Isifo se-reflux ye-gastroesophageal yisimo esivamile kakhulu
Uyazi ukuthi bangaki abantu abane-reflux ye-asidi? Konke kuxhomeke endleleni ochaza ngayo "i-reflux ye-acid". Uma ukhuluma ngokukhwabanisa kwesinye isikhathi - mhlawumbe ngokuphuza ngokweqile kokudla noma isiphuzo okungavumelani nawe - ke cishe ingxenye eyodwa kwezintathu zabantu zinalo kanye ngonyaka noma ngaphezulu. Eqinisweni, ukushaya kwenhliziyo ngesinye isikhathi kungenye yezimpawu zezokwelapha ezivame kakhulu abantu ababika.
Phakathi naleso sikhathi, uma ukhuluma ngesifo se-reflux se-gastroesophageal noma i-GERD, abantu abambalwa banalo, kodwa kuseyisimo esijwayelekile kakhulu. I-GERD ichazwa njengokusuka kwenhliziyo noma ukuphindaphinda (uma ukudla okusesiswini sakho kubuyela emlonyeni wakho), futhi kuthinta phakathi kuka-18% no-28% wabantu abadala base-US. Lokhu kusho ukuthi phakathi kwabantu abadala abayizigidi ezingama-42 nabangu-64 e-US bahlushwa yi-GERD.
Abantu abaningi basebenzisa amagama ase-acid reflux, i- heartburn kanye ne-GERD ngokungafani, yingakho kungase kube khona ukudideka uma ubuza ukuthi bangaki abantu abahluphekayo kulesi simo. Kodwa kungakhathaliseki ukuthi ubiza ngani, lokhu kuyinkinga abantu abaningi, abaningi ababhekana nakho ngesikhathi esithile sokuphila kwabo.
Izimpawu ezikhona ze-Reflux ye-Acid
Uma une- reflux ye-asidi , ungase uzizwe unomsindo ovuthayo esifubeni sakho (ngakho-ke igama elithi "inhliziyo" liyashisa), futhi ungase uthande isisu esiswini kuhlanganiswe nanoma yikuphi ukudla osukudlayo, ikakhulukazi ngemuva komphimbo wakho.
Kungenxa yokuthi i-valve ephakathi kwesisu sakho nesisu sakho - esithwala ukudla okuvela emlonyeni wakho kuya esiswini sakho - asivali kahle, futhi uvumela okuqukethwe kwesisu sakho ukuba uhambe ngendlela engafanele, uphindele emlonyeni wakho.
Nge-GERD, uzoba nalezi zimpawu esikhathini eside.
Iziqondiso zodokotela abaphatha isimo socingo lwe-GERD ukuxilongwa lapho isiguli sinempawu emihle ezinsukwini ezimbili noma ngaphezulu ngesonto, noma izimpawu ezilinganiselayo kuya ezinzima okungenani usuku olulodwa ngesonto.
Kungenzeka futhi ukuthi ube ne-GERD ngaphandle kokuthi ube nezimpawu zokuphuza inhliziyo noma i-reflux ye-asidi. Kulesi simo, uzoba nezibonakaliso ezihlukile: ungase uzizwe sengathi ugoqa noma unenkinga yokuphefumula, ungase ube nobunzima bokugwinya, noma ungaba nokukhwehlela owomile. Khuluma nodokotela wakho uma uhlangabezana nanoma iyiphi yalezi zimpawu, njengoba ukwelashwa kweGERD kungasiza.
Wonke umuntu angathola i-GERD
Noma ubani angatholakala ukuthi uneGERD, kusukela ebuntwaneni kuya ekugugeni. Iphesenti labantu abanezimo ziyahlukahluka kusuka esifundeni kuya esifundeni emhlabeni wonke, kodwa, nalabo aseNyakatho Melika ikakhulukazi bayathinteka isimo.
Abantu baseYurophu, abaseMpumalanga Ephakathi, nabaseNingizimu Melika nabo banamanani aphakeme: eYurophu, phakathi kuka-9% no-26% wabantu abadala bahlangabezana nemigomo yokuthola ukuthi i-GERD, njengabantu abadala abafika ku-33% eMpumalanga Ephakathi kanye no-23% labantu abadala abahlala eNingizimu Melika. Phakathi naleso sikhathi, isilinganiso seGERD kubantu abadala base-East Asia sino-2% kuya ku-8% kuphela, futhi kubantu abadala base-Australia, bangama-12%. Izingane kuzo zonke izifunda zinamazinga aphansi kakhulu we-GERD kunabantu abadala.
Ukuba ne-GERD ingase ingabonakali njengento enkulu, kodwa uma unezimpawu, kufanele ukhulume nodokotela wakho ngabo. I-GERD ikubeka engozini yesimo esibi kakhulu esibizwa ngokuthi i- Barrett's hoop , lapho uhlaka lwe-oophagus yakho lulimala khona ekuthintaneni nesisu esiswini. Wena usengozini enkulu yomdlavuza wesifo, nakuba lokho kungavamile kakhulu.
Imithombo:
U-El-Serag HB et al. Ukuvuselela ku-epidemiology ye-reflux isifo se-gastro-oesophageal: ukubuyekezwa okuhlelekile. Gut. 2014 Jun; 63 (6): 871-80.
I-International Foundation yezinkinga zokusebenza kwamathumbu. Ukuguquka kwenhliziyo: Akukho okumele ukwenze ngephepha leqiniso le-Heart.
Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuxilongwa nokuphathwa kwesifo se-reflux se-gastroesophageal. I-American Journal ye-Gastroenterology . 2013 Mar; 108 (3): 308-28.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Ishidi langempela le-GERD.