Ngaba nawe unesitshiso sentliziyo kunye neentlungu zesifuba? Masifunde nge-acid reflux kunye ne-GERD!

Emva kokutya, ngaba ngamanye amaxesha uziva utshile esifubeni sakho, uzive ukrakra emqaleni wakho, okanye ukuqina esiswini sakho, okufana nokutshixiza? Ezi ziimpawu eziqhelekileyo ze-acid reflux ezifunyanwa ngabantu abaninzi. Nangona kuqhelekile ukuba oku kwenzeke ngamanye amaxesha, yinto ekufuneka ixhalatyelwe ukuba yenzeka rhoqo.

Yintoni i-Acid Reflux? Masiyiqonde ngokulula!

Ngamafutshane, i-acid reflux kuxa umxholo wesisu sethu, ingakumbi i-gastric acid , ugeleza uye phezulu, oko kukuthi, ubuyela emqaleni. Ngokwesiqhelo, ukutya esikutyayo kuya esiswini kuze kwehle. Kodwa kule meko, kwenzeka okwahlukileyo.

Khawucinge nje, le asidi esiswini sethu inamandla kakhulu. Yenzelwe ukugaya ukutya. Ngoko ke xa into efana nale ingena kwi-esophagus - umbhobho wokutya - inokonakalisa izicubu ezithambileyo ngaphakathi kwi-esophagus kwaye ibangele ukudumba. Abantu abaninzi bayakuva oku ngamanye amaxesha. Abanye bakubiza ngokuba yi- "digestion" , abanye bakubiza ngokuba yi- "heartburn" , oku kukutshisa okuvakalayo embindini wesifuba, kufutshane ne-sternum.

Le ngxaki ye-acid reflux ngamaxesha athile ayisiyongxaki inzima. Kodwa kwabanye abantu, iyenzeka rhoqo. Ngolu hlobo lwe-acid reflux oluqhubekayo, kunzima ukuphila ubomi obuqhelekileyo, kwaye lunokonakalisa umqala wethu.

Ngoko ke yintoni iGERD?

I-GERD ligama elifutshane leSifo se-Gastroesophageal Reflux . Kwamanye amazwe, ikwabhalwa njenge- GORD (Gastro-oesophageal Reflux Disease) . Nangona kunjalo, ibhekisa kwimeko apho i-acid reflux kwi-esophagus yethu isenzeka ixesha elide (chronic acid reflux) . Ukuba i-acid iphuma ngolu hlobo ubuncinane kabini ngeveki, kangangeeveki ezininzi, oogqirha bayijonga njengemeko ye-GERD.

I-asidi ingavela ngenxa yezizathu ezithile zexeshana. Umzekelo, ukulala phantsi emva kokutya kakhulu. Kodwa i-GERD ayisiyonto yexeshana. Yingxaki ehlala ihleli, eyenzeka ngoomatshini . Oko kukuthi, iindlela ezithintela i-asidi ukuba ingangeni emqaleni azisebenzi kakuhle.

Zixhaphake kangakanani ezi meko?

Zombini ezi meko zibizwa ngokuba sisifo se-gastroesophageal reflux (GERD) kunye ne-GERD zixhaphake kakhulu. Kwilizwe elifana neMelika, kuqikelelwa ukuba malunga nama-20% abantu abadala kunye malunga ne-10% yabantwana bane-GERD. Le meko inokubonwa kwilizwe lethu ngokubanzi okanye kancinci.

Zithini iimpawu zoku? Jonga ukuba nawe unazo ezi!

Kukho iimpawu ezininzi ze-acid reflux kunye ne-GERD. Jonga ukuba kukho naziphi na kwezi ezivakala ziqhelekile kuwe:

• Ukuhlamba/Ukubuyisela umva: Emva kokutya, ungaziva ngathi i-asidi yesisu, amasuntswana okutya, kunye nolwelo zibuyela emqaleni wakho. Oku kubizwa ngokuba yi-regurgitation . Ngamanye amaxesha kunokuhambisana nencasa emuncu .
• Ukuziva utshisa: Ngenxa yokuba i-asidi yinto enamandla, ibangela ukutshisa kwi-esophagus. Ukuba oku kuvakala esifubeni, kubizwa ngokuba yi-heartburn . Ukuba kuvakala esiswini, kubizwa ngokuba yi-acid indigestion .
• Iintlungu zesifuba ezingezizo ezentliziyo: Abanye abantu bafumana iintlungu zesifuba ezingavakali ngathi ziyatsha. Iimithambo-luvo eziva iintlungu emqaleni zifana neemithambo-luvo eziva iintlungu entliziyweni, ngoko ke ngamanye amaxesha zinokuphambaniswa nokuhlaselwa yintliziyo.
• Isicaphucaphu: Ukubuyela kwe-asidi emzimbeni kunokubangela isicaphucaphu kunye nokuphelelwa ngumdla wokutya. Nokuba sele kudlule ixesha elide, isisu sisenokuziva sigcwele.
• Umphimbo obuhlungu: Ukuba i-asidi ingena emqaleni wakho, inokubangela umphimbo obuhlungu, uzive ngathi kukho into ebambekileyo emqaleni wakho, kwaye kube nzima ukuginya. Amaxesha amaninzi, i-asidi ingena emqaleni wakho ebusuku ngelixa ulele.
• Iimpawu ze-asthma: I-GERD ingenza iimpawu ze-asthma zibe zimbi ngakumbi kubantu abane-asthma, kwaye nakubantu abangenayo i-asthma, inokubangela ukukhwehlela, ukuphefumla nzima, kunye nobunzima bokuphefumla . Oku kungenxa yokuba amasuntswana e-asidi anokunciphisa iindlela zomoya ukuba angena kuzo.

Ziye zivakale nini ezi mpawu kakhulu?

• Xa ulele okanye ulele ebusuku .
• Emva kokutya isidlo esikhulu okanye isidlo esinamafutha amaninzi .
• Xa ugoba phambili.
• Xa utshaya okanye usela utywala .

Ngaba iintsana ezincinci nazo ziyafumana i-GERD?

Kuqhelekile kakhulu ukuba iintsana ezisandul’ ukuzalwa ziphinde zitye ubisi. I-asidi encinci isenokuza nobisi, kodwa ayizukubangela ngxaki inkulu kumntwana. Nangona kunjalo, i-GERD yimeko enzulu ngakumbi. Inokubangela ukungakhululeki kunye neengxaki zokuncancisa.

Iintsana ezizalwa ngaphambi kwexesha okanye ezineengxaki zempilo ezinxulumene nomqala zinamathuba amaninzi okuba ne-GERD. Kungcono ukubona ugqirha wabantwana ukuba umntwana wakho unezinye zezi mpawu:

• Ukuba uhlala ulila ngaphandle kwesizathu .
• Ukuba unengxaki yokulala .
• Ukuba awukuthandi ukusela ubisi .
• Ukuba uhlala uhlanza kancinci .
• Ukuba wenza isandi sokuphefumla xa uphefumla okanye ukuba ilizwi lakho litsho ngelizwi elirhabaxa .
• Ukuba unevumba elibi eliphuma emlonyeni wakho .

Kutheni le asidi iphuma? Zithini izizathu?

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

Le LES sisihlunu esijikelezayo. Sivula xa siginya ukutya, size sivale kwakhona ukuze sigcine okungaphakathi esiswini kusendaweni yako. Sivula kancinci xa sibhodla, njengaxa siqhwanyaza, ukuze kuphume amaqamza omoya.

I-asidi iyavela xa i-LES iba buthathaka okanye ikhululeke kakhulu . Ezinye izinto zexeshana zinokubangela ukuba i-LES iphumle. Umzekelo, ukulala phantsi emva kwesidlo esikhulu. Kodwa ukuba une-GERD, i-LES yakho ihlala iphumla.

Izizathu eziqhelekileyo zobuthathaka be-LES ziquka:

• I-Hiatal Hernia: Oku kuxa inxalenye ephezulu yesisu ityhala phezulu ngomngxuma okwi-diaphragm apho i-esophagus iyehla khona. Inganamathela kwi-esophagus, ibangele i-asidi ukuba iqokeleleke. Kwakhona, kuba i-LES ikwindawo engaphezulu kwesisu, ayixhasi kakhulu imisipha. Le meko ixhaphake ngakumbi xa ukhula kwaye inokunyuka kancinci kancinci.
• Ukukhulelwa: Ukubuyela kwe-acid okwexeshana kuxhaphake kakhulu ngexesha lokukhulelwa. Uxinzelelo lomntwana okhulayo esiswini lunokolula kwaye lwenze buthathaka izihlunu ezixhasa i-LES. Kwakhona, iihomoni ezikhutshwa ngexesha lokukhulelwa, ezifana ne -relaxin ( ekhulula izihlunu ukuze zenze indawo yomntwana), i-estrogen, kunye ne -progesterone, nazo zinokukhulula i-LES.
• Ukutyeba kakhulu: Ukutyeba kakhulu kunokunyusa uxinzelelo lwangaphakathi esiswini, olunokuchaphazela i-LES, njengokukhulelwa. Ukutyeba kakhulu kunokuthatha ixesha elide kunokukhulelwa, kwaye izihlunu zinokuba buthathaka ngokusisigxina. Oku kukwangunobangela omkhulu we-hiatal hernias. Ekubeni izicubu zamafutha zikhupha i-estrogen, amanqanaba e-estrogen kubantu abatyebe kakhulu nawo ayanda.
• Ukutshaya: Izinto ezikwicuba ziyayiphumza i-LES. Esi siphumo sinokwenzeka nokuba uyatshaya okanye uphefumla umsi xa abanye betshaya (umsi osetyenziswa ngomnye umntu). Ukutshaya kubangela ukukhohlela, kwaye xa ukhohlela, i-LES iyavuleka. Ukuqhubeka nokutshaya nokukhohlela kunokwenza buthathaka izihlunu zodonga lwesisu kwaye kubangele i-hernia yokuzala. Akupheleli apho, ukutshaya kukwanciphisa ukugaya ukutya kwaye kubangela ukuba isisu sivelise i-asidi engaphezulu .

Ezinye izizathu ezinokubakho zeGERD ziquka:

• Ezinye iziphene zokuzalwa: Umzekelo, iimeko ezibandakanya i-esophagus ezifana ne -esophageal atresia .
• Izifo zezicubu ezidityanisiweyo: Izifo ezifana ne -scleroderma zinokuchaphazela izihlunu zomqala.
• Utyando lwangaphambili: Utyando olusesifubeni okanye esiswini esingaphezulu lusenokuba lonakalise umphimbo.
• Amayeza athile: Amanye amayeza anokuthomalalisa i-LES.
• IiBenzodiazepines (i-tranquilizer)
• Ii-calcium channel blockers ( amayeza oxinzelelo lwegazi oluphezulu)
• Amayeza okudakumba e-Tricyclic (amayeza okudakumba neentlungu)
• Ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) - iintlungu ezifana ne-aspirin kunye ne-ibuprofen
• I-Theophylline (iyeza eliqhelekileyo le-asthma)
• Unyango lweHormone (HT) yokuyeka ukuya exesheni

Ngaba ukutya neziselo kuyayichaphazela le nto?

Ukutya nokusela kuphela kusenokungabangeli i-acid reflux, kodwa kunokubangela ukuba imeko ibe mandundu. Ukutya izinto ezininzi ezifana netshokholethi, ikofu, utywala, iminti, igalikhi kunye no-anyanisi kunokunciphisa i-LES.

Ukutya okunamafutha kwandisa i-asidi yesisu kwaye kuthatha ixesha elide ukugaya. Ngoko ke kukho amathuba aphezulu okubuyela kwi-asidi. Ukuba utya isidlo esinzima ngesidlo sangokuhlwa, sisenokungagaywa ngaphambi kokuba ulale.

Zeziphi iingxaki ezinokuvela ukuba oku kuyaqhubeka?

I-asidi esesiswini sethu inamandla kakhulu. Yenzelwe ukugaya ukutya esikutyayo. Isisu sethu sinomgca ongqindilili ngaphakathi ukusikhusela kule asidi. Kodwa amanye amalungu ethu omzimba awanalo olu khuselo.

I-asidi reflux ichaphazela kakhulu umphimbo. Kodwa ngamanye amaxesha le asidi inokunyuka iye kwi-windpipe okanye kwi-airways. Nokuba i-asidi encinci iphuma, inokubangela ukungakhululeki, kodwa ukuba iphuma rhoqo, inokonakalisa la malungu omzimba.

Iingxaki ezinokwenzeka:

• I-Esophagitis: Oku kukudumba kolwelo lwe-esophagus. I-esophagitis ehlala ixesha elide inokubangela iintlungu ezingapheliyo kunye nezilonda kwi-esophagus. Ekuhambeni kwexesha, inokukhokelela kwizilonda okanye i-metaplasia yamathumbu, imeko engaphambi komhlaza enokukhokelela kumhlaza.
• I-Barrett's esophagus: Eli ligama elinikwe imeko ebizwa ngokuba yi -intestinal metaplasia kwi-esophagus. Kulapho ulwelo lwe-esophagus lutshintsha khona luze lufane nolwelo lwamathumbu. Oku kubangelwa kukuvezwa ixesha elide kwi-asidi kunye nokudumba. Le yingxaki yomhlaza we-esophagus .
• Ukuqiniswa komlomo: Izicubu ezixineneyo zinokwakheka kwi-esophagus ukuyikhusela ekuvuvukeni nasekumonakaleni kwexesha elide. Ezi zicubu ezixineneyo zinokubangela ukuba i-esophagus ibe mxinwa. Oku kubizwa ngokuba yi-stricture . Oku kunokwenza kube nzima ukuginya nokutya.
• Ukubuyela kwe-asidi emqaleni nakwingqula (i-Laryngopharyngeal reflux - LPR):Abanye abantu abane-GERD nabo banesifo se-LPR, apho i-asidi ingena emqaleni. I-asidi inokungena emphinjeni wakho ngelixa ulele. Oku kunokubangela ukuba umqala wakho udumbe, ilizwi lakho libe rhabaxa, kwaye kukhule imithambo yelizwi . Amasuntswana e-asidi anokuphefumlelwa nakwimibhobho yakho yomoya.
• Isifuba somoya: Ukuphefumla nge-asidi kunokwenza isifuba sibe sibi ngakumbi kubantu abasele benesifo somoya, kwaye nakubantu abangenaso isifo sokuphefumla esele sikhona, iimpawu ezifana nesifuba zinokubakho. Amasuntswana amancinci e-asidi anokosulela iityhubhu ze-bronchial, okubangela ukuba zinciphe, okubangela ukukhohlela nobunzima bokuphefumla.

Ungazi njani ngokuqinisekileyo ukuba une-GERD? Zithini iimvavanyo zonyango?

Ugqirha wezifo zesisu uza kuhlola umphimbo wakho ukuze abone ukuba unayo na i-GERD. Kukho iimvavanyo ezininzi ezinokwenziwa ukuze kuqinisekiswe oku:

• I-Esophagram: Olu luvavanyo lwe-X-ray. Umphimbo uhlolwa kusetyenziswa ii-X-ray (fluoroscopy) ezihambayo xa uginya. Unikwa ulwelo olufana netshokhwe olubizwa ngokuba yi-barium ukuze ulusele.
• I-Upper endoscopy: Oku kuquka ukufaka ityhubhu encinci enekhamera emlonyeni wakho ukuze uhlole ingaphakathi lomqala wakho. Uza kunikwa i-laxation encinci uze ulale.
• Uvavanyo lwe-pH ye-Esophageal: Olu vavanyo lulinganisa ubungakanani be-asidi kwi-esophagus. Ngexesha le-endoscopy, ugqirha ubeka i-sensor encinci engenazingcingo (i-wireless receiver) kwi-esophagus.
• I-Esophageal manometry: Oku kulinganisa umsebenzi wezihlunu kwi-esophagus. Oku kwenziwa kusetyenziswa ii-pressure sensors ezifakwe kwi-nasogastric tube. Oku kunokuqinisekisa ukuba i-LES okanye ezinye izihlunu zisebenza kakuhle.

Zithini iindlela zonyango zokunyanga oku?

Abanye abantu banokunciphisa i-acid reflux yabo ngokwenza utshintsho kwindlela abaphila ngayo, njengokutshintsha indlela abatya ngayo, ukunciphisa utywala nokutshaya, kunye nokunciphisa umzimba. Oogqirha bakwakhuthaza abantu ukuba balandele ezi ndlela.

Kodwa ukuba une-acid reflux engapheliyo okanye i-GERD, oogqirha banokukunika amayeza anciphisa i-asidi yesisu. Emva koko, nokuba i-asidi ivele, ayizukuba yingozi kangako. La mayeza afumaneka lula kwaye asebenza kakhulu kwi-GERD.

Iyeza

Amayeza athengiswa ngaphandle kwemvume kagqirha (OTC) afumaneka kwiikhemesti ngaphandle kwemvume kagqirha:

• Ii-antacids: Ii-antacids, ezifana neTums® kunye neRolaids®, zinciphisa i-asidi yesisu. Oku kuthetha ukuba nokuba i-asidi iphuma, ayizukubangela umonakalo omkhulu kwi-esophagus. Ezi zilungile kwi-acid reflux ngamanye amaxesha, kodwa zinokubangela iziphumo ebezingalindelekanga ukuba zithathwa rhoqo, ngoko azisisisombululo esihle sexesha elide.
• IiAlginates:I-Alginate yiswekile yendalo ekhutshwa kwi-seaweed. Idada phezu kwe-asidi, idala umqobo obonakalayo phakathi kwe-asidi kunye nomqala. Kukho amayeza aqulethe i-alginate yodwa, kunye namayeza adibanisa i-alginate kunye ne-antacids.

Amayeza abhalwe ngugqirha:

• Ii-histamine receptor antagonists (ii-H2 blockers): Ii-H2 blockers zinciphisa ukuveliswa kwe-asidi yesisu. Oku kungenxa yokuba zithintela ikhemikhali (i-histamine) exelela umzimba ukuba uvelise i-asidi. Ezi zinokuthathwa rhoqo kunee-antacids, kodwa azisoloko zisebenza ixesha elide. Umzimba unokuziqhelanisa nazo.
• Izithinteli zeProton pump (PPIs): IiPPI luhlobo lwamayeza athintela i-asidi ngempumelelo kwaye akhuthaze ukuphiliswa kwezicubu. Ugqirha wakho unokucebisa ezi kuqala ukuba iGERD yakho inzima okanye ukuba uneempawu zomonakalo kwizicubu ezikumphimbo wakho. Zisebenza kakuhle ngama-90% ekunciphiseni i-acid reflux.
• I-Baclofen: I-Baclofen sisithomalalisi semisipha. Idla ngokunikezelwa ukunciphisa ukuqaqamba kwemisipha. Inganciphisa nenani lamaxesha i-LES ephumla ngawo, nto leyo enokunciphisa ubungakanani be-asidi ephumayo. Ayiloyeza lokuqala le-acid reflux, kodwa inokuba yinxalenye yesicwangciso sakho sonyango.

Ngaba akukho ndlela yokuyeka okanye yokunyanga ngokupheleleyo i-acid reflux?

Nangona amayeza enokuthi anciphise iimpawu kunye nemiphumo ye-GERD, awanakukwazi ukuyiphelisa ngokupheleleyo. Nokuba umntu one-GERD enzima usela amayeza, usenokufumana iingxaki, nokuba awuqondi.

Kwiimeko ezinjalo, kufuneka isisombululo esihlala sihleli ukuze kuthintelwe i-asidi ukuba inganyuki. Oku kuthetha utyando lokuqinisa i-LES . Olu tyando aluqhelekanga ukuba lukhulu, luyinkqubo yokulaliswa ngaphandle, kwaye luphumelela kakhulu.

Utyando

Utyando lwe-GERD:

• I-Nissen fundoplication: Olu lolona tyando luqhelekileyo kwi-GERD. Ukuba kunokwenzeka, lwenziwa nge-laparoscopically . Oku kuthetha ukuba lwenziwa ngokusikwa okuncinci, oko kuthetha ukuba ixesha lokuchacha lifutshane. Ugqirha uthatha inxalenye ephezulu yesisu, ayisonge kwinxalenye esezantsi ye-esophagus, aze ayithunge kunye. Olu tyando lwenziwa nakubantu abane-hiatal hernias.
• Isixhobo se-LINX: Le yinkqubo entsha. Isixhobo esibizwa ngokuba yi-LINX sifakwa ngotyando. Isixhobo se-LINX sisingqimba esincinci semagnethi. Sinceda ukugcina unxibelelwano phakathi kwesisu kunye nommizo luvaliwe.

Yintoni onokuyenza ukulawula i-acid reflux ekhaya?

Zama ezi zinto ukulawula i-acid reflux ekhaya:

• Yitya ukutya okuncinci:Ukutya okukhulu kuzalisa isisu kwaye kubeke uxinzelelo kwi-LES. Ukutya okuncinci kuyagaywa ngokukhawuleza kwaye akuvelisanga i-asidi engako esiswini.
• Yitya isidlo sangokuhlwa kwangethuba: Kungcono ukutya iiyure ezimbalwa ngaphambi kokuba ulale uze ulale ebusuku, njengoko amandla adonsela phantsi enceda ekunciphiseni i-asidi emzimbeni.
• Lala ngecala lakho lasekhohlo: Xa ulala ngale ndlela, i-LES yakho ihleli phezu kwesisu sakho, njengepokotho yomoya. Ukulala ngecala lakho okanye ngecala lasekunene kunokubangela ukuba ivalvu iwe.
• Nciphisa uxinzelelo esiswini sakho: Nxiba impahla ekhululekileyo. Ukuba utyebile kakhulu, zama ukunciphisa umzimba. Oku kuya kunceda kwixesha elifutshane kunye nexesha elide.
• Yeka ukutshaya nokusela utywala: Icuba kunye notywala zenza buthathaka i-LES. Zikwanyusa ne-asidi yesisu, nto leyo eyandisa ixesha lokugaya ukutya.
• Amayeza afumaneka ngaphandle kwemvume kagqirha: Gcina amayeza afana ne-antacids kunye ne-alginates zisecaleni . Sebenzisa la mayeza ingakumbi ukuba uyazi ukuba uza kutya ukutya okune-asidi eninzi.

Wenza ntoni ukuba i-asidi ivele ngequbuliso?

Zama ukwenza ezi zinto ngelo xesha kanye:

• Sukuma: amandla angaphantsi komhlaba akwicala lakho.
• Sela ithamo lamanzi elinye okanye amabini: Musa ukusela kakhulu, kodwa ukusela amanzi amancinci kunokunceda ekukhupheni iasidi.
• Khulula ibhande: Khulula amaqhosha ebhanti, okanye utshintshe ibhulukhwe ukuba unako.
• Sela i-antacid: Ukuba awunayo ekufutshane, into efana nePepto Bismol® inokukunceda.

Ndifanele ndimbone nini ugqirha ngale nto?

Ukuba unesitshiso sentliziyo rhoqo, qiniseka ukuba ubonana nogqirha . Kubalulekile ukuqonda indlela esichaphazela ngayo umzimba wakho. I-GERD ayisiyonto ingathandekiyo nje kuphela - inokuba yingozi. Kwaye, kukho unyango olufanelekileyo lwayo.

Abantu abaninzi banesitshiso sentliziyo ngamanye amaxesha. Isitshiso sentliziyo, iintlungu zesisu, kunye ne-acid reflux zinokwenza kube nzima ukujamelana nosuku. Kukho izinto onokuzenza ukunciphisa ukuphindaphindeka kwezi mpawu.

Kodwa ukuba unesitshiso sentliziyo rhoqo kwaye sichaphazela ubomi bakho, usenokuba une-GERD. Kufanelekile ukuthetha nogqirha malunga neempawu zakho. Banokukunceda ugqibe ukuba unyango lunokunceda na.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

I-acid reflux kunye ne-GERD ziimeko ezichaphazela abantu abaninzi. Nangona kuqhelekile ukuba nazo ngamanye amaxesha, kubalulekile ukuba uzazi ukuba ziyingxaki eqhelekileyo.

• Chonga iimpawu zakho. Lumkela izinto ezifana nencasa emuncu emqaleni, iintlungu zesifuba, kunye nobunzima bokuginya.
• Utshintsho olulula kwindlela ophila ngayo lunokwenza umahluko omkhulu. Cinga ngento oyityayo, ixesha otya ngalo, nendlela olala ngayo.
• Musa ukutshaya notywala.Ezi ngokwenene ziyayenza mandundu le ngxaki.
• Ukuba awukwazi ukuyilawula ngamayeza asekhaya, qiniseka ukuba ufuna ingcebiso kagqirha . I-GERD yimeko enokunyangeka. Nangona kunjalo, ukuba ayinyangwa, inokukhokelela kwiingxaki.
• Ungakhathazeki. Le meko ingalawuleka kakuhle ngengcebiso kunye nonyango olufanelekileyo. Thetha ngokukhululekileyo nogqirha wakho.

Ndiyathemba ukuba olu lwazi uza kulufumana luluncedo. Hlala usempilweni!

I - asidi reflux, i-GERD, isitshiso sentliziyo, ukudumba kwesisu, ukungagayi kakuhle kokutya, i-esophagitis, unyango lwezonyango