Ziziphi izidakamizwa ezinokubangela ukugubungeleka kunye nento enokuyenza?
Ngoxa sisoloko sicinga ngokutya okuthe ngqo njengokuba kubangele ukutshabalalisa , kodwa kukho na amanye amayeza angabangela ukugquma. Ezi zi yobisi zingabangela ukuba ugubuke yedwa, okanye usebenze kunye nezinye izimbangela zokudala eso sitshixo esifubeni sakho.
Amachiza njengesizathu
Kukho iindlela eziliqela okanye iindlela ezenza ukuba imithi ingabangela ukutshabalalisa okuchazwe ngaphaya kwezantsi, kodwa kubalulekile ukuba ukhombe okokuqala ukuba wonke umntu uhlukile, kwaye ukugqithwa kweentlungu ezihambelana namayeza kuyahluka ngokugqithiseleyo xa ucinga abantu ngabanye.
Amanye amayeza anokubangela ukuguqulwa komntu kumntu omnye akanakho ukuba nomphumo kwenye. Enyanisweni, nakubani na umntu oyedwa, isicatshulwa sinokubangela ukutshabalalisa ngexesha elinye kodwa kungekhona kwelinye; Ukuthinteka komntu ukuguquka kwenkohlakalo kuhluka kwixesha.
Ukuba ucinga ukuba elinye lamachiza akho liyingozi ngakumbi, kubalulekile ukuthetha nomboneleli wakho wezempilo. Akufanele uyeke ukuthatha imithi yakho ngaphandle kokuba ucetyiswe ukuba wenze njalo njengamanye amaxesha, oku kunokuba yingozi. Into efanelekileyo kukuba kukho iindlela zokunciphisa amayeza-ukukhupha okanye ukukhetha ubuncinane iziyobisi xa kunokwenzeka.
Amachiza Angabangela Ukubhukuda
Phantse nayiphina imithi inokubangela ukuguquka xa ezinye zikwazi ukudala le mpawu kunezinye. Ngamanye amaxesha yodwa imithi yodwa ekhokelela ekugqibeleni, kodwa ngezinye izihlandlo esi sibonakaliso sinokubangelwa ukudibanisa izizathu ezahlukeneyo.
Iziyobisi ezinokuthi zenze i-Heartburn ibangele
Imithi eyaziwa ngokubangela ukuqubuka kwezinto ziquka:
- Amayeza anxamnye noxinzelelo, afana neValium diazepam) - La mayeza ayenakho ukukhupha umoya wakho, kodwa i-sphincter yakho engaphantsi.
- Ezinye iziza-antibiotics, ezifana ne-tetracycline, ziyakucasula ngokuthe ngqo.
- I-Anticholinergics efana neCompazine (prochlorperazine) kunye ne-Phenergan (promethazine) inokubangela ukuba uphumule i-sphincter esezantsi.
- I-Aspirin - Kwabanye abantu abakwazi ukunyamezela i-aspirin ngenxa yokugquma, i-aspirin ene-entered-entereded enteric. Ungaze ubeke aspirin ngaphambi kokuba uthethe nodokotela wakho.
- I-Bisphosphonates efana neFosomax (alendronate), Actonel (i-resendronate), ne-Boniva (ibandronate) - I-oralal bisphosphonates inokubangela ukutshabalalisa ngokukrakra ngokuthe ngqo. Ukuba unyango lwakho lubangela ukutshabalalisa, kukho iindlela zokulungiselela amalungiselelo anikezelwa njengelisijovalo ezingenakunokwenzeka ukuba kubangele le mpawu.
- Izibhengezo zesitishi se-Calcium zengcinezelo yegazi ephezulu, njenge-Procardia (nifedipine), kunye neCardizem (diltiazem) kunokubangela ukuba buthathaka kwe-sphincter esezantsi kunye nokunciphisa i-gastric emptying. Ngombulelo, kukho ezininzi iindidi ezahlukeneyo zemishanguzo yegazi ezikhoyo, kwaye ukutshintsha kwenye iklasi kunokunceda ukuba iimpawu zakho ziyaqhubeka.
- Ezinye iziyeza ze-asthma ezifana neProventil (albuterol) kunye ne-theophylline.
- Iziyobisi zeKhemotherapy.
- I-Corticosteroids (i-steroids) efana ne-Deltasone (prednisone) kunye ne-Medrol (methylprednisolone) ingabangela ukutshabalalisa kunye nezinye izinto ezixhamlayo.
- I-hormone yonyango yokuguqula (HRT), edibanisa i-estrogen kunye neprogesterone.
- I-Narcotics inokubangela ukuguquka ngokulibaziseka isisu esiswini. Izinketho zingabandakanya ukusebenzisa uhlobo oluthile lwezonyango zomzimba, kodwa kuyaphawuleka ukuba ukuchasana nezidumbu, ezixutyushwa ngokuzayo, kunokudala iingxaki.
- I-NSAID (izidakamizwa ezichasayo ezingekho komzimba) ezifana ne-Advil (ibuprofen) kunye ne-Aleve (naproxen) zinokunyusa u-asidi kwisisu ngokumvimbela i-prostaglandins - Iintetho zokulawula ubuhlungu ezifana ne-Tylenol (acetominophen) okanye kwanamachiza ezinokuthi zenzeke xa kufuneka i-NSAIDS ibangele ukutshaya okanye ukuphazamiseka kwendlela yokugaya. Kwezinye iimeko, ukuqinisekisa ukuba ukuthatha i-NSAIDS kwisisu ngokupheleleyo kunokunceda.
- I-Tricyclic antidepressants, njengeTofranil (imipramine), i-Sinequan (doxepin), i-Norpramin (desipramine) kunye ne-Pamelor (i-nortriptyline) iyanciphisa isantya sesisu. Uninzi lwabachasayo abasandul 'ukutshabalalisa abanamathuba amaninzi okubangela le mpawu.
- I-Potassium inokubangela ukutshabalalisa ngokukrakra ngokuthe ngqo kwintshukumo.
- I-Iron supplement - I-Iron supplements ingacasula isisu. Abanye abantu bafumana uxolo ngokuthatha ezi zixhobo zokutya okanye ngokuzisisebenzisa ekuqaleni kwentsuku.
- Vitamin C.
Zigqibo
Ukuba unyango lwakho lubonakala lubangela ukutshabalalisa, musa ukuyeka nje imithi. Thetha nogqirha wakho. Kukho amanye amayeza afuna ukucuthwa okanye i-effect rebound ingenzeka. Kwezinye iimeko, xa unyango lubaluleke kakhulu, ugqirha wakho unokuncoma ukuba uphephe ukutshatyalaliswa kwesifo kunokuba ushiye isigxina.
Ngamanye amaxesha, utshintsho olulula kwimpilo yakho lungasombulula ukutshabalalisa. Ukuthatha unyango xa uhleli kwaye uhlala uhleli okanye umile isigxina seyure kunokunceda. Kwakhona, ukuhlamba amayeza phantsi ngeglasi yamanzi kunokunceda. Ngamanye amayeza, ukuthatha ukutya kunokunceda, kodwa qiniseka ukuba kuqala imithi yakho ayiyinto enye ekufuneka ithathwe kwisisu esingenalutho sokunyuselwa.
Amanye amayeza, afana ne-aspirin, afumaneka kwi-entered-coated enokubangela abanye abantu. Ngezinye iziyobisi, ukuqulunqwa okuhlukile kunokukwenza inkohliso. Ngokomzekelo, kunye ne-bisphosphonate esetyenziselwa i-osteoporosis, ugqirha wakho unokuncoma ifomu yejoza kunokuba ifomu yomlomo yonyango.
Ekugqibeleni, cinga ngezinye izinto ebomini bakho ezinokubangela ukuguquka nokuxubusha ingxaki yakho. Ngokomzekelo, sifunde ukutya okuphi ukukhawulela , ukuyeka ukutshaya nokugwema utywala .
Iinkqubo zoKhuza
Ukuguquka komzimba kungabonakalisa uphawu olulodwa kodwa lungabangela iindlela ezahlukeneyo. Ezinye zeendlela ezinokuthi zenze igalelo lonyango olukhutshwayo lubandakanya ukucaphuka ngokuthe ngqo kwesifo, ubunzima be-sphincter esezantsi, ukuphazamiseka kwe-motility ye-digestive tract, okubangelwa ukulibazisa i-gastric emptying, kwaye mhlawumbi i-hernias yokubeleka.
Irritation Esophageal
Amanye amayeza, njengensimbi, i-potassium, kunye ne-bisphophonates inokukrakra ngokuthe ngqo umgca we-esophagus kwaye kubangele ukugquma. Ngaloo mayeza unokwenza umehluko ukuhlala uhambile okungenani kwiminyaka engama-20 ukuya kwe-30 emva kokuba uthathe imishanguzo, kwaye uthathe ipilisi eneglasi yamanzi.
I-Lower Esophageal Sphincter (LES) Ukungasebenzi
Ibhande leesiphako elisekuhlanganisweni phakathi kwesisu kunye nesisu kuthiwa yi- sphincter esezantsi (LES). Esi sihlunu sinoxanduva lokuvala nokuvula umgca ophantsi we-esophagus kwaye senza njengomqobo wokunciphisa umnqweno malunga neziqulatho esiswini. Ukuba ibuthathaka okanye ilahle ithoni, i-LES ayiyi kuvala ngokupheleleyo emva kokutya kudlula kwisisu. Isisu se-isisu sinokubuyela emva kwipopu. Ukutya okunye kunye nokusela, iziyobisi kunye nenkqubo yeentlanzi zingabuthakathaka i-LES kwaye ichithe umsebenzi wayo.
Ukuphazamiseka kwe-Motility (Ukuphuphuma kwesisu esiswini)
Ukutya okuqhelekileyo, ukutya kudluliselwa kwi-digestive tract by contractions ebizwa ngokuba yi-peristalsis. Xa umntu enesifo sokugaya i- motility disorder , ezi zintlukwano aziqhelekanga. Oku kungabikho ngenxa yesinye sezimbini ezibangela ukuba: Ingxaki kwi-muscle ngokwayo, okanye ingxaki ngeentsholongwane okanye i-hormone ezilawula ukuphazamiseka kwemisipha. Olunye uphando lubonise ukuba ngaphezu kwesiqingatha sabantu abaneengxaki zesisu esiswini somzimba (GERD) babenomdla ongavamile okanye umsizi esiswini zabo ezingabangela ukungabikho komzimba.
Xa izidumbu esiswini zingenzi isivumelwano ngokuqhelekileyo, isisu asinanto ngaphakathi emathunjini amancinci ngokukhawuleza njengoko kwakuqhelekileyo. Ukuhlanganiswa kokutya okusele esesiswini kunye noxinzelelo olusisiswini esiswini ngenxa yokulibaziseka ukukhupha kukhulisa umngcipheko we-acid esiswini ukuba uhlawule kwisigxina.
Hiatal Hernia
Imfucuza yokubeleka ivela xa inxalenye esezantsi yesisu iqhutyelwa phezulu ukuya esifubeni ngokuvula kwi-diaphragm. Oku kungenzeka ngenxa yokunciphisa kwi-diagrragm okanye ngenxa yokunyuka kwengcinezelo esiswini (njengokunyanyisa.) Lo mnyango ubizwa ngokuba yi-hiatus esophageal okanye i-hiatus ye-diaphragmatic hiatus. Kukholelwa ukuba i-hernia yokuzala inganciphisa i-sphincter esezantsi kwaye ibangele ukuba i-reflux, nangona kunjalo, izifundo ziye zahluleka ukubonisa ukuba yinto ebangela i-GERD.
Izinto zobomi
Uphando lucebise ukuba kukho umngcipheko ozuze njengefa kwiGERD. Oku kungabangelwa ngenxa yeengxaki ze-muscular okanye zesakhiwo kwi-esophagus okanye esiswini. Imiba ye-Genetic inokuba yinto ebalulekileyo kwisifo sengqondo kumdla weBarrett , imeko ebangelwa yi-GERD enzima.
Unyango
Kubalulekile ukuthetha nogqirha wakho ukuba unesifo sengqondo. Ukongezelela ukubonisa iinguqu zendlela yokuphila ezinokunciphisa iimpawu , unokuthetha nawe malunga neendlela ezininzi zokwelapha ezikhoyo ukukhwabanisa .
Ngaphantsi kweMida kunye neNtshontsho
Phantse nayiphina imithi inokubangela ukutshabalalisa, kodwa ngokucacileyo kukho ezinye iziyobisi eziphambili kunezinye. Kukho iindlela ezingaphezulu kweyodwa apho izidakamizwa zingabangela ukutshabalalisa, kwaye ukuqonda kwendlela kunokukunceda usebenze nogqirha wakho ukuba ufumane iindlela zokuthatha amayeza akho ukunciphisa iimpawu zakho, okanye ukutshintshela kwisilwanyana esingafaniyo kubangela ukutshaya.
Imithombo:
I-Castell, D. I-Medication-Induchagitis. UpToDate . Updated 10/15/15.