Ingabe i-Acid Reflux Imbangela Yokuqunjelwa?

-Delile

• Imiphumela emibi yemithi
• Amathiphu okuphatha ukuqunjelwa okuhlobene ne-PPI
• Ukudla i-fiber eningi
• Ukuphuza amanzi amaningi
• Ukuzivocavoca umzimba njalo
• Ukuthatha umuthi we-OTC
• Ezinye izindlela zokwelashwa kwe-PPI
• Umbono

Isixhumanisi phakathi kwe-acid reflux nokuqunjelwa

I-Acid reflux yaziwa nangokuthi i-acid indigestion. Kuyisimo esivamile esithinta cishe wonke umuntu ngesikhathi esithile. Kungenzeka futhi ukuthi i-acid reflux yenzeke ezinganeni nasebusheni.

Lesi simo siyakhula lapho i-sphincter yakho ephansi (esesesgegeal sphincter (LES)), isicubu esisebenza njenge-valve phakathi kwesisu sakho nesisu, siphumula noma singavali kahle. Lokhu kuvumela okuqukethwe yisisu njengamajusi wokugaya ukudla ane-asidi ukuba abuyele emuva emphinjeni wakho. Lapho i-acid reflux iba kaningi noma engapheli, yaziwa njengesifo se-reflux se-gastroesophageal (GERD).

Ukwelapha i-acid reflux noma i-GERD, udokotela wakho angahle anikeze amakhambi asekhaya, ushintsho endleleni yokuphila, noma imishanguzo. Eminye yaleyo mithi ingasiza kwezinye izinkinga zokugaya ukudla, kufaka phakathi ukuqunjelwa. Ukuqunjelwa kusho ukuba nokunyakaza kwamathumbu okunzima, nokomile, noma ukuhamba ngaphansi kwezikhathi ezintathu ngesonto.

Imiphumela emibi yemithi

Udokotela wakho uzoncoma izinguquko zendlela yokuphila namakhambi asekhaya njengomugqa wokuqala wokwelashwa kwe-acid reflux noma i-GERD.

Uma ukuguquka kwendlela yokuphila namakhambi ekhaya kungakhululi i-acid reflux yakho noma izimpawu ze-GERD, udokotela wakho angakunikeza imithi. Isibonelo, bangahle banikeze ama-proton pump inhibitors (ama-PPIs).

Ama-PPI ayasebenza ekwelapheni i-GERD, kepha ukuqunjelwa kungumphumela wecala owaziwayo.

Amathiphu okuphatha ukuqunjelwa okuhlobene ne-PPI

Ama-PPIs imvamisa ukwelashwa okuncanyelwayo kwe-GERD. Bangaphilisa ulwelwesi lokuqopha futhi baphathe izimpawu ze-GERD, kepha zingadala ukuqunjelwa.

Kunezindlela ezimbalwa zokuphatha ukuqunjelwa okubangelwa ama-PPIs. Lokhu kufaka phakathi:

Ukudla i-fiber eningi

Ukudla okuphezulu kwe-fiber akuvamisile ukufaka isandla ku-reflux. Futhi zingangeza inqwaba esitokisini sakho, okwenza kube lula ukudlula isitulo. Kubalulekile ukufaka i-fiber kancane ukugwema imiphumela emibi efana negesi nokuqumba.

Izibonelo zokudla okuphezulu-fiber kufaka:

• izinkwa zokudla okusanhlamvu
• izithelo ezintsha
• imifino

Ukuphuza amanzi amaningi

Khuphula inani lamanzi owaphuzayo nsuku zonke. Uma ungenayo imikhawulo yoketshezi ehlobene nempilo yakho, ukuphuza amanzi amaningi kungasebenza nge-fiber ukwenza isitulo sakho kube lula ukudlula.

Ukuzivocavoca umzimba njalo

Ukuzivocavoca umzimba kukhuthaza ukunyakaza kwamathumbu, okusiza ukudlula kwendle yakho. Hlela imizuzu engaba ngu-150 yokuzivocavoca ngokulinganisela njalo ngesonto, ngenhloso yemizuzu engama-30 ngosuku okungenani kahlanu ngesonto. Zama ukuhamba, ukubhukuda, noma ukuhamba ngebhayisikili.

Kuhlale kungcono kakhulu ukukhuluma nodokotela wakho ngaphambi kokuqala uhlobo lokuvivinya umzimba.

Ukuthatha umuthi we-OTC

Kunezinhlobo eziningi zemithi yokuqunjelwa ongayithenga phezu kwekhawunta:

• Ama-laxatives yenza kube lula ukudlula indle. Izibonelo zifaka phakathi i-senna (Fletchers Laxative) ne-polyethylene-glycol-3350 (GIALAX).
• Izithambisi zendle thambisa indle elukhuni. Isibonelo yi-docusate (Dulcolax).
• Izithasiselo ze-fiber engeza inqwaba esitokisini.
• Ama-laxatives ashukumisayo kubangele ukuthi amathumbu akho avumelane futhi ahambise indle ethe xaxa. Izibonelo zifaka phakathi ama-sennosides (uSenokot).

Le mithi ayenzelwe wena ukuthi uyisebenzise njalo, kepha uma unesifo sokuqunjelwa. Uma unesifo sokuqunjelwa okungamahlalakhona, xoxa ngakho nodokotela wakho. Bangakwazi ukuthola imbangela futhi banikeze ukwelashwa okufanele.

Abanye abantu bangasebenzisa ama-probiotic anjenge I-Bifidobacterium noma I-Lactobacillus. Ucwaningo olunomkhawulo luyatholakala ukusekela ama-probiotic njengokwelashwa okusebenzayo kokuqunjelwa.

Ezinye izindlela zokwelashwa kwe-PPI

Ngokungeziwe kuzinguquko ezithile zendlela yokuphila kanye nemithi ye-over-the-counter (OTC), kunezinye izinguquko ezingeziwe ongazenza.

• Gwema izingubo ezikubambayo. Ukugqoka izingubo eziqinile kungakhama i-asidi phezulu, kube nomthelela ku-reflux. Ukugqoka izingubo ezintofontofo, ezingakulingani kungasiza ukugcina lokhu kungenzeki.
• Hlala okungenani amahora amathathu ngemuva kokuqeda ukudla. Lokhu kungasiza ukugcina i-asidi ekuphindaphindeni.
• Lala engela kancane. Gcina umzimba wakho ophezulu cishe ngamasentimitha ayisithupha kuya kwangu-8 ngaphezulu. Ukuphakamisa umbhede wakho ngamabhuloki kungasiza.
• Yeka ukubhema. Lokhu kuzosiza ukunciphisa izimpawu zakho. Kanjalo ukugwema intuthu kagwayi.
• Gwema ukudla neziphuzo ezithile. Lokhu kufaka ukudla okubabayo noma okunamafutha, ushokoledi, utshwala, neziphuzo eziqukethe i-caffeine. Lokhu konke kungenza i-acid reflux yakho ibe yimbi kakhulu.

Imithi ye-OTC yokwelapha i-acid reflux ifaka ama-antacids, asiza ekunciphiseni okweqile kwesisu esiswini. Izibonelo zifaka:

• i-aluminium-hydroxide-magnesium-hydroxide-simethicone (Maalox)
• i-calcium carbonate (Izidumbu)
• dihydroxyaluminum sodium (Ama-Rolaids)

Olunye uhlobo lomuthi olubizwa nge-H2 blockers lwehlisa inani le-asidi ekhiqizwa esiswini. Izibonelo zale mithi zifaka:

• i-cimetidine (Tagamet)
• i-famotidine (i-Pepcid)
• i-nizatidine (i-Axid)

Umbono

Udokotela wakho anganikeza imishanguzo ye-GERD edala izinkinga zokugaya ukudla, kufaka phakathi ukuqunjelwa. Ukwenza izinguquko ezimbalwa zokuphila nemithi ye-OTC kungasiza ukukhulula lesi simo.

Ungakwazi ukunciphisa ukuqunjelwa ngokudla ifayibha eyengeziwe, ukuhlala unamanzi amaningi nokuzivocavoca umzimba. Ungase futhi ucabangele ukuhlala okungenani amahora amathathu ngemuva kokudla, ukulala nge-engeli nokugwema izingubo ezingakubamba kahle. Ukuyeka ukubhema nakho kuyasebenza, njengoba kuthatha laxatives kanye nezithambisi zesitulo.

Uma ukuguquka kwendlela yokuphila nemithi ye-OTC ingasebenzi ekwelapheni ukuqunjelwa kwakho, khuluma nodokotela wakho. Kungaba nesinye isizathu sokuqunjelwa okungapheli. Udokotela wakho uzonquma imbangela bese ekubeka ukwelashwa okufanele.