Gastroesophageal reflux - fitarwa

Gastroesophageal reflux disease (GERD) wani yanayi ne wanda kayan ciki ke zubewa daga ciki zuwa cikin esophagus (bututun daga baki zuwa ciki). Wannan labarin yana gaya muku abin da kuke buƙatar yin don gudanar da yanayinku.

Kuna da cututtukan ciki na gastroesophageal (GERD). Wannan wani yanayi ne wanda abinci ko ruwa ke tafiya da baya daga ciki zuwa cikin esophagus (bututun daga baki zuwa ciki).

Wataƙila kuna da gwaje-gwaje don taimakawa gano GERD ɗinku ko rikitarwa da kuke dashi daga gare ta.

Kuna iya yin canje-canje da yawa na rayuwa don taimakawa magance alamun ku. Guji abincin da ke haifar muku da matsala.

• KADA KA sha giya.
• Guji abubuwan sha da abincin da ke da maganin kafeyin, kamar soda, kofi, shayi, da cakulan.
• Guji kofi mai narkewar kofi. Hakanan yana kara karfin acid a cikin cikin ku.
• Guji 'ya'yan itace da kayan marmari masu ɗumi, irin su' ya'yan itacen citrus, abarba, tumatir, ko abincin da ake yi da tumatir (pizza, chili, da spaghetti) idan kuka ga suna haifar da kunar zuciya.
• Guji abubuwa tare da mashi ko ruhun nana.

Sauran shawarwarin rayuwa waɗanda zasu iya inganta alamun ku sune:

• Ku ci ƙananan abinci, kuma ku ci sau da yawa.
• Rage nauyi, idan kana bukata.
• Idan kana shan sigari ko caba taba, yi ƙoƙari ka daina. Mai ba ku kiwon lafiya na iya taimaka.
• Motsa jiki, amma ba daidai ba bayan cin abinci.
• Rage damuwar ka kuma kalli lokutan damuwa, lokutan damuwa. Damuwa na iya damun matsalar reflux ɗinka.
• Tanƙwara a gwiwoyi, ba ƙugu ba, don ɗaukar abubuwa.
• Guji sanya tufafi wanda ke sanya matsi a kugu ko ciki.
• Kar a kwanta na tsawon awanni 3 zuwa 4 bayan cin abinci.

Guji magunguna kamar su asfirin, ibuprofen (Advil, Motrin), ko naproxen (Aleve, Naprosyn). Acauki acetaminophen (Tylenol) don magance zafi. Anyauki kowane magungunan ku da ruwa mai yawa. Lokacin da ka fara sabon magani, ka tuna fa ka tambaya ko hakan zai sa zuciyar ka ta yi zafi.

Gwada waɗannan nasihun kafin bacci:

• KADA KA tsallake abinci ko cin babban abinci don abincin dare don cike abincin da aka rasa.
• Guji cin abincin dare.
• KADA KA kwanta bayan ka ci abinci. Kasance kai tsaye na tsawon awanni 3 zuwa 4 kafin ka kwanta.
• Raaga gadonku inci 4 zuwa 6 (santimita 10 zuwa 15) a saman gadonku, ta yin amfani da bulo. Hakanan zaka iya amfani da tallafi wanda yake ɗaga rabin rabin jikinka lokacin da kake kwance. (Pilarin matashin kai da ke ɗaga kai kawai bazai taimaka ba.)

Antacids na iya taimakawa wajen kawar da ruwan ciki na ciki. Ba su taimaka don magance hangen nesa a cikin jijiya. Illolin cututtukan yau da kullun sun haɗa da gudawa ko maƙarƙashiya.

Sauran magungunan kan-kudi da magungunan likitanci na iya maganin GERD. Suna aiki a hankali fiye da antacids amma suna ba ku taimako mai tsayi. Mai ba ku sabis zai iya gaya muku yadda ake shan waɗannan ƙwayoyi. Akwai wadannan nau'ikan magunguna guda biyu:

• Masu adawa da H2: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), da nizatidine (Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec ko Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), da pantoprazole (Protonix)

Za ku sami ziyarar bibiyar kai tsaye tare da mai ba ku sabis don duba majiyar ku. Hakanan zaka iya buƙatar yin likitan hakori. GERD na iya sa dusar da ke cikin haƙoranku su lalace.

Kira mai ba ku sabis idan kuna da:

• Matsaloli ko ciwo tare da haɗiyewa
• Chokewa
• Cikakken ji bayan cin ɗan ƙaramin abincin
• Rashin nauyi wanda ba za a iya bayyana shi ba
• Amai
• Rashin ci
• Ciwon kirji
• Zub da jini, jini a cikin kujerunku, ko duhu, jinkirin kallon ɗakuna
• Rashin tsufa

Peptic esophagitis - fitarwa; Reflux esophagitis - fitarwa; GERD - fitarwa; Bwannafi - na kullum - fitarwa

• Cutar reflux na Gastroesophageal

Abdul-Hussein M, Castell YI. Ciwon reflux na Gastroesophageal (GERD). A cikin: Kellerman RD, Rakel DP, eds. Conn's Far Far na yanzu 2019. Philadelphia, PA: Elsevier; 2019; 208-211.

Falk GW, Katzka DA. Cututtukan hanta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 138.

Katz PO, Gerson LB, Vela MF. Sharuɗɗa don ganewar asali da kuma kula da cutar reflux gastroesophageal. Am J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Richter JE, Friedenberg FK. Cutar reflux na Gastroesophageal. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 44.

• Yin aikin tiyata
• Anti-reflux tiyata - yara
• EGD - esophagogastroduodenoscopy
• Cutar reflux na Gastroesophageal

• Yin aikin tiyatar-reflux - yara - fitarwa
• Anti-reflux tiyata - fitarwa
• Bwannafi - abin da za ka tambayi likitanka
• Shan maganin kara kuzari

• GERD