I-Acid Reflux kunye nokukhohlela

Umxholo

• Ushwankathelo
• I-GERD kunye nokukhohlela okungapheliyo
• Ukuvavanywa kwe-GERD kubantu abanesikhohlela esinganyangekiyo
• I-GERD ebantwaneni
• Imiba yomngcipheko
• Utshintsho kwindlela yokuphila
• Amayeza notyando
• Imbonakalo

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ngo-Epreli 2020, uceliwe ukuba zonke iintlobo zokumiselwa kunye ne-over-the-counter (OTC) ranitidine (Zantac) zisuswe kwimarike yase-US. Olu ngcebiso lwenziwe kuba amanqanaba angamkelekanga e-NDMA, enokubangela i-carcinogen (imichiza ebangela umhlaza), yafunyanwa kwezinye iimveliso ze-ranitidine. Ukuba umiselwe i-ranitidine, thetha nogqirha wakho malunga nezinye iindlela ezikhuselekileyo ngaphambi kokuyeka iyeza. Ukuba uthatha i-OTC ranitidine, yeka ukuthatha ichiza kwaye uthethe nomboneleli wakho wezempilo malunga nezinye iindlela. Endaweni yokuthatha iimveliso ze-ranitidine ezingasetyenziswanga kwindawo yokubuyisela iziyobisi, zilahle ngokwemiyalelo yemveliso okanye ngokulandela i-FDA's.

Ushwankathelo

Ngelixa uninzi lwabantu luba namava e-asidi ye-asidi, abanye abantu banokuphuhlisa uhlobo olubi kakhulu lweengxaki zeasidi. Oku kwaziwa ngokuba sisifo se-reflux sesifo se-gastroesophageal (GERD). Abantu abanamava e-GERD ahlala engapheliyo, aqhubekayo eyenzeka kabini ngeveki.

Abantu abaninzi abane-GERD baneempawu zemihla ngemihla ezinokukhokelela kwiingxaki zempilo ezinzulu ngokuhamba kwexesha. Olona phawu luxhaphakileyo lwe-asidi reflux kukutshiswa sisilonda, luvutha kwisifuba esisezantsi nakwisisu esiphakathi. Abanye abantu abadala banokufumana i-GERD ngaphandle kwentliziyo kunye neempawu ezongezelelweyo. Oku kunokubandakanya ukubhinqa, ukuvutha, ubunzima bokugwinya, okanye ukukhwehlela okungapheliyo.

I-GERD kunye nokukhohlela okungapheliyo

I-GERD sesinye sezizathu eziqhelekileyo zokukhohlela okungapheliyo. Ngapha koko, abaphandi baqikelela ukuba i-GERD inoxanduva olungaphezulu kweepesenti ezingama-25 zazo zonke iimeko zokukhohlela okungapheliyo. Uninzi lwabantu abanesifo sokukhwehlela esibangelwa yi-GERD abanazo iimpawu zakudala zesifo esifana nokubetha kwentliziyo. Ukukhohlela okungapheliyo kunokubangelwa yi-asidi ye-asidi okanye i-Reflux yeziqulatho zesisu ezingacacanga.

Ezinye izikhokelo malunga nokuba ukukhwehlela okungapheliyo kubangelwa yi-GERD kubandakanya:

• ukukhohlela kakhulu ebusuku okanye emva kwesidlo
• ukukhohlela okwenzeka xa ulele phantsi
• ukukhwehlela okungapheliyo okwenzeka nokuba izizathu zangoku azikho, njengokutshaya okanye ukuthatha amayeza (kubandakanya i-ACE inhibitors) apho ukukhohlela kuyimpembelelo esecaleni
• ukukhohlela ngaphandle kwesifuba okanye i-postnasal drip, okanye xa i-X-ray yesifuba iqhelekile

Ukuvavanywa kwe-GERD kubantu abanesikhohlela esinganyangekiyo

I-GERD inokuba nzima ukufumanisa isifo kubantu abanesifo sokukhohlela esinganyangekiyo kodwa bengenazo neempawu zentliziyo. Kungenxa yokuba iimeko eziqhelekileyo ezinjenge-postnasal drip kunye ne-asthma ziyakwazi ukubangela ukukhwehlela okungapheliyo. I-endoscopy ephezulu, okanye i-EGD, luvavanyo olusetyenziswa rhoqo kuvavanyo olupheleleyo lweempawu.

Iprobe ye-pH yeeyure ezingama-24, ejonga i-pH esophageal, ikwaluvavanyo olusebenzayo kubantu abanokukhohlela okungapheliyo. Olunye uvavanyo, olubizwa ngokuba yi-MII-pH, lunokubona i-reflux engacacanga. Ukugwinya kwe-barium, kanye kuvavanyo oluqhelekileyo lwe-GERD, akusekho kucetyiswa.

Kukho ezinye iindlela zokufumanisa ukuba ukukhwehlela kuhambelana ne-GERD. Ugqirha wakho unokuzama ukukubeka kwiproton pump inhibitors (PPIs), uhlobo lonyango lwe-GERD, kangangexesha elithile ukuze ubone ukuba iimpawu ziyasombulula na. Ii-PPIs zibandakanya amayeza egama kraca anjengeNexium, Prevacid, kunye nePrilosec, phakathi kwabanye. Ukuba iimpawu zakho zisombulula ngonyango lwe-PPI, kunokwenzeka ukuba une-GERD.

Amayeza e-PPI ayafumaneka ekhawuntareni, nangona kuya kufuneka ubone ugqirha ukuba ngaba uneempawu ezingahambiyo. Kunokubakho ezinye izinto ezibangela, kwaye ugqirha uya kuba nakho ukucebisa ngezona ndlela zonyango zibhetele unokukhetha zona.

I-GERD ebantwaneni

Uninzi lweentsana luneempawu ezithile ze-asidi ye-asidi, njengokutshiza okanye ukugabha, kunyaka wabo wokuqala wobomi. Ezi mpawu zinokwenzeka kwiintsana ezonwabileyo kwaye zisempilweni. Nangona kunjalo, abantwana abafumana i-acid reflux emva konyaka omnye ubudala banokuba ne-GERD. Ukukhohlela rhoqo yenye yeempawu eziphambili kubantwana abane-GERD. Iimpawu ezongezelelweyo zingabandakanya:

• isilungulela
• ukugabha okuphindayo
• I-laryngitis (ilizwi elibuhlungu)
• umbefu
• ukuvutha
• ukukrala kwemiphunga

Iintsana nabantwana abancinci abane-GERD banokuthi:

• kwala ukutya
• Yenza icolicky
• caphuka msinya
• amava okukhula kakubi
• i-arch backs yabo ngexesha okanye kwangoko emva kokondla

Imiba yomngcipheko

Usemngciphekweni omkhulu wokuphuhlisa i-GERD ukuba uyatshaya, utyebe kakhulu, okanye ukhulelwe. Ezi meko zibuthathaka okanye ziyayekelela i-sphincter esezantsi esophageal, iqela lezihlunu ekupheleni komqala. Xa i-sphincter esezantsi ye-esophageal buthathaka, ivumela imixholo yesisu ukuba inyukele kwi-esophagus.

Ukutya okuthile kunye neziselo kunokwenza i-GERD ibe mandundu. Ziquka:

• iziselo ezinxilisayo
• iziselo ezinecafini
• itshokholethi
• iziqhamo zesitrasi
• Ukutya okuthosiweyo okunamafutha
• igalikhi
• izinto zetyeleba zentsimbi kunye nezintyintya (ingakumbi i-peppermint kunye ne-spearmint)
• itswele
• ukutya okuneziqholo
• ukutya okusekwe kwitumato kubandakanya ipitsa, isalsa, kunye nesosi yespaghetti

Utshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila luya kuhlala lwanele ukunciphisa okanye ukuphelisa ukukhwehlela okungapheliyo kunye nezinye iimpawu zeGERD. Olu tshintsho lubandakanya:

• ukuthintela ukutya okwenza ukuba iimpawu zibe mbi
• ukunqanda ukulala phantsi ubuncinci iiyure ezingama-2.5 emva kokutya
• ukutya rhoqo, ukutya okuncinci
• ukunciphisa umzimba kakhulu
• ukuyeka ukutshaya
• ukuphakamisa intloko yebhedi phakathi kwee-intshi ezi-6 ukuya kwezi-8 (imithwalo eyongezelelweyo ayisebenzi)
• unxibe iimpahla ezikhululekileyo ukukhulula uxinzelelo esiswini

Amayeza notyando

Amachiza, ngakumbi ii-PPIs, zihlala zisebenza ekunyangeni iimpawu ze-GERD. Ezinye ezinokukunceda zibandakanya:

• ii-antacids ezinje ngeAlka-Seltzer, Mylanta, Rolaids, okanye Tums
• iiarhente ezinegwebu ezinje ngeGaviscon, eyehlisa isisu nge-asidi ngokuhambisa into ene-arhente enegwebu
• I-H2 blocker ezinje ngePepcid, eyehlisa imveliso yeasidi

Kuya kufuneka unxibelelane nogqirha wakho ukuba amayeza, utshintsho kwindlela yokuphila, kunye notshintsho kwindlela otya ngayo azizinciphisi iimpawu zakho. Ngelo xesha, kuya kufuneka uxoxe nabo ngezinye iindlela zokhetho. Utyando lunokuba lunyango olusebenzayo kwabo bangaphenduli kakuhle nakweyiphi na indlela yokuphila okanye amayeza.

Utyando oluqhelekileyo nolusebenzayo lokufumana uncedo lwexesha elide kwi-GERD ibizwa ngokuba yi-fundoplication. Ingena kancinci kwaye inxibelelanisa indawo ephezulu yesisu kwindawo yomqala. Oku kuya kunciphisa i-reflux. Uninzi lwezigulana lubuyela kwimisebenzi yazo yesiqhelo kwiiveki ezimbalwa, emva kwethutyana, ukuhlala usuku olunye ukuya kwisithathu esibhedlele. Olu tyando luhlala lubiza phakathi kwe- $ 12,000 kunye ne- $ 20,000. Inokuhlawulwa kwakhona yi-inshurensi yakho.

Imbonakalo

Ukuba unengxaki yokukhwehlela okungapheliyo, thetha nogqirha wakho malunga nomngcipheko weGERD.Ukuba ufumene ukuba une-GERD, qiniseka ukuba ulandela inkqubo yonyango lwakho kwaye ugcine ugqirha olucwangcisiweyo.