Izeluleko Zokuthunyelwa Kwesidlo Ukunciphisa Isilungulela

-Delile

• Ukubuka konke
• Kungani Isilungulela Senzeka Ngemuva Kokudla?
• Ukunciphisa Isilungulela Ngemuva Kokudla
• Linda Ukulala Phansi
• Gqoka izingubo ezikhululekile
• Musa Ukufinyelela Ugwayi, Utshwala, noma I-Caffeine
• Phakamisa Inhloko Yombhede Wakho
• Izinyathelo Ezengeziwe

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.

Ukubuka konke

Akuyona into engavamile ukuzwa isilungulela, ikakhulukazi ngemuva kokudla ukudla okubabayo noma isidlo esikhulu. Ngokusho komtholampilo waseCleveland, cishe umuntu oyedwa kwabayishumi uba nesilungulela okungenani kanye ngesonto. Oyedwa kwabangu-3 uzizwela njalo ngenyanga.

Kodwa-ke, uma uhlangabezana nokushiswa yinhliziyo ngaphezu kokuphindwe kabili ngesonto, khona-ke ungaba nesimo esibi kakhulu esaziwa njenge-gastroesophageal reflux disease (GERD). I-GERD yisifo sokugaya ukudla esidala ukuthi i-acid esiswini ibuyele emphinjeni. Isilungulela esivame njalo yisifo esivame kakhulu se-GERD, yingakho umuzwa ovuthayo uvame ukuhambisana nokunambitheka okumuncu noma okumunyu emphinjeni nasemlonyeni.

Kungani Isilungulela Senzeka Ngemuva Kokudla?

Uma ugwinya ukudla, kwehla ngomphimbo wakho futhi kudlule nomphimbo wakho oya esiswini sakho. Isenzo sokugwinya sibangela imisipha elawula ukuvuleka phakathi kwesisu sakho nesisu, esaziwa njenge-esophageal sphincter, ukuvula, okuvumela ukudla noketshezi kungene esiswini sakho. Ngaphandle kwalokho, imisipha ihlala ivaliwe ngokuqinile.

Uma le misipha yehluleka ukuvala kahle ngemuva kokugwinya, okuqukethwe okune-asidi esiswini sakho kungabuyela emuva ku-esophagus yakho. Lokhu kubizwa nge- “reflux.” Kwesinye isikhathi, i-asidi yesisu ifinyelela engxenyeni engezansi yomhosha, okuholele ekushayeni.

Ukunciphisa Isilungulela Ngemuva Kokudla

Ukudla kuyisidingo, kepha ukuthola isilungulela akumele kube umphumela ongenakugwemeka. Kunezinyathelo ongazithatha ukudambisa umuzwa wesilungulela ngemuva kokudla. Zama amakhambi asekhaya alandelayo ukudambisa izimpawu zakho.

Linda Ukulala Phansi

Ungahle ulingeke ukuba uwele kusofa ngemuva kokudla okukhulu noma uqonde ngqo embhedeni ngemuva kwesidlo sakusihlwa. Kodwa-ke, ukwenza kanjalo kungaholela ekuqaleni noma ekunciphiseni kwesilungulela. Uma uzizwa ukhathele ngemuva kokudla, hlala usebenza ngokuhambahamba okungenani imizuzu engama-30. Zama ukugeza izitsha noma uhambe ngokuzulazula kusihlwa.

Kuwumqondo omuhle futhi ukuqeda ukudla kwakho okungenani amahora amabili ngaphambi kokulala, nokugwema ukudla okulula ngaphandle kokulala.

Gqoka izingubo ezikhululekile

Amabhande aqinile nezinye izingubo ezikucindezelayo kungafaka ingcindezi esiswini sakho, okungaholela ekushisweni yinhliziyo. Khulula noma yiziphi izingubo eziqinile ngemuva kokudla noma ushintshe ube yinto ethokomele kakhudlwana ukugwema isilungulela.

Musa Ukufinyelela Ugwayi, Utshwala, noma I-Caffeine

Ababhemayo bangalingeka ukuba babheme ugwayi wasemva kwesidlo sakusihlwa, kodwa lesi sinqumo singabiza ngezindlela ezingaphezu kweyodwa. Phakathi kwezinkinga eziningi zempilo ezingabangelwa ukubhema, futhi kukhuthaza isilungulela ngokuphumula imisipha evame ukuvimbela i-asidi esiswini ukuthi ingabuyeli emphinjeni.

I-caffeine notshwala nakho kunomthelela omubi ekusebenzeni kwe-esophageal sphincter.

Phakamisa Inhloko Yombhede Wakho

Zama ukuphakamisa ikhanda lombhede wakho cishe ngamasentimitha ama-4 kuye kwayi-6 emhlabathini ukuvimbela isilungulela ne-reflux. Lapho umzimba ongaphezulu uphakanyisiwe, amandla adonsela phansi enza ukuthi kungabi lula ukuthi okuqukethwe yisisu kubuye kukhuphuke kuye. Kubalulekile ukuqaphela ukuthi empeleni kufanele uphakamise umbhede uqobo, hhayi ikhanda lakho kuphela. Ukuziphakamisa ngemicamelo eyengeziwe kubeka umzimba wakho esimweni esigobile, okungakhuphula ingcindezi esiswini sakho futhi kukhulise isilungulela kanye nezimpawu ze-reflux.

Ungaphakamisa umbhede wakho ngokubeka amabhlokhi ezinkuni ayizi-4- kuya ku-6 ngokuphepha ngaphansi kwezikhala zombhede ezimbili ekhanda lombhede wakho. Lawa mabhulokhi angafakwa futhi phakathi kukamatilasi wakho nebhokisi entwasahlobo ukukhulisa umzimba wakho kusuka okhalweni kuye phezulu. Ungahle ukwazi ukuthola amabhulokhi aphezulu ezitolo zezinto zokwelashwa nakwezinye izitolo zezidakamizwa.

Ukulala emqamelweni okhethekile omise okomgexo kungenye indlela ephumelelayo. Umcamelo wedge uphakamisa kancane ikhanda, amahlombe, nesifuba ukuvimbela i-reflux nesilungulela. Ungasebenzisa umcamelo wedge ngenkathi ulele ngohlangothi lwakho noma emhlane wakho ngaphandle kokubangela ukungezwani ekhanda noma entanyeni. Iningi lemicamelo emakethe liphakanyisiwe phakathi kwama-degree angama-30 kuye kwangama-45, noma ama-intshi ayisithupha kuya kwayi-8 phezulu.

Izinyathelo Ezengeziwe

Ukudla okunamafutha amaningi nakho kungathuthukisa izimpawu, ngakho-ke ukudla okunamafutha amancane kuhle. Ezimweni eziningi, ukuguqulwa kwendlela yokuphila okukhulunywe ngayo lapha yikho konke okudingayo ukuze ugweme noma unciphise isilungulela nezinye izimpawu ze-GERD. Kodwa-ke, uma izimpawu zakho ziqhubeka noma ziba kaningi, bheka udokotela wakho ukuze ahlolwe futhi alashwe.

Udokotela wakho angancoma umuthi ongathengiswa ngawo, njengethebhulethi ehlafunwayo noma i-antacid engamanzi. Eminye yemithi ejwayelekile esetshenziselwa ukudambisa isilungulela ihlanganisa:

• I-Alka-Seltzer (i-calcium carbonate antacid)
• I-Maalox noma i-Mylanta (i-aluminium ne-magnesium antacid)
• Ama-Rolaids (i-calcium ne-magnesium antacid)

Amacala abucayi angadinga umuthi wamandla kadokotela, njengama-H2 blocker kanye ne-proton pump inhibitors (PPIs), ukulawula noma ukuqeda i-asidi esiswini. Ama-H2 blocker ahlinzeka ngosizo lwesikhashana futhi ayasebenza kwizimpawu eziningi ze-GERD, kufaka phakathi isilungulela. Lokhu kufaka phakathi:

• i-cimetidine (Tagamet)
• i-famotidine (i-Pepcid AC)
• i-nizatidine (i-Axid AR)

Ama-PPIs afaka i-omeprazole (Prilosec) ne-lansoprazole (Prevacid). Le mithi ijwayele ukusebenza ngempumelelo kakhulu kune-H2 blocker futhi imvamisa inganciphisa isilungulela esibi nezinye izimpawu ze-GERD.

Amakhambi emvelo, njengama-probiotic, itiye lempande ye-ginger, ne-elm eshelelayo nakho kungasiza.

Ukugcina isisindo esinempilo, ukuthatha imishanguzo, nokugcina imikhuba emihle emva kokudla kuvame ukwanela ukunciphisa umlilo wesilungulela. Kodwa-ke, uma isilungulela nezinye izimpawu ze-GERD ziqhubeka ukwenzeka, hlela i-aphoyintimenti nodokotela wakho. Udokotela wakho angenza izivivinyo ezahlukahlukene ukuhlola ubunzima besimo sakho nokunquma indlela yokwelashwa engcono kakhulu.