Ingaba uhlala uziva isitshiso sentliziyo kunye ne-asidi yesisu inyuka emqaleni wakho? (I-Acid Reflux kunye ne-GERD)

Ngaba wakha waba nomvandedwa otshisayo esifubeni sakho okanye uzive ngathi kukho into ephuma esiswini sakho ephuma emphinjeni wakho emva kokutya? Uninzi lwabantu luye lwahlangabezana noku ubuncinane kube kanye okanye kabini. Namhlanje siza kuthetha ngale 'acid reflux' okanye, ngokwezonyango , i-acid reflux kunye ne -GERD (isifo se-gastroesophageal reflux) . Ekubeni le yingxaki abantu abaninzi abanayo, kubaluleke kakhulu ukuba uyiqaphele.

Yintoni kanye kanye i-acid reflux, mhlobo wam?

Ngamafutshane, ukutya, isiselo, kunye nolwelo olune-asidi esiswini sakho kufuneka luhambe ngendlela enye kuphela, eyokuba yehle. Kodwa ngamanye amaxesha, xa le acid yesisu, oko kukuthi, izinto ezine-asidi , ibuyela kwi-esophagus yakho iye emqaleni wakho, siyibiza ngokuba yi-Acid Reflux.

Khawucinge nje, kwenzeka ntoni xa le asidi ifika apho ingafanele ifike khona? Yiyo loo nto ingxaki. Le asidi ingatshisa, yenzakalise, kwaye idumbe izicubu ezithambileyo ngaphakathi kwe-esophagus yakho. Le esophagus yinxalenye efana nombhobho ephuma esiswini sakho idlula esifubeni sakho iye emqaleni wakho. Ngoko ke, ukuba yonakele, sinokuba neengxaki ezininzi.

Sonke sifumana i-acid reflux ngamanye amaxesha. Kungathiwa kukugaywa okanye isitshiso xa ukutya kungagaywa. Le acid reflux ngamanye amaxesha ayikhululeki, kodwa ayisosifo. Nangona kunjalo, kwabanye abantu, iyenzeka rhoqo. Ukuqhubeka ne-acid reflux kunokuphazamisa ubomi bakho obuqhelekileyo kwaye kunokonakalisa izicubu zomqala .

Ngoko ke yintoni iGERD? Ngaba inzulu ngaphezu koko?

I-GERD imele iSifo se-Gastroesophageal Reflux.Igama layo elifutshane. Kwamanye amazwe ikwabizwa ngokuba yiGORD, emele iGastro-oesophageal Reflux Disease. Nangona kunjalo, iGERD yimeko apho iasidi iqhubeka inyuka kwi-esophagus yakho, imeko ye-acid reflux engapheliyo . Ukuba le asidi inyuka emqaleni wakho ngaphezu kwesibini ngeveki, kangangeeveki ezininzi, ithathwa njengemeko engapheliyo, eyiGERD.

Singafumana i-acid reflux ngezizathu zexeshana, njengokutya kakhulu ngenye imini. Kodwa i-GERD yenye into, ebangelwa yingxaki eqhubekayo, yoomatshini . Oko kukuthi, iindlela ezithintela i-acid ukuba ingangeni emxongomeni wakho azisebenzi kakuhle.

Zixhaphake kangakanani ezi meko zimbini?

Zombini izifo ze-gastroesophageal reflux (GER) ezinganzimanga kunye nesifo se-gastroesophageal reflux (GERD) zixhaphake kakhulu . E-United States kuphela, kuqikelelwa ukuba malunga nama-20% abantu abadala kunye ne-10% yabantwana bane-GERD. Le meko ikwabonwa nakubantu abaninzi eSri Lanka.

Ziziphi iimpawu ze-Acid Reflux kunye ne-GERD?

Kukho iimpawu ezininzi ze-acid reflux kunye ne-GERD. Jonga ukuba unayo na kwezi:

• Ukuhlamba/Ukuphinda uhlambe: Emva kokuba ugqibile ukutya, ungaziva ngathi i-asidi yesisu, amasuntswana okutya, okanye ulwelo lubuyela emqaleni wakho. Kufana nokuhlanza , kodwa akuphumi ngokupheleleyo. Ngamanye amaxesha, unokuba nencasa engaqhelekanga emuncu emlonyeni wakho.
• Isitshiso sentliziyo: I-asidi yinto enamandla. Ngoko ke ivakala ngathi itshisa izicubu zomqala. Ukuba oku kusesifubeni, sikubiza ngokuba sisitshiso sentliziyo . Ukuba kukufutshane nesisu, abanye bathi yi-asidi indigestion .
• Intlungu yesifuba engeyiyo eyentliziyoIntlungu yesifuba : Abanye abantu abaziva iintlungu emqaleni njengokudumba. Le ntlungu ivuselela imithambo-luvo efanayo eva iintlungu entliziyweni , ngoko ke inokuvakala njengentlungu yesifuba, efana nokuhlaselwa yintliziyo.
• Isicaphucaphu : I-acid reflux okanye i-reflux inokukwenza uzive unesicaphucaphu kwaye ulahlekelwe kukutya. Nokuba emva kwexesha elithile, usenokuziva ngathi kusekho ukutya esiswini sakho, ngathi kukho okungakumbi okufuneka ukwetyiwe.
• Umphimbo obuhlungu: Ukuba i-asidi ingena emqaleni wakho, ingenzakalisa kwaye yonakalise umqala wakho. Usenokuziva ngathi kukho into ebambeke emqaleni wakho, okanye unokuba nobunzima bokuginya . I-asidi idla ngokuphuma ebusuku ngelixa ulele.
• Iimpawu ze-asthma: I-GERD inokubangela iimpawu ze-asthma ezibi kakhulu kubantu abane-asthma, kwaye nakubantu abangenayo i-asthma, inokubangela iimpawu ze-asthma ezifana nokukhohlela okungapheliyo , ukuphefumla nzima, kunye nobunzima bokuphefumla. Ukuba amasuntswana e-asidi angena kwimibhobho yomoya, anokuncipha.

Iimpawu zinokuba nzima kakhulu:

Iimpawu zeGERD zinokuba zimbi kakhulu ngamaxesha anje:

• Ebusuku okanye xa ulele.
• Emva kokutya isidlo esikhulu okanye isidlo esinamafutha amaninzi.
• Xa ugoba phambili.
• Emva kokutshaya okanye ukusela utywala.

Ngaba iintsana ezincinci nazo ziyafumana i-GERD?

Ewe, neentsana ezincinci zinokufumana i-GERD. Kuqhelekile ukuba iintsana ziphinde zigabhe kancinci emva kokuba zisele. Nangona kukho i-asidi ethile kwizinto ezigabhekileyo, akwanelanga ukubangela naziphi na iingxaki ezinkulu kumntwana. Kodwa i-GERD yimeko enzulu ngakumbi. Inokubangela ukungakhululeki kunye neengxaki kumntwana, kubandakanya nokuncancisa.

Iintsana ezizalwa ngaphambi kwexesha okanye ezinemeko enxulumene nomqala zinamathuba amaninzi okuba ne-GERD. Ukuba ugqirha wabantwana uqaphela ukuba umntwana wakho unengxaki yokutya okanye yokulala, unokufuna ukujonga ukuba akanayo na i-GERD.

Iimpawu ze-GERD kwiintsana (okanye kubantwana abancinci):

• Ukukhala rhoqo, ukungazinzi (Ukuxakeka kakhulu).
• Ubunzima bokulala.
• Ukwala ukutya.
• Ukuhlanza ngamanani amancinci.
• Ukuphefumla okanye ukurhawuzelela xa uphefumla.
• Umoya ombi.

Zithini izizathu ze-acid reflux?

Ukuze i-asidi ingene kwi-esophagus yakho, kufuneka idlule kwi-valve esezantsi kwe-esophagus yakho ehlala ithintela izinto ukuba zingabuyi phezulu. Le valve ibizwa ngokuba yi-Lower Esophageal Sphincter (LES) .

I-LES yakho sisihlunu esijikelezayo. Iyavuleka xa uginya into ethile, ize ivale kwakhona ukuze kuthintelwe ukuba okungaphakathi esiswini sakho kungaphumi. Ikwavuleka kancinci xa ubhomboloza okanye uqhwanyaza ukuze kuphume amaqamza omoya.

I-acid reflux yenzeka xa i-LES yakho iba buthathaka okanye ikhululeke ngokwaneleyo ukuvumela i-acid ukuba inyuke . Ezinye izinto zexeshana, njengokulala phantsi emva kokutya isidlo esikhulu, zinokubangela ukuba i-LES iphumle. Kodwa ukuba une-GERD, i-LES yakho ihlala ikhululeke.

I-LES ibuthathaka njani?

Zininzi izizathu zokuba i-LES inokuba buthathaka okwethutyana okanye ngokusisigxina. Ngamanye amaxesha, i-acid reflux ngamanye amaxesha inokukhula ibe yi-GERD engapheliyo xa uninzi lwezi zizathu zidibana okanye ziqhubeka ixesha elide. Nazi ezinye zezizathu eziqhelekileyo ze-acid reflux kunye ne-GERD:

• I-Hiatal Hernia: Oku kusenokuvakala kuyinkimbinkimbi, kodwa mandikubeke ngokulula. Kukho umsipha obizwa ngokuba yi-diaphragm owahlula isifuba nesisu sakho. I-esophagus yakho iqhagamshelwe nesisu sakho ngale diaphragm. Kwi-hiatal hernia, inxalenye ephezulu yesisu sakho ityhala phezulu ngomngxuma kwi-esophagus yakho iye esifubeni sakho . Emva koko inokubanjwa yi-esophagus yakho, nto leyo ebangela ukuba i-asidi iqokeleleke apho. Kwakhona, i-valve ye-LES esithethe ngayo ngaphambili nayo inyuka nge-diaphragm, ngoko ke ayinankxaso yemisipha ingako. Le meko ixhaphake ngakumbi njengoko ukhula, ikhula kancinci kancinci, kwaye inokuba nzima ngakumbi ngokuhamba kwexesha.
• Ukukhulelwa: Kuqhelekile kakhulu ukuba ne-acid reflux yexeshana ngexesha lokukhulelwa. Uxinzelelo olongezelelekileyo kunye nendawo esiswini kunokubangela ukuba izihlunu ezixhasa i-LES kwi-esophagus zoluleke, ziqine, kwaye zibe buthathaka. Iihomoni zokukhulelwa zinokubangela ukuba i-LES iphumle. Ngeli xesha, ihomoni ebizwa ngokuba yi -relaxin ikhutshwa ngobuninzi. Oku kukhulula izihlunu ukuze kwenze indawo yomntwana. Amanqanaba e-estrogen kunye ne -progesterone nawo ayanda, nto leyo enokubangela ukuba i-LES iphumle.
• Ukutyeba kakhulu:Ukutyeba kakhulu kwandisa uxinzelelo kunye nendawo esiswini, njengokuba kunjalo nokukhulelwa, nto leyo enokuchaphazela i-LES. Kodwa ngenxa yokuba ukutyeba kakhulu kuhlala ixesha elide kunokukhulelwa, izihlunu zinokuba buthathaka ngokusisigxina. Oku kukwangunobangela omkhulu we-hiatal hernias. Kwakhona, ngenxa yokuba i-estrogen ikhutshwa ziizicubu zamafutha, amanqanaba e-estrogen nawo ayanda njengoko amafutha omzimba esanda.
• Ukutshaya: Umsi wecuba uyawuphumza umzimba, nokuba uwutshaya ngokwakho okanye uphefumlela umsi otshayiweyo. Ukutshaya kubangela ukukhohlela, nto leyo evula umzimba. Ukuqhubeka nokutshaya nokukhohlela kunokwenza buthathaka izihlunu ezikwi-diaphragm, nto leyo ekhokelela kwi-hernia yokuzala. Ukutshaya kukwanciphisa ukugaya kwakho ukutya kwaye kwandisa imveliso ye-asidi esiswini.

Ziziphi iingxaki ezinokubakho ze-persistent acid reflux (GERD)?

I-asidi yesisu yinto enamandla kakhulu. Yenzelwe ukuqhekeza ukutya okutyayo. Isisu sakho sinomphetho oqinileyo wokusikhusela kule asidi. Kodwa amanye amalungu akho awanalo olu khuselo. I-asidi ebuyela emzimbeni ikakhulu ichaphazela umphimbo wakho. Kodwa ngamanye amaxesha inokunyuka iye kwi-windpipe okanye kwi-airways. I-asidi encinci inokubangela ukungakhululeki okomzuzwana. Kodwa i-asidi eninzi kakhulu inokonakalisa la malungu.

Iingxaki ezinokwenzeka:

• I-Esophagitis: Oku kukudumba kolwelo lwe-esophagus, oko kuthetha ukudumba kunye nobuhlungu. Ukuba i-esophagitis iyaqhubeka, inokukhokelela kwiingxaki ezifana nentlungu engapheliyo kunye nezilonda kwi-esophagus. Ekuhambeni kwexesha, inokukhokelela kutshintsho lwezicubu ezifana nokuqhekeka okanye i-metaplasia yamathumbu , okuyimeko engaphambi komhlaza.
• Umlomo kaBarrett:Eli ligama lemeko ye-intestinal metaplasia kwi-esophagus, ekhankanyiweyo apha ngasentla. Oku kuthetha ukuba ulwelo lwe-esophagus luyatshintsha luze lufane nolwelo lwamathumbu. Oku kwenzeka xa kukho ixesha elide lokuvezwa kwi-asidi kunye nokudumba. Le yingxaki yomhlaza we-esophagus.
• Ukuqiniswa komlomo: Izicubu ezikrwelekileyo zinokwakheka kwi-esophagus yakho ukuze zikhuseleke ekuvuvukeni nasekulimeni okuqhubekayo. Ezi zicubu ezikrwelekileyo zinokubangela ukuba i-esophagus ibe mxinwa. Oku kubizwa ngokuba yi-stricture. Oku kungenza kube nzima ukuginya , nto leyo enokwenza kube nzima ukutya okanye ukusela, kwaye kunokubangela nezinye iingxaki.
• I-Laryngopharyngeal Reflux (LPR): Abanye abantu abane-GERD nabo banesifo esibizwa ngokuba yi-LPR. Kulapho i-asidi ingena khona emqaleni. I-asidi ingangena emphinjeni wakho ngelixa ulele. Inokubangela ukuba umqala wakho udumbe, ilizwi lakho libe rhabaxa, kwaye kubekho ukukhula kwe-vocal cord. Amasuntswana e-asidi anokutsalwa kwi-airways yakho.
• Isifo Sombefu: Ukuba i-asidi ingena kwindlela yokuphefumla, ingenza imeko yomntu osele ene-asthma ibe mandundu, kwaye nomntu ongazange abe nesifo sokuphefumla ngaphambili unokufumana iimpawu ezifana ne-asthma. Amasuntswana amancinci e-asidi anokucaphukisa iityhubhu ze-bronchial aze azibangele ukuba ziqine. Oku kunokubangela ukukhohlela nobunzima bokuphefumla.

Ziziphi iindlela zonyango ze-GERD?

Abanye abantu banokunciphisa i-acid reflux ngokwenza utshintsho kwindlela abaphila ngayo, njengokutshintsha indlela abatya ngayo, ukunciphisa utywala nokutshaya, kunye nokunciphisa umzimba. Oogqirha bakukhuthaza ukuba ulandele la manyathelo. Kodwa ukuba une-acid reflux engapheliyo okanye i-GERD, oogqirha banokucebisa amayeza anciphisa i-asidi yesisu. Oku kuya kunceda ukunciphisa ubungakanani be-asidi ephumayo, kodwa ayizukuba yingozi kangako.

Amayeza

Utyando

Kwi-GERD enzima okanye kwiimeko ezingalawulwa ngamayeza, utyando lokuqinisa izihlunu ze-LES lunokucetyiswa, njenge -Nissen fundoplication .

Izinto ezinokunceda ukulawula i-acid reflux ekhaya

Zama ezi zinto ukulawula i-acid reflux ekhaya:

• Ukutya ukutya okuncinci: Ukutya okukhulu kuzalisa isisu sakho kwaye kubeke uxinzelelo kwi-LES.
• Ukutya isidlo sangokuhlwa kwangethuba: Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-2-3 ngaphambi kokulala.
• Ukulala ngecala lasekhohlo: Oku kubeka i-LES ngaphezulu kwesisu.
• Nciphisa uxinzelelo lwesisu: Nxiba impahla ekhululekileyo kwaye wehlise umzimba ukuba kuyimfuneko.
• Yeka ukutshaya notywala: Oku kwenza buthathaka i-LES kwaye kwandisa i-asidi.