Ukuba unentliziyo yokutshaya nokutshaya, mhlawumbi uye watshelwa ukuba ukutshaya kwenza ukugqithisa kukugqithise okanye kungabangela nokuba kwindawo yokuqala. Oku kwenzeka ntoni, kwaye yintoni enye ukubhema eyenzayo kwindlela yakho yokugaya?
Ukuguqula nokuSuba
Kukho izizathu ezininzi zokukhaba umkhwa wakho wokutshaya, kodwa ngaba uyazi ukuba ukwenza loo nto kunokunqanda ukutshaya?
Ukubhema kunemiphumo emibi ukuqala kungekhona kwimiphepha yakho kodwa kuyo yonke into yakho yokugaya esiswini sakho kwisisu sakho nangaphezulu. Unokumangaliswa yintoni na umphumo wokutshaya unomzimba. Ukuba unako ukugwinya, unokuba unqwenela ukuthatha i-sneak peek kuloluhlu lwezifo ezibangelwa ukutshaya .
Iindlela ezili-6 zokubhema kubangelwa ukutshaya
Masibuyele ekukhwileni kwakho, kwaye uthethe ngeendlela ezininzi zokubhema kubangele ukutshisa kakubi entanyeni nasesifuba sakho:
- Ukubhema i-cigarette kukunciphisa ukuveliswa kwemali . Enye yemzimbeni yakho yokukhusela umonakalo kwisifo sakho isalathisi sakho. Kukho ama-acidikhi e-acid-neutralizing in saliva, abizwa ngokuba yi-bicarbonates. Uphando lubonisa ukuba ummatha wabangcolileyo uqulethe amanani amancinci ama-bicarbonates, ngaloo ndlela unciphisa amandla omnxeba wokunciphisa i-asidi. I-saliva ihlamba i-esophagus kwaye iyanciphisa imiphumo ye-asidi eye yahlaziya isisu, kwaye inceda ukuhlamba i-asidi ukuya kwisisu. Impembelelo yomnatha omncinci omncinci (ngokuthe ngqo ngokutshaya) i-acidi ephezulu kunye ne-acid ephezulu, kokubili ukudibana kwintetho yakho ukucaphukisa nokutshisa. (Kwaye, gcinani engqondweni ukuba inxalenye ebaluleke kakhulu yolu tshitshiyo ayikho into oyiva ngayo namhlanje, kodwa yintoni umonakalo onokuba nawo kwixesha elizayo.
- Ukubhema kukhuthaza ukuveliswa kwesisu esiswini. Uninzi lwe-acid yesisu lungabangela ukuba i-reflux ye-contents acidic kwisisu sakho, kunye nokutsha xa kufike khona ngenxa yobukhulu be-acidity. Ngamanye amazwi, isisu esiswini sininzi sidlale umdlalo ophindwe kabini kwi-oopopus yakho.
- Ukubhema kunokuthi buthathaka kwaye kukhulule umgca we-sphincter esezantsi (i-LES) , okuyi-valve ekhoneni phakathi kwesisu kunye nesisu. Ukuba i-LES ayisebenzanga kakuhle okanye ibuyisela ngokungafanelekanga, okuphakathi kwesisu kunokusasaza kwakhona kwisigxina. Ukongezelela kokutshaya, utywala, kunye neziyobisi ezininzi kunokunciphisa i-T ton, ukuxubusha ingxaki.
- Ukubhema kutshintsha isisu esiswini. Ukubhema kubonakala kukukhuthaza ukunyuka kwe-salt salts ukusuka emathunjini ukuya kwisisu, okwenza isisu sisonge kakhulu.
- Ukubhema kunokulimaza ngokuthe ngqo umzobo . Amakhemikhali amaninzi kumsi wokubhema angonakalisa ngokuthe ngqo umgca wendawo. Emva kokuba i-esophagus ibonakaliswe, iyakwazi ukulimala ngakumbi kwi-acid reflux.
- Ukubhema kunciphisa ukutyalwa. Izifundo zibonisile ukuba ababhemayo baye banciphisa i-motility gastric (inkunkuma) ngelixa ukutshaya, okungabangela ukutyunjwa okuncinci kangangoko kuba isisu sithatha ixesha elide ukuba singenanto. Ukutya okude (kunye ne-asidi) kubakho kwisisu, ithuba elide lifanele lihlaziywe kwi-oophagus.
Iimiphumo zokubhema kwezinye iindawo zeNkqubo yokuGaya
Imiphumo yokutshaya kwi-esophagus kufuneka ibe ngokwaneleyo, kodwa masihlawule ngokugqithiseleyo kwi-digestive tract ukubona ezinye iindlela.
Ukubhema kunye ne-Ulcers yePeptic
Isilonda sesigulane sisifo esivulekile kwisitya sesisu okanye i-duodenum, inxalenye yokuqala yesisu esincinci. Isizathu esona saso sesilonda asiyazi. Ubudlelwane phakathi kokutshaya umsila kunye nezilonda, ikakhulukazi izilonda ze-duodenal, zikhoyo. Ingxelo ye-Surgeon General ka-1989 yathi izilonda zinokuthi zenzeke, kuncinci ukuphulukisa, kwaye kunokwenzeka ukuba kubangele ukufa kwabokubhema kunokuba bangaboni.
Kutheni kunjalo? Oogqirha abaqinisekanga ngokwenene, kodwa ukutshaya kubonakala kukunye kwezinto ezinokusebenzisana ukukhuthaza ukwakheka kwezilonda. Ngokomzekelo, uphando oluthile lubonisa ukuba ukutshaya kunokwandisa umngcipheko womntu osuleleka kwi-bacterium Helicobacter pylori ( H. pylori ). Uninzi lwezilonda zepilisi zibangelwa yi-bteriki.
I-acid isisu nayo ibalulekile ekuveliseni izilonda. Ngokuqhelekileyo, ininzi yale asidi ixhatshazwa ngokutya esiyidlayo. Ininzi ye-asidi engapheliyo engena kwi-duodenum iyancipha ngokukhawuleza nge-sodium bicarbonate, i-alkali eyenziwa ngokwemvelo eyenziwe ngama-pancreas.
Ezinye izifundo zibonisa ukuba ukutshaya kunciphisa i-bicarbonate eveliswa yi-pancreas, ephazamise ukungathathi kakuhle kwe-asidi kwi-duodenum. Olunye uphando lubonisa ukuba ukubhema okungapheliyo ukubhema kunokunyusa inani le-asidi elifihliweyo ngesisu.
Nantoni na eyenza ukudibanisa phakathi kokutshaya kunye nezilonda, kuboniswe ngokuphindaphindiweyo iingongoma ezimbini: Abantu abavuthayo banokukwazi ukuvelisa isilonda, ikakhulukazi isilonda se-duodenal, kunye nezilonda kubashushu abakwazi ukuphulukisa ngokukhawuleza ekuphenduleni kolunye unyango olululo.
Ukubhema nokukhubaza izifo zengqondo
Ukuqhubela phambili kwindlela yokugaya ayinciphisi imiphumo yokutshaya. Kukho unxibelelwano phakathi kokutshaya kunye nezifo ezikhukhulayo ezifana nesifo sikaCrohn kunye nesifo sezilonda zesilonda.
Ukubhema kunye neColorectal Cancer
Ekugqibeleni, ekupheleni kwendlela yokutshaya i-digestive isengxaki. Umdlavuza weColon kunye namagciwane angama-rectal ngamabhansela awaziwayo abangela ukutshaya . Enyanisweni, okwangoku zicinga ukuba i-12 ekhulwini yeekoloni kunye neengqimba zomhlaza zibangelwa ukutshaya.
Okukwintsusa
Singahamba ngokunye malunga nomonakalo obangelwa ukutshaya, kodwa sinethemba lokujonga iindlela ezithandathu zokubhema kubangela ukutshabalalisa, kwaye umonakalo ongenakucingelwa kwindlela yakho yokutya iswanele. Kungcono ukuthatha ixesha lakho ukufunda konke onakho malunga nendlela yokuyeka ukulungela. Khangela ezi zizathu ukukhaba umkhwa namhlanje.
Imithombo:
UNess-Jensen, E., Hveem, K., El-Seraq, H., noJ. Lagergren. Indlela yokuPhepha kweMpilo kwi-Gastroesophageal Reflux Disease. I-Clinical Gastroenterology kunye neHepatology . 2016. 14 (2): 175-82.e1-3.