Ukubona Izimpawu ze-GERD

-Delile

• Izimpawu ze-GERD kubantu abadala
• Nginezinhlungu ezivuthayo esifubeni sami
• Abanye abantu bathola ukuthi bangathola ukukhululeka ekuqhumeni kwenhliziyo ngo:
  
• Nginokunambitheka okubi emlonyeni wami
• Kuba kubi uma ngilala phansi
• Anginaso isilungulela, kodwa udokotela wamazinyo wami uqaphele inkinga ngamazinyo ami
• Lezi zinyathelo zingasiza ukuvikela amazinyo akho ku-reflux:
  
• Ziyini izimpawu ze-GERD ezinganeni?
• Ingane yami ikhafula kakhulu
• Ingane yami ivame ukukhwehlela futhi igaxe lapho idla
• Ingane yami ibonakala ingakhululekile neze ngemuva kokudla
• Ingane yami inenkinga yokuhlala ilele
• Ingane yami yenqaba ukudla, futhi iholela ekukhathazekeni kwesisindo
• Amathiphu okwelashwa kwe-GERD ezinganeni:
  
• Ziyini izimpawu ze-GERD zezingane ezindala?
• Kufanele uthole nini usizo kudokotela?
• Yini ongayenza udokotela wakho?
• Izindlela zokugwema ukuqala kwezimpawu ze-GERD
• Yiziphi izingqinamba ezingabangelwa yi-GERD?
• Kwenzeka kanjani i-GERD
• Ukuthatha

Ngabe i-GERD inini?

Isifo se-reflux se-Gastroesophageal (GERD) yisimo esidala ukuthi okuqukethwe yisisu sakho kugeze kuye phezulu, emphinjeni nasemlonyeni.

I-GERD i-acid reflux engapheli enezimpawu ezenzeka ngaphezu kokuphindwe kabili ngesonto noma ezihlala amasonto noma izinyanga.

Ake sibheke izimpawu ze-GERD abantu abadala, izinsana, nezingane, nokuthi yini ongayenza ngakho.

Izimpawu ze-GERD kubantu abadala

Nginezinhlungu ezivuthayo esifubeni sami

Uphawu oluvame kakhulu lwe-GERD umuzwa ovuthayo phakathi kwesifuba sakho noma ngaphezulu kwesisu sakho. Ubuhlungu besifuba obuvela eGERD, obubizwa nangokuthi isilungulela, bungaba bukhulu kangangokuba abantu kwesinye isikhathi bazibuze ukuthi ngabe bahlaselwa yinhliziyo.

Kepha ngokungafani nobuhlungu bokuhlaselwa yisifo senhliziyo, ubuhlungu besifuba se-GERD buvame ukuzwa sengathi bungaphansi kwesikhumba sakho, futhi kungabonakala ngathi kuphuma esiswini sakho kuze kufike emphinjeni wakho esikhundleni sokwehla kwengalo yakho yangakwesobunxele. Thola okunye umehluko phakathi kwe-GERD nesilungulela.

Abanye abantu bathola ukuthi bangathola ukukhululeka ekuqhumeni kwenhliziyo ngo:

• okuxegisa amabhande namabhande okhalweni
• ukuhlafuna ama-antacids
• ukuhlala mpo ukwehlisa ingcindezi ekugcineni okuphansi komqala
• ukuzama amakhambi emvelo njenge-apula cider uviniga, licorice, noma ujinja

Nginokunambitheka okubi emlonyeni wami

Ungaba nokunambitheka okumunyu noma okumuncu emlonyeni wakho. Lokho kungenxa yokuthi ukudla noma isisu esine-asidi kungenzeka ukuthi sikhuphukele emphinjeni wakho nasemhlane womphimbo wakho.

Kungenzeka futhi ukuthi une-laryngopharyngeal reflux esikhundleni se, noma ngasikhathi sinye njenge, GERD. Kulokhu, izimpawu zibandakanya umphimbo wakho, umphimbo nezwi, nezindlebe zamakhala.

Kuba kubi uma ngilala phansi

Kungaba nzima ukugwinya futhi ungakhwehlela noma ushaye ngemuva kokudla, ikakhulukazi ebusuku noma lapho ulala phansi. Abanye abantu abane-GERD nabo bazizwa benesicanucanu.

Anginaso isilungulela, kodwa udokotela wamazinyo wami uqaphele inkinga ngamazinyo ami

Akuwona wonke umuntu one-GERD ohlangabezana nezimpawu zokugaya ukudla. Kwabanye abantu, uphawu lokuqala lungaba ukulimala koqweqwe lwawo lwezinyo. Uma isisu i-asidi ibuyela emlonyeni wakho kaningi ngokwanele, ingaguga indawo yamazinyo akho.

Uma udokotela wamazinyo wakho ethi koqweqwe lwawo luyaguguleka, kunezinto ongazenza ukuze ungabi kubi kakhulu.

Lezi zinyathelo zingasiza ukuvikela amazinyo akho ku-reflux:

• ukuhlafuna ama-antacids e-counter ukuze unciphise i-asidi ematheni akho
• uhlambulule umlomo wakho ngamanzi nesoda yokubhaka ngemuva kokuba une-acid reflux
• usebenzisa ukugeza kwe-fluoride “ukukhumbuza kabusha” noma yikuphi ukuklwebheka emazinyweni akho
• ukushintshela kumuthi wokuxubha ongagudluki
• ushingamu nge-xylitol ukwandisa ukugeleza kwamathe akho
• egqoke unogada wamazinyo ebusuku

Ziyini izimpawu ze-GERD ezinganeni?

Ingane yami ikhafula kakhulu

Ngokusho kodokotela eMayo Clinic, izingane ezinempilo zingaba ne-reflux ejwayelekile izikhathi eziningana nsuku zonke, futhi iningi liyidlula ngesikhathi sezinezinyanga eziyi-18 ubudala. Ukushintshwa kokuthi ingane yakho ikhafule kangakanani, kangaki, noma ngamandla kangakanani kungakhombisa inkinga, ikakhulukazi uma isineminyaka engaphezu kwezinyanga ezingama-24.

Ingane yami ivame ukukhwehlela futhi igaxe lapho idla

Lapho okuqukethwe yisisu kubuya phezulu, ingane yakho ingakhwehlela, iminyanise noma igwebe. Uma i-reflux ingena ku-windpipe, ingahle iholele ekubeni nobunzima bokuphefumula noma ukutheleleka okuphindaphindiwe kwamaphaphu.

Ingane yami ibonakala ingakhululekile neze ngemuva kokudla

Izingane ezine-GERD nazo zingakhombisa izimpawu zokungakhululeki ngenkathi zidla noma ngemuva nje kwalokho. Bangase bagobe imihlane yabo. Bangaba nezikhathi zokukhala ezihlala isikhathi eside kunamahora amathathu ngosuku.

Ingane yami inenkinga yokuhlala ilele

Lapho izingane zilele phansi, ukuphuma emuva koketshezi kungakhululeki. Bangase bavuke bekhathazekile ubusuku bonke. Kunezinyathelo ongazithatha ukunciphisa lokhu kuphazamiseka kokulala, njengokuphakamisa ikhanda lesibhedlela sabo nokushintsha uhlelo lwabo.

Ingane yami yenqaba ukudla, futhi iholela ekukhathazekeni kwesisindo

Lapho ukudla kungakhululekile, izingane zingakujikisa ukudla nobisi. Wena noma udokotela wakho ningaqaphela ukuthi ingane yakho ayitholi isisindo ngejubane elifanele noma ilahlekelwa isisindo.

Kunezinto eziningana ongazenza ukusiza ingane yakho ngalezi zimpawu.

Amathiphu okwelashwa kwe-GERD ezinganeni:

• ukondla amanani amancane kaningi
• ukushintsha izinhlobo zefomula noma izinhlobo
• ukukhipha eminye imikhiqizo yezilwane, njengenkomo, amaqanda, nobisi, ekudleni kwakho uma uncelisa
• kushintsha usayizi wesikhala sengono ebhodleleni
• ukubhobhoza ingane yakho kaningi
• ukugcina ingane yakho imile okungenani isigamu sehora ngemuva kokudla

Uma lezi zindlela zingasizi, buza udokotela wakho mayelana nokuzama umuthi ovunyelwe wokunciphisa i-asidi isikhathi esifushane.

Ziyini izimpawu ze-GERD zezingane ezindala?

Izimpawu ze-GERD zezingane ezindala nentsha zifana nalezo ezinganeni nakubantu abadala. Izingane zingaba nezinhlungu zesisu noma ukungakhululeki ngemuva kokudla. Kungaba nzima ukuthi bagwinye, futhi bangazizwa behlanjululwa noma behlanza ngemuva kokudla.

Ezinye izingane ezine-GERD zingahle zibhonge kakhulu noma zizwakale zihoshozela. Izingane ezindala nentsha nazo zingaba nesilungulela noma zinenkinga yokuphefumula ngemuva kokudla. Uma izingane ziqala ukuhlanganisa ukudla nokungaphatheki kahle, zingala ukudla.

Kufanele uthole nini usizo kudokotela?

Kufanele futhi uye kudokotela wakho uma uqala ukuhlanza amanani amakhulu, ikakhulukazi uma uphonsa uketshezi oluhlaza okotshani, oluphuzi, noma olunegazi, noma olunezinhlamvu ezincane ezimnyama kulo ezibukeka njengezindawo zekhofi.

Yini ongayenza udokotela wakho?

Udokotela wakho angase anikeze:

• Ama-H2 blocker noma ama-proton pump inhibitors ukwehlisa inani le-asidi esiswini sakho
• ama-prokinetics okusiza isisu sakho ukuthi singabi nalutho ngokushesha okukhulu ngemuva kokudla

Uma lezo zindlela zingasebenzi, ukuhlinzwa kungaba inketho. Ukwelashwa kwezingane ezinezimpawu ze-GERD kuyafana.

Izindlela zokugwema ukuqala kwezimpawu ze-GERD

Ukuze ugcine izimpawu ze-GERD zilinganiselwe, ungenza ushintsho olulula. Ungahle uthande ukuzama:

• ukudla ukudla okuncane
• kukhawulela amawolintshi, i-caffeine, ushokoledi, nokudla okunamafutha amaningi
• ukwengeza ukudla ukuthuthukisa ukugaya
• ukuphuza amanzi esikhundleni seziphuzo ezine-carbonated notshwala
• ukugwema ukudla kwasebusuku kakhulu nezingubo eziqinile
• ukuhlala uqonde amahora amabili ngemuva kokudla
• ukuphakamisa ikhanda lombhede wakho ngamasentimitha ayisithupha kuya kwangu-8 usebenzisa ama-risers, amabhlogo, noma ama-wedge

Yiziphi izingqinamba ezingabangelwa yi-GERD?

I-asidi ekhiqizwa isisu sakho inamandla. Uma i-esophagus yakho ivezwa kakhulu kuyo, ungahlakulela i-esophagitis, ukucasuka kocingo lwomphetho wakho.

Ungathola futhi i-reflux laryngitis, ukuphazamiseka kwezwi okukwenza uqhume futhi kukushiye uzizwe sengathi unesigaxa emphinjeni wakho.

Amaseli angajwayelekile angakhula emqaleni wakho, isimo esibizwa ngokuthi yiBarrett's esophagus, okungathi, ezimweni ezingavamile, siholele kumdlavuza.

Futhi isisu sakho singaba nezibazi, sakhe izingqimba zokuqina zokukhawulela amandla akho okudla nokuphuza ngendlela obuvame ngayo.

Kwenzeka kanjani i-GERD

Ngaphansi kwesisu, indandatho yemisipha ebizwa nge-lower esophageal sphincter (LES) ivula ukuvumela ukudla ungene esiswini sakho.Uma une-GERD, i-LES yakho ayivali yonke indlela ngemuva kokuthi ukudla kudlule kuyo. Imisipha ihlala ikhululekile, okusho ukuthi ukudla noketshezi kungabuyela emqaleni wakho.

Izici eziningana zobungozi zingakhuphula amathuba akho okuthola i-GERD. Uma ukhuluphele ngokweqile noma ukhulelwe, noma uma une-hernia yokuzalwa, ingcindezi eyengeziwe endaweni yakho yesisu ingadala ukuthi i-LES ingasebenzi kahle. Imithi ethile ingadala ne-acid reflux.

kubonise ukuthi ukubhema kungaholela ku-GERD futhi ukuyeka ukubhema kunganciphisa kakhulu i-reflux.

Ukuthatha

Izimpawu ze-GERD zingakhathazeki kulabo bayo yonke iminyaka. Uma ishiywe ingavunyelwe, ingaholela ekulimaleni kwesikhathi eside ezingxenyeni zohlelo lwakho lokugaya ukudla. Izindaba ezinhle ukuthi ungakwazi ukuphatha izimpawu ngokushintsha imikhuba ethile eyisisekelo.

Uma lezi zinguquko zingazinciphisi ngokuphelele izimpawu zakho noma zengane yakho, udokotela wakho angakwazi ukukuhlinzeka ngemithi yokwehlisa i-acid reflux noma ngokuhlinzwa alungise indandatho yemisipha evumela ukubuyela emuva emungeni wakho.