Gastroesophageal Reflux chirwere

Gastroesophageal Reflux chirwere (GERD) mamiriro mune izvo zviri mukati mudumbu zvichidonha zvichidzokera kumashure kubva mudumbu kuenda kune yegurokuro (chikafu chepombi). Chikafu chinofamba kubva pamuromo wako kuenda mudumbu kuburikidza nesophagus yako. GERD inogona kutsamwisa pombi yechikafu uye inokonzeresa chirungurira uye zvimwe zviratidzo.

Paunodya, chikafu chinopfuura kubva pahuro kuenda mudumbu kuburikidza nepagurokuro. Mhete yemhasuru yemhashu muzasi yegurokuro inodzivirira chikafu chakamedzwa kuti chisadzokera kumashure. Iyi mhasuru tambo inonzi yakaderera esophageal sphincter (LES).

Kana ringi iri remhasuru rikasavhara nzira yese, zviri mudumbu zvinogona kudonha zvichidzokera mudumbu. Izvi zvinonzi reflux kana gastroesophageal reflux. Reflux inogona kukonzera zviratidzo. Hasha mudumbu acids inogona zvakare kukuvadza iyo lining yegurokuro.

Izvo zvinhu zvengozi zve reflux zvinosanganisira:

• Kushandisa doro (pamwe)
• Hiatal hernia (mamiriro umo chikamu chedumbu chinofamba pamusoro pechipfuva, unova mhasuru unoparadzanisa chipfuva uye mhango dzemudumbu)
• Kufutisa
• Kubata pamuviri
• Scleroderma
• Kusvuta
• Kutsamira mukati memaawa matatu mushure mekudya

Kushungurudza uye gastroesophageal reflux inogona kuunzwa kana kuwedzerwa nekuzvitakura. Zviratidzo zvinogona zvakare kukonzerwa nemimwe mishonga, yakadai se:

• Anticholinergics (semuenzaniso, chirwere chegungwa mushonga)
• Bronchodilators yeasthma
• Calcium chiteshi ichivharira BP
• Dopamine-inoshanda zvinodhaka zvePasinson chirwere
• Progestin yekushomeka kwekuenda kumwedzi kubuda ropa kana kuberekwa
• Sedatives ekushaya hope kana kusagadzikana
• Tricyclic antidepressants

Taura nemupi wako wezvehutano kana iwe uchifunga kuti mumwe wemishonga yako unogona kunge uchikonzera chirungurira. Usambofa wakachinja kana kumira kutora mushonga usina kutanga wataura nemupi wako.

Zviratidzo zvakajairika zveGERD zvinosanganisira:

• Kunzwa kuti chikafu chakanamatira kuseri kwebhonzo rechipfuva
• Kushungurudza kana kurwadziwa mukati mechipfuva
• Nausea mushure mekudya

Zviratidzo zvishoma zvinozivikanwa ndezvi:

• Kuunza chikafu kumashure (kudzokazve)
• Kukosora kana kufema
• Zvakaoma kumedza
• Hiccups
• Kuchema kana kuchinja izwi
• Huro inorwadza

Zviratidzo zvinogona kuwedzera kana iwe ukakotama kana kurara pasi, kana mushure mekudya. Zviratidzo zvinogona zvakare kuve zvakanyanya husiku.

Iwe unogona kusada chero bvunzo kana zviratidzo zvako zvinyoro.

Kana zviratidzo zvako zvakanyanya kana kuti zvichidzoka mushure mekunge wabatwa, chiremba wako anogona kuita bvunzo inonzi yepamusoro endoscopy (EGD).

• Uku ndiko kuyedza kuongorora kumucheto kwegurokuro, mudumbu, uye chikamu chekutanga chemukati mudumbu.
• Inoitwa nekadiki kamera (inoshanduka endoscope) inoiswa pasi nehuro.

Iwe unogona zvakare kuda imwe kana yakawanda yemiedzo inotevera:

• Chiyero chinoyera kuti kangani dumbu asidhi inopinda muhubhu inotungamira kubva pamuromo kuenda mudumbu (inonzi esophagus)
• Chiyero chekuyera kumanikidza mukati mezasi chikamu cheesophagus (esophageal manometry)

A yakanaka stool yemashiripiti yeropa bvunzo inogona kuongorora kubuda kweropa kuri kuuya kubva mukutsamwa mudumbu, mudumbu, kana ura.

Iwe unogona kuita akawanda marongero ehupenyu kubatsira kubata zviratidzo zvako.

Mamwe matipi anosanganisira:

• Kana iwe uri kufutisa kana kufutisa, mune dzakawanda zviitiko, kurasikirwa uremu kunogona kubatsira.
• Simudza musoro wemubhedha kana zviratidzo zvako zvichawedzera husiku.
  
• Ita chisvusvuro chako maawa maviri kana matatu usati warara.
  
• Dzivisa zvinodhaka zvakadai saaspirin, ibuprofen (Advil, Motrin), kana naproxen (Aleve, Naprosyn). Tora acetaminophen (Tylenol) kubvisa marwadzo.
• Tora mishonga yako yese nemvura yakawanda. Kana mupi wako achikupa mushonga mutsva, bvunza kana uchiita kuti chirungurira chako chiwedzere.

Iwe unogona kushandisa pamusoro-pe-counter antacids mushure mekudya uye panguva yekurara, kunyange zororo risingagare kwenguva refu. Zvakajairika mhedzisiro yemishonga inorwisa mabhakitiriya inosanganisira manyoka kana kupatira.

Mimwezve pamusoro pe-iyo-counter uye mishonga yemishonga inogona kubata GERD. Vanoshanda zvishoma zvishoma kupfuura maantacids, asi vanokupa kurerukirwa kwenguva yakareba. Wemishonga wako, chiremba, kana mukoti anogona kukuudza maitirwo emishonga iyi.

• Proton pump inhibitors (PPIs) inoderedza huwandu hweasidhi inogadzirwa mudumbu rako.
• H2 blockers inoderedzawo huwandu hwesidhi yakaburitswa mudumbu.

Anti-reflux kuvhiyiwa inogona kuve sarudzo kune vanhu vane zviratidzo zvisingaendi nekuchinja kwehupenyu nemishonga. Kushungurudza uye zvimwe zviratidzo zvinofanirwa kuvandudza mushure mekuvhiyiwa. Asi iwe unogona kunge uchiri kuda kutora mishonga yekurwadziwa nehana yako.

Kune mamwe marapirwo matsva e Reflux anogona kuitwa kuburikidza ne endoscope (inochinjika chubhu inopfuura nemumuromo mudumbu).

Vanhu vazhinji vanopindura shanduko yemararamiro uye mishonga. Nekudaro, vanhu vazhinji vanofanirwa kuenderera mberi nekutora mishonga kudzora zviratidzo zvavo.

Zvinetso zvinogona kusanganisira:

• Kuwedzera kweasima
• Shanduko mumutsara weiyo esophagus iyo inogona kuwedzera njodzi yekenza (Barrett esophagus)
• Bronchospasm (kutsamwa uye kupaza kwemhepo nekuda kweacid)
• Yenguva refu (isingaperi) chikosoro kana hoarseness
• Matambudziko emazino
• Chironda mugurokuro
• Kuomarara (kudzikira kwesopu nekuda kwekushaiwa)

Fonera mupiki wako kana zviratidzo zvikasavandudzika nemararamiro ekuchinja kana mushonga.

Zvakare fona kana iwe uine:

• Kubuda ropa
• Kudzipwa (kukosora, kufema kwekufema)
• Kunzwa kuzadzwa nekukurumidza kana uchidya
• Kakawanda kurutsa
• Kuchema
• Kupererwa nechido
• Dambudziko kumedza (dysphagia) kana kurwadziwa nekumedza (odynophagia)
• Kuonda
• Kunzwa kunge chikafu kana mapiritsi ari kunamira kuseri kwezamu repfupa
  

Kudzivisa zvinhu zvinokonzeresa kutsamwa kunogona kubatsira kudzivirira zviratidzo. Kufutisa kwakabatana neGERD. Kuchengeta huremu hwemuviri hwakanaka kunogona kubatsira kudzivirira mamiriro acho.

Peptic esophagitis; Reflux esophagitis; GERD; Kusungirwa - kusingaperi; Dyspepsia - GERD

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

• Kugaya chirongwa
• Gastroesophageal Reflux chirwere
• Gastroesophageal Reflux - akateedzana

Abdul-Hussein M, Castell DO. Gastroesophageal Reflux chirwere (GERD). Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2020. Philadelphia, PA: Elsevier 2020: 219-222.

ASGE Maitiro eMatare Ekuita, Muthusamy VR, Lightdale JR, et al. Basa re endoscopy mukutungamira kweGERD. Gastrointest Endosc. 2015; 81 (6): 1305-1310. PMID: 25863867 www.ncbi.nlm.nih.gov/pubmed/25863867.

Falk GW, Katzka DA. Zvirwere zvegurokuro. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 129.

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.

National Institute of Chirwere cheshuga uye Digestive uye Kidney Zvirwere webhusaiti. Acid Reflux (GER & GERD) muvakuru. www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/all-content. Yakagadziridzwa Mbudzi 2015. Yakasvika muna Kukadzi 26, 2020.

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.