Ngakhale munthu wathanzi wathanzi akhoza kuthana ndi kuphwanya ntchito za chimbudzi. Usiku kapena pochita mwakuthupi, ziwalo za m'mimba zomwe zili mkati mwake zimatha kusamutsidwa kuchokera m'mimba. Chodabwitsa ichi chimatchedwa duodenogastric reflux ya bile. Sikuti nthawi zonse zimakhala zosiyana, kawirikawiri ndi chizindikiro cha matenda aakulu monga duodenitis kapena gastritis . Choncho, pofuna kupewa zovuta, nkofunika kuyambitsa mankhwala nthawi.
Zizindikiro za duodenogastric bile reflux
Popeza chochitika ichi chikhoza kuwonetsedwa mwa ambiri, maonekedwe ake satanthauza nthawi zonse zomwe zimachitika. Komabe, ngati zizindikiro zotsatirazi zikupezeka nthawi zonse, ichi ndi chifukwa chopita kwa dokotala:
- ululu mu peritoneum, ndipo n'zovuta kudziwa malo enieni;
- Mchitidwe ndi kukoma kosangalatsa kwa mkwiyo;
- kuphulika ndi kuphulika kwa mimba;
- choyikapo mu chilankhulo cha chikasu;
- kupweteketsa mtima ndi ululu pambuyo pa sternum.
Kuchiza kwa refodx ya duodenogastric ya bile
Pambuyo pa matendawa, dokotala amalemba mankhwala, omwe amathandiza kuti thupi lizikhala bwino, zimangowonjezera ntchito zomwe zimachokera ndipo zimapewa mavuto.
Mankhwalawa ndi awa:
- proctinetics (Cisapride, Motilium), yomwe imalimbikitsa kufulumira kwa bile;
- antacids (Almagel, Maaalox), kuchepetsa acidity m'mimba;
- Kukonzekera ursodeoxycholic acid (Ursosan, Ursofalk) imalepheretsa acidity ya bile, zomwe zimathandiza kuti zitheke;
- Mavitamini A, B, E, ofunika kubwezeretsa thupi ndikufulumizitsa mthupi.
Kudya ndi reflux ya duodenogastric ya bile
Chithandizo chikhala chogwira ntchito kokha ngati malamulo apadera odyera amapezeka nthawi zonse. Izi zidzathetsa zizindikirozo ndikuletsa kutayidwa kwa m'kati mwa matumbo. Choyamba, chakudyacho chiyenera kukhala palibe:
- wotentha;
- mafuta;
- chokoma;
- chakuthwa;
- kusuta;
- zowawa.
Ndifunikanso kutaya:
- katundu watsopano;
- zipatso za citrus;
- zakumwa za carbonat.
Kuti mufulumire njira zowonongeka, nkofunika kusunga malamulo awa:
- Pambuyo pa chakudya, tetezani kuntchito ndikuyesera kuti musagone kwa kanthawi.
- Kudya zakudya zazing'ono ndifupipafupi kasanu pa tsiku.
- Sakanizani bwino chakudya kapena muzichipera mu blender.
- Nyama imalowetsedwa ndi nsomba.
- Idyani ndiwo zamasamba, zipatso, kanyumba tchizi, mkaka wambiri.
- Zophikidwa kapena zophika.
- Musamadye mopitirira muyeso.