Ngaba i-Acid yiyo yodwa imbangela yesitshiso sakho sentliziyo? Masithethe ngeBile Reflux

Ngaba nawe usoloko unesitshiso sentliziyo? Kuvakala ngathi kuyatsha, ngathi kuphuma emqaleni wakho. Sihlala sicinga ukuba oku yi-gastritis okanye i-acid reflux. Yiyo loo nto, kwaye uninzi lwexesha yiyo loo nto ibangela. Kodwa ngamanye amaxesha unobangela wale mvakalelo yokutsha inokuba yinto eyahlukileyo. Yiyo leyo i-bile reflux, okanye njengoko sibiza ngokwezonyango, imeko ebizwa ngokuba yi-bile reflux. Makhe sithethe ngale nto namhlanje, ngendlela onokuyiqonda.

Ngamafutshane, yintoni i-bile reflux?

Cinga ngenkqubo yethu yokugaya ukutya njengendlela eya kwicala elinye. Ukutya kungena emlonyeni, kudlule kwi-esophagus, esiswini, kuze kungene emathunjini amancinci. Ukuze olu hambo luhlale luhamba kakuhle, kukho iivalvu (ii-sphincters) ezivuleka zize zivaleke kwiindawo ezahlukeneyo. Ezi zivumela ukutya kunye neejusi zokugaya ukutya ukuba zihambe phambili kwaye ziyeke ukuhamba umva.

Ngoku makhe sijonge ukuba yintoni 'i-bile'. I-bile lulwelo oluluhlaza-olutyheli oluveliswa esibindini sethu kwaye lugcinwe kwi-gallbladder. Xa sitya ukutya okunamafutha, le bile ingena emathunjini amancinci kwaye incede ekugayeni loo mafutha.

Ukutya okuvela esiswini kungena emathunjini amancinci ngevalvu ebizwa ngokuba yivalvu ye-pyloric. Ngokwesiqhelo, le valve ivala kakuhle. Kodwa ukuba le valve iba buthathaka okanye ayivali kakuhle, inyongo emathunjini amancinci ibuyela umva, iye esiswini, apho ingafanele iye khona. Oku kubizwa ngokuba yi-Bile Reflux. Ngamanye amaxesha, le nyongo inokunyuka isuka esiswini, iye kutsho kwi-esophagus.

Yintoni umahluko phakathi kweBile Reflux kunye neAcid Reflux?

Abantu abaninzi bayababhidanisa aba bantu bababini kuba iimpawu ziyafana kakhulu. Kodwa kukho umahluko omkhulu phakathi kwabo. Masiyiqonde kakuhle le nto.

• I-Acid Reflux/GERD: Oku kwenzeka xa i-asidi enamandla esiswini iphuma kwi-esophagus. Oku kubangelwa kukungabi namandla kwevalvu phakathi kwesisu kunye ne-esophagus (i-sphincter esezantsi ye-esophageal). Oku kuvumela i-asidi yesisu ukuba inyuke.
• Ukuphindaphindeka kweBile: Oku kulapho i-bile evela emathunjini amancinci ibuyela umva iye esiswini. I-bile ingaxubana ne-asidi yesisu ize inyuke iye kwi-esophagus.

Le theyibhile iza kukwenza umahluko ucace ngakumbi kuwe.

I-bile reflux iwuchaphazela njani umzimba?

Inyongo ayisiyo iasidi. Kodwa yikhemikhali enamandla eyenzelwe ukugaya amafutha. Ngoko ke xa le nyongo ingena kwimiqolo ebuthathaka yesisu kunye nomqala, apho ingekho khona, yonakalisa ezo ndonga.

Lo monakalo ubangela ukudumba.

• Ukuba kwenzeka esiswini: I-Gastritis
• Ukuba kwenzeka kwi-esophagus: I-Esophagitis

Ngenxa yesi sizathu, usenokuba neentlungu zesisu, iintlungu zesifuba, umphimbo obuhlungu, kunye nokucaphuka rhoqo, ukungagayi kakuhle ukutya, kwaye ngamanye amaxesha uhlanze inyongo.

Zithini iingxaki ukuba le meko iyaqhubeka?

I-Bile reflux ayisiyonto ithathwa lula. Ukuba le meko iqhubeka ixesha elide, inokukhokelela kwiingxaki ezinkulu.

• Izilonda Zesisu: Ukuchatshazelwa rhoqo yinyongo kunokonakalisa udonga lwesisu.
• Umngcipheko ophezulu womhlaza wesisu: Kufunyaniswe ukuba isifo se-gastritis esingapheliyo sinyusa umngcipheko womhlaza wesisu.
• I-Barrett's Esophagus: Ngenxa yokuchatshazelwa ixesha elide yi-bile kunye ne-asidi, iiseli ezikwinxalenye esezantsi ye-esophagus ziqala ukutshintsha. Oku kungaba sisiseko somhlaza we-esophagus.

Abantu abane-acid reflux nabo banazo ezi ngozi. Kodwa uphando lubonise ukuba ukuba une-acid reflux kunye ne-bile reflux, umngcipheko womhlaza uyanda amaxesha amaninzi . Ngoko ke kubaluleke kakhulu ukuqaphela oku.

Ziziphi izizathu eziphambili ze-bile reflux?

Ukubuyela kwe-bile kunqabile kumntu osempilweni ngokubanzi. Kukho izizathu ezininzi ezithile ezinokuchaphazela oku.

• Utyando: Utyando, ingakumbi utyando lwesisu kunye ne-cholecystectomy, yeyona nto ibangela oku. Xa inyongo isusiwe, inyongo ayisagcinwa kwaye igeleza iye emathunjini amancinci. Oku kwandisa umngcipheko wokuba inyongo iqokeleleke ize ibuyele esiswini.
• Ukuvaleka kwevalvu yePyloric: Le valve isenokungasebenzi kakuhle ngenxa yezilonda okanye amanxeba emathunjini amancinci (isilonda se-duodenal).
• Ukungasebenzi kakuhle kwesisu: Abanye abantu banenkqubo yokugaya ecothayo kakhulu. Oku kunokubangela ukuba ukutya kunye nenyongo kuhlale kwindawo enye ixesha elide, nto leyo ebangela uxinzelelo lokuba luqokeleleke kwaye lubuyele umva.

Ugqirha uluchonga njani ngokuchanekileyo olu sifo?

Ugqirha wakho usenokukukrokrela oku xa ubaxelela ngeempawu zakho. Kodwa kuya kufuneka benze uvavanyo oluthile ukuze baqinisekise ukuba ngaba yi-Acid Reflux, i-Bile Reflux, okanye zombini.

• I-Upper Endoscopy: Olu lolona vavanyo lubalulekileyo. Ityhubhu encinci, eguquguqukayo enekhamera ifakwa ngomlomo ukuze kuhlolwe umphimbo, isisu, kunye nokuqala kwamathumbu amancinci. Oku kuvumela ugqirha ukuba abone udonga lwangaphakathi ukuze abone umonakalo, ukudumba, kunye nenyongo. Ukuba kuyimfuneko, iqhekeza elincinci lesicubu (i-biopsy) lingathathwa ukuze livavanywe. Uza kunikwa iyeza lokuthomalalisa ngaphambi kwale nkqubo, ukuze ungaziva ungonwabanga.
• Uvavanyo lwe-Esophageal Impedance: Olu vavanyo lunokubonisa ngokuchanekileyo ukuba ulwelo lwe-asidi okanye olungeyo-asidi, olufana ne-bile, luphuma kwi-esophagus. Oku kuquka ukubeka ityhubhu encinci ngempumlo iye kwi-esophagus iiyure ezingama-24.
• I-HIDA Scan: Olu luvavanyo olukhethekileyo lwe-x-ray olunokujonga indlela inyongo ehamba ngayo ukusuka esibindini ukuya emathunjini amancinci, kunye nokuba kukho na ukulibaziseka okanye ukubuyela umva kolo hambo.

Zithini iindlela zonyango zoku?

Ukunyanga i-bile reflux kunzima ngakumbi kune-acid reflux. Ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho.

Amayeza

• I-Ursodeoxycholic acid: Eli yeza litshintsha ukwakheka kweekhemikhali zenyongo, linciphisa umonakalo eliwenzayo emzimbeni.
• Ii-Bile acid sequestrants: Ezi zibopha i-bile engena esiswini, zinciphisa imiphumo yayo eyingozi.
• I-Sucralfate: Eli yeza lisebenza njengengubo yokukhusela eludongeni lwesisu kunye nomqala, libakhusela ekonakaleni okubangelwa yinyongo.
• Ii-Prokinetic agents: Ezi zikhawulezisa ukusebenza kwenkqubo yokugaya ukutya kwaye zibangela ukuba isisu siphume ngokukhawuleza.

Utyando

Utyando lunokucetyiswa kubantu abane-bile reflux enzima abangenakukwazi ukuyilawula ngamayeza. Kukho iintlobo ezimbini eziphambili zotyando. Olunye lutyando lokuguqula i-bile ukuba ingangeni esiswini. Olunye lutyando lokuthintela i-reflux oluqinisa i-sphincter esezantsi ye-esophageal, ekwasetyenziselwa i-acid reflux.

Ngaba zikho izinto onokuzenza ekhaya?

Lo ngumbuzo obaluleke kakhulu. Kodwa inyani yile, ngokungafaniyo ne-Acid Reflux, i-Bile Reflux kunzima ukuyilawula ngokupheleleyo ngokusebenzisa amayeza alwa ne-asidi rhoqo okanye utshintsho olukhulu kwindlela yokutya.

Nangona kunjalo, kukho izinto ezimbalwa onokuzama ukuze ufumane isiqabu kwiimpawu:

• Gcina intloko yakho iphakanyisiwe ngelixa ulele: Beka iziqwenga ezimbini zomthi entlokweni yebhedi, malunga ne-intshi ezi-1.5 ukuphakama, emilenzeni. Musa ukuqokelela imiqamelo kuphela, wonke umzimba wakho ongaphezulu kufuneka uphakame.
• Ukunciphisa umzimba: Njengoko ubunzima bomzimba busanda, uxinzelelo esiswini lunokwanda kwaye imeko yokubuyela umva kwesisu ingaba mandundu.
• Yitya ukutya okuncinci rhoqo: Endaweni yokutya isidlo esikhulu ngaxeshanye, yitya ukutya okuncinci amaxesha amaninzi ngemini.
• Yitya isidlo sangokuhlwa kwangethuba: Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-2-3 ngaphambi kokulala.
• Kuphephe ukutshaya: Ukutshaya kuyayibangela ingxaki yokuphefumla.
• Kuphephe ukunxiba impahla eqinileyo: Iimpahla eziqinileyo zinokubangela uxinzelelo esiswini.