I-GERD ebusuku Ingabangela Ukulimala okungakumbi
Kutheni ukutshabalala kunobungozi kakhulu ebusuku? Kukho izizathu ezininzi ezi zinto, kwaye kutheni kufuneka uthathe amanyathelo xa unesiphelo.
Xa iimpawu zesifo se-reflux se-gastroesophageal (GERD) senzeke ebusuku, sinokulimaza ngakumbi kunezo zibonakalisi emini. Ukuba unayo i-GERD, uyazi ukuba iimpawu zakho zingabangela iingxaki, ezinjengeentlungu kunye nentlungu.
Xa ulala ebusuku, umzimba wakho awukulungele ukujongana nale mpawu kwaye ungakwazi ukunqanda umonakalo ongapheliyo.
Izinto ezenza Ukwenyuka Kwentlungu Ebusuku Ubusuku Buhlungu
Uyazi ukuba ngamava ukuba i-asidi igxotha ebusuku ingaphazamisa ubuthongo bakho. Kufuneka kwakhona uqonde ezinye izinto ezinokulimaza ezinokukwenza ukukhwabanisa kwebusuku kungabangela umonakalo. Ezi zinto ziquka:
- Ukulala kwindawo ephakamileyo. Ukulala ngokulala kwisithambiso kuvumela i-asidi yesisu ukuba ijikeleze ngokugqithiseleyo kwi- esophagus , kwaye uhlale apho ixesha elide kunexesha xa umntu esesimweni esifanelekileyo. Ukuphakamisa intloko kunye namagxa ama-6 ukuya kuma-8 amayintshi kuya kunceda ukugcina isisu esiswini apho singabakho, esiswini.
- Awukwazi ukusela okanye ukugwinya rhoqo xa isiqephu se-acid reflux sisenzeka xa ulala. Xa unayo i-GERD kwaye uphapheme ngexesha lesiganeko se- aclu reflux , uhlala uhlamba umlomo wakho okanye uginye umbane. Nokuba ugxininise umatha unceda. Xa ulele, xa i-acluxed acid ehlala kwisigubhu okanye emqaleni, awunasoloko uyayazi kwaye ke awuyi kuthatha amanyathelo okucoca i-asidi kude.
- Kukho ubuncipheko obuncitshiweyo bokubhukuda kwizinto ezisetyenziswayo zesisu. Ukuba i-refluxed acid isemqaleni nasemlonyeni, umntu onokuGERD angafaka le miphunga. Ngenye emiphakeni, ingabangela ukukhwehlela nokukhahlela kwizinto ezifunayo. I-asidi ingakhokelela umonakalo ofanayo kumaphaphu njengoko kunokubangela ukuba uhlaziye kwi-esophagus.
Iingxaki zeCliniki ze-GERD
Ngeengozi ezongeziweyo zomonakalo kwi-esophagus, kunokuba nomngcipheko omkhulu wezilonda ze-esophageal kunye neemeko zokuphefumula ngokukhwabanisa ebusuku. Kodwa-ke, isifundo esinye, asifumananga isiganeko esinyukayo se-Barrett's (okuyinto eyenza umngcipheko wesifo somdlavuza ) phakathi kwezigulane ezingenayo i-GERD. Ubusuku i-GERD inokuchaphazela impilo yakho ngezinye iindlela ngokuphazamisa ubuthongo bakho, obangela kwimpilo emininzi kunye nemigangatho yemicimbi yobomi.
Uncedo lweNtshontsho yokuBula
Ukuba unobungozi bokuhlwaya ebusuku okanye ezinye iimpawu zeGERD , xubusha nodokotela wakho. Iindaba ezilungileyo kukuba zilawulwa ngempumelelo. Kukho amayeza anokunceda ukulawula i-reflux ye-asidi, kuquka i-proton pump inhibitors njenge-Prevacid ne-Prilosec, kunye ne-block-receptor blockers njenge-Pepcid, iTamamet ne-Zantac.
Ugqirha unokuphinda axoxe ngamanyathelo okuthintela ukukhusela ngomsindo ebusuku kunye nomntu onguGERD angasebenzisa ukunceda umonakalo, njengokuphakamisa intloko yebhedi yakho. Ukuba kuyimfuneko, kukho iinketho zokugada ezifana ne-Nissen fundoplication, inkqubo ye-laparoscopic.
> Imithombo:
> Gaddam S, Maddur H, Wani S, et al. Izinto Zingozi ZeNkcenkcesha Ebusuku Bomhlaba kwiqela elikhulu leGERD. Umbhalo we-Clinical Gastroenterology . 2011; 45 (9): 764-768. i-doi: 10.1097 / mcg.0b013e318205e164.
> Gerson LB, Fass R. Uhlolo oluHlolo lweeNkcazo, ukuPhelela, kunye nokuphendula ukuPhathwa kweNtsholongwane yeCastroesophageal Reflux. I-Clinical Gastroenterology kunye neHepatology . 2009; 7 (4): 372-378. i-doi: 10.1016 / j.cgh.2008.11.021.