Izizathu Zokubanjelwa Kwentlungu Eyabasetyhini

Izizathu zokuba kutheni uzive uvakalelwa

Xa zonke izinto zilingana, ezifana nemikhwa yokuphila kunye nezidlo, ibhinqa ayibonakali ukuba ihluthe intlungu ngokuphindaphindiweyo kunamadoda. Ukwahluka kuza xa abesifazana behamba ngeemeko zabantu abazange babe namava - njengokukhulelwa kunye nokwexeshana.

Ezi ziganeko zobomi azikho kuphela izinto ezinokubangela ukutshatyalaliswa kwintlungu kubafazi. Funda ukuze ufumane ukuba yintoni enye enokubangela ukuba isisu sitshise.

Ukukhulelwa

Kwabesetyhini abaninzi, amava abo okuqala ngokunyamezela kwenzeka ngexesha lokukhulelwa. Enyanisweni, inani labafundi libonise ukuba ngaphezu kwesigamu sabo bonke abafazi abakhulelweyo baya kubandezeleka.

Ukuguquka komzimba ngexesha lokukhulelwa kwenzeka ngenxa yezizathu ezininzi. Amanqanaba okwandisa ama-hormone emzimbeni wakho ngelixa ukhulelwe anganciphisa iigaments ngokuqhelekileyo igcine i- sphincter esezantsi (I-LS) ivalwe ngokuqinile. Ukuba i-LES ihlaziya ngexesha elingafanelekiyo, ukutya kunye nesisu se-acids zingakwazi ukuhlaziya phezulu kwisisu sakho nomqala. Kwakhona, uxinzelelo lwakho lubekwe kwisisu sakho njengoko umzimba wakho utshintsha kwaye umntwana wakho ukhula. Oku, unako ukunyanzelisa isisu esiswini ngokusebenzisa i-LES kunye ne-oophagus.

Kukho amanyathelo, nangona kunjalo, ukuba abafazi bangathatha ukunciphisa ukubetheka kwenhliziyo ngexesha lokukhulelwa .

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IHormones

Kwabesifazana abathile, ukuthatha i-progesterone kunokubangela ukutshaya. Iprogesterone yi-hormone efihliweyo ngama-ovari esithintela imiba emininzi yomzimba wesifazana, kuquka ukulawulwa kwemijikelezo yokuya esikhathini nokukhulelwa. Iprogesterone inokunyusa umonakalo, uncedo lokukhusela kumagciwane athile (umz. Umhlaza we-endometrial), kunye nokunciphisa okanye ukuyeka ukulahleka kwethambo (i-osteoporosis). Iprogesterone nayo isetyenziswe kunyango lwabafazi abathile be-postmenopausal.

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Ukuba ngaphezu komzimba

Uphando lubonisile ukuba ukugqithisa kakhulu, ngokukodwa phakathi kwakho, kunokunyusa amathuba okuba uhlaselwe yintlungu. Oku kusebenza kubasetyhini kunye namadoda. Lo bunzima obongezelelekileyo bunyusela umngcipheko wokutshatyalaliswa kwentlungu ngenxa yokuba kuninzi uxinzelelo kwisisu sakho.

Ngenxa yokunyuka kwengcinezelo kwisisu, okuphakathi kwesisu kunokuxinzelela kwisiphincter esophageal sphincter (LES). Olu xinzelelo olunyukisayo malunga ne-LES luya kuvula xa lufanelekanga, kwaye oku kuvumela ukuba isisu esiswini kunye nezinye izidumbu zithintele kwisipopu.

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Ukutya Okubangela Ukuguquka Kwentlungu

Kubantu abaninzi, ukutya kukubangela enkulu yokukhwaza. Abanye bangabonakalisa ukuba ukutshabalala kwabo badla kakhulu okanye badle ukutya okunesonka, kodwa ezinye ukutya zingabangela ukuguquka kwegazi, nangona xa kudliwe ngokumodareyitha.

Ezi zokutya zinokunyusa amathuba okufumana ukuguquka kwentliziyo ngokuphucula i-LES okanye ngokuvuselela ukuveliswa kwe-acid kwisisu. Kubalulekile ukwazi ukuba kukuphi ukutya okubangela ukutshabalalisa, kwaye yikuphi ukutya okukukhuselekileyo ukukhusela abantu abanezifo . Nangona kunjalo, umntu ngamnye uhlukile, kwaye yintoni enokubangela ukuba umntu aphephe intliziyo ngomntu omnye unokufaneleka ukuba omnye adle. Ngako oko, kubalulekile ukugcina idayari yokukhwabanisa kwiveki okanye ezimbini, ukugcina ingqalelo yintoni ukutya okutyayo kunye nokuba kungenjalo ukutshabalalisa.

Ezinye zokutya ezinokubangela ukukhwabanisa ziquka:

• Ukutya okunamafutha aphezulu
• Tshokolethi
• Peppermint
• Ukusela iziphuzo ze-caffeinated (umzekelo, iziphuzo eziphathekayo, ikhofi, itiye, i-cocoa)
• Iziyobisi
• Utywala
• Ukutya okunesonka
• Ipelepele emnyama
• Iziqhamo zeCitrus kunye nemiphunga (umz. I-orange, iidipefruit)
• Ijusi leTamatato

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Ixesha lokutya

Abantu abaninzi banomkhuba wokuba ukutya okuthathu kwaye mhlawumbi isibini esincinci esincinci emini. Ngelishwa, le nto ingaba ngumkhwa omubi xa unesifo sengqondo. Ukutya ukutya okukhulu kunokunyusa uxinzelelo esiswini kunye ne-LES muscle. Ukutya ukutya ezintlanu okanye ezintandathu ezincinci kunokuba zintathu ezinkulu zibhetele. Ukusela kwamanzi kuya kunceda ekutyeni.

Ukwamukela umkhwa wokubeka ifom okanye i-spoon phantsi phakathi kokukhala kungakunceda ukuba udle kancane. Oku kuvumela isisu sakho ukuba uqale ukugaya ukudla ngexesha usasidla, unceda ukugcina isisu sakho singagqibekanga.

GERD

Ukuguquka kwegazi kunye nokuvuselelwa kwe-asidi yimiqobo ephambili ye- GERD , nangona abanye abantu bane-GERD ngaphandle kokuguquka. Isifo se-reflux se-Gastroesophageal (GERD), esibizwa ngokuba yisifo se-acid reflux, senziwa xa i-LES ingavali kakuhle okanye ivule xa ingafanelekanga, kubangela ukuba isisu sesisu siphinde siphakamise kwi-esophagus.

Ukuqubuka komlilo okwenzeka ngaphezu kwephindwe kabini ngeveki kunokubhekwa njengeGERD, kwaye ekugqibeleni kungaqhubela phambili kwiingxaki zempilo ezinzulu. Ugqirha wakho uya kutyhila iimpawu zakho, enze uvavanyo lomzimba kwaye angenza iimvavanyo zokuxilonga, ezifana ne- endoscopy ephezulu ngaphambi kokuxilongwa.

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Hiatal Hernia

Inkunkuma yokuzalwa yenzeke xa inxalenye esezantsi yesisu iqhubela phezulu kwisifuba ngokuvula kwintsimbi. Kukho iindidi ezimbini ze- hiniya , i-sliding okanye ipara-esophageal .

Kuphela malunga nama-50% abantu abane-hernia yokubeleka baya kuba neempawu. Nangona kunjalo, kulabo abenzayo, ukutshaya iindlovu kungaba enye yeempawu ze-hernia .

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Ukutshaya

Ukubhema kunokunyusa iingxaki zokufumana intlungu. Ukubhema kunokubangela ukutshabalalisa ngeendlela ezimbalwa, kubandakanywa ukuvuselela ekuveliseni isisu esiswini, ukunyanzeliswa kwe-LES, nokunciphisa ukugaya. Ukongeza, ukutshaya kunokulimaza i-oopopus.

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Utywala

Utywala lunokubangela ukutshaya. Imiphumo yobutywala iquka ukunyuka kokuveliswa kwesisu kwe-acid, ukuphucula i-LES kunye nokwenza ukuba isisu sibe sesichengeni ngakumbi kwisisu se-acid.

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Iindlela zokulala

Phantse i-80% yezigulane zokugubha iindlebe ziza kubakho ukuhlaselwa kwexesha lokuhlwa ebusuku. Ukuguquka komlilo kungenzeka ebusuku xa ulala embhedeni emva kokutya, ngokukodwa ukuba udla isidlo esikhulu. Ukuqubuka komlilo kungenzeka nokuba ulala phantsi, okuvumela ukuba isisu singene kwi-LES.

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Ukuzivocavoca

Ukuzivocavoca akunakwenzeka isizathu sokubhukuda xa umntu sele esenaso isifo sokuguquka kwesifo esingapheliyo. Ukuqubuzela kunokwenzeka ukuba kwenzeke ngexesha lokuzivocavoca kwimizuzu engaphezu kwexesha elichaphazelekayo. Kukho izinto ezimbalwa onokuzenza ukuze unciphise amathuba okugubha intliziyo ngexesha lokuzivocavoca, njengokuphepha ukusebenzisa emva nje kokutya. Kwakhona, kufuneka uxoxe noogqirha wakho kuqala malunga nokuba yiyiphi imimiselo engcono kakhulu kuwe.

Ukuxinezeleka

Abantu abaninzi abanobuhlungu beentlungu bahlala besithi ukuphila ngokuchukumisayo kunye nokuxinzezeleka komsebenzi kwandisa ukutshaya. Ngoxa uxinzelelo lungaxhunyiwe ngqo kwi-heartburn, kuyaziwa ukuba kunokukhokelela ekuziphatheni okungabangela ukuguquka kwenhliziyo.

Xa abantu behamba ngamaxesha axinzelelekileyo, abanakho ukulandela imizila yabo yesiqhelo kunye nokutya, ukusetyenziswa, kunye namayeza. Kubalulekile ukufumanisa iindlela zokunciphisa uxinzelelo, kwaye ngoko wenze ukukhwabanisa okuxinzelelekileyo uxinzelelo.

Imithombo:

_{I-American Journal ye-Gastroenterology, " Izikhokelo ezihlaziyiweyo zokuxilongwa nokuPhathwa kwezifo ze-Reflux Gastroesophageal. " I-American College of Gastroenterology.}

_{UKarol Ann Rinzler, uKen DeVault, MD. Ukuguquka kwegazi kunye neReflux yeeDummies. Wiley Publishing, Inc, 2004}

_{"I-Heartburn kunye ne-GERD FAQ." I-American College yeGastroenterology, ngo-17 Agasti 2010. http://www.acg.gi.org/patients/gerd/faqansw.asp.}

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