Isilungulela, i-Acid Reflux, ne-GERD Ngesikhathi sokukhulelwa

-Delile

• Yini ebangela isilungulela ngesikhathi sokukhulelwa?
• Ingabe ukukhulelwa kubangela isilungulela?
• Ngingazenza yini izinguquko endleleni yokuphila ezisiza ukuthi ziyeke?
• Yimiphi imishanguzo ephephile ukuyithatha ngesikhathi sokukhulelwa?
• Kufanele ngikhulume nini nodokotela wami?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Kubizwa isilungulela, yize lowo muzwa oshisayo esifubeni sakho ungahlangene nakancane nenhliziyo. Ukungaphatheki kahle nokukhungathekisa, kukhathaza abesifazane abaningi, ikakhulukazi ngesikhathi sokukhulelwa.

Umbuzo wokuqala ongaba nawo ukuthi ungamisa kanjani. Ungase futhi uzibuze ukuthi ukwelashwa kuphephile yini enganeni yakho. Funda ukuthi yini ebangela isilungulela ngesikhathi sokukhulelwa nokuthi yini ongayenza ngakho.

Yini ebangela isilungulela ngesikhathi sokukhulelwa?

Ngesikhathi sokugaya okujwayelekile, ukudla kwehla ngomphimbo (ishubhu eliphakathi komlomo nesisu sakho), ngokusebenzisa i-valve yemisipha ebizwa nge-esophageal sphincter (LES) ephansi, iye esiswini. I-LES iyingxenye yomnyango phakathi kwesisu sakho nesisu sakho. Kuvulwa ukuvumela ukudla kudlule futhi kuvalwe ukuvimba ama-acid esiswini ukuthi angabuyi.

Uma unesilungulela, noma i-acid reflux, i-LES ikhululeka ngokwanele ukuvumela isisu esisiswini sikhuphuke singene esophagus. Lokhu kungadala ubuhlungu nokushisa endaweni yesifuba.

Ngesikhathi sokukhulelwa, izinguquko zehomoni zingavumela imisipha esophahleni, kufaka phakathi i-LES, ukuthi iphumule njalo. Umphumela uba ukuthi ama-acid amaningi angahle abuyele emuva, ikakhulukazi uma ulele noma ngemuva kokudla isidlo esikhulu.

Ngaphezu kwalokho, njengoba umbungu wakho ukhula phakathi kwesigamu sesibili nesesithathu futhi isibeletho sakho siyanda ukuze kukhule lokho kukhula, isisu sakho singaphansi kwengcindezi eyengeziwe. Lokhu kungadala nokuthi ukudla ne-asidi kuphindiselwe emuva emungeni wakho.

Isilungulela yinto eyejwayelekile kubantu abaningi ngasikhathi sinye, kodwa akusho ukuthi ukhulelwe. Kodwa-ke, uma uhlangabezana nezinye izimpawu, njengesikhathi esilahlekile noma isicanucanu, lokhu kungaba yizimpawu zokuthi udinga ukwenza isivivinyo sokukhulelwa.

Ingabe ukukhulelwa kubangela isilungulela?

Ukukhulelwa kwandisa ingozi yokushiswa isilungulela noma i-acid reflux. Phakathi ne-trimester yokuqala, imisipha esiswini sakho icindezela ukudla kancane ungene esiswini futhi isisu sakho sithatha isikhathi eside ukukukhipha. Lokhu kunika umzimba wakho isikhathi esithe xaxa sokumunca izakhi zomzimba wombungu, kepha futhi kungaholela ekushisweni yinhliziyo.

Ngesikhathi se-trimester yesithathu, ukukhula kwengane yakho kungaphusha isisu sakho endaweni yaso ejwayelekile, okungaholela ekushisweni yinhliziyo.

Kodwa-ke, owesifazane ngamunye uhlukile. Ukukhulelwa akusho ukuthi uzoba nesilungulela. Kuya ngezici eziningi, kufaka phakathi i-physiology yakho, ukudla, imikhuba yansuku zonke, nokukhulelwa kwakho.

Ngingazenza yini izinguquko endleleni yokuphila ezisiza ukuthi ziyeke?

Ukwehlisa isilungulela ngesikhathi sokukhulelwa ngokuvamile kuhilela ukulinga nephutha elithile. Imikhuba yokuphila enganciphisa isilungulela kuyizindlela eziphephe kakhulu kumama nasenganeni. Amathiphu alandelayo angasiza ekunciphiseni isilungulela sakho:

• Yidla ukudla okuncane kaningi futhi ugweme ukuphuza ngenkathi udla. Phuza amanzi phakathi kokudla esikhundleni salokho.
• Yidla kancane futhi uhlafune konke okulumayo kahle.
• Gwema ukudla amahora ambalwa ngaphambi kokulala.
• Gwema ukudla neziphuzo ezidala isilungulela. Izelelesi ezijwayelekile zifaka ushokoledi, ukudla okunamafutha, ukudla okubabayo, ukudla okune-asidi njengezithelo ezisawolintshi nezinto ezisuselwa kutamatisi, iziphuzo ezine-carbonated ne-caffeine.
• Hlala uqonde okungenani ihora elilodwa ngemuva kokudla. Ukuhamba ngokuzilibazisa nakho kungakhuthaza ukugaya ukudla.
• Gqoka izimpahla ezikahle kunezingakubamba kahle.
• Gcina isisindo esinempilo.
• Sebenzisa imicamelo noma amakhodi ukukhulisa umzimba wakho ophezulu ngenkathi ulele.
• Lala ngohlangothi lwakho lwesobunxele. Ukulala ohlangothini lwakho lokunene kuzobeka isisu sakho phezulu kunesisu sakho, esingaholela ekushayeni kwenhliziyo.
• Hlahla ucezu lukasamu olungenashukela ngemva kokudla. Amathe akhuphukile anganciphisa noma iyiphi i-asidi ebuyela emuva ku-esophagus.
• Yidla iyogathi noma uphuze ingilazi yobisi ukuze uqede izimpawu lapho ziqala.
• Phuza uju etiyeni le-chamomile noma ingilazi yobisi olufudumele.

Izinketho zemithi ehlukile zifaka amasu okugcaba nokuziqabula, njengokuphumula kwemisipha okuqhubekayo, i-yoga, noma isithombe esiqondisiwe. Njalo hlola nodokotela wakho ngaphambi kokuzama ukwelashwa okusha.

Yimiphi imishanguzo ephephile ukuyithatha ngesikhathi sokukhulelwa?

Ama-antacids angaphezu kwamakhompiyutha afana ne-Tums, Rolaids, ne-Maalox angakusiza ukuthi ubhekane nezimpawu zokushiswa yinhliziyo ngezikhathi ezithile. Lokho okwenziwe nge-calcium carbonate noma i-magnesium yizinketho ezinhle. Kodwa-ke, kungaba ngcono ukugwema i-magnesium phakathi ne-trimester yokugcina yokukhulelwa. IMagnesium ingaphazamisa ukuphambana ngesikhathi sokubeletha.

Odokotela abaningi batusa ukugwema ama-antiacids aqukethe amazinga aphezulu e-sodium. Lawa ma-antacids angaholela ekwakhiweni koketshezi kwezicubu. Kufanele futhi uvikele noma yimaphi ama-antiacid afaka uhla lwe-aluminium kwilebula, njengakwi- “aluminium hydroxide” noma i- “aluminium carbonate”. Lawa ma-antacids angaholela ekuqunjelweni.

Ekugcineni, hlala kude nemithi efana ne-Alka-Seltzer engaqukatha i-aspirin.

Buza udokotela wakho inketho engcono kakhulu. Uma uzithola wehla amabhodlela ama-antacids, isilungulela sakho kungenzeka ukuthi sithuthukele kwisifo se-gastroesophageal acid reflux (GERD). Uma kunjalo, ungadinga ukwelashwa okuqinile.

Kufanele ngikhulume nini nodokotela wami?

Uma unesilungulela esivame ukukuvusa ebusuku, sibuye ngokushesha lapho i-antacid yakho iphela, noma idala ezinye izimpawu (ezifana nobunzima bokugwinya, ukukhwehlela, ukwehlisa isisindo, noma indle emnyama), ungaba nenkinga enkulu kakhulu edinga ukunakwa. Udokotela wakho angakuxilonga nge-GERD. Lokhu kusho ukuthi isilungulela sakho sidinga ukulawulwa ukuze sikuvikele ezinkingeni ezinjengokulimala komqala.

Udokotela wakho angakunikeza imithi ethile yokunciphisa i-asidi ukunciphisa izimpawu zakho. kukhombisa ukuthi imithi ebizwa nge-H2 blocker, esiza ukuvimba ukukhiqizwa kwe-acid, ibonakala iphephile. Olunye uhlobo lwemithi, olubizwa nge-proton pump inhibitors, lusetshenziselwa abantu abanesilungulela esingaphenduli kwezinye izindlela zokwelapha.

Uma ukhathazekile ngemiphumela yemithi, qiniseka ukuthi ukhuluma nodokotela wakho. Odokotela bangakusiza ulawule izimpawu zakho ngenkathi ugcina ingane yakho engakazalwa iphephile.