Izinto Zokuyeka Ukukwenza Uma Unayo I-GERD

Uma uhlushwa isifo esibuhlungu esingapheli esingasetshenziswa ne-reflux isifo se-gastroesophageal (GERD), lesi simo singathinta impilo yakho yonke. Kungadingeka ukuthi uyeke ukudla okuthandayo okuthandayo . Ukweqa isisu kungaphazamisa ukulala kwakho. Kungase kuphazamise nokutholakala kwakho ukuze usebenze kahle.

Ngisho nalapho wena nodokotela benquma ukuthi ukwelashwa kwakho kwe-GERD, kubalulekile ukwazi ukuthi yini ongayenza njengoba ukwazi ukuthi kufanele ukwenze. Lokhu okulandelayo yizinto ezingu-10 ongazenzayo futhi kufanele ume uma ungafuni ukuhlupheka ngenxa yokuphuza.

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Ungadli ngokweqile

Ukudla okukhulu kwandisa isisu sakho futhi kwandise ukucindezela okuphezulu ngokumelene ne- sphincter esezansi ephansi (i-LES - i-valve emkhatsini wesifo sakho nesisu sakho), okungaholela ekuguleni. Zama lawa macebiso:

• Yidla ukudla okuncane okuyisithupha nsuku zonke esikhundleni sezinkulu ezintathu. Lokhu kuzosiza ukugcina isisu singagcwele futhi sizosiza ekuvimbeleni ukukhiqizwa ngokweqile kwesisu esiswini.
• Ukudla okuncane okuncane nezintathu zokudla okungasese kungasiza.

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Ungadli Ngokushesha

Uma sidla kakhulu, kunzima ukuthi isimiso sethu sokugaya senze ngendlela efanele. Singaqeda ukuhlupheka ngokugaya okuncane, okwandisa amathuba akho okubhekana nokushaya kwenhliziyo.

Enye indlela yokukusiza uhambe kancane ngenkathi udla:

• Beka imfoloko noma i-spoon phansi phakathi kokukhala.
• Chew ukudla kwakho kahle ngaphambi kokugwinya.
• Chew izikhathi ezingu-20 noma ubale 20 ngaphambi kokuluma okulandelayo.
• Thatha izinyembezi ezincane.

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Ungadli Ukudla Okungaholela Ekuqhumeni Kwakho Kwezinhlungu

Kunezizathu ezimbalwa zokuthi kungani ezinye ukudla kubangela ukugubha kwenhliziyo : 1) Uma i-sphincter esezansi ephansi igxila lapho ingafaneleki; noma (2) lapho isisu senza i-asidi eningi kakhulu.

Uma i-LES ingumgunyathi, ukudla nesisu se-asidi kubuyiselwa phezulu. Okunye kokudla okungazithokozisa i-LES kuhlanganisa:

• Ukudla okuthosiwe (amafutha)
• Amafutha aphezulu kakhulu
• Ama-sauces amancane
• Imikhiqizo yobisi yobisi wonke
• Chocolate
• I-Peppermint
• Iziphuzo ze-caffeinated (isib. Iziphuzo ezithambile, ikhofi, itiye, i-cocoa)

Ukudla okungashukumisa ukukhiqizwa kwe-asidi nokwandisa ukukhwabanisa kuhlanganisa:

• Iziphuzo ze-caffeinated
• Iziphuzo ezidakayo
• Utshwala
• Ukudla okumnandi
• Izithelo ze-Citrus nama-juice (isb., I-orange, i-grapefruit)
• Imikhiqizo esekelwe kumatamatisi

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Ungaphumi Ukudla Ungakulungele

Ukwazi okuphephile ukuthi udle nokuthi yini okudingeka uyigweme kubalulekile ngokudla ngaphandle kokudlela njengokudla ekhaya. Udinga ukwazi ukuthi yini ongayicela nokuthi yini okufanele uyigweme. Uma ubuza ukuthi ukudla kulungiselelwe kanjani, gwema iziphuzo ezithile, futhi ubuke ubungako besabelo, ungavimbela ukushaya kwenhliziyo.

Yini okufanele uyibuke futhi ubuze lapho ku-restaurant:

• Inyama emhlophe
• Ukusikeka okunamandla kwenyama
• Ama-sandwich ne-turkey, inkukhu, noma inyama yenkomo ephuziwe ngesinkwa sonke sokusanhlamvu
• Ukudla okuphekiwe
• Isobho esisekelwe embhedeni
• Imifino enamanzi
• Amazambane abhakabhaka aphethwe nge-salad ephansi yokugqoka isaladi
• Ama-salad aphansi-noma ama-fat-fat-dressing
• I-dessert enamandla, njengekhekhe lokudla kwezingelosi

Ukudlela eChina , eMexico noma ezindaweni zokudlela zase-Italy kungase kube nzima kakhulu, ngoba ukudla kulezi zokudlela kungase kube nezithako ezingaphezulu ezingabangela ukushaya kwenhliziyo yakho. Kungenzeka ukuba ujabulele ukudla lapho uma wazi ukuthi yini okufanele ugweme.

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Ungalali Ngokushesha Ngemva kokudla

Ukulala ngesisu esigcwele kungabangela ukuba isisu sibe nokucindezela kakhulu ngokumelene nesiphithili esincane esiphezulu (LES), okwandisa amathuba okudla okufakiwe. Zama lawa macebiso:

• Linda okungenani amahora amabili kuya kwamathathu ngemuva kokudla ukuze ulale.
• Gwema ukuphuza ebusuku ebusuku.
• Uma enye yokudla kwakho iphela ibe yikhulu kunabanye, ihlose ukudla leso sidlo sasemini esikhundleni sokudla kwesidlo sakusihlwa.

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Ungabeki I-Flat Flat Uma Ulala

Ukulala phansi izicabha eziphambene neziqu zesisu ngokumelene ne-LES. Njengoba ikhanda liphakeme kunesisu, amandla adonsela phansi adisiza ukunciphisa lo cindezela. Ungaphakamisa ikhanda lakho ngezindlela ezimbalwa:

• Ungakwazi ukubeka izitini, amabhlogo, noma yini eqinile futhi evikelekile ngaphansi kwemilenze ekhanda lombhede wakho,
• Ungasebenzisa umcamelo owenziwe emgqeni ngaphansi kwekhanda lakho namahlombe.

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Ungabhema

Uma ubhema, kufanele ucabange ukuyeka. Ukubhema kungabangela izinkinga eziningi zempilo, futhi ukushaya isisu kungenye yazo. Lokhu kuyiqiniso ikakhulu kulabo bantu abane-GERD. Ezinye zezindlela zokubhema zingakwandisa izinkinga zokuhlupheka ukukhwabanisa kuhlanganisa:

• Ukukhiqizwa kwe-Saliva eyancishisiwe
  I-sali i-alkaline, ngakho ingasiza ekunciphiseni i-acid esiswini. I-saliva ingakwazi futhi ukukhulula ukushaya kwenhliziyo ngokugeza umzimba futhi unciphise imiphumela ye-acid refluxed engxenyeni ngokuyibuyisela emuva esiswini.
• Izinguquko ku-Acomic Acid
  Ukubhema kungakhuphula ukukhiqizwa kwesisu esiswini. Kungase futhi kukhuthaze ukuhamba kwe-bile usawoti kusuka emathunjini kuya esiswini, okwenza isisu se-acids sibe yingozi nakakhulu.
• Ihlukumeza ukusebenza kwe-Sopincter engaphansi kwe-Esophageal
  Ukubhema kungabuthakathaza futhi kuphumule i-LES, okuyinto i-valve ehlangene phakathi kwesisu nesisu. Uma i-LES ingasebenzi kahle noma ibuyisela emuva ngokungalungile, okuqukethwe kwesisu kungahle kubuyele emuva ku-esophagus.
• Ukulimala ku-Esophagus
  Ukubhema kungalimaza ngokuqondile i-esophagus, okwenza kube lula kakhulu ukulimala okuvela ku-acid reflux .

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Ungaphuzi utshwala obukhulu kakhulu

Utshwala lwandisa inani le-asidi isisu senza futhi siphinde senze i-sphincter esezansi ephansi (LES). Uma ufuna ukuthola utshwala phakathi nemikhosi yakho, zama amathiphu alandelayo:

• Nciphisa utshwala ngamanzi noma nge-club soda.
• Ukunciphisa ukuphuza utshwala kokuphuza okukodwa noma ezimbili, okungekho ama-ounces angu-16 ewayini, noma okungaphezu kwezintathu ezintathu.
• Phuza iwayini elimhlophe esikhundleni sewayini elibomvu.
• Khetha ubhiya obungelona utshwala noma iwayini.
• Qaphela ukuthi yiziphi iziphuzo ezidakayo ezenza uphuthuke, futhi uzigweme ngangokunokwenzeka.

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Ungagqoke izingubo ezidinga kakhulu

Izembatho ezihambisana ngokuqinile eduze kwesisu, njengezibhande eziqinile nezigqoko zokugqoka, zingakwazi ukucindezela esiswini bese ziphoqa ukudla ngokumelene ne-LES. Lokhu kungabangela ukuthi isisu se-reflux sibe sesisindo.

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Ungapheli Ucindezelekile

Ukucindezeleka akubonwanga ukuthi empeleni kubangele ukuphuza. Kodwa-ke, kungaholela ekuziphatheni okungabangela ukuguquka kwenhliziyo. Ngezikhathi ezicindezelayo , imizila iphazamiseka futhi ngeke ulandele imizila yakho evamile mayelana nokudla, ukuvivinya umzimba kanye nemithi. Njengoba ukucindezeleka kwakho kungase kuholele ekugqibeleni, kubalulekile ukuthola izindlela zokunciphisa ukucindezeleka, futhi ngaleyo ndlela wenze ukushaya kwenhliziyo kuhlobene kancane. Ungazama lawa amathiphu okuphumula.

> Imithombo:

> Ukushicilelwa kwe-NIH No. 03-0882 Meyi 2007. I-National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd.