Kuchepetsa kupweteka: mankhwala ndi zifukwa

Kutentha kwa chifuwa ndi chikhalidwe chomwe chimadzimadzi chimachokera m'mimba (reflux). Mankhwalawa amachititsa kutupa ndi kuwonongeka mu mucosa wamadzimadzi, ngakhale kuti palibe zizindikiro zowononga kwa odwala ambiri. Lili ndi acids ndi pepsin, zomwe zimapangidwa mmimba, ndipo zimatha kukhala ndi bile, zomwe zimalowa mkati mwa duodenum. Acid imakhulupirira kuti ndilo gawo lalikulu kwambiri. Mafuta ndi pepsin amathanso kuwononga mimba, koma gawo lawo poyambitsa kutupa ndi kuwonongeka silowoneka ngati gawo la asidi.

Nchifukwa chiyani kupweteketsa mtima?

Pali zifukwa zingapo zomwe zimayambitsa kupweteka kwa mtima: kuyambira pachiyambi cha kutsegula kwa mimba ndi kumapeto kwa kupanga kwachilendo kwakukulu kwa asidi m'mimba. Tiyeni tiganizire pa zifukwa zofala kwambiri.

1. Kusokonezeka kwa m'mimba.
Kusokonezeka kungakhale kosiyana, koma zonse zimachepetsa luso la sphincter kuti lichite mgwirizano ndikuletsa kutuluka kwa madzi kuchokera m'mimba.
2. Hernia wa kutsegula m'mimba.
Ndi kukhalapo kwake, gawo laling'ono la m'mimba, lomwe limagwirizanitsidwa ndi liwulo, limasunthira kupyola mu diaphragm. Choncho, kuchepetsa kuchepetsa kuchepa, ndipo madzi kuchokera m'mimba amatha kufika mosavuta.
3. Mamasulidwe a mitsempha. Poletsa kupweteka kwa mtima, ntchito yaikulu imasewera ndi kumeza, zomwe zimachititsa kuti mitsempha ya mitsempha iwonongeke, kupyolera m'kati mwake. Zifanizo izi zimatchedwa peristalsis. Amakankhira chakudya ndi matumbo m'mimba. Komabe, m'mabvuto ndi peristalsis, asidi omwe alowa m'mimbayi sabwerera mmimba. Kusamala kwakukulu kumaperekedwa chifukwa chakuti kusuta kumachepetsanso kuchepetsa kuchepa kwa mimba. Izi zimatha kwa maola 6 pambuyo pa ndudu yomaliza.

4. Mankhwala. Mankhwala ena amachititsa kapena kuwonjezera kupweteka kwa mtima. Izi ndi anticholinergics, mankhwala osokoneza bongo, mabakiteriya, amadzimadzi komanso tricyclic.
5. Mimba. Kutentha kwapakhosi kungakhale vuto lalikulu panthawi ya mimba. Chiberekero chochulukira chimaonjezera chipsinjo m'mimba ya m'mimba, kuchititsa reflux ya madzi kuchokera m'mimba.

Kupweteka kwa mankhwala - mankhwala ndi zakudya

Ngati ndinu mmodzi mwa anthu mamiliyoni ambiri omwe akudwala matendawa, ndiye kuti mumayenera kusankha njira yoyenera yothandizira. Kungakhale kusintha kwa moyo, mankhwala kapena opaleshoni.

Moyo

Madokotala amalangiza anthu omwe akutha kupwetekedwa mtima, mankhwala oyamba ndi kusintha kwa moyo wawo. Izi zili choncho chifukwa pafupifupi odwala 94% amatha kugwirizanitsa zida zake ndi mankhwala enaake. Ndikofunika kuti munthu aliyense amvetsere thupi lake, makamaka ngati ali ndi kupweteka kwa mtima. Zakudya, monga lamulo, zimathandiza nthawi zambiri.

Chithandizo ndi mankhwala

- Amatsutso a histamine receptors amagwiritsidwa ntchito pochiza matenda pamene mimba imapanga hydrochloric acid ("Famotidine", "Ranisan", "Zamamatel" mankhwala osokoneza bongo, amatha kutaya mtima).

- Chithandizo ndi antacids, zomwe zimapangitsa kuti asidi am'mimba asanalankhulane. Mankhwala otchuka kwambiri ndi "Rennie", "Fosfalugel", "Topalcan", "Maalox", "Almagel", ndi zina zotero.

- Proton pump inhibitors (PPIs) ndi gulu la mankhwala osokoneza bongo omwe amaletsa kusungunuka kwa asidi m'mimba ndi matumbo. Madokotala amapereka PPI kwa anthu omwe amayamba kupweteka m'mimba, zilonda za m'mimba kapena matumbo, komanso amapanga mimba yambiri yam'mimba ("Omez", "Omeprazole", "Pariet").

- Zothandizira otsegula zimagwiritsidwa ntchito kwa odwala omwe amachedwa kupuma. Iwo (kukonzekera "Reglan", "Domstal", "Metoclopramide", "Gastrosil") imachepetsa chimbudzi, chomwe chimalepheretsa kusungidwa kwa asidi mmimba, monga zotsatira - kuchepa kapena kutha kukhumudwa kwa mtima.

Chithandizo ndi opaleshoni yothandizira

- Kuphunzitsa ndalama ndi njira yoyenera yothandizira kupweteka kwa mtima, kumene pansi pa mimba imakulungidwa pambali ndipo imapanga chingwe chodziwika bwino.