Ubunzima bokuginya (iDysphagia) Ngenxa ye-Acid Reflux

Umxholo

• Reflux kunye nedysphagia
• Zithini iimpawu zedysphagia?
• Iphathwa njani i-reflux?
• Amayeza
• Utshintsho kwindlela yokuphila
• Ugqirha
• Ithini imbono yexesha elide?

Yintoni idysphagia?

IDysphagia kuxa kunzima ukuginya. Unokukufumana oku ukuba unesifo se-reflux sesifo se-gastroesophageal (GERD). I-Dysphagia inokwenzeka ngamanye amaxesha okanye ngokuthe rhoqo. Ukuhamba rhoqo kuxhomekeke kubukhali be-Reflux yakho kunye nonyango lwakho.

Reflux kunye nedysphagia

I-Reflux engapheliyo yesisu esiswini kwi-esophagus yakho inokucaphukisa umqala wakho. Kwiimeko ezinzima, kunokubangela i-dysphagia. Izicubu ezinqabileyo zinokuphuhla kwisisu sakho. Izicwili ezibomvu zinokuwunciphisa umqala wakho. Oku kwaziwa njengendawo yokuqinisa umqala.

Ngamanye amaxesha, i-dysphagia inokuba sisiphumo esithe ngqo somonakalo we-esophageal. Ubume be-esophagus bunokutshintsha ukuze bufane nethishu ebeka amathumbu akho emathunjini. Le yimeko ebizwa ngokuba ngumqala kaBarrett.

Zithini iimpawu zedysphagia?

Iimpawu zedysphagia ziyahluka kumntu ngamnye. Unokuba neengxaki zokuginya ukutya okuqinileyo, kodwa ungabinangxaki kulwelo. Abanye abantu bafumana okwahlukileyo kwaye banobunzima bokuginya ulwelo, kodwa banokulawula izinto eziqinileyo ngaphandle kwengxaki. Abanye abantu banengxaki yokuginya nayiphi na into, nkqu namathe abo.

Unokuba neempawu ezongezelelweyo, kuquka:

• intlungu xa uginya
• umqala obuhkungu
• ukukrwitshwa
• ukukhohlela
• ukugungxula okanye ukuphinda wenze ukutya okanye iiasidi zesisu
• uziva ukuba ukutya kunamathele ngasemva kwethambo lakho
• Ukutshisa imvakalelo emva kwesifuba sakho (uphawu oluqhelekileyo lokutshisa)
• ukudinwa

Iimpawu zinokusebenza xa usitya ukutya okuqhelekileyo okubangela i-acid reflux, enje:

• Imveliso esekwe kwitumato
• iziqhamo zesitrasi kunye neencindi zazo
• ukutya okunamafutha okanye okuthosiweyo
• utywala
• iziselo ezinecafini
• itshokholethi
• ipermint

Iphathwa njani i-reflux?

Amayeza

Amayeza lolunye lonyango lokuqala lwedysphagia enxulumene nereflux. Iiproton pump inhibitors (ii-PPIs) ngamayeza anciphisa isisu kunye neempawu zeGERD. Banokukunceda ukuphilisa ukhukhuliseko lwe-esophagus olubangelwa yi-reflux.

Iziyobisi ze-PPI zibandakanya:

• ukulele
• Lansoprazole
• omeprazole (Prilosec)
• ipantoprazole
• mzwsthi

Iiproton pump inhibitors zihlala zithathwa kanye yonke imihla. Olunye unyango lwe-GERD, olufana ne-H2 blockers, lunokunciphisa iimpawu. Nangona kunjalo, abanako ukuphilisa ngokwenene umonakalo kwi-esophagus yakho.

Utshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila lunokunceda ukwenza ukutya kunye nokuginya kube lula. Kubalulekile ukuphelisa iziselo ezinxilisayo kunye neemveliso zeicotin ebomini bakho. Ukutshaya kunye notywala kunokubacaphukisa isisu sakho esele sengozini kwaye banokwandisa amathuba okuba nesifo sentliziyo. Buza ugqirha wakho ukuba uthumele amayeza okanye iqela lenkxaso ukuba ufuna uncedo lokuyeka ukusela okanye ukutshaya.

Yitya ukutya okuncinci rhoqo endaweni yokutya kathathu yonke imihla. Ukumodareyitha ukuya kwi-dysphagia ebukhali kunokufuna ukuba ulandele ukutya okuthambileyo okanye okungamanzi. Kuphephe ukutya okuncangathi, okufana nejam okanye ibhotolo yamandongomane, kwaye qiniseka ukusika ukutya kwakho kube ngamaqhekeza amancinci ukuze uginye lula.

Xoxa ngeemfuno zesondlo kunye nogqirha wakho. Iingxaki zokuginya zinokuphazamisa amandla akho okugcina ubunzima bakho okanye ukufumana iivithamini kunye neeminerali ozifunayo ukuze uhlale usempilweni.

Ugqirha

Utyando lunokuba yimfuneko kwizigulana ezijongana ne-reflux engaphenduliyo kunyango nakwindlela yokuphila. Ezinye iinkqubo zotyando ezisetyenziselwa ukunyanga i-GERD, umqala weBarrett, kunye nokuqina kwemiphunga kunokunciphisa okanye kuphelise iziqendu zedysphagia. Ezi nkqubo zibandakanya:

• Inkxaso-mali: Kule nkqubo, indawo ephezulu yesisu ijikeleze i-sphincter esezantsi (LES) ukuba isebenze njengenkqubo yenkxaso. I-LES, umsipha kwisiseko somqala, uya usomelela kwaye kuncinci amathuba okuba uvuleke ukuze iiacidi zingabinakho ukuphinda zingene emqaleni.
• Iinkqubo ze-Endoscopic: Ezi zomeleza i-LES kwaye zithintele i-acid reflux. Inkqubo yeStretta yenza izicwili ezibomvu kwi-LES ngothotho lwezinto ezincinci zokutsha. Inkqubo ye-NDO Plicator kunye ne-EndoCinch yomeleza i-LES ngemithungo.
• Ukuxutywa kwe-Esophageal: Olu lonyango oluqhelekileyo lotyando lwedysphagia. Kule nkqubo, ibhaluni encinci eqhotyoshelwe kwi-endoscope yolula isophagus ukunyanga ubungqongqo.
• Ukususwa ngokuyinxalenye komqala: Le nkqubo isusa iinxalenye zomqala okanye iindawo ezithe zanomhlaza ngenxa yomqala kaBarrett, kwaye uqhaqho lubambelele kumqala oseleyo esiswini.

Ithini imbono yexesha elide?

I-Dysphagia inokoyikisa, kodwa ayisoloko iyimeko engapheliyo. Yazisa ugqirha wakho nakuphi na ukugwinya kunye nezinye iimpawu zeGERD ohlangabezana nazo. Ubunzima bokuginya okunxulunyaniswa ne-GERD bunokunyangwa ngamayeza kagqirha ukunciphisa isisu esiswini.