Isilungulela ne-GERD: Ungakwelapha kanjani ukucanuzela kwenhliziyo nesisu
Imfundo YezempiloUma uzwa umuzwa ovuthayo ukhuphuka esiswini sakho ungene esifubeni nasemphinjeni ngemuva kokudla, awuwedwa. Abantu baseMelika abangaphezu kwezigidi ezingama-60 bathola ukungaphatheki kahle kwesilungulela okungenani kanye ngenyanga, ngokusho E-American College of Gastroenterology.
Sidale lo mhlahlandlela wokukusiza kangcono ukuthi uqonde ukuthi siyini isilungulela, futhi okubaluleke kakhulu, ukuthi ungasilungisa kanjani. Izindaba ezimnandi ukuthi, kunezindlela eziningi zokwelashwa eziphumelelayo ezitholakalayo ukusiza ukunciphisa nokuvimbela ukusha nokungaphatheki kahle. Kungaba ukusebenzisa amathenda noma imishanguzo kadokotela, noma ukwenza izinguquko ezimbalwa empilweni, sikubambile.
Kuyini isilungulela?
Isilungulela, noma i-reflux ye-gastroesophageal, kwenzeka lapho inani eliningi ngokweqile le-acid reflux (funda: buyela emuva) ungene esophagus, ithubhu lemisipha elixhumanisa isisu nomphimbo. Lokhu kuvame ukwenzeka lapho imisipha encane phakathi komqala nesisu iqala ukukhululeka, ivumela isisu esiswini ukuthi sikhuphuke.
Sizizwa kanjani isilungulela?
Izimpawu ezivamile zesilungulela zichazwa njengomuzwa wobuhlungu obuvuthayo noma ukungakhululeki okusuka esifubeni kuye entanyeni nasemphinjeni. Kwezinye izimo, abantu bathola ukunambitheka okumunyu noma okumuncu ngemuva komphimbo wabo. Ngaphandle kwegama, alihlangene ngalutho nenhliziyo yakho. Kunalokho ukuzwa kwe-asidi okucasula izicubu zakho.
Yini ebangela isilungulela?
Kuyinto ejwayelekile ukuzwa isilungulela ngemuva kokudla isidlo esikhulu, ikakhulukazi esinamafutha amaningi. Ingcindezi yangaphakathi ebangelwa isisu esigcwele ingaphoqa i-asidi emungeni, okungadala izimpawu. Ukukhuluphala ngokweqile kungayenza ibe yimbi le ngcindezi futhi kube lula ukushisa isilungulela. Ukudla okunamafutha nokudla ngokweqile kunganciphisa ukugaya, nakho okunomthelela ku-acid reflux.
Uma uqala ukuzwa ukusha, noma usanda kudla isidlo esikhulu, sokuzitika, ungahle uthande ukugwema ukulala phansi kusofa, futhi. Lapho simile, amandla adonsela phansi asebenzela thina ukuvimba i-asidi esiswini inyukele phezulu. Kodwa-ke, uma ulala phansi, kungenzeka ukuthi uhlaselwe yisilungulela njengoba amandla adonsela phansi engakwazi ukumisa i-asidi egelezela emungeni wakho.
Ingabe isilungulela noma okunye okungaphezulu?
Cishe wonke umuntu uzoba nezimpawu zokushiswa yinhliziyo kwesinye isikhathi noma kwenye, ikakhulukazi ngemuva kokudla isidlo esikhulu, ngezinye izikhathi izimpawu zihlala amahora ambalwa. Kodwa-ke, abanye abantu baba nesilungulela esingapheli, nezimpawu zenzeka ngaphezu kwezikhathi ezimbili ngesonto. Kulokhu, ungahle ube ne- ezinzima kakhulu Isimo sezokwelapha esibizwa ngesifo se-gastroesophageal reflux, noma i-GERD.
I-GERD ivela kubantu abane-valve yemisipha ebuthakathaka ebizwa nge-lower esophageal sphincter (LES). Iphumula kaningi futhi ivumela isisu esiswini sikhuphuke phezulu.
Kulinganiselwa lokho amashumi amabili% wabantu baseMelika bane-GERD, yingakho izinhlelo zokuqwashisa ezifana neViki Lokuqwashisa nge-GERD zibaluleke kakhulu. Iviki Lokuqwashisa Ngama-2019 le-GERD liqale ngoNovemba 17-24, ngakho-ke engeza unyaka ozayo ekhalendeni lakho ukuze uhlale unolwazi.
Ngingasusa kanjani isilungulela?
Ngenhlanhla, kunezindlela eziningi zokwelashwa eziphumelelayo ezitholakalela abantu ababa nesilungulela. Abantu abaningi bathola ukukhululeka ngayo yomibili imishanguzo kadokotela nemithi oyithenga, izinguquko ezimbalwa zendlela yokuphila, kanye namakhambi emvelo nawekhaya.
Imithi edume kakhulu yokuthenga isilungulela ifaka ama-antacids, afana neTum noma amaRolaids, asebenza ekunciphiseni isisu se-asidi kanye ne-acid indigestion. Abanye abantu bakhetha i-acid blocker, eyehlisa inani langempela le-asidi esiswini ekhiqizwayo. Lokhu kufaka phakathi i-Axid AR, iPepcid AC, Prilosec OTC, neTagamet HB.
OKUhlobene : I-Prevacid vs Prilosec
Uma isilungulela sakho sivame kakhulu noma sinzima noma kunjalo, futhi izinketho zokuthenga azisebenzi, ungahle udinge umuthi kadokotela. Lezi zivame ukuba yizinhlobo ezinamandla zezinketho zomkhiqizo ongaphezulu kwamanani, kanye nemithi yeproton pump inhibitor (PPI) efaka iPrevacid neNexium.
Olunye ushintsho lwendlela yokuphila abantu abaningi abalubika njengolusebenzayo ekwehliseni ukugaya isisu kanye nesilungulela ukujwayeza ukudla kuphela kuze kusuthe.
Kungumqondo omuhle futhi ukwazi ukuthi ikuphi ukudla okubangela isilungulela sakho nokukugwema uma kungenzeka. Ukudla okwaziwayo ukubanga isilungulela kufaka ikhofi, utshwala, iziphuzo ezibandayo, ukudla okubabayo, utamatisi, ushokoledi, uphepermint, u-anyanisi, nanoma ikuphi ukudla okunamafutha amaningi.
Kungasiza futhi ukugwema ukubeka phansi isikhashana ngemuva kokudla isidlo sakho futhi esikhundleni salokho ukhethe ukuyohambahamba. Lokhu kusiza ukugaya futhi kusiza amandla adonsela phansi ukuthi akusebenzele.
Yimuphi umuthi omuhle kakhulu wokusiza isilungulela?
Bheka ishadi lethu lesikhombisi esheshayo.
| Umuthi wokusiza wesilungulela | ||||
|---|---|---|---|---|
| Igama lomuthi | Isigaba sezidakamizwa | I-Over-the-counter noma incwadi kadokotela | Amafomu | Isebenza kanjani |
| Izidumbu (calcium carbonate) | I-Antacid | OTC | Ithebhulethi eshibhile, ithebhulethi, ukumiswa | Ibeka phakathi i-asidi esiswini |
| Ama-Rolaids (i-calcium carbonate ne-magnesium hydroxide) | I-Antacid | OTC | Ithebhulethi eshibhile, ithebhulethi, ilogwe | Ibeka phakathi i-asidi esiswini |
| I-Maalox (i-aluminium hydroxide, i-magnesium hydroxide, ne-simethicone) | I-Antacid | OTC | Ithebhulethi eshibhile, uketshezi | Ibeka phakathi i-asidi esiswini |
| I-Emetrol (i-carbohydrate enefosidi) | Ama-antiemetic | OTC | Uketshezi | Kunciphisa ukusikwa kwesisu |
| I-Pepto Bismol (i-bismuth subsalicylate) | I-Antacid, i-antidiarrhea | OTC | Ithebhulethi eshibhile, ukumiswa | Kuvikela umphimbo ku-asidi |
| I-Axid (nizatidine) | I-H2 (histamine-2) blocker | I-Rx ne-OTC | Amathebulethi, amaphilisi | Kuvimba ukukhiqizwa kwesisu esiswini |
| I-Pepcid (famotidine) | I-H2 (histamine-2) blocker | I-Rx ne-OTC | Ithebhulethi | Kuvimba ukukhiqizwa kwesisu esiswini |
| I-Tagamet (cimetidine) | I-H2 (histamine-2) blocker | I-Rx ne-OTC | Ithebhulethi | Kuvimba ukukhiqizwa kwesisu esiswini |
| I-Prevacid (lansoprazole) | I-Proton pump inhibitors (ama-PPIs) | I-Rx ne-OTC | I-capsule yokukhishwa okulibazisekile | Kuvimba ukukhiqizwa kwesisu esiswini |
| I-Nexium (esomeprazole magnesium) | I-Proton pump inhibitors (ama-PPIs) | I-Rx ne-OTC | I-capsule yokukhishwa okulibazisekile | Kuvimba ukukhiqizwa kwesisu esiswini |
| I-Prilosec (omeprazole) | I-Proton pump inhibitors (ama-PPIs) | I-Rx ne-OTC | I-capsule yokukhishwa okulibazisekile | Kuvimba ukukhiqizwa kwesisu esiswini |
Ama-Rolaids vs Tums
Ama-Rolaids namaTum yizona ezibulala amagciwane ezaziwa kakhulu ezithengwayo ezitholakala ekwelapheni ukugaya isisu kanye nesilungulela. Basebenza ngokubhuntshisa futhi banciphise imiphumela ye-asidi yesisu ekhuphuka phezulu.
Ngakho-ke zehluke kanjani? Isithako esisebenzayo kuma-Tums yi-calcium carbonate kuphela, kanti ama-Rolaids ayinhlanganisela ye-calcium carbonate ne-magnesium hydroxide. Zombili izinketho ezinhle zesilungulela esincane futhi zithathwe lapho zifunwa.
Yize kuthathwa njengokuphephe kakhulu, babelana ngemiphumela efanayo efana nokuqunjelwa, umlomo owomile, ukunambitheka kwensimbi emlonyeni, ukwanda kokuchama nobuhlungu besisu. Ngenxa ye-magnesium hydroxide kuma-Rolaids, kukhona nomphumela ongeziwe ongaba khona wohudo.
Kwenzekani kuMylanta?
Kwaphela iminyaka eminingi, ikakhulukazi ngeminyaka yama-1990s, iMylanta yayingumkhiqizo odumile osetshenziselwa ukunciphisa izimpawu zesilungulela. Kodwa-ke, ngonyaka we-2010, i-anti-counter counter-the counter yazikhumbula ngokuzithandela ngenxa yemikhondo yotshwala etholakala kulo mkhiqizo.
Ngokusho komkhiqizi, uJohnson & Johnson, umkhiqizo wakhunjulwa ngakho-ke wawungabuyiselwa emuva ngokunemba okungcono, hhayi ngenxa yengozi yokungenwa kotshwala noma imiphumela emibi.
Ngo-2016 iMylanta yabuyiselwa emakethe futhi yabhekwa njengephephile ukuyisebenzisa njenge-antacid.
Imiphumela engemihle yomuthi wesilungulela
Njengayo yonke imithi, kuhlale kunengozi yemiphumela emibi ethile. Lokhu-ke, kufaka phakathi isilungulela kanye nomuthi wokugaya ukudla.
Eminye imiphumela emibi abantu ababikayo lapho bethatha i-antacid ne-acid blocker (eyaziwa nangokuthi yimithi yeproton pump inhibitors noma ama-PPIs) yemishanguzo yesilungulela ne-GERD ifaka phakathi:
- Uhudo
- Ukuqunjelwa
- Isikhukhula (igesi)
- Isisu nokuhlanza
- Ubuhlungu bekhanda
- Imfiva
Ngaphambi kokuqala noma imuphi umuthi omusha, ngaso sonke isikhathi kubalulekile ukuxhumana nodokotela wakho noma i-gastroenterologist futhi udalule noma imiphi eminye imithi oyiphuzayo njengamanje, njengoba kuhlale kunengozi yokuthi eminye imithi inokuxhumana okungalungile lapho kuhlanganiswa ndawonye.
Isilungulela ngesikhathi sokukhulelwa
Isilungulela ngesikhathi ukukhulelwa kuvame kakhulu, njengoba ukukhiqizwa okwandayo kwehomoni i-progesterone kungadala ukuthi i-valve ehlukanisa isisu nomphimbo iphumule.
Kuvame kakhulu phakathi ne-trimester yesithathu yokukhulelwa lapho umntwana okhulayo nesibeletho efaka ukucindezela kwangaphakathi esiswini, ecindezela i-acid esiswini phezulu.
Ungavimbela isilungulela ngesikhathi sokukhulelwa ngokudla ukudla okuncane emini kunokudla okungajwayelekile, ukudla okukhulu, ukulinda ihora — noma kunjalo — ngemuva kokudla ngaphambi kokulala, nokugwema ukudla okunomsoco, okunamafutha amaningi, nokunamafutha.
Iningi lemithi yokulwa namakhambi ephephile iyasetshenziswa ngesikhathi sokukhulelwa, kodwa ngaso sonke isikhathi kungcono ukukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo futhi ufunde ilebula ngaphambi kokuqala noma imuphi umuthi noma ukwelashwa ngesikhathi sokukhulelwa.
