Mukati
General tsananguro yechirwere
Acid reflux or gastroesophageal Reflux inoyerera - Uku kupinda kwekusazvipira kwemudumbu acid mudumbu nekuda kwekushaya simba kana kusavhara kwepazasi esophageal sphincter, iyo inodzivirira kudzoka kwekuyerera kwechikafu neasidhi. Iyo yekupedzisira inogona kukonzeresa zvakanyanya makemikari kupisa kune iyo esophagus, tambo dzenzwi uye pharynx. Idzi zvikamu zvegwara remudumbu hazvina epithelium yekudzivirira senge mudumbu, saka kukuvara kweasidhi kunorwadza uye kunogona kukonzera kusagadzikana.
Kana chirwere ichi chisina kurapwa kwenguva yakareba (anopfuura makore gumi), ipapo njodzi yekukura chirwere cheBarrett, kenza yekuzvimba, maronda anowedzera. Mumatanho ekutanga eacid reflux, kuomerera pamitemo yekudya yakakwana. Pamatanho ekupedzisira, kuongororwa kunosungirwa ne gastroenterologist, endoscopy uye X-ray yegurokuro, pH-metry, kuyedzwa kwaBerstein, kuyerwa kwekumanikidza uye mwero wekuvharwa kwesophageal sphincter inodiwa.
Kana zvipembenene zvehutachiona husingazivikanwe zvikaonekwa, biopsy yemasuru sampuli inoitwa. Kana kurapa uye kudya kusingaunze chiitiko chakanaka, varwere vanorayirwa kushanda kwaNissen kuputira chikamu chepamusoro chedumbu chakakomberedza ziso, nokudaro vachibvisa diaphragmatic hernia uye kudzikisira kupera kwegurokuro.
Mhando dzeacid reflux
- acute acid Reflux - zviratidzo zvinoitika nguva nenguva, kunyanya mumwaka wekusiya uye mushure mekudya yakawanda yemafuta chikafu nedoro;
- chisingaperi acid Reflux - zviratidzo zvinoitika mushure mekudya kwese.
Zvinokonzera
- kuberekwa kwemaatomical maficha ezasi esophageal sphincter, semhedzisiro yezviratidzo zvechirwere zvinogona kuoneka kana zvichikotama kumberi, pasi kana kungori munzvimbo yakatwasuka;
- nhumbu - kunyanya kana paine chibereko chakakura kana anopfuura mwana mumwe ari kukura muchibereko. Izvi zvinowedzera kumanikidza padumbu, uye chikafu chinogona kuwira muchidziro;
- kudya kwakarongeka;
- kuwandisa uremu;
- Kudya zvisina kukodzera;
- diaphragmatic heniya - apo chikamu chedumbu kuburikidza nekuvhura mune diaphragm chinopinda muchipfuva;
- shoma enzymes iyo inoputsa chikafu;
- peptic ulcer yemudumbu uye duodenum;
- asima, umo kukosora kwakasimba kunogona kumutsa kushomeka kwesphincter;
- kusvuta uye kunwa doro muhombe muhombe;
- kutora mapiritsi ekunyaradza marwadzo nemishonga inorwisa mabhakitiriya.
Acid Reflux zviratidzo
- dysphagia - kunetsekana nekumedza chikafu nekuda kwekuumbwa kwechironda pahuro kana maronda akazaruka;
- kazhinji chirungurira;
- kubuda ropa;
- kurwadziwa kwepfupa munzvimbo yekupfuura yegurokuro;
- asthma uye hoarseness nekuda kwekutsva kwemhepo uye netambo tambo, zvichiteerana;
- kubata nechingwa chakamedzwa uye mudumbu asidi kumashure mumuromo;
- kukukurwa uye kukuvara kwemeno enamel.
Kudya kune hutano kweacid reflux
Kukurudzira kwakawanda
Kuti kuderedze kunetseka padumbu, zvinodikanwa kudya chikafu nguva nenguva uye muzvikamu zvidiki. Kudya kwekupedzisira hakufanirwe kunge kwapfuura maawa matatu nguva yekurara isati yasvika. Nekuti mune vanhu vazhinji, iwo makuru zviratidzo zveacid reflux anoonekwa munzvimbo yakatwasuka, ipapo musoro wemubhedha unofanirwa kusimudzwa ne3-10 cm.
Kudya kwacho kunofanirwa kuve antioxidant, kureva sanganisira chikafu chinoderedza acidity yemudumbu, kubvisa chepfu kubva mumuviri uye kubatsira kudzivirira kumwe kukuvara kumasero egurokuro.
Zvikafu zvine hutano
Kudya kwacho kunofanira kusanganisira:
- michero yeorenji uye yeyero (orenji, tangerines, grapefruit, persimmon, apricots, mapichisi) nemiriwo (manhanga, mhiripiri) - ane maantacite, ayo anongo deredza acidity uye anonyaradza marwadzo anomuka;
- yakabikwa madomasi, mbatatisi, mabhanana, pamwe nechangobva kutswinywa muto wemonimu, huchi, apple cider vhiniga - chikafu chakazara mu potassium, icho chinogurisa dumbu acid uye chinoderedza huwandu hwayo;
- miriwo miriwo nemichero (broccoli, avocado);
- mashizha ane mashizha (basil, sipinashi, lettuce, parsley);
- michero (blueberries, mabheribheri, cranberries) uye chinanazi - ine bromelain, iyo inoderedza kupisa kwehana;
- nzungu (walnuts, maarumondi, pistachios, hazelnuts);
- mhodzi (manhanga, sunflower, sesame);
- nyama (dzakaonda zvikamu zvehuku, turkey uye nyama yemombe);
- hove (ese akaonda mhando);
- zviyo (mupunga, mapfunde, oats);
- zviyo zveupfu zvigadzirwa - kubatsira kuchengetedza yakajairika acid-base chiyero mudumbu.
mishonga yeacid reflux
Kuti udzivise acid Reflux, unogona kutora poda yevhu fennel, basil mashizha, licorice midzi uye coriander zuva nezuva pamberi pekudya kwemasikati uye kudya kwemanheru. Zvese zvinoshandiswa zvinofanirwa kutorwa zvakaenzana zvikamu, zvakasanganiswa zvakakwana uye shandisa 0,5 teaspoon yedosi imwe chete.
Munguva yekurwiswa kwechirungurira, wedzera green cardamom nedhiri poda (200 tsp imwe neimwe) kumukaka unotonhora (0,5 ml) uye kunwa mune zvidiki zvidiki. Iwe unogona zvakare kushandisa mafuta evhavha (madonhwe 2-3) akasanganiswa mumvura (200 ml).
Kana uchidya, wedzera madonhwe mashoma epanyama cider vhiniga kune iyo ndiro. Izvi zvinoderedza njodzi yekurwadziwa nechirwere chemoyo, pamwe nekugadzirisa nzira yekugaya. Kana kurwisa kwekurwadziwa kwepfungwa kwatotanga, saka apple cider vhiniga (1 tsp) inofanirwa kusanganiswa mumvura (100 ml) uye kunwiwa mune sips diki kana kuburikidza nehubhu.
Raw oats oats akakwirira muzvinhu zvekunyepedzera izvo zvinobatsira panguva yekurapa acid reflux. Kuti uite izvi, gaya oats (1 tbsp. L.) Pane chigayo chekofi, dururira mvura inodziya (100 ml) uye rega iite kwemaminetsi makumi matatu. Musanganiswa unoguma unofanirwa kusefetwa uye kunwiwa mangwanani padumbu risina chinhu kwemazuva gumi nemana.
Chikafu chine njodzi uye chinokuvadza cheacid reflux
Kune zvakawanda zvekudya uye zvinwiwa zvinokonzeresa uye zvinogona kukonzera kukura kwechimiro chisingaperi chechirwere.
- doro (kunyanya waini yakaoma)
- zvinwiwa zvine kabhoni
- chokoreti nhema
- nyama dzakaputa
- kofi uye yakasimba tii
- chikafu chine mafuta (chikafu chekukurumidza, nyama ine mafuta uye zvigadzirwa zvemukaka)
- chikafu chinovira uye chakagadziriswa
- chikafu chine hwema chine huwandu hwakawanda hwekuchengetedza
- mwaka unopisa nezvinonhuwira, pamwe negariki nyowani, hanyanisi, ginger.
Chenjerera!
Iwo manejimendi haatarisiri chero kuyedza kwekushandisa ruzivo rwunopihwa, uye haivimbise kuti harukuvadze iwe pachezvako. Izvo zvinhu hazvigone kushandiswa kupa mushonga uye kugadzirisa chirwere. Nguva dzose bvunza chiremba wako wezvechiremba!