Isifo se-Reflux se-Gastroesophageal (GERD) ezinganeni

-Delile

• Yini i-GERD?
• Yini i-GERD yezingane?
• Izimpawu ze-GERD yezingane
• Yini ebangela i-GERD yezingane?
• Iphathwa kanjani i-GERD yezingane?

Ngo-Ephreli 2020, kwacelwa ukuthi zonke izinhlobo zemithi kadokotela kanye ne-over-the-counter (OTC) ranitidine (Zantac) zisuswe emakethe yase-U.S. Lesi sincomo senziwe ngoba amazinga angamukeleki we-NDMA, i-carcinogen engahle (amakhemikhali abangela umdlavuza), atholakala kweminye imikhiqizo ye-ranitidine. Uma unikezwe i-ranitidine, khuluma nodokotela wakho mayelana nezinye izindlela eziphephile ngaphambi kokumisa umuthi. Uma uthatha i-OTC ranitidine, yeka ukuthatha lesi sidakamizwa bese ukhuluma nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nezinye izinketho. Esikhundleni sokuthatha imikhiqizo ye-ranitidine engasetshenzisiwe isiza sokubuyisa izidakamizwa, yilahle ngokwemiyalo yomkhiqizo noma ngokulandela i-FDA's.

Yini i-GERD?

Isifo se-reflux se-Gastroesophageal (GERD) yisifo sokugaya ukudla esibizwa nge-GERD yezingane lapho sithinta abantu abasha. Cishe amaphesenti ayi-10 entsha nentsha e-United States bayathinteka yi-GERD ngokusho kweGIKids.

I-GERD ingaba nzima ukuxilongwa ezinganeni. Abazali bangawubona kanjani umehluko phakathi kokugaya okuncane noma umkhuhlane kanye ne-GERD? Ngabe ukwelashwa kubandakanya ini kubantu abasha abane-GERD?

Yini i-GERD yezingane?

I-GERD yenzeka lapho i-asidi yesisu ibuyela emuva ku-esophagus ngesikhathi sokudla noma ngemuva kokudla futhi ibangela ubuhlungu noma ezinye izimpawu. I-esophagus yishubhu elihlanganisa umlomo nesisu. Iveluvu engezansi komqala ivula ukwehlisa ukudla bese ivala ukuvimba i-asidi ukuthi ingaqhamuki. Lapho le valve ivula noma ivala ngesikhathi esingalungile, lokhu kungadala izimpawu ze-GERD. Lapho ingane ikhafula noma ihlanza, kungenzeka ukuthi ikhombisa i-reflux ye-gastroesophageal (GER), ethathwa njengejwayelekile ezinganeni futhi imvamisa ayizibangeli ezinye izimpawu.

Ezinganeni, i-GERD iyindlela ejwayelekile, ebucayi kakhulu yokuphalaza. Izingane nentsha zingatholakala ukuthi zine-GERD uma zikhombisa izimpawu futhi zithola ezinye izinkinga. Izinkinga ezingaba khona ze-GERD zifaka phakathi izinkinga zokuphefumula, ubunzima bokuthola isisindo, nokuvuvukala komphimbo, noma i-esophagitis, ngokusho kwesikhungo sezingane iJohns Hopkins.

Izimpawu ze-GERD yezingane

Izimpawu zobuntwana be-GERD zibucayi kakhulu kunesisu esenzeka ngezikhathi ezithile noma isenzo esingajwayelekile sokuphalaza. Ngokusho kweMayo Clinic, i-GERD ingaba khona ezinganeni nasezingane zasenkulisa uma ziyi:

• ukwenqaba ukudla noma ukungatholi isisindo
• uhlangabezana nobunzima bokuphefumula
• ukuqala ngokuhlanza ezinyangeni eziyisithupha noma ngaphezulu
• ukuxubana noma ukuba nezinhlungu ngemuva kokudla

I-GERD ingaba khona ezinganeni ezindala nasebusheni uma:

• Ubuhlungu noma ukushisa esifubeni esingenhla, okubizwa ngokuthi isilungulela
• ube nobuhlungu noma ungaphatheki kahle lapho ugwinya
• ukukhwehlela njalo, ukukhala, noma ukushuba
• ube nokubhinca ngokweqile
• ube nesicanucanu kaningi
• nambitha i-asidi esiswini emphinjeni
• kube sengathi ukudla kubhajwe emphinjeni wabo
• ube nobuhlungu obubi kakhulu lapho ulele

Ukugeza isikhathi eside ulwelwesi lokuqunjelwa ngesisu se-asidi kungaholela esimweni esikahle sokuqina kwesifo sikaBarrett. Kungadala nomdlavuza wesifo uma lesi sifo singalawulwa kahle, yize lokhu kungavamile ezinganeni.

Yini ebangela i-GERD yezingane?

Abaphenyi abaqiniseki ngaso sonke isikhathi ukuthi yini ebanga i-GERD kubantu abasha. Ngokuya ngeCedars-Sinai, kunezici eziningana ezingabandakanyeka, kufaka phakathi:

• isikhathi esingakanani umphimbo ungaphakathi kwesisu
• i-engeli Yakhe, okuyi-engeli lapho kuhlangana khona isisu nomphimbo
• isimo semisipha ekugcineni okuphansi kwesikhala
• ukucinana kwemicu yedayaphragm

Ezinye izingane zingaphinde zibe nama-valve abuthakathaka azwela ngokukhethekile ekudleni naseziphuzweni ezithile noma ukuvuvukala komqala obangela inkinga.

Iphathwa kanjani i-GERD yezingane?

Ukwelashwa kwe-GERD yezingane kuncike ebukhulwini besimo. Odokotela cishe ngaso sonke isikhathi bazokwazisa abazali, izingane kanye nentsha ukuthi baqale ngezinguquko ezilula zokuphila. Ngokwesibonelo:

• Yidla ukudla okuncane kaningi, futhi ugweme ukudla amahora amabili kuya kwamathathu ngaphambi kokulala.
• Yehlisa isisindo uma kunesidingo.
• Gwema ukudla okubabayo, ukudla okunamafutha amaningi, nezithelo nemifino ene-asidi, okungacasula isisu sakho.
• Gwema iziphuzo ezinekhabhoni, utshwala, nentuthu kagwayi.
• Phakamisa ikhanda ngesikhathi sokulala.
• Gwema ukudla ukudla okukhulu ngaphambi kwemisebenzi enamandla, imidlalo yezemidlalo, noma ngezikhathi zokucindezeleka.
• Gwema ukugqoka izingubo ezikubambayo.

Udokotela wengane yakho angancoma imithi esiza ukunciphisa inani le-asidi esiswini sayo. Le mithi ihlanganisa:

• ama-antiacids
• ama-histamine-2 blocker anciphisa i-asidi esiswini, njengePepcid
• ama-proton pump inhibitors avimba i-asidi, njenge-Nexium, Prilosec, ne-Prevacid

Kunempikiswano ethile maqondana nokuqala izingane ezincane ngale mithi. Akukaziwa okwamanje ukuthi kungaba yini imiphumela yesikhathi eside yale mithi. Ungahle uthande ukugxila ekusizeni ingane yakho ukuthi iguqule indlela yokuphila. Ungase futhi ufune ingane yakho ukuthi izame amakhambi. Abanye abazali banomuzwa wokuthi amakhambi angasiza, kepha ukusebenza kwamakhambi akuqinisekisiwe futhi nemiphumela yesikhathi eside ezinganeni eziwaphuzayo ayaziwa.

Odokotela abavamile ukubheka ukuhlinzwa njengokwelashwa kwe-GERD yezingane. Ngokuvamile bakugcinela ukwelapha amacala lapho abakwazi ukulawula izinkinga ezinkulu, njengokuphuma komopho noma izilonda.