Isifo se-reflux se-Gastroesophageal (GERD) esibangelwa ukutshatyalaliswa kwesisu se-asidi kwisisu xa i-sphincter yakho engaphantsi (i-LS) ingenamandla okanye iyabuyisa xa ingafaneleki. Ezinye izizathu ezinokubakho ziquka ukukhuluphala, ukutshaya, ukutya, nokukhulelwa, phakathi kwabanye. I-GERD ingakho ngenxa yeemeko ezahlukahlukeneyo, kubandakanywa izinto eziqhelekanga zezinto ze-biologic okanye ezakhiweyo.
Ukuba unesifo esivela rhoqo, kubalulekile ukuba uqhagamshelane nodokotela wakho ukuba ufumane isizathu sokuba u-acid wakho ahlaziye kwaye avume kwisicwangciso sonyango.
Izizathu eziqhelekileyo
Kukho inani lezinto ezinokubangela i-GERD. Ngamanye amaxesha imbangela ye-GERD yakho ingaba nzima kwaye iquka izinto ezininzi.
Ukungasebenzi kakubi kwe-Esophageal Sphincter (LES)
Kwabaninzi abagulayo, i-acid reflux ngenxa yokuphumla kwe-LES, enoxanduva lokuvala nokuvula umgca ophantsi we-esophagus kwaye usebenza njengesithintelo soxinzelelo malunga nesisu esiswini. Ukuba ibuthathaka okanye ilahlekelwa yitheyibhile, i-LES ayiyi kuvala ngokupheleleyo emva kokuba ukutya kudlule kwisisu sakho. Isisu se-isisu sinokubuyela emva kwisigxina sakho.
I-sopha yembombo ayifani neyesisu kwaye ayikwazi ukujamelana ne-asidi ngokunjalo, ngoko yenzakaliswa kamsinya. Yiyo le reflux ye-asidi kwi-esophagus eyenza iimpawu kunye nokulimala kwayo.
Ngamanye amaxesha lo msebenzi ungasebenzi, kodwa ukutya okunye kunye nokusela, iziyobisi kunye nezinye izinto zinganciphisa i-LES kwaye ilahlekise umsebenzi wayo.
Ukunyanya
Ukugqithisa kwandisa ingcinezelo esiswini sakho, okwenza iimpawu zeGERD zibi nakakhulu. Ikhonkco ngqo phakathi kwe-GERD kunye nokunyamezeka akuqondwa ngokupheleleyo, kodwa ukugqithisa kubonwa njengento ebangela ukuba kubekho kunye nomngcipheko wokuphuhlisa i-GERD.
Mayeza
Kukho iziyobisi ezahlukahlukeneyo ezinokuchaphazela umngcipheko we-GERD kunye neempawu ezibuhlungu.
Izidakamizwa ezichasene nezidakamizwa (i-NSAID) ziquka i- aspirin , i-Motrin okanye i-Advil (ibuprofen), kunye ne-Aleve (naproxen), kunye nemiphumo yesisu esisemgangathweni iyaqhelekileyo xa ithatha. Ezi zonyango zixhomekeke ekubangela izilonda ze-peptic , kwaye ziyakwenza ukutshabalalisa kunye nokuxhalabisa ngokugqithiseleyo ngokudakalisa okanye ukuphucula i-LES.
Kubantu asele benayo i-GERD, la mayeza anokwandisa ubunzima beempawu; kubantu abangekho, ukusebenzisa ixesha elide le-NSAID kunokufaka isandla ekuphuhliseni i-GERD.
Ezinye iziyobisi zonyango zingabangela okanye zibenzi ngakumbi iimpawu zeGERD. Kubalulekile ukudibana nogqirha wakho ukuba uqale ufumana iimpawu xa ufumana amayeza. Nazi ezinye izigwenxa eziqhelekileyo:
- I-block blockers ye-Calcium, esetyenziselwa ukunyanga uxinzelelo lwegazi kunye nesifo senhliziyo
- Anticholinergics, esetyenziswe kwiziyobisi ezithintela ukuphazamiseka kwamathambo, i-allergies, kunye ne-glaucoma
- I-Beta-adrenergic agonists, esetyenziselwa isifo se-asthma kunye nezifo ezikhupha umphunga
- I-Tricyclic antidepressants ezifana ne-amitriptyline, i-Tofranil (imipramine) kunye ne-Pamelor (nortriptyline)
- I-antihistamines, isetyenziselwa ukunyuka kwesifo
- Iipilisi ze-prescription ezifana ne-codeine kunye neyeza eziqukethe i-acetaminophen kunye ne-hydrocodone
- Progesterone
- I-Quinidine, isichengululo se-malaria esisetyenziselwa ukuphatha i-arrhythmias yehliziyo kunye ne-malariya
- I-Sedatives kunye ne-benzodiazepines, njengeValium (diazepam)
- I-Theophylline, esetyenziswa kwi-bronchodilators ye-asthma, i-bronchitis engapheliyo kunye nezinye izifo zamaphaphu
- I-Diazepam, isetyenziselwa ukunyanga
- I-Dopamine, esetyenziswe kwisifo sikaParkinson
- I-bisphosphonates esetyenziselwa ukunyanga i-osteoporosis
- Antibiotics, njengeTetracycline
- Izongezelelo zePotassium
- Iitrato zongeza
Ukutshaya
Ukubhema okanye ukuphefumula ngomsi wesibini kubonwa njengesizathu kunye nomngcipheko wokuphuhlisa i-GERD. Kukho iindlela ezininzi zokubhema kunokukhokelela ekutshukunyeleni , njengokunciphisa inani lemali oyithengayo, okwenza isisu sakho singabi ncipha ngakumbi, kwaye kudala i-acid yesisu.
Ukuyeka ukutshaya mhlawumbi enye yezinto ezilungileyo kakhulu ongayenza ukuze unciphise iimpawu zakho okanye unciphise umngcipheko wakho wokuhlaziya umgangatho wokuqala.
Hiatal Hernia
Inkunkuma yokuzala iyabonakala xa inxalenye esezantsi yesisu sakho ingaphezu kwesithintelo, udonga lwe-muscle oluhlukanisa isisu esiswini. Oku kunciphisa uxinzelelo kwi-LES, ebangela ukuba i-reflux. I-hernia yokubeleka ingenzeka kubantu bakuphi na ubudala; abaninzi abantu abanempilo abangaphezu kwama-50 banomncinci.
Umsebenzi weNtlungu ongasebenzi
Abo abaneGERD banokuba ne-nervous function or muscle function esiswini, okokubangela ukuba ukutya kunye nesisu esiswini kuhluthe kakhulu kancane. Oku kubangela ukulibaziseka kwisisu ukukhupha okuphakathi kwayo, ukunyusa uxinzelelo ngaphakathi kuyo kunye nokwandisa umngcipheko we-acid reflux.
Ulwahlulo olungaqhelekanga
Ukutya okuqhelekileyo, ukutya kudluliselwa kwi-digestive tract by contractions ebizwa ngokuba yi-peristalsis. Ukuba unobunzima bokutya okungaqhelekanga , ezi zintlukwano aziqhelekanga. Oku kungabikho ngenxa yesinye sezimbini ezibangela ukuba: Ingxaki kwi-muscle ngokwayo, okanye ingxaki ngeentsholongwane okanye i-hormone ezilawula ukuphazamiseka kwemisipha. Iingxaki kwi-peristalsis kwi-oophagus ziqhelekileyo kwi-GERD, nangona kungabonakali ukuba iziganeko ezinjalo ziyimbangela okanye umphumo wefuthe elide leGERD.
Ukukhulelwa
Ukunyuka kwamahomoni e-estrogen kunye neprogesterone ngexesha lokukhulelwa kukhulula i-LES, kunye nesisu sakho sokwandisa sibeka uxinzelelo kwisisu sakho. Ngenxa yoko, kuqhelekile ukuba abafazi abakhulelwe bafumane ukutshabalalisa, oku kungakhokelela kwi-GERD.
Isifuba
Amaphesenti angaba ngu-75 abantu abane-asthma bakholelwa ukuba nabo babe neGERD. Akukho mntu uyazi ukuba i-asthma ibangela i-GERD, okanye ukuba yindlela enye. Kukho izizathu ezimbalwa zokuba kutheni le miba mibili inxulumene nomnye. Eyokuqala kukuba ukukhwehlela okuhamba nokuhlaselwa kwesifo se-asthma kunokukhokelela ekutshintsheni kwintliziyo yesibindi, nto leyo inokubangela i-reflux. Emva koko kukho ukuba imithi ethile ye-asthma iyancipha i-airways, ikhulule i-LES kwaye ikhokelela ekuhlaleni. Zombini izifo zibuhlungu ngakumbi iimpawu zezinye, kodwa ukuphatha i-GERD ngokuqhelekileyo kunceda iimpawu zesifo se-asthma.
Ukutya
Kukho imbambano eqhubekayo malunga nokuba ukutya okuthile kunokubangela ukutshabalalisa. Ukuba unqabile ukuba uphephe, ukutya ngokuqhelekileyo akuhambelani nokuhlaselwa. Kodwa ukuba unayo ngokuphindaphindiweyo, unokwazi ukuba ukutya okubonakalayo kukubangela. Ezinye iintlobo zokutya zivuselela ukuveliswa kwe-acid kwaye ezinye zikhulule i-LES.
Ukutya Okuhlaziya I-Esophageal Sphincter
Ngokuqhelekileyo, i-LES ivala ngokuqinileyo ukugcina ukutya kunye nesisu esiswini esiswini sakho. Ukuba ibuyisela kwakhona xa ingafanelekanga, ukutya kunye nesisu se-asidi siphindele kwi-oophagus yakho kwaye usenokuvakalelwa.
Oku kulandelayo imimiselo yokutya ekwazi ukukhulula i-LES:
- Ukutya okuthosiweyo (greasy)
- Izidlo ezidumileyo
- Ibhotela kunye neargarini
- IMayonnaise
- I i sauces
- Ukugqoka isaladi
- Imveliso yobisi yobisi yonke
- Tshokolethi
- Peppermint
- Iziphuzo ze-caffeinated ezifana neziphuzo ezicokisekileyo, ikhofi, itiye kunye necocoa
Ukutya Okubangela Ukuveliswa Kwemveliso
Ukuqubuka komzimba kungenzeka xa isisu sakho senza i-asidi eninzi, ekhuphukela kwisifo sakho. Ukutya okunokubangela ukuveliswa kwe-asidi kunye nokunyuka kwengqondo kuku:
- Utywala
- Iziyobisi
- Utywala
- Ukutya okunesonka
- Ipelepele emnyama
- Iziqhamo zeCitrus kunye namajusi afana ne-orange okanye i-grapefruit
- Ijusi leTamatato
Ityuwa
Izifundo zibonise ukuba ukutya okuphezulu kwi-sodium kunokubangela ukuba i-acid reflux engakhokelela kwi-GERD. Nangona kunjalo, kubantu abanobuchopho, ukutya okunomsoco ogqithisayo akubonakali ukwandisa i-acid reflux. Izifundo ezininzi kufuneka zenziwe, kodwa ubuncinci, ityuwa inokubangela ukuba abantu abathile batyeke. Indlela yodwa yokwazi ngokuqinisekileyo kukuba uzame ukunciphisa ityuwa yakho ukuba ubone ukuba yenza umehluko.
Genetics
Izifundo ezininzi zibonise ukuba kukho inxalenye yezofuzo kwiimeko ezininzi zeGERD, ngamanye amaxesha mhlawumbi ziba ngenxa yeengxaki ze-muscular okanye zezobunzima kwi-esophagus okanye esiswini. Olunye uphando lufumene ukuba ukuhluka kwe-DNA ebizwa ngokuba yi-GNB3 C825T yayikho kuyo yonke inxaxheba ekufundeni i-GERD, kodwa ayikho kwiqela lokulawula elingenalo iGERD.
Iimpawu ze-Genetic nazo zibonakala zidlala indima enkulu kwisigulane sogulane kwisifo seBarrett, imeko ekhuselekileyo ebangelwa yi- reflux eyingozi kakhulu ye-gastroesophageal . Olunye uphando lufumanise ukuba iGERD, isifo sikaBarrett kunye nomhlaza wesifo sokuphefumula sonke sinomdla ophezulu.
Iingcali zenzululwazi zikholelwa ukuba ukuphuhlisa i-GERD kuthatha idibaniselwano yemfuza kunye nemeko yendalo, kunye nokukhetha kokuphila. Kungenxa yokuba umzali wakho okanye umntakwabo unayo i-GERD ayithethi ukuba uya kuyenza, nangona ingozi yakho yanda. Uphando olungakumbi lufuneka lwenziwe kwi-genetic component ukwenzela ukuba ukuxilongwa kunye nokunyangwa kwe-GERD kunokusebenza ngakumbi kwaye kujoliswe.
Izinto zeengozi zempilo
Abantu abaninzi abadala banokugubha nokugqabhuka kunye nabani na kunaliphi na ubudala bangavelisa i-GERD. Nazi ezinye izinto ezinokunyusa umngcipheko wakho.
Scleroderma
Le ngxaki yokuzimela, apho i-immune system ihlasela amaseli enempilo emzimbeni, yandisa umngcipheko weGERD. Abantu abaninzi abanalo nkxalabo nabo banayo i-GERD kuba i-oopopus iyilungu elichaphazelekayo ngokubanzi kwi-scleroderma.
I-Asthma kunye neCOPD
Kwakhona, iingcali aziqinisekanga ukuba yintoni inkukhu okanye iqanda xa kuziwa kwi-asthma kunye ne-GERD, kodwa abaninzi bayavuma ukuba uxhulumaniso olubalulekileyo. Ukongeza kwimiba ekhankanywe ngasentla, i-GERD inxulumene nenani lezinye iingxaki zokuphefumula ezingaphezulu kwaye ingaba yimbangela ye-asthma eqala ngokudala, kunokuba ibe ngumphumo.
Isifo esingapheliyo sokukhusela i-pulmonary disease (COPD) kwakhona sikubeka emngciphekweni ophezulu wokuphuhlisa i-GERD, kwaye ukuba iGERD ingenza iimpawu zakho zeCOPD zibe zibi nakakhulu.
Sikashukela
Abantu abanesifo sikashukela, ngakumbi uhlobo lwesifo sikashukela , bavame ukuphuhlisa imeko ebizwa ngokuba yi- gastroparesis . Le meko ibonakaliswe ukulibazisa isisu sokukhupha. Uxinzelelo ngaphakathi esiswini luyakwandisa, oluya kuthi lube nomphumo wokuhlaziya i-reflux, okwenza ulungele ngakumbi ukuphuhlisa i-GERD.
Izifo zeCeliac
Abantu abanezifo ezinqamlekileyo babonakala benomlinganiselo ophezulu kakhulu we-GERD kunabantu bonke, ngakumbi xa sele batshayelwe. Ucwaningo luye lwabonisa ukuba ukutya okungahambisani ne-gluten kunciphisa kakhulu iimpawu zeGERD. Iingcali aziqinisekanga ukuba i-gluten idla i-GERD okanye ukuba i-GERD yimeko ehambelana nesifo se-celiac. Ngamanye amaxesha i-GERD ayifuni kuze kube yilapho umntu efunyaniswa ukuba ene-celiac disease, ebonisa ukuba kunokunye okubangela ukuba kwenzeke.
Izinto zokuPhila kweengozi
Kukho iindlela ezithile zokuphila ezinobungozi ezibandakanya ukuphuhlisa i-GERD. Ezi zizinto ezinokuthi utshintshe okanye ulawule.
Ukukhulula / ukukhululeka
Khumbula, ukukhuluphala kukubangela kunye nomngcipheko wokuphuhlisa i-GERD. Ubunzima obuninzi malunga nomzimba wakho, ngokukodwa, kukubeka engozini ephezulu yokuphuhlisa i-GERD kunye neengxaki ezinxulumene ne-Barrett kunye nomdlavuza wesisu. Ukwenza okusemandleni akho ukugcina ubunzima obunempilo kunokuhamba ixesha elide ekugubungeni iGERD.
Ukutshaya
Njengokugqithisa, ukutshaya yimbambiso kunye nomngcipheko wokuphuhlisa i-GERD. Ukuba ubhema, umngcipheko weGERD ungenye esinye isizathu esihle sokuyeka.
Iipatheni zokutya
Ukutya ukutya okukhulu ngexesha elilodwa, ngakumbi xa ulala emva koko, kwaye udla ngaphambi kokuba ulele embhedeni konke kwandisa ingozi yokuvelisa i-acid reflux, engakhokelela kwi-GERD. Zama ukutya okuncinci, ukutya okutya rhoqo kwaye ungadli iiyure eziliqela ngaphambi kokulala.
IHormone Alternative Therapy
Abasetyhini abakwi-hormone unyango oluthathe indawo banokuthi bavelise i-GERD. Ukude uhlala kuyo kwaye uphakamileyo umthamo we-estrogen, ophakamileyo umngcipheko.
> Imithombo:
> Kahrilas PJ. I-Pathophysiology ye-Reflux Esophagitis. Isemgangathweno. Ukuhlaziywa kweyoKwindla 6, 2018.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Ukutya, ukutya, kunye nokutya kweGER & GERD. Epapashwe ngoNovemba 2014.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Iimpawu nezizathu zeGER & GERD. Epapashwe ngoNovemba 2014.
> Abasebenzi beKliniki yabasebenzi. Izifo ze-Reflux ye-Gastroesophageal (GERD). Clinical Mayo. Ukuhlaziywa kweyoKwindla 9, 2018.
> Ping W, Xiao-Hu Z, Zi-Sheng A, et al. I-Intake ye-Dietary ne-Risk yo-Esophagitis ye-reflux: Uvavanyo lwe-Case-Gastroenterology Research and Practice. 2013; 2013: 691026. i-doi: 10.1155 / 2013/691026.