Ukuchonga iiMpawu zeGERD

Umxholo

• Iimpawu zeGERD kubantu abadala
• Ndineentlungu ezivuthayo esifubeni sam
• Abanye abantu bafumanisa ukuba banokufumana isiqabu kwisibilini ngokuthi:
  
• Ndinencasa embi emlonyeni wam
• Kuba kubi xa ndilele caba
• Andinaso isilungiso, kodwa ugqirha wam wamazinyo uqaphela ingxaki ngamazinyo am
• La manyathelo anokunceda ukukhusela amazinyo akho kwi-Reflux:
  
• Zithini iimpawu zeGERD kwiintsana?
• Usana lwam luchitha kakhulu
• Usana lwam luhlala lukhohlela kwaye luhlike umlomo xa lusitya
• Umntwana wam ubonakala engonwabanga emva kokutya
• Usana lwam lunengxaki yokulala
• Usana lwam luyala ukutya, kwaye lukhokelela ekukhathazekeni kobunzima
• Iingcebiso zonyango lwe-GERD kwiintsana:
  
• Zithini iimpawu zeGERD kubantwana abadala?
• Kufuneka ulufumane nini uncedo kugqirha?
• Yintoni enokuyenza ngugqirha wakho?
• Iindlela zokuphepha ukubangela iimpawu zeGERD
• Zeziphi iingxaki ezinokubangelwa yi-GERD?
• Yenzeka njani i-GERD
• Ukuthatha

Ngowuphi uGERD?

Isifo se-reflux sesifo se-Gastroesophageal (GERD) yimeko ebangela ukuba imixholo yesisu sakho ihlambe ibuyele kwi-esophagus, emqaleni nasemlonyeni.

I-GERD yi-asidi engapheliyo ye-asidi eneempawu ezenzeka ngaphezulu kwesibini ngeveki okanye ezihlala iiveki okanye iinyanga.

Makhe sijonge kwiimpawu zeGERD abantu abadala, iintsana, kunye nabantwana abanamava, kunye nento onokuyenza ngayo.

Iimpawu zeGERD kubantu abadala

Ndineentlungu ezivuthayo esifubeni sam

Olona phawu luqhelekileyo lwe-GERD yimvakalelo evuthayo embindini wesifuba sakho okanye phezulu kwesisu sakho. Intlungu yesifuba esivela kwi-GERD, ekwabizwa ngokuba kukutsha kwentliziyo, inokuba namandla kangangokuba ngamanye amaxesha abantu bayazibuza ukuba ngaba bahlaselwa sisifo sentliziyo na.

Kodwa ngokungafaniyo neentlungu ezivela kwisifo sentliziyo, iintlungu zesifuba se-GERD zihlala zivakalelwa ngathi ziphantsi kolusu lwakho, kwaye kunokubonakala ngathi kuphuma esiswini sakho ukuya emqaleni wakho kunokuba kwehle ingalo yakho yasekhohlo. Fumana omnye umahluko phakathi kwe-GERD kunye nesitshisa.

Abanye abantu bafumanisa ukuba banokufumana isiqabu kwisibilini ngokuthi:

• okhulula amabhanti kunye namabhanti esinqeni
• ukuhlafuna ii-antacids
• ukuhlala nkqo ukunciphisa uxinzelelo kwisiphelo esisezantsi somqala
• ukuzama amayeza endalo afana neapile cider iviniga, licorice, okanye ijinja

Ndinencasa embi emlonyeni wam

Unokuba nakho ukungcamla okukrakra okanye okumuncu emlonyeni wakho. Kungenxa yokuba ukutya okanye iasidi yesisu kusenokwenzeka ukuba ivele umqala wakho nasemva komqala wakho.

Kwakhona kunokwenzeka ukuba unayo i-laryngopharyngeal reflux endaweni ye, okanye ngexesha elifanayo ne-GERD. Kule meko, iimpawu zibandakanya umqala wakho, ingqula kunye nelizwi, kunye neempumlo zempumlo.

Kuba kubi xa ndilele caba

Kunganzima ukuginya kwaye ungakhohlela okanye uvuthe emva kokutya, ngakumbi ebusuku okanye xa ulele. Abanye abantu abane-GERD baziva benesicaphucaphu.

Andinaso isilungiso, kodwa ugqirha wam wamazinyo uqaphela ingxaki ngamazinyo am

Asinguye wonke umntu onamava e-GERD afumana iimpawu zokugaya. Kwabanye abantu, uphawu lokuqala lunokuba ngumonakalo kwi-enamel yakho yezinyo. Ukuba isisu seasidi sibuya sibuyele emlonyeni wakho rhoqo, sinokuwutshabalalisa umphezulu wamazinyo akho.

Ukuba ugqirha wamazinyo uthi i-enamel yakho iyachithwa, kukho izinto onokuzenza ukuyigcina isiya iba mbi.

La manyathelo anokunceda ukukhusela amazinyo akho kwi-Reflux:

• ukuhlafuna ii-antacids zokunciphisa i-asidi ematheni akho
• Ukucoca umlomo wakho ngamanzi kunye nesoda emva kokuba une-asidi ye-asidi
• usebenzisa i-fluoride rinse ukuze "ukhumbule kwakhona" nakuphi na ukukrala emazinyweni akho
• ukutshintshela kwintlama yamazinyo engaphazamiseki
• Itshungama nge xylitol ukwandisa ukuhamba kwamathe akho
• unxibe umgcini wamazinyo ebusuku

Zithini iimpawu zeGERD kwiintsana?

Usana lwam luchitha kakhulu

Ngokutsho koogqirha kwikliniki yaseMayo, abantwana abasempilweni banokuba ne-reflux yesiqhelo amaxesha amaninzi mihla le, kwaye uninzi lwabo luyakudlula xa benenyanga ezili-18 ubudala. Utshintsho kubungakanani, kaninzi kangakanani, okanye ukuba usana lwakho luchithe ngamandla kunokubonisa ingxaki, ngakumbi xa bebadala kuneenyanga ezingama-24.

Usana lwam luhlala lukhohlela kwaye luhlike umlomo xa lusitya

Xa iziqulatho zesisu zibuyela umva, umntwana wakho unokukhohlela, akrwitshe, okanye akhuphe. Ukuba i-reflux ingena kumbhobho womoya, inokude ikhokelele kubunzima bokuphefumla okanye usulelo oluphindaphindiweyo lwemiphunga.

Umntwana wam ubonakala engonwabanga emva kokutya

Iintsana ezine-GERD zisenokubonisa iimpawu zokungonwabi ngelixa zisatya okanye kanye emva koko. Banokugoba umqolo wabo. Banokuba namaxesha wokulila ahlala ixesha elide kuneeyure ezintathu ngosuku.

Usana lwam lunengxaki yokulala

Xa iintsana zilele phantsi, ukuphuma kwamanzi kungangonwabisi. Banokuvuka ekubandezelekeni ubusuku bonke. Kukho amanyathelo onokuwathatha ukunciphisa oku kuphazamiseka kokulala, njengokuphakamisa intloko yesitali sabo kunye nokutshintsha ishedyuli yabo.

Usana lwam luyala ukutya, kwaye lukhokelela ekukhathazekeni kobunzima

Xa ukutya kungonwabisi, abantwana banokukujika ukutya kunye nobisi. Wena okanye ugqirha wakho unokuthi uqaphele ukuba umntwana wakho akafumani ubunzima kwisantya esifanelekileyo okanye ulahlekelwa ubunzima.

Zininzi izinto onokuzenza ukunceda umntwana wakho ngezi mpawu.

Iingcebiso zonyango lwe-GERD kwiintsana:

• ukondla izixa ezincinci rhoqo
• Ukutshintsha iimveliso zeefomula okanye iintlobo
• Ukuphelisa ezinye iimveliso zezilwanyana, ezinje ngenkomo, amaqanda, kunye nobisi, ekutyeni kwakho xa uncancisa
• Ukutshintsha ubungakanani bengono evulekileyo kwibhotile
• ukungcakaza umntwana wakho rhoqo
• ukugcina umntwana wakho eme nkqo kangangesiqingatha seyure emva kokutya

Ukuba ezi ndlela azincedi, buza ugqirha wakho malunga nokuzama iyeza elivunyiweyo lokunciphisa iasidi ixesha elifutshane.

Zithini iimpawu zeGERD kubantwana abadala?

Iimpawu ze-GERD zabantwana abadala kunye nolutsha zifana nezo kwiintsana nakubantu abadala. Abantwana banokuba nentlungu esiswini okanye ukungonwabi emva kokutya. Kunokuba nzima ukuba baginye, kwaye banokuziva benesicaphucaphu okanye bade bagabhe emva kokuba betyile.

Abanye abantwana abane-GERD banokubhinqa kakhulu okanye bavakalise isandi. Abantwana abadala kunye nolutsha banokuba nesitshisa okanye banengxaki yokuphefumla emva kokuba betyile. Ukuba abantwana baqala ukudibanisa ukutya nokungonwabi, banokungavumi ukutya.

Kufuneka ulufumane nini uncedo kugqirha?

Kuya kufuneka uyokubona ugqirha wakho ukuba uqala ukugabha izixa ezikhulu, ngakumbi ukuba uphosa ulwelo oluhlaza, tyheli, okanye ligazi, okanye unamachaphaza amnyama amnyama kuwo abonakala ngathi yindawo yekofu.

Yintoni enokuyenza ngugqirha wakho?

Ugqirha wakho unokumisela:

• I-H2 blockers okanye iproton pump inhibitors ukunciphisa inani leasidi esiswini sakho
• prokinetics ukunceda isisu sakho sikhuphe ngokukhawuleza emva kokutya

Ukuba ezo ndlela azisebenzi, utyando lunokukhetha. Unyango lwabantwana abaneempawu ze-GERD ziyafana.

Iindlela zokuphepha ukubangela iimpawu zeGERD

Ukugcina iimpawu ze-GERD zincinci, unokwenza utshintsho olulula. Unokufuna ukuzama:

• ukutya ukutya okuncinci
• ukunciphisa i-citrus, icaffeine, itshokholethi, kunye nokutya okunamafutha aphezulu
• ukongeza ukutya ukuphucula ukwetyisa
• amanzi okusela endaweni yeziselo ezihlwahlwazayo kunye notywala
• ukuphepha ukutya ebusuku kunye neempahla ezixineneyo
• ukugcina nkqo iiyure ezimbini emva kokutya
• ukuphakamisa intloko yebhedi yakho ii-intshi ezi-6 ukuya kwezi-8 usebenzisa iirisers, iibhloko, okanye iidges

Zeziphi iingxaki ezinokubangelwa yi-GERD?

Iasidi eveliswe sisisu sakho yomelele. Ukuba i-esophagus yakho ibonakaliswe kakhulu, unokuhlakulela i-esophagitis, ukucaphukisa umgca wesigxina sakho.

Unokufumana kwakhona i-laryngitis ye-reflux, ukuphazamiseka kwelizwi okukwenza urhawuzelele kwaye kukushiye uziva ngathi unesigaxa emqaleni wakho.

Iiseli ezingaqhelekanga zingakhula kwi-esophagus yakho, imeko ebizwa ngokuba yi-Barrett's esophagus, enokuthi, kwiimeko ezinqabileyo, ikhokele kumhlaza.

Kwaye umqala wakho unokuba namabala, wenze izithambiso zokumisa umda ezinokuthintela amandla akho okutya nokusela ngendlela obuqhele ukwenza ngayo.

Yenzeka njani i-GERD

Emazantsi esophagus, iringi yemisipha ebizwa ngokuba yi-esophageal sphincter (LES) ivula ukuvumela ukutya kungene esiswini sakho.Ukuba unayo i-GERD, i-LES yakho ayivali yonke indlela emva kokuba ukutya kudlule kuyo. Imisipha ihlala ikhululekile, oko kuthetha ukuba ukutya kunye nolwelo kungaphinda kubuyele emqaleni wakho.

Inani lezinto ezinobungozi zinokunyusa amathuba akho okufumana i-GERD. Ukuba ukhuluphele okanye ukhulelwe, okanye ukuba une-hernia yokuzalwa, uxinzelelo olongezelelweyo kwindawo yakho yesisu kunokubangela ukuba i-LES ingasebenzi ngokuchanekileyo. Amanye amayeza anokubangela ukuba i-acid reflux.

Ndibonisile ukuba ukutshaya kungakhokelela kwi-GERD kwaye ukuyeka ukutshaya kunokunciphisa kakhulu i-reflux.

Ukuthatha

Iimpawu ze-GERD zinokungonwabi kwabo bonke ubudala. Ukuba ishiywe ingakhange ihlolwe, inokukhokelela kumonakalo wexesha elide kwiindawo zenkqubo yokwetyisa. Iindaba ezimnandi zezokuba unokukwazi ukulawula iimpawu ngokutshintsha imikhwa esisiseko.

Ukuba olu tshintsho alukhululi ngokupheleleyo iimpawu zakho okanye zomntwana, ugqirha wakho unokukwazi ukumisela amayeza ukunciphisa i-acid reflux okanye utyando ukulungisa umsesane wemisipha ovumela ukubuyela umva kwi-esophagus yakho.