Matenda a Reflux Atsitsimutsa | Kupewa zaumoyo

Ambiri awona chithunzicho kale: munthu yemwe akuwoneka akulavulira moto, ndipo pambali pake pamutu wakuti "Kutentha kwa mtima". Ichi ndi chithunzi chopotoka, chifukwa kutentha kwa mpweya, ngakhale kutchulidwa dzina, kulibe kanthu kochita ndi moto kapena malawi. M'malo mwake, pali chisokonezo cha mucous membranes mu mimba pambuyo pake - kumverera kosasangalatsa.

Kuwotcha - Kuopsa mu chifuwa (matenda a reflux)

Pafupifupi munthu aliyense amakumana ndi izi nthawi zina. Malingana ngati zizindikiro zimatha pokhapokha patatha maola angapo kapena pakapita masiku amodzi kapena awiri, palibe chodetsa nkhawa. Pafupifupi 10 mpaka 15 peresenti ya anthu omwe amalephereka kuima pamoto, komabe.

Matenda opweteka kapena m'mimba
Sodbrennen – Refluxkrankheit

Mwa iwo, mucosa ndi wokwiya kwambiri moti imatha. Matenda omwe amatchedwa reflux, omwe amachokera kutero, ayenera kuchitidwa. Ngakhale kuti kupsinjika kwa mtima kumakhala kosalephereka nthawi zonse: m'kati mwa matendawa, popanda mankhwala oyenera, mavuto aakulu azaumoyo - kuphatikizapo khansara - amaopseza.

Mayankho otsatirawa ku mafunso ofunika kwambiri okhudza kutentha kwa mtima amathandiza kupeŵa zoipa.

Kodi kuvutika kumabweretsa bwanji?

Muzu wa choipa ndi madzi a m'mimba. Zimathandiza kuti musadye chakudya komanso "kuzimeza" mwa kugawaniza azungu azungu. Amakwaniritsa ntchitoyi mothandizidwa ndi ma enzyme (pepsin) ndipo_izo zimamveka zachilendo poyamba - gawo la hydrochloric acid.

Hydrochloric acid mu thupi lathu? Kodi sizowopsya? Osati malingana ngati msuzi wa m'mimba ulibe kumene uli - mmimba. Ngakhale pH yochuluka kwambiri ya 1 mpaka 3 - yomwe imakhala yochuluka kwambiri kuposa vinyo wosasa - chimbudzi chamadzi sichivulaza pamenepo. Chifukwa cha mapangidwe awo apadera, makoma apakatikati a m'mimba amalekerera mosavuta chilengedwe ichi chowononga.

Kawirikawiri, sphincter imasintha kusintha pakati pa mimba ndi m'mimba mwamphamvu kotero kuti palibe asidi omwe amapulumuka kupyola kumtunda kwa m'mimba. Koma ntchito ya minofu iyi ikhoza kusokonezeka chifukwa cha zifukwa zosiyanasiyana (onani funso lotsatira). Chotsatira chake, m'mimba muli mkati mwake ndipo imakwiyitsa mucosa. Izi zimawonekera ngati kupsa mtima.

Chifukwa chiyani mimba sichiyandikira?

Sphincter, yomwe imatchedwanso "sphincter", yomwe imasindikiza kulowa mmimba, ikhoza kugwa chifukwa cha zifukwa zosiyanasiyana. Choyamba, sizodziwika kuti ndikukalamba, chifukwa chake kupuma kwayamba kumachokera ku 50. Zaka zimachitika mochuluka kwambiri. Izi nthawi zambiri zimachitika usiku, chifukwa sphincter pakati pa mimba ndi m'mimba zimagona kwambiri pamene agona. Kuonjezera apo, reflux ya chapamimba zakuthupi imayamikiridwa pokhala pansi.

Nthawi zina, kupweteka kwa diaphragmatic kumabweretsa kusamuka kwa mimba m'mimba. Mthempha imatha kutayika, ndipo sphincter sichithanso kugwira ntchito bwino. Kuphulika kwakukulu kwa diaphragmatic, zomwe zimachokera m'mimba nthawi zina zimatuluka mkati.

Kodi zizindikiro zake ndi ziti?

Chizindikiro choyambirira cha kupweteka kwa mtima ndi kupweteka ndi kupsa kowawa pamimba pamtunda. Nthawi zina ululu umatuluka kumbuyo kwa bere. Kuwongolera kapena kumwa kumapangitsa kuti musamve bwino. Koma kumverera uku sikuyenera. Nthaŵi zina, reflux ya chapamimba cha asidi m'khosi kumayambiriro sizimayambitsa zizindikiro zilizonse - izi ndizochinyengo kwambiri. Ngati zizindikiro zikuwoneka pambuyo pake, matendawa akhoza kukhala pamsinkhu wopititsa patsogolo, zomwe zimapangitsa kuti mankhwalawa akhale ovuta.

Kodi zizindikiro zamatsenga ndi ziti?

Gastric asidi m'mimba nthawi zina amachititsa zizindikiro kuti wodwala kapena dokotala sagwirizana ndi kupweteka kwa mtima. Makamaka achinyamata amakonda kudandaula za kupweteka kwa chifuwa chachikulu. Ngati madokotala atayesetsa kuthetsa vuto la mtima, vuto limakhala lopweteketsa mtima.

Asidi pammero angathenso kutulutsa chifuwa chosasunthika, chomwe madokotala amayamba kutanthauzira monga chiwonongeko cha zizindikiro za chimfine kapena chimfine. Nthawi zina odwala amawauza kuti thupi lachilendo limatuluka m'kamwa.

Ndidzapita liti kwa dokotala?

Kuwombera ndi kupsa pakhosi nthawi zonse si chifukwa chodetsa nkhaŵa. Ndi zodandaula zazing'ono palibe amene ayenera kupita kwa dokotala. Mwinamwake panali khofi wochuluka kwambiri, kapena chakudya cholemera, mafuta olemera kwambiri. Zakudya zoterozo, m'mimba zimapanga asidi ambiri. Kumverera kosasangalatsa pammero nthawi zambiri kumapita paokha. Komabe, ngati zizindikiro zimachitika kawirikawiri - kangapo pamlungu - odwala ayenera kufunsa dokotala. Wina amene amadwala kangapo patsiku kwa milungu iwiri kapena itatu adzalimbikitsa kuganiza kuti aone ngati ali ndi vutoli.

Kodi mankhwala akuwoneka bwanji?

Poyamba, pali ndondomeko ya zizoloŵezi. Kodi kulemera kwa thupi kuli koyenera? Kodi ndikuyenda mokwanira? Kunenepa kwambiri ndi ulesi kungapangitse kukhumudwa. Komanso samalani mukamamwa vinyo woyera, maswiti ndi mafuta. Ngati mukukayikira ndi bwino kuchita popanda izo. N'chimodzimodzi ndi khofi, tiyi wakuda ndi zakumwa za carbonated. Kusuta kuli koopsa chifukwa chikonga chimachepetsa kuperewera komwe kumalowetsa m'mimba asidi. Ngakhale kusintha miyambo kungathandize, nthawi zambiri sikokwanira. Pazochitika zoterozo, palinso mankhwala osokoneza bongo angapo.

Pa matenda ofooka, mankhwala omwe amamanga asidi amapezeka (zowonjezera zowonjezera: hydrotalcite, Algeldrat, magaldrate, sodium aluminium carbonate) komanso calcium ndi magnesium carbonate. Kukonzekera komwe kuli ndi ranitidine kapena famotidine kumaletsa mapangidwe a chapamimba asidi. Ngati matenda a m'mimba ndi omwe amachititsa, mankhwala a zitsamba omwe amachokera ku peppermint, caraway, gentian ndi maluwa okoma a candida. Milandu yoopsa madokotala amapereka mankhwala kuchokera ku kalasi ya proton pump inhibitors. Amaletsa kupangidwe kwa asidi mogwira mtima, koma samagwira ntchito mwamsanga.

Mankhwala amachititsa kuti ayambe kumwa mankhwalawa?

Ena amachititsa kuti mitsempha ya sphincter ikhale yotsegula m'mimba, ndikuthandizira kukonda zakudya zamkati m'mimba. Izi zikuphatikizapo mankhwala aphma, mtima ndi magazi. Komanso, zina zotsekemera za calcium ndi zowonongeka zingakhale ndi zotsatira zoipa. Komabe, odwala sayenera kuchita popanda mankhwala awo - zomwe zingakhale zowopsya. Anthu omwe amavutika ndi kutentha kwa mtima ayenera kuyamba kukambirana ndi dokotala wawo.

Kodi opaleshoni imathandiza?

Ngati munthu wodwala kupweteka mtima sakufuna kumwa mankhwala aliwonse, ngati sakuwalolera kapena ngati alibe mphamvu, madokotala akhoza kuthandiza ndi opaleshoni. Kuchita koteroko kumatchedwa "fundoplication". Ochita opaleshoni ochokera minofu m'mimba mwawo amapanga chitoliro, chimene amaika kuzungulira kusintha kuchokera m'mimba mpaka kumimba. Zotsatirazi zimapangitsa kuti leaky sphincter izigwiranso ntchito bwino. Odwala ambiri amakhala osavuta pambuyo pa opaleshoni. Kuwonjezera pa zovuta zomwe zimatha kutsata opaleshoni iliyonse (matenda, machiritso osavulaza), njirayi ndi yotetezeka (ngati inachitidwa ndi dokotala wodziwa bwino).

Kodi chiopsezo cha khansa ndi chachikulu motani?

Pafupifupi 10 peresenti ya anthu omwe ali ndi matenda a reflux, pali kusintha kwa mucosal m'mimba. Awa ndi otsogolera khansa, madokotala akulankhula za "Matenda a Barrett". Ambiri mwa odwalawa amakhudzidwa, omwe matenda a reflux afika mofulumira kwambiri kapena sanaoneke. Ngakhale pakadali pano, madokotala amatha kuchira bwino - malinga ngati wodwalayo akufotokozera nthawi yake ndi zodandaula zake.

Izi siziri choncho nthawi zonse, choncho nthawi zina khansa yowona imayamba kuchokera ku precancer. Kawirikawiri kuchulukana kotereku kumakhalabe komweko. Mukapeza oyambirira, madokotala opaleshoni nthawi zambiri amatha kuchotsa maselo a khansa pogwiritsa ntchito njira zosakanikirana. Ndikofunika kuyang'anitsitsa momwe mliriri wa odwalawo atatha mutatha kulowerera. Ngati zinthu zikuwayendera bwino, mavuto aakulu ndi osowa.

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