Sizizwa Njani Isilungulela?

-Delile

• Izwakala kanjani
• Isilungulela nokukhulelwa
• Isilungulela kuqhathaniswa nokugaya ukudla
• IGERD
• Ezinye izimo ezingenzeka
• Ukwelashwa
• Ukwelashwa lapho ukhulelwe
• Ukubonana nodokotela nini
• Okubalulekile

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.

Isilungulela ukuzwa okungakhululekile okwenzeka lapho i-asidi ephuma esiswini ikhuphukela phezulu lapho kungafanele ukuba khona, njenge-esophagus nomlomo. I-asidi ibangela ukuzwa okushisayo ukusabalala esifubeni.

Iningi labantu lizwa isilungulela ngenxa yokucasuka kokudla noma iziphuzo. Uma zilala phansi ngokushesha ngemuva kokudla, i-asidi ivame ukuqhamuka kalula.

Isikhathi esiningi, isilungulela asiyona imbangela yokukhathazeka futhi sizohamba ngokuhamba kwesikhathi. Ngoba ingalingisa okunye okunye okuphathelene nezimpawu zezokwelapha njengokuhlaselwa yinhliziyo, kubalulekile ukwazi ukuthi ungakubona kanjani.

Izwakala kanjani

Isilungulela singasuka kokucasulayo kancane kuye kokungakhululeki ngokweqile. Okulandelayo ezinye zezimpawu zokushiswa yinhliziyo:

• ukuvutha nokungahambi kahle ngemuva kwesifuba sesifuba
• ukuvutha okuphuma esiswini kuze kufike entanyeni
• Ubuhlungu obuba nzima lapho ushintsha ukuma kwakho, njengokugoba phambili noma ukulala phansi
• ukunambitheka okumuncu emphinjeni
• izimpawu ezenzeka emizuzwini engu-30 kuya kwengu-60 ngemuva kokuthi uthole okuthile ongakudla
• izimpawu ezivame ukuba zimbi uma udla ukudla okuthile, okufana nalokhu:
  • utshwala
  • ushokoledi
  • ikhofi
  • itiye
  • utamatisi usoso

Kwesinye isikhathi, umuntu unezimpawu zesilungulela ezingejwayelekile. Abantu babike ukungakhululeki kulokhu:

• amaphaphu
• izindlebe
• ikhala
• umphimbo

Abanye abantu banesilungulela esizwakala njengobuhlungu besifuba. Ubuhlungu besifuba bungaba bukhulu kakhulu kukwenza ukhathazeke ngokuhlaselwa yisifo senhliziyo.

Isilungulela nokukhulelwa

kulinganiselwa ukuthi amaphesenti aphakathi kuka-17 no-45 wabesifazane abakhulelwe baba nesilungulela ngesikhathi sokukhulelwa. Imvamisa yesilungulela ivame ukwanda nge-trimester.

Ku-trimester wokuqala, cishe amaphesenti angama-39 wabesifazane abanesilungulela babenezimpawu, kuyilapho amaphesenti angama-72 ayenezimpawu zokushiswa yinhliziyo ku-trimester yesithathu.

Ziningi izinto ezandisa ingozi yokushiswa yisilungulela kwabesifazane abakhulelwe. Lokhu kufaka ingcindezi encishisiwe ku-sphincter engezansi esophageal ehlukanisa isopha esiswini. Lokhu kusho ukuthi i-asidi ingadlula kusuka esiswini iye emgodini kalula.

Isibeletho esikhulayo sibeka nengcindezi eyengeziwe esiswini, okungasilimaza isilungulela. Amanye amahomoni asiza abesifazane ukuthi balondoloze ukukhulelwa kwabo nawo anganciphisa ukugayeka kokudla, okwandisa ingozi yokushiswa yinhliziyo.

Azikho izinkinga eziningi zesikhathi eside ezihlobene nesilungulela ekukhulelweni. Abesifazane abakhulelwe bavame ukuhlangabezana namazinga aphezulu kunabesifazane abangakhulelwe.

Kwesinye isikhathi, izimpawu zesilungulela ziba nzima kakhulu kunalapho owesifazane engakhulelwe.

Isilungulela kuqhathaniswa nokugaya ukudla

Isilungulela nokugaya ukudla kungaba nezimpawu eziningi ezifanayo, kodwa akuzona izinto ezifanayo.

Odokotela futhi babiza i-indigestion dyspepsia. Lesi yisibonakaliso esidala ubuhlungu engxenyeni engenhla yesisu. Umuntu one-indigestion angaba nezimpawu ezifana nokuthi:

• ukubhoboza
• ukuqunjelwa
• isicanucanu
• ukungakhululeki okujwayelekile kwesisu

Ukudla okudlayo kubangela isilungulela nokugaya ukudla. Kodwa-ke, ukugaya ukudla kungumphumela wokudla okucasula isisu nolwelwesi lwaso. Isilungulela kungumphumela we-asidi ephindayo isuke esiswini.

IGERD

Umuntu onesifo se-reflux sesisu se-gastroesophageal (GERD) angaba nokugaya kanye nokushiswa yinhliziyo njengengxenye yezimpawu zabo.

I-GERD iyindlela engapheli ye-acid reflux engalimaza i-esophagus. Ukukhuluphala ngokweqile, ukubhema, nokuba ne-hernia yokubeletha kwandisa ingozi yomuntu nge-GERD.

Ezinye izimo ezingenzeka

Kwesinye isikhathi, isilungulela singadala izimpawu ezingejwayelekile noma uzizwe weqise kakhulu ukhathazeke ukuthi yisifo senhliziyo.

Kepha akusikho konke ukuhlaselwa yinhliziyo okuholela kubuhlungu besifuba obudala, obuchobozayo obubona kuthelevishini nakumamuvi. Nakhu ukuthi ungatshela kanjani umehluko phakathi kwalokhu okubili:

• Isilungulela imvamisa kudala izimpawu ngemuva kokudla. A isifo senhliziyo akubonakali kuhlobene nokudla okudlile.
• Isilungulela imvamisa kubangela ukunambitheka okumuncu emlonyeni wakho noma uzwe ukukhuphuka kwe-asidi ngemuva komqala wakho. A isifo senhliziyo kungadala ubuhlungu besisu, kufaka phakathi isicanucanu nobuhlungu besisu jikelele.
• Isilungulela imvamisa iqala njengokusha engxenyeni ephezulu yesisu ekhuphukela esifubeni. A isifo senhliziyo imvamisa kubangela ingcindezi, ukuqina, noma ubuhlungu esifubeni obungaya ezingalweni, entanyeni, emhlathini noma emuva.
• Isilungulela ivame ukukhululeka ngama-antacids. Isifo senhliziyo izimpawu azikho.

Ngaphezu kokuhlaselwa yisifo senhliziyo, abanye abantu bangaphutha ngalezi zimo ezilandelayo zokushiswa yinhliziyo:

• ukudumba kokuqopha
• isifo se-gallbladder
• isisu
• isifo sokuqaqamba kwamalunga
• isifo se-peptic ulcer

Uma ungenaso isiqiniseko sokuthi izimpawu zakho zishiswa yinhliziyo noma enye into, kungcono ukufuna usizo lwezimo eziphuthumayo.

Ukwelashwa

Uma uhlangabezana neziqephu zesilungulela esivamile, kunezinguquko eziningana zendlela yokuphila ongazenza ukunciphisa izimpawu zakho. Nazi izibonelo:

• Gwema ukudla okwaziwa ngokubangela isilungulela, njenge:
  • ukudla okubabayo
  • ushokoledi
  • utshwala
  • izinto eziqukethe i-caffeine
• Phakamisa ikhanda lombhede wakho ukuze i-asidi ingangeni emphinjeni.
• Gwema ukudla ngaphansi kwamahora amathathu ngaphambi kokulala.
• Thatha imishanguzo yokuqeda isilungulela (i-OTC) efana ne:
  • i-famotidine (i-Pepcid)
  • i-cimetidine (Tagamet)

Ukwehlisa isisindo uma ukhuluphele kungakusiza nokuthi wehlise izimpawu zakho zokushiswa yinhliziyo.

Ukwelashwa lapho ukhulelwe

Ukukhulelwa kungaba isikhathi esiyinselele sokwelapha isilungulela, ngoba awukwazi ukuthatha yonke imithi okungenzeka ukuthi wake wayiphuza ngenxa yokukhathazeka ngokulimaza ingane.

Isibonelo, iningi labesifazane abakhulelwe bangaxazulula izimpawu zabo ngokuthatha imishanguzo efana ne-Tums, Rolaids, noma Maalox. Kepha odokotela abaningi abakukhuthazi ukuthatha ama-antiacid aqukethe i-magnesium afana nalawa ngesikhathi se-trimester yesithathu ngaphezulu kokukhathazeka kungathinta ukuphambana kwabasebenzi.

Futhi ungathathi i-Alka-Seltzer. Iqukethe i-aspirin, engakhuphula izingozi zokopha ngesikhathi ukhulelwe.

Kodwa-ke, ukwenza izinguquko ezithile empilweni kunganikeza ukukhululeka:

• Yidla ukudla okuncane, okuvamile njalo usuku lonke.
• Yidla kancane, futhi uhlafune ukuluma ngakunye kahle.
• Gwema ukudla amahora amabili kuya kwangu-3 ngaphambi kokulala.
• Gwema ukugqoka izingubo ezikubambayo.
• Sebenzisa imicamelo ukuxhasa ikhanda lakho nomzimba ongaphezulu ukunciphisa i-acid reflux lapho ulele.

Uma izimpawu zesilungulela ziqhubeka, khuluma nodokotela wakho ngezinye izindlela zokwelashwa.

Ukubonana nodokotela nini

Uma imishanguzo ye-OTC ingalaphuli isilungulela sakho, khuluma nodokotela wakho.

Ezimweni ezingavamile lapho ungakwazi ukuphatha isilungulela ngemithi, udokotela angancoma ukuhlinzwa ukuze kuncishiswe ubungozi bokuthi i-asidi izophinda iphume esiswini.

Uma ungakwazi ukubekezelela imishanguzo ye-OTC yesilungulela, udokotela wakho angancoma ezinye izinketho.

Okubalulekile

Ngenkathi abantu abaningi beba nesilungulela ngezikhathi ezithile ngemuva kokudla okukhulu noma ngemuva kokudla ukudla okuthile, lesi sifo singafana nezinye izimo eziningi.

Uma ukhathazeke kakhulu kungaba yisifo senhliziyo, funa usizo oluphuthumayo lwezokwelapha. Ngaphandle kwalokho, ukuguquka kwendlela yokuphila, njengokuguqulwa kokudla nokuthatha imishanguzo ye-OTC, kuvame ukukhulula izimpawu.