Izindlela eziyi-14 Zokuvimbela Isilungulela ne-Acid Reflux

-Delile

• Kuyini i-Acid Reflux futhi Ziyini Izimpawu?
• 1. Ungadli ngokweqile
• 2. Ukwehlisa Isisindo
• 3. Landela Ukudla Okuphansi Kwe-Carb
• 4. Nciphisa Ukuphuza Kwakho Utshwala
• 5. Ungaphuzi Ikhofi Eliningi
• 6. Hlafuna Gum
• 7. Gwema i-anyanisi eluhlaza
• 8. Nciphisa Ukungenisa Kwakho Iziphuzo Ezihlanganisiwe
• 9. Ungaphuzi Ijusi Lezitrus Eliningi
• 10. Cabanga Ukudla Ushokoledi Oncane
• 11. Gwema iMint, Uma Kudingeka
• 12. Phakamisa Inhloko Yombhede Wakho
• 13. Ungadli Kungakapheli amahora amathathu usuyolala
• 14. Ungalali Ngakwesokunene Sakho
• Okusemqoka

Izigidi zabantu zizwa i-acid reflux nesilungulela.

Ukwelashwa okusetshenziswa kakhulu kubandakanya imishanguzo yokuthengisa, njenge-omeprazole. Kodwa-ke, ukuguqulwa kwendlela yokuphila nakho kungasebenza.

Ukushintsha nje imikhuba yakho yokudla noma indlela olala ngayo kunganciphisa kakhulu izimpawu zakho zesilungulela ne-acid reflux, kuthuthukise ikhwalithi yempilo yakho.

Kuyini i-Acid Reflux futhi Ziyini Izimpawu?

I-Acid reflux yilapho isisu esiswini sidonswa sinyukele emungeni, okuyishubhu elithwala ukudla nokuphuza lisuka emlonyeni liye esiswini.

Enye i-reflux ijwayelekile futhi ayinangozi, imvamisa ayibangeli zimpawu. Kepha uma kwenzeka kaningi kakhulu, kushisa ingaphakathi lomqondo.

Kulinganiselwa ukuthi u-14-20% wabo bonke abantu abadala e-US bane-reflux ngandlela thile noma enye ().

Uphawu oluvame kakhulu lwe-acid reflux lwaziwa njengesilungulela, okubuhlungu, umuzwa ovuthayo esifubeni noma emphinjeni.

Abaphenyi balinganisela ukuthi cishe ama-7% amaMelika ahlaselwa isilungulela nsuku zonke (2).

Kulabo abahlala behlaselwa isilungulela, ama-20-40% atholakala enesifo se-reflux se-gastroesophageal (GERD), okuyindlela ebucayi kakhulu ye-acid reflux. I-GERD yisifo esivame kakhulu sokugaya ukudla e-US ().

Ngaphezu kwesilungulela, izimpawu ezivamile ze-reflux zifaka ukunambitheka okune-asidi ngemuva komlomo nobunzima bokugwinya. Ezinye izimpawu zifaka ukukhwehlela, i-asthma, ukuguguleka kwamazinyo nokuvuvukala ezonweni ().

Ngakho-ke nazi izindlela eziyi-14 zemvelo zokunciphisa i-acid reflux yakho nesilungulela, konke kusekelwa ngucwaningo lwesayensi.

1. Ungadli ngokweqile

Lapho umqala uvula khona esiswini, kunomsipha onjengendandatho owaziwa ngokuthi yi-sphincter engezansi yesophageal.

Isebenza njenge-valve futhi kufanele ivimbele okuqukethwe okune-asidi esiswini ukuthi kungakhuphukeli emlilweni. Iyavuleka ngokwemvelo lapho ugwinya, ubhinca noma uhlanza. Ngaphandle kwalokho, kufanele ihlale ivaliwe.

Kubantu abane-acid reflux, le misipha ibuthakathaka noma ayisebenzi. I-Acid reflux nayo ingenzeka lapho kunengcindezi enkulu kakhulu emisipheni, okwenza i-asidi icindezele ekuvulekeni.

Ngokumangazayo, izimpawu eziningi ze-reflux zenzeka ngemuva kokudla. Kubonakala futhi ukuthi ukudla okukhudlwana kungazenza zibe zimbi izimpawu ze-reflux (,).

Isinyathelo esisodwa esizosiza ukunciphisa i-acid reflux ukugwema ukudla ukudla okukhulu.

Gwema ukudla ukudla okukhulu. I-acid reflux ivame ukwanda ngemuva kokudla, futhi ukudla okukhudlwana kubonakala kwenza inkinga ibe yimbi kakhulu.

2. Ukwehlisa Isisindo

I-diaphragm imisipha etholakala ngaphezu kwesisu sakho.

Kubantu abaphilile, i-diaphragm ngokwemvelo iqinisa i-sphincter engezansi yokucinana.

Njengoba kushiwo ngaphambili, le misipha ivimbela isisindo esiningi ngokweqile se-asidi esiswini ukuthi singagxumeki singene emphinjeni.

Kodwa-ke, uma unamafutha amaningi esiswini, ingcindezi esiswini sakho ingase ibe phezulu kakhulu kangangokuthi i-sphincter engezansi yesisu iyaqhutshwa iye phezulu, kude nokusekelwa kwe-diaphragm. Lesi simo saziwa njenge-hiatus hernia.

IHiatus hernia yisona sizathu esikhulu sabantu abakhuluphele kakhulu nabesifazane abakhulelwe abasengozini eyengeziwe ye-reflux nesilungulela (,).

Ucwaningo oluningi lokuhlola lubonisa ukuthi amakhilogremu angeziwe endaweni yesisu akhulisa ubungozi be-reflux ne-GERD ().

Izifundo ezilawulwayo zisekela lokhu, zibonisa ukuthi ukwehla kwesisindo kunganciphisa izimpawu ze-reflux ().

Ukwehlisa isisindo kufanele kube ngenye yezinto eziza kuqala kuwe uma uhlala ne-acid reflux.

Ukucindezela ngokweqile ngaphakathi kwesisu kungenye yezizathu ze-acid reflux. Ukulahlekelwa amafutha esiswini kungakhulula ezinye zezimpawu zakho.

3. Landela Ukudla Okuphansi Kwe-Carb

Ubufakazi obukhulayo bukhombisa ukuthi ukudla okuphansi kwe-carb kunganciphisa izimpawu ze-acid reflux.

Ososayensi basola ukuthi ama-carbs angadliwe angadala ukwanda kwamagciwane kanye nengcindezi ephakeme ngaphakathi esiswini. Abanye baze bacabange ukuthi lokhu kungaba ngesinye sezimbangela ezivame kakhulu ze-acid reflux.

Ucwaningo lukhombisa ukuthi ukugcwala kwamagciwane kubangelwa ukugaya nokunciphisa ukumuncwa kwe-carb.

Ukuba nama-carbs amaningi angadliwe ohlelweni lwakho lokugaya ukudla kukwenza ube yisibindi futhi uqumbe. Ibuye ijwayele ukukwenza ube ne-belch kaningi (,,,).

Ukusekela lo mbono, ucwaningo oluthile oluncane lukhombisa ukuthi ukudla okuphansi kwe-carb kuthuthukisa izimpawu ze-reflux (,,).

Ngokwengeziwe, ukwelashwa kwama-antibiotic kunganciphisa kakhulu i-acid reflux, mhlawumbe ngokunciphisa inani lamagciwane akhiqiza igesi (,).

Kwesinye isifundo, abacwaningi banikeze ababambiqhaza izithasiselo ze-GERD prebiotic fiber ezikhuthaza ukukhula kwamagciwane akhiqiza igesi. Izimpawu ze-reflux zabahlanganyeli zaba zimbi njengomphumela ().

I-Acid reflux ingabangelwa ukugaya ukudla okuncane kwe-carb nokwanda kwamagciwane emathunjini amancane. Ukudla okune-carb ephansi kubonakala kungumuthi osebenzayo, kepha kudingeka izifundo ezengeziwe.

4. Nciphisa Ukuphuza Kwakho Utshwala

Ukuphuza utshwala kungakhuphula ukuqina kwe-acid reflux nesilungulela.

Ikhulisa izimpawu ngokwandisa i-asidi esiswini, ikhulule i-sphincter ephansi futhi iphazamise ikhono le-esophagus ukuzisusa nge-acid (,).

Ucwaningo lukhombisile ukuthi ukuphuza utshwala ngokulinganisela kungadala nezimpawu ze-reflux kubantu abaphilile (,).

Izifundo ezilawulwayo zikhombisa nokuthi ukuphuza iwayini noma ubhiya kwandisa izimpawu ze-reflux, uma kuqhathaniswa nokuphuza amanzi alula (,).

Ukuphuza ngokweqile kungazonakalisa izimpawu ze-acid reflux. Uma uzwa isilungulela, ukunciphisa ukuphuza kwakho utshwala kungasiza ekunciphiseni ezinye izinhlungu zakho.

5. Ungaphuzi Ikhofi Eliningi

Ucwaningo lubonisa ukuthi ikhofi linciphisa okwesikhashana i-sphincter engezansi ye-esophageal, okwandisa ubungozi be-acid reflux ().

Obunye ubufakazi bukhomba i-caffeine njengomuntu ongaba yicala. Ngokufana nekhofi, i-caffeine inciphisa i-esophageal sphincter engezansi ().

Ngokwengeziwe, kukhonjiswe ukuphuza ikhofi eline-decaffeinated kuye kwehlisa i-reflux uma kuqhathaniswa nekhofi ejwayelekile (,).

Kodwa-ke, ucwaningo olulodwa olunikeze abahlanganyeli i-caffeine emanzini alikwazanga ukuthola noma yimiphi imiphumela ye-caffeine ku-reflux, noma ngabe ikhofi uqobo lwazo lwazenza zaba zimbi izimpawu.

Lokhu okutholakele kukhombisa ukuthi izinhlanganisela ngaphandle kwe-caffeine zingadlala indima emiphumeleni yekhofi ku-acid reflux. Ukucutshungulwa nokulungiswa kwekhofi nakho kungabandakanyeka ().

Noma kunjalo, yize ucwaningo oluningi lukhombisa ukuthi ikhofi lingadala i-acid reflux, ubufakazi abukho ngokuphelele.

Ucwaningo olulodwa alutholanga miphumela emibi lapho iziguli ezine-acid reflux zisebenzisa ikhofi ngemuva nje kokudla, uma kuqhathaniswa nenani elilinganayo lamanzi afudumele. Kodwa-ke, ikhofi lenyuse ubude beziqephu ze-reflux phakathi kokudla ().

Ngokwengeziwe, ukuhlaziywa kwezifundo zokubheka akutholanga miphumela ebalulekile yokuphuza ikhofi kuzimpawu zokuzibika ze-GERD.

Kodwa-ke, ngenkathi izimpawu ze-acid reflux ziphenywa ngekhamera encane, ukusetshenziswa kwekhofi kwakuxhunyaniswa nomonakalo omkhulu we-acid esophagus ().

Ukuthi ukuphuza ikhofi kubhebhethekisa i-acid reflux kungaxhomeka kumuntu ngamunye. Uma ikhofi likupha isilungulela, vele uligweme noma ulinganisele ekudleni kwakho.

Ubufakazi bukhombisa ukuthi ikhofi lenza i-acid reflux nesilungulela kube kubi kakhulu. Uma uzizwa sengathi ikhofi linyusa izimpawu zakho, kufanele ucabange ukunciphisa ukudla kwakho.

6. Hlafuna Gum

Izifundo ezimbalwa zikhombisa ukuthi i-chewing gum inciphisa i-asidi ku-esophagus (,,).

I-Gum equkethe i-bicarbonate ibonakala isebenza kakhulu ().

Lokhu okutholakele kukhombisa ukuthi i-chewing gum - kanye nokwanda okuhambisanayo nokukhiqizwa kwamathe - kungasiza ukusula i-esophagus ye-acid.

Kodwa-ke, mhlawumbe ayinciphisi i-reflux uqobo.

I-chewing gum yandisa ukwakheka kwamathe futhi isiza ukusula i-esophagus ye-acid esiswini.

7. Gwema i-anyanisi eluhlaza

Ucwaningo olulodwa olwenziwe kubantu abane-acid reflux lubonise ukuthi ukudla ukudla okuqukethe u-anyanisi oluhlaza kukhuphuke kakhulu isilungulela, i-acid reflux nokubheja uma kuqhathaniswa nesidlo esifanayo esingaqukethe u-anyanisi ().

Ukubhandwa kaningi kungahle kusikisele ukuthi kukhiqizwa igesi eningi ngenxa yamanani aphezulu wefayibha ebilayo ku-anyanisi (,).

I-anyanisi eluhlaza nayo ingacasula ulwelwesi lwe-esophagus, kubangele isilungulela esibi kakhulu.

Noma ngabe siyini isizathu, uma uzizwa uthanda ukudla u-anyanisi oluhlaza kwenza izimpawu zakho zibe zimbi kakhulu, kufanele ukuvika.

Abanye abantu baba nesilungulela esibi kakhulu nezinye izimpawu ze-reflux ngemuva kokudla u-anyanisi oluhlaza.

8. Nciphisa Ukungenisa Kwakho Iziphuzo Ezihlanganisiwe

Iziguli ezine-GERD kwesinye isikhathi zelulekwa ukuthi zinciphise ukuphuza kwazo iziphuzo ezine-carbonated.

Olunye ucwaningo lokuhlola lwathola ukuthi iziphuzo ezibandayo ezihlanganiswa nekhabhoni zazihambisana nezimpawu ezengeziwe ze-acid reflux ().

Futhi, ucwaningo olulawulwayo lukhombisa ukuthi ukuphuza amanzi anekhabhoni noma i-cola okwesikhashana kunciphisa i-sphincter ephansi, uma kuqhathaniswa nokuphuza amanzi alula (,).

Isizathu esiyinhloko igesi le-carbon dioxide eziphuzweni ezine-carbonated, edala ukuthi abantu babhince kaningi - umphumela ongakhuphula inani le-asidi ebalekela esiqwini ().

Iziphuzo ezenziwe nge-Carbonated zandisa okwesikhashana imvamisa yokubopha, okungakhuthaza i-acid reflux. Uma zizenza zibe zimbi izimpawu zakho, zama ukuphuza kancane noma uzigwebe ngokuphelele.

9. Ungaphuzi Ijusi Lezitrus Eliningi

Ocwaningweni lweziguli ezingama-400 ze-GERD, ama-72% abike ukuthi ijusi lewolintshi noma elezithelo zomvini lenze zaba nzima izimpawu zabo ze-acid reflux ().

I-asidi yezithelo ze-citrus ayibonakali iyona kuphela into ebangela le miphumela. Ijusi le-orenji ene-pH engathathi hlangothi nayo ibonakala ikhulisa izimpawu ().

Njengoba ijusi lewolintshi lingayinciphisi i-sphincter engezansi yokuthopha, kungenzeka ukuthi ezinye zezakhi zalo zicasule ulwelwesi lomqala ().

Ngenkathi ijusi le-citrus mhlawumbe lingabangeli i-acid reflux, lingenza isilungulela sakho sibe sibi okwesikhashana.

Iningi leziguli ezine-acid reflux zibika ukuthi ukuphuza ijusi lewolintshi kwenza izimpawu zazo zibe zimbi kakhulu. Abaphenyi bakholelwa ukuthi ujusi we-citrus ucasula ulwelwesi lomqala.

10. Cabanga Ukudla Ushokoledi Oncane

Iziguli ze-GERD kwesinye isikhathi zelulekwa ukuthi zigweme noma zikhawulele ukusetshenziswa kwazo kashokolethi. Kodwa-ke, ubufakazi balesi sincomo buthakathaka.

Ucwaningo olulodwa oluncane, olungalawulwa lubonise ukuthi ukusebenzisa ama-ounces ayi-120 (120 ml) wesiraphu yoshokoledi kwenze buthaka i-sphincter engezansi ().

Olunye ucwaningo olulawulwayo luthole ukuthi ukuphuza isiphuzo sikashokoledi kwenyusa inani le-esidi emqaleni, uma kuqhathaniswa ne-placebo ().

Noma kunjalo, izifundo ezengeziwe ziyadingeka ngaphambi kokuba kwenziwe noma iziphi iziphetho ezinamandla ngemiphumela yoshokoledi kuzimpawu ze-reflux.

Kunobufakazi obunqunyelwe bokuthi ushokoledi wenza izimpawu ze-reflux zibe zimbi. Izifundo ezimbalwa ziphakamisa ukuthi kungenzeka, kepha kudingeka olunye ucwaningo.

11. Gwema iMint, Uma Kudingeka

I-Peppermint ne-spearmint ngamakhambi ajwayelekile asetshenziselwa ukunambitheka kokudla, uswidi, ushingamu, umlomo wokugeza kanye nomuthi wokuxubha.

Futhi kuyizithako ezithandwayo kuzinkambi zamakhambi.

Ucwaningo olulodwa olulawulwayo lweziguli ezine-GERD alutholanga bufakazi bemiphumela ye-spearmint ku-sphincter engezansi esophageal.

Kodwa-ke, ucwaningo lukhombisile ukuthi imithamo ephezulu ye-spearmint ingazenza zibe zimbi izimpawu ze-acid reflux, mhlawumbe ngokucasula ingaphakathi lomphimbo ().

Uma uzizwa sengathi i-mint yenza isilungulela sakho sibe sibi kakhulu, bese uyigweme.

Ucwaningo oluthile lukhombisa ukuthi i-mint ingakhuphula isilungulela nezinye izimpawu ze-reflux, kepha ubufakazi bunqunyelwe.

12. Phakamisa Inhloko Yombhede Wakho

Abanye abantu baba nezimpawu ze-reflux phakathi nobusuku ().

Lokhu kungaphazamisa ikhwalithi yabo yokulala futhi kwenze kube nzima ngabo ukulala.

Ucwaningo oluthile lukhombise ukuthi iziguli eziphakamisa ikhanda lombhede wazo zazineziqephu nezimpawu ezimbalwa ze-reflux, uma kuqhathaniswa nalabo abalala ngaphandle kokuphakama ().

Ngokwengeziwe, ukuhlaziywa kwezifundo ezilawulwayo kuphethe ngokuthi ukuphakamisa ikhanda lombhede kuyisu eliphumelelayo lokunciphisa izimpawu ze-acid reflux nokushiswa yinhliziyo ebusuku ().

Ukuphakamisa ikhanda lombhede wakho kunganciphisa izimpawu zakho ze-reflux ebusuku.

13. Ungadli Kungakapheli amahora amathathu usuyolala

Abantu abane-acid reflux bavame ukwelulekwa ukuthi bagweme ukudla kungakapheli amahora amathathu ngaphambi kokulala.

Yize lesi sincomo sinengqondo, kunobufakazi obulinganiselwe bokusixhasa.

Olunye ucwaningo kwiziguli ze-GERD lubonise ukuthi ukudla isidlo sakusihlwa akunamphumela ku-acid reflux, uma kuqhathaniswa nokudla ngaphambi kuka-7 ntambama. ().

Kodwa-ke, ucwaningo lokubuka lathola ukuthi ukudla eduze nesikhathi sokulala kuhlotshaniswa nezimpawu ezinkulu kakhulu ze-reflux lapho abantu bezolala ().

Kudingeka izifundo eziningi ngaphambi kokuba kwenziwe iziphetho eziqinile ngomphumela wokudla kusihlwa ku-GERD. Kungase futhi kuncike kumuntu ngamunye.

Ucwaningo lokuhlola lukhombisa ukuthi ukudla eduze nesikhathi sokulala kungazonakalisa izimpawu ze-acid reflux ebusuku. Kodwa-ke, ubufakazi abuhlangani futhi kudingeka izifundo eziningi.

14. Ungalali Ngakwesokunene Sakho

Ucwaningo oluningi lukhombisa ukuthi ukulala ohlangothini lwakho lwesokunene kungazenza zibe zimbi izimpawu ze-reflux ebusuku (,,).

Isizathu asicaci ngokuphelele, kepha kungenzeka ukuthi sichazwe nge-anatomy.

I-esophagus ingena ngakwesokudla kwesisu. Ngenxa yalokhu, i-sphincter engezansi esophageal ihlala ngaphezulu kwezinga lesisu esiswini lapho ulele ohlangothini lwesobunxele ().

Uma ulele ohlangothini lwakho lokunene, isisu se-asidi sihlanganisa i-sphincter engezansi yokucinana. Lokhu kukhulisa ubungozi bokuvuza kwe-asidi kuyo futhi kubangele i-reflux.

Ngokusobala, lokhu kuncoma kungenzeka kungasebenzi, ngoba abantu abaningi bashintsha indawo yabo ngenkathi belele.

Kodwa ukuphumula ohlangothini lwakho lwesobunxele kungakwenza ukhululeke kakhudlwana njengoba ulala.

Uma uhlangabezana ne-acid reflux ebusuku, gwema ukulala ohlangothini olungakwesokudla lomzimba wakho.

Okusemqoka

Abanye ososayensi bathi izinto zokudla ziyimbangela eyinhloko ye-acid reflux.

Yize lokhu kungaba yiqiniso, kudingeka olunye ucwaningo ukuqinisa lezi zimangalo.

Noma kunjalo, ucwaningo lukhombisa ukuthi izinguquko ezilula zokudla nezindlela zokuphila zinganciphisa kakhulu isilungulela nezinye izimpawu ze-acid reflux.