Ukwelashwa Okuphezulu Kokuphefumula Kwesifo

Ukwelapha Kuvame Ukubandakanya Bobabili Izinguquko Zokuphila NeMithi

Uma unesifo esibuhlungu esingapheli , kubalulekile ukwazi ngolwazi lokuphatha kahle. I- reflux ye-asidi engabonakali ingaholela ezinkingeni ezifana nomdlavuza wokuqeda .

Uhlu olulandelayo ngezindlela eziyisishiyagalombili ezisetshenziswa kakhulu zokwelapha i-acid reflux. Yiqiniso, kubalulekile ukuthi uxoxe nganoma iyiphi indlela yokwelashwa nodokotela wakho kuqala.

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Izinguquko zokuphila

Njengengxenye yokwelashwa kwakho kwe-acid reflux, cishe udokotela wakho uzosikisela ukuthi impilo eyodwa noma ngaphezulu ishintshe noma ngaphambi kokucubungula imithi noma ngokuhambisana nemithi, njenge- Block H2 noma i-proton pump inhibitor .

Kubaningi balabo abanenkinga yokuguquka, ukuguqulwa okubaluleke kakhulu kokuphila kuyisisindo sokulahlekelwa isisindo (uma kunamafutha ngokweqile noma okugqamile). Ukuzuza okunamandla okusheshayo nakho kungabangela ukuguquka kwenhliziyo. Ukuyeka ukubhema nokukhawulela noma ukuyeka utshwala nakho kuyasiza.

Okuningi

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Ukuguqulwa kokudla

Kube khona ingxabano ngokuqondene nokuthi ukudla kungabangela noma kubangele ukushisa kwenhliziyo. Yize kunzima ukufakazela ngokwesayensi, abantu abaningi abanezinkinga zokuphuza izinhliziyo bahlanganisa izimpawu zabo kokudla noma iziphuzo ezilodwa noma ngaphezulu, ikakhulukazi ushokoledi, i-caffeine, ukudla okunezinongo, ama-citrus kanye neziphuzo ze-carbonated. Ngakho-ke, kubalulekile ukuthi abantu abanesifo senhliziyo beqede noma banciphise lezi zokudla neziphuzo ezidlweni zabo. Uma kuthiwa, kufanele wenze lokhu ngaphansi kokunakekelwa kukadokotela wabo ukuqinisekisa ukuthi awukwenqabeli kakhulu.

Okuningi

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I-Histamine Receptor Antagonists (i-H2 blockers)

Abavukuzi be-H2, njenge-proton pump inhibitors, banciphisa inani le-asidi esiswini, kepha ngendlela ehlukile. Baqala ukusebenza kungakapheli ihora lokuyithatha. Ngezinye izikhathi udokotela angase ancoma i-blocker ye-H2 yokwelashwa kwesikhashana kwe- gluroesophageal reflux isifo (GERD). Ama-block block H2 asetshenziselwa ukuphatha ezinye izimo ezihlobene ne-asidi njenge- peptic ulcer isifo .

Okuningi

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Ama-Antacids

Ama-anatacids ayatholakala ngaphezu kwe-counter futhi ayinamandla njenge-blockers H2 noma i-proton pump inhibitors. Uma kuthiwa, uma isetshenziswe kahle, i-antiacids ingasiza ekunciphiseni ukugubha nokuphuza kwesinye isikhathi. Noma kunjalo, kungcono kakhulu uma uvimbela ukushaya kwenhliziyo ukuthi kwenzeke endaweni yokuqala, kunokuba uphathe ukushaya kwenhliziyo ngemva kokuba kwenzeke.

Okuningi

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I-Proton Pump Inhibitors

I-Proton pump inhibitors (i-PPIs) yiqembu lemithi evimbela ukukhululwa kwe-asidi esiswini nasemathunjini. Odokotela bahlinzekela ama-PPIs ukuphatha abantu ngenhliziyo (i-acid reflux), izilonda zesisu noma amathumbu, noma isisu esiswini esiningi ( iZollinger-Ellison Syndrome ). Amanye ama-proton pump inhibitors ayatholakala ngaphezu kwe-counter kodwa amanye atholakale ngodokotela kuphela. Ukunamathela kumthamo onqunyiwe nokuthatha i-PPI yakho ngesikhathi esifanele (imizuzu engama-30 kuya kwangu-60 ngaphambi kokudla) kubalulekile ukuba isebenze kahle.

Okuningi

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Izifo zasekhaya

Kubantu abathile abane-reflux engapheliyo, bafuna indlela engokwemvelo yokwelashwa kwabo, ikakhulukazi uma bebekwe imithi isikhathi esithile. Lezi zinketho zivela ezigabeni zomuntu kanye ne-homeopathic kuya ekudleni okunempilo kanye nezinguquko zendlela yokuphila.

Okuningi

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Ukuhlinzwa kwe-Fundoplication

Indlela yokuhlinzwa yokwelapha i-GERD yi-laparoscopic fundoplication, okubandakanya ukwakha "i-valve" emisha phakathi kwesisu nesisu ngokumboza ingxenye engenhla yesisu (i-fundus) eseduze nechweba eliphansi kunazo zonke.

Okuningi

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Inkambiso yenqubo

Inqubo ye-Stretta iyindlela evunyelwe yokugula kwe-reflux ye-gastroesophageal kubantu abadala abaye babe nezibonakaliso ezinyangeni eziyisithupha noma ngaphezulu, abatholi noma yikuphi ukuhlomula okuncane okuvela emithonjeni yendabuko ye-GERD (njengeproton pump inhibitors), futhi benqabe ukuhlinzwa noma abahlinzeki ukhetho.

Le nqubo yenziwa ngesikhathi sokugcina i-endoscopy futhi ihlanganisa ukusebenzisa amandla omswakama we-radius ohlinzekwa emisipha ye- sphincter ephansi ne-gastric cardia (engxenyeni enkulu yesisu).

> Imithombo:

> Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuxilongwa nokuphathwa kwesifo se-reflux se-gastroesophageal. Am J Gastroenterol 2013; 108: 308-28.

> I-Triadafilopoulos G. Stretta: Indlela yokuphatha yokwelapha endoscopic evumelekile yesifo se-reflux yesisu se-gastroesophageal. I-World J Gastroenterol . 2014 Jun 28; 20 (24): 7730-38.

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