Ngaba nawe usoloko ufuna ukuhlambulula umqala wakho? Ngaba uziva ngathi kukho iqhuma emqaleni wakho? Ngaba ilizwi lakho livakala lahlukile kwaye lirhawuzelela? Uninzi lwethu siyazithatha ezi zinto njengomkhuhlane nje oqhelekileyo okanye i-allergy. Kodwa isenokuba yinto eyahlukileyo kunokuba ucinga. Oku sikubiza ngokuba yi-LPR, okanye "i-Silent Reflux" ngokwezonyango. Makhe sithethe ngayo namhlanje.
Yintoni kanye kanye le LPR?
Ngamafutshane, i-LPR luhlobo olukhethekileyo lwe-gastritis. I-acid reflux kuxa i-asidi yesisu kunye neejusi zokugaya zibuyela emqaleni. Oku kudla ngokuvakala esifubeni, kwinxalenye esezantsi yomqala. Siyibiza ngokuba yi-heartburn.
Kodwa kwi-LPR, ezi asidi zesisu zinyuka zize zifikelele kwi-larynx yethu, kwibhokisi yelizwi, nakwi-pharynx. Ngenxa yokuba iphuma ngaphaya komqala, iimpawu zahlukile kakhulu kwi-gastritis eqhelekileyo. Yiyo loo nto abantu abaninzi bengaqapheli nokuba luhlobo lwe-gastritis. Endaweni ye-heartburn kunye nentlungu yesisu, i-LPR ichaphazela kakhulu iindawo zelizwi lakho, umphimbo, kunye nempumlo. Ikwabizwa ngokuba yi- "Silent Reflux" kuba ayibonisi iimpawu ze-gastritis eziqhelekileyo.
Yintoni umahluko phakathi kwe-LPR kunye ne-GERD?
Usenokuba ukhe weva igama elithi GERD. I-GERD imele iGastroesophageal Reflux Disease. Ibhekisa kwimeko ye-gastritis engapheliyo. Nangona zombini ezi meko zibandakanya i-asidi yesisu ephumayo, kukho umahluko omncinci phakathi kwezi zimbini.
Khumbula, ayinguye wonke umntu one-LPR ofumana isitshiso sentliziyo. Yiyo loo nto ibizwa ngokuba yi-'Silent Reflux.' Abanye abantu banokuba ne-GERD kunye ne-LPR. Kodwa abanye abantu baneempawu ezinxulumene ne-LPR kuphela.
Masiwuqonde kakuhle lo mahluko.
| Uphawu | I-GERD (i-gastritis eqhelekileyo) | I-LPR (iLysine Gastritis) |
|---|---|---|
| Indawo echaphazelekayo | Ikakhulu kwinxalenye esezantsi ye-esophagus. | Ukunyuka ngepharynx, oko kukuthi, ungene emqaleni nakwingqula (ibhokisi yelizwi). |
| Uphawu oluphambili | Isitshiso sentliziyo, iintlungu zesisu, i-acid reflux. | Ukutsho ngelizwi eliphantsi, ukuhla komphimbo rhoqo, ukuziva kukho into ebambeke emqaleni, ukukhohlela okungapheliyo. |
| Ihlala ivakalelwa | Idla ngokutya xa ulele okanye emva kokutya okunzima. | Ingavakala imini yonke, ingakumbi xa uthetha okanye xa uvuka kusasa. |
Zithini iimpawu ze-LPR?
Ngenxa yokuba iimpawu ze-LPR zahlukile kancinci, ngamanye amaxesha zinokuphambaniswa ne-asthma, i-allergies, okanye umkhuhlane ombi. Iimpawu eziphambili zezi:
- Ukurhawuzelela okanye ukwehla kwelizwi.
- Ukuziva ngathi yinto efana nebhola kunamathele emqaleni.
- Kufuneka uhlale ucoca umqala wakho .
- Ukukhohlela okungapheliyo okuhlala ixesha elide.
- Umkhuhlane omninzi emqaleni nasempumlweni.
- Ubunzima bokuginya ukutya.
- Umphimbo obuhlungu ongapheliyo.
- Ukulahlekelwa lilizwi okanye i-laryngitis.
- Ukuphefumla sisandi sokukhala xa uphefumla.
- Ukuthontsiza emva kwempumlo.
- Usulelo oluqhelekileyo lwendlela yokuphefumla ephezulu njengomkhuhlane kunye nomkhuhlane.
- Ukuqala okutsha kwesifo sesifuba okanye ukwehla kwesifo sesifuba esikhoyo .
Kutheni le nto i-LPR isenzeka? Makhe sijonge ezinye zezizathu.
Khawucinge ukuba kukho amasango amabini abalulekileyo endleleni ukusuka esiswini ukuya emqaleni. La ngamakhonkco emisipha ephezulu nasezantsi emqaleni wethu. Afana neevalvu. Siwabiza ngokuba yi-`(esophageal sphincters)`.
1. I-Lower Esophageal Sphincter (LES): Le iphakathi kwe-esophagus kunye nesisu. Umsebenzi wayo ophambili kukuthintela i-asidi yesisu ukuba ingabuyeli kwi-esophagus.
2. I-Upper Esophageal Sphincter (UES):Oku kuphakathi komqala nomqala. Kuthintela nantoni na engene kumqala ukuba ingangeni emqaleni.
Ukuze i-LPR yenzeke, zombini ezi valve akufuneki zivaleke kakuhle. I-gastritis eqhelekileyo yenzeka xa i-sphincter esezantsi ye-esophageal (LES) iba buthathaka. Nangona kunjalo, ukuze i-LPR yenzeke, i-sphincter ephezulu ye-esophageal (UES) nayo akufuneki ivaleke kakuhle ize ikhululeke. Kulapho i-asidi yesisu inokuvuza iye kwi-esophagus.
Kutheni ke la masango ebuthathaka?
Zininzi izizathu zoku. Ezinye ziyenzeka okwexeshana, ngelixa ezinye zikhula ngokuhamba kwexesha.
1. Izinto ezenza buthathaka i-sphincter esezantsi ye-esophageal (LES)
- Amayeza athile: Amayeza athile afana ne-calcium channel blockers yoxinzelelo lwegazi oluphezulu, i-benzodiazepines yokuzola kwengqondo, kunye namayeza angengo-steroidal anti-inflammatory (NSAIDs).
- Ukutya okuthile neziselo: ikofu, itshokolethi, utywala, iminti, igalikhi, kunye no-anyanisi.
- Imikhwa yokuphila:
- Ukulala phantsi ubuncinane iiyure ezi-3 emva kokutya.
- Ukutya kakhulu ngexesha elinye.
- Ukunxiba impahla eqinileyo okanye amabhanti anciphisa isisu.
- Ezinye iimeko:
- I-Hiatal hernia: Ukuphuma kwenxalenye yesisu esifubeni.
- Ukukhulelwa: Ngenxa yotshintsho lwehomoni kunye noxinzelelo oluphezulu esiswini.
- Ukutyeba kakhulu: Uxinzelelo oluphezulu esiswini.
- Ukutshaya: Iikhemikhali ezikwicuba ziyayiphumza le ring yemisipha.
2. Izinto ezenza buthathaka isango eliphezulu (ii-UES)
Emva kokuba ii-asidi zingene ngomnyango ongezantsi zize zinyuke, kufuneka zithintelwe ukuba zingafiki emqaleni ngomnyango ongaphezulu. Kodwa ezi zinto zinokuyithomalalisa.
- Ukulala phantsi: Xa silala phantsi ebusuku, omabini la masango ayaphumla kancinci.
- Ukubhodla: Xa ubhodla, zombini ezi valve ziyavuleka, nto leyo evumela ukuba i-asidi encinci ingene emqaleni wakho kunye namaqamza omoya.
- Ukugoba phambili, ukwenza umthambo, ukucula: Le misebenzi inokunyusa uxinzelelo esiswini kwaye ibeke uxinzelelo kwinxalenye engentla yesibeleko.
- Ukutshaya nokusebenzisa utywala: Zombini ezi zinto zivula zombini iingcango.
Ziziphi iingxaki ezinokubakho ze-LPR?
Ukuba i-LPR ayinyangwa kakuhle, iingxaki ezithile zinokwenzeka ngokuhamba kwexesha.
- Ulwelwesi olugqithisileyo kunye nosulelo oluqhelekileyo: Ukubuyela kwe-asidi yesisu emqaleni kuphazamisa inkqubo eqhelekileyo yokususa ulwelwesi emqaleni nasempumlweni. Xa ulwelwesi luqokelelana, iintsholongwane zinokuqokelelana, nto leyo ekhokelela kusulelo oluqhelekileyo.
- Iingxaki zelizwi nomphimbo ezingapheliyo: Oku kudumba kwexesha elide komphimbo nomphimbo kunokwenza kube nzima ukuthetha nokuginya. Ekuhambeni kwexesha, amaqhuma amancinci (izilonda zelizwi) anokuvela nakwiintambo zelizwi.
- Iingxaki zenkqubo yokuphefumla:Iiasidi ezingena emqaleni, ngamanye amaxesha ngokungazi, zinokungena emiphungeni ngokuphefumla kwethu, ingakumbi xa silele ebusuku. Oku kunokukhokelela kwiintsholongwane zemiphunga kunye nezinye iingxaki zokuphefumla.
Ndingaqiniseka njani ukuba le yi-LPR?
Ukuba uneempawu esizixubushileyo ngaphambili, ingakumbi ukuba awukwazi ukufumana unobangela, kungcono ukubona ingcali yendlebe, impumlo, kunye nomphimbo (ENT Surgeon). Ugqirha uza kumamela iimpawu zakho aze ahlole umqala wakho.
Kukho iimvavanyo eziphambili ezininzi ezenziweyo koku:
- I-Flexible Laryngoscopy: Inkqubo apho ikhamera encinci eqhotyoshelwe kwityhubhu eguquguqukayo nebhityileyo idluliselwa empumlweni nasemphinjeni ukuze kuhlolwe ingaphakathi le-larynx nomqala. Olu luvavanyo olulula olunokwenziwa eofisini kagqirha.
- I-Upper Endoscopy: Oku kuquka ukufaka ityhubhu enekhamera ngomlomo wakho ukuze kuhlolwe umphimbo wakho nesisu. Oku kunokunceda ekufumaneni unobangela we-LPR yakho.
- Uvavanyo lwe-pH yesisu: Uvavanyo olulinganisa amanqanaba e-asidi emqaleni wakho nakwi-esophagus kwixesha leeyure ezingama-24.
- I-Esophageal Manometry: Uvavanyo olulinganisa ukusebenza kunye namandla emisipha esemqaleni.
Ziziphi iindlela zonyango ze-LPR?
Eyona nto iphambili ekunyangweni kwe-LPR kukutshintsha indlela esiphila ngayo kunye nemikhwa yokutya.
Ukutshintsha indlela yokuphila kunye nemikhwa yokutya
Zininzi izinto onokuzenza wena ukuze ulawule i-LPR. Ezi zezona zinto zibalulekileyo.
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukutya | Endaweni yokutya izidlo ezinkulu ezi-3, yitya izidlo ezincinci ezi-5 okanye ezi-6. Kuphephe ukutya kakhulu ngaxeshanye. |
| Ngaphambi kokulala | Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-3 ngaphambi kokuba ulale. Kuphephe ukulala phantsi emva kokutya. |
| Indawo yokulala | Lala ngecala lakho lasekhohlo. Kwakhona, sebenzisa umqamelo owongezelelweyo ukuze intloko yakho iphakame kancinci. |
| Ukutya ekufuneka ukuphephe | Kuphephe ukutya okunamafutha, okuneziqholo, okune-asidi eninzi (iiorenji, iitumato), itshokolethi, ikofu, iminti, iziselo ezine-carbonated (isoda). |
| Imikhwa emibi | Yeka ngokupheleleyo ukutshaya nokusebenzisa utywala. Oku kwenza iimeko ze-LPR zibe mandundu kakhulu. |
| Ubunzima bomzimba | Ukuba utyebile kakhulu, kubaluleke kakhulu ukunciphisa umzimba. Thetha nogqirha wakho ngale nto. |
Unyango ngamayeza
Ngelixa usenza utshintsho kwindlela ophila ngayo, ugqirha wakho unokukunika amayeza athile okunceda ukunyanga umonakalo emphinjeni wakho nakwingqula.
- IiProton Pump Inhibitors (PPIs): Ezi zisebenza ngokunciphisa imveliso ye-asidi esiswini. Ezi zinokufuneka zisetyenziswe kangangeenyanga eziliqela.
- Ii-H2 Blockers: Ezi lolunye uhlobo lwamayeza anciphisa ukuveliswa kwe-asidi.
- IiAlginates: La mayeza enza umaleko okhuselayo phezu kwesisu, ethintela i-asidi ukuba inganyuki.
Eyona nto ibalulekileyo kukuba, musa ukusebenzisa naliphi na kula mayeza ngaphandle kwengcebiso kagqirha wakho.
Utyando
Utyando alufuneki rhoqo kwi-LPR. Utyando luqwalaselwa kuphela ukuba kukho isizathu esithile, njenge-hiatal hernia, okanye ukuba ezinye iindlela zonyango ziye zasilela.
Umyalezo Wokuya Ekhaya
- I-LPR yimeko ebizwa ngokuba yi-"silent reflux," apho i-asidi yesisu ihamba iye emqaleni nakwibhokisi yelizwi.
- Iimpawu zahlukile kwezo zesifo se-gastritis esiqhelekileyo, ikakhulu zichaphazela ilizwi nomqala (umz., ukukhohlela okungapheliyo, ukurhawuzelela, umqala emqaleni).
- Ayingabo bonke abantu abane-LPR aba neentlungu zesifuba.
- Eyona nxalenye ibalulekileyo yonyango kukutshintsha indlela yokutya kunye nendlela yokuphila.Kubalulekile ukuba ungatshayi okanye usebenzise utywala ngokupheleleyo.
- Ukuba unezi mpawu ixesha elide, qiniseka ukuba ufuna ingcebiso kagqirha. Ngokuchongwa nonyango olufanelekileyo, i-LPR inokulawulwa ngempumelelo.
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