Ukukhishwa kwe-gastroesophageal - ukukhipha

Isifo se-reflux se-Gastroesophageal (GERD) yisimo lapho okuqukethwe esiswini kuvuza khona emuva kusuka esiswini kuya esiswini (ishubhu elisuka emlonyeni liye esiswini). Le ndatshana ikutshela ukuthi yini okudingeka uyenze ukuphatha isimo sakho.

Unesifo se-reflux se-gastroesophageal (GERD). Lesi yisimo lapho ukudla noma uketshezi kubuyela emuva kusuka esiswini kuya emphinjeni (ishubhu elisuka emlonyeni liye esiswini).

Kungenzeka ukuthi uke waba nokuhlolwa ukusiza ukuthola i-GERD yakho noma izinkinga onazo kuyo.

Ungenza izinguquko eziningi zokuphila ukusiza ukuphatha izimpawu zakho. Gwema ukudla okudalela izinkinga kuwe.

• UNGABUPHUZI utshwala.
• Gwema iziphuzo nokudla okune-caffeine, njenge-soda, ikhofi, itiye noshokoledi.
• Gwema ikhofi enamanzi. Iphinde inyuse izinga le-asidi esiswini sakho.
• Gwema izithelo nemifino ene-asidi ephezulu, njengezithelo ezisawolintshi, uphayinaphu, utamatisi, noma izitsha ezenziwe ngotamatisi (i-pizza, upelepele nespaghetti) uma uthola ukuthi zibangela isilungulela.
• Gwema izinto nge-spearmint noma i-peppermint.

Amanye amathiphu wokuphila angenza izimpawu zakho zibe ngcono yile:

• Yidla ukudla okuncane, futhi udle kaningi.
• Yehlisa isisindo, uma udinga.
• Uma ubhema noma uhlafuna ugwayi, zama ukuyeka. Umhlinzeki wakho wezokunakekelwa kwempilo angakusiza.
• Vivinya umzimba, kodwa hhayi ngokushesha ngemuva kokudla.
• Nciphisa ukucindezeleka kwakho futhi ubuke izikhathi ezicindezelayo, ezinzima. Ukucindezeleka kungaphazamisa inkinga yakho ye-reflux.
• Goqa emadolweni, hhayi okhalweni lwakho, ukuze uthathe izinto.
• Gwema ukugqoka izingubo ezikucindezela okhalweni noma esiswini.
• Musa ukulala phansi amahora amathathu kuya kwamane emva kokudla.

Gwema imithi efana ne-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn). Thatha i-acetaminophen (iTylenol) ukudambisa izinhlungu. Thatha noma imuphi wemithi yakho ngamanzi amaningi. Lapho uqala umuthi omusha, khumbula ukubuza ukuthi uzokwenza yini isilungulela sakho sibe sibi kakhulu.

Zama lawa macebiso ngaphambi kokulala:

• UNGAKWEQI ukudla noma udle isidlo esikhulu sedina ukuze wenze ukudla okugejile.
• Gwema ukudla okulula ebusuku.
• UNGALALI phansi lapho usudlile. Hlala uqonde amahora amathathu kuya kwangu-4 ngaphambi kokulala.
• Phakamisa umbhede wakho ngamasentimitha ama-4 kuye kwayi-6 (amasentimitha ayi-10 kuye kwayi-15) ekhanda lombhede wakho, usebenzisa amabhlogo. Ungasebenzisa futhi ukusekelwa komugqa okhulisa uhhafu ophezulu womzimba wakho lapho ulele. (Imicamelo eyengeziwe ephakamisa ikhanda kuphela ingahle ingakusizi.)

Ama-Antacids angasiza ekunciphiseni isisu sakho esiswini. Azisizi ekwelapheni ukucasuka emqaleni wakho. Imiphumela emibi ejwayelekile yama-antacids ifaka uhudo noma ukuqunjelwa.

Ezinye izidakamizwa ezithengiswa emithini nemithi kadokotela ingaphatha i-GERD. Zisebenza kancane ukudlula ama-antiacids kepha zikunikeza ukukhululeka okude. Umhlinzeki wakho angakutshela ukuthi ungayithatha kanjani le mithi. Kunezinhlobo ezimbili ezahlukene zale mithi:

• Abaphikisi be-H2: i-famotidine (i-Pepcid), i-cimetidine (i-Tagamet), i-ranitidine (i-Zantac), ne-nizatidine (i-Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec noma Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), ne-pantoprazole (Protonix)

Uzoba nokuvakashelwa okulandelanayo nomhlinzeki wakho ukuze uhlole umphimbo wakho. Ungadinga futhi ukuhlolwa kwamazinyo. I-GERD ingadala ukuthi uqweqwe olusemazinyweni akho luqede.

Shayela umhlinzeki wakho uma une:

• Izinkinga noma ubuhlungu ngokugwinya
• Ukuchofoza
• Umuzwa ogcwele ngemuva kokudla ingxenye encane yokudla
• Ukwehla kwesisindo okungachazeki
• Ukuhlanza
• Ukuphelelwa isifiso sokudla
• Ubuhlungu besifuba
• Ukopha, igazi kwizitulo zakho, noma amnyama, izitulo ezibukeka zilindile
• Ukungahambi kahle

I-pepic esophagitis - ukukhishwa; I-Reflux esophagitis - ukukhishwa; I-GERD - ukukhishwa; Isilungulela - okungamahlalakhona - ukukhipha

• Isifo se-reflux se-gastroesophageal

U-Abdul-Hussein M, uCastell DO. Isifo se-reflux se-Gastroesophageal (GERD). Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019; 208-211.

I-Falk GW, i-Katzka DA. Izifo zomphimbo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 138.

Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuxilongwa nokuphathwa kwesifo se-reflux se-gastroesophageal. NginguJ Gastroenterol. 2013; 108 (3): 308-328. I-PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

URichter JE, uFriedenberg FK. Isifo se-reflux se-gastroesophageal. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 44.

• Ukuhlinzwa kwe-anti-reflux
• Ukuhlinzwa kwe-anti-reflux - izingane
• I-EGD - esophagogastroduodenoscopy
• Isifo se-reflux se-gastroesophageal

• Ukuhlinzwa kwe-anti-reflux - izingane - ukukhishwa
• Ukuhlinzwa kwe-anti-reflux - ukukhishwa
• Isilungulela - okufanele ukubuze kudokotela wakho
• Ukuthatha ama-antacids

• IGERD