{"id":7384,"date":"2021-06-11T07:09:10","date_gmt":"2021-06-11T07:09:10","guid":{"rendered":"https:\/\/pylora.com\/?p=7384"},"modified":"2021-10-06T10:00:13","modified_gmt":"2021-10-06T03:00:13","slug":"trao-nguoc-da-day-thuc-quan-gerd-hieu-dung-de-dieu-tri-dung","status":"publish","type":"post","link":"https:\/\/pylora.com\/trao-nguoc-da-day-thuc-quan-gerd-hieu-dung-de-dieu-tri-dung\/","title":{"rendered":"Tr\u00e0o Ng\u01b0\u1ee3c D\u1ea1 D\u00e0y Th\u1ef1c Qu\u1ea3n (GERD) \u2013 Hi\u1ec3u \u0110\u00fang \u0110\u1ec3 \u0110i\u1ec1u Tr\u1ecb \u0110\u00fang"},"content":{"rendered":"

Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean b\u1ecb \u1ee3 h\u01a1i, \u1ee3 chua nh\u01b0ng l\u1ea1i t\u1ecf ra xem nh\u1eb9 v\u00ec cho r\u1eb1ng \u0111\u00f3 ch\u1ec9 l\u00e0 bi\u1ec3u hi\u1ec7n sau khi \u0103n u\u1ed1ng h\u01a1i qu\u00e1 \u0111\u00e0 hay v\u00ec th\u1ee9c \u0103n c\u00f3 nhi\u1ec1u d\u1ea7u m\u1ee1, tinh b\u1ed9t… m\u00e0 kh\u00f4ng bi\u1ebft r\u1eb1ng \u0111\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n. Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00e1 l\u00e0 ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed7i ng\u01b0\u1eddi m\u1ed9t c\u00e1ch kh\u00e1c nhau. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch th\u00ec r\u1ea5t c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n, ngo\u00e0i ra n\u00f3 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn ti\u1ec1n ung th\u01b0 (Barrett). Do \u0111\u00f3, c\u1ea7n ph\u1ea3i hi\u1ec3u \u0111\u00fang b\u1ea3n ch\u1ea5t c\u1ee7a b\u1ec7nh \u0111\u1ec3 t\u00ecm ra c\u00e1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/strong><\/em><\/span><\/h2>\n

D\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n<\/strong><\/span><\/p>\n

\"\"<\/p>\n

H\u1ea7u h\u1ebft ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n \u0111\u1ec1u g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ed5 h\u1ecdng n\u00f3ng r\u00e1t, \u1ee3 h\u01a1i, \u1ee3 chua, \u0111\u1eafng mi\u1ec7ng, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n,…. Ch\u00ednh v\u00ec nh\u1eefng bi\u1ec3u hi\u1ec7n n\u00e0y m\u00e0 \u0111\u00e3 c\u00f3 r\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi nh\u1ea7m l\u1eabn b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y \u2013 t\u00e1 tr\u00e0ng, vi\u00eam xoang m\u0169i, vi\u00eam thanh qu\u1ea3n… Nh\u01b0 v\u1eady, b\u1ea1n c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn nh\u1eefng tri\u1ec7u ch\u1ee9ng tr\u00ean.<\/span><\/p>\n

V\u1eady tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n l\u00e0 b\u1ec7nh g\u00ec?<\/strong><\/span><\/p>\n

\"\"<\/p>\n

B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) th\u1ef1c ch\u1ea5t l\u00e0 t\u00ecnh tr\u1ea1ng Acid v\u00e0 c\u00e1c ch\u1ea5t ch\u1ee9a trong d\u1ea1 d\u00e0y (th\u1ee9c \u0103n, d\u1ecbch m\u1eadt,…) b\u1ecb \u0111\u1ea9y ng\u01b0\u1ee3c tr\u1edf l\u1ea1i th\u1ef1c qu\u1ea3n, \u1ed1ng d\u1eabn th\u1ee9c \u0103n v\u00e0 ch\u1ea5t l\u1ecfng t\u1eeb mi\u1ec7ng \u0111\u1ebfn d\u1ea1 d\u00e0y.<\/span><\/p>\n

Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n?<\/strong><\/span><\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y nh\u1ea5t \u0111\u1ec1u ch\u1ec9 ra r\u1eb1ng Stress l\u00e0 ngu\u1ed3n g\u1ed1c c\u1ee7a nhi\u1ec1u b\u1ec7nh. Ngo\u00e0i Stress, nh\u1eefng th\u00f3i quen sinh ho\u1ea1t kh\u00f4ng khoa h\u1ecdc v\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c… l\u00e0 nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh v\u00e0 khi\u1ebfn cho b\u1ec7nh tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng.<\/span><\/p>\n

1. Stress<\/strong><\/em><\/span><\/p>\n

Stess ch\u00ednh l\u00e0 th\u1ee7 ph\u1ea1m gi\u1ea5u m\u1eb7t g\u00e2y ra b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ch\u00fa \u00fd \u0111\u1ebfn.<\/span><\/p>\n

\"\"<\/p>\n

Khi b\u1ea1n b\u1ecb Stress k\u00e9o d\u00e0i s\u1ebd k\u00edch \u1ee9ng c\u00e1c d\u00e2y th\u1ea7n kinh c\u1ee7a c\u01a1 th\u1ec3 huy \u0111\u1ed9ng Cortisol. Cortisol n\u00e0y kh\u00f4ng ch\u1ec9 d\u1eadp t\u1eaft nh\u1eefng ph\u1ea3n \u1ee9ng t\u1ef1 nhi\u1ec5m b\u1ea3o v\u1ec7 d\u00e0 d\u00e0y m\u00e0 c\u00f2n g\u00e2y t\u0103ng Acid HCl v\u00e0 Pepsine.<\/span><\/p>\n

Pepsine l\u00e0m t\u0103ng k\u00edch th\u00edch c\u1ee7a tr\u00e0o ng\u01b0\u1ee3c, n\u00f3 ph\u00e1 h\u1ee7y c\u00e1c ch\u1ea5t nh\u1ea7y b\u1ea3o v\u1ec7 b\u1ec1 m\u1eb7t ni\u00eam m\u1ea1c th\u1ef1c qu\u1ea3n, g\u00e2y \u00e1p l\u1ef1c l\u00ean c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi khi\u1ebfn ch\u1ee9c n\u0103ng c\u01a1 n\u00e0y y\u1ebfu \u0111i v\u00e0 tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c t\u0103ng l\u00ean.<\/span><\/p>\n

Stress \u0111\u01b0\u1ee3c coi l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n.<\/span><\/p>\n

2. Th\u00f3i quen \u0103n u\u1ed1ng, sinh ho\u1ea1t kh\u00f4ng khoa h\u1ecdc<\/strong><\/em><\/span><\/p>\n

D\u1ea1 d\u00e0y l\u00e0 c\u01a1 quan d\u1ec5 b\u1ecb k\u00edch \u1ee9ng s\u1ea3n sinh nhi\u1ec1u Acid. Do \u0111\u00f3, th\u00f3i quen \u0103n u\u1ed1ng sinh ho\u1ea1t kh\u00f4ng khoa h\u1ecdc nh\u01b0: \u0102n qu\u00e1 no, \u0103n \u0111\u00eam, \u0103n nhi\u1ec1u th\u1ee9c \u0103n nhanh, hoa qu\u1ea3 gi\u00e0u Acid… \u0111\u00e3 khi\u1ebfn cho c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y tr\u1edf n\u00ean n\u1eb7ng h\u01a1n. Vi\u1ec7c \u0103n \u0111\u00eam kh\u00f4ng ch\u1ec9 khi\u1ebfn c\u00e2n n\u1eb7ng c\u1ee7a b\u1ea1n t\u0103ng l\u00ean m\u00e0 c\u00f2n g\u00e2y \u00e1p l\u1ef1c cho tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi.<\/span><\/p>\n

3. Vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng s\u00e2u<\/strong><\/em><\/span><\/p>\n

Nh\u1eefng v\u1ebft vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng khi ti\u1ebfp x\u00fac v\u1edbi th\u1ee9c \u0103n, theo ph\u1ea3n x\u1ea1 t\u1ef1 nhi\u00ean s\u1ebd t\u0103ng ti\u1ebft Acid nhi\u1ec1u h\u01a1n, d\u1ec5 tr\u00e0o ng\u01b0\u1ee3c l\u00ean th\u1ef1c qu\u1ea3n. Khi \u0111\u00f3, d\u1ea1 d\u00e0y lu\u00f4n \u1edf t\u00ecnh tr\u1ea1ng b\u1ecb \u1ee9 tr\u1ec7, t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi, khi\u1ebfn c\u01a1 n\u00e0y \u0111\u00f3ng m\u1edf b\u1ea5t th\u01b0\u1eddng, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho c\u00e1c ch\u1ea5t d\u1ecbch d\u1ea1 d\u00e0y, Acid HCl, th\u1eadm ch\u00ed c\u1ea3 d\u1ecbch m\u1ea5t tr\u00e0o l\u00ean \u1ed1ng th\u1ef1c qu\u1ea3n.<\/span><\/p>\n

4. Y\u1ebfu t\u1ed1 b\u1ea9m sinh<\/strong><\/em><\/span><\/p>\n

Nh\u1eefng y\u1ebfu t\u1ed1 b\u1ea9m sinh nh\u01b0: ch\u1ee9c n\u0103ng c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi k\u00e9m, b\u1ec7nh nh\u00e2n b\u1ecb sa d\u1ea1 d\u00e0y, hay b\u1ec7nh nh\u00e2n c\u00f3 tho\u00e1t v\u1ecb c\u01a1 ho\u00e0nh, tai n\u1ea1n\u2026 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n. \u1ede tr\u1ebb nh\u1ecf, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 sinh l\u00fd b\u00ecnh th\u01b0\u1eddng. Tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 n\u00f4n tr\u1edb. Tri\u1ec7u ch\u1ee9ng n\u00e0y s\u1ebd gi\u1ea3m d\u1ea7n khi tr\u1ebb l\u1edbn h\u01a1n v\u00e0 s\u1ebd m\u1ea5t h\u1eb3n khi tr\u01b0\u1edfng th\u00e0nh.<\/span><\/p>\n

Ngo\u00e0i ra, b\u00e9o ph\u00ec c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n c\u1ea7n l\u01b0u \u00fd. C\u00e2n n\u1eb7ng g\u00e2y \u00e1p l\u1ef1c l\u00ean d\u1ea1 d\u00e0y v\u00e0 c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi khi\u1ebfn tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a n\u00f3 y\u1ebfu \u0111i khi\u1ebfn acid d\u1ea1 d\u00e0y v\u00e0 c\u00e1c ch\u1ea5t d\u1ec5 tr\u00e0o ng\u01b0\u1ee3c h\u01a1n.<\/span><\/p>\n

Xem th\u00eam:<\/em><\/strong>\u00a0<\/em>Gi\u1ea3i Ph\u00e1p \u0110\u1ea9y L\u00f9i B\u1ec7nh Tr\u00e0o Ng\u01b0\u1ee3c D\u1ea1 D\u00e0y V\u1edbi B\u1ed9 \u0110\u00f4i D\u01b0\u1ee3c Th\u1ea3o PyLoGa T\u1eeb M\u1ef9<\/em><\/a><\/span><\/p>\n

Ngu\u1ed3n:PyLoRa.com<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean b\u1ecb \u1ee3 h\u01a1i, \u1ee3 chua nh\u01b0ng l\u1ea1i t\u1ecf ra xem nh\u1eb9 v\u00ec cho r\u1eb1ng \u0111\u00f3 ch\u1ec9 l\u00e0 bi\u1ec3u hi\u1ec7n sau khi \u0103n u\u1ed1ng h\u01a1i qu\u00e1 \u0111\u00e0 hay v\u00ec th\u1ee9c \u0103n c\u00f3 nhi\u1ec1u d\u1ea7u m\u1ee1, tinh b\u1ed9t… m\u00e0 kh\u00f4ng bi\u1ebft r\u1eb1ng \u0111\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 […]\n","protected":false},"author":2,"featured_media":11176,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[164],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/posts\/7384"}],"collection":[{"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/comments?post=7384"}],"version-history":[{"count":0,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/posts\/7384\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/media\/11176"}],"wp:attachment":[{"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/media?parent=7384"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/categories?post=7384"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pylora.com\/wp-json\/wp\/v2\/tags?post=7384"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}