Kushungurudza

Kushungurudzika kwepfungwa kunorwadza kupisa kunzwa pazasi kana kuseri kwebhonzo rechipfuva. Kazhinji yenguva, inouya ichibva kugurokuro. Marwadzo anowanzokwira mubhokisi rako kubva mudumbu rako. Inogona zvakare kupararira kumutsipa wako kana pahuro.

Anenge munhu wese ane chirungurira dzimwe nguva. Kana iwe uine chirungurira kazhinji, iwe unogona kunge uine gastroesophageal Reflux chirwere (GERD).

Kazhinji kana chikafu kana mvura inopinda mudumbu mako, bhandi remhasuru kumucheto wepazasi kwesophagus yako inovhara iyo esophagus. Iri bhendi rinonzi rezasi esophageal sphincter (LES). Kana bhendi iri risingavhare zvakaringana, chikafu kana mudumbu asidhi inogona kusimudza (reflux) kupinda mudumbu. Izvo zvemukati zvemukati zvinogona kutsamwisa iyo esophagus uye zvichikonzera kuora moyo uye zvimwe zviratidzo.

Kushungurudza kwepamoyo kunonyanya kuitika kana iwe uine hernia inobereka. Hernia yekubereka mamiriro ezvinhu anoitika kana chikamu chepamusoro chedumbu chikavira mukati mechipfuva. Izvi zvinoderedza iyo LES kuitira kuti zvive nyore kuti asidhi isimuke kubva mudumbu ichipinda mudumbu.

Kubata uye mishonga yakawanda inogona kuunza chirungurira kana kuita kuti zviwedzere.

Mishonga inogona kukonzera chirungurira inosanganisira:

• Anticholinergics (inoshandiswa kurwara kwegungwa)
• Beta-blockers yeakakwira BP kana chirwere chemwoyo
• Calcium chiteshi ichivharira BP
• Dopamine-senge zvinodhaka zvePasinson chirwere
• Progestin yekushomeka kwekuenda kumwedzi kubuda ropa kana kuberekwa
• Nzira dzekuzvidya mwoyo kana matambudziko ekurara (kushaya hope)
• Theophylline (yeasthma kana zvimwe zvirwere zvemapapu)
• Tricyclic antidepressants

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

Iwe unofanirwa kubata chirungurira nekuti Reflux inogona kukuvadza lining yegurokuro rako. Izvi zvinogona kukonzera matambudziko akakomba nekufamba kwenguva. Kuchinja tsika dzako kunogona kubatsira mukudzivirira kupisa kwehana uye zvimwe zviratidzo zveGERD.

Aya anotevera matipi anobatsira iwe kudzivirira kupisa pamoyo uye zvimwe zviratidzo zveGERD. Taura nemupi wako kana iwe uchiri kunetswa nekurwadzisa mushure mekuyedza nhanho idzi.

Kutanga, dzivisa chikafu uye zvinwiwa izvo zvinogona kukonzeresa reflux, senge:

• Doro
• Caffeine
• Zvinwiwa zvine kabhoni
• Chokoreti
• Citrus michero uye majisi
• Peppermint uye spearmint
• Zvine zvinonhuwirira kana zvine mafuta chikafu, chakazara-mafuta mafuta zvigadzirwa
• Madomasi nemadomasi sauces

Tevere, edza kuchinja tsika dzako dzekudya:

• Dzivisa kukotama kana kurovedza muviri uchangobva kudya.
• Dzivisa kudya mukati memaawa matatu kusvika mana ekurara. Kurara pasi nedumbu rizere kunokonzera kuti mudumbu zvirimo zvimanikidze zvakanyanya kurwisa ezasi esophageal sphincter (LES). Izvi zvinobvumira reflux kuitika.
• Idya zvidiki zvidiki.

Ita mamwe mararamire shanduko pazvinodiwa:

• Dzivisa mabhandi akasunga-kusunga kana zvipfeko zvinokachidza muchiuno. Izvi zvinhu zvinogona kusvina mudumbu, uye zvinogona kumanikidza chikafu kuti chiwedzere.
• Deredza uremu kana iwe uri kufuta. Kufutisa kunowedzera kumanikidza mudumbu. Iko kumanikidza kunogona kusundira zviri mudumbu mukati medu. Mune zvimwe zviitiko, zviratidzo zveGERD zvinoenda mushure mekunge munhu akafutisa aburitsa mapaundi gumi kusvika gumi nemashanu (4.5 kusvika 6.75 kilograms).
• Kurara nemusoro wako wakasimudzwa anenge matanhatu inches (15 masentimita). Kurara nemusoro wakakwira kupfuura mudumbu kunobatsira kudzivirira chikafu chakagayiwa kubva pakutsigira kumusoro. Isa mabhuku, zvidhinha, kana zvidhinha pasi pemakumbo kumusoro kwemubhedha wako. Iwe unogona zvakare kushandisa wedge-yakaita mutsago pasi pemetiresi yako. Kurara pamamwe mapiro hakUSHANDI mushe pakuderedza chirungurira nekuti unogona kutsvedza pamutsago panguva yehusiku.
• Rega kusvuta kana kushandisa fodya. Makemikari muutsi hwefodya kana zvigadzirwa zvefodya zvinoderedza iyo LES.
• Deredza kushushikana. Edza yoga, tai chi, kana kufungisisa kuti ubatsire kuzorora.

Kana iwe usati uine zororo kuzere, edza kupfuura-the-counter mishonga:

• Antacids, saMaalox, Mylanta, kana Tums anobatsira kudzikamisa dumbu asidi.
• H2 blockers, sePepcid AC, Tagamet HB, Axid AR, uye Zantac, inoderedza kugadzirwa kwemudumbu asidi.
• Proton pump inhibitors, saPrilosec OTC, Prevacid 24 HR, uye Nexium 24 HR inomira ingangoita ese mudumbu kugadzirwa kweasidhi.

Wana kurapwa kwekukurumidza kana:

• Unorutsa zvinhu zvine ropa kana zvinoita kunge kofi nzvimbo.
• Zvigaro zvako zvakasviba (kunge tara) kana maroon.
• Iwe une kunzwa kupisa uye kusvina, kupwanya, kana kumanikidza muchipfuva chako. Dzimwe nguva vanhu vanofunga kuti vane chirungurira vane chirwere chemwoyo.

Fonera mupiki wako kana:

• Iwe une chirungurira kazhinji kana kuti hachiendi mushure memavhiki mashoma ekuzvitarisira.
• Unorasikirwa nehuremu hwawanga usingade kudzikira.
• Iwe une dambudziko kumedza (chikafu chinonzwa chakanamatira sezvachinodzika).
• Iwe une chikosoro kana kufema kusingaendi.
• Zviratidzo zvako zvinowedzera zvakanyanya nemaantacids, H2 blockers, kana mamwe marapirwo.
• Iwe unofunga mumwe wemishonga yako inogona kunge ichikonzera chirungurira. Usachinje kana kurega kutora mushonga wako wega.

Kushungurudza kwepamoyo kuri nyore kuongorora kubva kuzviratidzo zvako muzviitiko zvakawanda. Dzimwe nguva, kuora mwoyo kunogona kuvhiringidzwa neimwe dambudziko remudumbu rinonzi dyspepsia. Kana chirwere ichi chisina kujeka, unogona kutumirwa kuna chiremba anonzi gastroenterologist kuti awedzere kuyedzwa.

Kutanga, wako mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezve chako chirungurira, senge:

• Zvakatanga rini?
• Chikamu chimwe nechimwe chinotora nguva yakareba sei?
• Ino inguva yekutanga iwe wave uine chirungurira?
• Chii chaunowanzo dya pakudya kwese? Usati wanzwa kupisa pamoyo, wakambodya chikafu chinonaka kana chine mafuta here?
• Unonwa here kofi yakawanda, zvimwe zvinwiwa zvine caffeine, kana doro? Unoputa here?
• Unopfeka zvipfeko zvinonamira muchipfuva kana mudumbu here?
• Iwe zvakare une marwadzo mubhokisi, shaya, ruoko, kana kumwe kunhu?
• Ndeapi mishonga yauri kutora?
• Wakarutsa ropa here kana nhema zvinhu?
• Une ropa here muzvituru zvako?
• Une nhema here, zvituru zvekugara?
• Pane zvimwe zviratidzo nekurwadzisa kwako here?

Wako mupi anogona kuratidza imwe kana yakawanda yeinotevera bvunzo:

• Esophageal motility kuyera kumanikidza kweLES yako
• Esophagogastroduodenoscopy (yekumusoro endoscopy) kutarisa mukati mekunze kwesophagus yako uye mudumbu
• Kumusoro GI akateedzana (anowanzoitirwa kumedza matambudziko)

Kana zviratidzo zvako zvikasava nani nekuchengetwa kwemusha, ungangoda kutora mushonga kuti udzikise asidhi ine simba kupfuura mishonga yemutengesi. Chero chiratidzo chekubuda ropa chinoda kumwe kuyedzwa uye kurapwa.

Pyrosis; GERD (gastroesophageal Reflux chirwere); Esophagitis

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

• Kugaya chirongwa
• Hiatal hernia - x-ray
• Hiatal hernia
• Gastroesophageal Reflux chirwere

Devault KR. Zviratidzo zve esophageal 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.

Mayer EA. Kushanda kwepamuviri kunetsekana: inokanganisa bowel syndrome, dyspepsia, kurwadziwa pachipfuva kwekufungidzirwa kwekutanga esophageal mavambo, nekurwadziwa nehefa. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 137.