Umqala obuhlungu kunye ne-Acid Reflux

Umxholo

• Ushwankathelo
• Yintoni i-acid reflux?
• Ulawula njani umqala obuhlungu
• Indlela zokutya
• Amayeza
• Iziphumo ze-asidi ye-asidi emqaleni
• Imbonakalo

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

I-Acid reflux, ekwabizwa ngokuba kukutsha sisifo sentliziyo, luphawu olubonakalayo lwesifo se-reflux sesifo se-gastroesophageal (GERD). I-GERD yimeko apho umsipha ekupheleni komqala ukhululeke kakhulu okanye ungavali ngokufanelekileyo, uvumela i-asidi (kunye namasuntswana okutya) esiswini ukuba abuyele phezulu aye kwi-esophagus.

Abangaphezu kwezigidi ezingama-60 baseMelika bafumana i-acid reflux ubuncinci kube kanye ngenyanga.

Kananjalo kunokubangela ukutsha kokutsha kwentliziyo, i-asidi evela kwi-Reflux inokonakalisa i-esophagus. Umqala obuhlungu luphawu olunye lwe-GERD olunokubangelwa ngulo monakalo.

Yintoni i-acid reflux?

I-Acid reflux kukuhamba okungasemva kokuqulathwe sisisu, kubandakanya isisu esiswini, ukuya kwisopha. I-Acid reflux ibangelwa yinxalenye yokuncipha kwe-esophageal sphincter (LES), ibhanti emise imisipha ebekwe ezantsi kwe-esophagus yakho.

I-LES yivalve evula ukuvumela ukutya kunye nokusela ezantsi kwisisu sakho ukuze kugaywe kwaye ivale ukugcina umbandela ekubuyiseleni ukuhamba kwayo kubuyela umva. I-LES ebuthathaka ayisoloko ikwazi ukuvala ngokuqinileyo. Oku kuvumela iiasidi zesisu ukuba ziphinde zikhuphe umqala wakho, ekugqibeleni zonakalise umqala wakho kwaye zibangele uvakalelo oluqhelekileyo lokutsha.

Ulawula njani umqala obuhlungu

Ukulawula umqala obuhlungu ohamba ne-acid reflux, kusebenza ngakumbi ukunyanga oyena nobangela: GERD. Zombini i-over-the-counter (OTC) kunye namayeza amiselweyo asebenza ngokususa, ukunciphisa, okanye ukunciphisa amandla esiswini. Inkqubo yokuthomalalisa ukunciphisa ukubola kunye nomqala obuhlungu.

Indlela zokutya

Utshintsho kwindlela otya ngayo lunokunceda ukukhulula umqala obuhlungu obangelwa yi-acid reflux. Zama ngeendlela ezahlukeneyo xa usitya ukufumana izinto ezithoba umqala wakho. Abantu abanengxaki yokuginya banokufumanisa ukuba ukutya ukutya okuncangathi okanye ukusela iziselo kulukhuni kwaye kubuhlungu kunokutya okuthambileyo okanye okuqinileyo okusikwe kwiziqwenga ezincinci.

Khangela ukutya kunye neziphuzo ezibangela ukutshisa. Ngenxa yokuba izinto ezibangela wonke umntu zahlukile, unokuzama ukugcina iphepha ukurekhoda into oyityayo noselayo kwaye xa uziva iimpawu. Oku kunokukunceda unciphise oonobangela. Nje ukuba wazi ukuba zeziphi izinto ezibangela ukuba uqalise, unokuqalisa ukutshintsha indlela otya ngayo.

Yitya ukutya okuncinci kunye nokutya rhoqo kwaye uphephe ukutya okune-asidi, okuqholiweyo, okanye okunamafutha kakhulu. Ezi zinto kunokwenzeka ukuba zibangele iimpawu ezinjengokutsha kwentliziyo kunye nomqala obuhlungu.

Kuya kufuneka unqande neziselo ezinokubangela ukutsha kwentliziyo kunye nokucaphukisa ulusu lwakho lokuqina. Oku kuyahluka kuye ngomntu, kodwa kuhlala kubandakanya:

• iziselo ezinecafini (ikofu, iti, iziselo ezibandayo, itshokholethi eshushu)
• iziselo ezinxilisayo
• iijusi zesitrasi kunye netumato
• iisoda zekhabhoni okanye amanzi

Zama ukungangqengqi kwiiyure nje ezimbalwa zokutya ukuthintela iimpawu zeGERD. Thetha nogqirha wakho ngaphambi kokusebenzisa izongezo zemifuno okanye amanye amayeza ukuthomalalisa umqala obuhlungu. Nangona iintlungu zingonwabisi, kubalulekile ukunyanga iimpawu zakho ngokukhuselekileyo.

Amayeza

Unokufuna ukuqaphela amayeza ukuba i-asidi ye-acid ayincedi ngokutshintsha indlela otya ngayo. Amayeza e-GERD anceda ukunciphisa okanye ukuthomalalisa iiasidi zesisu zibandakanya ii-antacids, i-H2 receptor blockers, kunye neproton pump inhibitors (PPIs).

IiAntacids ziiyeza ze-OTC. Basebenza ukunciphisa i-asidi yesisu kunye nokunciphisa iimpawu ze-GERD ngeetyuwa kunye nehydroxide okanye i-bicarbonate ions. Izithako omele uzijonge ziquka:

• i-calcium carbonate (efumaneka kwiiTum kunye neeRolaids)
• I-sodium bicarbonate (isoda yokubhaka, efumaneka kwiAlka-Seltzer)
• i-magnesium hydroxide (efumaneka kwiMaalox)
• Iifomula zealuminium hayidroksayidi (ihlala isetyenziswa ngokudibanisa nemagniziyam hayidroksayidi)

Ibhlokhi ye-H2 amayeza asebenza ngokumisa iiseli esiswini sakho ekuveliseni i-asidi eninzi. Kukho zombini i-OTC kunye ne-H2 block blockers ezikhoyo. Ezinye zeenketho ze-OTC zibandakanya:

• cimetidine (iTagamet okanye iTagamet HB)
• i-famotidine (i-Pepcid AC okanye ii-Pepcid Oral Tabs)
• i-nizatidine (iAxid AR)

I-PPI amayeza zezona ziyobisi zinamandla zokunciphisa ukuveliswa kwesisu esiswini. Kwiimeko ezininzi, ugqirha wakho uyakufuna ukubamisela (enye ngaphandle kweProseosec OTC, eluhlobo olubuthathaka lweProseosec). Iziyobisi ze-PPI ze-GERD zibandakanya:

• omeprazole (Prilosec)
• I-lansoprazole (Prevacid)
• irabeprazole (Aciphex)
• I-pantoprazole (iProtonix)
• esomeprazole (Nexium)

Iziphumo ze-asidi ye-asidi emqaleni

Nokuba usebenzisa amayeza okanye iindlela zokuphila (okanye zombini), kubalulekile ukulawula iimpawu zakho zeGERD. I-asidi engapheliyo, engalawulwayo ye-acid inegalelo kubuhlungu bomqala kwaye inokubangela iingxaki. Iingxaki ezinokubakho ze-asidi ye-asidi emqaleni zibandakanya:

• I-Esophagitis: Ukucaphuka kwezicubu ezingene emqaleni kungenxa yesimo esinamandla sesisu kunye neesophageal acid.
• Ukukhohlela okungapheliyo: Abanye abantu abane-GERD baziva isidingo sokucoca umqala wabo rhoqo, ukudala ukudakumba kunye nokudakumba.
• I-Dysphagia: Obu bunzima bokuginya xa iintlobo zeethishu ezibomvu kumngxunya we-esophageal ovela kwi-GERD. Ukunciphisa i-esophagus (i-benign esophageal stricture) kunokukhokelela kwintlungu yomqala kunye ne-dysphagia.

Ukongeza kumqala obuhlungu, i-asidi engapheliyo kunye ne-acid reflux engalawulwayo inokukhokelela kwimeko enqabileyo kodwa enzima ebizwa ngokuba yi-Barrett's esophagus. Oku kwenzeka xa ulusu lwe-esophagus yakho lutshintsha ukwakheka kwalo ukuze lufane nomtya wamathumbu akho.

Naphi na ukusuka kwi-1.6 ukuya kwi-6.8 yeepesenti yabantu abadala e-United States baphuhlisa i-Barrett's esophagus. Abantu abane-Barrett's esophagus banomngcipheko omncinci owandayo wokuba nomhlaza we-esophageal.

Iimpawu zesifo sikaBarrett sinokubandakanya:

• ukutshisa (ukutshisa esifubeni, umqala obuhlungu)
• iintlungu ezingaphezulu esiswini
• Dysphagia
• ukukhohlela
• iintlungu zesifuba

Imbonakalo

Awodwa xa unengxaki yeempawu zeGERD. Thetha nogqirha wakho ukuba ucinga ukuba umqala wakho ubangelwa yi-acid reflux. Ukulawula i-asidi ye-asidi ngamayeza kunye neendlela zokuphila kunokunciphisa iimpawu zakho kwaye kuncede ukuthintela naziphi na iingxaki ezizayo.