Ingabe ngezinye izikhathi uzizwa sengathi umlomo wakho ugcwele amathe ngokuzumayo, sengathi kukhona okubhajwe emphinjeni wakho, futhi kukhona ukunambitheka okumuncu? Lokhu kuyinto ebangela ukungakhululeki kubantu abaningi. Kwezokwelapha, lesi simo sibizwa ngokuthi i-water brash . Empeleni lokhu kuyimpawu evame ukubonakala nge-GERD (Gastroesophageal Reflux Disease), okuwuhlobo olubi lwe-gastritis. Njengoba abantu abaningi bengazi kahle ngalokhu, ake sixoxe ngakho namuhla.
Iyini ngempela i-Water Brush?
Kalula nje, i-phlegm enamanzi yilapho izindlala zakho zamathe zisebenza ngokweqile ngokuzumayo futhi zikhiqize amathe amaningi emlonyeni wakho. Lokhu kwenzeka lapho isifo sofuba sibi kakhulu, okusho ukuthi i-asidi yesisu ibuyela emuva emphinjeni iye emphinjeni nasemlonyeni wakho.
Cabanga nje, lapho kuvela i-asidi esiswini, umzimba wethu uzama ukuyiqeda ngokwandisa ukukhiqizwa kwamathe. Yingakho amathe egeleza ngokuzumayo emlonyeni. Abanye abantu bangakhiqiza amathisipuni amabili (amamililitha ayi-10) amathe ngomzuzu. Uma la mathe exubana ne-asidi esiswini, anika umlomo ukunambitheka okumuncu, okungajwayelekile kanye nomuzwa wokuthile okunamathele emphinjeni.
Abantu abaningi badidanisa lesi simo sohudo olunamanzi nokuhlanza. Kodwa lezi yizinto ezimbili ezihlukene. Ukuhlanza kuwukuhlanza ukudla okugayiwe kancane kusuka esiswini kuya emphinjeni. Ukuhlanza ngamanzi kuwukukhiqizwa kwamathe amaningi.
Ezinye izimpawu ezingase zihambisane nokusha kwamanzi
Uhudo olunamanzi luwuphawu olulodwa nje lwe-GERD. Ungase ubhekane nezinye izimpawu ezibalwe ngezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Isilungulela | Ubuhlungu obuvuthayo phakathi kwesifuba obubangelwa yi-asidi yesisu. |
| Ukubuyela emtholampilo | I-asidi yesisu kanye nokudla okugayiwe kancane okukhuphukela emphinjeni. |
| Ubunzima bokugwinya ukudla | Ukuzwa sengathi ukudla kunamathele emphinjeni. |
| Ubuhlungu besifuba obungesona isifo senhliziyo | Ubuhlungu engxenyeni yomphimbo eseduze nenhliziyo. |
| Isicanucanu nokulahlekelwa yisifiso sokudla | Ukuzizwa sengathi uhlanza futhi uphelelwe yisifiso sokudla. |
Kungani sithola ama-water rash?
Imbangela eyinhloko yalokhu yi-GERD. Phakathi komphimbo wethu nesisu, kukhona i-valve ebizwa ngokuthi i-Lower Esophageal Sphincter (LES) . Kufana nomnyango. Uma sidla, lo mnyango uyavuleka ukuze kudlule ukudla esiswini, bese uvaleka futhi ukuvimba i-asidi yesisu ukuthi ingakhuphuki.
Kodwa uma le valve ebizwa ngokuthi i-LES iba buthakathaka, ilimele, noma ingavaleki kahle, ama-asidi aqatha esiswini aqala ukuvuza. Lapho le acid ifika emhubheni, sizwa umuzwa oshisayo esifubeni sethu. Le nqubo yiyona ebangela ukungakhululeki njengesilungulela.
Ochwepheshe basacwaninga ngalokhu. Bakholelwa ukuthi i-asidi engena emhubheni ikhombisa ukuthi izindlala zamathe zikhiqize amathe amaningi. Lokhu kungaba yindlela yokuzivikela yomzimba.
Kuphathwa kanjani lokhu?
Ukwelashwa kwesifo sohudo esinamanzi kuyafana nokwe-GERD. Ezimweni eziningi, lesi simo singalawulwa ngokushintsha okuncane endleleni yethu yokuphila kanye nemikhuba yokudla, futhi, uma kudingeka, ngemithi ethathwa njengoba kuqondiswe udokotela.
Izinguquko zendlela yokuphila okudingeka uzenze
| Okufanele ngikwenze | Incazelo |
|---|---|
| Ukugwema ukubhema | Ukubhema kwenza i-valve ye-LES ibe buthaka. |
| Ukugcina isisindo esinempilo | Ukukhuluphala ngokweqile kungacindezela isisu futhi kwandise i-acid reflux. |
| Ukunciphisa ukusetshenziswa kotshwala | Utshwala lungaphinda lubhebhethekise izimpawu ze-GERD. |
| Ukulungiselela ukudla | Esikhundleni sokudla ukudla okukhulu kathathu, kungcono ukudla ukudla okuncane kaningana ngosuku. |
| Ukudla kancane | Nika uhlelo lwakho lokugaya ukudla isikhathi sokugaya ukudla ngendlela efanele. |
| Ukudla ngaphambi kokulala ebusuku | Yidla isidlo sakusihlwa okungenani amahora amathathu ngaphambi kokulala. Ungalali phansi ngemva kokudla. |
Imithi (kuphela ngokweseluleko sezokwelapha)
Udokotela wakho angase akunike imithi yokulawula noma yokunciphisa i-asidi esiswini.
Kubaluleke kakhulu: Noma yimiphi yale mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela wakho. Ungathathi noma yimuphi umuthi ekhemisi wedwa. Ngudokotela kuphela onganquma umuthi ofanele kanye nomthamo wakho.
| Uhlobo lwesidakamizwa | Ukusebenza kahle |
|---|---|
| Ama-antacid | Lokhu kunikeza impumuzo esheshayo (kungakapheli imizuzu engama-30). |
| Ama-blocker e-H2 | Nakuba lokhu kuthatha cishe ihora ukuze kusebenze, ukukhululeka kuhlala cishe amahora ayi-10. |
| Izithibi zephampu yeproton (PPI) | Lokhu kunikeza impumuzo yesikhathi eside ezimpawini ze-GERD futhi kungathatha izinsuku ezingu-1-4 ukuthi zisebenze. |
Yikuphi ukudla okubi okufanele kugwenywe kulesi simo?
Akukho uhlu oluthile lokudla okubi kakhulu ekuhudeni okunamanzi noma i-GERD. Kodwa-ke, ukudla okuphumuza i-valve ye-LES noma okuthatha isikhathi eside ukugaya kungenza izimpawu zibe zimbi kakhulu. Uma uzizwa ungakhululekile, zama ukunciphisa ukudla okungezansi.
- Ukudla okunamafutha, okunamafutha, nokunongwe
- Iziphuzo ezine-caffeine (isb. ushokoledi, ikhofi)
- Iziphuzo ezine-carbon (isb. i-soda)
- Izithelo ze-citrus ezifana nolamula nama-orange
- U-anyanisi negalikhi
- I-Mint
Kodwa khumbula, akuwona wonke umuntu ozoba ne-allergy kulezi zidlo. Kungcono ukuqaphela kancane bese uthola ukuthi yikuphi ukudla okukwenza ungakhululeki.
Yini oyenzayo ukuze uthole impumuzo esheshayo uma uhlangabezana nobunzima ngokuzumayo?
Uma uzithola uzizwa ungakhululekile ngokuzumayo, zama lezi zinto:
- Sukuma uqonde: Uma usukuma, amandla adonsela phansi asiza i-asidi ukuthi ibuyele esiswini.
- Khulula izingubo eziqinile: Gwema ukugqoka izingubo eziqinile (amabhande, amabhulukwe aqinile) ngenkathi ulele . Ukucindezela kungandisa inani le-asidi elikhuphukayo.
- Phuza umuthi wokulwa ne-asidi njengoba uyalelwe udokotela wakho: Uma udokotela wakho esewuncome ngaphambilini, ungathola impumuzo esheshayo ngomuthi wokulwa ne-asidi.
Kufanele ngimbone nini udokotela?
Uma unalezi zimpawu (isicanucanu, amehlo anamanzi) isikhathi esingaphezu kwamasonto amabili, qiniseka ukuthi ubona udokotela. Nakuba amehlo anamanzi ngokwawo engeyona ingozi, uma isimo se-GERD esiyisisekelo singelashwa, singalimaza umphimbo wakho ngokuhamba kwesikhathi.
Nakuba isilungulela, ubuhlungu besifuba, kanye nokugabha kuyizimpawu ezingajabulisi ze-GERD, ngokuvamile zingaphathwa kahle ngokushintsha indlela yokuphila kanye nemithi. Ngakho-ke ungesabi. Khuluma nodokotela wakho mayelana nohlelo lokwelashwa olungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- Amehlo anamanzi ayisibonakaliso se-GERD (isifo esibi kakhulu se-gastroesophageal reflux).
- Isizathu esiyinhloko salokhu yi-asidi yesisu ephuma emphinjeni.
- Lesi simo singalawulwa kakhulu ngokwenza izinguquko ezilula endleleni yokuphila kanye nemikhuba yokudla.
- Uma izimpawu ziqhubeka isikhathi esingaphezu kwamasonto amabili, qiniseka ukuthi ubona udokotela.
- Ungasebenzisi imithi ngendlela obona ngayo ngaphandle kweseluleko sikadokotela.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ubunzima Bokugwinya/Ukuphazamiseka Kwengqondo?
Kuvamile ukuba nobunzima bokudla lapho umphimbo wakho ubuhlungu. Kodwa 'i-Dysphagia' yilapho irayisi, isinkwa, noma amanzi odlayo kubhajwe phakathi komphimbo/esifubeni sakho esikhundleni sokwehla emphinjeni wakho. Lokhu kukwenza uhlafune ukudla kwakho kakhulu, bese uqala ukukhwehlela/ukuminza ngenkathi udla. Lesi yisibonakaliso esiyingozi kakhulu sesixwayiso somdlavuza oyingozi noma isifo sezinzwa esiswini/emphinjeni.
💬 Yiziphi izimbangela eziyinhloko zokubhajwa kokudla/ukuphuza emphinjeni noma esifubeni (i-Dysphagia)?
Izimbangela ezine eziyinhloko neziyingozi kakhulu zalokhu yilezi: 1) 'Umdlavuza Womqala/Isimila' - Umdlavuza owakheka ngaphakathi komphimbo (ithubhu eliholela esiswini) bese uvimba ithubhu! (Okokuqala kuba nzima ukugwinya ukudla, bese kuba nzima ukugwinya amanzi). 2) Igesi/Isifo Sokuqaqamba Kwesisu (GERD) sibangela ukuthi umphimbo ulimale (ngenxa ye-acid reflux) futhi sibangele ukuthi ithubhu linciphe/livimbe (Strictures). 3) Ubuthakathaka/ukulahlekelwa yimisipha yokugwinya ngenxa yesifo sohlangothi noma i-Parkinson's.
💬 Kungani umuntu ogwinya kalula njengoba ephefumula, kufanele abonane nodokotela/aye esibhedlela ngokushesha uma enenkinga yokugwinya ukudla (i-Dysphagia)?
Lesi akusona isifo esidinga ukwelashwa ekhaya (i-endoscopy iyadingeka). Ingozi enkulu! Kanye nobunzima bokugwinya, 1) 'Ukwehlisa isisindo okungachazeki ngaphandle kwesizathu', 2) Ubuhlungu obungabekezeleleki emphinjeni/esifubeni (i-Odynophagia) lapho udla, 3) I-Aspiration pneumonia (ukufutha ukudla emaphashini lapho ugwinya), kuyisifo somdlavuza/esibulalayo esingu-100%! Udinga ukulaliswa esibhedlela ngokushesha!
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