Uma uthola ukuthi unesifo se-reflux ye-gastroesophageal (GERD), uhlelo lwakho lwezokwelapha lungabandakanya izinguquko zendlela yokuphila, imishanguzo engaphezulu, imithi yokwelashwa, ukuhlinzwa noma inhlanganisela, kuye ngesimo sakho. Njengoba ucabanga ukuthi awunazo izinkinga ezivela ku-GERD noma kunoma yiziphi izinkinga zokungalingani, udokotela wakho uzotusa ukuthi uqale uzame ezinye izixazululo eziyisisekelo ngaphambi kokuthatha izinyathelo ezengeziwe.
Izinsana kanye nalabo abane-GERD engavumelani bangadinga ukwelashwa okuhlukile kumgomo wokunakekelwa.
Amakhambi asekhaya kanye nendlela yokuphila
Abantu abadala, intsha, nezingane ezine-GERD bangakwazi ukulawula, noma okungenani ukunciphisa, i-aclu reflux ngokusebenzisa ezinye izinguquko zokuphila. Cabanga ngalokhu okulandelayo:
- Uma ubhema, zama ukuyeka. Kukhona izizathu eziningi zokubhema ezikhuphuka kakhulu . Futhi, zama ukugwema ukubhema umsizi wesibhamu.
- Yenza umsebenzi wokulahlekelwa isisindo uma ukhuluphele noma ukhuluphele kakhulu. Ngezinye izikhathi ngisho nokulahlekelwa ngamakhilogremu angu-5 noma angu-10 kungenza umehluko ezimpawu zakho.
- Ungadli ukudla okwaziwa ukukhwabanisa inhliziyo. Lezi zihlanganisa ushokoledi, izithelo ze-citrus namajusi, utamatisi kanye nemikhiqizo esetshenziselwa utamatisi, lwesinaphi, uviniga, imikhiqizo ye-mint, nezinambuzane, ukudla okunomsoco, okuthosiwe kanye namafutha.
- Gwema noma okungenani unciphise iziphuzo eziqukethe i-caffeine (ikhofi, itiye, i-cola) ngoba lezi zingakwazi ukukhulula i-sphincter esezansi ephansi (LES).
- Gwema noma unciphise ukwephuza utshwala, okuyinto ehoxisa i -LES.
- Ungadli ukudla okukhulu. Yidla ukudla okuncane ezinsukwini zonke kunalokho.
- Yidla ukudla kwakho kancane futhi uhlafune kahle.
- Linda okungenani amahora amathathu emva kokudla kwakho kokugcina ngaphambi kokulala, futhi wenze umkhuba wokugwema ukulala phansi amahora amathathu ngemva kokudla.
- Ukulala ngekhanda lakho namahlombe wanyuka ngomcenge womcengezi (okuvamile ngeke kusebenze), noma uphakamise ikhanda lombhede wakho ngamasentimitha angu-6 kuya kwangu-8 ngokubeka izikhuni ezinkuni ngaphansi kwamapulangwe. Lokhu kuzovumela amandla adonsela phansi ukuba akusebenzele futhi asize ugcine isisu sakho lapho kufanele khona-esiswini sakho, hhayi isisu sakho.
- Gqoka izingubo ezikhululekile futhi zikhululekile. Udinga ukugwema noma yikuphi ukuqina okuzungezile okhalweni lwakho nesisu.
- Hlala uhlezi esihlalweni esinethefontofo kunokuba udilize.
Okukhukhumalisa amakhekhe
Isithako esiyinhloko ku-baking soda yi-sodium bicarbonate, okukhiqizwa ngokwemvelo umzimba wakho. Ungasebenzisa i-baking soda njenge-antacid yemvelo ukusiza ukuxazulisa i-asidi esiswini sakho futhi ikunikeze ukukhululeka ekuguleni kwenhliziyo. Zama ukuchitha i-1/2 isipuni kuma-ounces angu-4 wamanzi bese uyiphonsa kancane. Kufanele ukhulume nodokotela wakho njalo ngaphambi kokusebenzisa i-baking soda ye-reflux ngoba ingaphazamisa imithi yakho noma ukwandise amazinga akho e-sodium. Lesi yisixazululo sesikhathi esifushane kuphela; ukusetshenziswa kwesikhathi eside (noma ukudla okungaphezu kwenani eliphakanyisiwe le-baking soda) kungenza ukuthi i-reflux yakho ibe yimbi kakhulu.
Apple Cider Vinegar
Ngenkathi abanye abantu basebenzisa i-aple cider uviniga ukuze baphathe ukushaya kwenhliziyo, kubalulekile ukuqaphela ukuthi akuzange kube khona ukuhlolwa okusemthethweni okushicilelwe ukusekela lokhu. Amafomu e-apula cider uviniga ayenzeka ukuthi ukuqubuka kwenhliziyo kwenzeka ngenxa yokuthi ayinayo isisu esiswini, futhi ukuthatha uviniga we-apple cider kuletha isisu sezinga le-asidi phezulu, okuvumela isisu sakho ukugaya ukudla kahle nokuphuza ukuphuza. Kodwa-ke, odokotela batusa ukuthatha imithi yokwehlisa isisu se-asidi nokulawula izimpawu ze-acid reflux.
Ukuthatha uviniga wama-apple cid undiluted kungacasula umlomo wakho kanye nesisindo njengoba kusebenza kakhulu. I-apple cider uviniga ongabonakali, ingaphinde ihlukumeze izinyosi zakho zamazinyo. Ngenxa yezizathu, kuwukuhlakanipha ukuhlanza uviniga ngamanzi uma uhlela ukuyisebenzisa. Engeza kusuka ku-1 kuya ku-3 amathisipuni eviniga ekomelweni lamanzi.
Uviniga ungase uxhumane neminye imithi oyithatha ngesikhathi esifanayo futhi esikhundleni sokunciphisa i-heartburn, iviniga ingase ibe yimbi nakakhulu. Uma ucabangela ukusebenzisa i-apula cider uviniga njengendlela yokwelashwa, kubalulekile ukuthi ukhulume nodokotela wakho kuqala.
Imithi yokwelapha ngaphezulu
Imithi eminingi esetshenziselwa ukuphuza izinhliziyo iyatholakala phezu kwekhawuntini kanye nemithi kadokotela.
Yize izidakamizwa zifana, imithi ye-OTC itholakala ngezinga elincishisiwe, ngokuvamile liyingxenye yesigamu semithi yabo yesiguli. Udokotela wakho angase ancome imithi engaphezu kwe-counter for you noma ingane yakho uma izinguquko zokuphila zingakusizi. Imithi ngayinye isebenza ngokuhlukile futhi ungadinga inhlanganisela yawo ukuze iphumelele. Qinisekisa ukuthi ukhuluma nodokotela wakho ngaphambi kokuba uqale noma iyiphi yale mithi, futhi uma izimpawu zakho zingahambi kahle ngenkathi uzithatha.
Ama-Antacids
Ama- Antacids afana ne- Mylanta ne-Maalox (i-aluminium hydroxide / magnesium hydroxide / i-simethicone), i-Rolaids (i-calcium carbonate ne-magnesium hydroxide), nama- Tums (i-calcium carbonate) ngokuvamile yizidakamizwa zokuqala eziphakanyisiwe ukunciphisa ukushaya kwenhliziyo nezinye izimpawu ze-GERD. Zisebenzela ngamunye ukunciphisa isisu esiswini. Imiphumela emibi ihlanganisa ukuqotshwa noma isifo sohudo.
H2 Blockers
Amaseli e-parietal esiswini sakho sokugaya avuselelwe ngezindlela eziningi zokukhiqiza i-asidi. Enye yalezi zivuselelo ze-asidi i-histamine, ebophezela ku-histamine 2 receptors kwiseli ye-parietal. Abakhi be-H2, ngokuvumelana negama labo, vimba lezi zindawo ze-receptor ngakho-ke banciphise ukukhiqizwa kwe-asidi.
I-Tagamet HB (cimetidine), i- Pepcid AC (i-famotidine), i- Axid AR (i-nizatidine), ne- Zantac 75 (i-ranitidine) yizo zonke izinqumo ezidumile ezibiza kakhulu. Zitholakala futhi emandleni kadokotela.
I-Proton Pump Inhibitors (i-PPIs)
Isisu sakho sikhiqiza i-asidi ukusiza ukudiliza ukudla ngakho kulula ukugaya. Ezimweni ezithile, le-asidi ingamcasula isilonda esiswini sakho kanye ne-duodenum (engxenyeni engenhla yamathumbu akho amancane), okwenza ukuba i-heartburn ngisho nezilonda.
Isisu sinompheme, okuthiwa i-gastric acid pump, eveza isisu esiswini. I-proton pump inhibitors ivimbela ukufihla kwe-asidi esiswini ngokubopha kulezi zimpompo. Ukunciphisa inani lesisu esiswini kungasiza izilonda ziphulukise futhi zifake i-reflux. Ama-PPI angaphinde aphulukise ukugqoka kwakho okulinganayo.
Ama-proton pump inhibitors asebenza kangcono kunabasebenzi be-H2. Ngenxa yalokhu, zivame ukusetshenziselwa ukuphatha izimpawu ezingapheli zokuphefumula. Njengazo zonke izidakamizwa, zingaba nemiphumela emibi, kodwa kubantu abaningi, inani lokukhululeka lezi zidakamizwa zinikezela kakhulu amathuba okungabikho.
Amanye ama-PPI, njenge- Prilosec (omeprazole), i-Prevacid (lansoprazole), i- Nexium (esomeprazole), ne-Zegrid (i-omeprazole / sodium bicarbonate), ayatholakala phezu kwe-counter.
Ama-PPI ngokuvamile ayabiza kunezivimbela ze-H2, ngokuvamile ethathwa kanye nemizuzu engama-30 kuya kwengu-60 ngaphambi kokudla kwasekuseni, futhi athathwa cishe amasonto ayisishiyagalombili, lapho udokotela wakho eyohlola khona ukuthi uzizwa kanjani. Uma izimpawu zakho zithuthuka, udokotela wakho anganciphisa umthamo wakho noma ayeke ngisho nemithi yakho. Ngempendulo eyingxenye, udokotela wakho angakwandisa umthamo wakho kabili ngosuku. Uma ungakatholi impumuzo ku-GERD yakho, udokotela wakho cishe uzokutshela ku-gastroenterologist noma uhlolisise ukuhlolwa kwakho.
Ukwelashwa kwe-PPI akusho ukuthi kuthathwe isikhathi eside, ngakho-ke umgomo ukuwuthatha umthamo ophansi kunazo zonke ongasenza ngcono ukushaya kwenhliziyo nokuvimbela izinkinga ezifana nezilonda. Ama-PPI abuye ahlotshaniswa nokunciphisa kwe-calcium encane futhi ingozi eyengeziwe yokwanda kwamathambo kubantu abathatha amanani aphakeme noma abasebenzisa isikhathi eside. Yingakho ukulandelwa okuzungezile nodokotela wakho kubalulekile; angakwazi ukuhlela uhlelo lokunakekelwa ngokucophelela futhi alishintshe njengoba / uma kudingeka.
Ukuqhathanisa ama-PPIs nabakwa-H2 Blockers
Nakuba bobabili abakhi be-H2 kanye ne-proton pump inhibitors beqeda ukuvinjelwa kwe-gastric acid, kunezindlela eziningana lapho le mithi ehluke khona ezoshukumisa okunconyelwe wena.
| H2 Blockers | Ama-PPI | |
|---|---|---|
| Indlela Abasebenza Ngayo | Abavimba be-H2 bavimbela ngokuphumelelayo i-histamine 2, kodwa akukho okunye okuholela ekukhiqizeni i-asidi. | I-Proton pump inhibitors ikhuluma ngezindlela ezimbalwa ezenza ukuba kusetshenziswe ukukhiqizwa kwe-asidi futhi zibhekwa njengeziphumelela kunabasebenzi be-H2. |
| Ukuthi Basebenza Ngokushesha Kanjani | Abasebenzi be-H2 bavame ukusebenza phakathi kwehora, bephumelela kakhulu phakathi kwamahora amathathu nantathu emva kokuthatha. | I-PPI isebenza kangcono uma kuthathwa amaminithi angu-30 ngaphambi kokudla kwakho noma kwisisu esingenalutho. Uma ulinda ukuwathatha kuze kube yilapho ngaphambi noma ngemuva kokudla, isisu sakho sesivele sikhulule kakhulu i-asidi imithi okufanele iyivimbele. |
| Kude Kanjani Abadlule | Ama-block block angama-H2 angasebenza ngamahora angama-12. | Ama-PPI angadlula amahora angu-24 kuya kwezinsuku ezintathu. |
| Imiphumela emibi ephawulekayo | Ikhanda liwumphumela ovame kakhulu osebenzayo wokusetshenziswa kwe-H2 blocker. | I-proton pump inhibitors ihlotshaniswa nengozi enkulu yokwehlukana kwama-hip . |
Imigomo
Uma izindlela zokuphila zishintsha kanye / noma imithi engaphezu kwe-counter ingasebenzi ukulawula izimpawu zakho ze-GERD, udokotela wakho angakubeka wena noma ingane yakho imishanguzo enamandla kadokotela.
Izinketho ezimbili ezivame kakhulu ziyi-PPIs ne-H2 blockers.
I-Proton Pump Inhibitors (i-PPIs)
Imithi ejwayelekile kakhulu ye-GERD yi-proton pump inhibitors ngoba isebenza kahle kakhulu ekunciphiseni izimpawu kubantu abaningi. I-Protonix (i-pantoprazole), i-Aciphex (i-rabeprazole), ne-Dexilant (dexlansoprazole), kanye nama-PPI atholakalayo ngaphezu kwe-counter njenge-Nexium, Prilosec, Prevacid, ne-Zegrid, atholakale ngogunyaziwe.
H2 Blockers
Udokotela wakho angase anikeze isiphequluli se-H2 esiphezulu kunokuba ungathola ngaphezulu kwe-counter. Le mithi yokwelapha imithi ihlanganisa i-Pepcid AC (i-famotidine), i-Axid AR (i-nizatidine), ne-Zantac 75 (ranitidine) futhi ngokuvamile ishibhile kune-PPIs.
Ezinye izinketho zemithi ezingase zicatshangelwe zihlanganisa:
Prokinetics
I-prokinetics isebenza ngokwenza isisu sakho singabi nalutho ngokushesha. Le mithi ayisetshenzisiwe kaningi futhi ijwayele ukuqondiswa kubantu abane-GERD enengqondo (bona ngezansi). I-prokinetics ingakwazi ukuxhumana neminye imithi, ngakho qiniseka ukuthi utshela udokotela wakho mayelana nakho konke okuthathayo, kufaka phakathi izidakamizwa ezingaphezu kwemithi. Izibonelo zeprokinetics yi-Reglan (metoclopramide) ne-Urecholine (bethanechol). Imiphumela emibi ingase ihlanganise ukunxanxwa, isifo sohudo, ukukhathala, ukucindezeleka, ukukhathazeka nezinkinga ngokunyakaza.
Baclofen
I-Baclofen ingenye imithi odokotela abangase bayisebenzise, ikakhulukazi ye-GERD engamanga. Isebenza ngokuqinisa i-sphincter yakho ephansi (LES) futhi uyivimbe ekuphumuleni njalo. I-Baclofen ingabangela ukucabangela nokukhathala.
Ukuhlinzwa
Uma izimpawu zakho zingaphuthuki ngezinguquko zokuphila kanye nemithi, udokotela wakho angase abheke ukuhlinzwa. Lokhu kungase kube okunye okunye okunengqondo kuze kube yimpilo yonke yezidakamizwa nokungahambi kahle.
I-Fundoplication
Ukuhluka okuqondile okubizwa nge-Nissen fundoplication yindlela yokwelashwa ejwayelekile ye-GERD. Ingxenyeni engenhla yesisu sakho ihlanganiswe nge-sphincter esezansi ephansi (LES) ukuqinisa i-sphincter iphinde ivimbele i-reflux ye-acid, kanye nokulungisa i-hernia yokuzalwa.
Le nqubo yokwenza imali ingenziwa ngokusebenzisa i- laparoscope futhi idinga ukucubungula okuncane kuphela esiswini. Ukwenza i-fundoplication, odokotela abahlinzayo basebenzisa izinsimbi ezincane eziphethe ikhamera encane. I-lapoposcopic fundoplication isetshenziswe ngokuphepha nangempumelelo kubantu beminyaka yonke, ngisho nezinsana. Abantu bangaphuma esibhedlela ngezinsuku ezintathu kuya kwezintathu babuye emsebenzini emasontweni amabili kuya kwamathathu. Lokhu kuvulwa luhlobo oluvame kakhulu olusetshenziselwa i-GERD futhi ngokuvamile luholela ekulawuleni okuhle kwesikhathi eside kwezimpawu ezihlobene.
I-Endoscopic Techniques
Amasu endoscopic, ayenziwa usebenzisa i-endoscope, angasiza ekukhululeni i-GERD ngenani elincane labantu. Enye indlela ibizwa ngokuthi ukuthunga kwe-endoscopic, lapho udokotela ohlinzayo ebeka izigxivizo ku-LES ukuze akhe izikhala ezincane ezisiza ukuqinisa imisipha. I-radiofrequency, lapho ukushisa kudala izilonda eziza ukuqina kwe-sphincter muscle yakho, enye indlela endoscopic engasetshenziswa.
Idivayisi ye-LINX
Le divayisi, eyenziwe ngendandatho yobuhlalu bombane, ihlanganiswe endaweni lapho isisu sakho nesifo esiphansi kuhlangana khona. Ukukhanga kwamagnetic webuhlalu kugcina i-LES yakho ivaliwe, ivimbele i-reflux. Ivumela i-LES yakho ukuba ivule , noma kunjalo, uma ugwinya, uhlanza noma ugibe. Izinzuzo zesistimu ye-LINX ukuthi iyasuswa, ibekezelelwe kahle, futhi ingenasiphithiphithi esingaphansi kwe-fundoplication.
Imithi Ephelele (CAM)
Ngaphandle kokwelashwa kwendabuko, ungakhuluma nodokotela wakho mayelana nokuzama ukwelashwa okunye okungeziwe (CAM) ukuze usize ukukhulula izimpawu zakho, nakuba ubufakazi besayensi bukhulu kakhulu kulezi zindlela.
I-Melatonin
Ucwaningo luye lwabona ukuthi i-melatonin, etholakala esiswini nasemathunjini, iyasebenza kakhulu ekuphatheni izimpawu ze-GERD. Ucwaningo olulodwa lwathola ukuthi amazinga e-melatonin kubantu abane-GERD nezilonda zaziphansi kunabantu abanempilo. I-Melatonin ingase isebenze ukusiza ukuqinisa i-LES, ukunciphisa i-reflux ye-asidi. Kungase isebenze ngokukhethekile uma ihlanganiswa nemithi ejwayelekile ye-GERD. I-Melatonin iphephile uma nje uyithatha ngamanani aphansi futhi ingasetshenziswa isikhathi eside ngezingcosana uma kukhona, nemiphumela emibi.
I-Acupuncture
Ucwaningo oluthile lokuphatha i-GERD nge-acupuncture lubonise ukuthi lungasebenza ekunciphiseni izimpawu. Lokhu kubonakala kuyiqiniso ikakhulukazi ekufakeni i-electroacupuncture, okuyilapho lapho kusetshenziswa khona ugesi kagesi kanye nezinaliti. Njengoba ukukhishwa kwesikhumba kuphephile, kungase kudingeke ukuhlolisisa nodokotela wakho phambili.
Ukuphumula
Izindlela zokuphumula zokuphumula zingasiza ukuthuthukisa izimpawu zakho ze-GERD ngokunciphisa ukucindezeleka kusukela ukucindezeleka okuningi kungenza izimpawu zakho zibe nzima nakakhulu. Izinhlobo zokwelashwa ongazihlola zihlanganisa izithombe eziqondisiwe, ukuzindla, i-yoga, ukusikhipha umzimba, ukuphefumula okujulile nokuphumula kwemisipha eqhubekayo.
Hypnotherapy
Izifundo zilinganiselwe, kepha i-hypnotherapy ingaba usizo ekunciphiseni izimpawu ze-GERD. I-hypnotherapy ibuye ikhulise ukukhathazeka futhi ithuthukise izinga lokuphila.
Izifo Zemithi
Kukhona ubufakazi obuncane besayensi ukuthi izindlela zokwelapha izidakamizwa ziphatha izimpawu ze-GERD, kodwa kukhona amakhambi abantu abathi bayasiza ekunciphiseni i-reflux yabo ye-asidi. Impande ye-Licorice yilapho izifundo ezibonisiwe zisiza kusiza ukunciphisa i-acid reflux. Ungase futhi uzame i-chamomile (gwema uma une-allergies), i-ginger, nomsuka we-marshmallow.
Izimo ezikhethekile
Ukwelashwa kwabantwana kanye nabantu abane-GERD engabonakali bangaphambukela kokwelashwa kwendabuko.
I-GERD engenayo
Ezinye iziguli ziqhubeka zinezimpawu ze-GERD naphezu kokuphathwa okujwayelekile ngeproton pump inhibitors. Sinokuthi yini eyaziwa ngokuthi isifo se-reflux se-gastroesophageal refractory (i-GERD engamanga). Iziguli ezithola i-GERD engenazo zivame ukuwela kwelinye lamacembu amabili: Labo abadinga ukwelashwa okungaphezu kokuhlukumezeka, nalabo abanezinye izimbangela zezimpawu zabo ze-reflux.
Ukufuna ukwelashwa okunamandla akusho ukuthi ukhetho lwakho olulodwa kuphela ukuhlinzwa. Eqinisweni, labo abanemiphumela emihle evela ekuhlinzekeni okuphikisana no-reflux yilabo ababesabela ngaphambi kwemithi. Iziguli ezithintekayo aziphenduli kahle nokuhlinzwa okulwa no-reflux. Lokhu, kodwa, akusho ukuthi ukuhlinzwa, njengokuxhaswa kwezimali, ngeke kube inketho. Udokotela wakho uzolinganisa izingozi kanye nezinkinga zokuhlinzwa ngokumelene nezinzuzo ezingenzeka futhi uxoxe nawe ukuthi ukuhlinzwa kungcono yini.
Ezinye iziguli aziphenduli kahle emithwalweni yendabuko yama-PPIs, kanti udokotela angase acabangele ukwandisa umthamo, kanye nokuba neziguli zibuyele kokuphindwe kabili kwansuku zonke kunalokho okujwayelekile uma kwenzeka ngosuku. Ukuthatha i-block ye-H2 ngaphambi kokulala kukhonjisiwe ukusiza ngezimpawu futhi.
Odokotela bangase bacele iBlolofen noma iprokinetic, njenge-Reglan, ngaphambi kokudla nangaphambi kokulala ukuze kusize ukunciphisa ingozi ye-acid reflux.
I-GERD engenalutho ayivamile. Uma uqhubeka nokubonakaliswa izimpawu ze-reflux naphezu kokwelashwa, kufanele ukhulume nodokotela wakho. Ukuxoxa ngohlobo lwezimpawu ezitholakale, ukuvama kwazo, kanye nokugcina ithrekhi yezinhlaziyi ze-reflux ezingakusiza kuzokusiza wena nodokotela wakho ukuthola uhlelo olufanele lwezokwelapha.
Izinsana
Ukwelashwa kwengane ye-reflux kuncike ebukhulu bezinkinga. Udokotela wengane yakho angase anqume ukuthi akukho ukwelashwa okudingekayo nokuthi i-reflux izokwenyuka yedwa njengoba ingane yakho ikhula. Ezinganeni eziningi, i-reflux ixazulula ngokwayo ngonyaka wokuqala wokuphila. Uma ingane yakho iphilile, ijabule futhi ikhula, udokotela wakho angancoma izinguquko ezimbalwa zokuphila ukuze unciphise inkinga ye-reflux.
Uma i-reflux ingathí sina, noma uma ingane yakho itholakala ukuthi i-GERD, udokotela wakho angase anikeze imithi engaphezu kwe-counter noma imithi kadokotela echazwe ngenhla. Kubaluleke kakhulu ukuxoxa ngezindlela zokwelashwa ze-acid reflux nodokotela wengane yakho ngaphambi kokuqala noma iyiphi indlela yokwelashwa, ikakhulukazi ngaphambi kokusebenzisa i-remedy-counter-remedy.
Nazi ezinye izindlela zokusiza ukunciphisa ukukhathazeka kwengane yakho:
- Nika ukudla okuncane, okwedlula njalo. Ukondla njalo amahora amabili kuya kwamathathu lapho umntwana wakho ephapheme uzonciphisa ukuvela kwe-reflux esiswini. Ukweqa ngokweqile kungakhuphula ingcindezi yesisu, okungabangela reflux.
- Bamba ingane yakho iqondile. Gcina izinsana ziqonde ngesikhathi sokudla futhi okungenani imizuzu engu-30 ngemuva kokuphakelayo. Lokhu kuzokwehlisa inani le reflux esiswini.
- Vula ingane yakho njalo. Ukubholisa ingane yakho izikhathi eziningana ngesikhathi sokudla kuzosiza ukunciphisa ukucindezeleka kwesisu, futhi i-reflux ingabangela. Ukulinda ukugubha usana lwakho kuze kube yilapho esenesisu esiphelele singandisa amathuba okuphindaphinda.
- Zama i-rice cereal. Ukondla i-rice cereal ingane yakho kunganciphisa inani elizolibuyisela. Qala nge-isipuni ye-rice okusanhlamvu ku-ounce ngayinye yefomula. Uma ingane yakho ibelethwe ngamabele, zama ukupompa bese ufaka uketshezi welayisi ebisi lwebele.
- Uma uncelisa, bukela ukudla kwakho. Ukudla okunye, okufana ne-caffeine, ushokoledi, ne-garlic kungakhuthaza i-reflux, ngakho-ke uma uncelisa ingane yakho, kufanele ucabange ukusika lezi zokudla ngaphandle kokudla kwakho.
- Qaphela isimo sokulala ebusuku. Beka usana lwakho emhlane wakhe, bese uphakamisa ikhanda lombhede wama-30 degrees. Ukuvuthwa komzimba kuzosiza ukugcina okuqukethwe kwesisu lapho kungabakho khona.
- Sebenzisa izisekeli esihlalweni semoto. Indlela ingane yakho ehlelwe ngayo esihlalweni semoto ingabangela ukuphindaphinda kwanda. Uma edlula, ibangela ukucindezeleka kwesisu, okwandisa ingozi ye-reflux. Ukusebenzisa ukwesekwa okulula ukugcina ingane yakho iqotho izovimbela lokhu.
- Gqoka ingane yakho ngokucophelela. Gwema ukuqina okuqinile emgqeni wengane yakho, futhi ugcine izindiza zivulekile.
> Imithombo:
> Katz PO, Gerson LB, Vela MF. Ukuxilongwa Nokuphathwa Kwezifo Ze-Reflux Ye-Gastroesophageal. I-American Journal of Gastroenterology. Mashi 2013; 108 (3): 308-28. doi: 10.1038 / ajg.2012.444.
> Abasebenzi beMayo Clinic. Izifo ze-Reflux ze-Gastroesophageal (GERD). I-Mayo Clinic. Kubuyekezwe ngomhla ka-9 Mashi, 2018.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. Ukwelashwa kwe-GER ne-GERD. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kushicilelwe ngoNovemba 2014.
> Shin JM, Kim N. Pharmacokinetics kanye ne-Pharmacodynamics ye-Proton Pump Inhibitors. I-Journal ye-Neurogastroenterology ne-Motility . 2013; 19 (1): 25-35. doi: 10.5056 / jnm.2013.19.1.25.
> Yeh Z. Ingabe i-Apple Cider Vinegar Ephumelelayo Yokunciphisa Izimpawu Zokushaya Inhliziyo Ehlobene Nezifo Zesifo Se-Reflux Se-Gastroesophageal? I-Arizona State University. Kushicilelwe ngo-Agasti 2015.