Ukutshatyalaliswa kwentsholongwane ngenxa ye-acluc acid acid kuyinto eqhelekileyo, nangona unokuba uzibuze ukuba uvakalelwa njani ukuba awunayo. Ukugqithwa kwesantya ngokuqhelekileyo kukubonakalisa uphawu oluqhelekileyo lwe- reflux ye-gastroesophageal (GERD) okanye i-acid reflux. Ukupheka kwentliziyo yasebusuku kunye ne-GERD kunokukhokelela kumonakalo wesifo kunye neengozi zokuphefumula.
Uya kufuna kwakhona ukufumana uncedo kunoma yimaphi iimpawu ezingavamile okanye ezinzima zesibindi ezibonisa ukuhlaselwa kwentliziyo kunokuba i-acid reflux.
Iimpawu Zamaxesha amaninzi
Abantu banokwenza okungafaniyo kweentlungu , kodwa abaninzi abantu banempawu ezifanayo zokubamba ukukhathazeka:
- Ukuvutha komlilo kwisifuba: Esi sinzo esivuthayo sivame ukuqala emva kwesifuba (i-sternum), kwaye sinokuhamba ukuya emqaleni. Idla ngokukhawuleza emva kokutya kwaye inokuhlala kumzuzu embalwa ukuya kwiiyure eziliqela.
- Ukuvutha komsindo emqaleni: Kukho izimbangela eziningana zomlilo ovuthayo, ezifana nesifo somqala okanye ukuvuvukala kwe-adenoids. Isizathu esivame ngakumbi sesi sifo esivuthayo sisifo se-reflux ye-gastroesophageal (GERD). Esi sivame ukuphakama entanyeni, nangona ingaba sezantsi. Intlungu ingaba nzima ngokugwinya. Ukuvakalelwa okunokutsha kungabangela ukucaphukisa xa isisu se-reflux sehla emqaleni.
- Inambitheko enomdla okanye enomuncu emlonyeni: Le nzwakazi ingenzeka xa isisu se-intanethi sihlahlela kwi-esophagus kwaye sinokufikelela emqaleni komqala. Xa iziqulatho zingena emva emqaleni, umntu uya kuhlala enomdla ongathandeki emlonyeni.
- Ubunzima bokugwinya: Iingxaki ngokugwinya (dysphagia) kwenzeka xa ukutya kungadluli ngokuqhelekileyo emlonyeni ngokusebenzisa isisu ukuya kwisisu. Kukho ukuvalelwa kokutya okubambelela emqaleni, ukuxinzelela esifubeni, ukutshisa okanye ukukhahlela emva kokutya. Ubunzima bokugwinya kungabonakalisa izimo ezahlukahlukeneyo, kubandakanywa i- esophagitis kunye nesifo somhlaza , kwaye kufuneka ihlale ihlolwe ngugqirha.
- Ukukhwehlela okungapheliyo: Ukubola kungabangelwa xa i-acid isisu ihlahlela (ibuyeka phezulu) ibe yindoda kwaye ifuthe.
- Ukuvuthwa okanye ezinye iimpawu ezifana ne-asthma: I-GERD inokuchaphazela i-asthma xa isisu se-asidi isalathisa kwi-esophagus kwaye iyanqwenela kwi-airways kunye nemiphunga kwaye ingenza ukuphefumla kunzima kwaye kubangela ukuba isigulane siphume kwaye sikhohlela.
Ukuguquka kwenhliziyo kunye ne-Heart Attack
Ukuba unemvakalelo engavamile okanye enzima kwisifuba sakho, kubalulekile ukuba ufune unyango lwe-intlonelo yenhliziyo. Iimpawu zesifo senhliziyo ziquka intlungu yesifuba, uxinzelelo lwesifuba, ukuthukutheza okubandayo, ukukhathala, isisonguluko, ukuxakeka, okanye ukuphelelwa amandla. Ungalindi okanye ungacingi ukuba unokubakho intlungu-nxu lumano loncedo lwezonyango.
Iingxaki / iiNkcazo zeqela
Ukubhukuda ingxaki yinto eqhelekileyo engakhokelela kwiimeko ezinzima. Oku kunokuba nzima nakwiimeko ezithile, ezifana ne-asthma.
Ukuhlwaya
Ukupheka kwentliziyo ebusweni kunokuchaphazela impilo yakho ngokuphazamisa ubuthongo bakho, obangela impilo nemigangatho yobomi. Eyona nkxalabo kukuba kukho izingozi ezongezelelweyo zomonakalo kwi-esophag xa i-acid reflux iqhutyelwa ebusuku. Kukho umngcipheko omkhulu wezilonda ze-esophageal kunye nezimo zokuphefumula.
Imiba engenza ukutshaya kwexesha lokulala ebusuku kubangelwa ukulimala kubandakanya:
- Ukulala kwindawo ephakamileyo: Ukulala ngokulala kwisithambiso kuvumela i-asidi yesisu ukuba ijikeleze ngokugqithiseleyo kwi- oopopus , kwaye uhlale apho ixesha elide kunexesha xa umntu esesikhundleni esiphambili. Yingakho kuphakanyiswa ukuba ukhupha intloko yakho kunye namahlombe ama-6 ukuya kuma-8 intshi xa unobusuku bokuhlwa.
- Awukwazi ukusela okanye ukugwinya rhoqo xa isiqephu se-acid reflux sisenzeka xa ulala. Xa ulele, xa i-acluxed acid ehlala kwisigubhu okanye emqaleni, awunasoloko uyayazi kwaye ke awuyi kuthatha amanyathelo okucoca i-asidi kude.
- Kukho ubuncipheko obuncitshiweyo bokubhukuda kwizinto ezisetyenziswayo zesisu. Ukuba i-refluxed acid isemqaleni nasemlonyeni, umntu oneGERD unokufaka le nto emiphakeni aze atyeke. I-asidi ingakhokelela umonakalo ofanayo kumaphaphu njengoko kunokubangela ukuba uhlaziye kwi-esophagus.
Isifuba
Ukuba une- asthma , i-GERD ingakhokelela kwimonakalo yemiphunga. Ukufikelela kuma-75 ekhulwini abantu abane-asthma banesifo se-reflux se-gastroesophageal (GERD), xa kuthelekiswa nama-20 ekhulwini labantu bonke. Ayaziwa ngokuchanekileyo ukuba zidibaniswa njani, kodwa imithi ye-asthma ingaba yingozi kakhulu kwi-acid reflux. Xa unemimiselo yomibini awukwazi ukuphendula kunye nemithi ejolise ukulawula nganye imeko. Nangona kunjalo, ukulawula iGERD kunokunceda ukukhulula iimpawu ze-asthma. Ukuguquka kwamanzi kugalela iimpawu ze-asthma ngokulimaza i-linwayways, kuchukumisa ukukhwehlela okuqhubekayo, kwaye kusenokubangela iingcamango zesibindi ezibangelwa ukuphefumla okufutshane.
Iingxaki zokuphefumula
Ngaphandle kweempembelelo kubantu abane-asthma, ukutshaya i-heartburn kunokukhokelela ekukhuseni, i-laryngitis, ukukhwehlela okuqhubekayo, ukudibanisa kwesifuba, ukuvuthwa, kunye ne-laryngitis. Unokuthi ulungele ukuba ne-pneumonia.
Ukulimala kwe-Esophageal
Xa uhlala uguquka rhoqo ixesha elide ungabonakalisa umonakalo wakho. Ukuvuvukala (i-esophagitis) ingaba yimeko engapheliyo kwaye oku kunokukhokelela ekunciphiseni kwe-esophage (ukulinganisa ukulinganisa) okanye utshintsho olusesikweni. Isisu seBarrett sinokuphuhliswa njengoko kukho utshintsho kulolu hlobo lweeseli ezidibanisa i-oophagus yakho. Ngokuqhelekileyo, oku kungakhokelela ekubeni nomhlaza wesisu. Umngcipheko wakho wesifo somhlaza wesifo somhlaza unesihlandlo esisibhozo esikhulu xa uhlala ugugu kunye nokuphindaphinda kwama-40 xa uphelela ukuguquka kwexesha elide.
Nini ukuza kuGqirha / ukuya kwiSibhedlele
Ngayiphi na impawu emitsha yokubhukuda kwenzeka eyenzeka ngaphezu kwesibini ngeveki kwaye ayinakhululwa yi-anti-counter-counter antiacids, kufuneka ubone ugqirha wakho. Akukaze kube mva ukuba wenze loo ngqesho xa unesifo esingapheliyo , mhlawumbi.
Yenza isigqibo kunye nodokotela wakho ukuba:
- Ukuguquka kwamanzi kubonakala ngaphezu kwephindwe kabini ngeveki.
- Iimpawu ziqhubeka naphezu kokusetyenziswa kwamachiza amaninzi.
- Unobunzima bokugwinya.
- Uhlala unomsoco okanye ukuhlanza.
- Unesisindo sokulahleka ngenxa yesondlo esilula okanye ubunzima bokutya.
Ugqirha wakho uya kuhlola impilo yakho yokutya kunye nentliziyo yakho yempilo. Ababini benu banokuxoxa ngesicwangciso sonyango esikusebenzelayo.
Ufanele ubone ugqirha wakho ngokukhawuleza ngenxa yesifo sokuhlanza, ngakumbi xa uye wahlanza umlinganiselo omkhulu, uhlala uhlamba ngamandla, okanye umlambo ohlanzayo ugazini, luhlaza okanye luphuzi, okanye lukhangele ngathi luqulethe indawo yekhofi. Ukuba neengxaki zokuphefumula emva kokuhlanza kukubonisa ukuba kufuneka ubone ugqirha wakho ngokukhawuleza.
> Umthombo:
> Gaddam S, Maddur H, Wani S, et al. Izinto Zingozi ZeNkcenkcesha Ebusuku Bomhlaba kwiqela elikhulu leGERD. Umbhalo we-Clinical Gastroenterology . 2011; 45 (9): 764-768. i-doi: 10.1097 / mcg.0b013e318205e164.
> Gerson LB, Fass R. Uhlolo oluHlolo lweeNkcazo, ukuPhelela, kunye nokuphendula ukuPhathwa kweNtsholongwane yeCastroesophageal Reflux. I-Clinical Gastroenterology kunye neHepatology . 2009; 7 (4): 372-378. i-doi: 10.1016 / j.cgh.2008.11.021.
> Ngaba Kuphela Ukunyuka Kwentlungu okanye Into Enzulu Kakhulu? Ukuqonda iGERD . Ikholeji yaseMerika yaseGastroenterology. http://s3.gi.org/patients/pdfs/UnderstandGERD.pdf.
> Iimpawu neengxaki zeGER & GERD. Isizwe seSizwe seSifo seswekile. https://www.niddk.nih.gov/ealth-information/digestive-diseases/acid-reflux-ger-dest-adults/symptoms-causes.