Ukuvuka phakathi kwamabili ufuna ukuchama kuyinto evamile, kodwa kwenzekani uma uvuka ufuna ukuchama lapho uvuka? Kwenzeka kubantu abaningi, futhi umlando akufanele ujwayeleke.
Okujwayelekile wukuzama ukuthola ukuthi yini edala ukuthi lo mkhuba uzikhiphe. Ingabe impilo yakho ingaba sengozini? Ukuphuma kwamathumbu ebusuku kuthathwa njengophawu oluyisixwayiso futhi kungabonisa ukuthi kukhona okungalungile. Kungase kube nesici esithile esenza kusebenze ama-receptors amathumbu ukuze ashukumise ukunyakaza kwamathumbu ebusuku.
ukunyakaza kwemvelo
Okwenzeka lapho silele kuyisizathu esikhulu sokuthi kungani umzimba uvame ukulungela ukuchama lapho uvuka. Ngenkathi silele, amathumbu amancane kanye nekholoni kusebenza ukucubungula konke ukudla okusele kusukela ngosuku. Ngemva kokuvuka, uvame ukusihambisa Imizuzu ye-30 ukuze kuvele isifiso sokuzikhulula. Izinqubo zasekuseni ezifana nokuzelula, amanzi okuphuza, futhi kunjalo, ikhofi lisiza ukusheshisa ukugayeka kokudla futhi licuphe indle yokuqala.
Ukuphuza ikhofi ekuseni kakhulu kusebenza ngokubambisana ne-motility yamathumbu ukudala ukunyakaza okunempilo kwamathumbu. Enye iqhinga eliphumelelayo ingilazi yamanzi anosawoti afudumele (enelamula elincane lokuthuthukisa ukunambitheka). Yize ingeke iwukhiphe ubuthi emzimbeni njengoba abanye besho, iyasiza ekutheni izinto zihambe. Cishe amaphesenti angu-30 abantu abika isifiso sokuzikhukhumeza ngemva kwenkomishi yekhofi eshisayo.
Kungase kungabi yinto evamile kwabanye, kodwa kungenxa yalabo abanempilo enhle, abavivinya umzimba njalo, nabanakekela imizimba yabo. Akukhona nje kuphela ukuthi kuhle ukukhishwa ithumbu lapho uvuka (ngemuva kokuba umzimba uthole ithuba lokugaya ukudla kwawo kokugcina futhi ucubungule owawukudle izolo), kodwa kunenzuzo enkulu ngoba ihambisa udoti kanye nobuthi emzimbeni. , kunokuba uvumele imfucuza ibole kukholoni noma emathunjini.
Ucwaningo luningi futhi lusikisela ukuthi umgomo uwukuba nokunyakaza kwamathumbu izikhathi eziningana ngosuku ngoba kusho ukuthi umzimba usebenza kahle futhi cishe sidla ukuxuba okuhle kwemifino, izithelo, i-fiber kanye namafutha anempilo.
Ezinye izimbangela
Uma sibhekana nesiqephu salolu hlobo, siyaqaphela ukuthi umzimba wethu uzizwa uyinqaba. Akufanele kube umkhuba, futhi akufanele sikuzibe. Uma sivuka sifuna ukupopa uma sivuka, esinye salezi zizathu kungaba yimbangela.
Ukutheleleka
Ukutheleleka kwesisu kungabangelwa amagciwane noma amagciwane. Uma ungenwa umkhuhlane wesisu, isibonelo, isifo sohudo esingamanzi singase sibe esinye sezimpawu kanye namajaqamba esiswini, isicanucanu nokuhlanza, noma umkhuhlane wezinga eliphansi. Kungaba nzima ukukulalela, kodwa kufanele ukubekezelele lokhu.
Ezimweni eziningi, izifo ezibalulekile zamathumbu zivele ziziphelele ngokwazo. Kufanele nje uthathe izinto kalula futhi ugcwalise uketshezi njalo. Kulokhu, ungaphuza amanzi emvelo kanye ne-serum yomlomo ukuze ugcwalise amavithamini namaminerali. Iya kudokotela uma kwenzeka kudingekile ukuthatha isampula yendle ukuze ubone amagciwane noma igciwane futhi utuse ukwelashwa okunciphisa izimpawu.
isimo sokugaya ukudla
Ezinye izifo zamathumbu ezivuthayo zingase zibe Isifo sikaCrohn futhi i i-ulcerative colitis. Lezi zibonakala ngokuvuvukala kwesikhathi eside okugcina kulimaza umgudu wamathumbu. Ukuqubuka kwalezi zimo kungase kuhlasele ebusuku futhi kukuvuse ukuze ukhiphe indle.
Kuyadingeka ukunaka ezinye izimpawu ezihambisana nesitulo ukuze wazi ukuthi singahlukanisa kanjani isifo samathumbu kwesinye isizathu. Abanye abantu bangase babe nezinye izimpawu ezinjengokuncipha kwesisindo, ubuhlungu besisu, isifo sohudo esinegazi, ukuphuthuma kwefecal, noma izilonda zomlomo ngaphezu kokuphuma kwamathumbu ebusuku.
Ukuvuka udle indle kanye kanye akumele kube yinkinga, kodwa uma kuba umkhuba ongapheli, ovamile lapho ulala futhi uvuka futhi uphoqeleka ngokomzimba ukuba ukhiphe, kungase kube uphawu lokuthi udinga indle. ukunakekela udokotela. Ukuhlola okufana ne-endoscopy, i-colonoscopy, i-MRI noma i-CT scan, kanye namasampula esitulo nokuhlolwa kwegazi, ngokuvamile kwenziwa ukuze kusetshenziswe ekuxilongeni.
Imithi enemiphumela emibi
Uma uthatha umuthi omusha, ungase ube nezifiso phakathi nobusuku. Hlola noma yimiphi imithi yakamuva kadokotela noma imithi ethengwayo oyiphuzayo. Ngokuvamile, imithi efana nama-antibiotics, ama-NSAID (afana ne-ibuprofen), izidakamizwa ze-chemotherapy, kanye nalezo eziqukethe i-magnesium zingaba necala.
Ama-antibiotics, isibonelo, angashintsha ibhalansi yamagciwane amathumbu futhi abangele isifo sohudo. Yingakho abanye odokotela batusa ukuthatha umvikeli wesisu kusengaphambili. Kodwa-ke, kunconywa ukuthi uthintane nodokotela uma kuvamile ukuzwa sengathi uphuma emanzini lapho uvuka ngenxa yomuthi omusha.
Ubuthi bokudla
Ngokuvamile lokhu kungenye yezimbangela eziyinhloko zokuya endlini yokugezela phakathi nobusuku. Mhlawumbe inkukhu oyi-odile ukudla kwasemini, ithini le-tuna, noma izingilazi ezimbalwa zotshwala. Noma yisiphi salezi zizathu singakwenza uchithe ubusuku ugijimela endlini yangasese.
Izifo ezibangelwa ukudla emathunjini zibangela ukusebenza kwamasosha omzimba kanye nokukhululwa kwama-cytokines angakwazi ukusebenza ngqo emathunjini futhi avuse isifo sohudo. Bangakwazi futhi ukukhiqiza ubuthi obulimaza amathumbu, enye into ebangela indle exekethile kanye nesidingo sokuphuthuma. Kodwa ungakhathazeki, uzolulama kancane.
Uma ingayeki emahoreni angama-24 noma unomkhuhlane negazi, bonana nodokotela ukuze ahlaziye ngempela ubuthi. Khonamanjalo, isifo sohudo, ikakhulukazi esimweni esinzima, singabangela ukuphelelwa amanzi emzimbeni uma uketshezi olunjengamanzi nesobho lungadliwa. Kuyafaneleka futhi ukubona udokotela uma unomkhuhlane, uhudo olunegazi, ubuhlungu obukhulu besisu, umchamo omnyama noma isiyezi lapho umile.
i-microscopic colitis
I-Microscopic colitis ibangela ukuvuvukala kwamathumbu amakhulu futhi ibangele isifo sohudo esiqhubekayo. Ukuvuvukala okuhambisana nalesi simo kungabonakala kuphela kusetshenziswa isibonakhulu. Abantu abadala asebekhulile bavame ukuthinteka kakhulu yi-microscopic colitis, kodwa noma ubani oqhubeka enesifo sohudo sasebusuku, ngisho noma ezilile, kufanele ahlolelwe lesi simo.
Ezinye izimpawu zihlanganisa ukungakwazi ukuzibamba indle, isicanucanu, ubuhlungu besisu namajaqamba, noma ukuncipha. Imbangela ye-microscopic colitis ayaziwa, kodwa ukuphuza izidakamizwa ezingezona ukuvuvukala izinyanga ezingu-6 noma ngaphezulu kungase kwandise ingozi yokuyihlakulela.
Ezinye izimbangela
El hyperthyroidism ("i-thyroid engasebenzi ngokweqile") kanye izimila neuroendocrine Lezi yizimo ezimbili ezengeziwe okufanele sizicabangele uma uphuma amathumbu ebusuku. I-Neuroendocrine tumors yizimila ezinomdlavuza ezingaba khona noma yikuphi emzimbeni, kuhlanganise nesistimu ye-gastrointestinal efana namathumbu amancane, i-rectum, nama-pancreas.
Lezi zimo zibangela ukwanda kokuphuma kwamathumbu ngokujwayelekile ngokusebenza kuma-receptor amathumbu ahlukene noma ngokulimaza ulwelwesi lwamathumbu. Ngaphezu kohudo, ungase futhi uzizwe ukhathele futhi ulahlekelwe isisindo ungahlosile. Kunconywa ukuthi ukhulume nodokotela, ukuze ukuhlolwa kungenziwa ukuze kukhishwe isifo sofuba esivuthayo noma ezinye izifo ezithinta isimiso sokugaya ukudla.
Ngisho noma sinohudo olungapheli ebusuku, kungase kube ngenxa yesimo esibi kakhulu. Lesi simo singasiza ngisho nodokotela ukuthi axilongwe. Izimo eziningana zamathumbu, njenge-bowel syndrome ecasulayo nezinye izifo ezisebenzayo zamathumbu, azivamile ukubangela isifo sohudo sasebusuku.
Kuyinto evamile for the isifo sohudo esiyimfihlo bangela isifo sohudo sasebusuku. Uhudo oluyimfihlo lwenzeka lapho amathumbu engakwazi ukumunca noma ukukhipha ama-electrolyte noketshezi ngendlela efanele. Isifo sohudo esiyimfihlo singase sibe khona ngenxa yesimo sezempilo esicashile noma isici sangaphandle esinjengokuphuza utshwala, ukuhlinzwa, noma ukusetshenziswa kwemithi.
Izinkinga zemizwa
Kukholakala ukuthi ukuvuvukala emathunjini kungase kuthinte izinzwa ezilawula ukukhishwa kwemfucuza. Lapho lezi zinzwa zivuselelwe ngokweqile, zingathumela isignali ebuchosheni ukuthi kusekhona okubonakalayo emathunjini.
Lokhu kungenza kusebenze imisipha emathunjini esetshenziselwa ukukhipha indle. Leyo misipha iyafinyela, ngakho umzimba ucabanga ukuthi udinga ukuhambisa amathumbu, kodwa empeleni akukho lutho kukholoni.
Kungani sinesifiso sokuzikhulula?
Ochwepheshe bezempilo bokugaya ukudla sekuyisikhathi eside bekholelwa ukuthi izinga lokulala kanye nezimpawu zesisu ezinjengokuqunjelwa, ukuqunjelwa, nesifo sohudo kuxhumene ngandlela thize, ikakhulukazi kubantu abanesifo samathumbu esicasulayo. Isayensi ize iphakamise ukuthi ukuphazamiseka kokulala kungadala ukuqubuka kwesifo samathumbu esivuvukalayo.
I-Los izinkinga zokulala kanye nokuntuleka kokulala kungase kuthinte isimiso somzimba sokuzivikela ezifweni, bese kuba nempilo yamathumbu. Kodwa kusekhona ukungaqiniseki mayelana nokuthi ukungalali kahle noma ukungalali kahle kungabhekwa njengembangela eqondile yezinkinga zamathumbu.
Ngokuqinisekile, abantu asebevele bene-bowel syndrome ecasulayo noma ezinye izikhalazo zamathumbu bangathola ukuthi izimpawu ziba zimbi kakhulu lapho singalali kahle. Ukungalali kahle kungenzeka kubhebhethekise noma kubhebhethekise izinkinga ezithile zamathumbu. Bangase bahambe ubusuku obuningana ngaphandle kokuphumula kwekhwalithi futhi baqaphele ukwanda kokungakhululeki, isifo sohudo, noma indle engafanele ezinsukwini ezilandelayo.
Kukhona futhi ukuthi kungenzeka ukuthi izinkinga ze-gastrointestinal zinzima kangangokuthi ziphazamisa ukulala. Ngakho esikhundleni sokulala kuthinte izinkinga ze-GI, izinkinga ze-GI ezithinta ukulala. Ukuvuka phakathi nobusuku unesidingo esiphuthumayo sokuyochama ngokuqinisekile kuzothinta ukulala kwakho, nakuba njengerekhodi, kungase futhi kuwuphawu lokutheleleka futhi kufanelekile ukukhuluma nomhlinzeki wakho wokunakekelwa kwezempilo ngakho.
Ukuphumula ebusuku kungase kusebenze njengesinyathelo esiqinile sezempilo sokuvimbela, futhi uma usuvele une-GI ecasulayo noma isifo samathumbu esicasulayo, ngeke kube buhlungu ukusebenzela ukuthuthukisa isimiso sakho sokulala.
Ungakugwema kanjani?
Ukupopa ekuseni kakhulu kungaba yinto evamile. Unganciphisa ukuvama nokuqina kweziqephu zohudo ngokuzama okulandelayo:
- Yenza izinguquko zokudla futhi ususe ukudla okunenkinga
- Ukugwema izimbangela ze-irritable bowel syndrome noma isifo samathumbu esivuvukalayo
- Ungadli amahora amabili kuya kwayi-2 ngaphambi kokulala
- Yekani ukubhema
- Yakha isimiso sokulala esinempilo
- Lawula ingcindezi ngokuzindla, ukuzivocavoca, namasu okuphefumula okujulile
- Gcina isisindo esinempilo.
- Landela uhlelo lokwelapha olunqunyiwe lwezimo ezingapheli, njengesifo sikashukela. Isifo sikashukela sohlobo loku-1 siphathwa ngemijovo ye-insulin noma ngephampu ye-insulin. Kufanele futhi uhlole amazinga kashukela egazini njalo futhi ubuke ukudla kwakho kwe-carbohydrate. Isifo sikashukela sohlobo 2 singalawulwa ngokushintsha indlela yokuphila, ukulawula ushukela egazini, kanye nemithi.