Ngaba ngamanye amaxesha ukhe uzive ngathi umlomo wakho uzele ngamathe ngequbuliso, ngathi kukho into ebambeke emqaleni wakho, kwaye kukho incasa emuncu? Le yinto ebangela ukungakhululeki kubantu abaninzi. Kwezonyango, le meko siyibiza ngokuba yi-water brash . Olu luphawu oluqhele ukubonwa kwi-GERD (Gastroesophageal Reflux Disease), oluluhlobo olubi lwe-gastritis. Ekubeni abantu abaninzi bengazi kakuhle oku, masithethe ngako namhlanje.
Yintoni kanye kanye iWater Brush?
Ngamafutshane, i-phlegm enamanzi iyenzeka xa amathe akho ephuma ...
Khawuthelekelele, xa kuvela i-asidi esiswini, umzimba wethu uzama ukuyinciphisa ngokwandisa ukuveliswa kwamathe. Yiyo loo nto amathe ephuma ngequbuliso emlonyeni. Abanye abantu banokuvelisa ukuya kuthi ga kwiitisipuni ezimbini (iimililitha ezili-10) zamathe ngomzuzu. Xa la mathe exubana ne-asidi esiswini, anika umlomo incasa emuncu, engaqhelekanga kunye nemvakalelo yento ebambeke emqaleni.
Abantu abaninzi babhidanisa le meko yorhudo olumanzi norhudo oluphumayo. Kodwa ezi zizinto ezimbini ezahlukeneyo. Urhudo oluphumayo kurhudo oluphumayo olusuka esiswini lubuyele emqaleni. Urhudo oluphumayo luphumayo luphuma ematheni amaninzi.
Ezinye iimpawu ezinokuhamba nokutsha ngamanzi
Urhudo oluphuma emanzini lolunye nje uphawu lweGERD. Usenokudibana nezinye iimpawu ezidweliswe ngezantsi.
| Uphawu | Inkcazo |
|---|---|
| Isitshiso sentliziyo | Intlungu evuthayo embindini wesifuba ebangelwa yi-asidi yesisu. |
| Ukubuyela esibhedlele | I-asidi yesisu kunye nokutya okucoliweyo kancinci okuphuma emqaleni. |
| Ubunzima bokuginya ukutya | Ndivakalelwa ngathi ukutya kunamathele emqaleni. |
| Intlungu yesifuba engesiso isifo sentliziyo | Intlungu kwindawo yomqala ekufutshane nentliziyo. |
| Isicaphucaphu kunye nokulahlekelwa ngumdla wokutya | Ukuziva ngathi uhlanza kwaye uphelelwe ngumdla wokutya. |
Kutheni sifumana amaqhakuva amanzi?
Eyona nto ibangela oku yiGERD. Phakathi komqala nesisu sethu, kukho ivalvu ebizwa ngokuba yiLower Esophageal Sphincter (LES) . Ifana nocango. Xa sisitya, olu cango luyavuleka ukuze ukutya kudlule esiswini, luze luvaleke kwakhona ukuze kuthintelwe i-asidi yesisu ukuba ingaphumi.
Kodwa ukuba le valve ebizwa ngokuba yi-LES iba buthathaka, yonakele, okanye ayivaleki kakuhle, ii-asidi ezinzima esiswini ziqala ukuvuza. Xa le acid ifika kwi-esophagus, siva imvakalelo yokutsha esifubeni sethu. Le nkqubo yiyo ebangela ukungakhululeki okufana ne-heartburn.
Iingcali zisaphanda oku. Zikholelwa ukuba i-asidi engena kwi-esophagus inika imiqondiso kwi-salivary glands ukuba ivelise amathe amaninzi. Oku kusenokuba yindlela yokuzikhusela yomzimba.
Iphathwa njani le nto?
Unyango lorhudo olumanzi lufana nolwe-GERD. Kwiimeko ezininzi, le meko inokulawulwa ngokutshintsha okuncinci kwindlela esiphila ngayo kunye nendlela esitya ngayo, kwaye, ukuba kuyimfuneko, ngamayeza athathwe njengoko kuyalelwe ngugqirha.
Utshintsho lwendlela yokuphila ekufuneka ulwenze
| Kwenziwe ntoni | Inkcazo |
|---|---|
| Ukuphepha ukutshaya | Ukutshaya kuyawuthomalalisa umbane we-LES. |
| Ukugcina ubunzima obusempilweni | Ukutyeba kakhulu kunokufaka uxinzelelo esiswini kwaye kunyuse i-acid reflux. |
| Ukunciphisa ukusetyenziswa kotywala | Utywala bunokwandisa iimpawu ze-GERD. |
| Ukulungiselela ukutya | Endaweni yokutya izidlo ezinkulu ezithathu, kungcono ukutya izidlo ezincinci ezininzi ngemini. |
| Ukutya kancinci kancinci | Nika inkqubo yakho yokwetyisa ixesha lokwetyisa ukutya ngokufanelekileyo. |
| Ukutya ngaphambi kokulala ebusuku | Yitya isidlo sangokuhlwa ubuncinane iiyure ezi-3 ngaphambi kokuba ulale. Musa ukulala phantsi emva kokutya. |
Amayeza (kuphela ngokwengcebiso kagqirha)
Ugqirha wakho unokukunika amayeza okulawula okanye okunciphisa i-asidi yesisu.
Kubaluleke kakhulu: Naliphi na kula mayeza kufuneka lisetyenziswe kuphela phantsi kwengcebiso kagqirha wakho. Musa ukuthatha naliphi na iyeza kwikhemesti ngokwakho. Ngugqirha kuphela onokumisela amayeza afanelekileyo kunye nomlinganiselo ofanelekileyo kuwe.
| Uhlobo lweziyobisi | Ukusebenza kakuhle |
|---|---|
| Iiantacids | Ezi zibonelela ngoncedo olukhawulezileyo (kwimizuzu engama-30). |
| Izithinteli ze-H2 | Nangona ezi zithatha malunga neyure ukuze zisebenze, ukukhululeka kuhlala malunga neeyure ezili-10. |
| Izithinteli zempompo yeproton (ii-PPI) | Ezi zibonelela ngesiqabu sexesha elide kwiimpawu zeGERD kwaye zingathatha iintsuku ezi-1-4 ukuba zisebenze. |
Ziziphi ukutya okungalunganga ukuze kuthintelwe le meko?
Akukho luhlu luthile lokutya okungalunganga kwisifo sorhudo esimanzi okanye i-GERD. Nangona kunjalo, ukutya okuphumza ivalvu ye-LES okanye okuthatha ixesha elide ukugaya kunokwenza iimpawu zibe zimbi ngakumbi. Ukuba uziva ungakhululekanga, zama ukunciphisa ukutya okungezantsi.
- Ukutya okunamafutha, okunamafutha, nokunongwe kakhulu
- Iziselo ezine-caffeine (umz. itshokolethi, ikofu)
- Iziselo ezinekhabhoni (umz. isoda)
- Iziqhamo zeCitrus ezifana neelamuni kunye neeorenji
- I-anyanisi kunye negalikhi
- I-mint
Kodwa khumbula, ayinguye wonke umntu oza kuba ne-allergy kwezi zinto zokutya. Kungcono ukuba uqaphele kancinci uze ubone ukuba zeziphi izinto ezikwenza ungakhululeki.
Wenza ntoni ukuze ufumane uncedo olukhawulezileyo xa udibana nobunzima ngequbuliso?
Ukuba ngequbuliso uzive ukhululekile kwaye ungakhululekanga, zama ezi zinto:
- Yima nkqo: Xa usukuma, amandla adonsela phantsi komhlaba anceda i-asidi ukuba ibuyele esiswini.
- Khulula impahla ebambekayo: Kuphephe ukunxiba impahla ebambekayo (iibhanti, iibhulukhwe ezibambekayo) xa ulele . Uxinzelelo lunokunyusa ubungakanani beasidi ephumayo.
- Sela i-antacid njengoko ugqirha wakho ekuyalele: Ukuba ugqirha wakho ukhe wayicebisa ngaphambili, ungafumana isiqabu ngokukhawuleza kwi-antacid.
Ndifanele ndimbone nini ugqirha?
Ukuba unezi mpawu (isitshiso sentliziyo, amehlo anamanzi) kangangeeveki ezingaphezu kwezimbini, qiniseka ukuba ubona ugqirha. Nangona amehlo anamanzi ngokwawo engengobungozi, ukuba imeko yeGERD esisiseko ayinyangwa, inokonakalisa umphimbo wakho ngokuhamba kwexesha.
Nangona isitshiso sentliziyo, iintlungu zesifuba, kunye nokurhawuzelelwa zizimpawu ezingathandekiyo zeGERD, zihlala zilawulwa kakuhle ngokutshintsha indlela yokuphila kunye namayeza. Ngoko ke ungoyiki. Thetha nogqirha wakho malunga nesicwangciso sonyango esifanelekileyo kuwe.
Umyalezo Wokuya Ekhaya
- Amehlo anamanzi luphawu lwe-GERD (isifo se-reflux se-gastroesophageal esibukhali).
- Isizathu esiphambili soku yi-asidi yesisu ephuma kwi-esophagus.
- Le meko inokulawulwa kakhulu ngokwenza utshintsho olulula kwindlela yokuphila kunye nendlela yokutya.
- Ukuba iimpawu ziyaqhubeka kangangeeveki ezingaphezu kwezimbini, qiniseka ukuba ubona ugqirha.
- Musa ukusebenzisa amayeza ngendlela obona ngayo ngaphandle kwengcebiso kagqirha.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Yintoni Ubunzima Bokuginya/Ukuphelelwa Yingqondo?
Kuqhelekile ukuba nobunzima bokutya xa umphimbo wakho ubuhlungu. Kodwa 'iDysphagia' kuxa irayisi, isonka, okanye amanzi otyayo enamathele embindini womphimbo/esifubeni sakho endaweni yokuba aye emphinjeni wakho. Oku kubangela ukuba uhlafune ukutya kwakho kakhulu, kwaye uqala ukukhohlela/ukukrwitshwa ngelixa usitya. Olu luphawu oluyingozi kakhulu lwesilumkiso somhlaza onobungozi okanye isifo semithambo-luvo esiswini/emqaleni.
💬 Zeziphi izizathu eziphambili zokuba ukutya/ukusela kubambeke emqaleni okanye esifubeni (Dysphagia)?
Izizathu ezine eziphambili neziyingozi zoku zezi: 1) 'Umhlaza womqala/Ithumba' - Umhlaza owenzeka ngaphakathi kwi-esophagus (ityhubhu ekhokelela esiswini) kwaye uvale ityhubhu! (Okokuqala kuba nzima ukuginya ukutya, emva koko kuba nzima ukuginya amanzi). 2) Igesi/I-Gastritis (GERD) ibangela ukuba i-esophagus yonakale (ngenxa ye-acid reflux) kwaye ibangela ukuba ityhubhu inciphe/ivale (Strictures). 3) Ubuthathaka/ukulahlekelwa zizihlunu zokuginya ngenxa yestroke okanye iParkinson's.
💬 Kutheni umntu oginya ukutya ngokulula njengoko ephefumla, kufuneka aye kugqirha/aye esibhedlele ngoko nangoko xa enengxaki yokuginya ukutya (iDysphagia)?
Esi asisosifo esifuna unyango lwasekhaya (i-endoscopy iyimfuneko). Eyona ngozi inkulu! Kunye nobunzima bokuginya, 1) 'Ukunciphisa umzimba ngendlela engachazekiyo ngaphandle kwesizathu', 2) Intlungu enganyamezelekiyo emqaleni/esifubeni (i-Odynophagia) xa usitya, 3) I-Aspiration pneumonia (ukufunxa ukutya emiphungeni xa uginya), yi-100% yesifo somhlaza/esibulalayo! Kufuneka ulaliswe esibhedlele ngoko nangoko!
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