Ingabe uvame ukuzwa isilungulela kanye ne-asidi yesisu ikhuphuka emphinjeni wakho? (I-Acid Reflux kanye ne-GERD)

Wake waba nomuzwa wokushisa esifubeni sakho noma umuzwa wokuthi kukhona okuthile okuvela esiswini sakho okukhuphukela emphinjeni wakho ngemva kokudla? Iningi labantu selike labhekana nalokhu okungenani kanye noma kabili. Namuhla sizokhuluma ngale 'acid reflux' noma, ngokwezokwelapha , i-acid reflux kanye ne-GERD (isifo se-gastroesophageal reflux) . Njengoba lokhu kuyinkinga abantu abaningi abanayo, kubaluleke kakhulu ukuqaphela.

Kuyini ngempela i-acid reflux, mngane wami?

Kalula nje, ukudla, iziphuzo, kanye noketshezi olune-asidi esiswini sakho kufanele kuhambe ngendlela eyodwa kuphela, okungukuthi, ukwehla. Kodwa ngezinye izikhathi, lapho le-asidi yesisu, okungukuthi, izinto ezine-asidi , igeleza ibuyele emphinjeni wakho iye emphinjeni wakho, siyibiza ngokuthi i-Acid Reflux.

Cabanga nje, kwenzekani uma le asidi ifika lapho kungafanele khona? Yileyo inkinga. Le asidi ingashisa, ilimaze, futhi ivuvulise izicubu ezithambile ngaphakathi komphimbo wakho. Le mphimbo iyingxenye efana nepayipi egijima isuka esiswini sakho idlule esifubeni sakho iye emphinjeni wakho. Ngakho-ke, uma yonakala, singaba nezinkinga eziningi.

Sonke sibhekana nokuvuvukala kwe-acid ngezikhathi ezithile. Kungazwakala njengokungagayi kahle ukudla noma isilungulela uma ukudla kungagayi. Lokhu kuvuvukala kwe-acid ngezikhathi ezithile akumnandi, kodwa akusona isifo. Kodwa-ke, kwabanye abantu, kwenzeka ngaso sonke isikhathi. Ukuqhubeka nokuvuvukala kwe-acid kungaphazamisa impilo yakho evamile futhi empeleni kungalimaza izicubu zomqala .

Ngakho-ke iyini i-GERD? Ingabe iyingozi kakhulu kunalokho?

I-GERD imele i- Gastroesophageal Reflux Disease.Igama elifushane lalo. Kwamanye amazwe libizwa nangokuthi i-GORD, okusho ukuthi i-Gastro-oesophageal Reflux Disease. Kodwa-ke, i-GERD yisimo lapho i-asidi iqhubeka ikhuphuka khona emhubheni wakho, okuyisimo se -acid reflux esingamahlalakhona . Uma unale acid ikhuphuka emphinjeni wakho izikhathi ezingaphezu kwezimbili ngesonto, amasonto amaningana, kubhekwa njengesimo esingamahlalakhona, okuyi-GERD.

Singaba ne-acid reflux ngezizathu zesikhashana, njengokudla kakhulu ngolunye usuku. Kodwa i-GERD ingenye into, ebangelwa inkinga eqhubekayo, yemishini . Okusho ukuthi, izindlela ezivimbela i-acid ukuthi ingangeni emhubheni wakho azisebenzi kahle.

Zivame kangakanani lezi zimo ezimbili?

Kokubili i-gastroesophageal reflux (GER) engavamile, engeyona inkimbinkimbi kanye nesifo se-gastroesophageal reflux (GERD) zivame kakhulu . E-United States kuphela, kulinganiselwa ukuthi cishe ama-20% abantu abadala kanye nezingane ezingaba ngu-10% bane-GERD. Lesi simo siyabonakala nakubantu abaningi eSri Lanka.

Ziyini izimpawu ze-Acid Reflux kanye ne-GERD?

Kunezimpawu eziningana ze-acid reflux kanye ne-GERD. Bheka ukuthi unayo yini yalezi:

• Ukuhlanza/Ukuhlanza Umhlane: Ngemva kokuqeda ukudla, ungase uzizwe sengathi i-asidi yesisu, izinhlayiya zokudla, noma uketshezi kuyabuya emphinjeni wakho. Kufana nokuhlanza , kodwa akuphumi ngokuphelele. Ngezinye izikhathi, ungase ube nokunambitheka okumuncu okungajwayelekile emlonyeni wakho.
• Isishiso Senhliziyo: I-asidi iyinto enamandla. Ngakho-ke izwakala sengathi ishisa izicubu zomhubhe. Uma lokhu kusesifubeni, sikubiza ngokuthi isishiso senhliziyo . Uma kuseduze nesisu, abanye bakubiza ngokuthi ukugayeka kwe-asidi .
• Ubuhlungu besifuba obungeyona eyenhliziyoUbuhlungu besifuba : Abanye abantu ababuzwa ubuhlungu emhubheni njengokuvuvukala. Lobuhlungu buvuselela imizwa efanayo ezwa ubuhlungu enhliziyweni , ngakho-ke bungazwakala njengobuhlungu besifuba, njengokuhlaselwa yinhliziyo.
• Isicanucanu : I-acid reflux noma i-reflux ingakwenza uzizwe unesicanucanu futhi ulahlekelwe yisifiso sokudla. Ngisho nangemva kwesikhathi esithile, ungase uzizwe sengathi kusekhona ukudla esiswini sakho, sengathi kunokuningi okufanele kugaywe.
• Umphimbo obuhlungu: Uma i-asidi ingena emphinjeni wakho, ingalimaza futhi ilimaze umphimbo wakho. Ungase uzizwe sengathi kukhona okubambeke emphinjeni wakho, noma ungase ube nobunzima bokugwinya . I-asidi ivame ukuvela ebusuku ngenkathi ulele.
• Izimpawu ze-asthma: I-GERD ingenza izimpawu ze-asthma zibe zimbi kakhulu kubantu abane-asthma, futhi ngisho nakubantu abangenayo i-asthma, ingabangela izimpawu ze-asthma njengokukhwehlela okuqhubekayo , ukuphefumula kanzima, kanye nobunzima bokuphefumula. Uma izinhlayiya ze-asidi zingena emigudwini yomoya, zingancipha.

Izimpawu zingase zibe zimbi kakhulu:

Izimpawu ze-GERD zingaba zimbi kakhulu ngezikhathi ezinjengalezi:

• Ebusuku noma ngenkathi ulele phansi.
• Ngemva kokudla ukudla okukhulu noma ukudla okunamafutha amaningi.
• Uma ugoba phambili.
• Ngemva kokubhema noma ukuphuza utshwala.

Ingabe izingane ezincane nazo ziyaba ne-GERD?

Yebo, ngisho nezinsana ezincane zingaba ne-GERD. Kujwayelekile ukuthi izingane ziphinde ziphuze kancane ngemva kokuphuza. Nakuba kukhona i-asidi ethile kokuqukethwe okuphuze, akwanele ukubangela izinkinga ezinkulu enganeni. Kodwa i-GERD iyisimo esibi kakhulu. Ingabangela ukungakhululeki nezinkinga enganeni, okuhlanganisa nokuncelisa.

Izingane ezizalwa ngaphambi kwesikhathi noma ezinesimo esihlobene nomphimbo zinamathuba amaningi okuthola i-GERD. Uma udokotela wezingane eqaphela ukuthi ingane yakho inenkinga yokudla noma yokulala, angase afune ukuhlola i-GERD.

Izimpawu ze-GERD ezinganeni (noma ezinganeni ezincane):

• Ukukhala njalo, ukungahlaliseki (Ukuxakeka ngokweqile).
• Ubunzima bokulala.
• Ukwenqaba ukudla.
• Ukuhlanza ngamanani amancane.
• Ukuphefumula noma ukushaqeka lapho uphefumula.
• Umoya omubi.

Yiziphi izimbangela ze-acid reflux?

Ukuze i-asidi ingene emhubheni wakho, kufanele idlule ku-valve engezansi komhubhe wakho evame ukuvimbela izinto ukuthi zingabuyi phezulu. Le valve ibizwa ngokuthi i-Lower Esophageal Sphincter (LES) .

I-LES yakho iyisicubu esiyindilinga. Iyavuleka uma ugwinya okuthile, bese ivala futhi ukuze kuvinjwe okuqukethwe yisisu sakho. Iphinde ivuleke kancane uma ubhodla noma uqhuma ukuze kuphume amabhamuza omoya.

I-acid reflux yenzeka lapho i-LES yakho iba buthakathaka noma ikhululeke ngokwanele ukuvumela i-acid ukuthi ikhuphuke . Ezinye izinto zesikhashana, njengokulala phansi ngemva kokudla ukudla okukhulu, zingabangela i-LES ukuthi iphumule. Kodwa uma une-GERD, i-LES yakho ihlala ikhululeke.

I-LES iba buthaka kanjani?

Kunezizathu eziningi ezenza ukuthi i-LES ibe buthaka okwesikhashana noma unomphela. Ngezinye izikhathi, i-acid reflux ngezikhathi ezithile ingakhula ibe yi-GERD engapheli lapho eziningana zalezi zimbangela zihlangana noma ziqhubeka isikhathi eside. Nazi ezinye zezimbangela ezivamile ze-acid reflux kanye ne-GERD:

• I-Hiatal Hernia: Lokhu kungase kuzwakale kuyinkimbinkimbi, kodwa ake ngikubeke kalula. Kukhona umsipha obizwa ngokuthi i-diaphragm ohlukanisa isifuba nesisu sakho. Umphimbo wakho uxhumene nesisu sakho ngale diaphragm. Ku-hiatal hernia, ingxenye engenhla yesisu sakho isunduzela phezulu ngembobo e-esophagus yakho iye esifubeni sakho . Ingabe isibambeke nge-esophagus yakho, okubangela ukuthi i-asidi inqwabelane lapho. Futhi, i-valve ye-LES esikhulume ngayo ngaphambili nayo ikhuphuka nge-diaphragm, ngakho-ke ayinayo ukwesekwa kwemisipha okuningi. Lesi simo sivame kakhulu njengoba ukhula, sikhula kancane kancane, futhi singaba sibi kakhulu ngokuhamba kwesikhathi.
• Ukukhulelwa: Kuvamile kakhulu ukuzwa i-acid reflux yesikhashana ngesikhathi sokukhulelwa. Ukucindezela okukhulu kanye nesikhala esiswini kungabangela imisipha esekela i-LES emgogodleni ukuba yeluleke, iqine, futhi ibe buthaka. Ama-hormone okukhulelwa angabangela nokuthi i-LES iphumule. Phakathi nalesi sikhathi, i-hormone ebizwa ngokuthi i-relaxin ikhishwa ngobuningi obukhulu. Lokhu kukhulula imisipha ukuze kuvule indawo yengane. Amazinga e-estrogen kanye ne-progesterone nawo ayakhula, okungabangela ukuthi i-LES iphumule.
• Ukukhuluphala ngokweqile:Ukukhuluphala kwandisa ingcindezi kanye nesikhala esiswini, njengoba kwenza ukukhulelwa, okungathinta i-LES. Kodwa ngenxa yokuthi ukukhuluphala kuhlala isikhathi eside kunokukhulelwa, imisipha ingaba buthaka unomphela. Lokhu futhi kuyimbangela enkulu ye-hiatal hernias. Futhi, ngenxa yokuthi i-estrogen ikhishwa yizicubu zamafutha, amazinga e-estrogen nawo ayanda njengoba amafutha omzimba ekhuphuka.
• Ukubhema: Intuthu kagwayi ikhulula i-LES, kungakhathaliseki ukuthi uyibhema wena noma uphefumula intuthu ebhemayo. Ukubhema kubangela nokukhwehlela, okuvula i-LES. Ukuqhubeka nokubhema nokukhwehlela kungenza buthaka imisipha e-diaphragm, okuholela ku-hernia yokubeletha. Ukubhema futhi kunciphisa ijubane lokugaya ukudla futhi kwandisa ukukhiqizwa kwe-asidi esiswini.

Yiziphi izinkinga ezingaba khona ze-persistent acid reflux (GERD)?

I-asidi yesisu iyinto enamandla kakhulu. Yenzelwe ukuphula ukudla okudlayo. Isisu sakho sinolwelwesi oluqinile lokusivikela kule-asidi. Kodwa ezinye izitho zakho azinalo lolu sivikelo. I-acid reflux ithinta kakhulu umphimbo wakho. Kodwa ngezinye izikhathi ingakhuphukela ngisho nasemphinjeni wakho womoya noma emigudwini yomoya. I-asidi encane ingabangela ukungakhululeki kwesikhashana. Kodwa i-asidi eningi kakhulu ingalimaza lezi zitho.

Izinkinga ezingaba khona:

• I-Esophagitis: Lokhu ukuvuvukala kolwelwesi lwe-esophagus, okusho ukuvuvukala nobuhlungu. Uma i-esophagitis iqhubeka, ingaholela ezinkingeni ezifana nobuhlungu obuqhubekayo kanye nezilonda emgudwini. Ngokuhamba kwesikhathi, ingaholela ekushintsheni kwezicubu ezifana nezibazi noma i-metaplasia yamathumbu , okuyisimo esingaphambi komdlavuza.
• Umphimbo kaBarrett:Leli yigama lesimo sokuqhekeka kwamathumbu emgudwini womchamo, okukhulunywe ngakho ngenhla. Lokhu kusho ukuthi ulwelwesi lomchamo luyashintsha futhi lufane nolwelwesi lwamathumbu. Lokhu kwenzeka uma kuba nokuchayeka isikhathi eside ku-asidi nokuvuvukala. Lokhu kuyisici esiyingozi somdlavuza womchamo.
• Ukuqiniswa komlomo wesibeletho: Izicubu zesibeletho zingakheka emqaleni wakho ukuze ziwuvikele ekuvuvukeni nasekulimeni okuqhubekayo. Lezi zicubu zesibeletho zingabangela ukuthi umqala ube mncane. Lokhu kubizwa ngokuthi ukuqiniswa komlomo. Lokhu kungenza kube nzima ukugwinya , okungenza kube nzima ukudla noma ukuphuza, futhi kungabangela nezinye izinkinga.
• I-Laryngopharyngeal Reflux (LPR): Abanye abantu abane-GERD nabo banesifo esibizwa ngokuthi i-LPR. Yilapho i-asidi ingena emphinjeni. I-asidi ingangena emphinjeni wakho ngenkathi ulele. Ingabangela umphimbo wakho uvuvuke, izwi lakho libe nomsindo, futhi kwakheke ukukhula kwe-vocal cord. Izinhlayiya ze-asidi nazo zingangena emigudwini yakho yomoya.
• Isifuba somoya: Uma i-asidi ingena emgudwini wokuphefumula, ingenza isimo somuntu osevele ene-asthma sibe sibi kakhulu, futhi ngisho nomuntu ongakaze abe nesifo sokuphefumula ngaphambilini angaba nezimpawu ezifana ne-asthma. Izinhlayiya ezincane ze-asidi zingacasula amapayipi e-bronchial futhi zibangele ukuthi anciphe. Lokhu kungabangela ukukhwehlela nobunzima bokuphefumula.

Yiziphi izindlela zokwelapha ze-GERD?

Abanye abantu banganciphisa i-acid reflux ngokwenza izinguquko zendlela yokuphila, njengokushintsha ukudla kwabo, ukunciphisa utshwala nokubhema, kanye nokwehlisa isisindo. Odokotela bakukhuthaza ukuthi ulandele lezi zinyathelo. Kodwa uma une-acid reflux eqhubekayo noma i-GERD, odokotela bangase batuse imithi enciphisa i-asidi yesisu. Lokhu kuzosiza ekunciphiseni inani le-asidi elivelayo, kodwa ngeke libe yingozi kangako.

Imithi

Ukuhlinzwa

Ezimweni ezinzima ze-GERD noma izimo ezingalawulwa ngemithi, ukuhlinzwa kokuqinisa imisipha ye-LES kunganconywa, njenge -Nissen fundoplication .

Izinto ezingasiza ekulawuleni i-acid reflux ekhaya

Zama lezi zinto ukulawula i-acid reflux ekhaya:

• Ukudla ukudla okuncane: Ukudla okukhulu kugcwalisa isisu sakho futhi kubeke ingcindezi ku-LES.
• Ukudla isidlo sakusihlwa kusenesikhathi: Yidla isidlo sakusihlwa okungenani amahora angu-2-3 ngaphambi kokulala.
• Ukulala ohlangothini lwesobunxele: Lokhu kubeka i-LES ngaphezu kokuqukethwe yisisu.
• Nciphisa ukucindezeleka kwesisu: Gqoka izingubo ezikhululekile futhi wehlise isisindo uma kudingeka.
• Yeka ukubhema notshwala: Lokhu kwenza buthaka i-LES futhi kwandise i-asidi.