Iindlela ezili-14 zokuThintela isilungulela kunye ne-Acid Reflux
Umxholo
- Yintoni i-Acid Reflux kwaye ziintoni iimpawu zayo?
- 1. Sukutya kakhulu
- 2. Ukunciphisa umzimba
- 3. Landela ukutya okune-Carb ephantsi
- 4. Nciphisa ukubutya kwakho utywala
- 5. Musa ukusela ikofu kakhulu
- 6. Hlafuna Gum
- 7. Kunqande itswele ekrwada
- 8. Nciphisa ukungenisa iZiselo eziCarbonated
- 9. Musa ukusela iJusi yeCitrus eninzi
- 10. Cinga ngokutya itshokholethi encinci
- 11. Gwema iMint, ukuba iyafuneka
- 12. Nyusa iNtloko yeBhedi yakho
- 13. Sukutya ngaphakathi kweeyure ezintathu zokuya kulala
- 14. Musa ukulala ngecala lakho lasekunene
- Umgca osezantsi
Izigidi zabantu zifumana i-acid reflux kunye nesitshisa.
Olona nyango lusetyenziswa rhoqo lubandakanya amayeza orhwebo, njenge-omeprazole. Nangona kunjalo, iinguqulelo kwindlela yokuphila zinokusebenza kakuhle.
Ukutshintsha nje imikhwa yakho yokutya okanye indlela olala ngayo inokuzinciphisa kakhulu iimpawu zentliziyo kunye ne-asidi ye-asidi, ukuphucula umgangatho wobomi.
Yintoni i-Acid Reflux kwaye ziintoni iimpawu zayo?
I-Acid Reflux kuxa isisu esiswini sifakwa ngaphakathi kwi-esophagus, yona ityhubhu ehambisa ukutya kunye nokusela emlonyeni ukuya esiswini.
Enye i-Reflux yinto eqhelekileyo kwaye ayinabungozi, ihlala ibangela ukuba kungabikho zimpawu. Kodwa xa isenzeka rhoqo, iyatshisa ngaphakathi ngaphakathi.
Uqikelelo lwe-14-20% yabo bonke abantu abadala e-US bane-reflux ngandlela thile okanye enye ().
Olona phawu luqhelekileyo lwe-acid reflux yaziwa ngokuba sisitshisa, nto leyo ebuhlungu, evuthayo esifubeni nasemqaleni.
Abaphandi baqikelela ukuba malunga ne-7% yabantu baseMelika bafumana isitshisa mihla le (2).
Kulabo bahlala befumana isitshisa, i-20-40% ifunyaniswa ine-reflux yesifo se-gastroesophageal (GERD), yeyona ndlela iphambili ye-asidi ye-asidi. I-GERD sesona sifo sixhaphakileyo sokugaya ukutya e-US ().
Ukongeza kwisibilini, iimpawu eziqhelekileyo ze-reflux zibandakanya incasa ye-asidi ngasemva komlomo kunye nobunzima bokuginya. Ezinye iimpawu zibandakanya ukukhohlela, isifuba, ukukhukuliseka kwamazinyo kunye nokudumba kwizono ().
Nazi ke iindlela ezili-14 zendalo zokunciphisa i-acid reflux kunye nesitshisa, zonke zixhaswa luphando lwenzululwazi.
1. Sukutya kakhulu
Apho i-esophagus ivula khona esiswini, kukho umsipha onjenge-ring obizwa ngokuba yi-sphincter esezantsi.
Isebenza njengevalve kwaye kufanele ukuba ithintele imixholo yeasidi yesisu ukuba inyuke iye kummango. Ivula ngokwendalo xa uginya, ubhinqa okanye ugabha. Ngaphandle koko, kufuneka ihlale ivaliwe.
Kubantu abane-acid reflux, esi sihlunu sibuthathaka okanye asisebenzi. I-Acid reflux inokwenzeka kwakhona xa kukho uxinzelelo oluninzi kwimisipha, ebangela ukuba i-asidi inyibilike ngokuvula.
Akumangalisi ukuba uninzi lweempawu ze-reflux zenzeka emva kwesidlo. Kukwabonakala ngathi ukutya okukhulu kunokuba mandundu kweempawu ze-reflux (,).
Isinyathelo esinye esiza kunceda ukunciphisa i-acid reflux kukuphepha ukutya ukutya okukhulu.
Isishwankathelo:Kuphephe ukutya izidlo ezinkulu. I-Acid reflux ihlala inyuka emva kokutya, kwaye izidlo ezikhulu zibonakala ziyenza mandundu ingxaki.
2. Ukunciphisa umzimba
I-diaphragm sisihlunu esibekwe ngaphezulu kwesisu sakho.
Kubantu abaphilileyo, i-diaphragm ngokwendalo yomeleza i-sphincter esezantsi.
Njengoko bekutshiwo ngaphambili, esi sihlunu sithintela ukugqithisa kwesisu esiswini ukuba singavuzi siphume.
Nangona kunjalo, ukuba unamafutha amaninzi esiswini, uxinzelelo esiswini sakho lunokuba phezulu kangangokuba i-sphincter esezantsi esophageal inyuselwa phezulu, kude nenkxaso yedayaphragm. Le meko yaziwa ngokuba hiatus hernia.
IHiatus hernia sesona sizathu siphambili sabantu abatyebileyo kunye nabasetyhini abakhulelweyo abasemngciphekweni okhulayo we-Reflux kunye nesitshisa (,).
Izifundo ezininzi zokujonga zibonisa ukuba iipawundi ezongezelelweyo kwindawo esiswini zonyusa umngcipheko we-reflux kunye ne-GERD ().
Izifundo ezilawulwayo ziyakuxhasa oku, zibonisa ukuba ukwehla kobunzima kunokunciphisa iimpawu ze-reflux ().
Ukuphulukana nobunzima kufanele kube yenye yezinto eziphambili ngokubaluleka ukuba uhlala ne-acid reflux.
Isishwankathelo:Uxinzelelo olugqithisileyo ngaphakathi kwesisu sesinye sezizathu ze-acid reflux. Ukuphulukana namanqatha esisu kunokunciphisa ezinye zeempawu zakho.
3. Landela ukutya okune-Carb ephantsi
Ubungqina obukhulayo bucebisa ukuba ukutya okune-carb ephantsi kunokunciphisa iimpawu ze-asidi ye-reflux.
Iingcali zenzululwazi zikrokrela ukuba i-carbs engagqitywanga inokubangela ukwanda kwebhakteria kunye noxinzelelo oluphakamileyo ngaphakathi esiswini. Abanye bade bacinge ukuba le inokuba sesinye sezona zinto zixhaphakileyo ze-asidi ye-asidi.
Uphononongo lubonisa ukuba ukwanda kwebhakteria kubangelwa kukungalungisi kakuhle kwecarb kunye nokufunxa.
Ukuba ne-carbs ezininzi ezingenakutyekelwa kwinkqubo yakho yokwetyisa kukwenza ube gassy kwaye ukhuphe. Ikwanokwenza ukuba ube nebhanti rhoqo (,,,).
Ukuxhasa le ngcamango, ezimbalwa izifundo ezincinci zibonisa ukuba ukutya okuphantsi kwe-carb kuphucula iimpawu ze-reflux (,,).
Ukongeza, unyango lwe-antibiotiki lunokunciphisa ngokubonakalayo i-acid reflux, ngokunokwenzeka ngokunciphisa inani leebacteria ezivelisa igesi (,).
Kwisifundo esinye, abaphandi banike abathathi-nxaxheba nge-GERD prebiotic fiber supplements ekhuthaza ukukhula kweebhaktiriya ezivelisa igesi. Iimpawu ze-reflux zabathathi-nxaxheba zaba mbi ngenxa ().
Isishwankathelo:I-Acid reflux inokubangelwa kukungacoleki kakuhle kwe-carb kunye nokukhula kwebacteria kumathumbu amancinci. Izidlo ezisezantsi zeCarb zibonakala njengonyango olusebenzayo, kodwa izifundo ezizezinye ziyafuneka.
4. Nciphisa ukubutya kwakho utywala
Ukusela utywala kunokunyusa ubukrakra be-asidi reflux kunye nesitshisa.
Ikhulisa iimpawu ngokwandisa isisu esisisu, ukuphumla isophageal sphincter kunye nokuphazamisa amandla e-esophagus yokuzicoca ngeasidi (,).
Izifundo zibonise ukuba ukumodareyitha utywala kunokubangela iimpawu ze-reflux kubantu abasempilweni (,).
Izifundo ezilawulwayo zikwabonisa ukuba ukusela iwayini okanye ibhiya kunyusa iimpawu ze-reflux, xa kuthelekiswa nokusela amanzi alula (,).
Isishwankathelo:Ukuselwa kotywala ngokugqithisileyo kunokonyusa iimpawu ze-asidi. Ukuba ufumana ukukhathazeka, ukunciphisa ukunciphisa utywala kunokunceda ukunciphisa intlungu yakho.
5. Musa ukusela ikofu kakhulu
Uphononongo lubonisa ukuba ikofu ityhafisa okwethutyana i-esophageal sphincter, inyusa umngcipheko we-acid reflux ().
Obunye ubungqina bubonisa i-caffeine njengoyena nobangela. Ngokufana nekofu, icaffeine iyenza buthathaka i-sphincter esezantsi ().
Ukongeza, ukusela ikofu ene-decaffeinated kubonisiwe ukunciphisa i-reflux xa kuthelekiswa nekofu eqhelekileyo (,).
Nangona kunjalo, olunye uphononongo olunike abathathi-nxaxheba icaffeine emanzini khange ikwazi ukufumanisa naziphi na iimpembelelo zecaffeine kwi-Reflux, nangona ikofu yona iyenze mandundu iimpawu.
Ezi ziphumo zibonisa ukuba iikhompawundi ngaphandle kwe-caffeine zinokudlala indima kwiziphumo zekofu kwi-asidi ye-asidi. Ukulungiswa kunye nokulungiswa kwekofu kunokuba nako ukubandakanyeka ().
Nangona kunjalo, nangona uphononongo oluninzi lubonisa ukuba ikofu inokuba mandundu i-asidi ye-asidi, ubungqina abuqinisekanga ngokupheleleyo.
Olunye uphononongo alufumananga ziphumo zibi xa izigulana ze-asidi ze-reflux zisitya ikofu kanye emva kokutya, xa kuthelekiswa nenani elilinganayo lamanzi ashushu. Nangona kunjalo, ikofu inyuse ixesha leziqendu ze-Reflux phakathi kokutya ().
Ukongeza, uhlalutyo lwezifundo zokujonga alufumananga ziphumo zibalulekileyo zokutya ikofu kwiimpawu zokuzixela ze-GERD.
Nangona kunjalo, xa iimpawu ze-acid reflux zaphononongwa ngekhamera encinci, ukusetyenziswa kwekofu kunxulunyaniswa nomonakalo omkhulu weasidi kwisophagus ().
Nokuba ikofu etyiwayo iyenza mandundu i-acid Reflux inokuxhomekeka kumntu lowo. Ukuba ikofu ikunika isilungulela, kunqande okanye unciphise ukutya.
Isishwankathelo:Ubungqina bucebisa ukuba ikofu yenza i-acid reflux kunye nesitshisa siba mandundu. Ukuba uziva ngathi ikofu inyusa iimpawu zakho, kuya kufuneka uthathele ingqalelo umda ekutyeni.
6. Hlafuna Gum
Izifundo ezimbalwa zibonisa ukuba i-chewing gum iyanciphisa i-asidi kwi-esophagus (,,).
Intsini equlathe i-bicarbonate ibonakala isebenza ngakumbi ().
Ezi zinto zifunyanisiweyo zibonisa ukuba i-chewing gum-kunye nokonyuka okuhambelana nokuveliswa kwamathe-kunokunceda ekucoceni i-esophagus yeasidi.
Nangona kunjalo, ngekhe kunciphise i-reflux uqobo.
Isishwankathelo:Itshungama yonyusa ukwenziwa kwamathe kwaye inceda ukucoca umqala wesisu esiswini.
7. Kunqande itswele ekrwada
Olunye uphononongo kubantu abane-acid reflux lubonise ukuba ukutya isidlo esine-anyanisi eluhlaza sikonyuse kakhulu ukubetha kwentliziyo, i-asidi ye-asidi kunye nokubhinqa xa kuthelekiswa nesidlo esifana nesingenayo i-anyanisi ().
Ukubhabha rhoqo kunokubonisa ukuba igesi eninzi iveliswa ngenxa yexabiso eliphezulu lefayibha enokubila kwitswele (,).
I-anyanisi eluhlaza inokucaphukisa ulwelwesi lwe-esophagus, ibangele ukutsha kwentliziyo.
Nokuba siyintoni na isizathu, ukuba uziva ngathi ukutya i-anyanisi eluhlaza kwenza iimpawu zakho zibe mbi, kuya kufuneka uyiphephe.
Isishwankathelo:Abanye abantu bafumana ukubetha kwentliziyo kunye nezinye iimpawu ze-reflux emva kokutya itswele eluhlaza.
8. Nciphisa ukungenisa iZiselo eziCarbonated
Izigulana ezine-GERD ngamanye amaxesha ziyacetyiswa ukuba zinciphise ukutya kwazo iziyobisi ezi-carbon.
Olunye uphononongo lokujonga lufumanise ukuba iziselo ezihlwahlwazayo ezinekhabhoni zinxulunyaniswa nokwanda kweempawu ze-asidi (Reflux)
Kwakhona, izifundo ezilawulwayo zibonisa ukuba ukusela i-carbonated water okanye i-cola okwethutyana kuyenza buthathaka i-sphincter esezantsi, xa kuthelekiswa nokusela amanzi acocekileyo (,).
Esona sizathu siphambili yirhasi yecarbon dioxide kwiziselo ezinekhabhon, nto leyo ebangela ukuba abantu babhinqe rhoqo - isiphumo esinokwandisa inani leasidi ebalekela kummangaliso ().
Isishwankathelo:Iziselo eziCarbonated zonyusa okwethutyana ukubetha, ezinokuthi zikhuthaze i-asidi ye-asidi. Ukuba ziyenza mandundu iimpawu zakho, zama ukusela kancinci okanye uziphephe ngokupheleleyo.
9. Musa ukusela iJusi yeCitrus eninzi
Kuphononongo lwezigulana ezingama-400 ze-GERD, ezingama-72% zixele ukuba i-orenji okanye ijusi yeziqhamo zomdiliya ziyenza mandundu iimpawu zazo ze-asidi ().
I-asidi yeziqhamo ze-citrus ayibonakali ngathi kuphela kwento enegalelo kwezi ziphumo. Ijusi yeorenji ene-pH engathathi hlangothi ikwabonakala ngathi iyazonyusa iimpawu ().
Kuba ijusi yesitrasi ayiyenzi buthathaka i-sphincter esezantsi, kusenokwenzeka ukuba ezinye zeendawo zayo ziyabacaphukisa ubungqingqwa bomqala ().
Ngelixa ijusi yesitrasi kusenokwenzeka ukuba ayibangeli ukuba ne-asidi ye-asidi, inokubangela ukutsha kwentliziyo yakho okwexeshana.
Isishwankathelo:Uninzi lwezigulana ezine-acid reflux inika ingxelo yokuba ukusela ijusi yesitrasi kuyenza mandundu imeko yabo. Abaphandi bakholelwa ukuba incindi yesitrasi iyabacaphukisa abemi bomhlaba.
10. Cinga ngokutya itshokholethi encinci
Izigulana ze-GERD maxa wambi ziyacetyiswa ukuba zithintele okanye zinciphise ukusebenzisa kwazo itshokholethi. Nangona kunjalo, ubungqina beli ngcebiso bubuthathaka.
Olunye uphononongo oluncinci olungalawulwayo lubonise ukuba ukusebenzisa ii-ounces ezi-4 (i-120 ml) yesiraphu yetshokholethi kuyenze buthathaka i-sphincter esezantsi ().
Olunye uphononongo olulawulwayo lufumanise ukuba ukusela isiselo setshokholethi kunyuse inani le-asidi kwindawo yomqala, xa kuthelekiswa ne-placebo ().
Nangona kunjalo, ukuqhubeka kwezifundo kuyafuneka ngaphambi kokuba kwenziwe nasiphi na isigqibo esomeleleyo malunga neziphumo zetshokholethi kwiimpawu ze-Reflux.
Isishwankathelo:Kukho ubungqina obunqunyelweyo bokuba itshokholethi iyazonakalisa iimpawu ze-reflux. Izifundo ezimbalwa zibonisa ukuba kunokuba njalo, kodwa kufuneka uphando olungakumbi.
11. Gwema iMint, ukuba iyafuneka
I-Peppermint kunye ne-spearmint ngamayeza aqhelekileyo asetyenziselwa ukutya i-flavour, iilekese, itshungama, umlomo wokuhlamba umlomo kunye nentlama yamazinyo.
Zizithako ezithandwayo kwii-herbal teas.
Olunye uphononongo olulawulwayo lwezigulana ezine-GERD alufumananga bungqina beziphumo ze-spearmint kwi-sphincter esezantsi esophageal.
Nangona kunjalo, uphononongo lubonise ukuba iidosi eziphezulu ze-spearmint zinokuzenza mandundu iimpawu ze-asidi ye-reflux, ngokunokwenzeka ngokucaphukisa ngaphakathi kwe-esophagus ().
Ukuba uziva ngathi i-mint yenza ukuba ukubola kwentliziyo yakho kube mbi, ke kuyiphephe.
Isishwankathelo:Izifundo ezimbalwa zibonisa ukuba i-mint inokwandisa ukubola kunye nezinye iimpawu ze-reflux, kodwa ubungqina bunqunyelwe.
12. Nyusa iNtloko yeBhedi yakho
Abanye abantu bafumana iimpawu ze-reflux ebusuku ().
Oku kunokuphazamisa umgangatho wabo wokulala kwaye kwenze kube nzima kubo ukuba balale.
Olunye uphononongo lubonise ukuba abaguli abaphakamise intloko yebhedi yabo babeneempawu ezimbalwa zeempawu ze-reflux, xa kuthelekiswa nalabo balele ngaphandle kokuphakama ().
Ukongeza, uhlalutyo lwezifundo ezilawulwayo lwagqitywa kwelokuba ukuphakamisa intloko yebhedi sisicwangciso esisebenzayo sokunciphisa iimpawu ze-asidi ye-reflux kunye nokuqaqamba kwentliziyo ebusuku ().
Isishwankathelo:Ukuphakamisa intloko yebhedi yakho kunokunciphisa iimpawu zakho ze-reflux ebusuku.
13. Sukutya ngaphakathi kweeyure ezintathu zokuya kulala
Abantu abane-asidi ye-asidi bacetyiswa ukuba bakuphephe ukutya ngaphakathi kweeyure ezintathu ngaphambi kokuba balale.
Nangona le ngcebiso inengqiqo, kukho ubungqina obunqamlekileyo bokuyixhasa.
Olunye uphononongo kwizigulana ze-GERD lubonise ukuba isidlo sangokuhlwa esingenampembelelo kwi-asidi ye-asidi, xa kuthelekiswa nokutya ngaphambi kwentsimbi yesixhenxe. ().
Nangona kunjalo, uphononongo oluqwalaselweyo lwafumanisa ukuba ukutya kufutshane nexesha lokulala kunxulunyaniswa neempawu ezinkulu ze-reflux xa abantu bezokulala ().
Izifundo ezingaphezulu ziyafuneka ngaphambi kokuba kwenziwe izigqibo eziqinisekileyo malunga nesiphumo sokutya kwangokuhlwa kwi-GERD. Inokuxhomekeka kumntu lowo.
Isishwankathelo:Izifundo eziqwalaselweyo zibonisa ukuba ukutya kufutshane nexesha lokulala kunokuzenza mandundu iimpawu ze-asidi Reflux ebusuku. Nangona kunjalo, ubungqina abuhambelani kwaye kufuneka izifundo ezininzi.
14. Musa ukulala ngecala lakho lasekunene
Izifundo ezininzi zibonisa ukuba ukulala kwicala lasekunene kunokuba mandundu kweempawu ze-reflux ebusuku (,,).
Isizathu asicaci gca, kodwa kunokwenzeka ukuba sichazwe ngumzimba.
Umqala ungene kwicala lasekunene lesisu. Ngenxa yoko, i-sphincter esezantsi esophageal ihleli ngaphezulu kwenqanaba lesisu esiswini xa ulele kwicala lasekhohlo ().
Xa ulele kwicala lasekunene, isisu esiswini sigubungela i-sphincter esezantsi. Oku kwandisa umngcipheko we-asidi evuzayo kuyo kwaye kubangele i-reflux.
Ngokucacileyo, le ngcebiso isenokungasebenzi, kuba uninzi lwabantu luyayitshintsha indawo yabo xa belele.
Ukanti ukuphumla kwicala lakho lasekhohlo kunokukwenza wonwabe ngakumbi xa ulele.
Isishwankathelo:Ukuba ufumana i-acid reflux ebusuku, kuphephe ukulala kwicala lasekunene lomzimba wakho.
Umgca osezantsi
Abanye oososayensi bathi izinto zokutya zingoyena nobangela we-asidi ye-asidi.
Nangona oku kunokuba yinyani, uphando oluthe kratya luyafuneka ukuxhasa la mabango.
Nangona kunjalo, uphononongo lubonisa ukuba iindlela ezilula zokutya kunye nendlela yokuphila zinokunciphisa kakhulu ukubola kunye nezinye iimpawu ze-asidi ye-reflux.