Many of us have at one time or another experienced heartburn. ¿ì¸® Áß ¸¹Àº À̵éÀÌ ÇÑ ¹ø¿¡ ¶Ç´Â ´Ù¸¥ °æÇèÀÌ °¡½¿ÇÕ´Ï´Ù. While heartburn can be mild for a great many of us, for others it is extremely painful. °¡½¿ ¼öÀÖ½À´Ï´Ù ¿ÂÈÀ»ÇÏ´Â µ¿¾È ¸¹ÀºÀº ¿ì¸®¿Í ´Ù¸¥ °ÍÀÌ ¸Å¿ì °íÅ뽺·¯¿îÇÕ´Ï´Ù. Heartburn is the generic term for gastroesophageal reflux disease, GERD, "reflux" and acid reflux. °¡½¿Àº ½Äµµ Áúȯ¿¡ ´ëÇÑ Æ÷°ýÀûÀÎ ¿ë¾î ¿ª·ù Áúȯ, °Ô¸£Æ®, "¿ª·ù"¿Í »ê¼º ¿ª·ùÇÕ´Ï´Ù.
Acid reflux is also called gastroesophageal reflux. »ê¼º ¿ª·ù´Â ½Äµµ ÁúȯÀ̶ó°íµµÇÕ´Ï´Ù ¿ª·ùÇÕ´Ï´Ù. It is considered as, a disorder where the acidic juices of the stomach flows back (reflux) into the esophagus. ±×°ÍÀº °£ÁÖ, »ê¼º ÁÖ½º¸¦ ¾îµð¿¡ À§Àå Àå¾Ö°¡ È帧À» À§·Î (¿ª·ù)À» ½ÄµµÇÕ´Ï´Ù. The stomach walls are made to withstand the acids that are produced by digesting foods. À§Àå º®À» °ßµ® ÀÌ·ç¾îÁý´Ï´Ù Á¦ÀÛÇÑ the »ê¼ºÀº À½½ÄÀ» ¼ÒÈÇÕ´Ï´Ù. The esophagus, which is the tube that passes food from the throat to the stomach, has a very thin lining to it. ½Äµµ, Àü´ÞµÇ´Â Æ©ºê°¡ ¸ñ±¸¸Û¿¡¼ À½½ÄÀ» À§Àå,ÀÌ ¸Å¿ì ¾ãÀº Á¡¸·À»ÇÕ´Ï´Ù. This lining does not have the protective strength of the stomach intestines. ÀÌ ¾È°¨ÀÇ °µµ¿¡ ´ëÇÑ º¸È£µµÇÏÁö ¾Ê½À´Ï´Ù º¹ºÎ ³»ÀåÇÕ´Ï´Ù. Thus when stomach acid reflux into the esophagus it makes the lower section of the esophagus painful and irritated. µû¶ó¼ À§»êÀÌ ½Äµµ·Î ¿ª·ùÇÏ°Ô ½ÄµµÀÇ ¾Æ·§ ºÎºÐ¿¡ ÅëÁõ°ú ¿°ÁõÇÕ´Ï´Ù. This painful inflammation is called reflux esophagitis. ¿°ÁõÀ̶ó°í ºÎ¸£´ÂÀÌ °íÅ뽺·¯¿î ¿ª·ù esophagitis.
The esophagus is usually sealed from the stomach by a valve known as the Lower Esophageal Sphincter, also called LES. ½Äµµ´Â º¸Åë¿¡ ÀÇÇØ º¹ºÎ¿¡¼ ¹ÐÆó ¹ëºê ½Äµµ ¾Æ·¡ÂÊÀ¸·Î ¾Ë·ÁÁ® Á¶ÀÓ±Ù,¶ó°íµµ ¹«½¼ÇÕ´Ï´Ù. This valve only opens when food passes into the stomach from the esophagus. ÀÌ ¹ëºê°¡ °¡µ¿µÉ»Ó ½Äµµ¿¡¼ À§Àå¿¡ À½½ÄÀ» Àü´ÞÇÕ´Ï´Ù. There are a few conditions that make the valve work incorrectly. ¹ëºê¸¦ ¸¸µå´Â Á¶°ÇÀ» ´ÙÀ½°ú °°Àº ¸î °¡Áö¸¦ À߸ø ÀÛµ¿ÇÕ´Ï´Ù. These factors range from eating large meals, drinking caffeine based drinks, eating acid causing foods to taking drugs like morphine, meperidine, nitrate heart medications and adrenergic drugs. ÀÌ·¯ÇÑ ¿äÀο¡ À̸£±â±îÁö ´Ù¾çÇÕ´Ï´Ù ´ëÇü ½Ä»ç¸¦ ¸Ô°í, ¸¶½Ã°í Ä«ÆäÀÎÀÌ ±â¹Ý À½·á, ¸ð¸£ÇÉ °°Àº ¸¶¾àÀ» ¸Ô´Â À½½ÄÀ» ÀÏÀ¸Å°´Â »ê¼º, meperidine, Áú»ê ½ÉÀå ¾à¹°°ú ¸¶¾àÀ» Â÷´ÜÇÕ´Ï´Ù. The LES also becomes relaxes when foods like peppermint and chocolate are eaten. ·¹½ºµµ°¡ ¹ÚÇÏ¿Í ÃÊÄݸ´ °°Àº À½½ÄÀº ¸ÔÁö ¶§ Æí¾ÈÇÕ´Ï´Ù.
The symptoms of acid reflux are varied. »ê¼º ¿ª·ùÀÇ Áõ»óÀº ´Ù¾çÇÕ´Ï´Ù. They range from your typical heartburn to cramping, excess salivation, shortness of breath, difficult or painful swallowing, fluid or vomit being inhaled into the lungs and other conditions. ±×µéÀº ´ç½ÅÀÇ ÀüÇüÀûÀÎ °¡½¿ÀÇ ¹üÀ§´Â ±ÙÀ° °æ·ÃÀ¸·Î, °ú´ÙÇÑ Ä§, ¼ûÀÌ, ¾î·Æ°Å³ª ÅëÁõ »ïŰ´Â, ¾×ü ¶Ç´Â ±¸Åä¹°¿¡ ÈíÀÔµÇ°í Æó ¹× ±âŸ Á¶°ÇÀ»ÇÕ´Ï´Ù. While acid reflux is painful, frequently occurring gastroesophageal reflux can lead to more serious conditions known as reflux esophagitis, esophageal narrowing and esophageal ulcer. »ê¼º ¿ª·ùÇÏ´Â µ¿¾ÈÀº ÅëÁõ, ÀÚÁÖ ¹ß»ýÇÏ´Â ½Äµµ Áúȯ ¿ª·ù ´õ ½É°¢ÇÑ »óȲÀ¸·Î À̾îÁú ¼öÀÖ½À´Ï´Ù ¿ª·ù·Î ¾Ë·ÁÁø esophagitis, ½Äµµ ÇùÂø, ½Äµµ ±Ë¾ç. The most serious acid reflux condition is Barrett's syndrome. °¡Àå ½É°¢ÇÑ »ê¼º ¿ª·ù ÁõÈıº Á¶°ÇÀº ¼¼Å¹ÇÕ´Ï´Ù. With Barrett's syndrome a change in the lining of the esophagus leads to esophageal cancer. ¼¼Å¹ ÁõÈıºÀ¸·Î ½Äµµ Á¡¸·¿¡ º¯È°¡ ½Äµµ¾ÏÀ¸·Î À̾îÁö°ÔÇÕ´Ï´Ù.
Acid reflux can occur in anyone. ´©±¸µµ ¿ª·ù »ê¼º¿¡¼ ¹ß»ýÇÒ ¼öÀÖ½À´Ï´Ù. The main sufferers of acid reflux are those who are obese, experience repeated vomiting, have nasogastric tubes, and have a history of hiatal hernia or scleroderma. »ê¼ºÀÇ ÁÖ¿ä ȯÀÚÀÇ ¿ª·ù´Â »ç¶÷Àº ºñ¸¸, °æÇè ¹Ýº¹ÀûÀÎ ±¸Åä, nasogastric°¡ Æ©ºê¸¦, ±×¸®°í ¿ª»ç¸¦ hiatal°¡ Å»ÀåÀ̳ª scleroderma. Pregnant women may also experience acid reflux. ÀÓ½ÅÇÑ ¿©¼º »ê¼º ¿ª·ù°¡ ¹ß»ýÇÒ ¼öµµÀÖ½À´Ï´Ù.
Acid reflux can be diagnosed and treated so that the symptoms are relived. »ê¼º ¿ª·ù Áø´Ü ¹× Ä¡·á´Â Áõ»óÀÌ ´Ù½Ã »ì¾ÒÁöµÇµµ·ÏÇÕ´Ï´Ù. A gastroenterologist will take x-rays of the patient. a gastroenterologist °É¸± x - ·¹ÀÌÀÇ È¯ÀÚ¸¦ÇÕ´Ï´Ù. The patient will drink a barium solution and lie down so that their head is lower that their feet. ¸¦ ¸¶½Ã´Â ȯÀÚ´Â ¹Ù·ý ¼Ö·ç¼Ç ¹× ´©¿ö ±×·¡¼ ±×µéÀÇ ´Ù¸®¸¦ ÀÚ½ÅÀÇ ¸Ó¸®°¡ ³·°ÔÇÕ´Ï´Ù. An esophagoscopy examination is taken. an esophagoscopy ½É»ç°¡ Á¡·É ´çÇÕ´Ï´Ù. Here a flexible viewing tube is inserted into the patient's esophagus for a close look. ¿©±â¿¡ À¯¿¬ÇÏ°Ô º¸´Â Æ©ºê°¡ ȯÀÚÀÇ ½Äµµ¿¡ »ðÀÔÀ» ´Ý½À´Ï´Ùº¸¼¼¿ä.
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