Kuvuta Kumeza (Dysphagia) Chifukwa cha Acid Reflux

Zamkati

• Reflux ndi dysphagia
• Kodi zizindikiro za dysphagia ndi ziti?
• Kodi Reflux imathandizidwa bwanji?
• Mankhwala
• Zosintha m'moyo
• Opaleshoni
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi dysphagia ndi chiyani?

Dysphagia ndipamene zimakuvutani kumeza. Mutha kuwona izi ngati muli ndi matenda a reflux a gastroesophageal (GERD). Dysphagia imatha kuchitika nthawi zina kapena pafupipafupi. Kuchulukako kumadalira kuuma kwa Reflux yanu ndi chithandizo chanu.

Reflux ndi dysphagia

Matenda osabisala m'mimba mwanu amatha kupweteketsa pakhosi panu. Zikakhala zovuta, zimatha kuyambitsa dysphagia. Minofu yotupa imatha kupezeka m'mimba mwanu. Minofu yovulalayo imatha kukuchepetsani. Izi zimadziwika ngati kukhazikika kwa khola.

Nthawi zina, dysphagia imatha kukhala chifukwa cha kuwonongeka kwa mitsempha. Kakhungu kam'mero ​​kamatha kusintha kuti kifanane ndi minofu yomwe imayala matumbo anu. Ichi ndi chikhalidwe chotchedwa Barrett's ezophagus.

Kodi zizindikiro za dysphagia ndi ziti?

Zizindikiro za dysphagia zimasiyanasiyana mwa munthu aliyense. Mutha kukhala ndi mavuto kumeza zakudya zolimba, koma osakhala ndi vuto ndi madzi. Anthu ena amakumana ndi zovuta ndipo amavutika kumeza zakumwa, koma amatha kuthana ndi zolimba popanda vuto. Anthu ena amavutika kumeza chinthu chilichonse, ngakhale malovu awo.

Mutha kukhala ndi zizindikiro zina, kuphatikizapo:

• ululu mukameza
• chikhure
• kutsamwa
• kukhosomola
• kugwedeza kapena kuyambiranso chakudya kapena zidulo zam'mimba
• Kumva kuti chakudyacho chagona pachifuwa panu
• kutentha kumbuyo kwa chifuwa chako (chizindikiro chakumva kutentha)
• ukali

Zizindikiro zimatha kugwira ntchito mukamadya zakudya zomwe zimayambitsa asidi Reflux, monga:

• zopangidwa ndi phwetekere
• zipatso ndi timadziti
• zakudya zamafuta kapena zokazinga
• mowa
• zakumwa za khofi
• chokoleti
• tsabola

Kodi Reflux imathandizidwa bwanji?

Mankhwala

Mankhwala ndi imodzi mwamankhwala oyamba a dysphagia okhudzana ndi Reflux. Proton pump inhibitors (PPIs) ndi mankhwala omwe amachepetsa zidulo zam'mimba ndikuchepetsa zizindikiritso za GERD. Angathandizenso kuchiritsa kukokoloka kwa khosi komwe kumayambitsidwa ndi Reflux.

Mankhwala a PPI ndi awa:

• esomeprazole
• lansoprazole
• omeprazole (Prilosec)
• pantoprazole
• alireza

Proton pump inhibitors nthawi zambiri amatengedwa kamodzi tsiku lililonse. Mankhwala ena a GERD, monga ma H2 blockers, amathanso kuchepetsa zizindikilo. Komabe, sangathe kuchiritsa kuwonongeka kwa kholingo lanu.

Zosintha m'moyo

Kusintha kwa moyo kumatha kuthandiza kuti kudya ndi kumeza kumveke bwino. Ndikofunika kuthana ndi zakumwa zoledzeretsa ndi zinthu za chikonga m'moyo wanu. Kusuta ndi kumwa mowa kumatha kukwiyitsa minyewa yanu yomwe ili kale pachiwopsezo ndipo kumatha kuwonjezera mwayi wakupha. Funsani dokotala wanu kuti akutumizireni mankhwala kapena gulu lothandizira ngati mukufuna thandizo kusiya kumwa kapena kusuta.

Idyani zakudya zazing'ono pafupipafupi m'malo mwazakudya zazikulu zitatu tsiku lililonse. Kuchepetsa kwambiri dysphagia kungafune kuti muzitsatira zakudya zofewa kapena zamadzi. Pewani zakudya zokakamira, monga kupanikizana kapena batala, ndipo onetsetsani kuti mudula zakudya zanu muzidutswa tating'onoting'ono kuti mumveke mosavuta.

Kambiranani ndi dokotala za zosowa za zakudya. Mavuto akumeza amatha kusokoneza kuthekera kwanu kuti mukhale wonenepa kapena kupeza mavitamini ndi michere yomwe muyenera kukhala athanzi.

Opaleshoni

Kuchita opaleshoni kungakhale kofunikira kwa odwala omwe ali ndi vuto lalikulu la reflux lomwe silimvera mankhwala ndi kusintha kwa moyo wawo. Njira zina zopangira opaleshoni zomwe zimagwiritsidwa ntchito pochizira GERD, kholingo la Barrett, ndi zotupa zam'mimba zimathanso kuchepetsa kapena kuthetsa magawo a dysphagia. Njirazi ndi monga:

• Kupondereza ndalama: Mwa njirayi, kumtunda kwa m'mimba kumazungulira m'munsi mwake oophageal sphincter (LES) kuti akhale othandizira. LES, minofu pansi pamimba, imakhala yolimba ndipo imatha kutseguka kotero kuti zidulo sizingathe kubowola pakhosi.
• Njira za Endoscopic: Izi zimalimbitsa LES ndikupewa asidi reflux. Dongosolo la Stretta limapanga zotupa mu LES kudzera pazowotcha pang'ono. Ndondomeko ya NDO Plicator ndi EndoCinch imalimbikitsa LES ndimitengo.
• Esophageal dilation: Awa ndimankhwala odziwika bwino a dysphagia. Pochita izi, chibaluni chaching'ono chophatikizidwa ndi endoscope chimatambasula kholalo kuti likhale lolimba.
• Kuchotsa pang'ono kummero: Njirayi imachotsa magawo ena owonongeka kwambiri kapena madera omwe akhala ndi khansa chifukwa cha kholingo la Barrett, ndipo opareshoni imayika pammero otsalawo m'mimba.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Dysphagia imatha kukhala yowopsa, koma sikuti nthawi zonse imakhala yanthawi yayitali. Dziwitsani dokotala wanu zovuta zilizonse zokumeza ndi zizindikiro zina za GERD zomwe mukukumana nazo. Kuvuta kumeza komwe kumayenderana ndi GERD kumatha kuchiritsidwa ndi mankhwala akuchipatala kuti muchepetse asidi wam'mimba.