Acid Reflux ndikutsokomola

Zamkati

• Chidule
• GERD ndi kutsokomola kosalekeza
• Kuyesedwa kwa GERD mwa anthu omwe ali ndi chifuwa chachikulu
• GERD mwa ana
• Zowopsa
• Zosintha m'moyo
• Mankhwala ndi opaleshoni
• Chiwonetsero

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Mu Epulo 2020, adapempha kuti mitundu yonse yamankhwala ndi owonjezera (OTC) ranitidine (Zantac) zichotsedwe kumsika waku U.S. Malangizowa adapangidwa chifukwa milingo yosavomerezeka ya NDMA, yomwe imayambitsa khansa (yomwe imayambitsa khansa), idapezeka muzinthu zina za ranitidine. Ngati mwalamulidwa ranitidine, lankhulani ndi dokotala wanu za njira zina zoyenera musanayimitse mankhwalawo. Ngati mukumwa OTC ranitidine, lekani kumwa mankhwalawa ndipo lankhulani ndi omwe amakuthandizani pazithandizo zina. M'malo motengera mankhwala osagwiritsidwa ntchito a ranitidine kumalo obwezeretsanso mankhwala, muzitaya malinga ndi malangizo a mankhwalawo kapena kutsatira FDA.

Chidule

Ngakhale kuti anthu ambiri nthawi zina amakhala ndi asidi osakanikirana, anthu ena amatha kukhala ndi vuto lalikulu kwambiri la asidi. Izi zimadziwika kuti gastroesophageal Reflux matenda (GERD). Anthu omwe ali ndi vuto la GERD amakhala ndi vuto losalekeza lomwe limachitika kawiri pa sabata.

Anthu ambiri omwe ali ndi GERD amakhala ndi zizindikilo za tsiku ndi tsiku zomwe zimatha kubweretsa zovuta zowopsa pakapita nthawi. Chizindikiro chodziwika kwambiri cha asidi Reflux ndikumva kutentha, kutentha pamtima pachifuwa chapakati komanso m'mimba wapakati. Akuluakulu ena amatha kukhala ndi GERD popanda kutentha pa chifuwa komanso zina zowonjezera. Izi zitha kuphatikizira kumenyedwa, kupuma, kuvutika kumeza, kapena kutsokomola.

GERD ndi kutsokomola kosalekeza

GERD ndi chimodzi mwazinthu zomwe zimayambitsa kutsokomola kosalekeza. M'malo mwake, ofufuza akuganiza kuti GERD imayambitsa 25% ya milandu yonse ya chifuwa chachikulu. Ambiri mwa anthu omwe ali ndi chifuwa cha GERD samakhala ndi zizindikilo zachikale zamatenda ngati kutentha pa chifuwa. Kutsokomola kosatha kumatha kuyambitsidwa ndi asidi Reflux kapena Reflux ya zomwe sizili zam'mimba.

Zina mwazidziwitso zakuti chifuwa chachikulu chimayambitsidwa ndi GERD ndi izi:

• kukhosomola makamaka usiku kapena kudya
• kutsokomola komwe kumachitika mukamagona pansi
• kutsokomola kosalekeza komwe kumachitika ngakhale zinthu zomwe sizikupezeka kawirikawiri, monga kusuta kapena kumwa mankhwala (kuphatikiza ACE inhibitors) momwe kukhosomola kumakhala ndi zotsatira zoyipa
• kukhosomola popanda mphumu kapena kukapanda kuleka pambuyo pobereka, kapena pamene ma X-ray pachifuwa ali abwinobwino

Kuyesedwa kwa GERD mwa anthu omwe ali ndi chifuwa chachikulu

GERD imatha kukhala yovuta kuzindikira kwa anthu omwe ali ndi chifuwa chachikulu koma osamva kutentha pa chifuwa. Izi ndichifukwa choti zinthu zomwe zimafala monga postnasal drip ndi mphumu ndizomwe zimayambitsa chifuwa chachikulu. Endoscopy wapamwamba, kapena EGD, ndiye mayeso omwe amagwiritsidwa ntchito nthawi zambiri pakuwunika kwathunthu kwa zisonyezo.

Kafukufuku wa maola 24 wa pH, womwe umayang'anira pH, ndi chiyeso chothandiza kwa anthu omwe ali ndi chifuwa chachikulu. Chiyeso china, chotchedwa MII-pH, chimatha kuzindikira kuti Reflux yopanda acid. Kumeza kwa barium, kamodzi koyesa kwambiri kwa GERD, sikunakonzedwenso.

Palinso njira zina zodziwira ngati chifuwa chikugwirizana ndi GERD. Dokotala wanu angayesere kukuikani pa proton pump inhibitors (PPIs), mtundu wa mankhwala a GERD, kwakanthawi kuti muwone ngati zizindikiro zikutha. Ma PPI amaphatikiza mankhwala amtundu wa dzina monga Nexium, Prevacid, ndi Prilosec, pakati pa ena. Ngati zizindikiro zanu zikutha ndi mankhwala a PPI, mwina muli ndi GERD.

Mankhwala a PPI amapezeka pa kauntala, ngakhale muyenera kuwona dokotala ngati muli ndi zizindikilo zomwe sizikutha. Pakhoza kukhala zifukwa zina zomwe zimawapangitsa, ndipo adokotala athe kukuwonetsani njira zabwino zothandizira.

GERD mwa ana

Makanda ambiri amakhala ndi zizindikilo za asidi Reflux, monga kulavulira kapena kusanza, mchaka chawo choyamba chamoyo. Zizindikiro izi zimatha kuchitika kwa makanda omwe ali osangalala komanso athanzi. Komabe, makanda omwe amakumana ndi acid reflux atakwanitsa zaka 1 atha kukhala ndi GERD. Kutsokomola pafupipafupi ndi chimodzi mwazizindikiro zazikulu kwa ana omwe ali ndi GERD. Zizindikiro zowonjezera zitha kuphatikiza:

• kutentha pa chifuwa
• kusanza mobwerezabwereza
• laryngitis (mawu okweza)
• mphumu
• kupuma
• chibayo

Makanda ndi ana aang'ono omwe ali ndi GERD atha:

• kukana kudya
• chitani colicky
• kukhala okwiya msanga
• amakumana ndi kukula kosauka
• onetsetsani msana wawo nthawi yomweyo kapena nthawi yomweyo mukamadyetsa

Zowopsa

Muli pachiwopsezo chachikulu chotenga GERD ngati mumasuta, onenepa kwambiri, kapena muli ndi pakati. Izi zimafooketsa kapena kupumula m'munsi kutsitsa, sphincter, gulu la minofu kumapeto kwa kholingo. Pamene m'munsi esophageal sphincter afooka, amalola zomwe zili m'mimba kuti zibwere m'mero.

Zakudya ndi zakumwa zina zitha kupangitsanso GERD kuipiraipira. Zikuphatikizapo:

• zakumwa zoledzeretsa
• zakumwa za khofi
• chokoleti
• zipatso za citrus
• zakudya zokazinga ndi zamafuta
• adyo
• timbewu tonunkhira ndi timbewu tonunkhira (makamaka peppermint ndi spearmint)
• anyezi
• zakudya zokometsera
• zakudya zopangidwa ndi phwetekere kuphatikizapo pizza, salsa, ndi msuzi wa spaghetti

Zosintha m'moyo

Kusintha kwa moyo nthawi zambiri kumakhala kokwanira kuti muchepetse kapena kuthetseratu chifuwa chosatha komanso zizindikilo zina za GERD. Zosinthazi zikuphatikiza:

• kupewa zakudya zomwe zimapangitsa kuti zizindikire
• kupewa kugona pansi kwa maola osachepera 2.5 mutatha kudya
• kudya pafupipafupi, zakudya zazing'ono
• kuonda kwambiri
• kusiya kusuta
• kukweza mutu wa bedi pakati pa mainchesi 6 ndi 8 (mapilo owonjezera sagwira ntchito)
• kuvala zovala zokutetezani kuti muchepetse kupanikizika pamimba

Mankhwala ndi opaleshoni

Mankhwala, makamaka ma PPI, amakhala othandiza kuthana ndi zizindikilo za GERD. Zina zomwe zingathandize ndi izi:

• Maantacid monga Alka-Seltzer, Mylanta, Rolaids, kapena Tums
• othandizira thovu monga Gaviscon, omwe amachepetsa asidi wam'mimba popereka mankhwala opha tizilombo
• Oletsa H2 monga Pepcid, omwe amachepetsa kupanga acid

Muyenera kulumikizana ndi adotolo ngati mankhwala, kusintha kwa moyo, komanso kusintha kwa zakudya sikuchotsa matenda anu. Pamenepo, muyenera kukambirana nawo njira zina zamankhwala. Kuchita opaleshoni kumatha kukhala chithandizo chothandiza kwa iwo omwe samayankha bwino pakusintha kwa moyo wawo kapena mankhwala.

Kuchita opaleshoni yodziwika bwino komanso yothandiza kwa kupumula kwakanthawi kuchokera ku GERD kumatchedwa fundoplication. Imakhala yolanda pang'ono ndipo imalumikiza kumtunda kwa m'mimba ndikum'mero. Izi zidzachepetsa reflux. Odwala ambiri amabwerera kuzinthu zawo zabwinobwino pakangotha ​​milungu ingapo, atakhala kuchipatala kwa tsiku limodzi kapena atatu. Kuchita opaleshoniyi nthawi zambiri kumawononga pakati pa $ 12,000 mpaka $ 20,000. Zitha kukhalanso ndi inshuwaransi yanu.

Chiwonetsero

Ngati mukudwala chifuwa chosalekeza, lankhulani ndi dokotala wanu za chiopsezo chanu cha GERD.Ngati mwapezeka kuti muli ndi GERD, onetsetsani kuti mukutsatira dongosolo lanu la mankhwala ndikusunga nthawi yomwe dokotala wakupatsani.