Zizindikiro za Acid Reflux

Zamkati

• Kodi Acid Reflux ndi Chiyani?
• Zizindikiro za Acid Reflux
• Zomwe Zimayambitsa Acid Reflux?
• Kodi Zowopsa Zotani za Acid Reflux?
• Kodi Endoscopy Yapamwamba Imafunikira Liti?
• Chithandizo cha Acid Reflux
• Nthawi Yoyitanira Dokotala Wanu

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.

Kodi Acid Reflux ndi Chiyani?

Kodi mumamva kumverera kotentha kumbuyo kwa kamwa lanu mukadya chakudya cholemera kapena zakudya zokometsera? Zomwe mukumva ndi asidi wam'mimba kapena ya ndulu yobwerera m'mimba mwanu. Izi nthawi zambiri zimatsagana ndi kutentha pa chifuwa, komwe kumadziwika ndi kutentha kapena kumangika pachifuwa kuseri kwa chifuwa.

Malinga ndi American College of Gastroenterology, anthu opitilira 60 miliyoni aku America amalandiranso asidi kamodzi kamodzi pamwezi, ndipo anthu aku America opitilira 15 miliyoni amatha kukumana nawo tsiku lililonse. Ngakhale zimatha kuchitika kwa aliyense, kuphatikiza makanda ndi ana, acid reflux imakonda kwambiri amayi apakati, anthu onenepa kwambiri, komanso achikulire.

Ngakhale zimakhala zachilendo kukhala ndi asidi reflux nthawi zina, omwe amakumana nawo kawiri pa sabata akhoza kukhala ndi vuto lalikulu lotchedwa gastroesophageal reflux disease (GERD). GERD ndi mtundu wosatha wa asidi Reflux womwe umatha kukhumudwitsa m'mbali mwa khosi lanu, ndikupangitsa kuti utenthe. Kutupa uku kumatha kubweretsa matenda a esophagitis, zomwe ndizomwe zimapangitsa kuti zikhale zovuta kapena zopweteka kumeza. Kukwiya nthawi zonse kumathanso kutulutsa magazi, kuchepa kwa kholingo, kapena matenda otsogola otchedwa Barrett's esophagus.

Zizindikiro za Acid Reflux

Zizindikiro za asidi Reflux mwa achinyamata ndi akulu atha kuphatikiza:

• kutentha pachifuwa komwe kumawonjezeka mukamawerama kapena kugona pansi ndipo nthawi zambiri kumachitika mukatha kudya
• kubowola pafupipafupi
• nseru
• kusapeza m'mimba
• kulawa kowawa mkamwa
• chifuwa chowuma

Zizindikiro za asidi Reflux mwa ana ndi ana atha kuphatikizira izi:

• mimbulu yonyowa
• ming'alu
• Kulavula pafupipafupi kapena kusanza, makamaka mukatha kudya
• kupuma kapena kutsamwa chifukwa chosungira asidi mu mphepo yam'mapapo ndi m'mapapu
• Kulavulira pambuyo pa zaka 1, womwe ndi msinkhu womwe kulavulira kuyenera kusiya
• Kupsa mtima kapena kulira mukatha kudya
• kukana kudya kapena kudya chakudya chochepa chokha
• kuvuta kunenepa

Zomwe Zimayambitsa Acid Reflux?

Reflux ya acid ndi chifukwa cha vuto lomwe limachitika panthawi yogaya. Mukameza, m'munsi esophageal sphincter (LES) nthawi zambiri imapuma kuti chakudya ndi madzi ziziyenda kuchokera pamimba kupita kumimba. LES ndi gulu lozungulira la minofu lomwe lili pakati pamimba ndi m'mimba. Chakudya ndi madzi zikalowa m'mimba, LES imakhazikika ndikutseka kutsegula. Ngati minofu imeneyi imamasuka mosalekeza kapena kufooka pakapita nthawi, asidi m'mimba amatha kubwerera m'mimba mwanu. Izi zimayambitsa asidi Reflux ndi kutentha pa chifuwa. Amawonedwa ngati ophulika ngati chiwonetsero chapamwamba cha endoscopy chikuwonongeka m'makola am'mimba. Zimayesedwa ngati zosasunthika ngati zingwe zikuwoneka zabwinobwino.

Kodi Zowopsa Zotani za Acid Reflux?

Ngakhale zimatha kuchitika kwa aliyense, kuphatikiza makanda ndi ana, acid reflux imakonda kwambiri amayi apakati, anthu onenepa kwambiri, komanso achikulire.

Kodi Endoscopy Yapamwamba Imafunikira Liti?

Mungafunike endoscopy wapamwamba kuti dokotala athe kutsimikiza kuti palibe zifukwa zoyipa zomwe zimayambitsa matenda anu.

Mungafunike njirayi ngati muli:

• kuvuta kapena kupweteka pomeze
• Kutuluka kwa GI
• kuchepa kwa magazi m'thupi, kapena kuchuluka kwamagazi ochepa
• kuonda
• kusanza mobwerezabwereza

Ngati ndinu bambo wamkulu kuposa zaka 50 ndipo mumakhala ndi nthawi yausiku, mukulemera kwambiri, kapena mumasuta, mungafunenso endoscopy wapamwamba kuti mudziwe chomwe chimayambitsa matenda anu.

Chithandizo cha Acid Reflux

Mtundu wa chithandizo cha acid reflux chomwe dokotala angakuuzeni chimadalira zizindikiritso zanu komanso mbiri yathanzi lanu. Mankhwala ochiritsira amaphatikizapo:

• histamine-2 receptor blockers kuti achepetse kupanga asidi m'mimba, monga famotidine (Pepcid)
• proton pump inhibitors yochepetsera kupanga asidi m'mimba, monga esomeprazole (Nexium) ndi omeprazole (Prilosec)
• mankhwala olimbikitsa LES, monga baclofen (Kemstro)
• maopaleshoni kuti alimbikitse ndi kulimbitsa LES

Kusintha zina ndi zina pamoyo wanu kungathandizenso kuthana ndi asidi Reflux. Izi zikuphatikiza:

• kukweza mutu wa kama kapena kugwiritsa ntchito mpilo
• kupewa kugona pansi kwa maola awiri mutatha kudya
• kupewa kudya kwa maola awiri musanagone
• kupewa kuvala zovala zolimba
• kuchepetsa kumwa mowa
• kusiya kusuta
• kuonda ngati wonenepa kwambiri

Muyeneranso kupewa kupewa zakudya ndi zakumwa zomwe zimayambitsa asidi Reflux, kuphatikiza:

• zipatso za citrus
• chokoleti
• zakudya zamafuta ndi zokazinga
• tiyi kapena khofi
• tsabola
• Zakumwa za carbonate
• zakudya zopangidwa ndi phwetekere ndi msuzi

Mwana wanu akakumana ndi asidi Reflux, adokotala angaganize kuti:

• kubisa mwana wanu kangapo mukamadyetsa
• kupereka zakudya zazing'ono, pafupipafupi
• kusunga mwana wanu atakhala chilili kwa mphindi makumi atatu atadya
• onjezerani supuni imodzi ya phala la mpunga ku ma ola awiri a mkaka wa makanda (ngati mukugwiritsa ntchito botolo) kuti muchepetse mkaka
• kusintha zakudya zanu ngati mukuyamwitsa
• kusintha mtundu wa chilinganizo ngati malingaliro ali pamwambawa sanathandize

Nthawi Yoyitanira Dokotala Wanu

Reflux ya asidi osachiritsidwa kapena GERD imatha kubweretsa zovuta pakapita nthawi. Itanani dokotala wanu nthawi yomweyo ngati inu kapena mwana wanu mukukumana ndi izi:

• Kulimbikira kumeza kapena kutsamwa, komwe kumatha kuwonetsa kuwonongeka kwakukulu kummero
• kuvuta kupuma, komwe kumatha kuwonetsa vuto lalikulu la mtima kapena mapapo
• wamagazi kapena wakuda, malo obisalira, omwe amatha kuwonetsa kutuluka magazi m'mimba kapena m'mimba
• kupweteka kwam'mimba kosalekeza, komwe kumatha kuwonetsa magazi kapena zilonda zam'mimba kapena m'matumbo
• kuwonda mwadzidzidzi komanso kosalamulirika, komwe kumatha kuwonetsa kuperewera kwa zakudya
• kufooka, chizungulire, ndi chisokonezo, zomwe zitha kuwonetsa mantha

Kupweteka pachifuwa ndichizindikiro chodziwika bwino cha GERD, koma kungafunefune chithandizo chamankhwala chifukwa chitha kuwonetsa kuyambika kwa matenda amtima. Anthu nthawi zina amasokoneza kumva kwakumva ndi matenda amtima.

Zizindikiro zowonetsa kutentha kwam'mimba zimaphatikizaponso:

• kutentha komwe kumayambira pamimba kumtunda ndikupita pachifuwa chapamwamba
• kutentha komwe kumachitika mukatha kudya ndipo kumawonjezeka mukamagona pansi kapena mukuwerama
• kuwotcha komwe kungathetsedwe ndi maantacid
• kukoma kowawa mkamwa, makamaka pogona
• Kubwezeretsanso pang'ono komwe kumabwerera kukhosi

Anthu azaka zopitilira 50 ali pachiwopsezo chachikulu chodwala matenda amtima komanso mavuto ena amtima. Vutoli limakulanso pakati pa omwe ali ndi kuthamanga kwa magazi, cholesterol, komanso matenda ashuga. Kunenepa kwambiri ndi kusuta ndizinthu zina zowopsa.

Itanani 911 nthawi yomweyo ngati mukukhulupirira inu kapena munthu wina yemwe mumamudziwa akudwala matenda a mtima kapena matenda ena owopsa.