Zizindikiro Zikhoza Kuwonetsa Matenda Oopsa Kapena Kuyimira Kulimbana Kwambiri Kwakugona
Ngakhale kuti anthu ena amatha kupweteka kapena kupuma pamene akugona, n'zotheka kupeŵa zizindikiro zosasangalatsa. Kutentha kwapakhosi kumachitika nthawi zambiri kapena usiku, ndipo nkofunika kupeza chithandizo kuti muteteze zotsatira zofunikira. Mwamwayi, pali njira zambiri zothandizira mankhwala, kuphatikizapo kugwiritsa ntchito mankhwala owonjezera komanso mankhwala.
Pewani kuyambitsa, kusinthitsa kugona komanso kugwiritsa ntchito mtolo wa wedge, komanso chithandizo cha matenda obisala obstructive ndi CPAP mankhwala onse angathandize kuchepetsa kutentha kwa mtima ndi reflux usiku.
Kodi Kupweteka kwa Mtima Kapena Reflux (GERD) N'chiyani?
Kupweteka kwa chifuwa ndizofala kwambiri zomwe zimayambitsa kuyaka mkatikati mwa m'mimba kapena kumbuyo kwa bere. Nthawi zina amatchedwa matenda a reflux a gastroesophageal (GERD).
Anthu omwe ali ndi GERD amatha kusanza kapena kuwawa ndi kumeza. Angakhale ndi mawu otukuka kapena amakhala ndi chizoloŵezi choyamba kukhala ndi chibayo. Angakhalenso ndi kukoma kokoma pamero mwawo kapena pakamwa. N'zotheka kuti chakudya chichoke m'mimba kubwerera kumalo. Pangakhale kuphatikizidwa kapena kugwedezeka.
Kodi N'chiyani Chimachititsa Kuti Kutentha Kwambiri Kuzichitika Pakati pa Usiku?
Kutentha kwapakhosi kumagwirizanitsa ndi kudya kwambiri, kapena kudya zakudya zonunkhira, zokometsera, kapena zakudya za khofi.
Zakudya zina zovuta zingakhalepo:
- Zosamba za phwetekere
- Citrus
- Mowa
- Khofi
- Chokoleti
- Peppermint
- Zakudya zaukhondo
N'zotheka kukhala ndi mtima wowawa kwambiri pamene chakudya chambiri chimadyidwanso pafupi ndi nthawi yogona , makamaka ngati chakudya chimapezeka kuchepera maola awiri musanakagone.
Kodi N'chiyani Chikhoza Kuwonongeka Pamene Mukugona?
Chakudya chimayenda kuchokera pakamwa kupita m'mimba kudzera mu mimba, yomwe ndi thumba la minofu.
Pakati pa mimba ndi m'mimba muli mphete yam'mimba yotchedwa lowerophygeal sphincter (LES). The LES amasiya chakudya ndi m'mimba asidi kuti ayambe kubwerera mmwamba, ndipo izi zingayambitse zizindikiro za kupweteka kwa mtima.
Pamene ali pa kama, mphamvu yokoka sikutulutsa zakuthupi kutali ndi LES. Ngati LES ndi yofooka, ikhoza kutsegula pang'ono ndikulola asidi m'mimba kuti ikhale m'mimba, ndikuyambitsa kuyaka. Zakudya zina, monga zomwe zafotokozedwa pamwamba, zingayambitsenso sphincter kuti athetse.
Anthu ena amamva kupweteka usiku. Zikhoza kukhala zotsatira za GERD, koma mwayi winanso wosunthira mobwerezabwereza usiku ndi kugona kwa kugona . Kugonana kofiira kungayambitse kugwa kwa mpweya. Kuti mutsegulitse, minofu imagwira ntchito ndipo izi zikhoza kubwereranso m'mimba. Ngati kugona kwapuloa kulipo, chithandizo ndi kupitilira kwabwino kwa mpweya wabwino (CPAP) kungakhale njira yabwino.
Kodi Kutentha Kwambiri Kumayenera Kuchitidwa Motani?
Pali njira zambiri zothandizira chithandizo cha kupweteka kwa mtima. Ngati muli ndi zizindikiro usiku, muyenera kufufuza mankhwala chifukwa ichi sichizolowezi. Kawirikawiri amagwiritsa ntchito mankhwala owonjezera pa mankhwalawa ndi awa:
- Antacids ( Tums , Maalox , Mylanta )
- Mankhwala amatsutso a mbiri yakale ( Zantac , Pepcid , Tagamet )
- Proton pump inhibitors ( Prilosec , Nexium , Prevacid , Protonix )
Nthawi zina mankhwala opaleshoni sangakhale ofunikira nthawi zina. Izi kawirikawiri zimasungidwa pa milandu yomwe mankhwala sakugwira ntchito. Opaleshoni yowonjezereka kwambiri, yotchedwa Nissen fundoplication , imaphatikizapo opaleshoni kuti ikhale m'mimba mozungulira pang'onopang'ono kuti ikhale yowonjezera yomwe imaletsa reflux.
Mungathe kuganiziranso zosavuta kusintha pamoyo wanu. Izi zikuphatikizapo kupewa kudya zazikulu mochedwa usiku, makamaka zomwe zikuphatikizapo zakudya zovuta.
Kutaya thupi ndi njira yabwino kwambiri. Ndiponso, kukweza mutu wa bedi 6 mpaka 8 mainchesi pogwiritsa ntchito matabwa, chingwe chokhala ndi thovu, kapena malonda ogwiritsidwa ntchito ogona mphete amatha kukhala othandiza kwambiri. Komabe, sikuvomerezeka kuti mugwiritse ntchito mapiritsi owonjezera pamene izi zingachititse kupindika ndi kupanikizika kwa m'mimba, zomwe zimachititsa kuti reflux iwonongeke.
Ngati zizindikiro zanu zikupitirira, funsani thandizo kwa dokotala ndipo musaiwale kuganizira ntchito yosayembekezereka ya kugona kwa mpweya monga momwe zingathandizire zizindikiro.
Zotsatira:
DeVault, KR et al . "Ndondomeko yosinthidwa yokhudza matenda ndi matenda a matenda a reflux a gastroesophageal." Am J Gastroenterol. 2005; 100: 190.
Kaltenbach, T. et al . "Kodi njira zamoyo zimakhala zothandiza kwa odwala omwe ali ndi matenda a reflux a gastroesophageal? Njira yowonjezera umboni. " Arch Intern Med. 2006; 166: 965.