Izinto zokuMisa ukwenza ntoni Ukuba unayo i-GERD

Xa unesifo esingasigxina esingagxinwa nesifo se-reflux ye-gastroesophageal (GERD), le meko inokuchaphazela ubomi bakho bonke. Kufuneka ukuba uyeke ukutya ukutya okuthandayo . Ukubhukuqa kungaphazamisa ukulala kwakho. Oku kunokuphazamisa ukufumaneka kwakho ukusebenza kakuhle.

Nangona xa ugqirha ugqirha kwi-GERD yakho, kuyabalulekile ukwazi ukuba ungenzani ukuba ukwazi ukwenza ntoni. Ezi zinto zilandelayo zizinto ezili-10 ozenzayo kwaye kufuneka uziye ukuba awufuni ukuhlupheka ngenxa yokugquma.

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Musa ukutywala

Ukutya okukhulu kukunyusa isisu sakho kwaye ukwandise uxinzelelo oluphezulu malunga ne- sphincter esezantsi (i-LES - i-valve phakathi kwesisu sakho nesisu sakho), oku kunokukhokelela ekugqibeleni. Zama ezi ngcebiso:

• Yidla ukutya ezintandathu ezincinane ngosuku ngalunye kunokuba ezintathu zikhulu. Oku kuya kunceda ukugcina isisu singagqibekanga kwaye kuya kunceda ukunqanda ukuveliswa kwemveliso yesisu esiswini.
• Ukutya okuncinci kathathu kunye neentlanzi ezintathu kunokunceda.

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Ungadli Ngokukhawuleza

Xa sisidla ngokukhawuleza, kunzima kwindlela yethu yokugaya ukwenza indlela efanele ngayo. Sinokuphelisa ukubandezeleka kokutya okugwenxa, okwandisa amathuba okuba ugubuke.

Enye indlela yokukunceda ukucotha xa udla:

• Beka ifom okanye ipuni yakho phantsi phakathi kokulila.
• Jonga ukutya kwakho kakuhle phambi kokugwinya.
• Hlaba amaxesha angama-20 okanye ubale ukuya kuma-20 ngaphambi kokuluma okulandelayo.
• Thatha amancinci amancinci.

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Ungadli ukutya okubangela ukuba uguqulwe

Kukho izibini ezenza ukuba ezinye ukutya zibangele ukutshabalalisa : 1) Xa i-sphincter esezantsi ihlaziya xa ingafanelekanga; okanye (2) xa isisu senza i-asidi eninzi.

Xa i-LES iyona yecala, ukutya kunye nesisu se-isisu zibuyela phezulu kwi-oophagus yakho. Ezinye zokutya ezinokuziphucula i-LES ziquka:

• Ukutya okuthosiweyo (greasy)
• Izidlo ezidumileyo
• I i sauces
• Imveliso yobisi yobisi yonke
• Tshokolethi
• Peppermint
• Ukusela iziphuzo ze-caffeinated (umzekelo, iziphuzo ezithambileyo, ikhofi, itiye, i-cocoa)

Ukutya okunokubangela ukuveliswa kwe-asidi kunye nokwanda kwenkohlakalo kubandakanya:

• Utywala
• Iziyobisi
• Utywala
• Ukutya okunesonka
• Iziqhamo zeCitrus kunye namajusi (umz., I-orange, iidipefruit)
• Iimveliso ezisuka kumatato

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Musa Ukuphuma Ukutya Akulungele

Ukwazi okukhuselekileyo ukuba uyidle kunye noko kufuneka ukukhusele kubalulekile ukutya ngaphandle kwiivenkile njengoko kukutya ekhaya. Kufuneka ukwazi into oyifunayo kwaye kufuneka ubaleke. Xa ubuza indlela ukutya okulungiselelwe ngayo, thintela uphuzo oluthile, kwaye ubukele ubungakanani besahlulo, unokuthintela ukusila.

Yintoni ofuna ukuyijonga kwaye ubuze xa ivenkile yokutyela:

• Inyama emhlophe
• Ukutywa kweenyama
• Ama-sandwich nge-turkey, inkukhu, okanye inyama yenkomo ekwahlukileyo kwizonka zesonka
• Ukutya okugcobileyo
• Isobho esisikiweyo
• Imifuno eshushu
• Iifatata ezibhaka zineentsimbi ezisezantsi ze-salad zokugqoka
• Ukunxiba i-salad ephantsi okanye i-fat-fat
• Iidyuli ezinamandla, ezifana nekhekhe lokudla kweengelosi

Ukutya kwiiTshayina , iiMexico, okanye iiNtaliyane zokutyela kungabunzima, kuba ukutya kwezi ndawo zokutyela kunokufumana izithako ezininzi ezinokubangela ukutshaya. Kunokwenzeka ukuba ujonge ukutyela apho ukuba uyazi ukuthintela.

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Musa Ukulala Ekuhambeni Kungekudala Emva kokutya

Ukulala phantsi ngesisu esipheleleyo kunokubangela ukuba isisu se-intanethi sinyamezele ngokuthe kratya kwi-sphincter esezantsi (LES), okwandisa amathuba okutya okuhlambulukileyo. Zama ezi ngcebiso:

• Linda okungenani ezimbini ukuya kwiiyure ezintathu emva kokutya ukulala.
• Gwema ngokuhlwa ebusuku.
• Ukuba esinye sesidlo sakho siphela sibe sikhulu kunabanye, jolise ukutya eso sidlo sakusihlwa kunesidlo sakusihlwa.

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Musa ukubeka Isitya xa Ulala

Ukulala phantsi iindinyana ezicatshulwayo zesisu esiswini malunga ne-LES. Ngentloko ephakamileyo kunesisu, ubuncwane bunceda ukunciphisa olu xinzelelo. Unokuphakamisa intloko yakho ngeendlela ezimbalwa:

• Unokubeka izitena, iibhloko, okanye nantoni na eqinile kwaye ikhuselekile phantsi kwemilenze ekhanda lakho,
• Ungasebenzisa umcamelo owenziwe ngemigqa phantsi kwentloko kunye namahlombe.

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Musa ukuSuka

Ukuba ubhema, kufuneka ucinge ukuyeka. Ukubhema kunokubangela iingxaki ezininzi zempilo, kwaye ukutshaya ingumnye wabo. Oku kunjalo ngokukodwa kwabo bantu abaneGERD. Ezinye zeendlela zokutshaya zinokunyusa iingxaki zokubandezeleka ziquka:

• Ukuveliswa kweSaliva eNciphisa
  I-saliva i-alkaline, ngoko iyakunceda ukuphelisa i-acid esiswini. I-saliva nayo inokukhupha i-heartburn ngokuhlamba i-esophagus kunye nokunciphisa imiphumo ye-asidi efakwe kwi-esophagus ngokuyihlamba isiswini.
• Utshintsho kwi-acid Acdom
  Ukubhema kunokunyusa ukuveliswa kwesisu esiswini. Inokuphinda ikhuthaze intshukumo ye-salt salts esuka emathunjini ukuya kwisisu, okwenza isisu senze iingozi kakhulu.
• Impairs the Operation of the Lower Esophageal Sphincter
  Ukubhema kunokuthi buthathaka kwaye kukhululeke i-LES, nto leyo i-valve ekhoneni phakathi kwesisu kunye nesisu. Ukuba i-LES ayisebenzanga kakuhle okanye ibuyisela ngokungafanelekanga, okuphakathi kwesisu kunokusasaza kwakhona kwisigxina.
• Umonakalo kwi-Esophagus
  Ukubhema kunokunokulimaza ngokuthe ngqo umgudu, okwenza kube lula ukuba nomonakalo ophezulu kwi-acid reflux .

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Ungaphuzi kakhulu Utywala

Utywala lwandisa inani le-asidi isisu kwaye ivuselela i-sphincter esezantsi (LES). Ukuba ufuna ukufumana utywala ngexesha lemikhosi yakho, zama amacebiso alandelayo:

• Nxila utywala ngamanzi okanye kwi-club soda.
• Ukunciphisa ukusetyenziswa kotywala komnye okanye ezimbini zokusela ezixubekileyo, ezingekho ii-ounces ezili-16 zewayini, okanye ezingekho ngaphezu kweebhiya ezintathu.
• Phuza iwayini emhlophe esikhundleni sewayini elibomvu.
• Khetha ubhiya ongeyotywala okanye iwayini.
• Qaphela ukuba iziphi iziyobisi ezinxilisayo ziphucisa ukutshaya kwakho, kwaye uziphephe ngokungangoko kunokwenzeka.

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Musa ukumbathisa izambatho ezibukhali

Izambatho ezihambelana ngokusisigxina esiswini, ezinjengeebhanti ezinqamlekileyo kunye neengqayi, zingancinciza isisu kwaye ziphoqe ukutya ngokubhekiselele kwi-LES. Oku kunokubangela ukuba isisu singene kwi-esophagus.

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Musa ukuxinezeleka

Ingcinezelo ayizange iboniswe ngokwenene ibangela ukutshaya. Kodwa ke, kunokukhokelela ekuziphatheni ezinokubangela ukuguquka kwenhliziyo. Ngexesha lexesha elixinzelelekileyo , iinkqubo ziphazamiseka kwaye awukwazi ukulandela imizila yakho yesiqhelo malunga nokutya, ukuzivocavoca kunye namayeza. Ekubeni uxinzelelo lwakho lungakhokelela ekugqibeleni, kubalulekile ukufumanisa iindlela zokunciphisa uxinzelelo, kwaye ngoko wenze ukuqubuka kweengcinezelo ezinxulumene noxinzelelo. Ungazama la macebiso okuphumula.

> Imithombo:

> Upapasho lwe-NIH uNombolo 03-0882 Meyi 2007. I-National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/gerd.