Phantse wonke umntu uyazi amava okuba nesisu esibuhlungu, kodwa izigidi zabantu zichaphazeleka minyaka le ngenxa yeengxaki ezixilongayo zokugaya ukutya. Kwaye ngelixa ezinye izifo zokugaya zingabangeli zimpawu okanye ukungonwabi kancinci, ezinye zinokubangela iintlungu ezigqithisileyo okanye zifune ukulaliswa esibhedlele okanye utyando.
Ukuba uneempawu ze-GI, uya kufuna ukwazi into onayo kwaye, okona kubaluleke kakhulu, ukuba unganciphisa njani ukungonwabi. Nantsi into ekufuneka uyazi malunga ezintlanu zezona ngxaki zixhaphakileyo zokwetyisa, kunye neendlela ezicetyiswayo zonyango.
I-Acid reflux
I-Acid reflux, eyaziwa ngokuba sisitshisa, yenye yeengxaki zesisu eziqhelekileyo.
Xa isenzeka rhoqo, iyaqwalaselwa isifo se-reflux ye-gastroesophageal okanye iGERD, eyona meko imbi kakhulu. Ngokumalunga ne-20 ekhulwini labantu bafumana iimpawu ze-reflux ngeveki.
I-Acid reflux yenzeka xa iasidi yesisu iphuma esiswini isiya kummizo, ityhubhu edibanisa umlomo nesisu. Esi sisu se-asidi sinokucaphukisa umgca we-esophagus, kubangela intlungu kunye noxinzelelo. Ngokuhamba kwexesha, kunokubangela umonakalo omkhulu ngakumbi kwinwebu yommizo.
Iimpawu ze-acid reflux
Imvakalelo ephawulekayo yintlungu evuthayo esifubeni, eso sizathu sesidlaliso senhliziyo. Ezinye iimpawu ziquka ezi zilandelayo:
- Kunzima ukugwinya
- Ukuvutha komlilo esifubeni kunokuba kubi kakhulu ebusuku
- Ukuziva ngathi kukho iqhuma emqaleni
- Ukuphindaphinda ulwelo oluneasidi okanye ukutya
Kukho zonke iintlobo ze izizathu kutheni umntu enokufumana i-acid reflux. Into oyityayo inokuba ngumba: Ukutya okuninzi, ukutya okuqhotsiweyo, okanye ukutya kwasebusuku kunokukhokelela kwi-acid reflux, njengokusela utywala okanye ikofu.
Iinketho zonyango lwe-Reflux
Unyango lwe-asidi reflux ludla ngokuqala ngokuguqulwa kwendlela yokuphila.
Ukwenza kube nzima ukuba i-asidi yesisu ihambe, sebenzisa izinyusi zebhedi ukwenzela ukuba intloko yebhedi ibe ngama-intshi ambalwa ngaphezu kweenyawo zebhedi. Okanye beka i-wedge phakathi kwebhokisi entwasahlobo kunye nomatrasi.
Olunye utshintsho lwendlela yokuphila lubandakanya ungatyi iiyure ezimbini ngaphambi kokulala kunye nokutshintsha ukutya. Amayeza athengiswa ngaphandle, njengee-antacids, nawo anokusebenza.
Ukuba amayeza afumaneka ngaphandle kwekhawuntara kunye nokutshintsha kwendlela yokuphila ayinciphisi i-reflux, amayeza kagqirha okanye utyando lunokufuneka.
Izilonda zePeptic
Ukuba unesilonda kumgca wesisu sakho okanye ekuqaleni kwesisu sakho esincinci (esibizwa ngokuba yi-duodenum), mhlawumbi unesilonda se-peptic. Le yimeko eqhelekileyo: umntu omnye kwabalishumi uba nezilonda zepeptic. Izilonda zinokuba buhlungu kakhulu.
Kwixesha elidlulileyo, abantu babekholelwa ukuba izilonda zibangelwa yizinto zokuphila, ezifana noxinzelelo olugqithisileyo okanye ukutya ukutya okuneziqholo, ngokwezibhedlele zeYunivesithi. Ngoku, siyazi ngakumbi malunga nezizathu zokubunjwa kwayo.
Nantsi into eyenzekayo: iibhaktheriya ezithile (Helicobacter pylori) okanye, ekuhambeni kwexesha, i ukusetyenziswa kweziyobisi ezichasayo Amachiza angasebenzisi steroidal (NSAIDs) adala umonakalo kwinwebu ekhusela isisu.
Izinto ezinobungozi bokukhula kwezilonda ziquka imbali yosapho, ukusetyenziswa rhoqo kotywala, ukutshaya, kunye nesifo sesibindi okanye sezintso. Kwaye nangona uxinzelelo kunye nokutya okuneziqholo akunakubangela isilonda se-peptic, ngamanye amaxesha kunokucaphukisa isilonda esikhoyo.
Iimpawu zezilonda zesisu
Enye into ebonisa ukuba unesilonda esiswini kuku iintlungu zokutshisa ezibuhlungu Kwenzeka kwindawo ethile phakathi kwethambo lesifuba kunye neqhosha lesisu. Ngaphandle kweentlungu, ezinye iimpawu zesilonda ziquka ukubhitya, isicaphucaphu, ukugabha, kunye nokungabi namdla wokutya.
Kodwa kusenokwenzeka ukuba awunazo naziphi na iimpawu. Nangona kunjalo, ukuba uneempawu ezinzima, funa uncedo ngokukhawuleza. Ezi ziquka:
- Intlungu ebukhali ngokukhawuleza kwisisu sakho
- Iimpawu ezinjengokothuka, njengokuquleka, ukubhideka, ukuziva unesiyezi, okanye ukubila kakhulu
- Ugabha igazi, elinokuba bomvu ngokuqaqambileyo okanye libukeke njengemihlaba yekofu
- Izitulo ezimnyama, eziphuzi, okanye ezinegazi
Izilonda zePeptic zinokufunyaniswa nge i-endoscopy yokwetyisa ephezulu, esebenzisa ikhamera encinane, ethambileyo efakwe emlonyeni ukuhlola isisu. Ezinye iimvavanyo zokuxilonga zinokufuna ukusela ulwelo lweX-reyi.
IiKhetho zoNyango lwesilonda sePeptic
Ukuba ufunyaniswe ukuba une-peptic ulcer, unyango luya kuba yindibaniselwano yohlengahlengiso lwendlela yokuphila kunye namayeza.
Ukutshintsha kwendlela yokuphila kubandakanya ukuyeka ukutshaya, ukunciphisa utywala kunye ne-caffeine, kwaye ugweme ukutya oko kunokubangela ukuqhambuka. Amayeza afana ne-antibiotics, i-histamine receptor blockers, i-proton pump inhibitors, kunye ne-antacids inokunceda ukunyanga izilonda ze-peptic. Ukuba isilonda se-peptic sibangelwa yi-Helicobacter pylori, i-antibiotics iya kumiselwa ukunyanga ukusuleleka kwintsholongwane.
i-diverticulosis kunye ne-diverticulitis
I-Diverticulosis yimeko eyenzeka xa unezingxobo ezincinci (ezibizwa ngokuba yi-diverticula) eziphuma emathunjini akho amakhulu. I-Diverticulosis ixhaphake kakhulu xa uneminyaka yobudala: Kubantu abangaphezu kweminyaka engama-60, kukho malunga nama-50 ekhulwini amathuba okuba uya kuba nezi zingxobo zincinci.
Ukuba izingxobo ezikwithumbu elikhulu ziyadumba, le meko ibizwa ngokuba ukuphambuka.
Iimpawu ze-diverticulosis kunye ne-diverticulitis
Amaxesha amaninzi, abantu abane-diverticulosis abafumani zimpawu. Nge-diverticulitis, oko kukuthi, i-diverticula evuthayo, ezinye zeempawu eziqhelekileyo ziquka ezi zilandelayo:
- Intlungu yesisu
- Umkhuhlane
- Ukucaphuka
- Ukuqunjelwa
Kanye kunye nokuguga, ukhetho lokutya lunokuchaphazela ukuphuhliswa kwe-diverticulitis. A ukutya okuncinci kwi-fiber kunye namafutha amaninzi ezilwanyana kwandisa umngcipheko wesi sifo. Ezinye izinto ezinobungozi ziquka ukutyeba ngokugqithiseleyo, ukutshaya, nokusela amayeza athile, kuquka ii-NSAID.
I-Diverticulitis: Ngaba kuyimfuneko ukulandela ukutya okukhethekileyo?
Iinketho zoNyango lweDiverticulitis
Unyango lwe-diverticulitis luxhomekeke kubukhulu beempawu zakho.
Ukuba iimpawu zincinci, i iintsholongwane kunye ukutya okungamanzi zisenokuba zanele. Nje ukuba iimpawu zithobe, unokuphinda ubuyisele ukutya okuqinileyo kwisidlo sakho. Iimeko ezinzima kakhulu zinokufuna ukulaliswa esibhedlele, kwaye ukuba kukho iingxaki, ezifana ne-perforation okanye i-fistula, utyando lunokufuneka.
Isifo sengqondo sesifo
Ukuya kutsho kwi-10 ukuya kwi-15 ekhulwini labantu baseUnited States abanokuba nayo Isifo samathumbu esingaqondakaliyo (IBS); Enyanisweni, umbutho uphawula ukuba i-IBS yeyona meko ixhaphakileyo phakathi kwe-gastroenterologists. Ngoko awuwedwa kule nto.
Iimpawu ze-irritable bowel syndrome
Iimpawu ze-IBS ziyahluka kakhulu, kodwa ezinye zezona ziqhelekileyo:
- Intlungu yesisu
- iikram okanye ukuqunjelwa
- Gesi
- Urhudo okanye ukuqhina, okanye enye ilandelwe yenye
- Ubunzima bokuya kwindlu yangasese okanye, ngokuchaseneyo, kufuneka uyisebenzise ngokukhawuleza
Nangona ezi zimpawu zingakhathazeki kwaye ziphazamisekile, zenzeka ngaphandle kokubangela umonakalo obonakalayo okanye iimpawu zesifo kwindlela yokugaya.
I-Irritable Bowel Syndrome yinto engaqondakaliyo: Akukho mntu waziyo ukuba ibangelwa yintoni. Isenokubandakanya i-gut microbiota, ukungahambi kakuhle kwentshukumo yamathumbu, okanye utshintsho kwindlela ingqondo kunye namathumbu ezinxibelelana ngayo kunye nokusebenza kunye.
Abasetyhini banokwenzeka ngokuphindwe kabini yokufunyaniswa une-IBS, kwaye ixhaphake kakhulu kubantu abangaphantsi kweminyaka engama-50. Kwaye nangona uxinzelelo lungabangeli i-bowel syndrome ecasulayo, inokunyusa iimpawu ezingathandekiyo ezihamba nazo.
Ekubeni iimpawu zinokutshintsha rhoqo, ukuxilongwa kunokuba nzima. Kwakhona, akukho vavanyo lwe-IBS.
Iinketho zonyango lwe-IBS
Unyango lwe-IBS ludla ngokubandakanya amayeza kunye notshintsho kwindlela yokuphila kunye nokutya.
Nciphisa ukutya okuphezulu IiFODMAPs, uhlobo lwecarbohydrate oluhlala ludityaniswa neempawu zesisu, ngamanye amaxesha lunokuba luncedo. Yitya ifayibha ezininzi kwaye uphephe igluten ngamanye amaqhinga anokuba luncedo. Utshintsho kwindlela yokuphila, njenge ukwandisa umthambo, ukunciphisa uxinzelelo, kwaye ulale ngokwaneleyoZiyakwazi nokuthomalalisa iimpawu.
Ukuqunjelwa
Umnqweno wokuba nentshukumo yamathumbu ngaphandle kokukwazi ukwenza oko unokuhamba kunye nezinye iingxaki zokugaya okanye zenzeke ngokwazo. Nangona ukuqhinwa ngamaxesha athile kuyinto eqhelekileyo, ukuqhinwa okungapheliyo kunokuba luphawu lweemeko ezixhalabisayo.
iimpawu zokuqhina
Iimpawu zokuqhinwa okungapheliyo ziquka:
- Ngaphantsi kweentshukumo zamathumbu ezi-3 ngeveki
- ilindle eliqinileyo okanye elineqhuma
- Ukutsala nzima ukuzikhupha
- Ukuva ukuba kukho umqobo kwi-rectum okuthintela ukuhamba kwamathumbu.
- Ukuziva ukuba awukwazi ukukhupha ngokupheleleyo isitulo kwi-rectum yakho
- Udinga uncedo lokukhupha i-rectum, njengokusebenzisa izandla ukucofa isisu kunye nokusebenzisa umnwe ukususa isitulo kwi-rectum.
Ukuqunjelwa kuthathwa ngokuba yinto engapheliyo ukuba ufumana ezimbini okanye ngaphezulu kwezi mpawu kwiinyanga ezintathu.
Iinketho Zonyango Lokuqunjelwa
Ukuqunjelwa okungapheliyo kufuneka kunyangwe ngugqirha. Ukuqunjelwa ngamanye amaxesha kunokunyangwa nge-laxatives ngaphandle kwe-counter-counter kunye namanyathelo okutya afana nokunyusa i-fiber kunye nokuthathwa kwamanzi.