Iingcebiso emva kokutya ukuze unciphise ukutsha
Umxholo
- Ushwankathelo
- Kutheni le nto kusitsho isilungulu emva kokutya?
- Ukunciphisa isitshisa emva kokutya
- Lindela ukulala phantsi
- Nxiba iimpahla ezikhululekileyo
- Musa ukufikelela kwiCigarette, Utywala, okanye iCaffeine
- Phakamisa iNtloko yeBhedi yakho
- Amanyathelo aqhubekayo
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.
Ushwankathelo
Kuqhelekile ukuba ube nesitshisa, ngakumbi emva kokutya ukutya okuqhwethayo okanye isidlo esikhulu. NgokweKlinikhi yaseCleveland, malunga ne-1 kwabali-10 kubantu abadala bahlaselwa sisifo sentliziyo okungenani kanye ngeveki. Omnye kumava ama-3 ngenyanga.
Nangona kunjalo, ukuba ufumana ukuqaqanjelwa yintliziyo ngaphezulu kokuphindwe kabini ngeveki, emva koko unokuba kwimeko ebaluleke kakhulu eyaziwa ngokuba sisifo se-reflux sesifo se-gastroesophageal (GERD). I-GERD sisifo sokugaya esibangela ukuba isisu esiswini sibuyele emqaleni. Ukutshiswa rhoqo sisibonakaliso esiqhelekileyo se-GERD, yiyo loo nto ukuvutha komlilo kuhlala kuhamba nencasa emuncu okanye ekrakra emqaleni nasemlonyeni.
Kutheni le nto kusitsho isilungulu emva kokutya?
Xa ukugwinya ukutya, kudlula ezantsi emqaleni nasemngxunyeni ongena kwisisu sakho. Isenzo sokugwinya sibangela umsipha olawula ukuvulwa phakathi kwesisu kunye nesisu, esaziwa njenge-esophageal sphincter, ukuvula, ukuvumela ukutya kunye nolwelo ukuba lungene esiswini sakho. Ngaphandle koko, umsipha uhlala uvalwe ngokuqinileyo.
Ukuba esi sihlunu sihluleka ukuvala ngokufanelekileyo emva kokuginya, imixholo yeasidi yesisu sakho inokubuyela umva uye kwi-esophagus yakho. Oku kubizwa ngokuba yi "reflux." Ngamanye amaxesha, isisu esiswini sifikelela kwindawo esezantsi yomqala, sikhokelele kwintlungu yentliziyo.
Ukunciphisa isitshisa emva kokutya
Ukutya kuyimfuneko, kodwa ukufumana isitshisa akufuneki kube sisiphumo esingenakuphepheka. Kukho amanyathelo onokuwathatha ukuthomalalisa ukutsha kwentliziyo emva kwesidlo. Zama amayeza asekhaya alandelayo ukunciphisa iimpawu zakho.
Lindela ukulala phantsi
Unokuhendeka ukuba uwele esofeni emva kwesidlo esikhulu okanye uye ngqo ebhedini emva kwesidlo sangokuhlwa. Nangona kunjalo, ukwenza njalo kungakhokelela kuqalo okanye ukuwohloka kwentliziyo. Ukuba uziva udiniwe emva kwesidlo, hlala usebenza ngokujikeleza ubuncinci imizuzu engama-30. Zama ukuhlamba izitya okanye uhambe uhambo lwangokuhlwa.
Ikwangumbono olungileyo ukugqiba ukutya kwakho ubuncinci iiyure ezimbini ngaphambi kokuba ulale phantsi, kunye nokuphepha ukutya amashwamshwam phambi kokuba ulale.
Nxiba iimpahla ezikhululekileyo
Iibhanti eziqinileyo kunye nezinye iimpahla ezinyanzelekileyo zinokubeka uxinzelelo kwisisu sakho, esinokuthi sikhokelele kwintlungu. Khulula naziphi na iimpahla eziqinileyo emva kwesidlo okanye utshintshe ube yinto ekhululeke ngakumbi ukunqanda ukubetha kwentliziyo.
Musa ukufikelela kwiCigarette, Utywala, okanye iCaffeine
Abantu abatshayayo banokuhendeka ukuba batshaye umdiza emva kwesidlo sangokuhlwa, kodwa esi sigqibo singabiza ngeendlela ezininzi kunenye. Phakathi kweengxaki ezininzi zempilo ezinokubangelwa kukutshaya, ikwakhuthaza ukutsha kwentliziyo ngokuphumla kwezihlunu ezihlala zithintela isisu esiswini ukuba sibuyele emqaleni.
I-caffeine kunye notywala buchaphazela kakubi umsebenzi we-esophageal sphincter.
Phakamisa iNtloko yeBhedi yakho
Zama ukuphakamisa intloko yebhedi yakho malunga nee-intshi ezi-4 ukuya kwezi-6 emhlabeni ukukhusela isitshisa kunye ne-reflux. Xa umzimba ongaphezulu uphakanyisiwe, amandla omxhuzulane enza ukuba kungabikho lula ukuba iziqulatho zesisu zibuyele kwisisu. Kubalulekile ukuba uqaphele ukuba kufuneka uphakamise ibhedi uqobo, hayi intloko kuphela. Ukuzixhasa ngokwakho ngemiqamelo eyongezelelweyo kubeka umzimba wakho kwindawo egobileyo, enokonyusa uxinzelelo esiswini sakho kunye nokunyusa ukuqaqamba kwentliziyo kunye neempawu ze-reflux.
Ungayiphakamisa ibhedi yakho ngokubeka iibhloko zomthi ezi-4- ukuya kwezi-6 ngokukhuselekileyo phantsi kweebhedi ezimbini ezisentloko entlokweni yakho. Ezi bhloko zinokufakwa phakathi komatrasi wakho kunye nebhokisi yasentwasahlobo ukuphakamisa umzimba wakho ukusuka esinqeni ukuya phezulu. Unokwazi ukufumana iibhloko eziphakanyisiweyo kwiivenkile zoncedo lwezonyango kunye nezinye iivenkile.
Ukulala kumqamelo okhethekileyo omile ngenye indlela esebenzayo. Umqamelo wedge uphakamisa kancinci intloko, amagxa, kunye nesisu ukukhusela i-reflux kunye nesitshisa. Ungasebenzisa umqamelo wedge ngelixa ulele ngecala lakho okanye emqolo ngaphandle kokubangela nayiphi na ingxaki kwintloko okanye entanyeni. Uninzi lwemilenze kwintengiso iphakanyisiwe phakathi kweedigri ezingama-30 ukuya kuma-45, okanye ii-intshi ezi-6 ukuya kwezi-8 ngaphezulu.
Amanyathelo aqhubekayo
Ukutya okunamafutha aphezulu kunokuphinda kuqhubeke neempawu, ngenxa yoko ukutya okunamafutha asezantsi kufanelekile. Kwiimeko ezininzi, iinguqulelo kwindlela yokuphila ekhankanywe apha yiyo yonke into oyifunayo ukuze uphephe okanye unciphise ukubola kunye nezinye iimpawu zeGERD. Nangona kunjalo, ukuba iimpawu zakho ziyaqhubeka okanye ziba rhoqo, jonga ugqirha wakho kuvavanyo kunye nonyango.
Ugqirha wakho unokucebisa amayeza e-counter-counter, njengethebhulethi ehlafuna okanye i-antacid ye-liquid. Amanye amayeza aqhelekileyo asetyenziselwa ukukhulula ukutsha kwentliziyo aquka:
- I-Alka-Seltzer (i-calcium carbonate antacid)
- I-Maalox okanye i-Mylanta (i-aluminium kunye ne-magnesium antacid)
- Ii-Rolaids (i-calcium kunye ne-magnesium antacid)
Amatyala aqatha anokufuna iyeza lokomelela ngonyango, njenge-H2 blockers kunye neproton pump inhibitors (PPIs), ukulawula okanye ukuphelisa i-asidi esiswini. Iibhlokhi ze-H2 zibonelela ngoncedo lwexesha elifutshane kwaye ziyasebenza kwiimpawu ezininzi ze-GERD, kubandakanya ukubetha kwentliziyo. Oku kubandakanya:
- cimetidine (iTagamet)
- ifototidine (iPepcid AC)
- i-nizatidine (iAxid AR)
Ii-PPIs zibandakanya i-omeprazole (Prilosec) kunye ne-lansoprazole (Prevacid). La machiza athambekele ekubeni asebenze ngakumbi kune-H2 blocker kwaye anokuhlala ekhulula ukubola kwentliziyo kunye nezinye iimpawu ze-GERD.
Unyango lwendalo, njengeprobiotic, iti yengcambu yejinja, kunye ne-elm emtyibilizi inokunceda.
Ukugcina ubunzima obusempilweni, ukuthatha amayeza, kunye nokugcina imikhwa elungileyo emva kokutya zihlala zanele ukunciphisa umlilo wesitshisa. Nangona kunjalo, ukuba ukukhathazeka kwentliziyo kunye nezinye iimpawu ze-GERD ziyaqhubeka ukwenzeka, cwangcisa ixesha lokudibana nogqirha wakho. Ugqirha wakho angenza iimvavanyo ezahlukeneyo ukuvavanya ubuzaza bemeko yakho kunye nokumisela elona khondo lilungileyo lonyango.