Ngaphansi kwemibandela evamile, ukudla kudlula ku-esophagus, futhi imisipha engaphansi kwesifo sakho ivala ukuze ukudla neziphuzo zihlale esiswini sakho. Le misipha yi-sphincter esezansi ephansi (LES). Lapho i-LES ingavali kahle, okuqukethwe kwesisu kanye ne-asidi kungaphindela emuva.
I-Reflux ye-Gastroesophageal (GER) ivame ukuqala kusukela ebuntwaneni, kodwa inamba encane yezinsana iyaqhubeka ibe ne-GER njengezingane ezindala.
Ukuhlolwa ngudokotela kuneluleka kunoma yimuphi ingane noma intsha enezimpawu eziqhubekayo zeGER.
Izimpawu
Izimpawu ezilandelayo zingenzeka uma ingane yakho ihlangabezana ne-acid reflux:
- Ubuhlungu besisu ngaphezu kwenkinobho yesisu
- Ubuhlungu besifuba
- Ukuvutha kwenzwa endaweni
- Ukuziqhenya okukhulu ngokudla noma ukwenqaba ukudla
- Ukudla kuphela ukulunywa okuncane naphezu kokulamba
- Ukugubha noma ukuchofoza
- Ukuntula isisindo esincane noma ukulahlekelwa isisindo
- Umoya omubi
- Ikhala njalo njalo
- Umlomo wesihlungu njalo
- Izifo zesinus
- Izinkinga zokuphefumula (njenge-bronchitis, i-wheezing, i-asthma)
- Ukukhwehlela ebusuku
- Ukuhlanganisa ukukhwehlela owomile
- Ukuthuthumela
- Ukulala okubi, ukuvuka njalo
- Izifo ezitholakala njalo njalo kanye / noma indlebe yokuxhuma
- Ukweqa ngokweqile noma ukwehla
- Ukungahambisani nokucindezeleka esiswini
Ukuxilongwa
Udokotela wengane yakho angase athole ukuxilongwa kwe-acid reflux embonweni yengane yakho nokuhlolwa kwangokwenyama. Udokotela angase futhi ahlele izivivinyo ukuqinisekisa ukuxilongwa, noma ukuthola ukuthi isimo esibi kakhulu, njenge-Gastroesophageal reflux isifo (GERD), iyimbangela ye-reflux.
Lezi zivivinyo zingase zifake okukodwa kokulandelayo:
- Ukuhlolwa kwebhu. Lokhu kungabandakanya ukuhlolwa okuhlukahlukene kwegazi kanye nomchamo ukuze kutholakale noma kukhishwe izimbangela ezikhona zokuhlanza okuphindaphindiwe nokuzuzwa kwesisindo esimpofu.
- Ukuqapha kwe-pH Esophageal. Lokhu kuhlola kuzolinganisa i-asidi emgodini wengane yakho.
- Endoscopy ephezulu. I-tube enekhamera yekhamera kanye nokukhanya ifakwe emlonyeni wengane yakho futhi ibe yisisu nesisu. Udokotela angasebenzisa le nqubo ukuze abone ukuthi kunesidingo (ukulinganisa) noma ukuvuvukala (isophagitis) endaweni.
Ukwelapha
Inkambo yokwelashwa udokotela ubeka ukuthi ingane yakho iyoxhomeka eminyakeni yobudala nengane yakho. Udokotela angase abonise kuqala indlela yokuphila yokuguqulwa ukuze abone ukuthi bayodambisa izimpawu ze-reflux. Uma izimpawu ze-reflux ziqhubeka, udokotela angase asikisele esinye sezikhambi ezilandelayo:
- Ama-Antacids - Lawa ahlukumeza isisu esiswini. Lokhu kufaka phakathi i- Tums , i- Mylanta , ne- Maalox .
- Ama-Acid Suppressers - Lawa acindezela ukukhiqizwa kwe-asidi esiswini. Lokhu kuhlanganisa iTagamet , iPepcid, iZantac. ne-Axid.
- Ama-Acid Blockers - Lokhu kuvimbela ukukhiqizwa kwe-acid ngokuphelele esiswini. Prilosec, Prevacid, Nexium, Aciphex, ne-Protonix.
Amaphuzu Okumele Awakhumbule
- I-GER ivela lapho isisu siphindela phezulu (reflux) singena endaweni.
- Ukwelashwa kuzoxhomeke ezimpawu zomntwana wakho nobudala bakhe. Ukwelashwa kungabandakanya izinguquko zendlela yokuphila , imithi engaphezu kwemithi noma imishanguzo yesiguli, noma ukuhlanganiswa kwalokhu.
Imithombo:
UBrian Pace, MA, uRichard M. Glass, MD. "I-Reflux ye-Gastroesophageal In Children." I-JAMA, ngo-July 19, 2000-Vol 284, No. 3. I-Journal ye-American Medical Association.
"I-Reflux ye-Gastroesophageal Insana." I-NIH Publication No. 06-5419 Agasti 2006. I-National Digestive Information Clearinghouse (NDDIC).
"Ukuguquka kwesisu, i-Hiatal Hernia, ne-Reflux Disease (GERD) ye-Gastroesophageal (GERD)." Ukushicilelwa kwe-NIH No. 03-0882 June 2003. I-National Digestive Diseases Information Clearinghouse.
Marsha Kay, MD, Vasundhara Tolia, MD " IMIBUZO YOKUPHILA KWAMAGASTROINTESTINAL KWABANTU ABANTU ABANTU ABANTU. " I-American College of Gastroenterology.