Iimpawu ze-Acid Reflux engxamisekileyo

Umxholo

• Yintoni i-Acid Reflux?
• Iimpawu ze-Acid Reflux
• Yintoni ebangela ukuba i-Acid Reflux?
• Zintoni izinto eziNgozi zomngcipheko we-Acid Reflux?
• Ifuneka nini i-Endoscopy ephezulu?
• Unyango lwe-Acid Reflux
• Nini ukubiza ugqirha wakho

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.

Yintoni i-Acid Reflux?

Ngaba ukhe uve ukutsha, ukurhawuzelela imvakalelo emva komlomo wakho emva kokutya ukutya okunzima okanye ukutya okuqhwethayo? Into oyivayo sisisu esiswini okanye inyongo ebuyela umva uye kwi-esophagus yakho. Oku kuhlala kuhamba nesitshisa, esibonakala ngokutsha okanye ukuqinisa imvakalelo esifubeni emva kwethambo lesifuba.

Ngokwe-American College of Gastroenterology, ngaphezulu kwe-60 yezigidi zaseMelika bafumana i-acid reflux ubuncinci kube kanye ngenyanga, kwaye ngaphezulu kweshumi elinesihlanu lezigidi baseMelika banokuyifumana yonke imihla. Nangona inokwenzeka nakubani na, kubandakanya neentsana kunye nabantwana, i-acid reflux ixhaphake kakhulu kubafazi abakhulelweyo, abantu abatyebe kakhulu, kunye nabantu abadala.

Ngelixa kuyinto eqhelekileyo ukufumana i-acid reflux ngamanye amaxesha, abo bayifumana kabini ngeveki banokuba nengxaki enkulu kakhulu eyaziwa ngokuba sisifo se-reflux se-gastroesophageal (GERD). I-GERD luhlobo olungapheliyo lwe-asidi ye-asidi enokucaphukisa ulwelwesi lwe-esophagus yakho, ibangele ukuba idumbe. Oku kudumba kunokukhokelela kwi-esophagitis, yimeko enokwenza kube nzima okanye kubuhlungu ukuginya. Ukurhawuzelela u-esophageal rhoqo kunokubangela nokopha, ukunciphisa umqala, okanye imeko ebuthathaka ebizwa ngokuba yi-Barrett's esophagus.

Iimpawu ze-Acid Reflux

Iimpawu ze-acid Reflux kulutsha nakubantu abadala zinokubandakanya:

• imvakalelo evuthayo esifubeni esiba mandundu xa ugobile okanye ulele phantsi kwaye ngesiqhelo kwenzeka emva kwesidlo
• ukuqhekeza rhoqo
• isicaphucaphu
• ukungaphatheki kakuhle kwesisu
• incasa ekrakra emlonyeni
• ukhohlokhohlo olomileyo

Iimpawu ze-acid reflux kwiintsana kunye nabantwana abancinci banokubandakanya:

• imvundla emanzi
• hiccups
• Ukutshica rhoqo okanye ukugabha, ngakumbi emva kokutya
• ukuvutha okanye ukukrwitshwa ngenxa yogcino lweasidi kumbhobho womoya kunye nemiphunga
• Ukutshica emva kweminyaka yobudala e-1, eli lixesha apho ukutshica kufuneka kuyeke
• ukucaphuka okanye ukulila emva kokutya
• ukwala ukutya okanye ukutya kuphela ukutya okuncinci
• ubunzima bokufumana ubunzima

Yintoni ebangela ukuba i-Acid Reflux?

I-Acid reflux sisiphumo sengxaki eyenzeka ngexesha lenkqubo yokwetyisa. Xa uginya, i-sphincter esezantsi esophageal (LES) ihlala iphinda ivumele ukutya kunye nokuhamba okungamanzi ukusuka kwisisu sakho ukuya kwisisu sakho. I-LES yibhanti ejikelezayo yemisipha ebekwe phakathi kwesisu kunye nesisu. Emva kokutya kunye nolwelo kungena esiswini, i-LES iyaqina kwaye ivale ukuvulwa. Ukuba ezi zihlunu ziphumle ngokungaqhelekanga okanye zibuthathaka ekuhambeni kwexesha, isisu esiswini sinokubuyela kwisopha sakho. Oku kubangela i-acid reflux kunye nesitshisa. Kucatshangelwa ukukhukuliseka ukuba i-endoscopy ephezulu ibonisa ukuphuka kwinqanaba le-esophageal. Kuqwalaselwa njenge-nonerosive ukuba ulwelwesi lubonakala luqhelekileyo.

Zintoni izinto eziNgozi zomngcipheko we-Acid Reflux?

Nangona inokwenzeka nakubani na, kubandakanya neentsana kunye nabantwana, i-acid reflux ixhaphake kakhulu kubafazi abakhulelweyo, abantu abatyebe kakhulu, kunye nabantu abadala.

Ifuneka nini i-Endoscopy ephezulu?

Unokufuna i-endoscopy ephezulu ukuze ugqirha wakho aqiniseke ukuba akukho sizathu sibalulekileyo seempawu zakho.

Ungayidinga le nkqubo ukuba unayo:

• ubunzima okanye iintlungu ngokuginya
• Ukopha kwe-GI
• i-anemia, okanye ukubala okuphantsi kwegazi
• ukuhla ukusinda
• ukugabha okuphindayo

Ukuba uyindoda endala kuneminyaka engama-50 ubudala kwaye une-reflux yasebusuku, utyebe kakhulu, okanye uyatshaya, unokufuna i-endoscopy ephezulu ukumisela unobangela weempawu zakho.

Unyango lwe-Acid Reflux

Uhlobo lonyango lwe-asidi ye-asidi eya kuthi icetyiswe ngugqirha ixhomekeke kwiimpawu zakho nakwimbali yakho yezempilo. Unyango oluqhelekileyo lubandakanya:

• i-histamine-2 receptor blockers ukunciphisa ukuveliswa kwesisu esiswini, njenge-famotidine (Pepcid)
• Iiproton pump inhibitors ukunciphisa ukuveliswa kwesisu esiswini, njenge-esomeprazole (Nexium) kunye ne-omeprazole (Prilosec)
• amayeza okomeleza i-LES, njenge-baclofen (Kemstro)
• utyando ukomeleza kunye nokomeleza i-LES

Ukwenza utshintsho kwindlela elula yokuphila kunokunceda ekunyangeni i-asidi ye-asidi. Oku kubandakanya:

• ukuphakamisa intloko yebhedi okanye ukusebenzisa umqamelo wedge
• ukunqanda ukulala phantsi iiyure ezimbini emva kokutya
• ukunqanda ukutya iiyure ezimbini ngaphambi kokulala
• ukunqanda ukunxiba iimpahla ezixineneyo
• ukunciphisa ukusela kwakho utywala
• ukuyeka ukutshaya
• ukunciphisa umzimba ukuba utyebile

Kuya kufuneka uphephe ukutya kunye nokusela okubangela i-acid reflux, kubandakanya:

• iziqhamo zesitrasi
• itshokholethi
• ukutya okunamafutha kunye okuthosiweyo
• ikhafeyini
• ipermint
• iziyobisi
• ukutya okusekwe kwitumato kunye neesosi

Xa umntwana wakho efumana i-acid reflux, ugqirha unokucebisa:

• ukubamba umntwana wakho amaxesha ambalwa ngexesha lokondla
• ukunika ukutya okuncinci, okuthe rhoqo
• ukugcina umntwana wakho eme nkqo ubuncinci imizuzu engama-30 emva kokutya
• ukongeza kwi-1punipoon yerayisi yokutya okuziinkozo kwii-ounces ezi-2 zobisi lweentsana (ukuba usebenzisa ibhotile) ukukhulisa ubisi
• ukutshintsha indlela otya ngayo ukuba uncancisa
• Ukutshintsha uhlobo lwefomyula ukuba ezi ngcebiso zingasentla aziloncedo

Nini ukubiza ugqirha wakho

I-asidi ye-acid enganyangekiyo okanye i-GERD inokukhokelela kwiingxaki ekuhambeni kwexesha. Biza ugqirha wakho ngoko nangoko ukuba wena okanye umntwana wakho unazo naziphi na kwezi mpawu zilandelayo:

• ubunzima obungapheliyo bokuginya okanye ukukrwitsha, nto leyo enokubonisa ukonakala kakhulu komqala
• ingxaki yokuphefumla, enokubonisa ingxaki enkulu yentliziyo okanye yemiphunga
• enegazi okanye emnyama, ilindle, enokubonisa ukopha kwi-esophagus okanye esiswini
• iintlungu eziqhubekayo zesisu, ezinokubonisa ukopha okanye isilonda esiswini okanye emathunjini
• ngesiquphe nangokungalawulekiyo ukwehla kobunzima, obunokubonisa ukunqongophala kwesondlo
• ubuthathaka, isiyezi, kunye nokudideka, okunokubonisa ukothuka

Intlungu yesifuba luphawu oluqhelekileyo lwe-GERD, kodwa inokufuna unyango kuba inokubonisa ukuqala kwesifo sentliziyo. Abantu ngamanye amaxesha bayaphambanisa imvakalelo yokutsha kwentliziyo kunye nesifo sentliziyo.

Iimpawu eziphakamisa ngakumbi ukutsha kwentliziyo zinokubandakanya:

• ukutshisa okuqala kwisisu esingasentla kwaye kuye kwisifuba esingasentla
• Ukutsha okwenzeka emva kokutya kwaye kuya kusiba mandundu xa ulele phantsi okanye ugobile
• ukutshisa okunokupheliswa zi-antacids
• incasa emuncu emlonyeni, ngakumbi xa ulele
• ukuphinda uphinde uphinde ubuye umqala

Abantu abangaphezu kweminyaka engama-50 basemngciphekweni wokuhlaselwa sisifo sentliziyo kunye nezinye iingxaki zentliziyo. Umngcipheko uphezulu kakhulu phakathi kwabo banegazi, i-cholesterol ephezulu kunye nesifo seswekile. Ukutyeba kakhulu kunye nokutshaya zizinto ezinobungozi ezongezelelweyo.

Tsalela umnxeba ku-911 kwangoko ukuba uyakholelwa kuwe okanye umntu omaziyo uhlaselwa sisifo sentliziyo okanye enye imeko esongela ubomi.