Ukuba i-asthma yakho ayinakulawulwa, ingakumbi ukuba unempawu zobusuku, isifo se-reflux se-gastroesophageal (GERD) sinokuthi sibekwe ityala. Inani elinama-75 ekhulwini lwezigulane ezinzima ukuphefumula isifo se-asthma nazo zihlala zihlala zintlungu. I-GERD yenye yeemeko eziqhelekileyo ezifaka isandla kwi- asthma engalawulwayo, kwaye unokufuna ukuba uvavanywe.
Iimpawu zeGERD ziquka:
- Ukuphindaphinda okanye uvakalelo lwe-asidi kunye nokutya kwakho ukuxhasa; 'i-burp wet' ngenye indlela ezinye izigulane zichaza ngoku.
- Ukuvutha komlilo okanye i-pyrosis, ukuvutha okubuhlungu esiswini sakho nasesibini esifubeni kubangelwa i-asidi esiswini sakho esenyuka uye esicasulayo
- Ukutya okumuncu okanye okukrakra emlonyeni wakho- Ngokuxhomekeka kwimeko enzima, i-reflux ingabangela ukunambitheka okumuncu okanye okukrakra, okanye unokufumana ngokukhawuleza kwimizi enomsolo emlonyeni wakho ekuthiwa ngamanzi. Amanzi aphuma kwi-acid isisu eshukumisa ama-stlands angama-salivary ukuvelisa i-saliva.
I-Acid ivame ukuthintelwa ukuba ikhuphuke kwisigxina esiswini esiswini se-muscular ekhoyo kwixubano lesisu nesisu. Xa le ndandi ibuyisela kwakhona i-asidi ingasuka kwisisu ukuya phezulu. Emva kokuba i-asidi isesisu isesigxeni, kunokwenzeka ukuba uyifune kwimiphunga.
Enye ingcamango kukuba i-asidi engena kwi-esophagus ivuselela iimbulunga apho kwaye ibangela i-airways ukuba inciphise.
Yintoni Oya kuyenza Ngodokotela Wanga xa Ekhusela i-GERD Ingaba yeso sizathu se-Asthma engalawulekiyo?
Umboneleli wakho we-astmma angakhetha ukuyivavanya iimvavanyo ezithile kuxhomekeke kwiimpawu zakho, okanye unokuqala nje ilingo lokunyanga ukuba ubone ukuba iimpawu zakho ze-asthma ezingalawulwayo ziyathuthuka.
Umnikezeli wakho unokunikezela ngenani lezonyango ezinokwenzeka kwiGERD:
- Ukuguqulwa kokutya: Ukugwema okanye ukuguqula ukutya kwakho owaziwayo ukuba kubi kakhulu i-GERD ingaba yiyo yonke into oyifunayo. Ezi zokutya ziquka utywala, ukutya okuthosiweyo, i-tshokoleta, kunye neziphuzo ze-caffeinated.
- Ukuphila kweenguqu : Kukho izinto ezininzi ongayenza ukuphucula iimpawu zakho ze-asthma. Bangabandakanya ukuphepha ukutya okanye ukusela i-3 iiyure ngaphambi kokuba ulale kwaye uphakamise intloko yebhedi yakho. Ukutya ukutya okuncinci ngokuqhelekileyo yindlela enye yokunciphisa umngcipheko wokuhlaziya. Inani elincinci lokuphakama linokuvumela ukuba amandla okugungqele asebenze kuwe kwaye anciphise iimpawu. Ukuphakamisa intloko yebhedi yakho ngamasentimitha amaninzi isebenzisa ubuncwane njengendlela yokugcina i-acid kwisisu.
- Amagqirha: Ugqirha wakho unokumisela iyeza ezingaphezulu kwe-counter-counter, njenge-Pepcid AC okanye i-Prilosec OTC (izigulane zivame ukusebenzisa i-OTC GERD zonyango njengeMaalox, Mylanta, i-Gelusil, i-Gaviscon, i-Rolaids, ne-Tums). Ugqirha wakho unokuphinda acebise unyango lweyeza. Ezi ziquka ii-block-receptor blockers ezifana ne-cimetidine (iTamamet), i-famotidine (i-Pepcid), i-nzatidine (i-Axid) okanye i-ranitidine (i-Zantac). Iproton pump inhibitors yinye iklasi yemijelo yeemithi ezibandakanya iDexlansoprazole (Dexilant), Esomeprazole (Nexium), iLansoprazole (Prevacid), i-Omeprazole (Prilosec, Zegerid), i-Pantoprazole (i-Protonix) kunye neRabrazole (Aciphex). La mayeza awaboneleli ngokukhawuleza njengemigudu ye-antacids kodwa unqande ukuveliswa kwe-asidi kwisisu malunga neeyure ezingama-12 ukuya kwi-24. Ukuba la mayeza aya kusiza i-GERD yakho, akunakwenzeka ukuba nawuphi na osebenza ngakumbi kunomnye. Ngokufanayo, ukuba umntu eklasini ayisebenziyo akunakwenzeka ukuba elinye iyeza kule klasi enye iya kunceda. Ukuba iimpawu zakho ziqhubeka, umniki wakho unokukuthumela ukuvavanya.
- Ugqirha: Nangona ingaqhelekanga imfuneko, ezinye izigulane ezingenayo i-reflux embi zingakhetha ukuhlinzwa ukuba unyango lwangasebenzi okanye alufanelekanga ukuba lithathe unyango lonke ubomi babo.
Ingaba i-GERD yoNyango yoncedo I-Asthma?
Zonyango zonyango kunye nokunyangwa ziye zaboniswa ukunciphisa impawu zobusuku, ukunciphisa ukuphindaphindwa kwezibilini, nokuphucula umgangatho wobomi kwizigulane ze-asthma. Qiniseka ukuba ugqirha ugqirha ukuba uziva njani - kungcono okanye kukubi. Nangona kunjalo, ukuba unyango aluphuculanga iimpawu zakho ze-asthma, wena kunye nodokotela wakho kufuneka uqwalasele ezinye izizathu.
Imithombo:
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Ulwazi lweMonde. Kufikeleleke ngoMatshi 8, 2016. Ukuqumba, ukuhlaziya i-Gastroesophageal Reflux (GER), kunye ne-Gastroesophageal Reflux Disease (GERD)