Isibilini, i-Acid Reflux, kunye ne-GERD Ngexesha lokukhulelwa

Umxholo

• Yintoni ebangela isitshisa ngexesha lokukhulelwa?
• Ngaba ukukhulelwa kubangela ukutsha?
• Ngaba ndingazenza iinguqu kwindlela yokuphila ezinceda ukuba ziyeke?
• Ngawaphi amayeza akhuselekileyo ngexesha lokukhulelwa?
• Ndifanele ndithethe nini nogqirha wam?

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu.Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

Kubizwa ngokuba yintlungu, nangona loo mvakalelo ishushu esifubeni sakho ayinanto yakwenza nentliziyo. Ukungonwabi kunye nokuphazamiseka, kuyabakhathaza abafazi abaninzi, ngakumbi ngexesha lokukhulelwa.

Umbuzo wokuqala onokuba nawo yindlela yokumisa. Unokuzibuza ukuba ngaba unyango lukhuselekile kumntwana wakho. Funda ukuba yintoni ebangela ukutsha kwentliziyo ngexesha lokukhulelwa kunye nento onokuyenza ngayo.

Yintoni ebangela isitshisa ngexesha lokukhulelwa?

Ngexesha lokugaya ukutya okuqhelekileyo, ukutya kuhamba ezantsi kwi-esophagus (ityhubhu phakathi komlomo wakho nesisu), ngokusebenzisa ivalve yemisipha ebizwa ngokuba yi-esophageal sphincter (LES) esezantsi, kunye nesisu. I-LES yinxalenye yomnyango phakathi kwesisu sakho kunye nesisu sakho. Iyavula ukuvumela ukutya kungene kwaye ivale ukumisa iiasidi zesisu ekubuyeni.

Xa unentlungu, okanye i-acid reflux, i-LES iyancipha ngokwaneleyo ukuvumela isisu esiswini ukuba sinyukele kwi-esophagus. Oku kunokubangela iintlungu kunye nokutsha kwindawo yesifuba.

Ngexesha lokukhulelwa, utshintsho lwehomoni lunokuvumela izihlunu kwi-esophagus, kubandakanya i-LES, ukuba iphumle rhoqo. Isiphumo kukuba iiasidi ezininzi zinokuntywila kwakhona, ngakumbi xa ulele phantsi okanye emva kokuba utye isidlo esikhulu.

Ukongeza, njengoko umntwana wakho ekhula ngexesha lesibini nakwisithathu sesithathu kwaye isibeleko sakho siyanda ukulungiselela oko kukhula, isisu sakho siphantsi koxinzelelo ngakumbi. Oku kunokubangela ukuba ukutya kunye neasidi ziphinde zityhalelwe phezulu ziye kwi-esophagus yakho.

Ukuqunjelwa yinto eqhelekileyo kubantu abaninzi ngexesha elinye, kodwa oko akuthethi ukuba ukhulelwe. Nangona kunjalo, ukuba ufumana ezinye iimpawu, ezinje ngexesha elilahlekileyo okanye isicaphucaphu, ezi inokuba ziimpawu zokuba kufuneka uthathe uvavanyo lokukhulelwa.

Ngaba ukukhulelwa kubangela ukutsha?

Ukukhulelwa kwandisa umngcipheko wokutsha kwentliziyo okanye i-acid reflux. Ngexesha lekota yokuqala yokuqala, izihlunu kwindawo yakho yokutya zityhala ukutya ngokuthe chu kwisisu sakho kwaye isisu sakho sithatha ixesha elide ukungabinanto. Oku kunika umzimba wakho ixesha elininzi lokufunxa izondlo zomntwana ongekazalwa, kodwa kunokubangela nesitshisa.

Ngexesha lekota yesithathu, ukukhula komntwana wakho kunokusityhala isisu sakho kwindawo yesiqhelo, enokuthi ikhokelele kwintlungu yentliziyo.

Nangona kunjalo, umfazi ngamnye uhlukile. Ukukhulelwa akuthethi ukuba uya kuba nesitshisa. Kuxhomekeka kwizinto ezininzi, kubandakanya umzimba wakho, ukutya, imikhwa yemihla ngemihla, kunye nokukhulelwa kwakho.

Ngaba ndingazenza iinguqu kwindlela yokuphila ezinceda ukuba ziyeke?

Ukupheliswa kwentliziyo ngexesha lokukhulelwa kubandakanya ulingo kunye nephutha. Indlela yokuphila enokuthi inciphise isitshisa ziindlela ezikhuselekileyo kumama nomntwana. Ezi ngcebiso zilandelayo zinokunceda ekunciphiseni ukubetha kwentliziyo yakho:

• Yitya ukutya okuncinci rhoqo kwaye uphephe ukusela ngelixa usitya. Sela amanzi phakathi kokutya endaweni yoko.
• Yitya kancinci kwaye uhlafune konke ukuluma.
• Gwema ukutya iiyure ezimbalwa ngaphambi kokulala.
• Kuphephe ukutya kunye neziselo ezibangela ukutsha kwentliziyo yakho. Oonobangela abaqhelekileyo babandakanya itshokholethi, ukutya okunamafutha, ukutya okuqhwethayo, ukutya okune-asidi njengeziqhamo ze-citrus kunye nezinto ezisekwe kwitumato, iziselo ezinekabhontsi kunye necaffeine.
• Hlala nkqo kangangeyure enye emva kwesidlo. Ukuhamba ngokukhululekileyo kunokukhuthaza ukwetyisa.
• Nxiba ukonwaba kunokuba unxibe iimpahla ezikungqongileyo.
• Gcina ubunzima obusempilweni.
• Sebenzisa imithwalo okanye iidges ukuphakamisa umzimba wakho ophezulu ngelixa ulele.
• Lala ngecala lakho lasekhohlo. Ukulala kwicala lakho lasekunene kuyakubeka isisu sakho phezulu kune-esophagus yakho, enokuthi ikhokelele kwintlungu.
• Uhlafune isiqwenga seentshungama ezingenaswekile emva kokutya. Ukunyuka kwamathe kunokunciphisa nayiphi na iasidi ebuyela umva kwi-esophagus.
• Yitya iyogathi okanye usele iglasi yobisi ukuphelisa iimpawu xa sele ziqalile.
• Sela ubusi kwiti ye-chamomile okanye iglasi yobisi olufudumeleyo.

Olunye ukhetho lwamayeza lubandakanya ukulungiswa kwamayeza kunye neendlela zokuphumla, ezinje ngokuphumla kwezihlunu, okanye imifanekiso ekhokelwayo. Soloko ujonga ugqirha wakho ngaphambi kokuzama unyango olutsha.

Ngawaphi amayeza akhuselekileyo ngexesha lokukhulelwa?

Ii-antacids ezingaphezulu kwe-counter ezifana neTum, iRolaids, kunye neMaalox zinokukunceda ujongane neempawu ezithile zentliziyo. Ezi zenziwe ngecalcium carbonate okanye ngemagniziyam lukhetho olufanelekileyo. Nangona kunjalo, kunokuba ngcono ukunqanda i-magnesium ngexesha lokugqibela lokukhulelwa. I-Magnesium inokuphazamisa ukuphambana ngexesha lomsebenzi.

Uninzi loogqirha bancomela ukuphepha ii-antacids ezinamanqanaba aphezulu esodiyam. Ezi antacids zingakhokelela kulwakhiwo lolwelo kwizicubu. Kuya kufuneka uphephe naziphi na ii-antacids ezidwelisa ialuminium kwileyibhile, njengakwi "aluminium hydroxide" okanye "aluminium carbonate". Ezi antacids zingakhokelela ekuqunjelweni.

Okokugqibela, hlala kude namayeza anje ngeAlka-Seltzer anokuqulatha iasprini.

Buza ugqirha wakho ukhetho olungcono. Ukuba uzibona uzithoba iibhotile ze-antacids, isitshisa sakho sinokuqaqamba sisifo se-reflux se-gastroesophageal acid (GERD). Kwimeko apho, unokufuna unyango olomeleleyo.

Ndifanele ndithethe nini nogqirha wam?

Ukuba unesifo sokukhathazeka esivame ukukuvusa ebusuku, ubuya ngokukhawuleza xa i-antacid yakho iphela, okanye yenza ezinye iimpawu (ezifana nobunzima bokugwinya, ukukhwehlela, ukulahleka kwesisindo, okanye izitulo ezimnyama), unokuba neengxaki ezinzulu ezifuna ingqalelo. Ugqirha wakho unokukufumanisa nge-GERD. Oku kuthetha ukuba isitshisa sakho kufuneka silawulwe ukukhusela kwiingxaki ezinje ngomonakalo kwi-esophagus.

Ugqirha wakho unokumisela amayeza athile ukunciphisa i-asidi ukunciphisa iimpawu zakho. ibonisa ukuba amayeza abizwa ngokuba zii-H2 blockers, anceda ukuthintela ukuveliswa kweasidi, abonakala ekhuselekile. Olunye uhlobo lwamayeza, olubizwa ngokuba yiproton pump inhibitors, lusetyenziselwa abantu abanesifo sentliziyo abangaphenduliyo kwezinye iindlela zonyango.

Ukuba unomdla malunga nemiphumo yamayeza, qiniseka ukuba uthethe nogqirha wakho. Oogqirha banokukunceda ulawule iimpawu zakho ngelixa ugcina umntwana wakho ongekazalwa ekhuselekile.