Ungayinyanga njani i-reflux yesisu

Umxholo

• 1. Utshintsho kwindlela yokuphila
• 2. Ukutshintshwa kokutya
• 3. Ukusetyenziswa kwamayeza
• 4. Ukusetyenziswa kwamayeza asekhaya
• 5. Utyando

Unyango lwe-reflux ye-gastroesophageal ihlala iqala ngotshintsho kwindlela yokuphila, kunye nokutshintsha kokutya, kuba kwiimeko ezininzi, ezi nguqu zilula ziyakwazi ukunciphisa iimpawu ngaphandle kwemfuneko yolunye uhlobo lonyango.

Nangona kunjalo, ukuba iimpawu aziphucuki, i-gastroenterologist inokucebisa ngokusetyenziswa kwamayeza athile, anokusetyenziselwa ixesha elide, okanye kuphela ngexesha lokuhlaselwa kweempawu. Kwiimeko ezinzima kakhulu, ekungekho nonyango lunakho ukuphucula iimpawu, ugqirha unokucebisa ngokusebenza kotyando, ukuze azame ukusombulula unobangela we-reflux.

Jonga ezona mpawu zixhaphake kakhulu kwimeko ye-gastroesophageal reflux.

Ezona ndlela ziphambili zonyango zisetyenzisiweyo kwimeko ye-Reflux ibandakanya:

1. Utshintsho kwindlela yokuphila

Abantu abanendlela yokuphila esempilweni esemngciphekweni omkhulu wokukhula kweengxaki ezahlukeneyo zempilo. Enye yezi ngxaki kukuveliswa kakhulu kwe-asidi yesisu, enokuthi ekugqibeleni ibangele iimpawu ze-reflux.

Ke, nabani na onengxaki yokufumana kwakhona, okanye nokuba ufuna ukuthintela ukuqala kwayo, kufuneka alandele le migaqo:

• Gcina ubunzima obaneleyo, kuba ubunzima obugqithisileyo bubangela uxinzelelo olukhulu kummandla wesisu, ukonyusa amathuba okubuyela esiswini kwisisu, ukuqaqadeka kweempawu;
• Kunqande ukutshaya, kuba icuba lona linokuchaphazela amandla e-esophageal sphincter ukuvala, ukuvumela i-reflux ukuba yenzeke rhoqo;
• Sukulala kude kube ziiyure ezi-2 emva kokutya, njengoko ngeli xesha kukho isixa esikhulu seasidi esiswini;
• Kulumkele ukunxiba iimpahla ezixineneyo, ngakumbi ihempe ezinesinqe kunye neebhulukhwe, kuba zinokubeka uxinzelelo kwindawo yesisu kwaye zenze i-reflux ibe mandundu.

Ukongeza, kusabaluleke kakhulu ukuba, xa ulele phantsi, umntu azame ukugcina intloko yebhedi iphezulu kuneenyawo. Ukwenza oku, unokubeka into phantsi komatrasi, okanye ungabeka iibhloko zomthi phantsi kwemilenze yebhodi eyintloko. Ngokukhetha, i-headboard kufuneka iphakanyiswe phakathi kwe-15 ukuya kwi-20 cm.

2. Ukutshintshwa kokutya

Ukongeza kutshintsho kwindlela yokuphila, esele ikhankanyiwe, kukwakho nezinye iindlela ezilula nezendalo ezinceda ekunciphiseni iimpawu kwaye ikakhulu zinxulumene nokutya.

Ke kuyacetyiswa ukuba utye rhoqo, rhoqo emva kweeyure ezi-3, umzekelo, kodwa kukutya okuncinci. Oku kunceda ukugcina isisu singagcwali kwaye siququzelele ukukhupha, ukukhusela i-reflux.

Ukongeza, ukonyusa ukusetyenziswa kwemifuno kunye neziqhamo, kunye nokuthintela ukutya okungenampilo, njengokutya okugqityiweyo, inyama ebomvu kunye nokutya okuthosiweyo, nako kuvumela ukunciphisa inani lesisu esiswini, ukunciphisa iimpawu. Elinye icebo elibalulekileyo kukulawula ukusetyenziswa kwezinye iziselo, ngakumbi ezo zinxulumene kakhulu nokuvela kweflux, ezinje ngeziselo ezihlwahlwazayo, iziselo ezihlwahlwazayo, ikofu neziselo ezinxilisayo.

Bona ngokweenkcukacha ukuba ukutya kufanele ukuba njani kwabo bane-reflux yegastroesophageal.

3. Ukusetyenziswa kwamayeza

Uninzi lwexesha, amayeza e-reflux aboniswa ngugqirha kuphela njenge-SOS, okt kufuneka isetyenziswe ngexesha lengxakeko ye-reflux, enokuvela xa usebenzisa ezinye iintlobo zokutya ezigqithileyo.

Nangona kunjalo, amayeza anokusetyenziselwa ixesha elide, ngakumbi kubantu abaneempawu ezomeleleyo kwaye ezixhaphakileyo. Ezinye zezona zifanelekileyo zibandakanya:

• Iantiacids, njengemagniziyam hayidroksayidi okanye ialuminiyam hayidroksayidi: Ukunciphisa ubumuncu besisu kunye nokuthintela ukutsha okuvuthayo kwi-esophagus;
• Inhibitors yemveliso yeasidi, njenge-omeprazole, i-esomeprazole okanye i-pantoprazole: Ukuthintela ukuveliswa kweasidi esiswini, ukunciphisa ukutsha okubangelwa yi-Reflux;
• Ukukhawulezisa ukukhupha isisu, ezifana ne-metoclopramide kunye ne-domperidone: ukukhawulezisa ukungabikho kwesisu, ukunciphisa ixesha lokutya kuhlala kweli lungu;
• Abakhuseli besisu, njenge-sucralfate: benza isithintelo sokukhusela kwimigca yesisu kunye nesisu, ukunciphisa ukutshisa okubangelwa sisisu esiswini.

Ke, kwaye kuba iimpawu kunye noonobangela be-reflux bahluka kakhulu ukusuka komnye umntu ukuya komnye, amayeza kufuneka ahlala ekhokelwa ngugqirha, oya kuthi avavanye imbali yakho yezonyango kwaye abonise amathamo kunye nexesha lokunyanga iziyobisi.

Funda ngakumbi ngamayeza aphambili asetyenziselwa ukunyanga i-reflux.

4. Ukusetyenziswa kwamayeza asekhaya

Kwiimeko ezinobulali ze-Reflux, amayeza asekhaya angayindlela efanelekileyo yendalo yokunciphisa iimpawu. Ezinye zezona zifanelekileyo zibandakanya iti yejinja, iti ye-chamomile kunye nejusi ye-aloe, umzekelo, enokuthi ithathwe xa kuvela iimpawu zokuqala zokutsha. Jonga indlela yokulungiselela ezi kunye namanye amayeza asekhaya e-reflux.

Nangona ziyindlela elungileyo yendalo yokunceda ekunciphiseni iimpawu, amayeza asekhaya akufuneki afakwe endaweni yamayeza amiselwe ngugqirha, kwaye kufuneka asetyenziswe kuphela njengoncedisayo kunyango oluchaziweyo.

5. Utyando

Utyando lwe-reflux ye-Gastroesophageal ihlala isetyenziswa njengendawo yokugqibela kunyango, kwiimeko ezinzima kakhulu apho iimpawu zingakhange ziphucuke notshintsho kwindlela yokuphila, ukulungelelaniswa kokutya okanye ukusetyenziswa kwamayeza.

Kwezi meko, ugqirha wotyando wenza uqhaqho ukuze kuqiniswe i-esophageal sphincter, ukwenzela ukuthintela i-asidi yesisu ekunyukeni iye kummango. Olu tyando lunokwenziwa ngendlela yeklasikhi, ngokusikwa esiswini, kodwa kunokwenziwa nge-laparoscopy, apho imingxunya emincinci yenziwe kulusu. Uhlobo lotyando kufuneka luhlale lukhethwa kunye nogqirha.

Qonda ngcono ukuba lwenziwa njani olu tyando kunye nokuba uchacha njani.