Heart Burn vs Acid Reflux | Feem ntau Ua, Kev nthuav qhia, Kev Tswj Xyuas, thiab Cov Teeb Meem
mob hnyav retro sternal kub hnyiab, yog li hu ua kub hnyiab, yog ib qho kev nthuav qhia hauv kev kho mob tam sim no. Nws tuaj yeem tshwm sim los ntawm ntau yam ua rau thiab qee zaum nws tuaj yeem ua rau angina. Txawm li cas los xij, qhov ua rau kub siab tshaj plaws yog pom tias yog kab mob gastro-esophageal reflux. Yog li ntawd, nws yog qhov tseeb tias qhov kub hnyiab thiab cov kua qaub reflux yog ob lub ntsiab lus sib txawv txawm tias qee tus neeg xav tsis thoob tias lawv muaj lub ntsiab lus zoo ib yam. Kev kub hnyiab tsuas yog cov tsos mob thaum cov kua qaub reflux yog kab mob. Kab lus no yuav yog cov lus qhia kom nkag siab qhov sib txawv ntawm ob nqe lus no.
Heart Burn
Raws li tau hais los saum toj no, kub siab yog ib qho tsos mob. Nws yog qhov kub hnyiab tsis xis nyob hauv cheeb tsam retro sternal feem ntau thaum hmo ntuj. Nws yog feem ntau pib los ntawm kev khoov rau pem hauv ntej, hnyav lifting thiab stooping. Ntau zaus thiab qhov hnyav ntawm lub plawv kub hnyiab yog ua rau mob hnyav dua los ntawm kev pw tsaug zog kom tus neeg mob pw tsaug zog nrog ob peb lub hauv ncoo kom tsis txhob muaj cov tsos mob. Tus neeg mob uas kub hnyiab tuaj yeem hnov qab lub qhov ncauj vim yog cov kua qaub refluxing, thiab tuaj yeem ua rau hnoos lossis txham thaum hmo ntuj vim yog aspiration ntawm acid.
Acid Reflux
Nws yog qhov ua rau kub siab tshaj plaws, thiab nws tsis yog qhov tsos mob. Nws yog kab mob. Reflux ntawm acid tshwm sim vim ntau yam. Ib yam yog txo qis esophageal sphincter tone, uas tso cai rau reflux ntawm cov kua qaub nyob rau hauv lub sij hawm uas lub intra plab siab yog nce. Lwm yam ua rau lub luag haujlwm yog hiatus hernia, ncua kev tshem tawm ntawm cov hlab pas, cov ntsiab lus ntawm lub plab zom mov, lub plab zom mov tsis zoo, nce siab hauv plab xws li kev rog thiab cev xeeb tub, thiab kev noj haus thiab ib puag ncig xws li cawv, rog, chocolate, kas fes, haus luam yeeb thiab cov tshuaj uas tsis yog steroidal anti-inflammatory tshuaj.
kho mob tus neeg mob uas muaj kua qaub reflux tuaj yeem tshwm sim feem ntau nrog kub siab thiab regurgitation. Tej zaum lawv yuav muaj ntau salivation vim reflex salivary caj pas stimulation. Qhov hnyav nce yog qhov tshwj xeeb.
Nyob rau hauv ntev, tus neeg mob yuav tsim odynophagia thiab dysphagia tej zaum vim benign acid nruj tsim nyob rau hauv txoj hlab pas. Lwm yam teeb meem muaj xws li esophagitis, barrett's esophagus, anemia vim mob insidious ntshav poob, gastric volvulus, thiab adenocarcinoma ntawm gastro esophageal junction nyob rau hauv ntau nyuaj. Txhua tus neeg mob uas muaj cov kua qaub reflux ntev ntev, yog tias tsim dysphagia qee zaum hauv lawv lub neej, yuav tsum tau tshawb xyuas txog adenocarcinoma ua ntej kuaj xyuas cov kua qaub.
Endoscopy qib kab mob gastro-esophageal reflux ua tsib qib. Qib 0 yog suav tias yog qhov qub. Qib 1-4 suav nrog erythematous epithelium, streaky kab, confluent ulcers thiab barrett'e esophagus feem.
Kev tswj hwm suav nrog kev hloov kho lub neej, tshuaj tiv thaiv kab mob, H2 receptor blockers, thiab proton twj tso kua mis inhibitors, qhov kawg raug suav tias yog kev kho mob ntawm kev xaiv. Yog tias kev tswj hwm kev kho mob ua tsis tiav, cov kev xaiv phais yuav tsum tau txiav txim siab xws li kev siv nyiaj txiag.
Dab tsi yog qhov txawv ntawm qhov kub siab thiab kua qaub reflux?
• Mob plawv yog ib yam tsos mob thaum cov kua qaub reflux yog kab mob.
• Acid reflux feem ntau tshwm sim raws li kub siab.
• Mob siab heev uas cuam tshuam rau ib tus neeg txoj kev ua neej qhia pom tus kab mob gastro esophageal reflux.
