Gastroesophageal Reflux - kubuda

Chirwere cheGastroesophageal Reflux (GERD) mamiriro ayo mudumbu mudonhe uchidzokera kumashure kubva mudumbu kuenda mudumbu (iyo chubhu kubva pamuromo kuenda mudumbu). Ichi chinyorwa chinokuudza zvaunofanira kuita kuti utarisire mamiriro ako.

Une gastroesophageal Reflux chirwere (GERD). Aya mamiriro ezvinhu chikafu kana mvura inofamba ichidzokera kumashure kubva mudumbu ichipinda mudumbu (chubhu kubva pamuromo kuenda mudumbu).

Iwe unogona kunge wakave nemiedzo yekubatsira kuongorora yako GERD kana matambudziko auinayo kubva pairi.

Iwe unogona kuita akawanda marongero ehupenyu kubatsira kubata zviratidzo zvako. Dzivisa chikafu chinokonzera matambudziko kwauri.

• Usanwe doro.
• Dzivisa zvinwiwa uye chikafu chine caffeine, senge soda, kofi, tii, uye chokoreti.
• Dzivisa kofi yakasviba. Inowedzerawo huwandu hweasidhi mudumbu rako.
• Dzivisa michero ine asidi yakawanda nemiriwo, senge michero yemichero, chinanazi, madomasi, kana madomasi-akagadzirwa ndiro (pizza, chili, uye spaghetti) kana iwe ukaona kuti zvinokonzeresa chirungurira.
• Dzivisa zvinhu zvine spearmint kana peppermint.

Mamwe matipi ehupenyu anogona kuita kuti zviratidzo zvako zvirinani ndeaya:

• Idya zvidiki zvidiki, uye idya kakawanda.
• Deredza uremu, kana uchida.
• Ukasvuta kana kutsenga fodya, edza kurega. Mubatsiri wako wehutano anogona kubatsira.
• Exercise, asi kwete chaipo mushure mekudya.
• Deredza kushushikana kwako uye tarisa kunetseka, nguva dzakaomarara. Kushungurudzika kunogona kunetsa yako reflux dambudziko.
• Bhenda pamabvi, kwete chiuno chako, kuti utore zvinhu.
• Dzivisa kupfeka hembe dzinoisa pressure pachiuno chako kana mudumbu.
• Usarara pasi kwemaawa matatu kana mana mushure mekudya.

Dzivisa mishonga yakadai saasprini, ibuprofen (Advil, Motrin), kana naproxen (Aleve, Naprosyn). Tora acetaminophen (Tylenol) kubvisa marwadzo. Tora chero ipi yemishonga yako nemvura yakawanda. Paunotanga mushonga mutsva, yeuka kubvunza kana uchiita kuti chirungurira chako chiwedzere.

Edza aya matipi usati warara:

• Usasvetuke kudya kana kudya chikafu chakakura chemanheru kuti uwane chikafu chakarasikirwa.
• Dzivisa kunonoka pakati pousiku.
• Usarara pasi wapedza kudya. Ramba wakamira kwemaawa matatu kusvika mana usati warara.
• Simudza mubhedha wako 4 kusvika ku6 inches (10 kusvika 15 masentimita) kumusoro kwemubhedha wako, uchishandisa mabhureki. Iwe unogona zvakare kushandisa wedge rutsigiro iyo inomutsa iyo yepamusoro hafu yemuviri wako kana iwe uri pamubhedha. (Mamwe mapiro anomutsa musoro wako chete haangabatsire.)

Antacids inogona kubatsira kudzikamisa dumbu rako acid. Izvo hazvibatsire kurapa kutsamwa mukati medu. Zvakajairika mhedzisiro yemishonga inorwisa mabhakitiriya inosanganisira manyoka kana kupatira.

Zvimwe zvinopfuura-the-counter zvinodhaka uye mishonga yemishonga inogona kubata GERD. Vanoshanda zvishoma nezvishoma kupfuura maantacids asi vanokupa kurerukirwa kwenguva refu. Wako mupi anogona kukuudza maitiro ekutora aya madhiragi. Kune mhando mbiri dzakasiyana dzemishonga iyi:

• H2 vanopikisa: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), uye nizatidine (Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec kana Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), uye pantoprazole (Protonix)

Iwe uchave uine yekutevera-kushanya pamwe nemupi wako kuti utarise yako esophagus. Iwe ungangodawo kuve nekuongororwa kwemazino. GERD inogona kukonzera iyo enamel pameno ako kusakara.

Fonera mupiki wako kana iwe uine:

• Matambudziko kana kurwadziwa nekumedza
• Choking
• Kunzwa kuzere mushure mekudya chidimbu chidiki chekudya
• Kurera huremu izvo zvisingakwanise kutsanangurwa
• Kusvipa
• Kupererwa nechido
• Kurwadziwa pachifuva
• Kubuda ropa, ropa muzvituru zvako, kana rima, mira kutarisa zvituru
• Kuchema

Peptic esophagitis - kubuda; Reflux esophagitis - kubuda; GERD - kuburitsa; Kusungirwa - kusingaperi - kubuda

• Gastroesophageal Reflux chirwere

Abdul-Hussein M, Castell DO. Gastroesophageal Reflux chirwere (GERD). Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019; 208-211.

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 138.

Katz PO, Gerson LB, Vela MF. Mirayiridzo yekuongororwa uye manejimendi ye gastroesophageal Reflux chirwere. Ndiri J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Richter JE, Friedenberg FK. Gastroesophageal Reflux chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 44.

• Anti-Reflux kuvhiya
• Anti-Reflux kuvhiya - vana
• EGD - esophagogastroduodenoscopy
• Gastroesophageal Reflux chirwere

• Anti-Reflux kuvhiya - vana - kubuda
• Anti-Reflux kuvhiya - kubuda
• Kushungurudza - chii chekubvunza chiremba wako
• Kutora antacids

• GERD