Kungani kukhala ukukhokha okubangelwa ukubuyela emuva kwesisu?

Ukubuyela emuva kwesidumbu, okubizwa nangokuthi i-GERD (ugula lwe-gastroesophageal reflux), kwenzeka lapho ama-acid esisu ebuya phezulu esibindini, okungabangela ukungakhululeki. Enye isimo esimangalisa sokubuya emuva kwesidumbu ukukhokha. Lokhu kukhokha kuvame ukwenzeka ngoba i-acid icasula umlomo. Uma okuqukethwe sesisu kuphakama, kungangena endleleni yomoya, okuholela ekukhokheni okuqhubekayo noma omunye umuzwa wokuba nomthungo emlonyeni.

Abantu abane-acid reflux bangase baphawule izimpawu eziningi, kufaka phakathi ukushisa esifubeni, ukunambitha okubabayo emlonyeni, ubunzima bokuginya, nokukhokha okuqhubekayo. Ngezinye izikhathi, lokhu kukhokha kungadida nezinye izinkinga zokuphefumula, ngakho kubalulekile ukuqonda ukuthi kuvela kuphi.

Ingabe ukubuyela emuva kwesidumbu kubangela ukukhokha? Yebo, kungenza. Ukucaphuna kwe-acid emlonyeni nasemgogweni womoya kungakwenza ukhokha. Futhi, kulabo abane-asthma, ukubuyela emuva kwesidumbu kungenza izimpawu zibe zimbi kakhulu, njengoba indlela yomoya isabela nakakhulu.

Kubalulekile ukuqonda ukuthi ukubuyela emuva kwesidumbu nokukhokha kuhlobene kanjani. Ukuqaphela lezi zimpawu kungasiza ekulawuleni isimo kangcono, mhlawumbe kuholele ezingeni elihle lokuphila. Uma lezi zinkinga zenzeka njalo, ukukhuluma nochwepheshe wezempilo kuyinto enhle.

Ukuqonda Indlela Yokusebenza: Indlela Ukubuyela Emva KwesiDumbu Okuqalisa Ukukhokha

1. Yini ukubuyela emuva kwesidumbu?
   Ukubuyela emuva kwesidumbu kwenzeka lapho ama-acid esisu egeleza ebuyela esibindini. Lokhu kuhamba emuva kwenzeka ngenxa yesibindini esibuthakathaka noma esikhululekile se-esophageal sphincter (LES). Nakuba ukushisa esifubeni kuyisimo esivame kakhulu, kungabuye kuholele ekukhokheni.

2. Ukubuyela Emva KwesiDumbu Kubangela Kanjani Ukukhokha?

   • Ukucaphuna Okuqondile: Uma i-acid iphakama esibindini, ingacasula ukugqoka komlomo nomgogweni womoya, iqalise ukukhokha.

   • Ukuthola Okuqukethwe Kwesisu: Amaconsi amancane e-acid esisu angangena endleleni yomoya, abangele ukuvuvukala nokukhokha.

   • I-Vagal Reflex: I-acid esibindini ingakhuthaza inzwa ye-vagus, okuholela ekukhokheni okubangelwa yinto ethile ngisho noma i-acid ingafinyeleli emlonyeni noma emaphashini.

3. Indima Yokubuyela Emva Okuthule (LPR)
   Ukubuyela emuva okuthule, noma i-laryngopharyngeal reflux (LPR), kuvame ukungaphawulwa ngoba akuhlale kubangela ukushisa esifubeni. Esikhundleni salokho, kungabangela ukukhokha okuqhubekayo njengoba i-acid ifinyelela emgogweni womoya.

Izimpawu Ezivamile Zokubuyela Emva KwesiDumbu Nokukhokha

Isimo	Inkulumo
Ukushisa Esifubeni	Ukuzwakala kokushisa esifubeni, ngokuvamile ngemva kokudla noma ulele phansi.
Ukukhokha Okuqhubekayo	Ukukhokha okuqhubekayo akuhlangene ne-infection yomoya.
Ukuphuma	Ukubabala noma ukunambitha okubabayo emlonyeni ngenxa yama-acid esisu abuyela emuva.
Umlomo Obuhlungu	Ukucaphuna noma ukungakhululeki emlonyeni okubangelwa ukubonakala kwe-acid.
Ilizwi Elihluphekayo Noma Ukushintsha Kwelizwi	Ukushintsha kwelizwi, kuvame ukuchazwa njengokukhwaza noma ukucindezela.
Ubunzima Bokuginya (Dysphagia)	Umuzi wokudla obambekele emlonyeni noma ubunzima bokuginya.
Ukukhwaza	Ilizwi lokukhwaza ngesikhathi sokuphefumula, ngokuvamile liyaphambana nezimpawu ze-asthma.
Ukwehla Kwemifino	Umuzi wemifino egeleza phansi emuva komlomo.
Ubuhlungu Esifubeni	Ubuhlungu esifubeni obungalingana nezinkinga ezihlobene nenhliziyo ngenxa yokubuyela emuva kwesidumbu.
Ukucacisa Okweqile Komlomo	Isidingo esivame kakhulu sokuhlanza umlomo ngenxa yokucaphuna okuvela ekubuyeleni emuva kwesidumbu.

Ukulawula Ukukhokha Okuvela Ekubuyeleni Emva KwesiDumbu: Ukwelashwa Nokushintsha Kwendlela Yokuphila

1. Ukulinganisa Ukudla
   Gwema ukudla okubangela izimpawu ezifana nokudla okunoshukela, okunemafutha, noma okune-acid, njengoba kungenza ukubuyela emuva kwesidumbu kube sibi. Ukudla ukudla okuncane, okuvamile kunokudla okukhulu kusiza ekuthuthukiseni ukucindezela esibindini se-esophageal sphincter (LES).

2. Ukuphakamisa Ikhanda Ngesikhathi Sobuthongo
   Ukuhlala ikhanda nesifuba siphakanyisiwe ngesikhathi sobuthongo, njengokusebenzisa i-wedge pillow, kuvimbela i-acid ekugelezeni ebuyela esibindini.

3. Ukulawula Isisindo
   Ukukhulu kwesisindo kukhuthaza ukucindezela esiswini, okuthuthukisa ukubuyela emuva kwesidumbu. Ukugcina isisindo esinempilo ngokudla okulinganisekile nokuzivocavoca njalo kunganciphisa kakhulu izimpawu.

4. Ukugwema Izinto Ezibangela Izimpawu
   Limita noma susa utshwala, i-caffeine, iziphuzo ezinogesi, nokubhema, njengoba lezi zinto zikhulula i-LES futhi zenza ukubuyela emuva kube sibi.

5. Imithi Engaphezu Kwekhawunta
   Ama-antacids anikeza ukukhululeka okusheshayo ngokulinganisa i-acid esiswini. Abaqaphi be-H2 noma abaqaphi be-proton pump (PPIs) banciphisa ukukhiqizwa kwe-acid, banikeza ukukhululeka okuphilayo isikhathi eside.

6. Isikhathi Sokudla
   Gwema ukudla phakathi kwamahora amabili kuya kwamathree ngaphambi kokulala ukuze unciphise ukubuyela emuva kwesidumbu ebusuku nokukhokha.

7. Ukuphuza Amanzi Nezindlela Zokwelapha Zemvelo
   Ukuhlala uthambile kungasiza ekuthambiseni umlomo. Izindlela zokwelapha zemvelo ezifana nejinja noma itiye le-chamomile zinganciphisa izimpawu ezilula.

Isifinyeto

Ukubuyela emuva kwesidumbu kwenzeka lapho ama-acid esisu egeleza ebuyela esibindini, kubangele ukucaphuna nokuholela ezimpawu ezifana nokushisa esifubeni, ukukhokha okuqhubekayo, umlomo obuhlungu, nokukhwaza. Ukukhokha kuqaliswa ukucaphuna okuqondile komgogweni womoya, ukuthola okuqukethwe kwesisu, noma i-vagal nerve reflex. Ukubuyela emuva okuthule, noma i-laryngopharyngeal reflux (LPR), kungenzeka kungabangeli ukushisa esifubeni kodwa kungase kuholele ekukhokheni okuqhubekayo.

Ezinye izimpawu zingafaka ubuhlungu esifubeni, ubunzima bokuginya, nokukhwaza. Izinto ezivame ukubangela izimpawu zifaka ukudla okuthile, ukubhema, nokulala phansi ngemva kokudla. Ukulawula ukubuyela emuva kwesidumbu ngokushintsha ukudla, ukushintsha indlela yokuphila, nemithi kungasiza ekuthuthukiseni ukukhokha nezinye izimpawu.