Umhlahlandlela wakho ku-GERD

Isifo se-reflux se-gastroesophageal, noma i-GERD, senzeke lapho isisindo esincane esingaphansi kwe-sphincter (LES) singavali kahle kahle futhi isisu sesisu siphumelele emuva, noma sichitheke, sibheke. I-LES iyisigqoko semisipha ngaphansi kwesimiso esenza njenge-valve phakathi kwesisu nesisu. I-esophagus ithwala ukudla okuvela emlonyeni kuya esiswini.

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Kuyini i-GERD?

Uma i-refluxed isisu isithinta umbhede we-esophagus, ibangela ukuzwa okuvuthayo esifubeni noma emphinjeni okuthiwa i-heartburn. I-fluid ingahle ibonwe ngemuva komlomo, futhi lokhu kuthiwa yi-acid indigestion . Ukuphuza ukuphuza kwesinye isikhathi kuvamile kepha akusho ukuthi umuntu unayo i-GERD. Ukuphuza komlilo okwenzeka okungaphezu kokuphindwe kabili ngesonto kungabhekwa njengeGERD, futhi ekugcineni kungaholela ezinkingeni zezempilo ezingathí sina.

Noma ubani, kuhlanganise nezingane, izingane, nabesifazane abakhulelwe, bangaba ne-GERD.

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Yini ebangela i-GERD

Akekho owazi ukuthi kungani abantu bethola i-GERD. I-hernia yokuzala ingase ibe negalelo. I-hernia yokubeletha kwenzeka lapho ingxenye engenhla yesisu ingaphezu kwe-diaphragm, udonga lwe-muscle oluhlukanisa isisu kusuka esifubeni. I-diaphragm iyasiza i-LES ukugcina i-asidi ekukhuphukeni. Uma i-hernia yokubeletha ikhona, kulula ukuba i-asidi ifike. Ngale ndlela, i-hernia yokubeletha ingabangela i-reflux. I-hernia yokuzala ingenzeka kubantu banobuphi ubudala; abaningi abantu abanempilo engaphezu kuka-50 banempilo encane.

Ezinye izici ezingase zibe nomthelela ku-GERD

• ukusetshenziswa kotshwala
• ukwedlula ngokweqile
• ukukhulelwa
• ukubhema

Ukudla kungahlotshaniswa nemicimbi ye-reflux, kufaka phakathi:

• izithelo zase-citrus
• ushokoledi
• iziphuzo nge-caffeine
• ukudla okunamafutha nokuthosiwe
• ugarlic kanye anyanisi
• i-mint flavorings
• ukudla okumnandi
• ukudla okutholakala utamatisi, njengosawoti we-spaghetti, i-chili, ne-pizza

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Izimpawu ze-GERD

Izimpawu ze-GERD zifaka:

• Ukuphefumula okuqhubekayo kanye ne-acid yokuphindaphinda.
• Lezi yizibonakaliso eziyinhloko GERD, nakuba abanye abantu baneGERD ngaphandle kokukhwabanisa. Izimpawu zokukhwabanisa zihlanganisa:
• Umzwa ovuthayo uqala esifubeni ngemuva kwesifuba (i-sternum) eyenzeka ngemva kokudla futhi ingahlala imizuzu embalwa emahoreni amaningana
• Ukulala phansi nokuguqa phezu kaningi kwenza izimpawu zibi nakakhulu.
• Izimpawu zivame ukubi kakhulu ngokudla ukudla
• Ukuvutha emqaleni
• Ukunambitheka okunomsoco noma okubabayo emlonyeni
• Ukuhlunga kungaba nzima
• Ukubheka
• Ukukhwehlela okungapheliyo
• Ukuthuthumela
• Ukulahlekelwa kwezwi ngaphandle kwesizathu esicacile
• Ukugaya noma ezinye izimpawu ezifana ne-asthma
• I-antacid ivame ukunikeza usizo
• Uma usana lukhahlela noma luphonsa cishe njalo lapho edla futhi lubonakala lukhuni, usana lungase lube ne-reflux yesisu
• Izimpawu zokukhwabanisa zivame ukungalungi ngenxa yezibonakaliso zesifo senhliziyo. Ubuhlungu obuvela enhliziyweni buvame ukwenziwa kabi kakhulu ngomsebenzi wokuzivocavoca, kodwa ukukhwabanisa akuvamile kubangelwa umsebenzi wokuzivocavoca. Kodwa-ke, uma ucabanga ukuthi unesifo senhliziyo, noma awuqiniseki, kubalulekile ukuthi uye ekamelweni eliphuthumayo ngokushesha.
• Ubuhlungu esifubeni
• Ukuthuthumela ekuseni
• Inkinga igwinya
• Kungathi uzizwe sengathi ukudla kunamathele emqaleni
• Ukuzizwa kwenhliziyo
• Ukuqhubeka nokukhwehlela owomile
• Umoya omubi

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Ukubona i-GERD

Lezi zivivinyo ezilandelayo zenziwa njalo uma uzama ukuxilonga i-GERD.

I- radium yokugwinya i-radiograph isebenzisa imisebe yama-x ukuze kusize ukungalingani okufana ne-hernia yokuzalwa kanye nokuvuvukala okukhulu kwe-esophagus. Ngalesi sivivinyo, uphuza isisombululo bese u-x-ray uthathwa. Ukucasuka okuncane ngeke kubonakale kulolu vavanyo, nakuba ukugxilwa kwesimiso - okuthiwa isisindo - izilonda, i-hernia yokuzalwa, nezinye izinkinga.

Endoscopy ephezulu isenziwa esibhedlela noma ehhovisi likadokotela. Udokotela uzosifiphaza umphimbo wakho ukuze awuphazamise futhi ahlahlele phansi ithambo leplastiki elincane eliguquguqukayo elibizwa ngokuthi i-endoscope. Ikhamera encane ku-endoscope ivumela udokotela ukuthi abone ubuso be-esophagus futhi afune izinto ezingavamile. Uma uye waba nezibonakaliso ezinomthelela ezinzima futhi le nqubo ibonisa ukulimala ku-esophagus, ngokuvamile akukho ezinye izivivinyo ezidingekayo ukuqinisekisa i-GERD.

Esikhathini sokuhlolwa kokuhlolwa kwe-pH yokugada, udokotela ubeka ithubhu elincanyana engxenyeni ezohlala khona amahora angu-24. Ngenkathi uhamba ngemisebenzi yakho evamile, ithola ukuthi nini futhi ingakanani i-asidi ekhuphuka endaweni yakho. Lokhu kuhlolwa kuwusizo kubantu abanezimpawu ze- GERD kodwa akukho monakalo wokuqeda amandla. Le nqubo ibuye iseze ekutholeni ukuthi izimpawu zokuphefumula, kuhlanganise nokuvuthwa nokukhwehlela, zibangelwa yi-reflux.

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Ukwelapha i-GERD

Izindlela Zokuphila Zokuguqula I-GERD

• Uma ubhema, hamba.
• Ungaphuzi utshwala.
• Yehlisa isisindo uma kudingeka.
• Yidla ukudla okuncane.
• Gqoka izingubo ezizimele.
• Gwema ukulala phansi amahora amathathu emva kokudla.
• Phakamisa ikhanda lombhede wakho ngamasentimitha angu-6 kuya kwangu-8 ngokufaka izikhuni ngaphansi kwezinsiza zokulala - ukusebenzisa nje imithwalo engaphezulu ngeke kusize.

Imithi Udokotela wakho angase ancoma ama-antacids angaphezu kwe-counter, ongayithenga ngaphandle kwemithi kadokotela, noma imishanguzo eyeka ukukhiqizwa kwe-asidi noma ukusiza izidumbu ezingenalutho esiswini sakho.

Ama-antacids , afana ne- Mylanta nama- Tums ngokuvamile ayimithi yokuqala ephakanyisiwe ukunciphisa ukushaya kwenhliziyo nezinye izimpawu ze-GERD ezincane.

Abakhi be-H2 , njenge- Tagamet HB (cimetidine), i- Pepcid AC (i-famotidine), i- Axid AR (i-nizatidine), ne- Zantac 75 (ranitidine), i-impede acid production. Zitholakale emandleni kadokotela kanye nangaphezulu. Zisebenza cishe ingxenye yalabo abanezimpawu ze-GERD.

I-Proton pump inhibitors ihlanganisa i- Prilosec (i-omeprazole), i- Prevacid (i-lansoprazole), i- Protonix (i-pantoprazole), i- Aciphex (i-rabeprazole), ne- Nexium (esomeprazole), etholakala yonke imithi. Ama-proton pump inhibitors asebenza kahle kunabasebenzi be-H2 futhi aboniswe ukukhulula izimpawu kubantu abaningi abane-GERD.

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Uma Izimpawu Ziqhubeka

Uma izimpawu zingaphuthuki ngezinguquko zokuphila kanye nemithi, udokotela wakho angase abheke ukuhlinzwa. Ukwelashwa kuyindlela lapho ukwelashwa nemithi yokuphila ingasebenzi. Ukwelashwa kungase kube okunye okunye okungaqondakali kuze kube yimpilo yonke yezidakamizwa nokungahambi kahle.

Ukuxhaswa kwezikhwama , ngokuvamile ukuhlukahluka okuhlukile okuthiwa yi-Nissen fundoplication, kuyindlela yokwelashwa ejwayelekile ye-GERD. Ingxenyeni engenhla yesisu ihlanganiswe i-LES ukuqinisa i-sphincter nokuvimbela i-reflux ye-acid nokulungisa umlando wakhe wokubeletha.

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. Lapho kwenziwa odokotela abahlinzayo abanolwazi, inqubo ibikwa ukuthi ihamba kahle njengesikhwama semali ejwayelekile. Ngaphezu kwalokho, abantu bangaphuma esibhedlela ezinsukwini ezingu-1 kuya kwezingu-3 bese babuyela emsebenzini emasontweni amabili kuya kwangu-3.

Ngo-2000, i-US Food and Drug Administration (FDA) yamukele amadivaysi amabili endoscopic ukuphatha ukuphefumula okungapheliyo. Uhlelo lwe-Bard EndoCinch lubeka iziqu ku-LES ukudala izikhala ezincane ezisiza ukuqinisa imisipha. Uhlelo lwe-Stretta lusebenzisa ama-electrode ukwenza ukusikeka okuncane ku-LES. Lapho izikebhe ziphulukisa, izicubu ezibomvu zisisiza ukucindezela imisipha. Imiphumela yesikhathi eside yalezi zinqubo ezimbili aziwa.

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Izinkinga ze-GERD ende

Ukwehla kwesibindi eside, ikakhulukazi uma kungaphathwa kahle, kungaholela ezinkingeni. Lezi zinkinga zihlanganisa:

• I-Esophagus kaBarrett
  Izifundo zibonise ukuxhumana phakathi kwe- Gastroesophageal Reflux Disease kanye nesifo sikaBarrett esingase sikholele kunhlobo lomdlavuza ongavamile kepha obulalayo obizwa ngokuthi i-adenocarcinoma esophageal.
• I-Cancer Esophageal
  Labo bantu abanesifo se-Reflux Gastroesophageal kanye nesifo se-Barrett basengozini enkulu yokuthuthukisa umdlavuza we-esophageal. I-adenocarcinoma esophageal ngumdlavuza okhula ngokushesha kunazo zonke emhlabeni wesentshonalanga.
• I-Esophagitis Eyingozi
  I-esophagitis ukuvuvukala nokuvuvukala kwendwangu yesigcawu. Ngokuvamile kubangelwa isifo se-reflux ye-gastroesophageal (ukushaya inhliziyo).
• Izilinganiso ze-Esophageal
  Ukuqina okulinganiselwe kuyinkimbinkimbi yesimiso. Kuyenzeka lapho izicubu ezibomvu zakha endaweni. Njengoba i-esophagus ayiklanyelwe ukusingatha okuqukethwe kwe-stomach refluxed, ngakho-ke uma i-reflux ingavamile, izicubu ezibomvu zingase zifake futhi ziholele ekunqumeni.

Kodwa-ke, kukhona izinyathelo eziyisithupha ongazithatha ezinganciphisa amathuba akho okuthuthukisa enye yalezi zinkinga.

• Yenza izinguquko ezidingekayo zokuphila
• Buka lokho okudlayo
• Gcina ithrekhi yezinkinga zakho zenhliziyo
• Funda indlela yokuvimbela ukushaya kwenhliziyo ngaphambi kokuba kwenzeke
• Nciphisa ukukhwabanisa ebusuku
• Thatha imithi enqunyiwe

Ukuze uthole ukwaziswa okuningiliziwe ngalezi zinyathelo zokuvimbela, sicela ufunde 6 Izinyathelo Zokuvimbela Izinkinga Ezihlobene Nezinhliziyo

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Ukudla Okuhle / Ukudla Okubi

Udinga ukwazi ukuthi yikuphi ukudla okuphephile, futhi ugweme ukudla okungabangela ukushaya kwenhliziyo yakho. Udinga ukwazi ukuthi ungalungisa kanjani ukudla kwakho ukuze ugweme ukukhwabanisa-okubangela izithako.

Ukudla Okuphephile Kokuhlupheka Kwezinhliziyo
Ukudla okubalulwe kuleli tafula yizinto zokudla ezivame kakhulu ezivame ukuphepheka kakhulu kubantu abanenkinga yokugula.

Ukudla Kulungile Kokulinganisela
Ukudla okubalulwe kuleli tafula ukudla okungenzeka ujabulele ngezikhathi ezithile, ngokulinganisela.

Ukudla Ukugwema
Ukudla okubalulwe kuleli tafula yizinto zokudla ezivame kakhulu ezikwazi ukukhiqiza ukuphuza.

Ukupheka Kwabahluphekayo Abaphethwe Inhliziyo
Lezi zokupheka ezizosiza abanenkinga yokuphefumula zilungiselela ukudla okuzosiza ekugayeni kahle. Akuyona nje ukudla okukhethayo okukusiza nge-heartburn. Kubalulekile futhi ukuthi ukudla kulungiselelwe kanjani. Izigaba zokupheka zihlanganisa:

• Izinkwa
• Ukudla kwasekuseni
• I-Desserts
• Izitsha Eziyinhloko
• I-Pasta
• AmaSaladi
• Ukudla okusemaceleni
• Ukuncintisana
• Amasobho, ama-Stews, nama-Sauces

Amalungiselelo Okudla Abaphethwe Inhliziyo Yokushisa Inhliziyo

Amasonto onke - Index
Lezi ziqeshana zihlelwe ngeSonto ngoMgqibelo. Lezi yiziphakamiso kuphela, hhayi ukudla okuphela ongakwazi ukukudla. Ungangeza noma ususe ukudla ngokuvumelana nezintandokazi zakho nokuthi yini engase ingabi yizinkinga zakho zokushaya inhliziyo.

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Ukuhlala ne-GERD

Yidla ukudla okuncane okungu-6 esikhundleni sokudla okungu-3 okukhulu.
Lokhu kugcina isisu sakho singagcini kakhulu, futhi sinciphise ukucindezeleka kwesisu.

Ungadli noma uphuze lutho okungenani amahora amabili ngaphambi kokulala.
Ukulala phansi ngesisu esigcwele kwandisa amathuba okudla okune-refluxed.

Gwema ukudla okungabangela ukushaya kwenhliziyo yakho.
Kunezinto zokudla eziningana neziphuzo ezingabangela ukushaya kwenhliziyo yakho, mhlawumbe ngokukhulisa ukukhiqizwa kwe-asidi nokucindezela kwesisu noma ngokukhulula isisindo esiphansi se-sphincter.

Gwema utshwala.
Utshwala landisa ukukhiqizwa kwesisu esiswini. Utshwala luphinde luphinde lusehlise i-sphincter esezansi ephansi (LES), evumela i-acid reflux.

Sebenzisa i-antacid.
Ama-Antacids azosebenza ngokushesha kakhulu ekuphukeni kwenhliziyo. Udokotela wakho angase asiphakamise ukuthatha i-H2 blocker, esebenza kuze kube amahora angu-12. Njengoba bathatha ihora elilodwa noma ngaphezulu ukuze baqale ukusebenza, udokotela wakho angase asiphakamise ukuthatha i-blocker ye-H2 inhlanganisela ne-antacid. Uma ungatholi impumuzo kulawa, udokotela wakho angase anikeze i-proton pump inhibitors.

Hlala ngekhanda lakho namahlombe aphakanyisiwe.
Njengoba ikhanda liphakeme kunesisu, amandla adonsela phansi akusiza ukunciphisa lokhu kucindezela, futhi ugcina okuqukethwe kwesisu lapho kungabakho - esiswini.

Ungabhemi.
Ukubhema kubangela ukukhiqizwa kwesisu esiswini.

Nethezeka.
Ngenkathi ukucindezeleka kungakaxhunywanga ngokuqondile, kuyaziwa ukuthi kungaholela ekuziphatheni okungabangela ukushisa kwenhliziyo. Landela lezi zeluleko zokuphumula ukuze unciphise ukucindezeleka.

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Imithombo yolwazi

I-Informational Links:

• Ukuvimbela Ukuphuza Kwesifo Sebusuku
• Ukuvimbela Ukuguquka Kwesifo Phakathi Nokukhulelwa
• Ukusekela Abahluphekayo Abanhliziyo Yokushisa: I-Bed Wedges
• Izinsana ne-reflux ye-asidi
• Izingane kanye nentsha ene-acid reflux
• Izinkinga ze-GERD

Ukudla Ukusiza:
Lolu lwazi lwaklanyelwe ukuhlukunyezwa okungapheli kwesifo senhliziyo. Kungumqondo omuhle ukuxoxa ngalokhu nodokotela wakho.

• Ukudla okuphephile kwabaphethwe yizinhlungu
• Iziguli eziphethwe ukugaya ukudla kufanele zigweme
• Iziguli ezidla ukugaya ukudla zingadla ngokulinganisela
• Ukudla umhlahlandlela wezinkinga zokuhlukunyezwa
• Amamenyu asekuseni amancane asetshenziswayo abahlukumezekayo
• Amamenyu wesidlo sakusihlwa sokugulisa izinkinga
• Amamenyu we-dinner yesidlo sezinkinga zokucindezeleka