Ukuthi yini i-GERD? Izimpawu, Izimbangela, Nokwelashwa

I-GERD imelela isifo sokubuyela emuva kwesisu, isimo lapho ama-asidi esisu ehlala ebuya phezulu esibindini sakho. Lokhu kubuyela emuva kwama-asidi kukhungathekisa ukugqoka kwesibindini sakho futhi kubangela ukushisa okungase ukwazi njengokuhlushwa kwentliziyo.

Cabanga ngesibindini sakho njengompompi othatha ukudla emlonyeni wakho uye esiswini sakho. Ngaphansi kwalompompi kukhona isigaba samathambo esibizwa ngokuthi i-lower esophageal sphincter, esebenza njengengqondo yendlela eyodwa. Uma le ngqondo ingavalwa kahle noma ivuleke kakhulu, ama-asidi esiswini aphuma phezulu futhi abangele izinkinga.

Ukuthi yini i-GERD?

I-GERD iyisimo esiqhubekayo sokuhlushwa kwesisu esithinta izigidi zabantu emhlabeni jikelele. Ngokungafani nokuhlushwa kwentliziyo okwenzeka ngezikhathi ezithile ngemuva kokudla okukhulu, i-GERD ihilela ukubuyela emuva kwama-asidi okuvela okungenani kabili ngesonto.

Umehluko oyinhloko phakathi kokushisa kwentliziyo okuvamile ne-GERD ukhona ekuqineni nasekubalulekeni. Ngenkathi abantu abaningi behlushwa ukushisa kwentliziyo ngezikhathi ezithile, i-GERD isho ukuthi izimpawu zakho zithinta impilo yakho yansuku zonke noma zilimaze isibindini sakho ngokuhamba kwesikhathi.

Isisu sakho sivelisa ama-asidi ukuze sikusize uhlanze ukudla, okuyinto evamile ngokuphelele. Kodwa-ke, la ma-asidi akufanele ahlale esiswini sakho, angahambi phezulu esibindini sakho, esingenayo ukugqoka okuvikelayo okunesisu sakho.

Ziyini izimpawu ze-GERD?

Izimpawu ze-GERD zingase zihluke kumuntu nomuntu, kodwa abantu abaningi bahlushwa yigama lezimpawu zokugaya nokuphefumula. Ake sihambe ngezimpawu ezivamile ongaziqaphela.

Izimpawu ezivamile zihlanganisa:

• Ukuhlushwa kwentliziyo - ukushisa esifubeni sakho okuvame ukuba sibi ngemuva kokudla noma ulele phansi
• Ukuphuma - ukuzwa kwama-asidi noma ukudla okubuya phezulu ehlombe lakho noma emlonyeni wakho
• Ubuhlungu besifuba obungase buzwakale njengobunye obuhlungu bentliziyo kodwa ngokuvamile buhlobene nokudla
• Ubunzima bokuginya noma ukuzwa kokuthi ukudla kunamathele ehlombe lakho
• Ukubawa okubabayo noma okubabayo emlonyeni wakho, ikakhulukazi ekuseni

Abanye abantu bahlushwa yilokho odokotela abakubiza ngokuthi izimpawu ezingavamile. Lezi zingase zihlanganise ukukhokha okuqhubekayo, ukukhuluphala, ukuhlanza umlomo, noma izimpawu ezifana ne-asthma. Lokhu kwenzeka ngoba ama-asidi angafinyelela ehlombe lakho futhi akhungathekise izintambo zakho zokukhuluma nezinye izindawo zokuphefumula.

Izimpawu zobusuku zifanele ziqaphele ngokukhethekile ngoba zingathinta kakhulu ikhwalithi yokulala kwakho. Ungase uvuke unokubawa okubabayo, ukukhokha, noma ukuzwa kokunqabela. Lezi zimpawu zobusuku zivame ukukhombisa ukuthi ukubuyela emuva kwama-asidi kubi kakhulu.

Yini ebangela i-GERD?

I-GERD ithuthukiswa lapho i-lower esophageal sphincter ingasebenzi kahle. Le mithambo ngokuvamile iqinile ngemuva kokuthi ukudla kudlule esiswini sakho, kodwa izinto eziningi zingayincipha noma zibangele ukuthi iphumule ngokungafanele.

Izimbangela ezivamile zihlanganisa:

• I-Hiatal hernia - lapho ingxenye yesisu sakho isukuma ngaphezulu kwe-diaphragm yakho
• Ukukhuluphala - isisindo esengeziwe sibeka uxinzelelo esiswini sakho futhi sisukume okuqukethwe kwesisu phezulu
• Ukukhulelwa - ukuguquka kwamahomoni noxinzelelo lomzimba oluvela engane ekhula
• Imithi ethile efana ne-calcium channel blockers, antihistamines, noma imithi yokunciphisa ubuhlungu
• Ukubhema - kuncipha i-lower esophageal sphincter futhi kukhuphula ukukhiqizwa kwama-asidi
• Ukudla okukhulu noma ukuwela phansi ngemuva kokudla

Ukudla okuthile neziphuzo kungase futhi kubangele izimpawu ze-GERD ngokunciphisa umthambo we-sphincter noma ukwandisa ukukhiqizwa kwama-asidi. Izinto ezivame ukubangela zihlanganisa ukudla okunoshukela, izithelo ze-citrus, amatamatisi, i-chocolate, i-caffeine, utshwala, nokudla okunemafutha noma okubhakiwe.

Abanye abantu bathuthukisa i-GERD ngenxa yokuncipha kokukhishwa kwesisu, isimo esibizwa ngokuthi i-gastroparesis. Uma ukudla kuhlala esiswini sakho isikhathi eside kunokuvamile, kukhuphula amathuba okubuyela emuva kwama-asidi.

Nini okumele ubheke udokotela nge-GERD?

Kufanele ubheke udokotela uma uhlushwa ukushisa kwentliziyo ngaphezulu kabili ngesonto noma uma imithi engaphezu kokuthengiswa ayikuniki impumuzo. Lezi zimpawu zikhombisa ukuthi ukushisa kwentliziyo okwenzeka ngezikhathi ezithile kuye kwaba yi-GERD.

Funani usizo lwezokwelapha ngokushesha uma uhlushwa ubuhlungu besifuba obukhulu, ikakhulukazi uma buhambisana nokuncipha kokuphefumula, ubuhlungu emaxhaphozeni, noma ubuhlungu ezingalweni. Ngenkathi lezi zimpawu zingase zibe yi-GERD, zingase futhi zikhombise izinkinga ezinzima zentliziyo ezidinga ukuhlolwa ngokushesha.

Ezinye izimpawu zezexwayiso ezidinga ukunakekelwa kwezokwelapha ngokushesha zihlanganisa ubunzima bokuginya, ukuphefumula nokulula okungapheli, ukulahlekelwa isisindo ngaphandle kokuzikhandla, noma igazi ekukhahleleni kwakho noma emathunjini. Lezi zimpawu zingase zikhombise izinkinga noma ezinye izimo ezinzima.

Ungalindi ukufuna usizo uma izimpawu ze-GERD zithinta ukulala kwakho, umsebenzi wakho, noma imisebenzi yakho yansuku zonke. Ukwelashwa kwasekuqaleni kungavimbela izinkinga futhi kuthuthukise kakhulu ikhwalithi yokuphila kwakho.

Ziyini izinto ezikhuphula ingozi ye-GERD?

Izinto eziningi zingakhuphula amathuba akho okukhula kwe-GERD. Ukuqonda lezi zinto ezikhuphula ingozi kungakusiza wenze izinqumo ezilwemi ngokuvikela nokwelashwa.

Izinto ezikhuphula ingozi yomzimba nendlela yokuphila zihlanganisa:

• Ukuba ngumuntu onesisindo esikhulu noma onokukhuluphala
• Ukukhulelwa
• Ukubhema noma ukukhishwa kukabhema
• Ukudla ukudla okukhulu noma ukudla ebusuku
• Ukuwela phansi ngemuva kokudla
• Ukuphuza utshwala, ikhofi, noma iziphuzo ezinogesi njalo

Isimo sezempilo esikhuphula ingozi ye-GERD sihlanganisa i-diabetes, i-asthma, ama-ulcers e-peptic, nezinhlungu ze-connective tissue efana ne-scleroderma. Lezi zimo zingathinta indlela isistim yakho yokugaya esebenza ngayo noma zikhuphule uxinzelelo lwesisu.

Ubudala busebenza futhi, njengoba i-GERD iba yinto evamile njengoba abantu bekhula. Lokhu kwenzeka ngoba i-lower esophageal sphincter ingase ibuthakathaka ngokuhamba kwesikhathi, futhi ezinye izinguquko ezihlobene nobudala zingathinta ukugaya.

Umlando womndeni ubalulekile futhi. Uma abazali bakho noma abafowenu bane-GERD, ungase ube nengozi enkulu yokuthuthukisa yona, yize izinto zendlela yokuphila zivame ukudlala indima enkulu kunama-genetics.

Ziyini izinkinga ezingase zenzeke nge-GERD?

Uma i-GERD ingalashwa, ukukhishwa okuqhubekayo kwama-asidi esiswini kungalimaza isibindini sakho futhi kubeka izinkinga ezinzima. Ake sixoxe ngalokho okungase kwenzeke nokuthi kungani ukwelashwa kwasekuqaleni kubalulekile.

Izinkinga ezivamile zihlanganisa:

• I-Esophagitis - ukuvuvukala nokuvuvukala kokugqoka kwesibindini
• I-Esophageal stricture - ukunciphisa kwesibindini ngenxa yokwakheka kwe-scar tissue
• I-Barrett's esophagus - ukuguquka kokugqoka kwesibindini okwandisa ingozi yomdlavuza
• Izinkinga zokuphefumula ezifana nokukhokha okuqhubekayo, i-asthma, noma i-pneumonia evela kuma-asidi afinyelela emaphashini
• Izinkinga zamahlombe ezivela kuma-asidi ahlanza i-enamel yamahlombe

I-Barrett's esophagus ifanele iqaphele ngokukhethekile ngoba iyisimo esingaphambi komdlavuza. Ukugqoka okuvamile kwesibindini sakho kuguquka kube njengokugqoka kwesisu sakho. Ngenkathi abantu abaningi abane-Barrett's esophagus bengathuthuki umdlavuza, ukuqapha okuqhubekayo kubalulekile.

I-Esophageal stricture ingenza kube nzima ukuginya futhi ingadinga izinqubo zezokwelapha zokwandisa isibindini. Le nkinga ngokuvamile ithuthukiswa ngemuva kweminyaka yokwelashwa okungekho yi-GERD, kungakho ukwelashwa kwasekuqaleni kubaluleke kangaka.

Izindaba ezinhle ukuthi lezi zinkinga zingavikeleka ngokuphathwa kahle kwe-GERD. Abantu abaningi abamukela ukwelashwa okufanele abathuthuki izinkinga ezinzima.

I-GERD ingavikeleka kanjani?

Izehlakalo eziningi ze-GERD zingavikeleka noma zithuthukiswe kakhulu ngokuguqula indlela yokuphila. Lezi zinguquko zigxile ekuthuthukiseni ukukhiqizwa kwama-asidi nokuvimbela ama-asidi ukuthi ahambe phezulu esibindini sakho.

Ukuguqula ukudla kungenza umehluko omkhulu:

• Dlani ukudla okuncane, okuvamile kunokukhulu
• Gwema ukudla phakathi kwamahora angu-3 ngaphambi kokulala
• Ncipha ukudla okubangela izimpawu ezifana nokudla okunoshukela, i-citrus, amatamatisi, i-chocolate, ne-caffeine
• Ncipha ukusetshenziswa kwetshwala
• Khetha amaprotheni ahlanzekile futhi ugweme ukudla okunemafutha noma okubhakiwe
• Hlala uthambile ngamanzi kunokusebenzisa iziphuzo ezinogesi

Ukuguqula umzimba nendlela yokuphila kusiza futhi ukuvimbela izimpawu ze-GERD. Ukugcina isisindo esinempilo kuncipha uxinzelelo lwesisu olungasukuma okuqukethwe kwesisu phezulu. Uma ubhema, ukuyeka kungaqinisa i-lower esophageal sphincter yakho futhi kunciphise ukukhiqizwa kwama-asidi.

Isimo sokulala siyabaluleka futhi. Ukuqandisa ikhanda lembhede yakho ngamasentimitha angu-6 kuya kwangu-8 kungasiza ubukhulu bokuqina ukugcina ama-asidi esiswini lapho kufanele ahlale khona. Ungasebenzisa izibambi zemibhede noma i-wedge pillow ukufeza lokhu kuphakama.

Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca njalo, noma ukwelulekwa kungasiza futhi, njengoba ukucindezeleka kungenza izimpawu ze-GERD zibe zimbi kubantu abanye.

I-GERD ihlonishwa kanjani?

Ukuhlolwa kwe-GERD ngokuvamile kuqala ngodokotela wakho ebuza ngezimpawu zakho nomlando wakho wezokwelapha. Uma izimpawu zakho zivamile futhi ziphendula ekwelapheni kwasekuqaleni, udokotela wakho angase ahlole i-GERD ngaphandle kokuhlolwa okwengeziwe.

Uma kudingeka ukuhlolwa okwengeziwe, udokotela wakho angase akukhuthaze ukwenza i-upper endoscopy. Phakathi nale nqubo, umpompi omncane, onobuningi, onenkhamera ufakwa kancane emlonyeni wakho ukuhlola isibindini sakho nesisu. Lokhu kuvumela udokotela wakho ukubona noma yiliphi uhlobo lokulimala noma ukuvuvukala.

Ukuqapha kwama-asidi okuhambahambayo kuhilela ukufaka idivayisi encane esibindini sakho ukuze ulinganise amazinga ama-asidi amahora angu-24 kuya kwangu-48. Lolu viwo lusiza ukuthola ukuthi ama-asidi esiswini angena kaningi kangakanani futhi isikhathi esingakanani esibindini sakho phakathi kwemisebenzi yansuku zonke evamile.

Ezinye izivivinyo zingase zihlanganise ukugwinya i-barium, lapho uphuza khona isisombululo esinamathanga esibonakala kuma-X-rays, kuvumela odokotela ukubona ukuma nokusebenza kwesistim yakho yokugaya ephezulu. I-Esophageal manometry ilinganisa uxinzelelo nokuhamba kwemithambo esibindini sakho.

Yini ukwelashwa kwe-GERD?

Ukwelashwa kwe-GERD ngokuvamile kulandela indlela yesinyathelo ngesinyathelo, kuqala ngokuguqula indlela yokuphila bese kuqhubeka nemithi uma kudingeka. Abantu abaningi bathola impumuzo ngokudideka okulungile kokwelashwa.

Ukuguqula indlela yokuphila kuyisisekelo sokwelashwa kwe-GERD:

• Ukuguqula ukudla ukuze ugweme ukudla okubangela izimpawu
• Ukulahlekelwa isisindo uma unesondo esikhulu
• Ukudla ukudla okuncane
• Ukuqandisa ikhanda lembhede
• Ukugwema ukudla ebusuku
• Ukuyeka ukubhema

Imithi engaphezu kokuthengiswa inganika impumuzo ezimpawu ezilula kuya ezimbi. Ama-antacids ahlanza ama-asidi esiswini ngokushesha kodwa anika impumuzo yesikhashana. Ama-H2 receptor blockers afana ne-famotidine ancipha ukukhiqizwa kwama-asidi futhi ahlala isikhathi eside kunama-antacids.

Ama-Proton pump inhibitors (PPIs) ngokuvamile iyimithi ephumelela kakhulu ye-GERD. Lezi zidakamizwa zunciphisa kakhulu ukukhiqizwa kwama-asidi futhi zivumela ukuthi i-esophageal tissue elilimaziwe liphulukiswe. Ama-PPIs avamile ahlanganisa i-omeprazole, i-lansoprazole, ne-esomeprazole.

Nge-GERD enzima engaphenduli emithini, kukhona izinketho zokusebenza. I-Fundoplication iyinqubo lapho udokotela ophethe uqopha khona phezulu kwesisu sakho ngaphezulu kwesibindini sakho ukuqinisa isivikelo ekuphumeni emuva. Izindlela ezintsha ezincane zokusebenza nazo ziyatholakala.

Indlela yokuphatha i-GERD ekhaya?

Ukuphathwa kwe-GERD ekhaya kugxile ekudaleni indawo eunciphisa ukubuyela emuva kwama-asidi ngenkathi usekela impilo yakho yokugaya ngokujwayelekile. Lezi zindlela zisebenza kangcono uma zihlanganiswa njalo ngokuhamba kwesikhathi.

Ukulungiselela ukudla nokuhlela isikhathi kungathinta kakhulu izimpawu zakho. Zama ukudla ukudla kwakho okukhulu emini lapho uzoqina khona amahora amaningana ngemuva kwalokho. Gcina idayari yokudla ukuze ubone ukudla kwakho okuthile okubangela izimpawu, njengoba lezi zingase zihluke kumuntu nomuntu.

Dala indlela yokulala esekela ukugaya okuhle. Yeka ukudla okungenani amahora angu-3 ngaphambi kokulala, futhi cabanga ukudla ukudla okuncane kokudla okungena-asidi uma ulambile kamuva. Gcina ama-antacids eduze kwakho ebusuku ngezimpawu zobusuku ezingekho njalo.

Izindlela zokuphatha ukucindezeleka ezifana nokuphefumula okujulile, ukucamngca, noma i-yoga ebushelelezi zingasiza ekuthuthukiseni izimpawu ze-GERD. Ukucindezeleka akubangeli i-GERD ngokuqondile, kodwa kungenza izimpawu zibe zimbi futhi kukwenze ube nomuzwa omningi wokubuyela emuva kwama-asidi.

Hlala uthambile usuku lonke, kodwa gwema ukuphuza amanzi amaningi ngokudla, njengoba lokhu kungakhuphula ubuningi besisu futhi kukhuthaze ukubuyela emuva. Amanzi okushisa kwegumbi ngokuvamile abekwa kangcono kunokusetshenziswa okushisa kakhulu noma okubandayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho ye-GERD kusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nesiqondiso sokwelashwa esisebenzayo. Udokotela wakho udinga ulwazi oluthile ngezimpawu zakho nendlela ezithinta ngayo impilo yakho yansuku zonke.

Gcina idayari yezimpawu okungenani isonto elilodwa ngaphambi kwe-aphoyintimenti yakho. Bhala lapho izimpawu zenzeka khona, lokho okwakudlile, imisebenzi yakho, nokuthi izimpawu zazibi kangakanani ngesilinganiso esingu-1 kuya ku-10. Lolu lwazi lusiza udokotela wakho ukuqonda izibonelo nezinto ezibangela.

Yenza uhlu lwemithi yonke nezinye izinto ozithathayo, kuhlanganise nemithi engaphezu kokuthengiswa. Imithi ethile ingenza izimpawu ze-GERD zibe zimbi, ngenkathi ezinye zingase zihlangane nokwelashwa kwe-GERD udokotela wakho angase akuqondise.

Lungisa imibuzo mayelana nesimo sakho esithile. Ungase ubuze ngokunciphisa ukudla, nini okufanele ulinde ukuthuthuka kwezimpawu, izimpawu zezexwayiso ezidinga ukunakekelwa ngokushesha, noma isikhathi esingakanani okufanele uthathe imithi.

Letha umlando ophelele wezokwelapha, kuhlanganise ulwazi mayelana nezinye izinkinga zokugaya, ukuhlinzwa, noma izimo ezingapheli. Umlando womndeni we-GERD noma ezinye izifo zokugaya naye ulwazi olufanele ukwabelana ngalo.

Yini okufanele uyikhumbule mayelana ne-GERD?

I-GERD iyisimo esilawuleka esiphendula kahle ekwelapheni uma siphathwa kahle. Okubalulekile ukuqaphela ukuthi ukushisa kwentliziyo okuvamile akuyona into okufanele uhlale nayo futhi ufuna ukunakekelwa okufanele kwasekuqaleni.

Abantu abaningi abane-GERD bangafinyelela ekuthuthukiseni okukhulu kwezimpawu ngokudideka kokuguqula indlela yokuphila nemithi. Uma uqala ukwelashwa kwasekuqaleni, amathuba akho okuvimbela izinkinga nokugcina ikhwalithi yokuphila enhle.

Khumbula ukuthi ukwelashwa kwe-GERD ngokuvamile kuyisibopho sesikhathi eside kunokulungiswa okusheshayo. Ukusebenzisana eduze nodokotela wakho wezokwelapha kusiza uqinisekise ukuthi uthola ukudida okulungile kokwelashwa kwesimo sakho esithile.

Unganqikazi ukufuna ukunakekelwa kwezokwelapha uma izimpawu zakho zibe zimbi noma zingathuthuki ngokwelashwa kwasekuqaleni. I-GERD iyisimo esivamile esinezindlela eziningi zokwelashwa eziphumelelayo ezitholakalayo.

Imibuzo evamile ebuzwa mayelana ne-GERD

Ingase ihambe yodwa i-GERD?

I-GERD ayivamile ukuthi iphele ngokuphelele ngaphandle kokwelashwa, ikakhulukazi uma uhlushwe izimpawu izinyanga eziningi. Kodwa-ke, izehlakalo ezilula zingase zithuthuke kakhulu ngokuguqula indlela yokuphila kuphela. Izimbangela eziyisisekelo ze-GERD, ezifana ne-lower esophageal sphincter ebuthakathaka, ngokuvamile zidinga ukuphathwa okuqhubekayo kunokwelashwa okuzenzakalelayo.

Kuphephile yini ukuthatha imithi ye-GERD isikhathi eside?

Imithi eminingi ye-GERD iphephile ukusetshenziswa isikhathi eside uma ithathwe njengoba iqondiswe udokotela wakho. Ama-Proton pump inhibitors, imithi evamile kakhulu ebhaliwe ye-GERD, iye yasetshenziswa ngokuphephile izigidi zabantu iminyaka eminingi. Udokotela wakho uzakukuhlola noma yiziphi izingozi ezingase zenzeke futhi alungise ukwelashwa kwakho njengoba kudingeka.

Ingabe ukucindezeleka kungenza izimpawu ze-GERD zibe zimbi?

Yebo, ukucindezeleka kungenza izimpawu ze-GERD zibe zimbi ngisho noma kungabangeli isimo ngokuqondile. Ukucindezeleka kungase kukhuphule ukukhiqizwa kwama-asidi esiswini, kunciphise ukugaya, futhi kukwenze ube nomuzwa omningi wokubuyela emuva kwama-asidi. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca, noma ukwelulekwa kungasiza ekuthuthukiseni izimpawu zakho ze-GERD.

Ingabe ukulahlekelwa isisindo kuzosiza izimpawu zami ze-GERD?

Ukulahlekelwa isisindo kungathuthukisa kakhulu izimpawu ze-GERD, ikakhulukazi uma unesondo esikhulu. Isisindo esengeziwe sibeka uxinzelelo esiswini sakho, esingasukuma okuqukethwe kwesisu phezulu esibindini sakho. Ngisho nokulahlekelwa isisindo okuncane esingu-10 kuya ku-15 ama-pounds kungenza umehluko obonakalayo ekuqineni nasekubalulekeni kwezimpawu.

Ingabe kukhona izindlela zemvelo ezisiza nge-GERD?

Ezinye izindlela zemvelo zingasiza ekuphatheni izimpawu ze-GERD kanye nokwelashwa kwezokwelapha. Lezi zihlanganisa ukuklama i-gum ngemuva kokudla ukwandisa ukukhiqizwa kwesaliva, ukuphuza itiye le-chamomile, nokusebenzisa i-ginger ngokuphefumula. Kodwa-ke, izindlela zemvelo akufanele zithathe indawo yokwelashwa kwezokwelapha okuqinisekisiwe, futhi kufanele uxoxe nganoma yiziphi izithasiselo nodokotela wakho ngaphambi kokuzizama.