Acid Reflux thiab hnoos

Zoo Siab

• Txheej txheem cej luam
• GERD thiab pheej hnoos tas li
• Kev kuaj mob GERD rau cov neeg muaj hnoos qeev
• GERD rau menyuam yaus
• Yam pheej hmoo
• Txoj kev ua neej hloov
• Tshuaj kho mob thiab phais mob
• Outlook

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Lub Plaub Hlis 2020, tau thov kom txhua daim ntawv sau tshuaj thiab tsis raug nqi (OTC) ranitidine (Zantac) tshem tawm los ntawm Asmeskas khw. Qhov kev pom zoo no tau ua vim tias qib tsis tsim nyog ntawm NDMA, uas yog cov kabmob carcinogen (cov tshuaj ua rau mob cancer), tau pom nyob hauv qee cov khoom lag luam ranitidine. Yog tias koj tau noj cov tshuaj ranitidine, tham nrog koj tus kws kho mob txog cov kev xaiv muaj kev nyab xeeb ua ntej txiav cov tshuaj. Yog tias koj noj OTC ranitidine, tsum tsis txhob noj tshuaj thiab nrog koj tus kws kho mob tham txog lwm txoj kev xaiv. Hloov chaw ntawm tsis txhob coj cov tshuaj tsis raug coj mus rau cov chaw muag tshuaj, muab pov tseg raws li cov khoom qhia lossis ua raws li FDA hais.

Txheej txheem cej luam

Thaum tib neeg feem ntau muaj cov kua qaub ncaug kua txob qee zaum, qee cov neeg yuav tsim muaj cov teeb meem acid ntau dua. Qhov no paub tias yog kab mob gastroesophageal reflux disease (GERD). Cov neeg mob GERD muaj tus mob tsis mloog tus mob thiab pheej rov qab tshwm sim tsawg kawg ob zaug hauv ib asthiv.

Coob tus neeg uas muaj GERD muaj cov tsos mob txhua hnub uas tuaj yeem ua rau muaj kev mob nyhav dua sijhawm. Cov tsos mob feem ntau ntawm cov kab mob kua qaub txhaws yog kub siab, qhov hnov ​​ntawm lub hauv siab hauv siab thiab nruab nrab plab. Qee tus neeg laus yuav muaj tus mob GERD yam uas tsis kub siab thiab ntxiv cov tsos mob ntxiv. Cov no tuaj yeem suav nrog kev sib tw, hawb pob, ua pa nyuaj, lossis hnoos ntev.

GERD thiab pheej hnoos tas li

GERD yog ib qho ua rau mob hnoos tas mus li. Qhov tseeb, cov kws tshawb nrhiav ntawm qhov kev kwv yees tias GERD muaj lub luag haujlwm rau ntau tshaj 25 feem pua ​​ntawm tag nrho cov mob ntawm hnoos ntev. Cov neeg feem coob uas hnoos GERD vim tsis muaj cov tsos mob tshwm sim ntawm tus kab mob xws li kub siab. Mob hnoos ntev ntev tuaj yeem tshwm sim los ntawm kua qaub reflux lossis qhov mob ntws rov qab ntawm cov ntsiab lus hauv plab tsis zoo.

Qee qhov qhia tias tus hnoos qeev tau mob los ntawm GERD suav nrog:

• hnoos feem ntau thaum hmo ntuj lossis tom qab noj mov
• hnoos tau tshwm sim thaum koj pw
• hnoos pheej yws uas tshwm sim txawm tias ib txwm ua rau tsis tuaj kawm, xws li haus luam yeeb lossis noj tshuaj (suav nrog ACE inhibitors) uas qhov hnoos yog phiv
• hnoos yam tsis hawb pob lossis hno tom qab dej tas, lossis thaum xoo duab hauv siab tsis zoo

Kev kuaj mob GERD rau cov neeg muaj hnoos qeev

GERD tuaj yeem kuaj tsis yooj yim hauv cov neeg uas muaj mob hnoos tab sis tsis muaj cov tsos mob kub siab. Qhov no yog vim tias ib qho mob zoo xws li tso zis tom qab da dej thiab hawb pob haj yam ua rau mob ntsws hnoos. Kev soj ntsuam sab nraub qaum, lossis EGD, yog qhov kev ntsuam xyuas uas feem ntau siv hauv kev ntsuas kev ua tiav ntawm cov tsos mob.

Kev sojntsuam 24-teev pH, uas saib xyuas tus mob esophageal pH, kuj yog qhov kev ntsuas tau zoo rau cov neeg mob hnoos. Lwm xeem, hu ua MII-pH, tuaj yeem tshawb xyuas cov dej tsis yeem tib yam nkaus. Qhov barium nqos, ib zaug kev sim rau GERD, tsis pom zoo.

Muaj lwm txoj hauv kev los kuaj seb qhov hnoos puas cuam tshuam nrog GERD. Koj tus kws kho mob yuav sim muab koj tso cov tshuaj tiv thaiv cov tshuaj tiv thaiv (PPIs), ib hom tshuaj rau GERD, rau lub sijhawm kom pom tias cov tsos mob daws tau. PPIs suav cov tshuaj lag luam muaj npe xws li Nexium, Prevacid, thiab Prilosec, thiab lwm yam. Yog tias koj cov tsos mob daws nrog PPI kev kho, nws zoo li koj muaj GERD.

Cov tshuaj PPI muaj nyob ntawm txee, txawm hais tias koj yuav tsum mus ntsib kws kho mob yog tias koj muaj cov tsos mob uas tsis mus. Muaj qee zaum muaj lwm yam ua rau lawv ntxhov siab, thiab tus kws kho mob tuaj yeem tawm tswv yim txog kev kho mob zoo tshaj plaws rau koj.

GERD rau menyuam yaus

Coob leej menyuam mos tau ntsib qee cov tsos mob ntawm tus neeg mob kua qaub, xws li nti lossis ntuav, thaum thawj xyoo ntawm lawv lub neej. Cov tsos mob no tuaj yeem tshwm sim hauv cov menyuam mos uas tsis tshua zoo siab thiab noj qab nyob zoo. Txawm li cas los xij, cov menyuam mos uas muaj kua qaub rov qab los tom qab muaj hnub nyoog 1 xyoos tej zaum yuav muaj GERD. Kev hnoos heev yog ib qho ntawm cov tsos mob tseem ceeb rau cov menyuam yaus uas muaj GERD. Cov tsos mob ntxiv tuaj yeem suav nrog:

• Kev mob siab
• rov ntuav ntuav
• lub suab ntawm lub suab
• hawb pob
• hawb pob
• mob ntsws o

Cov menyuam mos ab thiab cov menyuam yaus nrog GERD yuav:

• tsis kam noj mov
• ua colicky
• ua kev chim siab
• ntsib kev loj hlob tsis zoo
• muab nws nraub qaum tso thaum lub sijhawm pub mov noj tas

Yam pheej hmoo

Koj muaj feem ntau yuav muaj GERD ntau yog tias koj haus luam yeeb, rog dhau, lossis cev xeeb tub. Cov mob no tsis muaj zog lossis so qis dua txoj hlab nqos mov, ib pawg ntawm cov leeg nyob hauv qhov kawg ntawm txoj hlab pas. Thaum qhov qis esophageal sphincter tsis muaj zog, nws tso cai rau cov ntsiab lus ntawm lub plab tuaj rau hauv txoj hlab pas.

Qee yam khoom noj thiab dej haus tuaj yeem ua rau GERD tsis zoo. Lawv suav nrog:

• dej cawv
• haus dej muaj caffeine
• dej qab zib
• txiv qaub
• kib thiab roj
• qij
• Mint thiab mint-flavored yam (tshwj xeeb peppermint thiab spearmint)
• dos
• ntsim ntsim
• cov khoom noj lws suav suav nrog pizza, salsa, thiab sauce spaghetti

Txoj kev ua neej hloov

Cov kev hloov hauv lub neej feem ntau yuav ua tau kom txo qis lossis tshem tawm qhov hnoos ntev thiab lwm cov tsos mob ntawm GERD. Cov kev pauv muaj xws li:

• Tsis txhob noj zaub mov uas ua rau cov tsos mob hnyav ntxiv
• Tsis txhob pw hauv tsawg kawg li 2.5 teev tom qab noj mov
• noj heev, noj mov me dua
• poob phaus ntau dhau
• txiav kev haus luam yeeb
• tsa lub taub hau ntawm lub txaj ntawm 6 mus rau 8 ntiv tes (hauv ncoo ntxiv tsis txhob ua haujlwm)
• kev hnav khaub ncaws xoob tuaj yeem pab daws qhov siab ntawm lub plab

Tshuaj kho mob thiab phais mob

Cov tshuaj noj, tshwj xeeb tshaj yog PPIs, feem ntau muaj txiaj ntsig zoo los kho tus tsos mob ntawm GERD. Lwm cov uas yuav pab muaj xws li:

• antacids xws li Alka-Seltzer, Mylanta, Rolaids, lossis Tums
• cov kab mob foaming xws li Gaviscon, uas txo cov plab kua qaub los ntawm kev xa cov tshuaj pleev ib ce nrog tus neeg ua npuas ncauj
• H2 blockers xws li Pepcid, uas txo cov kua qaub tsim tawm

Koj yuav tsum hu rau koj tus kws kho mob yog tias cov tshuaj noj, kev hloov pauv hauv kev ua neej, thiab kev noj zaub mov tsis cuam tshuam rau koj cov tsos mob. Nyob rau ntawm qhov chaw ntawd, koj yuav tsum tham txog lwm txoj kev kho nrog lawv. Kev phais mob tuaj yeem yog txoj kev kho mob zoo rau cov neeg uas tsis teb zoo rau kev hloov pauv hauv lub neej lossis tshuaj noj.

Txoj kev phais feem ntau thiab siv tau rau kev tu ncua ntev los ntawm GERD yog hu ua fundoplication. Nws yog qhov tsawg me me txhawm rau thiab txuas lub sab qaum ntawm lub plab mus rau txoj hlab pas. Qhov no yuav txo qhov reflux. Feem ntau ntawm cov neeg mob rov qab mus rau lawv ib txwm ua nyob hauv ob peb lub lis piam, tom qab luv luv, ib mus rau peb hnub nyob hauv tsev kho mob. Qhov kev phais no feem ntau raug nqi li $ 12,000 txog $ 20,000. Nws kuj tseem tuaj yeem them los ntawm koj txoj kev fajseeb.

Outlook

Yog tias koj mob hnoos tsis tu ncua, nrog koj tus kws kho mob tham txog koj qhov kev pheej hmoo rau GERD.Yog tias koj tau kuaj mob GERD, nco ntsoov ua raws li koj cov tshuaj noj thiab khaws koj cov sij hawm teem tseg kws kho mob.