Ingabe ngezinye izikhathi uzizwa uvutha phakathi kwesifuba sakho ngemva kokudla ukudla okunzima? Noma uzizwa ukunambitheka okumuncu emphinjeni wakho ngemva kwesikhashana? Abantu abaningi eSri Lanka bakubiza ngokuthi "i-gastritis". Kodwa lokhu akuyona njalo i-gastritis. Lokhu kuyinto ehlukile, futhi kungaba yisimo okufanele sisiqaphele nakanjani. Namuhla sikhuluma nge-Acid Reflux kanye ne-GERD, okuyisimo esibi kakhulu.
Kalula nje, kuyini i-Acid Reflux?
Kulula kakhulu. Isisu sethu siqukethe izinhlobo eziningi zama-asidi asiza ekugayeni ukudla. Ngokuvamile, lokhu kudla kanye ne-asidi kufanele kwehle kusuka esiswini, okungukuthi, kuye emathunjini. Leyo yindlela efanele. Kodwa-ke, uma le-asidi yesisu ibuyela phezulu, okungukuthi, ngepayipi esigwinya ngalo ukudla (umhubhe) kanye nasemphinjeni, sikubiza ngokuthi i-Acid Reflux.
Cabanga ngokuthi i-asidi esesiswini sakho inamandla kangakanani. Izindonga zesisu sakho zinoqweqwe olukhethekile olungamelana naleyo asidi. Kodwa umphimbo wethu kanye nomqala wethu akunawo lowo qweqwe olukhethekile. Ngakho-ke uma leyo asidi enamandla ikhuphuka, ishisa izicubu ezithambile kulezo zindawo futhi ibangele ukuvuvukala. Yilokhu esikubiza ngokuthi "isicanucanu." Kungaba yinto evamile ukuzizwa ngale ndlela ngezikhathi ezithile. Kodwa lokhu akusona isifo.
Ngakho-ke iyini i-GERD?
I-GERD isifinyezo se- Gastroesophageal Reflux Disease . NgesiSinhala, lisho isifo se-gastroesophageal reflux. Nakuba leli gama liyinkimbinkimbi kancane, kulula kakhulu ukuliqonda.
Ukubuyela kwe-asidi ngezikhathi ezithile akuyona inkinga. Kodwa uma lesi simo siqhubeka, okusho ukuthi uma uzwa lo muzwa oshisayo esifubeni sakho nasemphinjeni isikhathi esingaphezu kwesibili ngesonto, sikubiza ngokuthi i-GERD. Lesi yisimo sezokwelapha.
Kalula nje, i-GERD yisimo esibizwa ngokuthi i-chronic acid reflux. Okwenzekayo lapha ukuthi kukhona ubuthakathaka endleleni yokusebenza okuvimbela okuqukethwe esiswini ukuthi kungakhuphuki.
Ziyini izimpawu ze-Acid Reflux kanye ne-GERD?
Abantu abaningi bangase babe nezimpawu eyodwa noma ngaphezulu ngesikhathi esisodwa. Ake sibheke eziyinhloko.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukubuyela emtholampilo | Umuzwa wokudla, uketshezi, noma i-asidi ebuya esiswini iye emphinjeni ngemuva nje kokudla. Ukunambitheka okumuncu emlonyeni. |
| Umuzwa wokushisa | Isilungulela yisona sibonakaliso esiyinhloko. Abanye abantu bangase babe naso njengomuzwa wokushisa engxenyeni engenhla yesisu (ukungagayeki kahle kwesisu). |
| Ubuhlungu besifuba obungesona isifo senhliziyo | Kwabanye abantu, lokhu kungase kungabi njengokusha, kodwa kufana nokuqina kwesifuba. Abanye abantu bayesaba ngoba lobu buhlungu bufana nobuhlungu bokuhlaselwa yinhliziyo. |
| Isicanucanu kanye ne-anorexia | I-asidi yesisu ingakhuphuka, ibangele isicanucanu nokulahlekelwa yisifiso sokudla. Ungase uzizwe usuthi ngisho nangemva kwesikhathi eside udla. |
| Umphimbo obuhlungu kanye nobunzima bokugwinya | Uma i-asidi ingena emphinjeni wakho, ingabangela umphimbo obuhlungu. Kungase kuzwakale sengathi kukhona okubambeke emphinjeni wakho, njengesigaxa. Kungaba nzima nokugwinya. Lokhu kuvame ukwenzeka ebusuku. |
| Izimpawu ezifana ne-asthma | I-GERD ingabangela izimpawu ezifana ne-asthma, njengokukhwehlela okuqhubekayo, ukuphefumula kanzima, kanye nokuphefumula kanzima. |
Lezi zimpawu zikhula nini?
- Uma ulala phansi ukuze ulale ebusuku.
- Ngemva kokudla isidlo esikhulu esinamafutha amaningi kanye ne-chili.
- Uma ugoba phambili.
- Uma ubhema noma uphuza utshwala.
Ingabe izingane ezincane zithola i-GERD?
Yebo. Kujwayelekile ukuthi izingane zikhafule kancane ngemva kokuphuza ubisi. Akuyona inkinga enkulu. Kodwa i-GERD yisimo esibi kakhulu. Ingabangela ukungakhululeki nokwenqaba ukudla. Izingane ezizalwa ngaphambi kwesikhathi noma ezinenkinga ethile emqaleni zinamathuba amaningi okuthola i-GERD.
Izimpawu ze-GERD enganeni encane zingafaka:
- Ukukhala njalo ngaphandle kwesizathu, ukungahlaliseki.
- Ubunzima bokulala.
- Ukwenqaba ukuphuza ubisi.
- Ukuhlanza njalo.
- Ukuphefumula noma ukuhosha kwezwi lapho uphefumula.
- Umoya omubi.
Kungani sithola i-acid reflux kanje?
Isizathu esiyinhloko salokhu ubuthakathaka bomsipha osebenza njenge-valve ekugcineni komphimbo wethu (ipayipi lokudla), lapho uxhuma khona nesisu. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-Lower Esophageal Sphincter (LES) .
Lo mnyango we-LES ufana nomnyango. Uma sigwinya ukudla, lo mnyango uyavuleka, futhi uma ukudla kungena esiswini, uyavala futhi. Uma uvala, okuqukethwe esiswini akukwazi ukubuya. Kodwa uma lo mnyango we-LES uba buthakathaka ngesizathu esithile, uma ungavali kahle, khona-ke i-asidi esiswini iyavuza.
| Izimbangela eziyinhloko zobuthakathaka be-LES | |
|---|---|
| I-Hiatal Hernia | Yilapho ingxenye engenhla yesisu isunduzela phezulu esifubeni. Lokhu kuvame kakhulu njengoba sikhula. Lokhu kushintsha ingcindezi ku-LES futhi kuyibuthakathaka. |
| Ukukhulelwa | Ngesikhathi sokukhulelwa, ingcindezi yesisu esikhulayo kanye nezinguquko zamahomoni kungabangela ukuthi i-LES iphumule. Lesi simo sivame ukuphela ngemva kokuzalwa komntwana. |
| Ukukhuluphala ngokweqile | Njengoba ukhuluphala, amafutha esiswini sakho ayanda, okwandisa ingcindezi ngaphakathi esiswini sakho. Lokhu kucindezela kuphakamisa i-LES, okwenza kube lula ukuthi kukhuphuke i-asidi. |
| Ukubhema | Amakhemikhali akugwayi abangela ukuthi i-LES iphumule. Ukubhema kunciphisa nokugaya ukudla futhi kwandisa ukukhiqizwa kwe-asidi esiswini. |
Ngaphezu kwalezi zimbangela eziyinhloko, imithi ethile (isib., eminye imithi yokucindezeleka kwegazi okuphezulu, imithi yobuhlungu), ukudla okuthile (ushokoledi, ikhofi, iminti, ukudla okunamafutha), kanye notshwala nakho kungathinta lokhu.
Kwenzekani uma singakunaki lokhu njengokuvuvukala nje? (Izinkinga)
Yilapho-ke lapho kudingeka sinake kakhulu khona. Uma singakunaki bese sithi, "Kuyisifo sesisu esincane nje," kungaholela ezinkingeni ezinkulu ngokuhamba kwesikhathi.
- I-Esophagitis: Ulwelwesi lomsipha lungavuvukala futhi lube buhlungu ngenxa yokuqhubeka kwe-acid reflux . Lokhu kungabangela ubuhlungu obuqhubekayo kanye nobunzima bokugwinya.
- Umphimbo kaBarrett: Lesi yisimo esibi kakhulu. Ngenxa yokuchayeka isikhathi eside ku-asidi, amaseli engxenyeni engezansi yomphimbo aqala ukushintsha. Lesi yisimo sangaphambi komdlavuza esinamandla okuthuthuka sibe umdlavuza .
- Ukuqina komphimbo: Njengoba ukulimala kuqhubeka nokuphola, izicubu zesilonda zingakheka emqaleni, zinciphise indawo. Lokhu kungenza kube nzima kakhulu ukugwinya ukudla.
- Izinkinga zomphimbo nokuphefumula: Uma i-asidi ifika emphinjeni bese ingena endleleni yokuphefumula, ingabangela izimo ezifana nokukhwehlela okuqhubekayo, ukuhosha, kanye ne-asthma, noma ibhebhethekise i-asthma ekhona.
Udokotela uhlonza kanjani i-GERD?
Ngemva kokulalela izimpawu zakho, udokotela wakho angase ancome ukuhlolwa okuningana ukuqinisekisa ukuxilongwa nokunquma ubukhali baso.
- I-endoscopy Ephezulu: Kulokhu, kufakwa ipayipi elincane elinekhamera ekugcineni ngomlomo bese kuhlolwa ingaphakathi lomphimbo nesisu. Lokhu kungabona ngokucacile ukuthi kukhona yini izilonda noma izinguquko.
- Ukuhlolwa kwe-pH: Lokhu kulinganisa ukuthi kungakanani isikhathi nokuthi kungakanani i-asidi ekhona ku-esophagus.
- I-Esophageal manometry: Lolu vivinyo lulinganisa ingcindezi kanye nokusebenza kwemisipha ku-LES kanye ne-esophagus.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kwe-GERD kungahlukaniswa ngezigaba ezintathu eziyinhloko. Ngokuvamile, eyodwa noma ngaphezulu yalezi zindlela isetshenziswa ndawonye.
1. Izinguquko endleleni yokuphila kanye nemikhuba yokudla
Ngisho nangaphambi kokusebenzisa imithi, lesi simo singalawulwa ngezinga elikhulu ngokwenza izinguquko ezincane endleleni yethu yokuphila.
- Ukwehlisa isisindo: Uma ukhuluphele ngokweqile, ukunciphisa isisindo kuyinto ebalulekile.
- Ukulawula ukudla: Esikhundleni sokudla ukudla okukodwa okukhulu ngesikhathi, yidla ukudla okuncane okuningana usuku lonke.
- Gwema ukudla okunongwe kakhulu nokunamafutha:Nciphisa ukudla okunongwe kakhulu, amafutha, ukudla okuthosiwe, ushokoledi, ikhofi kanye ne-mint.
- Ukulala phansi ngemva kokudla: Ungalali phansi okungenani amahora angu-2-3 ngemva kokudla ebusuku.
- Indawo yokulala: Uma ulele, lala ikhanda lakho liphakeme kancane. Kungaba ngcono uma ungaphakamisa umbhede kancane ngokubeka izingcezu ezimbili zokhuni emilenzeni ekhanda lombhede.
- Ukubhema notshwala: Kubaluleke kakhulu ukuyeka kokubili lokhu ngokuphelele.
2. Imithi (izinhlobo zemithi)
Uma izinguquko zendlela yokuphila zodwa zinganele ukulawula izimpawu zakho, udokotela wakho angase akunike imithi.
- Ama-antacid: Lawa asebenza ngokunciphisa ngokushesha i-asidi ye-asidi yesisu. Alungele isilungulela ngezikhathi ezithile, kodwa awayona ikhambi lesikhathi eside.
- Ama-H2 blockers: Lawa anciphisa ukukhiqizwa kwe-asidi esiswini.
- Izithibi ze-proton pump (PPI): Lezi yimithi enamandla kakhulu yokunciphisa i-asidi etholakalayo. Zivimba kakhulu ukukhiqizwa kwe-asidi futhi zisiza ekwelapheni izilonda emhubheni.
Into ebaluleke kakhulu: Noma yimiphi yale mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela wakho. Ukuyithatha ekhemisi ngendlela othanda ngayo kuzokwenza isimo sibe sibi kakhulu futhi kubangele izinkinga zangaphakathi.
3. Ukuhlinzwa
Kulabo abane-GERD enzima kakhulu engaphenduli emithini, noma labo abanesimo esifana ne-hernia yokubeletha, ukuhlinzwa kunganconywa. Lokhu kuhilela ukuqinisa i-LES ebuthaka.
Yini okufanele uyenze uma uzwa ubuhlungu esifubeni ngokuzumayo?
- Sukuma uqonde: Uma ulele phansi, vuka uhlale phansi noma ume uqonde. Amandla adonsela phansi azosiza i-asidi ukuthi yehle.
- Phuza amanzi: Awekho amaningi, ama-sips ambalwa amanzi angasiza ekuhlanzeni i-asidi bese yehla.
- Khulula izingubo zakho: Uma ugqoke izingubo eziqinile noma ibhande, likhulule.
- Umuthi wokulwa ne-asidi: Uma unemithi yokulwa ne-asidi oyinikezwe udokotela, yisebenzise.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba isilungulela esibuhlungu ngezikhathi ezithile sivamile, uma ubhekana nalezi zimpawu izikhathi ezingaphezu kwezimbili ngesonto, kuyisimo sezokwelapha (GERD).
- Ungamane nje ungakunaki, ucabange ukuthi “i-gastritis.” Uma unalezi zimpawu, qiniseka ukuthi ubonana nodokotela bese uthola ukuxilongwa okunembile.
- Lesi sifo singalawulwa kakhulu ngokushintsha indlela yokuphila kanye nemikhuba yokudla.
- Uma i-GERD ingelashwa kahle, ingaholela ezinkingeni ezinkulu njengomdlavuza womphimbo.
- Ungathathi imithi yokwehlisa i-asidi isikhathi eside ngangokunokwenzeka ngaphandle kokubonisana nodokotela.
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