Ngaba ngamanye amaxesha uziva utshile esifubeni sakho emva kokutya ukutya okunzima? Okanye uziva ukrakra emqaleni emva kwexesha elithile? Abantu abaninzi eSri Lanka bayibiza le nto ngokuthi "i-gastritis". Kodwa oku akusoloko kuyi-gastritis. Le yinto eyahlukileyo, kwaye isenokuba yimeko ekufuneka siyiqaphele ngokuqinisekileyo. Namhlanje sithetha nge-Acid Reflux kunye ne-GERD, imeko enzulu.
Ngamafutshane, yintoni i-Acid Reflux?
Kulula kakhulu. Isisu sethu sineentlobo ezininzi zee-asidi ezinceda ekugayeni ukutya. Ngokwesiqhelo, oku kutya kunye ne-asidi kufuneka kwehle kusuka esiswini, oko kukuthi, ukuya emathunjini. Leyo yindlela elungileyo. Nangona kunjalo, xa le asidi yesisu ibuyela phezulu, oko kukuthi, ecaleni kombhobho esiginya ngawo ukutya (i-esophagus) ukuya emqaleni, siyibiza ngokuba yi-Acid Reflux.
Cinga ngendlela enamandla ngayo i-asidi esesiswini sakho. Iindonga zesisu sakho zinophawu olukhethekileyo olunokumelana naloo asidi. Kodwa umphimbo wethu kunye nomqala wethu azinalo olo phawu lukhethekileyo. Ngoko ke xa loo asidi inamandla iphuma, itshisa izicubu ezithambileyo kwezo ndawo kwaye ibangele ukudumba. Oku sikubiza ngokuba "yi-heartburn." Kungaba yinto eqhelekileyo ukuvakalelwa ngolu hlobo ngamanye amaxesha. Kodwa oku akusiso isifo.
Ngoko ke yintoni iGERD?
I-GERD sisifinyezo seGastroesophageal Reflux Disease . NgesiSinhala, ithetha isifo se-gastroesophageal reflux. Nangona eli gama liyinkimbinkimbi kancinci, kulula kakhulu ukuliqonda.
Ukurhawuzelelwa yi-asidi ngamanye amaxesha akuyongxaki. Kodwa ukuba le meko iyaqhubeka, oko kuthetha ukuba ukuba ufumana olu tshintsho esifubeni nasemqaleni wakho ngaphezu kwesibini ngeveki, silubiza ngokuba yi-GERD. Le yimeko yezonyango.
Ngamafutshane, iGERD yimeko ebizwa ngokuba yi-chronic acid reflux. Okwenzekayo apha kukuba kukho ubuthathaka kwindlela esebenza ngayo ethintela ukuba okungaphakathi esiswini kungaphumi.
Ziziphi iimpawu ze-Acid Reflux kunye ne-GERD?
Abantu abaninzi banokuba nenye okanye ngaphezulu kwezi mpawu ngaxeshanye. Makhe sijonge ezona ziphambili.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukubuyela esibhedlele | Ukuziva ukutya, ulwelo, okanye i-asidi ibuya esiswini iye emqaleni emva nje kokutya. Incasa emuncu emlonyeni. |
| Ukuziva utsha | Isitshiso sentliziyo sesona sibonakaliso siphambili. Abanye abantu banokusiva njengokutshisa kwindawo ephezulu yesisu (i-asidi indigestion). |
| Intlungu yesifuba engesiso isifo sentliziyo | Kwabanye abantu, oku kusenokungavakali ngathi kukutsha, kodwa kufana nokuqiniswa esifubeni. Abanye abantu bayoyika kuba le ntlungu ifana nentlungu yokuhlaselwa yintliziyo. |
| Isicaphucaphu kunye ne-anorexia | I-asidi yesisu ingavela, ibangele isicaphucaphu kunye nokuphelelwa ngumdla wokutya. Ungaziva uhluthi nangona emva kwexesha elide usitya. |
| Umphimbo obuhlungu kunye nobunzima bokuginya | Ukuba i-asidi ingena emqaleni wakho, inokubangela umphimbo obuhlungu. Ingavakala ngathi kukho into ebambeke emqaleni wakho, njengeqhubu. Kunokuba nzima nokuginya. Oku kwenzeka rhoqo ebusuku. |
| Iimpawu ezifana ne-asthma | I-GERD inokubangela iimpawu ezifana ne-asthma, ezifana nokukhohlela okungapheliyo, ukuphefumla okungapheliyo, kunye nokuphefumla okungapheliyo. |
Ezi mpawu zikhula nini?
- Xa ulala phantsi ebusuku.
- Emva kokutya isidlo esikhulu esinamafutha amaninzi kunye netshili.
- Xa ugoba phambili.
- Xa utshaya okanye usela utywala.
Ngaba abantwana abancinci bafumana i-GERD?
Ewe. Kuqhelekile ukuba iintsana zitshice kancinci emva kokusela ubisi. Asiyongxaki inkulu leyo. Kodwa i-GERD yimeko enzulu ngakumbi. Inokubangela ukungonwabi kunye nokwala ukutya. Iintsana ezizalwa ngaphambi kwexesha okanye ezinengxaki ethile emqaleni zinamathuba amaninzi okuba ne-GERD.
Iimpawu zeGERD kumntwana omncinci zingabandakanya:
- Ukuhlala ukhala ngaphandle kwesizathu, ukungazinzi.
- Ubunzima bokulala.
- Ukwala ukusela ubisi.
- Ukuhlanza rhoqo.
- Ukuphefumla okanye ukurhawuzelela kwelizwi xa uphefumla.
- Umoya ombi.
Kutheni sifumana i-acid reflux ngolu hlobo?
Isizathu esiphambili soku kubuthathaka kwemisipha esebenza njengevalvu ekupheleni kwe-esophagus (ipayipi yokutya), apho iqhagamshela khona nesisu. Ngokwezonyango, oku kubizwa ngokuba yi-Lower Esophageal Sphincter (LES) .
Le LES ifana nocango. Xa siginya ukutya, olu cango luyavuleka, kwaye xa ukutya kungena esiswini, luyavala kwakhona. Xa luvala, okungaphakathi esiswini akunakubuya kunyuke. Kodwa ukuba olu cango lwe-LES luba buthathaka ngesizathu esithile, ukuba aluvaleki kakuhle, i-asidi esesiswini iyavuza.
| Izizathu eziphambili zobuthathaka be-LES | |
|---|---|
| I-Hiatal Hernia | Kulapho inxalenye ephezulu yesisu ityhala iye esifubeni. Oku kuqheleke ngakumbi njengoko sikhula. Oku kutshintsha uxinzelelo kwi-LES kwaye kuyinciphise. |
| Ukukhulelwa | Ngexesha lokukhulelwa, uxinzelelo lwesisu esikhulayo kunye notshintsho lweehomoni zinokubangela ukuba i-LES iphumle. Le meko idla ngokunyamalala emva kokuba umntwana ezelwe. |
| Ukutyeba kakhulu | Njengoko utyeba, amafutha esiswini sakho ayanda, nto leyo enyusa uxinzelelo ngaphakathi esiswini sakho. Olu xinzelelo lutyhala i-LES phezulu, nto leyo eyenza kube lula ukuba i-asidi inyuke. |
| Ukutshaya | Iikhemikhali ezikwicuba zibangela ukuba i-LES iphumle. Ukutshaya kukwanciphisa ukugaywa kokutya kwaye kwandisa ukuveliswa kwe-asidi esiswini. |
Ukongeza kwezi zizathu ziphambili, amayeza athile (umz., amanye amayeza oxinzelelo lwegazi oluphezulu, iintlungu zokudambisa iintlungu), ukutya okuthile (itshokholethi, ikofu, iminti, ukutya okunamafutha), kunye notywala nazo zinokuchaphazela oku.
Kuza kwenzeka ntoni ukuba singayithathi le nto njengokudumba nje? (Iingxaki)
Kulapho ke kufuneka sinikele ingqalelo kakhulu khona. Ukuba asiyinaki size sithi, "Yingxaki nje encinci yesisu," oko kunokukhokelela kwiingxaki ezinkulu ekuhambeni kwexesha.
- I-Esophagitis: Ulwelo lomqala lunokudumba kwaye lube buhlungu ngenxa yokuqhubeka kwe-acid reflux . Oku kunokubangela intlungu eqhubekayo kunye nobunzima bokuginya.
- Umphimbo kaBarrett: Le yimeko enzulu ngakumbi. Ngenxa yokuvezwa ixesha elide kwi-asidi, iiseli ezikwinxalenye esezantsi yomphimbo ziqala ukutshintsha. Le yimeko engaphambi komhlaza enokuthi ikhule ibe ngumhlaza .
- Ukuqina komlomo: Njengoko ukwenzakala kuqhubeka kuphola, izicubu ezibomvu zinokwakheka kwi-esophagus, nto leyo enciphisa indawo. Oku kunokwenza kube nzima kakhulu ukuginya ukutya.
- Iingxaki zomqala nokuphefumla: Ukuba i-asidi ifikelela emqaleni ize ingene kwindlela yokuphefumla, inokubangela iimeko ezinje ngokukhohlela okungapheliyo, ukurhawuzelela, kunye ne-asthma, okanye i-asthma ekhoyo ibe mandundu.
Ugqirha ufumanisa njani i-GERD?
Emva kokumamela iimpawu zakho, ugqirha wakho unokucebisa iimvavanyo ezininzi ukuqinisekisa ukuxilongwa kunye nokufumanisa ubukhali baso.
- I-endoscopy ephezulu: Kule ndawo, kufakwa ityhubhu encinci enekhamera ekupheleni kwayo ngomlomo kwaye ingaphakathi lomqala nesisu liyahlolwa. Oku kunokubona ngokucacileyo ukuba kukho naziphi na izilonda okanye utshintsho.
- Uvavanyo lwe-pH: Olu vavanyo lulinganisa ubude kunye ne-asidi engakanani ekhoyo kwi-esophagus.
- I-Esophageal manometry: Olu vavanyo lulinganisa uxinzelelo kunye nomsebenzi wemisipha kwi-LES kunye ne-esophagus.
Zithini iindlela zonyango zoku?
Unyango lwe-GERD lunokwahlulwahlulwa lube ziindidi ezintathu eziphambili. Rhoqo, enye okanye ezingaphezulu kwezi ndlela zisetyenziswa kunye.
1. Utshintsho kwindlela yokuphila kunye nemikhwa yokutya
Kwanangaphambi kokuba sisebenzise amayeza, le meko inokulawulwa kakhulu ngokwenza utshintsho oluncinci kwindlela esiphila ngayo.
- Ukunciphisa umzimba: Ukuba utyebile kakhulu, ukunciphisa umzimba kuyimfuneko.
- Ukulawula ukutya: Endaweni yokutya isidlo esikhulu esinye ngexesha, yitya izidlo ezincinci ezininzi imini yonke.
- Kuphephe ukutya okuneziqholo nokunamafutha:Nciphisa ukutya okuneziqholo, iioyile, ukutya okuqhotsiweyo, itshokolethi, ikofu, kunye nemint.
- Ukulala phantsi emva kokutya: Musa ukulala phantsi ubuncinane iiyure ezi-2-3 emva kokutya ebusuku.
- Indawo yokulala: Xa ulele, lala intloko yakho iphakanyisiwe kancinci. Kungangcono ukuba ungaphakamisa ibhedi kancinci ngokubeka iinkuni ezimbini emilenzeni entloko yebhedi.
- Ukutshaya notywala: Kubaluleke kakhulu ukuyeka zombini ezi zinto ngokupheleleyo.
2. Amayeza (iintlobo zamayeza)
Ukuba utshintsho kwindlela ophila ngayo lodwa alwanelanga ukulawula iimpawu zakho, ugqirha wakho unokukunika amayeza.
- Ii-antacids: Ezi zisebenza ngokunciphisa ngokukhawuleza i-asidi ye-asidi yesisu. Zilungile kwi-heartburn ngamanye amaxesha, kodwa azisisisombululo sexesha elide.
- Ii-H2 blockers: Ezi zinciphisa ukuveliswa kwe-asidi yesisu.
- Izithinteli zeProton pump (PPIs): Ezi zezona ziyobisi zinamandla zokunciphisa iasidi ezikhoyo. Ziyayimisa kakhulu imveliso yeasidi kwaye zinceda ukuphilisa izilonda kwi-esophagus.
Eyona nto ibalulekileyo: Naliphi na kula mayeza kufuneka asetyenziswe kuphela phantsi kwengcebiso kagqirha wakho. Ukuwathatha kwikhemesti ngendlela othanda ngayo kuya kuyenza mandundu imeko kwaye kubangele iingxaki zangaphakathi.
3. Utyando
Kwabo bane-GERD enzima kakhulu engaphenduliyo kumayeza, okanye abo banemeko efana ne-hiatal hernia, utyando lunokucetyiswa. Oku kubandakanya ukuqinisa i-LES ebuthathaka.
Yintoni omele uyenze ukuba ngequbuliso uqaqanjelwa sisifuba?
- Yima nkqo: Ukuba ulele phantsi, vuka uhlale phantsi okanye ume nkqo. Amandla ombane aya kunceda i-asidi yehle.
- Sela amanzi: Akwanele, ukusela amanzi ambalwa kunokunceda ukuhlamba i-asidi kwaye yehle.
- Khulula impahla yakho: Ukuba unxibe impahla ebambekayo okanye ibhanti, yikhulule.
- I-antacid: Ukuba une-antacid oyinikwe ngugqirha, yisebenzise.
Umyalezo Wokuya Ekhaya
- Nangona isitshiso sentliziyo ngamanye amaxesha siqhelekile, ukuba ufumana ezi mpawu ngaphezu kwesibini ngeveki, sisifo sempilo (GERD).
- Musa ukuyityeshela nje, ucinge ukuba yi-"gastritis." Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha kwaye ufumane ukuxilongwa ngokuchanekileyo.
- Esi sifo sinokulawulwa kakhulu ngokutshintsha indlela yokuphila kunye nendlela yokutya.
- Ukuba i-GERD ayinyangwa kakuhle, inokukhokelela kwiingxaki ezinkulu ezifana nomhlaza womqala.
- Musa ukuthatha amayeza okunciphisa i-asidi ixesha elide kangangoko ufuna ngaphandle kokubonisana nogqirha.
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