Izifo Ezibhebhethekisa Ukushisa Izifo | Ukuvikela impilo

Abaningi baye babona isithombe ngaphambili: umuntu obonakala sengathi ukhahlela umlilo, futhi eduze kwalo isihloko esithi "Inhliziyo". Lokhu kuyiqiniso isithombe esiphendukekile, ngoba ukushaya kwenhliziyo, naphezu kwegama layo, akuhlangene nomlilo noma amalangabi. Esikhundleni salokho, kukhona ukucasuka kwamangqamuzana emangqamuzana emgodleni olandelayo - umuzwa ongekho omuhle.

Ukuguquka kwesisu - Ingozi esifubeni (isifo se-reflux)

Cishe wonke umuntu uhlangabezana nalokhu ngezikhathi ezithile. Uma nje izimpawu ziphela ngokwabo ngemva kwamahora noma ezinsukwini eziningi noma ezimbili, akukho lutho oluzokhathazeka ngalo. Cishe ku-10 kuya ku-15 amaphesenti alabo abathintekayo abayeka ukuvutha emqaleni, noma kunjalo.

Izinkinga zokuphuza noma isisu
Sodbrennen – Refluxkrankheit

Kuzo, i-mucosa inomsindo kakhulu kangangokuthi iyashisa. Isifo okuthiwa i-reflux, esivela kuso, kumele siphathwe ngaso sonke isikhathi. Ngisho noma ukushaya kwenhliziyo okuncane kuhlale kungenabungozi: ezigabeni eziphambili zesifo, ngaphandle kwelashwa efanelekile, izinkinga ezinkulu zempilo - kuhlanganise nomdlavuza - zisongela.

Izimpendulo ezilandelayo emibutshweni ebaluleke kakhulu mayelana nokukhwabanisa kusiza ukugwema okubi kakhulu.

Kuvela kanjani ukuhlupheka?

Impande yobubi yijusi yesisu. Isebenza ukugaya ukudla kuqala futhi "ukuyigcoba" ngokuhlukanisa amaqanda abamhlophe. Ufeza lo msebenzi ngosizo lwe-enzyme (pepsin) futhi - okuzwakala kungavamile ekuqaleni - ingxenye ye-hydrochloric acid.

I-Hydrochloric acid emzimbeni wethu? Akuyona leyo eyingozi? Akunjalo nje uma ijusi esiswini sikhona lapho kungokwakhe - esiswini. Naphezu kwe-pH enamandla kakhulu ye-1 kuya ku-3-okuyikhulu ngokuphindwe kabili ngaphezu kweviniga - i-fluestive fluestive ayilimazi lapho. Ngenxa yesakhiwo sabo esiyingqayizivele, izindonga zangaphakathi zesisu zingakwazi ukubekezelela kalula lesi simo esiyingozi.

Ngokuvamile, i-sphincter igcina ushintsho phakathi kwesisu nesisu esiswini ukuze i-asidi engeke ibaleke ngaphakathi kokuvula kwesisu. Kodwa umsebenzi wale misipha ungaphazamiseka ngenxa yezizathu ezahlukene (bheka umbuzo olandelayo). Ngenxa yalokho, okuqukethwe kwesisu kugeleza ngaphakathi kwendawo futhi kuthukuthele i-mucosa. Lokhu kubonakala njengenhliziyo.

Kungani isisu singavali?

I-sphincter, ebizwa nangokuthi "i-sphincter", efaka uphawu lokungena kwesisu, ingaba khona ngezizathu ezihlukahlukene. Okokuqala, kuyinto engavamile yokuguga, yingakho ukushaya kwenhliziyo kuvela ku-50. Ubudala buba khona kaningi kakhulu. Lokhu ngokuvamile kwenzeka ebusuku, ngoba i-sphincter emkhatsini we-esophagus nesisu ilala ngisho nangesikhathi sokulala. Ngaphezu kwalokho, i-reflux yokuqukethwe kwesisu sinomusa ngenkathi ilele phansi.

Kwamanye amacala, ukuphazamiseka kwesibindi kuholela ekuhambeni kwesisu esiswini. Umswakama ulahlekelwa ukuphazamiseka kwawo, kanti i-sphincter ayisasebenzi kahle. Ngokwehlukana okukhulu kwesibindi, okuqukethwe kwesisu ngezinye izikhathi ngisho nokugeleza ku-pharynx.

Ziyini izimpawu ezivamile?

Isiqalo sobuciko sokuphuza isisindo esibuhlungu nokushisa esiswini esingaphezulu. Ngezinye izikhathi ubuhlungu buyekezela emuva kwesifuba. Ukugxila noma ukuphuza akuthuthukisi umuzwa. Kodwa lo mzwa akufanele. Kwezinye izimo, okokuqala i-reflux ye-gastric acid emqaleni iyaqala noma iyiphi izimpawu - lokhu kukhohlisayo ngokukhethekile. Uma izimpawu zivela kamuva, lesi sifo singase sibe sesiteji esithuthukisiwe, okwenza ukuthi ukwelapha kube nzima.

Ziyini izimpawu ezingenasifo?

I-acast gastric esikhungweni ngezinye izikhathi ibangela izimpawu ukuthi isiguli noma udokotela awuhlanganisi nokushaya inhliziyo. Abantu abasha ikakhulukazi bavame ukukhalaza ngobuhlungu besifuba. Uma odokotela sebeqede ukuhlaselwa kwenhliziyo, le nkinga ngokuvamile iphenduka isifo senhliziyo.

I-asidi emphinjeni ingaholela ekukhwehleleni okungapheli noma okwesabekayo, okuyinto odokotela abavame ukuyihumusha njengento evumelana nezimpawu ezibandayo noma ze-asthma. Ngezinye izikhathi abagulayo bayabika ukuzwa komzimba wangaphandle emgodini we-larynx.

Ngidingeka nini ukuya kudokotela?

Ukukhishwa ngezikhathi ezithile nokushisa emphinjeni akusona isizathu sokukhathazeka. Ngezikhalazo ezingavamile akekho ozoya kudokotela. Mhlawumbe kwakukhona ikhofi eningi kakhulu, noma isisindo esinzima, esidla amanoni kwakuyisizathu. Ekudleni okunjalo, isisu senza ama-acid amaningi. Ukuzizwa okungathandeki emphinjeni kuvame ukuhamba uqobo. Nokho, uma izimpawu zenzeka kaningi - izikhathi eziningana ngesonto - abagulayo kumele babonane nodokotela. Umuntu oye waphazamisa izikhathi eziningana ngosuku amasonto amabili kuya kwamathathu uzotusa ukucabanga ukuhlola isimo sendawo.

Uthini ukwelashwa kubonakala?

Okokuqala, kukhona ukubuyekezwa kwemikhuba. Ingabe isisindo somzimba siyalungile? Ingabe ngithuthela ngokwanele? Ukweqa ngokweqile nokuvilapha kungakhuthaza ukuphuza umoya. Futhi qaphela lapho uphuza iwayini elimhlophe, amaswidi namafutha. Uma kungabaza ukuthi kungcono ukwenza ngaphandle kwalo. Okufanayo kusebenza nekhofi, itiye elimnyama neziphuzo ze-carbonated. Ukubhema kuyingozi ngoba i-nicotine inciphisa umthamo ongenayo i-asidi yesisu. Nakuba ukulungisa imikhuba kungasiza, akuvami ngokwanele. Ezimweni ezinjalo, kukhona manje izidakamizwa ezisebenza ngokushesha.

Ngezifo ezincane, imithi e-acid ebophayo iyatholakala (izithako ezisebenzayo: i-hydrotalcite, i-Algeldrat, i-magaldrate, i-aluminium carbonate ye-sodium) kanye ne-calcium ne-magnesium carbonate. Amalungiselelo aqukethe i-ranitidine noma i-famotidine avimbela ukubunjwa kwe-asidi esiswini. Uma ukuphazamiseka kokunyakaza kwesisu kuyimbangela, imithi yamagciwane kanye nokukhishwa kwe-peppermint, i-caraway, i-gentian kanye ne-candida flower help. Ezimweni ezinzima odokotela banquma izidakamizwa ezivela ekilasini leproton pump inhibitors. Bavimbela ukwakheka kwe-asidi ngokuphumelelayo kakhulu, kodwa angasebenzi ngokushesha.

Imithi njengesiqhwaga?

Amakhemikhali athile abangela isisu se-sphincter ukuphumula ekungeneni kwesisu, ukwenza kube lula ukungena kwe-gastric okuqukethwe. Lezi zihlanganisa imithi ekhethekile ye-asthma, inhliziyo negazi. Kanti futhi, ezinye izivimbela ze-calcium kanye nama-anti-depressants zingaba nethonya elibi. Kodwa-ke, iziguli akufanele zenze ngaphandle kwemithi yazo - lokho kungaba impilo engozini. Ngakho-ke abantu ababhekene nokukhwabanisa kufanele baqale bakhulume nodokotela wabo.

Ingabe ukusebenza kusebenza?

Uma umuntu oshaywe yinhliziyo engafuni ukuthatha noma imuphi imithi, uma engakubekezeli noma engenayo impikiswano kubo, odokotela bangasiza njalo ngokuhlinzwa. Ukusebenza okunjalo kubizwa ngokuthi "i-fundoplication". Izidakamizwa ezivela emathunzini emnyango wesisu zakha ikhofi, ezibeka kuzo zonke iziqu ezivela emgodleni ukuya esiswini. Lokhu okubangela ukuthi i-sphincter evulekile isebenze kahle futhi. Iningi leziguli zihlala zingavamile emva kokusebenza. Ngaphandle kwezinkinga ezijwayelekile ezingalandelwa noma yikuphi ukuhlinzeka (ukutheleleka, ukuphulukiswa okulimazayo), inqubo iphephile (uma kwenziwa udokotela onolwazi).

Yeka ingozi enkulu yomdlavuza?

Ezingamaphesenti angaba ngu-10 abantu abanesifo se-reflux, kunezinguquko ze-mucosal kule ndawo. Lawa angama-precursor yomdlavuza, odokotela bakhuluma "nge-Barrett's syndrome". Iningi lalezi ziguli zithintekile, isifo se-reflux esenzele isikhathi eside noma esingakaqapheli ngaphambili. Ngisho nalesisigaba, odokotela bangaphatha kahle - uma nje isiguli sigcina isikhathi ngezikhalazo zakhe.

Lokhu akulona kunjalo njalo, ngakho-ke ngezinye izikhathi umdlavuza weqiniso uqala kusukela ku-precancer. Ngokuvamile ukusabalalisa okunjalo ekuqaleni kuhlala kungakapheli ndawo. Uma kutholakala kusenesikhathi, odokotela abahlinzayo bavame ukususa ukususa amangqamuzana omdlavuza besebenzisa izinqubo zokugcina. Kubalulekile ukuqapha ngokucophelela isimo sesiguli seziguli emva kokungenelela. Uma uphumelele, izinkinga ezinkulu azivamile.

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