Heartburn yog ib yam mob uas cov kua dej ntawm lub plab nkag mus rau hauv txoj hlab pas (reflux). Cov kua dej no tuaj yeem ua rau mob thiab puas rau hauv cov hlab ntsha ntawm txoj hlab pas, txawm hais tias tsis muaj cov tsos mob tshwm sim ntawm cov neeg mob feem ntau. Nws feem ntau muaj cov kua qaub thiab pepsin, uas yog tsim nyob rau hauv lub plab, thiab tej zaum kuj muaj cov kua tsib, uas nkag mus rau hauv lub duodenum. Cov kua qaub yog suav tias yog cov khoom muaj kev phom sij tshaj plaws. Cov kua tsib thiab pepsin tuaj yeem ua rau txoj hlab pas ua rau puas tsuaj, tab sis lawv lub luag haujlwm hauv kev ua rau mob thiab kev puas tsuaj rau txoj hlab pas tsis meej npaum li cov kua qaub.
Yuav ua rau kub siab?
Muaj ntau yam sib txawv uas ua rau kub siab, xws li los ntawm hiatal hernia mus rau cov kua qaub ntau hauv lub plab. Cia peb nyob ntawm qhov laj thawj feem ntau.
1. Kev txawv txav hauv cov hlab pas esophageal sphincter.
Cov kab mob sib txawv, tab sis txhua yam cuam tshuam lub peev xwm ntawm sphincter kom cog lus thiab tiv thaiv cov kua dej rov qab los ntawm lub plab.
2. Hiatus hernia.
Yog muaj, ib feem me meLub plab, uas txuas nrog rau txoj hlab pas, raug thawb los ntawm diaphragm. Yog li, cov nyhuv barrier txo, thiab cov kua dej ntawm lub plab tuaj yeem nkag mus rau hauv txoj hlab pas yooj yim. 3. Contractions ntawm esophagus. Hauv kev tiv thaiv kev kub nyhiab, nqos ua lub luag haujlwm tseem ceeb, uas ua rau lub nplhaib tsis muaj zog ntawm cov leeg ntawm txoj hlab pas, nqaim lub lumen ntawm nws cov kab noj hniav. Cov contractions no hu ua peristalsis. Lawv thawb zaub mov thiab qaub ncaug rau hauv plab. Txawm li cas los xij, nrog cov teeb meem nrog peristalsis, cov kua qaub uas nkag mus rau hauv txoj hlab pas tsis rov qab mus rau lub plab. Ua tib zoo saib xyuas qhov tseeb tias kev haus luam yeeb kuj ua rau txo qis ntawm txoj hlab pas. Cov nyhuv no kav ntev li 6 teev tom qab luam yeeb kawg.
4. Cov tshuaj kho mob. Qee cov tshuaj tuaj yeem ua rau lossis ua rau mob plawv. Cov no yog anticholinergics, antihypertensives, bronchodilators, sedatives, thiab tricyclic antidepressants. 5. Kev xeeb tub. Kev kub hnyiab tuaj yeem ua teeb meem loj thaum cev xeeb tub. Tus me nyuam hauv plab loj hlob ua rau lub plab siab, uas ua rau cov kua dej reflux los ntawm plab.
Yog tias koj yog ib tus ntawm ntau lab tus tib neeg uas raug kev txom nyem los ntawm kub siab, koj yeej yuav tsum nrhiav kev kho kom raug. Qhov no tuaj yeem yog kev hloov pauv kev ua neej, noj tshuaj, lossis phais.
Kev ua neej
Cov kws kho mob qhia cov neeg mob kub hnyiab kom pib kho nrog kev hloov kev ua neej. Qhov no yog vim hais tias kwv yees li 94% ntawm cov neeg mob tuaj yeem koom nrog nws qhov kev tawm tsamcov khoom tshwj xeeb. Nws yog ib qho tseem ceeb uas txhua tus neeg mloog lawv lub cev, tshwj xeeb tshaj yog tias lawv kub siab. Kev noj zaub mov zoo yuav pab tau ntau lub sijhawm.
Kev kho mob
- Histamine receptor antagonists yog siv los kho cov mob uas lub plab tsim cov tshuaj hydrochloric acid ntau dhau (cov tshuaj "Famotidine", "Ranisan", "Kvamatel" inhibit nws cov khoom, vim qhov kub siab ploj mus).
- Kev kho nrog tshuaj tua kab mob, uas ua rau cov kua qaub hauv plab thaum sib cuag. Cov tshuaj nrov tshaj plaws yog Rennie, Phosphalugel, Topalkan, Maalox, Almagel, thiab lwm yam.
- Proton twj tso kua mis inhibitors (PPIs) yog ib pawg ntawm cov tshuaj noj uas cuam tshuam nrog kev tso kua qaub hauv plab thiab hnyuv. Cov kws kho mob tau sau cov tshuaj PPIs rau cov neeg uas muaj mob plab, plab lossis plab hnyuv, lossis ntau lub plab acid (Omez, Omeprazole, Pariet).
- Cov tshuaj tiv thaiv yog siv rau cov neeg mob uas ua rau lub plab zom mov qeeb. Lawv (tshuaj "Reglan", "Domstal", "Metoclopramide", "Gastrosil") ua kom lub plab zom mov, uas tiv thaiv cov kua qaub hauv lub plab, vim li ntawd - mob plawv txo qis lossis ploj mus.
Kev kho mob nrog kev phais
- Fundoplication yog ib txoj hauv kev ntawm kev phais kev kho mob plawv, uas lub plab ntawm lub plab yog qhwvnyob ib ncig ntawm txoj hlab pas thiab tsim ib hom cuff.
