Kutentha pa chifuwa ndi GERD: Momwe mungachiritse nseru ndi m'mimba
Maphunziro a ZaumoyoNgati mumamverera kutentha kuchokera m'mimba mwanu kupita pachifuwa ndi pakhosi mutatha kudya, simuli nokha. Anthu aku America opitilira 60 miliyoni amakumana ndi vuto la kutentha pa chifuwa kamodzi pamwezi, malinga kupita ku American College of Gastroenterology.
Tidapanga bukuli kuti likuthandizeni kumvetsetsa kutentha kwa chifuwa, ndipo koposa zonse, momwe mungathetsere. Nkhani yabwino ndiyakuti, pali njira zambiri zamankhwala zothandiza kuti muchepetse kutentha ndi kusapeza bwino. Kaya mukugwiritsa ntchito mankhwala owonjezera pa mankhwala kapena akuchipatala, kapena kusintha zina ndi zina pamoyo wanu, takufotokozerani.
Kodi kutentha pa chifuwa ndi chiyani?
Kutentha pa chifuwa, kapena gastroesophageal reflux, kumachitika asidi wochuluka wa reflux (werengani: bwererani cham'mbuyo) mum'mero, chubu champhamvu cholumikizira m'mimba mpaka pakhosi. Izi zimachitika nthawi zambiri kamphindi kakang'ono pakati pam'mimba ndi m'mimba kamayamba kupumula, kulola asidi wam'mimba kuti asamuke.
Kodi kutentha pa chifuwa kumamva bwanji?
Zizindikiro zodziwika za kutentha pa chifuwa zimafotokozedwa ngati kumva kupweteka kapena kupweteka komwe kumachokera pachifuwa kupita pakhosi ndi kukhosi. Nthawi zina, anthu amamva kulawa kowawa kapena kowawa kumbuyo kwawo. Ngakhale dzinalo, silikugwirizana ndi mtima wanu. M'malo mwake ndikumverera kwa asidi komwe kumakwiyitsa minofu yanu.
Nchiyani chimayambitsa kutentha pa chifuwa?
Zimakhala zachizolowezi kumva kutentha pamtima mukadya chakudya chambiri, makamaka mafuta ambiri. Kupsyinjika kwamkati komwe kumachitika chifukwa chokwanira m'mimba kumatha kukakamiza acid mummero, zomwe zimatha kuyambitsa zizindikilo. Kulemera kwambiri kumatha kukulitsa kupsinjika uku ndikupangitsa kutentha kwa chifuwa kwambiri. Zakudya zamafuta komanso kudya mopambanitsa kumachedwetsa kugaya chakudya, zomwe zimathandizanso ku asidi reflux.
Ngati mukuyamba kumva kutentha, kapena mutangodya chakudya chachikulu, chosangalatsa, mungafunenso kupewa kugona pabedi, inunso. Tikakhala owongoka, mphamvu yokoka imagwira ntchito m'malo mwathu kuyimitsa asidi m'mimba kupita mmwamba. Komabe, ngati mugona pansi, mumakhala ndi vuto la kutentha pa chifuwa pamene mphamvu yokoka singaletse asidi kulowa mummero mwanu.
Kodi ndikutuluka kwamtima kapena zina?
Pafupifupi aliyense amakumana ndi zotupa nthawi ndi nthawi, makamaka atadya chakudya chambiri, ndipo nthawi zina zizindikilo zimatenga maola ochepa. Komabe, anthu ena amakumana ndi kutentha pa chifuwa kosatha, ndipo zizindikilo zimachitika kangapo kawiri pamlungu. Poterepa, mutha kukhala ndi zowopsa kwambiri Matenda omwe amatchedwa gastroesophageal Reflux matenda, kapena GERD.
GERD imapezeka mwa anthu omwe ali ndi valavu yofooka yotchedwa low esophageal sphincter (LES). Amamasuka pafupipafupi ndipo amalola asidi m'mimba kuti asunthe.
Akuyerekeza kuti makumi awiri% mwa anthu aku America ali ndi GERD, ndichifukwa chake njira zodziwitsa anthu monga GERD Awareness Sabata ndizofunikira kwambiri. Sabata Yodziwitsa za GERD ya 2019 idayamba Novembala 17-24, chifukwa chake onjezani chaka chamawa ku kalendala yanu kuti musinthe.
Kodi ndingatani kuti ndichotse kutentha pa chifuwa?
Mwamwayi, pali njira zambiri zothandizira anthu omwe akumva kutentha pa chifuwa. Anthu ambiri amapeza mpumulo ndi mankhwala akuchipatala komanso owagula, kusintha pang'ono kwa moyo wawo, komanso mankhwala ena achilengedwe komanso apanyumba.
Mankhwala odziwika bwino omwe amapezeka pamankhwala opha kutentha pamtima amaphatikizapo ma antacids, monga Tums kapena Rolaids, omwe amagwira ntchito kuti achepetse m'mimba acid ndi asidi kudzimbidwa. Anthu ena amakonda acid blockers, omwe amachepetsa kuchuluka kwa asidi m'mimba omwe amapangidwa. Izi zikuphatikiza Axid AR, Pepcid AC, Prilosec OTC, ndi Tagamet HB.
ZOKHUDZA : Prevacid vs Prilosec
Ngati kutentha kwa mtima kwanu kuli kokhazikika kapena kovuta komabe, komanso zosankha za pa counter sizothandiza, mungafunike mankhwala akuchipatala. Izi ndi mitundu yamphamvu kwambiri yamankhwala, komanso mankhwala a proton pump inhibitor (PPI) kuphatikiza Prevacid ndi Nexium.
Kusintha kwa moyo umodzi komwe anthu ambiri amati kumathandiza kuchepetsa kudzimbidwa ndi kutentha pa chifuwa ndikungodya mpaka kukhuta.
Ndibwinonso kudziwa kuti ndi zakudya ziti zomwe zimayambitsa kutentha kwa mtima ndikuzipewa ngati kuli kotheka. Zakudya zomwe zimadziwika kuti zimayambitsa kutentha kwa mtima zimaphatikizapo khofi, mowa, zakumwa zoziziritsa kukhosi, zakudya zokometsera, tomato, chokoleti, peppermint, anyezi, ndi zakudya zilizonse zamafuta.
Zitha kuthandizanso kupewa kugona pansi kwakanthawi mutadya chakudya ndikusankha kupita kokayenda. Izi zimathandiza kugaya chakudya ndipo zimathandizira mphamvu yokoka kuti ikugwireni ntchito.
Kodi mankhwala abwino kwambiri othandizira kutentha pa chifuwa ndi ati?
Onani tchati yathu yofotokozera mwachangu.
| Mankhwala othandizira kupweteka kwa chifuwa | ||||
|---|---|---|---|---|
| Dzina la mankhwala osokoneza bongo | Gulu la mankhwala osokoneza bongo | Pa-counter kapena mankhwala | Mafomu | Momwe imagwirira ntchito |
| Zisamu (calcium carbonate) | Maantacid | OTC | Piritsi, piritsi, kuyimitsidwa | Imalepheretsa asidi m'mimba |
| Rolaids (calcium carbonate ndi magnesium hydroxide) | Maantacid | OTC | Piritsi losavuta, piritsi, lozenge | Imalepheretsa asidi m'mimba |
| Maalox (aluminium hydroxide, magnesium hydroxide, ndi simethicone) | Maantacid | OTC | Piritsi losavuta, madzi | Imalepheretsa asidi m'mimba |
| Emetrol (ufa wambiri) | Antiemetic | OTC | Zamadzimadzi | Kuchepetsa kuchepa kwa m'mimba |
| Pepto Bismol (bismuth subsalicylate) | Antacid, antidiarrhea | OTC | Piritsi losavuta, kuyimitsidwa | Kuteteza kummero kuchokera ku asidi |
| Axid (nizatidine) | Chotseka cha H2 (histamine-2) | Rx ndi OTC | Mapiritsi, makapisozi | Zimalepheretsa kupanga asidi wam'mimba |
| Pepcid (famotidine) | Chotseka cha H2 (histamine-2) | Rx ndi OTC | Piritsi | Zimalepheretsa kupanga asidi wam'mimba |
| Tagamet (cimetidine) | Chotseka cha H2 (histamine-2) | Rx ndi OTC | Piritsi | Zimalepheretsa kupanga asidi wam'mimba |
| Kuteteza (lansoprazole) | Proton pump inhibitors (PPIs) | Rx ndi OTC | Capsule yotulutsidwa mochedwa | Zimalepheretsa kupanga asidi wam'mimba |
| Nexium (esomeprazole magnesium) | Proton pump inhibitors (PPIs) | Rx ndi OTC | Capsule yotulutsidwa mochedwa | Zimalepheretsa kupanga asidi wam'mimba |
| Prilosec (omeprazole) | Proton pump inhibitors (PPIs) | Rx ndi OTC | Capsule yotulutsidwa mochedwa | Zimalepheretsa kupanga asidi wam'mimba |
Rolaids vs Matamu
Ma Rolaids ndi Matamu ndi awiri mwa ma antiacids odziwika bwino omwe amapezeka kuti athetse vuto la kudzimbidwa ndi kutentha pa chifuwa. Amagwira ntchito pochepetsa komanso kuchepetsa mphamvu zam'mimba zam'mimba zomwe zimakwera kummero.
Ndiye ndi osiyana bwanji? Zomwe zimagwiritsidwa ntchito mu Tums ndizokhazokha za calcium carbonate, pomwe ma Rolaids amaphatikiza calcium carbonate ndi magnesium hydroxide. Zonsezi ndi njira zabwino zopumira kutentha kwam'mimba ndipo zimafunikira.
Ngakhale amawoneka otetezeka kwambiri, amakhala ndi zovuta zofananira kuphatikiza kudzimbidwa, mkamwa wouma, kulawa kwazitsulo mkamwa, kukodza kowonjezereka, ndi kupweteka m'mimba. Chifukwa cha magnesium hydroxide mu Rolaids, palinso zina zomwe zingayambitse matenda otsekula m'mimba.
Kodi chinachitika ndi chiyani ku Mylanta?
Kwa zaka zambiri, makamaka mzaka za m'ma 1990, Mylanta chinali chinthu chodziwika bwino chomwe chimagwiritsidwa ntchito pothana ndi zizungulire. Komabe, mu 2010, anti-anti-anti-anti-anti-anti-antidid adakumbukiridwa mwakufuna kwawo chifukwa chakupezeka kwa mowa munkhondoyi.
Malinga ndi wopanga, Johnson & Johnson, mankhwalawa adakumbukiridwa kuti atha kutumizidwanso molondola, osati chifukwa chowopsa chakumwa mowa kapena zovuta zina.
Mu 2016 Mylanta adabwezeretsedwanso kumsika ndipo adawerengedwa kuti ndi otetezeka ngati mankhwalawa.
Zotsatira zoyipa zamankhwala akumwa kutentha pa chifuwa
Monga mankhwala onse, nthawi zonse pamakhala chiwopsezo cha zovuta zina. Izi, zachidziwikire, zimaphatikizapo kutentha pa chifuwa ndi kudzimbidwa.
Zotsatira zoyipa zomwe anthu amafotokoza akamamwa mankhwala a antacid ndi acid blocker (omwe amadziwikanso kuti proton pump inhibitors kapena PPIs) mankhwala a kutentha pa chifuwa ndi GERD ndi awa:
- Kutsekula m'mimba
- Kudzimbidwa
- Mpweya (mpweya)
- M'mimba ndi kusanza
- Mutu
- Malungo
Musanayambe mankhwala atsopano aliwonse, nthawi zonse kumakhala kofunika kukaonana ndi dokotala kapena gastroenterologist ndikuwuzani mankhwala ena aliwonse omwe mukumwa pakadali pano, chifukwa nthawi zonse pamakhala chiwopsezo choti mankhwala ena amakumana ndi zovuta mukamamwa pamodzi.
Kutentha pa chifuwa pa mimba
Kutentha pa chifuwa pa mimba ndizofala kwambiri, chifukwa kuchuluka kwa mahomoni otchedwa progesterone kumatha kupangitsa kuti valavu ipatule m'mimba kuti isapumule.
Zimakhala zofala kwambiri pa nthawi yachitatu ya mimba pamene mwana yemwe akukula ndi chiberekero amaika kupanikizika kwamkati pamimba, ndikukankhira asidi m'mimba.
Mutha kupewa kutentha pa chifuwa mukakhala ndi pakati mwa kudya zakudya zochepa masana m'malo modya pafupipafupi, zakudya zazikulu, kudikirira ola limodzi - kapena kupitilira apo - mutadya musanagone, komanso kupewa zakudya zopatsa thanzi zomwe zili zonunkhira, zonenepa kwambiri, komanso zonenepa.
Mankhwala ambiri a antiacid ndi otetezeka omwe angagwiritsidwe ntchito panthawi yoyembekezera, koma nthawi zonse ndibwino kuti muzilankhula ndi omwe amakuthandizani pa zaumoyo ndikuwerenga zilembozo musanayambe mankhwala aliwonse kapena chithandizo chilichonse mukakhala ndi pakati.
