Izimbangela Zokuphefumula Kwabesifazane

Izizathu ezenza uzwe umuzwa ovuthayo

Uma zonke izinto zilingana, njengendlela yokuphila nokudla, owesifazane akabonakali ukuthi uhlushwa ukushona kwenhliziyo kaningi kunamadoda. Umehluko ufika lapho abesifazane behamba ngezimo amadoda angalokothi abhekana nakho - njengokukhulelwa nokuqeda esikhathini.

Lezi zenzakalo zokuphila akuzona kuphela izici ezingabangela ukuhlukumeza kwabesifazane. Funda ukuze uthole ukuthi yini enye engase ibangele ukuvutha kwesisu.

Ukukhulelwa

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Kwabaningi besifazane, ukuhlangenwe nakho kwabo kokuqala ukukhwehlela kwenzeka ngesikhathi sokukhulelwa. Empeleni, izibalo ziye zabonisa ukuthi abangaphezu kwesigamu sabo bonke abesifazane abakhulelwe bayothola ukushona kwenhliziyo.

Ukukhwabanisa ngesikhathi sokukhulelwa kwenzeka ngezizathu eziningana. Amazinga amaningi e-hormone emzimbeni wakho ngenkathi ekhulelwe anganciphisa imigqa evame ukugcina i- sphincter esezansi ephansi (LES) ivaliwe ngokuqinile. Uma i-LES ikhipha izikhathi ezingalungile, ukudla kanye nesisu se-acids kungakwazi ukuphindaphinda emuva kwisifo sakho nomphimbo. Futhi, ingcindezi enkulu ifakwa esiswini sakho njengoba umzimba wakho ushintsha futhi ingane yakho ikhula. Lokhu, nakho, kungacindezela okuqukethwe kwesisu ngokusebenzisa i-LES nokuya endaweni yakho.

Kunezinyathelo, noma kunjalo, ukuthi abesifazane bangathatha ukuze bancishiswe ukukhwabanisa ngesikhathi sokukhulelwa .

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Amahomoni

Kwabesifazane abathile, ukuthatha i-progesterone kungabangela ukuphuza. I-progesterone i-hormone eyimfihlo ngama-ovarie asithinta izici eziningi zomzimba wesifazane, kuhlanganise nokulawula imijikelezo yokuya esikhathini nokukhulelwa. I-progesterone nayo ingathuthukisa isimo sengqondo, usizo lokuvikela amakhemikhali athile (isb. Umdlavuza we-endometrial), futhi unciphise noma ayeke ukulahleka kwethambo (ukuphuza i-osteoporosis). I-progesterone nayo isetshenziselwe ukwelashwa kwabesifazane abathile be-postmenopausal.

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Ukuba ngokweqile

Ucwaningo luye lwabonisa ukuthi ukugqithisa ngokweqile, ikakhulukazi nxazonke zakho, kungandisa amathuba okuba nenkinga yokushaya inhliziyo. Lokhu kusebenza kokubili abesifazane nabesilisa. Lesi sisindo esingeziwe sandisa ingozi yakho yokushaya inhliziyo ngenxa yokuthi kunezingcindezi ezingaphezu kwesisu sakho.

Ngalokhu kucindezela okwenyuka esiswini, okuqukethwe kwesisu kungase kube ukucindezela ngokumelene ne-infhgeer sphincter (LES) esezansi. Lokhu kucindezela okwenyuka ngokumelene ne-LES kungawuvula uma kungenjalo, futhi lokhu kuvumela ukuthi isisu esiswini kanye nezinye izinto zesisu zibuyele emuva ku-esophagus.

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Ukudla Okubangela Ukuguquka Kwesifo

Kubantu abaningi, ukudla kuyimbangela yabo enkulu yokukhwabanisa. Abanye bangase bathi ukukhwabanisa kwabo kudla kakhulu noma badle ukudla okubabayo, kodwa ezinye ukudla zingabangela ukuqubuka komlilo, ngisho nalapho kudliwa ngokulinganisela.

Lokhu kudla kungakwandisa amathuba akho okubhekana nokuphuza inhliziyo ngokuphumula i-LES noma ngokukhuthaza ukukhiqizwa kwe-asidi esiswini. Kubalulekile ukwazi ukuthi yikuphi ukudla okungabangela ukuphuza, futhi yikuphi ukudla okuvame ukuphephile kubantu abagulayo . Kodwa-ke, umuntu ngamunye uhlukile, futhi yini engase ibangele ukubhema komuntu oyedwa kungase kulungile omunye ukudla. Ngakho-ke, kubalulekile ukugcina idayari yokushaya inhliziyo ngesonto noma amabili, ukugcina ithrekhi yalokho okudla okudlayo nokuthi ngabe ukushona kwenhliziyo kwenzeka noma cha.

Okunye kokudla okungaholela ekusenikeni kwenhliziyo kuhlanganisa:

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Imikhuba yokudla

Abantu abaningi banomkhuba wokudla okuyisithathu okukhulu futhi mhlawumbe ukudla okuncane okuncane phakathi nosuku. Ngeshwa, lokhu kungase kube umkhuba omubi uma uhlushwa ukushisa. Ukudla ukudla okukhulu kungakhuphula ingcindezi esiswini kanye nokumelene ne-LES muscle. Ukudla ukudla okuncane ezinhlanu noma eziyisithupha kunezinye ezintathu ezinkulu kuncono. Amanzi okuphuza azosiza ekugayeni.

Ukwamukela umkhuba wokubeka imfoloko yakho noma i-spoon phansi phakathi kokukhala kungakusiza ukuba udle kancane. Lokhu kuvumela isisu sakho ukuba siqale ukugaya ukudla ngenkathi usadla, kusiza ukugcina isisu sakho singagcini kakhulu.

I-GERD

Ukuguquka kwenhliziyo nokubuyiselwa kwe-asidi yizibonakaliso eziyinhloko GERD , nakuba abanye abantu baneGERD ngaphandle kokuphuza. Isifo se-reflux se-gastroesophageal (GERD), esibizwa nangokuthi isifo se-acid reflux, senziwa lapho i-LES ingavali kahle noma ivuleka uma ingafaneleki, okwenza ukuthi isisu singene emuva ku-esophagus.

Ukuphuza komlilo okwenzeka okungaphezu kokuphindwe kabili ngesonto kungabhekwa njengeGERD, futhi ekugcineni kungaholela ezinkingeni zezempilo ezingathí sina. Udokotela wakho uzothatha izimpawu zakho, enze ukuhlola ngokomzimba futhi angenza izivivinyo zokuxilonga, njenge- endoscopy engenhla ngaphambi kokuthola ukuxilongwa.

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I-Hernia yamaHiatal

I- hernia yokubeletha kwenzeka lapho ingxenye engenhla yesisu iqhubekela phezulu esifubeni ngokusebenzisa ukuvulwa kwesikhala. Kunezigaba ezimbili ze- hernias yokubeletha , ukulayela noma ukuphazamiseka kwamapayipi .

Abantu abangamaphesenti angama-50 kuphela abanesizinda sokubeletha bazoba neziphi izimpawu. Kodwa-ke, kulabo abenzayo, ukuqubuka kwenhliziyo kungaba esinye sezibonakaliso zelungu le-hiatal .

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Ukubhema

Ukubhema kungakwandisa izinkinga zokubhekana nokushaya kwenhliziyo. Ukubhema kungabangela ukuqhuma kwezimpande ngezindlela ezimbalwa, kubandakanya ukugqugquzela ekukhiqizeni isisu esiswini, ukwehliswa kwe-LES, nokunciphisa ukugaya. Ngaphezu kwalokho, ukubhema kungalimaza isifo.

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Utshwala

Utshwala lungabangela ukuphuza. Imiphumela yokuphuza utshwala ihlanganisa ukwanda komkhiqizo we-acid, ukuphumula kwe-LES nokwenza ukuthi isisindo sibe nesisindo se-acid esiswini.

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Izindlela Zokulala

Abangu-80% abanenkinga yokuphuza izinhliziyo bayothola ukukhwabanisa kwebusuku okungenani kanye kanye. Ukuphuza ingozi kungenzeka ebusuku uma ulala ngokushesha ngemva kokudla, ikakhulukazi uma usudlile ukudla okukhulu. Ukukhwabanisa kungase kwenzeke uma ulala phansi, okuvumela okuqukethwe kwesisu ukucindezela ngokumelene ne-LES.

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Ukuzivocavoca

Ukuzivocavoca akuvamile ukuthi imbangela yokuphuza ukuphuza uma umuntu kakade engabhekene nesifo sokuphefumula okungapheli. Ukukhwabanisa kungenzeka ukuthi kwenzeke ngesikhathi sokuzivocavoca kokuzivocavoca kunezikhathi ezithintekayo. Kunezinto ezimbalwa ongayenza ukuze unciphise amathuba okugubha inhliziyo ngesikhathi sokuzivocavoca, njengokugwema ukuvivinya umzimba ngemuva nje kokudla. Futhi, kufanele ukhulume nodokotela wakho kuqala ngokuthi yikuphi ukuvivinya umzimba okungcono kakhulu kuwe.

Ukucindezeleka

Abantu abaningi abavame ukugubhuka kanzima bathi ukuphila okubucayi nokucindezeleka okuhlobene nomsebenzi kwandisa ukuphuza kwabo. Ngenkathi ukucindezeleka kungakaxhunywanga ngokuqondile, kuyaziwa ukuthi kungaholela ekuziphatheni okungase kubangele ukuguquka kwenhliziyo.

Lapho abantu bebhekana nezikhathi ezicindezelayo, bangase bangahambisani nemizila yabo evamile ngokudla, ukuvivinya umzimba, kanye nemithi. Kubalulekile ukuthola izindlela zokunciphisa ukucindezeleka, futhi ngaleyo ndlela wenze ukushaya kwenhliziyo okuhlobene nokucindezeleka kuncane kakhulu.

Imithombo:

I-American Journal of Gastroenterology, " Imihlahlandlela Ebuyekeziwe Yokuxilongwa Nokuphathwa Kwezifo Zesifo Se-Reflux Gastroesophageal. " I-American College of Gastroenterology.

UCarol Ann Rinzler, uKen DeVault, MD. Ukuphuza ukuphuza kanye ne-reflux yama-Dummies. I-Wiley Publishing, Inc, ka-2004

"I-Heartburn ne-GERD FAQ." I-American College of Gastroenterology, ngo-17 Agasti 2010. http://www.acg.gi.org/patients/gerd/faqansw.asp.

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