Izimbangela eziyinhloko zibandakanya ukukhwabanisa noma i-GERD
Uma okuqukethwe kwesisu sakho kugxila emuva ku-esophagus bese ufinyelela ngemuva komphimbo wakho, ungabona ukunambitheka okumuncu emlonyeni wakho. Lokhu kungase kube ngenxa yesimo esingapheli esaziwa ngokuthi isifo se-reflux ye-gastroesophageal (GERD), lapho i- sphincter esezansi ephansi (i-LES) ivula ngokungalungile futhi ivumela isisu esiswini ukuba siphindele emuva esihlokweni.
Yeka indlela Ukuguquka Kwesifo Esibuhlungu Kwenzeka
Ngokujwayelekile, i-LES isebenza njenge-valve yendlela eyodwa, evulekile ukuvumela ukudla kudlule esiswini bese ivala ukugcina ukudla nokugaya amaju kusukela ekuziphenduleleni emuva. Kodwa uma i-LES igxeka lapho kungenjalo noma uma iba buthakathaka, isisu se-asidi singakwazi ukugeleza emuva emuva, bese kubangela ukuzwa okuvuthayo esikuzwayo njengokuphuza umoya futhi ngezinye izikhathi ukunambitheka okumuncu emlonyeni wakho. Uma une-heartburn okungaphezu kokuphindwe kabili ngesonto kwamasonto ambalwa, kungaba uGERD futhi kufanele uxhumane nodokotela wakho.
Izinkinga zokuphuza izinhlungu
Ukuguquka komlilo, owaziwa ngokuthi i-reflux ye-gastroesophageal (GER), kungenzeka ngezizathu eziningana. Izinzuzo ezingabangela ukuguquka kwenhliziyo zihlanganisa:
- Ukudla ukudla okuvame ukubangela ukuqubuka kwenhliziyo, njenge-chocolate, umquba, nokudla okunomsoco njengezitamatisi nezithelo ze-citrus
- Ukuphuza utshwala
- Ugwayi ugwayi
- Ukukhulelwa
- Ukuba ngokweqile
Ezinye izimpawu ze-GERD
Ngaphezu kokunambitheka okumuncu emlonyeni wakho, ungase uhlangabezane nalezi ezinye izimpawu ze-GERD :
- Ubuhlungu besifuba. Ngokuvamile lobu buhlungu buqala ngemuva kwesifuba (i-sternum) futhi lungase lufike emphinjeni. Ngokuvamile kwenzeka ngemva nje kokudla futhi kungahlala emaminithini ambalwa kuya emahoreni amaningana. Kubalulekile ukukhumbula ukuthi ngezinye izikhathi ubuhlungu besifo senhliziyo bungavumelaniswa nobuhlungu obuvuthayo beGERD, futhi kubalulekile ukufuna usizo lwezokwelapha uma kukhona ukungabaza ngokuthi yini ebangela ubuhlungu besifuba.
- Ukuthuthumela ekuseni. Uma uzwa isisu se-asidi isifinyelela emqaleni, umphimbo wakho ungathukuthela, uholele ekuthumeni.
- Kunzima ukugwinya. Ukukhathazeka ngokugwinya (i- dysphagia ) kwenzeka lapho ukudla kungadluli ngendlela evamile emlonyeni ngokusebenzisa isisu kuya esiswini. Kungase kube nesisindo sokudla okunamathela emphinjeni noma umuzwa wokuchofoza. Ukugula okunzima kufanele kuhlolwe njalo ngudokotela.
- Ukuqhubeka nokukhwehlela owomile. Kwezinye izifundo, i-GERD yabhalwa ngamaphesenti angama-41 amacala okukhwehlela okungapheli kwiziguli ezingenakudliwa. Uma i-refluxed isisu yomzimba iphefumula, ingabangela ukukhwehlela.
- Umoya omubi. Uma i-asidi evela esiswini ifika emphinjeni nasemlonyeni, hhayi kuphela lokhu kungabangela ukunambitheka okumuncu, kodwa umoya ophefumulayo ungabangela.
Okufanele Ukwenze Ngokuthinta Inhliziyo
Uma unenkinga yokuphefumula okungapheli , kufanele ukhulume nodokotela wakho ukuze uxoxe ngezinhlelo zokwelashwa ezikusebenzelayo. Odokotela bavame ukuphakamisa ukushintsha kokuphila kuqala. Ungaphinde unciphise amathuba akho okubamba ukushaya kwenhliziyo okwenzeka ngokugwema ukudla okungabangela ukuphuza kwenhliziyo nokufunda indlela yokulala ukuvimbela ukukhwabanisa ebusuku .
Uma lezi zinyathelo zingasebenzi ukulawula ukushaya kwenhliziyo, udokotela wakho uzoxoxa ngezinketho zokwelapha, njenge- proton pump inhibitors (PPIs), futhi mhlawumbe wenze ezinye izivivinyo zokuxilonga, njenge- endoscopy engenhla .
Imithombo:
> I-American College ye-Gastroenterology. I-Reflux ye-Acid.
> UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu, iNational Institute of Diabetes kanye ne-Digestive and Kidney Diseases. I-Reflux ye-Acid (i-GER ne-GERD) kubantu abadala. Kushicilelwe ngoNovemba 2014.