Ukuba ufumene unyango lwe-reflux ye-gastroesophageal (GERD), isicwangciso sakho sonyango singabandakanya utshintsho lwezinto zokuphila, imishanguzo emininzi, imithi yonyango, utyando okanye intlangano, kuxhomekeke kwimeko yakho. Ukucinga ukuba awunayo nayiphi na ingxaki evela kwiGERD okanye nayiphi na ingxaki yokukhathazeka, ugqirha wakho uya kucetyiswa ukuba uqale uzame ezinye izicwangciso zesisiseko ngaphambi kokuba uthathe amanyathelo angaphezulu.
Iintsana kunye nabo abane-GERD yokukhanyela bangadinga unyango oluhluke kumgangatho wokunyamekela.
IziPhulo zaseKhaya kunye nokuPhila
Abantu abadala, intsha, kunye nabantwana abane-GERD banokwazi ukulawula, okanye ubuncinci ukunciphisa, i-acid reflux ngokusebenzisa ezinye iinguqu zokuphila. Cinga oku kulandelayo:
- Ukuba ubhema, zama ukuyeka. Kukho ezininzi izizathu zokubhema ezikhulayo . Kwakhona, zama ukuphepha umsi womsi.
- Sebenza ekulahlekelweni ubunzima xa ukhuluphele okanye ukhuluphele. Ngamanye amaxesha ukulahlekelwa ngamapounds ama-5 okanye ama-10 kunokukwenza umehluko kwiimpawu zakho.
- Ungadli ukutya okubizwa ngokuba yi-heartburn. Ezi ziquka i-tshokoleta, iziqhamo ze-citrus kunye nejusi, iitamatayi kunye nemveliso yamatamatayi, isardadi, iviniga, iimveliso ze-mint, kunye neziqholo, ukutya okunomsoco, okuthosiweyo kunye nokutya.
- Gwema okanye ubuncinci ukunciphisa isiselo esinomdla we-caffeine (ikhofi, i-tea, i-cola) kuba oku kunako ukukhulula i-sphincter esezantsi (LES).
- Gwema okanye ukunciphise utywala, okubuyisela i-LES.
- Ungadli ukutya okukhulu. Yidla ukutya okuncinci kwimini yonke endaweni.
- Yidla ukutya kwakho ngokukhawuleza kwaye uyihlambe kakuhle.
- Lindela okungenani iiyure ezintathu emva kokutya kwakho kokugqibela ngaphambi kokulala, kwaye wenze umkhuba wokuphepha ukulala phantsi kweeyure ezintathu emva kokutya.
- Ulale ngeentloko zakho kunye namagxa aphakanyiswe ngomqubo wecala (abaqhelekileyo abayi kusebenza), okanye baphakamise intloko yombhede wakho 6 ukuya kuma-8 intshi ngokubeka iibhloko zokhuni ngaphantsi kweenqanawa zokulala. Oku kuya kuvumela amandla okugubungela ukuba asebenzele kuwe kwaye ancede ugcine isisu sakho apho kufuneka sibe khona-esiswini sakho, kungekhona isisu sakho.
- Gqoka iimpahla ezikhululekile kwaye zikhululekile. Kufuneka uphephe naluphi na u-tightness olunqeni lwakho nasesisu.
- Hlala uqonde kwisitulo esinokunethezeka kunokuba udibanise.
Isoda yokubhaka
Isithako esiyinhloko kwi-baking soda yi-sodium bicarbonate, eyenziwa ngumzimba wakho ngokwemvelo. Ungasebenzisa i-baking soda njenge-antacid yemvelo ukuze uncede ukulungisa i-asidi esiswini sakho kwaye ikunike ukukhulula ekuphefumuleni. Zama ukuphelisa i-1/2 teaspoon kwi-ounces 4 zamanzi uze uyiphule kancane. Kufuneka uhlale uthetha nodokotela wakho ngaphambi kokusebenzisa i-baking soda ngokubhekiselele kwi-reflux kuba kunokuphazamisa amayeza akho okanye ukwandisa amanqanaba akho. Esi sisisombululo sexesha elifutshane kuphela; Ukusetyenziswa kwexesha elide (okanye ukudla ngaphezu kwexabiso eliphakanyisiweyo lokutya i-baking soda) kunokwenjenjalo ukwenza ukuba i-reflux yakho ibe yimbi.
Apple Cider Vinegar
Nangona abanye abantu basebenzisa i-aple cider iviniga ukuze baphathe i-heartburn, kubalulekile ukuqaphela ukuba akuzange kubekho naluphi na uphendlo lwezonyango olushicilelweyo ukuxhasa le nto. Amafomu e-apilisi cider i-vinegar ithi ukugqabhuka kwenzeka ngenxa yokuba kungekho isisu esaneleyo esiswini, kwaye ukuthatha iviniga ye-apple i-apider iphakamisa isisu se-asidi esiswini, ukuvumela isisu sakho ukuba sitshise ukutya ngokufanelekileyo kunye nokutshabalalisa . Nangona kunjalo, oogqirha bancomela ukuthatha imithi yokunciphisa isisu esiswini kunye nokulawula iimpawu ze-acid reflux.
Ukuthatha iviniga ye-apilisi engavumelekanga ingacasula umlomo wakho kunye nesifo sokuthi usebenza kakhulu. I-undiluted, i-aple cider iviniga nayo inokuphelisa i-eyinja yakho yezinyo. Ngenxa yezi zizathu, kulungile ukuhlamba iviniga ngamanzi ukuba uceba ukuyisebenzisa. Yongeza kwi-1 ukuya kwi-3 iishuuni zeviniga kwindebe yamanzi.
Iviniga iyakwazi ukusebenzisana namanye amayeza owenzayo ngexesha elifanayo kwaye esikhundleni sokunciphisa i-heartburn, iviniga iyakwenza ibe yimbi ngakumbi. Ukuba ucinga ngokusebenzisa iviniga ye-apple i-vinegar njengonyango lokubhukuda, kubalulekile ukuba uthethe ugqirha wakho kuqala.
Ulwaphulo oluphezulu
Uninzi lwamachiza asetyenziselwa ukuguquka kwenhliziyo lufumaneka kwi-counter kunye ne-odokotela.
Nangona iziyobisi zifana, amayeza e-OTC atholakala kwiqondo elincitshisiweyo, ngokuphindaphindiweyo kwisiqingatha semida yabo yesigqirha. Ugqirha wakho unokuncoma amayeza amaninzi kuwe okanye umntwana wakho ukuba utshintsha utshintsho aluzange luncede. Ngamanye amayeza asebenza ngokungafaniyo kwaye ungadinga ukudibanisa nabo ukuba basebenze. Qiniseka ukuba uthethe ugqirha ngaphambi kokuba uqalise nayiphi na le mayeza, kunye nokuba iimpawu zakho aziphuculanga xa uthabatha.
Antacids
I-Antacids efana ne- Mylanta ne-Maalox (i-aluminium hydroxide / i-magnesium hydroxide / i-simethicone), i-Rolaids (i-calcium carbonate kunye ne-magnesium hydroxide) kunye ne- Tums (i-calcium carbonate) ngokuqhelekileyo izidakamizwa zokuqala ezicetyiswayo ekunciphiseni ukuguquka kwenhliziyo kunye nezinye iimpawu ze-GERD. Elowo nalowo usebenza ukuze aphelise i-acid esiswini. Imiphumo emibi ibandakanya ukutyunjwa okanye urhudo.
H2 Blockers
Iiseli zeparietal kwisinya sakho esiswini zikhuthazwa ngeendlela ezininzi zokuvelisa i-asidi. Enye yezi zivuselelo ze-asidi i-histamine, ebopha kwi-histamine 2 receptors kwiseli yeparietal. I-H2 blockers, ngokuqinisekileyo egameni labo, vala izi ndawo ze-receptor kwaye ngoko ukunciphisa ukuveliswa kwe-acid.
I-Tagamet HB (cimetidine), i- Pepcid AC (i-famotidine), i- Axid AR (i-nizatidine), kunye ne- Zantac 75 (ranitidine) zonke izigqibo ezikhethiweyo eziyimpumelelo. Zifumaneka kumandla omzimba.
Proton Pump Inhibitors (PPIs)
Isisu sakho senza i-asidi ukuze kusize ukuphula ukutya ukuze kube lula ukugaya. Kweemeko ezithile, le asidi inokucaphukisa umbane wesisu sakho kunye ne duodenum (inxalenye ephezulu yamathumbu akho amancinci), kubangela ukugquma kunye nezilonda.
Isisu sinompu, obizwa ngokuba ngumpompo we-acast acid, ovelisa isisu esiswini. Iproton pump inhibitors ivimbela ukugcinwa kwe-asidi kwisisu ngokubopha kule mibompu. Ukunciphisa inani lesisu le-asidi kunokunceda izilonda ziphilise kwaye zihlaziyeke. Ii-PPI ziyakwazi ukuphilisa umbane wakho wokutya.
Iproton pump inhibitors iphumelela ngakumbi kune-block block H2. Ngenxa yoko, bahlala besetyenziselwa ukunyanga iimpawu ezingapheliyo zokuguquka. Njengawuphi na isicatshulwa, banokuba nemiphumo emibi, kodwa kubaninzi abantu, isixa sokukhutshwa kwezi zidakamizwa kunika kakhulu izinto ezingenakwenzeka.
Amanye ama-PPIs, njenge- Prilosec (omeprazole), i-Prevacid (lansoprazole), i- Nexium (esomeprazole), kunye ne-Zegrid (omeprazole / sodium bicarbonate), ikhona kwi-counter.
Ii-PPI ngokuqhelekileyo zibiza ngaphezu kwe-H2 blockers, ngokuqhelekileyo zithathwa kanye ngenyanga ngemizuzu engama-30 ukuya kwangama-60 ngaphambi kwesidlo sakusasa, kwaye zithathwa malunga neeveki ezisibhozo, apho ugqirha wakho uza kuhlola kwakhona indlela ozivakalelwa ngayo. Ukuba iimpawu zakho ziphucula, ugqirha wakho unokunciphisa umthamo wakho okanye unqande unyango lwakho. Ngempendulo ekhethekileyo, ugqirha wakho unokunyusa idosi yakho kabini ngosuku. Ukuba awunako ukufumana impumulo kwi-GERD yakho, ugqirha wakho uya kukwenza ukuba akubhekise kwi-gastroenterologist okanye uhlolisise kwakhona ukuxilongwa kwakho.
Ulwaphulo lwe-PPI aluhloswanga ukuthathwa ixesha elide, ngoko ke injongo kukuthabatha kwiqondo eliphantsi kwexesha elincinci elingasenokuba lula ukunciphisa nokukhusela iingxaki ezifana nezilonda. Ii-PPI ziye zadibana nokunciphisa i-calcium kunye nokunyuka kweengxowankulu zethambo kubantu abathatha iqondo eliphezulu okanye basebenzise ixesha elide. Yingakho ukulandelelana okufutshane kunye nodokotela wakho kubalulekile; unokwenza icebo lokunyanga ngokunyanga kwaye alitshintshe njengokuba / kufuneka.
Ukuthelekisa ii-PPIs kunye ne-H2 Blockers
Nangona zombini i-H2 blockers kunye neproton pump inhibitors zikhusela i-gastric acid secretion, zineendlela eziliqela apho le michiza eyahlukileyo eya kuba nefuthe eyanconywayo.
| H2 Blockers | PPIs | |
|---|---|---|
| Indlela Abasebenza Ngayo | I-block block ye-H2 ivimba i-histamine yesi-2, kodwa akukho nanye into eyenza ukuveliswa kwe-asidi. | Iproton pump inhibitors idibanisa izinto ezininzi ezifaka isandla ekuveliseni i-asidi kwaye zibhekwa ngokugqithiseleyo kunabasebenzi be-H2. |
| Kwenzeka Kungekudala Basebenza | Abasebenzi be-H2 bavame ukusebenza ngaphakathi kweyure, beba luncedo kakhulu phakathi kweyure kunye neyure emva kokuba uwathathe. | I-PPI isebenza bhetele xa kuthathwa imizuzu engama-30 phambi kwesidlo okanye kwisisu esingenalutho. Xa ulindele ukuzithatha de phambi kokugqibela okanye emva kokuba udlile, isisu sakho sele sikhulule ininzi ye-asidi inyanzeliso. |
| Bahlala ixesha elide kangakanani | I-block block ye-H2 ingasebenza ngehora ezili-12. | IipPIs zingadlulela kwiiyure ezingama-24 ukuya kwiintsuku ezintathu. |
| Iimpembelelo eziPhakathi | Intloko yinto echaphazelekayo yecala yokusetyenziswa kwe-Block. | Iproton pump inhibitors inxulumene nobungozi bokunyuka kwama-hip fractures . |
Imigaqo
Ukuba ukuguquka kwendlela yokuphila kunye / okanye i-anti-counter-counter-medication ayisebenzanga ukulawula iimpawu zakho zeGERD, ugqirha wakho unokubeka wena okanye umntwana wakho kwimishanguzo enamandla.
Ezi zimbini ezona ziqhelekileyo ziyi-PPIs kunye ne-block block ye-H2.
Proton Pump Inhibitors (PPIs)
Izidakamizwa eziqhelekileyo eziqhelekileyo ze-GERD ziyi-proton pump inhibitors kuba zisebenza kakuhle ukukhupha iimpawu kubantu abaninzi. I-Protonix (i-pantoprazole), i-Aciphex (rabeprazole), ne-Dexilant (dexlansoprazole), kwakunye ne-PPIs ezifumaneka kwi-counter-counter-counter-efana neNexium, Prilosec, Prevacid, neZegrid, ziyafumaneka ngomyalelo.
H2 Blockers
Ugqirha wakho unokumisela i-block ye-H2 ephezulu ngaphezu kwamandla akho. La mayeza enamandla asemthethweni aquka i-Pepcid AC (i-famotidine), iAxid AR (nizatidine), kunye ne-Zantac 75 (ranitidine) kwaye zihlala zibiza ngaphezu kwama-PPIs.
Ezinye iinketho zogqirha ezinokuqwalaselwa ziquka:
Prokinetics
Iprokinetics isebenza ngokwenza isisu sakho singabi nantoni ngokukhawuleza. La mayeza awasebenziswanga rhoqo kwaye aqhelekelelwe kubantu abano-GERD abachasayo (jonga ngezantsi). Iprokinetics inokusebenzisana namanye amayeza, ke qiniseka ukuba uxelele ugqirha wakho malunga nento enokuyithathayo, kubandakanywa nezidakamizwa ezingaphezu kwee-counter. Imizekelo yeprokinetics yi-Reglan (metoclopramide) kunye ne-Urecholine (bethanechol). Imiphumo emibi ingabandakanya isicongconi, isifo sohudo, ukukhathala, ukuxinezeleka, ukuxhalabisa kunye neengxaki ngokunyakaza.
Baclofen
I-Baclofen yenye yonyango oogqirha abanokuyisebenzisa, ingakumbi kwi-GERD yokugxeka. Isebenza ngokuqinisa i-sphincter yakho engezantsi (LES) kwaye uyibeke ekuphumuleni rhoqo. I-Baclofen ingabangela isicupunu kunye nokukhathala.
Utyando
Ukuba iimpawu zakho aziphuculanga ngeenguqu zokuziphatha kunye nemichiza, ugqirha wakho unokujonga ukuhlinzwa. Oku kunokuba yinto engafanelekanga kwixesha elizeleyo lokusetyenziswa kweziyobisi kunye nokukhathazeka.
Fundoplication
Uhlobo oluthile oluthiwa yi-Nissen fundoplication yonyango oluphambili lwe-GERD. Ingxenye ephezulu yesisu sakho isongwe nge-sphincter esezantsi (LES) ukuqinisa i-sphincter kunye nokukhusela i-acid reflux, kunye nokulungisa umgubo wokuzala.
Le nkqubo yenkokhelo ingenziwa ngokusebenzisa i- laparoscope kwaye idinga ukuboniswa okuncane kwisisu. Ukwenza i-fundoplication, oogqirha basebenzisa izixhobo ezincinci eziphethe ikhamera encinane. I-Laparoscopic fundoplication isetyenziswe ngokukhuselekileyo nangempumelelo kubantu beminyaka yonke, kwabantwana. Abantu banokushiya esibhedlele kwintsuku enye ukuya kwiintsuku kwaye babuyele emsebenzini kwiiveki ezimbini ukuya kwethathu. Olu uphando luhlobo oluqhelekileyo olusetyenziselwa i-GERD kwaye ngokuqhelekileyo lukhokelela ekulawuleni okuhle kwexesha elide leempawu ezihambelanayo.
I-Endoscopic Techniques
Amasu endoscopic, ayenziwa usebenzisa i-endoscope, anokunceda ukukhulula iGERD kwinani elincinci labantu. Enye indlela ibizwa ngokuba ngumthunzi we-endoscopic, apho ugqirha ugqogqa i-LES ukudala izilwanyana ezincinci ezinceda ukuqinisa imisipha. Ubungakanani bomsindo, apho ubushushu budala izilonda ezikunceda ukuba umsizi we-sphincter uqine, yindlela enye endoscopic engasetyenziswa.
LINX Idivaysi
Le fowuni, eyenziwe ngendandatho yemigqa yamagnetic, ihlanganiswe kwindawo apho isisu sakho kunye nesisu sezantsi sidibana. Ukukhangela kwamagnetic yeembalo kugcina i-LES yakho ivaliwe, ukukhusela i-reflux. Ivumela i-LES yakho ukuba ivule , nangona kunjalo, xa uginya, uhlanza, okanye ugibe. Iintlobo zeenkqubo ze-LINX ziyakuthi zisuswe, zibekezelele, kwaye zingenasiphelo esincinci kunokuba i-fundoplication.
I-Medicine Complementary (CAM)
Ukongeza kwonyango lwemveli, ungathetha ugqirha wakho ngokuzama ukusetyenziswa kweyeza elongezelelweyo (CAM) ukuze uncede ukukhulula iimpawu zakho, nangona ubungqina benzululwazi bubuninzi kwezo ndlela.
Melatonin
Ucwaningo lufumene ukuba i-melatonin, etholakala esiswini nasemathumbu, iyasebenza kakhulu ekuphatheni iimpawu zeGERD. Olunye uphando lwafumanisa ukuba amazinga e-melatonin kubantu abane-GERD kunye nezilonda zisezantsi kunezo ziphilileyo. UMelatonin unokusebenza ukuze ancede ukuqinisa ii-LES, ukunciphisa i-aclux ye-acid. Inokuba yinkqubela ngokukhethekileyo xa idibaniswe kunye namayeza rhoqo kwiGERD. I-Melatonin ikhuselekile nje nje ngokuba uyithatha kumaxabiso aphantsi kwaye ingasetyenziselwa ixesha elide kunye neembalwa xa kukho nayiphi na imiphumo emibi.
Ukwenza i-Acupuncture
Izifundo eziliqela ekuphatheni i-GERD nge-acupuncture zibonise ukuba zinokuphumelela ekunciphiseni iimpawu. Oku kubonakala kuyinyani ngokukodwa kwi-electroacupuncture, okuyiyo xa kusetyenziswe umbane wamandla kunye neenaliti. Ekubeni i-acupuncture ikhuselekile, kunokufanelekile ukuhlolisisa ugqirha wakho.
Ukuphumla
Ukuphucula ukuphucula kunokunceda ukuphucula iimpawu zakho zeGERD ngokunciphisa uxinzelelo ngenxa yokuba uxinzelelo oluninzi lunokwenza ukuba iimpawu zakho zibe zibi nakakhulu. Iintlobo zonyango onokuzihlola ziquka umfanekiso okhokelweyo, ukucamngca, yoga, ukusilalisa, ukuphefumla okucokisekileyo, kunye nokuphumla kwemisipha.
Hypnotherapy
Izifundo zilinganiselwe, kodwa i-hypnotherapy inokuba luncedo ekunciphiseni iimpawu zeGERD. I-Hypnotherapy iyanciphisa uxhalaba kwaye iphucula umgangatho wobomi.
I ziNyango
Kukho ubungqina obunzululwazi bokuthi izilwanyana zonyango ziphatha iimpawu ze-GERD, kodwa kukho imithi abantu abathi bayinceda ukukhulula i-acid yabo. Iingcambu ze-Licorice yilezi zifundo eziye zabonisa ukunceda ukunciphisa i-acid reflux. Ungaphinda uzame i-chamomile (thintela ukuba unayo i-ragweed allergies), i-ginger, kunye nengcambu ye-marshmallow.
Iimeko ezizodwa
Unyango lwabantwana kunye nabantu abane-GERD yokukhanyela bangaphambukela kwimithi yonyango.
IGRA
Ezinye izigulane ziyaqhubeka ziba neempawu zeGERD nangona unyango oluqhelekileyo kunye neproton pump inhibitors. Baye baziwa ngokuba yi-refractory gluroesophageal disease (refractory GERD). Izigulane ezifumana i-GERD ye-refractory zivame ukuwela kwelinye lamacandelo amabini: Abo bafuna unyango olungakumbi, kunye nalabo abanezinye izimbangela zeempawu zabo zokuzihlaziya.
Ukunyamekela unyango oluthethileyo aluthethi ukuba ukhetho lwakho olulodwa luyonyango. Enyanisweni, abo baneziphumo eziphambili kwi-anti-reflux operesheni yilabo baye baphendule kwimithi. Izigulane ezingabonakaliyo aziphenduli ngokufanayo kunye nokuchithwa kwe-reflux. Oku, kodwa, akuthethi ukuba utyando, njengengxowa-mali, ayiyi kuba lukhetho. Ugqirha wakho uzakubeka ingozi kwimingcipheko kunye neengxaki zokuhlinzwa ngokuchasene nezibonelelo ezinokwenzeka kwaye uxoxe nawe ukuba utyando luyinto efanelekileyo.
Ezinye izigulane aziphendulanga kunye neendleko zendabuko ze-PPIs, kwaye ugqirha unokucinga ukuba ukwandisa umthamo, kunye nokuba nezigulane zihamba kabini kwimizuzu yesibini kunokuba zenzeke kanye ngosuku ngosuku. Ukuthatha i-block ye-H2 ngaphambi kokulala ixesha kuboniswe ukunceda ngeempawu.
Oogqirha banokuthi bacele iBlolofen okanye iprokinetic, njenge-Reglan, ngaphambi kokutya nangaphambi kokulala ukuze kuncede ukunciphisa umngcipheko we-acid reflux.
I-Refractory GERD ayinqabile. Ukuba uhlala uqhubeka nokuhlaziya iimpawu nangona unyango, kufuneka uxoxe nodokotela wakho. Ukuxubusha uhlobo lweempawu ezikhoyo, ukuvama kwazo, nokugcinwa kwimiba yezinto ezinokubangela ukukhupha i-reflux izokukunceda wena kunye nogqirha wakho ufumana isicwangciso sochanekileyo sokonyango.
Iintsana
Unyango lwe-reflux yabantwana luxhomekeke kubunzima beengxaki. Ugqirha wengane yakho unokugqiba isigqibo sokuba akukho unyango olufunekayo kwaye ukuba i-reflux iya kutshabalala ngokwayo njengoko umntwana wakho ekhula. Kwiintsana ezininzi, i-reflux isombululo ngokwayo kunyaka wokuqala wobomi. Ukuba umntwana wakho unempilweni, uyonwabile kwaye ukhula, ugqirha wakho unokuncoma ukuba utshintsho oluthile lwezinto zokuphila ukwenzela ukuba unciphise ingxaki ye-reflux.
Ukuba i-reflux iyingozi kakhulu, okanye ukuba umntwana wakho ufumene ukuba unesifo se-GERD, ugqirha wakho unokuyalela umyalelo we-counter-counter okanye imithi yonyango echazwe ngasentla. Kubaluleke kakhulu ukuxubusha ukhetho lwe-acid reflux kunye nodokotela wengane yakho ngaphambi kokuba uqale nayiphi na indlela yokonyango, ngakumbi ngaphambi kokuba usebenzise i-rem-counter-remedy.
Nazi ezinye iindlela zokuncedisa ukunciphisa intlungu yakho:
- Nika amancinci amancinci, rhoqo. Ukutya zonke iiyure ezimbini ukuya kweyithathu xa umntwana wakho evukile kuya kunciphisa ukuvela kwe-reflux yesisu. Ukuxhatshazwa kunokunyusa uxinzelelo lwesisu, oko kunokukhokelela ekuhlaleni.
- Gcina umntwana wakho othe tye. Gcina iintsana zithe tye ngexesha lokutya kwaye ubuncinane ubuncinane imizuzu engama-30 emva kokunyusa. Oku kuya kunciphisa inani le-reflux yesisu.
- Bhoxa umntwana wakho rhoqo. Ukutshintshisa iintsana zakho ngexesha elithile ngexesha lokutya kuza kunceda ukunciphisa uxinzelelo lwesisu, kunye ne-reflux enokubangela. Ukulinda ukutshitshisa intsana yakho de emva kokuba sele isisu esipheleleyo sinokunyusa amathuba okubuyiswa kwakhona.
- Zama i-rice cereal. Ukutya umntwana wakho umsila welayisi kunganciphisa inani eliza kubuyela kulo. Qala nge-teaspoon yerayisi yokutya i-rice nganye yefomula. Ukuba umntwana wakho uncelisekile, zama ukupompoza kwaye wongeze ilayiti yokutya kwilisi yobisi.
- Ukuba uncelise, jonga ukutya kwakho. Ukutya okunye, okufana ne-caffeine, i-chocolate kunye negaliki kunokukhuthaza ukuhlaziya, ngoko ukuba unamncelise umntwana wakho, kufuneka uqikelele ukusika ukutya oku kutya kwakho.
- Qaphela ukulala ebusuku. Ukubeka umntwana wakho ngasemva, uphakamise intloko yebheddi ezingama-30. I-Gravity iya kunceda ukugcina isisu ngaphakathi apho ikhona.
- Sebenzisa izibonelelo kwisihlalo semoto. Indlela ohlala ngayo umntwana wakho kwisihlalo semoto kunokubangela ukuba ukuhlaziywa kwandiswe. Ukuba uthe waqhaqhazela, kubangela ukunyanzeliswa kwesisu, ukwandisa umngcipheko we-reflux. Ukusebenzisa inkxaso elula ukugcina umntwana wakho othe tye uya kukuthintela oku.
- Ugqoke kakuhle umntwana wakho. Gwema i-elastic tight phezu kwesisu sakho, kwaye ugcine i-diapers ikhululekile.
> Imithombo:
> Katz PO, Gerson LB, Vela MF. Ukuxilongwa kunye nokuLawula i-Gastroesophageal Reflux Disease. I-American Journal yeGastroenterology. Matshi 2013; 108 (3): 308-28. i-doi: 10.1038 / ajg.2012.444.
> Abasebenzi beKliniki yabasebenzi. Izifo ze-Reflux ye-Gastroesophageal (GERD). Clinical Mayo. Ukuhlaziywa kweyoKwindla 9, 2018.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Unyango lweGER kunye neGERD. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Epapashwe ngoNovemba 2014.
> Shin JM, Kim N. Pharmacokinetics kunye ne-Pharmacodynamics ye-Proton Pump Inhibitors. I-Journal ye-Neurogastroenterology kunye ne-Motility . 2013; 19 (1): 25-35. i-doi: 10.5056 / jnm.2013.19.1.25.
> Yeh Z. Ngaba i-Apple Cider iVinegar esebenzayo ekunciphiseni izibilini zokuguquka komlilo ezihlobene ne-Gastroesophageal Reflux Disease? KwiYunivesithi yaseArizona. Upapashwe ngo-Agasti 2015.