I-HeartBurn: Izimpawu, Izimbangela, Izingozi kanye Nokwelashwa

Isilungulela, esaziwa nangokuthi i-acid reflux, yisimo esijwayelekile esithinta abantu abaningi. Kwenzeka lapho okuphakathi kwesisu, okuhlanganisa ne-asidi, kufika ngokumelene nokugeleza ku-esophagus. Lokhu kunyakaza okubuyela emuva kungase kubangele ukuzwa okuvuthayo esifundeni se-thoracic ngemuva kwethambo lesifuba. Nakuba isilungulela ngezikhathi ezithile kuvamile, iziqephu ezivamile noma eziqhubekayo zalesi simo zingabonisa ukuba khona kwesimo esicashile. Kule bhulogi, sizozama ukuphendula umbuzo ojwayelekile, "Yini ebangela isilungulela nsuku zonke"?

Izimpawu zesilungulela

Isilungulela singabonakala ngezindlela ezihlukahlukene, futhi ukuqaphela izimpawu kubalulekile ukuze uthole ukwelashwa okufanele. Okulandelayo ezinye izimpawu ezivamile:

• Ukuvutha e Chest or Inhlanzi Isifunda: Lolu uphawu olugqame kakhulu lwesilungulela. Ukuzwa ukushisa ngokuvamile kuqala endaweni engenhla yesisu futhi kukhanye phezulu, ngezinye izikhathi kufinyelele emphinjeni. Kungaba kubi kakhulu ngemva kokudla, ebusuku, noma lapho ulele noma ugobile. 
• Ukunambitheka Okumuncu noma Okubabayo: Uma i-asidi yesisu iphinda ingena ku-esophagus, ingashiya ukunambitheka okumuncu noma okubabayo emlonyeni, okuvame ukulandelwa ukuzwa okuvuthayo.
• Ubunzima Bokugwinya: Kwezinye izimo, isilungulela singabangela ukungakhululeki noma ubuhlungu lapho ugwinya, okwenza kube inselele ukudla ukudla noma uketshezi.
• Ukuphindaphinda: Isilungulela singabangela okuphakathi kwesisu ukuthi kukhuphuke kubuyele ku-esophagus, okuholela ekuzweni kokuqunjelwa noma ukuhlanza okuphakathi kwesisu.
• Ubuhlungu Besifuba: Ezimweni ezimbi kakhulu, isilungulela singalingisa izimpawu ze-a isifo senhliziyo, nobuhlungu besifuba obufinyelela engalweni, entanyeni, noma emhlathini.

Izinkinga zesilungulela

Izici ezinomthelela ekukhuleni kwesilungulela yizi:

• Ukudla: Ukudla okuthile neziphuzo, okubabayo, okuthosiwe, ukudla okunamafutha, izithelo ezisawolintshi, utamatisi, ikhofi, notshwala, kungabangela noma kubhebhethekise isilungulela ngokuphumuza i-esophageal sphincter (LES) noma ukwandisa ukukhiqizwa kwe-asidi esiswini.
• Ukukhuluphala: Isisindo eseqile, ikakhulukazi okhalweni, singafaka ingcindezi esiswini futhi sibe nomthelela ekuvukeni kwe-asidi.
• ukukhulelwa: Izinguquko zeHormonal kowesifazane okhulelwe zingaphumuza i-esophageal sphincter (LES), ivumele i-asidi esuka esiswini igeleze ibuyele emthonjeni.
• Imithi: Eminye imithi, njengezidambisa-zinhlungu ezithile, ama-antidepressants, kanye ukushaya kwegazi imithi, ingenza buthaka i-LES noma ikhule isisu ukukhiqizwa kwe-asidi.
• I-Hiatal IHernia: Lesi simo siqala lapho ingxenye yesisu iphuma nge-diaphragm, okuvumela okungaphakathi kwesisu ukuthi kubuyele emthonjeni kalula.
• Ukubhema: Ukubhema kungesinye sezizathu zesilungulela. I-Nicotine evela kugwayi ingenza buthaka i-LES futhi yandise ukukhiqizwa kwe-asidi esiswini.
• Ukucindezeleka futhi ukukhathazeka: Amazinga aphezulu okucindezeleka okuqhubekayo angabangela ukukhushulwa kwe-asidi esiswini futhi abe nomthelela ekushiseni kwenhliziyo.

Izingozi Zezingozi

Nakuba isilungulela singathinta noma ubani, izici ezithile zingandisa amathuba okuba nalesi simo, kuhlanganise: 

• Ukukhuluphala ngokweqile noma ukukhuluphala ngokweqile
• ukukhulelwa
• Ukubhema
• Ukusebenzisa ukudla okuthile neziphuzo (isb, okubabayo, okuthosiwe, noma ukudla okunamafutha, izithelo ezisawolintshi, utamatisi, ikhofi, utshwala)
• Ukucindezelwa okungapheli

Sixilongwa Kanjani Isilungulela?

Ezimweni eziningi, ukutholakala kwesilungulela kuya ngezimpawu ezibikwa ngumuntu. Kodwa-ke, udokotela angase atuse ukuhlolwa okwengeziwe ukuze akhiphe ezinye izimo noma ahlonze imbangela eyinhloko uma izimpawu zinzima noma ziphikelela. Ukuhlolwa kokuxilonga kwesilungulela kungase kuhlanganise:

• I-Endoscopy: Kule nqubo, udokotela angase afake i-catheter encane, eguquguqukayo ngekhamera (i-endoscope) ngomlomo emgodleni nasesiswini ukuze ahlole ulwelwesi futhi ahlole ukungahambi kahle noma umonakalo.
• I-pH Monitoring: Lokhu kuhlola kuhlola izinga le-asidi kumphimbo esikhathini esingamahora angu-24 kusetshenziswa i-catheter encane noma inzwa engenantambo.
• I-Barium Swallow: Phakathi nalolu vivinyo, umuntu ugwinya isixazululo se-barium, esimboza umminzo nesisu, okuvumela ukubonwa kangcono kusetshenziswa izithombe ze-X-ray.
• I-Oesophageal Manometry: Lokhu kuhlolwa kukala amandla nokuxhumana kwemisipha yomphimbo kanye nomsebenzi we-LES.

Ukwelapha Isilungulela

Ukwelashwa kwesilungulela kuncike ebukhulu nobungako bezimpawu kanye nembangela ewumsuka. Nazi ezinye izindlela zokwelapha ezivamile:

• Izinguquko Zendlela Yokuphila: Ukwenza izinguquko zokudla, njengokugwema ukudla okuyizicucu, ukudla izingxenye ezincane, nokugwema ukulala ngokushesha ngemva kokudla, kungasiza ekunciphiseni izimpawu zesilungulela.
• Imithi etholakala ngaphandle kwekhawunta: Ama-antacid anganciphisa i-asidi yesisu futhi anikeze ukukhululeka kwesikhashana. Ama-histamine-2 receptor antagonists (H2 blockers) kanye ne-proton pump inhibitors (PPIs) nawo anganciphisa ukukhiqizwa kwe-asidi esiswini.
• Imithi Kadokotela: Ezimeni zesilungulela esibi kakhulu noma esingamahlalakhona, odokotela bangase banikeze imithi enamandla, njengama-PPIs anamandla kadokotela noma ama-prokinetic agents, asiza ukuqinisa i-LES futhi athuthukise ukuphuma kwesisu.
• Ukuhlinzwa: Kwezinye izimo, lapho indlela yokuphila ishintsha futhi imithi inganikezi ukukhululeka, ukuhlinzwa kungase kunconywe ukuqinisa i-LES noma ukulungisa i-hernia yokuzala.

Uyombona Nini Udokotela?

Nakuba isilungulela ngezikhathi ezithile kuvamile, ungakwazi ukukuphatha ngemithi etholakala ngaphandle kwekhawunta kanye nezinguquko endleleni yokuphila. Kubalulekile ukufuna usizo lwezempilo ezimeni ezithile:

• Izimpawu Eziqhubekayo Noma Ezinzima: Uma isilungulela senzeka njalo noma sihambisana nobuhlungu obukhulu, ubunzima bokugwinya, noma ukuncipha kwesisindo, kungase kube uphawu olubonisa isifo esibi kakhulu, njenge isifo se-reflux se-gastroesophageal (GERD) noma umdlavuza we-osophageal.
• Izimpawu Ezihlala Ngaphezu Kwamaviki Amabili: Isilungulela isikhathi eside singase sibonise ukugula okucashile okudinga ukuhlolwa kwezokwelapha.
• Ukuba khona Kwezimpawu Ezengeziwe: Uma isilungulela sihambisana nezinye izimpawu, njengobuhlungu besifuba, ukuphefumula kanzima, noma ubuhlungu bomhlathi noma bengalo, kungase kube uphawu lokuhlaselwa yinhliziyo.

Isiphetho

Isilungulela yisimo esivamile esingalawuleka ngokushintsha indlela yokuphila, ngemithi ethengwayo, futhi, kwezinye izimo, ngemithi kadokotela noma ngokuhlinzwa. Ngokuqonda izimpawu, izizathu, kanye nezici zobungozi ezihlobene nesilungulela, abantu ngabanye bangathatha izinyathelo zokudambisa ukungaphatheki kahle futhi bavimbele izinkinga ezingaba khona. Uma isilungulela siqhubeka noma sihambisana nezimpawu, kubalulekile ukufuna iseluleko sezokwelapha ukuze uxilongwe ngendlela efanele kanye nokwelashwa okufanele.

Imibuzo Evame Ukubuzwa

1. Yini enciphisa isilungulela?

Amasu amaningana angasiza ekunciphiseni izimpawu zesilungulela:

• Gwema iziphuzo ezivusa amadlingozi nokudla okungase kubangele isilungulela, njengokudla okubabayo, okuthosiwe, noma okunamafutha, izithelo ezisawolintshi, utamatisi, ikhofi notshwala.
• Thola futhi ugcine isisindo somzimba esifanele, njengoba isisindo esiningi singandisa ingozi yesilungulela.
• Gwema ukucambalala ngokushesha ngemva kokudla, njengoba lokhu kungase kukhuthaze i-acid reflux.
• Yeka ukubhema, njengoba i-nicotine ingenza buthaka i-esophageal sphincter futhi ikhulise ukukhiqizwa kwe-asidi yesisu.
• Lawula ukucindezeleka nokukhathazeka, njengoba amazinga aphezulu angaba nomthelela ekushiseni kwenhliziyo.
• Thatha ama-antacids noma imishanguzo etholakala ngaphandle kwekhawunta njengoba kunconywe udokotela.

2. Yini engingayiphuza uma nginesilungulela?

Uma unesilungulela, kungcono ukugwema iziphuzo ezithile ezingase zibhebhethekise izimpawu, njengeziphuzo ezine-caffeine (ikhofi, itiye, amasoda), uphuzo oludakayo, namajusi e-citrus (iwolintshi, i-grapefruit, ilamula). Esikhundleni salokho, khetha iziphuzo ezine-hydrating nezingezona acid ezifana:

• Water
• Ubisi noma ezinye izindlela zobisi olusekelwe esitshalweni
• Itiye le-herbal (isb, i-chamomile, i-ginger, i-fennel)
• Iziphuzo zezithelo ezine-asidi ephansi (isb. i-apula, i-pear, i-papaya)

3. Yikuphi ukudla okuvimbela isilungulela?

Nakuba kungekho ukudla okukodwa okungamisa ngokuphelele isilungulela, ukudla okuthile kungasiza ekudambiseni izimpawu noma kunciphise ingozi ye-acid reflux:

• Imikhiqizo yobisi enamafutha aphansi (ubisi, iyogathi, i-cottage shizi)
• Okusanhlamvu okuphelele (ama-oats, irayisi elinsundu, isinkwa sikakolweni)
• Amaprotheni angenalutho (inkukhu, i-turkey, inhlanzi)
• Imifino (imifino enamaqabunga, i-broccoli, izaqathe)
• Izithelo (ubhanana, amakhabe, ama-apula)
• I-ginger (fresh noma egayiwe)
• Imbewu ye-Fennel noma itiye le-fennel