Ujwayelene nomuzwa wokushisa esifubeni sakho kanye nokunambitheka okumuncu emphinjeni wakho ngemva kokudla ngenkathi ulindele umntwana? Ngezinye izikhathi lokhu kungaba yinto ecasulayo kangangokuthi kukuvuse ebusuku. Lokhu kuvamile komama abaningi. Nakuba empeleni kubizwa ngokuthi 'isicanucanu', akuhlobene nenhliziyo . Ngakho ungakhathazeki. Ake sixoxe ngalokhu ngendlela elula necacile namuhla.
Kuyini ngempela isilungulela?
Kalula nje, lokhu kwenzeka lapho ama-asidi esiswini sethu egeleza aye emgudwini wokudla ( esophagus ) emphinjeni wethu. Lokhu kubizwa ngezokwelapha ngokuthi 'i-acid reflux '. Kulapho la ma-asidi efika emgudwini lapho sizwa khona lo muzwa wokushisa.
Lesi simo singase senzeke ngisho nakwabesifazane abangakhulelwe . Kodwa-ke, kungenzeka kakhulu ukuthi senzeke ngesikhathi sokukhulelwa ngenxa yezinguquko zamahomoni emzimbeni wethu kanye nokucindezeleka esiswini njengoba umntwana ekhula. Ezinye izifundo zithi phakathi kuka-30% no-80% wabesifazane abakhulelwe babhekana nalesi simo. Lokhu kusho ukuthi sivame kakhulu. Uma uke waba nalesi simo ekukhulelweni kwangaphambilini, noma uma uke waba nezinkinga ezifanayo ngaphambi kokukhulelwa, kungenzeka kakhulu ukuthi ube naso kulokhu. Kodwa-ke, kwabanye abantu, lesi yisikhathi sokuqala bebhekana naso empilweni yabo.
Kukusiphi isigaba sokukhulelwa lapho lokhu kuzwakala khona kakhulu?
Ungakuzwa lokhu kushisa esifubeni sakho nganoma yisiphi isikhathi ngesikhathi sokukhulelwa kwakho. Kodwa-ke, kuvame kakhulu ku-trimester yesithathu , ezinyangeni ezintathu zokugcina. Lokhu kungenxa yokuthi isibeletho sakho sinobukhulu baso obukhulu ngaleso sikhathi, okufaka ingcindezi esiswini sakho . Njengoba ukukhulelwa kwakho kuqhubeka, ukuvama kanye nobunzima balokhu kungakhululeki kunganda.
Ziyini izimpawu zokuvuvukala kwesifuba?
Lezi zimpawu zivame ukuvela zingakapheli imizuzu engama-30 kuya ehoreni ngemva kokudla. Kodwa ngezinye izikhathi zingafika kamuva. Lezi zimpawu zingashintsha futhi ngokunyakaza kwakho. Lokhu kungakhululeki kuzwakala ikakhulukazi uma ugoba noma ulala phansi ngemva kokudla.
Bheka ithebula elingezansi ukuthola izici eziyinhloko.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ukuvuvukala kwesifuba | Umuzwa wokushisa oqala phakathi kwesifuba bese ukhuphuka emphinjeni. |
| Ukunambitheka okumuncu | Ukuzwa ukunambitheka okumuncu noma okubabayo ngemuva komphimbo. |
| Ukugcwalisa isisu | Ukuzwa ukucindezeleka noma ukuvuvukala esiswini. |
| Ukuvuselela | Ukuzwa sengathi ukudla okugwinyiwe kuphindela emphinjeni. |
| Ukuchama njalo | Ukuya endlini yangasese kaningi kunokujwayelekile. |
| Ukuhlanza | Ukuzizwa sengathi ufuna ukuhlanza. |
Nakuba lokhu kuvuvukala kubuhlungu, ngokuvamile akukubi kakhulu.
Kungani lokhu kwenzeka ngesikhathi sokukhulelwa? Ziyini izimbangela?
Lokhu kungenxa yezinguquko ezenzeka emizimbeni yethu ngesikhathi sokukhulelwa ukuze kusizwe umntwana akhule.
- Izinguquko zama-hormone: Ngesikhathi sokukhulelwa, amazinga ethu ama-hormone ashintsha kakhulu. Lokhu kushintsha indlela esigaya ngayo ukudla. Ikakhulukazi, i-hormone i- progesterone yehlisa ijubane lokugaya ukudla. Uma ukudla kuthatha isikhathi eside ukugaya, kungabangela izimo ezifana nokuqunjelwa , isilungulela, kanye nokuqunjelwa.
- Ukuphumula kwe-sphincter engezansi ye-esophageal (LES):Cabanga ukuthi kukhona umsipha ofana nesango phakathi kwesisu sethu nombhobho wethu wokudla (umphimbo). Lokhu kubizwa ngokuthi i-Lower Esophageal Sphincter (LES) . Ngokuvamile, uma sigwinya, lokhu kuyavuleka ukuze kudlule ukudla esiswini, bese kuvaleka futhi ukuze kuvinjwe ama-acid esiswini ukuthi angakhuphuki. Kodwa ngenxa ye-hormone i-progesterone okukhulunywe ngayo ekuqaleni, lo msipha ukhululeka kakhulu. Ngemuva kwalokho, ama-acid esiswini angakhuphuka kalula.
- Isibeletho esikhulu: Njengoba umntwana ekhula, isibeletho naso siyakhula. Lokhu kucindezela ezinye izitho esiswini, ikakhulukazi esiswini. Lokhu kucindezela kungacindezela ama-asidi esiswini. Lesi yisona sizathu esiyinhloko esenza lesi simo sibe sibi kakhulu phakathi nekota yesithathu.
Yini engenziwa ukuze kuncishiswe lokhu kuphazamiseka?
Uma udinga impumuzo esheshayo ekuminyaneni kwesifuba, ungazama ezinye zalezi zindlela zemvelo zokwelapha:
- Yidla i-yogurt noma uphuze ubisi.
- Faka ithisipuni elilodwa loju engilazini yobisi olufudumele, uvuselele, bese uphuza.
- Ukuhlafuna itshungama kungaqeda i-asidi.
Ngingawathatha yini ama-antacid engingawathenga ekhemisi?
Lokhu kubaluleke kakhulu: Nakuba ukusebenzisa ama-antacid acwebezelayo noma amaphilisi afana ne-Tums® ne-Maalox® kunganikeza impumuzo, kubalulekile ukukhuluma nodokotela wakho ngaphambi kokuthatha noma yimuphi umuthi ngesikhathi sokukhulelwa.
Ngenxa yokuthi izifundo eziningi ngokuphepha kwemithi azibandakanyi abesifazane abakhulelwe, kusenezinto esingazazi ngokuphelele mayelana nokuphepha kwemithi ngesikhathi sokukhulelwa. Amathuba okulimaza ingane aphezulu kakhulu phakathi nekota yokuqala. Nakuba eminye imithi iphephile ukuyithatha ngobuningi obuncane, eminye iyingozi ngokuphelele. Ngakho udokotela wakho uzokutshela ngqo ukuthi yikuphi ukwelashwa okuphephile kuwe nakumntwana wakho.
Yini engingayenza ukuze ngivimbele lobu buhlungu besifuba?
Ungasilawula lesi simo ngezinga elikhulu ngokwenza izinguquko ezincane emikhubeni yakho yokudla nasendleleni yakho yokuphila.
| Umkhuba wokushintsha | Incazelo nemiyalelo |
|---|---|
| Imikhuba yokudla nokuphuza | |
| Usayizi wendlebe | Esikhundleni sokudla kakhulu ngesikhathi esisodwa, yidla ukudla okuncane okuningana (5-6) usuku lonke. |
| Isivinini sokudla | Hlafuna ukudla kwakho kahle bese udla kancane. |
| Phuza amanzi | Gwema ukuphuza amanzi amaningi ngesikhathi udla. Phuza amanzi amaningi ngesikhathi sokudla. |
| Ukudla okufanele ukugwenywe | Nciphisa amafutha, ukudla okunongwe okune-chili eningi, izithelo ze-citrus kanye namajusi afana nama-orange, iziphuzo ezine-carbonated (i-soda), kanye ne-caffeine (ikhofi, itiye). |
| Izinguquko zendlela yokuphila | |
| Isimo somzimba ngemva kokudla | Hlala uqonde ngenkathi udla. Gwema ukulala phansi ngokushesha ngemva kokudla. Linda okungenani amahora ama-2-3. |
| Indawo yokulala | Phakamisa ikhanda lombhede cishe unyawo. Noma ulale unemicamelo embalwa bese umzimba wakho ongaphezulu uphakama kancane. |
| Imikhuba emibi | Yeka ukubhema nokuphuza utshwala ngokuphelele. Ngaphezu kokubangela ukuvuvukala kwesifuba, lokhu kungabangela nezinkinga ezinkulu zempilo enganeni esibelethweni. |
Kufanele ubonane nini nodokotela?
Uma uqhubeka nokuba nobuhlungu esifubeni naphezu kokwenza lezi zinguquko endleleni yokuphila, khuluma nodokotela wakho. Angakunikeza imithi ephephile ukuyithatha ngesikhathi sokukhulelwa.
Ngaphezu kwalokho, okulandelayoUma unezinye zezimpawu eziyisixwayiso, funa iseluleko sezokwelapha ngokushesha .
- Uma ubuhlungu besifuba bukhulu kangangokuthi buvusa wena ebusuku.
- Uma unenkinga yokugwinya ukudla.
- Uma igazi liphuma namathe.
- Uma indle imnyama.
- Uma isisindo somzimba wakho sehla.
Enye into ebalulekile: Ubuhlungu obuzwayo ngesikhathi sokuhlaselwa yinhliziyo ngezinye izikhathi bungafana nezimpawu zokuhlaselwa yinhliziyo. Uma ungakaze ube nokuhlaselwa yinhliziyo ngaphambili futhi uzwa ubuhlungu esifubeni, ungangabazi ukushayela udokotela wakho ucingo ngokushesha, noma uye egumbini lezimo eziphuthumayo (ETU) esibhedlela esiseduze nawe.
Ingabe kukhona ukuxhumana phakathi kwe-heartburn kanye ne-preeclampsia?
I-Preeclampsia iyinkinga engaba yingozi engenzeka phakathi nokukhulelwa. Ibonakala ngomfutho wegazi ophakeme, ikhanda elibuhlungu, ukubona okufiphele, kanye nobuhlungu ohlangothini lwesokudla lwesisu. Ngezinye izikhathi, ubuhlungu besifuba bungaba uphawu.
Kodwa-ke, uma ubuhlungu besifuba kuphela, cishe bubuhlungu besifuba obuvamile. Futhi, nakuba ubuhlungu besifuba buvela kwabesifazane abaningi abakhulelwe, i-preeclampsia yenzeka ngephesenti elincane kuphela, cishe u-8%.
Kodwa-ke, uma unokungabaza ngalokhu, ungathathi izingozi. Qiniseka ukuthi ukhuluma nodokotela wakho.
Nakuba lokhu kungacasula, izindaba ezinhle ukuthi konke kubuyela esimweni esijwayelekile ngemva kokuthola umntwana. Ngakho-ke uma ungazange ube nale nkinga ngaphambi kokukhulelwa, kunethuba elihle lokuthi izophela ngokuphelele ngemva kokuthola umntwana.
Umlayezo Wokuya Nawe Ekhaya
- Ubuhlungu besifuba ngesikhathi sokukhulelwa buvamile kakhulu futhi bujwayelekile. Asikho isidingo sokukhathazeka ngakho.
- Ukwenza izinguquko ezimbalwa ezilula emikhubeni yakho yokudla kanye nendlela ophila ngayo kungakunciphisa kakhulu lokhu kungakhululeki.
- Njalo thintana nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umuthi otholakala ekhemisi noma kwenye indawo.
- Kubaluleke kakhulu ukuqaphela izimpawu ezinzima njengobunzima bokugwinya, indle emnyama, noma ukwehlisa isisindo bese ucela iseluleko sezokwelapha ngokushesha.
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