Ukuphuma Kwe-asidi Ezinganeni: Izimpawu, Izimbangela, Nokwelashwa

Ukuphuma kwe-asidi ezinganeni kwenzeka lapho okuqukethwe esiswini kubuyela emgodini wokudla, umthambo ohlanganisa umlomo nesisu. Lokhu kuvamile kakhulu ezinsaneni ezintsha futhi kuvame ukuphulukana ngokwalo njengoba ingane yakho ikhula.

Cishe zonke izingane zihlangabezana nokuphuma kwe-asidi ezinyangeni zabo zokuqala zokuphila. Izistimu zazo zokugaya ukudla zisazithuthukisa, futhi umsipha ogcina ukudla esiswini awukabi yena olukhulu.

Ziyini izimpawu zokuphuma kwe-asidi ezinganeni?

Isici esibonakalayo kakhulu ukukhipha ukudla njalo, ikakhulukazi ngemva kokondla. Ungase ubone ingane yakho ikhipha amanani amancane obisi noma ifomula, okungase kwenzeke ngokushesha ngemva kokudla noma ngisho nehora kamuva.

Nawa zimpawu ezivamile ongaziqaphela engwaneni yakho:

• Ukukhipha ukudla noma ukugabha njalo ngemva kokondla
• Ukuqengqeleka komhlane phakathi noma ngemva kokondla
• Ukukhathazeka noma ukukhala, ikakhulukazi phakathi noma ngemva kokudla
• Ukwenqaba ukudla noma ukubonakala sengathi akunakuthula ngesikhathi sokondla
• Ukukhokha noma ukugabha njalo
• Ukwenza imisindo yokugqugquzela ehlombe
• Ukuphazamiseka kokulala noma ubunzima bokuhlala ulele

Izingane eziningi ezinokuphuma kwe-asidi ziyaqhubeka zithola isisindo ngokujwayelekile futhi zibonakala zinethando phakathi kwesikhathi. Noma kunjalo, ezinye izingane zihlangabezana nezimpawu ezinzima kakhulu ezingase zibonise isimo esibizwa ngokuthi i-gastroesophageal reflux disease (GERD), esizoxoxa ngayo kamuva.

Yini ebangela ukuphuma kwe-asidi ezinganeni?

Imbangela ephambili iwumsipha ongaphansi we-esophageal sphincter ongasebenzi kahle, oyi-ring yemisipha esebenza njengesivalo phakathi komgodini wokudla nesisu. Ezinganeni, lo msipha usazithuthukisa futhi awuhlali uvaliwe ngokuphelele.

Izici eziningana zinikezela ekutheni kungani ukuphuma kwe-asidi kuvamile kakhulu ezinganeni:

• Isistimu yokugaya ukudla esingakaqeqeshwa kahle
• Ukuchitha isikhathi esiningi zikhona phansi, okwenza kube lula ukuthi okuqukethwe esiswini kugeleze phezulu
• Ukudla okuqukethe amanzi kuphela, okugeleza kalula kunokudla okuqinile
• Isisu esincane esihlala sigcwele ngokushesha futhi sihlala siphuma njalo
• Isimiso sokondla njalo esenza isisu sihlale sigcwele

Ezinye izingane zingase zibe nokuphuma kwe-asidi okuningi ngenxa yokungazizwa kokudla, ikakhulukazi amaprotheni afakwe ifomula noma ubisi lwebele. Izingane ezingazalwanga ngesikhathi esifanele zivame ukuba nokuphuma kwe-asidi okukhulu ngoba izistimu zazo zokugaya ukudla zidinga isikhathi esengeziwe sokuvuthwa.

Ziyini izinhlobo zokuphuma kwe-asidi ezinganeni?

Kunezinhlobo ezimbili eziyinhloko zokuphuma kwe-asidi ezinganeni. Ukuphuma kwe-asidi okulula, okuthiwa futhi ukuphuma kwe-asidi okuvamile, yilohlobo oluvamile, olungenangozi oluhlangabezana nalo izingane eziningi.

I-Gastroesophageal reflux disease (GERD) yilohlobo olukhulu oludinga ukunakekelwa kwezokwelapha. Ngokungafani nokuphuma kwe-asidi okulula, i-GERD ibangela ukungakhululeki okukhulu futhi ingaphazamisa ukukhula nokuthuthuka kwengane yakho. Izingane ezinayo i-GERD zivame ukuba nezimpawu ezinzima kakhulu futhi zingase zihlupheke ukuthola isisindo ngokufanele.

Umehluko oyinhloko ukuthi ukuphuma kwe-asidi okulula akubangeli izinkinga ezihlala njalo, kuyilapho i-GERD ingabangela izinkinga uma ingalashwa. Udokotela wakho angakusiza ukuthola ukuthi iyiphi inhlobo ingane yakho enayo ngokusekelwe ezimpawu zayo nempilo yayo yonke.

Nini kufanele ubona udokotela ngokuphuma kwe-asidi ezinganeni?

Kufanele uxhumane nodokotela wakho uma ingane yakho ingathuthuki kahle noma ibonakala ilahlekelwa isisindo. Lokhu kungase kubonise ukuthi ukuphuma kwe-asidi kuyahlupha ukudla kwayo.

Hlela i-aphoyintimenti uma uqaphela noma yiziphi izimpawu ezikhathazayo:

• Ukugabha okuqine kakhulu okudubula ngaphandle ngamasentimitha amaningana (ukugabha okuqhumayo)
• Igazi elikhiphayo noma ukugabha
• Ukugabha oluhlaza noma oluphuzi
• Ukwenqaba ukudla noma ukubonisa izimpawu zobunzima bokondla obukhulu
• Ukukhala okukhulu noma izimpawu zobuhlungu obukhulu
• Izinkinga zokuphefumula, kufaka phakathi ukukhokha noma ukukhokha okuqhubekayo
• Ukukhokha noma ukugabha njalo ngesikhathi sokondla

Themba izinzwa zakho njengomzali. Uma kukhona okungalungile noma ingane yakho ibonakala ingakhululeki ngokweqile, kuhlale kufanele uxhumane nodokotela wakho ukuze uthole isiqondiso.

Ziyini izici ezingaholela ekuphumeni kwe-asidi ezinganeni?

Izingane ezingazalwanga ngesikhathi esifanele zinezinkinga eziningi ngoba izistimu zazo zokugaya ukudla azikabi nazo isikhathi esanele sokuthuthuka esizalweni. Umsopha wazo ongaphansi we-esophageal sphincter ungase ube mncane kunowamabele aphelele.

Izici eziningana zingandisa amathuba okuphuma kwe-asidi engwaneni yakho:

• Ukuzalwa ngaphambi kwesikhathi
• Ukuba ne-hiatal hernia, lapho ingxenye yesisu icindezela idayafragumu
• Izimo ze-neurological ezihlupha ukuxhumanisa kwemisipha
• Umlando womndeni wokuphuma kwe-asidi noma izinkinga zokugaya ukudla
• Ukuvezwa ukubhema okusecondhand
• Imithi ethile ephumula umsipha ongaphansi we-esophageal sphincter

Izingane eziningi ezinalezi zici zisazithola zine-reflux encane eziphulukana nayo ngokwemvelo. Ukuba nezici ezingaholela ekuphumeni kwe-asidi akusho ukuthi ingane yakho izoba nezimpawu ezinzima noma izinkinga.

Ziyini izinkinga ezingase zenzeke ngokuphuma kwe-asidi ezinganeni?

Izingane eziningi ezinokuphuma kwe-asidi azitholi lutho, ikakhulukazi uma kuwuhlobo oluvamile, olukhulu. Noma kunjalo, ukuphuma kwe-asidi okukhulu noma i-GERD ngezinye izikhathi kungabangela izinkinga ezidinga ukunakekelwa kwezokwelapha.

Izinkinga ezingase zenzeke zihlanganisa:

• Ukungaqini kahle kwesisindo noma ukwehluleka ukuthuthuka ngenxa zobunzima bokondla
• I-Esophagitis, okuwukuvuvukala komgodini wokudla ngenxa yokubekwa kwe-asidi okuphindaphindayo
• Izinkinga zokuphefumula uma okuqukethwe esiswini kungena emaphashini
• Ukuphazamiseka kokulala okuphazamisa ukuthuthuka okuphelele
• Ukwehluleka kwe-Iron ngenxa yokopha okuncane emgodini wokudla
• Ukunciphisa komgodini wokudla ezimweni ezinzima, ezingavamile

Lezi zinkinga azivamile futhi ngokuvamile zenzeka kuphela nge-GERD enzima, engalashwanga. Ukungenelela kwangaphambi kwesikhathi nokuphathwa okuhle kungavimbela izinkinga eziningi ezingase zenzeke.

Ukuphuma kwe-asidi ezinganeni kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele ukuphuma kwe-asidi ezinganeni, ezinye izindlela zokondla nokuma zingasiza ukunciphisa izimpawu. Lezi zindlela ezimnene zisebenza ngokuthuthuka kwengane yakho ngokwemvelo kunokuba zimelane nayo.

Nawa amaqhinga awusizo okuthuthukisa ukuphuma kwe-asidi:

• Kondla ngamanani amancane njalo kunokondla ngamanani amakhulu
• Gcina ingane yakho ikuma ngemizuzu engama-20-30 ngemva kokondla
• Yenza ingane yakho ikhiphe umoya izikhathi eziningi ngesikhathi sokondla
• Gwema ukugxuma noma ukudlala okunamandla ngokushesha ngemva kokudla
• Gcina ikhanda lengane yakho liphakeme kancane ngesikhathi sokulala (njengoba kuphakanyiswe udokotela wakho kuphela)
• Uma ukondla ngebhodlela, qiniseka ukuthi umgodi we-nipple awukukhulu kakhulu, okungabangela ukondla ngokushesha

Kubamama abanyusayo, ukugwema ukudla okungenzeka kube yimbangela njenge-caffeine, ukudla okunoshukela, noma ubisi kungasiza ezinye izingane. Noma kunjalo, ukushintsha kokudla kufanele kuqale kuqondiswe udokotela wakho.

Ukuphuma kwe-asidi ezinganeni kunqunywa kanjani?

Ngokukhulu kwesikhathi, udokotela wakho angaqonda ukuphuma kwe-asidi ngokusekelwe ezimpawu zengane yakho nokuhlolwa komzimba. Uzokubuzisa ngezindlela zokondla, ukuthola isisindo, kanye nezimpawu ozibonile.

Udokotela wakho cishe uzolandelela ukukhula kwengane yakho kuma-charts ajwayelekile ukuqinisekisa ukuthi uthola isisindo ngokufanele. Uma ingane yakho ikhula kahle futhi ibonakala ikhululekile phakathi kwesikhathi, akudingeki ukuhlolwa okukhethekile.

Ezimweni lapho i-GERD ithandwa khona, udokotela wakho angase aphakamise ukuhlolwa okwengeziwe. Lokhu kungase kuhlanganise uchungechunge lwe-GI oluphezulu, lapho ingane yakho iphuza isisombululo sokuqhathanisa futhi ama-X-ray alandelela indlela esigaya ngayo ukudla. Ngezinye izikhathi, ukuhlolwa kwe-pH probe kuyalinganisa amazinga e-asidi emgodini wokudla ngamahora angu-24.

Iyini impilo yokuphuma kwe-asidi ezinganeni?

Kubantu abaningi abanawo ukuphuma kwe-asidi okulula, isikhathi siyindlela engcono kakhulu yokwelapha. Isimo ngokuvamile siphulukana kakhulu ngenyanga yesi-6 yobudala futhi siphulukana ngokuphelele ngenyanga engu-12-18 njengoba isistimu yokugaya ukudla ivutha.

Udokotela wakho angase aphakamise lezi zindlela zokuphatha:

• Ukushintsha izindlela zokondla nokuma
• Ukuqina ifomula nge-rice cereal (uma kuphakanyiswe udokotela wakho kuphela)
• Ukushintsha ifomula uma kukhona ukungazizwa kokudla
• Kubamama abanyusayo, ukususa ukudla okungenzeka kube yimbangela ekudleni kwabo
• Ukusebenzisa imithi efana ne-antacids noma i-acid reducers ezimweni ezinzima
• Ezimeni ezingavamile, ukucutshungulwa kungase kubhekwe nge-GERD enzima engaphenduli ezinye izindlela zokwelapha

Imithi ngokuvamile igcinelwe izingane ezinayo i-GERD ezingaphenduli ekushintsheni kokondla nasezindleleni zokuma. Udokotela wakho uzokuqonda izinzuzo nezingozi ngaphambi kokuphakamisa noma iyiphi imithi.

Indlela yokunakekela ekhaya ngesikhathi sokuphuma kwe-asidi ezinganeni

Ukudala indawo ethule, ezolile ngesikhathi sokondla kungenza umehluko omkhulu engwaneni yakho. Thatha isikhathi sakho ngesikhathi sokondla futhi uqaphele izimpawu zengane yakho mayelana nokuthi iphelile nini.

Nawa amaqhinga okunakekela ekhaya:

• Gcina izikhathi zokondla zithule futhi zingaphuthumi
• Gcina izindwangu zokukhipha ukudla zitholakala kalula futhi ungakhathazeki ngokungcola
• Zama izikhundla ezahlukene zokondla ukuze ubone ukuthi yini esebenza kahle engwaneni yakho
• Cabanga ngokondla kancane, kaningi kunokuzimisela ukuba badle amanani amakhulu
• Gcina i-log yokondla ukuze ubone izindlela noma izimbangela
• Qiniseka ukuthi noma ubani onakekela ingane yakho uyazi ngokuphuma kwe-asidi kanye nezindlela ezifanele zokuma

Khumbula ukuthi ukuphuma kwe-asidi kungaba yingxube futhi ngezinye izikhathi kuyadumaza, kodwa kuyasheshisa. Ingane yakho ayikhathazeki ngaso sonke isikhathi, futhi ukukhipha ukudla akuyilimazi njengoba ukugabha kungakulimaza wena.

Indlela yokulungiselela i-aphoyintimenti yakho nodokotela

Ngaphambi kwe-aphoyintimenti yakho, gcina irekhodi lezimpawu zengane yakho izinsuku eziningana. Qaphela ukuthi izikhathi zokuphuma kwe-asidi zenzeka nini ngokubhekisele ezikhathini zokondla nokuthi yini ebonakala iyimbangela.

Lezi zinto zizokusiza udokotela wakho ukuqonda indlela:

• Ukuvamile nokulingana kwesikhathi sokuphuma kwe-asidi
• Isimiso sokondla sengane yakho namanani
• Noma yikuphi ukushintsha ezindleleni zokukhala noma ukuphazamiseka kokulala
• Ulwazi lokuthola isisindo uma une-scale ekhaya
• Uhlu lwemithi oyizamele kanye nokusebenza kwayo
• Imibuzo mayelana nokuthi yini evamile nokuthi yini engase ikhathaze

Ungangabazi ukubuza udokotela wakho ukuthi abonise izikhundla ezifanele zokondla noma izindlela zokukhipha umoya. Bangakusiza futhi ngokuthi yiziphi izimpawu ezidinga ukunakekelwa kwangokushesha kanye nalezo ezingxenye yokuqala yokuqala yengane.

Yini okufanele uyikhumbule ngokuphuma kwe-asidi ezinganeni?

Ukuphuma kwe-asidi ezinganeni kuvamile kakhulu futhi ngokuvamile akunangozi, kuhlupha cishe zonke izingane ngezinga elithile. Nakuba kungadala izikhathi ezingcolile nokungakhululeki okwesikhashana, izingane eziningi zikhula ngokwemvelo njengoba izistimu zazo zokugaya ukudla zivutha.

Iningi lezingane ezinokuphuma kwe-asidi liyaqhubeka likhula futhi lithuthuka ngokujwayelekile. Ukushintsha okulula kokuma nokondla ngokuvamile kunikeza impumuzo enkulu ngaphandle kokusebenzisa imithi noma ukungenelela kwezokwelapha.

Themba ukuthi leli zinga lizohamba, ngokuvamile ngosuku lokuzalwa lokuqala lengane yakho. Gxila ekuqondeni izikhathi zokondla zithule futhi zikhululeke, futhi ungangabazi ukuxhumana nodokotela wakho uma ukhathazekile ngezimpawu zengane yakho noma ukukhula kwayo.

Imibuzo evamile mayelana nokuphuma kwe-asidi ezinganeni

Ingabe kuyinto evamile ukuthi ingane yami ikhiphe ukudla ngemva kokondla njalo?

Yebo, ukukhipha ukudla njalo kuyinto evamile kakhulu kubantu abaningi, ikakhulukazi ezinyangeni zabo zokuqala. Uma ingane yakho ithola isisindo futhi ibonakala ikhululekile phakathi kwesikhathi, lokhu ngokuvamile kuyisigaba sokuthuthukisa isistimu yayo yokugaya ukudla.

Ngingawubona kanjani umehluko phakathi kokukhipha ukudla okuvamile nokugabha?

Ukukhipha ukudla ngokuvamile kugeleza ngokuthula emlonyeni wengane yakho, kuyilapho ukugabha kunamandla futhi kuphuma ngamandla amakhulu. Ukukhipha ukudla okuvamile kuvame ukubukeka njengobisi noma ifomula engagayiwe, kuyilapho ukugabha kungase kube yinto ebonakala sengathi iphekwe. Uma ubona ukugabha okuqine, okuqhumayo, xhumana nodokotela wakho.

Ingabe ukunywusa noma ukondla ngefomula kuzokwenza ukuphuma kwe-asidi kube ngcono noma kube sibi?

Zombili izingane ezinyusiwe nezingondliwe ngefomula zingase zibe nokuphuma kwe-asidi, nakuba ezinye izifundo zibonisa ukuthi izingane ezinyusiwe zingase zibe nezimpawu ezingathandeki kakhulu. Okubalulekile ukuthola ukuthi yini esebenza kahle engwaneni yakho, kungaba ukulungisa ukudla kwakho ngenkathi unywusa noma ukuzama amafomula ahlukene ngesiqondiso sika dokotela wakho.

Ingane yami izokhula nini ngokuphuma kwe-asidi?

Izingane eziningi zibonisa ukuthuthuka okukhulu ngenyanga yesi-6 yobudala lapho ziqala ukuhlala futhi ziqala ukudla ukudla okuqinile. Iningi lezingane liyakhula ngokuphuma kwe-asidi ngokuphelele ngenyanga engu-12-18 njengoba umsipha wazo ongaphansi we-esophageal sphincter uvutha futhi uba namandla.

Kufanele ngikhathazeke yini uma ingane yami iqengqeleka umhlane ngesikhathi sokondla?

Ukuqengqeleka komhlane ngesikhathi noma ngemva kokondla kuyisimo esivamile sokungakhululeki okuphuma kwe-asidi, kodwa akuyona into ebangela ukukhathazeka. Noma kunjalo, uma ingane yakho iqengqeleka umhlane njalo futhi ibonakala ihlupheka kakhulu, noma uma le nkambo ihambisana nokwenqaba ukudla noma ukungaqini kahle kwesisindo, xoxa nodokotela wakho.