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 zokondla 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. Izingane zingaba ne-GERD uma izimpawu zazo zibavimbela ekudleni noma uma i-reflux ihlala ngaphezu kwezinyanga eziyi-12 kuya kwezingu-14.

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 esophagus kuya esiswini. Lo msipha uvamise ukuhlala uvaliwe, ngakho-ke okuqukethwe yisisu akubuyeli emuva emphinjeni.

Ezinganeni ezine-reflux, imisipha ephansi ye-esophageal sphincter ayithuthukiswanga ngokuphelele futhi ivumela okuqukethwe yisisu ukubuyisela emuva i-esophagus. Lokhu kudala ukuthi ingane yakho ikhafule ngamathe (regurgitate). Lapho isisu sakhe se-sphincter sikhula ngokuphelele, ingane yakho akufanele isaphalaze.

Ezinganeni ezine-GERD, imisipha ye-sphincter iba buthakathaka noma iyakhululeka lapho kungafanele.

Zivame kangakanani i-reflux ne-GERD ezinganeni?

I-Reflux ivame kakhulu ezinganeni. Cishe uhhafu wazo zonke izingane zikhafula kaningi ngosuku ezinyangeni ezintathu zokuqala zempilo yazo. Imvamisa bayayeka ukukhafula phakathi kweminyaka eyi-12 nengu-14.

I-GERD nayo ivamile ezinganeni ezincane. Izingane eziningi ezinezinyanga ezine zinayo. Kepha ngosuku lwabo lokuzalwa lokuqala, kuphela i-10% yezingane ezisene-GERD.

Ziyini izimpawu ze-Reflux ne-GERD ezinganeni?

Ezinganeni, uphawu oluyinhloko lwe-reflux ne-GERD lukhafula. I-GERD nayo ingadala izimpawu ezifana ne-

• Ukugoqa ingemuva, imvamisa ngesikhathi noma ngemuva kokudla
• Colic - ukukhala okuhlala isikhathi esingaphezu kwamahora ama-3 ngosuku ngaphandle kwesizathu sezokwelapha
• Ukukhwehlela
• Ukuvala umlomo noma inkinga yokugwinya
• Ukuthukuthela, ikakhulukazi ngemuva kokudla
• Ukudla kabi noma ukwenqaba ukudla
• Ukuzuza okubi, noma ukuncipha
• Ukuphefumula noma inkinga yokuphefumula
• Ukuhlanza okunamandla noma okuvamile

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

Odokotela bayihlola kanjani i-reflux ne-GERD ezinganeni?

Ezimweni eziningi, udokotela uxilonga i-reflux ngokubuyekeza izimpawu zengane yakho nomlando wezokwelapha. Uma izimpawu zingabi ngcono ngezinguquko zokondla nemithi elwa ne-reflux, ingane yakho ingadinga ukuhlolwa.

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

• Uchungechunge oluphezulu lwe-GI, ebheka ukwakheka kwepheshana eliphezulu le-GI yengane yakho (emathunjini). Ingane yakho izophuza noma idle uketshezi oluhlukile olubizwa nge-barium. I-barium ixutshwe nebhodlela noma okunye ukudla. Ochwepheshe bezokunakekelwa kwezempilo uzothatha ama-x-ray amaningana engane yakho ukulandelela i-barium njengoba idlula ngasesisiswini nasesiswini.
• I-Esophageal pH nokuqapha kwe-impedance, elinganisa inani le-asidi noma uketshezi olusemcingeni wengane yakho. Udokotela noma umhlengikazi ubeka ithubhu elincane eliguquguqukayo ngamakhala engane yakho esiswini. Ukuphela kweshubhu esilinganisweni kukala ukuthi i-asidi ikhuphuka nini futhi kangakanani. Omunye umkhawulo webhubhu unamathela kumqapha orekhoda izilinganiso. Ingane yakho izokugqoka lokhu amahora angama-24, ngokunokwenzeka esibhedlela.
• 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 zokondla ezingasiza ekwelapheni i-reflux yengane yami noma i-GERD?

Izinguquko zokondla zingasiza i-reflux yengane yakho ne-GERD:

• Faka okusanhlamvu kwelayisi ebhodleleni lengane yakho yefomula noma ubisi lwebele. Buza nodokotela ukuthi ungangeza malini. Uma ingxube iminyene kakhulu, ungashintsha usayizi wengono noma usike u- "x" omncane engonweni ukuze uvule imbobo enkulu.
• Bhaka ingane yakho njalo ngemuva kwama-ounces angu-1 kuya kwangu-2 efomula. Uma uncelisa, bhabha ingane yakho ngemuva kokuncelisa ebeleni ngalinye.
• Gwema ukondla ngokweqile; nika ingane yakho inani lefomula noma ubisi lwebele olunconyiwe.
• Bamba ingane yakho ime imizuzu engama-30 ngemuva kokuphakelwa.
• Uma usebenzisa ifomula futhi udokotela wakho ecabanga ukuthi ingane yakho ingazwela kumaprotheni obisi, udokotela wakho angase asikisele ukushintshela kuhlobo olwehlukile lwefomula. Ungashintshi amafomula ngaphandle kokukhuluma nodokotela.

Yikuphi ukwelashwa udokotela angakunika i-GERD yengane yami?

Uma izinguquko zokondla zingasizi ngokwanele, udokotela angancoma imithi yokwelapha i-GERD. Imithi isebenza ngokwehlisa inani le-asidi esiswini sengane yakho. Udokotela uzophakamisa kuphela umuthi uma ingane yakho isenezimpawu ezijwayelekile ze-GERD futhi

• Usuvele uzame ezinye izinguquko zokuphakelwa
• Ingane yakho inezinkinga zokulala noma ukondla
• Ingane yakho ayikhuli kahle

Udokotela uvame ukunikeza umuthi ngokuzama futhi achaze noma yiziphi izinkinga ezingaba khona. Akufanele unikeze ingane yakho noma yimiphi imithi ngaphandle kokuthi udokotela akutshele.

Imithi ye-GERD ezinganeni ifaka phakathi

• Ama-H2 blocker, anciphisa ukukhiqizwa kwe-asidi
• Ama-Proton pump inhibitors (ama-PPIs), anciphisa inani le-asidi esiswini esenzayo

Uma lokhu kungasizi futhi ingane yakho isenezimpawu ezinzima, khona-ke ukuhlinzwa kungaba yindlela. I-gastroenterologists yezingane isebenzisa kuphela ukuhlinzeka ukwelapha i-GERD ezinganeni ezimweni ezingavamile. Bangaphakamisa ukuhlinzwa lapho izingane zinezinkinga ezinzima zokuphefumula noma zinenkinga engokomzimba edala izimpawu ze-GERD.