Gastroesophageal reflux (GERD) yog ib yam kab mob uas cov ntsiab lus ntawm txoj hnyuv, plab nkag mus rau hauv txoj hlab pas. Reflux yog physiological, yog pom tam sim tom qab noj mov, tsis ua rau mob hnyav. Yog tias cov tsos mob ntawm GERD feem ntau cuam tshuam, qhov tshwm sim ntawm kev tsis sib haum xeeb yog cov yam ntxwv ntawm hmo ntuj, nrog rau cov kev xav tsis zoo, lawv hais txog kab mob.
YPhysiology thiab pathology
Nrog reflux, hydrochloric acid tuaj yeem cuam tshuam rau txoj hlab pas. Cov tshuaj no muaj cov nyhuv irritating, pib cov txheej txheem inflammatory. Nquag, tib neeg lub cev yog nruab nrog ntau lub tshuab, vim tias cov nyhuv ntawm cov kua qaub ntawm cov mucous membranes tsis raug tso cai. Thawj thiab qhov tseem ceeb yog lub sphincter, qhov txo qis uas ua kom txo qis ntawm qhov khoob ntawm cov khoom noj khoom haus, uas txhais tau hais tias cov khoom tsis tuaj yeem mus rau qhov tsis ncaj ncees lawm piv rau cov qauv anatomical. Txhawm rau txo qhov tsis xis nyob, xwm muab tshwj xeeb mucosal Cheebtsam, ua tsaug rau qhovNws ua resistant rau acids. Tsis tas li ntawd, txoj hlab pas tuaj yeem ua rau nws tus kheej raug ntxuav ntawm cov khoom noj khoom noj uas tau txais los ntawm lub plab yuam kev.
Yog tias cov txheej txheem no raug ua txhaum, cov tsos mob ntawm GERD tuaj yeem ua tau. Refluxes ua ntev, nquag heev, cov mucous daim nyias nyias yuav khaus thiab o. Cov xwm txheej dhau los ua pathological.
Qhov txawv yog dab tsi?
Lub cev rov qab los tshwm sim tom qab noj mov, nws tsis muaj cov tsos mob GERD. Muaj me ntsis reflux thaum nruab hnub, nws tsis tshua muaj heev thaum hmo ntuj.
Tus kab mob pathological raug txiav txim siab yog tias refluxes ntev, mob, tuaj ntau zaus, tshwm sim ob qho tib si thaum noj mov thiab lwm lub sijhawm ntawm nruab hnub thiab hmo ntuj. Cov mucous membranes ntawm txoj hlab pas ua rau mob, ib daim duab kho mob tag nrho ntawm GERD tau pom.
GERD cov tsos mob txawv ntawm rooj plaub rau rooj plaub - txhua yam nyob ntawm qhov tshwj xeeb ntawm ib qho xwm txheej. Lub acidity ntawm txoj hlab pas nyob rau hauv tus neeg noj qab haus huv nws txawv ntawm 6 mus rau 7 units. Yog tias cov ntsiab lus ntawm lub plab nkag mus rau ntawm no, qhov ntsuas yuav tsawg dua 4. Qhov no tso cai rau kev kuaj mob ntawm cov kua qaub reflux.
Yog tias acidity ntawm txoj hlab pas txawv ntawm 4-7 units, qhov reflux yog acidic me ntsis. Nws tuaj yeem yog acidic tshwj xeeb - nws tau kuaj pom yog tias acidity hauv txoj hlab pas nws tus kheej tsawg dua 4 units, tab sis cov zaub mov raug pov rov qab.
Lwm qhov kev xaiv yog qhov tshwm sim hauv txoj hlab pas ntawm cov ntsiab lus ntawm lub plab thiab cov hnyuv, uas muaj lysolecithin, cov kua tsib cov khoom. Nyob rau hauv cov ntaub ntawv no, lub acidity ua siab tshaj li qubtus nqi. Alkaline reflux kuaj pom.
qhov teeb meem tuaj qhov twg?
Cov tsos mob tshwm sim ntawm gastric GERD nyob rau hauv daim ntawv ntev. Tus kab mob no tau piav qhia los ntawm qhov systematic uncontrolled nkag ntawm cov ntsiab lus ntawm lub plab, cov hnyuv mus rau hauv txoj hlab pas. Cov txheej txheem rov ua dua, tshwm sim spontaneously, ua mob rau kev ncaj ncees ntawm mucosa.
Ntau zaus, cov tsos mob ntawm GERD nrog rau cov kab mob esophagitis hauv cov neeg laus thiab cov menyuam yaus raug pom tawm tsam keeb kwm yav dhau los ntawm kev ua haujlwm tsis muaj zog ntawm esophageal sphincter. Qhov no yog ua tau, piv txwv li, yog hais tias ib tug hernia tau tsim nyob rau hauv lub diaphragm, uas tau coj mus rau destructuring ntawm lub cev. Qee zaum GERD tshwm sim thaum qhov kev tshem tawm ntawm txoj hlab pas qis dua li qub. Qhov no yog ua tau nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm cov tshuaj muaj pes tsawg leeg ntawm qaub ncaug thiab ib tug txo nyob rau hauv nws zoo li ib tug neutralizer. Qhov laj thawj yog vim li cas yog qhov kev hloov pauv hauv cov ntsiab lus ntawm bicarbonates hauv cov hnoos qeev tsim los ntawm cov qog ntawm lub plab zom mov.
Qee zaum cov tsos mob ntawm GERD hauv cov menyuam yaus thiab cov neeg laus tau piav qhia los ntawm kev puas tsuaj los ntawm cov ntsiab lus ntawm lub plab, cov hnyuv - pepsin, bile, hydrochloric acids muaj nyob rau hauv cov ntim tso tseg, uas ua rau cov ntaub so ntswg puas tsuaj. Qee qhov xwm txheej, qhov ua rau ntawm tus mob pathological yog ua txhaum ntawm cov txheej txheem ntawm lub plab khoob, qhov txawv txav ntawm qhov siab ntawm lub plab kab noj hniav. Feem ntau GERD pom nyob rau hauv cov poj niam cev xeeb tub, nyob rau hauv cov neeg txom nyem los ntawm tus cwj pwm phem thiab rog dhau. Qee zaum tshuaj yog qhov ua rau.
tseem ceeb nuances
Nrog thiab tsis muaj tsos mob, GERD muaj ntau dua rau cov tib neeg uas noj zaub mov tsis zoo. Yog hais tias ib tug neeg noj sai, plentifulnyob rau hauv feem, nqos cua, qhov tshwm sim ntawm kev nce siab nyob rau hauv lub plab saum toj no tus qauv yog siab heev. Lub plab sphincter qis qis thiab cov zaub mov raug thawb rau ntawm txoj hlab pas.
Qee qhov kev pheej hmoo cuam tshuam nrog kev noj nqaij ntau dhau, cov khoom noj rog, hmoov nplej, roj, kib, ntsim. Tag nrho cov no txhawb kev khaws cia rau lub sijhawm ntev ntawm cov khoom noj hauv plab, qee zaum ua rau muaj qhov nce hauv qhov ntsuas siab hauv zos.
Yuav ceeb toom li cas?
Tag nrho cov tsos mob feem ntau yog muab faib ua esophageal thiab non-esophageal. Cov tsos mob ntawm GERD nrog esophagitis muaj xws li kub siab thiab belching. Feem ntau, cov neeg mob nplawm cov zaub mov, lawv xav tias qaub saj hauv qhov ncauj. Tej zaum yuav muaj kev ua txhaum ntawm kev nqos dej, qhov mob hauv txoj hlab pas thiab ib puag ncig. Feem ntau, GERD manifests nws tus kheej li hiccups, ib qho kev xav tias ib pob tau tsim nyob rau hauv lub sternum. Tus neeg mob ntuav.
Lwm cov tsos mob ntawm tus kab mob GERD tau piav qhia los ntawm kev nkag mus ntawm cov ntsiab lus ntawm lub plab, plab hnyuv mus rau hauv lub ntsws. Cov pawg muaj qhov ua kom khaus khaus, ua kom lub reflux ntawm bronchi, lub plawv.
Ib qho ntawm cov yam ntxwv tshwm sim yog hnoos nrog GERD. Cov tsos mob ua pa muaj xws li ua pa luv. Kev ua kom muaj zog yog pom thaum tus neeg pw tsaug zog. Muaj peev xwm ua kua ntswg thiab mob hauv caj pas, pob ntseg, qhov ntswg. Muaj qhov ua tau ntawm reflex apnea. Nrog GERD, muaj kev pheej hmoo siab ntawm caries thiab stomatitis, inflammatory pos hniav.
Kev nce qib tuaj yeem ua tau raws sijhawm yog tias tsis muaj kev kho mob txaus. Cov tsos mob ntawm GERD yuav suav nrog erosions ntawm txoj hlab pas mucosa, uas yog nrog los ntshav -me me tab sis tas li.
Tus neeg mob muaj kev tsis xis nyob hauv thaj tsam ntawm lub siab. Kev mob tshwm sim, ua txhaum ntawm qhov nrawm thiab zaus ntawm kev cog lus ntawm lub plawv cov leeg.
Ntxhais - phem
Yog tias koj tsis pib kho tus kabmob raws sijhawm, cov tsos mob ntawm GERD zuj zus. Muaj esophageal stricture, erosion thiab ulcerative txheej txheem nyob rau hauv cheeb tsam no. Tej zaum yuav muaj los ntshav los ntawm cov chaw cuam tshuam. Thaum lub sij hawm, Barrett tus mob tshwm sim. Nws yog qhov nyuaj tshaj plaws thiab mob hnyav ntawm GERD. Lub squamous epithelium, uas tsim cov ntaub so ntswg organic, yog hloov los ntawm ib tug cylindrical, yam ntxwv ntawm lub plab. Metaplasia ua rau muaj qhov tshwm sim ntawm cov kab mob oncological hauv zos hauv plab hnyuv.
Special Occasion
Cov tsos mob tshwm sim ntawm GERD hauv cov menyuam mos. Hauv thawj ob peb lub hlis tom qab yug me nyuam, qhov no yog vim qhov tsis txaus ntawm lub plab zom mov. Lub xeev no yog tus qauv. Cov menyuam mos noj mis muaj ntau qhov tshwj xeeb anatomical, physiological nta, vim tias qhov ua rau reflux siab heev. Ntxiv nrog rau qhov kev txhim kho tsis zoo ntawm lub plab zom mov, cov kua qaub qis ntawm cov kua txiv hmab txiv ntoo thiab cov ntim me me ntawm cov khoom nruab nrog cev ua lub luag haujlwm.
Tus mob uas piav qhia tsis tas yuav kho. Cov tsos mob ntawm GERD hauv cov menyuam mos yog regurgitation ntawm cov zaub mov sai tom qab pub mis. Raws li txoj cai, qhov xwm txheej kho nws tus kheej los ntawm lub hnub nyoog ntawm ib xyoos. Yog tias tus mob nyob ruaj khov, tsis pom kev txhim kho, koj yuav tsum sab laj nrog kws kho mob. Tej zaum yuav tsum tau mus dhau ib qho serieskev soj ntsuam.
Qhia qhov xav tau kev kuaj mob thiab kho GERD hauv cov menyuam yaus ua kua muag thiab kev ntxhov siab. Qhov no tuaj yeem ua tau yog tias reflux nrog kev puas tsuaj rau cov hlab pas los ntawm hydrochloric acid. Regurgitation hloov mus rau ntuav, cov txheej txheem yog ntev, hnyav, cov chaw ua haujlwm muaj ntau, cov ntshav suav nrog ntuav tuaj yeem ua tau. Nrog GERD hnyav, tus menyuam hnoos. Qhov hnyav nce qeeb, qaug zog.
Thaum koj loj tuaj, tus mob tshwm sim nws tus kheej yog mob hauv siab, kub hnyiab, tsis xis nyob thaum nqos cov zaub mov. Qee cov menyuam yaus piav qhia nws zoo li zaub mov tau daig. Lub qaub saj thab kuv hauv kuv lub qhov ncauj.
xwm txheej hloov tshiab
Yuav kom paub meej seb cov tsos mob GERD puas xav tau kev kho mob rau cov neeg laus, menyuam yaus, koj yuav tsum mus ntsib kws kho mob. Tus kws kho mob yuav tshuaj xyuas tus mob thiab ua qhov kev kuaj mob tag nrho. Raws li cov ntaub ntawv tau txais, qhov kev pab cuam tswj cov tsos mob yuav raug xaiv. Muaj ntau txoj hauv kev los tsim kev kuaj mob. Ua ntej, kev kuaj mob endoscopic yog muab los txheeb xyuas cov yam ntxwv ntawm tus mob ntawm txoj hlab pas. Tus kws kho mob yuav sai sai pom cov cheeb tsam ntawm o, erosion thiab ulceration, lesions localized ntawm esophageal membrane. Yog tias muaj metaplasia, nruj, nrog kev pab los ntawm endoscope, tus kws kho mob yuav tau txais lub tswv yim tseeb ntawm cov txheej txheem tsis tu ncua.
Tom qab ntawd ua esophagomanometry. Raws li cov txiaj ntsig ntawm qhov xwm txheej zoo li no, ib tus tuaj yeem ntsuas seb cov zaub mov txav li cas tom qab nws nkag mus rau hauv txoj hlab pas. Tus kws kho mob soj ntsuam cov kev ua ntawm sphincters.
Pom zoo thaum nruab hnubtau txais kev kuaj acidity. Los ntawm cov txheej txheem no, ib tus tuaj yeem nkag siab tias qhov mob reflux nquag npaum li cas, lawv nyob ntev npaum li cas, qhov tsis zoo ntawm ib puag ncig tam sim no, dab tsi yog qhov cuam tshuam nrog qhov tshwm sim uas cuam tshuam tus neeg mob. Nws yuav raug nthuav tawm seb puas muaj kev sib txuas ntawm kev tshwm sim thiab kev noj mov, kev siv tshuaj, kev hloov hauv lub cev. Nrog cov tsos mob ntawm exacerbation ntawm GERD, nws yuav txiav txim siab seb qhov twg muaj zog tshaj plaws rau tus neeg mob tus mob hauv ib kis.
Yuav ua li cas?
Rau cov tsos mob ntawm GERD, kev kho mob yog kev noj haus, kev kho tshuaj, thiab qee zaum kev phais radical. Tsis tas li ntawd, koj yuav tsum rov xav txog ntau yam ntawm lub neej niaj hnub thiab kho koj txoj kev ua neej.
Tshuaj kho mob GERD yog tsom rau normalizing acidity indicators, stimulating gastric motility. Prokinetics tau ua pov thawj lawv tus kheej zoo, ua kom lub suab ntawm lub sphincter thiab txhim kho nws lub peev xwm contractile. Siv cov tshuaj no, koj tuaj yeem txhim kho cov txheej txheem ntawm kev txav cov zaub mov mus rau hauv txoj hnyuv, txo qhov kev pheej hmoo ntawm reflux. Cov tshuaj nrov yog tsim nyob rau hauv cov tebchaw nrog domperidone, metoclopramide. Txhawm rau txo qis qhov tsis zoo ntawm hydrochloric acid, nws yog ib qho tsim nyog yuav tsum siv cov tshuaj antisecretory. Cov no yog cov tshuaj uas ua rau lub siab lub twj tso kua mis proton thiab cov tebchaw uas nres cov haujlwm ntawm histamine-H2 receptors.
Reparants yog siv los txhawb cov txheej txheem cellular regenerative. Cov neeg sawv cev zoo ntawm cov pab pawg no yog cov roj hiav txwv buckthorn, Misoprostol, Dalargin. Txhawm rau txo cov nyhuv ntawm hydrochloric acid thiabpepsin, koj tuaj yeem siv antacids. Cov tshuaj ntawm pab pawg no txhawb kev ntxuav ntawm lub plab zom mov, nqus lysolecithin, qee yam tshuaj lom neeg muaj nyob hauv plab. Hauv khw muag tshuaj koj tuaj yeem yuav "Almagel" thiab "Maalox". Phosphalugel tau ua pov thawj nws tus kheej zoo.
Kev ua haujlwm qhia
qhov kev xaiv no raug pom zoo yog tias tus kab mob no nrog cov teeb meem, muaj Barrett qhov kev hloov pauv, qhov thib peb lossis plaub qib ntawm esophagitis, nrog rau cov txheej txheem ulcerative ntawm cov mucous membranes. Yog tias kev kho mob, kev hloov hauv kev ua neej tsis pab txo cov tsos mob ntawm GERD, kev cuam tshuam los ntawm cardinal kuj tseem raug txiav txim siab.
Ntau qhov kev phais mob tau paub. Lub luag haujlwm tseem ceeb ntawm tus kws kho mob yog txhawm rau txhim kho cov nyom cais txoj hlab pas ntawm lub plab.
Yuav ua li cas ntxiv?
Txhawm rau tiv thaiv kev rov qab los, nws yog qhov tsim nyog los qhia ntau tus cwj pwm zoo rau hauv lub neej txhua hnub. Qhov no yuav khaws cov txiaj ntsig zoo ntawm chav kho mob rau lub sijhawm ntev. Thawj qhov uas yuav tau pib nrog yog qhov tsis lees paub tus cwj pwm phem. Tshem tawm cawv los ntawm kev noj haus, tsis txhob haus luam yeeb. Koj yuav tsum tsis txhob haus dej haus uas muaj caffeine. Yog tias koj muaj phaus ntxiv, koj yuav tsum pib noj kom raug, tshem tawm qhov hnyav ntxiv.
Muaj qee yam khoom noj uas tuaj yeem ua rau lub zog sab hauv hauv lub plab. Lawv yuav tsum raug cais tawm ntawm cov ntawv qhia zaub mov. Cov khoom noj xws li legumes, dej qab zib, thiab dej qab zib. Nws kuj tseem yuav muaj txiaj ntsig los txwv kev noj cov zaub mov uas txhawb kev tsim khoomkua qaub. Qhov no yog hmoov nplej thiab kib, citruses thiab ntsim, ntsim. Nws raug pom zoo kom tsis kam lossis txo qis kev noj cov qhob noom xim kasfes, radish, radish.
Tus kws kho mob, piav qhia txog kev tswj hwm kev noj qab haus huv nrog GERD, yuav tsom ntsoov rau kev noj zaub mov kom raug, tsis yog ntawm cov khoom, tab sis kuj yog cov txheej txheem nws tus kheej: koj yuav tsum noj tsuas yog qee qhov me me, zom kom huv. Thaum noj mov, txwv tsis pub tham.
Kev txom nyem los ntawm GERD yuav tsum zam kom tsis txhob nqa cov khoom hnyav, tso tseg cov tshuaj uas cuam tshuam rau txoj hlab pas sphincter. Tom qab noj mov, koj yuav tsum tsis txhob pw rau ob peb teev tom ntej no.
Txoj kev ntws
Qhov tshwm sim tseem ceeb ntawm GERD yog kub siab, tab sis tus mob no tshwm sim hauv ntau, yog li feem ntau tib neeg tsis muab qhov tseem ceeb rau nws. Nws yog ib qho tsim nyog yuav tau mus ntsib kws kho mob yog tias kub siab tuaj yeem tshwm sim thaum tus neeg pw ntawm lawv sab xis - qhov no yog ib qho cim ntawm GERD. Thaum txoj hauj lwm hloov, tus mob yuav zoo dua. Qhov hnyav ntawm tus mob tsis sib npaug rau qhov kev puas tsuaj rau cov ntaub so ntswg organic.
Yog tias muaj caws pliav hauv txoj hlab pas, lub plab yuav muaj cov khoom noj. Kom txog rau thaum tus mob tau nce mus rau theem no, qhov tso tawm yog qaub.
Yog tias kub siab tas li thiab mob hnyav, GERD yog nrog ntuav. Thaum tsaus ntuj, tus mob no provokes hnoos hnyav thiab cuam tshuam kev pw tsaug zog. Thaum nruab hnub, ntau tus neeg mob tsis thab txhua.
khoom noj kom raug
Nrog cov tsos mob ntawm GERD, kev kho mob nrog pej xeem cov kev kho mob suav nrog, ua ntej ntawm tag nrho cov, rov kho cov zaub mov. Txawm li cas los xij,tshuaj tsoos tshuaj kuj pom zoo rau txoj kev no. Kev noj zaub mov rau GERD yog qhov tsis lees paub tag nrho cov khoom noj qab ntsev, qaub, ntsim. Nws yog ib qho tsim nyog los xaiv cov zaub mov tsuas yog sparing, uas provokes tshuaj tiv thaiv rau qhov tsawg kawg nkaus. Koj siv tsis tau txias, kub. Txhawm rau kom tsis txhob muaj qhov khaus khaus, tsuas yog cov zaub mov crushed uas tsis muaj cov ntsiab lus yuav tsum tau noj.
Cov zaub mov yuav tsum suav nrog cov kua zaub thiab cov khoom noj siv mis, cereals thiab qhob cij. Mineral dej nrog siab alkalinity raug pom zoo. Los ntawm dej qab zib, kas fes thiab tshuaj yej raug tso cai, tab sis tsuas yog cov tsis muaj zog. Cawv yog txwv tsis pub haus cawv.
Tom qab noj mov, yuav tsum zam kev siv lub cev. GERD txwv tsis pub hnav khaub ncaws nruj, tshwj xeeb tshaj yog cov uas nyem lub plab. Lub duav, txoj siv sia yuav tsum xoob, thiab blouses thiab lub tsho yuav tsum loj dua li qhov xav tau.
Surgery: technology
Nyob rau qee kis, tus neeg mob GERD raug qhia kom mus phais siv Nissen thev naus laus zis. Thaum lub sij hawm kev cuam tshuam, lub tes tsho yog tsim los tiv thaiv lub sab esophageal compartment, gastric fundus. Lub luag haujlwm tseem ceeb ntawm kev tsim no yog txhawm rau ntxiv dag zog rau cov leeg nqaij ntawm txoj hlab pas thiab them nyiaj rau qhov tsis muaj zog ntawm sphincter. Xws li kev ua haujlwm raug pom zoo rau theem 3-4 esophagitis, thaum tsis muaj txiaj ntsig ntawm kev saib xyuas.
Yog tias kuaj pom los ntshav, nws yuav tsum tau thaiv lawv. Txhawm rau ua qhov no, nws raug tso cai ua haujlwm Nissen lossis kev cuam tshuam endoscopic. Nrog rau kev siv lub endoscope, los ntshav yog nres siv tshuabze rau FSH. Cov cuab yeej tau muab tso rau hauv txoj hlab pas, cov hlab ntsha raug khi lossis kho nrog cov tshuaj txhawm rau ua kom hemostasis.
Yog tias mob stenosis, mob qog nqaij hlav, lub cev ntawm txoj hlab pas raug tshem tawm ntawm lub cev, cov ntaub so ntswg ntawm txoj hnyuv tau hloov pauv. Tom qab kev phais, tus neeg mob tuaj yeem noj ntawm nws tus kheej, tab sis koj yuav tsum ua raws li kev noj zaub mov nruj thiab siv tshuaj tas li. Ntawm qhov tshwm sim tsis zoo ntawm kev ua haujlwm yog o, kev puas tsuaj rau cov sutures, rov ua dua ntawm neoplasm, rov ua dua ntawm stenosis.
Txoj Cai thiab Txoj Cai
Nws yog txwv tsis pub noj tus kheej nrog GERD. Nws yog ib qho tseem ceeb uas yuav tau xaiv cov tshuaj rau kev kho mob kom zoo. Yog tias tus kws kho mob tau sau cov tshuaj, nws yog ib qho tsim nyog yuav tsum tau qhia nws txog qhov reflux. Ntau cov tshuaj rau cov kab mob no raug txwv nruj, thiab noj lawv tuaj yeem ua rau muaj kev phom sij ntau.
Ib qho yooj yim hauv tsev kho mob kub siab yog ci dej qab zib. Nrog GERD, txoj hauv kev no raug txwv nruj heev. Baking soda reacts nrog acids nyob rau hauv lub plab kua txiv, tsim carbon dioxide. Cua ua rau lub plab zom mov, provokes qhov mob, ua rau tus neeg mob tus mob nrog gastritis thiab ulcers. Ua tau gastric ulcer perforation.
Rau GERD, qee zaus koj tuaj yeem siv tshuaj txo cov kua qaub, tab sis tsuas yog thaum muaj xwm txheej ceev. Kev siv lawv tas li yuav ua rau muaj txiaj ntsig zoo ib yam li kev siv dej qab zib.
Kev siv tshuaj kho mob rau GERD yog tias koj lub plab mob tuaj yeem ua rau muaj kev phom sij. Cov tshuaj txo qhov mob, tab sis tej zaumua rau mob plab. Nyob rau tib lub sijhawm, cov ntsuas ntawm acidity ntawm nruab nrab hauv plab nce, tus neeg mob tus mob hnyav zuj zus. Rau qhov zoo sib xws, cov tshuaj uas tsis yog-steroidal anti-inflammatory yuav tsum tsis txhob siv, txawm hais tias qee zaus tus kws kho mob tau sau cov tshuaj no yog tias muaj cov lus qhia nruj ntxiv rau qhov no.
Yuav ua li cas pab koj tus kheej hauv tsev?
Ib qho ntawm cov kev xaiv rau cov tshuaj los txhim kho tus mob ntawm tus neeg mob GERD yog siv cov muv ntuj. Peb zaug ntxiv kua txiv aloe yog noj rau ib lub ntim ntawm cov khoom thiab sib tov kom huv si. Cov tshuaj yog npaj yuav tsum tau noj peb zaug ib hnub twg 10 feeb ua ntej noj mov. Ib koob tshuaj - 1/2 teaspoon.
Koj tuaj yeem sim kho nrog tshuaj ntsuab hauv tsev. Qhov txiaj ntsig zoo yog kev siv cov khoom sib xyaw ntawm St. John's wort, calendula, plantain, licorice, calamus, mint thiab tansy. Cov khoom yog tov kom huv si, ib khob dej yog boiled rau ib tug teaspoon thiab qhuav nyom yog poured tshaj nws. Tom qab 30 feeb, cov dej ntws tawm - cov tshuaj tau npaj. Koj yuav tsum siv nws 3 zaug ib hnub ua ntej noj mov. Ib koob tshuaj ib zaug yog ib feem peb ntawm ib khob. Cov kua yog haus sov.
