I-reflux ye-Gastroesophageal: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu ze-Reflux
• Izimpawu ze-Reflux ezinganeni
• Ukuxilongwa kwenziwa kanjani
• Kanjani ukwelashwa kwe-reflux

I-reflux ye-Gastroesophageal ukubuya kokuqukethwe yisisu emqaleni nasemlonyeni, kubangele izinhlungu ezihlala njalo nokuvuvukala kodonga lokuqina, futhi lokhu kwenzeka lapho imisipha nama-sphincters okufanele avimbele i-asidi esiswini ekuphumeni ingaphakathi lawo kungasebenzi kahle.

Izinga lokuvuvukala okubangelwa i-reflux ku-esophagus kuncike kubumuncu bokuqukethwe yisisu kanye nenani le-asidi elihlangana ne-esophageal mucosa, engadala isifo esibizwa ngokuthi i-esophagitis, ngoba ulwelwesi lwesisu lukuvikela emiphumeleni ye- ama-asidi akho uqobo, kepha umqala awunazo lezi zici, uhlushwa umuzwa ongavumi wokushisa, obizwa ngokuthi isilungulela.

Izimpawu ze-Reflux azikhululeki, ngakho-ke, kubalulekile ukuthi kuboniswane nodokotela wezifo zesisu ukuze kuhlolwe futhi kukhonjiswe ukwelashwa okufanele kakhulu, okuvame ukufaka ukusetshenziswa kwezidakamizwa ezinciphisa ukukhiqizwa kwe-asidi esiswini futhi zisize ukuqeda izimpawu.

Izimpawu ze-Reflux

Izimpawu ze-Reflux zingavela emizuzwini noma emahoreni ambalwa ngemuva kokudla, ziqashelwa ikakhulukazi umuzwa oshisayo esiswini kanye nomuzwa wesisindo esiswini. Ezinye izimpawu ezijwayelekile ze-reflux yilezi:

• Umuzwa ovuthayo ongafinyelela emphinjeni nasesifubeni, ngaphezu kwesisu;
• Ukuqhuma;
• Isilungulela;
• Ukuqunjelwa;
• Ukukhwehlela okuvamile njalo ngemuva kokudla;
• Ukuvuselelwa kokudla
• Kunzima ukugwinya ukudla;
• I-Laryngitis;
• Ukuhlaselwa kwesifuba somoya okuphindaphindiwe noma ukutheleleka okuphezulu kwomoya.

Izimpawu zivame ukuba zimbi kakhulu lapho umzimba ugobile ukuze ucoshe okuthile phansi, ngokwesibonelo, noma lapho umuntu ehlala endaweni enezingqimba ngemuva kokudla, njengoba kwenzeka ngesikhathi sokulala. I-reflux engaguquguquki ingadala ukuvuvukala okukhulu odongeni lwe-esophagus, olubizwa nge-esophagitis, okuthi, uma lungelashwa kahle, lungaholela kumdlavuza. Bona okuningi mayelana ne-esophagitis.

Izimpawu ze-Reflux ezinganeni

I-Reflux ezinganeni nayo ibangela okuqukethwe kokudla ukuthi kubuye kusuka esiswini kuye emlonyeni, ngakho-ke ezinye zezimpawu nezimpawu ezingakhombisa ukuthi lokhu ukuhlanza okungapheli, ukulala okungaphumuli, ubunzima bokuncelisa nokuthola isisindo nokuhhahhameza ngenxa yokuvuvukala komphimbo.

Ngaphezu kwalokho, ingane ingahle ithole ukungenwa yizindlebe okuphindayo ngenxa yokuvuvukala kaningi kwemimoya yomoya noma i-aspiration pneumonia ngenxa yokungena kokudla emaphashini. Funda ukubona izimpawu nezimpawu ze-reflux ezinganeni.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-reflux ye-gastroesophageal kufanele kwenziwe i-gastroenterologist, udokotela wezingane noma udokotela ojwayelekile ngokuya ngokuhlolwa kwezimpawu nezimpawu ezethulwe ngumuntu. Ngaphezu kwalokho, ezinye izivivinyo zinconywa ukuqinisekisa ukuxilongwa nokubheka ubunzima be-reflux.

Ngakho-ke, isilinganiso se-esophageal manometry nesilinganiso se-pH ku-24 h singakhonjiswa ngudokotela, okulandisa izimpawu ezilethwa nezinguquko ku-asidi wejusi lesisu ukuthola inani lezikhathi lapho kwenzeka khona i-reflux.

Ngaphezu kwalokho, i-endoscopy yokugaya ingakhonjiswa futhi ukugcina izindonga zomzimba, isisu nokuqala kwamathumbu nokuthola imbangela engaba khona ye-reflux. Thola ukuthi i-endoscopy yenziwa kanjani.

Kanjani ukwelashwa kwe-reflux

Ukwelashwa kwe-reflux kungenziwa ngezinyathelo ezilula, njengokudla ngendlela efanele noma ukusebenzisa imishanguzo efana ne-domperidone, esheshisa ukukhipha isisu, i-omeprazole noma i-esomeprazole, enciphisa inani le-asidi esiswini noma ama-antacids, enza i-acidity esivele ikhona isisu. Bona amakhambi asetshenziswa kakhulu ukwelapha i-reflux ye-gastroesophageal.

Izinguquko ekudleni kwesifo se-reflux se-gastroesophageal ziyadingeka, kepha kufanele zivumelane nokwelashwa kwezidakamizwa futhi nezomuntu uqobo. Ngokuvamile, umuntu one-reflux kufanele aqede noma anciphise ukusetshenziswa kweziphuzo ezidakayo, ukudla okunamafutha amaningi, njengokudla okuthosiwe nemikhiqizo esetshenzisiwe kanye noshokoledi, ngaphezu kokugwema osikilidi neziphuzo ezithambile. Ngaphezu kwalokho, isidlo sokugcina sosuku kufanele sidliwe okungenani amahora ama-3 ngaphambi kokulala, ukuvimbela okuqukethwe esiswini ukuthi kungabuyeli emlonyeni.

Bheka ividiyo engezansi ukuthola amanye amathiphu wokudla we-reflux: