Cishe wonke umuntu uyazi okuhlangenwe nakho kokuba nesisu esibuhlungu, kodwa izigidi zabantu zithinteka unyaka ngamunye ngezinkinga ezitholakalayo zokugaya ukudla. Futhi nakuba ezinye izifo zokugaya zingabangela izimpawu noma ukungakhululeki okuncane, ezinye zingabangela ubuhlungu obukhulu noma zidinga ngisho nokulaliswa esibhedlela noma ukuhlinzwa.
Uma unezimpawu ze-GI, uzofuna ukwazi ukuthi yini onayo futhi, okubaluleke kakhulu, ukuthi ungakuqeda kanjani ukungakhululeki. Nakhu okudingeka ukwazi mayelana nezinkinga ezinhlanu ezivame kakhulu zokugaya ukudla, kanye nezinketho zokwelapha ezinconyiwe.
I-acid reflux
I-Acid reflux, eyaziwa nangokuthi isilungulela, ingenye yezinkinga ezivame kakhulu zesisu.
Uma kwenzeka kaningi, kuyacatshangelwa i-enfermedad ne-reflujo gastroesofágico noma i-GERD, okuyisimo esibucayi kakhulu. Cishe amaphesenti angu-20 abantu abahlangabezana nezimpawu ze-reflux masonto onke.
I-Acid reflux iyenzeka lapho i-asidi yesisu igeleza isuka esiswini iye emmizweni, ishubhu elixhuma umlomo nesisu. Le acid yesisu ingacasula ulwelwesi lomminzo, ibangele ubuhlungu nokucindezela. Ngokuhamba kwesikhathi, kungabangela umonakalo omkhulu kakhulu olwelweni lomgudu womphimbo.
Izimpawu ze-acid reflux
Ukuzwa kwesici kuwubuhlungu obuvuthayo esifubeni, okuyisizathu sesidlaliso senhliziyo. Ezinye izimpawu zihlanganisa okulandelayo:
- Ubunzima bokugwinya
- Ukuzwa ukushisa esifubeni okungaba kubi kakhulu ebusuku
- Ukuzwa isigaxa emphinjeni
- Ukuphindaphinda koketshezi olune-asidi noma ukudla
Kukhona zonke izinhlobo ze izizathu kungani umuntu engase abe ne-acid reflux. Okudlayo kungaba yisici: Ukudla kakhulu, ukudla okuthosiwe, noma ukudla kwasebusuku kungaholela ekuvukeni kwe-asidi, njengokuphuza utshwala noma ikhofi.
Izinketho Zokwelashwa kwe-Reflux
Ukwelashwa kwe-acid reflux ngokuvamile kuqala ngokushintsha indlela yokuphila.
Ukwenza kube nzima ukuthi ama-asidi esisu akhuphuke, sebenzisa iziphakamisi zombhede ukuze ikhanda lombhede libe ngamasentimitha ambalwa ukuphakama kunonyawo lombhede. Noma beka umphetho phakathi kwebhokisi lomthombo nomatilasi.
Ezinye izinguquko zendlela yokuphila zihlanganisa ungadli amahora amabili ngaphambi kokulala kanye nezinguquko zokudla. Imithi ethengwayo, njengama-antacid, nayo ingasebenza.
Uma imishanguzo etholakala ekhawuntareni kanye nezinguquko zendlela yokuphila zinganciphisi i-reflux, imithi kadokotela noma ukuhlinzwa kungase kudingeke.
izilonda ze-peptic
Uma unesilonda olwelweni lwesisu sakho noma ekuqaleni kwamathumbu akho amancane (okuthiwa i-duodenum), cishe unesilonda se-peptic. Lesi yisimo esivamile: umuntu oyedwa kwabayi-10 uba nezilonda ze-peptic. Izilonda zingaba buhlungu kakhulu.
Esikhathini esidlule, abantu babekholelwa ukuthi izilonda ziwumphumela wendlela yokuphila, njengokucindezeleka ngokweqile noma ukudla okubabayo, ngokusho kwezibhedlela zaseNyuvesi. Manje, sesazi okwengeziwe ngezimbangela zokubunjwa kwayo.
Nakhu okwenzekayo: amagciwane athile (Helicobacter pylori) noma, ngokuhamba kwesikhathi, i- ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala Izidakamizwa ezingekho emthethweni (ama-NSAID) zidala ukulimala kolwelwesi oluvikelayo lwesisu.
Izinto eziyingozi zokuthuthukisa izilonda zihlanganisa umlando womndeni, ukusetshenziswa kotshwala njalo, ukubhema, nesifo sesibindi noma sezinso. Futhi nakuba ukucindezeleka nokudla okubabayo kungeke kubangele isilonda esiswini, ngezinye izikhathi kungase kucasule isilonda esikhona.
Izimpawu zezilonda ze-peptic
Enye inkomba yokuthi unesilonda se-peptic a ubuhlungu obushisayo bokusha Kwenzeka ndawana-thile phakathi kwethambo lesifuba nenkinobho yesisu. Ngaphandle kobuhlungu, ezinye izimpawu zesilonda zihlanganisa ukuqunjelwa, isicanucanu, ukuhlanza, nokungathandi ukudla.
Kodwa futhi kungenzeka ukuthi awunazo nhlobo izimpawu. Nokho, uma unezimpawu ezinzima, funa usizo ngokushesha. Lokhu kubandakanya:
- Ubuhlungu obusheshayo obungalindelekile esiswini sakho
- Izimpawu ezinjengokwethuka, njengokuquleka, ukudideka, ukuzwa isiyezi, noma ukujuluka ngokweqile
- Uhlanza igazi, okungenzeka libebomvu ngokugqamile noma libukeke njengenkundla yekhofi
- Indle emnyama, ephuzi, noma enegazi
Izilonda ze-Peptic zingahlonzwa ngo-a i-endoscopy yokugaya ukudla okuphezulu, esebenzisa ikhamera encane, eguquguqukayo efakwe emlonyeni ukuze ihlole isisu. Okunye ukuhlolwa kokuxilonga kungase kudinge ukuphuza uketshezi lwe-X ray.
Izinketho Zokwelashwa Kwe-Peptic Ulcer
Uma kutholakala ukuthi une-peptic ulcer, ukwelashwa cishe kuzoba inhlanganisela yokulungiswa kwendlela yokuphila kanye nemithi.
Izinguquko zendlela yokuphila zihlanganisa yeka ugwayi, nciphisa utshwala ne-caffeine, futhi ugweme ukudla lokho kungabangela ukuqubuka. Imithi enjengama-antibiotics, i-histamine receptor blockers, i-proton pump inhibitors, nama-antacids ingasiza ekwelapheni izilonda ze-peptic. Uma isilonda se-peptic sibangelwa i-Helicobacter pylori, ama-antibiotics azobekwa ukuphatha ukutheleleka kwamagciwane.
i-diverticulosis kanye ne-diverticulitis
I-Diverticulosis yisimo esenzeka lapho unezikhwama ezincane (ezibizwa ngokuthi i-diverticula) eziphuma emathunjini akho amakhulu. I-Diverticulosis ijwayele ukukhula ngeminyaka: Kubantu abangaphezu kweminyaka engama-60, cishe amaphesenti angama-50 amathuba okuthi uzoba nalezi zikhwama ezincane.
Uma izikhwama emathunjini amakhulu zivutha, lesi simo sibizwa ukwelashwa.
Izimpawu ze-diverticulosis kanye ne-diverticulitis
Ngokuvamile, abantu abane-diverticulosis ababi nazo izimpawu. Nge-diverticulitis, okungukuthi, i-diverticula evuthayo, ezinye zezimpawu ezivame kakhulu zihlanganisa okulandelayo:
- Ubuhlungu besisu
- Umkhuhlane
- Isicanucanu
- Ukuqunjelwa
Kanye nokuguga, ukukhetha kokudla kungathonya ukuthuthukiswa kwe-diverticulitis. A ukudla okuphansi kwe-fiber kanye namafutha ezilwane amaningi kwandisa ingozi yalesi sifo. Ezinye izici eziyingozi zihlanganisa ukukhuluphala ngokweqile, ukubhema, nokuthatha imithi ethile, kuhlanganise nama-NSAID.
I-Diverticulitis: Ingabe kuyadingeka ukulandela ukudla okukhethekile?
Izinketho Zokwelashwa Kwe-Diverticulitis
Ukwelashwa kwe-diverticulitis kuncike ebucayi bezimpawu zakho.
Uma izimpawu zilula, i ama-antibiotics futhi a ukudla okuwuketshezi bangase banele. Uma izimpawu seziphelile, ungakwazi ukubuyisela ukudla okuqinile kancane kancane ekudleni kwakho. Izimo ezimbi kakhulu zingadinga ukulaliswa esibhedlela, futhi uma izinkinga zenzeka, njengokubhoboza noma i-fistula, kungase kudingeke ukuhlinzwa.
I-Irritable Bowel Syndrome
Amaphesenti angaba ngu-10 kuye kwayi-15 abantu base-United States angase abe nawo i-irritable bowel syndrome (IBS); empeleni, inhlangano iphawula ukuthi i-IBS iyisimo esivame ukutholakala phakathi kwe-gastroenterologists. Ngakho awuwedwa kulokhu.
Izimpawu ze-irritable bowel syndrome
Izimpawu ze-IBS ziyahlukahluka kakhulu, kodwa ezinye ezivame kakhulu:
- Ubuhlungu besisu
- amajaqamba noma ukuqunjelwa
- Gas
- Isifo sohudo noma ukuqunjelwa, noma esinye esilandelwa esinye
- Ubunzima bokuya endlini yangasese noma, ngokuphambene nalokho, udinga ukuyisebenzisa ngokushesha ngangokunokwenzeka
Nakuba lezi zimpawu zingakhululekile futhi ziphazamisa, zenzeka ngaphandle kokudala umonakalo obonakalayo noma izimpawu zesifo emgudwini wokugaya ukudla.
I-Irritable Bowel Syndrome iyimfihlakalo kancane: Akekho owazi kahle ukuthi ibangelwa yini. Kungase kuhilele i-gut microbiota, ukungahambi kahle kokunyakaza kwamathumbu, noma izinguquko endleleni ubuchopho namathumbu okuxoxa ngayo nokusebenza ndawonye.
Abesifazane banamathuba aphindwe kabili yokutholakala ne-IBS, futhi ivame kakhulu kubantu abangaphansi kweminyaka engama-50. Futhi nakuba ukucindezeleka kungabangeli i-bowel syndrome ecasulayo, kungase kubhebhethekise izimpawu ezingemnandi ezihambisana nakho.
Njengoba izimpawu zingashintsha njalo, ukuxilongwa kungase kube nzima. Futhi, azikho izivivinyo ze-IBS.
Izinketho Zokwelashwa kwe-IBS
Ukwelashwa kwe-IBS ngokuvamile kuhilela imithi kanye nezinguquko endleleni yokuphila nokudla.
Yehlisa ukudla okuphezulu Ama-FODMAP, uhlobo lwecarbohydrate oluvame ukuxhunyaniswa nezimpawu zesisu, ngezinye izikhathi lungaba usizo. Yidla i-fiber eyengeziwe futhi ugweme i-gluten amanye amaqhinga angaba usizo. Izinguquko endleleni yokuphila, njenge ukwandisa ukuzivocavoca, ukunciphisa ukucindezeleka, nokulala ngokwaneleBangakwazi futhi ukukhulula izimpawu.
Ukuqunjelwa
Isifiso sokuphuma amathumbu ngaphandle kokukwazi ukwenza kanjalo singahambisana nezinye iziyaluyalu zokugaya ukudla noma kuzenzekele ngokwaso. Nakuba ukuqunjelwa ngezikhathi ezithile kuyinto evamile, ukuqunjelwa okungamahlalakhona kungaba uphawu lwezimo ezikhathaza kakhulu.
izimpawu zokuqunjelwa
Izimpawu zokuqunjelwa okungapheli zihlanganisa:
- Ukukhipha amathumbu angaphansi kuka-3 ngesonto
- indle eqinile noma enezigaxa
- ukuzikhandla ukuze uzikhiphe
- Ukuzwa ukuthi kunokuvinjelwa kwe-rectum okuvimbela ukuphuma kwamathumbu.
- Ukuzwa ukuthi awukwazi ukukhipha ngokuphelele indle ku-rectum yakho
- Udinga usizo lokuthulula i-rectum, njengokusebenzisa izandla ukucindezela isisu nokusebenzisa umunwe ukukhipha indle ku-rectum.
Ukuqunjelwa kuthathwa njengokungapheli uma uthola ezimbili noma ngaphezulu zalezi zimpawu izinyanga ezintathu.
Izinketho Zokwelashwa Zokuqunjelwa
Ukuqunjelwa okungapheli kufanele kwelashwe uchwepheshe wezokwelapha. Ukuqunjelwa ngezikhathi ezithile kungelashwa ngama-laxatives atholakala ngaphandle kwekhawunta kanye nezinyathelo zokudla ezifana nokwandisa i-fiber kanye nokudla kwamanzi.