Ukuguquka kwenhliziyo nokubuyiselwa kwe-asidi yizibonakaliso eziyinhloko zesifo se-reflux se-gastroesophageal (GERD), nakuba abanye abantu bane-GERD ngaphandle kokuphuza. Ezinye izimpawu zifaka ubuhlungu esifubeni sakho kanye / noma esiswini, kunzima ukugwinya, ukukhwehlela owomile, ukuthuka, ukuhlanza, ukuhlanza, ukuphefumula okubi, ukuqhuma, nokuphazanyiswa ukulala.
Izimpawu Ezivamile
Nakuba i-GERD inezibonakaliso ezithile zesignesha, kufanelekile ukubheka ngokucophelela lokho okungabangela abantu abadala nabantwana abaneminyaka ehlukahlukene.
Abantu abadala kanye nentsha
Ukuguquka kwesifo sengqondo nokugula kwesifo se-gluroesophageal (GERD) ngokuvamile kubhekwa njengokukhathazeka komuntu omdala, kodwa kuyafana kakhulu phakathi kwentsha. Lokhu kuyingxenye ngenxa yokuthandwa kokudla okusheshayo phakathi kwabantu balesi sizukulwane nesisindo sabo esandayo. Izimpawu zivame ukufanako kokubili kwentsha kanye nabantu abadala.
Kungakhathaliseki ukuthi unayo isifo senhliziyo, noma unayo i-GERD, cishe uzothola ezinye noma zonke lezi zimpawu ezivamile, kufaka phakathi:
- I-reflux ye-Acid: Ungase uzizwe unomsindo ovuthayo esifubeni sakho kanye / noma esiswini, futhi ungase uthande isisu esiswini kuhlanganiswe nanoma yikuphi ukudla osukudlile, ikakhulu ngemuva komphimbo wakho. Kungenxa yokuthi i-valve ephakathi kwesisu sakho nesisu sakho-esithwala ukudla okuvela emlonyeni wakho kuya esiswini sakho-singavali kahle, futhi kuvumela okuqukethwe kwesisu sakho ukuba uhambe ngendlela engafanele, uphindele emlonyeni wakho.
- Isifuba noma ubuhlungu besisu: Lokhu kuvame ukuqala ngemuva kwesifuba sakho sebele, noma i-sternum, futhi kungase kuhambisane nomphimbo wakho bese kukhanya emhlane wakho. Ungase uzwe ubuhlungu engxenyeni engenhla noma ephakathi kwesisu sakho. Ubuhlungu ngokuvamile buba khona ngemva nje kokudla futhi kungahlala emaminithini ambalwa kuya emahoreni amaningana. Kubalulekile ukukhumbula ukuthi ngezinye izikhathi ubuhlungu besifo senhliziyo bungavumelaniswa nobuhlungu obuvuthayo be-GERD, futhi kubalulekile ukufuna ukunakekelwa kwezokwelapha uma kukhona ukungabaza ngokuqondene nomsuka wesifuba sakho.
- Ukuhlukumeza: Ukucasuka okubangelwa yisisu se-refluxed esiswini emgodini wakho kungabangela ukuqhuma noma i-laryngitis, ikakhulukazi ekuseni.
- Ukubunzima ukugwinya : Izinkinga ngokugwinya, eyaziwa ngokuthi i- dysphagia , zenzeka lapho ukudla kungadluli ngendlela evamile emlonyeni wakho ngokusebenzisa isisu kuya esiswini. Kungase kube nesisindo sokudla okugxilwe emqaleni, ukucindezela kwesifuba noma ukushisa ngemuva kokudla, noma ukuzwa kokuchofoza. Ukugula okunzima kungaba isibonakaliso sezimiso ezihlukahlukene, kufaka phakathi isifo somzimba nesifo somdlavuza , futhi kufanele ngaso sonke isikhathi sihlolwe udokotela.
- Ukuqhuma komkhuhlane owomile: Uma i-refluxed isisu i-aspirated, ingabangela ukukhwehlela. Lokhu ukukhwehlela nakho kungabangela ubuhlungu obuhlungu.
- Umoya omubi: Lokhu kungenzeka uma i-asidi evela esiswini sakho ifika emphinjeni nasemlonyeni wakho.
- Ukugubha: Ungase uzizwe sengathi unenkinga yokuphefumula, futhi ungase uzwe umsindo we-whistling uma uphefumulela.
- I- nausea noma ukuhlanza: I- GERD ingabangela isicanucanu kanye / noma ukuphindwa kabusha, okungaholela emazinyweni akho egqoke isisu esiswini.
- Ukulukhuni ukulala: I- GERD ingaphazamisa ukulala kwakho uma izimpawu zihlupha.
Izingane ezincane nezindala abadala zingathola i-GERD ngokuhlukile.
Izinsana
I-reflux ye-gastroesophageal ivame kakhulu ezinsaneni futhi ijwayele ukubizwa ngegama elilula kakhulu: ukuphalaza.
I-Reflux iyenzeka phakathi nezinyanga ezintathu zokuqala ezingaphezu kwengxenye yazo zonke izinsana, futhi izingane eziningi ziphuma ngaphansi kwesimo futhi azidingi ukwelashwa. Ebhekwa ngokuthi "ama-spitters ajabulisayo," izimpawu zabo zivame ukunyamalala ezinyangeni ezingu-6 ubudala futhi zingavamile ukuthatha izinyanga ezingu-18 ezedlule. Kodwa-ke, ngenani elincanyana labantwana, izimpawu ze-reflux ziyingozi futhi ukuhlolwa kwezokwelapha kanye nokwelashwa kuyadingeka.
Ngenxa yokuthi ingane yakho ayikwazi ukukutshela ukuthi yini engalungile, kubalulekile ukugcina iso ngaphandle kwezimpawu. Izimpawu ezivamile zezingane ze-GERD zifaka:
- Ukuqhuma njalo noma ukuhlanza: Lokhu kungenzeka ngesikhathi noma emva kokudla, noma ngezikhathi ezithile.
- Ukuthukuthela uma ukondla: Lokhu kuthukuthela kubandakanya ukugcoba, ukukhala, ukumemeza, nokukhwabanisa, okungahlala isikhathi esiningi. Kungabangela ukuzwa okuvuthayo nobuhlungu endaweni lapho ubisi noma ifomula kanye nesisu esiswini kuhlaziywa khona.
- Ukwenqaba ukudla noma ukudla okuncane kakhulu: Ukucasuka okuhambisanayo kwesifo kungabangela izinsana ukuba zenqabe ukudla, njengoba ubuhlungu bungase buvele uma begwinya.
- Ukubuyisela emuva ngenkathi usondla: Uma izinsana zizwa ubuhlungu besisu noma zingahambi kahle, zivame ukugubha iminyango yazo noma zidwebe imilenze yazo.
- "Izibhamu" ezimanzi: Ngalokhu, inani elincane lemanzi libuyiselwa emuva njengoba egoqa.
- Ama-hiccups avamile: Ama-Hiccups angabangela ukuvuselelwa kwezinzwa ezitholakala engxenyeni engenhla yesisu noma ingxenye engezansi yendawo. I- vagus nererve , egijima ebuchosheni ukuya esiswini, ingacasuka. Lokhu kucasuka kungavela kokuqukethwe kwesisu ngaphakathi kokungena.
- Ukukhwehlela njalo: Ukukhwehlela njalo kungase kwenzeke uma i-refluxed isisu i-aspirated, icasula imimoya yomoya, noma uma isisu esiswini siduma umphimbo.
- Imikhuba yokulala engafanele ukuvama njalo: Uma usana lulele futhi ikhanda lakhe aliphakanyisiwe, lokhu kuvumela ukuthi okuqukethwe kwesisu kuqhubekele ngokumelene ne-sphincter esezansi engezansi (LES), futhi kungabangela ukuthi ivule ngokungalungile. Uma okuqukethwe kwesisu kuhlushwa ngaphakathi kwesisindo, kungabangela ukukhwehlela nokuzwela, okwenza kube nzima nakakhulu ukulala.
Izingane
I-reflux ye-gastroesophageal (GER) ivame ukuqala kusukela ebuntwaneni, kodwa inamba encane yezinsana iyaqhubeka igxila njengezingane ezindala.
Izimpawu ezilandelayo zingase zenzeke uma ingane yakho ihlangabezana ne-acid reflux, futhi ukuhlolwa ngudokotela kunikezwa iseluleko uma kukhona okuqhubekayo:
- 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 ezifana ne-bronchitis, i-wheezing, noma 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
Ekhulile
Iziguli ezikhulile zingase zingakwazi ukuxhuma izimpawu zabo ngokushaya inhliziyo noma i-GERD ngoba izimpawu zabo zingase zihluke kulokho okubhekwa njengempawu ezivamile zesifo. Ngokuvamile, lapho sicabanga ngezimpawu ze-GERD sicabanga ngokuguquka kwenhliziyo. Kulabadala, izimpawu zivame ukubonakala emlonyeni, emphinjeni noma emaphashini.
Izimpawu ezingenzeka emqaleni zihlanganisa:
- Ukuthuthumela
- Ukukhwehlela okumile
- Ukuzwa sengathi kukhona inhlama emqaleni wakho noma ukudla okunamathela emqaleni wakho
- Inkinga yokugwinya (dysphagia)
- Umlomo wesibeletho esingapheliyo
- Izimpawu zokuphefumula, njengokukhwehlela nokushaya
Iziguli ezikhulile ezinezimo ezithile ezingapheli zisengozini enkulu yokuthuthukisa i-GERD. Bangase bathathe imithi eyenza i- LES iphumule, engabangela i-acid reflux. Isiguli esisebekhulile futhi sibheke ukusika kwe-saliva. I-sali ingasiza nge-reflux ye-asidi ngoba umathelisi u-alkaline, ngakho-ke kungasiza ekunciphiseni i-asidi. I-saliva ingakwazi futhi ukukhulula ukushaya kwenhliziyo ngokugeza umzimba futhi unciphise imiphumela ye-acid refluxed engxenyeni ngokuyibuyisela emuva esiswini.
Izimpawu ezijwayelekile
Inombolo encane kakhulu yezinsana izothola izimpawu ezilandelayo ezingavamile, kuhlanganise:
- Ukubunzima ukugwinya: Ubuhlungu obubangelwa i-refluxed isisu esiswini ngaphakathi kwegazi kungenza kube nzima ukuba izinsana zigwinye. Ukuvinjwa kwesifo kungabangela lokhu, ngakho-ke noma yiziphi izimpawu zokugwinya ubunzima kudingeka zihlolwe udokotela.
- Umjovo omzimba njalo: Uma isisu siphindela emuva emqaleni, singabangela ukucasuka kanye nomphimbo obuhlungu.
- Izinkinga zokuphefumula ezifana ne-asthma, i-pneumonia, i-bronchitis, noma i-wheyzing: Ucwaningo oluningana lubonisa ukuxhumana okuphawulekayo phakathi kwe-GERD ne- asthma . I-GERD ingathinta i-asthma uma i-refluxed acid evela esiswini igxiliwe emaphashini futhi ingenza ukuphefumula kunzima futhi kubangele ingane yakho iqhume futhi ikhwehle. Le-aclux acid ingabangela ezinye izinhlobo zokucasula emaphashini, okuholela ezinkingeni ezikhulayo ze-pneumonia ne-bronchitis.
- Ukudonsa ngokweqile: Lokhu kuvame ukuvela ekugwileni okungalungile, okungalungile, noma okungajwayelekile. Uma ukucasuka kutholakala emgodleni wengane yakho ngenxa ye-acluc acid acid, angase akuthole kunzima ukugwinya njalo, futhi ngaleyo ndlela kuzokwehlisa ngaphezulu.
- Izwi eliphuthumayo: Ukufutheka okubangelwa yisifo se-acluc refluxed emphinjeni kungaholela ekudumeni.
- Ukulahlekelwa isisindo noma ukunyuka kwesisindo: Lokhu kungenzeka uma ingane yakho ivuselela ubisi noma ifomula kakhulu, okwenza ukuba angatholi amakholori alanele.
- Izifo ezivame ukuzwa noma izifo: Lesi sibonakaliso, esihlangene nabanye, singasiza udokotela wakho ahlolisise i-GERD.
Izinkinga
Izinkinga ngenxa ye-reflux engavamile engavamile ezinganeni nasezinsheni, ngoba eziningi zazo zihlobene nezimpawu zesikhathi eside. Kodwa-ke, kusadingeka ukuthi uqaphele izinkinga njengesikhumbuzo sokuthi kungani ukwelapha i-GERD kudlulela ngaphezu kwezimpawu zokulawula kuphela. Kungakhathaliseki ukuthi ubudala bakho, uma ubhekana nokushaya inhliziyo izikhathi ezimbili noma ngaphezulu ngesonto, qaphela. Ukunyakaza okuqhubekayo kokuqukethwe kwe-asidi-okuqukethe isisu okubuyela emuva ku-opharetha yakho kungacasula ubhedu futhi, uma kushiywe kungalashwa, izinkinga zingenzeka nanoma yisiphi isikhathi.
I-Esophagus kaBarrett
Isisu sikaBarrett yisimiso lapho i-hoophagus, i-muscular tube ethwala ukudla namathe emlonyeni kuya esiswini, iguqule ukuze ezinye zezingubo zayo zilandelwe uhlobo lwezincubu ezifana nalokho okuvame ukutholakala emathunjini. Le nkinga ye-reflux ye-asidi ayinayo izimpawu ezicacisiwe zaso, nje kuphela izimpawu ze-GERD .
Abantu abanezinkinga zikaBarrett banamathuba angama-30 kuya kwangu-125 okuba nomdlavuza wokungalingani uma kuqhathaniswa nalabo abangenawo, kodwa ngaphansi kwamaphesenti ayisithupha iziguli zika-Barrett ezigxile ekuthuthukiseni lomdlavuza. Noma kunjalo, kusabalulekile uma uthola ukuthi unesisindo sikaBarrett sokuba nokuhlolwa okuvamile-ngokuvamile ukuhlolwa okungaphezulu kokuphela kwe-endoscopic kanye ne- biopsy- njengamaseli anqanda futhi anomdlavuza.
Uma kuziwa ekuphatheni umqondo kaBarrett , ukuthatha izinyathelo ezijwayelekile zokunciphisa izimpawu ze-GERD, ezifana nokuphila, ukudla, kanye nemithi, kuzosiza ukunciphisa ukukhathazeka. Ngokuqondene nokuguqula lesi sifo, okwamanje akukho mithi yokwenza lokho.
I-Cancer Esophageal
I-GERD ingenye yezici ezingozi zokuthuthukisa umdlavuza we-esophageal . Isisu somdlavuza we-esophageal siqala ukukhula emgodini wesisu futhi, uma sikhula ngokwanele ukugqashula odongeni lwe-esophageal, singasakazeka kwezinye izingxenye zomzimba wakho usebenzisa isimiso se-lymphatic njengoba sithutha.
Ukugwinya okunzima no / noma okubuhlungu, ukuphazamiseka, nokungahlehlisi okushiwo yizimpawu zesifo somdlavuza we-esophageal . Uma uhlangabezana nanoma iyiphi yalezi ngokuhambisana ne-acid yakho reflux, khuluma ne-gastroenterologist yakho. Kunezinketho ezihlukahlukene zokwelashwa zomdlavuza we-esophageal .
I-Esophagitis Eyingozi
Uma isifo sakho siguqukile futhi siguqukile, kubizwa ngokuthi i-esophagitis. I-reflux ye-acid yiyona imbangela enkulu, nakuba ukutheleleka kungase kube yilokho okusobala. Izimpawu zesifo se- esophagitis zihlanganisa ubuhlungu lapho kugwinya nokuzwa okuvuthayo kulesi sici.
Ukwelashwa kwesifo sofuba kuncike ekubambeni. Imithi efana neproton pump inhibitors ne- H2 blockers ingahle ibekwe uma i-esophagitis iyinkinga ye-acid reflux. Ama-antibiotics angabekwa uma ngabe imbangela yesifo sokusakaza isifo.
Izilinganiso ze-Esophageal
Ukuxilongwa kwe-acid reflux ende kungaba yisisindo sokungalingani, noma ukugxila kancane kancane kwesifo, okungaholela ekugwineni ubunzima. Esinye sezimbangela zokuqeda izifo zingase zibe izicubu ezibomvu ezakha endaweni. Lapho uhlaka lwe-esophagus lonakalisiwe-ngokwesibonelo, lapho i-reflux ye-acid yenzeka ngaphezu kwesikhathi eside sokwehlukaniswa okungenzeka. Ezinye izimbangela zezintambo zingabandakanya izifo nokugwinya izinto ezilimazayo.
Izinkinga zokuphefumula
Ngenxa yokuthi i-GERD ingenza ukuba uphefumule i-asidi yesisu emaphashini akho angabe esecasula amaphaphu akho nomphimbo, izinkinga zokuphefumula zingenzeka. Eminye yalezi zimbili izimpawu nezinkinga futhi zihlanganisa:
- I-asthma, ingaba entsha noma ibuhlungu uma usuvele unayo
- Ukungqubuzana kwesifuba
- Ukukhwehlela okumile
- Fluid emaphashini akho
- I-Laryngitis noma i-hoarseness
- Umphimbo obuhlungu
- I-pneumonia
- Ukushisa
I-Reflux yasebusuku
Uma izimpawu zesifo se-reflux se-gastroesophageal (GERD) zenzeka ebusuku, zingaba nomonakalo omkhulu kunokuba zikhona emini. Kusihlwa kungasetha isiteleka salokhu okulandelayo, okungenza ukuqubuka kokuhlwa ebusuku kungabangela izinkinga:
- Ukulala endaweni ephakeme: Ukulala phansi embhedeni kuvumela isisu esiswini ukuba siphumelele kalula endaweni yakho futhi uhlale lapho isikhathi eside kunesikhathi lapho usesikhundleni esiphakeme. Ngisho nokuphakamisa ikhanda lakho futhi amahlombe ayisithupha kuya kwangu-8 amasentimitha kuzosiza ukugcina isisu esiswini lapho kungokwakho.
- Ukungakwazi ukuphuza noma ukugwinya njalo uma isiqephu se-acid reflux senziwa: Uma une-GERD futhi uphapheme ngesikhathi sesiqephu se- acid reflux , uvame ukususa umlomo wakho noma ukugwinya amanzi. Ngisho nokugwinya amathe kuyasiza. Uma ulele, uma i-aclu refluxed isesiswini sakho noma umphimbo wakho, awunayo njalo njalo futhi awukwazi ukuthatha izinyathelo zokususa i-asidi kude.
- Ingozi ekhulayo yokukhipha okuqukethwe kwe-stomach refluxed: Uma i-refluxed acid isemqaleni nasemlonyeni wakho, ungafaka lokhu emaphashini akho. Uma sekukhona emaphashini akho, kungabangela ukukhwehlela nokuchofoza kulokhu okufunayo. I-asidi ingabangela nomonakalo ofanayo emaphashini akho njengoba kungabangela uma u-refluxed ungena endaweni yakho.
Nini Ukubona Udokotela
Uma uhlangabezana nokushaya kwenhliziyo okuvamile futhi / noma okukhulu, yenza i-aphoyintimenti nodokotela wakho. Uma uthatha imishanguzo engaphezu kwele-counter yokuphuza ukushisa njenge-Prevacid, iZantac, noma i-Prilosec, ngaphezu kokuphindwe kabili ngesonto, kufanele ukhulume nodokotela wakho.
Kungakhathaliseki ubudala, bheka udokotela wakho ngokushesha uma ubona noma iyiphi yalezi zimpawu:
- Ukushaya okuningi
- Ukuhlanza okuqhubekayo, okuphoqelela noma okuphambene
- Vomit lokho okuluhlaza noma okuphuzi, kuqukethe igazi, noma kubonakala njengezizathu zekhofi
- Kunzima ukuphefumula emva kokuhlanza
- Ubuhlungu emqaleni wakho noma emlonyeni uma udla
- Kunzima ukugwinya noma ukugwinya okubuhlungu
Izinsana
Uma ingane yakho inezibonakaliso ezingenhla, udinga ukubonwa udokotela ngokushesha. Ezinye izimpawu ukuthi yisikhathi sokuvakashela udokotela wakho zihlanganisa:
- Ukungadli nokulahlekelwa isisindo noma ukukhula kabi
- Ukukhala amahora amathathu noma ngaphezulu ngosuku
- Izimpawu zokuphelelwa amandla kwamanzi, kuhlanganise ne-diapers eyomile
> Imithombo:
> Kay M, Tolia V. Izinkinga Zomzimba Ezivamile Ezigulini Zengane . I-American College of Gastroenterology.
> I-Mayo Clinic. Izifo ze-Reflux ze-Gastroesophageal (GERD). Abasebenzi beMayo Clinic. Kubuyekezwe ngomhla ka-9 Mashi, 2018.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. I-Reflux ye-Acid (GER & GERD) ezinsaneni. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Izimpawu Nezizathu ze-GER & GERD. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kubuyekezwe ngoNovemba 2014.
> Vandenplas Y, Hauser B. Ukubuyekezwa okubuyekeziwe ku-Gastro-Esophageal Reflux ku-Pediatrics. Ukubuyekezwa kobuchwepheshe ku-Gastroenterology ne-Hepatology . 2015; 9 (12): 1511-21. i-doi: 10.1586 / 17474124.2015.1093932.