Isitshisa

Isitshisa yintlungu evuthayo apha ngezantsi okanye ngasemva kwethambo lesifuba. Uninzi lwexesha, livela kwi-esophagus. Intlungu ihlala inyuka esifubeni sakho esiswini sakho. Inokusasazeka entanyeni yakho okanye emqaleni.

Phantse wonke umntu unentliziyo etshayo ngamanye amaxesha. Ukuba unesifo sokutshisa rhoqo, unokuba nesifo se-reflux sesifo se-gastroesophageal (GERD).

Ngokwesiqhelo xa ukutya okanye ulwelo lungena esiswini sakho, ibhanti yesihlunu kumazantsi esophagus yakho sivaleka umqala. Le bhanti ibizwa ngokuba yi-sphincter esezantsi esophageal (LES). Ukuba le bhanti ayivaleki ngokwaneleyo, ukutya okanye isisu esiswini sinokubuyisela (reflux) kwisophagus. Umxholo wesisu unokucaphukisa umqala kwaye kubangele ukutsha kwentliziyo kunye nezinye iimpawu.

Ukutshitshiswa kwintliziyo kunokwenzeka ukuba unayo i-hernia yokuzalwa. I-hernia yokubeleka yimeko eyenzeka xa indawo ephezulu yesisu inyathela kwisifuba. Oku kunciphisa i-LES ukuze kube lula ukuba i-asidi ibuyele esiswini iye kwi-esophagus.

Ukukhulelwa kunye namayeza amaninzi kunokubangela ukutsha kwentliziyo okanye kuwenze mbi ngakumbi.

Amayeza anokubangela ukutsha kwentliziyo aquka:

• Anticholinergics (isetyenziselwa ukugula elwandle)
• I-Beta-blockers yoxinzelelo lwegazi oluphezulu okanye isifo sentliziyo
• I-calcium channel blockers yoxinzelelo lwegazi oluphezulu
• Iziyobisi ezinjenge-Dopamine yesifo seParkinson
• Iprogestin yokuphuma gazi okungaqhelekanga okanye ulawulo lokuzalwa
• Izindlela zokukhathazeka okanye iingxaki zokulala (ukulala)
• I-Theophylline (yesifo sombefu okanye ezinye izifo zemiphunga)
• I-Tricyclic yoxinzelelo

Thetha nomboneleli wakho wezempilo ukuba ucinga ukuba elinye lamayeza akho linokubangela ukutsha kwentliziyo. Ungaze utshintshe okanye uyeke ukuthatha amayeza ngaphandle kokuthetha nomboneleli wakho kuqala.

Kuya kufuneka uphathe isitshisa kuba i-Reflux ingonakalisa ubumdaka besinxibo sakho. Oku kunokubangela iingxaki ezinzulu ngokuhamba kwexesha. Ukutshintsha imikhwa yakho kunokuba luncedo ekuthinteleni ukutsha kwentliziyo kunye nezinye iimpawu zeGERD.

Ezi ngcebiso zilandelayo ziya kukunceda uphephe ukutsha kunye nezinye iimpawu zeGERD. Thetha nomboneleli wakho ukuba usakhathazwa yintlungu emva kokuzama la manyathelo.

Okokuqala, thintela ukutya kunye neziselo ezinokubangela i-reflux, enje:

• Utywala
• Icaffeine
• Iziphuzo zekhabhoni
• Itshokholethi
• Iziqhamo zeCitrus kunye neencindi zazo
• I-Peppermint kunye ne-spearmint
• Ukutya okunezipayisi okanye okunamafutha, iimveliso zobisi ezinamafutha apheleleyo
• Iitumato kunye neetumato iisosi

Emva koko, zama ukutshintsha indlela otya ngayo:

• Kuphephe ukugoba okanye ukwenza umthambo emva nje kokutya.
• Kuphephe ukutya kwisithuba seeyure ezi-3 ukuya kwezi-4 zokulala. Ukulala phantsi ngesisu esigcweleyo kubangela ukuba imixholo yesisu icinezele nzima ngokuchasene ne-esophageal sphincter (LES). Oku kuvumela i-reflux ukuba yenzeke.
• Yitya ukutya okuncinci.

Yenza olunye utshintsho kwindlela yokuphila njengoko kufuneka:

• Kuphephe ukubhinqisa amabhanti okanye iimpahla ezinxibe esinqeni. Ezi zinto zinokusikhama isisu, kwaye zinokunyanzela ukutya ukuba kuphume kwakhona.
• Ukunciphisa umzimba ukuba utyebe kakhulu. Ukutyeba kakhulu kwandisa uxinzelelo esiswini. Olu xinzelelo lunokutyhala iziqulatho zesisu kwi-esophagus. Ngamanye amaxesha, iimpawu ze-GERD ziyahamba emva kokuba umntu otyebe kakhulu ephulukene neekhilogram ezili-10 ukuya kwezili-15 (4.5 ukuya 6.75 kilograms).
• Ukulala nentloko iphakanyiswe malunga nee-intshi ezi-6 (iisentimitha ezili-15). Ukulala nentloko ephezulu kunesisu kunceda ukuthintela ukutya okwetyisiweyo ekuxhaseni ukuya kwi-esophagus. Beka iincwadi, izitena, okanye iibhloko phantsi kwemilenze entlokweni yebhedi yakho. Unokusebenzisa umqamelo obunjiweyo phantsi komatrasi wakho. Ukulala kwimiqamelo eyongezelelweyo AKUSEBENZI kakuhle ukukhulula isitshisa kuba ungashenxisa imiqamelo ebusuku.
• Yeka ukutshaya okanye ukutshaya. Iikhemikhali kumsi wecuba okanye iimveliso zecuba ziyayonakalisa i-LES.
• Ukunciphisa uxinzelelo. Zama i-yoga, i-tai chi, okanye ukucamngca ukunceda ukuphumla.

Ukuba awukabikho ngokupheleleyo, zama amayeza angaphaya kwekhawuntareni:

• Ii-Antacids, ezinje ngeMaalox, iMylanta, okanye iiTum zinceda ukunciphisa isisu esiswini.
• I-H2 blockers, njengePepcid AC, iTagamet HB, iAxid AR, kunye neZantac, zinciphisa ukuveliswa kwesisu esiswini.
• Iiproton pump inhibitors, njenge-Prilosec OTC, i-Prevacid 24 HR, kunye ne-Nexium 24 HR ziyeke phantse yonke imveliso ye-asidi esiswini.

Fumana unyango olungxamisekileyo ukuba:

• Uyagabha izinto ezinegazi okanye ezijongeka njengendawo yekofu.
• Izitulo zakho zimnyama (njengetela) okanye imaroon.
• Unemvakalelo evuthayo kunye nokucwina, ukutyumza, okanye uxinzelelo esifubeni sakho. Ngamanye amaxesha abantu abacinga ukuba banesifo sentliziyo banesifo sentliziyo.

Fowunela umnikezeli wakho ukuba:

• Unesitshisa rhoqo okanye asihambi emva kweeveki ezimbalwa zokuzinakekela.
• Ukwehla kobunzima obungafuni ukunciphisa umzimba.
• Unengxaki yokuginya (ukutya kuvakala kubambekile njengoko kusihla).
• Unesikhohlela okanye ukuvutha okungapheliyo.
• Iimpawu zakho ziya zisiba mandundu nge-antacids, i-H2 blocker, okanye ezinye iindlela zonyango.
• Ucinga ukuba elinye lamayeza akho linokubangela ukutsha kwentliziyo. SUKUTSHINTSHE okanye uyeke ukuthatha iyeza lakho wedwa.

Ukutshitshiswa kwentliziyo kulula ukufumanisa isifo kwiimpawu zakho kwiimeko ezininzi. Ngamanye amaxesha, ukutsha kwentliziyo kunokudideka nenye ingxaki yesisu ebizwa ngokuba yi-dyspepsia. Ukuba ukuxilongwa akucaci, unokuthunyelwa kugqirha obizwa ngokuba yi-gastroenterologist ukuze kuvavanywe ngakumbi.

Okokuqala, umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga nesitshiso sakho, njenge:

• Kwaqala nini?
• Lihlala ixesha elingakanani isiqendu ngasinye?
• Eli lixesha lokuqala ukuba ube nesilumko?
• Uhlala utya ntoni kwisidlo ngasinye? Ngaphambi kokuba uve isilungulela, ukhe watya ukutya okuqholiweyo okanye okunamafutha?
• Ngaba usela ikofu eninzi, ezinye iziselo ezinecaffeine, okanye utywala? Uyatshaya?
• Ngaba unxiba impahla exineneyo esifubeni okanye esiswini?
• Ngaba unayo intlungu esifubeni, emhlathini, engalweni, okanye kwenye indawo?
• Ngawaphi amayeza owasebenzisayo?
• Ukhe wahlanza igazi okanye izinto ezimnyama?
• Ngaba unegazi kwizitulo zakho?
• Ngaba unayo emnyama, ilindle?
• Ngaba zikhona ezinye iimpawu zokuqaqamba kwentliziyo yakho?

Umboneleli wakho unokucebisa olunye okanye nangaphezulu kwezi mvavanyo zilandelayo:

• I-Esophageal motility yokulinganisa uxinzelelo lwe-LES yakho
• I-Esophagogastroduodenoscopy (i-endoscopy ephezulu) ukujonga ubume bangaphakathi besisu kunye nesisu
• Uthotho oluphezulu lwe-GI (olwenziwa rhoqo kwiingxaki zokuginya)

Ukuba iimpawu zakho azibangcono kukhathalelo lwasekhaya, kungafuneka uthathe amayeza ukunciphisa i-asidi eyomeleleyo kunamayeza eekhawuntareni. Nawuphi na umqondiso wokopha uya kufuna uvavanyo kunye nonyango olungakumbi.

IPyrosis; I-GERD (isifo se-reflux sesifo se-gastroesophageal); Ukuqunjelwa sisisu

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

• Inkqubo yokwetyisa
• IHernatal hernia - i-x-reyi
• IHernatal hernia
• Isifo se-reflux sesifo se-Gastroesophageal

I-Devault KR. Iimpawu zesifo esophageal. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 13.

UMeya we-EA. Umsebenzi wokuphazamiseka kwesisu: isifo esinganyanzelekanga samathumbu, idyspepsia, iintlungu zesifuba semvelaphi yokuqunjelwa, kunye nesilonda. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.