Yiziphi Izidakamizwa Ongabangela Ukugubha Inhliziyo Nokuthi Kungenziwa Kanjani?
Ngenkathi sivame ukucabanga ngokudla okunye njengokubangela ukuphuza , kepha kukhona neminye imithi engabangela ukubola. Lezi zidakamizwa zingabangela ukugubha yedwa, noma usebenze ndawonye nezinye izimbangela zokudala lokho okuvuthayo esifubeni sakho.
Imithi njengesisusa
Kunezindlela eziningana noma izindlela eziningana lapho imithi ingase ibangele ukuguquka kwenhliziyo okuchazwe ngezansi ngezansi, kodwa kubalulekile ukuba ukhombise kuqala ukuthi wonke umuntu uhlukile, futhi ukushaya kwenhliziyo okuhlobene nemithi kuhluka kakhulu lapho ucabangela abantu ngabanye.
Eminye imithi eyenza ukushaya inhliziyo kumuntu oyedwa kungenzeka ingabi nethonya kwenye. Eqinisweni, kunoma yimuphi umuntu oyedwa, isidakamizwa singabangela ukukhwabanisa ngesikhathi esisodwa kodwa hhayi kwenye; Ukwehluleka komuntu ukuhlukunyezwa kuyahlukahluka ngokuhamba kwesikhathi.
Uma wenza umsoli wokuthi omunye wemithi yakho uphuthukisa ukushaya kwenhliziyo, kubalulekile ukukhuluma nomhlinzeki wakho wezempilo oyinhloko. Akufanele uyeke ukuthatha imithi yakho ngaphandle kokuba uceliwe ukuba wenze kanjalo njengamanye amacala, lokhu kungaba yingozi. Into enhle yukuthi kunezikhathi eziningi izindlela zokunciphisa imishanguzo-ukudubula izinhlungu noma okungenani izinketho zezidakamizwa ezahlukene uma lokho kungenakwenzeka.
Imithi Engabangela Ukugubha Inhliziyo
Cishe noma yikuphi imithi ingabangela ukuphuza ukuphuza kanti ezinye zingase zidale lesi sibonakaliso kunabanye. Ngezinye izikhathi umuthi wedwa uholela ekugqabeleni, kodwa ngezinye izikhathi lesi sibonakaliso singase sibe ngenxa yokuhlanganiswa kwezimbangela ezihlukahlukene.
Izidakamizwa ezingabangela ukuchotshozwa
Imithi eyaziwa ngokubangela ukukhwabanisa ihlanganisa:
- Imithi ephikisana nokukhathazeka, njenge-Valium diazepam) - Le mithi ingase ingagcini nje ukukhulula imizwa yakho, kepha iphansi yakho ephansi.
- Amanye ama-antibiotics, afana ne-tetracycline, angamcasula ngokuqondile.
- I-Anticholinergics efana neCompazine (prochlorperazine) ne-Phenergan (promethazine) ingabangela ukuphumula okwehla kwesiphincter esingaphansi.
- I-aspirin - Kwabanye abantu abangakwazi ukubekezelela i-aspirin ngenxa yokuphuza, i-aspirin ene-enteric ingaba yindlela yokukhetha. Ungalokothi umise i-aspirin ngaphambi kokukhuluma nodokotela wakho.
- Ama-bisphosphonates afana ne-Fosomax (alendronate), i-Actonel (i-resendronate), ne-Boniva (i-ibandronate) - I-Oral bisphosphonates ingabangela ukuqhuma kwesisu ngokucasula ngqo isifo. Uma imithi yakho ibangela ukukhwabanisa, kunezinketho zamalungiselelo anikezwa njengomjovo okungenakwenzeka ukudala lesi sibonakaliso.
- Abavimbela isiteshi se-calcium ye-high blood pressure, njenge-Procardia (nifedipine), ne-Cardizem (diltiazem) kungaholela ekutheni amandla e-sphincter esezansi aphelise futhi abuye aphuze ukuthutha kwesisu. Ngokujabulisayo, kunezigaba eziningi zemithi yokucindezelwa kwegazi ezitholakalayo, futhi ukushintshela kwesinye isigaba kungasiza uma izimpawu zakho ziqhubeka.
- Imithi ethile ye-asthma efana ne-Proventil (albuterol) ne-theophylline.
- Imithi ye-Chemotherapy.
- I-Corticosteroids (i-steroids) efana no-Deltasone (prednisone) ne-Medrol (methylprednisolone) ingabangela ukuqubuka kwamanye amazwe kanye nezinye izinto ezibalulekile zokugaya ukudla.
- I-hormone therapy esikhundleni (HRT), okuyinto inhlanganisela ye-estrogen ne-progesterone.
- Ama-Narcotics angabangela ukugubha kwenhliziyo ngokubambezela ukukhipha isisu. Izinketho zingase zihlanganise nokusebenzisa uhlobo oluhlukile lweminye imithi yobuhlungu, kodwa kuyaphawuleka ukuthi ukulwa nokuvuvukala, okuxoxwe ngakho ngokulandelayo, kungabangela nezinkinga.
- Ama-NSAID (izidakamizwa ezingavumeli ukuvuvukala) ezifana ne-Advil (ibuprofen) ne-Aleve (naproxen) zingandisa ukwanda kwe-asidi esiswini ngokuvimbela i-prostaglandins - Izinketho zokulawulwa kobuhlungu ezifana ne-Tylenol (acetominophen) noma ngisho nemithi ye-narcotic ingadingeka uma i-NSAIDS ibangela ukubaluleka ukuvuthwa kwenhliziyo noma ukuphazamiseka kwamagundane. Kwezinye izimo, ukuqinisekisa ukuthi ukuthatha i-NSAIDS ngesisu esisodwa kungasiza.
- Ama-antidepressants e-Tricyclic, afana ne-Tofranil (i-imipramine), i-Sinequan (doxepin), i-Norpramin (desipramine) ne-Pamelor (i-nortriptyline) inciphisa ukuthungatha kwesisu. Abaningi balabo abasha abacindezelayo bancane amathuba okubangela lesi sibonakaliso.
- I-potassium ingabangela ukuqubuka kwenhliziyo ngokucasula ngokuqondile isifo.
- Izithako ze-Iron - Izithako ze-Iron zingacasula isisu. Abanye abantu bathola impumuzo ngokuthatha lezi zithako ngokudla noma ngokuzisebenzisa ekuseni kakhulu.
- I-Vitamin C.
Izinqumo
Uma imithi yakho ibonakala sengathi ibangela ukuchotshozeka, ungayeki nje imithi. Khuluma nodokotela wakho. Kukhona imithi eminye edinga ukondliwa noma umphumela ovukelayo ungenzeka. Kwezinye izimo, uma imithi ibaluleke kakhulu, udokotela wakho angase ancoma ukuthi aphathe ukushaya kwenhliziyo esikhundleni sokuyeka umuthi.
Ngezinye izikhathi, izinguquko ezilula endleleni yakho yokuphila zingase zixazululwe ukushaya inhliziyo. Ukuthatha imithi ngenkathi uhlezi phezulu bese uhlala uhlezi noma umile isigamu sehora kungasiza. Futhi, ukugeza imithi phansi ngeglasi yamanzi egcwele kungasiza. Ngezinye izidakamizwa, ukuthatha ukudla kungasiza, kodwa qinisekisa ukuthi imithi yakho ayiyodwa okufanele isithathwe esiswini esingenalutho sokumunca.
Ezinye imithi, njenge-aspirin, itholakale nge-entered-coated okungaba usizo kwabanye abantu. Ngezinye izidakamizwa, ukwakheka okuhlukile kungenza iphutha. Isibonelo, nge-bisphosphonate esetshenziselwa ukwelashwa kwemithi, udokotela wakho angancoma ifomu lokujola esikhundleni sefomu lomlomo nsuku zonke lomuthi.
Okokugcina, cabanga ngezinye izici empilweni yakho okungase kubangele ukuguquka kwenhliziyo nokuhlanganisa inkinga yakho. Isibonelo, funda ukuthi yikuphi ukudla okukhawulela , ukuyeka ukubhema , nokugwema utshwala .
Izindlela zokuphefumula
Ukuphuza isisu kungase kube uphawu olulodwa kodwa kungabangela ngezindlela ezihlukahlukene. Ezinye zezinqubo ezingabangela ukuphuza ukuphuza imithi zibandakanya ukucasuka okuqondile kwesifo, ukukhubazeka kwe-sphincter esezansi ephansi, ukukhathazeka kwe-motility kwegciwane lokugaya okuholela ekubambezelweni kwesisu esiswini, futhi mhlawumbe ama-hernias angama-hiatal.
Irritation Esophageal
Ezinye imithi, njenge-iron, i-potassium, ne-bisphophonate ingacasula ngokuqondile umgqa wesifo futhi ibangele ukuphuza. Ngale mithi ingenza umehluko ukuhlala ulungele okungenani amaminithi angu-20 kuya kwangu-30 emva kokuthatha imithi, futhi uthathe iphilisi ngeglasi yamanzi egcwele.
Ukungasebenzi Kwe-Esophageal Sphincter (LES)
I-band of muscle etholakala ehlangothini phakathi kwesisu nesisu kuthiwa yi- sphincter esezansi ephansi (LES). Le misipha inesibopho sokuvala nokuvula ukuphela okuphansi kwalesi sigameko futhi senze njengengqinamba yokucindezela ngokumelene nokuqukethwe esiswini. Uma ibuthakathaka noma ilahlekelwa ithoni, i-LES ngeke ivalwe ngokuphelele emva kokudla kudlula esiswini. I-asidi yesisu ingahle ibuye isiphakamiso. Ukudla okunye kanye neziphuzo, izidakamizwa, kanye nezici zesisindo zingaphazamisa i-LES futhi zinciphise umsebenzi wayo.
Ukuphazamiseka kwe-Motility (Ukuphuma Kwesisu Esiphansi)
Ngokugaya okujwayelekile, ukudla kudluliselwa emgqabeni wokugaya ngokwezinqamulelo zesigqi okuthiwa i-peristalsis. Uma othile ehlushwa isifo se- motility sokugaya, lezi zingqinamba azivamile. Lokhu kungavamile kungaba ngenxa yeyodwa yezimbangela ezimbili: Inkinga ngaphakathi kwemisipha ngokwayo, noma inkinga enezinzwa noma amahomoni alawula ukuphazamiseka kwemisipha. Ucwaningo olulodwa lwabonisa ukuthi ngaphezu kwengxenye yabantu abane-reflux disorder (GERD) abanezinzwa ezingavamile noma eziyisisindo ezingezwini zabo ezingabangela ukungabi nhlobo kwemimoya.
Uma izidumbu esiswini zingenzi isivumelwano ngokujwayelekile, isisu asinalutho emathunjini amancane ngokusheshisa njengokujwayelekile. Ukuhlanganiswa kokudla okuningi okusele esiswini kanye nokucindezelwa okwenyuka esiswini ngenxa yokuthungatha ukulibazisa kwandisa ingozi yesisu esiswini ukuvuza emuva.
I-Hernia yamaHiatal
I- hernia yokubeletha kwenzeka lapho ingxenye engenhla yesisu iphoqelelwa phezulu ukuya esifubeni ngokusebenzisa ukuvulwa kwesikhala. Lokhu kungase kwenzeke ngenxa yokwehluleka kwe-diagphragm noma ngenxa yokucindezela kwesisu (njengokunene nokukhuluphala.) Lokhu kuvulwa kubizwa ngokuthi i-hiatus esophageal noma i-hiatus ye-diaphragmatic. Kukholelwa ukuthi i-hernia yokubeletha inganciphisa i-sphincter esezansi ephansi futhi ibangele i-reflux, noma kunjalo, izifundo zihlulekile ukufakazela ukuthi kuyimbangela evamile ye-GERD.
Izakhi zofuzo
Ucwaningo luphakamisa ukuthi kukhona ingozi ezuze njengefa le-GERD. Lokhu kungaba ngenxa yezinkinga ze-muscular noma ze-structural in aophagus noma esiswini. Izakhi zofuzo zingase zibe yisici esibalulekile ekuthinteni kwesiguli kumbono kaBarrett , isimo esinqunyiwe esibangelwa i-GERD enamandla.
Ukwelapha
Kubalulekile ukukhuluma nodokotela wakho uma ubhekene nesifo senhliziyo. Ngaphezu kokuphakamisa izinguquko zokuphila ezinganciphisa izimpawu , angakhuluma nawe mayelana nezinketho eziningana zokwelapha ezitholakalayo zokuphuza izinhlungu .
Ngezansi Emithini Nemithi Yokuphuza
Cishe noma yimiphi imithi ingabangela ukuphuza, kodwa ngokusobala kukhona ezinye izidakamizwa ezimbi kakhulu kunabanye. Kukhona indlela engaphezu kweyodwa lapho izidakamizwa zingabangela ukuphuza, futhi ukuqonda indlela engakusiza kungakusiza usebenze nodokotela wakho ukuze uthole izindlela zokuthatha imithi yakho ukunciphisa izimpawu zakho, noma ukushintshela kwesinye isidakamizwa esincane ukubangela ukugubha.
Imithombo:
I-Castell, D. I-Esophagitis Yokwelapha-Imithi. UpToDate . Kubuyekezwe ngo-10/15/15.