Ukuguquka komlilo kungabangela iindlela ezahlukeneyo. Ngokuqonda izizathu eziqhelekileyo zokubhukuda, ungenza utshintsho kwindlela yakho yokuphila kunye nokutya okuyinxalenye yonyango lwe-reflux ye-gastroesophageal disease (GERD). Ezinye zeendlela ezinokubangela ukutshabalalisa inkunkuma zibandakanya ukucaphuka ngokuthe ngqo kwe-esophagus, ubuthakathaka be-sphincter esezantsi (LES), ukuphazamiseka kwemizimba ye-digestive tract eyabangela ukulibazisa i-gastric emptying, kunye ne-hianna hernia.
Ngokuqhelekileyo, ngaphezu kweyodwa kwezi zinto kubangele ukuphazamiseka.
Ukuguquka komzimba kunye neNkqubo yokuGaya
Ukuqonda ukunyuka kwengqondo kuqala ngokukwazi indlela inkqubo yokutya yokutya. Indlela yakho yokugaya iqala ngomlomo wakho, apho ukutya kuhlafunwa kwaye kuxutywe ngamathe , ukuqala inkqubo yokugaya. Ukusuka apha, ukutya kukuya kwi- esophagus okanye kugwinya ityhubhu. Le tyhubhu ye-muscular yenza i-contraction encinane, ebizwa ngokuba yi- peristalsis , ukuhambisa ukutya kwisisu.
I-esophagus nesisu zixhunywe ngumbutho wee-fibus ze-muscle ezibizwa ngokuba yi-sphincter esezantsi (LES). Ngokuqhelekileyo, i-LES isebenza njenge-valve, evula ukuvumela ukutya ukuba kudlule kwisisu nokuvala ukugcina ukutya kunye neentshisi zokugaya ukutya ukusuka kwi-back to the hoop. Kodwa ukuba i-sphincter ihlaziya xa ingafanelekanga, okanye iya kuba buthathaka, isisu se-asidi sinokubuyela emva kwisipopu esibangela ukuvutha okuvuthayo okubizwa ngokuba yi-heartburn.
Izizathu eziqhelekileyo
Izindlela ezisisiseko ezingabangela ukutshabalalisa iinjongo zingakhokelela ekuphuhliseni i-GERD ukuba ukutshaya kwakho kudla rhoqo.
Irritation Esophageal
Ezinye iintlobo zokutya, ukusela, ukutshaya, kunye neyeza kunokukrakra ngokucacileyo umbane wesigxina kwaye kubangele ukuphazamiseka. Kwimeko yamachiza, kunokwenza umehluko ukuhlala ulungelelanise ubuncinane kwiminyaka engama-20 ukuya kwe-30 emva kokuba uthathe imishanguzo, kwaye uthathe ipilisi eneglasi yamanzi.
I-Lower Esophageal Sphincter (LES) Ukungasebenzi
Ukuba i- sphincter engaphantsi isweleka okanye ilahle i-tone, i-LES ayiyi kuvala ngokupheleleyo emva kokutya kudlula kwisisu. Isisu se-isisu sinokubuyela emva kwipopu. Ukutya okunye kunye nokusela, utywala, iziyobisi kunye neenkqubo ze-nervous factors zinganciphisa i-LES kwaye zichithe umsebenzi walo.
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 kungavumelekanga ngenxa yesinye sezimbini ezibangela-ingxaki kwi-muscle ngokwayo, okanye ingxaki ngeentsholongwane okanye i-hormone ezilawula ukuchasana kwemisipha. Ingaphezu kwesigamu sabantu abaneengxaki zesisu esiswini somzimba (GERD) abanomdla ongavamile okanye umsizi esiswini sabo esinokubangela ukungabikho komonakalo.
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.
Uxinzelelo kwiBilini
Uxinzelelo olugqithiseleyo kwisisu lungafaka uxinzelelo kwi-sphincter esezantsi, ukuvumela ukuba isisu esiswini singene kwisigxina okanye nangomlomo.
Abafazi abakhulelweyo kunye nabaninzi kakhulu kunokuba baxhomekeke ekugqibeleni ngenxa yesi sizathu.
Ezinye iimeko zonyango
Ezinye iimeko zonyango ezingabangela i-GERD zibandakanya i- asthma nesifo sikashukela .
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.
Izinto zokuPhila kweengozi
Abanye abantu banesithakazelo ngokwemvelo i-LES abangakwazi ukujamelana nokunyanzeliswa okuqhelekileyo kwizinto ezisesisu. Kodwa ezinye iimeko nazo zinokubangela ukuba le nto ibuthakathake kwaye iholele ekubanjeni izibilini.
Utywala
Utywala uphinde uxhomeke kwi-LES , okuvumela ukuba i-reflux yesimo sesisu ibe yinto. Kwakhona kwandisa umveliso we-acid esiswini kwaye kwenza ukuba isisu sakho sivelele ngakumbi kwisisu se-asidi. Ukusela utywala kungakhokelela ekukhethweni kokutya okuncinci kunye nokutya ukutya owaziyo kunokubangela ukutshabalalisa kwakho.
Ukubhema iteksi
Amakhemikhali kumsi we-cigaretta abonakalisa i-LES njengoko beyidlula emiphakeni ibe ngegazi. Ukubhema i-cigarette kuyanciphisa ukuveliswa kwemali, enye yokhuseleko lomzimba wakho ekungcoliseni umonakalo. Ababhemayo baphinde bavelise amakhemikhali amancinci amancinci e-asidi, abizwa ngokuba yi-bicarbonates. Kwakhona, ukutshaya kubangela ukuveliswa kwesisu esiswini kunye nokutshintsha i-acid acids ngokukhuthaza ukunyuka kwe-salt salts ukusuka emathunjini ukuya kwisisu. Ukugonya kuphuculwa ngelixa utshaya kwaye isisu sithatha ixesha elide ukuba singenanto.
Ukutya Okudla Ngokubangela Ukuguquka Kwentlungu
Abantu bahluke malunga nokuba zeziphi ukutya okubangela ukutshabalalisa. Ezi zizona ziqhelekileyo:
- Ikofi, itiye kunye nezinye iziphuzo ze-caffeinated: I-caffeine ingakwazi ukukhulula i- sphincter esezantsi (LES) , ivumela ukuba isisu singene kwi- esophagus . Utywala lwe-caffeinated lungakhuthaza nokuvelisa i-acid.
- Icolethi: I-tsokotle iqulethe i-theobromine, i-compound eyenzeka ngokwemvelo kwizityalo ezininzi ezifana ne-cocoa, itiye kunye neefowuni. Oku kuvuselela isisu se-sphincter , ukuvumela isisu se-acid sikhwebe kwi-esophagus.
- Ukutya okuthosiweyo, okugcobileyo, okanye okunamafutha: Ukutya kudla ukunciphisa ukugaya nokugcina ukutya kwisisu sakho ixesha elide. Oku kunokubangela uxinzelelo olusenyameni esiswini, oluza lubeka uxinzelelo kwi-LES. Konke oku kuvumela ukuhlaziywa kwezinto ezisesisu sakho.
- I-Peppermint ivame ukukhupha intliziyo.
- Imveliso yamatamatisi kunye neetamatato: Nakuphi na ukutya okuqulethe utamatisi kukhuthaza ukuveliswa kwe-acid esiswini.
- Ukutya okunesonka kunye nompompo omnyama kukhuthaza ukuveliswa kwesisu se-acid.
- Iziqhamo zeCitrus kunye neerisi: i-Oranges, i-lemons, i-lime, kunye nezinye izithelo ze-citrus zikhuthaza ukuveliswa kwe-acid esiswini.
Indlela zokutya
Indlela odla ngayo nayo inokubangela ukukhwabanisa kweengqungquthela:
- Ukutya okukhulu: Isisu esipheleleyo sinokubeka uxinzelelo olongezelelweyo kwi-LES, eziza kwandisa ithuba lokuba enye yokutya izakuhlaziya kwi-esophagus.
- Ukutya ezimbini ukuya kwiiyure ezintathu ngaphambi kokulala: Ukulala phantsi ngesisu esipheleleyo kunokubangela ukuba isisu se-intanethi sixinezele ngakumbi kwi-LES. Oku kwandisa amathuba okutya okufuthiweyo.
Uxinzelelo lwesisu
Ukugqithisa okanye ukugqithisa indawo ixinzelelo kwisisu esisenokubangela ukusila, kunye nokulahleka kwesisindo kunconywa. Ukugqoka iimpahla ezinxibeleleyo kunokubangela uxinzelelo esiswini. Oku kukunyusa ukutya ngokuchasene ne-LES kwaye kubangela ukuba ihlaziye kwi-esophagus. Amabhande afanelekileyo kunye nezigqoko zangaphantsi zizinto ezimbini eziqhelekileyo. Unokuziva uvakale iimpawu xa ulala okanye unesisu esipheleleyo.
Abanye abantu bafumana iindidi ezithile zokuqhelisa ukuguquka kwenhliziyo. Izindlela eziphambili zempembelelo ezibandakanya ukuxumla, kunye nokuzivocavoca ezifana nezikhonkwane ezibeka uxinzelelo kwisisu esisenokwenzeka ukuba zibangele.
Mayeza
Phantse nayiphina imithi inokubangela ukutshabalalisa, kodwa ngokucacileyo kukho ezinye iziyobisi eziphambili kunezinye. Kukho iindlela ezingaphezulu kweyodwa apho izidakamizwa ezinokubangela ukuguqulwa kwamanye amaxesha kwaye ngezinye izihlandlo zentlungu ngenxa yokuhlanganiswa kwezizathu ezahlukeneyo. Unokusebenza kunye nogqirha wakho ukuba ufumane iindlela zokuthabatha imishanguzo yakho eya kunciphisa iimpawu zakho zokuguquka, okanye ukutshintshela kwesinye isiyobisi esingenakunokubangela ukuguquka.
Imithi eyaziwa ngokubangela ukuqubuka kwezinto ziquka:
- Amayeza anxamnye noxinzelelo, afana neValium (diazepam), akakwazi ukukhupha umoya wakho, kodwa u-sphincter wakho ongaphantsi.
- Ezinye iziza-antibiotics, ezifana ne-tetracycline, ziyakucasula ngokuthe ngqo.
- I-Anticholinergics efana neCompazine (prochlorperazine) kunye ne-Phenergan (promethazine) inokubangela ukuba uphumule i-sphincter esezantsi.
- 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), i-Actonel (i-resendronate), ne-Boniva (ibandronate) 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.
- Iimfuyo 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.
- I-NSAID (izidakamizwa ezichasayo ezingekho komzimba) ezifana ne-Advil (ibuprofen) kunye ne-Aleve (naproxen) inokwandisa i-asidi kwisisu ngokuvimbela i-prostaglandin. Izinketho zokulawula ubuhlungu ezifana neTylenol (acetominophen) okanye kwanamachiza enokwenza i-narcotic inokufuneka xa i-NSAIDS ibangela ukutshabalalisa okanye ukuphazamiseka kwamagciwane. 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) ityebile isantya. Uninzi lwabachasayo abasandul 'ukutshabalalisa abanamathuba amaninzi okubangela le mpawu.
- I-Potassium inokubangela ukutshabalalisa ngokukrakra ngokuthe ngqo kwintshukumo.
- Izongezo zensimbi ziyakucasula ngqo isisu. Abanye abantu bafumana uxolo ngokuthatha ezi zixhobo zokutya okanye ngokuzisisebenzisa ekuqaleni kwentsuku.
- Vitamin C
> Imithombo:
> Ukutshabalalisa. Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/heartburn-gerd/basics/definition/CON-20019545?p=1.
> I-GERD Indlela yokuphila kunye nezoKhaya. Clinical Mayo. http://www.mayoclinic.org/diseases-conditions/gerd/basics/lifestyle-home-remedies/con-20025201.
> 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.