Isilungulela kunye ne-GERD: Ungayinyanga njani isicaphucaphu kunye nesisu esibuhlungu
Imfundo yezeMpiloUkuba ukhe uve imvakalelo evuthayo inyuka esiswini sakho iye esifubeni nasemqaleni emva kokutya, ukude kakhulu. Ngaphezulu kwezigidi ezingama-60 zabantu baseMelika abafumana ukungakhululeki kwentliziyo rhoqo kanye ngenyanga, ngokwe kwiKholeji yaseMelika yeGastroenterology.
Senze esi sikhokelo ukukunceda ngcono ukuba uqonde ukuba yintoni into etshisa entliziyweni, kwaye okona kubaluleke kakhulu, ungayilungisa njani. Iindaba ezimnandi zezi, zininzi iindlela zonyango ezifanelekileyo ezikhoyo ukunceda ukunciphisa kunye nokukhusela ukutshisa kunye nokungonwabi. Nokuba usebenzisa i-counter-counter okanye amayeza kagqirha, okanye wenze iinguqu ezimbalwa kwindlela yokuphila, sikufumene.
Yintoni isisu?
Isitshisa, okanye i-gastroesophageal reflux, yenzeka xa izixa ezikhulu ze-asidi ye-asidi (funda: buyela umva) kwi-esophagus, ityhubhu yemisipha edibanisa isisu nasemqaleni. Oku kuhlala kwenzeka xa umsipha omncinci phakathi komqala kunye nesisu uqala ukuphumla, uvumela isisu esiswini ukuba sifudukele phezulu.
Sinjani isilungulela?
Iimpawu eziqhelekileyo zokuqaqamba kwentliziyo zichazwa njengemvakalelo yokutsha kwentlungu okanye ukungonwabi okusuka esifubeni kuye entanyeni nasemqaleni. Ngamanye amaxesha, abantu bafumana incasa ekrakra okanye emuncu emva komqala wabo. Ngaphandle kwegama, ayinanto yakwenza nentliziyo yakho. Endaweni yokuba yimvakalelo yeasidi ecaphukisa izicwili zakho.
Yintoni ebangela ukutsha?
Kuqheleke kakhulu ukuba ube nentlungu emva kokutya isidlo esikhulu, ngakumbi enye inamafutha amaninzi. Uxinzelelo lwangaphakathi olubangelwa sisisu esigcweleyo lunokunyanzela i-asidi kwi-esophagus, enokubangela iimpawu. Ukutyeba kakhulu kunokulwenza mandundu olu xinzelelo kwaye kunokubangela ukutsha kwentliziyo ngakumbi. Ukutya okunamafutha kunye nokutya okugqithisileyo kunokucothisa ukwetyisa, nto leyo enegalelo kwi-asidi ye-asidi.
Ukuba uqala ukuziva ukutsha, okanye usandula ukufumana isidlo esikhulu, esidlayo, unokufuna ukunqanda ukulala esofeni. Xa sime nkqo, amandla omxhuzulane asebenzela thina ukumisa isisu esinyukayo esiya phezulu. Nangona kunjalo, ukuba ulala phantsi, kunokwenzeka ukuba ufumane isilungulela njengoko ubunzima bungenakuyeka i-asidi engena kwi-esophagus yakho.
Ngaba sisilumko okanye enye into?
Phantse wonke umntu uya kuba neempawu zokuba buhlungu ngaxa lithile okanye enye, ngakumbi emva kokutya isidlo esikhulu, kwaye ngamanye amaxesha iimpawu zihlala iiyure ezimbalwa. Nangona kunjalo, abanye abantu banesifo sentliziyo esinganyangekiyo, kwaye iimpawu zenzeka ngaphezulu kwamaxesha amabini ngeveki. Kule meko, unokuba ne- iba qatha ngakumbi imeko yonyango ebizwa ngokuba sisifo se-reflux se-gastroesophageal, okanye i-GERD.
I-GERD yenzeka kubantu abane-valve yemisipha ebuthathaka ebizwa ngokuba yi-sphincter esezantsi ye-esophageal (LES). Iphola kaninzi kwaye ivumele isisu esiswini ukuba sinyuse umqala.
Kuqikelelwa ukuba Amashumi amabini% yabantu baseMelika bane-GERD, yiyo loo nto amanyathelo okuqaqambisa abantu afana neVeki yokuQatshelwa kwe-GERD ibaluleke kakhulu. I-2019 yeVeki yokuQatshelwa kwe-GERD iqale nge-17 kaNovemba ngo-Novemba, ke yongeza kunyaka olandelayo kwikhalenda yakho ukuze uhlale uhlaziyiwe.
Ndingasiphelisa njani isilungulela?
Ngethamsanqa, zininzi iindlela zonyango ezifanelekileyo ezikhoyo kubantu abafumana ukubola. Abantu abaninzi bafumana isiqabu kumayeza kagqirha nangaphaya kwamayeza, utshintsho oluncinci kwindlela yokuphila, kunye nolunye unyango lwendalo kunye nolwasekhaya.
Amayeza aziwayo e-counter-counter-counter-a-heartburn aquka i-antacids, njengeTum okanye i-Rolaids, esebenza ukunciphisa i-asidi yesisu kunye ne-acid indigestion. Abanye abantu bakhetha iibhlokhi zeasidi, ezinciphisa inani elifanelekileyo lesisu esivelisiweyo. Oku kubandakanya iAxid AR, iPepcid AC, Prilosec OTC, kunye neTagamet HB.
Ezinxulumene : Prevacid vs Prilosec
Ukuba isilungulela sakho siqhelekile okanye siqatha, nangona kunjalo, kwaye iindlela ezingaphaya kwekhawunta azisebenzi, unokufuna amayeza kagqirha. Ezi zihlala ziinguqulelo ezinamandla zokhetho ngaphezulu kwe-counter, kunye neproton pump inhibitor (PPI) iziyobisi kubandakanya iPrevacid neNexium.
Olunye utshintsho kwindlela yokuphila uninzi lwabantu oluthi luyasebenza ekunciphiseni ukungcungcutheka kwabo kunye nesitshisa kukuziqhelanisa nokutya de uhluthe.
Ikwangumbono olungileyo ukwazi ukuba zeziphi ukutya ezibangela isitshisa kwaye uziphephe xa kunokwenzeka. Ukutya okwaziwayo ukubangela ukutsha kwesisu kubandakanya ikofu, utywala, iziselo ezihlwahlwazayo, ukutya okuqhwethayo, iitumato, itshokholethi, ipepermint, itswele, kunye nokunye ukutya okunamafutha aphezulu.
Inokukunceda ukunqanda ukubeka phantsi ithutyana emva kokutya kwaye endaweni yoko ukhethe ukuthatha uhambo. Oku kunceda ukwetyisa kwaye kunceda amandla omxhuzulane asebenze endaweni yakho.
Leliphi elona yeza lilungileyo lokunciphisa isisu?
Jonga itshathi yethu yesalathiso esikhawulezayo.
| Iyeza lokunceda isilungulela | ||||
|---|---|---|---|---|
| Igama leziyobisi | Iklasi yeziyobisi | I-counter-counter okanye imithi | Iifom | Ingaba isebenza kanjani |
| Iitum (calcium carbonate) | I-Antacid | OTC | Ithebhulethi ehlafuna, ithebhulethi, ukumiswa | Ayikhuphi asidi yesisu |
| Ii-Rolaids (i-calcium carbonate kunye ne-magnesium hydroxide) | I-Antacid | OTC | Ithebhulethi ehlafuna, ithebhulethi, ilogenge | Ayikhuphi asidi yesisu |
| Maalox (aluminium hayidroksayidi, nemagniziyam hayidroksayidi, kunye simethicone) | I-Antacid | OTC | Ithebhulethi ehlafuna, ulwelo | Ayikhuphi asidi yesisu |
| I-Emetrol (i-carbohydrate enefosforated) | I-antiemetic | OTC | Ulwelo | Ukunciphisa ukunciphisa isisu |
| I-Pepto Bismol (ibismuth subsalicylate) | I-Antacid, antidiarrhea | OTC | Ithebhulethi ehlafuna, ukumiswa | Ukhusela i-esophagus kwi-asidi |
| I-Axid (nizatidine) | I-H2 (histamine-2) ibhlokhi | Rx kunye ne-OTC | Amacwecwe, njengezingxobo | Ukuthintela ukuveliswa kwesisu esiswini |
| I-Pepcid (ifototidine) | I-H2 (histamine-2) ibhlokhi | Rx kunye ne-OTC | Ithebhulethi | Ukuthintela ukuveliswa kwesisu esiswini |
| I-Tagamet (cimetidine) | I-H2 (histamine-2) ibhlokhi | Rx kunye ne-OTC | Ithebhulethi | Ukuthintela ukuveliswa kwesisu esiswini |
| Prevacid (ilansoprazole) | Iiproton pump inhibitors (ii-PPIs) | Rx kunye ne-OTC | Iphilisi ekhutshiweyo yokukhululwa | Ukuthintela ukuveliswa kwesisu esiswini |
| I-Nexium (esomeprazole magnesium) | Iiproton pump inhibitors (ii-PPIs) | Rx kunye ne-OTC | Iphilisi ekhutshiweyo yokukhululwa | Ukuthintela ukuveliswa kwesisu esiswini |
| Iprilosec (omeprazole) | Iiproton pump inhibitors (ii-PPIs) | Rx kunye ne-OTC | Iphilisi ekhutshiweyo yokukhululwa | Ukuthintela ukuveliswa kwesisu esiswini |
IiRolaids vs Tums
Ii-Rolaids kunye neeTum zizezona zimbini zaziwa njenge-anti-anti-anti-antacids ezikhoyo zokunyanga ukungcola kunye nokuqaqanjelwa yintliziyo. Basebenza ngokungxama kunye nokuthomalalisa imiphumo yesisu esiswini esinyusa umqala.
Ke zahluke njani? Isithako esisebenzayo kwiTums yi-calcium carbonate kuphela, ngelixa i-Rolaids yindibaniselwano ye-calcium carbonate kunye ne-magnesium hydroxide. Zombini zinokukhetha okuhle ukubetha kwentliziyo kwaye kuthathwe kwimfuno.
Nangona zithathwa njengezikhuselekileyo, babelana ngemiphumela efanayo kubandakanya ukuqunjelwa, umlomo owomileyo, incasa yentsimbi emlonyeni, ukwanda komchamo, kunye neentlungu zesisu. Ngenxa yemagniziyam hayidroksayidi kwiiRolaids, kukwakhona nefuthe elongezelelekileyo lesifo sorhudo.
Kwenzeka ntoni kuMylanta?
Kwiminyaka emininzi, ngakumbi kwii-1990s, iMylanta yayiyimveliso ethandwayo esetyenziselwa ukunciphisa iimpawu zentliziyo. Nangona kunjalo, ngo-2010, i-anti-counter-counter-anti-acid yazikhumbuza ngokuzithandela ngenxa yokufunyanwa kotywala kwimveliso.
Ngokomvelisi, uJohnson & Johnson, imveliso yayikhunjulwa ukuze ibuyiselwe kwakhona ngokuchaneka okungcono, hayi ngenxa yomngcipheko wokufunxwa kotywala okanye iziphumo ezibi.
Ngo-2016 iMylanta yabuyiselwa kwimarike kwaye yabonwa ikhuselekile ukuyisebenzisa njenge-antacid.
Iziphumo ebezingalindelekanga ezinokubakho zeyeza lesilungulela
Njengawo onke amayeza, kuhlala kukho umngcipheko weziphumo ebezingalindelekanga. Kakade ke, oku kuquka isisu kunye nokugaya amayeza.
Ezinye iziphumo ebezingalindelekanga abantu baxela xa bethatha i-antacid kunye ne-acid blocker (ekwabizwa ngokuba yiproton pump inhibitors okanye ii-PPIs) amayeza okubola kunye ne-GERD abandakanya:
- Urhudo
- Ukuqunjelwa
- Isisu (irhasi)
- Isisu nokugabha
- Intloko ebuhlungu
- Ifiva
Ngaphambi kokuba uqale naliphi na iyeza elitsha, kuhlala kubalulekile ukuba ubonane nogqirha wakho okanye ugqirha wamazinyo kwaye uchaze nawaphi na amanye amayeza owathathayo ngoku, njengoko kusoloko kukho umngcipheko wokuba amanye amayeza enonxibelelwano olubi xa esetyenziswe kunye.
Isilungulela xa ukhulelwe
Isibilini ngexesha ukukhulelwa kuqheleke kakhulu, njengoko ukwanda kwemveliso yeprogesterone yehomoni kunokubangela ukuba ivelufa eyahlula isisu kwindawo yokuphumla iphumle.
Kuqheleke kakhulu kwikota yesithathu yokukhulelwa xa umntwana okhulayo kunye nesibeleko sibeka uxinzelelo lwangaphakathi esiswini, ukutyhala isisu esiswini phezulu.
Unokuthintela ukutsha kwentliziyo ngexesha lokukhulelwa ngokutya ukutya okuncinci emini kunokutya okuncinci rhoqo, ukutya okukhulu, ukulinda iyure-okanye njalo-emva kokutya ngaphambi kokuba ulale, kunye nokuthintela ukutya okuneziqholo, okunamafutha aphezulu kunye nokutyeba.
Uninzi lwamayeza e-anti-counter-counter-anti-acid akhuselekile ukusebenzisa ngexesha lokukhulelwa, kodwa kusoloko kukulungele ukuthetha nomboneleli wakho wezempilo kwaye ufunde iilebula ngaphambi kokuba uqale nayiphi na iyeza okanye unyango ngexesha lokukhulelwa.
