Ciwan zuciya da GERD: Yadda ake magance tashin zuciya da ciwon ciki
Ilimin Kiwon LafiyaIdan ka taba jin wani zafi mai zafi ya tashi daga cikinka zuwa kirjinka da maqogwaro bayan cin abinci, to ka yi nesa da kai kaɗai. Fiye da Amurkawa miliyan 60 na fuskantar rashin jin daɗin ciwon zuciya a kalla sau ɗaya a wata, a cewar zuwa Kwalejin Gastroenterology ta Amurka.
Mun ƙirƙiri wannan jagorar ne don ya taimaka muku sosai don fahimtar menene ƙwannafi, kuma mafi mahimmanci, yadda zaku iya gyara shi. Labari mai daɗi shine, akwai wadatattun zaɓuɓɓukan magani masu mahimmanci don wadatarwa da hana ƙonewa da rashin jin daɗi. Kasance ta amfani da kan-kan -toci ko magungunan likitanci, ko yin 'yan canje-canje na rayuwa, mun rufe ka.
Menene ƙwannafi?
Bwannafi, ko reflux na gastroesophageal, yakan auku ne yayin da yawan ɗacin ruwa na acid (karanta: motsa baya) a cikin esophagus, bututun tsoka da ke haɗa ciki da maƙogwaro. Wannan yawanci yakan faru ne lokacin da ƙaramin tsoka tsakanin esophagus da ciki suka fara annashuwa, suna barin acid ɗin ciki yayi ƙaura.
Menene ƙwannafi yake ji?
An bayyana alamun bayyanar cututtukan zuciya na yau da kullun azaman zafi na zafi ko rashin jin daɗi wanda ke motsawa daga kirji zuwa wuya da maƙogwaro. A wasu halaye, mutane na dandana daci ko tsami a bayan makogwaron su. Duk da sunan, ba shi da alaƙa da zuciyarka. Maimakon haka shine jin daɗin acid yana ɓata maka kyallen takarda.
Me ke kawo zafin zuciya?
Ya fi zama dandana jin zafin rai bayan cin babban abinci, musamman ma mai kitse. Matsi na ciki wanda cikakken ciki ke haifarwa na iya tilasta acid a cikin makoshin hanji, wanda ke haifar da alamun cuta. Yin nauyi yana iya ƙara tsananta wannan matsin kuma ya sa ƙwanna zuciya ya zama da alama. Abincin mai da yawan cin abinci na iya rage narkewar abinci, wanda kuma yana taimakawa ga narkewar acid.
Idan kun fara jin ƙonewa, ko kuma kawai kun sami babban abinci, mai daɗi, kuna so ku guji kwanciya a kan babban kujera, ku ma. Lokacin da muke tsaye, nauyi yana aiki a cikin ni'imarmu don dakatar da ruwan ciki na motsawa sama. Duk da haka, idan kun kwanta, kuna iya fuskantar ƙwannafi kamar yadda nauyi ba zai iya dakatar da acid ɗin da ke gudana a cikin hanzarinku ba.
Ciwon zuciya ne ko kuma wani abu?
Kusan kowa zai sami alamun cututtukan zuciya a wani lokaci ko wani, musamman bayan cin babban abinci, tare da alamun bayyanar wani lokaci na aan awanni. Koyaya, wasu mutane suna fuskantar ciwon zuciya na yau da kullun, tare da alamun bayyanar da ke faruwa fiye da sau biyu a mako. A wannan yanayin, kuna iya samun mafi tsanani yanayin lafiya da ake kira gastroesophageal reflux cuta, ko GERD.
GERD na faruwa ne a cikin mutanen da ke da raunin jijiyoyin tsoka da ake kira ƙananan ƙwanƙwan ƙoshin ƙugu (LES). Yana shakatawa sau da yawa kuma yana barin ruwan ciki na motsa hanta.
An kiyasta hakan kashi ashirin na yawan jama'ar Amurka suna da GERD, wanda shine dalilin da yasa shirye-shiryen wayar da kai irin su makon fadakarwa na GERD suna da mahimmanci. Makon wayar da kai na GERD na 2019 ya fara ne daga Nuwamba 17-24, don haka ƙara shekara ta gaba zuwa kalandarku don ci gaba da sabuntawa.
Ta yaya zan iya kawar da ƙwannafi?
Abin farin ciki, akwai zaɓuɓɓukan magani masu amfani da yawa waɗanda ke akwai ga mutanen da ke fuskantar ƙwannafi. Mutane da yawa suna samun sauƙi tare da takaddun magani da magunguna, changesan canje-canje na rayuwa, haka kuma tare da wasu magunguna na al'ada da na gida.
Shahararrun magunguna kan-kan -to don ƙwannafi sun haɗa da antacids, kamar Tums ko Rolaids, waɗanda ke aiki don kawar da ruwan ciki da rashin narkewar acid. Wadansu mutane sun fi son masu toshe sinadarin acid, wanda ke rage ainihin adadin acid din ciki da aka samar. Wadannan sun hada da Axid AR, Pepcid AC, Prilosec OTC, da Tagamet HB.
Dangantaka : Prevacid vs Prilosec
Idan zafin zuciyar ku ya fi na yau da kullun ko mai tsanani duk da haka, kuma zaɓuɓɓukan kan-kantora ba su da tasiri, kuna iya buƙatar takardar sayen magani. Waɗannan galibi sune nau'ikan ƙarfi masu ƙarfi na zaɓuɓɓukan samfuran kan-kan-counter, da magungunan proton pump inhibitor (PPI) gami da Prevacid da Nexium.
Canjin rayuwa guda daya wanda mutane da yawa suka bayar da rahoton yana da tasiri don rage rashin narkewar abinci da ciwon zuciya shine yin aikin kawai har sai sun ƙoshi.
Hakanan yana da kyau ka fahimci irin abincin da ke haifar maka da baƙin ciki kuma ka guje su idan ya yiwu. Abincin da aka san shi da haifar da ciwon zuciya ya haɗa da kofi, giya, kayan sha mai laushi, abinci mai yaji, tumatir, cakulan, ruhun nana, albasa, da duk wani abinci mai ƙiba.
Hakanan zai iya taimakawa kaucewa kwanciya na ɗan lokaci bayan cin abincinku kuma maimakon zaɓar tafiya don yawo. Wannan yana taimakawa narkewa kuma yana taimakawa nauyi yayi aiki cikin ni'imar ku.
Menene mafi kyawun maganin sauƙin zuciya?
Bincika jadawalin mu na hanzari.
| Maganin ƙwannafi | ||||
|---|---|---|---|---|
| Sunan magunguna | Ajin magani | Sama-da-kan-counter ko takardar sayen magani | Sigogi | Yadda yake aiki |
| Tums (alli carbonate) | Antacid | OTC | Chewable kwamfutar hannu, kwamfutar hannu, dakatarwa | Batun ruwan ciki na ciki |
| Rolaids (alli carbonate da magnesium hydroxide) | Antacid | OTC | Chewable kwamfutar hannu, kwamfutar hannu, lozenge | Batun ruwan ciki na ciki |
| Maalox (aluminum hydroxide, magnesium hydroxide, da simethicone) | Antacid | OTC | Chewable kwamfutar hannu, ruwa | Batun ruwan ciki na ciki |
| Emetrol (ƙwayar carbohydrate) | Kwayar cuta | OTC | Liquid | Rage raguwar ciki |
| Pepto Bismol (kyautar bismuth) | Antacid, maganin zawo | OTC | Chewable kwamfutar hannu, dakatarwa | Kare esophagus daga acid |
| Axid (nizatidine) | H2 (histamine-2) mai toshewa | Rx da OTC | Allunan, capsules | Tubalan samar da ruwan ciki |
| Pepcid (famotidine) | H2 (histamine-2) mai toshewa | Rx da OTC | Kwamfutar hannu | Tubalan samar da ruwan ciki |
| Tagamet (cimetidine) | H2 (histamine-2) mai toshewa | Rx da OTC | Kwamfutar hannu | Tubalan samar da ruwan ciki |
| Prevacid (lansoprazole) | Proton famfo masu hanawa (PPIs) | Rx da OTC | Jigilar fitowar jinkiri | Tubalan samar da ruwan ciki |
| Nexium (esomeprazole magnesium) | Proton famfo masu hanawa (PPIs) | Rx da OTC | Jigilar fitowar jinkiri | Tubalan samar da ruwan ciki |
| Prilosec (omeprazole) | Proton famfo masu hanawa (PPIs) | Rx da OTC | Jigilar fitowar jinkiri | Tubalan samar da ruwan ciki |
Rolaids vs Tums
Rolaids da Tums sune biyu daga cikin shahararrun magungunan kashe magani wadanda ake dasu don magance matsalar rashin narkewar abinci da ciwon zuciya. Suna aiki ta hanyar ɓoyewa da kuma rage tasirin tasirin ruwan ciki wanda ke ruɓar hanji.
To yaya suka bambanta? Abun aiki a cikin Tums shine kawai calcium carbonate, yayin da Rolaids shine haɗarin alli carbonate da magnesium hydroxide. Dukansu manyan zaɓuɓɓuka ne don ƙananan ƙwannafi kuma an ɗauka akan buƙata.
Kodayake suna da matukar aminci, suna raba irin wannan illa har da maƙarƙashiya, bushewar baki, ɗanɗano na ƙarfe a cikin baki, yawan fitsari, da ciwon ciki. Saboda magnesium hydroxide a cikin Rolaids, akwai kuma ƙarin tasirin tasirin zawo.
Me ya faru da Mylanta?
Shekaru da yawa, musamman a cikin 1990s, Mylanta sanannen samfurin ne wanda ake amfani dashi don sauƙaƙe alamun cututtukan zuciya. Koyaya, a cikin 2010, an tuna da antacid ɗin da ba a kan-kan ba bisa son rai saboda alamun giya da aka samo a cikin samfurin.
A cewar masana'antun, Johnson & Johnson, an tuna da kayan don haka ana iya sakewa da mafi dacewa, ba wai don haɗarin shan barasa ko illa mai illa ba.
A cikin shekarar 2016 an sake shigar da Mylanta kasuwa kuma ya aminta da amfani dashi azaman maganin guba.
Matsaloli da ka iya haifarwa na maganin ciwon zuciya
Kamar yadda yake tare da dukkan magunguna, koyaushe akwai haɗarin wasu illoli. Wannan, hakika, ya hada da zafin rai da maganin narkewar abinci.
Wasu cututtukan da mutane ke bayarwa suna bayar da rahoto yayin shan antacid da acid toshe (wanda aka fi sani da proton pump inhibitors ko PPIs) magunguna don ƙwannafi da GERD sun haɗa da:
- Gudawa
- Maƙarƙashiya
- Gawa (gas)
- Ciwan ciki da amai
- Ciwon kai
- Zazzaɓi
Kafin fara kowane sabon magani, yana da mahimmanci koyaushe ka tuntuɓi likitanka ko likitan ciki da kuma bayyana duk wasu magunguna da kake amfani dasu a yanzu, saboda koyaushe akwai haɗarin cewa wasu magunguna suna da ma'amala mara kyau yayin ɗaukar su tare.
Bwannafi yayin ciki
Ciwan zuciya a lokacin ciki abu ne na kowa musamman, yayin da ƙara samar da kwayar hormone progesterone na iya haifar da bawul din raba ciki da esophagus don shakatawa.
Ya fi zama ruwan dare a lokacin watanni uku na ciki lokacin da jariri da mahaifar da ke girma suka sanya matsin ciki na ciki, suna tura ruwan ciki zuwa sama.
Kuna iya hana zafin rai a lokacin daukar ciki ta hanyar cin abinci karami a rana ba mafi karancin abinci ba, abinci mafi girma, jiran awa daya - ko makamancin haka - bayan cin abinci kafin kwanciya, da kuma guje wa abincin da ke haifar da kayan yaji, masu kitse, da maiko.
Yawancin magungunan antacid marasa magani suna da lafiya don amfani a lokacin daukar ciki, amma koyaushe yana da kyau a yi magana da mai ba da lafiyar ku kuma karanta lakabin kafin fara kowane magani ko magani a lokacin daukar ciki.
