Isifo se-reflux se-Gastroesophageal (GERD) siba yingxaki eyandayo kubantu beli minyaka yonke e-United States. Oku mhlawumbi kungenxa yecandelo lokunyuka kokusetyenziswa kokutya okukhawulezileyo, okuba kukudla okunamafutha kunye namafutha, kunye nesantya sokunyuka kwesantya. Ukuba uyakrokreza umntwana wakho, umzali, umlingane okanye omnye othandekayo uhlaselwa yi-acid reflux, kubalulekile ukuba ubone ugqirha oya kukwazi ukubona ukuba ukuxilongwa kwe-GERD kulungile kwaye akubandakanyi zonke ezinye iziphazamiso ezineempawu ezifanayo .
Ubunzima beempawu zeGERD zakho zomthandayo ziza kukhetha iindlela ezintle zokonyango. Okwangoku, zikho iindlela onokukunceda ukunciphisa ubunzima beempawu zakhe zokugubha ekhaya.
Iindlela zokutya
I-sphincter esezantsi (LES), i-valve phakathi kwe-esophagus nesisu, ngokuqhelekileyo ivala ngokuqinile ukugcina ukutya kunye nesisu esiswini apho ikhona. Ukuba ibuyisela kwakhona xa ingafanelekanga, ukutya kunye nesisu se-asidi siphinde siphakamise kwi-esophagus kwaye sibangele ukugquma.
Ukuguquka kwegazi kudla ngokubangelwa kukutya okuthile. Ncedisa wakho umthandayo ukuba aziqhelane nalezi zizathu kwaye uzame ukuqhubeka nokutya ngaphandle kwendlu ukuze angalingeki aze aphelelwe intlungu.
Ukutya okunokukhupha i-LES kubandakanya:
- Ukutya okuthosiweyo (greasy)
- Izidlo ezidumileyo
- Ibhotela kunye neargarini
- IMayonnaise
- I i sauces
- Ukugqoka isaladi
- Imveliso yobisi yobisi yonke
- Tshokolethi
- Peppermint
- Ukusela iziphuzo ze-caffeinated (umzekelo, iziphuzo ezithambileyo, ikhofi, itiye, i-cocoa)
Ukuqubuka komzimba kungenzeka xa isisu senza i-asidi eninzi, kwaye iyakhuphukela kwi-oophagus.
Ukutya okunokubangela ukuveliswa kwe-asidi kunye nokwanda kwenkohlakalo kubandakanya:
- Utywala
- Iziyobisi
- Utywala
- Ukutya okunesonka
- Ipelepele emnyama
- Iziqhamo zeCitrus kunye namajusi (umz., I-orange, iidipefruit)
- Ijusi leTamatato
Ukutya ngaphandle
Xa udla ngaphandle, buza malunga nendlela ezilungiselelwe ngayo izitya ezahlukeneyo, ukuba umhlobo wakho akanalo.
Unokucela ukuba inyama ilongwe ngaphezu kokuthosiweyo, umzekelo. Izitya ezininzi zibandakanya i-fat graff grass kunye namasiksi ongacela ukuba uguqule kwindawo engezantsi-mafutha okanye usebenze kwicala. Ngoxa abantu abadala befuna ukuzenza ngokwabo xa kufike ukutya, ukuqala incoko kunokunceda indlela yokukhetha okungcono.
Esikolweni
Ukunceda umntwana wakho aphephe ukutya ngelixa esikolweni, unokumisela ukutya kweentsuku zesikolo kangangoko kunokubangela ukutshabalalisa kwiintsuku xa ukutya okubangela ukuba kulungiswe. Izidlo zesikolo eziqhelekileyo zihlala ziqulethe ukutya okuninzi kwe-acid. Ukwazi ukuba yikuphi ukutya okukhuselekileyo ukuxhatshazwa kwezigulane kuya kunceda.
Ixesha lokutya
Khuthaza umhlobo wakho ukuba anciphise ubukhulu bokutya kwakhe, njengoko bandisa isisu kwaye kunokunyusa uxinzelelo oluphezulu kwi-sphincter esezantsi (LES), ebangela ukutshabalalisa . Ngenxa yokuba abantwana nabaselula bayakhula, banokuziva belambile xa bebuyisela ubukhulu bezabelo zabo ekuqaleni. Ukuba kunjalo, khumbuza umntwana wakho ukuba angadla ngokungaphantsi kancinci, kodwa ukuba akafanele adle ade azalise nasiphi na isidlo esinye. Olu tshintsho kwi "snacking" lunokubhena ezinye iifana.
Ukusebenzisa izitya ezincinci ekhaya, ukulungiselela ukutya okuncinci, kunye nokutya ukutya kwisitofu (kunokubhekiselele kwitheyibhile, apho kulula ukuyifumana imizuzwana) ingaba zicwangciso ezincedo.
Ubusuku bokuhlwaya ngokutsha kungase kube yindlela yokulala yokulala yakho, kodwa ukuba unesifo se-GERD, kunokukwenza ubuthongo obubuhlungu, obungenasiphelo ebusuku. Zama ukumxhatshaza ekudleni ngexesha lesibini ukuya kwiiyure ezintathu ngaphambi kokulala, mhlawumbi ngokuphepha ukuzicima.
I-Gravity iyakusiza ukugcina isisu seesisu singasondeza kwisigxu kwaye sincedisa ukuhamba kokutya kunye neentsholongwane zentsholongwane ukusuka esiswini ukuya emathunjini. Ngoko ke, nangona emva kokutya okudliwayo kungaboniswa, ukuhlala ixesha elithile emva kokutya kunokunceda umzimba usebenzise ixesha lokusebenzisa amandla ombane xa ukutya kukugaya.
Ixesha lokulala
Ukubhukuda kwexesha lokuhlwa kungaba yingozi kakhulu. Ukuba ukukhawuleza kwenyuka ebusuku, umngcipheko weengxaki ukhula. Kukho izizathu ezininzi zezi. Ngokomzekelo, i-refluxed acid ihlala ihlala kwisigxina ixesha elide, ivumela ukuba ibangele umonakalo omkhulu kwi-esophagus. Kukho, ke, iindlela ezimbalwa zokukhusela ukusila .
Ukulala phantsi iindinyana ezicatshulwayo zesisu esiswini ngokubhekiselele kwi-sphincter esezantsi (LES). Ngentloko ephakamileyo kunesisu, ubuncwane bunceda ukunciphisa olu xinzelelo. Buza udokotela wakho omthandayo ukuba uphakamise njani intloko yebhedi. Ukuphakamisa yonke intloko yebhedi ngokubeka izitena okanye iibhloko zokhuni ngaphantsi kweenyawo ngaphesheya, ukwenzela ukuba ibhedi idibene, isebenza kakuhle. Ugqirha wakho unokucetyiswa nokuba usebenzisa i-acid reflux bed okanye umcamelo wokumisela ukuphakamisa intloko yomthandayo xa ulele.
Iimpahla zokukhetha
Izambatho ezomeleleyo ezijikeleze isisu zisenzela isisu, ziphoqele ukutya ngokubhekiselele kwi-LES, ezibangela ukutya ukudubula kwakhona kwi-esophagus. Enyanisweni, kulula ukuyichaphazela impahla enxiba umntwana efana nentombazana, mhlawumbi enesimo sakhe. Nangona kunjalo, ukuthetha nentombazana malunga nendlela yokugqoka induduzo kunokunciphisa intshukumo yakhe ingakhokelela ukuba enze ukhetho olunjalo. Izambatho ezinokubangela iingxaki ziquka amabhande anxibeleleyo, ijeans ezixinyiweyo, kunye neengubo ezinxibekileyo.
Ukulandelwa kwesimboli
Thenga umthandi wakho umagazini kwaye, ukuba unako ukukwazi nokuzimisela, makubhale phantsi xa efumana iimpawu zokubhukuda, yintoni ukutya okuye kwadliwa, kunye / okanye nantoni na ayenzayo ngaphambi kokuba kuvele ukutshabalalisa. Ubunzima benkqutyana nganye yeentliziyo kunye nento eyamnika uncedo kufuneka kuphawulwe. Unako ukubeka ingxaki yakhe kwinqanaba le-1 ukuya kwe-10 kunye ne-10 eyiyona nkxalabo engayicinga ngayo kunye no-1 kuba intlungu engekho apho.
Unako ukuzisa le ngcaciso kumgqirha, ngubani onokumnceda enze ukuguqulwa kokutya kwakhe, umsebenzi, okanye unyango, ukuba kuyimfuneko.
Esi siqhinga esincedo kubazali bentsha abachasene neziphakamiso zabo; Iingcebiso ezivela kugqirha zinokufumana ngcono.
Ukuzivocavoca
Ukuba wakho umthandayo unobunzima okanye ukhuluphele, ukulahlekelwa yimali engama-5 okanye i-10 kunokunceda ukunciphisa iimpawu zokuguquka kwenhliziyo kunye nokuzivocavoca, ngokubanzi, kunenzuzo ngezizathu ezininzi. Mkhuthaze ukuba ahambe, agibele ibhayisikili yakhe, okanye atyelele kwi-treadmill ngelixa ekhangele iTV. Zama imisebenzi enentsapho ecocekileyo njengebhokisi, ukuhamba, ukulima, okanye ukubhukuda. Ukusebenza kunye nomthandayo kungamnceda ukuba azive ekhuthaza.
Mayeza
Ama-Antacids afana ne-Tums, i-Rolaids, ne-Mylanta ayifumananga ne-acid esiswini. Kunceda ukuzigcina zihamba kakuhle, ngakumbi ukuba umhlobo wakho uhlala ebalahle. Nangona kunjalo, ukuba kufuneka asebenzise i-antacids ngaphezu kweveki okanye njalo, okanye ukuba ungeyantlukwano ingasombulula ngokukhawuleza iimpawu, ukutyelela ugqirha kuyacetyiswa. Ukusebenzisa i-antacid kwisithuba esingaphezu kweyodwa ukuya kweyesibini kufuneka kwenziwe kuphela ngokhokelo lugqirha.
Ukuba wakho umthandayo wenze iinguqu zokutya kunye neendlela zokuphila ezenza ukunciphisa intlungu ngaphandle kokuphumelela, kusenokuba yithuba lokusebenzisa enye imithi enamandla. Ngaphandle kwe-antacids, kukho ezimbini iindidi eziphambili zonyango lokuphuza iindlebe:
- I-Acid blockers (H2 blockers), njengeTagamet (cimetidine), iPepcid (famotidine), i- Zantac (ranitidine) kunye ne-Axid (nizatidine)
- I-Acid suppressors ( iproton pump inhibitors , i-PPIs), njenge- Prilosec (omeprazole), i-Prevacid (lansoprazole), i- Nexium (esomeprazole), i-Aciphex (i-rabeprazole) ne-Protonix (i-pantoprazole)
Nangona kunjalo, ukusetyenziswa kwexesha elide kwezi nkunkuma kuye kwadibana neesifo sezintso, ukuhlaselwa yintliziyo, kunye neenthambo zenyama. Iimiphumo ezichaphazelekayo kufuneka zixoxwe nodokotela. I-long-term aclux reflux inokubangela iingxaki, ngoko ugqirha wakho omthandayo unokukunceda uqikelele ingozi kunye neenzuzo zonyango.
Ukuba umhlobo wakho uhlala ekhohlwa ukuba athathe unyango lwakhe (okanye wena, njengomzali, ulibale ukunika umntwana wakho), unokufumana unyango lokukhumbuza izixhobo ze-smartphone zokusebenza luncedo.
Inkxaso
Ingonyango engcono kakhulu ye-acid reflux iyakukhusela, kwaye ukwenza utshintsho kwisithandwa sakho somntu osithandayo, indawo yokulala, kunye nomsebenzi uyona ndlela efanelekileyo yokuqala. Olu tshintsho, nangona kunjalo, maxa wambi lunzima ukwenza. Yenza okusemandleni akho ukukhuthaza nokubeka umhlobo wakho ukuba uphumelele, kwaye uzame ukubekezela njengoko befumana indlela yabo (okanye wena, njengomzali womntwana one-GERD, yenza okufanayo).
Ukubandakanya ugqirha wakho omthandayo kunokuba luncedo, kungekhona ekufundeni okungakumbi malunga nendlela yokulawula iimpawu zakhe nokufumana unyango olunceda, kodwa kuba lubandakanya umntu onokukuxhasa kwaye akubuyisele kwiingcebiso ozenzileyo. Ukuba ungumzali, khumbula ukuba ekugqibeleni ininzi intsha ivela kwixesha lokungcoliseki kwaye ithatha indima enkulu ekusebenzeni ukunciphisa iimpawu ekufuneka zijamelane nazo.
> Imithombo:
> Baird DC, Harker DJ, Karmes AS. Ukuxilongwa kunye noTyango lwe-Gastroesophageal Reflux kwiintsana nabantwana. WaseMerika ugqirha . Oktobha 15, 2015; 92 (8): 705-14.
> Lightdale JR, i-DA yeGremse, iCandelo kwi-Gastroenterology, iHepatology, kunye neZondlo. I-Gastroesophageal Reflux: Isikhokelo soLawulo soBantwana. Pediatrics . Meyi 2013; 131 (5): e1684-95. i-doi: 10.1542 / iipeds.2013-0421.