Isifo se-reflux ye-gastroesophageal (GERD) iba yinkinga ekhulayo kubantu beminyaka yonke e-United States. Lokhu kungenzeka ngenxa yalokho okwenyuka ekusetshenzisweni kokudla okusheshayo, okuvame ukuthi kube namafutha amaningi, kanye nesilinganiso sokukhula ngokweqile. Uma usola ingane yakho, umzali, umlingani, noma omunye othandekayo uhlaselwa yi-acid reflux, kubalulekile ukuthi abone udokotela ozokwazi ukubona ukuthi ukuxilongwa kwe-GERD kufanelekile futhi kungabandakanyi zonke ezinye izifo ezinempawu ezifanayo .
Ubukhulu bezimpawu ze-GERD zomthandi wakho uzothola izinketho ezinhle zokwelapha. Phakathi naleso sikhathi, nansi izindlela ongasiza ngazo ukwehlisa ubunzima bezimpawu zakhe zokushaya inhliziyo ekhaya.
Izinketho zokudla
I-sphincter esezansi ephansi (LES), i-valve ephakathi kwesisu nesisu, ivame ukuvalela ngokuqinile ukugcina ukudla nesisu esiswini lapho kungokwakhe. Uma ibuyisela emuva uma kungenjalo, ukudla nesisu se-asidi siphindela emuva bese kudala ukuqhuma.
Ukuphuza isisu kuvame ukubangelwa ukudla okunye. Siza othandekayo wakho ukuba azijwayele lezi zimbangela bese uzama ukuqhubeka nokudla ngaphandle kwendlu ukuze angalingeki futhi agcine ebuhlungu.
Ukudla okungazithokozisa i-LES kuhlanganisa:
- Ukudla okuthosiwe (amafutha)
- Amafutha aphezulu kakhulu
- I-Butter ne-margarine
- Imayonnaise
- Ama-sauces amancane
- Isaladi ukugqoka
- Imikhiqizo yobisi yobisi wonke
- Chocolate
- I-Peppermint
- Iziphuzo ze-caffeinated (isib. Iziphuzo ezithambile, ikhofi, itiye, i-cocoa)
Ukwehla kwesisu kungase kwenzeke lapho isisu sikhipha ama-asidi amaningi, futhi lokhu kubuyela emuva.
Ukudla okungashukumisa ukukhiqizwa kwe-asidi nokwanda kwenhliziyo kuhlanganisa:
- Iziphuzo ze-caffeinated
- Iziphuzo ezidakayo
- Utshwala
- Ukudla okumnandi
- I-pepper emnyama
- Izithelo ze-Citrus nama-juice (isb., I-orange, i-grapefruit)
- Utamatisi ijusi
Ukudla ngaphandle
Uma udla, buza ukuthi izitsha ezihlukahlukene zilungiselelwe kanjani, uma othandekayo wakho engakwenzi.
Ungacela ukuthi inyama iboshwe esikhundleni sokuthosiwe, isibonelo. Izitsha eziningi zifaka ama-fat gravies nama-sauces ongawacela ukuba ashintshele endaweni ephansi yamafutha noma ekhonza eceleni. Nakuba abantu abadala befuna ukuzikhethela uma kuziwa ekudleni, ukuqala ingxoxo kungasiza ekuholeni indlela engcono yokukhetha.
Eskoleni
Ukuze usize ingane yakho igweme lezi zokudla esikoleni, ungakwazi ukupakisha ukudla kwezinsuku zesikole okungenakwenzeka ukuba ubangele izinsuku lapho ukudla okuqhamukayo kukhonzwa khona. Izidlo zezikole zesikole ngokuvamile ziqukethe ukudla okuningi okukhipha ama-asidi. Ukwazi ukuthi yikuphi ukudla okuphephile kulabo abanenkinga yokuphefumula kuzosiza futhi.
Isikhathi sokudla
Khuthaza othandekayo wakho ukunciphisa usayizi wesidlo sakhe, njengoba banda isisu futhi kungandisa ukwanda okuphezulu ngokumelene ne-infhgeer sphincter (LES), engabangela ukugubha . Ngenxa yokuthi izingane nezingane ziyakhula, zingase zizwe zilambile uma zibuyisela emuva ubukhulu bazo. Uma kunjalo, khumbuza ingane yakho ukuthi ingadla kaningi kangako, kodwa ukuthi akufanele idle aze agcwale noma yisiphi isidlo esisodwa. Lokhu kuguqulwa "ekutheni" kufaka isikhalazo kwezinye izingane.
Ukusebenzisa izitsha ezincane ekhaya, ukulungiselela ukudla okuncane, nokudla ukudla esitofu (kunokuba itafula, lapho kulula ukuyifinyelela khona imizuzwana) kungaba ngamasu awusizo.
Ukusabalala ebusuku kungase kube umkhuba wakho wokulala ngesikhathi sokulala, kepha uma ehlupheka nge-GERD, kungenza ubuthongo obunzima obubuhlungu, obungajabulisi ebusuku. Zama ukumvimbela ukuba angadli ngesikhathi sefasitela lamahora amabili kuya kwethathu ngaphambi kokuthi alele embhedeni, mhlawumbe ngokugwema ukuziphuza.
Ukuvuthwa komzimba kusiza ukugcina ama-juice esiswini ekusekeleni ekusizeni futhi kusiza ukugeleza kokudla kanye namajusi okugaya kusukela esiswini kuya emathunjini. Ngakho-ke, ngenkathi ngemuva kokudla ukudla okudliwayo kungakhanjiswa, ukuhlala isikhathi esithile ngemuva kokudla kungasiza ukunika isikhathi somzimba ithuba lokusebenzisa amandla amabutho adonsela phansi ngesikhathi ukudla kugawulwa.
Isikhathi sokulala
Ukuphuza ukuphuza ebusuku kungaba yingozi kakhulu. Uma kuqhuma ukuqhuma kwansuku zonke, ingozi yezinkinga iyanda. Kunezizathu eziningana zalokhu . Isibonelo, i-refluxed acid ihlala isendaweni yezinsuku ezinde, ivumela ukuthi ibangele ukulimala kakhulu kuleso sakhiwo. Nokho, kunezindlela ezimbalwa zokuvimbela ukukhwabanisa ebusuku .
Ukubeka phansi izicabha eziphambene neziqu zomzimba ngokumelene nesiphincter esingaphansi kwe-sphincter (LES). Njengoba ikhanda liphakeme kunesisu, amandla adonsela phansi adisiza ukunciphisa lo cindezela. Buza udokotela wakho omthandayo ukuthi uphakamise kanjani ikhanda lombhede. Ukuphakamisa lonke ikhanda lombhede ngokubeka izitini noma amabhlogo ezinkuni ngaphansi kwezinyawo ngaphesheya, ukuze umbhede uhlelwe kancane, usebenza kahle. Udokotela wakho angase akhombise ukusebenzisa umbhede we-acid reflux noma umcenge wedge ukuphakamisa ikhanda lomthandayo ngenkathi ulele.
Izinketho zokugqoka
Izembatho eziqinile ezungeze isisu zicindezela isisu, ziphoqele ukudla ngokumelene ne-LES, ezibangela ukudla ukudubula emuva kwesigcawu. Yiqiniso, kulula ukuthonya lokho okugqoka ingane egqoka uma kuqhathaniswa nentsha, okungenzeka ukuthi unesitayela sakhe. Kodwa-ke, ukukhuluma nengane yakho ngokuthi ukugqoka induduzo kunganciphisa kanjani ukushaya kwenhliziyo kungamenza enze izinqumo ezinjalo. Izembatho ezingabangela izinkinga zihlanganisa amabhande anamanzi, ama-jeans aqinile, nezambatho ezingenayo.
Ukulandelela kwesimo
Thenga umthandi wakho umagazini futhi, uma ekwazi futhi ethanda, umenze amarekhodi lapho ezwa izimpawu zokushaya inhliziyo, yikuphi ukudla okwakudliwe, kanye / noma yikuphi okwakwenzayo ngaphambi kokuba kuqhume isifo. Ubukhulu beqephu ngalinye lokushaya inhliziyo kanye nalokho okwamnika impumuzo kufanele kuphawulwe. Ungakwazi ukubekezelela ukungazi kahle kwakhe ngezinga eliphakathi kuka-1 kuya ku-10 kanye ne-10 kube yinto engathandeki kakhulu engayicabangayo futhi 1 ibe ubuhlungu obuncane lapho.
Ungakwazi ukuletha lolu lwazi kudokotela wakhe, ongamsiza enze ukuguqulwa ekudleni kwakhe, umsebenzi wakhe, noma imithi, uma kudingeka.
Leli licebo eliwusizo kubazali bentsha abaphikisana neziphakamiso zabo; Izincomo ezivela kudokotela zingase zithole kangcono.
Ukuzivocavoca
Uma othandekayo wakho ekhuluphele kakhulu noma ekhuluphele, ngisho nokulahlekelwa amakhilogremu angu-5 noma angu-10 kungasiza ekunciphiseni izimpawu zokushaya inhliziyo nokuzivocavoca, ngokuvamile, kuzuzisa izizathu eziningi. Mkhuthaze ukuba ahambe, agibele ibhayisikili lakhe, noma agijime esitokisini ngenkathi ebukela i-TV. Zama imisebenzi yomndeni ejabulisayo njenge-bowling, ukuhamba, ukulima, noma ukubhukuda. Ukusebenza ngothandekayo wakho kungamsiza ukuthi azizwe ekhuthazwa kakhulu.
Imithi
Ama-Antacids afana ne-Tums, i-Rolaids, ne-Mylanta awanciphisi isisu esiswini. Kuwusizo ukuwagcina usebenza kahle, ikakhulukazi uma othandekayo wakho ejwayele ukubakhohlwa. Kodwa-ke, uma kudingeka asebenzise ama-antacids isikhathi esingaphezu kweviki noma kunjalo, noma uma i-antacid ingasheshi ukuxazulula izimpawu, ukuvakashelwa kudokotela kunconywa. Ukusebenzisa i-antacid isikhathi esingaphezu kweyodwa kuya kwamabili kufanele kwenziwe kuphela ngokuqondiswa udokotela.
Uma othandekayo wakho ekwenzeni izinguquko zokudla nezindlela zokuphila ezenza ukunciphisa ukuphuza komzimba ngaphandle kokuphumelela, kungase kube yisikhathi sokusebenzisa omunye wemithi enamandla. Ngaphandle kwe-antacids, kunezigaba ezimbili eziyinhloko zemithi yokuphuza:
- Ama-acid blockers (i-H2 blockers), njenge- Tagamet (cimetidine), i- Pepcid (i-famotidine), i- Zantac (ranitidine), ne-Axid (nizatidine)
- Ama-acid suppressors (i- proton pump inhibitors , i-PPIs), njenge- Prilosec (i-omeprazole), i-Prevacid (i-lansoprazole), i- Nexium (esomeprazole), i-Aciphex (i-rabeprazole) ne-Protonix (i-pantoprazole)
Nokho, ukusebenzisa isikhathi eside kulezi zidakamizwa kuye kwahlotshaniswa nesifo sezinso, ukuhlaselwa yinhliziyo, kanye nokwehla kwamathambo. Imiphumela emibi engaba khona kufanele ixoxwe nodokotela. I-long-term reflux yesikhathi eside ingabangela nezinkinga, ngakho udokotela wakho othandekayo angakusiza ukuba ulinganise izingozi nezinzuzo zokwelashwa.
Uma othandekayo wakho ejwayele ukukhohlwa ukuthatha imithi yakhe (noma wena, njengomzali, ukhohlwe ukuwunika ingane yakho), ungathola imithi isikhumbuzo smartphone zokusebenza eziwusizo.
Ukusekela
Ukwelashwa okungcono kakhulu kwe-acid reflux kukuvimbela, futhi ukwenza izinguquko ekudleni komuntu oyithandayo, isikhundla sokulala, nomsebenzi kuyindlela engcono kakhulu yokuqala. Nokho, lezi zinguquko ngezinye izikhathi zingase kube nzima ukwenza. Yenza okusemandleni akho ukukhuthaza nokubeka othandekayo wakho impumelelo, bese uzama ukubekezela njengoba bethola indlela yabo (noma wena, njengomzali wengane ene-GERD, yenza okufanayo).
Ukubandakanya udokotela wakho othandekayo kungasiza, hhayi kuphela ekufundeni okwengeziwe mayelana nendlela yokulawula izimpawu zakhe nokuthola imithi esiza, kodwa ngoba ihilela omunye umuntu ongakusiza futhi akubuyisele ekuphakamisweni okwenzile. Uma ungumzali, khumbula ukuthi ekugcineni iningi lezinsizwa ezivelele zokungahloniphi futhi zithathe indima enkulu ekusebenzeni ukunciphisa izimpawu okufanele zibhekane nayo.
> Imithombo:
> Baird DC, Harker DJ, Karmes AS. Ukuxilongwa nokuphathwa kwe-Reflux ye-Gastroesophageal ezinsaneni nezingane. I-American Family Physician . Okthoba 15, 2015; 92 (8): 705-14.
> I-Lightdale JR, i-DA yeGremse, Isigaba se-Gastroenterology, i-Hepatology, ne-Nutrition. I-reflux ye-gastroesophageal: Isiqondiso Sokuphatha sezingane. Izingane zokwelapha . May 2013; 131 (5): e1684-95. i-doi: 10.1542 / i-peds.2013-0421.