Ƙunƙashin ƙwannafi zai iya haifar da hanyoyi daban-daban. Ta hanyar fahimtar abubuwan da ke shafar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar zuciya, za ka iya canza canjin rayuwarka da kuma abincin da ke cikin wani maganin cutar cututtukan gastroesophageal (GERD). Wasu daga cikin hanyoyin da zasu iya taimakawa cikin ƙwannafi sun hada da halayen hawan gwiwar ƙwayar cuta, rashin ƙarfi na labarun ƙwayar cuta ta jiki (LES), rashin lalata ƙwayar cuta ta hanyar narkewa wanda zai haifar da jinkirta ganyayyaki da kuma ciyayi.
Sau da yawa, fiye da ɗaya daga cikin wadannan abubuwan yana taimakawa wajen ƙwanna ƙwannafi.
Ƙunƙashin ƙunƙashin ƙwayar ƙwayar ƙwayar cuta
Ƙin fahimtar ƙwannafin farawa tare da sanin yadda tsarin tsarin kwayoyi masu lafiya ke aiki. Kayan aikinka yana farawa tare da bakinka, inda aka cinye abinci da gauraye da launi , fara aikin narkewa. Daga nan, abinci yana tafiya zuwa esophagus ko haɗiye bututu. Wannan ƙwayar gashin kwaya yana sanya kananan ƙananan ƙwayoyi, wanda ake kira peristalsis , don motsa abinci zuwa ciki.
An haɗu da hawan daji da kuma ciki ciki ta hanyar ɓangaren ƙwayoyin ƙwayoyin tsoka wanda ake kira sphincter ƙarancin jiki (LES). Yawancin lokaci, LES suna aiki kamar bawul, suna buɗe don bada izinin abincin su shiga cikin ciki da kuma rufewa don kiyaye abinci da kayan juyayi masu narkewa daga komawa zuwa cikin esophagus. Amma idan sphincter ya fadi lokacin da bai kamata ba, ko kuma ya zama mai rauni, acid mai ciki zai iya gudanawa baya zuwa cikin ruwan da zai haifar da ƙananan abin da ake kira ƙwannafi.
Abubuwa masu yawa
Hanyoyin da za su iya haifar da ƙwannafi zai iya haifar da ci gaba na GERD idan ƙwannafinku ya saba.
Jigilar cututtuka
Wasu nau'o'in abinci, sha, shan taba, da magunguna zasu iya shawo kan rufin haɗin gwiwar da kuma haifar da ƙwannafi. Idan akwai maganin magunguna, zai iya yin bambanci don tsayawa tsaye don akalla 20 zuwa 30 minutes bayan shan magani, kuma ya ɗauki kwaya tare da cikakken gilashin ruwa.
Sphincter (LES) Dysfunction mai zurfi
Idan ƙananan kwakwalwar ƙarancin kwakwalwa ya raunana ko ya rasa sautin, Lakai ba zai rufe gaba ɗaya ba bayan abincin ya shiga cikin ciki. Tsarin acid zai iya komawa cikin esophagus. Wasu abincin da abin sha, barasa, kwayoyi, da abubuwa masu juyayi suna iya raunana LES kuma suna lalata aikin.
Motility Disorders (Slow Tswana Tsuntsu)
A cikin narkewa na al'ada, an shayar da abinci ta hanyar wuri mai narkewa ta hanyar rikitarwa da ake kira peristalsis. Lokacin da wani yana da nakasar motsa jiki , waɗannan haɓaka suna da mawuyacin hali. Wannan mummunan zai iya zama saboda daya daga cikin abubuwa biyu-matsalar a cikin tsoka kanta, ko matsala tare da jijiyoyin ko jijiyoyin da ke kula da ƙwayar muscle. Fiye da mutanen da ke fama da ciwon gurguwar gastrointestinal (GERD) suna da ciwon haɗari ko muscle a cikin ciki wanda zai iya haifar da motility mara kyau.
Lokacin da tsokoki a cikin ciki ba su yin kwangila akai, ƙwaƙwalwar ba ta komai cikin ƙananan hanji kamar yadda ya dace. Haɗin abinci mafi yawan abincin da ya rage a cikin ciki da kara matsa lamba a cikin ciki saboda jinkirin ɓacewa yana ƙara haɗari ga ƙwayar ciki don kwance zuwa cikin esophagus.
Hiatal Hernia
Hanyarin da ke yunwa yana faruwa a lokacin da aka kai kashi na sama na ciki zuwa cikin kirji ta hanyar budewa a cikin diaphragm. Wannan zai iya faruwa saboda raunana a cikin diagphragm ko kuma saboda ƙarar ƙarar ciki (irin su da kiba.) Ana kiran wannan buɗewaɗɗen tarihin kogin diaopragmatic. An yi imanin cewa danna mai cike da yunwa zai iya raunana kashin da ke cikin kwakwalwa kuma ya haifar da kullun, duk da haka, binciken bai kasa tabbatar da cewa shi ne dalilin GERD ba.
Ƙunar a kan Abdomen
Matsanancin matsa lamba a kan ciki zai iya sanya matsin lamba a kan ƙananan kwakwalwa, wanda ya ba da ciki ga acid ciki don shiga cikin esophagus ko ma bakin.
Mata masu juna biyu da karuwa mutane suna da damuwa ga ƙwannafi saboda wannan dalili.
Sauran Harkokin Kiwon lafiya
Sauran yanayi na kiwon lafiya wanda zai taimakawa ga GERD sun hada da ciwon sukari da ciwon sukari .
Kayan Halitta
Nazarin ya nuna cewa akwai haɗarin haɗari ga GERD. Wannan zai iya zama saboda nauyin muscular ko matsalolin gine-gine a cikin esophagus ko ciki. Bayanan kwayoyin halitta na iya kasancewa muhimmiyar mahimmanci a cikin rashin lafiyar marasa lafiya ga Barrett's esophagus , yanayin da ya dace da cutar GERD mai tsanani.
Matsayin Kwayoyin Yanayin Rayuwa
Wasu mutane suna da lalacewar rauni mara kyau wanda ba zai iya jure wa matsa lamba ta al'ada daga ciki ba. Amma wasu dalilai kuma zasu iya taimakawa wajen raunanawa kuma haifar da ciwon ƙwannafi.
Barasa
Barasa ya sake danganta LES , yana barin kyautar ciki cikin ciki. Har ila yau, yana ƙara yawan samar da ruwa mai ciki kuma yana sa kawancinka ya fi damuwa da ciwon ciki. Abun shan barasa zai iya haifar da samar da abinci mara lafiya da abinci da abincin da ka sani zai iya haifar da ƙwannafi.
Shan taba
Hanyoyin sunadarai a cikin hayaki sigari sun raunana LES yayin da suke wucewa daga huhu cikin jini. Cigarette shan taba yana jinkirta samar da sifa, wanda shine kariya daga jikinka don lalacewa ga esophagus. Masu shan taba kuma suna samar da kwayoyin sunadarai a cikin iska, wadanda ake kira bicarbonates. Bugu da ƙari, shan taba yana motsa samar da ciwon ciki da kuma canza ƙwayar ciki ta hanyar inganta motsi na salun bile daga hanji cikin ciki. Kwayar narkewa yana jinkirin yayin da kake shan taba kuma ciki yana da tsayi zuwa banza.
Abincin da Sau da yawa yakan jawo ƙwannafi
Mutane sun bambanta da abin da abinci ke jawo ƙwannafi. Wadannan sune na kowa:
- Kofi, shayi, da sauran abincin caffeinated: Caffeine zai iya kwantar da hanzarin ƙananan kwalliya (LES) , yana barin abun cikin ciki don kwantar da hankali a cikin esophagus . Abincin caffeinated zai iya janyo samar da ruwa.
- Cakulan: Cakulan ya ƙunshi ƙananan na theobromine, wani fili da ke faruwa a yanayi mai yawa a cikin tsire-tsire iri iri irin su koko, shayi, da tsire-tsire. Wannan ya danganta tsohuwar ƙwayar cuta ta jiki , ya bar yatsun ciki ya shiga cikin sophagus.
- Gurasa, m, ko abinci maras kyau: Wadannan abinci suna da saurin rage narkewa da ci gaba da abinci a ciki. Wannan zai iya haifar da ƙara yawan matsa lamba a cikin ciki, wanda hakan ya sa ƙarin matsa lamba a kan raunana LES. Duk wannan yana ba da damar reflux na abin da ke cikin ciki.
- Kayan shafawa sau da yawa yana haifar da ƙwannafi.
- Tumatir da kayan tumatir: Duk abincin da ke dauke da tumatir zai haifar da samar da kayan ciki na ciki.
- Abincin kayan yaji da kuma barkono baƙar fata ke haifar da samar da kayan ciki na ciki.
- Citrus 'ya'yan itatuwa da ruwan ' ya'yan itace: Lemu, lemons, limes, da wasu 'ya'yan itatuwa citrus suna samar da kayan ciki na ciki.
Yanke halaye
Yadda kuke ci kuma zai iya faɗakarwa aukuwa na ƙwannafi:
- Babban abinci: Cikakken ciki zai iya ƙara ƙarin matsa lamba a kan LES, wanda zai kara samun dama cewa wasu daga cikin abincin nan zasu sake shiga cikin esophagus.
- Cin biyu zuwa uku kafin lokacin kwanta barci: Yin kwanciya tare da cikakken ciki zai iya haifar da abinda ke ciki don matsawa da wuya a kan LES. Wannan yana ƙara yawan sauƙin abinci na refluxed.
Abun ciki na ciki
Girma ko ƙananan wurare suna matsa lamba a cikin ciki wanda zai iya haifar da ƙwannafi, kuma an ƙyale asarar nauyi. Koda saka tufafi mai kayatarwa zai iya haifar da matsa lamba a cikin ciki. Hakan ya sa ya ci gaba da cin abinci a kan LSU kuma ya sa shi ya zama ruwan sama a cikin esophagus. Kullun da ke yin amfani da kaya da kuma suturar kirkira su ne masu laifi guda biyu. Hakanan zaka iya jin kara bayyanar cututtuka lokacin da kake kwance ko cike da ciki.
Wasu mutane sun ga wasu nau'o'in motsa jiki da ke jawo ƙwannafi. Ayyuka masu tasiri waɗanda suka haɗa da tsalle, da kuma gwaje-gwajen irin su crunches cewa matsin lamba a cikin ciki sun kasance mafi mahimmanci su zama masu tasiri.
Magunguna
Kusan kowace magani zai iya haifar da ƙwannafi, amma akwai alamun wasu kwayoyi da suka fi zalunci fiye da wasu. Akwai hanyoyi fiye da ɗaya wanda kwayoyi zasu iya haifar da ƙwannafi kuma wani lokacin ƙwannafi ne saboda haɗuwa da daban-daban haddasawa. Zaka iya yin aiki tare da likitanka don samun hanyoyin da za suyi amfani da magungunanka wanda zasu rage ƙwayar ƙwannafinka, ko kuma canza zuwa wani magani dabam dabam wadda ba ta iya haifar da ƙwannafi.
Magunguna da aka sani don haifar da ƙwannafi sun hada da:
- Magunguna masu tayar da hankali, irin su Valium (diazepam), ba wai kawai zaku kwantar da hankalinku ba, amma ƙananan kwakwalwar kuɗi ne.
- Wasu maganin maganin rigakafi, irin su tetracycline, na iya kai tsaye ga bazuwa.
- Anticholinergics irin su Compazine (prochlorperazine) da kuma Phenergan (promethazine) na iya shakatawa da bayanan spoping span.
- Aspirin. Ga wasu mutanen da ba su iya jure aspirin saboda ƙwannafi ba, aspirin mai rufi na iya zama wani zaɓi. Kada ka daina aspirin kafin magana da likitanka.
- Bisphosphonates irin su Fosomax (alendronate), Actonel (resendronate), da kuma Boniva (ibandronate) na iya haifar da ƙwannafi ta hanyar kwantar da hankalin esophagus. Idan magani naka yana haifar da ƙwannafi, akwai wasu zaɓuɓɓuka don shirye-shiryen da aka ba su a matsayin allurar da basu iya haifar da wannan alama ba.
- Kwayoyin sashin lambobi na jini, irin su Procardia (nifedipine), da Cardizem (diltiazem) na iya haifar da raunana karfin gwaninta da kuma raguwa mai raguwa. Abin godiya, akwai nau'o'in nau'o'in maganin jini da ake samu, kuma sauyawa zuwa wani ɗayan zai iya taimakawa idan bayyanar cututtuka ta ci gaba.
- Magungunan fuka-fuka kamar Proventil (albuterol) da theophylline
- Kwayoyin cutar shan magani
- Corticosteroids (steroids) kamar Deltasone (prednisone) da kuma Medrol (methylprednisolone) na iya haifar da ƙwannafi da sauran abubuwan damuwa masu narkewa.
- Hanyoyin sauyawa (HRT), wanda shine hade da estrogen da progesterone
- Narcotics zai iya haifar da ƙwannafi ta hanyar jinkirta ƙananan fanko.
- Hannun NSAIDs (kwayoyin masu maganin kare ƙwayoyin cuta) kamar Advil (ibuprofen) da Aleve (naproxen) na iya ƙara yawan acidity cikin ciki ta hanyar hana prostaglandins. Za'a buƙaci zaɓuɓɓuka don kula da ciwo irin su Tylenol (acetominophen) ko ma magungunan narcotic a lokacin da NSAIDS ke haifar da ƙwannafin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar zuciya. A wasu lokuta, tabbatar da daukar NSAIDS cikin cikakken ciki zai iya taimakawa.
- Magunguna masu amfani da tricyclic, irin su Tofranil (imipramine), Sinequan (doxepin), Norpramin (desipramine), da kuma Pamelor (nortriptyline) suna jinkirta haɗi. Mutane da yawa daga cikin masu sabbin magungunan cutar sun kasance marasa yiwuwar haifar da wannan bayyanar.
- Potassium na iya haifar da ƙwannafi ta hanyar kai tsaye ta fushi da sifa.
- Abincin ƙarfe na iya kai tsaye a ciki. Wasu mutane suna neman taimako ta hanyar ɗaukar waɗannan abubuwan da suka hada da abinci ko ta hanyar amfani da su a farkon rana.
- Vitamin C
> Sources:
> Ƙwannafi. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/heartburn-gerd/basics/definition/CON-20019545?p=1.
> GERD Tafiya da Gidajen gida. Mayo Clinic. http://www.mayoclinic.org/diseases-conditions/gerd/basics/lifestyle-home-remedies/con-20025201.
> Yana da ƙananan ƙwayar ƙwayar cuta ko wani abu mafi tsanani? GERD . Kwalejin Amirka na Gastroenterology. http://s3.gi.org/patients/pdfs/UnderstandGERD.pdf.
> Kwayoyin cututtuka da kuma abubuwan GER & GERD. Ƙungiyar Cibiyar Ciwon Ciwon Ciwon Guraben Ciwon Abun Cutar Ciwon Abun Cutar da Ciwon Kwayoyi https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes.