Kutentha pa chifuwa

Kutentha pa chifuwa ndikumva kupweteka kowawa pansipa kapena kuseri kwa mafupa. Nthawi zambiri, zimachokera kumimba. Ululu nthawi zambiri umakwera m'chifuwa kuchokera m'mimba. Ikhoza kufalikira mpaka m'khosi kapena pakhosi.

Pafupifupi aliyense amakhala ndi kutentha pa chifuwa nthawi zina. Ngati mukumva kutentha pa chifuwa nthawi zambiri, mutha kukhala ndi matenda a reflux a gastroesophageal (GERD).

Nthawi zambiri chakudya kapena madzi akalowa m'mimba mwako, kansalu kanyama kumapeto kwenikweni kwa khosi lako kumatseka kumero. Gululi limatchedwa lower esophageal sphincter (LES). Ngati gululi silitsekeka mokwanira, chakudya kapena asidi m'mimba amatha kubwerera (reflux) mummero. Zamkatimu zimatha kukhumudwitsa kum'mero ​​ndikupangitsa kutentha pa chifuwa ndi zina.

Kutentha pa chifuwa kumakhala kotheka ngati muli ndi nthenda yobereka. Hernia yoberekera ndimikhalidwe yomwe imachitika pomwe gawo lokwera la m'mimba limalowera pachifuwa. Izi zimafooketsa LES kuti zikhale zosavuta kuti asidi abwerere m'mimba kupita kumimba.

Mimba ndi mankhwala ambiri amatha kubweretsa kutentha pa chifuwa kapena kukulitsa.

Mankhwala omwe angayambitse kutentha pa chifuwa ndi awa:

• Anticholinergics (yogwiritsidwa ntchito matenda am'nyanja)
• Beta-blockers a kuthamanga kwa magazi kapena matenda amtima
• Ma calcium calcium blockers othamanga kwambiri
• Mankhwala osokoneza bongo a Dopamine a matenda a Parkinson
• Progestin ya kusamba kwachilendo kapena kubereka
• Njira zothetsera nkhawa kapena kugona (kusowa tulo)
• Theophylline (ya mphumu kapena matenda ena am'mapapo)
• Tricyclic antidepressants

Lankhulani ndi omwe amakuthandizani ngati mukuganiza kuti imodzi mwa mankhwala anu ikhoza kukupweteketsani. Osasintha kapena kusiya kumwa mankhwala osalankhula ndi omwe akukuthandizani kaye.

Muyenera kupweteketsa mtima chifukwa Reflux imatha kuwononga gawo lakumimba kwanu. Izi zitha kuyambitsa mavuto akulu pakapita nthawi. Kusintha zizolowezi zanu kumatha kukhala kothandiza kupewa kutentha pa chifuwa ndi zina za GERD.

Malangizo otsatirawa angakuthandizeni kupewa kutentha pa chifuwa ndi zina za GERD. Lankhulani ndi omwe amakupatsani ngati mukuvutikabe ndi kutentha pa chifuwa mutayesa izi.

Choyamba, pewani zakudya ndi zakumwa zomwe zingayambitse reflux, monga:

• Mowa
• Kafeini
• Zakumwa zama kaboni
• Chokoleti
• Zipatso ndi timadziti
• Peppermint ndi spearmint
• Zakudya zokometsera kapena zamafuta, zopatsa mkaka zamafuta athunthu
• Tomato ndi msuzi wa phwetekere

Kenako, yesetsani kusintha momwe mumadyera:

• Pewani kugwada kapena kuchita masewera olimbitsa thupi mukangomaliza kudya.
• Pewani kudya pasanathe maola 3 kapena 4 musanagone. Kugona ndi m'mimba mokwanira kumapangitsa kuti m'mimba musakanike kwambiri motsutsana ndi m'munsi esophageal sphincter (LES). Izi zimalola reflux kuchitika.
• Idyani chakudya chochepa.

Sinthani zosintha zina pamoyo wanu pakufunika:

• Pewani malamba okutilimbani kapena zovala zokutetezani m'chiuno. Zinthu izi zimatha kufinya m'mimba, ndipo zimatha kukakamiza chakudya kuti chisinthe.
• Kuchepetsa thupi ngati muli wonenepa kwambiri. Kunenepa kwambiri kumawonjezera kupanikizika m'mimba. Kupsinjika kumeneku kumatha kukankhira m'mimba mwakum'mero. Nthawi zina, zizindikiro za GERD zimatha munthu wonenepa kwambiri atataya mapaundi 10 mpaka 15 (4.5 mpaka 6.75 kilogalamu).
• Kugona ndi mutu wanu mutakweza pafupifupi mainchesi 6 (15 sentimita). Kugona ndi mutu wokwera kwambiri kuposa m'mimba kumathandiza kupewa chakudya chodetsedwa kuti chisagwere m'mimba. Ikani mabuku, njerwa, kapena zotchinga pansi pa miyendo pamutu panu. Muthanso kugwiritsa ntchito mtolo woboola pakati pa matiresi anu. Kugona pamapilo owonjezera Sikugwira ntchito bwino pothana ndi kutentha pa chifuwa chifukwa mutha kusiya mapilo usiku.
• Lekani kusuta kapena kusuta fodya. Mankhwala mu utsi wa ndudu kapena fodya amachepetsa LES.
• Kuchepetsa nkhawa. Yesani yoga, tai chi, kapena kusinkhasinkha kuti muthandize kupumula.

Ngati mulibe mpumulo wathunthu, yesani mankhwalawa:

• Maantacids, monga Maalox, Mylanta, kapena Tums amathandizira kuchepetsa asidi wam'mimba.
• Oletsa H2, monga Pepcid AC, Tagamet HB, Axid AR, ndi Zantac, amachepetsa kupanga asidi m'mimba.
• Proton pump inhibitors, monga Prilosec OTC, Prevacid 24 HR, ndi Nexium 24 HR amasiya pafupifupi kupanga asidi m'mimba.

Pezani chithandizo chamankhwala mwachangu ngati:

• Mumasanza zinthu zamagazi kapena zooneka ngati malo a khofi.
• Malo anu ndi akuda (ngati phula) kapena maroon.
• Mukumva kutentha ndi kufinya, kuphwanya, kapena kupanikizika m'chifuwa. Nthawi zina anthu omwe amaganiza kuti ali ndi kutentha pa chifuwa amakhala ndi vuto la mtima.

Itanani omwe akukuthandizani ngati:

• Mumakhala ndi kutentha pa chifuwa nthawi zambiri kapena sichitha pakatha milungu ingapo yodzisamalira.
• Kuchepetsa thupi komwe simufuna kutaya.
• Mumakhala ndi vuto kumeza (chakudya chimamamatira chikamatsika).
• Muli ndi chifuwa kapena kupuma komwe sikupita.
• Zizindikiro zanu zimawonjezeka ndi ma antacids, ma H2 blockers, kapena mankhwala ena.
• Mukuganiza kuti mankhwala anu mwina akuyambitsa kutentha pa chifuwa. Musasinthe kapena kusiya kumwa mankhwala anu nokha.

Kutentha pa chifuwa ndi kosavuta kuzindikira kuchokera kuzizindikiro zanu nthawi zambiri. Nthawi zina, kutentha pa chifuwa kumatha kusokonezedwa ndi vuto lina la m'mimba lotchedwa dyspepsia. Ngati matendawa sakudziwika bwinobwino, mungatumizidwe kwa dokotala wotchedwa gastroenterologist kuti akakuyeseni.

Choyamba, omwe amakupatsani mayeso adzayesa kuthupi ndikufunsa mafunso okhudza kutentha kwamtima kwanu, monga:

• Zinayamba liti?
• Kodi gawo lililonse limatenga nthawi yayitali bwanji?
• Kodi iyi ndi nthawi yoyamba kuti mukhale ndi kutentha pa chifuwa?
• Kodi mumakonda kudya chiyani nthawi iliyonse? Musanayambe kumva kupweteka pamtima, kodi munadyapo zokometsera kapena mafuta?
• Kodi mumamwa khofi wambiri, zakumwa zina ndi caffeine, kapena mowa? Mumasuta?
• Kodi mumavala zovala zolimba pachifuwa kapena m'mimba?
• Kodi inunso mumamva kupweteka pachifuwa, nsagwada, mkono, kapena kwinakwake?
• Mukumwa mankhwala ati?
• Kodi mwasanza magazi kapena zakuda?
• Kodi muli ndi magazi m'mipando yanu?
• Kodi muli ndi mipando yakuda, yodikira?
• Kodi pali zizindikiro zina ndikumva kutentha kwa chifuwa?

Wopereka wanu atha kupereka mayesero amodzi kapena angapo otsatirawa:

• Esophageal motility kuti mupimitse kukakamizidwa kwa LES yanu
• Esophagogastroduodenoscopy (kumtunda kwa endoscopy) kuti muyang'ane mkatimo wamkati mwanu ndi m'mimba
• Mndandanda wapamwamba wa GI (nthawi zambiri umachitika pofuna kumeza mavuto)

Ngati zizindikiro zanu sizikusintha ndi chisamaliro chanyumba, mungafunike kumwa mankhwala ochepetsa acid omwe ali olimba kuposa mankhwala owonjezera. Chizindikiro chilichonse chamagazi chidzafunika kuyesedwa ndikuchiritsidwa.

Pyrosis; GERD (matenda am'mimba a reflux a gastroesophageal); Kutsegula m'mimba

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

• Dongosolo m'mimba
• Chithandizo cha Hiatal - x-ray
• Chala cha Hiatal
• Matenda a reflux am'mimba

Devault KR. Zizindikiro za matenda 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 13.

Mtsogoleri EA. Ntchito zovuta zam'mimba: matumbo opweteka, dyspepsia, kupweteka pachifuwa komwe kumaganiziridwa kuti ndi kwam'mero, komanso kutentha pa chifuwa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 137.