Yadda Ake Maganin Ciwon Zuciya Wanda Ba Zai Tafi Ba

Wadatacce

• Dalilan da ke haifar da ciwan zuciya mai dorewa
• GERD
• Jiyya ga GERD
• Hiatal hernia
• Jiyya don hiatal hernia
• Barrett ta kamu
• Kwayar cututtuka
• Jiyya ga ciwan Barrett
• Ciwon kankara
• Maganin kansar hanji
• Takeaway

Ciwan zafin ciki yana faruwa ne ta hanyar tallafawa ciki na acid a cikin esophagus (bututun da ke haɗa bakinka da ciki). Hakanan ana kiran shi reflux na acid, yana jin kamar zafi mai zafi yawanci bayan ƙashin ƙirji.

Zafin rai lokaci-lokaci yawanci ba shine dalilin damuwa ba. Ana iya sarrafa shi tare da canje-canje na rayuwa da magungunan kankara (OTC), kamar su:

• antacids, kamar su Tums ko Maalox
• Masu hana karɓa na H2, kamar su Pepcid ko Tagamet
• proton famfo masu hanawa, kamar Prilosec, Nexium, ko Prevacid

Koyaya, idan ƙwannafi ya zama mai yawa, ba zai tafi ba, ko ya daina amsa magunguna na OTC, yana iya zama alama ce ta wani mummunan yanayin da ya kamata likitanku ya magance shi.

Ci gaba da karatu don koyon abin da zai haifar da ciwan zuciya da ci gaba da yadda za a magance waɗannan sharuɗɗan.

Dalilan da ke haifar da ciwan zuciya mai dorewa

Ciwo mai ci gaba na iya zama alama ce ta:

• cututtukan ciki na gastroesophageal (GERD)
• hiatal hernia
• Hanyar Barrett
• cututtukan hanji

GERD

GERD na faruwa ne yayin da sinadarin acid ya lalata esophagus. Kwayar cutar sun hada da:

• yawan zafin rai
• wahalar haɗiye
• tashin zuciya ko amai
• karancin jini
• kullum bushe tari
• jin kamar abinci ya makale a kirjin ka

Jiyya ga GERD

Kai likita zai fi dacewa ka fara maganin ka tare da antacids na OTC kuma ko dai OTC ko takardar izinin H2 masu karɓar mai karɓa da masu hana motsa jiki na proton.

Idan magunguna ba su da tasiri, likitanku na iya ba da shawarar tiyata, kamar:

• laparoscopic Nissen tarawa
• spara haɓakar magnetic (LINX)
• transoral incisionless fundoplication (TIF)

Hiatal hernia

Hannar heratal sakamakon sakamako ne na rauni na tsoka wanda ke kewaye da mashincin esophageal wanda yake barin wani bangare na ciki ya kumbura ta hanyar diaphragm. Kwayar cutar sun hada da:

• nacewar zuciya
• matsala haɗiye
• karancin numfashi
• amai jini

Jiyya don hiatal hernia

Don taimakawa bayyanar cututtuka na ƙwannafi, likitanka na iya bayar da shawarar maganin antacids, proton pump inhibitors, ko H2 masu karɓar baƙi. Idan magani ba ya rage ƙwannafi, likita na iya ba da shawarar a yi masa tiyata, kamar su:

• bude gyara
• gyaran laparoscopic
• Aikace-aikacen ƙarshe

Barrett ta kamu

Tare da jijiyar Barrett, an maye gurbin nama da ke cikin esophagus da nama mai kama da nama da ke layin hanji. Kalmar likitanci wannan ita ce metaplasia.

Kwayar cututtuka

Maganin Barrett ba ya haifar da bayyanar cututtuka. GERD matsala ce ga mutane da yawa waɗanda ke da cutar hanji ta Barrett. Ciwon zuciya mai ci gaba alama ce ta GERD.

A cewar Cibiyar Kula da Ciwon Suga da Cututtukan narkewar abinci da Koda, akwai yiwuwar mutane da ke da cutar Barrett su kamu da wani nau'in sankara wanda ake kira esophageal adenocarcinoma.

Jiyya ga ciwan Barrett

Kwararren likitanka zai iya ba da shawarar bayar da izini-mai ƙarfi proton famfo masu hanawa. Sauran shawarwarin na iya haɗawa da:

• maimaita kulawar endoscopy
• endoscopic ablative therapies, kamar su photodynamic far da radiofrequency ablation
• endoscopic mucosal resection
• tiyata (esophagectomy)

Ciwon kankara

Tare da ƙwannafi, alamun cututtukan daji na hanji sun haɗa da:

• amai
• asarar nauyi da ba a bayyana ba
• tari
• bushewar fuska
• yawan shakewa a abinci

Maganin kansar hanji

Shawarwarin likitanku don magani zasuyi la'akari da wasu dalilai, gami da nau'ikan da kuma matakin cutar kansa. Zaɓuɓɓukan jiyya na iya haɗawa da:

• jiyyar cutar sankara
• radiation radiation
• immunotherapy, kamar su pembrolizumab (Keytruda)
• niyya far, kamar HER2-niyya far ko anti-angiogenesis far
• aikin tiyata, kamar su endoscopy (tare da faɗaɗawa ko sanyawa), lantarki, ko muryar

Takeaway

Idan kuna da ciwon zuciya wanda ba zai tafi ba kuma bazai amsa magungunan OTC ba, duba likitan ku don ganewar asali. Bwanna zuciya na iya zama alama ce ta mummunan yanayi.