I-reflux ye-Gastroesophageal-ukukhutshwa

Isifo se-reflux sesifo se-Gastroesophageal (GERD) yimeko apho isisu sivuza ngasemva ukusuka kwisisu ukuya kwisisu (ityhubhu ukusuka emlonyeni ukuya esiswini). Eli nqaku likuxelela ngento ekufuneka uyenzile ukulawula imeko yakho.

Unesifo se-reflux se-gastroesophageal (GERD). Le yimeko apho ukutya okanye ulwelo luhamba luye umva ukusuka esiswini luye kwi-esophagus (ityhubhu ukusuka emlonyeni ukuya esiswini).

Unokuba novavanyo ukunceda ukufumanisa i-GERD yakho okanye iingxaki onazo kuyo.

Unokwenza utshintsho oluninzi kwindlela yakho yokuphila ukunceda ukunyanga iimpawu zakho. Kuphephe ukutya okubangela iingxaki kuwe.

• Musa ukusela utywala.
• Ziphephe iziselo kunye nokutya okuneCaffeine, njengesoda, ikofu, iti kunye netshokholethi.
• Gwema ikhofi engenamanzi. Yonyusa nenqanaba leasidi esiswini sakho.
• Gwema iziqhamo kunye nemifuno ene-asidi eninzi, ezinje ngeziqhamo ze-citrus, ipayinapile, iitumato, okanye izitya zetumato (ipitsa, isilili kunye nespaghetti) xa ufumanisa ukuba zibangela ukutsha.
• Gwema izinto nge-spearmint okanye i-peppermint.

Ezinye iingcebiso ngendlela yokuphila enokwenza ukuba iimpawu zakho zibengcono zezi:

• Yitya ukutya okuncinci, kwaye utye rhoqo.
• Nciphisa ubunzima, ukuba ufuna njalo.
• Ukuba uyatshaya okanye uhlafuna icuba, zama ukuyeka. Umboneleli wakho wezempilo unokunceda.
• Zilolonge, kodwa hayi emva kokutya.
• Nciphisa uxinzelelo lwakho kwaye ubukele amaxesha oxinzelelo, amaxesha. Uxinzelelo lunokuyikhathaza ingxaki yakho ye-reflux.
• Goba emadolweni, hayi esinqeni sakho, ukuze ukhethe izinto.
• Kuphephe ukunxiba iimpahla ezikubeka uxinzelelo esinqeni okanye esiswini.
• Sukulala phantsi iiyure ezi-3 ukuya kwezi-4 emva kokutya.

Gwema amayeza afana ne-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve, Naprosyn). Thatha i-acetaminophen (iTylenol) ukunciphisa iintlungu. Thatha nawaphi na amayeza akho ngamanzi amaninzi. Xa uqala iyeza elitsha, khumbula ukubuza ukuba ngaba liza kwenza ukuba ube nentliziyo ebuhlungu ngakumbi.

Zama ezi ngcebiso ngaphambi kokuba ulale:

• UNGAKUTSIBI ukutya okanye utye isidlo esikhulu sasebusuku ukwenza ukutya okuphosiweyo.
• Kuphephe ukutya okulula ebusuku.
• SUKULALA kanye emva kokutya. Hlala nkqo kangangeeyure ezi-3 ukuya kwezi-4 ngaphambi kokuba ulale.
• Phakamisa ibhedi yakho ii-intshi ezi-4 ukuya kwezi-6 (iisentimitha ezili-10 ukuya kwezili-15) entlokweni yebhedi yakho, usebenzisa iibhloko. Unokusebenzisa inkxaso yenkxaso ephakamisa isiqingatha esiphezulu somzimba wakho xa ulele. (Eminye imithwalo ephakamisa intloko kuphela ayinakunceda.)

I-Antacids inokukunceda ukunciphisa isisu sakho esiswini. Abancedi ukunyanga ukucaphuka kwi-esophagus yakho. Iziphumo eziqhelekileyo ezichaphazelekayo zibandakanya urhudo okanye ukuqhina.

Ezinye iziyobisi ezingaphaya kwekhawuntareni kunye namayeza amiselweyo anokunyanga i-GERD. Basebenza ngokucotha ngakumbi kune-antacids kodwa bakunika isiqabu esinde. Umboneleli wakho angakuxelela ukuba ungawathatha njani la machiza. Zimbini iintlobo ezahlukeneyo zala machiza:

• Abachasi be-H2: i-famotidine (i-Pepcid), i-cimetidine (i-Tagamet), i-ranitidine (i-Zantac), kunye ne-nizatidine (i-Axid)
• Proton pump inhibitors (PPI): omeprazole (Prilosec okanye Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), kunye ne-pantoprazole (Protonix)

Uya kuba notyelelo olulandelayo kunye nomboneleli wakho ukujonga umqala wakho. Kuya kufuneka ukuba uhlolwe amazinyo. I-GERD inokubangela ukuba i-enamel emazinyweni akho igqibe.

Fowunela umnikezeli wakho ukuba unayo:

• Iingxaki okanye iintlungu ngokuginya
• Ukukrwitsha
• Uvakalelo olupheleleyo emva kokutya isahlulo esincinci sokutya
• Ukwehla kobunzima obungenakuchazwa
• Ukuhlanza
• Ukuphelelwa ngumdla wokutya
• Iintlungu zesifuba
• Ukopha, igazi kwizitulo zakho, okanye mnyama, linda izitulo ezijongeka
• Ukurhabaxa

Peptic esophagitis - ukukhutshwa; Reflux esophagitis - ukukhutshwa; I-GERD - ukukhutshwa; Isitshisa - esinganyangekiyo - ukukhutshwa

• Isifo se-reflux sesifo se-Gastroesophageal

UAbdul-Hussein M, uCastell DO. Isifo se-reflux sesifo se-Gastroesophageal (GERD). Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; 2019; 208-211.

IFalk GW, Katzka DA. Izifo zomqala. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 138.

I-Katz PO, iGerson LB, iVela MF. Izikhokelo zokuchongwa kunye nokulawulwa kwesifo se-reflux sesifo se-gastroesophageal. NdinguJ Gastroenterol. Ngo-2013; 108 (3): 308-328. IINKCUKACHA: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

URichter JE, uFriedenberg FK. Isifo se-reflux sesifo se-Gastroesophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 44.

• Utyando lwe-anti-reflux
• Utyando lwe-anti-reflux-abantwana
• I-EGD-esophagogastroduodenoscopy
• Isifo se-reflux sesifo se-Gastroesophageal

• Utyando lwe-anti-reflux-abantwana-ukukhutshwa
• Utyando lwe-anti-reflux-ukukhutshwa
• Isitshisa - yintoni ekufuneka uyibuze kugqirha
• Ukuthatha ii-antacids

• IGERD