NHỮNG ĐIỀU CẦN LƯU Ý KHI BỊ TRÀO NGƯỢC THỰC QUẢN VỀ ĐÊM?

27 Tháng Mười Một 2020

Trào ngược dạ dày ban đêm là gì?


Là tình trạng rối loạn tiêu hóa dẫn tới sự trào ngược dạ dày thực quản vào ban đêm, có thể hoặc không ảnh hưởng tới sức khỏe của người bệnh, tùy từng trường hợp cụ thể.

trào ngược dạ dày về đêm

Nguyên nhân xuất hiện cơn trào ngược về đêm?

Lí giải cho hiện tượng này, các chuyên gia đầu ngành về tiêu hóa cho biết: Vào ban đêm, dạ dày vẫn co bóp ngay cả khi bạn đã đi ngủ, dẫn tới dạ dày bạn vẫn tiết ra một lượng acid dư thừa làm tăng khả năng trào ngược. Khi nằm, thực quản và dạ dày sẽ ngang bằng nhau. Tư thế này thì trọng lực không còn hỗ trợ trong việc đẩy acid từ trên thực quản xuống dạ dày nữa sẽ khiến acid dễ dàng trào ngược sang thực quản và nằm lại ở đó, gây ra những hậu quả nghiêm trọng cho người bệnh.

Do tình trạng thừa axit trong dịch vị dạ dày

Vào ban đêm, dạ dày thường bị dư thừa acid, dạ dày vẫn co bóp nhẹ. Với người bị bệnh trào ngược dạ dày, lượng dư thừa acid trong dạ dày vào ban đêm cao hơn so với thông thường cộng với việc dạ dày vẫn đang hoạt động làm cho tình trạng ợ chua, ợ hơi, ợ nóng dễ dàng trào ngược.

Tư thế nằm ngủ
- Tư thế ngủ của chúng ta cũng là một trong những nguyên nhân gây trào ngược dạ dày dễ hơn ban ngày. Khi ngủ dạ dày được đặt nằm ngang với thực quản, do đó lượng acid dư thừa dễ dàng trào ngược lên thực quản gây khó chịu cho người bệnh.

Căng thẳng kéo dài – thủ phạm gây trào ngược dạ dày vào ban đêm

Tưởng như vô can nhưng căng thẳng kéo dài lại là thủ phạm gây trào ngược về đêm. Chính stress, bực bội là tác nhân kích thích dạ dày tiết axit bất thường. Hậu quả là khổ chủ phải gánh chịu những cơn trào ngược ám ảnh.

Tiết ít nước bọt khi ngủ
Ngoài ra trong khi ngủ chúng ta ít nuốt nước bọt, đây cũng là nguyên nhân dẫn đến trào ngược dạ dày vào ban đêm. Bởi thành phần bicarbonate có trong nước bọt sẽ giúp trung hòa acid dạ dày trong thực quản, không nuốt nước bọt nghĩa là acid không được trung hòa. Do đó, dễ dẫn đến tình trạng trào ngược.

Hậu quả của tình trạng trào ngược ban đêm diễn ra thường xuyên và kéo dài sẽ dẫn đến các biến chứng nguy hiểm như: viêm loét thực quản, hẹp thực quản, barrett thực quản, ung thư thực quản… Theo một nghiên cứu cho thấy, những người có các triệu chứng trào ngược ban đêm ít nhất 1 lần/tuần có khả năng bị ung thư thực quản cao gấp 11 lần so với người không gặp tình trạng này.
Thêm vào đó, khi acid đi xa khỏi dạ dày đến tận vùng hầu họng, khí quản, miệng, tai mũi, nó sẽ dễ dàng gây ra các biến chứng tại đây như: khàn giọng, đau họng, viêm họng, hen phế quản… Trung bình cứ 100 người bị trào ngược thì có tới 60 người có biến chứng tại họng và thanh quản.

Làm thế nào để nhận biết mình có cơn trào ngược đêm?


Thông thường cơn trào ngược về đêm sẽ biểu hiện thành 1 trong 2 trường hợp sau nhưng cũng có thể bạn sẽ gặp cả 2 trường hợp:


TRƯỜNG HỢP 1: Có 1 trong các triệu chứng dưới đây xảy ra vào ban đêm:
– Nóng rát, khó thở, đau tức ngực khi ngủ.
– Cảm giác trào ngược (cảm giác ợ, nôn trớ).
– Khó ngủ, mất ngủ, dễ bị tỉnh giấc do cơn trào ngược.
– Buồn nôn, nôn, ho nhiều.


TRƯỜNG HỢP 2: Có 1 trong các triệu chứng sau xảy ra vào buổi sáng khi thức dậy:
– Buồn nôn, nôn khan nhất là khi đánh răng.
– Đắng miệng chỉ xảy ra vào buổi sáng
– Nhiều đờm ở cổ.
– Khàn giọng, mất tiếng khi ngủ dậy.
– Mệt mỏi nhiều vào sáng hôm sau.

Cách khắc phục trào ngược thực quản về đêm

Bên cạnh các loại thuốc Đông y, Tây y thì chế độ ăn và nghỉ ngơi khoa học cũng rất quan trọng. Điều này giúp phòng ngừa và hỗ trợ điều trị bệnh trào ngược dạ dày ban đêm hiệu quả. Hãy duy trì lối sống lành mạnh để không bị tấn công bởi các bệnh nguy hiểm như trào ngược:

    - Dùng bữa tối sớm hơn: Dạ dày còn nhiều thức ăn là nguyên nhân hàng đầu làm trào ngược ban đêm khởi phát. Bạn nên ăn tối trước khi đi ngủ khoảng 2 – 3 tiếng để thức ăn được tiêu hóa gần hết.
    - Nằm nghiêng người khi ngủ: Điều này sẽ giúp dạ dày và thực quản không nằm ngang nhau. Dịch vị và thức ăn sẽ được cố định và không thể trào ngược ra khi nghiêng người.
    - Kiêng các loại thực phẩm làm phát sinh cơn trào ngược: Các loại đồ ăn nhanh, chiên rán nhiều dầu mỡ, đồ uống caffein, chocolate; hoa quả giàu axit như cam canh, nước có gas… đều nằm trong danh sách đen.
    - Tránh thức khuya: Cơ thể thức quá khuya kéo theo việc dạ dày co bóp mạnh và gia tăng cơn trào ngược. Vì thế, bạn hãy đi ngủ sớm, điều độ để phòng trào ngược. Hơn thế, bạn sẽ có một ngày làm việc tỉnh táo vào hôm sau.
    - Không hút thuốc lá, thuốc lào: Nghiên cứu đã cho thấy hút các loại thuốc lá có xu hướng làm tăng áp lực cho cơ vòng ở thực quản. Chính tác nhân này kích thích cổ họng làm người bệnh buồn nôn, trào ngược.

- Nằm nghiêng sang trái

Do dạ dày có hình chữ J nên khi nằm nghiêng sang trái thì phần lớn dạ dày sẽ nằm phía dưới thực quản, thực quản nằm ngang so với cơ thể. Tư thế này khiến dịch vị và các chất nằm yên trong dạ dày, như thế sẽ hạn chế được tình trạng acid trào lên thực quản.

- Sử dụng gối nâng cao đầu khi ngủ

Đối với trào ngược dạ dày thực quản, axit HCl là tác nhân trực tiếp gây viêm, loét niêm mạc thực quản. Tuy nhiên, triệt tiêu axit HCl cũng không thể nào “dập tắt” được trào ngược bởi nếu thiếu HCl, thức ăn sẽ không tiêu hóa được. Hậu quả là dạ dày sẽ bị căng trướng, thức ăn trào lên thực quản. Chính vì vậy sử dụng 1 chiếc gối kê cao đầu từ 15-20cm khi ngủ nhằm giúp thực quản cao hơn dạ dày ngăn chặn axit trào ngược lên  thực quản và miệng; giảm các triệu  chứng nóng rát cổ, buồn nôn, cải thiện giấc ngủ, ngủ ngon, sâu giấc  hơn.

Trào ngược dạ dày nên Nằm nghiêng trái


Trào ngược dạ dày ban đêm là bệnh lý báo động đỏ về sức khỏe người mắc. Hy vọng những thông tin chia sẻ đã giúp bạn bỏ túi cách chữa và phòng bệnh trào ngược về đêm hiệu quả nhất.

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