Cutar reflux na Gastroesophageal

Cutar ciki ta Gastroesophageal reflux (GERD) wani yanayi ne wanda kayan ciki ke zubewa ta baya daga ciki zuwa cikin hanjin hanji (bututun abinci). Abinci yana tafiya daga bakinka zuwa ciki ta cikin jijiyar wuya.GERD na iya harzuƙa bututun abinci ya haifar da ƙwannafi da sauran alamomin.

Lokacin da kuke cin abinci, abinci yana wucewa daga maƙogwaro zuwa ciki ta cikin kayan abinci. Wani zobe na ƙwayoyin tsoka a cikin ƙananan esophagus yana hana abincin da aka haɗi motsi daga baya. Waɗannan ƙwayoyin tsoka ana kiran su ƙananan ƙwanƙwan ƙoshin ƙugu (LES).

Lokacin da wannan zoben na tsoka bai rufe duka hanyar ba, abubuwan ciki na iya sake komawa cikin esophagus. Wannan ana kiransa reflux ko reflux na gastroesophageal. Reflux na iya haifar da bayyanar cututtuka. Ciwan ciki mai ƙyama zai iya lalata murfin maƙogwaro.

Abubuwan haɗarin haɗarin reflux sun haɗa da:

• Amfani da giya (mai yuwuwa)
• Hiatal hernia (yanayin da ɓangaren ciki ke motsawa sama da diaphragm, wanda shine tsokar da ke raba kirji da kogon ciki)
• Kiba
• Ciki
• Scleroderma
• Shan taba
• Kwantawa a cikin awanni 3 bayan cin abinci

Bwanna zuciya da reflux na gastroesophageal na iya kawowa ko sanya mummunan yanayi ta hanyar ciki. Hakanan za'a iya haifar da cututtukan ta wasu magunguna, kamar:

• Anticholinergics (alal misali, maganin cututtukan teku)
• Bronchodilators don asma
• Masu toshe hanyar tashar Calcium don hawan jini
• Dopamine-aiki kwayoyi don cutar Parkinson
• Progestin don jinin al'ada na al'ada ko kulawar haihuwa
• Jinƙai don rashin bacci ko damuwa
• Magungunan antioxidric na Tricyclic

Yi magana da mai baka kiwon lafiya idan kana tunanin daya daga cikin magungunan ka na iya haifar da zafin rai. Kada a taɓa canzawa ko dakatar da shan magani ba tare da fara magana da mai ba ka ba.

Alamun gama gari na GERD sun haɗa da:

• Jin cewa abinci yana makale a bayan ƙashin ƙirji
• Ciwan zuciya ko zafi mai zafi a kirji
• Tashin zuciya bayan cin abinci

Ananan alamun bayyanar sune:

• Dawo da abinci (regurgitation)
• Tari ko numfashi
• Matsalar haɗiyewa
• Hiccups
• Sandarewa ko sauya murya
• Ciwon wuya

Kwayar cututtukan na iya zama mafi muni lokacin da kuka lanƙwasa ko kwance, ko bayan cin abinci. Kwayar cututtukan na iya zama mafi muni da dare.

Kila ba ku buƙatar kowane gwaji idan alamunku na da sauƙi.

Idan alamun ka sun yi tsanani ko sun dawo bayan an yi maka magani, likita na iya yin gwajin da ake kira endoscopy na sama (EGD).

• Wannan gwaji ne don bincika rufin esophagus, ciki, da ɓangaren farko na ƙananan hanji.
• Ana yin sa da ƙaramar kyamara (mai saurin canzawa) wanda aka saka cikin maƙogwaro.

Hakanan zaka iya buƙatar ɗaya ko fiye na waɗannan gwaje-gwaje masu zuwa:

• Gwajin da ke auna sau nawa acid na ciki ke shiga bututun da ke kaiwa daga baki zuwa ciki (wanda ake kira esophagus)
• Gwaji don auna matsa lamba a cikin ƙananan ɓangaren esophagus (manometry na esophageal)

Gwajin gwajin sihiri na tabbatacce na mara na iya bincika zub da jini wanda ke zuwa daga ɓacin rai a cikin ɓarin ciki, ciki, ko hanji.

Kuna iya yin canje-canje da yawa na rayuwa don taimakawa magance alamun ku.

Sauran nasihun sun hada da:

• Idan kayi kiba ko kiba, a lokuta da yawa, rasa nauyi zai iya taimakawa.
• Iseaga kan gado idan alamunku sun daɗa zama da daddare.
  
• Yi abincin dare 2 zuwa 3 hours kafin barci.
  
• Guji magunguna kamar su aspirin, ibuprofen (Advil, Motrin), ko naproxen (Aleve, Naprosyn). Acauki acetaminophen (Tylenol) don magance zafi.
• Dauke dukkan magungunan ku da ruwa mai yawa. Lokacin da mai ba ka magani ya ba ku sabon magani, ku tambaya shin hakan zai sa zuciyar ku ta yi zafi.

Kuna iya amfani da antacids a kan-kan-counter bayan cin abinci da lokacin kwanciya, kodayake sauƙin ba zai daɗe sosai ba. Illolin cututtukan yau da kullun sun haɗa da gudawa ko maƙarƙashiya.

Sauran kan-kan-da-counter da magungunan likitanci na iya magance GERD. Suna aiki a hankali fiye da antacids, amma suna ba ku taimako mai tsayi. Kwararren likitan ku, likita, ko nas zasu iya gaya muku yadda ake shan waɗannan magunguna.

• Proton pump inhibitors (PPIs) suna rage adadin acid din da aka samar a cikin cikin.
• Masu hana H2 suma suna rage adadin acid da aka saki a ciki.

Yin tiyatar rigakafin rigakafin jini na iya zama zaɓi ga mutanen da alamominsu ba sa tafiya da canjin rayuwa da magunguna. Ciwan zuciya da sauran alamomi su inganta bayan tiyata. Amma har yanzu kuna iya buƙatar shan magunguna don ƙwannafin ku.

Hakanan akwai sabbin hanyoyin kwantar da hankula wadanda zasuyi aiki ta hanzari wanda za'a iya aiwatarwa ta hanyar hango (wani bututu mai sassauci da zai bi ta bakin zuwa ciki)

Yawancin mutane suna amsa canje-canje na rayuwa da magunguna. Koyaya, mutane da yawa suna buƙatar ci gaba da shan magunguna don sarrafa alamun su.

Matsaloli na iya haɗawa da:

• Mafi munin asma
• Canji a cikin rufin esophagus wanda zai iya ƙara haɗarin cutar kansa (Barrett esophagus)
• Bronchospasm (damuwa da spasm na hanyoyin iska saboda acid)
• Tari mai tsawo (mai ɗorewa) tari ko tsukewar murya
• Matsalar hakori
• Ulcer a cikin esophagus
• Rictarfafawa (ƙarancin esophagus saboda rauni)

Kira mai ba ku sabis idan alamun ba su inganta tare da canje-canje na rayuwa ko magani.

Hakanan kira idan kuna da:

• Zuban jini
• Shaƙewa (tari, gajeren numfashi)
• Jin cikawa da sauri lokacin cin abinci
• Yawan amai
• Rashin tsufa
• Rashin ci
• Matsalar haɗiye (dysphagia) ko ciwo tare da haɗiyewa (odynophagia)
• Rage nauyi
• Jin kamar abinci ko kwaya suna mannewa a bayan ƙashin nono
  

Gujewa abubuwan da ke haifar da ƙwanna zuciya na iya taimakawa wajen hana bayyanar cututtuka. Kiba yana da nasaba da GERD. Kula da lafiyar lafiyar jiki na iya taimakawa hana yanayin.

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

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

• Tsarin narkewa
• Cutar reflux na Gastroesophageal
• Gastroesophageal reflux - jerin

Abdul-Hussein M, Castell YI. Ciwon reflux na Gastroesophageal (GERD). A cikin: Kellerman RD, Rakel DP, eds. Conn's Far Far na yanzu 2020. Philadelphia, PA: Elsevier 2020: 219-222.

ASGE Ka'idodin ofabi'ar Aiki, Muthusamy VR, Lightdale JR, et al. Matsayin endoscopy a cikin gudanarwar GERD. Gastrointest Endosc. 2015; 81 (6): 1305-1310. PMID: 25863867 www.ncbi.nlm.nih.gov/pubmed/25863867.

Falk GW, Katzka DA. Cututtukan hanta. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 129.

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.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Acid reflux (GER & GERD) a cikin manya. www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/all-content. An sabunta Nuwamba 2015. An shiga 26 ga Fabrairu, 2020.

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.