Matenda Opambana Otsitsika Mphuno

Chithandizo Chachiwiri chimakhudza Zonse Zosintha Zamoyo ndi Mankhwala

Ngati muli ndi vuto lopsa mtima , ndikofunika kudziŵa momwe mungachitire bwino. Mankhwala osakanizidwa a reflux angapangitse mavuto monga khansara yowopsa .

Mndandanda uli m'munsiyi ndi mankhwala asanu ndi atatu omwe amagwiritsidwa ntchito nthawi zambiri pa asidi reflux. Inde, ndikofunika kuti mukambirane njira zomwe mungachite ndi dokotala wanu poyamba.

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Kusintha kwa Moyo

Monga gawo la mankhwala anu a asidi reflux, dokotala wanu akhoza kupereka njira imodzi kapena zambiri kusintha asanayambe kumwa mankhwala kapena kuphatikiza ndi mankhwala, ngati H2 blocker kapena proton pump inhibitor .

Kwa ambiri omwe ali ndi kupweteka kwa moyo, chofunika kwambiri pa moyo kusintha ndi kulemera kwa thupi (ngati kunenepa kwambiri kapena kunenepa kwambiri). Kulemera kofulumira kungakhalenso kuyambitsa kupweteka kwa mtima. Kusiya kusuta ndi kuchepetsa kapena kusiya kumwa mowa kumathandizanso.

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Zosintha Zakudya

Pakhala pali kutsutsana kwakuti chakudya chingayambitse kapena kuyambitsa kupweteka kwa mtima. Ngakhale kuti ndi zovuta kutsimikizira sayansi, anthu ambiri omwe amatha kupweteketsa mtima amagwirizanitsa zizindikiro zawo ndi zakudya kapena zakumwa zina, makamaka chokoleti, caffeine, zakudya zokometsera zokometsera, zamasamba, ndi zakumwa zamchere. Choncho, ndikofunika kuti anthu omwe amatha kupweteketsa mtima azichotsa kapena kuchepetsa zakudya izi ndi zakumwa zawo. Izi zikunenedwa, muyenera kuchita izi pansi pa chisamaliro cha adokotala kuti muonetsetse kuti simuli wokakamiza kwambiri.

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Histamine Receptor Antagonists (H2 blockers)

H2, monga proton pump inhibitors, amachepetsa kuchuluka kwa asidi mmimba, koma kupyolera mu njira yosiyana. Iwo amayamba kugwira ntchito mkati mwa ola limodzi lokha. Nthaŵi zina dokotala angalimbikitse chophimba cha H2 kuti chithandizo cham'tsogolo cha matenda a reflux a gastroesophageal (GERD) awonongeke. Mankhwala a H2 amagwiritsidwanso ntchito pochita zinthu zina zomwe zimakhala ndi asidi ngati matenda a zilonda zam'mimba .

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Antacids

Anatacids amapezeka pamtengowu ndipo alibe mphamvu ngati H2 blockers kapena proton pump inhibitors. Zomwe zikunenedwa, zikagwiritsidwa ntchito moyenera, tizilombo toyambitsa matenda tingathe kuthandizira kuthetsa kupweteketsa mtima ndi kupusitsa . Komabe, ndi bwino ngati mutaletsa kupweteka kwa mtima kuchoka ku malo oyamba, m'malo mochizira kupweteketsa pambuyo pochitika.

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Proton Pump Inhibitors

Proton pump inhibitors (PPIs) ndi gulu la mankhwala omwe amaletsa kutulutsa asidi mmimba ndi m'matumbo. Madokotala amapereka mapuloteni kuti athetse anthu kupwetekedwa mtima (asidi reflux), zilonda za mmimba kapena matumbo, kapena kupweteka kwa m'mimba acid ( Zollinger-Ellison Syndrome ). Ena a proton pump inhibitors alipo pa-counter-yowonjezera pamene ena amapezeka ndi mankhwala okhaokha. Kuphatikizira mlingo woyenera ndi kutenga PPI panthawi yoyenera (mphindi 30 mpaka 60 musanadye chakudya) n'kofunika kwambiri kuti izigwira ntchito bwino.

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Zothetsera Pakhomo

Kwa anthu ena omwe ali ndi reflux osakayika, amafuna njira ina yowonetsera kupweteka kwawo, makamaka ngati akhala akumwa mankhwala kwa nthawi ndithu. Zosankhazi zimachokera ku zowonongeka komanso zowonongeka kwa amayi kupita ku zakudya zabwino komanso kusintha kwa moyo.

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Kugwiritsa ntchito ndalama zopangira ndalama

Njira yopangira opaleshoni ya GERD ndi laparoscopic fundoplication, yomwe imaphatikizapo kumanga "valve" yatsopano pakati pa mimba ndi m'mimba mwakulumikiza gawo lapamwamba la m'mimba mwa fundus.

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Njira Yowongoka

Ndondomeko ya Stretta ndi njira yovomerezeka ya matenda a reflux a anthu ambiri omwe ali ndi zizindikiro kwa miyezi isanu ndi umodzi kapena kuposerapo, sakulandira phindu lililonse pokhapokha ngati mankhwala a GERD (monga proton pump inhibitors) amathandizira, ndipo sakuletsa opaleshoni kapena ayi ofuna.

Njirayi imagwiritsidwa ntchito pamapeto apamwamba ndipo imaphatikizapo kugwiritsa ntchito mphamvu zamagetsi zowonongeka kuti zikhale ndi minofu ya m'mimba yochepa kwambiri yomwe imadutsa m'mimba komanso m'mimba ya cardia (kumtunda kwa m'mimba).

> Zotsatira:

Katz PO, Gerson LB, Vela MF. Malangizo othandizira kupeza matenda ndi matenda a reflux matenda a gastroesophageal. Am J Gastroenterol 2013; 108: 308-28.

> Triadafilopoulos G. Stretta: Njira yabwino yogwiritsira ntchito mankhwala opatsirana pogonana. World J Gastroenterol . 2014 Jun 28; 20 (24): 7730-38.

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