Kushungurudza uye GERD: Maitiro ekurapa kusvotwa uye mudumbu
Dzidzo yehutanoKana iwe uchimbonzwa kunzwa kutsva kunokwira kubva mudumbu rako kupinda muchipfuva chako nehuro mushure mekudya, hausi wega. Vanopfuura mamirioni makumi matanhatu emaAmerican vanowana kusagadzikana kwekurwadziwa kwepfungwa kamwe chete pamwedzi, zvinoenderana kuAmerican College yeGastroenterology.
Isu takagadzira iri gwaro rekubatsira zvirinani kuti unzwisise kuti chii chirungurira, uye zvakanyanya kukosha, kuti ungachigadzirisa sei. Nhau dzakanaka ndedzekuti, pane zvakawanda zviripo zvekurapa sarudzo dzinowanikwa kubatsira kubatsira kudzivirira uye kupisa kupisa uye kusagadzikana. Zvingave zviri kushandisa pamusoro-pe-counter kana mishonga yemishonga, kana kuita mashoma marongero ehupenyu, takufukidzira.
Chii chinonzi chirungurira?
Kushungurudza, kana gastroesophageal reflux, kunoitika kana yakawandisa muyero weasidhi Reflux (verenga: dzokera kumashure) kupinda esophagus, tsandanyama chubhu inobatanidza dumbu nehuro. Izvi zvinowanzoitika kana mhasuru diki iri pakati peyopu nedumbu inotanga kuzorora, ichibvumira mudumbu asidhi kutamira kumusoro.
Chii chinonzi chirungurira chinonzwa?
Zviratidzo zvakajairika zvekurwadziwa kwepamoyo zvinotsanangurwa sekunzwa kwekurwadziwa kupisa kana kusagadzikana kunokwira kubva pachipfuva kuenda kumutsipa nehuro. Mune zvimwe zviitiko, vanhu vanoona kuravira kunovava kana kuvava kumashure kwehuro. Kunyangwe iri zita, haina kana chekuita nemoyo wako. Panzvimbo pezvo ndiko kunzwa kweasidhi inoshatisa matishu ako.
Chii chinokonzera chirungurira?
Zvakajairika kuona kurwadziwa kwehana mushure mekudya chikafu chakakura, kunyanya chakakwira mumafuta. Iko kumanikidza kwemukati kunokonzerwa nedumbu rakazara kunogona kumanikidza asidhi kupinda mudumbu, izvo zvinogona kukonzera zviratidzo. Kuve nekufuta zvakanyanya kunogona kuwedzera kumanikidza uku uye kuita kuti chirungurira chiwedzere. Kudya kwemafuta uye kudya zvakanyanya kunogona kunonoka kugaya, izvo zvinowedzerawo kune acid Reflux.
Kana iwe uri kutanga kunzwa kupisa, kana kuti uchangobva kuve neakakura, chikafu chinogutsa, ungangoda kudzivisa kurara pasi pasofa, futi. Kana isu takamira, giravhiti inoshanda mukuda kwedu kumisa mudumbu acid inokwira kumusoro. Zvisinei, kana iwe ukarara pasi, iwe unowanzoita kuti uwedzere kuora mwoyo sezvo simba rinokwevera risingagoni kumisa asidhi ichiyerera mukati medu.
Kushungurudza here kana chimwewo chinhu?
Anenge munhu wese achasangana nemaronda ekurwadzisa pamoyo pane imwe nguva kana imwe, kunyanya mushure mekudya kudya kukuru, nezviratidzo dzimwe nguva zvinogara kwemaawa mashoma. Nekudaro, vamwe vanhu vanowana chirungurira chisingaperi, nezviratidzo zvichiitika kanopfuura kaviri pasvondo. Mune ino kesi, iwe unogona kuve ne zvakanyanya kuoma mamiriro ekurapa anonzi gastroesophageal Reflux chirwere, kana GERD.
GERD inowanikwa mune vanhu vane isina kusimba tsinga vharuvhu inonzi yepasi esophageal sphincter (LES). Iyo inosununguka kazhinji uye inoita kuti mudumbu asidhi ifambe mudenga.
Zvinofungidzirwa izvozvo makumi maviri% yevagari vemuAmerica vane GERD, ndosaka zvirongwa zvekuzivisa zvakaita seGERD Yekuzivisa Vhiki zvakakosha. Iyo 2019 GERD Yekuzivisa Vhiki yakatanga kubva munaNovember 17-24, saka wedzera rinouya gore kukarenda yako kuti ugare uchigadziriswa.
Ndingaite sei kuti ndibvise chirungurira?
Neraki, pane zvakawanda zvinobudirira zvekurapa zviripo kune vanhu vanorwadziwa nekurwadziwa nepfungwa. Vanhu vazhinji vanowana zororo nezvose zviri zviviri kunyorerwa uye nemishonga inopfuura-the-counter, mashoma mararamiro anochinja, pamwe nehumwe mishonga yekurapa neyekumba.
Yakakurumbira pamusoro-pe-counter mishonga yekurwadziwa nehana inosanganisira maantacids, seTum kana maRolaid, ayo anoshanda kudzikamisa dumbu acid uye acid indigestion. Vamwe vanhu vanosarudza acid blockers, iyo inoderedza iyo chaiyo huwandu hwedumbu acid inogadzirwa. Izvi zvinosanganisira Axid AR, Pepcid AC, Prilosec OTC, uye Tagamet HB.
RELATED : Prevacid vs Prilosec
Kana chirungurira chako chiri chenguva dzose kana chakakomba zvakadaro, uye sarudzo-pamusoro-pekutengesa hadzisi kushanda, ungangoda mishonga yemishonga. Aya anowanzo kuve akasimba mavhezheni eanopfuura-the-counter mabhii sarudzo, pamwe neproton pump inhibitor (PPI) zvinodhaka zvinosanganisira Prevacid neNexium.
Imwe shanduko yemararamiro iyo vanhu vazhinji vanotaura seyakanaka pakuderedza kuzvidya moyo kwavo uye nekurwadziwa pamoyo ndeyekudzidzira chete kudya kusvikira wazara.
Ipfungwa zvakare yakanaka kuziva kuti ndezvipi zvekudya zvinokonzeresa chirungurira uye kuzvidzivirira pazvinogoneka. Chikafu chinozivikanwa nekukonzeresa kurwadza pamoyo chinosanganisira kofi, doro, zvinwiwa, zvinwiwa zvinwiwa, matomatisi, chokoreti, pepuru, hanyanisi, uye chero chikafu chine mafuta.
Izvo zvinogona zvakare kubatsira kudzivirira kuradzika pasi kwechinguva mushure mekudya chikafu chako uye pachinzvimbo kusarudza kuenda kunofamba. Izvi zvinobatsira kugaya uye zvinobatsira giravhiti kuti zvishande mukuda kwako.
Ndeupi mushonga wepamusoro wekurwadziwa pahutsi?
Tarisa uone yedu yekukurumidza-chirevo chati.
| Mushonga wekushungurudza mushonga | ||||
|---|---|---|---|---|
| Zita remishonga | Kirasi yemishonga | Over-the-counter kana mushonga | Mafomu | Inoshanda sei |
| Matum (calcium carbonate) | Antacid | OTC | Piritsi, chebhebhe, kuturika | Neutralizes mudumbu acid |
| Rolaids (calcium carbonate uye magnesium hydroxide) | Antacid | OTC | Piritsi inotsemuka, piritsi, lozenge | Neutralizes mudumbu acid |
| Maalox (aluminium hydroxide, magnesium hydroxide, uye simethicone) | Antacid | OTC | Piritsi inotsemuka, mvura | Neutralizes mudumbu acid |
| Emetrol (phosphorated makabhohaidhiretsi) | Antiemetic | OTC | Liquid | Kunoderedza kudzvinyirira mudumbu |
| Pepto Bismol (bismuth subsalicylate) | Antacid, antidiarrhea | OTC | Piritsi inotsemuka, kuturika | Inodzivirira esophagus kubva kuacid |
| Axid (nizatidine) | H2 (histamine-2) ichivharira | Rx uye OTC | Mahwendefa, capsules | Inodzivirira kugadzirwa kwedumbu acid |
| Pepcid (famotidine) | H2 (histamine-2) ichivharira | Rx uye OTC | Hwendefa | Inodzivirira kugadzirwa kwedumbu acid |
| Tagamet (cimetidine) | H2 (histamine-2) ichivharira | Rx uye OTC | Hwendefa | Inodzivirira kugadzirwa kwedumbu acid |
| Prevacid (lansoprazole) | Proton pump inhibitors (PPIs) | Rx uye OTC | Kunonoka-kuburitsa kapsule | Inodzivirira kugadzirwa kwedumbu acid |
| Nexium (esomeprazole magnesium) | Proton pump inhibitors (PPIs) | Rx uye OTC | Kunonoka-kuburitsa kapsule | Inodzivirira kugadzirwa kwedumbu acid |
| Prilosec (omeprazole) | Proton pump inhibitors (PPIs) | Rx uye OTC | Kunonoka-kuburitsa kapsule | Inodzivirira kugadzirwa kwedumbu acid |
Rolaids vs Matumamu
MaRolaid neTumamu ndiwo maviri eanonyanya kuzivikanwa ma-antacid anowanikwa kurapa kuzvimba uye nekurwadziwa nechirungurira. Ivo vanoshanda nekukanganisa uye nekudzikisira mhedzisiro yedumbu asidhi iyo inokwira kumusoro iyo esophagus.
Saka vakasiyana sei? Chinhu chinoshanda muTums ndeye calcium calcium carbonate chete, nepo maRolaid musanganiswa wecalcium carbonate uye magnesium hydroxide. Ose ari maviri makuru sarudzo dzekupfava kwechirungurira uye kutorwa pane zvinodiwa.
Kunyangwe vachifungidzirwa kuve vakachengeteka zvakanyanya, vanogovana mhedzisiro sanganisira kudzimbirwa, muromo wakaoma, kuravira kwesimbi mumuromo, kuwedzerwa weti, uye kurwadziwa nemudumbu. Nekuda kweiyo magnesium hydroxide muRolaids, kune zvekare yakawedzera mhedzisiro mhedzisiro yemanyoka.
Chii chakaitika kuna Mylanta?
Kwemakore mazhinji, kunyanya muma1990, Mylanta yaive chigadzirwa chakakurumbira chinoshandiswa kudzikisira zviratidzo zvekurwadziwa nechirwere chemoyo. Nekudaro, muna2010, iyo over-the-counter antacid yakayeukwa nekuzvidira nekuda kwekuratidzwa kwedoro mukugadzirwa.
Sekureva kwemugadziri, Johnson & Johnson, chigadzirwa chakarangarirwa kuti chigone kudzoreredzwa nekururamisa zvirinani, kwete nekuda kwechero njodzi yekunwa doro kana mhedzisiro.
Muna 2016 Mylanta yakadzorerwa zvakare kumusika uye ikanzi yakachengeteka kushandisa seantacid.
Zvinogona kuitika mhedzisiro yekurwadziwa kwepfungwa
Sezvo nemishonga yese, panogara paine njodzi yemimwe mhedzisiro. Izvi, hongu, zvinosanganisira chirungurira uye mushonga wekugaya.
Mimwe mhedzisiro vanhu vanotaura pavanotora antacid uye acid blocker (inozivikanwawo seproton pombi inhibitors kana PPIs) mishonga yekurwadziwa nehana uye GERD inosanganisira:
- Manyoka
- Kuzvimbirwa
- Kufufutirwa (gasi)
- Dumbu uye kurutsa
- Kutemwa nemusoro
- Kupindwa nechando
Usati watanga chero mushonga mutsva, zvinogara zvakakosha kuti ubvunze chiremba wako kana gastroenterologist uye uburitse chero mimwe mishonga yauri kutora parizvino, sezvo paine njodzi nguva dzose yekuti mimwe mishonga ine kusangana kwakashata kana ikatorwa pamwechete.
Kushungurudza panguva yekuzvitakura
Kushungurudza panguva nhumbu inonyanya kufarirwa, sezvo kuwedzerwa kugadzirwa kwehomoni progesterone kunogona kukonzera vharuvhu inoparadzanisa dumbu kubva pagurokuyiwa.
Izvo zvinowanzoitika mukati memutatu wetatu wepamuviri apo mwana ari kukura uye chibereko akaisa akawedzera emukati kumanikidza padumbu, achisundira mudumbu acid kumusoro.
Unogona kudzivirira kuora mwoyo panguva yekuzvitakura nekudya zvishoma zvidiki masikati pane kudya kushoma, kudya kukuru, kumirira kweawa - kana zvakadaro - mushure mekudya usati warara, uye kudzivirira chikafu chinokonzeresa chine zvinonhuhwirira, zvine mafuta mazhinji, uye zvine mafuta.
Mazhinji epamusoro-e-pikisheni antacid mishonga akachengeteka kushandisa panguva yekuzvitakura, asi zvinogara zvakanaka kutaura nemupi wako wezvehutano uye kuverenga chinyorwa usati watanga chero mushonga kana kurapwa panguva yepamuviri.
