Ubuhlungu besifuba ne-GERD: Ukuhlola uphawu lwakho

-Delile

• Indawo yobuhlungu besifuba
• Buzwa kanjani ubuhlungu besifuba?
• Isimo somzimba singazithinta kanjani izimpawu?
• Izimpawu ezihlanganisiwe
• Ezinye izinhlobo zobuhlungu besifuba
• Ukuxilongwa
• Ukwelashwa kobuhlungu besifuba
• Q:
• A:

Ubuhlungu besifuba

Ubuhlungu besifuba bungakwenza uzibuze ukuthi ngabe uhlaselwa yinhliziyo. Noma kunjalo, futhi kungaba ngesinye sezimpawu eziningi ezivamile ze-acid reflux.

Ukungakhululeki kwesifuba okuhlobene nesifo se-reflux se-gastroesophageal (GERD) kuvame ukubizwa ngobuhlungu besifuba se-noncardiac (NCCP), ngokwe-American College of Gastroenterology (ACG).

I-ACG ichaza ukuthi i-NCCP ingalingisa ubuhlungu be-angina, obuchazwa njengobuhlungu besifuba obuvela enhliziyweni.

Izindlela zokufunda zokuhlukanisa izinhlobo ezahlukahlukene zobuhlungu besifuba zingabeka ingqondo yakho ngokukhululeka futhi zikusize ukwelapha i-acid reflux yakho ngempumelelo.

Kepha kubalulekile ukukhumbula ukuthi izimpawu zesifo senhliziyo zidinga ukuthathwa ngokungathi sína kakhulu. Ngoba isifo senhliziyo sidinga ukwelashwa ngokushesha, funa usizo uma ungaqiniseki ngesizathu sobuhlungu besifuba sakho.

Indawo yobuhlungu besifuba

Ubuhlungu besifuba senhliziyo ne-NCCP zombili zingavela ngemuva kwesifuba sakho, okwenza kube nzima ukuhlukanisa phakathi kwalezi zinhlobo ezimbili zobuhlungu.

Ubuhlungu besifuba obubandakanya inhliziyo bunamathuba amaningi kunobuhlungu obuhlobene ne-reflux obusakazeka kwezinye izingxenye zomzimba wakho. Lezi zindawo zifaka phakathi:

• izingalo, ikakhulukazi ingxenye engenhla yengalo yakho yesobunxele
• emuva
• emahlombe
• intamo

Ubuhlungu besifuba obuvela ku-GERD bungathinta umzimba wakho ophezulu kwezinye izimo, kepha kuvame ukugxila ngemuva kwe-sternum yakho noma ngaphansi nje kwayo endaweni eyaziwa njenge-epigastrium.

I-NCCP imvamisa ihambisana nokusha ngemuva kwesifuba sakho futhi kungenzeka ingazwakali kangako engalweni yangakwesobunxele.

Ama-esophageal spasms ukuqina kwemisipha ezungeze ithubhu yokudla. Kwenzeka lapho i-acid reflux noma ezinye izingqinamba zezokwelapha zidala ukulimala ngaphakathi kwesisu.

Futhi, la ma-spasms angadala nobuhlungu emqaleni wakho nasendaweni engenhla yesifuba sakho.

Buzwa kanjani ubuhlungu besifuba?

Ungakwazi ukusho ukuthi hlobo luni lobuhlungu besifuba ngokuhlola uhlobo lobuhlungu obuzwayo.

Izindlela ezijwayelekile abantu ezichaza ngazo ubuhlungu obuhambisana nesifo senhliziyo zifaka:

• ukuchotshozwa
• ukuthunga
• iqinile njenge-vice
• esindayo kuhle kwendlovu ehleli esifubeni
• kujule

I-NCCP, ngakolunye uhlangothi, ingazizwa icijile futhi ithenda.

Abantu abane-GERD bangaba nobuhlungu besifuba besikhashana, obunzima lapho bephefumula kakhulu noma bekhwehlela. Lo mehluko uyisihluthulelo.

Izinga lokuqina kobuhlungu benhliziyo lihlala lilingana lapho uphefumula ngokujulile.

Ukungakhululeki kwesifuba esihlobene ne-Reflux mancane amathuba okuthi uzizwe sengathi kuvela ekujuleni kwesifuba sakho. Kungabonakala sengathi kuseduze nobuso besikhumba sakho, futhi kaningi kuchazwa njengokusha noma okubukhali.

Isimo somzimba singazithinta kanjani izimpawu?

Zibuze ukuthi ngabe ubuhlungu besifuba sakho buyashintsha ngamandla noma buhamba ngokuphelele uma ushintsha isimo somzimba wakho ukuthola imbangela yokungakhululeki.

Imisipha yezinhlungu nobuhlungu besifuba obuhlobene ne-GERD buvame ukuzizwa bungcono lapho uhambisa umzimba wakho.

Izimpawu ze-acid reflux, kufaka phakathi ubuhlungu besifuba kanye nesilungulela, zingathola kangcono kakhulu njengoba uqondisa umzimba wakho endaweni yokuhlala noma yokuma.

Ukugoba nokulala phansi kungenza izimpawu ze-GERD nokungakhululeki kube kubi kakhulu, ikakhulukazi ngemuva kokudla.

Ubuhlungu besifuba senhliziyo buhlala buhlungu, kungakhathalekile ukuthi umi kuphi emzimbeni. Kepha, kungafika futhi kudlule usuku lonke, kuya ngobukhulu bezinhlungu.

I-NCCP ehlotshaniswa nokugaya ukudla noma imisipha edonswayo ivame ukungakhululeki isikhathi eside ngaphambi kokuhamba.

Izimpawu ezihlanganisiwe

Ukuhlola ezinye izimpawu ezenzeka ngobuhlungu besifuba kungakusiza ukuthi uhlukanise uhlobo oluthile lobuhlungu kolunye.

Ubuhlungu obubangelwa inkinga yenhliziyo bungakwenza uzizwe:

• ikhanda elikhanyayo
• isiyezi
• ajuluke
• isicanucanu
• ukuphefumula okuncane
• ndikindiki engalweni noma ehlombe

I-noncardiac, izimbangela zamathumbu ezinhlungu zesifuba zingafaka ezinye izimpawu ezahlukahlukene, kufaka phakathi:

• inkinga yokugwinya
• ukubhoboza noma ukubopha kaningi
• umuzwa ovuthayo emphinjeni, esifubeni, noma esiswini
• ukunambitheka okumuncu emlonyeni wakho okubangelwa ukuphindaphinda kwe-asidi

Ezinye izinhlobo zobuhlungu besifuba

I-GERD akuyona ukuphela kwembangela ye-NCCP. Ezinye izimbangela zingabandakanya:

• ihlule legazi elifakwe emaphashini
• ukuvuvukala kwamanyikwe
• isifuba somoya
• ukuvuvukala koqwanga oluphethe izimbambo esifubeni sesifuba
• izimbambo ezilimele, ezilimele noma eziphukile
• isifo esibuhlungu esingapheli, njenge-fibromyalgia
• umfutho wegazi ophakeme
• ukukhathazeka
• amasongo

Ukuxilongwa

Kufanele ubuphathe ngokungathi sína ubuhlungu besifuba. Khuluma nodokotela wakho ngezimpawu zakho.

Udokotela wakho angenza i-EKG noma ukuhlolwa kwengcindezi. Bangaphinde badonse igazi ukuze lihlolwe ukukhipha isifo senhliziyo njengesizathu esiyimbangela uma ungenawo umlando wangaphambilini we-GERD.

Imvamisa, umlando ogcwele wezokwelapha nokuhlolwa kungasiza udokotela wakho ukuthola isizathu sobuhlungu besifuba sakho futhi akubeke endleleni yokululama.

Ukwelashwa kobuhlungu besifuba

Ubuhlungu besifuba obuhambisana nesilungulela esivame ukwelashwa bungelashwa ngama-proton pump inhibitors (ama-PPIs). I-PPI uhlobo lomuthi olwehlisa ukukhiqizwa kwe-asidi esiswini sakho.

Isivivinyo sesikhathi eside semithi ye-PPI singasiza ekunciphiseni izimpawu ukuze izinhlungu zesifuba ezihlobene ne-noncardiac zingabe zisaba yingxenye yempilo yakho.

Udokotela wakho futhi angancoma ukusika izinhlobo ezithile zokudla ezingadala izimpawu, njengokudla okuthosiwe, ukudla okubabayo, nezithelo ezisawolintshi.

Abantu bangaba nezimbangela zokudla ezahlukahlukene, ngakho-ke kungasiza ukugcina irekhodi lokuthi yini oyidlile ngaphambi kokuthi uthole isilungulela.

Uma ucabanga ukuthi ubuhlungu besifuba buhlobene nenhliziyo, funa ukunakekelwa okuphuthumayo. Ukwelashwa kwakho ngakunye kuzoya ngokuthi udokotela wakho unquma ukuthi yini imbangela.

Q:

Yiziphi izinhlobo zobuhlungu besifuba eziyingozi kakhulu futhi okufanele kubhekwane nazo njengesimo esiphuthumayo?

A:

Noma ngabe izinhlungu zesifuba zenhliziyo noma ezingezona zenhliziyo, kungaba nzima ukuthola isimo esiphuthumayo ngoba izimpawu ziyahlukahluka. Uma ukuqala kobuhlungu kungazelelwe, kungachazeki, futhi kukhathaza, kufanele ushayele udokotela wakho noma ufune usizo oluphuthumayo ngokushesha.