Reflux ya gastroesophageal - kutulutsa

Matenda a reflux a Gastroesophageal (GERD) ndimavuto am'mimba omwe amatuluka chammbuyo kuchokera m'mimba kupita kum'mero ​​(chubu kuchokera mkamwa kupita mmimba). Nkhaniyi ikukuuzani zomwe muyenera kuchita kuti musamalire matenda anu.

Muli ndi matenda a reflux a gastroesophageal (GERD). Umu ndi momwe chakudya kapena madzi amayenda chammbuyo kuchokera m'mimba kupita kum'mero ​​(chubu kuchokera mkamwa kupita mmimba).

Muyenera kuti mwakhala mukuyesedwa kuti mupeze matenda anu a GERD kapena zovuta zomwe mwakumana nazo.

Mutha kusintha zosintha zambiri pamoyo wanu kuti muthandizire kuchiza matenda anu. Pewani zakudya zomwe zingakuvutitseni.

• MUSAMWE mowa.
• Pewani zakumwa ndi zakudya zomwe zili ndi caffeine, monga soda, khofi, tiyi, ndi chokoleti.
• Pewani khofi wopanda mchere. Zimathandizanso kuchuluka kwa asidi m'mimba mwanu.
• Pewani zipatso ndi ndiwo zamasamba, monga zipatso za zipatso, chinanazi, tomato, kapena mbale zopangidwa ndi phwetekere (pizza, chili, ndi spaghetti) mukawona kuti zimapsa.
• Pewani zinthu ndi spearmint kapena peppermint.

Malangizo ena amoyo omwe angapangitse kuti zizindikilo zanu zikhale bwino ndi awa:

• Idyani chakudya chochepa, ndipo idyani pafupipafupi.
• Kuchepetsa thupi, ngati mukufuna.
• Mukasuta kapena kutafuna fodya, yesetsani kusiya. Wothandizira zaumoyo wanu akhoza kukuthandizani.
• Chitani masewera olimbitsa thupi, koma osangomaliza kudya.
• Kuchepetsa nkhawa zanu ndikuwonetsetsa nthawi zopanikiza. Kupsinjika kumatha kusokoneza vuto lanu la Reflux.
• Gwadirani pa mawondo, osati m'chiuno mwanu, kuti mutenge zinthu.
• Pewani kuvala zovala zomwe zimakukakamizani m'chiuno kapena m'mimba.
• Osagona pansi kwa maola 3 kapena 4 mutadya.

Pewani mankhwala monga aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve, Naprosyn). Tengani acetaminophen (Tylenol) kuti muchepetse ululu. Imwani mankhwala anu aliwonse ndi madzi ambiri. Mukayamba mankhwala atsopano, kumbukirani kufunsa ngati angapangitse kutentha kwa chifuwa chanu kuwonjezeka.

Yesani malangizo awa musanagone:

• Musadumphe chakudya kapena kudya chakudya chambiri kuti mudye chakudya chomwe mwaphonya.
• Pewani zokhwasula-khwasula usiku.
• Osamagona mukangodya. Khalani owongoka kwa maola 3 kapena 4 musanagone.
• Kwezani bedi lanu mainchesi 4 mpaka 6 (10 mpaka 15 masentimita) kumutu kwa kama wanu, pogwiritsa ntchito midadada. Muthanso kugwiritsa ntchito mphero yomwe imakweza theka la thupi lanu mukamagona. (Mapilo owonjezera omwe amakweza mutu wanu okha sangathandize.)

Maantacids amatha kuthana ndi asidi m'mimba mwanu. Samathandiza kuthana ndi mkwiyo m'mimba mwanu. Zotsatira zoyipa zama antacids zimaphatikizapo kutsegula m'mimba kapena kudzimbidwa.

Mankhwala ena ogulitsa ndi mankhwala omwe amalandiridwa amatha kuchiza GERD. Amagwira ntchito pang'onopang'ono kuposa ma antiacids koma amakupatsani mpumulo wautali. Wothandizira anu akhoza kukuwuzani momwe mungamwe mankhwalawa. Pali mitundu iwiri yosiyana ya mankhwalawa:

• Otsutsana ndi H2: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), ndi nizatidine (Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec kapena Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), ndi pantoprazole (Protonix)

Mukhala ndi maulendo obwereza ndi omwe amakupatsani kuti muwone ngati muli ndi vuto. Mwinanso mungafunike kukayezetsa mano. GERD imatha kupangitsa kuti mano anu asafooke.

Itanani omwe akukuthandizani ngati muli ndi:

• Mavuto kapena ululu ndikumeza
• Kutsamwa
• Kumverera kwathunthu mutadya gawo laling'ono la chakudya
• Kuchepetsa thupi komwe sikungathe kufotokozedwa
• Kusanza
• Kutaya njala
• Kupweteka pachifuwa
• Kuthira magazi, ndowe zanu, kapena mdima, khalani ndi mipando yoyang'ana
• Kuopsa

Peptic esophagitis - kumaliseche; Reflux esophagitis - kumaliseche; GERD - kutulutsa; Kutentha pa chifuwa - aakulu - kumaliseche

• Matenda a reflux am'mimba

Abdul-Hussein M, Castell CHITANI. Matenda a reflux a Gastroesophageal (GERD). Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier; 2019; 208-211.

Falk GW, Katzka DA. Matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 138.

Katz PO, Gerson LB, Vela MF. Ndondomeko zakuwunika ndikuwunika kwa matenda am'mimba a reflux am'mimba. Ndine J Gastroenterol. 2013; 108 (3): 308-328. (Adasankhidwa) PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Richter JE, Friedenberg FK. Matenda a reflux am'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 44.

• Opaleshoni ya anti-reflux
• Opaleshoni ya anti-reflux - ana
• EGD - esophagogastroduodenoscopy
• Matenda a reflux am'mimba

• Opaleshoni ya anti-reflux - ana - kutulutsa
• Opaleshoni ya anti-reflux - kutulutsa
• Kutentha pa chifuwa - zomwe mungafunse dokotala wanu
• Kutenga ma antiacids

• GERD kutanthauza dzina