Isilungulela Kuyini lokhu? Izidakamizwa ngoba isilungulela

Isilungulela eyilungu izimpawu ezivamile isifo se-pheshana emathunjini. Cishe 5-19% abantu abadala ahlangabezane lesi simanga ezingemnandi okungenani kanye ngesonto, futhi 7% - nsukuzonke. Uphawu kuzibonakalisa cishe ihora ngemva kokudla, ngokuvamile kuchazwa ngokuthi umuzwa esivuthayo ngemuva breastbone, isilungulela kuyinto. Kuyini gastroesophageal isifo Reflux? Lena enye yezinhlobo ezingu izizathu isilungulela ukuthi kwenzeka ngenxa ukungasebenzi aphansi sphincter ngomphimbo. Ngenhlanhla, lapho usebenzisa indlela ohambelana ekwelapheni lesi sifo luqedwe.

Izimbangela isilungulela

Kuze kube muva nje, kwakunenkolelo yokuthi Reflux acid esiswini avele ngenxa uketshezi ngokweqile of juice esiswini. Nokho, kubonakala sengathi i-Reflux Lihlobene nokubhekana ubuso ukungasebenzi sphincter aphansi esivula hhayi lapho ukukwenza. Isizathu salokhu mkhuba bavame kakhulu ukusikwa ayinawo amandla noma umsebenzi kakhulu elingenazo zonke emphinjeni.

Reflux kungenzeka kubangelwa hernia hiatal - ngilulekela phrenic (imisipha esasihlukanisa thorax kusuka ngaphakathi komgodi ongaphakathi kwamathumbu) kuvulwa ngawo emphinjeni.

Ngaphansi kwezimo ezivamile, imisipha kumelwe ifanelane nayo kahle ekupheleni emhlabeni elula lokugcina emphinjeni, futhi ngaleyo ndlela silondoloze nokwenza kwayo. Enye imbangela isilungulela kungenzeka usuthi kakhulu. Kulokhu, ngeke babhekane ngokuphumelelayo ukudla ukugaya, sikhohlwe ingxenye okuqukethwe emuva emphinjeni. Kakhulu akuvamile imbangela Reflux kungenzeka isakhiwo olungalungile pheshana emathunjini.

Izici ezandisa isilungulela

ukuzwa ezingemnandi of umuzwa esivuthayo esiswini noma emphinjeni, ngokuvamile kwenzeka ngemva bedla, bephuza ukudla oily kakhulu, okubabayo, enongiwe noma ngokweqile abacebile carbohydrate.

Isilungulela okuthuthukiswa izinto ezifana:

• Ukungondleki kahle.
• Nge ushintsho isikhundla umzimba.
• umsebenzi ngokweqile ngokomzimba.
• Phakathi umsebenzi odinga a ukuma insaliwe.

Izidakamizwa ngoba isilungulela ngokuvamile ukuthambisa izimpawu kubangelwa ngale ndlela. Kodwa kwezinye izimo, umuzwa esivuthayo zingase zibe Indlela izifo ezimbi nakakhulu.

Izimpawu ze-isilungulela

The main uphawu - umuzwa esivuthayo e emphinjeni, elibangela isilungulela ubuhlungu esiswini. Kungase phezu ubude konke emphinjeni, futhi ngenxa yalokho, ukufinyelela esifubeni. Ngezinye izikhathi kwandisa ngesikhathi ushintsho abukhali isikhundla. Ngaphezu kwalokho, kungase ezihambisana ukunambitheka omuncu futhi eructation. Isilungulela kwenzeka, ngokuvamile emva kokudla, uma kukhona inqubo ukugaya. elithambile izicubu calcification imbangela amanoni ukudla esindayo kanye nokudla ngokweqile.

Kungani lokuqukethwe esiswini akufanele kube emphinjeni?

Hydrochloric acid kanye esiswini enzyme akufanele zingene emphinjeni. Kuphela udonga (ungqimba kwangaphakathi) ivikelwe kusukela isinyathelo ezonakalisayo of acid. mucosa ngomphimbo kuyinto ebucayi ngaphezulu isakhiwo sabo uketshezi esiswini. Ngakho-ke imvelo esidi kancane kokubhubhisa odongeni ngomphimbo, okubangela esigabeni sokuqala ziba ngcono kanye ububomvu - mucositis.

Izinkinga kusuka isifo

Uphawu lokuqala ukulimala emphinjeni kungenzeka ububomvu we mucosa. Esigabeni esilandelayo - ukubukeka ukuguguleka komhlabathi, izilonda ezincane ubuqotho mucosal (olimele). Uma kuziwa ukubukeka izilonda, okungukuthi, ukukhubazeka ezijulile, sikwazi ukukhuluma izinkinga ezinkulu emphinjeni.

Kwezinye izimo ichaze seal ukuthi zibangelwa isilonda sisheshe siphole. Ngezinye izikhathi ibizwa kuphenduke ngenye uhlobo epithelium: esiswini noma emathunjini (esimweni isifo lesichubekako, eyathatha iminyaka eminingi). Lesi senzakalo ngokuthi emphinjeni Barretta. Lokhu kuwuphawu amafomu okunzima isifo Reflux ukuthi kwandisa ingozi yomdlavuza we emphinjeni (isimo precancerous).

Izinkinga zihlanganisa ukuvuvukala emphinjeni:

• Omncane emphinjeni.
• Izilonda futhi opha wakhe.
• Wokubhoboza of isilonda peptic kanye nemiphumela emtholampilo.
• Okubizwa ngokuthi emphinjeni Barretta.

Zonke izifo emathunjini adinga Ukuvakashela udokotela. Uma usola umkhuhlane (izimpawu ejwayelekile: isilungulela, isicanucanu, burping) Kunconywa ukuvakashela onguchwepheshe. Udokotela unquma ukuthi imaphi esizoyihlola okufanele kwenziwe ukuqinisekisa noma siqambe sifo okucatshangelwayo. Futhi, uma kunesidingo, angaqoka izidakamizwa kusukela isilungulela kanye nezinye izimpawu ezikhungathekisayo zalesi sifo.

-X-ray Ukuhlola elingenhla pheshana emathunjini

Radiologist phakathi nesifundo ucubungula lokho kuyindlela edabula emphinjeni, isisu duodenum, ukuqaphela kahle kwezinso yokwakheka ezihlobene lezi zitho (hernia hiatal, stricture ngomphimbo). Nokho, ayivumeli, kulolu cwaningo ukunquma ukuthi kunezinguquko ukuvuvukala kule emphinjeni.

gastroscopy

Ukuze uthole olunye ulwazi, enikeza ucwaningo ingxenye engenhla pheshana emathunjini, olwenziwa ngosizo endoscope, gastroscopy isb. It ivumela ukuhlolwa eningiliziwe ebusweni mucosal we emphinjeni, isisu duodenum, eziya ziba zimbi ka ukuvuvukala emphinjeni, ilimaze mucosa (ukuguguleka), kanye ukubukeka yezinkinga kungenzeka: izilonda nemikhawulo. Ucwaningo kusiza ukuhlonza ezinzima zokugula: gullet Barretta futhi kusaqalwa umdlavuza emphinjeni.

Izindlela ekuvimbeleni zokubonisa isilungulela

• Ngemva kokudla, kufanele ulinde okungenani ihora ngaphambi uya ukuqala noma ukwenza izenzo ezidinga eziningi umzamo.
• Okokuqala, ukugwema isikhundla lapho esifubeni esitshekile phambili. Uma izinkinga nge isilungulela akufanele igqoke amabhande Friend too.
• Phakamisa engxenyeni engaphezulu kuphela yomzimba ngesikhathi sokulala, ngokubeka, isibonelo, imicamelo extra ngasekhanda ngasemaphethelweni ombhede.
• Gwema ukudla lapho isilungulela kungenzeka. Kuyini ukudla ezingafanele, futhi yini ukudla kungase kubangele gastroesophageal Reflux isifo, ungabona onguchwepheshe.
• Chocolate kuyasiza uphumule imisipha sphincter.
• Ngenxa ukusetshenziswa orange juice, lemon noma ubhamubhamu isilungulela kwenzeka. I-asidi esiswini ngezinye izikhathi lingadlula ukunqunyelwa ovumelekile.
• Amafutha, protein ne-calcium eziqukethwe ubisi, kukhuthaza ukukhiqizwa kwe ayo esiswini.
• Kungani isilungulela kungokwaphakade? Ikakhulukazi ukubonakaliswa lubonakale kungenzeka emva yokwamukela ukudla okunamafutha. Lezi zihlanganisa: ibhotela, ushizi, nososo, ehla nokuningi.
• Peppermint kusiza ukukhulula imisipha ye sphincter emphinjeni, okuyinto enomthelela Reflux.
• Anyanisi, kanye nezinongo obulimaza emphinjeni, ngaleyo ndlela kwande ukuncinza esiswini.
• Gwema iziphuzo kuyiphi isilungulela kungenzeka. Yiziphi iziphuzo carbonated notshwala ipheshana wokugaya ukudla? Banengxenye izifo ezihlobene Reflux. Gwema zonke izinhlobo iziphuzo ezinesoda, njengoba nje kuvamile namanje imbangela enkulu ukuvuvukala futhi isilungulela. Utshwala ezifana iwayini, ubhiya nezinye iziphuzo ezidakayo, imisipha ye-sphincter emphinjeni, ngaleyo ndlela kwande ingozi ukusabalala isilungulela. Ikhofi netiye obulimaza isikhumba khululeka sphincter.
• Yehlisa inani ukudla washisa. Abantu abaphethwe isilungulela, kufanele udle ukudla okuncane, kodwa ngokuvamile. Sahlazo okwehla esiphundu kusihlwa.
• Lawula isisindo sakho. Abantu ne ukhuluphele ingozi izifo emathunjini lingaphezulu kakhulu kwalokho abantu nge isisindo evamile.

ukwelashwa isilungulela

Yikuphi yokwelapha ikufanele isilungulela? Kuyini ukuphathwa kudinga ushintsho endleleni yokuphila? Umgomo wakho oyinhloko kumelwe kube babe enempilo, njengoba zidlala indima ebalulekile endabeni isilungulela. Ukudla Chili, salsa kanye pepper kungabangela waba ukwanda okukhulu kwezincwadi acid amazinga emzimbeni, okungase ukusheshisa kumiswa lesi sifo.

• Lungisa ekudleni kwakho. Kubalulekile futhi ukuba uyeke ukudla. Indlela efanele kakhulu ukubhekana naso isilungulela kuyinto ukudla kathathu ngosuku. Uma uzizwa isidingo sokudla, ungenza isidlo ukukhanya phakathi ukudla.
• Phuza amanzi in inqwaba. Kufeza indima ebalulekile ukulawulwa esiswini acid. Izazi eziningi zezempilo ukuncoma ukuphuza okungenani eziyisishiyagalombili kuya kweziyishumi izingilazi zamanzi ngosuku. Kufanele uyeke ukusetshenziswa uketshezi ezifana juice, ikhofi kanye nobisi, nokudla, ngoba ukwandisa ezingeni acid emzimbeni. Futhi, ukugwema utshwala nokuxhaphaza ungabhemi, njengoba bobabili ivuselela nesandla ekwakhekeni Reflux acid.
• Iseluleko esiwusizo: sizame ukulala imicamelo ezimbili noma ezintathu ngaphansi ikhanda ukuze umzimba wonke elele embhedeni lingaphansi kunalokhu ikhanda lakho. Musa ukugqoka izingubo ezikubambayo, ngoba ingozi empilweni. Musa ukugqoka ibhulukwe Friend kanye izikibha.

Izidakamizwa ezisiza isilungulela:

• Antacids: "Renny", "Almagel". Thatha kathathu ngosuku 5-10 ml izinsuku ezinhlanu.
• ejenti Antisecretory: "Omez" "Pariet", "Lanzap". Ithathwe ekuseni ngaphambi kokudla nokuba 20 mg. Le course mayelana enamasonto amahlanu.
• blocker H2-histamine, "famotidine", "Ranitidine". Thatha 300 mg ngosuku izinsuku eziyishumi.
• Umuthi 'Motilak ". Phuza iphilisi elilodwa kuleli cala, lapho kukhona ukuhlanza, isicanucanu noma ukusinda.

amakhambi Ikhaya isilungulela

Yini ukuphuza isilungulela? isifo ezingemnandi ingavinjelwa ngendlela engokwemvelo.

Ezinye izindlela ethandwa kakhulu ekwelapheni isilungulela:

• Uma ufuna ukunciphisa sobuhlungu nokukhungatheka esiswini sakho, thatha ginger. Fresh impande kungaba ukungezwa ukudla noma itiye.
• itiye Green siyasebenza kakhulu ekunciphiseni izimpawu isilungulela. Kuyasiza umzimba wethu inqubo ukugaya kanye upholisa ebucayi izicubu esiswini.
• Yini ukuphuza isilungulela? zezinkambi Engamakhambi nazo ngempumelelo kakhulu ekubhekaneni nezinkinga ezihlobene ne isilungulela. Labo aqukethe inani elincane u-ginger, iliquorice impande, chamomile kanye Mint, bayosiza ekubuyiseleni mucosa esiswini. Ngemva kokudla kwakusihlwa, udinga yenza itiye ngomumo nokulungisa ukumnika: ingilazi amanzi abilayo ukunezela isipuni amakhambi ekhethiwe. Selani kangcono ngaphambi kokulala isigamu inkomishi.

Uma inkinga inzima, udokotela wakho angase akukhuthaze iphilisi i isilungulela. Intengo imikhiqizo enjalo itholakala zibe ezilandelayo: engama-ruble angu-60 ruble 1,500. Kodwa, noma kunjalo, abantu abaningi bayesaba ukuthatha imithi ezivamile ngenxa yemiphumela emibi. Kulokhu-ke kubalulekile ukucabangela ukusetshenziswa baking soda ukunciphisa izimpawu ezingezinhle.

soda isilungulela

Baking soda kuyinto alikhali, ukululaza acid esiswini. Ngomqondo onabile, kuba antacid zemvelo. Noma kunjalo, omunye kufanele niqaphele kakhulu lapho usebenzisa i-alikhali, nakuba soda eliphumelelayo isilungulela. Indlela ukutshala, ngakho njengoba hhayi abaphazamisa umthamo kanye ngesikhathi esifanayo iwukudambisa ngokuphelele esiswini acid? Soda - ithuluzi eliphumelelayo ekwelapheni isilungulela. Lesi sidakamizwa ingasatshenziswa phezu isikhathi eside.

Inkantolo ukubuyekezwa, baking soda kusiza isilungulela. Indlela watshala kuso? Chaza isigamu isipuni baking soda in ingilazi kwesigamu amanzi. Qiniseka ukuthi i-powder siphela ngokuphelele, khona-ke aphuze. Njengomthetho, it is hhayi Kunconywa ukuba baphuze izinkomishi ezingaphezu kweziyisikhombisa le ngxube ngosuku olulodwa. Lapho soda akusho usizo ukuqeda isilungulela, kufanele ngokushesha ukuya kudokotela. Abantu abaphethwe-high blood pressure, kubalulekile ukuba ugweme ukusetshenziswa kwalesi kusho kusuka isilungulela: iqukethe semali sodium. Ngaphezu kwalokho, le ndlela aluboniswa kwabesifazane abakhulelwe, ngoba kubangela egcina amanzi emzimbeni.

Isilungulela - isizathu ukubona udokotela!

Ungayithathi kalula ubuhlungu kanye ukuncinza esiswini, lapho kukhona isilungulela. amakhambi Izizathu abantu esetshenziselwa ukuqedwa kwabo, ingase yehluke kuye ngesistimu kobukhulu isifo. Ikhaya imithi ingasetshenziswa ukubonakaliswa ezingavamile yalesi sifo, kodwa lapho izimpawu ziwuhlobo unomphela, kufanele ngokushesha usizo onguchwepheshe.