Ukuvutha komlilo okuqhubekayo ozivelayo kunokwenzeka ngenxa yezizathu ezininzi
Ukuba unesifo se-Gastroesophageal reflux , unokuzibuza ukuba kutheni, kwaye ukuba kukho iimeko ezithile enokuba nazo ezinokubangela i-GERD.
Iqala nge-Sopincter Lower Esophageal
Lezi zicubu ze-muscular zivula kwaye zivale ekupheleni kwe-esophagus. I-sphincter esezantsi ye-sphincter (LES) yindawo ye-muscle edibeneyo kunye nama-hormone anceda ukugcina ingcinezelo phakathi kwesisu kunye nesifo.
Ukuba izihlunu ziyancipha kwaye zilahlekelwa yithethoni, i-LES ayiyi kuvala ngokupheleleyo emva kokuba ukutya kungene kwisisu, esivumela i-asidi kwisisu ukuba ibuye iphinde ibe yindawo. Kukho izinto ezininzi ezibangela ukuba i-LES ingasebenzi kakuhle:
Umsebenzi weNtlungu ongasebenzi
Ingaphezulu kwesigamu se-GERD abagulayo abanesifo esingaqhelekanga okanye sisisu esiswini esisenza ukuba ukutya kunye nesisu esiswini kuhluthe kakhulu. Oku kuya kubangela ukulibaziseka kwisisu ukukhupha iziqulatho zayo, ukwanda kwengcinezelo esiswini kunye nokwandisa umngcipheko we-acid reflux.
Amachiza Adala i-GERD
Kukho izidakamizwa ezahlukahlukeneyo, zombini kwi-counter-counter and countercription, ezinokunyusa umngcipheko we-GERD, kunye neempawu ezibi kakhulu kulabo sele behlupheke kwiGERD.
Izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) ziquka i- aspirin , ibuprofen (Motrin, Advil, Nuprin) kunye ne-naproxen (Aleve). Ngokuqhelekileyo zidibaniswa nokubangela izilonda ze-peptic , kwaye nazo zinokubangela i-GERD.
Kubantu abesele benayo i-GERD, banako ukwandisa ubunzima beempawu. Uphando lubonisile ukuba abasebenzisi be-NSAID bexesha elide babenomdla wokuba babe neempawu zeGERD njengabasebenzisi abangabasebenzisi be-NSAID.
Imirhumo yesigqirha nayo inokubangela okanye ibenze i-GERD. Olu luhlu alubandakanya zonke iziyobisi ezingabangela i-GERD. Kubalulekile ukudibana nogqirha wakho ukuba uqale ufumana iimpawu nakwiyiphi na imithi.
Nazi ezinye izigwenxa eziqhelekileyo:
- I-block blockers ye-calcium - isetyenziselwa ukunyanga uxinzelelo lwegazi kunye ne-angina.
- I-Anticholinergics - isetyenziswe kwiziyobisi ezithintela ukuphazamiseka kwamathambo, i-allergies kunye ne-glaucoma.
- I-Beta-adrenergic agonists - isetyenziselwa izifo zesifo se-asthma nezifo eziphazamisayo zomphunga.
- I-Dopamine - isetyenziswe kwisifo sikaParkinson.
- I-bisphosphonates - isetyenziselwa ukunyanga i-osteoporosis.
- Uhlobo
- Antibiotics
- Potassium
- Iipilisi zensimbi
Isifuba
Ingaphezulu kwesigamu sabasifo besifo se-asthmatic banayo i-GERD. Kukwaxutyushwa nokuba i-asthma ibangela i-GERD, okanye ukuba yindlela enye. Kukho izizathu ezimbalwa zokuba kutheni uluntu lwezonyango ludibanisa le mibini mibandela.
Eyokuqala kukuba ukukhwehlela okuhamba nokuhlaselwa kwesifo se-asthma kunokukhokelela ekutshintsheni kwintliziyo yesibindi, nto leyo inokubangela i-reflux. Emva koko kukho inyaniso yokuba imithi ethile ye-asthmatic iyanciphisa i-airways ukuze ikhulule i-LES, ekhokelela ekuhlaleni.
Ukukhulelwa kunye neHormones
IiHormone zichaphazela i-LES. Ngokomzekelo, ukwanda kwe-hormone progesterone ngexesha lokukhulelwa liphinde lenze i-LES. Ngaloo ndlela, akuqhelekanga kubafazi abakhulelweyo ukuba baphuphe.
Sikashukela
Abantu abanesifo sikashukela, ngakumbi i- 1 yesifo sikashukela , bavame ukuvelisa imeko ebizwa ngokuba yi- gastroparesis . Le meko ichaphazela malunga neepesenti ezingama-20 zezifo zesifo sikashukela kwaye sibonakaliswe ngokubambezeleka kwesisu.
Ingcinezelo esiswini isenokunyuka, leyo leyo ingabangela ukuhlaziya.
Hiatal Hernias
I-hiatus yinkomo encinane kwisiphako se-sulfur, kwaye i-esophagus iyahamba njengoko idibana nesisu. Lo mgobo uvame ukulingana, kodwa kubantu abathile, kunokuthi buthathaka kwaye kwandiswe. Xa oko kwenzeka, inxalenye yesisu ingaqhubela kuyo, ivelise imeko ebizwa ngokuba yi-hialia. I-hernia ingaphazamisa umsebenzi we-LES. Okwangoku, akukho ubungqina bokuba i-hernia yokuzala idala i-GERD, kodwa inokunyusa iimpawu ze-GERD kubantu abanezimo zombini.
Ukungavumelekanga kwi-Esophagus
Kukho uphando oluthile olubonisa ukuba abaninzi abantu abaneempawu ze-GERD ze-GYD, ezifana nokuziva ngathi kukho inqwaba emqaleni, ukuphazamiseka okanye ukukhwehlela okungapheliyo, kunokungaqhelekanga kwisigxina.
Iingxaki ngezenzo zesisundu ngokuzenzekelayo kwi-esophagus, ebizwa ngokuba yi- peristalsis , ngokuqhelekileyo ivela kwi-GERD abagulayo. Izifundo azikwazanga ukuba i-peristalsis yimbangela okanye umphumo weGERD yexesha elide.