Ingabe nawe unesidingo esiqhubekayo sokuhlanza umphimbo wakho? Ingabe kuzwakala sengathi kukhona iqhubu emphinjeni wakho? Ingabe izwi lakho lizwakala lihlukile futhi linomsindo obukhali? Iningi lethu lizilahla lezi zinto njengomkhuhlane ovamile noma i-allergy. Kodwa kungaba yinto ehlukile kunalokho ocabanga. Lokhu yilokho esikubiza ngokuthi i-LPR, noma "i-Silent Reflux" ngokwezokwelapha. Ake sixoxe ngakho namuhla.
Iyini ngempela le LPR?
Kalula nje, i-LPR uhlobo olukhethekile lwe-gastritis. I-acid reflux yilapho i-asidi yesisu kanye nojusi wokugaya ukudla kugeleza emuva emphinjeni. Lokhu kuvame ukuzwakala esifubeni, engxenyeni engezansi yomphimbo. Sikubiza ngokuthi isilungulela.
Kodwa ku-LPR, lawa ma-asidi esiswini akhuphuka kakhulu futhi afinyelele elarynx yethu, ebhokisini lezwi, kanye nasepharynx. Ngenxa yokuthi ikhuphuka idlule emhubheni, izimpawu zihlukile kakhulu ku-gastritis ejwayelekile. Yingakho abantu abaningi bengaqapheli nokuthi uhlobo lwe-gastritis. Esikhundleni se-heartburn kanye nobuhlungu besisu, i-LPR ithinta kakhulu izingxenye zezwi lakho, umphimbo, kanye nekhala. Ibizwa nangokuthi "i-Silent Reflux" ngoba ayibonisi izimpawu ezivamile ze-gastritis.
Uyini umehluko phakathi kwe-LPR ne-GERD?
Kungenzeka ukuthi uke wezwa igama elithi GERD. I-GERD imele i-Gastroesophageal Reflux Disease. Ibhekisela esimweni se-gastritis eqhubekayo. Nakuba zombili lezi zimo zihilela ukuvela kwe-asidi esiswini, kunomehluko omncane phakathi kwalezi ezimbili.
Khumbula, akubona bonke abantu abane-LPR abaphathwa yisisu esibuhlungu. Yingakho kubizwa ngokuthi 'i-Silent Reflux.' Abanye abantu bangaba ne-GERD kanye ne-LPR. Kodwa abanye abantu banezimpawu ezihlobene ne-LPR kuphela.
Ake siwuqonde kahle lo mehluko.
| Isici | I-GERD (i-gastritis evamile) | I-LPR (i-Lysine Gastritis) |
|---|---|---|
| Indawo ethintekile | Ikakhulukazi engxenyeni engezansi yomphimbo. | Ngenyuka nge-pharynx, okungukuthi, ungene emphinjeni nase-larynx (ibhokisi lezwi). |
| Uphawu oluyinhloko | Isicanucanu, ubuhlungu besisu, i-acid reflux. | Ukuhosha kwezwi, ukuhlanzwa komphimbo njalo, umuzwa wokuthi kukhona okubhajwe emphinjeni, ukukhwehlela okungapheli. |
| Ngokuvamile kuzwakala | Ngokuvamile uma ulele phansi noma ngemva kokudla okunzima. | Kungazwakala usuku lonke, ikakhulukazi lapho ukhuluma noma lapho uvuka ekuseni. |
Ziyini izimpawu ze-LPR?
Ngenxa yokuthi izimpawu ze-LPR zihlukile kancane, ngezinye izikhathi zingaphambaniswa ne-asthma, i-allergies, noma umkhuhlane omubi. Izimpawu eziyinhloko yilezi:
- Ukuhosha noma ukwehla kwezwi.
- Umuzwa ofana nokuthile okufana nebhola unamathele emphinjeni.
- Isidingo esiqhubekayo sokuhlanza umphimbo wakho .
- Ukukhwehlela okungapheli okuhlala isikhathi eside.
- Uketshezi oluningi emphinjeni nasemakhaleni.
- Ubunzima bokugwinya ukudla.
- Umphimbo obuhlungu ongapheli.
- Ukulahlekelwa yizwi noma i-laryngitis.
- Ukuphefumula kuwumsindo wokukhala kwekhwela lapho uphefumula.
- Ukuconsa kwangemva kwempumulo.
- Izifo ezivame ukuhlasela umgudu wokuphefumula ongaphezulu njengomkhuhlane kanye nomkhuhlane.
- Ukuqala okusha kwe-asthma noma ukuqina kwe-asthma ekhona .
Kungani lokhu kwenzeka nge-LPR? Ake sibheke ezinye zezizathu.
Cabanga nje ukuthi kunezigebengu ezimbili ezibalulekile emgwaqweni kusukela esiswini sethu kuya emphinjeni wethu. Lezi yizindandatho zemisipha phezulu nangaphansi komphimbo wethu. Zifana nama-valve. Sizibiza ngokuthi `(ama-sphincters esophageal)`.
1. I-Lower Esophageal Sphincter (LES): Lokhu kutholakala phakathi komphimbo nesisu. Umsebenzi waso oyinhloko ukuvimbela i-asidi yesisu ukuthi ingaphindeli emuva iye kumphimbo.
2. I-Upper Esophageal Sphincter (UES):Lokhu kutholakala phakathi komhubhe nomphimbo. Kuvimbela noma yini engene emhubheni ukuthi ingangeni emphinjeni.
Ukuze i-LPR yenzeke, womabili la ma-valve akumele avaleke kahle. I-gastritis evamile iyenzeka lapho i-sphincter engezansi ye-esophagus (LES) iba buthakathaka. Kodwa-ke, ukuze i-LPR yenzeke, i-sphincter engenhla ye-esophagus (UES) nayo akumele ivaleke kahle bese ikhululeka. Yilapho i-asidi yesisu ingavuza iye emgudwini.
Pho kungani la masango ebuthakathaka?
Kungaba nezizathu eziningi zalokhu. Ezinye zingezesikhashana, kanti ezinye ziyakhula ngokuhamba kwesikhathi.
1. Izinto ezenza buthaka i-sphincter engezansi yomphimbo (LES)
- Imithi ethile: Imithi ethile efana ne-calcium channel blockers yomfutho wegazi ophakeme, i-benzodiazepines yokuzola kwengqondo, kanye nemithi engeyona i-steroidal anti-inflammatory (NSAIDs).
- Ukudla neziphuzo ezithile: ikhofi, ushokoledi, utshwala, iminti, ugalikhi, no-anyanisi.
- Imikhuba yokuphila:
- Ukulala phansi okungenani amahora amathathu ngemva kokudla.
- Ukudla okuningi ngesikhathi esisodwa.
- Ukugqoka izingubo eziqinile noma amabhande acindezela isisu.
- Ezinye izimo:
- I-hernia yesisu: Ukuphuma kwengxenye yesisu esifubeni.
- Ukukhulelwa: Ngenxa yezinguquko zamahomoni kanye nokucindezeleka okukhulu esiswini.
- Ukukhuluphala: Ukwanda kwengcindezi esiswini.
- Ukubhema: Amakhemikhali akugwayi aphumuza le ndandatho yemisipha.
2. Izinto ezenza buthaka isango eliphezulu (i-UES)
Ngemva kokuba ama-asidi esengene ngomnyango ongezansi futhi ekhuphuke, kudingeka avinjwe ukuthi angakhuphuke ngalo mnyango ongaphezulu. Kodwa lezi zinto zingawenza buthaka.
- Ukulala phansi: Uma silala phansi ebusuku, womabili la masango ayaphumula kancane.
- Ukubhodla: Uma ubhodla, womabili la ma-valve ayavuleka, okuvumela inani elincane le-asidi ukuthi lingene emphinjeni wakho kanye namabhamuza omoya.
- Ukugoba phambili, ukuzivocavoca, ukucula: Le misebenzi ingandisa ingcindezi esiswini futhi ibeke ingcindezi esiswini esingaphezulu.
- Ukubhema nokusebenzisa utshwala: Kokubili lokhu kuvula iminyango yomibili.
Yiziphi izinkinga ezingaba khona ngenxa ye-LPR?
Uma i-LPR ingelashwa kahle, izinkinga ezithile zingavela ngokuhamba kwesikhathi.
- Ulwelwesi oluningi kanye nokutheleleka okuvamile: Ukubuyela kwe-asidi yesisu emphinjeni kuphazamisa inqubo evamile yokususa ulwelwesi emphinjeni nasemakhaleni. Lapho ulwelwesi luqoqana, amagciwane anganqwabelana, okuholela ekuthelelekeni okuvamile.
- Izinkinga zezwi nomphimbo ezingapheli: Lokhu kuvuvukala kwesikhathi eside komphimbo nezintambo zezwi kungenza kube nzima ukukhuluma nokugwinya. Ngokuhamba kwesikhathi, amaqhubu amancane (izilonda zezintambo zezwi) angavela nasezintanjeni zezwi.
- Izinkinga zesistimu yokuphefumula:Ama-asidi angena emphinjeni, ngezinye izikhathi ngokungazi, angangena emaphashini ngokuphefumula kwethu, ikakhulukazi ngesikhathi sokulala ebusuku. Lokhu kungaholela ekuthelelekeni kwamaphaphu kanye nezinye izinkinga zokuphefumula.
Ngingazi kanjani ukuthi lokhu kuyi-LPR?
Uma unezimpawu esixoxe ngazo ekuqaleni, ikakhulukazi uma ungakwazi ukuthola imbangela, kungcono ukubonana nodokotela wezindlebe, impumulo, nomphimbo (ENT Surgeon). Udokotela uzolalela izimpawu zakho futhi ahlole umphimbo wakho.
Kunezivivinyo eziningana eziyinhloko ezenziwe ngalokhu:
- I-Flexible Laryngoscopy: Inqubo lapho ikhamera encane exhunywe kuthubhu oluthambile, oluncane idluliselwa ekhaleni nasemphinjeni ukuze kuhlolwe ingaphakathi le-larynx nomphimbo. Lokhu ukuhlolwa okulula okuvame ukwenziwa ehhovisi likadokotela.
- I-Upper Endoscopy: Lokhu kuhilela ukufaka ipayipi elinekhamera ngomlomo wakho ukuhlola umphimbo wakho nesisu. Lokhu kungasiza ekutholeni imbangela ye-LPR yakho.
- Ukuhlolwa kwe-pH yesisu: Ukuhlolwa okulinganisa amazinga e-asidi emphinjeni wakho kanye nasemphinjeni esikhathini esingamahora angama-24.
- I-Esophageal Manometry: Ukuhlolwa okulinganisa ukusebenza kanye namandla emisipha emhubheni.
Yiziphi izindlela zokwelapha i-LPR?
Ukugxila okuyinhloko ekwelapheni i-LPR ukushintsha indlela yethu yokuphila kanye nemikhuba yethu yokudla.
Ukushintsha indlela yokuphila kanye nemikhuba yokudla
Kunezinto eziningi ongazenza wena ukuze ulawule i-LPR. Lezi yizinto ezibaluleke kakhulu.
| Okufanele ngikwenze | Incazelo |
|---|---|
| Ukudla | Esikhundleni sokudla ukudla okukhulu okuthathu, yidla ukudla okuncane okuhlanu noma okuyisithupha. Gwema ukudla okuningi ngesikhathi esisodwa. |
| Ngaphambi kokulala | Yidla isidlo sakusihlwa okungenani amahora amathathu ngaphambi kokulala. Gwema ukulala phansi ngemva kokudla. |
| Indawo yokulala | Lala ngohlangothi lwakho lwesobunxele. Futhi, sebenzisa umcamelo owengeziwe ukuze ugcine ikhanda lakho liphakeme kancane. |
| Ukudla okufanele ukugwenywe | Gwema ukudla okunamafutha, okunongwe kakhulu, okune-asidi eningi (amawolintshi, utamatisi), ushokoledi, ikhofi, iminti, iziphuzo ezine-carbonated (i-soda). |
| Imikhuba emibi | Yeka ngokuphelele ukubhema nokuphuza utshwala. Lokhu kwenza izimo ze-LPR zibe zimbi kakhulu. |
| Isisindo somzimba | Uma ukhuluphele kakhulu, kubaluleke kakhulu ukwehlisa isisindo. Khuluma nodokotela wakho ngalokhu. |
Ukwelashwa ngezidakamizwa
Ngesikhathi wenza izinguquko endleleni yokuphila, udokotela wakho angase akunike imithi ethile ukusiza ekwelapheni umonakalo emphinjeni wakho kanye nasemphinjeni.
- Ama-Proton Pump Inhibitors (PPI): Lawa asebenza ngokunciphisa ukukhiqizwa kwe-asidi esiswini. Lawa angadinga ukusetshenziswa izinyanga eziningana.
- Ama-H2 Blockers: Lena enye uhlobo lwemithi enciphisa ukukhiqizwa kwe-asidi.
- Ama-Alginates: Le mithi idala ungqimba oluvikelayo phezu kolwelwesi lwesisu, ivimbela ama-asidi ukuthi angakhuphuki.
Into ebaluleke kakhulu ukuthi, ungasebenzisi noma yimuphi wale mithi ngaphandle kweseluleko sikadokotela wakho.
Ukuhlinzwa
Ukuhlinzwa akudingeki kakhulu nge-LPR. Ukuhlinzwa kucatshangelwa kuphela uma kunembangela ethile, njenge-hernia yokubeletha, noma uma ezinye izindlela zokwelapha zehlulekile.
Umlayezo Wokuya Nawe Ekhaya
- I-LPR yisimo esibizwa ngokuthi "i-buthule reflux," lapho i-asidi yesisu ikhuphukela emphinjeni nasebhokisini lezwi.
- Izimpawu zihlukile kweze-gastritis ejwayelekile, ikakhulukazi zithinta izwi nomphimbo (isib. ukukhwehlela okungapheli, ukushoshozela, umphimbo obuhlungu).
- Akuwona wonke umuntu one-LPR othola ubuhlungu besifuba.
- Ingxenye ebaluleke kakhulu yokwelashwa ukushintsha imikhuba yokudla nendlela yokuphila.Kubalulekile ukugwema ngokuphelele ukubhema nokusebenzisa utshwala.
- Uma unalezi zimpawu isikhathi eside, qiniseka ukuthi ufuna iseluleko sezokwelapha. Ngokuhlonza nokwelapha okufanele, i-LPR ingaphathwa ngempumelelo.
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