Kodi Ndi Mankhwala Othandizira Ena Ndi Omwe Amagwira Ntchito pa Acid Reflux?
Zamkati
- Kutema mphini
- Melatonin
- Kupumula
- Matenda opatsirana
- Mankhwala azitsamba
- Zotupitsira powotcha makeke
- Kusintha kwa moyo wa GERD
- Nthawi yoti muwonane ndi dokotala
Njira zina zochiritsira GERD
Reflux yamadzi imadziwikanso kuti indigestion kapena gastroesophageal Reflux matenda (GERD). Zimachitika pamene valavu yapakati pamimba ndi m'mimba sagwira bwino ntchito.
Valavu (lower esophageal sphincter, LES, kapena mtima sphincter) ikasokonekera, chakudya ndi asidi m'mimba zimatha kubwerera kumtunda ndikupangitsa kutentha.
Zizindikiro zina za GERD ndi izi:
- chikhure
- kukoma kowawa kumbuyo kwa kamwa
- zizindikiro za mphumu
- chifuwa chowuma
- vuto kumeza
Lankhulani ndi dokotala ngati zizindikirozi zikukusowetsani mtendere. Ngati sanalandire chithandizo, GERD imatha kuyambitsa magazi, kuwonongeka, ngakhale khansa yotupa.
Madokotala amatha kupereka mankhwala angapo osiyanasiyana a GERD kuti achepetse kupanga kwa asidi m'mimba. Ndipo pali mankhwala ocheperako (OTC) omwe amapezeka. Palinso njira zina zowonjezera (CAM) zomwe zingapereke mpumulo.
Njira zowonjezera zimagwirira ntchito limodzi ndi mankhwala achikhalidwe, pomwe njira zochiritsira zina zimalowa m'malo Koma pali maumboni ochepa a sayansi omwe amachirikiza chithandizo chamankhwala monga m'malo mwake.
Nthawi zonse lankhulani ndi dokotala musanayese CAM. Zitsamba zina ndi zowonjezera zimatha kulumikizana molakwika ndi mankhwala omwe mumamwa kale.
Kutema mphini
Kutema mphini ndi mtundu wa mankhwala achikhalidwe achi China omwe akhalapo kwa zaka zosachepera 4,000. Amagwiritsa ntchito masingano ang'onoang'ono kuti achepetse kuthamanga kwa mphamvu ndikulimbikitsa machiritso. Posachedwa pomwe pali mayesero azachipatala omwe akuwunikiranso za kutema mphini kwa GERD.
adanena kuti kutema mphini kumachepetsa kwambiri zizindikilo za GERD. Ophunzira adapeza zotsatira zawo kutengera zizindikilo za 38, kuphatikiza zinthu zomwe zimakhudza:
- mavuto am'mimba
- kupweteka kwa msana
- tulo
- mutu
adapeza zabwino pakuchepetsa asidi m'mimba komanso malamulo a LES.
Electroacupuncture (EA), mtundu wina wa kutema mphini, umagwiritsa ntchito magetsi pamodzi ndi singano.
Kafukufuku akadali watsopano, koma wina adapeza kuti kugwiritsa ntchito EA yopanda zingwe. Kuphatikiza kwa ma electroacupuncture ndi proton pump pump inhibitors kudapangitsa kusintha kwakukulu.
Melatonin
Melatonin nthawi zambiri amalingaliridwa ngati tulo tofa nato tomwe timapangidwa mu England. Koma matumbo anu amatulutsa melatonin pafupifupi 500. Matumbo am'mimba amaphatikizira m'mimba, m'matumbo ang'ono, m'matumbo, m'minyewa.
Melatonin ikhoza kuchepetsa:
- zochitika za kupweteka kwa epigastric
- Kupanikizika kwa LES
- pH m'mimba mwako (m'mimba mwako muli acidic)
Mu kafukufuku wina wochokera ku 2010, adafanizira mphamvu yakumwa omeprazole (mankhwala wamba omwe amagwiritsidwa ntchito pochizira GERD), melatonin, komanso kuphatikiza kwa melatonin ndi omeprazole. Kafukufukuyu adati kugwiritsa ntchito melatonin pambali pa omeprazole kumachepetsa nthawi yamankhwala ndikuchepetsa zovuta.
Kupumula
Kupsinjika nthawi zambiri kumapangitsa kuti zizindikilo za GERD ziwonjezeke. Kuyankha kwakupsinjika kwa thupi lanu kumatha kukulitsa kuchuluka kwa asidi m'mimba, komanso kupukusa pang'onopang'ono.
Kuphunzira momwe mungachepetse kupsinjika kumatha kuthandizira pazomwe zimayambitsa. Kutikita, kupuma kwambiri, kusinkhasinkha, ndi yoga zitha kuthandiza kuchepetsa zizindikilo za GERD.
Yoga makamaka imalimbikitsa kuyankha kosangulutsa. Kungakhale kopindulitsa kuchita yoga limodzi ndi kumwa mankhwala anu pochiza matenda anu a GERD.
Matenda opatsirana
Hypnotherapy, kapena matenda opatsirana pogonana, ndiyo njira yothandizira munthu kuti akhale wolimbikira. Zaumoyo wam'mimba, hypnotherapy imawonetsedwa kuti ichepetse:
- kupweteka m'mimba
- Matumbo osavomerezeka
- kuphulika
- nkhawa
Kafukufuku wapano pa hypnotherapy akadali ochepa. Komabe, mkati, zawonetsedwa kuti ndizothandiza pamavuto am'mimba ndi zizindikiro za Reflux.
Anthu ena omwe ali ndi asidi Reflux amatha kuwonetsa chidwi pakulimbikitsidwa kwam'matumbo. Hypnotherapy itha kuthandiza anthu kumasula mantha akumva kulimbikitsanso kupumula.
Mankhwala azitsamba
Akatswiri azitsamba atha kulimbikitsa mitundu yazitsamba zosiyanasiyana pochiza GERD. Zitsanzo ndi izi:
- chamomile
- muzu wa ginger
- mizu ya marshmallow
- oterera elm
Pakadali pano, pali kafukufuku wochepa wazachipatala kuti athandizire kugwira ntchito kwa zitsambazi pochiza GERD. Ochita kafukufuku samalimbikitsa kugwiritsa ntchito mankhwala achikhalidwe achi China kuchiza GERD. Kafukufuku wapano wamankhwala azitsamba ndiwosauka komanso osawongoleredwa.
Nthawi zonse muzifunsa dokotala musanamwe mankhwala azitsamba. Ngakhale zitsamba zachilengedwe zimatha kuyambitsa zovuta zina.
Zotupitsira powotcha makeke
Monga antiacid, soda ingathandize kuchepetsa asidi wammimba kwakanthawi ndikupereka mpumulo. Kwa akuluakulu ndi achinyamata, sungunulani supuni ya tiyi 1/2 mu kapu yamadzi 4-ounce.
Lankhulani ndi dokotala wanu za kuchuluka kwa ana.
Kusintha kwa moyo wa GERD
Zina mwazithandizo zabwino kwambiri za GERD ndikusintha kwamachitidwe. Zosinthazi zikuphatikiza:
- Kusiya kusuta: Kusuta kumakhudza kamvekedwe ka LES ndikuwonjezera kukomoka. Sikuti kungosiya kusuta kumachepetsa GERD, komanso kumachepetsa chiopsezo cha zovuta zina zathanzi.
- Kuchepetsa thupi, ngati mukulemera kwambiri: Kulemera kwambiri kumatha kuyika nkhawa m'mimba, zomwe zimatha kuyambitsa asidi m'mimba.
- Kupewa kuvala zovala zolimba: Zovala zolimba mchiuno zimatha kuyika nkhawa m'mimba mwanu. Kupanikizika kumeneku kumatha kukhudza LES, kukulitsa reflux.
- Kukweza mutu wako: Kutukula mutu wako ukagona, paliponse kuyambira mainchesi 6 mpaka 9, kumatsimikizira kuti zomwe zili m'mimba zikuyenda kutsika m'malo mokwera m'mwamba. Mutha kuchita izi poyika matabwa kapena simenti pansi pamutu panu.
Nkhani yabwino ndiyakuti simufunikiranso kuchotsa chakudya kuti muchiritse GERD. Mu 2006, sanapeze umboni uliwonse wosonyeza kuti kuthetsa chakudya kumagwira ntchito.
Koma zakudya zina monga chokoleti ndi zakumwa za kaboni zimachepetsa kupsyinjika kwa LES ndikulola chakudya ndi asidi m'mimba kusintha. Kutentha kwa mtima ndi kuwonongeka kwa minofu kumatha kuchitika.
Nthawi yoti muwonane ndi dokotala
Muyenera kupita kuchipatala ngati:
- mumavutika kumeza
- kutentha kwa chifuwa kwanu kumayambitsa nseru kapena kusanza
- mumagwiritsa ntchito mankhwala a OTC koposa kawiri pa sabata
- Zizindikiro zanu za GERD zikuyambitsa kupweteka pachifuwa
- mukukumana ndi matenda otsekula m'mimba kapena akuda
Dokotala wanu adzakupatsani mankhwala monga:
- antacids
- Oseketsa H2-receptor
- proton pump pump inhibitors
Mitundu itatu yonse yamankhwala imapezeka pompopompo komanso pamankhwala akuchipatala. Dziwani kuti mankhwalawa ndiokwera mtengo ndipo atha kuwononga madola mazana ambiri mwezi uliwonse. Nthawi zikafika poipa, dokotala angakulimbikitseni kuchitidwa opaleshoni kuti musinthe m'mimba kapena kummero.
Fufuzani chithandizo cha zizindikiro za GERD ngati njira zapakhomo sizikugwira ntchito, kapena zizindikilo zanu zikuipiraipira.