Pezani Mpumulo ku Chisokonezo Chosautsa
Pali zinthu zingapo za thanzi zomwe zingayambitse khosi lanu. Nkhani yabwino ndi yakuti mwachindunji kwa dokotala kuti athetse chifukwa chake, pogwiritsa ntchito zizindikiro zina ndi kuunika kwanu. Fufuzani zifukwa zomveka zomwe zimayambitsa moto ndi momwe dokotala wanu angachigwiritsire ntchito kuti mupeze mpumulo.
Matenda a Reflux a Gastroesophageal (GERD)
Pamene mimba ya mimba imasokonekera, nthawi zina imatha kufika pammero.
Izi zikachitika, mmero umakhumudwitsidwa ndipo kumverera koyipa kumachitika. Kutentha kotentha kumeneku kumayambitsidwa ndi GERD ikhoza kufika pamwamba kapena pansi kummero, ndipo ululu umakhala wowawa kwambiri pakumeza. Kuphatikiza pa kumverera kotentha, anthu omwe ali ndi GERD nthawi zina amamva kukoma kokoma, saliti, kapena acidic pakamwa pawo.
Mwinamwake mumadabwa momwe mimba ya munthu imatha kukhalira kapena kubwereranso kumatope (chubu yomwe imagwirizanitsa pakamwa panu ndi m'mimba mwako). Mimba ndi mimba zimagwirizanitsidwa ndi gulu la minofu yotchedwa lowering esophageal sphincter (LES). Kawirikawiri, a LES amagwira ntchito ngati valve, kutsegula kuti alole chakudya kupita m'mimba ndi kutseka kusunga zakudya ndi timadzi timene timadya timene timachokera kumtunda. Koma ngati sphincter imabwereranso pamene siyenerera, kapena imakhala yofooka, m'mimba ya asidi ikhoza kuyenderera mmbuyo kupita ku chiwonongeko chomwe chimayambitsa kutentha komwe timadziwa ngati kupweteka kwa mtima.
Ndikofunika kuzindikira kuti kuwonjezera pa zizindikiro za mmero, munthu yemwe ali ndi GERD akhoza kupeza zizindikiro zina zingapo monga:
- Kupweteka pachifuwa
- Kusokonezeka
- Chifuwa chopitirira
- Mpweya woipa
Chithandizo cha GERD chimaphatikizapo kusintha kwa moyo monga kusuta fodya, kuchepetsa kapena kudula zakumwa ndi zakudya zopatsa mphamvu (monga chokoleti, zakudya zokometsera zokometsera, ndi zipatso za citrus), komanso kutaya thupi ngati kunenepa kapena kunenepa.
Nthawi zina mankhwala, monga proton pump inhibitor , amafunika kuwonjezera pa kusintha kwa moyo.
Esophagitis
Chinthu china chimene chingayambitse kupweteka mmero mwako ndi esophagitis chomwe chimatuluka pachimake. Osati zodabwitsa, zomwe zimayambitsa matenda a shuga ndi GERD. Pamene mmimba wa asidi umasungunuka pammero, umatha kukhumudwitsa ndi kutupa, zomwe zimayambitsa kupweteka pamtima, kuphatikizapo kuvutika kukumeza ndi / kapena kupweteka pakumeza.
Kuwonjezera pa GERD, zifukwa zina zomwe zimayambitsa matendawa zimaphatikizapo matenda, mankhwala opatsirana pogwiritsa ntchito mankhwala a m'khosi, kuyamwa mankhwala enaake (mankhwala otchedwa pilisi-omwe amachititsa kuti ayambe kutsuka), kusakaniza mankhwala (mwachitsanzo, kutsuka oyera), kapena chifukwa cha zakudya zowononga (zotchedwa eosinophilic esophagitis ).
Kuchiza kwa matenda a shuga kumadalira chifukwa chachikulu. Mwachitsanzo, ngati matenda a fungalomu akusewera, ndiye kuti mankhwala oyenera ndi oyenera. Ngati GERD ndiyo chifukwa chake, moyo umasintha ndipo proton pump inhibitor amavomerezedwa.
Matenda Opaka Mphungu
Matendawa amachititsa kuti muzimva bwino kwambiri m'chinenero, milomo, kapena pakamwa, pakhosi, popanda chifukwa chilichonse chowoneka ndi thanzi. Munthu yemwe ali ndi vuto loyaka moto amatha kukhala ndi pakamwa youma komanso / kapena salty kapena metallic kukoma mkamwa mwao.
Kwachilendo, kutentha kwa m'kamwa ndi matenda ovuta kwambiri komanso kukudziwanika kuti ndikunyozeka. Izi zikutanthauza kuti zina zomwe zimayambitsa mkaka woyaka ndi / kapena wouma ziyenera kulamulidwa poyamba, zomwe zimafunikanso kufufuza bwinobwino ndikuyesedwa magazi. Mwamwayi, palibe umboni wa sayansi wotsimikizira chithandizo chilichonse, ngakhale madokotala ayesayesa zokhudzana ndi khalidwe labwino komanso zowonjezereka, monga Cymbalta (duloxetine).
Matenda a chiwindi kapena bakiteriya
Aliyense wakhala akudwala pakhosi panthawi inayake m'miyoyo yawo, ndi chifukwa chofala kwambiri kukhala HIV. Kuwonjezera pa kuyaka, kutentha, kapena yaiwisi, makamaka pamene akumeza, munthu amene ali ndi matenda a tizilombo a m'khosi amatha kukhala ndi chifuwa, mphuno, ndi / kapena kutsekula m'mimba.
Chithandizo cha pakhosi lokhala ndi tizilombo toyambitsa matenda ndi lophweka ndipo chimapangitsa kuchepetsa zizindikiro zanu mpaka matendawa atha kuyenda. Pamene mpumulo ndi zamadzimadzi ndi zofunika, anti-yotupa monga ibuprofen ingachepetse matenda anu otupa.
Nthawi zambiri, chifukwa cha matenda ndi mabakiteriya, ndipo izi zimatchedwa strep throat . Pamafunika ulendo wopita kuchipatala kuti mukapange mankhwala osokoneza bongo ngati mutasiya kusamalidwa mungakumane ndi vuto la rheumatic fever kapena glomerulonephritis. Zizindikiro zina za strep pakhosi nthawi zambiri zimaphatikizapo:
- Fever
- Zilonda zam'mimba zotupa komanso zopweteka m'khosi
- Zovala zoyera pa tonsils
Kutha Kwadongosolo
Kuthamanga kwamtunda, komwe kumatchedwanso kuti matenda opweteka a m'mlengalenga, kumachitika pamene chimbudzi ndi madzi kuchokera ku machimo ndi mphuno zimalowa mumtima mwa munthu. Nthawi zambiri zimamveketsedwa ndi anthu ngati kumverera kwa chinachake chikugwera mmero, ndipo izi zikhoza kukhala zokwiyitsa ndikupangitsa kumverera koyaka.
Chifuwa chimakhala chofala nthawi zambiri ngati muli ndi vuto la kumbuyo kwa msana, pamene mumayesera kuti muchotse khosi lanu.
Pali zifukwa zambiri zosiyana zokhudzana ndi madzi akumwa kuphatikizapo:
- Nthendayi
- Matenda a Sinus
- Matenda opatsirana ngati chimfine
- Zovuta zapamwamba za anatomic pa ndime ya nasal ndi sinus
- Kugwiritsidwa ntchito mopitirira muyeso kwa ena omwe amadzipweteka kwambiri (otchedwa rhinitis medicamentosa )
Mankhwala a antihistamine / decongestant (mwachitsanzo, Claritin-D, omwe ndi loratadine ndi pseudoephedrine) amagwiritsidwa ntchito pofuna kuthana ndi vutoli. Kuwunikira chomwe chimayambitsa vutoli kumathamanganso (mwachitsanzo, kutenga antibiotic ku matenda a bacterial sinus).
Ndizosangalatsa kuzindikira kuti matenda a reflux, kapena GERD, amatha kutsanzira kapena ngakhale kukhala ndi matenda a chifuwa chakumtunda, kuti matendawa ndi ovuta kwambiri.
Mawu Ochokera
Pomaliza, pali zifukwa zambiri zomwe zingakhale chifukwa chake mukukumana ndi moto. Ngakhale dokotala wanu wa chipatala kapena dokotala wodwala wamkulu angathe kupeza zovuta zambiri, nthawi zina kutumiza kwa katswiri n'kofunika, monga gastroenterologist kapena khutu, mphuno, ndi khosi dokotala (ENT).
Kuwona dokotala kuti apeze njira yabwino yoyezetsa ndi kulandira chithandizo n'kofunika, kotero mukhoza kubwerera kumbuyo kuti mukumverera bwino.
> Zotsatira:
> Choby BA. Kuzindikira ndi Chithandizo cha Streptococcal Pharyngitis. Am Phys Physician . 2009 Mar 1; 79 (5): 383-90.
Katz PO, Gerson LB, Vela MF. Kuzindikira ndi Kusamalira Matenda a Reflux a Gastroesophageal. Am J Gastroenterol 2013; 108: 308-28.
> McMillan R, Forssell H, Buchanan JA, Glenny AM, Weldon JC, Jr Zakrzewska. Njira zothandizira pakamwa pamoto. Cochrane Database Rev Rev. 2016 Nov 18; 11: CD002779.
> Sylvester DC et al. Mkaka Wosatha, Reflux, Matenda Opanda Pambuyo, ndi Otolaryngologist. Int J Otolaryngol. 2012; 2012: 564852.