Ukwehla kwesibindi ngenxa ye-refluxed isisu somzimba acid kuvamile, nakuba ungase uzibuze ukuthi uzizwa kanjani uma ungakaze ube nakho. Ukushaya kwenhliziyo njalo kuyisifo esivame kakhulu sesifo se-reflux ye-gastroesophageal (GERD) noma i-reflux ye-asidi. Ukuphefumula kokuhlwa ebusuku kanye ne-GERD kungaholela ekulimaleni komzimba futhi kuyizingozi zokuphefumula.
Uzofuna futhi ukuthola usizo kunoma yiziphi izimpawu ezingavamile noma ezinzima zesifuba ezibonisa ukuhlasela kwenhliziyo kune-acid reflux.
Izimpawu Ezivamile
Abantu banezinkinga ezihlukahlukene zokubamba izinhliziyo , kodwa iningi labantu linempawu ezifanayo zokuqothula:
- Ukuvutha kwesibindi esifubeni: Lesi senzo esivuthayo sivame ukuqala ngemuva kwesifuba (i-sternum), futhi singase sihambe siye emphinjeni. Ngokuvamile kwenzeka ngemva nje kokudla futhi kungahlala emaminithini ambalwa kuya emahoreni amaningana.
- Ukuvutha emoyeni: Kungase kube nezimbangela eziningana zomphimbo ovuthayo, njengomphimbo obuhlungu noma ukuvuvukala kwe-adenoids. Isizathu esivame kakhulu salesi senzo esivuthayo yisifo se-reflux ye-gastroesophageal (GERD). Le nzwa ivame ukuphakama entanyeni, nakuba ingase ivele iphansi. Ubuhlungu bungase bubi kakhulu ngokugwinya. Lesi senzo esivuthayo singabangela ukucasuka lapho okuqukethwe kwesisu kuhluma emqaleni.
- Ukunambitheka okunomsoco noma okubabayo emlonyeni: Lokhu kunambitheka kungenzeka uma okuqukethwe kwesisu kugxila emgqeni futhi kungase kufinyelele emhlane. Lapho okuqukethwe kungena emuva komphimbo, umuntu uyovame ukuba nomusa omubi emlonyeni.
- Ukubunzima ukugwinya: Ukukhathazeka ngokugwinya (dysphagia) kwenzeka lapho ukudla kungadluli ngendlela evamile emlonyeni ngokusebenzisa isisu kuya esiswini. Kungase kube nesisindo sokudla okunamathela emphinjeni, ukucindezela esifubeni, ukuvutha, noma ukuxosha emva kokudla. Ukugula okunzima kungaba isibonakaliso sezimiso ezihlukahlukene, kufaka phakathi isifo somzimba nesifo somdlavuza , futhi kufanele ngaso sonke isikhathi sihlolwe udokotela.
- Ukukhwehlela okungapheli: Ukubola kungabangelwa lapho isisu se-acid refluxes (isiphindela) singena esitsheni futhi sifuna.
- Ukushisa noma ezinye izimpawu ezifana nesifo se-asthma: I-GERD ingathinta isifuba somoya lapho isisu se-acid sigxila emgodini futhi sifiswa emoyeni nasemaphaphini futhi singenza kube nzima ukuphefumula futhi kubangele isiguli siphume futhi sikhophe.
I-Heartburn vs. Heart Attack
Uma unezinzwa ezingavamile noma ezinzima esifubeni sakho, kubalulekile ukuthi ufune ukunakekelwa kwezokwelapha ngenxa yokuhlasela kwenhliziyo okungenzeka. Izimpawu zesifo senhliziyo zihlanganisa ubuhlungu besifuba, ukucindezela kwesifuba, ukukhukhuma okubandayo, ukukhathala, ukucwenga, ukuzondwa noma ukuphelelwa amandla. Ungalindi noma ucabange ukuthi kungase kube usizo lwezokwelapha oluphuthumayo lokuxhumana nesifo senhliziyo.
Izinkinga / Izinkomba ezingaphansi kweqembu
Ukuphuza isisu kuyinkinga evamile engabangela izimo ezimbi. Kungase kube nzima nakakhulu izimo ezithile, njenge-asthma.
Ukuphefumula kwesisu ebusuku
Ukushaya kwenhliziyo ebusuku kungathinta impilo yakho ngokuphazamisa ubuthongo bakho, obangela impilo eminingi kanye nekhwalithi yezinkinga zokuphila. Okukhathazeka okwengeziwe ukuthi kunezingozi ezikhulayo zomonakalo ku-esopha lapho i-reflux ye-acid isenzeka ebusuku. Kungaba khona ingozi enkulu yezilonda ezingenasifo kanye nezimo zokuphefumula.
Izici ezingenza ukuqubuka kwesibindi sebusuku okungenzeka kubangele ukulimala zihlanganisa:
- Ukulala endaweni ephezulu: Ukulala phansi embhedeni kuvumela isisu esiswini ukuba siphumelele kalula endaweni, futhi uhlale lapho isikhathi eside kunesikhathi lapho umuntu esesimweni esiqondile. Yingakho kuphakanyiswa ukuba uphakamise ikhanda lakho namahlombe amasentimitha ayisithupha kuya kwangu-8 uma uneGERD yesikhathi sokuhlwa.
- Awukwazi ukuphuza noma ukugwinya njalo uma isiqephu se-acid reflux senzekile uma ulele. Uma ulele, uma i-aclu refluxed isesiswini noma emphinjeni, awunayo njalo njalo futhi awukwazi ukuthatha izinyathelo zokususa i-asidi kude.
- Kukhona ingozi eyengeziwe yokwehla kokuqukethwe kwesisu se-refluxed. Uma i-refluxed acid isemphinjeni nasemlonyeni, umuntu oneGERD angafaka lokhu emaphashini futhi aqine. I-asidi ingabangela nomonakalo ofanayo emaphashini njengoba kungabangela uma i-refluxed isendaweni.
I-asthma
Uma une- asthma , i-GERD ingaholela emonakalweni yamaphaphu. Kuze kube ngamaphesenti angama-75 abantu abane-asthma nabo bane-reflux isifo se-gastroesophageal (GERD), uma kuqhathaniswa namaphesenti angu-20 abantu abaningi. Ayaziwa ukuthi zixhunyaniswe kanjani, kepha imithi ye-asthma ingase ibe yingozi kakhulu kwe-acid reflux. Uma unezimo zombili ungaphenduli kanye nemithi ehlose ukulawula isimo ngasinye. Noma kunjalo, ukulawula i-GERD kungasiza ekukhululeni izimpawu ze-asthma. Ukuguquka kwesisu kubangela izimpawu ze-asthma ngokulimaza izingxube ze-airway, okwenza ukukhwehlela okuqhubekayo, futhi kungase kubangele ukuguquka kwesibindi okubangela ukuphefumula.
Izinkinga zokuphefumula
Ngaphandle kwemiphumela kubantu abanesifo se-asthma, ukuqubuka kwenhliziyo kungabangela ukuqhuma, uketshezi lwe-laryngitis, ukukhwehlela okunomile okuqhubekayo, ukuxubana kwesifuba, ukuvuthwa kwesisu nokukhwabanisa. Ungase ube nethonya le-pneumonia.
Ukulimala kwe-Esophageal
Uma unesifo sokuphuza inhliziyo njalo isikhathi eside ungase ulimaze isifo sakho. Ukuvuvukala (i-esophagitis) kungaba yinto engapheli futhi lokhu kungaholela ekunciphiseni kwesimiso (ukulinganisa okulinganiselwe) noma izinguquko zangaphambili. Isisu se-Barrett singathuthuka njengoba kunezinguquko ohlobo lwamaseli afaka indawo yakho. Ngokuvamile, lokhu kungaholela emdlalweni we-esophageal. Ingozi yakho yomdlavuza we-esophageal izikhathi eziyisishiyagalolunye kakhulu uma ulokhu uphuthuka njalo futhi izikhathi ezingaphezu kuka-40 ngaphezulu uma unomphefumulo ovame ukuqhuma njalo.
Nini Ukubona Udokotela / Yiya esibhedlela
Kuzo zonke izibonakaliso ezintsha zokwephuka kwenhliziyo ezenzeka ngaphezu kokuphindwe kabili ngesonto futhi azikhululwa yi-counteracid anti-counter, kufanele ubone udokotela wakho. Akukaze kube sekwephuzile ukwenza leso sivumelwano uma unesifo esingapheliyo , noma.
Yenza i-aphoyintimenti nodokotela wakho uma:
- Ukuguquka kwesisu kwenzeka ngaphezu kokuphindwe kabili ngesonto.
- Izimpawu ziyaqhubeka naphezu kokusetshenziswa kwemithi engaphezu kuka-counter.
- Unenkinga yokugwinya.
- Unezinselele zokuphikelela noma ukuhlanza.
- Unesisindo ngenxa yokudla okuncane noma ukugula okunzima.
Udokotela wakho uzohlola impilo yakho yokugaya nokuphila kwenhliziyo yakho. Bobabili ningaxoxa ngepulani yokwelapha elikusebenzelayo.
Kumelwe ubone udokotela wakho ngokushesha ngenxa yesifo sokuhlanza, ikakhulukazi uma usuhlanza inani elikhulu, uvame ukuhlanza ngamandla, noma uketshezi oluhlanzayo, okuluhlaza noma oluphuzi, noma kubonakala sengathi liqukethe izizathu zekhofi. Ukuba nezinkinga zokuphefumula emva kokuhlanza kuyisibonakaliso sokuthi kufanele ubone udokotela wakho ngokushesha.
> Umthombo:
> Gaddam S, Maddur H, Wani S, et al. Izingozi Zengozi Ye-Reflux Ebusuku Ebusuku Egumbini Elikhulu le-GERD. Journal of Gastroenterology Clinic . 2011; 45 (9): 764-768. doi: 10.1097 / mcg.0b013e318205e164.
> Gerson LB, Fass R. Ukubuyekezwa Okuhlelekile Kwezincazelo, Ukuvama, Nokuphendula Kwokwelashwa Kwezifo Zesifo Se-Reflux Ebusuku Bomzimba. I-Gastroenterology Clinic ne-Hepatology . 2009; 7 (4): 372-378. i-doi: 10.1016 / j.cgh.2008.11.021.
> Ingabe Kuwukuphela Kokuphefumula Okuncane noma Okuthile Okubaluleke Kakhulu? Ukuqonda i-GERD . I-American College of Gastroenterology. http://s3.gi.org/patients/pdfs/UnderstandGERD.pdf.
> Izimpawu Nezizathu ze-GER & GERD. Isikhungo Sikazwelonke Sesifo Sikashukela Ukugaya Nokugula Kwezinso. https://www.niddk.nih.gov/health-information/digestive-diseases/acid-reflux-ger-gerd-adults/symptoms-causes.