Imiphi Imithi Ehambisanayo Neminye Esebenza Nge-Acid Reflux?
-Delile
- Ukuthoma
- I-Melatonin
- Ukuphumula
- I-Hypnotherapy
- Amakhambi esintu
- Okukhukhumalisa amakhekhe
- Izinguquko zendlela yokuphila ye-GERD
- Ukubonana nodokotela nini
Izinketho zokwelashwa okuhlukile kwe-GERD
I-Acid reflux yaziwa nangokuthi isifo sokugaya ukudla noma isifo se-reflux se-gastroesophageal (GERD). Kwenzeka lapho i-valve phakathi komqala nesisu ingasebenzi kahle.
Lapho i-valve (i-esophageal sphincter ephansi, i-LES, noma i-sphincter yenhliziyo) ukungasebenzi kahle, ukudla nesisu esiswini kungabuyela emuva ku-esophagus futhi kubangele ukuzwa okuvuthayo.
Ezinye izimpawu ze-GERD zifaka:
- Umphimbo obuhlungu
- ukunambitheka okumuncu ngemuva komlomo
- izimpawu zesifuba somoya
- ukukhwehlela okomile
- inkinga yokugwinya
Khuluma nodokotela wakho uma ngabe lezi zimpawu zikwenza ungakhululeki. Uma ishiywe ingalashwa, i-GERD ingadala ukopha, ukulimala, kanye nomdlavuza wokuqopha.
Odokotela banganquma izindlela zokwelashwa ezahlukahlukene ze-GERD ukunciphisa ukukhiqizwa kwe-asidi esiswini. Futhi kunemithi embalwa yokuthenga (i-OTC) etholakalayo. Kukhona nezinketho zokwelapha ezihambisanayo nezingezinye (CAM) ezinganikeza ukukhululeka.
Izindlela ezihambisanayo zisebenza kanye nokwelashwa kwendabuko, kuyilapho ezinye izindlela zelapha zifaka ezinye esikhundleni sazo. Kodwa kunobufakazi obulinganiselwe besayensi obusekela ezinye izindlela zokwelapha esikhundleni sezinye.
Njalo khuluma nodokotela ngaphambi kokuzama i-CAM. Amanye amakhambi nezengezo zingasebenzisana kabi nemithi osuvele uyiphuza.
Ukuthoma
I-acupuncture wuhlobo lwemithi yendabuko yamaShayina ebilokhu ikhona okungenani iminyaka engu-4,000. Isebenzisa izinaliti ezincane ukulinganisa ukugeleza kwamandla nokukhuthaza ukuphulukiswa. Muva nje lapho kunezivivinyo zomtholampilo ezifundela ukusebenza kwe-acupuncture ye-GERD.
ibike ukuthi ukutshopa kwehle kakhulu izimpawu ze-GERD. Abahlanganyeli bathole imiphumela yabo ngokuya ngezimpawu ezingama-38, kufaka phakathi izingqinamba ezibandakanya:
- izinkinga zohlelo lokugaya ukudla
- ukuhlungu obusemhlane
- lala
- ikhanda
ithole imiphumela emihle ekwehliseni i-acid esiswini kanye nomthethonqubo we-LES.
I-Electroacupuncture (EA), enye indlela yokuthonga, isebenzisa amandla kagesi kanye nezinaliti.
Izifundo zisezintsha, kepha omunye uthole ukuthi ukusebenzisa i-EA engenalutho. Ukuhlanganiswa kwe-electroacupuncture ne-proton pump inhibitors kuholele ekwenzeni ngcono okukhulu.
I-Melatonin
I-Melatonin ivame ukucatshangwa njenge-hormone yokulala eyenziwe ku-pineal gland. Kodwa umgudu wakho wamathumbu wenza cishe i-melatonin ephindwe izikhathi ezingama-500. Umgudu wamathumbu uhlanganisa isisu, amathumbu amancane, ikholoni kanye nomphimbo.
I-Melatonin inganciphisa:
- izehlakalo zobuhlungu be-epigastric
- Ingcindezi ye-LES
- izinga le-pH lesisu sakho (isisu sakho sinamandla kangakanani)
Kwesinye isifundo kusuka ngo-2010, baqhathanisa ukusebenza kahle kokuthatha i-omeprazole (umuthi ojwayelekile osetshenziselwa ukwelapha i-GERD), i-melatonin, kanye nenhlanganisela ye-melatonin ne-omeprazole. Ucwaningo luphakamise ukuthi ukusebenzisa i-melatonin eceleni kwe-omeprazole kunciphisa isikhathi sokwelashwa futhi kunciphise imiphumela emibi.
Ukuphumula
Ukucindezeleka kuvame ukwenza izimpawu ze-GERD zibe zimbi kakhulu. Impendulo yengcindezi yomzimba wakho ingakhuphula inani le-asidi esiswini, kanye nokugaya kancane.
Ukufunda ukulawula ukucindezeleka kungasiza kulezi zimbangela. Ukubhucungwa, ukuphefumula okujulile, ukuzindla ne-yoga konke kungasiza ekwehliseni izimpawu ze-GERD.
I-Yoga ikakhulukazi ikhuthaza impendulo yokuphumula. Kungaba wusizo ukuzijwayeza i-yoga eceleni kokuthatha imithi yakho ukwelapha izimpawu zakho ze-GERD.
I-Hypnotherapy
I-Hypnotherapy, noma i-clinical hypnosis, umkhuba wokusiza umuntu ukuthi afinyelele esimweni esigxilile, esigxile. Ngempilo yokugaya ukudla, i-hypnotherapy ikhonjiswa ukunciphisa:
- ubuhlungu besisu
- amaphethini wamathumbu angenampilo
- ukuqunjelwa
- ukukhathazeka
Izifundo zamanje ze-hypnotherapy zisalinganiselwe. Kodwa-ke, ku, kukhonjisiwe ukuthi kuyasebenza ekusebenzeni kwesilungulela nezimpawu ze-reflux.
Abanye abantu abane-acid reflux bangakhombisa ukuzwela okwandayo ekuvuseleleni okujwayelekile kokuqina. I-Hypnotherapy ingasiza abantu ukuthi bakhulule ukwesaba ubuhlungu ngokukhuthaza isimo esijulile sokuphumula.
Amakhambi esintu
Ama-Herbalists angancoma izinhlobo ezahlukahlukene zamakhambi ekwelapheni i-GERD. Izibonelo zifaka:
- chamomile
- impande ye-ginger
- impande ye-marshmallow
- i-elm eshelelayo
Ngalesi sikhathi, kunocwaningo oluncane lomtholampilo lokusekela ukusebenza kwala makhambi ekwelapheni i-GERD. Abaphenyi abancomi ukuthi basebenzise umuthi wendabuko wamaShayina ukwelapha i-GERD. Izifundo zamanje zemithi yamakhambi zimbi futhi azilawulwa kahle.
Njalo hlola nodokotela wakho ngaphambi kokuthatha izithako zemithi. Ngisho namakhambi emvelo angadala imiphumela emibi engahlosiwe.
Okukhukhumalisa amakhekhe
Njenge-antacid, i-baking soda ingasiza ekunciphiseni i-asidi esiswini okwesikhashana futhi inikeze ukukhululeka. Kubantu abadala nentsha, chaza isipuni esingu-1/2 engilazini yamanzi ama-4-ounce.
Khuluma nodokotela wakho ngomthamo wezingane.
Izinguquko zendlela yokuphila ye-GERD
Ezinye zezindlela zokwelashwa ezihamba phambili ze-GERD ukuguqulwa kwendlela yokuphila. Lezi zinguquko zifaka:
- Ukuyeka ukubhema: Ukubhema kuthinta ithoni ye-LES futhi kukhuphule i-reflux. Ngeke nje kuphela ukuyeka ukubhema kunciphise i-GERD, kodwa futhi kunganciphisa ubungozi bezinye izinkinga zezempilo.
- Ukwehlisa isisindo, uma ukhuluphele ngokweqile: Isisindo eseqile singabeka ingcindezi eyengeziwe esiswini, okungadala i-acid reflux esiswini.
- Ukugwema ukugqoka izingubo ezikubambayo: Izingubo eziqinile okhalweni zingafaka ingcindezi eyengeziwe esiswini sakho. Le ngcindezi eyengeziwe ingathinta i-LES, ikhuphule i-reflux.
- Ukuphakamisa ikhanda lakho: Ukuphakamisa ikhanda lakho lapho ulele, noma yikuphi ukusuka kumasentimitha ayisi-6 kuye kwayi-9, kuqinisekisa ukuthi okuqukethwe yisisu kwehlela ezansi esikhundleni sokuya phezulu. Ungakwenza lokhu ngokubeka amabhulokhi okhuni noma kasimende ngaphansi kwekhanda lombhede wakho.
Izindaba ezimnandi ukuthi awusadingi ukuqeda ukudla ukuze welaphe i-GERD. Ngo-2006, abutholanga bufakazi bokuthi ukuqedwa kokudla kuyasebenza.
Kepha okunye ukudla okufana noshokoledi neziphuzo ezinekhabhoni kunganciphisa ukucindezelwa kwe-LES futhi kuvumele ukudla nesisu esiswini kuguqulwe. Ukuqubuka okungaphezulu kanye nokulimala kwezicubu kungenzeka lapho.
Ukubonana nodokotela nini
Kufanele ufune ukwelashwa uma:
- unenkinga yokugwinya
- Isilungulela sakho sidala isicanucanu noma ukuhlanza
- usebenzisa imishanguzo ye-OTC ngaphezu kokuphindwe kabili ngesonto
- izimpawu zakho ze-GERD zidala ubuhlungu besifuba
- uhlangabezana nohudo noma ukunyakaza kwamathumbu amnyama
Udokotela wakho uzokunika imithi efana nale:
- ama-antiacids
- Ama-H2-receptor blockers
- iproton pump inhibitors
Zonke izinhlobo ezintathu zemithi zitholakala ekhawunteni nangemithi kadokotela. Qaphela ukuthi le mithi ingabiza futhi ingabiza amakhulu amadola inyanga ngayinye. Ezimweni ezimbi kakhulu, udokotela wakho angancoma ukuhlinzwa ukuze kuguqulwe isisu sakho noma umphimbo.
Funa ukwelashwa kwezimpawu ze-GERD uma izindlela zasekhaya zingabonakali zisebenza, noma izimpawu zakho ziya ngokuya ziba zimbi.