Ingabe ubuhlungu besifuba buyinkinga yenhliziyo njalo? Ake sifunde ngobuhlungu besifuba obungebona obenhliziyo!

Ingabe ngezinye izikhathi uzizwa ukuqina , ukuqina, noma ubuhlungu esifubeni sakho? Sivame ukwesaba lapho sizizwa sengathi kukhona okungahambi kahle enhliziyweni yethu, akunjalo? Kodwa bewazi, akubona bonke ubuhlungu esifubeni obubangelwa yinhliziyo. Ngezinye izikhathi uma uya kudokotela, benza izivivinyo bese bethi, 'Akukho nkinga ngenhliziyo.' Ngakho kwenzekani? Yilokho esizokhuluma ngakho namuhla, ubuhlungu esifubeni obungahlobene nenhliziyo. Lokhu ngokwezokwelapha kubizwa ngokuthi 'Ubuhlungu Besifuba Obungeyona Inhliziyo (NCCP)'.

Ngakho-ke, luyini lolu buhlungu besifuba obungebona obenhliziyo?

Kalula nje, `Ubuhlungu Besifuba Obungeyona Inhliziyo (NCCP)` bubuhlungu obuvame ukwenzeka esifubeni sakho, ikakhulukazi phakathi kwesifuba, lapho inhliziyo ikhona khona. Kodwa-ke, lokhu akubangelwa yisifo senhliziyo. Kubantu abaningi, isizathu esiyinhloko salolu hlobo lobuhlungu inkinga nge -esophagus (ipayipi elithwala ukudla kusuka emlonyeni kuya esiswini lapho sigwinya). Phakathi kwabo, isimo esibizwa ngokuthi `Isifo Sokugobhoza Kwesisu (GERD)` sivame kakhulu. Phakathi kwethu, lokhu kuyinkinga enkulu ye-"gastritis" noma "reflux", akunjalo? Ngaphezu kwalokho, izinto ezifana nokucindezeleka, ukukhathazeka, nokucindezeleka nazo zingabonakala njengobuhlungu besifuba obuqhubekayo. Ngezinye izikhathi, izinto ezifana nezinkinga zamaphaphu kanye nokuqina kwemisipha nakho kungabangela ubuhlungu besifuba ngokuzumayo. Kodwa `i-NCCP` ibhekwa njengesimo esiqhubekayo, esingamahlalakhona.

Kuzwakala kanjani lokhu buhlungu? Ingabe kufana nokuhlaselwa yinhliziyo?

Yebo, isikhathi esiningi, lobu buhlungu besifuba obungebona obenhliziyo buzwakala njenge -angina . Bungazwakala sengathi othile ucindezela isifuba sakho, uyasicindezela, noma umthwalo osindayo ubekwa esifubeni sakho. Lobuhlungu buvame ukuzwakala ngemuva kwethambo eliphakathi lesifuba sakho (sternum) . Ngezinye izikhathi bungaba ngakwesokudla, ohlangothini lwesobunxele, noma phakathi nendawo. Njengokuhlaselwa yinhliziyo, lobu buhlungu bungase buzwakale sengathi buya entanyeni yakho, engalweni yesobunxele, noma emhlane.

Ungase ukwazi ukuqonda okunye ngalezi zinto. Isibonelo, lobu buhlungu bungase bufike ngemva kokuqeda ukudla. Noma, umuzwa oshisayo esifubeni, esiwubiza ngokuthi "isicanucanu" , ungahambisana nalobu buhlungu. Lobu buhlungu bungathatha imizuzu embalwa, noma ngezinye izikhathi bungathatha amahora ambalwa.

Cabanga nje, udla isidlo sakusihlwa esimnandi, nesinongo esincane, futhi ngemva kwesikhashana, lapho uya embhedeni, uzwa umuzwa oshisayo phakathi kwesifuba sakho. Abanye abantu bacabanga ukuthi, 'Kumelwe ukuba yigesi.' Kodwa uma lokhu kwenzeka njalo, kungaba uphawu lwe-'GERD', olungabangela nobuhlungu besifuba.

Kungani ubuhlungu bomphimbo buzwakala njengobuhlungu benhliziyo?

Lokhu kungase kubonakale kungavamile, kodwa kunesizathu salokho. Ngaphakathi kwesifuba sethu, i-trachea iseduze kakhulu nenhliziyo.Izimpawu zobuhlungu ezivela kuzo zombili izitho zomzimba ziyiswa ebuchosheni ngesimiso sezinzwa esifanayo. Ngakho-ke, ngezinye izikhathi kunzima kakhulu ukuhlukanisa phakathi kwalezi zinhlobo ezimbili zobuhlungu ngokusekelwe ezimpawini zodwa.

Kodwa-ke, uma unezinye izimpawu ezihlobene ne-esophagus reflux, okuyilapho uzizwa sengathi okuqukethwe yisisu kubuyela ku-esophagus yakho, lokho kungaba uphawu lokuthi ubuhlungu abuhlobene nenhliziyo yakho. Kodwa-ke, izimo ezifana nokuqaqamba kwemisipha ku-esophagus yakho noma ukusabela kwe-visceral kungaba nzima ukuzibona.

Sivame kangakanani lesi simo?

Lokhu buhlungu besifuba obungebona obenhliziyo buvame kakhulu kunalokho esikucabangayo. Ngokusho kweminye imibiko, cishe abantu abadala abangama-25% bahlushwa yilesi simo. Abantu abaphakathi kwama-50% nama-75% abeza ekamelweni eliphuthumayo benobuhlungu besifuba bathunyelwa ekhaya ngemva kokuxilongwa ukuthi banesifo senhliziyo. Ngokuvamile, la macala ahlukaniswa njengangachazeki, abangelwa ukucindezeleka noma ukukhathazeka, noma njenge-"NCCP."

Wazi kanjani ukuthi ubuhlungu besifuba bukhulu?

Lena yinto ebaluleke kakhulu. Ungase ungakwazi ukubona umehluko phakathi kokuhlaselwa yinhliziyo nobuhlungu besifuba obungebona obenhliziyo ngokwakho. Ngakho-ke, noma yikuphi ubuhlungu besifuba kufanele kuthathwe ngokungathi sína.

• Uma ubuhlungu buqala ngokuzumayo futhi buhlala imizuzu engaphezu kwemihlanu, nakanjani hamba uye ekamelweni eliphuthumayo ngokushesha.
• Ngisho noma ubuhlungu buphela ngemizuzu embalwa futhi bungeyona into ephuthumayo, kubaluleke kakhulu ukubona udokotela ngokushesha ngangokunokwenzeka ukuze uthole ukuthi yini ebangela lokho.

Khumbula, ubuhlungu besifuba obungebona obenhliziyo, kungakhathaliseki ukuthi imbangela iyini, bungaphinde bubuye. Bungathinta nekhwalithi yokuphila kwakho.

Yiziphi izimbangela eziyinhloko zobuhlungu besifuba ezingahlobene nenhliziyo?

Njengoba sishilo ngaphambili, lesi simo se-'NCCP' sivame ukubangelwa inkinga nge -esophagus yakho (ipayipi elithwala ukudla kusuka emlonyeni wakho liye esiswini sakho). Kunezifo eziningana ze-esophagus ezingathinta lokhu:

Isifo Sokuphindezela Kwesisu (i-GERD)

Lena yimbangela evame kakhulu . Phakathi kwamaphesenti angama-50 nama-60 eziguli ze-NCCP zinalesi simo. Kalula nje, yilapho kuvela khona i-asidi yesisu e-esophagus.

Ukuqina kwemisipha ye-Esophageal

Lolu hlobo lobuhlungu lungavela futhi ngenxa yokufinyela okungavamile, okusebenzayo ngokweqile kwemisipha e-usophagus. Lungavela futhi e-usophagus, njengeqhubu emlenzeni.

I-Achalasia

Lesi yisimo esingavamile. Okwenzekayo lapha ukuthi i-valve (i-sphincter) engxenyeni engezansi ye-esophagus ayivuli kahle. Ngemuva kwalokho ukudla akukwazi ukudlula esiswini bese kubhajwa ku-esophagus.

Ukuzwela ngokweqile emqaleni

Lokhu kuyisifo sezinzwa. Okusho ukuthi, imisipha, imizwa, kanye nama-receptor ezindongeni zomhubhe kuba nomuzwa ophakeme kakhulu. Ngisho nokucindezela, ukudonsa, kanye ne-asidi okuvame ukuzwakala kuzwakala njengobuhlungu yilaba bantu.

Ukuvuvukala komphimbo

Ukutheleleka, ukungezwani nokudla (isib., i-eosinophilic esophagitis) , noma isifo sesilonda se-peptic kungabangela ukuthi umphimbo uvuvuke futhi ulimele, okungase kubangele nobuhlungu esifubeni.

Izicubu ezingavamile emgogodleni

Ngezinye izikhathi, izicubu ezingavamile, njengezindandatho noma ama-web, zingakhula ngaphakathi komphimbo, zivale umphimbo.

Ngezinye izikhathi odokotela abakwazi ukuthola noma iyiphi yalezi zimbangela. Kodwa uma kuqinisekiswa ukuthi ayikho inkinga yenhliziyo, kubizwa ngokuthi "ubuhlungu besifuba obusebenzayo obucatshangwa ukuthi buvela emqaleni."

Yiziphi ezinye izinto ezingabangela ubuhlungu besifuba kanje?

Ngaphezu kwezinkinga ngomqala, kunezinye izizathu zokuthi kungani lesi simo se-'NCCP' singase senzeke. Kodwa-ke, lezi azivamile:

• Izinkinga zemisipha noma amathambo esifubeni, odongeni lwesifuba, noma emgogodleni. Njengomsipha odonswe noma inkinga ngembambo.
• Izifo zamaphaphu ezingamahlalakhona, ikakhulukazi lezo ezihilela i-pleura, ulwelwesi olumboza amaphaphu.
• Izinkinga zesisu, isibonelo izilonda zesisu.
• Izinkinga zengqondo. Izinto ezifana nokuphazamiseka kobuhlungu, ukucindezeleka, ukukhathazeka, kanye nokucindezeleka .

Zikhona yini ezinye izimpawu kanye nalokhu buhlungu besifuba?

Yebo, abantu abaningi abanezinhlungu zesifuba ezingezona ezenhliziyo nabo banezinye izimpawu ezihlobene ne-GERD. Isibonelo, isilungulela kanye ne-acid reflux. Ezinye izinkinga zokugaya ukudla, njengomphimbo obuhlungu, ukugabha, kanye nobunzima bokugwinya, nazo zivamile. Cishe ama-80% abantu abane-NCCP esebenzayo batholwe benezinye izinkinga zokugaya ukudla okungasebenzi kahle ngaphandle kwesizathu esicacile. Ezivame kakhulu kulezi yi -Irritable Bowel Syndrome (IBS) (cishe ama-27%) kanye nokuqunjelwa kwesisu okusebenzayo (cishe ama-22%).

Kwabanye abantu, lobu buhlungu besifuba buhlotshaniswa nezimpawu zengqondo. Okusho ukuthi, izinto ezifana nokucindezeleka, ukukhathazeka, nokucindezeleka. Ngisho noma imbangela yobuhlungu itholakala ukuthi iyinto ehlukile, lesi sici sengqondo singahlotshaniswa nayo. Eqinisweni, kukhona ukuxhumana okuqinile phakathi kwezimpawu zengqondo kanye nokuzwela komphimbo, kanye nokuvuvukala kwesifuba. Ukucindezeleka kungabangela izimpawu zesistimu yokugaya ukudla, futhi lezo zimpawu zingakhulisa ukucindezeleka. Odokotela bakholelwa ukuthi lokhu kungase kube ngenxa yobuthakathaka obuthile ekuxhumaneni kwamathumbu nobuchopho phakathi kwamathumbu ethu nobuchopho .

Yiziphi izinto eziyingozi ezithonya lokhu?

Nakuba kungesona imbangela eqondile, lezi zici zitholakale zihlotshaniswa nobuhlungu besifuba obungebona obenhliziyo:

• I-High Body Mass Index (BMI) - Lokhu kusho ukuthi unesisindo esingaphezu kwesifanele ubude bakho.
• Ukubhema noma ukusebenzisa ugwayi.
• `Ama-NSAID` (Izidakamizwa Ezingavimbeli Ukuvuvukala) - Lokhu kusho ukusetshenziswa njalo kwezidakamizwa ezingezona eze-steroidal ezivimbela ukuvuvukala (isib. izinhlungu zobuhlungu ezifana ne-ibuprofen kanye ne-diclofenac).
• Ukukhathazeka .

Lesi simo sitholakala kanjani?

Uma uzwa ubuhlungu besifuba obufana nokuhlaselwa yinhliziyo, into yokuqala okufanele uyenze ukuya ekamelweni lezimo eziphuthumayo. Lapho, bazothatha zonke izimpawu ezibalulekile, njengomfutho wegazi lakho kanye nokushaya kwenhliziyo, bese benza ukuhlolwa okuphelele ngokomzimba. Ngemuva kwalokho, bazohlola ukuhlaselwa yinhliziyo noma isifo senhliziyo. Lokhu kuzofaka phakathi ukuhlolwa kwe -'EKG (Electrocardiogram)` (ukuhlolwa okungenabuhlungu okuqopha umsebenzi kagesi wenhliziyo) kanye nokuhlolwa kwegazi. Lokhu kuhlolwa kwegazi kungathola ukuba khona kwamaprotheni athile akhishwa yinhliziyo ngesikhathi sokuhlaselwa yinhliziyo. Kuphela ngemva kokuqinisekiswa ukuthi ayikho inkinga yenhliziyo, lapho uzotholakala khona ukuthi "unezinhlungu zesifuba ezingezona ezenhliziyo" (NCCP).

Ngemva kokuba udokotela wenhliziyo noma udokotela womndeni wakho eqinisekisile ukuthi ayikho inkinga yenhliziyo, cishe bazokudlulisela kudokotela wezifo zamathumbu . Uzohlola izimo zomqala, ikakhulukazi i-GERD.

Enye indlela yokwenza lokhu ukukunikeza umuthi obizwa ngokuthi i-proton-pump inhibitor (PPI) . Lena imithi ephumelela kakhulu ye-GERD. Uma izimpawu zakho ziba ngcono ngemva kokusebenzisa lo muthi, kungasiza ekutholeni imbangela.

Ezinye izivivinyo zingafaka phakathi ucwaningo lwe-pH ye-esophagus , ukuhlolwa kokunyakaza kwe-esophagus , i-endoscopy ephezulu, noma i-ultrasound . Ngaphezu kwalezi zivivinyo zomzimba, udokotela uzobuza ngomlando wakho wezokwelapha futhi axoxe ngokucindezeleka kwakho kanye nezici ezingokomzwelo.

Yiziphi izindlela zokwelapha lokhu?

Ukuze unikeze ukwelashwa okuphumelelayo, udinga ukuthola imbangela eqondile yobuhlungu besifuba sakho obungebona obenhliziyo. Kunezindlela eziningana zokwelapha:

Ukwelashwa kwe-acid reflux

Uma, njengabantu abaningi, i-NCCP yakho ibangelwa yi - GERD, ukwelashwa kuvame ukuba lula futhi kuphumelele.umuthi osetshenziswa kakhulu we-GERD. Ama-PPI asebenza ngokunciphisa inani le-asidi ekhiqizwa yizindlala zesisu. Lokhu kusiza ekwelapheni izilonda futhi kunciphise umonakalo obangelwa yi-asidi. Ukwelashwa kuvame ukuqala ngomthamo ophezulu ukulawula izimpawu. Bese kuthi umthamo ophansi uqhubeke izinyanga ezimbili kuya kwezine. Ama-PPI asebenza kahle cishe ngo-90% ekwelapheni i-GERD nemiphumela yayo emibi. Uma lokhu kungasebenzi, i-NCCP yakho ingase ibangelwe okunye.

Izinto zokuvimba ubuhlungu

Ukwelashwa okulandelayo okusebenzayo okusetshenziswa kakhulu yimithi yokuvimbela ubuhlungu. Lezi zivame ukuba sekilasini lemithi ebizwa ngokuthi ama-tricyclic antidepressants (TCAs) . Kodwa-ke, zinikezwa ngemithamo ephansi kakhulu kunaleyo esetshenziselwa ukucindezeleka. Uma uthola imiphumela emibi yama-TCA kunzima ukuyibekezelela, ezinye izinhlobo zama-antidepressants nazo zingasiza. Ama-Selective serotonin reuptake inhibitors (SSRIs) abonise impumelelo ethile nge-NCCP, kodwa awakaqinisekiswa kahle njenge-TCAs.

Izindlela zokwelapha ezingokomzwelo nezokuziphatha

Sishilo ukuthi ubuhlungu besifuba obungahlobene nenhliziyo ngezinye izikhathi bungahlotshaniswa nokucindezeleka, ukukhathazeka, noma ukucindezeleka. Ukwelashwa kwengqondo kungasiza ekuxazululeni lezi zinkinga futhi kunciphise ukuvama kobuhlungu besifuba. Ukwelashwa Kokuziphatha Kokuqonda (i-CBT) kukufundisa ukushintsha noma ukususa amaphethini okucabanga abangela ukucindezeleka noma ukukhathazeka. I-Biofeedback iyindlela yokwelapha yengqondo nomzimba eqondiswayo. Ikusiza ukushintsha indlela umzimba wakho osabela ngayo ezintweni ezithile (kufaka phakathi imicabango). Ungazama futhi amasu okulawula ukucindezeleka ekhaya (isib. ukuzindla, ukuzivocavoca, amasu okuphumula).

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ubuhlungu besifuba bungaba yinto eyesabekayo, ikakhulukazi uma kuzwakala sengathi buvela esimweni senhliziyo. Ukuba nalolu hlobo lobuhlungu njalo kungaba yinto ekhathazayo futhi kungaphazamisa ikhono lakho lokujabulela impilo.

Ngakho-ke, uma uzwa ubuhlungu besifuba obuqhubekayo, buthathe ngokungathi sína. Ungalibali ukufuna iseluleko sezokwelapha.

Ukuthola imbangela yobuhlungu besifuba sakho kungathatha umzamo kanye nokuhlolwa okuthile. Kodwa kuyafaneleka. Ngoba isikhathi esiningi, uma usuyitholile imbangela, kulula kakhulu ukuyiphatha. Ngisho noma imbangela iyinkimbinkimbi kancane, ungafunda okuningi ngendlela umzimba wakho osabela ngayo ekudleni, ekucindezelekeni, nasemicabangweni. Lolo lwazi luzokusiza endleleni yakho eya ekululameni kwesikhathi eside. Ngakho-ke, nakekela impilo yakho engokomzimba.

Ubuhlungu besifuba , Isifo senhliziyo, i-GERD, i-Esophagus, Ukucindezeleka, Uhlelo lokugaya ukudla, Ubuhlungu besifuba obungeyona eyenhliziyo