Inzwa evuthayo eqhubekayo ozwayo ingenzeka ngenxa yezizathu eziningi
Uma unesifo se-reflux se-gastroesophageal , ungase uzibuze ukuthi kungani, futhi uma kunezimo ezithile ongase ube nazo ezingabangela i-GERD.
Iqala Nge-Lower Esophageal Sphincter
Lezicubu ze-muscular zivula futhi zivala ukuphela okuphansi kwesimiso. I-sphincter esezansi ephansi (LES) iyindawo ye-muscle ebushelelezi nama-hormone okusiza ukugcina ingqinamba yokucindezela phakathi kwesisu nesifo.
Uma imisipha ibuthakathaka futhi ilahlekelwa ithoni, i-LES ayikwazi ukuvala ngokuphelele emva kokuba ukudla kufike esiswini, okuvumela i-asidi esiswini ukuba ibuyele emuva ku-esophagus. Kunezinto eziningana ezibangela i-LES ukuthi ingasebenzi kahle:
Umsebenzi wesisu ongasebenzi kahle
Abangaphezu kwesigamu se-GERD abagulayo banesisindo esingavamile noma isisipha esiswini esiswini, esenza ukuba ukudla nesisu zisetshenziswe kancane kancane. Lokhu kuzobangela ukubambezeleka esiswini ekuthumeni okuqukethwe kwayo, ukwanda kwengcindezi esiswini bese kwandisa ingozi ye-acid reflux.
Imithi Ebangelwa i-GERD
Kunezidakamizwa ezihlukahlukene, kokubili phezu kwe-counter and the prescription, ezingakhuphula ingozi ye-GERD, futhi izimpawu ezimbi nakakhulu kulabo asebevele behlupheka kusukela ku-GERD.
Izidakamizwa eziphikisana nezidakamizwa (ama-NSAID) zifaka i- aspirin , ibuprofen (i-Motrin, i-Advil, i-Nuprin) ne-naproxen (i-Aleve). Ngokuvamile zihlobene nokubangela izilonda ze-peptic , futhi zingabangela i-GERD.
Kulabo asebevele benayo i-GERD, bangandisa ukwanda kwezimpawu. Ukucwaninga kubonise ukuthi abasebenzisi be-NSAID besikhathi eside beba namathuba amaningi okuba nezimpawu zeGERD njengabasebenzisi abangewona i-NSAID.
Imithi yokwelashwa ingase ibangele noma ibenze i-GERD. Lolu hlu aluhlanganisi zonke izidakamizwa ezingabangela i-GERD. Kubalulekile ukubonana nodokotela wakho uma uqala ukuthola noma yiziphi izimpawu ngenkathi kunoma imiphi imithi.
Nazi ezinye izigebengu ezivamile:
- Abavimbela isiteshi se-calcium - asetshenziselwa ukuphatha ukucindezelwa kwegazi eliphezulu ne-angina.
- I-Anticholinergics - isetshenziselwa izidakamizwa eziphatha ukuphazamiseka kwamagciwane, izidakamizwa, kanye ne-glaucoma.
- Ama-agonists ase-Beta-adrenergic - asetshenziselwa izifo ze-asthma nezivimbela ukuphazamiseka.
- I-dopamine - esetshenziselwa isifo sikaParkinson.
- Amabisphosphonates - asetshenziselwa ukwelapha i-osteoporosis.
- Ukuzijabulisa
- Ama-antibiotics
- Potassium
- Amaphilisi e-Iron
I-asthma
Abangaphezu kwesigamu sezinkinga ze-asthmatic nabo bane-GERD. Isaphikisana ngokuthi i-asthma ibangela i-GERD, noma ngabe enye indlela. Kunezizathu ezimbalwa zokuthi kungani umphakathi wezokwelapha uhlanganisa lezi zimo ezimbili.
Okokuqala ukuthi ukukhwehlela okuhambisana nokuhlaselwa kwesifo se-asthma kungabangela ushintsho esifubeni somfutho, okungabangela i-reflux. Khona-ke kukhona iqiniso lokuthi imishanguzo ethile ye-asthmatic igxila emoyeni ukuze ikwazi ukuphumula i-LES, futhi iholele ku-reflux.
Ukukhulelwa namaHormoni
Ama-hormone ayathinta i-LES. Isibonelo, ukwanda kwe-hormone progesterone ngesikhathi sokukhulelwa kuvusa i-LES. Ngakho-ke, akuyona eyingqayizivele kwabesifazane abakhulelwe ukuzwa ukukhwabanisa.
Isifo sikashukela
Abantu abanesifo sikashukela, ikakhulukazi i- Type 1 yesifo sikashukela , bavame ukuthuthukisa isimo esibizwa ngokuthi i- gastroparesis . Lesi simo sithinta amaphesenti angaba ngu-20 abantu abanesifo sikashukela futhi sibonakala ngokukhipha isisu okubambezelekile.
Ukucindezeleka ngaphakathi kwesisu kungakhula, okungaholela ekuziphenduleleni.
Hiatal Hernias
I-hiatus iyimbobo encane emisipha ye-diaphragm, futhi i-hoop ihambisana nayo njengoba ijoyina isisu. Lo mgodi uvame ukulingana, kodwa kwabanye abantu, kunganciphisa futhi kwandise. Uma lokhu kwenzeka, ingxenye yesisu ingase iqhubekele kuyo, ikhiqize isimo esibizwa ngokuthi i-hima hernia. I-hernia ingaphazamisa umsebenzi we-LES. Kuze kube manje, abukho ubufakazi bokuthi i-hernia yokubeletha ibangela i-GERD, kodwa ingandisa izimpawu ze-GERD kubantu abanezimo zombili.
Okungajwayelekile ku-Esophagus
Kunezifundo ezithile ezibonisa ukuthi iningi labantu abanezimpawu ze-GERD ezingenasidingo, njengokuzwa sengathi kukhona inhlama emqaleni, ukuphazamiseka noma ukukhwehlela okungapheli, kunokungajwayelekile emgodini.
Izinkinga nge-muscle action okuzenzakalelayo endaweni, okuthiwa peristalsis , ngokuvamile kwenzeka kuma-GERD abagulayo. Izifundo azitholanga ukuthi i-peristalsis iyimbangela noma umphumela we-GERD yesikhathi eside.