Ukuguquka komlilo kunye nokuvuselelwa kwe-asidi yimiqondiso ephambili ye-reflux isifo se-gastroesophageal (GERD), nangona abanye abantu be-GERD ngaphandle kokuguquka. Ezinye iimpawu ziquka intlungu kwisifuba sakho kunye / okanye isisu, ubunzima bokugwinya, ukukhwehlela, ukukhwehlela, ukugcoba, ukuhlanza, ukuphefumula kakubi, ukuvutha, nokuphazamisa ubuthongo.
Iimpawu Zamaxesha amaninzi
Ngelixa i-GERD inempawu zokusayinwa, kubalulekile ukujongwa ngokuthe ngqo kwinto engabangela abantu abadala kunye nabantwana bamaxesha ahlukeneyo.
Abadala kunye nabaselula
Ukuguquka kwesifo esingapheliyo kunye nesifo se-reflux yesifo se-gastroesophageal (GERD) zivame ukubhekwa njengengxaki yokudala, kodwa ziyaba zixhaphake phakathi kwentsha. Oku kuyingxenye ngenxa yokuthandwa kokutya okukhawuleza phakathi kwabantu abadala kunye nokukhula kwabo. Iimpawu zivame ukuba zifanayo kubaselula nakubantu abadala.
Ingaba okanye unayo i-GERD, mhlawumbi unokufumana okanye ezinye zezi zihlandlo eziqhelekileyo, kuquka:
- I-Acid reflux: Unokuva uvakalelo oluvuthayo esifubeni sakho kunye / okanye esiswini, kwaye unokuyithatha isisu esiswini kunye nantoni na ukutya odla ukuyidla, ingakumbi kwimva yakho. Kungenxa yokuba i-valve phakathi kwesisu sakho kunye nesisu sakho-esithwala ukutya kwakho emlonyeni wakho kwisisu sakho-singavali kakuhle, kwaye uvumela ukuba iziqu zesisu sakho zihambe ngendlela engafanelekanga, zibuyele emlonyeni wakho.
- Intlungu okanye ubuhlungu besisu: Oku kudla ngokuqala emva kwesifuba sakho, okanye i-sternum, kwaye unokuhamba ukuya emqaleni kwaye uphawule emhlane wakho. Unokuvakalelwa intlungu kwisigaba esiphakamileyo okanye esiphakathi kwesisu sakho. Iintlungu zidla ngokukhawuleza emva kokutya kwaye zingaphelela kumzuzu embalwa ukuya kwiiyure eziliqela. Kubalulekile ukukhumbula ukuba ngamanye amaxesha intlungu yesifo senhliziyo ingadideka kunye nentlungu evuthayo yeGERD, kwaye kubalulekile ukuba ufune unyango xa kukho ukungathandabuzeki malunga nemvelaphi yentlungu yesifuba sakho.
- Ukuphazamiseka: Ukucaphuka okubangelwa yi-acluc acid acid kwi-throat yakho kungakhokelela ekwenzeni i-hoarseness okanye i-laryngitis, ingakumbi ekuseni.
- Ubunzima bokugwinya : Iingxaki ngokugwinya, ezaziwa ngokuba yi- dysphagia , zivela xa ukutya kungadluli ngokuqhelekileyo emlonyeni wakho ngokusebenzisa isisu ukuya kwisisu. Kukho ukuvalelwa kokutya okubanjelwa entanyeni yakho, ingcinezelo yesifuba okanye ukutshisa emva kokutya, okanye ukuvakalelwa. Ubunzima bokugwinya kungabonakalisa izimo ezahlukahlukeneyo, kubandakanywa i- esophagitis kunye nesifo somhlaza , kwaye kufuneka ihlale ihlolwe ngugqirha.
- Ukuqhuma komkhuhlane owomileyo: Ukuba i-refluxed isisu i-aspirated aspirated, ingabangela ukukhwehlela. Esi sikhohlela sinokubangela intlungu yomzimba.
- Umoya omubi: Oku kuya kwenzeka xa i-asidi evela esiswini sakho ifika emqaleni wakho nasemlonyeni.
- Ukugubha: Unokuvakalelwa kukuba unobungozi bokuphefumula, kwaye unokuva ukukhala komsindo xa uphefumula.
- Isihlunu okanye ukuhlanza: I- GERD inokubangela i-nausea kunye / okanye ukubuyiswa kwakhona, oku kunokubangela ukuba amazinyo akho agqitheke kwisisu esiswini.
- Ubunzima bokulala: I- GERD inokuphazamisa ubuthongo bakho xa iimpawu ziphazamisa.
Abantwana abancinci kunye nabantu abadala abakhulileyo bangafumana i-GERD eyahlukileyo.
Iintsana
I-reflux ye-Gastroesophageal iyaqhelekileyo kwiintsana yaye idla ngokubhekisela kwigama elilula ngakumbi: ukuphalaza.
I-Reflux iyenzeka ngeenyanga ezi-ezintathu zokuqala kwixesha elingaphezulu kwengxenye yazo zonke iintsana, kwaye ezininzi iintsana ziphuma ngaphandle kwaye azidingi unyango. Ebhekiselwe "njengama-spitters ajabulisayo," iimpawu zabo zihlala zinyamalale malunga neenyanga ezi-6 ubudala kwaye zingaphantsi kweenyanga ezili-18 ezidlulileyo. Nangona kunjalo, kwinani elincinci leintsana, iimpawu ze reflux zinzulu kwaye uphononongo lwezokwelapha kunye nonyango luyadingeka.
Ngenxa yokuba umntwana wakho akanakukuxelela into engalunganga, kubalulekile ukugcina iso kwiimpawu. Izimpawu ze-GERD ezisetyana ziquka:
- Ukuhlala uhlahlela okanye ukuhlanza: Oku kuya kwenzeka ngexesha okanye emva kokutya, okanye ngamanye amaxesha.
- Ukutshatyalaliswa xa usondla: Oku kucaphukisa kubandakanya ukucwina, ukukhala, ukukrakra, kunye nokuqhaqhaqha, okungahlala ixesha elithile. Ingakwazi ukusuka kwintlungu evuthayo kunye neentlungu kwi-esophagus xa ubisi okanye ifomula kunye nesisu esiswini kuhlaziywa kwi-esophagus.
- Ukula ukutya okanye ukutya kuphela amanani amancinci: Ukuvutha okuxhambileyo kwe-esophagus kunokubangela iintsana ukuba zithande ukutya, njengoko intlungu ivela xa iginya.
- Ukubuyisela umqolo ngelixa usondla: Xa iintsana zifumana iintlungu zesisu okanye zincinci, ziza kubakhokelela umqolo wazo okanye zenze imilenze yazo.
- I-Wet "burps: Ngaloo nto, ixabiso elincinci lomlambo lihlaziywa njengoko egoba.
- I-hiccups rhoqo: ii- Hiccups zibangelwa ukuvuselelwa kwamathambo afunyenwe kwintsholongwane yesisu okanye inxalenye engaphantsi kwesigxina. I- vagus nererve , ephuma ebuchosheni ukuya esiswini, inokucaphuka. Le ngxaki ivela kwisisu esiswini singena kwisigxina.
- Ukukhwehlela rhoqo: Ukukhwehlela rhoqo kungenzeka ukuba i-acid isisu ixhambile, ifuthe i-airways, okanye xa isisu esiswini siduma umqala.
- Imifuno yokulala ebuthakathaka ngokukhupha rhoqo: Xa usana lulele kwaye ikhanda lakhe lingenakuphakanyiswa, oku kuvumela ukuba isisu sisincobe ngokubhekiselele kwi-sphincter esezantsi (LES), kwaye sinokubangela ukuba ivule ngokungafanelekanga. Xa isisu esiswini sihlaziyiweyo kwi-esophagus, sinokubangela ukukhwehlela nokuvuthwa, okwenza kube nzima ukulala.
Abantwana
I-reflux ye-Gastroesophageal (GER) isoloko iqala ukususela ebusaneni, kodwa kuphela inani elincinci lezinsana liqhubeka lihlaziya njengabantwana abadala.
Ezi zilandelayo zibonakalisa ukuba umntwana wakho ufumana i-acid reflux, kwaye ukuvavanywa ngugqirha ucebise ukuba kukho na ukuphikelela:
- Iintlungu zesisu ngaphaya kweqhosha lesisu
- Iintlungu zesifuba
- Ukuvutha komsindo kwindawo
- Ukuzikhethela kakhulu ngokutya okanye ukwenqaba ukutya
- Ukutya kuphela ezimbalwa ukulahlwa naphezu kokulamba
- Ukugubha okanye ukukhahlela
- Ukunciphisa umzimba okanye ukulahleka kwesisindo
- Ukuphefumula
- Ixesha lempumlo
- Ukuhlala uhlungu komqala
- Izifo zesinus
- Iingxaki zokuphefumula ezifana ne-bronchitis, i-wheyzing, okanye i-asthma
- Ukukhwehlela ebusuku
- Ukukhwehlela komkhuhlane owomileyo
- Ukuthuka
- Ukulala kakubi, ukuvuka rhoqo
- Ukunyangwa kwamathambo rhoqo kunye / okanye ukudibanisa indlebe
- Ukugqithisa ngokugqithiseleyo okanye ukuhlahlela
- Ukunyanzeliswa kwengcinezelo kwisisu
Abadala
Izigulane ezisebekhulile zingenako ukudibanisa iimpawu zabo ngokugquma okanye i-GERD ngenxa yokuba iimpawu zabo zihlukile kwizinto ezibhekwa njengeempawu eziqhelekileyo zesifo. Ngokuqhelekileyo, xa sicinga ngeempawu zeGERD sicinga ngokukrakra. Kwixesha elikhulile, iimpawu zivame ukubonakala emlonyeni, emqaleni, okanye emaphaphu.
Iimpawu ezingenzeka emqaleni ziquka:
- Ukuthuka
- Umkhuhlane omile
- Uvakalelwa ngathi kukho inqwaba emqaleni wakho okanye ukutya okunamathele emqaleni wakho
- Ingxaki yokugwinya (dysphagia)
- Umqala wesifo esingapheliyo
- Izimpawu zokuphefumula, ezifana nokukhwehlela kunye nokujikeleza
Izigulane eziguga ezineemeko ezingapheliyo zisengozini enkulu yokuphuhlisa i-GERD. Bangathabatha imichiza eyenza i- LES iphumule, leyo ingakhokelela kwi-acid reflux. Isigulane esisebekhulile sithatha ukuhlawula ukuveliswa kwemali. I-Saliva inokunceda nge-acid reflux ngenxa yokuba ummatha u-alkaline, ngoko unokunceda ukunciphisa i-asidi. I-saliva nayo inokukhupha i-heartburn ngokuhlamba i-esophagus kunye nokunciphisa imiphumo ye-asidi efakwe kwi-esophagus ngokuyihlamba isiswini.
Iimpawu eziqhelekileyo
Inani elincinane kakhulu lezinsana liya kuba neempawu eziqhelekileyo eziqhelekileyo, eziquka:
- Ubunzima bokugwinya: Ubuhlungu obubangelwa yi-acluc acid acid kwisifo se-asophi kungenza kube nzima ukuba iintsana ziginye. Ukuphazamiseka kwisigxina sinokubangela oku, ngoko ke nayiphi na imiqondiso yokugwinya ingxaki kufuneka ihlolwe ngugqirha.
- Umqala wesifo somqala: Xa isisu siphakanyiswa phezulu emqaleni, kunokubangela ukucasuka kunye nomqala omzimba.
- Iingxaki zokuphefumula ezifana ne-asthma, i-pneumonia, i-bronchitis, okanye i-wheyzing: Izifundo eziliqela zibonisa ukuba unxibelelwano olubalulekileyo phakathi kwe-GERD ne- asthma . I-GERD inokuchaphazela i-asthma xa i-refluxed acid isisu isifisa kwimiphunga kwaye ingenza ukuphefumla kunzima kwaye kubangela ukuba umntwana wakho aphephe kwaye ahlabe. Le refluxed acid ingabangela ezinye iintlobo zomsindo kwimiphunga, ekhokelela ekunyuseni kweengxaki ze-pneumonia ne-bronchitis.
- Ukugqithisa ngokweqile: Oku kufuthi kubangelwa ukugwinya okungalunganga, okungahambi kakuhle, okanye okungaqhelekanga. Ukuba ukucaphukisa kubakho emqaleni wengane yakho ngenxa ye-acluc acid acid, unokufumanisa kunzima ukugwinya rhoqo, kwaye ngoko kuya kubakho ngaphezulu.
- Izwi eliphilileyo: Ukuthukuthela okubangelwa yi-acluc acid acid kwi-throat kungakhokelela ekwenzeni.
- Ukulahlekelwa kwesisindo okanye ukufumana ubunzima obubi: Oku kunokukwenzeka xa umntwana wakho evuselela ubuninzi bakhe ubisi okanye ifomula, okwenza ukuba angafumani iikhalori ezaneleyo.
- Izifo ezithe rhoqo okanye izifo zesifo: Esi sibonakaliso, sidibene nabanye, sinokukunceda ugqirha wakho ufumane ingxaki ye-GERD.
Iingxaki
Iingxaki ngenxa ye-reflux engapheliyo yinto engavamile kwiintsana kunye nentsha, kuba ezininzi zazo zihlobene neempawu zexesha elide. Nangona kunjalo, kubalulekile ukuba uqaphele iingxaki ezinjengokukhumbuza ukuba kutheni ukuphathwa kweGERD kudlula ngaphaya kokulawula iimpawu. Kungakhathaliseki ukuba uneminyaka yobudala, ukuba ufumana ukutshabalalisa ezimbini okanye ngaphezulu kweveki, qaphela. Le ntshukumo eqhubekayo ye-acid equkethe isisu esisuka e-back to your canopy can irritate the lining and, if it left untreated, iingxaki zingenzeka nanini na ubudala.
I-Barrett's Esophagus
Isibonda sikaBarrett yimeko apho isishubhu, ityhubhu ye-muscular ephethe ukutya kunye namathele emlonyeni ukuya kwisisu, utshintsho ukuze ezinye zazo zitshintshwe luhlobo lweethambo ezinjengezinto eziqhelekileyo ezitholakala emathunjini. I-acid aclux complication ayinayo nayiphi na impawu echazwe yodwa, impawu eziqhelekileyo zeGERD .
Abantu abaneBarrett banamaxesha angama-30 ukuya kuma-125 amathuba okuba bahlakulele umdlavuza wokuxhatshazwa ngokumalunga nalabo abangenayo, kodwa ngaphantsi kweepesenti eziyi-1 zezigulane zikaBarrett zenza lo mhlaza. Nangona kunjalo, kusabalulekile ukuba ufumanise ukuba u-Barrett isisu sokuhlola rhoqo-ngokuqhelekileyo uvavanyo oluphezulu lwe-endoscopic kunye ne- biopsy- ngokuba yintsholongwane engamaqanda kunye nomhlaza.
Xa kufikelele ekuphatheni isifo sikaBarrett , ukuthatha amanyathelo aqhelekileyo okunciphisa iimpawu ze-GERD, ezifana nokuphila, ukutya, kunye nemichiza, kuya kunceda ukunciphisa ukuphazamiseka. Ngokuphathelele ukuguqula lesi sifo, ngoku akukho mveliso yokwenza loo nto.
Canophageal Cancer
I-GERD yenye yeemeko zobungozi bokuhlakulela umhlaza wesifo somzimba . I-tumor ye-tumor ye-esophageal iqala ukukhula kwimihlaba yesigxina kwaye, xa ikhula ngokwaneleyo ukugqithisa udonga lwe-esophageal, inokusasazeka kwezinye iindawo zomzimba wakho isebenzisa inkqubo ye-lymphatic njengezothutho.
Ukunciphisa ubunzima kunye / okanye ukugwinya, ukuphazamiseka, kunye nokulahlekelwa kwesisindo esingaqondakaliyo iimpawu zesifo somhlaza wesisu . Ukuba uhlangabezana nayo nayiphi na le nto ngokubambisana ne-acid yakho reflux, thetha ne-gastroenterologist yakho. Kukho iindlela ezahlukeneyo zokonyango zesifo somhlaza .
I-Esophagitis enkulu
Xa i-esophagus yakho ivutha kwaye ivuvuka, ibizwa ngokuba yi-esophagitis. I-refidx ye-Acid iyona nto ibangela ukuba, nangona usulelo luyakwazi nokuba yinto ekhohlakeleyo. Iimpawu ze- esophagitis ziquka intlungu xa ugwinya kunye nokuvutha komlilo kwindawo.
Ukunyangwa kwe-esophagitis kuxhomekeke kwisizathu. Imithi enjengeproton pump inhibitors kunye ne- block block H2 inokumiselwa ukuba i-esophagitis i-complux complux complication. I-antibiotics inokumiselwa ukuba i-causes yesophagitis isifo.
Iziqulatho ze-Esophageal
Inkxalabo ye-acid reflux edeleyo ingaba yinkqantosi yokuqhafaza, okanye ukunyanyiswa kwe-esophagus, ngokukhokelela ekunciphiseni ubunzima. Esinye sezimbangela zokuqhaqha isifo se-esophageal sinokubamba izicubu ezinobumba ezakhayo kwi-esophagus. Xa umgca we-esophagus ubonakaliswe-umzekelo, xa i-reflux ye-acid iqhubeka ngexesha elide elide elinokuthi liphuhlise. Ezinye izimbangela zemigangatho zingabandakanya izifo kunye nokugwinya izidumbu.
Iingxaki zokuphefumula
Ngenxa yokuba i-GERD inokubangela ukuba uphefumle i-asidi yesisu ibe yimiphunga yakho engayicasula imiphunga yakho nomqala, iingxaki zokuphefumula ziya kwenzeka. Ezinye zezo zombini iimpawu kunye neengxaki kwaye zibandakanya:
- I-asthma, nokuba yintsha okanye iyenzeka ngakumbi xa sele unayo
- Ukudibanisa kwesifuba
- Umkhuhlane omile
- Umkhuhlane kwimiphunga yakho
- I-Laryngitis okanye i-hoarseness
- Umqala obuhkungu
- Pneumonia
- Ukugubha
Ubusuku bokuhlwaya
Xa iimpawu zesifo se-reflux se-gastroesophageal (GERD) senzeke ebusuku, sinokulimaza ngakumbi kunokuba zikhona emini. Ngobusuku kunokubeka isiteji kwezi zinto zilandelayo, ezinokubangela ukukhwabanisa kwebusuku okungakumbi ukuba kubangele iingxaki:
- Ukulala kwindawo ephakamileyo: Ukulala esithambini kwisithambiso kuvumela i-asidi yesisu ukuba ijikeleze ngokulula kwisigxina sakho kwaye uhlale apho ixesha elide kunexesha xa uhlala kwindawo echanekileyo. Ukuphakamisa intloko yakho kunye namanqanaba ayisithandathu ukuya kweesisentimitha kuya kunceda ugcine isisu esiswini apho ungowakho.
- Ukungakwazi ukusela okanye ukugwinya rhoqo xa isiqephu se-acid reflux senzeke: Xa unayo i-GERD kwaye uphapheme ngexesha lesiganeko se- acid reflux , uhlala uhlambulula umlomo wakho okanye ugxume umbane. Nokuba ugxininise umatha unceda. Xa ulele, xa i-acluxed acid isesigxeni okanye umqala wakho, awunasoloko uyayazi kwaye ngaloo ndlela awuthathi amanyathelo okususa i-asidi kude.
- Umngcipheko okhulayo wokubhukuda kwi-contents of stomach contents: Ukuba i-refluxed acid isentanyeni yakho nasemlonyeni, unokuyifakela kwimiphunga yakho. Xa sele usepomfini yakho, inokubangela ukukhwehlela nokukhahlela kwizinto ezifunayo. I-asidi ingakhokelela umonakalo ofanayo kumaphaphu akho njengoko unokubangela ukuba uhlaziye kwi-oophagus yakho.
Nini ukubona iDokotela
Ukuba unamava ahlala rhoqo kunye / okanye ukrakra okukhulu, yenza isiganeko kunye nodokotela wakho. Ukuba uthabatha i-anti-counter-counter-medication ukukhwabanisa njenge-Prevacid, iZantac, okanye i-Prilosec, ngaphezu kwesibini ngeveki, kufuneka uxoxe nodokotela wakho.
Kungakhathaliseki ubudala, jonga ugqirha ngokukhawuleza ukuba unayo nayiphi na yale mpawu:
- Ukuvutha amaninzi
- Ukuhlanza okuqhubekayo, okunamandla okanye okuphambene
- Vomit okuluhlaza okanye okwesibhakabhaka, iqukethe igazi, okanye ibukeka njengeendawo zekhofi
- Ukuphefumula ubunzima emva kokuhlanza
- Ubuhlungu emqaleni wakho okanye emlonyeni xa udla
- Unzima ukugwinya okanye ukugwinya
Iintsana
Ukuba umntwana wakho unempawu ezi ngasentla, kufuneka ukuba abonwe ngugqirha ngokukhawuleza. Ezinye iimpawu ukuba ixesha lokutyelela ugqirha wakho ziquka:
- Ukungadli nokulahlekelwa ubunzima okanye ukukhula kakubi
- Ukukhalela ezintathu okanye ngaphezulu iiyure ngosuku
- Iimpawu zokungcoliswa kwamanzi, kuquka i-diapers eyomileyo
> Imithombo:
> Kay M, Tolia V. Iingxaki eziqhelekileyo zesondlo kwizonyango zabantwana . I-American College yeGastroenterology.
> Clinical Mayo. Izifo ze-Reflux ye-Gastroesophageal (GERD). Abasebenzi beKliniki yabasebenzi. Ukuhlaziywa kweyoKwindla 9, 2018.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. I-Acid Reflux (GER & GERD) kwiintsana. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Iimpawu nezizathu zeGER & GERD. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoNovemba 2014.
> Vandenplas Y, Hauser B. Ukuhlaziywa okuhlaziyiweyo kwi-Gastro-Esophageal Reflux kwi-Pediatrics. Ukuphononongwa kweNgcali kwiGastroenterology kunye neHepatology . 2015; 9 (12): 1511-21. i-doi: 10.1586 / 17474124.2015.1093932.