Izizathu ezinokwenzeka zibandakanya ukutshabalalisa okanye i-GERD
Xa iziqulatho zesisu zakho zibuyela emva kwi-oophagus uze ufike kumqolo wakho, unokubona ukunambitha okumuncu emlonyeni wakho. Oku kunokubakho ngenxa yesimo esingapheliyo esaziwa njengesifo se-reflux ye-gastroesophageal (GERD), apho i- sphincter esezantsi (i-LES) ivuleka ngokungafanelekanga kwaye ivumela isisu esiswini ukuba ibuyele kwi-esophagus.
Indlela Ebuhlungu ngayo
Ngokuqhelekileyo, i-LES isebenza njenge-valve yendlela enye, ukuvula ukuvumela ukutya kudlule kwisisu kwaye kuvaliwe ukugcina ukutya kunye neentshisi zokugaya ukutya ukusuka kwi-back to the hoop. Kodwa ukuba i-LES igxeka xa ingafanelekanga okanye ingaba ithathaka, isisu se-asidi sinokubuyela emzimbeni kwisigxina, kubangela ukuvutha komlilo esiyaziyo njengentlungu kwaye ngamanye amaxesha unomdla omuncu emlonyeni wakho. Ukuba unentlungu engaphezu kwesibini ngeveki ngaphezu kweeveki ezimbalwa, ingaba yiGERD kwaye kufuneka udibane nodokotela wakho.
Ukuguquka Kwentlungu
Ukuguquka, okubizwa ngokuba yi-reflux ye-gastroesophageal (GER), inokwenzeka ngenxa yezizathu ezininzi. Iimpawu ezinokuthi zenze i-heartburn zibandakanya:
- Ukutya ukutya okuvame ukubangela ukuguquka kwenhliziyo, njengokothokoleti, isinti, kunye nokutya okuchukumisayo njengamatamatati kunye neziqhamo zentrafri
- Ukusela utywala
- Ukubhema ugwayi
- Ukukhulelwa
- Ukugqithisa
Ezinye izibonakaliso zeGERD
Ukongeza kwintetho enomuncu emlonyeni wakho, unokufumana ezi ezinye iimpawu zeGERD :
- Iintlungu zesifuba. Le ntlungu idla ngokuqala emva kwebele (i-sternum) kwaye ikwazi ukuhamba ukuya emqaleni. Idla ngokukhawuleza emva kokutya kwaye inokuhlala kumzuzu embalwa ukuya kwiiyure eziliqela. Kubalulekile ukukhumbula ukuba ngamanye amaxesha intlungu yesifo senhliziyo ingadideka kunye nentlungu evuthayo yeGERD, yaye kubalulekile ukuba ufune unyango ukuba kukho nayiphi na into engathandabuzekiyo malunga noko kubangela intlungu yesifuba.
- Ukuthuka ekuseni. Ukuba ufumana i-acid yesisu ihlahlela emqaleni wakho, umqala wakho unokucaphukisa, okhokelela ekuthomeni.
- Unzima ukugwinya. Ingxaki ngokugwinya ( dysphagia ) kwenzeka xa ukutya kungadluli ngokuqhelekileyo emlonyeni ngokusebenzisa isisu ukuya kwisisu. Kukho ukuvalelwa kokutya okubambelela emqaleni okanye ukuva. Ingxaki yokugwinya kufuneka ihlale ihlolwe ngugqirha.
- Ukuqhubeka ukukhwehlela. Kwezinye iinjongo, i-GERD yabhalwa malunga neepesenti ezingama-41 zeengxaki zomkhuhlane ongapheliyo kwizigulane ezingenasiphelo. Ukuba i-acluc acid aclux iphefumlelweyo, ingabangela ukukhwehlela.
- Ukuphefumula. Xa i-asidi isisu isenyuka emqaleni nasemlonyeni, kungekhona nje oku kunokubangela ukunambitha okumuncu, kodwa ukuphefumula komsindo kungabangela.
Yintoni oyenzayo malunga nokuguquka komlilo
Ukuba unobungozi obungapheliyo , ufanele uthethe nodokotela wakho ukuba uxoxe ngesicwangciso sonyango esikusebenzelayo. Oogqirha badla ngokubonisa ukuguqulwa kokuphila kuqala. Unokunciphisa amathuba akho okuguquka kwezinto ezibangelwa ukuphepha ukutya okunokubangela ukukhwabanisa nokufunda indlela yokulala ukukhusela ukusila .
Ukuba ezi nyathelo azisebenzanga ukulawula ukutshabalalisa kwakho, ugqirha wakho uya kuxubusha ezinye iindlela zokwelapha, ezifana neproton pump inhibitors (PPIs), kwaye mhlawumbi wenze iimvavanyo zokuxilonga, ezifana ne- endoscopy ephezulu .
Imithombo:
> Ikholeji yaseMerika yaseGastroenterology. I-Acid Reflux.
> Isebe lezeMpilo lase-US kunye neeNkonzo zoLuntu, iZiko leSizwe leSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. I-Acid Reflux (GER kunye neGERD) kwi-Adults. Epapashwe ngoNovemba 2014.