Uma i-asthma yakho ingalawulwa, ikakhulukazi uma unesimiso sebusuku, isifo se-reflux se-gastroesophageal (GERD) singasolwa. Iziguli ezingamaphesenti angama-75 ezinzima ukuphefumula i-asthma nazo zithola ukuqhuma kwenhliziyo njalo. I-GERD ingenye yezimo ezivame kakhulu ezithinta isifuba esingalawuliwe, futhi kungase kudingeke ukuthi uhlolwe.
Izimpawu ze-GERD zifaka:
- Ukuphindaphinda noma ukuzwa kwe-asidi nokudla kwakho kusekela; 'ukuqhuma okumanzi' ngenye indlela iziguli ezithile zichaza lokhu.
- Ukuphuza okweqile noma i-pyrosis, ukushisa okubuhlungu esiswini sakho nasemkhatsini wesifuba obangelwa i-acid kusuka esiswini sakho kuya phezulu futhi kuthukuthelise isifo sakho
- Ukunambitheka okunomsoco noma okubabayo emlonyeni wakho- Ngokuya ngobunzima, i-reflux ingabangela ukunambitheka okumuncu noma okubabayo, noma ungathola ukuzwa okungazelelwe komswakama usawoti emlonyeni wakho okuthiwa amanzi. Ukuxubha kwamanzi kuphumela ekubeni isisu esiswini sishukumisa izigulane ezisezingeni eliphansi ukuze zikhiphe amathe.
I-Acid ivame ukuvinjelwa ekukhuphukeni emgodleni kusukela esiswini ngendandatho ye-muscular ekhona ekuhlanganiseni kwesisu nesisu. Lapho le ring ivuselela i-asidi ingasuka esiswini kuya phezulu. Uma i-asidi isesiswini esiswini, kungenzeka ukuthi uyifinyelele emaphashini.
Esinye isizathu sokuthi i-asidi engena emgogodla ivuselela izinzwa lapho futhi ibangele izindiza zomoya ukuba zinciphise.
Uzokwenzenjani Udokotela Wami Uma Ehlongoza UGERD Ingabe Yimbangela Ye-Asthma Engalawuleki?
Umhlinzeki wakho we-asthma angakhetha ukuhlela ezinye izivivinyo kuye ngezibonakaliso zakho, noma angase aqale isilingo sokwelapha ukuze ubone ukuthi izimpawu zakho zokuphuza izifo ezingalawuleki ziyathuthuka.
Umhlinzeki wakho angakunikeza inombolo yokwelashwa okungenzeka ku-GERD:
- Ukuguqulwa kokudla: Ukugwema noma ukuguqula ukudla kwakho okuyaziwa ukuthi kubi kakhulu i-GERD ingaba yikho konke okudingayo. Lokhu kudla kufaka utshwala, ukudla okuthosiwe, ushokoledi, neziphuzo ze-caffeinated.
- Izindlela zokuguqula impilo : Kunezinto eziningi ongayenza ukuze uthuthukise izimpawu zakho ze-asthma. Bangabandakanya ukugwema ukudla noma ukuphuza amahora amathathu ngaphambi kokulala phansi nokuphakamisa ikhanda lombhede wakho. Ukudla ukudla okuncane kakhulu kaningi indlela enye yokunciphisa ingozi ye reflux. Izindleko ezincane zokuphakama zingavumela amandla adonsela phansi ukuba asebenze futhi anciphise izimpawu. Ukuphakamisa ikhanda lombhede wakho ngamasentimitha ambalwa isebenzisa amandla adonsela phansi njengendlela yokugcina i-acid esiswini.
- Imithi: Udokotela wakho angase anikeze imishanguzo ngaphezulu, njenge-Pepcid AC noma i-Prilosec OTC (iziguli zivame ukusebenzisa ezinye izifo ze-OTC GERD njengeMaalox, i-Mylanta, i-Gelusil, i-Gaviscon, i-Rolaids, ne-Tums). Udokotela wakho angase futhi ancoma imithi kadokotela. Lezi zihlanganisa abavimba be-H-2-receptor njenge-cimetidine (Tagamet), i-famotidine (i-Pepcid), i-nizatidine (i-Axid) noma i-ranitidine (iZantac). I-Proton pump inhibitors yinye isigaba semithi yokudokotela ehlanganisa iDexlansoprazole (Dexilant), Esomeprazole (Nexium), i-Lansoprazole (Prevacid), i-Omeprazole (Prilosec, i-Zegerid), i-Pantoprazole (i-Protonix) ne-Rabeprazole (Aciphex). Le mithi ayinikeli usizo olusheshayo njenge-antacids kodwa igweme ukukhiqizwa kwe-asidi esiswini cishe ngamahora angu-12-24. Uma le mithi izosiza i-GERD yakho, akunakwenzeka ukuthi noma ubani osebenza kahle kunomunye. Ngokufanayo, uma umuntu ekilasini engasebenziyo akunakwenzeka ukuthi omunye umuthi kuleso silasi uzoba usizo. Uma izimpawu zakho ziqhubeka, umhlinzeki wakho angakunikeza ukuhlolwa okwengeziwe.
- Ukuhlinzwa: Nakuba kungavamile ukudingeka, ezinye iziguli ezine-reflux ezimbi zingakhetha ukwelashwa uma ukwelashwa kwehluleka noma kungcono kungadingeki ukuthi uthathe imithi yonke impilo yabo.
Ingabe i-GERD yokwelapha isiza U-My Asthma?
Kokubili ukwelashwa kwezokwelapha nokuhlinzekwa kuye kwaboniswa ukunciphisa izimpawu zobusuku, kunciphisa ukuvama kwezimo eziphuthumayo ze-asthma, nokuthuthukisa ikhwalithi yokuphila kweziguli ze-asthma. Qinisekisa ukugcina udokotela wakho wazi ukuthi uzizwa kanjani - kungcono noma kubi. Kodwa-ke, uma ukwelashwa kungathuthukisi izimpawu zakho ze-asthma, wena nodokotela wakho kufanele nibheke ezinye izimbangela.
Imithombo:
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Ulwazi lokubekezela. Kufinyeleleke ngo-Mashi 8, 2016. Ukuphuza umoya, i-Reflux ye-Gastroesophageal (GER), nesifo se-Reflux se-Gastroesophageal (GERD)