Tokopā Treatment me take o

Tokopā - he huru i roto i nei wai i te kopu ki te pū kai (Reflux). Tenei e taea e wai meinga mumura me te kino ki te ararewa o te pū kai ahakoa e kore e taea te kitea tohu kitea o te mumura i roto i te nuinga o ngā tūroro. Te reira i te tikanga kei waikawa me te pepsin e kua whakaputaina i roto i te kopu, a kia hoki i roto i ate e tomo ki roto i te reira i te duodenum. Kei te whakapono te waikawa ki - te wae tino kino. Ka taea hoki e ate ki me pepsin tūkino i te pū kai, otiia e kore e he rite kitea rite te tūranga o te waikawa ratou tūranga i roto i meinga mumura me te kino ki reira.

He aha he tokopā?

He he rota rawa o ngā āhuatanga rerekē e meinga tokopā: i whaturama hiatal ki te hanga o pota tomuri nui o puku waikawa. Kia whakaaro tatou nga take tino noa.

1. ofatiraa o te sphincter esophageal raro.
kia maumaui rerekē, engari te whakaiti te kaha o te sphincter ki kirimana me ki te ārai rere whakamuri o wai i te kopu.
2. whaturama o te esophageal piata.
Ki te tetahi wahi iti o te puku, piri nei ki te pū kai, kei te panaia ake i roto i te HWM. Ko te kupu, e taea te ngāwari te tiki i te pānga arai iti me te wai i te kopu ki te pū kai.
3. Whakapotonga pū kai. I roto i te ārai o te tokopā mahi he wāhi nui i roto i te horomia, e ai he ngaru mowhiti hukihuki o te uaua pū kai, whāiti te lumen o tona kōhao roto. E huaina ēnei contractions ioio. pana ratou te kai, me te huware ki te kopu. Heoi, ka raruraru ki te waikawa ioio, runga i te pū kai, te kopu te kore hoki. Kia whai whakaaro ngā ki te meka e paowa nei tino whakaiti te hukihuki o te pū kai. pumau tenei pānga hoki i te iti rawa 6 haora i muri i te avaava whakamutunga.

4. Medications. Ka taea e ētahi rongoā meinga exacerbate tokopā ranei. anticholinergics reira, antihypertensives, bronchodilators, sedatives , me pōuritanga tricyclic.
5. Pregnancy. Ka taea e tokopā e he raruraru nui i roto i te hapūtanga. faarahi whakatipu kukune pēhanga i roto i te kōhao puku, e ai te Reflux wai i te kopu.

Tokopā - maimoatanga me te kai

Ki te koe - tetahi o aua mirioni o te iwi e mamae i te tokopā ma'i, koutou, o te akoranga, e tika ana ki te tīpako i te tikanga e tika ana ki te hamani i te reira. Ka taea e waiho he huringa āhua, rongoā tafa ranei tenei.

ara o te ora

Doctors tohutohu hunga e whai tokopā, haamata maimoatanga ki huringa āhua noho. Ko tenei no te mea kia herea āhua 94% o tūroro e ōrite te reira ki ngā hua motuhake. He mea nui kia tangata ia whakarongo ki to koutou tinana, rawa ki te he ia tokopā. te tikanga āwhina i te kai i roto i te nuinga o te wā.

Drug Treatment

- te raveraa ra o receptors histamine e whakamahia ki te hamani tikanga, ka hua te kopu rawa nui te waikawa pūmāota (taka "Famotidine" "Ranisan" "Kvamatel" pehi tona whakatupuranga, ai riro tokopā).

- waikawa Treatment e haamou i waikawa i roto i te kopu ki runga ki whakapā. Ko te rongoā tino rongonui "Rennie", "Fosfalyugel", "Topalkan" "Maalox", "Almagel" etc.

- inhibitors iraoho papu (PPIs) ko te rōpū o drugs whakahaunga e tautāwhi i waikawa secretion i roto i te kopu, me te whēkau. Doctors whakahaere IPP iwi tokopā, whewhe pekitīlia intestinal ranei, me te hanga nui o te waikawa pekitīlia ( "Omez" "Omeprazole" "Pariet").

- Kei te whakamahia whakaongaonga māngai i roto i ngā tūroro ki te putu i pekitīlia puhoi. Ratou (nga taka "Reglan" "Domstal", "Metoclopramide" "Gastrosil") whakatere nakunaku, e ārai te roa i roto i te waikawa puku, hei putanga - heke ranei riro tokopā.

Treatment ki pokanga

- Fundoplication - he tikanga paerewa o te maimoatanga hāparapara o tokopā, takaia ai te fundus pekitīlia te huri noa i te pū kai, me te hanga i te ahua o te ringaringa.