Ubunzima Ukugwinya (iDysphagia) Ngenxa ye-Acid Reflux

-Delile

• I-Reflux ne-dysphagia
• Ziyini izimpawu ze-dysphagia?
• Iphathwa kanjani i-reflux?
• Imithi
• Izinguquko zendlela yokuphila
• Ukuhlinzwa
• Uyini umbono wesikhathi eside?

Kuyini i-dysphagia?

I-Dysphagia yilapho unenkinga yokugwinya. Ungakuthola lokhu uma unesifo se-reflux se-gastroesophageal (GERD). I-Dysphagia ingenzeka ngezikhathi ezithile noma kaningi. Imvamisa incike ebucayi be-reflux yakho kanye nokwelashwa kwakho.

I-Reflux ne-dysphagia

I-reflux engapheli yesisu esiswini sakho ingacasula umphimbo wakho. Ezimweni ezimbi kakhulu, kungadala i-dysphagia. Izicubu ezibucayi zingakhula endaweni yakho. Izicubu ezibomvu zinganciphisa isisu sakho. Lokhu kwaziwa njengokuqiniswa kokuqiniswa kwesisu.

Kwezinye izimo, i-dysphagia ingaba umphumela oqondile wokulimala kokuqina. Ulwelwesi lwesimila lungashintsha lufane nezicubu ezifaka amathumbu akho. Lesi yisimo esibizwa ngokuthi yi-Barrett's esophagus.

Ziyini izimpawu ze-dysphagia?

Izimpawu ze-dysphagia ziyahluka kumuntu ngamunye. Ungaba nezinkinga ngokugwinya ukudla okuqinile, kepha ungabi nankinga noketshezi. Abanye abantu babhekana nokuphambene futhi banenkinga yokugwinya uketshezi, kepha bangakwazi ukuphatha okuqinile ngaphandle kwenkinga. Abanye abantu banenkinga yokugwinya noma yini, ngisho namathe abo.

Ungaba nezimpawu ezingeziwe, kufaka phakathi:

• ubuhlungu lapho ugwinya
• Umphimbo obuhlungu
• ukuminza
• ukukhwehlela
• ukugaya noma ukuvuselela ukudla noma ama-acid esiswini
• ukuzwa ukuthi ukudla kunamathele ngemuva kwethambo lakho lesifuba
• umuzwa ovuthayo ngemuva kwesifuba sakho (uphawu lwakudala lwesilungulela)
• ukushaqeka

Izimpawu zingasebenza uma usebenzisa ukudla okuyizimbangela ezivamile ze-acid reflux, njenge:

• imikhiqizo eyenziwe ngotamatisi
• izithelo ezisawolintshi namajusi
• ukudla okunamafutha noma okuthosiwe
• utshwala
• iziphuzo ezine-caffeine
• ushokoledi
• upelepele

Iphathwa kanjani i-reflux?

Imithi

Imithi ingenye yezindlela zokuqala zokwelapha i-dysphagia ehlobene ne-reflux. Ama-Proton pump inhibitors (ama-PPIs) yimithi eyehlisa ama-acid esiswini futhi iqede izimpawu ze-GERD. Futhi zingasiza ekuphulukiseni ukuguguleka kwesisu okubangelwa yi-reflux.

Izidakamizwa ze-PPI zifaka:

• esomeprazole
• lansoprazole
• i-omeprazole (Prilosec)
• umabhebhana
• umabhebhana

Ama-proton pump inhibitors avame ukuthathwa kanye ngosuku. Eminye imishanguzo ye-GERD, efana ne-H2 blockers, nayo inganciphisa izimpawu. Kodwa-ke, empeleni abakwazi ukuphulukisa ukulimala kwesisu sakho.

Izinguquko zendlela yokuphila

Izinguquko zendlela yokuphila zingasiza ukwenza ukudla nokugwinya kube ngokunethezeka. Kubalulekile ukuqeda iziphuzo ezidakayo kanye nemikhiqizo ye-nicotine empilweni yakho. Ukubhema notshwala kungacasula isisu sakho esivele sekonakele futhi kungakhuphula amathuba okushiswa yinhliziyo. Cela udokotela wakho ukuthi akuthumele ngemithi noma iqembu lokukuxhasa uma udinga usizo lokuyeka ukuphuza noma ukubhema.

Yidla ukudla okuncane kaningi esikhundleni sokudla okukhulu kathathu nsuku zonke. I-dysphagia emaphakathi kuya kwelukhuni ingadinga ukuthi ulandele ukudla okuthambile noma oketshezi. Gwema ukudla okunamathelayo, okufana nojamu noma ibhotela lamantongomane, futhi uqiniseke ukuthi usika ukudla kwakho kube yizicucu ezincane ukwenza ukugwinya kube lula.

Xoxa ngezidingo zokudla okunempilo nodokotela wakho. Izinkinga zokugwinya zingaphazamisa ikhono lakho lokugcina isisindo sakho noma ukuthola amavithamini namaminerali owadingayo ukuze uhlale uphilile.

Ukuhlinzwa

Ukuhlinzwa kungadingeka kwiziguli ezibhekene ne-reflux enamandla engaphenduli emithini nasekushintsheni kwendlela yokuphila. Ezinye izinqubo zokuhlinza ezisetshenziselwa ukwelapha i-GERD, isisu sikaBarrett, kanye nokuqina kwesisu nakho kunganciphisa noma kuqede iziqephu ze-dysphagia. Lezi zinqubo zifaka:

• Ukusetshenziswa kwemali: Kule nqubo, indawo engenhla yesisu izungeza i-sphincter engezansi (LES) ukuze isebenze njengohlelo lokusekela. I-LES, umsipha ongaphansi kwesigaxa, iba namandla futhi mancane amathuba okuthi ivuleke ukuze ama-acids angakwazi ukuphinda angene emphinjeni.
• Izinqubo ze-Endoscopic: Lokhu kuqinisa i-LES futhi kuvimbele i-acid reflux. Uhlelo lwe-Stretta lwakha izicubu ezibomvu ku-LES ngochungechunge lokusha okuncane. Izinqubo ze-NDO Plicator ne-EndoCinch ziqinisa i-LES ngemithungo.
• Ukwehliswa kwe-Esophageal: Lokhu ukwelashwa okuvamile kokuhlinzwa kwe-dysphagia. Kule nqubo, ibhaluni elincane elifakwe kwi-endoscope linweba umhosha ukwelapha ukuqina.
• Ukususwa okuyingxenye komhosha: Le nqubo isusa izingxenye zomhosha owonakele kakhulu noma izindawo esezivele zaba nomdlavuza ngenxa yesimomondiya sikaBarrett, bese ngokuhlinzwa ifaka isisu esisele esiswini.

Uyini umbono wesikhathi eside?

I-Dysphagia ingethusa, kepha ayisona njalo isimo esingelapheki. Yazisa udokotela wakho kunoma ibuphi ubunzima bokugwinya nezinye izimpawu ze-GERD ohlangabezana nazo. Ubunzima bokugwinya obuhambisana ne-GERD bungelashwa ngemithi kadokotela yokwehlisa i-asidi esiswini.