Acid reflux (lossis kub siab) uas rov tshwm sim ntau zaus thaum cev xeeb tub yog qhov ntau vim tias cov tshuaj estrogen ntau thiab progesterone ntau dua ua rau cov hlab pas qis qis ua rau tsis muaj zog thiab ua rau cov kua qaub plab rov qab mus rau hauv txoj hlab pas. Ib qho ntxiv, tus menyuam loj hlob tso lub siab rau ntawm lub plab thiab thawb cov kua qaub nkag mus rau hauv txoj hlab pas, ua rau tus poj niam cev xeeb tub "ntaus ob zaug". Ob qho xwm txheej txhim kho tom qab yug menyuam, tab sis kev kawm paub yuav ua li cas tiv thaiv kub siab thaum cev xeeb tub yog qhov tseem ceeb rau kev nplij siab thiab lub neej zoo.
Kauj ruam
Ntu 1 ntawm 3: Tiv Thaiv Acid Reflux Lawm
Kauj Ruam 1. Noj hauv qhov me me, tab sis ntau zaus
Lwm qhov kev tawm tswv yim rau kev tawm tsam kub cev yog noj me me, sijhawm noj mov tas hnub. Noj pluas mov me me txhua ob peb teev tsis txhob noj peb pluas mov loj dua qhov ntev dua tiv thaiv lub plab los ntawm kev ua kom dhau thiab ua kom lub diaphragm thiab thawb cov kua qaub rau hauv txoj hlab pas. Yog li ntawd, hloov lub sijhawm noj mov lossis khoom noj txom ncauj mus rau 5-6 zaug nrog ntu me me uas tau teeb tsa txhua 2 teev nyob rau ib hnub.
- Pluas mov kawg los yog khoom noj txom ncauj thaum kawg ntawm hnub yuav tsum tau noj thaum yav tsaus ntuj, yam tsawg 3 teev ua ntej yuav mus pw. Txoj kev ntawd, lub plab tau txais sijhawm txaus los zom cov zaub mov kom raug thiab xa mus rau cov hnyuv me.
- Sim ua kom txhua qhov kev noj zaub mov/khoom txom ncauj ntawm 300-400 calories txhua. Kev hnyav hnyav thaum cev xeeb tub yog qhov tsim nyog vim tias koj tau noj ob zaug, tab sis qhov hnyav ntau dhau ua rau muaj kev pheej hmoo ntawm ntshav qab zib.
Kauj Ruam 2. Noj tsis tas thiab zom koj cov zaub mov kom zoo
Zom zaub mov lossis khoom noj txom ncauj maj mam ua ntej nqos. Txoj kev ntawd, cov zaub mov yuav zom tau zoo dua. Ntawm qhov tod tes, kev noj zaub mov nrawm heev yam tsis tau zom zom kom zoo tsim cov qaub ncaug hauv qhov ncauj thiab ua rau lub plab ua haujlwm hnyav dua thiab ua rau kom muaj plab zom mov thiab kub siab. Ib qho ntxiv, kev noj mov maj mam tiv thaiv koj los ntawm kev noj ntau dhau vim tias koj xav tias nrawm dua.
- Siv lub qhov ncauj me me thiab zom txhua lub qhov ncauj li 20-30 feeb kom cov qaub ncaug ntau dua hauv koj lub qhov ncauj ua ntej koj nqos nws.
- Kev zom zaub mov zoo tiv thaiv koj los ntawm kev haus ntau dhau rau "thawb zaub mov rau hauv plab". Kev haus ntau dhau nrog cov pluas noj tuaj yeem zom cov zom zaub mov thiab ua rau plab zom mov.
Kauj Ruam 3. zom cov pos hniav tom qab noj mov
Kev zom cov pos hniav tuaj yeem pab daws qhov kub siab vim tias nws txhawb kev tsim cov qaub ncaug, uas muaj cov kua qaub-neutralizing bicarbonate. Kev nqos ntau cov qaub ncaug tuaj yeem txhais tau tias "tua hluav taws" vim tias nws ua rau cov kua qaub hauv plab uas nkag mus rau hauv txoj hlab pas. Hauv qhov no, qaub ncaug dhau los ua lub cev ntuj antacid.
- Tsis txhob mint los yog menthol-flavored cov pos hniav, xws li peppermint, vim tias lawv tuaj yeem txhawb kev tsim cov kua hauv plab.
- Xaiv cov pos hniav tsis muaj piam thaj nrog xylitol vim tias cov khoom qab zib dag tuaj yeem tua cov kab mob uas ua rau kab noj hniav hauv qhov ncauj thiab cov kab mob uas ua rau mob plab.
- Tos li 15-30 feeb tom qab noj mov ua ntej zom cov pos hniav vim tias cov zaub mov xav tau ib puag ncig acidic kom zom tau zoo thiab tawg.
Kauj Ruam 4. Haus ib khob mis me me tom qab noj mov
Lub plab yuav tsum yog acidic heev txhawm rau zom zaub mov kom raug, tab sis teeb meem tshwm sim thaum cov kua qaub ntau dhau los lossis thaum cov kua qaub nce los ntawm txoj hlab pas thiab ua rau lub plab zom mov. Yog li ntawd, tos li ib teev lossis ntau dua tom qab noj mov ua ntej haus ib khob mis nyuj tsawg. Cov zaub mov hauv mis (tshwj xeeb tshaj yog calcium) tuaj yeem ua rau nruab nrab cov kua qaub hauv txoj hlab pas thiab pab daws qhov khaus.
- Xaiv cov mis nyuj muaj roj tsawg kom cov tsiaj rog hauv cov mis tsis ua rau cov kua qaub ua rau tsis zoo.
- Qee zaum cov piam thaj (lactose) hauv mis thiab lwm yam khoom siv mis tuaj yeem ua rau kub siab. Yog li sim nrog haus mis, tab sis nres yog qhov teeb meem loj tuaj.
- Tsis txhob haus mis nyuj tom qab noj mov yog tias koj tsis muaj lactose intolerant (tsis muaj peev xwm tsim tau cov enzyme lactase txaus) vim tias tsam plab thiab ntuav tuaj yeem ua rau cov kua qaub tsis zoo tuaj.
Kauj Ruam 5. Tsis txhob pw tom qab noj mov
Txoj hauv kev zoo tshaj plaws los noj zaub mov yog zaum ncaj, thiab tawm tsam kom pw thaum koj tau noj lawm. Zaum upright txhawb los ntawm lub ntiajteb txawj nqus yuav thawb zom zaub mov mus rau hauv lub plab zom mov. Dag ntawm lub rooj zaum tiv thaiv kev cuam tshuam ntawm lub ntiajteb txawj nqus ua rau cov zaub mov zom zom hauv plab thiab cov kua qaub kom nkag mus los ntawm txoj hlab pas thiab mus rau hauv txoj hlab pas.
- Kev khaus khaus ntawm daim tawv nqaij ntawm txoj hlab pas ua rau muaj qhov hnov mob hauv siab, xws li kub siab. Lwm cov tsos mob ntawm cov kua qaub rov qab suav nrog: mob caj pas, nqos nyuaj, hnoos qhuav thiab hawb pob.
- Tos tsawg kawg ob peb teev ua ntej tso rau ntawm lub rooj zaum/txaj. Koj tuaj yeem zaum thiab tsa koj ob txhais ceg kom so, tab sis nco ntsoov tias koj lub cev sab saud nyob ncaj.
- Tsis txhob noj zaub mov ntau kom txo kev qaug zog (thiab xav kom pw) vim qhov tso tawm sai ntawm cov tshuaj insulin los ntawm cov txiav txiav mus rau hauv cov ntshav.
Kauj Ruam 6. Sim ua kom nquag plias txhua hnub
Ua kom qoj ib ce kom muaj zog tom qab noj mov tuaj yeem ua rau koj muaj kev pheej hmoo ntawm plab zom mov thiab kub cev, thaum lub cev qoj ib ce (taug kev) tuaj yeem pab txhawb kev mob plab zom mov los ntawm kev yuam cov zaub mov tsis huv thiab pov tseg hauv cov hnyuv kom lawv tsis tuaj yeem rov qab mus rau hauv txoj hlab pas. Tom qab ntxuav cov tais diav, mus qeeb 15-20 feeb taug kev lossis ua qee yam haujlwm hauv tsev yooj yim hauv tsev.
- Kev tawm dag zog ntau dhau hloov ntshav los ntawm cov zom zaub mov mus rau cov leeg ntawm ob txhais ceg thiab caj npab, cuam tshuam kev zom zaub mov.
- Yog tias koj xav nce ib feem ntawm qhov kev tawm dag zog, tsom mus rau ua thaum nruab hnub, tsis yog hmo ntuj yog li nws tsis cuam tshuam rau kev pw tsaug zog zoo.
- Kev tawm dag zog nruab nrab txhawb kev tawm dag zog lub cev tas li kom tsis txhob "txhaws" hauv cov hnyuv thiab nce siab vim yog roj.
Kauj Ruam 7. Ua tib zoo mloog koj qhov chaw pw
Yog tias koj muaj acid reflux tawm tsam thaum cev xeeb tub (lossis txhua lub sijhawm), xyuam xim rau koj txoj haujlwm hmo ntuj. Txhawm rau tiv thaiv kev kub siab, sim tso koj lub cev sab saud thiab lub taub hau siab dua nrog lub hauv ncoo kom tso lub ntiajteb txawj nqus mus ua haujlwm, txawm hais tias hauv ncoo tsis zoo ib yam vim tias lawv mos heev. Yog tias txoj haujlwm no tsis xis nyob rau koj, sim dag ntawm koj sab laug, ua rau cov kua qaub hauv plab rov qab los rau hauv koj txoj hlab pas.
- Cov npoo ua npuas ncauj tau tsim los rau kev txhawb nqa lub cev sab saud thiab tuaj yeem yuav hauv khw muag tshuaj thiab kho mob.
- Tsis txhob dag ntawm koj ib sab thaum koj lub cev sab saud tau txais kev txhawb nqa los ntawm lub hauv ncoo lossis khaub ncaws vim qhov no tuaj yeem ua rau lub nraub qaum qis (nruab nrab nraub qaum) thiab tav tav.
Kauj Ruam 8. Tswj koj qhov kev ntxhov siab
Kev nyuaj siab thiab ntxhov siab feem ntau ua rau cov kua qaub tsim hauv plab thiab txo cov ntshav ntws ncig cov hnyuv uas xav tau rau kev nqus cov zaub mov, ua rau cov kua qaub rov qab tuaj. Yog li ntawd, sim tswj kev ntxhov siab nrog kev kho kom so, xws li ua pa tob tob, ua tib zoo xav, ua kom cov leeg muaj zog, ua kev xav, yoga lossis tai chi.
- Ntau yam txheej txheem los txo kev ntxhov siab thiab ntxhov siab tuaj yeem txo cov cim thiab tsos mob ntawm cov kua qaub reflux/kub siab.
- Xyaum ua ntau yam kev so kom txaus tom qab koj rov los tsev los ntawm haujlwm lossis tsev kawm ntawv, tab sis ua ntej noj mov. Cov txheej txheem so no tseem tuaj yeem ua tiav ua ntej mus pw kom txhim kho kev pw tsaug zog zoo.
Ntu 2 ntawm 3: Zam Txim Cov Khoom Noj
Kauj Ruam 1. Tsis txhob noj zaub mov muaj roj
Cov zaub mov rog lossis kib yuav ua rau kub siab lossis kua qaub rov qab vim tias lawv siv sijhawm ntev dua los zom, thiab xav tau cov kua qaub ntau dua kom yooj yim rau cov kua qaub rov qab mus rau hauv txoj hlab pas. Yog li ntawd, xaiv cov nqaij ntshiv thiab nqaij qaib, haus cov mis uas muaj roj tsawg thiab nws yuav zoo dua rau ci cov zaub mov dua li kib nws.
- Khoom noj kom tsis txhob suav nrog: Fabkis kib, yuav luag txhua hom zaub mov nrawm, qos yaj ywm kib, nqaij npuas kib, hnyuv ntxwm, kua ntses hnyav, khov mis ib txwm thiab mis nyuj khov.
- Muaj ntau hom rog xav tau rau tus menyuam kom nquag nquag. Yog li, tsom mus rau avocados, cov khoom txiv maj phaub thiab txiv ntseej/noob uas muaj cov rog zoo.
Kauj Ruam 2. Zam cov khoom qab zib thiab qaub
Lwm pab pawg khoom noj uas yuav tsum zam yog cov khoom noj uas muaj ntsev thiab qaub vim tias lawv tuaj yeem ua rau khaus ntawm txoj hlab pas thaum nqos, tom qab ntawd yuav ua rau cov kua qaub rov qab thaum nws mus txog hauv plab. Yog li ntawd, zam kev ntsim ntsim kua ntses, kua txob liab, kua txob kub, kua kua nyoos, kua txiv lws suav, dos, qej thiab kua txob.
- Nws yog qhov zoo tshaj kom zam Padang thiab Manado cov khoom noj txawm hais tias lawv qab thiab muaj txiaj ntsig zoo rau koj kev noj qab haus huv yog tias koj muaj cov kua qaub ua rau tsis zoo.
- Ceev faj nrog citrus txiv hmab txiv ntoo, xws li txiv kab ntxwv thiab txiv kab ntxwv qaub. Xaiv cov txiv hmab txiv ntoo tshiab thiab tsis haus nws thaum lub plab khoob los tiv thaiv kub kub.
Kauj Ruam 3. Txo kev haus cov dej caffeinated
Caffeine tau paub tias yog qhov ua rau cov kua qaub rov qab vim nws txhawb kev tsim cov kua qaub hauv plab. Tsis tas li ntawd, feem ntau cov dej cawv muaj caffeinated kuj tseem muaj kua qaub, tsim kom muaj ob qhov xwm txheej ua rau kub siab. Yog li ntawd, txwv lossis zam kas fes, tshuaj yej dub, kub chocolate, dej qab zib, dej qab zib thiab txhua yam dej qab zib.
- Coke thiab dej qab zib tuaj yeem suav tias yog "plaub npaug nres" rau kub cev vim tias lawv muaj acidic, caffeinated, suab thaj thiab carbonated. Cov npuas yuav ua rau lub plab nthuav dav thiab tso cov kua qaub los hla cov hlab pas.
- Koj yuav tsum tsis txhob haus cov dej caffeinated vim tias lawv tuaj yeem txo cov ntshav ntws thiab txwv cov khoom noj uas koj tus menyuam tau txais.
Kauj Ruam 4. Tsis txhob haus cawv
Dej cawv raug txiav txim siab ua rau lub plab kub hnyiab vim nws cov acidity thiab nws cov txiaj ntsig zoo ntawm cov hlab pas sphincter. Txawm li cas los xij, cov poj niam cev xeeb tub tau thov kom zam cawv tag nrho vim tias muaj qhov tsis zoo nws muaj rau tus menyuam. Dej cawv tuaj yeem ua rau tus menyuam hauv plab muaj tus kabmob sib kis. Cawv tsis nyab xeeb kom haus txawm tias me me lossis thaum cev xeeb tub. Yog li, tshem tawm tus cwj pwm ntawm haus cawv los ntawm koj lub neej tam sim ntawd.
- Txhua hom cawv muaj teeb meem sib npaug rau menyuam yaus, suav nrog txhua hom cawv thiab npias.
- Yog tias koj tseem xav mus tom khw kas fes lossis bar nrog phooj ywg thiab tsev neeg, xaiv cov dej cawv tsis muaj cawv, kua txiv hmab txiv ntoo lossis npias tsis muaj cawv.
Ntu 3 ntawm 3: Tiv Thaiv Kev Tiv Thaiv Acid Reflux nrog Tshuaj
Kauj Ruam 1. Siv tshuaj antacids tom qab noj mov
Antacids yog cov tshuaj kub hnyiab zoo tshaj plaws rau cov poj niam cev xeeb tub feem ntau vim tias lawv tsis nqus mus rau hauv cov hlab ntshav thiab qhov ntawd txhais tau tias lawv tsuas yog siv hauv lub plab zom mov thiab tsis kis mus rau tus menyuam loj hlob. Cov tshuaj antacids uas tuaj yeem daws qhov kub siab sai suav nrog: Maalox, Mylanta, Gelusil, Gaviscon, Rolaids thiab Tums. Noj tshuaj antacid txog 30-60 feeb tom qab noj mov lossis khoom noj txom ncauj.
- Antacids tsis tuaj yeem kho qhov mob ntawm txoj hlab pas puas los ntawm cov kua qaub. Yog li, siv tshuaj antacids nkaus xwb los txo cov tsos mob.
- Qee qhov tshuaj tiv thaiv kab mob ua ke nrog cov sib txuas hu ua alginates, uas ua haujlwm los ntawm kev ua ib txheej ua npuas ncauj hauv plab kom tiv thaiv cov kua qaub rov qab.
- Kev siv tshuaj antacids ntau dhau tuaj yeem ua rau raws plab lossis ntuav. Yog li, tsis txhob haus nws ntau dua 3 zaug hauv ib hnub.
Kauj Ruam 2. Sim tus H2 antagonist (H2 blocker)
Cov tshuaj yuav tom khw uas txo qis cov kua qaub hu ua histamine-2 (H2) receptor antagonists thiab suav nrog: cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR) thiab ranitidine (Zantac). Feem ntau, H2 antagonists tsis ua sai npaum li antacids hauv kev txo qhov kub taub hau, tab sis lawv feem ntau muab kev nplij siab nyob ntev thiab tuaj yeem txo qis cov kua qaub hauv plab mus txog 12 teev.
- H-ant-counter H2 antagonists tau txiav txim siab nyab xeeb rau cov poj niam cev xeeb tub txawm tias lawv tau nqus mus rau hauv cov ntshav thiab cuam tshuam rau tus menyuam mus rau qee qhov.
- Muaj zog H2 antagonists yuav tsum tau txais los ntawm daim ntawv yuav tshuaj, tab sis tham nrog koj tus kws kho mob txog qhov zoo thiab qhov tsis zoo yog tias koj cev xeeb tub vim muaj kev pheej hmoo ntawm cov vitamin B12 tsis txaus.
Kauj Ruam 3. Xav txog qhov tshuaj tiv thaiv kab mob proton (PPI)
Lwm yam tshuaj uas tuaj yeem thaiv kev tsim cov kua qaub hu ua proton pump inhibitors. Ib qho ntxiv, PPIs tuaj yeem kho kab mob ntawm txoj hlab pas. PPIs muaj txiaj ntsig zoo rau lub plab acid acid antagonists ntau dua li H2 antagonists thiab tso cai rau cov hlab pas mob tuaj kho nws tus kheej.
- PP -s-txee-suav nrog: lansoprazole (Prevacid 24 HR) thiab omeprazole (Prilosec, Zegerid OTC).
- Kev noj PPI txoj cai ua ntej noj mov tseem tso cai rau cov kua qaub plab zom zaub mov, tab sis tiv thaiv kev tsim khoom ntau dhau.
Lub tswv yim
- Tsis txhob haus luam yeeb vim nws tuaj yeem ua rau muaj kev pheej hmoo ntawm cov kua qaub ntau ntxiv. Txawm li cas los xij, koj yuav tsum tsis txhob haus luam yeeb thaum cev xeeb tub vim qhov cuam tshuam tsis zoo rau tus menyuam.
- Tsis txhob noj chocolate li khoom noj txom ncauj vim nws muaj caffeine, qab zib thiab rog. Txhua yam uas ua rau kub siab.
- Tsis txhob hnav khaub ncaws nruj vim qhov no yuav ua rau koj lub plab muaj teeb meem thiab tuaj yeem ua rau cov kua qaub rov qab tuaj. Nws yog qhov zoo tshaj los hnav khaub ncaws cev xeeb tub xoob xoob.
- Tsis txhob noj tshuaj antacids tib lub sijhawm ua cov tshuaj iron vim tias hlau yuav tsis nqus hauv cov hnyuv.
