Ingabe i-Acid Iyona Yodwa Imbangela Yokushisa Kwenhliziyo Kwakho? Ake Sixoxe Ngokubuyela Kwesisu Esibuhlungu

Ingabe nawe uphathwa yisisu njalo? Kuzwakala sengathi kuyasha, sengathi kuvela emphinjeni wakho. Sivame ukucabanga ukuthi lokhu kuyisifo sohudo noma i-acid reflux. Kuyiqiniso lokho, futhi isikhathi esiningi yisona imbangela. Kodwa ngezinye izikhathi imbangela yalo muzwa ovuthayo ocasulayo ingaba yinto ehlukile. Lokho yi-bile reflux, noma njengoba sikubiza ngokwezokwelapha, isimo esibizwa ngokuthi i-bile reflux. Ake sixoxe ngalokhu namuhla, ngendlela ongayiqonda.

Kalula nje, kuyini i-bile reflux?

Cabanga ngohlelo lwethu lokugaya ukudla njengendlela eya endaweni eyodwa. Ukudla kungena emlonyeni, kudlule emhubheni, esiswini, bese kungena emathunjini amancane. Ukuze lolu hambo luqhubeke lubushelelezi, kunezivalo (ama-sphincters) avuleka futhi avaleke ezindaweni ezahlukene. Lokhu kuvumela ukudla kanye nojusi wokugaya ukudla ukuthi kuqhubeke phambili futhi kuvimbele ukugeleza emuva.

Manje ake sibheke ukuthi iyini 'i-bile'. I-bile iwuketshezi oluluhlaza okwesibhakabhaka olukhiqizwa esibindini sethu futhi lugcinwe enyongweni. Uma sidla ukudla okunamafutha, le nyongo ingena emathunjini amancane futhi isize ekugayeni lawo mafutha.

Ukudla okuvela esiswini kungena emathunjini amancane nge-valve ebizwa ngokuthi i-valve ye-pyloric. Ngokuvamile, le valve ivala kahle. Kodwa uma le valve iba buthakathaka noma ingavali kahle, i-bile emathunjini amancane igeleza ibuyela emuva, iye esiswini, lapho kungafanele iye khona. Yilokhu esikubiza ngokuthi i-Bile Reflux. Ngezinye izikhathi, le nyongo ingakhuphuka isuka esiswini, ize ifike emqaleni.

Uyini umehluko phakathi kwe-Bile Reflux ne-Acid Reflux?

Abantu abaningi bayadida laba ababili ngoba izimpawu zifana kakhulu. Kodwa kukhona umehluko omkhulu phakathi kwalaba ababili. Ake sikuqonde kahle lokhu.

• I-Acid Reflux/GERD: Lokhu kwenzeka lapho i-asidi enamandla esiswini igeleza phezulu e-esophagus. Lokhu kubangelwa ubuthakathaka be-valve phakathi kwesisu ne-esophagus (i-sphincter engezansi ye-esophagus). Lokhu kuvumela i-asidi yesisu ukuthi igeleze phezulu.
• Ukuphindaphindeka Kwenyongo: Lokhu kwenzeka lapho inyongo evela emathunjini amancane igeleza ibuyela emuva iye esiswini. Inyongo ingaxubana ne-asidi yesisu bese ikhuphuka ngomhubhe.

Leli thebula lizokwenza umehluko ucace kuwe.

I-bile reflux iwuthinta kanjani umzimba?

Inyongo ayiyona i-asidi. Kodwa iyikhemikhali enamandla eyenzelwe ukugaya amafutha. Ngakho-ke uma lenyongo ingena ezicutshini ezibucayi zesisu kanye nomphimbo, lapho ingafanele khona, ilimaza lezo zindonga.

Lo monakalo ubangela ukuvuvukala.

• Uma kwenzeka esiswini: I-Gastritis
• Uma kwenzeka ku-esophagus: I-Esophagitis

Ngenxa yalokhu, ungase ube nobuhlungu esiswini, ubuhlungu besifuba, umphimbo obuhlungu, kanye nokucanuzela njalo, ukungagayi kahle ukudla, futhi ngezinye izikhathi ukuhlanza inyongo.

Yiziphi izinkinga uma lesi simo siqhubeka?

Ukuvuvukala kwe-bile akuyona into okufanele ithathwe kalula. Uma lesi simo siqhubeka isikhathi eside, singaholela ezinkingeni ezinkulu.

• Izilonda Zesisu: Ukuchayeka njalo enyongweni kungalimaza izindonga zesisu.
• Ingozi eyengeziwe yomdlavuza wesisu: Kutholakale ukuthi i-gastritis engapheli ikhulisa ingozi yomdlavuza wesisu.
• I-Barrett's Esophagus: Ngenxa yokuchayeka isikhathi eside ku-bile kanye ne-asidi, amangqamuzana engxenyeni engezansi ye-esophagus aqala ukushintsha. Lokhu kungaba yimbangela yomdlavuza we-esophagus.

Abantu abane-acid reflux nabo banalezi zingozi. Kodwa izifundo zikhombisile ukuthi uma une-acid reflux kanye ne-bile reflux, ingozi yalo mdlavuza iyanda izikhathi eziningana . Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Yiziphi izimbangela eziyinhloko ze-bile reflux?

Ukuvuvukala kwe-bile akuvamile kumuntu ophilile kahle. Kunezimbangela eziningana ezithile ezingaba nomthelela kulokhu.

• Ukuhlinzwa: Ukuhlinzwa, ikakhulukazi ukuhlinzwa kwesisu kanye ne-cholecystectomy, kuyimbangela enkulu. Lapho inyongo isuswa, inyongo ayisagcinwa futhi igeleza iye emathunjini amancane. Lokhu kwandisa ingozi yokwakheka kwenyongo bese ibuyela esiswini.
• Ukuvaleka kwevalvu ye-pyloric: Le valve ingase ingasebenzi kahle ngenxa yezilonda noma izibazi emathunjini amancane (isilonda se-duodenal).
• Ukungasebenzi Kahle Kokuhamba: Abanye abantu banesimiso sokugaya ukudla esihamba kancane kakhulu. Lokhu kungabangela ukuthi ukudla kanye nenyongo kuhlale endaweni eyodwa isikhathi eside kakhulu, okubangela ingcindezi yokwakheka nokubuyela emuva.

Udokotela usithola kanjani lesi sifo ngokunembile?

Udokotela wakho angase akusole lokhu uma ubatshela ngezimpawu zakho. Kodwa kuzodingeka benze izivivinyo ezithile ukuze baqinisekise ukuthi i-Acid Reflux, i-Bile Reflux, noma kokubili.

• I-Upper Endoscopy: Lesi isivivinyo esibaluleke kakhulu. Kufakwa ipayipi elincane neliguquguqukayo elinekhamera ngomlomo ukuhlola umphimbo, isisu, kanye nokuqala kwamathumbu amancane. Lokhu kuvumela udokotela ukuthi abone izindonga zangaphakathi ukuze abone umonakalo, ukuvuvukala, kanye nenyongo. Uma kudingeka, kungathathwa ingcezu encane yezicubu (i-biopsy) ukuze ihlolwe. Uzonikezwa umuthi wokudambisa ngaphambi kwale nqubo, ukuze ungazizwa ungakhululekile.
• Ukuhlolwa Kokungakwazi Ukuphefumula Komchamo: Lokhu kuhlolwa kungasho ngqo ukuthi uketshezi olune-asidi noma olungena-asidi, njenge-bile, luphuma emchameni. Lokhu kuhilela ukufaka ipayipi elincane ngekhala liye emchameni amahora angama-24.
• I-HIDA Scan: Lokhu ukuhlolwa kwe-x-ray okukhethekile okungabheka ukuthi inyongo isuka esibindini iye emathunjini amancane, nokuthi ngabe kukhona ukubambezeleka noma ukuvuvukala kwamathumbu kulolo hambo.

Yiziphi izindlela zokwelapha lokhu?

Ukwelapha i-bile reflux kuyinkimbinkimbi kakhulu kune-acid reflux. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu ngokusekelwe esimweni sakho.

Imithi

• I-Ursodeoxycholic acid: Lo muthi ushintsha ukwakheka kwamakhemikhali enyongweni, unciphise umonakalo owubangela emzimbeni.
• Ama-sequestrant e-Bile acid: Lawa abopha i-bile engena esiswini, anciphise imiphumela yayo eyingozi.
• I-Sucralfate: Lo muthi usebenza njengesivikelo ezindongeni zesisu kanye nomphimbo, uzivikele ekulimaleni okubangelwa yi-bile.
• Ama-prokinetic agents: Lawa asheshisa ukusebenza kwesistimu yokugaya ukudla futhi abangela ukuthi isisu siphume ngokushesha.

Ukuhlinzwa

Ukuhlinzwa kunganconywa kubantu abane-bile reflux enzima abangakwazi ukuyilawula ngemithi. Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. Olunye ukuhlinzwa kokuguqula i-bile ukuthi ingangeni esiswini. Olunye ukuhlinzwa kokuvimbela i-reflux okuqinisa i-sphincter engezansi yomphimbo, ephinde isetshenziswe ekuvuseleleni i-acid.

Zikhona yini izinto ongazenza ekhaya?

Lona umbuzo obaluleke kakhulu. Kodwa iqiniso liwukuthi, ngokungafani ne-Acid Reflux, i-Bile Reflux kunzima ukuyilawula ngokuphelele ngama-antacid avamile noma izinguquko ezinkulu ekudleni.

Noma kunjalo, kunezinto ezimbalwa ongazizama ukuze uthole impumuzo ezimpawini:

• Gcina ikhanda lakho liphakeme ngenkathi ulele: Beka izingcezu ezimbili zokhuni ekhanda lombhede, cishe amasentimitha angu-1.2 ukuphakama, emilenzeni. Ungagcini nje ngokubeka imicamelo, wonke umzimba wakho ongaphezulu kufanele uphakame.
• Yehlisa isisindo: Njengoba isisindo somzimba sanda, ingcindezi esiswini inganda futhi izimo zokubuyela emuva zingaba zimbi kakhulu.
• Yidla ukudla okuncane njalo: Esikhundleni sokudla ukudla okukhulu ngesikhathi esisodwa, yidla ukudla okuncane izikhathi eziningana ngosuku.
• Yidla isidlo sakusihlwa kusenesikhathi: Yidla isidlo sakusihlwa okungenani amahora ama-2-3 ngaphambi kokulala.
• Gwema ukubhema: Ukubhema kwenza ukuhlanza kube kubi kakhulu.
• Gwema ukugqoka izingubo eziqinile: Izingubo eziqinile zingacindezela isisu.