Izimpawu, Ukuxilongwa Nokunakekelwa kwe-GERD Kwabaningi
Sibutsetelo
Ngenkathi isifo se-heart disease nesifo se-reflux se-gastroesophageal (GERD) zivame ukubhekwa njengezifo ezikhulile, ziba zivame kakhulu phakathi kwezingane kanye nentsha. Lokhu kuyingxenye ngenxa yokuthandana kwentsha yokudla okusheshayo, kanye nama-lineist awo akhula njalo.
Njengabantu abadala, izimpawu ze-reflux zingabeka imfucumfucu empilweni futhi ziyesabeka ngezinye izikhathi.
Noma kunjalo, njengoba nje nabantu abadala, izinguquko ezilula zokuphila kanye nemithi kungenza lezi zimpawu zibekezeleleke kakhulu.
Izimbangela
Ngaphansi kwezimo ezivamile, ukudla kudlula ku- esophagus , futhi isisipha ngaphansi kwe-esophagus-i-sphincter esezansi ephansi (LES) -susa ngakho ukudla nokuphuza kuzohlala esiswini sakho. Lapho i-LES ingavali kahle, okuqukethwe kwesisu kanye ne-asidi kungaphindela emuva.
Izimpawu
Izimpawu ezilandelayo kungenzeka uma ingane yakho ibhekana ne-acid reflux:
- Ukushisa kwesibindi esifubeni, ngemuva kwesifuba, ukucindezela nokugqumisa emuva, okuhlala kusukela emaminithini ambalwa kuya emahoreni
- Ukuvutha kwenzwa endaweni
- I-nausea
- Isihlungu, ingqamuzana eluhlaza, ikakhulukazi lapho ivuka ekuseni
- Ukuthuthumela
- Umoya omubi
- Inkinga igwinya
- Ukuzwa njengokudla kunamathele emqaleni
- Ukuzwa ukuchofoza okumvusa ebusuku
- Izinkinga zokuphefumula (njenge-bronchitis, i-wheezing, i-asthma)
- Ukuhlanganisa ukukhwehlela owomile
Ukuxilongwa
Udokotela wengane yakho angase aqale ukuxilongwa kwe-acid reflux emabonakalweni yengane yakho, ukuhlolwa ngokomzimba kanye nokuphendula kwengane yakho ekwelapheni ukwelashwa. Isibonelo, uma izimpawu zezingane zakho zithuthuka ngemuva kokuphatha nge- proton pump inhibitors (PPIs) , mhlawumbe cishe i-GERD.
Uma izimpawu zezingane zakho zingaphuthuki, udokotela angase acele ukuhlolwa ukuze anqume ukuthi i-GERD iyimbangela ye-reflux. Lezi zivivinyo zingase zifake okukodwa kokulandelayo:
- I-Barium x-rays : Eyaziwa nangokuthi i-barium igwinya, lezi zixhumano x-ray lapho i-barium isetshenziselwa khona ukuxilonga ukungajwayelekile kwegciwane lokugaya.
- Ukuqapha kwe-pH Esophageal : Lokhu kuhlolwa kuzolinganisa i-asidi emgodini wengane yakho.
- I-endoscopy ephezulu : I-tube ene-lens yekhamera nokukhanya kufakwe emlonyeni wengane yakho futhi ibe yisisu nesisu. Udokotela angasebenzisa le nqubo ukuze abone ukuthi kunesidumbu (ukulinganisa ngokweqile) noma ukuvuvukala ( isophagitis ) endaweni.
Ukwelapha
Ukwelapha i-reflux ye-asidi ngokuvamile kusebenza kahle ngokusebenzisa inhlanganisela yezindlela. Ungase ufise ukubheka izici zobungozi bezingane zakho ukubona ukuthi noma iyiphi yalezi zingashintshwa. Isibonelo, ukukhuluphala ngokweqile kwandisa amathuba okuthi ingane yakho izohlupheka ngenxa yokuphuza umoya. Ukuguqula indlela yokuphila kunganele ngokwanele ukulungisa inkinga kubaningi abaningi, kodwa kungaba yinselele kule minyaka. Imithi ingadingeka, futhi kunezigaba eziningana zezidakamizwa ezingase zinikeze ukukhululeka.
Ukuguqula indlela yokuphila
Udokotela angase abonise kuqala indlela yokuphila yokuguqulwa ukuze abone ukuthi lezi zizokwenza yini izimpawu ze-reflux.
- Ukudla ukudla okuncane (ukungadli endaweni yokuzwa "okugxotshiwe")
- Yidla kancane kancane
- Gwema ukudla okubangelwa ukukhwabanisa
- Gwema ukudla ngaphambi kokulala, noma phakathi kwamahora amabili kuya kwamathathu wokulala
- Zizenzele ngamacilongo, uphakamise ikhanda lombhede wakho, noma usebenzise umcamelo wedaka ukuze uvumele amandla adonsela phansi ukusiza ukugcina i-acid esiswini sakho
- Gqoka izingubo ngamabhantshi okugqamile
Imithi
Uma izimpawu ze-reflux ziqhubeka, udokotela angase abonise esinye sezikhambi ezilandelayo:
- Ama-Antacids: I- Antacids iyanciphisa isisu se-asidi. Zihlanganisa i- Tums (calcium carbonate), i- Rolaids (i-calcium carbonate), i- Mylanta (i-aluminium hydroxide ne-magnesium hydroxide), ne- Maalox (i-aluminium hydroxide ne-magnesium hydroxide).
- Ama-Acid Suppressers: Lezi zicindezela ukukhiqizwa kwe-acid esiswini. Zihlanganisa iTagamet (cimetidine), i- Pepcid (i-famotidine), iZantac (ranitidine). ne-Axid (nizatidine).
- Ama-Acid Blockers: Lokhu kuvimbela ukukhiqizwa kwe-acid ngokuphelele esiswini. I-Prilosec (i-omeprazole), i-Prevacid (i-lansoprazole), i- Nexium (esomeprazole), i- Aciphex (i-raberprazole) ne-Protonix. (pantoprazole).
Izinkinga
Izinkinga ngenxa ye-reflux engavamile ezingavamile ezinganeni, kanti eziningi zazo zihlobene nezimpawu zesikhathi eside. Noma kunjalo kubalulekile ukuqaphela lokhu njengesikhumbuzo sokuthi kungani ukwelapha i-GERD kudlula okungaphezu kokulawula izimpawu. Izinkinga ze-reflux ezingama-chronic acid (ukuthi futhi, ezingavamile kwentsha) zihlanganisa ukuhlasela kwesisu, isifo se-Barrett, ngisho nomdlavuza we-esophageal.
Okubalulekile
Iminyaka eyishumi neminyaka ingaba nexhala ngokwanele ngaphandle kokufaka i-reflux ye-aclux kumxube. Lokho kusho ukuthi imikhuba yokudla okuvela ukudla okusheshayo kuya kwamakhalori angaphezu kwandisa ukwanda kwesifo ezinganeni zethu. Ukubukeka ngendlela yokuphila okujabulisayo kungenza umehluko omkhulu, futhi kungase kube nezinye izinzuzo.
Imithombo:
I-Putnam P. Esophagitis Ezinganeni Zengane. Imithi Yengane Enesibindi: Ukubuyekezwa kobuciko bombuso . 2016. 27 (1): 1-18.
UVandenplas, Y., noBauser. Ukubuyekezwa okubuyekeziwe ku-Refastus ye-Gastro-Esophageal in Pediatrics. Ukubuyekezwa kobuchwepheshe ku-Gastroenterology ne-Hepatology . 2015. 9 (12): 1511-21.