Ukuguquka kwenhliziyo

Uhlolojikelele Lokuphuza Inhliziyo

Cishe wonke umuntu uthola ukuphazamiseka ngesikhathi esisodwa. Kwabaningi, kungukudabuka kwesinye isikhathi. Kwabaningi, kwenzeka njalo okwanele ukuphazamisa impilo ejabulisayo. Futhi kwabancane, kungabangela ngempela izinkinga zezokwelapha eziyingozi.

Ngoba ukuqubuka kwenhliziyo kuyinkinga enjalo njalo, kuwumqondo omuhle ukwazi okuthile ngakho.

Kuyini Ukushisa Kwesifo?

Ukuphuza isisu kuyisimo esivuthayo ozizwa ngaphansi kwesifuba sakho esingasuka emgodini wesisu sakho kuze kube semphinjeni wakho.

Ngokuvamile kuhambisana nokuba khona kwamanzi kagesi omuncu, acidic, futhi ngisho nezinhlayiya zokudla okufakwe kancane kancane, kufinyelela emuva emqaleni wakho-uphawu olubizwa ngokuthi ukuphindaphinda.

Noma ubani oye wabhekwa isiqephu esibi sokushaya kwenhliziyo kakhulu uyazi ukuthi kuyini. Kuyi-reflux yesisu esiswini kuze kufinyelele esitsheni (ukugwinya ithubhu). Inzwa evuthayo ikhiqizwa yiphutha elicasulayo le-asidi esiswini emgodini wesifo nomsamo.

• Ngabe i-Heartburn i-GERD ngempela?

• Izimpawu Ezikhomba I-GERD

Ukuvuthwa kwesisu kuvela ngaphakathi kwehora noma ngemuva kokudla, futhi kungenzeka ukuthi kwenzeke ngemva kokudla okukhulu. Kungabangela abantu abaningi ngokudla okuthile, ikakhulukazi ukudla okuthosiwe, ushokoledi, utshwala noma ukudla okuqukethe i-caffeine. Ukuvuthwa komzimba kuvame ukubi kakhulu ngokulala phansi, ukugqoka izingubo eziqinile, noma ukuguqa.

Abantu abajwayele ukushaya izinhlungu ngokuvamile bafunda ngokushesha ukukhulula amabhande abo, bahlale beqondile, futhi baphakamise ikhanda lemibhede yabo; futhi ngokuvamile bathola ukuthi ukuthatha ama-antacids kuzosiza ekunciphiseni izimpawu zabo.

Ezimweni eziningi, izinyathelo ezinjalo ezilula zanele. Kodwa-ke, uma unomfutho wezinhlungu ngaphezu kwesinye isikhathi, noma uma iziqephu zakho zokushaya isisu zikhulu kakhulu, kunezinto ezibalulekile okufanele wazi.

9 Izinto Okufanele Uzazi Nge-Heartburn

1. Ukugubha Inhliziyo Kuvele Kuvele Kuvele Kubangelwa yi-GERD

Isizathu esiyinhloko sokuphuza isifo isimo sezokwelapha okuthiwa isifo se-reflux se-gastroesphageal, noma i-GERD . I-GERD ibangelwa ukusebenza okungavamile kwesiphincter esingaphansi kwe-sphincter (LES). I-LES iyindandatho ye-muscular ekuhlanganiseni kwesisu nesisu, futhi umsebenzi wayo ukugcina okuqukethwe kwesisu ngaphandle kwesimo. Lapho i-LES ihlehlisa ngokungafanele, okuqukethwe kwesisu kungahle kube yilapho kuqhutshwa khona isisindo, ukukhiqiza inhliziyo.

I-GERD iyinkinga evamile kakhulu, futhi njengoba ingaholela eminye imiphumela embi, idinga ukuphathwa ngendlela efanele. Uma une-heartburn, cishe cishe unayo i-GERD.

2. Ukuphuza Kwesifo Esibi Kungaba Nengozi

Abantu abanesifo esibi kakhulu-ikakhulukazi abantu abaneziqephu zabo zokukhwabanisa zivela izikhathi eziningana ngesonto noma ngaphezulu, noma lokho kuveza izimpawu ezisabekayo-ngokuvamile ziba ne-GERD enzima. Lokhu kungaholela ezinkingeni ezithile eziyingozi.

I-GERD ingabangela izinkinga eziningi ezinzima nge-esophagus, kufaka phakathi i- esophagitis (ukuvuvukala nokuvuthwa emgodini wesigcawu), ukulinganisa okulinganiselwe ( ukumbalwa kwesisu ), isisindo se- Barrett (ukwakheka kwamangqamuzana angavamile emgodini wesifo okungaba ngumdlavuza), noma i-perforation ye-esophagus.

I-GERD ingabangela futhi i- asthma , i- laryngitis engapheli, nokuqina kwe-larynx noma i-trachea (ithubhu lokuphefumula). Ukuphindaphindiwe okungapheli kwesisu esiswini emlonyeni kungakhuthaza ngisho nemikhumbi yamazinyo .

Ngakho-ke, njengoba ubona, ukushaya inhliziyo akuyona nje into ecasulayo. Kungaba isibonakaliso sokuthi kungenzeka ukuthi kukhona into engathí sina futhi eyingozi nakakhulu.

3. Ukuphuza Inhliziyo Akubandakanyi Inhliziyo, Kodwa ...

Kuvamile odokotela (kanye nezihloko zokukhwabanisa) ukusho into enjengokuthi, "Ukuphuka komlilo kuyisimanga, ngoba akuhlangene nenhliziyo." Lesi yisitatimende esifanele. Ngencazelo, ukuqubuka kwenhliziyo kubangelwa yisisu esiswini sokuxhuma emgodini, ngakho-ke akuhlangene nenhliziyo.

Nokho, lolu hlobo lwesitatimende lungakunika umqondo wamanga wokuphepha. Lokho okushiwo yiziphathimandla ukuthi, uze wazi ukuthi ukuzwa okuvuthayo obhekene nakho kubangelwa i-acid reflux, kungenzeka ukuthi awunayo inhliziyo. Empeleni ungase ube nenkinga yenhliziyo-okungukuthi i- angina ngenxa yesifo se-artery coronary .

Akuyona into engavamile ukuba i-angina ibonise uhlobo olufanayo lokushisa okuvuthayo.

Noma ubani onokuqala okusha kwezimpawu ezinjenge-heartburn uma ephakathi kweminyaka noma ngaphezulu-ikakhulukazi uma enezizathu ezithile ezingozini zokugula kwesifo senhliziyo , njengokuqhathanisa ngokweqile; une- hypertension , isifo sikashukela noma ama- prediabetes ; ukuhlala impilo yokuphila; enegazi lipids engavamile; noma ukubhema-kufanele abone udokotela ukuze ahlaziywe ngaphambi kokuzithiba-ukuphuza ukuphuza. Kungase kungabi nhlobo ukushaya, futhi ukubambezeleka ekuhloleni i-angina kungaba nemiphumela ebulalayo.

4. Ukuguquka Kwesifo Kungaphazamisa Isifo Somoya

Manje sekuqashelwa kahle ukuthi i-GERD iyisisusa esivamile se-asthma . I-reflux ye-asidi esiswini emphinjeni nasezindaweni ezingenhla zomoya zingaphazamisa ukuhlaselwa yi-asthma ngezinqubo ezintathu: ngokwenza izindiza zomoya zibhebhetheke kalula, ngokukhulisa ithoni ye-vagal , nangokucasula ngokuqondile umoya ophezulu.

Okokuqala, lokhu kusho ukuthi noma ubani ohlaselwa ukuphefumula nge-asthma kufanele ahlolwe i-GERD. Futhi ngomunye, kusho ukuthi noma ubani onokuhlaselwa i-asthma nokushaya kwenhliziyo kumele athole indlela yokwelapha ehlukumeza i-GERD.

• Izinkolelo Zomlilo Okufanele Ukwazi Iqiniso Ngayo

• Vimbela i-reflux ye-Gastroesophageal ehambisanayo yokuqhutshwa kokusebenza ngesikhathi sokusebenza

Ukwelapha i-GERD, uma ikhona, ingancipha kakhulu inani lokuhlaselwa kwesifuba. Funda kabanzi mayelana ne-asthma ne-GERD .

5. Ezinye izimo zingahle zidideke ngokuphefumula

Odokotela basebenzisa lesi sigameko sokubamba ukushaya kwenhliziyo ukuze kubonakale ukukhathazeka okuvutha phansi kwesifuba esibangelwa ukushisa kwe-asidi yesisu. Kodwa, njengoba usuyazi manje, lesi sibonakaliso (ukuvutha okuvuthayo) kungenzeka ukuthi akubonisi ngaso sonke isikhathi ukukhwabanisa.

Ngaphezu kwezinkinga ze-cardiovascular like disease coronary disease, kunezinye izimo zezokwelapha ezingase zidideke nokushaya inhliziyo okubangelwa yi-GERD. Lokhu kufaka:

• Isifo sesilonda se-Peptic
• Ukuphazamiseka kwepheshana le- biliary
• Izinkinga ze-Motility ze-esophagus, njenge- achalasia noma i- spasm esophageal
• Umdlavuza we-Esophageal

Noma ubani othola ukwelashwa okuhlukumezayo ukukhwabanisa nokuhlangenwe nakho okuncane okumele kwenziwe ngcono kufanele ahlolisiswe ukuze aqiniseke ukuthi uphathwa ngenkinga efanele.

6. Kunezinhlobo ezine zokwelashwa zokuphefumula

Kunezinhlobo ezine zokwelapha ezijwayelekile ezisetshenziswa kakhulu ukuphatha ukushaya kwenhliziyo okubangelwa yi-GERD. Kusuka ezincane kunazo zonke kuya ezinhlobonhlobo zokwelashwa eziyizona:

Indlela yokuphila nokuguqulwa kwesidlo -Kunezinto eziningi zokuphila kanye nokulungiswa kokudla okungazithuthukisa kakhulu ukuphuka kwenhliziyo. Lokhu kufaka:

• Yehlisa isisindo uma ukwedlula ngokweqile: Ukukhuluphala ngokweqile kwandisa kakhulu amandla we-GERD, kanye nezinkinga ezihlobene.
• Ukuphakamisa ikhanda lombhede wakho.
• Gwema noma yikuphi ukudla okubangela ukuguquka kwenhliziyo. Lezi zihlukile kuwo wonke umuntu, kodwa izigameko ezivamile zihlanganisa ukudla okunamafutha, ushokoledi, i-caffeine, i-peppermint, anyanisi, i-citrus kanye no-utamatisi.
• Yeka ukubhema . Ukubhema kuhoxisa i-LES futhi kwenza kakhulu i-GERD.
• Yeka utshwala ungabi ngaphezu kwesiphuzo esisodwa ngosuku. Utshwala ukhulula i-LES futhi lungakhuphula i-reflux.
• Yeka okungenani amahora amathathu ngaphambi kokulala.
• Yidla ukudla okuncane, okuvamile.
• Yidla kancane futhi ufune ukudla kwakho kahle.
• Gqoka izingubo zokugqoka.
• Chew gum emva kokudla.
• Phuza isiphuzo esivuthayo, esingekho caffeinated emva kokudla.

Abantu abaningi abanezinhliziyo ezincane bangakwazi ukuqeda ngokuphelele izimpawu zabo ngokuthatha izinyathelo zokuphila ezinjalo.

Ama-antacids - ama- Antacids awanciphisa isisu se-asidi futhi anganciphisa ukucasuka okubangelwa ukuqubuka kwesisu kwe-reflux. Ama-Antacids awavimbeli i-reflux, kodwa ngenxa yokuthi asebenza ngokushesha kakhulu, anganciphisa izimpawu ezibangelwa yi-reflux. I-Gaviscon , i- Maalox , i- Mylanta , i- Rolaids , ne- Tums ingenye ye-antiacids esetshenziswa kakhulu.

Izithandani ze-Histamine-2 (H2RAs) -Lezi zidakamizwa zinciphisa ukukhiqizwa kwesisu se-esiswini kanti, ngokuhamba kwesikhathi, zingasiza ukuqeda ukushaya kwenhliziyo. Azisebenzi ngokushesha, ngakho azikhululi iziqephu ezimbi. Kunalokho, zivame ukushiwo njengendlela ethile yokwelapha, ngokuvamile amaviki amabili kuya kwamane esikhathini eside, ukuzama ukumisa i-GERD ngokuphelele futhi, ngaleyo ndlela, ukuqeda ukushaya kwenhliziyo. Izidakamizwa ze-H2RA, konke okuphathelene nokusebenza okulinganayo, yi-Axid (nizatidine), i-Pepcid (i-famotidine), i- Tagamet (i- cimetidine ) , ne-Zantac (ranitidine).

I-Proton pump inhibitors (i- PPIs ) -I-PPIs yizinambuzane ezinamandla kunazo zonke ze-acid esiswini okwamanje ezitholakalayo futhi zivame ukusebenza ngokuphumelelayo ekuqedeni i-GERD (nokuphuza umoya) kunezidakamizwa ze-H2RA. Kodwa ziyabiza kakhulu futhi zibangele nemiphumela emibi kakhulu , ngakho-ke odokotela abaningi bazozama kuqala isidakamizwa se-H2RA. Njengezidakamizwa ze-H2RA, ama-PPIs anqunywe ukuba athole ukwelashwa okwesikhathi eside (ngokuvamile amasonto ayisishiyagalombili) ukuzama ukuqeda iGERD ngokuphelele. Ama-PPI afaka i-AcipHex (i-rabeprazole), i-Prevacid (i-pantoprazole), i- Nexium ( esomeprazole ) , ne- Prilosec (i-omeprazole ). I-PPI eyodwa iphumelele njengenye. Funda kabanzi mayelana nama-PPI we-GERD .

7. Ukuphuza Inhliziyo Kuvamile Phakathi Nokukhulelwa

Ukuphuza isisu kuvame kakhulu ngesikhathi sokukhulelwa. Kuze kube ngamaphesenti angu-50 abesifazane abakhulelwe bayothola ukuqubuka, futhi lesi sibonakaliso sinzima kakhulu kwabaningi babo. Lokhu kushaya inhliziyo kubangelwa izici ezimbili. Okokuqala, izinguquko ze-hormonal ezenzeka ngesikhathi sokukhulelwa zivame ukuphumula i-LES. Okwesibili, ivolumu yesisu esakhula eyenzeka ngokukhulelwa ibeka okuqukethwe kwesisu ngaphansi kwengcindezi eyengeziwe.

Ngesikhathi sokukhulelwa, abesifazane abakhubazekile kufanele benze yonke imizamo yokwenza izinguquko ezifanele ukukhawulela inkinga, njengokuphakamisa ikhanda lombhede, ukugqoke izingubo ezingavamile, nokugwema izimbangela zokudla.

Uma lezi zinyathelo zingenele, ama-antacids angenayo i-sodium bicarbonate noma i-trisilicate ye-magnesium ingasetshenziswa. I-Sulfacate (i-Carafate), imithi ejaza uketshezi lwegciwane lesisu, ivame ukushiwo ukukhwabanisa ngesikhathi sokukhulelwa ngoba iphephile. (Kodwa-ke, uma kuphumelela ngempela, kungase kuphakanyiswe nabanye abantu ngaphandle kwabesifazane abakhulelwe.) Ama-H2RA noma ama-PPI angasetshenziswa uma ukuqubuka kwenhliziyo kukhwabanisa, nakuba ukuphepha kwezidakamizwa ngesikhathi sokukhulelwa kungasungulwa ngokugcwele.

Naphezu kwezinsizakalo ezinjalo ngabachwepheshe bezokwelapha, abesifazane abaningi abakhulelwe bathatha noma yiziphi izinyathelo zokuphila abakwaziyo, bengeze lezo zindlela ngamanye amacandacids, futhi bazinikezele ekutheni kube nokushaya kwenhliziyo isikhathi eside. Funda kabanzi ngokushaya kwenhliziyo nokukhulelwa.

8. Ngezinye izikhathi Ungaphatha Ukuzilimaza

Ngeke njalo udinga ukubona udokotela uma une-heartburn. Uma une-heartburn kanye ngesonto noma ngaphansi, futhi uma ungenayo izimpawu ezesabekayo, akukho lutho olubi ngokuzama ukuluphatha ngokwakho. (Isigaba esilandelayo sichaza ukuthi yisiphi "uphawu oluphazamisayo".)

Uma uzokwelapha ukuphuza inhliziyo, kufanele wenze yonke indlela yokuphila kanye nezinguquko zokudla ezichazwe ngenhla ezisebenza kuwe. Ngesikhathi ulindele lezi zilungiso zokuphila ukuze usebenze, ungathatha u-antacid noma nini lapho uthola esinye seziqephu zakho ezingapheli zenhliziyo.

Ngokungangabazeki uqaphele ukuthi kokubili izidakamizwa ze-H2RA nama-PPI manje atholakale kalula phezu kwe-counter. (Amabhizinisi awakhiphayo akwazi ukuwakhumbula.) Uma unomphefumulo ophuza, akukho lutho olubi ngokuthatha izifundo zeviki ezimbili zenye yalezi zifundo.

Kodwa uma uthola ukuthi ukwenza izinguquko ezifanele zokuphila kungakusizi, noma uma uzithola wengezela i-H2RA noma i-PPI ohlwini lwakho lokuthenga njalo, umzamo wakho wokuzithokozisa awusebenzi. Ukuze uqiniseke ukuthi awuyikuhlakulela enye yezinkinga ezimbi ze-GERD, sekuyisikhathi sokubona udokotela wakho.

9. Ngezinye izikhathi Udinga Ukubona Udokotela

Kubalulekile ukubona udokotela wakho uma ukushaya kwenhliziyo yakho kungakaphenduli emizamweni yakho emihle yokuzithokozisa, noma uma unesifo senhliziyo esingaphezu komnene.

Uma uvame ukushaya inhliziyo esikhathini esisodwa ngeviki akulula, kungenzeka ukuthi une-GERD engapheli. Futhi unezinto ezingaphezu kokuphefumula okuncane uma izimpawu zakho zinzima kangangokuthi i-antacid ayihluleki ukuyikhulula.

Kukhona nezinye izimpawu noma izimpawu eziphazamisayo ezibonisa ukuthi i-GERD yakho ithuthukile kuze kube yilapho yenza okungaphezu nje kokubangela ukuqubuka kwenhliziyo. Lokhu kufaka:

• I-Dysphagia (ubunzima bokugwinya)
• Odynophagia (ubuhlungu ngokugwinya)
• Ukuvota
• Ukushaya noma ukuxosha igazi
• Iziqephu ze- dyspnea
• Ukuqala okusha noma ukuqhuma isifo sofuba

Uma noma yikuphi kulezi zimo noma izimpawu kusebenza kuwe, sekuyisikhathi sokubona udokotela wakho ukuze kutholakale ukuxilongwa okucacile futhi ukwelashwa okunamandla kungasungulwa.

Ukushiswa Kwenhliziyo Kuphethwe Kanjani?

Uma odokotela bexilonga ukushaya kwenhliziyo bese beqala ukuphatha, empeleni baphatha i-GERD. Ngokwenza njalo, azama ukusiza nje ukukhulula izimpawu zakho zokuphuza, kepha futhi nokuvimbela izinkinga ezinkulu kakhulu ze-GERD.

Izinga lokuhlukumeza udokotela alisebenzisa ekunakekeleni kungenzeka ukuthi kuncike ekutheni udokotela wakho ukholelwa ukuthi ukushaya kwenhliziyo yakho kumnene, kunomthelela, noma kunzima kakhulu.

Njengoba sesibonile, ukukhwabanisa okuncane kubhekwa ngokuguqula izindlela zokuphila kanye nezidakamizwa njengoba kudingeka.

Uma ukuphuza kwenhliziyo kuthathwa njengokulinganisela (okungukuthi, okuvame ukwedlula kanye ngesonto noma kunjalo, kodwa kungahambisani nezimpawu ezesabekayo) kungenzeka ukuthi udokotela wakho uzophinde anikeze isidakamizwa se-H2RA okufanele sithathwe kabili ngosuku amasonto amabili kuya kwamane.

Uma ukushaya kwenhliziyo yakho kunzima kakhulu (cishe nsuku zonke, noma kuhambisane nezimpawu ezesabekayo), udokotela wakho cishe ufuna ukuthi ube ne- endoscopy ukuze ubhale ukuthi ngabe usuvele unesinye sezimo ze-GERD. Ngaphezu kwalokho, kungenzeka ukuthi weqa izidakamizwa ze-H2RA futhi aqhubekele ngqo esikoleni samasonto ayisishiyagalolunye semithi ye-PPI.

Ezimweni ezingavamile, uma i-GER ihluleka ukuthuthukisa ngezinyathelo ezinjalo, ukwelashwa okuhlinzekwayo kunganconywa.

Funda kabanzi:

• Ukwelapha i-GERD

Khumbula ukuthi imigomo yokwelapha ukuphuza isisindo ezimbili. Okokuqala, umgomo ukuqeda (noma okungenani ukunciphisa) inani lokugubha kwenhliziyo osizwayo kanye nokuqina kwalo. Kodwa okwesibini, kubalulekile ukugcina i-reflux ye-asidi ehambisana ne-GERD ekubangela ukulimala okungapheli ku-esophagus, emphinjeni, noma emoyeni.

Izwi elivela

Ukuguquka kwesisu kuyisifo esivamile kakhulu; iningi lethu lizolizwa ngezikhathi ezithile. Uma kunomoya omnene futhi ongapheli, singakwazi ukuwuphatha ngokwethu, noma ukuwuhleka.

Kodwa kubantu abaningi, ukuguquka kwenhliziyo akuyona into ehlekayo. Kungaba ukuphazamisa kakhulu ekuphileni okuvamile. Futhi ngenxa yokuthi ukuqubuka kwenhliziyo kuyisibonakaliso seGERD, kungahambisana nezinkinga ezithile zezokwelapha ezilimazayo kakhulu.

Uma une-heartburn okungenangqondo, kodwa engakwazi ukulawulwa ngempumelelo izinyathelo ezilula ongazithatha, kubalulekile ukucela usizo lodokotela wakho ekulawuleni izimpawu zakho, futhi uqinisekise ukuthi awuyikuthuthukisa noma yikuphi imiphumela ebuhlungu ye-acid reflux.

> Imithombo:

> Kahrilas PJ, Shaheen NJ, Vaezi MF, et al. I-American Gastroenterological Association Institute Review Technical mayelana nokuphathwa kwezifo ze-Reflux ye-Gastroesophageal Reflux. I-Gastroenterology 2008; 135: 1392.

> Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuHlola nokuPhathwa kwezifo ze-Reflux ze-Gastroesophageal. Am J Gastroenterol 2013; 108: 308.

> Mikami DJ, Murayama KM. I-Physiology ne-Pathogenesis ye-Gastroesophageal Reflux Izifo. Umtholampilo Wokuhlinzwa North Am 2015; 95: 515.