Reflux ea gastroesophageal - ho tsoa

Lefu la reflux la Gastroesophageal (GERD) ke boemo boo ka hare ho mpa ho lutlang ka morao ho tloha ka mpeng ho ea ho 'metso (tube e tsoang molomong ho ea ka mpeng). Sengoliloeng sena se u joetsa seo u hlokang ho se etsa ho laola boemo ba hau.

U na le lefu la reflux la gastroesophageal (GERD). Ena ke boemo boo lijo kapa mokelikeli o tsamaeang ka morao ho tloha ka mpeng ho ea ho 'metso (tube ho tloha molomong ho ea ka mpeng).

Mohlomong u kile ua ba le liteko ho thusa ho fumana GERD ea hau kapa mathata ao u nang le 'ona.

U ka etsa liphetoho tse ngata bophelong ho thusa ho alafa matšoao a hau. Qoba lijo tse ka u bakelang mathata.

• O SE KE wa nwa jwala.
• Qoba lino tse tahang le lijo tse nang le k'hafeine, tse kang soda, kofi, tee le chokolete.
• Qoba kofi e sa tlosoang ka mafura. E boetse e eketsa boemo ba asiti ka mpeng ea hau.
• Qoba litholoana le meroho tse nang le asiti e ngata, tse kang litholoana tsa sitirase, phaenapole, tamati, kapa lijana tse entsoeng ka langa le le lej (pizza, chili le spaghetti) haeba u fumana hore li baka ho cha
• Qoba lintho tse nang le lerumo kapa peppermint.

Malebela a mang a bophelo a ka etsang hore matšoao a hau a be betere ke:

• Ja lijo tse nyane, 'me u je khafetsa.
• Fokotsa boima ba 'mele, haeba u hloka.
• Haeba u tsuba kapa u hlafuna koae, leka ho tlohela. Mofani oa hao oa tlhokomelo ea bophelo a ka thusa.
• Ikoetlise, empa eseng hang kamora ho ja.
• Fokotsa khatello ea maikutlo le ho shebella linako tse thata, tse thata. Ho imeloa kelellong ho ka khathatsa bothata ba hau ba reflux.
• Koba mangole, eseng thekeng, ho nka lintho.
• Qoba ho apara liaparo tse u imelang lethekeng kapa mpeng.
• Se ke oa robala ka lihora tse 3 ho isa ho tse 4 kamora ho ja.

Qoba meriana e kang aspirin, ibuprofen (Advil, Motrin), kapa naproxen (Aleve, Naprosyn). Nka acetaminophen (Tylenol) ho imolla bohloko. Nka meriana efe kapa efe ea hau ka metsi a mangata. Ha o qala moriana o mocha, hopola ho botsa hore na o tla mpefatsa lesokolla.

Leka malebela ana pele u robala:

• U SE KE ua tlola lijo kapa ua ja lijo tse kholo bakeng sa lijo tsa mantsiboea ho etsa lijo tseo u li hlokang.
• Qoba ho ja lijo tse bobebe bosiu.
• U SE KE ua robala hang ka mor'a hore u je. Lula u otlolohile lihora tse 3 ho isa ho tse 4 pele u robala.
• Phahamisa bethe ea hau ka lisenthimithara tse 4 ho isa ho tse 6 hloohong ea bethe ea hau, u sebelisa li-block. U ka sebelisa tšehetso ea "wedge" e phahamisang halofo e holimo ea 'mele oa hau ha u le liphateng. (Metsu e meng e phahamisang hlooho feela e kanna ea se thuse.)

Li-antacids li ka thusa ho fokotsa acid ea mpa ea hau. Ha li thuse ho sebetsana le ho teneha ka mpeng. Litla-morao tse tloaelehileng tsa li-antacids li kenyelletsa letšollo kapa ho sokela.

Lithethefatsi tse ling tse rekisoang le lithethefatsi tse tlamang li ka phekola GERD. Li sebetsa butle ho feta li-antacids empa li u fa phomolo e telele. Mofani oa hau a ka u joetsa hore na u ka noa meriana ena joang. Ho na le mefuta e 'meli e fapaneng ea lithethefatsi tsena:

• Bahanyetsi ba H2: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), le nizatidine (Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec kapa Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), le pantoprazole (Protonix)

U tla ba le maeto a ho latela le mofani oa hau ho lekola 'metso oa hau. U kanna ua hloka ho ea hlahlojoa meno. GERD e ka etsa hore enamel e meno a hau e senyehe.

Bitsa mofani oa hau haeba u na le:

• Mathata kapa bohloko ka ho koenya
• Ho bipetsa
• Boikutlo bo felletseng kamora ho ja karolo e nyane ea lijo
• Boima ba 'mele bo ke keng ba hlalosoa
• Ho hlatsa
• Ho felloa ke takatso ea lijo
• Bohloko ba sefuba
• Ho tsoa mali, mali ka litulong tsa hau, kapa lefifi, litulo tse shebahalang li le joalo
• Ho thothofala

Peptic esophagitis - ho tsoa; Reflux esophagitis - ho tsoa; GERD - ho tsoa; Ho hema - ho sa foleng - ho tsoa

• Lefu la reflux la gastroesophageal

Abdul-Hussein M, Castell ETSA. Lefu la reflux la gastroesophageal (GERD). Ka: Kellerman RD, Rakel DP, eds. Phekolo ea Hajoale ea Conn ea 2019. Philadelphia, PA: Elsevier; 2019; 208-211.

Falk GW, Katzka DA. Maloetse a 'metso. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 138.

Katz PO, Gerson LB, Vela MF. Litaelo tsa tlhahlobo le taolo ea lefu la reflux la gastroesophageal. Ke J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Richter JE, Friedenberg FK. Lefu la reflux la gastroesophageal. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 44.

• Ho buuoa ka anti-reflux
• Phekolo ea anti-reflux - bana
• EGD - esophagogastroduodenoscopy
• Lefu la reflux la gastroesophageal

• Ho buuoa ka anti-reflux - bana - ho tsoa
• Ho buuoa ka anti-reflux - ho tsoa
• Ho hema - seo u lokelang ho se botsa ngaka ea hau
• Ho noa li-antacids

• GERD