Ukwazi izimo ezinokuthi zenze i-acid reflux
Phantse ama-25 abantu abadala baseMelika banama-acid reflux , okanye i-heartburn, imihla ngemihla, kunye nabangaphezu kwezigidi ezingama-60 baseMerika baxhamla ukunyuka kwesibhozo ubuncinane kanye ngenyanga. Nawuphi na umntu unokuhlaselwa ngokunyamezela okanye ngokukhawuleza xa edla ngokutya okunomsoco okanye ococekileyo. Nangona kunjalo, xa befumana ukutshabalalisa okungapheliyo okwenzeka emibini okanye ngaphezulu kweveki, banokuba ne-reflux ye-gastroesophageal disease (GERD).
I-GERD ingaba ngenxa yeemeko ezahlukahlukeneyo, kubandakanywa nezinto ezingavamile zezinto zezinto eziphilayo. Kubalulekile ukuba abantu abahluphekayo bavame ukuthetha neengcali zabo ukuze bafumane isizathu sokuba bahlaziye i-asidi yabo kwaye bavumelane ngesicwangciso sonyango.
Ukungasebenzi kwe-Esophageal Sphincter (LES) Imisipha
Ibhande leesiphako elisekuhlanganisweni phakathi kwesisu kunye nesisu kuthiwa yi- sphincter esezantsi (LES). Esi sihlunu sinoxanduva lokuvala nokuvula umgca osezantsi we-esophagus kwaye senza njengesithintelo somngcipheko ngokubhekiselele kwisiqulatho esiswini. Ukuba ibuthathaka okanye ilahle ithoni, i-LES ayiyi kuvala ngokupheleleyo emva kokutya kudlula kwisisu. Isisu se-isisu sinokubuyela emva kwipopu. Ukutya okunye kunye nokusela, iziyobisi kunye nenkqubo yeentlanzi zingabuthakathaka i-LES kwaye ichithe umsebenzi wayo.
Ukungavumelekanga kwi-Esophagus
Kukho uphando oluthile olubonisa ukuba abaninzi abantu abaneempawu zeGERD ezingenakuqhelekanga (ezinjengobukrakra, ukuziva ngathi kukho inhlama emqaleni, ukukhwehlela okungapheliyo) kunokungaqhelekanga kwimeko yokuba ezinye izigulane zeGERD zingenzi.
Umsebenzi weNtlungu ongasebenzi
Olunye uphando luye lwabonisa ukuba ngaphezu kwesigamu seGERD izigulane zenza umsebenzi wesifo esingaqhelekanga okanye esisiswini kwisisu. Ezi ziqhelo zibangelwa ukungasebenzi. Oku kwenzeka xa izihlunu esiswini zingakwazi ukwenza ngokukhawuleza. Iimisipha azivumelani ngokuqhelekileyo, ezibangela ukulibaziseka kwisisu sokukhupha.
Oku kunokwandisa uxinzelelo esiswini esisenokunyusa umngcipheko we-asidi esiswini ukuya kwisipopu.
Ulwahlulo olungaqhelekanga .
Ukutya okuqhelekileyo, ukutya kudluliselwa kwi-digestive tract by contractions ebizwa ngokuba yi-peristalsis. Xa umntu enesifo sokungcola esingaqhelekanga, ezi zintlukwano aziqhelekanga. Oku kungabikho ngenxa yesinye sezimbini ezibangela ukuba: Ingxaki kwi-muscle ngokwayo, okanye ingxaki ngeentsholongwane okanye i-hormone ezilawula ukuphazamiseka kwemisipha. Iingxaki kwi-peristalsis kwi-esophagus ziqhelekileyo kwi-GERD, nangona oku akucaci ukuba iziganeko ezinjalo ziyimbangela okanye umphumo weempembelelo zexesha elide leGERD.
Hiatal Hernia
Inkunkuma yokuzala ivela xa inxalenye esezantsi yesisu iqhubelela ngokuvula kwintsimbi, ize ifike kwisifuba. Lo mnyango ubizwa ngokuba yi-hiatus ye-esophageal okanye i-hiatus ye-diaphragmatic. Kukholelwa ukuba i- hernia yokuzala ingancipha (i-LES) ize ibangele i-reflux. Nangona kunjalo, izifundo ziye zahluleka ukubonisa ukuba yinto ebangela i-GERD. Noko ke, i-hernia yokuzalwa, inokunyusa iimpawu ze-GERD kwizigulane ezi zombini.
Isifuba
Oogqirha abanako ukuqonda ngokupheleleyo ubudlelwane phakathi kwe-asthma kunye ne-GERD, kodwa ezininzi iingcali ziyavuma ukuba uxhulumano olubalulekileyo.
Ezinye iingcali zixhomekeka ukuba ukukhwehlela okuhamba nokuhlaselwa kwe-asthmatic kungenza utshintsho kwingcinezelo esifuba, ngoko ke kunokubangela ukuhlaziya. Ezinye iziyobisi ze-asthma ezithintela i-airways zingaphinde zikhulule i-LES kwaye zenze igalelo kwiGERD. Ngokufanayo, i-GERD idibaniswe nenani lezinye iingxaki zokuphefumula ezingaphezulu kwaye ingaba yimbangela yesifo se-asthma, kunokubangela umphumo.
Izinto zobomi
Izifundo zinconywe ukuba kukho ingozi ezuze njengefa kwiimeko ezininzi zeGERD. Oku kungakho ngenxa yeengxaki ze-muscular okanye zesakhiwo kwi-esophagus okanye esiswini. Imiba ye-Genetic inokuba yinto ebalulekileyo kwisigulane sokugula kwesigulane sikaBarrett, imeko engqalileyo ebangelwa yi- reflux eyingozi kakhulu ye-gastroesophageal .
Iziyobisi ezongezelela ingozi yeGERD
NSAID.
Izidakamizwa ezichasayo ezingabhubhisiyo (i- NSAID ) zizona zizathu eziqhelekileyo zezilonda zamapulp . Zingabangela i-GERD nokwandisa iimpawu kunye nobuqili beGERD kubantu abanobukho. Kwisifundo seminyaka emithathu sabantu abangama-25,000, abasebenzisi be-NSAID babenokuba ngabaphindwe kabili ukuba babe neempawu zeGERD njengabantu abangabonakali. Iimpawu azizange zibonakalise de emva kweenyanga ezintandathu zokusetyenziswa rhoqo. IiNSAID ziquka:
- Aspirin
- Ibuprofen (Motrin, Advil, Nuprin, Rufen)
- Naproxen (Aleve)
Inqaku lomdla kukuba i-NSAID inemihlaba enokukunceda ukukhusela utshintsho olususunxwemeni lweBarrett. Ii-NSAID ezitsha ezibizwa ngokuba yi-COX-2 inhibitors zingabonakala zikhusela umdlali kwezi zi gulane ngaphandle kokuvelisa i-GERD. I-COX-2 inhibitors ziquka: iCelecoxib (Celebrex) iValdecoxib (Bextra).
Ezinye iziyobisi.
Ezinye ezinye iziyobisi zingabangela i-GERD, okanye ikhulise ubunzima beempawu kulabo sele benalo mqathango. Ezi ziquka:
- Iziyobisi ze-anticholinergic (iziphazamiso zamagcino, i-antihistamines)
- Kuquka i-alladine yemvelo ye-belladonna (i-atropine, i-belladonna, i-hyoscyamine, ne-scopolamine) kunye nemveliso ehambelana nayo.
- I-Beta-2 agonists (i-bronchodilators [Inhalation] - i-asthma)
- Kuquka i-Apepent, iBronkaid Mist, Primatene Mist, Proventil, Ventolin, Ventolin Rotacaps.
- I-blockers ye-calcium (i- high blood pressure )
- Kuquka iKardizem, iDilacor-XR, Norvasc, Procardia, Vascor.
- I-Diazepam (ukuphazamiseka kwezixhala, ukuxhatshazwa)
- Kuquka iLibrium, iPaxipam, Valium, Xanax.
- Nitrate (angina)
- Kuquka iNitrogard, iNitrostat, i-Nitroglyn ER, i-Sorbitrate.
- I-analgesics yama-opioid (ababulala ubuhlungu besifo)
- Kuquka i-morphine, i-oxycodone, i-opioid narcotics.
- Theophylline (i-bronchodilators [ngomlomo] - isifo se-asthma)
- Bronchodilators. Kuquka i-Aerolate Sr, i-Choledyl, i-Respbid, i-Slo-Bid Gyrocaps, i-Theobid Duracaps, i-Theo-Dur.
- I-Tricyclic (i-psychotherapeutic agents, i-antidepressants)
- Kuquka uAnafranil, uElavil, uNorpramin, uPamelor.