Mtsogoleli Wanu kwa GERD

Matenda a reflux, kapena a GERD, amapezeka pamene mchere wotsika kwambiri (LES) sungatseke bwino komanso m'mimba momwe mumatha kukhalira, kapena kutuluka m'mimba. The LES ndi minofu ya minofu pansi pa mimba yomwe imakhala ngati valve pakati pa mimba ndi m'mimba. Mphuno imatenga chakudya kuchokera mkamwa mpaka mmimba.

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Kodi GERD ndi chiyani?

Ngati kutsekemera kwa m'mimba kumakhudza mpiringidzo wa mimba, kumayambitsa kutentha kwa chifuwa kapena khosi lotchedwa kupweteka kwa mtima. Mankhwalawa amatha kulawa kumbuyo kwa kamwa, ndipo izi zimatchedwa kuti asidi. Kutentha kwa mtima nthawi zambiri kumakhala kofala koma sikutanthawuza kuti wina ali ndi GERD. Kutsekemera kwapadera komwe kumachitika kawiri pa sabata kungatengedwe ngati GERD, ndipo pamapeto pake kungawononge matenda aakulu.

Aliyense, kuphatikizapo makanda, ana, ndi amayi apakati, akhoza kukhala ndi GERD.

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Chimene chimayambitsa GERD

Palibe amene amadziwa chifukwa chake anthu amapeza GERD. Nthenda yowonongeka ikhoza kupereka. Nthenda yowonongeka imachitika pamene gawo lakumtunda la m'mimba liri pamwamba pa chithunzithunzi, khoma la minofu lomwe limasiyanitsa mmimba kuchokera pachifuwa. Mphepete imathandizira LES kusunga asidi kuti asayambe kulowa m'mimba. Pamene nthendayi ikakhalapo, ndi kosavuta kuti asidi abwere. Mwa njira iyi, chilakolako chotha msinkhu chikhoza kuyambitsa reflux. Nthenda yowonongeka ikhoza kuchitika mwa anthu a usinkhu uliwonse; Anthu ambiri odwala woposa 50 ali ndi zochepa.

Zinthu zina zomwe zingapangitse GERD

• kugwiritsa ntchito mowa
• onenepa kwambiri
• mimba
• Kusuta

Zakudya zingagwirizane ndi zochitika za reflux, kuphatikizapo:

• zipatso za citrus
• chokoleti
• zakumwa ndi khofi
• zakudya zamphongo ndi zokazinga
• adyo ndi anyezi
• zonunkhira
• zakudya zokometsera
• zakudya za tomato, monga spaghetti msuzi, chili, ndi pizza

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Zizindikiro za GERD

Zizindikiro za GERD zikuphatikizapo:

• Kupweteka kwa mtima ndi asidi kubwerera.
• Izi ndizo zizindikiro zikuluzikulu GERD, ngakhale anthu ena ali ndi GERD popanda kupweteka kwa mtima. Zizindikiro za kupsa mtima zimaphatikizapo:
• Kumverera koyambitsa kumayambira mu chifuwa kumbuyo kwa mfupa (sternum) yomwe imachitika mutatha kudya ndipo ikhoza kukhala mphindi zingapo maola angapo
• Kugona pansi ndi kugwedezeka pafupipafupi kumapangitsa kuti zizindikiro zikhale zovuta kwambiri.
• Zizindikiro nthawi zambiri zimawonjezeka podya chakudya
• Kutentha pammero
• Kulawa kowawa kapena kowawa pakamwa
• Kuyala kungakhale kovuta
• Kukhadzula
• Kukhwima
• Kusokonezeka
• Kutaya kwa liwu popanda chifukwa chomveka
• Kupweteka kapena zizindikiro zina za mphumu
• Nthendayi imapereka mpumulo
• Ngati khanda limataya kapena limataya pafupifupi nthawi iliyonse imene amadya ndipo likuwoneka ngati akuwopsya, khanda limatha kukhala ndi mimba
• Zizindikiro za kupweteka kwa mtima nthawi zambiri zimakhala zolakwika chifukwa cha zizindikiro za matenda a mtima. Ululu wochokera ku mtima wafala nthawi zambiri chifukwa chochita masewera olimbitsa thupi, koma kutsekemera sizimayambitsa zochitika. Komabe, ngati mukuganiza kuti mukudwala matenda a mtima, kapena simukudziwa, nkofunika kuti mupite ku chipinda chodzidzimutsa mwamsanga.
• Ululu mu chifuwa
• Kuwopsya m'mawa
• Mavuto akumeza
• Mvetserani ngati chakudya chatsekedwa mmero
• Kusokoneza maganizo
• Kupitiriza chifuwa chouma
• Mpweya woipa

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Kuzindikira GERD

Mayesero otsatirawa amachitika nthawi zonse poyesera kupeza GERD.

Mazira a radium amagwiritsa ntchito ma ray ray kuti athandize zovuta zina monga kupweteka kwa chiberekero ndi kutupa kwakukulu kwa mimba. Ndi mayesowa, mumamwa njira yothetsera vutolo ndikutsatidwa. Kukhumudwa pang'ono sikudzawonekere pamayesero awa, ngakhale kuti kutsekedwa kwa mankhwala otchedwa "stricture" - zilonda zam'mimba, nthendayi, ndi mavuto ena.

Kumapeto kwa mapepala apamwamba kumachitika kuchipatala kapena ku ofesi ya dokotala. Dokotala adzakupopera mmero kuti aphwetse pansi ndikugwiritsira ntchito chubu la pulasitiki lopopera, lotchedwa endoscope. Kamera kakang'ono mu endoscope imalola dokotala kuti aone pamwamba pa chigamulo ndi kufunafuna zolakwika. Ngati mwakhala ndi zizindikiro zovuta kwambiri ndipo njirayi ikuwonetsa kuvulala kwa mimba, nthawi zambiri palibe mayesero ena omwe amafunikira kuti atsimikizire GERD.

Poganizira kafukufuku wa pH kuyendera, dokotala amaika chubu kakang'ono m'chimake chomwe chidzakhalapo kwa maola 24. Pamene mukuchita ntchito zanu zachizolowezi, zimayendera nthawi komanso kuchuluka kwa asidi mumalo anu. Mayesowa ndi othandiza kwa anthu omwe ali ndi zizindikiro za GERD koma palibe chowonongeko chochepa. Ndondomekoyi imathandizanso kudziwa ngati zizindikiro za kupuma, kuphatikizapo kupuma ndi kukokera, zimayambitsidwa ndi reflux.

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Kuchiza GERD

Zosintha Zamoyo kuti Zithetse GERD

• Ngati mumasuta, imani.
• Musamamwe mowa.
• Kutaya thupi ngati kuli kofunika.
• Idya zakudya zazing'ono.
• Valani zovala zoyenera.
• Pewani kugona pansi kwa maola 3 mutatha kudya.
• Kwezani mutu wa bedi lanu masentimita 6 mpaka 8 mwa kuika matabwa pansi pa zikhomo - kungogwiritsa ntchito miyendo yowonjezera sikungakuthandizeni.

Mankhwala Dokotala wanu angakulimbikitseni mankhwala osokoneza bongo, omwe mungagule popanda mankhwala, kapena mankhwala omwe amaletsa kupanga acid kapena kuthandiza minofu imene imatulutsa m'mimba mwako.

Antacids , monga Mylanta ndi Tums kawirikawiri ndi mankhwala oyamba omwe amalimbikitsa kuthetsa kupweteka kwa mtima ndi zizindikiro zina zofatsa za GERD.

Mankhwala a H2 , monga Tagamet HB (cimetidine), Pepcid AC (famotidine), Axid AR (nizatidine), ndi Zantac 75 (ranitidine), yopanga acid acid. Iwo alipo mu mphamvu ya mankhwala ndi pa counter. Zimathandiza pafupifupi theka la omwe ali ndi zizindikiro za GERD.

Proton pump inhibitors ndi Prilosec (omeprazole), Prevacid (lansoprazole), Protonix (pantoprazole), Aciphex (rabeprazole), ndi Nexium (esomeprazole), zomwe zimapezeka ndi mankhwala. Proton pump inhibitors ndi othandiza kwambiri kusiyana ndi H2 blockers ndipo asonyezedwa kuti athetse zizindikiro mwa anthu ambiri omwe ali ndi GERD.

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Ngati Zizindikiro Zikutha

Ngati zizindikiro sizikuyenda bwino ndi kusintha kwa moyo wanu ndi mankhwala, dokotala wanu angachite opaleshoni. Kuchita opaleshoni ndi mwayi pamene mankhwala ndi kusintha kwa moyo sikukugwira ntchito. Kuchita opaleshoni kungakhalenso njira yowonjezereka kwa mankhwala osokoneza bongo komanso osasangalatsa.

Kulipira ndalama , kawirikawiri mtundu wina wotchedwa Nissen fundoplication, ndiwo mankhwala opangira opaleshoni a GERD. Kumtunda kwa mmimba kuli kuzungulira la LES kulimbitsa sphincter ndikuletsa asidi reflux ndi kukonzanso chilakolako chokhalira.

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. Akachitidwa ndi opaleshoni odziwa opaleshoni, ndondomekoyi imakhala yabwino monga momwe ndalama zimagwirira ntchito. Komanso, anthu amatha kupita kuchipatala masiku 1 mpaka 3 ndikubwerera kuntchito masabata awiri kapena atatu.

Mu 2000, United States Food and Drug Administration (FDA) inavomereza zipangizo ziwiri zosakanikirana kuti zitheke. Ndondomeko ya Bard EndoCinch imayika magawo a LES kuti apange tizilombo tating'ono kuti tithandizire kulimbitsa minofu. Stretta ikugwiritsa ntchito electrode kuti apange mabala ang'onoang'ono pa LES. Pamene kudula kuli kuchiza, minofu yowopsya imathandizira kupsinjika kwa minofu. Zotsatira za nthawi yayitali sizidziwika.

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Mavuto a GERD ya nthawi yayitali

Kupsinjika kwa nthawi yaitali, makamaka ngati sikuyendetsedwa bwino, kungabweretse mavuto. Mavutowa ndi awa:

• Zovuta za Barrett
  Kafukufuku wasonyeza kugwirizana pakati pa Matenda a Reflux and Gastroesophageal Reflux 's epopus omwe amachititsa kuti kansalu kamene kawirikawiri koma kawirikawiri imaphedwe yotchedwa esophageal adenocarcinoma.
• Kansa ya Esophageal
  Anthu omwe ali ndi Matenda a Reflux a Gastroesophageal ndi a Barrett omwe ali pachiopsezo chachikulu chokhala ndi khansa ya asophageal. Esophageal adenocarcinoma ndi khansa yofulumira kwambiri kumadzulo.
• Kuthamanga Kwambiri Kwambiri
  Esophagitis ndi kutupa ndi kutupa kwa chigawo cha mimba. Nthawi zambiri zimayambitsidwa ndi matenda a reflux a gastroesophageal (kupweteka kwa mtima).
• Zosakanikirana za Esophageal
  Chimodzimodzinso ndi kuchepa kwa mimba. Chimachitika pamene minofu yofiira imamangika m'mimba. Popeza kuti mimbayi siikonzedwa kuti ikhale yogwirizana ndi m'mimba, kotero ngati reflux ndi yachilendo, minofu yambiri ikhoza kupanga ndi kuwonetsa.

Komabe, pali masitepe asanu ndi limodzi omwe mungatenge zomwe zingathe kuchepetsa mwayi wanu wopanga mavutowa.

• Pangani kusintha kwa moyo wanu
• Penyani zomwe mumadya
• Onetsetsani zotsatira zanu zopweteka mtima
• Phunzirani momwe mungapewere kupweteka kwa mtima musanachitike
• Pezani kuphuka kwa usiku
• Tengani mankhwala oyenera

Kuti mudziwe zambiri za njira zothandizirazi, chonde werengani 6 Njira Zomwe Zingatetezere Mavuto Okhudzana ndi Kutentha kwa Mtima

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Zakudya Zabwino / Zakudya Zoipa

Muyenera kudziwa zomwe zakudya zili bwino, ndipo pewani zakudya zomwe zingayambitse kupweteka kwanu. Muyenera kudziwa momwe mungakonzekerere zakudya zanu kuti mupewe zowonongeka.

Chakudya Chosungira Odwala Amtima Otsitsimula
Zakudya zomwe zili mu gome lino ndi zakudya zomwe zimakhala bwino kwambiri kuti zisawonongeke anthu odwala matendawa.

Zakudya Zokwanira Mwachiwerengero
Zakudya zomwe zili mu tebulo ili ndi zakudya zomwe mungathe kusangalala nazo nthawi zina, moyenera.

Chakudya Choyenera Kupewa
Zakudya zomwe zili mu tebulo ili ndi zakudya zomwe zimawopsa kwambiri.

Maphikidwe Kwa Odwala Osautsa
Maphikidwe awa omwe angathandize odwala kupweteka mtima amakonzekera chakudya chomwe chingathandize mukumera bwino. Si zakudya zokha zomwe mumasankha zomwe zimakuthandizani ndi kupweteka kwa mtima. Nkofunikanso kuti zakudyazo zakonzedwa bwanji. Maphunziro a maphikidwe ndi awa:

• Mkate
• Chakumwa
• Desserts
• Zakudya Zapamwamba
• Pasitala
• Saladi
• Zakudya Zakudya
• Zosakaniza
• Msuzi, Stews, ndi Sauces

Zakudya Zakudya Kwa Odwala Amtima Otsokomola

Menus Weekly - Index
Zithunzi zimenezi zimakonzedwa Lamlungu mpaka Loweruka. Izi ndizo zokha, osati zakudya zokha zomwe mungathe kudya. Mukhoza kuwonjezera kapena kuchotsa zakudya malingana ndi zomwe mumakonda komanso zomwe zingakhale zosautsa mtima.

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Kukhala ndi GERD

Idyani chakudya chaching'ono 6 m'malo mwa chakudya chambiri.
Izi zimapangitsa kuti mimba yanu isakhale yodzaza kwambiri, komanso kuchepetsa kupanikizika kwa m'mimba.

Musadye kapena kumwa chirichonse kwa maola awiri musanakagone.
Kugona pansi ndi mimba mokwanira kumawonjezera mwayi wokhala ndi zakudya zosakaniza.

Pewani zakudya zimene zingayambitse kupweteka kwanu.
Pali zakudya zambiri ndi zakumwa zomwe zingayambitse kupweteketsa mtima, mwina poonjezera kupanga mankhwala a asidi ndi kupanikizika kwa m'mimba kapena kumasula mitsempha ya m'munsi.

Pewani mowa.
Mowa umawonjezera kukula kwa mimba ya asidi. Mowa umatithandizanso kuchepetsa matenda osokoneza bongo (LES), omwe amalola acid reflux.

Gwiritsani ntchito mankhwala osokoneza bongo.
Antacids amatha kugwira ntchito mwamsanga pamutu. Dokotala wanu anganene kuti atenge H2 blocker, yomwe imatha mpaka maola 12. Popeza iwo amatha ola limodzi kapena apo kuti ayambe kugwira ntchito, dokotala wanu anganene kuti atenge H2 blocker kuphatikiza ndi antacid. Ngati simukupeza mpumulo kwa awa, dokotala wanu angapereke proton pump inhibitors.

Gonani ndi mutu wanu ndi mapewa atakwezeka.
Ndi mutu wokwera kuposa mimba, mphamvu yokoka imathandiza kuchepetsa vutoli, ndipo zimakhala m'mimba momwe ziliri - mmimba.

Musasute.
Kusuta kumayambitsa kupanga mimba ya asidi.

Khazikani mtima pansi.
Ngakhale kupanikizika sikugwirizanitsidwe mwachindunji ku kupsya mtima, kumadziwika kuti kungayambitse ku makhalidwe omwe angayambitse kupsa mtima. Tsatirani zothandizira izi kuti muthetse nkhawa.

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Zambiri Zowonjezera

Informational Links:

• Kupewa Kutentha kwa Nsiku
• Kupewa Kutentha kwa Mimba Pakati pa Mimba
• Kuthandizira Odwala Amtima Otsitsimutsa: Mabanja Ogona
• Makanda ndi reflux ya asidi
• Ana ndi achinyamata omwe ali ndi reflux ya asidi
• Zovuta za GERD

Zakudya Zakudya:
Zambirizi zapangidwa kuti zikhale zowonongeka kwa odwala. Ndibwino kukambilana izi ndi dokotala wanu.

• Zakudya zosatetezedwa kuti zisawonongeke
• Zakudya zakuthyola odwala ayenera kupewa
• Zakudya zakuthyola odwala amatha kudya moyenera
• Kudya kutsogolera kwa odwala matendawa
• Zitsanzo zamakono za kadzutsa zowonongeka ndi odwala
• Mankhwala amphwando apakati a masana kuti awononge odwala
• Zitsanzo zosamalirako zakudya za kupweteka kwa odwala