Momwe Mungachiritse Kutuluka Kwa chifuwa Chomwe Sichitha

Zamkati

• Zomwe zingayambitse kutentha kwa mtima kosalekeza
• GERD kutanthauza dzina
• Chithandizo cha GERD
• Chala cha Hiatal
• Chithandizo cha nthenda yobereka
• Khola la Barrett
• Zizindikiro
• Chithandizo cha kholingo la Barrett
• Khansa ya Esophageal
• Kuchiza kwa khansa ya m'mimba
• Kutenga

Kutentha pa chifuwa kumayambitsidwa ndi asidi m'mimba wolumikizira m'mimbamo (chubu cholumikiza pakamwa panu ndi m'mimba). Amatchedwanso acid reflux, zimamveka ngati ululu woyaka makamaka kumbuyo kwa chifuwa.

Kutuluka kwa chifuwa nthawi zina nthawi zambiri sikutanthauza kuda nkhawa. Itha kuyendetsedwa ndikusintha kwa moyo wanu komanso mankhwala owonjezera pa-counter (OTC), monga:

• ma antacids, monga Tums kapena Maalox
• Ma H2 receptor blockers, monga Pepcid kapena Tagamet
• proton pump inhibitors, monga Prilosec, Nexium, kapena Prevacid

Komabe, ngati kutentha kwa mtima kumakhala kofala, sikungathe, kapena kusiya kuyankha mankhwala a OTC, mwina ndi chizindikiro cha vuto lalikulu lomwe dokotala wanu angakuuzeni.

Pitilizani kuwerenga kuti muphunzire zomwe zingayambitse kutentha pa chifuwa komanso momwe mungachitire ndi izi.

Zomwe zingayambitse kutentha kwa mtima kosalekeza

Kupitirizabe kutentha pa chifuwa kungakhale chizindikiro cha:

• matenda a reflux a gastroesophageal (GERD)
• chophukacho
• Khola la Barrett
• khansa yotsekula m'mimba

GERD kutanthauza dzina

GERD imachitika pamene asidi Reflux amawononga kholingo. Zizindikiro zake ndi izi:

• kutentha pa chifuwa
• zovuta kumeza
• nseru kapena kusanza
• kuchepa kwa magazi m'thupi
• chifuwa chowuma
• kumverera ngati chakudya chakuphatika pachifuwa

Chithandizo cha GERD

Inu adokotala mumayambitsa mankhwala anu ndi ma OTC antacids komanso OTC kapena mankhwala a H2 receptor blockers ndi proton pump inhibitors.

Ngati mankhwalawa sagwira ntchito, dokotala angakulimbikitseni kuchitidwa opaleshoni, monga:

• laparoscopic Nissen fundoplication
• maginito a sphincter augmentation (LINX)
• kusintha kosasunthika kopitilira muyeso (TIF)

Chala cha Hiatal

Chotupa chobadwa chifukwa cha minofu yofooka yoyandikana ndi esophageal sphincter yomwe imalola gawo lina la m'mimba kukulira kudzera mu chotengera. Zizindikiro zake ndi izi:

• kutentha pa chifuwa kosalekeza
• vuto kumeza
• kupuma movutikira
• kusanza magazi

Chithandizo cha nthenda yobereka

Kuti athetse vuto lakumva kutentha, dokotala wanu angakulimbikitseni maantacids, proton pump inhibitors, kapena H2 receptor blockers. Ngati mankhwalawa sakuchepetsa kutentha kwa chifuwa, dokotala wanu atha kunena kuti mungachite opaleshoni, monga:

• kukonza kotseguka
• laparoscopic kukonza
• endoluminal fundoplication

Khola la Barrett

Ndikumapiko kwa Barrett, minofu yolumikizira kumaloko imalowetsedwa ndimatumba ofanana ndi minofu yomwe imayendetsa matumbo. Mawu azachipatala a izi ndi metaplasia.

Zizindikiro

Khola la Barrett silimayambitsa zizindikiro. GERD ndi vuto kwa anthu ambiri omwe ali ndi kholingo la Barrett. Kupitirizabe kutentha pa chifuwa ndi chizindikiro cha GERD.

Malinga ndi National Institute of Diabetes and Digestive and Kidney Diseases, pali kuthekera kokulirapo kwa anthu omwe ali ndi kholingo la Barrett akupanga khansa yosawerengeka yotchedwa esophageal adenocarcinoma.

Chithandizo cha kholingo la Barrett

Dokotala wanu ayenera kuti amalangiza mankhwala-mphamvu ya proton pump inhibitors. Malangizo ena atha kukhala:

• mobwerezabwereza endoscopy
• Zochiritsira za endoscopic ablative, monga photodynamic therapy ndi radiofrequency ablation
• endoscopic mucosal resection
• opaleshoni (esophagectomy)

Khansa ya Esophageal

Pamodzi ndi kutentha pa chifuwa, zizindikilo za khansa ya m'mimba ndi monga:

• kusanza
• kuonda kosadziwika
• kukhosomola
• ukali
• kuphika chakudya pafupipafupi

Kuchiza kwa khansa ya m'mimba

Malangizo a dokotala kuti akuthandizeni azikumbukira zinthu zingapo, kuphatikiza mtundu wa khansa yanu. Njira zochiritsira zingaphatikizepo:

• chemotherapy
• mankhwala a radiation
• immunotherapy, monga pembrolizumab (Keytruda)
• chithandizo chothandizira, monga chithandizo chamankhwala cha HER2 kapena anti-angiogenesis therapy
• opaleshoni, monga endoscopy (yokhala ndi kuchepa kapena kusinthasintha), magetsi, kapena cryotherapy

Kutenga

Ngati mukumva chifuwa chomwe sichingathe ndipo sichidzayankha mankhwala a OTC, onani dokotala wanu kuti akuthandizeni. Kutentha pa chifuwa kungakhale chizindikiro cha vuto lalikulu.