Okuqukethwe
Isilungulela umuzwa wokuvutha, ubuhlungu, noma ubunzima endaweni engaphezulu yesisu noma ngemva kwethambo lesifuba. Icasulwa yi-reflux, okungukuthi, ukuphuma kwejusi yesisu emgodleni. Inqubo ingase ihambisane nomuzwa wokubaba emlonyeni, isicanucanu, isisindo esiswini, ukuqhinqa, ukukhwehlela noma ukuhoshoza.
Ngokuvamile, i-esophagus nesisu zihlukaniswa ngokuthembekile yi-valve ye-muscular annular - i-sphincter. Kodwa ngokuvamile kuba nesimo sokuthi akakwazi ukubhekana nomsebenzi wakhe.
Izimbangela zesilungulela ngesikhathi sokukhulelwa
Ngokwezibalo, isilungulela sitholwa yi-20 kuya ku-50% (ngokweminye imithombo - kusuka ku-30 kuya ku-60%) yabantu. E-Asia, e-Afrika naseLatin America, lesi sibalo siphansi izikhathi eziningana. Ngesikhathi sokukhulelwa, isilungulela sikhathaza abesifazane abangafika ku-80%.
Kunezincazelo ezimbili eziyinhloko zalokhu.
Umama okhulelwe ukhiqiza i-progesterone, "i-hormone yokukhulelwa". Umsebenzi wawo ukuphumuza yonke imisipha nemisipha ngesikhathi sokubeletha. Ngakho-ke, i-sphincter esophageal iqala ukubhekana nokubi kakhulu ngomsebenzi wayo. Iphuzu lesibili ukuthi umntwana okhulayo ucindezela isisu. Kusele ukulinda ngesineke ukuzalwa kwakhe futhi enze ukwelashwa okubonakalayo. Kodwa kunezimbangela ezinjalo zokuvutha kwenhliziyo ngesikhathi sokukhulelwa, lapho ukwelashwa kwezidakamizwa ezimbi kakhulu noma ukuhlinzwa kuyadingeka:
- isifo se-reflux se-gastroesophageal. Kuhlotshaniswa nokwephulwa kwepheshana lesisu, ngokuyinhloko nge-peristalsis engavamile ye-esophagus kanye nokuphumula okungenangqondo kwe-sphincter ephansi yommizo. Uma ingelashwa, i-GERD ingaholela ekunciphiseni komminzo, ukopha, nezilonda;
- i-hernia yokubeletha. Lo msipha uhlukanisa isifuba nesisu. Umminzo udlula ngembobo kuwo. Uma ikhulisiwe, khona-ke ingxenye yesisu ingaphakathi kwesifuba. I-protrusion enjalo ibizwa ngokuthi i-diaphragmatic hernia. Kuvame ukuhambisana nokubhoboza, ukungena kokuqukethwe kwesisu emlonyeni womlomo, ubuhlungu obufana ne-angina pectoris - obuvela engxenyeni engezansi ye-sternum futhi iqhubekele emuva, ihlombe lesobunxele nengalo.
- ukwanda kwengcindezi ye-intra-abdominal. Kungabangelwa ukwanda kwesibindi noma i-spleen, kanye nesifo se-pulmonary obstructive;
- i-peptic ulcer nezinye izifo zesisu, amanyikwe, i-gallbladder noma i-duodenum (i-gastritis, i-pancreatitis, i-cholecystitis, i-cholelithiasis, njll.);
- izimila ezihlukahlukene zasendaweni kanye nemvelaphi.
Ungazibandakanyi ekuzihloleni nasekuzelapheni. Uma isilungulela senzeka ngaphezu kokuphindwe kabili ngesonto (ikakhulukazi uma kuza nokuphazamiseka kokulala nokukhathazeka), bonana nodokotela. Uzokutshela ukuthi yiziphi izivivinyo okufanele uzihlole nokuthi yiziphi ochwepheshe abancane ongaxhumana nazo.
Indlela yokuqeda isilungulela ngesikhathi sokukhulelwa ekhaya
Uma zingekho izinkinga ze-pathological, khona-ke ukwelashwa okuqondile kwe-heartburn ngesikhathi sokukhulelwa akudingeki. Udokotela wokubelethisa/udokotela wabesifazane uzoncoma imithi yokudambisa izimpawu futhi enze izinguquko endleleni yokuphila nokudla.
Imvamisa, ama-antacid anqunyelwe (aqukethe usawoti we-magnesium, i-calcium, i-aluminium, anciphisa i-hydrochloric acid, ngakho-ke i-mucosa esophageal ayicasulwa kanjalo) kanye nama-alginates (lapho ehlangana nokuqukethwe kwesisu, akha umgoqo ovikelayo. ayivumeli ukweqisa ku-esophagus). Izidakamizwa ze-antisecretory ezicindezela ukwakheka kwe-hydrochloric acid esiswini kanye ne-prokinetics ezandisa ithoni ye-esophageal sphincter futhi zikhuthaze ukuqiniswa kwe-esophagus zisetshenziswa ngesikhathi sokukhulelwa kuphela uma kunezinkomba eziqinile futhi ngaphansi kokuqondisa kukadokotela ngenxa yengozi okuqhamuka uma udla imishanguzo.
I-trimester yokuqala
I-Heartburn ku-trimester yokuqala yokukhulelwa ngokuvamile ihlotshaniswa nokwanda kwe-progesterone, ngakho-ke ayikukhathazi kakhulu futhi idlula ngokushesha ngokwayo.
I-trimester yesibili
Uma ukushaya kwenhliziyo ngesikhathi sokukhulelwa akuzange kukhathazeke ekuqaleni, khona-ke kukhona amathuba aphezulu okuhlangana nakho ngemva kwesonto lama-20. Ngalesi sikhathi, isibeletho siqala ukukhula ngenkuthalo futhi sibeke ingcindezi ezithweni ezingomakhelwane. Isisu asinandawo yokwelula, ngakho ngisho nenani elivamile lokudla lingaholela ekuchichimeni futhi libuyele emgomeni odliwe.
I-trimester yesithathu
Njengoba i-fetus ikhula, isilungulela sizoba namandla kakhulu. Kodwa eduze nokubeletha, kuzoba lula kancane - isibeletho sizokwehlisa futhi "sikhulule" isisu, i-progesterone izoyeka ukukhiqizwa ngenkuthalo.
Ukuvimbela isilungulela ngesikhathi sokukhulelwa
Ukwanda kwe-progesterone nokukhula kwesibeletho yizizathu zenhloso ezingenakuthonywa. Kodwa kukhona amathiphu okuvimbela ukushisa kwenhliziyo ngesikhathi sokukhulelwa, okungeke kuphinde kubangele ukungakhululeki.
Lungisa indlela yakho yokuphila:
- ungagobi kakhulu, ikakhulukazi ngemva kokudla;
- ungalali ihora nesigamu kuya emahoreni amabili ngemuva kokudla;
- ngesikhathi sokulala, faka umcamelo wesibili ukuze ikhanda lakho liphakeme kunesisu sakho;
- susa amabhande aqinile, ama-corsets, izingubo eziqinile ku-wardrobe;
- ungaphakamisi izisindo;
- yeka imikhuba emibi (ukubhema, utshwala, ukuphuza itiye elinamandla nekhofi ngobuningi), nakuba kubalulekile ukwenza lokhu ngaphandle kwesilungulela ngesikhathi sokukhulelwa ukuze umntwana akhule.
Lungisa ukudla kwakho:
- ungadli kakhulu, kungcono udle kancane, kodwa kaningi (hlukanisa umthamo ojwayelekile ube imithamo emi-5-6);
- hlafuna ukudla ngokucophelela;
- qiniseka ukuthi ukudla akushisi kakhulu futhi akubandi kakhulu;
- yidla isidlo sakusihlwa kungakapheli amahora angama-2-3 ngaphambi kokulala;
- khetha ukudla neziphuzo ezifanele.
Hlaziya, emva kwalokho isilungulela senhliziyo senzeka kaningi futhi ususe lesi sici. Okungaphazamisi umuntu oyedwa nganoma iyiphi indlela, ngoba isisu somunye singaba umthwalo osindayo.