I-Reflux ezinganeni

-Delile

• Isifinyezo
• Yini i-Reflux (GER) ne-GERD?
• Yini ebangela i-reflux ne-GERD ezinganeni?
• Zivame kangakanani i-reflux ne-GERD ezinganeni?
• Ziyini izimpawu ze-Reflux ne-GERD ezinganeni?
• Odokotela bayihlola kanjani i-reflux ne-GERD ezinganeni?
• Yiziphi izinguquko zendlela yokuphila ezingasiza ekwelapheni i-reflux yengane yami noma i-GERD?
• Yikuphi ukwelashwa udokotela angakunika i-GERD yengane yami?

Isifinyezo

Yini i-Reflux (GER) ne-GERD?

I-esophagus yishubhu elithwala ukudla kusuka emlonyeni wakho kuya esiswini sakho. Uma ingane yakho ine-reflux, okuqukethwe yisisu sayo kubuyela emuva ku-esophagus. Elinye igama le-reflux yi-reflux ye-gastroesophageal (GER).

I-GERD imele isifo se-reflux se-gastroesophageal. Luhlobo lwe-reflux olubi kakhulu futhi oluhlala isikhathi eside. Uma ingane yakho ine-reflux ngaphezu kokuphindwe kabili ngesonto amasonto ambalwa, kungaba yi-GERD.

Yini ebangela i-reflux ne-GERD ezinganeni?

Kukhona imisipha (i-sphincter engezansi esophageal sphincter) esebenza njenge-valve phakathi kwesisu nesisu. Lapho ingane yakho igwinya, le misipha iyakhululeka ukuvumela ukudla kudlule kusuka esiswini kuya esiswini. Lo msipha uvamise ukuhlala uvaliwe, ngakho-ke okuqukethwe yisisu akubuyeli emuva emphinjeni.

Ezinganeni ezine-reflux ne-GERD, lesi sihlunu siba buthakathaka noma siphumule lapho kungafaneleki, futhi okuqukethwe yisisu kubuyela emuva ku-esophagus. Lokhu kungenzeka ngenxa ye-

• I-hernia yokubeletha, isimo lapho ingxenye engenhla yesisu sakho igxumela phezulu esifubeni sakho ngokuvula esikhaleni sakho
• Ukukhuphuka kwengcindezi esiswini kusuka ekubeni nesisindo ngokweqile noma ukukhuluphala ngokweqile
• Imithi, njengemithi ethile yesifuba somoya, ama-antihistamine (alapha ukungezwani komzimba), ukuqeda izinhlungu, imishanguzo (esiza ukulala kwabantu), kanye nezidambisi
• Ukubhema noma ukuvezwa intuthu kagwayi
• Ukuhlinzwa kwangaphambilini esiswini noma esiswini esingenhla
• Ukubambezeleka okukhulu kwentuthuko
• Izimo ezithile zemizwa, njenge-cerebral palsy

Zivame kangakanani i-reflux ne-GERD ezinganeni?

Izingane eziningi zinenkinga ethile ngezikhathi ezithile. I-GERD ayijwayelekile; kufika ku-25% wezingane ezinezimpawu ze-GERD.

Ziyini izimpawu ze-Reflux ne-GERD ezinganeni?

Ingane yakho ingahle ingaboni ngisho ne-reflux. Kepha ezinye izingane zinambitha ukudla noma i-asidi esiswini ngemuva komlomo.

Ezinganeni, i-GERD ingadala

• Isilungulela, umuzwa obuhlungu, ovuthayo phakathi kwesifuba. Kuvame kakhulu ezinganeni ezindala (ezineminyaka engu-12 kuya phezulu).
• Ukuphefumula kabi
• Isicanucanu nokuhlanza
• Izinkinga ukugwinya noma ukugwinya okubuhlungu
• Izinkinga zokuphefumula
• Ukuphela kwamazinyo

Odokotela bayihlola kanjani i-reflux ne-GERD ezinganeni?

Ezimweni eziningi, udokotela uxilonga i-reflux ngokubuyekeza izimpawu zengane yakho nomlando wezokwelapha. Uma izimpawu zingabi ngcono ngokushintsha kwendlela yokuphila kanye nemithi elwa ne-reflux, ingane yakho ingadinga ukuhlolwa ukuze ihlole i-GERD noma ezinye izinkinga.

Ukuhlolwa okuningana kungasiza udokotela ukuxilonga i-GERD. Kwesinye isikhathi odokotela ba-oda izivivinyo ezingaphezu kwesisodwa ukuthola ukuxilongwa. Ukuhlolwa okusetshenziswa kakhulu kufaka phakathi

• Uchungechunge oluphezulu lwe-GI, ebheka ukwakheka kwepheshana eliphezulu le-GI yengane yakho (emathunjini). Ingane yakho izophuza uketshezi oluhlukile olubizwa nge-barium. Ezinganeni ezincane, i-barium ixutshwe nebhodlela noma okunye ukudla. Ochwepheshe bezokunakekelwa kwezempilo uzothatha ama-x-ray amaningana engane yakho ukulandelela i-barium njengoba idlula ngasesisiswini nesisu.
• I-Esophageal pH nokuqapha kwe-impedance, elinganisa inani le-asidi noma uketshezi esiswini somntwana wakho. Udokotela noma umhlengikazi ubeka ithubhu elincane eliguquguqukayo ngamakhala engane yakho esiswini. Ukuphela kweshubhu esilinganisweni kukala ukuthi i-asidi ibuyela nini futhi kangakanani ku-esophagus. Omunye umkhawulo webhubhu unamathela kumqapha orekhoda izilinganiso. Ingane yakho izogqoka ishubhu amahora angama-24. Kungadingeka ukuthi ahlale esibhedlela ngesikhathi sokuhlolwa.
• Ukuphela kwamathumbu emathunjini (GI) endoscopy kanye ne-biopsy, esebenzisa i-endoscope, ithubhu ende, eguquguqukayo enokukhanya nekhamera ekugcineni kwayo. Udokotela ugijimisa i-endoscope phansi emphinjeni wengane yakho, esiswini, nengxenye yokuqala yamathumbu amancane. Ngenkathi ebuka izithombe ezivela ku-endoscope, udokotela futhi angathatha amasampula wezicubu (i-biopsy).

Yiziphi izinguquko zendlela yokuphila ezingasiza ekwelapheni i-reflux yengane yami noma i-GERD?

Kwesinye isikhathi i-reflux ne-GERD ezinganeni zingelashwa ngezinguquko zendlela yokuphila:

• Ukwehlisa isisindo, uma kudingeka
• Ukudla ukudla okuncane
• Ukugwema ukudla okunamafutha amaningi
• Ukugqoka izingubo ezikhululekile esiswini
• Ukuhlala ume mpo ngamahora ama-3 ngemuva kokudla ungahlaleli futhi ulele lapho uhleli
• Ukulala nge-engeli elincane. Phakamisa ikhanda lombhede wengane yakho ngamasentimitha ayisi-6 kuya kwayi-8 ngokubeka ngokuphepha amabhlogo ngaphansi kwezinsika zombhede.

Yikuphi ukwelashwa udokotela angakunika i-GERD yengane yami?

Uma izinguquko ekhaya zingasizi ngokwanele, udokotela angancoma imithi yokwelapha i-GERD. Imithi isebenza ngokwehlisa inani le-asidi esiswini sengane yakho.

Eminye imithi ye-GERD ezinganeni ingaphezulu kwekhawunta, kanti eminye iyimithi kadokotela. Zihlanganisa

• Ama-antiacid angaphezu kwamanani
• Ama-H2 blocker, anciphisa ukukhiqizwa kwe-asidi
• Ama-Proton pump inhibitors (ama-PPIs), anciphisa inani le-asidi esiswini esenzayo
• Ama-Prokinetics, asiza isisu ukuthi singabi nalutho ngokushesha

Uma lokhu kungasizi futhi ingane yakho isenezimpawu ezinzima, khona-ke ukuhlinzwa kungaba yindlela. Udokotela we-gastroenterologist wezingane, udokotela owelapha izingane ezinezifo zokugaya ukudla, uzokwenza ukuhlinzwa.

I-NIH: Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugaya Nezinso