Izimpawu ze-Acid Reflux Ephuthumayo

-Delile

• Kuyini i-Acid Reflux?
• Izimpawu ze-Acid Reflux
• Yini Ebangela I-Acid Reflux?
• Yiziphi Izici Zengozi Ye-Acid Reflux?
• Kudingeka Nini i-Endoscopy Ephezulu?
• Ukwelashwa kwe-Acid Reflux
• Isikhathi Sokubiza Udokotela Wakho

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.

Kuyini i-Acid Reflux?

Ngabe wake wezwa ukuzwa okuvuthayo, okushisayo ngemuva komlomo wakho ngemuva kokudla ukudla okunzima noma ukudla okubabayo? Okuzwayo yi-acid esiswini noma i-bile egeleza ibuyele emuva ku-esophagus yakho. Lokhu kuvame ukuhambisana nesilungulela, esibonakala ngokushisa noma ukuqinisa ukuzwa esifubeni ngemuva kwethambo lesifuba.

Ngokusho kwe-American College of Gastroenterology, abantu baseMelika abangaphezu kwezigidi ezingama-60 bathola i-acid reflux okungenani kanye ngenyanga, kanti abantu baseMelika abangaphezu kwezigidi eziyi-15 bangayithola nsuku zonke. Yize kungenzeka kunoma ngubani, kufaka phakathi izinsana nezingane, i-acid reflux ivame kakhulu kwabesifazane abakhulelwe, abantu abakhuluphele, kanye nabantu abadala asebekhulile.

Ngenkathi kuyinto ejwayelekile ukuzwa i-acid reflux ngezikhathi ezithile, labo abayibona ngaphezu kokuphindwe kabili ngeviki bangaba nenkinga enkulu kakhulu eyaziwa ngokuthi isifo se-reflux se-gastroesophageal (GERD). I-GERD iyindlela engapheli ye-acid reflux engacasula ulwelwesi lwe-esophagus yakho, ibangele ukuthi ivuthe. Lokhu kuvuvukala kungaholela esophagitis, okuyisimo esingenza kube nzima noma kubuhlungu ukugwinya. Ukucasuka okuqhubekayo kokucinana nakho kungaholela ekopheni, ekunciphiseni i-esophagus, noma esimweni esingalindelekile esibizwa nge-Barrett's esophagus.

Izimpawu ze-Acid Reflux

Izimpawu ze-acid reflux kwintsha nakubantu abadala zingafaka:

• umuzwa ovuthayo esifubeni oba mubi kakhulu lapho ugoba noma ulele phansi futhi uvame ukuvela ngemuva kokudla
• ukubhoboza njalo
• isicanucanu
• ukungakhululeki esiswini
• ukunambitheka okumunyu emlonyeni
• ukukhwehlela okomile

Izimpawu ze-acid reflux ezinganeni nasezinganeni ezisencane zingafaka:

• imvumba emanzi
• izinqa
• ukuphalaza njalo noma ukuphalaza, ikakhulukazi ngemuva kokudla
• ukushaywa umoya noma ukuminyaniswa ngenxa yesipele se-asidi ku-windpipe nasemaphashini
• ukuphalaza ngemuva kweminyaka yobudala engu-1, okuyiminyaka lapho ukukhafula kufanele kuyeke khona
• ukucasuka noma ukukhala ngemuva kokudla
• ukwenqaba ukudla noma ukudla ukudla okuncane kuphela
• ubunzima bokuthola isisindo

Yini Ebangela I-Acid Reflux?

I-Acid reflux ingumphumela wenkinga eyenzeka ngesikhathi senqubo yokugaya ukudla. Uma ugwinya, i-esophageal sphincter engezansi (LES) ivame ukubuyela emuva ukuvumela ukudla nokuhamba ketshezi kusuka esiswini sakho kuye esiswini sakho. I-LES ibhendi eyindilinga yemisipha etholakala phakathi kwesisu sakho nesisu. Ngemuva kokudla noketshezi kungena esiswini, i-LES iyaqina bese ivala ukuvulwa. Uma le misipha iphumula ngokungajwayelekile noma ibuthakathaka ngokuhamba kwesikhathi, isisu se-asidi singabuyela emuva emungeni wakho. Lokhu kubangela i-acid reflux nesilungulela. Kuthathwa njengokukhukhumala uma i-endoscopy ephezulu ibonisa ukugqobhoza ulwelwesi lokucinza. Kubhekwa njengokungajimi uma ulwelwesi lubukeka luvamile.

Yiziphi Izici Zengozi Ye-Acid Reflux?

Yize kungenzeka kunoma ngubani, kufaka phakathi izinsana nezingane, i-acid reflux ivame kakhulu kwabesifazane abakhulelwe, abantu abakhuluphele nabantu abadala asebekhulile.

Kudingeka Nini i-Endoscopy Ephezulu?

Ungadinga i-endoscopy ephezulu ukuze udokotela wakho aqiniseke ukuthi azikho izizathu ezibucayi zezimpawu zakho.

Ungadinga le nqubo uma une:

• ubunzima noma ubuhlungu ngokugwinya
• Ukopha kwe-GI
• i-anemia, noma ukubalwa kwegazi okuphansi
• ukuncipha komzimba
• ukuphalaza okuphindaphindiwe

Uma uyindoda eneminyaka engaphezu kwengama-50 ubudala futhi une-reflux yasebusuku, ukhuluphele ngokweqile, noma uyabhema, ungadinga futhi i-endoscopy ephezulu ukuthola imbangela yezimpawu zakho.

Ukwelashwa kwe-Acid Reflux

Uhlobo lokwelashwa kwe-acid reflux ezophakanyiswa udokotela wakho kuya ngezimpawu zakho kanye nomlando wakho wezempilo. Ukwelashwa okuvamile kufaka:

• ama-histamine-2 receptor blockers ukunciphisa ukukhiqizwa kwe-asidi esiswini, njenge-famotidine (Pepcid)
• proton pump inhibitors ukunciphisa ukukhiqizwa kwe-asidi esiswini, njenge-esomeprazole (Nexium) ne-omeprazole (Prilosec)
• imithi yokuqinisa i-LES, njenge-baclofen (Kemstro)
• ukuhlinzwa ukuqinisa nokuqinisa i-LES

Ukwenza ushintsho olulula lwendlela yokuphila nakho kungasiza ekwelapheni i-acid reflux. Lokhu kufaka phakathi:

• ukuphakamisa ikhanda lombhede noma ukusebenzisa umcamelo wedge
• ukugwema ukulala phansi amahora amabili ngemuva kokudla
• ukugwema ukudla amahora amabili ngaphambi kokulala
• ukugwema ukugqoka izingubo eziqinile
• kunciphisa ukuphuza kwakho utshwala
• ukuyeka ukubhema
• ukwehlisa isisindo uma ukhuluphele ngokweqile

Kufanele futhi ugweme ukugwema ukudla neziphuzo ezibangela i-acid reflux, kufaka phakathi:

• izithelo ezisawolintshi
• ushokoledi
• ukudla okunamafutha nokuthosiwe
• i-caffeine
• upelepele
• iziphuzo ezine-carbonated
• ukudla okwenziwe ngotamatisi namasoso

Lapho ingane yakho ibhekene ne-acid reflux, udokotela angaphakamisa:

• ukugqekeza ingane yakho amahlandla ambalwa ngesikhathi sokuncelisa
• ukunikeza ukudla okuncane, okuvame kakhulu
• ukugcina ingane yakho imile okungenani imizuzu engama-30 ngemuva kokudla
• ukwengeza isipuni esingu-1 selayisi okusanhlamvu kuma-ounces amabili obisi lwezinsana (uma usebenzisa ibhodlela) ukuqina ubisi
• ukushintsha indlela odla ngayo uma uncelisa ibele
• ukushintsha uhlobo lwefomula uma iziphakamiso ezingenhla zingasizanga

Isikhathi Sokubiza Udokotela Wakho

I-acid reflux engalashiwe noma i-GERD ingaholela ezinkingeni ngokuhamba kwesikhathi. Shayela udokotela wakho ngokushesha uma wena noma ingane yakho uhlangabezana nalezi zimpawu ezilandelayo:

• ubunzima obungapheli bokugwinya noma bokuklinya, okungakhombisa ukulimala okukhulu emqaleni
• ukuphefumula kanzima, okungakhombisa inkinga enkulu yenhliziyo noma yamaphaphu
• ezinegazi noma ezimnyama, izitulo zokulinda, ezingakhombisa ukopha emgodini noma esiswini
• ubuhlungu besisu obuqhubekayo, obungakhombisa ukopha noma isilonda esiswini noma emathunjini
• ukwehla kwesisindo okungazelelwe nokungalawuleki, okungakhombisa ukuntuleka kokudla okunempilo
• ubuthakathaka, isiyezi, nokudideka, okungakhombisa ukwethuka

Ubuhlungu besifuba uphawu olujwayelekile lwe-GERD, kepha kungadinga ukunakekelwa kwezokwelapha njengoba kungakhombisa ukuqala kokuhlaselwa yinhliziyo. Abantu kwesinye isikhathi bayaphambanisa ukuzwa kwesilungulela nesifo senhliziyo.

Izimpawu ezisikisela kakhulu isilungulela zingafaka:

• ukusha okuqala esiswini esingenhla bese kudlulela esifubeni esingenhla
• ukusha okwenzeka ngemuva kokudla futhi okuya kuba kubi kakhulu lapho ulele noma ugoba
• ukusha okungasuswa ngama-antacids
• ukunambitheka okumuncu emlonyeni, ikakhulukazi lapho ulele phansi
• ukuvuselelwa okuncane okubuyela emuva emqaleni

Abantu abangaphezu kweminyaka engama-50 basengozini eyengeziwe yokuhlaselwa yinhliziyo nezinye izinkinga zenhliziyo. Ingozi ibuye ibe nkulu phakathi kwalabo abanomfutho wegazi ophakeme, i-cholesterol ephezulu nesifo sikashukela. Ukukhuluphala nokubhema yizinto ezengeziwe eziyingozi.

Shayela u-911 ngokushesha uma ukholwa ukuthi wena noma umuntu omaziyo uhlangabezana nokuhlaselwa yinhliziyo noma esinye isimo sezempilo esisongela impilo.