Momwe mungathandizire Reflux ya gastroesophageal

Zamkati

• 1. Kusintha kwa moyo
• 2. Kusintha kwa zakudya
• 3. Kugwiritsa ntchito mankhwala
• 4. Kugwiritsa ntchito mankhwala azitsamba
• 5. Opaleshoni

Chithandizo cha gastroesophageal reflux nthawi zambiri chimayamba ndi kusintha kwa moyo, komanso kusintha kwa zakudya, popeza nthawi zambiri, kusintha kosavuta kotereku kumatha kuchepetsa zizindikilo popanda kufunikira mtundu wina uliwonse wamankhwala.

Komabe, ngati zizindikirazo sizikusintha, gastroenterologist angalimbikitse kugwiritsa ntchito mankhwala ena, omwe atha kugwiritsidwa ntchito kwa nthawi yayitali, kapena pakakhala chizindikirochi. Pazochitika zovuta kwambiri, momwe ngakhale mankhwala sangathe kuthana ndi zizindikilo, adokotala amatha kulangiza magwiridwe antchito a opaleshoni, kuti athe kuyesa kuthana ndi vuto la Reflux.

Onani zizindikiro zofala kwambiri pakakhala Reflux ya gastroesophageal.

Mitundu yayikulu yamankhwala yomwe imagwiritsidwa ntchito ngati Reflux ndi iyi:

1. Kusintha kwa moyo

Anthu omwe ali ndi thanzi labwino amakhala pachiwopsezo chachikulu chotenga matenda osiyanasiyana. Limodzi mwa mavutowa ndikuchulukitsa kwa gastric acid, komwe kumatha kudzetsa zisonyezo za reflux.

Chifukwa chake, aliyense amene ali ndi vuto la Reflux, kapena akufuna kuletsa kuyambika kwake, ayenera kutsatira izi:

• Khalani ndi kulemera kokwanira, chifukwa kunenepa kwambiri kumayambitsa kupanikizika kwambiri m'mimba, kukulitsa mwayi wa asidi wam'mimba kubwerera kummero, kukulitsa zizindikilo;
• Pewani kusuta, chifukwa ndudu imatha kukhudza kutsekeka kwa zotupa kuti zitseke, kulola kuti reflux ichitike pafupipafupi;
• Osagona mpaka maola awiri mutatha kudya, chifukwa munthawi imeneyi pomwe pali asidi ochuluka kwambiri m'mimba;
• Pewani kuvala zovala zolimba kwambiri, makamaka malaya otambalala kwambiri ndi mathalauza, chifukwa amatha kupondereza m'mimba ndikuwonjezera kukomoka.

Kuphatikiza apo, ndikofunikira kwambiri kuti, pogona, wina amayesa kukweza mutu wa bedi pamwamba kuposa mapazi. Kuti muchite izi, mutha kuyika china chake pansi pa matiresi, kapena mutha kuyika matabwa pansi pa miyendo ya mutuwo. Makamaka, mutu wam'mutu uyenera kukwezedwa pakati pa 15 mpaka 20 cm.

2. Kusintha kwa zakudya

Kuphatikiza pa kusintha kwa moyo, kotchulidwa kale, palinso njira zina zosavuta komanso zachilengedwe zomwe zimathandiza kuthetsa zizindikilo komanso zomwe zimakhudzana kwambiri ndi zakudya.

Chifukwa chake, ndikofunikira kuti muzidya pafupipafupi, maola atatu aliwonse, mwachitsanzo, koma ndi chakudya chochepa. Izi zimathandiza kuti m'mimba musakhuta mokwanira ndikuthandizira kutulutsa, kupewa Reflux.

Kuphatikiza apo, kuwonjezera kudya masamba ndi zipatso, komanso kupewa zakudya zopatsa thanzi, monga zakudya zopangidwa, nyama yofiira ndi zakudya zokazinga, zimathandizanso kuchepetsa kuchuluka kwa asidi m'mimba, kuthana ndi zizindikilo. Mfundo inanso yofunika ndikuwongolera zakumwa, makamaka zomwe zakhala zikugwirizana kwambiri ndi kutulutsa kwa zakumwa, monga zakumwa zoziziritsa kukhosi, zakumwa za kaboni, khofi ndi zakumwa zoledzeretsa.

Onani mwatsatanetsatane momwe zakudya ziyenera kukhalira kwa iwo omwe ali ndi vuto la gastroesophageal reflux.

3. Kugwiritsa ntchito mankhwala

Nthawi zambiri, mankhwala a Reflux amawonetsedwa ndi dokotala ngati SOS, ndiye kuti, adzagwiritsidwe ntchito pamavuto a Reflux, omwe angabuke mukamadya zakudya zina mopitirira muyeso.

Komabe, mankhwalawa atha kugwiritsidwanso ntchito kwa nthawi yayitali, makamaka kwa anthu omwe ali ndi zizindikiro zamphamvu kwambiri komanso pafupipafupi. Zina mwazoyenera kwambiri ndi izi:

• Maanthibayidi, ngati magnesium hydroxide kapena aluminium hydroxide: kuchepetsa acidity ya m'mimba ndikuletsa kutenthedwa kwammero;
• Zoletsa kupanga asidi, ngati omeprazole, esomeprazole kapena pantoprazole: ziletsa kupanga asidi m'mimba, kuchepetsa kuyaka komwe kumayambitsidwa ndi Reflux;
• Zowonjezera kutulutsa kwam'mimba, monga metoclopramide ndi domperidone: imathandizira kutuluka m'mimba, ndikuchepetsa nthawi yomwe chakudya chimatsalira m'chiwalo ichi;
• Oteteza m'mimba, monga sucralfate: amapanga zotchinga zotchinjiriza m'mimba ndi m'mimba, zimachepetsa kuyaka komwe kumayambitsidwa ndi asidi wam'mimba.

Chifukwa chake, ndipo popeza zizindikilo ndi zomwe zimayambitsa Reflux zimasiyana mosiyanasiyana kuchokera kwa munthu wina kupita kwina, mankhwalawa amayenera kutsogozedwa ndi dokotala, yemwe adzawunika mbiri yanu yazachipatala ndikuwonetsa kuchuluka kwake komanso kutalika kwa mankhwala.

Dziwani zambiri za mankhwala omwe amagwiritsidwa ntchito pochizira Reflux.

4. Kugwiritsa ntchito mankhwala azitsamba

Pazovuta kwambiri za Reflux, zithandizo zapakhomo zitha kukhala njira yabwino kwambiri yachilengedwe yochotsera zizindikiro. Zina mwazoyenera kwambiri zimaphatikizapo tiyi wa ginger, tiyi wa chamomile ndi madzi a aloe, mwachitsanzo, omwe amatha kutengedwa pamene zizindikilo zoyambirira zikuwonekera. Onani momwe mungakonzekererere izi ndi njira zina zapakhomo za Reflux.

Ngakhale ndi njira yabwino yachilengedwe yothandizira kuthana ndi zizindikilo, zithandizo zapakhomo siziyenera kulowedwa m'malo ndi mankhwala operekedwa ndi adotolo, ndipo ayenera kugwiritsidwa ntchito ngati chothandizira kuchipatala.

5. Opaleshoni

Kuchita opaleshoni ya reflux ya Gastroesophageal nthawi zambiri kumangogwiritsidwa ntchito ngati njira yomaliza yothandizira, nthawi zovuta kwambiri pomwe zizindikilo sizinasinthe ndikusintha kwa moyo, kusintha kwa zakudya kapena kugwiritsa ntchito mankhwala.

Pakadali pano, dokotalayo amachita opareshoni kuti alimbikitse kholingo, kuti ateteze asidi wam'mimba kuti asakwere m'mimba. Kuchita opaleshoniyi kumatha kuchitidwa mwachikale, ndikucheka m'mimba, koma kumatha kuchitidwa ndi laparoscopy, momwe timabowo tating'ono timapangidwira pakhungu. Mtundu wa opaleshoni uyenera kusankhidwa nthawi zonse ndi dotolo.

Mvetsetsani bwino momwe opaleshoniyi yachitidwira komanso momwe akuchira.