Umqala obuhlungu ne-Acid Reflux

-Delile

• Ukubuka konke
• Yini i-acid reflux?
• Ungawuphatha kanjani umphimbo obuhlungu
• Imikhuba yokudla
• Imithi
• Imiphumela ye-acid reflux emphinjeni
• Umbono

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

I-Acid reflux, eyaziwa nangokuthi isilungulela, yisimpawu esivelele sesifo se-reflux se-gastroesophageal (GERD). I-GERD yisimo lapho imisipha esekucineni kokuxega ikhululeke kakhulu noma ingavali kahle, ivumela i-asidi (nezinhlayiya zokudla) esiswini ukuthi ikhuphukele emuva iye emqonyeni.

Abantu baseMelika abangaphezu kwezigidi ezingama-60 bahlangabezana ne-acid reflux okungenani kanye ngenyanga.

Futhi kubangela ukuzwa okuvamile kokushisa kwesilungulela, i-asidi evela ku-reflux nayo ingalimaza i-esophagus. Umphimbo obuhlungu uphawu olulodwa lwe-GERD olungabangelwa yilo monakalo.

Yini i-acid reflux?

I-Acid reflux ukugeleza okubuyela emuva kokuqukethwe kwesisu, kufaka phakathi isisu esiswini, singene esophagus. I-Acid reflux ibangelwa ngokwengxenye ukuncipha kwe-sphincter engezansi ye-esophageal (LES), ibhande lemisipha elenziwe njengendandatho elisezansi kwesisu sakho.

I-LES yi-valve evula ukuvumela ukudla nesiphuzo phansi esiswini sakho ukuze kugayeke futhi ivalwe ukugcina udaba lungaguquguquki ukugeleza kwalo emuva. I-LES ebuthakathaka ayikwazi ngaso sonke isikhathi ukuvala ngokuqinile. Lokhu kuvumela ama-acids esiswini ukuthi akhuphuke akhiphe isisu sakho, ekugcineni alimaze umphimbo wakho futhi abangele ukuzwa okuvamile kokushisa.

Ungawuphatha kanjani umphimbo obuhlungu

Ukuphatha umphimbo obuhlungu ohambisana ne-acid reflux, kuphumelela kakhulu ukuphatha imbangela eyimbangela: i-GERD. Kokubili i-over-the-counter (OTC) nemithi kadokotela isebenza ngokuqeda, ukunciphisa, noma ukunciphisa amandla esiswini ama-acid. Inqubo yokunciphisa amandla inciphisa isilungulela nomphimbo obuhlungu.

Imikhuba yokudla

Izinguquko emikhubeni yakho yokudla zingasiza ukukhulula umphimbo obuhlungu obangelwa i-acid reflux. Zama ngemidwebo ehlukene lapho udla ukuze uthole izinto ezithobisa umphimbo wakho. Abantu abanenkinga yokugwinya bangathola ukuthi ukudla ukudla okunamathelayo noma ukuphuza iziphuzo kunzima kakhulu futhi kubuhlungu kunokudla okuthambile noma okuqinile okusikwe izingcezu ezincane.

Thola ukudla neziphuzo ezidala isilungulela. Ngoba izimbangela zawo wonke umuntu zehlukile, ungazama ukugcina iphephabhuku ukuqopha okudlayo nokuphuzayo nokuthi uzizwa nini izimpawu. Lokhu kungakusiza unciphise izimbangela. Lapho usukwazi ukuthi yini okubangela ukuthi uqalise, ungaqala ukushintsha indlela odla ngayo.

Yidla ukudla okuncane futhi okuvamile futhi ugweme ukudla okune-asidi, okubabayo, noma okunamafutha ngokweqile. Lezi zinto zinamathuba amaningi okudala izimpawu ezifana nesilungulela nomphimbo obuhlungu.

Kufanele futhi ugweme iziphuzo ezingadala ukushaya kwenhliziyo futhi zicasule ulwelwesi lwakho lokucinza. Lokhu kuyehluka kuye ngomuntu, kepha kuvame ukufaka:

• iziphuzo ezine-caffeine (ikhofi, itiye, iziphuzo ezibandayo, ushokoledi oshisayo)
• iziphuzo ezidakayo
• amajusi ewolintshi notamatisi
• ama-sodas noma amanzi

Zama ukungalali kungakapheli amahora ambalwa udle ukuvimbela izimpawu ze-GERD. Khuluma nodokotela wakho ngaphambi kokusebenzisa izithako zemithi noma eminye imishanguzo ukudambisa umphimbo obuhlungu. Yize ubuhlungu bungakhululeki, kubalulekile ukuphatha izimpawu zakho ngokuphepha.

Imithi

Ungahle uthande ukucabangela imishanguzo uma i-acid reflux yakho ingasizwa ngokushintsha imikhuba yakho yokudla. Imithi ye-GERD esiza ukunciphisa noma ukunciphisa amandla esiswini ihlanganisa ama-antacids, ama-H2 receptor blockers, kanye neproton pump inhibitors (PPIs).

Ama-Antacids yimithi ye-OTC. Basebenza ukunciphisa i-acid esiswini futhi banciphise izimpawu ze-GERD ngosawoti kanye ne-hydroxide noma i-bicarbonate ions. Izithako okufanele uzifune zifaka:

• i-calcium carbonate (etholakala kumaTum naseRolaids)
• i-sodium bicarbonate (i-baking soda, etholakala ku-Alka-Seltzer)
• i-magnesium hydroxide (etholakala eMaalox)
• amafomula e-aluminium hydroxide (avame ukusetshenziswa ngokuhlanganiswa ne-magnesium hydroxide)

I-H2 blocker imithi isebenza ngokumisa amaseli esiswini sakho ekukhiqizeni i-asidi engaka. Kukhona kokubili i-OTC kanye ne-H2 block blocker etholakalayo. Ezinye zezinketho ze-OTC zifaka:

• i-cimetidine (i-Tagamet noma i-Tagamet HB)
• i-famotidine (i-Pepcid AC noma i-Pepcid Oral Tabs)
• i-nizatidine (i-Axid AR)

I-PPI imithi yizidakamizwa ezinamandla kakhulu zokunciphisa ukukhiqizwa kwe-asidi esiswini. Ezimweni eziningi, udokotela wakho uzodinga ukubanikeza (okuhlukile yi-Prilosec OTC, okuyinguqulo ebuthakathaka ye-Prilosec). Izidakamizwa ze-PPI ze-GERD zifaka:

• i-omeprazole (Prilosec)
• I-lansoprazole (Prevacid)
• i-rabeprazole (Aciphex)
• i-pantoprazole (Protonix)
• i-esomeprazole (Nexium)

Imiphumela ye-acid reflux emphinjeni

Noma ngabe usebenzisa imishanguzo noma amasu wokuphila (noma womabili), kubalulekile ukuphatha izimpawu zakho ze-GERD. I-acid reflux engapheli, engalawulwa ingaba nomthelela ekuqaqeni komphimbo futhi ingaholela ezinkingeni. Izinkinga ezingenzeka ze-acid reflux emphinjeni zifaka:

• I-Esophagitis: Ukucasulwa kwezicubu ezifakwe emphinjeni kungenxa yesimo esinamandla sesisu kanye ne-esophageal acid.
• Ukukhwehlela okuqhubekayo: Abanye abantu abane-GERD bazizwa benesidingo sokusula imiphimbo yabo njalo, bakwenze kube buhlungu nokuqina.
• I-Dysphagia: Lokhu kunzima ukugwinya lapho amafomu wesibazi emgqeni we-esophageal kusuka ku-GERD. Ukuncipha kwesifo (ukuqina kokuqina kokuqina) nakho kungaholela ebuhlungwini bomphimbo nase-dysphagia.

Ngaphezu komphimbo obuhlungu, i-acid reflux engapheli futhi enzima engalawulwa ingaholela esimweni esingajwayelekile kepha esibi esibizwa ngokuthi yi-Barrett's esophagus. Lokhu kwenzeka lapho ulwelwesi lwe-esophagus yakho lushintsha ukwakheka kwalo ukuze lufane nolwelwesi lwamathumbu akho.

Noma ikuphi kusuka kumaphesenti ayi-1,6 kuya ku-6.8 abantu abadala e-United States bakhulisa ukuqina kukaBarrett. Abantu abane-Barrett's esophagus banengozi eyanda kancane yokuthola umdlavuza we-esophageal.

Izimpawu zesifo sikaBarrett zingafaka:

• isilungulela (esivutha esifubeni, umphimbo obuhlungu)
• ubuhlungu obungaphezulu besisu
• I-dysphagia
• ukukhwehlela
• ubuhlungu besifuba

Umbono

Awuwedwa uma uhlushwa yizimpawu ze-GERD. Khuluma nodokotela wakho uma ucabanga ukuthi umphimbo wakho ubuhlungu ngenxa ye-acid reflux. Ukuphatha i-acid reflux ngemithi nangezindlela zokuphila kunganciphisa izimpawu zakho futhi kusize ukuvimbela noma yiziphi izinkinga ezizayo.