Yuav kho li cas kub siab uas yuav tsis ploj mus

Zoo Siab

• Tej yam ua rau kub siab pheej
• GERD
• Kev Kho Mob Rau GERD
• Hiatal hernia
• Kev kho mob rau hiatal hernia
• Barrett txoj hlab nqos mov
• Cov tsos mob
• Kev kho mob rau Barrett txoj hlab pas
• Txoj hlab pas ntshav
• Kev kho mob rau txoj hlab pas hlab ntshav
• Cov nqa mus

Kev kub siab yog tshwm sim los ntawm lub plab acid rov qab rau hauv txoj hlab pas (lub raj txuas koj lub qhov ncauj rau koj lub plab). Kuj tseem hu ua kua qaub reflux, nws mloog zoo li yog qhov mob kub hnyiab xws li qab lub qog.

Qee zaum kub siab feem ntau tsis yog qhov ua rau muaj kev txhawj xeeb. Nws tuaj yeem tswj hwm nrog kev hloov pauv ntawm kev ua neej thiab kev noj tshuaj hauv tshuaj (OTC), xws li:

• antacids, xws li Tums lossis Maalox
• H2 receptor blockers, xws li Pepcid lossis Tagamet
• proton twj tso kua mis inhibitors, xws li Prilosec, Nexium, lossis Prevacid

Txawm li cas los xij, yog hais tias kev kub siab tau dhau los, yuav tsis ploj, lossis tsis teb rau cov tshuaj OTC, nws yuav yog qhov tshwm sim ntawm tus mob hnyav dua uas yuav tsum tau daws koj tus kws kho mob.

Kav tsij nyeem ntxiv kom paub txog dab tsi yuav ua rau lub siab kub siab ntev thiab yuav kho cov mob no li cas.

Tej yam ua rau kub siab pheej

Ua lub siab ntev tuaj yeem yog qhov tshwm sim ntawm:

• gastroesophageal reflux disease (GERD)
• hiatal hernia
• Barrett txoj hlab nqos mov
• esophageal mob cancer

GERD

GERD tshwm sim thaum cov kua qaub paug ua rau cov hlab pas ua kom mob. Cov tsos mob muaj xws li:

• nquag kub siab
• teeb meem nqos
• xeev ntuav lossis ntuav
• anemia
• ntev hnoos qhuav
• zoo nkaus li zaub mov daig hauv koj lub siab

Kev Kho Mob Rau GERD

Koj tus kws kho mob feem ntau yuav pib kho koj OTC antacids thiab OTC lossis tshuaj H2 receptor blockers thiab proton twj tso kua mis inhibitors.

Yog tias cov tshuaj tsis ua hauj lwm zoo, koj tus kws kho mob yuav pom zoo kom phais, xws li:

• laparoscopic Nissen fundoplication
• sib nqus sphincter augmentation (LINX)
• transoral incisionless fundoplication (TIF) kev hloov pauv

Hiatal hernia

Hiatal hernia yog qhov tshwm sim ntawm cov leeg nqaij ua tsis muaj zog nyob ib puag ncig txoj hlab pas ua rau qee qhov ntawm lub plab txhaws mus rau hauv lub diaphragm. Cov tsos mob muaj xws li:

• ua lub siab kub siab
• teeb meem nqos
• txog siav
• ntuav ntshav

Kev kho mob rau hiatal hernia

Txhawm rau txo cov tsos mob ntawm lub siab, koj tus kws kho mob yuav qhia kom siv cov tshuaj antacids, cov twj tso kua mis tshuaj tiv thaiv, lossis H2 receptor blockers. Yog tias cov tshuaj tsis ua rau kub siab, koj tus kws kho mob yuav hais kom phais, xws li:

• qhib kho
• laparoscopic kho
• endoluminal fundoplication

Barrett txoj hlab nqos mov

Nrog Barrett's txoj hlab nqos nqaij, cov hlab ntaws daim hlab lub plab txoj hlab pas yog hloov los ntawm cov ntaub so ntswg zoo ib yam li daim ntaub uas kab txoj hnyuv. Lub sij hawm kho mob rau qhov no yog metaplasia.

Cov tsos mob

Barrett txoj hlab pas tsis tuaj yeem tshwm sim. GERD yog qhov teeb meem rau ntau tus neeg uas muaj Barrett txoj hlab pas. Kev kub siab tsis tu ncua yog cov tsos mob ntawm GERD.

Raws li National Institute ntawm Diabetes thiab Digestive thiab Kab Mob hauv lub raum, muaj ntau dua rau cov neeg muaj Barrett txoj hlab pas ua mob qog nqaij hlav tsawg hu ua esophageal adenocarcinoma.

Kev kho mob rau Barrett txoj hlab pas

Koj tus kws kho mob feem ntau yuav pom zoo kom siv tshuaj-lub zog cov tshuab ua kom lub zog tiv thaiv. Lwm yam kev pom zoo tuaj yeem suav nrog:

• rov soj ntsuam endoscopy
• endoscopic ablative kev kho mob, xws li kev kho suab paj nruag thiab radiofrequency ablation
• endoscopic mucosal resection
• phais (esophagectomy)

Txoj hlab pas ntshav

Ua ke nrog kev kub siab, cov tsos mob ntawm txoj hlab pas muaj xws li:

• ntuav
• piav tsis hnyav poob
• kev hnoos
• txhaws qa
• nquag txhawm chim ntawm cov khoom noj

Kev kho mob rau txoj hlab pas hlab ntshav

Koj tus kws kho mob cov lus pom zoo rau kev kho mob yuav siv sijhawm ntau yam, suav nrog hom thiab theem ntawm koj mob qog nqaij hlav cancer. Cov kev kho yuav suav nrog:

• kev kho tshuaj
• hluav taws xob kho
• tshuaj kho mob, xws li pembrolizumab (Keytruda)
• tsom kev kho mob, xws li HER2-tsom kev kho lossis tiv thaiv angiogenesis kho
• kev phais mob, xws li endoscopy (nrog kev tso pa tawm lossis stent tso), electrocoagulation, lossis quaj kho

Cov nqa mus

Yog tias koj lub siab kub uas yuav tsis ploj thiab yuav tsis teb rau cov tshuaj OTC, mus ntsib koj tus kws kho mob kom kuaj mob. Kev kub siab yuav yog cov tsos mob ntawm tus mob hnyav.