Uma unesifo senhliziyo nokubhema, mhlawumbe utshelwe ukuthi ukubhema kwenza ukuqhuma komfutho kubi nakakhulu noma kungabangela ngisho nendawo yokuqala. Lokhu kwenzeka kanjani, futhi yini enye ukubhema okuyenzayo kumgudu wakho wokugaya?
Ukushaya Inhliziyo Nokubhema
Kunezizathu eziningi zokukhahlela umkhuba wakho wokubhema, kodwa bewazi ukuthi ukwenza kanjalo kungavimbela ukushaya kwenhliziyo yakho?
Ukubhema kunemiphumela emibi ukuqala hhayi emaphashini akho kodwa kuzo zonke izindlela zakho zokugaya kusuka emlonyeni wakho kuya esiswini sakho nangaphezulu. Ungase umangale lapho umphumela wokubhema unayo emzimbeni. Uma ungakwazi ukugwinya, ungase ufise ukuthatha uhla lwezinhlanzi kulolu hlu lwezifo ezibangelwa ukubhema .
6 Izindlela Ukubhema Kubangela Ukuguquka Kwesifo
Ake sibuyele ekugubheni kwakho, futhi ukhulume ngezindlela eziningi lapho ukubhema kuholela kulokhu kuthukuthela okubi emqaleni nangesifuba sakho:
- Ukubhema ugwayi kunciphisa ukukhiqizwa kwamathe . Esinye sezivikelo zomzimba wakho ngokumelene nomonakalo ku- esophagus yakho ngumathe wakho. Kukhona ngisho namakhemikhali e-asidi-neutralizing ngamathe, okuthiwa ama-bicarbonates. Ukucwaninga kubonisa ukuthi umklamo wababhemayo uqukethe amanani amancane amabhakabhoni, ngaleyo ndlela ukunciphisa ikhono lamathe ukuze kulungiswe i-asidi. I-saliva iphinda ihlanza isisu futhi iyanciphisa imiphumela ye-asidi eye yahlanza isisu, futhi isiza ukugeza i-asidi kuya esiswini. Umphumela wenetha we-sali omncane kakhulu (ngenxa yokubhema ngokuqondile) unama-asidi amaningi futhi ngaphezulu kwe-acid up, kokubili ukuhlangana endaweni yakho ukucasula nokushisa. (Futhi, khumbula ukuthi ingxenye enkulu kakhulu yalokhu ukushisa akuyona into oyizwayo namuhla, kodwa lokho kungalimaza kanjani esikhathini esizayo. Izimbangela ezimbili ezinkulu zokungena emdlalweni we-cancer ziyingozi nokubhema.)
- Ukubhema kubangela ukukhiqizwa kwesisu esiswini. I-acid kakhulu yesisu ingabangela ukucubungula kokuqukethwe okwenziwe yisisu esiswini sakho, nokuningi okuvuthayo uma kutholakala khona ngenxa yobukhulu be-asidi. Ngamanye amazwi, isisu esiningi kakhulu sidlala ukudlala kabili ku-esophagus yakho.
- Ukubhema kungabuthakathaza futhi kuphumule i-sphincter esezansi ephansi (LES) , okuyinto i-valve ehlangene phakathi kwesisu nesisu. Uma i-LES ingasebenzi kahle noma ibuyisela emuva ngokungalungile, okuqukethwe kwesisu kungahle kubuyele emuva ku-esophagus. Ngaphandle kokubhema, utshwala, kanye nezidakamizwa eziningi zinganciphisa i-LA ithoni, ihlanganise inkinga.
- Ukubhema kushintsha isisu esiswini. Ukubhema kubonakala sengathi kukhuthaza ukuhamba kwe-bile usawoti emathunjini kuya esiswini, okwenza isisu se-acids sibe yingozi nakakhulu.
- Ukubhema kungalimaza ngokuqondile isifo . Amakhemikhali amaningana ekubhemeni ugwayi angalimaza ngokuqondile uhlaka lwendawo. Uma isisindo sikhutshaziwe, singase sikwazi ukulimala kakhulu kusuka ku-acid reflux.
- Ukubhema kunciphisa ukugaya. Ucwaningo luye lwabonisa ukuthi abantu ababhemayo baye banciphisa umkhuhlane we-gastric (ukugaya) ngenkathi kubhema, okungabangela ukugaya okuncane kakhulu ngoba isisu sithatha isikhathi eside singenalutho. Ukudla okude (futhi i-asidi) ikhona esiswini, ithuba elihle lifanele lihlushwe phezulu.
Imiphumela yokubhema kwezinye izindawo zeSimiso sokuGaya
Imiphumela yokubhema kulesisindo kufanele ibe ngokwanele, kodwa ake sihlabe phambili ngokusebenzisa indlela yokugaya ukuze sibone ezinye zezindlela.
Ukubhema nama-ulcers asePeptic
Isilonda sophethini siyisifo esivulekile emgodini wesisu noma i-duodenum, ingxenye yokuqala yomathumbu amancane. Isizathu esiqondile sezilonda asaziwa. Ubuhlobo phakathi kokubhema ugwayi kanye nezilonda, ikakhulukazi izilonda ze-duodenal, zikhona. Umbiko we-Surgeon General ka-1989 wathi izilonda kungenzeka ukuthi zenzeke, amathuba okuphulukisa, futhi kungenzeka ukuthi zingabangela ukufa kwababhemayo kunabangaboni.
Kungani kunjalo njalo? Odokotela abaqinisekisi ngempela, kodwa ukubhema kubonakala sengathi kungenye yezici eziningana ezisebenza ndawonye ukukhuthaza ukwakhiwa kwezilonda. Isibonelo, ucwaningo oluthile lubonisa ukuthi ukubhema kungakwandisa ingozi yomuntu yokutheleleka nge-bacterium Helicobacter pylori ( H. pylori ). Izilonda eziningi ze-peptic zibangelwa yi-bacterium.
I-asidi yesisu nayo ibalulekile ekukhiqizeni izilonda. Ngokujwayelekile, iningi le-asidi lihlushwa ukudla esikudlayo. Iningi le-asidi engaphazamiseki engena kwi-duodenum isheshe iyanqotshwa yi-sodium bicarbonate, i-alkali eyenzeka ngokwemvelo eyenziwa yi-pancreas.
Ucwaningo oluthile lubonisa ukuthi ukubhema kunciphisa i-bicarbonate eyenziwa ama-pancreas, okuphazamisa ukungathathi kahle kwe-acid ku-duodenum. Ezinye izifundo zibonisa ukuthi ukubhema okungapheli ukubhema kungandisa inani le-asidi eligcinwe yisisu.
Noma yini ebangela ukuxhumana phakathi kokubhema nezilonda, amaphuzu amabili akhonjisiwe ngokuphindaphindiwe: Abantu ababhema banamathuba amaningi okuthuthukisa isilonda, ikakhulukazi isilonda se-duodenal, kanye nezilonda kubantu ababhemayo bancane amathuba okuphulukisa ngokushesha ekuphenduleni ukwelashwa okunye okuphumelelayo.
Ukubhema nokuvutha kwezifo zesisu
Ukuqhubekela phambili nakakhulu endleleni yokugaya ukudla akunciphisi imiphumela yokubhema. Kukhona ukuxhumana phakathi kokubhema nezifo ezivuthayo zezifo ezifana nesifo sikaCrohn nesifo sofuba esiswini.
Ukubhema neColorectal Cancer
Okokugcina, ekugcineni komgwaqo wokugcoba ukugaya kuseyinkinga. Umdlavuza weColon kanye namagciwane angama-rectal ama-khancer amabili awaziwa ngenxa yokubhema . Eqinisweni, okwamanje ucatshangwa ukuthi amaphesenti angu-12 amakhansela e-colon nama-rectal abangelwa ukubhema.
Ngaphansi
Singaqhubeka nokunye mayelana nomonakalo obangelwa ukubhema, kodwa ngethemba lokuthi sizobuka izindlela eziyisithupha lapho ukubhema kubangela ukukhwabanisa, nokuthi umonakalo awunqunyelwe kanjani kumgudu wokugaya ukudla okwanele. Kungcono ukuthatha isikhathi sakho ukufunda konke ongakwenza mayelana nendlela yokuyeka ukuhle. Hlola lezi zizathu ukukhahlela lo mkhuba namuhla.
Imithombo:
UNess-Jensen, E., Hveem, K., El-Seraq, H., noJ. Lagergren. Indlela Yokuphila Yokuphila Kwe-Gastroesophageal Reflux Izifo. I-Gastroenterology Clinic ne-Hepatology . 2016. 14 (2): 175-82.e1-3.