Ungayiphatha kanjani i-reflux ye-gastroesophageal

-Delile

• 1. Izinguquko zendlela yokuphila
• 2. Ukushintshwa kokudla
• 3. Ukusetshenziswa kwemithi
• 4. Ukusetshenziswa kwamakhambi asekhaya
• 5. Ukuhlinzwa

Ukwelashwa kwe-reflux ye-gastroesophageal kuvame ukuqala ngezinguquko ezithile zendlela yokuphila, kanye nokuguqulwa kokudla, ngoba ezimweni eziningi, lezi zinguquko ezilula ziyakwazi ukunciphisa izimpawu ngaphandle kwesidingo sanoma yiluphi olunye uhlobo lokwelashwa.

Kodwa-ke, uma izimpawu zingathuthuki, i-gastroenterologist ingancoma ukusetshenziswa kwemithi ethile, engasetshenziswa isikhathi eside, noma kuphela ngesikhathi sokuhlaselwa yizimpawu. Ezimweni eziyinkimbinkimbi kakhulu, lapho ngisho namakhambi engakwazi ukwenza ngcono izimpawu, udokotela angaluleka ukwenziwa kokuhlinzwa, ukuze azame ukuxazulula imbangela ye-reflux.

Bheka izimpawu ezivame kakhulu ezimweni ze-reflux ye-gastroesophageal.

Izinhlobo eziyinhloko zokwelashwa ezisetshenziswe ezimweni ze-reflux zifaka:

1. Izinguquko zendlela yokuphila

Abantu abanendlela yokuphila enempilo encane basengozini enkulu yokuba nezinkinga ezehlukene zezempilo. Enye yalezi zinkinga ukukhiqizwa ngokweqile kwe-gastric acid, engagcina ibangele izimpawu ze-reflux.

Ngakho-ke, noma ngubani onenkinga ye-reflux, noma ofuna ukuvimbela ukuqala kwayo, kufanele alandele le mihlahlandlela:

• Gcina isisindo esanele, ngoba isisindo esiningi sidala ingcindezi enkulu esifundeni sesisu, kwandisa amathuba okuthi i-gastric acid ibuyele emqulwini, yenze izimpawu zibe zimbi kakhulu;
• Gwema ukubhema, ngoba usikilidi uyakwazi ukuphazamisa ikhono le-sphincter lokuvala ukuvala, okuvumela i-reflux ukuthi yenzeke kaningi;
• Musa ukulala phansi kuze kube ngamahora amabili ngemuva kokudla, njengoba kungalesi sikhathi lapho kunenani elikhulu kakhulu le-asidi esiswini;
• Gwema ukugqoka izingubo eziqinile, ikakhulukazi amahembe namabhulukwe aphakeme kakhulu, ngoba angabeka ingcindezi esiswini futhi enze i-reflux ibe yimbi.

Ngaphezu kwalokho, kusabaluleke kakhulu ukuthi, lapho ulele phansi, umuntu azame ukugcina ikhanda lombhede liphakeme kunezinyawo. Ukuze wenze lokhu, ungafaka okuthile ngaphansi kukamatilasi, noma ungabeka amabhlogo wokhuni ngaphansi kwemilenze yebhodi lasekhanda. Okuncanyelwayo, ukuthi i-headboard kufanele iphakanyiswe phakathi kuka-15 kuye ku-20 cm.

2. Ukushintshwa kokudla

Ngaphezu kokushintsha kwendlela yokuphila, okukhulunywe ngayo ngaphambili, kukhona nezinye izindlela ezilula nezemvelo ezisiza ukuqeda izimpawu futhi ezihlobene kakhulu nokudla.

Ngakho-ke, kunconywa ukuthi udle njalo njalo, njalo ngamahora ama-3, ngokwesibonelo, kepha ngokudla okuncane. Lokhu kusiza ukugcina isisu singagcwali kakhulu nokwenza lula ukuphuma kwaso, ukuvimbela i-reflux.

Ngaphezu kwalokho, ukwandisa ukusetshenziswa kwemifino nezithelo, kanye nokugwema ukudla okungenampilo, njengokudla okusetshenzisiwe, inyama ebomvu nokudla okuthosiwe, nakho kuvumela ukunciphisa inani le-gastric acid, ukuqeda izimpawu. Elinye icebo elibalulekile ukulawula ukusetshenziswa kweziphuzo ezithile, ikakhulukazi lezo ezihlobene kakhulu nokuvela kwe-reflux, njengeziphuzo ezibandayo, iziphuzo ezinekhabhoni, ikhofi neziphuzo ezidakayo.

Bona ngokuningiliziwe ukuthi ukudla kufanele kube kanjani kulabo abaphethwe yi-reflux ye-gastroesophageal.

3. Ukusetshenziswa kwemithi

Isikhathi esiningi, imishanguzo ye-reflux ikhonjiswa ngudokotela kuphela njenge-SOS, okungukuthi, ezosetshenziswa ngesikhathi senhlekelele ye-reflux, engavela lapho usebenzisa ezinye izinhlobo zokudla ngokweqile.

Kodwa-ke, amakhambi angasetshenziswa futhi isikhathi eside, ikakhulukazi kubantu abanezimpawu ezinamandla kakhulu nezivamile. Ezinye zezinto ezifanele kakhulu zifaka:

• Ama-Antacids, njenge-magnesium hydroxide noma i-aluminium hydroxide: nciphisa i-asidi yesisu futhi uvimbele ukuzwa okushisayo emqaleni;
• I-inhibitor yokukhiqiza i-asidi, njenge-omeprazole, i-esomeprazole noma i-pantoprazole: vimbela ukukhiqizwa kwe-asidi esiswini, kunciphise ukushiswa okubangelwa yi-reflux;
• Ama-accelerators wokukhipha isisu, njenge-metoclopramide ne-domperidone: ukusheshisa ukukhishwa kwesisu, ukunciphisa isikhathi lapho ukudla kuhlala kulesi sitho;
• Abavikeli besisu, njenge-sucralfate: bakha isithiyo esivikelayo kulwelwesi lwesisu kanye nomphimbo, banciphisa ukushiswa okubangelwa i-acid esiswini.

Ngakho-ke, futhi njengoba izimpawu nezimbangela ze-reflux zehluka kakhulu kusuka komunye umuntu kuye komunye, amakhambi kufanele ngaso sonke isikhathi aqondiswe ngudokotela, ozohlola umlando wakho wezokwelapha futhi akhombise amanani kanye nesikhathi sokwelashwa kwezidakamizwa.

Funda kabanzi ngemithi esemqoka esetshenziselwa ukwelapha i-reflux.

4. Ukusetshenziswa kwamakhambi asekhaya

Ezimweni ezimnene ze-reflux, amakhambi asekhaya angaba yindlela enhle kakhulu yemvelo yokunciphisa izimpawu. Ezinye zezinto ezifanele kakhulu zibandakanya itiye le-ginger, itiye le-chamomile nejusi le-aloe, ngokwesibonelo, elingathathwa lapho kuvela izimpawu zokuqala ezivuthayo. Bona ukuthi ungazilungiselela kanjani lezi nezinye izixazululo zasekhaya ze-reflux.

Yize kuyindlela enhle yemvelo yokusiza ekunciphiseni izimpawu, amakhambi asekhaya akufanele afakwe esikhundleni semithi enikezwe udokotela, futhi kufanele isetshenziswe kuphela njengomphelelisi wokwelashwa okubonisiwe.

5. Ukuhlinzwa

Ukuhlinzwa kwe-reflux ye-Gastroesophageal kuvame ukusetshenziswa kuphela njengezindlela zokugcina zokwelashwa, ezimweni ezinzima kakhulu lapho izimpawu zingazange zithuthuke ngokushintsha kwendlela yokuphila, ukuzivumelanisa nezindlela zokudla noma ukusetshenziswa kwemithi.

Kulezi zimo, udokotela ohlinzayo wenza ukuhlinza ukuze aqinise i-esophageal sphincter, ngenhloso yokuvimbela i-gastric acid ukuthi ingakhuphuki iye emcinweni. Lokhu kuhlinza kungenziwa ngendlela yakudala, ngokusikeka esiswini, kodwa futhi kungenziwa nge-laparoscopy, lapho kwenziwa khona izimbobo ezincane esikhunjeni. Uhlobo lokuhlinzwa kufanele luhlale lukhethwa nodokotela ohlinzayo.

Qonda kangcono ukuthi lokhu kwenziwa kanjani nokuthi ululama kanjani.