Khawuthelekelele usandul’ ukulala kamnandi ebusuku uze uzive utshile esifubeni sakho. Okanye uzive ngathi ukutya kuphuma emqaleni wakho kunencasa emuncu. Le yinto uninzi lwethu oluyicinga njenge-'gastritis', kodwa isenokuba yimeko ebizwa ngokuba yi-Acid Reflux. Nangona kuqhelekile ukuvakalelwa ngolu hlobo ngamanye amaxesha, ukuba kwenzeka rhoqo, isenokuba yimeko yezonyango. Makhe sithethe ngale nto ngendlela elula namhlanje.
Ngamafutshane, yintoni i-Acid Reflux kunye ne-GERD?
Xa ukutya esikutyayo kungena esiswini sethu, kufanele kwehle ngokupheleleyo, kungaphindi kunyuke. Kodwa ngamanye amaxesha ii-asidi eziqatha esiswini sakho zibuyela phezulu, ziye emqaleni wakho, ziye emqaleni wakho. Oku sikubiza ngokuba yi-Acid Reflux.
Le asidi yinto enamandla kakhulu esetyenziselwa ukugaya ukutya. Ngoko ke xa ifika kwindawo engafanelekanga kuyo, oko kukuthi kwi-esophagus, itshisa izicubu ezithambileyo kwaye ibangele imvakalelo yokutsha. Oku kuvakala ngathi sisitshiso sentliziyo.
Oku akuyongxaki ukuba kwenzeka ngamaxesha athile. Kodwa kwabanye abantu, kwenzeka rhoqo, ngaphezulu kwesibini ngeveki, ixesha elide. Le meko yokuphefumla i-acid reflux engapheliyo yinto esiyibiza ngokwezonyango ngokuba yi-GERD (Gastroesophageal Reflux Disease). Ngamafutshane, i-GERD sisifo esiphindaphindayo se-acid reflux. Oku kunokuba yingozi ebomini kwaye kunokonakalisa umphimbo wakho.
Ziziphi iimpawu ze-Acid Reflux kunye ne-GERD?
Kule meko, unokufumana iimpawu ezahlukeneyo. Makhe sijonge iimpawu eziphambili onokuzifumana.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubuyela esibhedlele | Ukuziva ukutya, amanzi, okanye i-asidi ibuyela emqaleni emva nje kokutya. Kusenokubakho incasa emuncu emlonyeni. |
| Isitshiso sentliziyo | Ukutshisa okuvela embindini wesifuba. Abanye abantu bakubiza oku ngokuba yi-asidi engagayekiyo. |
| Intlungu yesifuba engesiso isifo sentliziyo | Abanye abantu banokuba neentlungu esifubeni ngaphandle kokudumba. Abanye abantu bayayoyika le nto kuba ifana nentlungu yokuhlaselwa yintliziyo. |
| Isicaphucaphu kunye ne-anorexia | Ukubuyela kwe-asidi yesisu kunokubangela isicaphucaphu, ukuziva ugula, kunye nokuphelelwa ngumdla wokutya. |
| Usulelo lomphimbo | Xa i-asidi ingena emqaleni, inokubangela umphimbo obuhlungu, ukurhawuzelela, ukuziva ngathi kukho into ebambekileyo emqaleni, kunye nobunzima bokuginya. |
| Iingxaki zokuphefumla ezifana ne-asthma | Ngamanye amaxesha la masuntswana e-asidi anokungena kwindlela yokuphefumla aze abangele ukukhohlela okungapheliyo, ukuphefumla nzima, kunye nobunzima bokuphefumla. |
Iimeko apho iimpawu zinokuba mandundu khona
- Xa ulala phantsi ebusuku.
- Emva kokutya isidlo esikhulu esinamafutha amaninzi kunye netshili.
- Xa ugoba phambili.
- Xa utshaya okanye usela utywala.
Ngaba iintsana ezincinci nazo ziyafumana i-GERD?
Ewe. Kuqhelekile ukuba iintsana zitshice ubisi. Kodwa kwabanye abantwana, kunokuba nzima ngakumbi. Oko kubizwa ngokuba yi-GERD kwiintsana. Iintsana ezisandul’ ukuzalwa kunye neentsana ezizelwe zineemeko ezithile emqaleni wazo zisengozini enkulu.
Jonga ukuba umntwana wakho unazo na ezi mpawu:
- Ukukhala rhoqo nokungazoli ngaphandle kwesizathu.
- Ubunzima bokulala.
- Ukwala ukusela ubisi.
- Ukuhlanza rhoqo.
- Ukuphefumla okanye ukurhawuzelela kwelizwi xa uphefumla.
- Umoya ombi.
Kutheni sifumana i-Acid Reflux?
Ngamafutshane, kukho umsipha osebenza njengevalvu phakathi komqala nesisu. Oku sikubiza ngokuba yiLower Esophageal Sphincter (LES) . Kufana nesigqubuthelo sebhotile yamanzi. Xa siginya, siyavuleka size sivumele ukutya kudlulele esiswini, size sivale kakuhle kwakhona. Oku kuthintela ukuba umxholo wesisu ungabuyeli phezulu.
I-acid reflux yenzeka xa i-LES iba buthathaka okanye ikhululeke kakhulu, nto leyo evumela i-asidi yesisu ukuba ibuye ibuyele phezulu. Zininzi izizathu zoku.
- I-Hiatal Hernia: Oku kulapho inxalenye ephezulu yesisu sakho ityhala iye esifubeni sakho. Oku kwenza i-LES ibe buthathaka kwaye kuvumela i-asidi ukuba inyuke ngokulula. Le meko iba yinto eqhelekileyo njengoko ukhula.
- Ukukhulelwa: Ngexesha lokukhulelwa, i-LES iyaphumla ngenxa yoxinzelelo oluvela kwisibeleko esikhulayo kunye notshintsho lweehomoni. Yiyo loo nto oomama abaninzi befumana isitshiso sentliziyo ngeli xesha. Oku kudla ngokuphela emva kokuba umntwana ezelwe.
- Ukutyeba kakhulu: Njengoko ubunzima bomzimba busanda, ingakumbi kwindawo yesisu, uxinzelelo esiswini luyanda kwaye i-LES inokuba buthathaka.
- Ukutshaya: Iikhemikhali ezikwicuba ziyayiphumza i-LES, kwaye ukukhwehlela okubangelwa kukutshaya nako kuyayichaphazela.
- Ukutya okuthile neziselo: Ukutya izinto ezininzi ezifana netshokholethi, ikofu, utywala, iminti, igalikhi, kunye netswele kunokunciphisa i-LES. Kwakhona, ukutya okunamafutha nokuqhotsiweyo kwandisa umngcipheko wokubuyela umva kuba kuhlala ixesha elide esiswini kwaye kwandisa ukuveliswa kwe-asidi esiswini.
- Amayeza athile: Amayeza athile, afana nalawo oxinzelelo lwegazi oluphezulu, ukudakumba, kunye nokunciphisa iintlungu (ii-NSAID), anokuchaphazela ne-LES. Thetha nogqirha wakho malunga namayeza owasebenzisayo.
Kuza kwenzeka ntoni ukuba i-GERD ayihoywa?
Iintlungu zesifuba ezihlala zisenzeka azifanele zithathwe lula. Ekugqibeleni, zinokukhokelela kwiingxaki ezinkulu.
I-asidi yesisu yinto enamandla kakhulu. Nangona ulwelo lwesisu sakho lunokumelana nale asidi, umphimbo wakho awunalo olo khuselo. Ngoko ke xa i-asidi iqhubeka iphakama, izinto ezinje zinokwenzeka:
- I-Esophagitis: Ukudumba kolwelo lomqala womqala. Oku kunokubangela intlungu engapheliyo, ubunzima bokuginya, kunye nezilonda.
- I-Barrett's Esophagus: Ukuvezwa kwi-asidi ixesha elide kubangela utshintsho kulwelo lwe-esophagus. Oku kuthathwa njengemeko engaphambi komhlaza enokunyusa umngcipheko womhlaza.
- Ukuqina Komqala: Ukonakala okuqhubekayo kunokubangela ukuba kubekho izicubu ezibomvu emqaleni, nto leyo eyenza kube nzima ukuginya ukutya nokusela.
- Iingxaki zenkqubo yokuphefumla: Ukuba i-asidi ingena emqaleni ize ingene kwindlela yokuphefumla, inokubangela ukuba i-asthma ibe mandundu okanye ibangele iimpawu ezintsha ezifana ne-asthma.
Ugqirha uyazi njani ngokuqinisekileyo ukuba le yi-GERD?
Emva kokumamela iimpawu zakho, ugqirha wakho unokukuthumela kwiimvavanyo ezininzi, ukuba kuyimfuneko.
- I-Upper Endoscopy: Oku kuquka ukufaka ityhubhu encinci enekhamera ngomlomo wakho kwaye uhlolisise ingaphakathi lomqala wakho nesisu.
- I-Esophagram (i-Barium Swallow X-ray): Ulwelo olubizwa ngokuba yi-barium luyaginywa kwaye i-X-ray isetyenziselwa ukujonga indlela oluhamba ngayo ezantsi kwi-esophagus.
- Uvavanyo lwe-pH ye-Esophageal: Uvavanyo olulinganisa ubungakanani be-asidi ngaphakathi kwi-esophagus.
- I-Esophageal Manometry: Uvavanyo olulinganisa indlela ezisebenza kakuhle ngayo izihlunu kwi-esophagus nakwi-LES.
Ziziphi iindlela zonyango ze-GERD?
Kukho iindlela ezahlukeneyo zokulawula i-GERD. Unyango luqala ngokutshintsha indlela yokuphila, amayeza, kwaye ngamanye amaxesha notyando.
1. Utshintsho kwindlela yokuphila kunye nemikhwa yokutya
Ngokuqhelekileyo, olu tshintsho lulula lunokubonelela ngoncedo olukhulu:
- Musa ukutya okuninzi ngaxeshanye, yitya kancinci amaxesha amaninzi ngemini.
- Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-2-3 ngaphambi kokulala.
- Ziphephe ioyile, itshili, ukutya okuneziqholo, ukutya okuqhotsiweyo, itshokolethi, ikofu, utywala, kunye nokutshaya.
- Ukuba utyebile kakhulu, zama ukunciphisa umzimba.
- Musa ukunxiba impahla exineneyo esiswini sakho.
- Gcina intloko yakho iphakanyisiwe kancinci xa ulele.
2. Amayeza (amayeza)
Ukuba utshintsho kwindlela ophila ngayo lodwa alwanelanga, ugqirha wakho unokukunika amayeza.
| Uhlobo lweziyobisi | Ingaba isebenza kanjani |
|---|---|
| Iiantacids | Zinciphisa ngokukhawuleza i-asidi ye-asidi yesisu. Ezi zilungile ekuncedeni okwethutyana. |
| Iibhloko ze-H2 | Zinciphisa ukuveliswa kwe-asidi esiswini. Ezi zisebenza ixesha elide kune-antacids. |
| Izithinteli zeProton Pump (iiPPI) | La ngamayeza anamandla kakhulu athintela ukuveliswa kwe-asidi kwaye anceda nokuphilisa umonakalo kwi-esophagus. |
3. Utyando
Ukuba une-GERD enzima engenakulawuleka ngamayeza kunye notshintsho kwindlela ophila ngayo, ugqirha wakho unokucebisa utyando. Oku kubandakanya ukuqinisa izihlunu ze-LES ezibuthathaka. I-Nissen Fundoplication lolona tyando luqhelekileyo.
Yintoni onokuyenza ukuze ufumane uncedo olukhawulezileyo xa une-acid reflux?
Ukuba ufumana iintlungu esifubeni ngoku, zama ezi zinto:
- Ukuba ulele phantsi, yima nkqo.
- Sela amanzi. Musa ukusela kakhulu, kwanele ukusela nje amanzi ambalwa.
- Ukuba impahla oyinxibileyo iqinile esiswini sakho, yikhulule kancinci.
- Ukuba une-antacid, yithathe.
Eyona nto ibalulekileyo kukuba ukuba ufumana ezi mpawu rhoqo, ngokuqinisekileyo kuya kufuneka ubone ugqirha endaweni yokuzinyanga. Kubaluleke kakhulu ukwazi ukuba le yi-GERD okanye yenye imeko yezonyango uze ufune unyango.
Umyalezo Wokuya Ekhaya
- Nangona isitshiso sentliziyo ngamanye amaxesha siqhelekile, ukuba sihlala ixesha elingaphezulu kabini ngeveki, sisenokuba yimeko ebizwa ngokuba yiGERD.
- Iimpawu zeGERD zinokulawulwa kakhulu ngokutshintsha indlela yokuphila efana nokutya, ukunciphisa umzimba, kunye nokuyeka ukutshaya.
- Musa ukuzityeshela iimpawu ezifana neentlungu zesifuba, ukutya okunamathelayo emqaleni, kunye nokukhwehlela okungapheliyo.
- Ukuba i-GERD ayinyangwa kakuhle, inokubangela umonakalo wexesha elide kwi-esophagus.
- Ukuba ufumana ezi mpawu rhoqo, kubaluleke kakhulu ukubona ugqirha ofanelekileyo ukuze ufumane iingcebiso ezifanelekileyo kunye nonyango, endaweni yokuzinyanga.
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