Kupsa mtima kotentha kwanu komwe mumamverera kungabwere chifukwa cha zifukwa zambiri
Ngati mukudwala matenda a reflux a Gastroesophageal , mukhoza kudabwa chifukwa chake, ndipo ngati pali zinthu zina zomwe mungakhale nazo zingayambitse GERD.
Zimayambira ndi Sopincter Lower Esophageal Sphincter
Minofuyi imatsegula ndipo imatseketsa mapeto ake. Madzi otsika otchedwa sophageal sphincter (LES) ndi malo a minofu ndi mahomoni ofunika omwe amathandiza kupitirizabe kupanikizika pakati pa mimba ndi mimba.
Ngati minofu ikufooketsa ndi kutayika, a LES sangathe kutseka kwathunthu chakudya chitalowa m'mimba, chomwe chimalola asidi m'mimba kuti abwererenso kumtunda. Pali zinthu zingapo zomwe zimayambitsa LES kuntchito:
Ntchito Yopanda Imimba
Oposa theka la odwala GERD ali ndi mitsempha yambiri kapena minofu m'mimba yomwe imayambitsa chakudya ndi mimba ya asidi kuti ichepetse pang'onopang'ono. Izi zidzachititsa kuchedwa m'mimba kutulutsa zomwe zili mkati, kuwonjezereka m'mimba komanso kuonjezera chiopsezo cha reflux ya asidi.
Mankhwala Amene Amachititsa GERD
Pali mankhwala osiyanasiyana, pa-a-counter ndi mankhwala, omwe angapangitse chiopsezo cha GERD, ndi zizindikiro zoopsa kwa iwo omwe akuvutika kale ndi GERD.
Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs) amagwiritsa ntchito aspirin , ibuprofen (Motrin, Advil, Nuprin) ndi naproxen (Aleve). Kawirikawiri amagwirizanitsidwa ndi kuchititsa zilonda zam'mimba , komanso zimayambitsa GERD.
Kwa anthu omwe ali kale ndi GERD, akhoza kuonjezera kuopsa kwa zizindikiro. Kafukufuku wasonyeza kuti ogwiritsira ntchito NSAID kwa nthawi yaitali anali ndi mwayi wokhala ndi zizindikiro za GERD monga osagwiritsa ntchito NSAID.
Mankhwala osokoneza bongo angayambitsenso kapena kuvulaza GERD. Mndandandawu sizowonjezera mankhwala onse omwe angayambitse GERD. Ndikofunika kukaonana ndi dokotala ngati mutayamba kuwona zizindikiro zilizonse pa mankhwala alionse.
Nazi ena omwe amachimwa:
- Mankhwala a calcium - omwe amagwiritsidwa ntchito pochiza magazi ndi angina.
- Anticholinergics - amagwiritsidwa ntchito pa mankhwala omwe amachititsa matenda a mitsempha, chifuwa chachikulu, ndi glaucoma.
- Odwala a Beta-adrenergic - amagwiritsidwa ntchito pa matenda a mphumu ndi matenda obwera m'mapapo.
- Dopamine - amagwiritsidwa ntchito mu matenda a Parkinson.
- Bisphosphonates - ankagwiritsa ntchito pochizira matenda a m'mimba.
- Zosintha
- Maantibayotiki
- Potaziyamu
- Mapiritsi a Iron
Phumu
Oposa theka la odwala asthmatic ali ndi GERD. Zimakambiranebe ngati mphumu imayambitsa GERD, kapena ngati ili njira ina yozungulira. Pali zifukwa zingapo zomwe madokotala amathandizira zikhalidwe ziwirizi.
Choyamba ndikuti kukanganitsa komwe kumayendera matenda a mphumu kungachititse kusintha kwa chifuwa, zomwe zingayambitse reflux. Ndiye palinso mankhwala ena a asthmatic omwe amawombera mpweya kuti athetsetse LES, komanso kuti athe kutsitsimula.
Mimba ndi mahomoni
Mahomoni amawononga a LES. Mwachitsanzo, kuwonjezeka kwa progesterone ya mahomoni pa nthawi ya mimba kumabweretsa la LES. Choncho, si zachilendo kwa amayi apakati kuti ayambe kupuma.
Matenda a shuga
Anthu omwe ali ndi shuga, makamaka mtundu wa shuga , amayamba kukhala ndi matenda otchedwa gastroparesis . Matendawa amakhudza pafupifupi 20 peresenti ya anthu odwala matenda a shuga ndipo amadziwika ndi kuchedwa kwa mimba.
Kupsyinjika m'mimba kungakulire, zomwe zingathe kuwonetsa kukomoka.
Hiatal Hernias
Hiatus ndi khola laling'ono mu minofu ya diaphragm, ndipo mimba imadutsamo pamene imayanjana m'mimba. Bowo limeneli nthawi zambiri limakhala bwino, koma kwa anthu ena, likhoza kufooketsa ndi kukulitsa. Izi zikachitika, mbali imodzi ya mimba ikhoza kulowa mkati mwake, kutulutsa chikhalidwe chomwe chimatchedwa chilakolako cha hiatal. Nthenda ikhoza kuwononga LA ntchito. Pakadali pano, palibe umboni wosonyeza kuti chilakolako cholera chokhacho chimayambitsa GERD, koma chikhoza kukulitsa zizindikiro zoopsa kwa anthu omwe ali ndi zikhalidwe zonsezi.
Zovuta ku Esophagus
Pali maphunziro ena omwe amasonyeza kuti anthu ambiri ali ndi zizindikiro za HIV, monga kumva ngati pamphuno, mantha kapena chifuwa chachikulu, ali ndi vuto lalikulu.
Mavuto ndi zochitika modzidzimutsa m'mimba, yotchedwa peristalsis , kawirikawiri imapezeka mwa odwala GERD. Zofukufuku sizinadziwe ngati peristalsis ndi chifukwa kapena zotsatira za GERD ya nthawi yayitali.