Sanin yanayin da zai iya taimakawa wajen maganin acid
Kimanin kimanin miliyan 25 na Amirkawa balagagge suna da gwanin ruwa , ko ƙwannafi, a kowace rana, kuma fiye da mutane miliyan 60 na fama da ƙwannafi a kalla sau ɗaya a wata. Duk wanda zai iya shan wuya daga ƙwannafi da kuma lokuta da yawa idan sun overeat acidic ko kayan yaji. Amma idan suna fama da ciwon ƙwannafi wanda ke faruwa sau biyu ko fiye sau ɗaya a mako, suna iya samun cututtukan gastroesophageal (GERD).
GERD zai iya kasancewa saboda yanayi daban-daban, ciki har da ilimin halitta ko ilimin halitta. Yana da muhimmanci cewa mutanen da ke fama da ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta su shawarci likitocinsu don su gano dalilin da ya rage halayensu, kuma su yarda akan shirin maganin.
Malfunction na Ƙananan Jigon Sopincter Sphincter (LES)
Ƙungiyar tsoka da ke tsaye a tsakanin jigon tsakanin esophagus da ciki shine ake kira sphincter spascter ƙananan (LES). Wannan tsoka yana da alhakin rufewa kuma yana buɗe ƙananan ƙarshen esophagus kuma yana aiki a matsayin matsala ta matsawa ga abinda ke cikin ciki. Idan yana da rauni ko ya rasa sautin, Lakai ba zai rufe gaba ɗaya ba bayan abincin ya shiga ciki. Tsarin acid zai iya komawa cikin esophagus. Wasu abincin da abin sha, magungunan, da kuma abubuwan da ke cikin juyayi na iya rushe LES kuma suna lalata aikin.
Abubuwa masu yawa a cikin Esophagus
Akwai wasu nazarin da ke nuna cewa yawancin mutane wadanda basu da alamun bayyanar GERD na iya (kamar hoarseness, jin kamar akwai kullun a cikin makogwaro, tsohuwar tari) suna da wasu haukarori a cikin esophagus cewa wasu marasa lafiya na GERD ba su.
Sakamakon Rashin Kyau
Ɗaya daga cikin binciken ya nuna cewa fiye da rabin marasa lafiya na GERD sun nuna ciwon mahaukaci ko kuma tsoka a ciki. Wadannan abubuwan haɗari suna haifar da motility. Wannan yana faruwa a lokacin da tsokoki a cikin ciki ba zai iya yin aiki ba tare da wani lokaci ba. Yatsun ba su yin kwangila akai-akai, wanda zai sa jinkiri a iyawar ciki don komai.
Wannan zai iya ƙara yawan matsa lamba a cikin ciki wanda, a gefe guda, zai iya ƙara haɗari ga ƙwayar ciki don dawowa cikin esophagus.
Motility Abunormalities .
A cikin narkewa na al'ada, an shayar da abinci ta hanyar wuri mai narkewa ta hanyar rikitarwa da ake kira peristalsis. Lokacin da mutum ya sha wahala daga motsa jiki maras kyau, waɗannan haɓaka suna da hauka. Wannan mummunan zai iya zama saboda daya daga cikin dalilai guda biyu: Matsala a cikin tsoka kanta, ko matsala tare da jijiyoyin ko jijiyoyin da ke kula da haɗin muscle. Matsaloli a cikin peristalsis a cikin esophagus sun kasance a cikin GERD, kodayake wannan ba zai bayyana ba idan irin wannan lamari yana haifarwa ko sakamakon sakamakon GERD na dogon lokaci.
Hiatal Hernia
Hanyarin da ake bugunta yana faruwa yayin da ɓangaren ɓangaren na ciki ke motsawa ta hanyar budewa a cikin diaphragm, kuma zuwa cikin kirji. Wannan budewa ana kiranta laugin ambulance ko diapragmatic hiatus. An yi imanin cewa lalatun karen da aka fara da shi zai iya raunana (LES) da kuma haifar da reflux. Duk da haka, binciken bai kasa tabbatar da cewa shi ne dalilin GERD kawai. Hanyoyin da ke yunwa, duk da haka, na iya kara yawan bayyanar GERD a cikin marasa lafiya tare da yanayin biyu.
Asthma
Doctors bazai fahimci cikakken dangantaka tsakanin fuka da GERD ba, amma mafi yawan masana sun yarda cewa akwai muhimmin haɗi.
Wasu masana sunyi tsammanin cewa tari da ke tare da hare-haren asthmatic zai iya haifar da canje-canje a matsa lamba a cikin kirji, wanda zai iya haifar da reflux. Wasu magunguna don ƙwayar fuka da ke dada kullun suna iya shakatawa LES kuma suna taimakawa ga GERD. Hakazalika, GERD an haɗa shi da wasu matsaloli na numfashi mafi girma kuma yana iya zama dalilin fuka, maimakon sakamakon.
Kayan Halitta
Nazarin sun nuna cewa akwai hadari mai yawa a yawancin lokuta na GERD. Wannan zai iya zama saboda gadon tsoffin kwayoyin halitta ko matsalolin haɗin gwiwoyi a ciki ko ciki. Bayanan kwayoyin halitta na iya kasancewa muhimmiyar mahimmanci a cikin rashin lafiyar mai haƙuri ga barikin Barrett, yanayin da ya dace wanda ya haifar da kullun gastroesophageal reflux .
Drugs cewa ƙara da haɗari ga GERD
NSAIDs.
Magungunan anti-inflammatory marasa lafiya ( NSAIDs ) su ne sanadin cututtuka na cututtuka na peptic . Suna iya haifar da GERD kuma suna ƙara bayyanar cututtuka da ƙimar GERD a cikin mutanen da suka riga sun sami shi. A cikin nazarin shekaru uku na mutane 25,000, masu amfani da NSAID sau biyu suna iya samun alamun GERD a matsayin marasa amfani. Kwayoyin cututtuka ba su bayyana ba har sai bayan watanni shida na amfani na yau da kullum. SAISAI sun haɗa da:
- Aspirin
- Ibuprofen (Motrin, Advil, Nuprin, Rufen)
- Naproxen (Soja)
Wani abin sha'awa shi ne cewa NSAIDs na da kaddarorin da zasu iya taimakawa wajen hana sauye-sauye daga Barrett ta esophagus. Sabuwar magoya bayan NSAID da ake kira COX-2 masu hanawa na iya tabbatar da cewa kasancewa ciwon daji ne a cikin marasa lafiya ba tare da samar da GERD ba. Masu sakawa COX-2 sun haɗa da: Celecoxib (Celebrex) Valdecoxib (Bextra).
Wasu Magunguna.
Yawancin kwayoyi masu yawa na iya haifar da GERD, ko ƙara yawan bayyanar cututtuka a waɗanda suka riga sun sami wannan yanayin. Wadannan sun haɗa da:
- Dabbobin Anticholinergic (cututtukan urinary tract, antihistamines)
- Ya hada da alkawanin belladonna na halitta (atropine, belladonna, hyoscyamine, da scopolamine) da kayayyakin da suka shafi.
- Beta-2 agonists (bronchodilators [Inhalation] - asma)
- Ya hada da Alupent, Bronkaid Mist, Primatene Mist, Proventil, Ventolin, Ventolin Rotacaps.
- Calcium tashar blockers ( cutar hawan jini )
- Ya hada da Cardizem, Dilacor-XR, Norvasc, Procardia, Vascor.
- Diazepam (damuwa da damuwa, rikici)
- Ya hada da Librium, Paxipam, Valium, Xanax.
- Nitrates (angina)
- Ya hada da Nitrogard, Nitrostat, Nitroglyn ER, Sorbitrate.
- Opioid analgesics (takaddama zafi killers)
- Ya hada da morphine, oxycodone, narioid narcidics.
- Theophylline (magungunan bronchodilators - asthma)
- Bronchodilators. Ya hada da Firayi Sr, Choledyl, Respbid, Gyrocaps Slo-Bid, Theobid Duracaps, Theo-Dur.
- Tricyclic (psychotherapeutic jamiái, antidepressants)
- Ya hada da Anafranil, Elavil, Norpramin, Pamelor.