Isilungulela: Kuhlala Isikhathi Esingakanani nokuthi Ungakuthola Kanjani Ukukhululeka

-Delile

• Ukwelapha isilungulela
• Ukuvimbela isilungulela
• Ukufuna usizo
• Isilungulela nokukhulelwa
• Ukwelapha isilungulela ngesikhathi sokukhulelwa
• Ukuthatha

Yini ongayilindela kusuka ekuqhumeni

Izimpawu ezingakhululekile zesilungulela zingahlala amahora amabili noma ngaphezulu, ngokuya ngesizathu.

Isilungulela esimnene esenzeka ngemuva kokudla ukudla okubabayo noma okune-acidic sihlala size sigaye ukudla. Izimpawu zesilungulela zingabuya futhi emahoreni ambalwa ngemuva kokuvela kwazo okokuqala uma ugoba noma ulele.

Isilungulela esivela ngezikhathi ezithile esiphendula ekwelashweni kwasekhaya akuyona into okufanele sikhathazeke ngayo.

Kepha uma uhlaselwa yisilungulela kaningi ngesonto noma ngaphezulu, kungaba uphawu lwesimo esidinga ukunakekelwa kukadokotela. Kulesi simo, isilungulela sakho sizoqhubeka senzeke kuze kube yilapho isimo esibangela ukuthi siphathwe noma siphathwe.

Izimpawu zesilungulela zingafaka:

• umuzwa ovuthayo esifubeni noma emphinjeni
• ukukhwehlela
• ikhala eligxishiwe
• isifuba
• inkinga yokugwinya
• ukunambitheka okumuncu emlonyeni
• ukuvuswa ebuthongweni ngokukhwehlela noma ukungaphatheki kahle esiswini

Ukwelapha isilungulela

Uma isilungulela sakho singesona uphawu lwesimo esiyimbangela, kufanele ukwazi ukuselapha ngempumelelo ngemithi yasesitolo (njenge-antacids, proton pump inhibitors, noma abaphikisi be-H2 receptor.

Ungase futhi uthole ukukhululeka kulezi zinguquko ezilandelayo zokuphila:

• Gwema ukulala phansi kungakapheli amahora amabili udlile. Esikhundleni salokho, hamba uhambo lokusiza ukugqugquzela ukugaya.
• Gwema ukudla noma yikuphi ukudla okwengeziwe kuze kudlule isilungulela, ikakhulukazi ukudla okubabayo, okune-asidi, noma okuwolintshi.
• Uma unezinto ezithile ezibangela ukudla, njengokudla okususelwa kutamatisi, ezisawolintshi, utshwala, ikhofi, noma isoda, kugweme ngenkathi uphathwa isilungulela.
• Uma ubhema, gwema osikilidi noma ezinye izinhlobo ze-nicotine ngenkathi uhlangabezana nesilungulela.
• Uma isilungulela sikukhathaza ebusuku, zama ukuphakamisa umzimba wakho ophezulu ngenkathi ulele. Ungakwenza lokhu ngokusebenzisa umcamelo okhethekile wedge noma uphakamise ikhanda lombhede ngamabhulokhi. Qaphela: Akuwona umqondo omuhle ukuziphakamisa ngemicamelo eyengeziwe ukuthola lokhu kuphakama. Lokhu kungagoba umzimba wakho ngendlela yokuthi kukhuphule ingcindezi esiswini sakho futhi kungazenza zibe zimbi kakhulu izimpawu zakho zokushiswa yinhliziyo.
• Gqoka izingubo ezixegayo, ikakhulukazi okhalweni. Izembatho ezikhawulezayo zingenza isilungulela sakho sibe sibi kakhulu.

Uma umuthi we-OTC noma ushintsho lwendlela yokuphila lungakusizi isilungulela sakho noma uma uhlaselwa isilungulela njalo, khuluma nodokotela wakho. Bangasiza ukukhomba izimbangela zesilungulela sakho kanye nohlelo lokwelashwa olufanele.

Ukuvimbela isilungulela

Kunezindlela eziningi ongakwazi ngazo ukuvimbela isilungulela ngezikhathi ezithile noma ukunciphisa imvamisa yesilungulela esingapheli.

• Ukukhomba okubangela ukudla kungakusiza ukuqeda noma ukunciphisa isilungulela. Izimbangela zokudla zingafaka ugarlic, u-anyanisi, ukudla okuwolintshi, utamatisi nemikhiqizo yotamatisi, utshwala, isoda nekhofi.
• Ukunciphisa osayizi bakho bokuphaka ekudleni kungasiza. Zama ukudla izidlo ezincane ezimbalwa emini kunokudla okumbalwa okukhulu.
• Gwema ukudla ebusuku noma ngaphambi kokulala.
• Yeka ukubhema osikilidi, uma ubhema.
• Ukhuluphele ngokweqile noma ukhuluphele kungakhuphula ingozi yokuba nesilungulela. Ukwehla kwesisindo kungasiza ukunciphisa isilungulela.
• Gwema ukulala phansi okungenani amahora amabili ngemuva kokudla.

Ukufuna usizo

Uma unesilungulela ngaphezulu kokuphindwe kabili ngesonto noma uma kuphazamisa impilo yakho, khuluma nodokotela wakho. Ungaba nesifo se-reflux se-gastroesophageal (GERD). Isilungulela uphawu lwe-GERD.

Ngokungafani nesilungulela esivela kwesinye isikhathi, i-GERD ichazwa ngokuba nesilungulela noma ezinye izimpawu ezihlobene ne-reflux okungenani kabili ngesonto. Kungaba kusuka kumnene kuya kokubi. Ngaphezu kwesilungulela, izimpawu ze-GERD zingafaka:

• ukuvuselelwa kokudla okungagayiwe noma uketshezi olumuncu emlonyeni noma emphinjeni
• inkinga yokugwinya
• umuzwa wokuba nesigaxa emphinjeni wakho

Isilungulela esivame ukwenzeka kungaba wuphawu lokuthi kukhona ukucasuka okuqhubekayo kulwelwesi lomqala. Ukucasuka okukhulu esophhagus isikhathi eside kungaholela ekulunyukisweni izilonda kanye nasekushintsheni okunomdlavuza nomdlavuza ku-esophagus.

Uma isilungulela sakho sinzima noma sivela kaningi, bheka udokotela wakho. I-GERD ivame ukuthuthuka ngokushintsha kwendlela yokuphila noma ngemithi.

Isilungulela nokukhulelwa

Isilungulela yinto ejwayelekile ngesikhathi sokukhulelwa. Kungenzeka nganoma yisiphi isikhathi, kuqala ku-trimester yokuqala.

Iziqephu zesilungulela ngesikhathi sokukhulelwa zingaba zinde isikhathi eside kunesilungulela esibangelwa ukudla kukodwa. Kodwa-ke, inani lokudla nezinhlobo zokudla okudlayo kungenza isilungulela sibe sibi kakhulu njengokugoba noma ukulala ngomhlane masinyane ngemuva kokudla.

Isilungulela ekukhulelweni nakho kwenziwa kubi yi-progesterone, i-hormone edingekayo ekugcineni ukukhulelwa okunempilo.

I-Progesterone ibuyisa imisipha ebizwa nge-lower esophageal sphincter, esebenza njenge-valve, ehlukanisa isisu ne-esophagus. Lapho le misipha ikhululeka, ivumela i-asidi esiswini ukuthi ikhuphuke iphume esiswini iyongena emphinjeni.

Ngenxa yokuthi ayenzelwanga ukuphatha i-asidi esiswini, umphimbo uyacasuka futhi ubangele ukuzwa okuvuthayo esikwaziyo njengokushaya kwenhliziyo.

Usayizi wombungu nawo udlala indima. Isilungulela singaba sibi njengoba ukukhulelwa kuqhubeka futhi umbungu uqala ukugcwalisa sonke isibeletho. Lokhu kungadala ukuthi isibeletho sicindezele phezulu ngokumelene nesisu, sicindezele okuqukethwe kwaso singene emphinjeni.

Isilungulela futhi singaba sibi kakhulu kwabesifazane abaphethe okuphindaphindwayo, njengamawele noma amawele amathathu, ngenxa yengcindezi eyengeziwe ebekwe esiswini.

Ukuzwa isilungulela ngesikhathi sokukhulelwa akusho ukuthi uzothambekela kakhulu kuso lapho ukukhulelwa kwakho sekuphelile. Lapho ukukhulelwa kwakho kuphela, imbangela yesilungulela sakho iyaphela, nayo.

Ukwelapha isilungulela ngesikhathi sokukhulelwa

Buza udokotela wakho ngaphambi kokuthatha noma yimiphi imithi ye-OTC yesilungulela. Uma uthola ilambu eliluhlaza, qiniseka ukuthi ulandela zombili izinkomba zikadokotela nezephakeji futhi ungasebenzisi ngokweqile.

Ama-antacids awuketshezi anganikeza ukukhululeka okukhulu kunezinye izinhlobo, ngoba agqokisa isisu. Khuluma nodokotela wakho mayelana nokuthi yiziphi izindlela zokwelashwa ezingcono kakhulu kuwe.

Amakhambi alandelayo asekhaya angasiza futhi:

• Ubisi olufudumele noju lungasidambisa isisu sakho futhi kwehlise izimpawu zokushiswa yinhliziyo.
• Melana nesifiso sokulala phansi ngemuva kokudla bese uhambahamba, esikhundleni salokho.
• Uma ulala, zama ukusebenzisa umcamelo wakho wokukhulelwa ngaphansi komzimba wakho kusuka okhalweni kuye phezulu. Lokhu kuphakamisa umzimba wakho ophezulu ngenkathi unikezela ngokuxoshwa.

Ukuthatha

Ukuqubuka kwesinye isikhathi kuvamile futhi kuvamise ukuphendula ekwelashweni kwasekhaya, njengokuthatha imishanguzo ye-OTC. Ukuguqulwa kwendlela yokuphila, njengokugwema ukudla okuthile nokuncipha, nakho kungasiza.

Isilungulela ngesikhathi sokukhulelwa kuvame kakhulu. Lolu hlobo lwesilungulela lungaphendula nasekwelashweni kwasekhaya. Uma ukhulelwe, khuluma nodokotela wakho ngaphambi kokusebenzisa noma yiluphi uhlobo lomuthi.

Uma uhlangabezana njalo nesilungulela ngaphezu koku kabili ngesonto, noma kuphazamisa impilo yakho, khuluma nodokotela wakho. Bangasiza ukukhomba imbangela eyisisekelo nokwelashwa okufanele.