Lokacin da Kuskuren ya dawo
Kalmar maganin cututtukan gastroesophageal (GERD mai banƙyama) ya bayyana wadanda marasa lafiya suka ci gaba da samun alamun bayyanar cututtukan gastroesophageal duk da maganin da ya dace tare da masu zanga-zanga (PPI).
Marasa lafiya waɗanda ke shafar GERD masu banƙyama sukan fada cikin ɗayan kungiyoyi biyu:
- Wadanda suke buƙatar karin magani
- Wadanda suke da wasu dalilai na reflux bayyanar cututtuka
Ƙari mafi tsanani ga GERD mai banƙyama
Samun karin magani mai ma'ana ba ya nufin zaɓin kawai don waɗannan marasa lafiya ne tiyata. A gaskiya ma, waɗanda ke da kyakkyawan sakamako daga tilasta yin maganin cutar ta reflux wadanda sun riga sun amsa magunguna. Magungunan marasa lafiya suna ba da amsa sosai ga tilasta yin maganin cutar shan taba. Wannan, duk da haka, ba yana nufin tiyata ba, kamar ƙaddamarwa, ba zai zama wani zaɓi ba. Likita zai yi la'akari da yiwuwar hadarin da rikitarwa na tiyata akan yiwuwar da zai yiwu kuma tattauna tare da mai haƙuri ko aikin tiyata mai kyau ne.
Wasu marasa lafiya ba su amsa maganganun PPI na gargajiya ba, kuma likita na iya yin la'akari da karuwar kashi, da kuma samun marasa lafiya zuwa kashi biyu a kowace rana maimakon na hali sau ɗaya a rana.
Yana da mahimmanci wajen sarrafa ruwan sanyi na dare. Ana nuna ɗaurin H2 kafin kwanta barci don taimakawa tare da bayyanar cututtuka.
Wasu hanyoyi na sarrafawa na kwanan rana sun hada da:
- Barci tare da kai da kafadu girma
- Barci a gefen hagu
- Jira wajan sa'o'i biyu ko uku bayan cin abinci don kwanta
- Yarda kayan ado na gado
Magungunan ƙila ma sun tsara yin amfani da wakili na talla, kamar Reglan, kafin cin abinci da kafin kwanta barci don taimakawa rage yawan hadarin acid.
Sauran dalilai na Kwayoyin cututtuka na Reflux
Lokacin da mai haƙuri ba ya amsa maganin maganin maganin cutar shan taba, musamman ma bayan an gwada jiyya mai tsanani, wasu matsaloli banda GERD na iya zama kusa.
Duk da yake GERD shine mafi mahimmanci na hanyar reflux bayyanar cututtuka, ba kawai dalilin ba. Sauran cututtuka na narkewa wanda zai iya haifar da reflux sun hada da hernias da kuma motility .
Gwaje-gwaje da likita zai iya yi don tabbatar da ganewar asali shine:
- PH Test
- Upper endoscopy
- Jigilar Manometry
Sakamakon wadannan gwaje-gwaje zasu taimaka wa likita don yanke shawara game da tsarin kulawa mai dacewa.
GERD mai ban sha'awa yana da wuya. Idan ciwon halayen ya ci gaba da nuna alamar cututtuka duk da lura, dole ne a nemi likita. Tattaunawa da irin bayyanar cututtuka da aka sani, ƙididdigar su, da kuma kula da yiwuwar haɓaka tasiri mai tasiri zai taimaka wajen gano tsarin dacewa.
Sources:
> Kenneth R. DeVault MD, FACG, Donald O. Castell MD, MACG > "Jagoran Bayanai don Tattaunawa da Jiyya na Gastroesophageal Cutar Kusawa." Doi: 10.1111 / j.1572-0241.2005.41247.x. Kwalejin Amirka na Gastroenterology. 5 Dec 2007.
> Ikuo Hirano, MD, 1 Joel E. Richter, MD, "ACG Ayyukan Gudanarwa: Jarabawar Kwace Kwayoyin Kwafa." Doi: 10.1111 / j.1572-0241.2006.00936.x. Kwalejin Amirka na Gastroenterology. 5 Dec 2007.