Ubuhlungu besifuba kunye ne-GERD: Ukuvavanya uphawu lwakho

Umxholo

• Indawo yeentlungu esifubeni
• Zinjani iintlungu esifubeni?
• Ukuma komzimba kunokuchaphazela njani iimpawu?
• Iimpawu ezidibeneyo
• Ezinye iintlobo zentlungu yesifuba
• Uxilongo
• Unyango lwentlungu yesifuba
• Q:
• A:

Iintlungu zesifuba

Intlungu yesifuba inokukwenza uzibuze ukuba unesifo sentliziyo na. Nangona kunjalo, inokuba yenye yeempawu ezininzi eziqhelekileyo zeasidi ye-asidi.

Ukungonwabi kwesifuba okunxulumene nesifo se-reflux sesifo se-gastroesophageal (GERD) kudla ngokubizwa ngokuba yintlungu yesifuba (i-NCCP), ngokwe-American College of Gastroenterology (ACG).

I-ACG icacisa ukuba i-NCCP inokuxelisa intlungu ye-angina, echazwa njengentlungu yesifuba evela entliziyweni.

Iindlela zokufunda ukwahlula iintlobo ezahlukeneyo zentlungu yesifuba zinokubeka ingqondo yakho ngokukhululeka kwaye zikuncede ukunyanga i-asidi ye-asidi yakho ngokufanelekileyo.

Kodwa kubalulekile ukuba ukhumbule ukuba iimpawu zesifo sentliziyo kufuneka zithathelwe ingqalelo kakhulu. Ngenxa yokuba isifo sentliziyo sifuna unyango kwangoko, funa uncedo ukuba awuqinisekanga ngesizathu seentlungu zesifuba sakho.

Indawo yeentlungu esifubeni

Intlungu yesifuba senhliziyo kunye ne-NCCP zinokubonakala zombini emva kwethambo lakho, lenze kube nzima ukwahlula phakathi kwezi ntlobo zimbini zentlungu.

Intlungu yesifuba ebandakanya intliziyo kunokwenzeka ngaphezu kwentlungu enxulumene ne-reflux ukusasazeka kwamanye amalungu omzimba wakho. Ezi ndawo zibandakanya zakho:

• iingalo, ngakumbi indawo ephezulu yengalo yakho yasekhohlo
• umva
• amagxa
• intamo

Intlungu yesifuba esivela kwi-GERD inokuchaphazela umzimba wakho ongaphezulu kwezinye iimeko, kodwa ihlala iphakathi nendawo emva kwe-sternum yakho okanye phantsi nje kwayo kwindawo eyaziwa ngokuba yi-epigastrium.

I-NCCP ihlala ihamba kunye nokutsha ngasemva kwesifuba sakho kwaye akunakuvakala kangako kwingalo yasekhohlo.

I-Esophageal spasms kukuqiniswa kwezihlunu ezijikeleze ityhubhu yokutya. Zenzeka xa i-acid reflux okanye eminye imiba yezonyango ibangela ukonakala ngaphakathi komphefumlo.

Emva koko, ezi spasms zinokubangela iintlungu emqaleni wakho nakwindawo ephezulu yesifuba sakho.

Zinjani iintlungu esifubeni?

Unokwazi ukuxelela ukuba luhlobo luni lweentlungu zesifuba ngokuvavanya uhlobo lwentlungu oyivayo.

Iindlela eziqhelekileyo abantu ezichaza iintlungu ezinxulumene nesifo sentliziyo zibandakanya:

• ukutyumza
• ukuthungwa
• yomelele njengendawo engeyiyo
• ubunzima njengendlovu ehleli esifubeni
• nzulu

I-NCCP, kwelinye icala, inokuziva ibukhali kwaye ithenda.

Abantu abane-GERD banokuba neentlungu zesikhashana esifubeni, xa bephefumla nzulu okanye bekhohlela. Lo mahluko ungundoqo.

Inqanaba lokuqina kwentlungu yentliziyo lihlala lifana xa uphefumla ngokunzulu.

Ukungonwabi kwesifuba esinxulumene neReflux akunakufane uzive ngathi kuvela nzulu esifubeni sakho. Ingabonakala ngathi ikufuphi kumphezulu wolusu lwakho, kwaye ihlala ichazwa njengokutsha okanye ebukhali.

Ukuma komzimba kunokuchaphazela njani iimpawu?

Zibuze ukuba ngaba iintlungu zakho zesifuba ziyatshintsha kubunzulu okanye zihamba ngokupheleleyo xa utshintsha indawo obume kuyo ukuze uqonde unobangela wokungonwabi.

Ubunzima bemisipha kunye neentlungu zesifuba ezinxulumene ne-GERD zihlala ziziva ngcono xa uhambisa umzimba.

Iimpawu ze-acid reflux, kubandakanya iintlungu zesifuba kunye nokuqaqamba kwentliziyo, kunokuba ngcono kakhulu njengoko ulungisa umzimba wakho ukuba uhlale okanye ume endaweni.

Ukugoba kunye nokulala kungazenza iimpawu ze-GERD kunye nokungonwabi ngakumbi, ngakumbi kanye emva kokutya.

Intlungu yesifuba senhliziyo iqhubeka ikhathaza, nokuba imeko yomzimba wakho injani. Kodwa, inokuza kwaye ihambe yonke imini, kuxhomekeke kubukrakra bentlungu.

I-NCCP enxulunyaniswa nokuginywa okanye umsipha otsaliweyo uhlala ungonwabanga ixesha elide ngaphambi kokuba uhambe.

Iimpawu ezidibeneyo

Ukuvavanya ezinye iimpawu ezenzeka ngeentlungu zesifuba kunokukunceda ukwahlula olunye uhlobo lwentlungu kwenye.

Iintlungu ezibangelwa ngumcimbi wentliziyo zinokukwenza uzive:

• unentloko elula
• ndinesiyezi
• ndibile
• isicaphucaphu
• ukuphefumla okufutshane
• Ndindisholo ngengalo okanye egxalabeni

I-noncardiac, izizathu zesisu zentlungu yesifuba zingabandakanya ezinye iimpawu, kubandakanya:

• ingxaki yokuginya
• ukubhodla rhoqo okanye ukubhinqa
• imvakalelo evuthayo emqaleni wakho, esifubeni, okanye esiswini
• incasa emuncu emlonyeni wakho ebangelwa kukuphinda kwenziwe i-asidi

Ezinye iintlobo zentlungu yesifuba

I-GERD ayisosizathu sodwa se-NCCP. Ezinye izizathu zingabandakanya:

• igazi eligutyungelwe emiphungeni
• ukudumba injeke
• umbefu
• ukudumba kwe-cartilage ephethe iimbambo kwisifuba sesifuba
• Iimbambo ezenzakeleyo, ezaphukileyo, okanye ezaphukileyo
• isifo esinganyangekiyo seentlungu, ezinje nge-fibromyalgia
• igazi elonyukayo
• ixhala
• amatyathanga

Uxilongo

Kuya kufuneka uthathe iintlungu zesifuba ngokungathí sina. Thetha nogqirha wakho malunga neempawu zakho.

Ugqirha wakho unokwenza uvavanyo lwe-EKG okanye uvavanyo loxinzelelo. Banokutsala igazi kwiimvavanyo zokulawula isifo sentliziyo njengoyena nobangela ukuba awunayo imbali yangaphambili ye-GERD.

Ngokwesiqhelo, imbali yezonyango epheleleyo kunye nokuvavanywa kunokunceda ugqirha wakho afumane izizathu zentlungu yesifuba sakho kwaye akubeke kwindlela yokubuyela kwimeko yesiqhelo.

Unyango lwentlungu yesifuba

Intlungu yesifuba ehamba nesitshisa rhoqo inokunyangwa ngeproton pump inhibitors (PPIs). I-PPI luhlobo lonyango olunciphisa ukuveliswa kweasidi esiswini sakho.

Uvavanyo olude lwee-PPI iziyobisi lunokunceda ekunciphiseni iimpawu ukuze iintlungu zesifuba ezinxulumene ne-noncardiac zingasayi kuba yinxalenye yobomi bakho.

Ugqirha wakho unokucebisa ukuba usike iintlobo ezithile zokutya ezinokubangela iimpawu, ezinje ngokutya okuthosiweyo, ukutya okuqhwethayo, kunye neziqhamo ze-citrus.

Abantu banokuba nezinto ezahlukeneyo zokutya, ke oko kunokukunceda ukugcina irekhodi lwento oyityileyo ngaphambi kokuba ube nesitshisa.

Ukuba ucinga ukuba iintlungu zakho zesifuba zihambelana nentliziyo, funa ukhathalelo olungxamisekileyo. Unyango lwakho luya kuxhomekeka ekubeni ugqirha ugqibe kwelithini.

Q:

Zeziphi iintlobo zentlungu yesifuba eziyingozi kakhulu kwaye kufuneka kujongwane nazo njengongxamiseko?

Isigulana esingaziwayo

A:

Nokuba yintlungu yesifo sentliziyo okanye engeyoyentliziyo, kunokuba nzima ukumisela imeko engxamisekileyo kuba iimpawu ziyahluka. Ukuba ukuqala kwentlungu ngequbuliso, akuchazwa, kwaye kuyakhathaza, kuya kufuneka ubize ugqirha wakho okanye ufune ukhathalelo olungxamisekileyo kwangoko.

UGqirha uMark LaFlammeIimpendulo zimele uluvo lweengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.