwa diagrragm kapena chifukwa cha kuwonjezeka kwa m'mimba (monga kunenepa kwambiri.) Kutsegula kotereku kumatchedwa hiatus kapena ophraseal hiatus. Amakhulupirira kuti chotupa chokhacho chikhoza kuchepa kuchepa kwa sophageal sphincter ndikupangitsa reflux, komabe maphunziro salephera kutsimikizira kuti ndizowunikira wamba wa GERD.
Genetic Factors
Kafukufuku wasonyeza kuti pali chiopsezo chobadwa nacho kwa GERD. Izi zikhoza kukhala chifukwa cha mavuto obadwa mwathumodzi kapena omangika omwe ali nawo m'mimba kapena m'mimba. Zinthu zamtunduwu zingakhale zofunikira kwambiri m'maganizo a wodwala kwa bongo la Barrett , vuto lodziwika bwino lomwe limayambitsidwa ndi GERD.
Chithandizo
Ndikofunika kulankhula ndi dokotala ngati mukuvutika ndi kupwetekedwa mtima. Kuphatikiza pa kupereka zizindikiro zokhudzana ndi kusintha kwa moyo zomwe zingachepetse zizindikilo , akhoza kukufotokozerani za njira zingapo zothandizira zomwe zingapezeke pamtima .
Mfundo Yofunika Kwambiri pa Mankhwala ndi Kupweteka kwa Mphungu
Pafupifupi mankhwala aliwonse angayambitse kupweteka, koma pali mankhwala ena omwe ndi achikulire kuposa ena. Pali njira zambiri zomwe mankhwala amatha kuyambitsa kupsa mtima, komanso kumvetsetsa njirayi kungakuthandizeni kugwira ntchito ndi dokotala kuti mupeze njira zothandizira mankhwala anu kuti achepetse zizindikiro zanu, kapena kuti mutembenuzire ku mankhwala ena omwe sali ochepa kuyambitsa kupsa mtima.
Zotsatira:
Castell, D. Mankhwala Osokoneza Bongo. Kupititsa patsogolo . Kusinthidwa 10/15/15.