Isikhokelo sakho kwiGERD

Isifo se-reflux se-Gastroesophageal, okanye i-GERD, ivela xa i-sphincter engaphantsi (i-LES) ingasondeli kakuhle kwaye isisu se-intanethi sivulekile, okanye i-reflux, ingena kwindawo. I-LES ingumngcipheko we-muscle phantsi kwe-esophagus efana ne-valve phakathi kwe-esophagus nesisu. I-esophagus ithwala ukutya ukusuka emlonyeni ukuya kwisisu.

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Yintoni i-GERD?

Xa i-acluc acid acluxed ichukumisa i-lining of the oopopus, ibangela ukuvutha komlilo esifubeni okanye emqaleni ebizwa ngokuba yi-heartburn. Umkhuhlane unakho ukunambitha kumva emlonyeni, kwaye oku kuthiwa yi-acid indigestion . Ukupheka kwentliziyo rhoqo kunokuqhelekileyo kodwa akuthethi ukuba umntu unayo i-GERD. Ukuqubuka komlilo okwenzeka ngaphezu kwephindwe kabini ngeveki kunokubhekwa njengeGERD, kwaye ekugqibeleni kungaqhubela phambili kwiingxaki zempilo ezinzulu.

Nabani na, kuquka nabantwana, abantwana kunye nabasetyhini abakhulelweyo, banako ukufumana i-GERD.

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Yintoni ebangela i-GERD

Akukho mntu uyazi isizathu sokuba abantu bafumane iGERD. I-hernia yokuzalwa ingenza igalelo. Imfucuza yokubeleka ivela xa inxalenye esezantsi yesisu ingasentla kwesithintelo, udonga lwe-muscle oluhlula isisu esiswini. I-diaphragm inceda i-LES igcine i-asidi ekubeni ingene kwi-oophagus. Xa i-hernia yokuzalwa ikhoyo, kulula ukuba i-asidi ifike. Ngale ndlela, i-hernia yokuzala ingabangela ukuhlaziya. I-hernia yokubeleka ingenzeka kubantu bakuphi na ubudala; abaninzi abantu abanempilo abangaphezu kwama-50 banomncinci.

Ezinye izinto ezinokuba negalelo kwiGERD

• benzisa utywala
• nokukhululeka
• khulelwa
• ukutshaya

Ukutya kunokunxulumana neziganeko ze reflux, kuquka:

• izithelo ze citrus
• tshokoleji
• usela ne caffeine
• ukutya okunamafutha kunye okuthosiweyo
• igalikhi kunye anyanisi
• ukunambitheka kwintsimbi
• ukutya okunesonka
• ukutya okuvela kwitamatato, njenge-spaghetti sauce, chili, kunye ne-pizza

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Iimpawu zeGERD

Iimpawu zeGERD ziquka:

• Ukuguquka kwentliziyo kunye nokuvuselelwa kwe-asidi.
• Ezi ziyimpawu eziphambili zeGERD, nangona abanye abantu be-GERD ngaphandle kokuguquka. Iimpawu zokuguquka ziquka:
• Uvakalelo oluvuthayo luqala kwisifuba nje emva kwesifuba (i-sternum) eyenzeka emva kokutya kwaye inokugcina imizuzu embalwa kwiiyure eziliqela
• Ukulala nokuguqa ngokuphindaphindiweyo kwenza iimpawu zibe zibi nakakhulu.
• Iimpawu zidla ngokugqithiseleyo ngokutya ukutya
• Ukuvutha emqaleni
• Inomdla enomdla okanye enomuncu emlonyeni
• Ukulahla kunokuba nzima
• Ukuxhamla
• Ukukhwehlela okungapheliyo
• Ukuthuka
• Ukulahlekelwa kwegama kungekho sizathu esicacileyo
• Ukugubha okanye ezinye iimpawu ezinjenge-asthma
• I-antacid ivame ukunika uncedo
• Ukuba usana luswela okanye luphosa malunga nantoni naxa udla kwaye lubonakala lukhuni, umntwana usenokuba ne-gastric reflux
• Iimpawu zokubhukuda zihlala ziphosakele ngenxa yeempawu zesifo senhliziyo. Ubuhlungu obuvela kwintliziyo yesimo kaninzi buqhutyiswa kakubi ngomsebenzi wokwenyama, kodwa ukuguquka kwegazi akuqhelekanga kubangelwa ngumsebenzi wenyama. Nangona kunjalo, ukuba ucinga ukuba unesifo senhliziyo, okanye awuqinisekanga, kubalulekile ukuba uye kwindlu yongxamiseko ngokukhawuleza.
• Ubuhlungu kwisifuba
• Ukuthuka ekuseni
• Ingxaki yokugwinya
• Unokuziva ngathi ukutya kuhlanganiswe emqaleni
• Ukuzivocavoca
• Ukuqhubeka ukukhwehlela
• Ukuphefumula

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Ukuchonga iGERD

Ezi zilandelayo zivavanyo ziqhutywa rhoqo xa uzama ukufumanisa i-GERD.

I- barium ingxuma i-radiograph isebenzisa ii-rays ukuze incedise ukungaqhelekanga kwimihlaba efana ne-hima ye-hiara kunye nokuvuvukala okukhulu kwe-esophagus. Ngolu vavanyo, usela isisombululo kwaye i-ray-ray iyathathwa. Ukucaphukisa kancinci akuyi kubonakala kule mvavanyo, nangona ukucuthwa kwe-esophagus - ebizwa ngokuba yi-stricture - izilonda, i-hernia, kunye nezinye iingxaki.

I-endoscopy ephezulu iyenziwa esibhedlele okanye kwiofisi yegqirha. Ugqirha uya kutshiza umqala wakho ukuba awugodle kwaye adibanise ityhubhu yeplastiki elula, eguquguqukayo ebizwa ngokuthi i-endoscope. Ikhamera encinane kwi-endoscope ivumela ugqirha ukuba abone ubuso bomhlaba kwaye afune ukungaqhelekanga. Ukuba uye wafumana iimpawu eziqingqileyo kwaye le nkqubo ibonakalisa ukulimala kwisopopus, ngokungekho minye imvavanyo efunekayo ukuqinisekisa i-GERD.

Kwimviwo yokuhlola i-pH yokugada , ugqirha ubeka ityhubhu encinci kwi-oophagus ehlala kuyo iiyure ezingama-24. Nangona uhamba malunga nemisebenzi yakho eqhelekileyo, ulinganisa nini kwaye ingaba i-asidi eninzi ingena kwi-oophagus yakho. Olu vavanyo luluncedo kubantu abaneempawu zeGERD kodwa akukho monakalo wokuqhawula. Inkqubo iyanceda ekufumaneni ukuba iimpawu zokuphefumula, kuquka ukuvutha nokukhwehlela, zibangelwa yi-reflux.

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Ukunyanga iGERD

Indlela yokuphila iinguqu zokulawula i-GERD

• Ukuba utshaya, yima.
• Musa ukusela utywala.
• Ukunciphisa umzimba xa kufuneka.
• Yidla ukutya okuncinci.
• Gqoka iimpahla ezilungeleyo.
• Gwema ukulala phantsi kweeyure ezingama-3 emva kokutya.
• Phakamisa intloko yebhedi yakho 6 ukuya kwi-intshi eziyi-8 ngokubeka iibhloko zokhuni ngaphantsi kweendwangu zokulala - ukusebenzisa nje imithwalo engaphezulu akuyi kunceda.

Amagqirha Ugqirha wakho unokuncoma i-anti-counter-counteracacids, ongayithengayo ngaphandle kwemithi, okanye unyango oluyeka ukuveliswa kwe-asidi okanye uncede izihlunu ezingenanto esiswini sakho.

Ii-Antacids , ezifana ne- Mylanta kunye ne- Tums ziqhelekileyo zizidakamizwa zokuqala ezicetyiswayo ekunciphiseni ukuguquka kwentliziyo kunye nezinye iimpawu ze-GERD ezintle.

I-H2 blockers , njengeTagamet HB (cimetidine), i- Pepcid AC (i-famotidine), i- Axid AR (i-nizatidine), kunye ne- Zantac 75 (ranitidine), i-impede acid production. Zifumaneka kumagunya omyalelo kunye nangaphezulu. Ziyasebenza malunga nesiqingatha salabo abaneempawu zeGERD.

Iproton pump inhibitors iquka iProlosec (omeprazole), i- Prevacid (lansoprazole), i- Protonix (i-pantoprazole), i- Aciphex (i-rabeprazole) kunye ne- Nexium (esomeprazole), efumaneka yonke imithi. Iproton pump inhibitors iphumelele ngakumbi kune-block block H2 kwaye iboniswe ukukhupha iimpawu kubantu abaninzi abaneGERD.

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Ukuba iimpawu ziqhubeka

Ukuba iimpawu aziphuculanga ngeenguqu zokuphila kunye nemichiza, ugqirha wakho unokujonga ukuhlinzwa. Ugqirha lukhetho xa unyango kunye neendlela zokuphila zingasebenzi. Utyando lunokuthi lube yinto engafanelekanga kwixesha elizeleyo lokusetyenziswa kweziyobisi kunye nokuphazamiseka.

I-Fundoplication , ngokuqhelekileyo uhlobo oluthile oluthiwa yi-Nissen fundoplication, luyonyango oluphambili lwe-GERD. Ingxenye ephezulu yesisu ihlanganiswe nge-LES ukuqinisa i-sphincter nokukhusela i-acid reflux kunye nokulungiswa kwe-hernia.

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. Xa kwenziwa ngabagqirha abanamava, le nkqubo ichazwa ukuba ifanelekile njenge-fundoplication ejwayelekile. Ukongezelela, abantu banokuhamba esibhedlele kwiintsuku ezi-1 ukuya kwi-3 baze babuyele emsebenzini kwiiveki ezi-2 ukuya kwezi-3.

Ngo-2000, i-US Food and Drug Administration (i-FDA) yavuma iipositiki ezimbini zokugcina ukutshabalalisa okungapheliyo. Inkqubo yeBard EndoCinch ibeka izibonda kwi-LES ukudala izikhalazo ezincinci ezinceda ukuqinisa imisipha. Inkqubo ye-Stretta isebenzisa i-electrodes ukudala izicucu ezincinci kwi-LES. Xa izicucu ziphilisa, izicubu ezibomvu zinceda ukukhupha umsi. Imiphumo yexesha elide le nkqubo iyakwaziwa.

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Iingxaki ze-GERD ende

Ukuguquka kwexesha elide, ingakumbi xa kungaphathwa kakuhle, kunokukhokelela kwiinkathazo. Ezi ngxaki ziquka:

• I-Barrett's Esophagus
  Izifundo zibonise unxibelelwano phakathi kwe- Gastroesophageal Reflux Disease kunye ne-Barrett's oopopus, leyo leyo ingakhokelela kwintsholongwane engabonakaliyo kodwa kaninzi ebulalayo ebizwa ngokuba yi-esophageal adenocarcinoma.
• Canophageal Cancer
  Abo bantu abane-Gastroesophageal Reflux Izifo kunye ne-Barrett's esophagus basengozini ephakamileyo yokuphucula umhlaza wesifo somhlaza. I-adenocarcinoma ye-Esophageal ngumdlavuza okhawulezayo kwihlabathi lasentshona.
• I-Esophagitis enkulu
  U-Esophagitis ukuvuvukala nokuvuvukala kwimbombo yesigxina. Ngokuqhelekileyo kubangelwa isifo se-reflux ye-gastroesophageal (i-heartburn).
• Iziqulatho ze-Esophageal
  Ukuxinwa kwe-esophageal kukunciphisa isisu. Kuyenzeka xa izicubu ezinqabileyo zakha kwi-esophagus. Ekubeni i-esophagus ayilungiselelwe ukuphatha i-content refluxed isisu, ngoko ke ukuba i-reflux ingasigxina, izicubu ezibomvu zingabumba kwaye zikhokelela kwisigxina.

Kukho, ke, amanyathelo ayisithandathu onokuyithatha anganciphisa amathuba akho okuphuhlisa enye yezi ngxaki.

• Yenza impilo efunekayo iguqulwe
• Jonga okutya
• Gcina ithrekhi yezinto zakho zokubetha intliziyo
• Funda indlela yokukhusela ukukhwabanisa ngaphambi kokuba kwenzeke
• Ukunciphisa ukusila
• Thatha imithi e miselwe

Ukuze uthole iinkcukacha ezithe nkcukacha malunga namanyathelo okuthintela, nceda ufunde 6 Amanyathelo okukhusela iingxaki ezinxulumene ne-Heartburn

8 -

Ukutya okulungileyo / ukutya okubi

Udinga ukwazi ukuba kukuphi ukutya okukhuselekileyo, kwaye ugweme ukutya oku kunokubangela ukutshaya. Udinga ukwazi indlela yokulungiselela ukutya kwakho ukuphepha ukukhupha izibilini.

Ukutya okukhuselekileyo kubantu abanezifo ezivuthayo
Ukutya okudweliswe kule tafile yinto eqhelekileyo yokutya edla ngokukhuselekileyo kwintlungu yokugaya isifo.

Ukutya ngokufanelekileyo Ukumodareyitha
Ukutya okudweliswe kule tafile kukutya oza kukwazi ukukuzonwabisa ngezinye izikhathi, ngokumodareyitha.

Ukutya Ukuphepha
Ukutya okudweliswe kule tafile kukutya okuqhelekileyo oku kunokuvelisa ukutshaya.

Iidlela zokufumana abantu abagulayo
Ezi zokupheka eziza kunceda abanokugulisa intliziyo bazilungiselele ukutya eziya kukunceda ngokuchaneka kakuhle. Akukhona nje ukutya okukhethayo okukunceda ngokukhwabanisa. Kwakhona kubalulekile ukuba ukutya kulungiselelwe njani. Izigaba zokupheka ziquka:

• Isonka
• Yafutshane
• Desserts
• Izitya eziphambili
• IPasta
• Salads
• Izidlo ezisecaleni
• Ukutya
• Iisobho, i-Stews, ne-Sauces

IziCwangciso zokutya eziPhezulu zokugula

Iimenyu zeveki - Index
Ezi tshathi zihlelwe ngeCawa ukuya ngoMgqibelo. Ezi ziingcebiso kuphela, kwaye akukhona kuphela ukutya okusemandleni okutya. Unokongeza okanye ukususa ukutya ngokwezinto ozikhethayo kunye nokuba yintoni enokuthi ayiyi kuba yintliziyo yakho.

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Ukuphila neGERD

Yidla ukutya okuncinane oku-6 endaweni yezidlo ezi-3 ezinkulu.
Oku kugcina isisu sakho singagqibekanga, kwaye unciphise uxinzelelo lwesisu.

Ungadli okanye ungaphuze nantoni na ubuncinane kwiiyure ezingama-2 ngaphambi kokulala.
Ukulala phantsi ngesisu esipheleleyo kwandisa amathuba okutya okuhlaziyiweyo.

Gwema ukutya oku kunokubangela ukutshaya.
Kukho ukutya kunye neengxube ezinokubakho ezinokubangela ukutshaya, mhlawumbi ngokunyusa ukuveliswa kwe-asidi kunye noxinzelelo lwesisu okanye ngokukhulula isisipha esincinane se-sphincter.

Gwema utywala.
Utywala lwandisa ukuveliswa kwesisu esiswini. Utywala kwakhona uphinde uxhomekeke kwisiphincter esezantsi (LES), evumela i-acid reflux.

Sebenzisa i-antacid.
I-Antacids iya kusebenza ngokukhawuleza ekukhitheni. Ugqirha wakho unokuthabatha ukuthabatha i-H2 blocker, esebenza kwiiyure eziyi-12. Ekubeni bathatha iyure okanye ukwenzela ukuba baqale ukusebenza, ugqirha wakho unokuthabatha ukuthabatha i-H2 blocker ngokudibanisa ne-antacid. Ukuba awufumani ukukhululeka kwezi zinto, ugqirha wakho unokumisela iproton pump inhibitors.

Hlala kunye nentloko kunye namahlombe aphakanyisiweyo.
Ngentloko ephakamileyo kunesisu, ukuvutha komdaka kunceda ukunciphisa olu xinzelelo, kwaye kugcina isisu ngaphakathi apho ikhona-esiswini.

Musa ukutshaya.
Ukubhema kukhuthaza ukuveliswa kwesisu esiswini.

Phola.
Nangona uxinzelelo lungaxhunyiwe ngqo kwi-heartburn, kwaziwa ukuba kunokukhokelela ekuziphatheni okungabangela ukuguquka kwenhliziyo. Landela la macebiso okuphumula ukuze unciphise uxinzelelo.

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I zixhobo zoLwazi

Zolwazi:

• Ukuthintela ukuvutha komlilo ebusuku
• Ukuthintela ukuguquka komlilo ngexesha lokukhulelwa
• Ukuxhaswa kwabasweleko beentlungu: Iibhondi zokulala
• Iintsana kunye ne-acid reflux
• Abantwana kunye nentsha ene-acid reflux
• Iingxaki zeGERD

Ukutya Ukunceda:
Le ngcaciso yenzelwe ukuguquka kwesifo esingapheliyo. Ingcinga efanelekileyo ukuxubusha oku kunye nogqirha wakho.

• Ukutya okukhuselekileyo okugulisa abantu
• Ukutya kweentlobo zokutya ezifanelekileyo kufuneka ziphephe
• Ukutya kweentlanzi ezidlayo ziyakudla ngokumodareyitha
• Ukutya isikhokelo sokugonywa kwesifo
• Iimviwo zamaminithi asekuseni zokugubungela abantu
• Iimviwo zamasemini zesimini zokugubungela abantu
• Iimviwo zamaminisi ezidliwayo zokudabuka kwezigulane