Umbhali: Laura McKinney
Umhla Wokudalwa: 9 Utshazimpuzi 2021
Hlaziya Umhla: 18 Eyenkanga 2024
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Umxholo

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.

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