Ngati mwapezeka kuti muli ndi matenda a reflux a gastroesophageal (GERD), ndondomeko yanu ya mankhwala ingaphatikizepo kusintha kwa moyo, mankhwala osokoneza bongo, mankhwala opatsirana, opaleshoni, kapena kuphatikiza, malingana ndi zomwe mukuchita. Poganiza kuti mulibe vuto lililonse kuchokera ku GERD kapena mavuto enaake, dokotala wanu angakulimbikitseni kuti muyambe kuyesa njira zina zofunika musanayambe kuchita zina.
Makanda ndi omwe ali ndi kachilombo ka HIV angapangitse mankhwala omwe amasiyana ndi ofanana.
Zothetsera Pakhomo ndi Moyo Wamoyo
Achikulire, achinyamata, ndi ana omwe ali ndi GERD akhoza kulamulira, kapena kuchepa, kuchepetsa asidi pogwiritsa ntchito kusintha kwamoyo. Taganizirani izi:
- Ngati mumasuta, yesani kusiya. Pali zifukwa zambiri zosuta kusuta kuwonjezereka . Komanso, yesetsani kupewa utsi wambiri.
- Yesetsani kuchepetsa kulemera ngati muli olemera kwambiri kapena owonjezera. Nthawi zina ngakhale kutaya mapaundi asanu kapena khumi kumatha kusintha kusiyana ndi zizindikiro zanu.
- Musadye zakudya zomwe zimadziwika kuti zikutentha mtima. Izi zimaphatikizapo chokoleti, zipatso za citrus ndi timadziti, tomato ndi tomato zomwe zimagwiritsidwa ntchito, mpiru, viniga wosasa, mankhwala odzola, ndi zokometsera, zokoma, zokazinga, ndi zakudya zamtengo wapatali.
- Pewani kapena kuchepetsa kuchepetsa zakumwa zomwe zili ndi caffeine (khofi, tiyi, cola) chifukwa izi zingathetsere m'mimba mwacheperegeal sphincter (LES).
- Pewani kapena kuchepetsani mowa, zomwe zimayambitsanso LES.
- Musadye chakudya chachikulu. Kudya zakudya zingapo zing'onozing'ono tsiku lonse.
- Idya chakudya chako pang'onopang'ono ndikuchichera bwino.
- Yembekezani maola atatu mutatha kudya, ndipo muzikhala ndi chizoloŵezi chopewa kugona pansi maola atatu mutatha kudya.
- Kugona ndi mutu wako ndi mapewa amadzaza ndi mtolo wamphete (zokhazikika sizigwira ntchito), kapena kukweza mutu wa bedi lako masentimita 6 mpaka 8 mwa kuika matabwa pansi pa zikhomo. Izi zidzalola mphamvu yokoka ikugwiritsireni ntchito ndikuthandizani kuti m'mimba mwanu mukhale m'mimba mwanu, osati m'mimba mwanu.
- Valani zovala zomwe zamasuka komanso zomasuka. Muyenera kupewa kuthamanga kulikonse m'chiuno mwanu ndi m'mimba.
- Khalani wokhazikika pampando wokhala bwino kusiyana ndi kumangogwedeza.
Zotupitsira powotcha makeke
Chofunika kwambiri pa soda ndi sodium bicarbonate, yomwe thupi lanu limapanga mwachibadwa. Mukhoza kugwiritsa ntchito soda ngati bakiteriya kuti muthe kukonza asidi m'mimba mwanu ndikupatseni mpumulo kuti musamatengeke. Yesani kusungunula 1/2 supuni ya supuni mu ma ounces 4 a madzi ndikupukuta pang'onopang'ono. Nthawi zonse muziyankhula ndi dokotala musanagwiritse ntchito soda ya reflux chifukwa zingasokoneze mankhwala anu kapena kuwonjezera mphamvu zanu za sodium. Ili ndi njira yothetsera kanthawi kochepa chabe; Kugwiritsira ntchito nthawi yaitali (kapena kudya kwambiri kuposa kuchuluka kokhala ndi soda) kungapangitse kuti reflux yanu ikhale yoipa kwambiri.
Apple Cider Viniga
Ngakhale kuti anthu ena amagwiritsa ntchito vinyo wa apulo cider kuti awononge kupweteka kwao, n'kofunika kuzindikira kuti sipanakhalepo mayesero aliwonse omwe amasindikizidwa kuti athandizire izi. Amuna a apulo cider viniga amaonetsa kuti kupweteka kwa thupi kumachitika chifukwa sakhala ndi mimba yokwanira, ndipo kumwa vinyo wa apulo kumapangitsa kuti mimba yanu ifike m'mimba moyenera, ndikupweteketsa kuti muthe. Komabe, madokotala amalimbikitsa kumwa mankhwala kuti achepetse mimba ya asidi komanso kuchepetsa zizindikiro za asidi reflux.
Kutenga vinyo wosakanizidwa wa apulo cider kungakwiyitse pakamwa panu komanso pamphuno chifukwa zimakhala zovuta kwambiri. Vinyo wosakaniza, apulo viniga akhoza kupanganso dzino lako. Pazifukwa izi, ndibwino kuti muwononge vinyo wosasa ndi madzi ngati mukukonzekera. Onjezerani supuni 1 mpaka 3 ya viniga ku chikho cha madzi.
Vinyo wosasa angagwirizane ndi mankhwala ena omwe mukuwatenga nthawi yomweyo ndipo mmalo mwa kuchepetsa kupweteka kwa mtima, vinyo wosasa angapangitse kuipitsa. Ngati mukuganiza kugwiritsira ntchito apulo cider viniga monga mankhwala opweteka, ndikofunika kuti muyankhule kwa dokotala poyamba.
Njira Zochiritsira Zambiri
Mankhwala ambiri omwe amagwiritsidwa ntchito poyambitsa kupuma amapezeka pamsika komanso mankhwala.
Ngakhale mankhwalawa ali ofanana, mankhwala OTC amapezeka peresenti yochepa, kawirikawiri hafu ya mankhwalawa. Dokotala wanu angakulimbikitseni mankhwala osokoneza bongo kwa inu kapena mwana wanu ngati kusintha kwa moyo sikuthandizeni. Mankhwala aliwonse amagwira ntchito mosiyana ndipo mungafunike kuphatikizapo kuti agwire ntchito. Onetsetsani kuti mungalankhule ndi dokotala musanayambe kumwa mankhwalawa, komanso ngati zizindikiro zanu sizikuyenda bwino.
Antacids
Antacids monga Mylanta ndi Maalox (aluminium hydroxide / magnesium hydroxide / simethicone), Rolaids (calcium carbonate ndi magnesium hydroxide), ndi Tums (calcium carbonate) kaŵirikaŵiri ndi mankhwala oyambirira omwe amalimbikitsa kuthetsa kupweteka kwa mtima ndi zizindikiro zina zofatsa za GERD. Aliyense amagwira ntchito kuti asasokoneze mimba ya asidi. Zotsatira zoyipa zimaphatikizapo kudzimbidwa kapena kutsekula m'mimba.
H2 Odziletsa
Maselo osokonezeka m'mimba mwanu amakulimbikitsani m'njira zosiyanasiyana kuti atulutse asidi. Imodzi mwa izi zimayambitsa zokhazokha ndi histamine, yomwe imamangiriza mbiri ya histamine 2 pa selo ya parietal. Olemba H2, mofanana ndi dzina lawo, atseke malo awa omwe amalowetsamo ndipo potero athe kuchepetsa kupanga acid.
Tagamet HB (cimetidine), Pepcid AC (famotidine), Axid AR (nizatidine), ndi Zantac 75 (ranitidine) ndizo zosankha zomwe zimakonda kwambiri. Amapezanso mphamvu zogwiritsira ntchito mankhwala.
Proton Pump Inhibitors (PPIs)
Mimba yanu imapanga asidi kuti athandize kuswa zakudya kuti zikhale zosavuta kuzimba. Nthawi zina, asidi amatha kukwiyitsa m'mimba mwathu ndi duodenum (kumtunda kwa intestine yanu yaing'ono), kuyambitsa kupweteketsa mtima komanso zilonda.
Mimba ili ndi mpope, yotchedwa kuti chapamimba cha asidi pampu, yomwe imabala mimba ya asidi. Proton pump inhibitors amalepheretsa kusungunuka kwa asidi m'mimba mwakumanga pamapampu awa. Kuchepetsa kuchuluka kwa mimba ya asidi kungathandize zilonda kuti zichiritse komanso kuti reflux iwonongeke. Mapulogalamu apamtima angathandizenso kuchepa kwanu kochepa.
Proton pump inhibitors ndi othandiza kwambiri kuposa H2 blockers. Chifukwa chaichi, nthawi zambiri amagwiritsidwa ntchito pochiza zizindikiro zoopsa za kupweteka kwa mtima. Monga mankhwala aliwonse, akhoza kukhala ndi zotsatira, koma kwa anthu ambiri, kuchuluka kwa chitetezo cha mankhwalawa kumapereka kwambiri kuposa zovuta zomwe zingatheke.
Ma PPI, monga Prilosec (omeprazole), Prevacid (lansoprazole), Nexium (esomeprazole), ndi Zegrid (omeprazole / sodium bicarbonate), amapezeka pamsika.
Mankhwalawa ndi okwera mtengo kuposa a H2, omwe amatengedwa kamodzi tsiku lililonse kwa mphindi 30 mpaka 60 asanadye chakudya cham'mawa, ndipo amatengedwa kwa masabata pafupifupi asanu ndi atatu, pomwe adokotala adzayambiranso momwe mumamvera. Ngati zizindikiro zanu zikupita patsogolo, dokotala wanu akhoza kuchepetsa mlingo wanu kapena ngakhale kusiya mankhwala anu. Pogwiritsa ntchito yankho lapadera, dokotala wanu akhoza kuwonjezera mlingo wanu kawiri pa tsiku. Ngati simukupeza mpumulo kwa GERD wanu, dokotala wanu adzakuuzani kwa gastroenterologist kapena kuyambiranso zomwe mukupeza.
Thandizo la PPI silinatengeke nthawi yaitali, choncho cholinga chake ndikutenga mlingo wotsika kwambiri kwa nthawi yochepa kwambiri yomwe ingathe kuchepetsa kupweteka kwa mtima ndikupewa mavuto ngati zilonda zam'mimba. Mankhwalawa amaphatikizidwanso ndi kuchepa kwa kashiamu komanso kuchepa kwa mafupa a anthu omwe amatenga mlingo waukulu kapena kuwagwiritsa ntchito kwa nthawi yaitali. Ichi ndichifukwa chake kuyang'anitsitsa pafupi ndi dokotala n'kofunikira; iye akhoza kupanga dongosolo lokonza mosamala ndi kusintha ilo monga / ngati kuli kofunikira.
Kuyerekezera PPIs ndi H2 Blockers
Ngakhale kuti onse awiri a H2 ndi proton pump inhibitors amapewa kutsekemera kwa m'mimba, pali njira zingapo zomwe mankhwalawa amasiyana omwe angakhudze zomwe mukulimbikitsidwa.
| H2 Odziletsa | PPIs | |
|---|---|---|
| Amagwira Ntchito Zabwino | H2 zimasunga mbiri ya histamine 2, koma palibe mankhwala ena omwe amachititsa kuti asidi azipanga. | Proton pump inhibitors amachititsa zinthu zambiri zomwe zimapangitsa kuti asidi azipanga komanso zimakhala zogwira mtima kuposa H2. |
| Momwe Iwo Akugwirira Ntchito Posachedwa | Olemba H2 nthawi zambiri amagwira ntchito mkati mwa ora limodzi, kukhala opambana pakati pa maola atatu ndi atatu mutatenga. | Mankhwalawa amapindula pamene atengedwa 30 minutes musanadye chakudya kapena m'mimba yopanda kanthu. Mukadikirira kuti muwatengere mpaka mutadya kapena musadye, mimba yanu yatulutsa kale asidi ambiri mankhwalawa akuyenera kupewa. |
| Kutalika Kwambiri Kwambiri | Ophwanya H2 angakhale othandiza kwa maola 12. | Ma PPI amatha kuyambira maola 24 mpaka masiku atatu. |
| Zovuta Zotsatira Zowoneka | Mutu umakhala wofala kwambiri pa ntchito ya Block H2. | Proton pump inhibitors akugwirizanitsidwa ndi chiopsezo chowonjezeka cha kuphulika kwa m'chiuno . |
Malemba
Ngati moyo umasintha ndi / kapena mankhwala osokoneza bongo sakugwira ntchito kuti asamalire zizindikiro za GERD, dokotala wanu akhoza kukupatsani inu mankhwala kapena mankhwala anu.
Zomwe mwasankha kwambiri ndi PPIs ndi H2 blockers.
Proton Pump Inhibitors (PPIs)
Mankhwala ovomerezeka a GERD ndi proton pump inhibitors chifukwa amagwira ntchito bwino kuti athetse zizindikiro mwa anthu ambiri. Protonix (pantoprazole), Aciphex (rabeprazole), ndi Dexilant (dexlansoprazole), komanso PPI zomwe zimapezekanso pa Nexium, Prilosec, Prevacid, ndi Zegrid, zimapezeka ndi mankhwala.
H2 Odziletsa
Dokotala wanu angapereke chophimba champhamvu H2 kuposa momwe mungapezere pa-counter. Mankhwalawa ndi mankhwala a Pepcid (famotidine), Axid AR (nizatidine), ndi Zantac 75 (ranitidine) ndipo nthawi zambiri amatsika mtengo kuposa PPIs.
Njira zina zomwe mungagwiritse ntchito monga mankhwala:
Prokinetics
Prokinetics amagwira ntchito popangitsa kuti mimba yanu ikhale yopanda kanthu. Mankhwalawa samagwiritsidwa ntchito nthawi zambiri ndipo amalembedwa kwa anthu omwe amatsutsa GERD (onani m'munsimu). Prokinetics angagwirizane ndi mankhwala ena, choncho onetsetsani kuti mumamuuza dokotala za zonse zomwe mukuzitenga, kuphatikizapo mankhwala osokoneza bongo. Zitsanzo za prokinetics ndi Reglan (metoclopramide) ndi Urecholine (bethanechol). Zotsatirapo zingakhale kuphweteka, kutsekula m'mimba, kutopa, kupanikizika, nkhawa, ndi mavuto ndi kuyenda.
Baclofen
Baclofen ndi mankhwala omwe madokotala angagwiritse ntchito, makamaka kwa GERD. Zimagwira ntchito polimbikitsa kutsika kwanu kwapang'onopang'ono (LES) ndi kuzisiya kuti musangalale nthawi zambiri. Baclofen ikhoza kuyambitsa chisokonezo ndi kutopa.
Opaleshoni
Ngati zizindikiro zanu sizikusintha ndi kusintha kwa moyo wanu ndi mankhwala, dokotala wanu angachite opaleshoni. Izi zikhoza kukhala njira yowonjezereka kwa moyo wonse wa mankhwala osokoneza bongo.
Kugwiritsa ntchito ndalama
Kusiyanitsa kwapadera kotchedwa Nissen fundoplication ndi mankhwala ochizira opaleshoni a GERD. Kumtunda kwa m'mimba mwako kumakhala kuzungulira mchere wotchedwa sophgeal sphincter (LES) kulimbitsa sphincter ndikuletsa asidi reflux, komanso kukonzanso chilakolako chokhalitsa.
Ndondomekoyi ingagwiritsidwe ntchito pogwiritsira ntchito laparoscope ndipo imangofuna kugwiritsidwa ntchito pang'ono pamimba. Kuti apange ndalamazo, opaleshoni amagwiritsa ntchito zipangizo zing'onozing'ono zomwe zimakhala ndi kamera kakang'ono. Laparoscopic fundoplication yagwiritsidwa ntchito mosamala ndi mogwira mtima mwa anthu a mibadwo yonse, ngakhale makanda. Anthu amatha kuchoka kuchipatala masiku atatu kapena atatu ndikubwerera kuntchito masabata awiri kapena atatu. Kuchita opaleshoniyi ndi mtundu wofala kwambiri womwe umagwiritsidwa ntchito kwa GERD ndipo kawirikawiri umatsogolera ku nthawi yabwino kulamulira zizindikiro zofanana.
Mapulogalamu Osatha
Njira zosawerengeka, zomwe zimagwiritsidwa ntchito pogwiritsa ntchito endoscope, zingathandize kuthetsa GERD mwa anthu angapo. Njira imodzi imatchedwa endoscopic yosokera, kumene dokotalayo amaika zilembo ku LES kuti apange zochepa zomwe zimathandiza kulimbitsa minofu. Kutentha kwambiri, kumene kutentha kumachititsa zilonda zomwe zimathandiza kuti mitsempha yanu ikhale yowonjezereka, ndiyo njira ina yosatha yomwe ingagwiritsidwe ntchito.
LINX Chipangizo
Chipangizo ichi, chokhala ndi mphete zamaginito, chikulumikizidwa kuzungulira dera lomwe mimba yanu ndi m'mimba mwawo zimakumana. Mipikisano ya magnetic ya mikwingwirima imasunga votre LES kutsekedwa, kuteteza reflux. Amalola kuti LES anu atsegule , komabe, pamene mumeza, kusanza, kapena kupuma. Ubwino wa dongosolo la LINX ndilochochochochotsa, cholekerera bwino, ndipo sichitha mobwerezabwereza kusiyana ndi ndalama.
Mankhwala Ophatikiza (CAM)
Kuphatikiza pa chithandizo chamankhwala, mukhoza kulankhula ndi dokotala wanu za kuyesa mankhwala owonjezera omwe angakuthandizeni kuthetsa zizindikiro zanu, ngakhale umboni wa sayansi uli wochepa mwa njira zambirizi.
Melatonin
Kafukufuku apeza kuti melatonin, yomwe imapezeka mmimba ndi m'matumbo, imathandiza kwambiri pochiza zizindikiro za GERD. Kafukufuku wina anapeza kuti magulu a melatonin mwa anthu omwe ali ndi GERD ndi zilonda zinali zochepa kuposa za anthu abwino. Melatonin amagwira ntchito kuti athandize la LES, kuchepetsa asidi reflux. Zingakhale zogwira mtima kwambiri ngati zili pamodzi ndi mankhwala ochiritsira a GERD. Melatonin ndi otetezeka malinga ndi momwe mumagwiritsira ntchito mankhwala otsika mtengo ndipo ingagwiritsidwe ntchito nthawi yayitali ndi zochepa ngati zilipo, zoyipa.
Kupangidwanso
Maphunziro angapo pothana ndi GERD pogwiritsidwa ntchito mthupi amasonyeza kuti zingakhale zothandiza kuthetsa zizindikiro. Izi zikuwoneka kuti ndizofunikira makamaka pa kusinthasintha kwa magetsi, pamene nthawi yamagetsi imagwiritsidwa ntchito pamodzi ndi singano. Popeza kudulidwa thupi ndi kosavuta, kungakhale koyenera kufufuza ndi kupita patsogolo kwa dokotala.
Kupuma
Njira zochiritsira zomwe zingakuthandizeni kusintha malingaliro anu a GERD mwa kuchepetsa nkhawa chifukwa chakuti mavuto ambiri angapangitse kuti zizindikiro zanu ziwonjezere. Mitundu ya mankhwala omwe mungayang'ane ndi zithunzi zowonetsedwa, kusinkhasinkha, yoga, kupaka minofu, kupuma kwakukulu, ndi kupuma bwino kwa minofu.
Hypnotherapy
Maphunziro ali ochepa, koma hypnotherapy ingakhale yothandiza kuthetsa zizindikiro za GERD. Hypnotherapy imathandizanso kuchepetsa nkhaŵa ndikuthandizira khalidwe la moyo.
Mankhwala Amitsamba
Palibe umboni wa sayansi wakuti mankhwala a zitsamba amachiza zizindikiro za HIV, koma pali zitsamba zomwe anthu amati zithandizira kuthetsa reflux yawo. Mizu ya licorice ndiyo yomwe maphunziro omwe asonyeza amathandiza kuchepetsa acid reflux. Mukhozanso kuyesa chamomile (kupewa ngati muli ndi zovuta), ginger, ndi roothmallow mizu.
Mavuto apadera
Chithandizo kwa ana ndi anthu omwe ali ndi kachilombo ka HIV akhoza kuchoka kuchipatala.
GERD yotsutsa
Odwala ena akupitirizabe kukhala ndi zizindikiro za GERD ngakhale kuti mankhwalawa ndi ovomerezeka ndi proton pump inhibitors. Ali ndi zomwe zimatchedwa refractory gastroesophageal reflux matenda (refractory GERD). Odwala omwe ali ndi kachilombo ka HIV kawirikawiri amagwera m'magulu awiri: Amene amafunikira chithandizo choopsa, ndi omwe ali ndi zifukwa zina za zizindikiro zawo za reflux.
Kusamalira chithandizo chokwanira sichikutanthauza kuti njira yokhayo ndi njira yopaleshoni. Ndipotu, omwe ali ndi zotsatira zabwino kuchokera ku opaleshoni yotsutsana ndi reflux ndi omwe adayankha kale mankhwala. Odwala otsutsa sagwirizananso ndi opaleshoni yotsutsa. Izi, sizitanthawuza opaleshoni, monga kuperekera ndalama, sizingatheke. Dokotala wanu adzayesa zovuta ndi zovuta za opaleshoniyo potsata phindu lomwe lingatheke ndikukambirana ndi inu ngati opaleshoni ndi yabwino.
Odwala ena samayankha mwambo wa mapiritsi a PPI, ndipo dokotala angalingalire kuchulukitsa mlingo, komanso kuti odwala apite kuwirikiza tsiku ndi tsiku m'malo mwa odwala kamodzi pa tsiku. Kutenga chophimba H2 pamaso pa kugona kwawonetsedwa kuti kuthandizidwe ndi zizindikiro nayenso.
Madokotala angapatsenso Baclofen kapena prokinetic, monga Reglan, asanadye komanso asanayambe kugona kuti athe kuchepetsa chiopsezo cha reflux ya asidi.
GERD yotsutsa ndi yosawerengeka. Ngati mukupitirizabe kukumbukira zizindikiro ngakhale mukudwala, muyenera kulankhula ndi dokotala wanu. Kukambilana za zizindikiro zomwe zimakhalapo, kuchuluka kwawo, ndikudziwitsanso zotheka kuti zikhale zotsekemera zimakuthandizani inu ndi dokotala wanu kupeza njira yoyenera ya mankhwala.
Makanda
Kuchiza kwa reflux ya makanda kumadalira kukula kwa vuto. Dokotala wa mwana wanu angasankhe kuti palibe chithandizo chomwe chimafunika kuti mwanayo akule. Kwa ana ambiri, reflux amadzipatulira yekha chaka choyamba cha moyo. Ngati mwana wanu ali wathanzi, wodala komanso akukula, dokotala wanu angakulimbikitseni kuti moyo wanu ukhale wosintha kuti athetse vuto la reflux.
Ngati reflux ndi yaikulu, kapena ngati mwana wanu atapezeka ndi GERD, dokotala wanu angapereke mankhwala owonjezera kapena mankhwala olembedwa pamwambapa. Ndikofunika kwambiri kukambirana za chisankho cha acid reflux ndi dokotala wa mwana wanu musanayambe njira iliyonse yothandizira, makamaka musanagwiritse ntchito mankhwala othandizira.
Nazi njira zina zothandizira kuchepetsa vuto la mwana wanu:
- Perekani chakudya chochepa, chowonjezeka nthawi zambiri. Kudyetsa maola awiri kapena atatu pamene mwana wanu auka kudzachepetsa zochitika za m'mimba. Kuperewera kwa magazi kumawonjezera kupsinjika kwa m'mimba, komwe kungachititse kuti reflux.
- Gwiritsani mwana wanu molunjika. Onetsetsani kuti makanda awonetseke panthawi yopatsa chakudya komanso kwa mphindi 30 mutatha kudya. Izi zidzachepetsa kuchuluka kwa chapamimba cha reflux.
- Lembani mwana wanu nthawi zambiri. Burping mwana wanu kangapo panthawi ya kudya kudzakuthandizani kuchepetsa kupanikizika kwa m'mimba, ndipo reflux yomwe ikhoza kuyambitsa. Kudikira kubisa mwana wanu mpaka atakhala ndi mimba mokwanira akhoza kuonjezera mwayi wobwezeretsedwa.
- Yesani mpunga wa mpunga. Kudyetsa mwana wanu mpunga mpunga kungachepetse kuchuluka kwa ndalama zomwe iye adzayambiranso. Yambani ndi supuni ya supuni ya mpunga kwa mphindi iliyonse. Ngati mwana wanu akuyamwitsa, yesetsani kupopera ndiyeno kuonjezerani mkaka wa mpunga ku mkaka wa m'mawere.
- Mukayamwitsa, yang'anani zakudya zanu. Zakudya zina, monga caffeine, chokoleti, ndi adyo zingalimbikitse kukana, kotero ngati muyamwitsa mwana wanu, muyenera kuganizira zakudyazi.
- Dziwani nthawi yogona tulo. Ikani mwana wanu kumbuyo kwake, ndi kukweza mutu wa bedi 30 digiri. Mphamvu yokoka ikhoza kusunga m'mimba momwe aliri.
- Gwiritsani ntchito zothandizira mu mpando wa galimoto. Momwe mwana wanu amakhalira mu mpando wa galimoto angayambitsenso kusintha. Ngati atayimba, imayambitsa kupweteka kwa m'mimba, kuonjezera chiopsezo cha kukomoka. Kugwiritsira ntchito zowonjezera zothandizira kuti mwana wanu akhale wowongoka azilepheretsa izi.
- Valani mwana wanu mosamala. Pewani zotsekeka zolimba pa chiuno cha mwana wanu, ndipo sungani kumasula.
> Zotsatira:
Katz PO, Gerson LB, Vela MF. Kuzindikira ndi Kusamalira Matenda a Reflux a Gastroesophageal. The American Journal of Gastroenterology. March 2013; 108 (3): 308-28. do: 10.1038 / ajg.2012.444.
> Chipatala cha Mayo Clinic. Matenda a Reflux a Gastroesophageal (GERD). Chipatala cha Mayo. Kusinthidwa pa March 9, 2018.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Chithandizo cha GER ndi GERD. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Lofalitsidwa November 2014.
> Shin JM, Kim N. Pharmacokinetics ndi Pharmacodynamics ya Proton Pump Inhibitors. Journal of Neurogastroenterology ndi Motility . 2013; 19 (1): 25-35. do: 10.5056 / jnm.2013.19.1.25.
> Yeh Z. Kodi Apple Cider Viniga Yothandiza Pochepetsa Zizindikiro Zopweteketsa Mtima Zokhudzana ndi Matenda a Reflux a Gastroesophageal? University of Arizona State. Inasindikizidwa August 2015.