Isilungulela

Isilungulela umuzwa oshisayo obuhlungu ngezansi nje noma ngemuva kwethambo lesifuba. Esikhathini esiningi, kuvela esophagus. Ubuhlungu buvame ukukhuphuka esifubeni sakho kusuka esiswini sakho. Kungasakazeka futhi entanyeni noma emphinjeni.

Cishe wonke umuntu unesilungulela kwesinye isikhathi. Uma unesilungulela kaningi, ungaba nesifo se-reflux se-gastroesophageal (GERD).

Imvamisa lapho ukudla noma uketshezi kungena esiswini sakho, ibhande lemisipha elingezansi ekugcineni kwe-esophagus yakho liyavala i-esophagus. Leli bhande libizwa nge-lower esophageal sphincter (LES). Uma leli bhande lingavaleki ngokwanele, ukudla noma i-asidi esiswini kungasekela (i-reflux) esikhunjeni. Okuqukethwe yisisu kungacasula i-esophagus futhi kubangele ukushaya kwenhliziyo nezinye izimpawu.

Isilungulela maningi amathuba okuthi ube ne-hernia yokuzalwa. I-hernia yokubeletha yisimo esenzeka lapho ingxenye ephezulu yesisu ingena emgodini wesifuba. Lokhu kunciphisa i-LES ukuze kube lula ukuthi i-asidi ibuyele esiswini iye esiswini.

Ukukhulelwa nemithi eminingi kungaletha isilungulela noma kukwenze kubi kakhulu.

Imithi engadala isilungulela ihlanganisa:

• I-Anticholinergics (esetshenziselwa ukugula kwasolwandle)
• Ama-beta-blocker wegazi eliphakeme noma isifo senhliziyo
• Ama-calcium block blockers we-high blood pressure
• Izidakamizwa ezinjenge-Dopamine zesifo seParkinson
• I-progestin yokopha okungavamile kokuya esikhathini noma ukulawulwa kokuzalwa
• Izindlela zokukhathazeka noma izinkinga zokulala (ukuqwasha)
• I-Theophylline (yesifo somoya noma ezinye izifo zamaphaphu)
• I-Tricyclic antidepressants

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo uma ucabanga ukuthi omunye wemithi yakho kungenzeka ukuthi ubanga isilungulela. Ungalokothi ushintshe noma uyeke ukuthatha umuthi ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Kufanele welaphe isilungulela ngoba i-reflux ingalimaza ulwelwesi lwe-esophagus yakho. Lokhu kungadala izinkinga ezinkulu ngokuhamba kwesikhathi. Ukushintsha imikhuba yakho kungasiza ekuvimbeleni isilungulela nezinye izimpawu ze-GERD.

Amathiphu alandelayo azokusiza ukuthi ugweme isilungulela nezinye izimpawu ze-GERD. Khuluma nomhlinzeki wakho uma ngabe usakhathazwa yisilungulela ngemuva kokuzama lezi zinyathelo.

Okokuqala, gwema ukudla neziphuzo ezingadala i-reflux, efana nale:

• Utshwala
• Ikhafeyini
• Iziphuzo ezinamakhemikhali
• Ushokoledi
• Izithelo nojusi
• I-Peppermint ne-spearmint
• Ukudla okubabayo noma okunamafutha, imikhiqizo yobisi egcwele amafutha
• Utamatisi nososo katamatisi

Okulandelayo, zama ukushintsha imikhuba yakho yokudla:

• Gwema ukugoba noma ukuzivocavoca umzimba ngemuva nje kokudla.
• Gwema ukudla kungakapheli amahora amathathu kuya kwangu-4 ngaphambi kokulala. Ukulala phansi ngesisu esigcwele kubangela ukuthi okuqukethwe yisisu kucindezele kanzima ngokumelene ne-sphincter engezansi ye-esophageal (LES). Lokhu kuvumela i-reflux ukuthi yenzeke.
• Yidla ukudla okuncane.

Yenza ezinye izinguquko zendlela yokuphila njengoba kudingeka:

• Gwema amabhande noma izingubo ezikubophela okhalweni. Lezi zinto zingasikhama isisu, futhi zingaphoqa ukudla ukuthi kuphume futhi.
• Yehlisa isisindo uma ukhuluphele ngokweqile. Ukukhuluphala kwandisa ingcindezi esiswini. Le ngcindezi ingadudula okuqukethwe yisisu singene emphinjeni. Kwezinye izimo, izimpawu ze-GERD ziyaphela ngemuva kokuthi umuntu okhuluphele ngokweqile ehle ngamakhilogremu ayi-10 kuye kwayi-15 (4.5 kuya ku-6.75 kilograms).
• Lala uphakamise ikhanda cishe ngamasentimitha ayi-15. Ukulala nekhanda liphezulu kunesisu kusiza ukuvimbela ukudla okugayiwe ekusekeleni emuva emqaleni. Beka izincwadi, izitini, noma amabhlogo ngaphansi kwemilenze ekhanda lombhede wakho. Ungasebenzisa futhi umcamelo obunjiwe ngaphansi kukamatilasi wakho. Ukulala emicamelweni eyengeziwe AKUSEBENZI kahle ukuqeda isilungulela ngoba ungaphuma emicamelweni ebusuku.
• Yeka ukubhema noma ukubhema. Amakhemikhali entuthu kagwayi noma imikhiqizo kagwayi anciphisa i-LES.
• Nciphisa ukucindezeleka. Zama i-yoga, i-tai chi, noma ukuzindla ukusiza ukukhululeka.

Uma ungakakutholi ukukhululeka okugcwele, zama imithi yamakhasimende:

• Ama-Antacids, afana neMaalox, iMylanta, noma amaTums asiza ekunciphiseni i-asidi yesisu.
• Ama-H2 blocker, njengePepcid AC, iTagamet HB, i-Axid AR, neZantac, anciphisa ukukhiqizwa kwe-asidi esiswini.
• I-Proton pump inhibitors, njenge-Prilosec OTC, i-Prevacid 24 HR, ne-Nexium 24 HR imisa cishe konke ukukhiqizwa kwe-asidi esiswini.

Thola ukunakekelwa okuphuthumayo uma:

• Uhlanza impahla enegazi noma ebukeka njengezindawo zekhofi.
• Izitulo zakho zimnyama (njenge-tar) noma i-maroon.
• Unomuzwa ovuthayo nokucindezela, ukuchoboza, noma ukucindezela esifubeni sakho. Kwesinye isikhathi abantu abacabanga ukuthi banesilungulela bahlaselwa yisifo senhliziyo.

Shayela umhlinzeki wakho uma:

• Unesilungulela kaningi noma akusuki ngemuva kwamasonto ambalwa wokuzinakekela.
• Ulahlekelwa isisindo obungafuni ukusilahla.
• Unenkinga yokugwinya (ukudla kuzwakala kubambekile njengoba kuya phansi).
• Unesifo sokukhwehlela noma sokuphefumula okungapheli.
• Izimpawu zakho ziba zimbi kakhulu ngama-antacids, ama-H2 blocker, noma ezinye izindlela zokwelapha.
• Ucabanga ukuthi omunye wemithi yakho kungenzeka ukuthi ubangela isilungulela. Ungashintshi noma uyeke ukuthatha umuthi wakho uwedwa.

Isilungulela kulula ukusithola kwizimpawu zakho ezimweni eziningi. Kwesinye isikhathi, isilungulela singadideka nenye inkinga yesisu ebizwa nge-dyspepsia. Uma ukuxilongwa kungacaci, ungathunyelwa kudokotela obizwa nge-gastroenterologist ukuze ahlolwe kabanzi.

Okokuqala, umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nesilungulela sakho, njenge:

• Kwaqala nini?
• Sithatha isikhathi esingakanani isiqephu ngasinye?
• Ngabe okokuqala ngqa ukuthi ube nesilungulela?
• Uvame ukudla ini ekudleni ngakunye? Ngaphambi kokuzwa isilungulela, uke wadla ukudla okubabayo noma okunamafutha?
• Ingabe uphuza ikhofi eningi, ezinye iziphuzo ezine-caffeine, noma utshwala? Ingabe uyabhema?
• Ngabe ugqoka izingubo ezikubambayo esifubeni noma esiswini?
• Ngabe nawe unobuhlungu esifubeni, emhlathini, engalweni, noma kwenye indawo?
• Imiphi imithi oyiphuzayo?
• Usuke wahlanza igazi noma impahla emnyama?
• Ngabe unegazi elindle lakho?
• Unayo indle emnyama, yokulinda?
• Ingabe zikhona ezinye izimpawu ngesilungulela?

Umhlinzeki wakho angaphakamisa isivivinyo esisodwa noma eziningi ezilandelayo:

• I-Esophageal motility ukukala ingcindezi ye-LES yakho
• I-Esophagogastroduodenoscopy (i-endoscopy ephezulu) ukubheka ulwelwesi lwangaphakathi lwesisu sakho nesisu
• Uchungechunge oluphezulu lwe-GI (oluvame ukwenzelwa izinkinga zokugwinya)

Uma izimpawu zakho zingabi ngcono ngokunakekelwa kwasekhaya, kungadingeka ukuthi uthathe imithi yokwehlisa i-asidi enamandla kunemithi ethengiswayo. Noma iluphi uphawu lokopha luzodinga ukuhlolwa nokwelashwa okwengeziwe.

IPyrosis; I-GERD (isifo se-reflux se-gastroesophageal); Ukuqothuka kwesisu

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

• Uhlelo lokugaya ukudla
• I-hernia ye-Hiatal - i-x-ray
• IHernatal hernia
• Isifo se-reflux se-gastroesophageal

I-Devault KR. Izimpawu zesifo sokuqunjelwa. 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 13.

IMeya EA. Umsebenzi wokuphazamiseka kwamathumbu emathunjini: i-irritable bowel syndrome, i-dyspepsia, ubuhlungu besifuba bokucatshangwa ukuthi buvela esophageal, nesilungulela. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.