I-New Delhi: Isilungulela umuzwa ojwayelekile kwabaningi, ukuthi ukuvutha okungakhululeki esifubeni kuvame ukuvela ngemuva kokudla. Nakuba isilungulela kwesinye isikhathi singadala ukukhathazeka okuncane, iziqephu ezivamile noma ezingamahlalakhona akufanele neze zithathwe kalula. Ngaphandle kokungaphatheki kahle, ukuphindaphinda kwe-asidi okuphindaphindayo kungase kubonise inkinga yezokwelapha enzima kakhulu edinga ukugxila ngokushesha. UDkt. A. Nagesh, Udokotela Ohlinzayo Wenhliziyo kanye Nomqondisi Womtholampilo we-MICS & Heart Transplant, Izibhedlela ze-CARE, i-Banjara Hills, i-Hyderabad, esebenzisana ne-News9Live, ukhulume ngamathuba amaningi ahlobene nokuvutha kwenhliziyo okungapheli, kusukela ekuvukeleni kwe-asidi kuya ekuhlaselweni yinhliziyo.

Kuyini ngempela isilungulela?

Isilungulela kuwuphawu lwe-acid reflux, lapho i-asidi yesisu igeleza iye phezulu kummizo. Ngokuvamile ivela kanje:

1. Ukuzwa ukushunqa esifubeni, okuvamise ukulandela ukudla noma ukulala.
2. Ukunambitheka okumuncu noma okubabayo kugcwala emlonyeni.
3. Umuzwa wokungakhululeki ongaphumela emphinjeni.
4. Nakuba isilungulela esidlula ngokushesha singabangelwa ukudla okubabayo noma okucebile, isilungulela esingamahlalakhona—ngaphezu kokuphindwe kabili ngesonto—singakhomba inkinga ewumsuka njenge-Gastroesophageal Reflux Disease.

Izingozi Ezifihlekile Zesilungulela Esingapheli

Isilungulela esingapheli singaphezu kokucasuka nje; uma ingalashwa, ibeka engcupheni izinkinga ezinkulu zempilo. Cabangela lokho okungase kusho ngempela:

1. I-Reflux ye-Gastroesophageal: I-GERD yisimo esihlala njalo lapho i-asidi yesisu ivame ukucasula ulwelwesi lwe-esophagus. Ngokuhamba kwesikhathi, ukuvuvukala kuyaqhubeka, kuletha isilungulela esiqhubekayo, ukuqunjelwa, nobunzima bokugwinya okudinga ukuphathwa kwezokwelapha ukuvimbela ezinye izinkinga.
2. I-Barrett's Esophagus: Ukuchayeka isikhathi eside ku-asidi yesisu kungashintsha amangqamuzana axhume umphimbo, isimo esingajwayelekile esibizwa ngokuthi i-Barrett's Esophagus esandisa ingozi yomdlavuza womminzo.
3. I-Esophagitis: I-acid reflux ephindaphindayo ingabangela i-esophagitis-ukuvuvukala komgudu. Izimpawu zihlanganisa ubuhlungu lapho ugwinya, ukungakhululeki kwesifuba, futhi ezimweni ezimbi kakhulu, ukopha noma izilonda.
4. Izimo zenhliziyo: Ngezinye izikhathi, isilungulela esibonakala singenangozi singabonisa inkinga yenhliziyo ecashile ecashe ngaphansi. I-Angina, ebonakala njengobuhlungu besifuba obufana nesilungulela, idinga ukuphenya noma yiziphi izinkinga ezingaba khona zenhliziyo.
5. Izinkinga zeLaryngeal kanye nokuphefumula: I-Acid reflux inamandla okuhlukumeza izifunda ezingaphandle kommizo, okuholela ekukhwehleleni okungapheli, ukuhogela, noma ubunzima bokuphefumula njengesifuba somoya.

Kufanele Ufune Nini Iseluleko Sezokwelapha

Kubalulekile ukuthi ubonane nodokotela wakho uma kuvela noma yikuphi kwalokhu okulandelayo: isilungulela ngaphezu kwamasonto amabili, izimpawu ziqhubeka naphezu kwamakhambi atholakala ekhawunteni, ubunzima bokugwinya noma ukuzwa ukudla kubambekile, ukushintshashintsha kwesisindo okungaqondakali noma ukushintsha ukudla, ubuhlungu besifuba ikakhulukazi ngesikhathi sokuzikhandla.

Amathuluzi Okuxilonga kanye Namathuba Okwelapha

Ukuthola umsuka wesilungulela esingapheli kuhilela ukuhlolwa okuphelele okuhlanganisa i-endoscopy yokuhlonza ukuvuvukala noma umonakalo, ukuqapha i-pH ukuze kuqinisekiswe i-GERD ngokulinganisa amazinga e-esophageal acid, kanye ne-manometry yokuhlola ukusebenza kwemisipha yommizo. Izinhlelo zokwelapha zincike ebucayi bezimpawu kanye nezimbangela eziyisisekelo: ukuguquka kwendlela yokuphila njengokugwema ukudla okuvusa inkanuko, ukudla ukudla okuncane, ukuphakamisa ikhanda lapho ulele, imithi efana nama-antacid, ama-H2 blockers noma ama-proton pump inhibitors ukunciphisa ukukhiqizwa kwe-asidi, ukuhlinzwa ezimweni ezimbi kakhulu njenge-fundoplication ukuze kuqiniswe i-esophageal sphincter.

Amasu Okuvimbela Okusiza Kade

Ukuvimbela isilungulela esingapheli kuqala ngokuthatha imikhuba elungele i-gastroesophageal:

1. Gada Ukudla Kwakho: Gwema ukudla okubabayo, okune-acid, noma okunamafutha futhi unciphise ukuphuza utshwala ne-caffeine.
2. Gcina Isisindo Esinempilo: Isisindo esengeziwe singandisa umfutho wesisu, sibe sibi kakhulu izimpawu ze-reflux.
3. Gwema Ukubhema: Ugwayi wenza buthaka i-esophageal sphincter, okwenza i-asidi ibuyele emuva kalula.
4. Ungalali Ngemva Kokudla: Linda okungenani amahora amabili kuya kwamathathu ngaphambi kokuba ulale ukuze uvikele i-acid reflux.
5. Hlala Ukhuthele: Ukuzivocavoca umzimba njalo kusiza ukuthuthukisa ukugaya futhi kunciphisa izimpawu.

Izibopho Phakathi Kokubekezelela Isilungulela kanye Nenhlalakahle Yenhliziyo

Odokotela bagcizelela ukuthi akubona bonke ubuhlungu besifuba obusuka enhliziyweni. Noma kunjalo, ukuhlukanisa i-acid reflux ezindabeni ezingase zibe khona zenhliziyo kubalulekile. Ngezinye izikhathi isilungulela isikhathi eside sivala noma silingise izinkinga zenhliziyo, kuqokomisa ukubaluleka kokubonana nombono wochwepheshe. Ukuhlola okuphelele kungaqinisekisa ukuthi kokubili impilo yesisu kanye nokujikeleza kwegazi kuthola ukucatshangelwa okufanele.

Isiphetho

Ukuvutha kwenhliziyo okungapheli kuwuphawu olufanele ukunakwa kwakho. Nakuba kungase kubonakale kuwukucasula okuncane, kungase kusho isimo esicashile esinzima kakhulu. Ngokubona izimpawu eziyinkomba, ukufuna iseluleko sezokwelapha esifike ngesikhathi, nokusebenzisa amashifu endlela yokuphila, ungakwazi ukuvikela impilo yakho yomphimbo kanye nempilo yonke. Khumbula, izimpawu zomzimba wakho kufanele zilalelwe, futhi ukubhekana nesilungulela esingapheli ngokushesha kungaholela emiphumeleni yezempilo engcono kanye nokuthula kwengqondo.

Isixhumanisi Esiyisethenjwa

https://www.news9live.com/health/health-news/heartburn-or-heart-attack-why-frequent-episodes-might-be-a-red-flag-2793282