Iingonyango eziphezulu zokuphelisa intlungu

Uphulo ngokuqhelekileyo lubandakanya zombini iinguqu zokuphila kunye neeMithi

Ukuba unesifo esingapheliyo , kubalulekile ukuba ube nolwazi malunga nokuphatha kakubi. I- acid reflex engabonakaliyo ingakhokelela kwiinkathazo ezifana nomhlaza wesisu .

Uluhlu olungezantsi zezi zihlandlo ezisibhozo ezisetyenziswa rhoqo kwi-acid reflux. Ewe, kubalulekile ukuba uxoxe naluphi na ukhetho lwezokwelapha ugqirha wakho kuqala.

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Indlela yokuphila

Njengengxenye ye-acidi yakho ye-reflux yonyango, ugqirha wakho uya kubonisa ukuba enye inguqu okanye indlela yokuphila iguquka phambi kokuqwalasela imichiza okanye ukudibanisa neyeza, njenge- block H2 okanye i-proton pump inhibitor .

Ngenxa yobuninzi babantu abanentlungu, ukuguqulwa kokubaluleka kokubaluleka kokunciphisa umzimba (ukuba kunobunzima okanye bunzima). Inzuzo yokukhawuleza ngokukhawuleza nayo inokubangela ukuba kuguqulwe. Ukuyeka ukutshaya nokunciphisa okanye ukuyeka utywala kudla ngokunceda.

Kaninzi

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Ukuguqulwa kokutya

Kukho ingxoxo malunga nokuba ukutya kungabangela okanye kubangele ukutshaya. Nangona kunzima ukubonisa ubungqina bezesayensi, abaninzi abantu abaneentlungu zixhuma iimpawu zabo kwisinye okanye ukutya okuthe ngqo okanye iziphuzo, ngakumbi i-chocolate, i-cafeine, ukutya okunesonka, i-citrus kunye ne-carbonated drinks. Ngako oko, kubalulekile ukuba abantu abaneentlungu ziphelise okanye banciphise oku kutya kunye neziphuzo kwizidlo zabo. Oko kuthethwa, kufuneka wenze oku phantsi kokunyamekela ugqirha ukuba uqinisekise ukuba awuyikuthintela.

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I-Receptor Receptor Antagonists (i-H2 blockers)

I-block block H2, njengeproton pump inhibitors, ukunciphisa inani le-acid kwisisu, kodwa ngeendlela ezahlukeneyo. Baqala ukusebenza ngeyure yokuyithatha. Ngamanye amaxesha ugqirha unokuncoma i-H2 blocker yonyango lwexesha elide lwe- gastroesophageal reflux (GERD). I-block block ye-H2 isetyenziselwa ukuphatha ezinye iimeko ezinxulumene ne-asidi njenge- peptic isifo sesilonda .

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Antacids

I-Anatacids ifumaneka ngaphaya kwe-counter kwaye ayinamandla njenge-blockers H2 okanye i-proton pump inhibitors. Oko kuthethwa, xa kusetyenziswa ngokufanelekileyo, i-antiacids ingabancedisa ekunciphiseni ukunyuka kwentliziyo kunye nokunyanzelisa . Sekunjalo, kulunge ngakumbi ukuba unqanda ukutshabalalisa i-heartburn ukuba ingabikho kwindawo yokuqala, kunokuba uphathise intlungu emva kokuba kwenzeke.

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Proton Pump Inhibitors

Iproton pump inhibitors (PPIs) yiqela lemithi ekhusela ukukhutshwa kwe-asidi esiswini nasemathumbu. Oogqirha banquma ukuba i-PPIs ilawule abantu ngokukrakra (i-acid reflux), izilonda zesisu okanye isisu, okanye i-acid esiswini ( iZollinger-Ellison Syndrome ). Ezinye zeproton pump inhibitors zifumaneka kwi-counter-counter kodwa ezinye zifumaneka ngomyalelo kuphela. Ukuthobela umthamo omiselweyo kunye nokuthatha i-PPI yakho ngexesha elifanelekileyo (imizuzu engama-30 ukuya kwangama-60 ngaphambi kokutya) kubalulekile ukuba isebenze ngokufanelekileyo.

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Zonyango

Kwabanye abantu abane-reflux engapheliyo, bafuna enye indlela, yemvelo yokuphatha ukutshabalalisa kwabo, ingakumbi ukuba baye bafumana unyango ixesha elide. Ezi zikhetho zivela kwimiba yabantu kunye neendlela zokuhlaziywa kwe-homeopathic kwizidlo eziphilileyo kunye neenguqu zokuphila.

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Ingxowa yeNgxowa-mali

Ukhetho lokunyanga lwe-GERD yi-laparoscopic fundoplication, okubandakanya ukwakha "ivalve" entsha phakathi kwesisu kunye nesisu ngokufaka isahlulo esiphezulu sesisu (i-fundus) malunga nechweba elona liphantsi kunazo zonke.

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Inkqubo yeStretta

Inkqubo ye-Stretta yindlela evunyiweyo ye-gastroesophageal reflux isifo kubantu abadala abaye bafumana iimpawu ezintandathu kwiinyanga okanye ngaphezulu, abafumani naliphi na inzuzo okanye inxenye yonyango kwi-GERD imithi (njengeproton pump inhibitors), kwaye bayeka ukunqandwa okanye abangaqeshwanga abaviwa.

Le nkqubo iqhutyelwa ngexesha lokugcina i-endoscopy kwaye iquka ukusetyenziswa kwamandla omswakama-radifriji anikezelwa kwisisulu se-sphincter esezantsi kunye ne-carast gastric (inxalenye yesisu).

> Imithombo:

> Katz PO, Gerson LB, Vela MF. Izikhokelo zokuxilongwa kunye nokulawulwa kwesifo se-reflux yesifo se-gastroesophageal. U-J Gastroenterol 2013; 108: 308-28.

> Triadafilopoulos G. Stretta: Iimpawu zokugcina zonyango ezingapheliyo zonyango lwegastroesophageal reflux. Ihlabathi J Gastroenterol . 2014 Juni 28; 20 (24): 7730-38.

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