I-Acid Reflux nokukhwehlela

-Delile

• Ukubuka konke
• I-GERD nokukhwehlela okungapheli
• Ukuvivinya i-GERD kubantu abanesifo sokukhwehlela okungamahlalakhona
• IGERD ezinganeni
• Izici zobungozi
• Izinguquko zendlela yokuphila
• Imithi nokuhlinzwa
• Umbono

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

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.

Ukubuka konke

Ngenkathi iningi labantu lihlangabezana ne-acid reflux ngezikhathi ezithile, abanye abantu bangahle bahlakulele uhlobo olubi kakhulu lwezinkinga ze-asidi. Lokhu kwaziwa njengesifo se-reflux se-gastroesophageal (GERD). Abantu abane-GERD bahlangabezana ne-reflux engapheli, ephikelelayo eyenzeka okungenani kabili ngesonto.

Abantu abaningi abane-GERD banezimpawu zansuku zonke ezingaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi. Uphawu oluvame kakhulu lwe-acid reflux yisilungulela, umuzwa oshisayo esifubeni esingezansi nasesiswini esiphakathi. Abanye abantu abadala bangathola i-GERD ngaphandle kwesilungulela kanye nezimpawu ezingeziwe. Lokhu kungabandakanya ukubopha, ukuvunguza, ubunzima bokugwinya, noma ukukhwehlela okungapheli.

I-GERD nokukhwehlela okungapheli

I-GERD ingenye yezimbangela ezivame kakhulu zokukhwehlela okungapheli. Eqinisweni, abacwaningi balinganisela ukuthi i-GERD ibhekene namaphesenti angaphezu kwama-25 azo zonke izimo zokukhwehlela okungapheli. Iningi labantu abanesifo sokukhwehlela esenziwe yi-GERD abanazo izimpawu zakudala zesifo esifana nesilungulela. Ukukhwehlela okungapheli kungabangelwa i-acid reflux noma i-reflux yokuqukethwe kwesisu okungenayo i-acid.

Ezinye izinkomba zokuthi ukukhwehlela okungapheli kubangelwa i-GERD kufaka phakathi:

• ukukhwehlela kakhulu ebusuku noma ngemuva kokudla
• ukukhwehlela okwenzeka ngenkathi ulele phansi
• ukukhwehlela okungapheli okwenzeka noma ngabe izimbangela ezivamile zingekho, njengokubhema noma ukuthatha imishanguzo (kufaka phakathi i-ACE inhibitors) lapho ukukhwehlela kungumphumela wecala
• ukukhwehlela ngaphandle kwesifuba somoya noma i-postnasal drip, noma lapho ama-X-ray esifubeni ejwayelekile

Ukuvivinya i-GERD kubantu abanesifo sokukhwehlela okungamahlalakhona

I-GERD ingaba nzima ukuxilonga kubantu abanesifo sokukhwehlela okungapheli kodwa bengenazo izimpawu zokushiswa yinhliziyo. Lokhu kungenxa yokuthi izimo ezejwayelekile ezinjenge-postnasal drip ne-asthma zinamathuba amaningi okubanga ukukhwehlela okungapheli. I-endoscopy ephezulu, noma i-EGD, isivivinyo esisetshenziswa kaningi ekuhloleni okuphelele kwezimpawu.

I-probe ye-pH yamahora angama-24, ebheka i-popha esophageal, nayo iyisivivinyo esisebenzayo kubantu abanesifo sokukhwehlela okungapheli. Olunye uvivinyo, olwaziwa nge-MII-pH, lungathola ne-nonacid reflux. Ukugwinya kwe-barium, kanye nokuhlolwa okuvame kakhulu kwe-GERD, akusanconywa.

Kunezinye izindlela zokuthola ukuthi ngabe ukukhwehlela kuhlobene ne-GERD. Udokotela wakho angazama ukukufaka kuma-proton pump inhibitors (ama-PPIs), uhlobo lwemithi ye-GERD, isikhathi esithile ukubona ukuthi izimpawu ziyaxazululeka yini. Ama-PPIs afaka imithi yegama lomkhiqizo njenge-Nexium, Prevacid, ne-Prilosec, phakathi kwabanye. Uma izimpawu zakho zixazululwa nge-PPI therapy, kungenzeka ukuthi une-GERD.

Imithi ye-PPI iyatholakala ngaphezulu kwekhawunta, yize kufanele ubone udokotela uma unezimpawu ezingapheli. Kungaba nezinye izinto ezibabangelayo, futhi udokotela uzokwazi ukusikisela izindlela ezingcono kakhulu zokwelashwa ongazisebenzisa.

IGERD ezinganeni

Izinsana eziningi zithola ezinye izimpawu ze-acid reflux, njengokukhafula noma ukuhlanza, phakathi nonyaka wazo wokuqala wokuphila. Lezi zimpawu zingavela ezinganeni ezijabule futhi ziphilile. Kodwa-ke, izinsana ezithola i-acid reflux ngemuva konyaka owodwa zingaba ne-GERD. Ukukhwehlela njalo kungenye yezimpawu eziyinhloko ezinganeni ezine-GERD. Izimpawu ezingeziwe zingabandakanya:

• isilungulela
• ukuphalaza okuphindaphindiwe
• i-laryngitis (izwi elihlabayo)
• isifuba somoya
• isifuba
• inyumoniya

Izinsana nezingane ezincane ezine-GERD zinga:

• wenqaba ukudla
• isenzo colicky
• ukucasuka
• ukuzwa ukukhula okungekuhle
• bagobe imihlane yabo ngesikhathi noma ngemuva kokuphakelwa okulandelayo

Izici zobungozi

Usengozini enkulu yokuthuthukisa i-GERD uma ubhema, ukhuluphele, noma ukhulelwe. Lezi zimo zenza buthakathaka noma ziphumule i-sphincter engezansi yokucinana, okuyisixuku semisipha ekugcineni kwesisu. Lapho i-sphincter engezansi yokuxega yenziwa buthaka, ivumela okuqukethwe yisisu ukuthi kukhuphuke kuqhume.

Ukudla neziphuzo ezithile kungenza i-GERD ibe yimbi kakhulu. Kubandakanya:

• iziphuzo ezidakayo
• iziphuzo ezine-caffeine
• ushokoledi
• izithelo ezisawolintshi
• ukudla okuthosiwe okunamafutha
• ugaliki
• izinto ezinaminti nezinti (ikakhulukazi i-peppermint ne-spearmint)
• anyanisi
• ukudla okubabayo
• ukudla okususelwa kutamatisi kufaka phakathi i-pizza, i-salsa, ne-spaghetti sauce

Izinguquko zendlela yokuphila

Izinguquko zokuphila zizokwanela ukunciphisa noma ukuqeda ukukhwehlela okungapheli nezinye izimpawu ze-GERD. Lezi zinguquko zifaka:

• ukugwema ukudla okwenza izimpawu zibe zimbi kakhulu
• ukugwema ukulala phansi okungenani amahora ama-2,5 ngemuva kokudla
• ukudla njalo, ukudla okuncane
• ukuncipha ngokweqile
• ukuyeka ukubhema
• ukuphakamisa ikhanda lombhede phakathi kwama-intshi ayisi-6 kuye kwayi-8 (imicamelo eyengeziwe ayisebenzi)
• ukugqoka izingubo ezikhululekile ukukhulula ingcindezi esiswini

Imithi nokuhlinzwa

Imithi, ikakhulukazi ama-PPIs, ngokuvamile iyasebenza ekwelapheni izimpawu ze-GERD. Ezinye ezingasiza zifaka:

• imishanguzo efana ne-Alka-Seltzer, i-Mylanta, i-Rolaids, noma i-Tums
• izinto ezinamagwebu njengeGaviscon, eyehlisa isisu i-asidi ngokuletha i-antacid ne-ejenti egwebu
• Ama-H2 blocker afana ne-Pepcid, anciphisa ukukhiqizwa kwe-asidi

Kufanele uxhumane nodokotela wakho uma imishanguzo, ukuguquka kwendlela ophila ngayo, nokushintsha kokudla kungazinciphisi izimpawu zakho. Ngaleso sikhathi, kufanele uxoxe nabo ngezinye izindlela zokwelashwa. Ukuhlinzwa kungaba yindlela yokwelashwa esebenzayo kulabo abangaphenduli kahle kunoma yiziphi izinguquko zendlela yokuphila noma imishanguzo.

Ukuhlinzwa okuvame kakhulu futhi okuphumelelayo kokukhululeka kwesikhathi eside kusuka ku-GERD kubizwa ngokuthi yi-fundoplication. Iyahlasela kancane futhi ixhumanisa ingxenye ephezulu yesisu nomphimbo. Lokhu kuzonciphisa i-reflux. Iningi leziguli libuyela emisebenzini yalo ejwayelekile emavikini ambalwa, ngemuva kwesikhashana, ukuhlala usuku olulodwa noma ezintathu esibhedlela. Lokhu kuhlinzwa kuvamise ukubiza phakathi kuka- $ 12,000 kuya ku- $ 20,000. Kungase futhi kukhokhelwe umshwalense wakho.

Umbono

Uma uhlushwa ukukhwehlela okungapheli, khuluma nodokotela wakho ngengozi yakho ye-GERD.Uma uthola ukuthi une-GERD, qiniseka ukuthi ulandela inqubo yakho yemithi futhi ugcine izikhathi zakho ezihleliwe zikadokotela.