Uvele ujabulele isidlo esikhulu esidlweni sokudlela saseMexico esithandayo, esishisayo futhi esiphunga, nje ngendlela oyithandayo ngayo. Kodwa manje uyakhokhela ngalesi senzo esivuthayo esivuthayo esifubeni sakho nasemqaleni. Ukuphuza , okungahambisani nenhliziyo kodwa kungalingisa ukuhlaselwa yinhliziyo, akuyona impilo esongelayo. Eqinisweni, ukuvuthwa kwesinye isikhathi kujwayelekile.
Noma kunjalo, ukushaya kwenhliziyo njalo kungase kube uphawu lwezinkinga ezinkulu ezibizwa ngokuthi isifo se-reflux ye-gastroesophageal (GERD), isimo esingapheli esibangelwa ukucasula isisu esiswini esibuyela emgodleni, i-tube ehlanganisa umlomo wakho nesisu sakho.
Ukuguquka kwesisu kanye nesistimu yokugaya
Ngakho-ke kwenzeka kanjani futhi ukushona kwenhliziyo kwenzeka kanjani? Ukuze uqonde ngokugcwele ukushaya kwenhliziyo, kubalulekile ukuqonda izindlela zesistimu yokugaya ukudla okunempilo. Ipheshana lakho lokugaya liqala ngomlomo wakho, lapho ukudla kuhlafunwa khona futhi kuhlanganiswe nomathela , kuqale inqubo yokugaya. Kusuka lapha, ukudla kuhambela ku-tube noma ukugwinya ithubhu. Le tube ye-muscular yenza izinhlangothi ezincane, okuthiwa i- peristalsis , ukuhambisa ukudla esiswini.
I-esophagus nesisu zixhunywe yi-band of fibrous fibers okuthiwa i-sphincter esezansi ephansi (LES). Ngokuvamile, i-LES isebenza njenge-valve, evulekile ukuvumela ukudla kudlule esiswini futhi kuvaliwe ukugcina ukudla nokugaya amaju kusukela ekuhleleni emuva kuya endaweni.
Kodwa uma i-sphincter igxila lapho ingafaneleki, noma iba buthakathaka, isisu se-asidi singaphambuka emuva emuva ku-esophagus ebangela ukuzwa okuvuthayo esikuzwayo njengokushisa.
Izinkinga zokuphuza izinhlungu
Abanye abantu banesifo se-LES esingakwazi ukubhekana nokucindezela okujwayelekile okuvela kwisisu.
Kodwa ezinye izici nazo zingaba nomthelela kulokhu buthakathaka, njengokuthi:
- Ukudla ukudla okuvame ukubangela ukushisa , njengokudla okunomsoco (isib. Utamatisi nezithelo ze-citrus)
- Ukuphuza utshwala
- Ugwayi ugwayi
- Ukuba nezimo ezithile zezokwelapha, ezifana nesifo sikashukela nesifuba somoya
Ukucindezela ngokweqile ngesisu kungafaka ingcindezi ku-sphincter esezansi ephansi, okuvumela isisu esiswini ukuba singene emgodini noma ngisho nasemlonyeni. Abesifazane abakhulelwe kanye nabantu abakhuluphele ngokweqile bajwayele ukugubha ngenxa yalesi sizathu. Ngisho nokugqoka izingubo ezinamathele kungabangela ukucindezeleka endaweni. Futhi ngenxa yokuthi i-sphincter esophageal ikhona engxenyeni engenhla yesisu, abanenkinga yokushaya inhliziyo bangathola izimpawu ezengeziwe lapho belele phansi noma benesisu esiphelele.
Ezinye Izinto Zokukhwabanisa
Kunezinye izici ezingase zenzeke ekufakeni i-reflux. Abanye abantu banesisindo esingavamile noma isisindo esiswini esisithinta i-motility , ikhono lemisipha yesisu ukuba livumelane ngendlela evamile. Lokhu kubangela ukuchitha isikhathi sokudla isikhathi esiningi esiswini, okwandisa amathuba okuthi i-asidi ibuyele emuva ku-esophagus.
Ezinye izimo zezokwelapha ezingase zibe nomthelela ku-GERD zibandakanya i-asthma, isifo sikashukela , kanye ne- hernia yokuzalwa . I-hernia yokubeletha yinkinga lapho kuvuleka khona isikhalazo, udonga lwama-muscular ngaphansi kwamaphaphu ahlukanisa isifuba esiswini esiswini esiswini - evumela isisu esingenhla ukuba siphumelele emgodini esifubeni, singonakali amandla kaL vimbela ukuhlaziya.
Ngokuvamile, okungaphezu kweyodwa yalezi zici kunegalelo ekuthuthukiseni i-GERD, kuphela okugcizelela ukubaluleka kokubonisana nodokotela wakho mayelana nokuxilongwa okufanele futhi ukwelashwa. Ukuqonda uhlelo lokugaya umzimba kungasiza abagulayo ukuba baqonde izimpawu zabo, benze izinguquko zokuphila eziwusizo futhi baxoxe nodokotela babo.
Imithombo:
"I-Heartburn ne-GERD FAQ." I-American College ye-Gastroenterology. 8 Jan 2010
"Ukuguquka kwesisu, i-Reflux ye-Gastroesophageal (GER), ne-Reflux Disease (GERD) ye-Gastroesophageal (GERD)." Ukushicilelwa kwe-NIH No. 07-0882 Meyi 2007. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC). 8 Jan 2010
" Ingabe i-HEARTBURN encane noma into engathà sina? " I-American College of Gastroenterology. 8 Jan 2010