Sinjani Isilungulela?

Umxholo

• Kuziva njani
• Isitshisa kunye nokukhulelwa
• Isitshisa sokuqunjelwa vs.
• IGERD
• Ezinye iimeko ezinokubakho
• Unyango
• Unyango xa ukhulelwe
• Nini ukubona ugqirha
• Umgca wezantsi

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.

Isilungulela kukungonwabi okwenzekayo xa i-asidi esiswini inyukela phezulu iye apho ingafanelekanga ukuba khona, njenge-esophagus kunye nomlomo. I-asidi ibangela uvakalelo oluvuthayo ukuba lusasaze esifubeni.

Uninzi lwabantu luye lube nesitshisa ngenxa yokucaphuka kukutya okanye iziselo. Ukuba balale kwangoko emva kokutya, i-asidi ihlala ivela ngokulula.

Uninzi lwexesha, ukubola kwentliziyo akungonobangela wokukhathazeka kwaye kuya kuhamba nexesha. Kuba inokulinganisa ezinye ngokubhekisele kwiimpawu zonyango ezinje ngokuhlaselwa sisifo sentliziyo, kubalulekile ukwazi ukuba ungayiqonda njani.

Kuziva njani

Ukuqunjelwa kunokubakho ukusuka ekucaphukiseni kancinane ukuya kungonwabisi kwaphela. Ezi zilandelayo zezinye zeempawu zentliziyo:

• Ukutsha kunye nokungonwabi emva kwethambo lesifuba
• Ukutshisa okuphuma esiswini kuye entanyeni
• iintlungu eziba mandundu xa utshintsha indlela omile ngayo, njengokugoba phambili okanye ukulala phantsi
• incasa emuncu emqaleni
• iimpawu ezenzeka kwimizuzu engama-30 ukuya kwengama-60 emva kokuba ufumane into yokutya
• iimpawu ezihlala zisiba mbi xa usitya ukutya okuthile, okufana:
  • utywala
  • itshokholethi
  • kofu
  • iti
  • isosi yetumato

Ngamanye amaxesha, umntu uneempawu zokuba nesifo sentliziyo ezingaqhelekanga. Abantu baxele ukungakhululeki kwezi:

• imiphunga
• iindlebe
• impumlo
• umqala

Abanye abantu banesifo sokuqaqamba kwentliziyo esivakala ngathi sisifo esifubeni. Intlungu yesifuba inokuba mbi kakhulu ikwenza ube nexhala lokuba unesifo sentliziyo.

Isitshisa kunye nokukhulelwa

uqikelelo phakathi kwe-17 kunye ne-45 yeepesenti yabasetyhini abakhulelweyo abafumana ukubola xa bekhulelwe. Ukuphindaphindeka kwento yokubetha rhoqo kunyuka ngerimester.

Kwikota yokuqala yokuqala, malunga neepesenti ezingama-39 zabasetyhini abanesifo sokuqunjelwa babenempawu, ngelixa iipesenti ezingama-72 zineempawu zokubetha kwentliziyo kwitrimester yesithathu.

Zininzi izinto ezonyusa umngcipheko wokutsha kwesisu kubafazi abakhulelweyo. Oku kubandakanya ukunciphisa uxinzelelo kwi-esophageal sphincter eyahlula i-esophagus esiswini. Oku kuthetha ukuba i-asidi inokudlula ukusuka esiswini iye emmandleni ngokulula.

Isibeleko esikhulayo sikwanika noxinzelelo olongezelelekileyo esiswini, esinokuthi sibe mandundu isitshisa. Ezinye iihomoni ezinceda abasetyhini ukugcina ukukhulelwa kwabo zinokucothisa ukwetyisa, zonyuse umngcipheko wokutsha.

Akukho zininzi zeengxaki zexesha elide ezinxulumene nokuqaqamba kwentliziyo xa ukhulelwe. Abafazi abakhulelweyo bahlala befumana amaqondo aphezulu kunabafazi abangakhulelweyo.

Ngamanye amaxesha, iimpawu zentliziyo ziba nzima kakhulu xa ibhinqa lingakhulelwe.

Isitshisa sokuqunjelwa vs.

Isifo sentliziyo kunye nokuginywa sisifo kunokuba neempawu ezininzi ezifanayo, kodwa azifani.

Oogqirha bakwabiza i-indigestion dyspepsia. Olu luphawu oludala iintlungu kwindawo ephezulu yesisu. Umntu one-indigestion unokuba neempawu ezinje:

• ukungqusha
• ukudumba
• isicaphucaphu
• ukungaphatheki kakuhle kwesisu ngokubanzi

Ukutya okutyayo kubangela ukutsha kunye nokugaya. Nangona kunjalo, ukungagayeki sisiphumo sokutya okucaphukisa isisu kunye nokukhanya kwaso. Ukuqunjelwa sisiphumo se-asidi yokuphinda iphume esiswini.

IGERD

Umntu onesifo se-reflux se-gastroesophageal (GERD) unokuba ne-indigestion kunye ne-heartburn njengenxalenye yeempawu zabo.

I-GERD luhlobo olungapheliyo lwe-acid reflux enokuthi yonakalise i-esophagus. Ukutyeba kakhulu, ukutshaya, kunye nokuba ne-hernia yokuzalwa kwandisa umngcipheko womntu kwi-GERD.

Ezinye iimeko ezinokubakho

Ngamanye amaxesha, ukuqaqanjelwa yintliziyo kunokubangela iimpawu ezingaqhelekanga okanye ziziva zigqithile uxhalabe sisifo sentliziyo.

Kodwa ayisiyo yonke into yokuhlaselwa yintliziyo ekhokelela kwiklasikhi, yokutyumza iintlungu zesifuba ozibonayo kumabonwakude nakwiimuvi. Nantsi indlela yokuxelela umahluko phakathi kwezi zimbini:

• Isitshisa ngesiqhelo ibangela iimpawu emva kokutya. A ukuhlaselwa yintliziyo akubonakali kunxulumene nokutya okutyileyo.
• Isitshisa ihlala ibangela incasa emuncu emlonyeni wakho okanye uziva ukunyuka kweasidi ngasemva komqala wakho. A ukuhlaselwa yintliziyo kunokubangela iintlungu zesisu, kubandakanya isicaphucaphu kunye nentlungu esiswini ngokubanzi.
• Isitshisa ihlala iqala njengokutsha kwindawo ephezulu yesisu enyukela esifubeni. A ukuhlaselwa yintliziyo ihlala ibangela uxinzelelo, ukuqina, okanye iintlungu esifubeni ezinokuya ezingalweni, entanyeni, emhlathini, okanye emqolo.
• Isitshisa ihlala ikhululwa ziiantacids. Ukuhlaselwa yintliziyo iimpawu azikho.

Ukongeza kwisifo sentliziyo, abanye abantu banokwenza impazamo kwezi meko zilandelayo:

• Ukuqaqanjelwa ngumqala
• isifo senyongo
• isisu
• ukudumba komzimba
• isifo sesilonda

Ukuba awuqinisekanga ukuba iimpawu zakho zibuhlungu okanye enye into, kungcono ukufuna unyango olungxamisekileyo.

Unyango

Ukuba ufumana iziqendu zokubamba iintlungu rhoqo, zininzi iindlela zokuphila onokuzenza ukunciphisa iimpawu zakho. Nantsi eminye imizekelo:

• Gwema ukutya okwaziwayo ukubangela ukutsha kwentliziyo, njenge:
  • ukutya okuneziqholo
  • itshokholethi
  • utywala
  • izinto ezine-caffeine
• Nyusa intloko yebhedi yakho ukuze iasidi ingafiki emqaleni.
• Yeka ukutya ngaphantsi kweeyure ezintathu ngaphambi kokulala.
• Thatha ngaphezulu kwe-counter-the-counter (i-OTC) iyeza lokuphelisa iintlungu, njenge:
  • ifototidine (iPepcid)
  • cimetidine (iTagamet)

Ukuphulukana nobunzima ukuba utyebe kakhulu kunokukunceda ukunciphisa iimpawu zakho zentliziyo.

Unyango xa ukhulelwe

Ukukhulelwa kunokuba lixesha elinzima kunyango lwentlungu, kuba ngekhe uthathe onke amayeza onokuthi wawathatha ngenxa yexhala lokwenzakalisa umntwana.

Umzekelo, uninzi lwabasetyhini abakhulelweyo banokusombulula iimpawu zabo ngokuthatha amayeza anje ngeTums, Rolaids, okanye Maalox. Kodwa oogqirha abaninzi abacebisi ukuthatha i-antiacids enezinto ezinjengezi ngexesha lesithathu lesithathu ngaphezulu kwexhala elinokuthi lichaphazele ukubambana.

Kananjalo musa ukuthatha iAlka-Seltzer. Iqukethe i-aspirin, enokunyusa umngcipheko wokopha ngexesha lokukhulelwa.

Nangona kunjalo, ukwenza utshintsho kwindlela yokuphila kunokubonelela ngesiqabu:

• Yitya ukutya okuncinci, rhoqo rhoqo ngalo lonke usuku.
• Yitya kancinci, kwaye uhlafunisise kakuhle.
• Yeka ukutya iiyure ezi-2 ukuya kwezi-3 ngaphambi kokulala.
• Yeka ukunxiba iimpahla ezikubambayo.
• Sebenzisa iipilo ukuxhasa intloko kunye nomzimba ongaphezulu ukunciphisa i-asidi ye-asidi xa ulele.

Ukuba iimpawu zokubetha ziqhubeka, thetha nogqirha wakho ngezinye iindlela zonyango.

Nini ukubona ugqirha

Ukuba amayeza e-OTC akanyangi ukubetha kwentliziyo yakho, thetha nogqirha wakho.

Kwiimeko ezinqabileyo xa ungeke ukwazi ukulawula ukutsha kwentliziyo ngamayeza, ugqirha unokucebisa utyando ukunciphisa umngcipheko wokuba i-asidi iphinde iphume esiswini.

Ukuba awukwazi ukunyamezela amayeza e-OTC yokubetha kwentliziyo, ugqirha unokucebisa ezinye iindlela.

Umgca wezantsi

Ngelixa uninzi lwabantu lufumana ukubola ngamaxesha ngamaxesha emva kwesidlo esikhulu okanye emva kokutya ukutya okuthile, uphawu lunokufana nezinye iimeko.

Ukuba ukhathazeke ngakumbi kunokuba sisifo sentliziyo, funa unyango olukhawulezileyo. Ngaphandle koko, utshintsho kwindlela yokuphila, njengokutshintsha kokutya kunye nokuthatha amayeza e-OTC, zihlala zikhupha iimpawu.