Emmere gye tulya etambula etya mu lubuto lwaffe? Ka tuyige ku ntambula eno eyeewuunyisa (peristalsis)!

Tulya emmere n’okunywa amazzi buli lunaku. Naye wali weebuuzizza engeri emmere n’ebyokunywa bino, bwe tubimira, ne bikka mu mimiro gyaffe, ne bitambula wala mu byenda, era okukkakkana nga bifuluma mu mubiri nga kasasiro? Tekyewuunyisa? Enkola eno yonna ebaawo nga tetutegedde wadde, kumpi mu ngeri ey’otoma. Ensonga lwaki kino kibaawo kwe kutambula kw’ebinywa okw’enjawulo okubaawo mu nkola yaffe ey’okugaaya emmere. Ekyo kye tuyita peristalsis . Leero, kino tugenda kwogera mu bujjuvu era mu ngeri ennyangu.

Obulwadde buno obuyitibwa peristalsis kye ki?

Mu ngeri ennyangu, peristalsis kwe kutambula kw’ebinywa okwetongodde, okutali kwa kyeyagalire, okubaawo mu nkola yaffe ey’okugaaya emmere . Lowooza ku kino, enkola eno etandika mu kaseera k’omira emmere. Kisitula emmere n’amazzi okuva mu mumiro gwo, okutuukira ddala mu nkola yo ey’omu lubuto , okutuukira ddala mu byenda byo, kasasiro w’afulumira.

Oyinza okulowooza ku nkola yaffe ey’okugaaya emmere ng’omuddirirwa gwa ttanka ezikwatagana, ezirimu ebituli. Tubu zino zirimu ebinywa n’obusimu. Kale, emmere bw’eyingira mu nkola y’okugaaya emmere, obusimu buweereza akabonero eri ebinywa. Wano ebinywa we bitandikira okukonziba n’okuwummulamu mu ngeri eringa ey’amayengo . Ebinywa bwe byeyongera okukonziba n’okuwummulamu, emmere esindikibwa mu maaso. Kiba ng’okusika eddagala ly’amannyo okuva wansi mu ttanka eddagala ne livaamu. Emmere egenda mu maaso mu ngeri eno okukkakkana ng’efulumye ng’eyita mu nseke oba okuyita mu nseke ng’efuuse kasasiro.

Njawulo ki eriwo wakati wa peristalsis ne segmentation?

Okukutula ebitundu (segmentation) kwe kutambula kw’ebinywa okulala okutali kwa kyeyagalire mu nkola yaffe ey’okugaaya emmere. Naye obutafaananako kutambula, okugabanyaamu kubaawo okusinga mu byenda byaffe , so si mu nkola yonna ey’okugaaya emmere. Okugabanyamu ebitundu kizingiramu okukonziba kw’ebinywa ebyekulungirivu mu byenda, ebitambuza emmere okudda n’okudda. Kiba ng’okwoza engoye mu kyuma eky’okwoza engoye.

Emmere bw’etambula mu ngeri eno, etabulwa bulungi n’omubisi gw’omu lubuto , n’emenyaamenya ebitundu by’emmere ebinene mu butundutundu obutonotono, ekiyamba mu kugaaya emmere. Okukutukakutuka kuno kukendeeza ku sipiidi y’emmere etambula mu byenda katono. Naye teweeraliikiriranga, motility egenda mu maaso n’okutwala emmere mu maaso.

Obulwadde bwa peristalsis bubaawo mu ngeri endala? – Obulwadde bwa Peristalsis obudda emabega

Yee, oluusi okukonziba kuno kw’ebinywa okulinga amayengo kuyinza okudda emabega mu kifo ky’okudda mu maaso. Ekyo kye tuyita retroperistalsis oba reverse peristalsis . Kino kye kibaawo ng’osesema. Obulwadde bwa retroperistalsis buleetera emmere eri mu kyenda kyo ekitono okudda emabega.Olwo emmere esobola okudda mu lubuto, era okuva awo, esobola okuvaayo ng’eyita mu nnywanto n’efuluma mu kamwa.

Ate era, singa emmere etera okuyita mu nkola y’okugaaya emmere n’esanga ekiziyiza , emmere eyinza okudda emabega okumala akaseera katono n’oluvannyuma n’egezaako okuddamu okugenda mu maaso.

Peristalsis eno ekola ki ku mibiri gyaffe?

Mu butuufu, okutambula y’ensonga yennyini lwaki enkola y’okugaaya emmere ebaawo . Awatali ekyo, tetwandisobodde kulya, kugaaya, era okukkakkana nga tufulumya kasasiro. Teebereza ekyandibaddewo singa ekyo kibaawo!

Olubuto okutambula mpola naye nga telugenda mu maaso kuwa emibiri gyaffe obudde okumenya emmere n’okunyiga ebiriisa . Era ayamba okumalawo obuwuka obuteetaagibwa n’ebisasiro ebikuŋŋaanyizibwa mu nkola yaffe ey’okugaaya emmere.

Ekikulu: Singa entambula y’okuyiringisibwa teteekebwa mu budde bulungi era nga ebaawo ku sipiidi entuufu, ekitegeeza nti singa yeeyongera ku sipiidi oba ekendeera mu sipiidi, enkola endala ez’okugaaya emmere nazo zijja kutandika okutaataaganyizibwa.

Wa mu mubiri obulwadde bwa peristalsis we bubeera?

Entambula y’okuyiringisibwa ebaawo mu nkola yaffe yonna ey’okugaaya emmere. Naye naddala kikola mu nnywanto , ekituli ekitwala emmere mu lubuto nga tumira. Bw’omira ekintu, enkola eno etandikira mu nnyindo , emabega w’emimiro gyo, n’esika emmere wansi mu nnywanto.

Waliwo primary peristaltic wave mu esophagus, etandika nga tumira ekintu. Oluusi, singa emmere ennene esibira, amayengo gano agasookerwako gokka tegamala. Mu kiseera ekyo, amayengo ag’okubiri aga peristaltic gatandika olw’okugolola ebisenge by’omumwa gwa nnabaana. Singa wabaawo obuzibu bwonna ku ntambula y’omumwa gwa nnabaana mu peristaltic, obuzibu mu kumira (dysphagia) buyinza okubaawo.

Oluvannyuma lw’omumwa gwa nnabaana, okutambula kw’okuyiringisibwa kweyongera okuyita mu lubuto n’ekyenda ekitono n’ekinene . Naye mu byenda, sipiidi eno ekendeera katono, kubanga yeetaaga okukkiriza enkola y’okugabanyaamu eyayogeddwako emabegako. Mu kiseera ky’okugabanya, entambula y’okuyiringisibwa y’etambuza entuuyo ezikolebwa enseke zaffe mu kyenda ekitono okuyamba mu kugaaya emmere. Mu ngeri y’emu, omusulo ogukolebwa ensigo gutwalibwa mu kibumba nga guyambibwako entambula eno ey’okuyiringisibwa.

Ku nkomerero y’enkola y’okugaaya, omusulo gugobwa nga guyita mu kukyukakyuka mu nseke, ate omusulo ne gugobwa okuyita mu nkyukakyuka mu nseke n’omumwa gwa nnabaana . Ekyewuunyisa, okukyusakyusa kuno kugenda mu maaso ne bwe tuba nga twebase, ne bwe tuba nga tetulina lubuto, nga tuggyawo ebintu byonna bye tutayagala ebisigadde mu nkola y’okugaaya emmere.

Ddala peristalsis eno eringa etya?

Engeri ebinywa gye bikolamu mu kiseera ky’okuyiringisibwa eyitibwa amayengo kubanga ebinywa biba bikwatagana buli kiseera era nga biwummudde mu ngeri eya bulijjo, ne bisika emmere mu maaso. Ebinywa ebyekulungirivu ebyetoolodde ttanka mu nkola yaffe ey’okugaaya emmere n’ebinywa ebiwanvu ebiddukira ku ttanka byombi bye biyamba mu kino. Ebinywa ebyekulungirivu bwe bikwatagana ne biwummulamu okusika emmere mu maaso, ebinywa ebiwanvu biyamba okusika ekintu kyonna mu maaso.

Naye enneeyisa eno eringa amayengo esinga kubeera mu kitundu ekisooka eky’enkola y’okugaaya emmere. Ekitundu ekisembayo eky’ekyenda, ekitundu omusulo we gugobwa, bwe kituuka, kasasiro asobola okugobwa ng’anyiga ebinywa emirundi egiwerako.

Bubonero ki obulaga obuzibu bw’obulwadde bwa peristalsis?

Era tuyita obuzibu bw’okutambula (motility disorders problems). Okutambula kwe kutambula kw’emmere okuyita mu nkola yaffe ey’okugaaya emmere. Bwe wabaawo ekizibu mu kutambula, kitera okutegeeza nti sipiidi y’emmere etambula mu nkola y’okugaaya emmere yeeyongera (Hypermotility oba Hyperperistalsis) oba ekendeera (Hypomotility oba Hypoperistalsis) .

• Singa sipiidi yeeyongera: Olw’okuba emmere etambula mangu mu mubiri, tefuna budde kugaaya bulungi oba okunyiga ebiriisa. Kino kiyinza okuvaako ekiddukano n'obuzibu obulala mu kugaaya emmere .
• Singa sipiidi ekendeera: Olw’okuba emmere etambula mpola, kasasiro ne bakitiriya tebiggyibwawo mu budde. Kino kiyinza okuvaako embeera ng'okuziyira n'okukula ennyo obuwuka .

Obuzibu mu ntambula busobola okuleeta obubonero obw’enjawulo. Ebimu ku byo mulimu:

• Okuziyira : Obutasobola kugenda mu kaabuyonjo okumala ennaku eziwera.
• Ekiddukano : Omusulo ogutera okutambula.
• Gaasi n’okuzimba.
• Obulumi mu lubuto .
• Okugaziwa kw'olubuto .
• Olubuto oluzimba : Okuwulira ng’olubuto lweyongera obunene ng’omaze okulya.
• Okuziyira era nga kiyinzika okuba nga n’okusesema.
• Okuddamu okufulumya amazzi .
• Acid reflux : Nga okulumwa omutima.
• Okukaluubirirwa okumira (Dysphagia) .
• Ebbula ly’emmere : Kubanga emmere omubiri tegunyiga bulungi.

Biki ebivaako obuzibu bwa peristalsis?

Okudda emabega mu lubuto n’omumwa gwa nnabaana nkola nzibu ennyo erimu ebinywa, obusimu, n’obusimu . Kale, obuzibu ku kino buyinza okuva ku buzibu ku binywa oba obuzibu ku nkola y’obusimu. Ebizibu bino bisobola okubaawo wonna mu nkola y’okugaaya emmere, oba wadde mu nkola yonna ey’okugaaya emmere.

MuEddagala, obuvune, yinfekisoni, endwadde, enkyukakyuka mu busimu, n’obutakwatagana mu masanyalaze bisobola okukosa ebinywa oba obusimu obukwatibwako mu kutambula kw’ekyenda. Oluusi, ekivaako tekimanyiddwa (idiopathic) . Endwadde nnyingi ez’omu lubuto zikwatagana n’okufuluma kw’ekyenda. Naye oluusi, kizibu okugamba mu bukakafu oba obulwadde buno bwe buvaako ekyenda oba ekyenda kye kivaako obulwadde buno.

Eddagala eriyinza okukosa obulwadde bwa peristalsis

Waliwo eddagala erimu eriyinza okukendeeza oba okwongera ku ntambula y’okuyiringisibwa.

• Eddagala eriweweeza ku bulumi erya opioid (e.g. tramadol, morphine).
• Anticholinergics (eddagala erikozesebwa mu mbeera nga alergy ezimu n’obulwadde bwa Parkinson).
• Calcium channel blockers (eddagala erimu erikozesebwa ku puleesa).
• Tricyclic antidepressants (eddagala erimu erikadde erikozesebwa ku kweraliikirira).

Embeera eziyinza okukosa obulwadde bwa peristalsis

• Obulwadde oba okuzimba mu kitundu .
• Okulongoosa , naddala okulongoosa olubuto.
• Obutabeera na masanyalaze (e.g. potassium omutono).
• Obulwadde bwa thyroid .
• Obuzibu mu busimu (e.g. obulwadde bwa Parkinson, obuzibu mu busimu).
• Obusimu okwonooneka olw'obulwadde bwa sukaali .
• Scleroderma n'obuzibu obulala obukwata ku bitundu ebiyunga .
• Intestinal ischemic syndrome (embeera omusaayi ogugenda mu byenda mwe gukendeera).
• ``Obulwadde bw'okutambula obulungi mu misuwa n'ekyenda (CAID)'' .
• Obulwadde bwa Hirschsprung - Eno embeera esinga okukwata abaana abato era nga eva ku butoffaali bw’obusimu mu byenda obutakula bulungi.

Endwadde ki endala eziyinza okuva ku buzibu bw’obulwadde bwa peristalsis?

Ebizibu by’omugongo bisobola okuleeta oba okusajjula embeera zino wammanga:

• `Achalasia` : Embeera ebinywa ebiri mu kitundu ekya wansi eky’omumwa gwa nnabaana mwe bitawummudde bulungi, ekizibuwalira emmere okuyita mu lubuto.
• `Intestinal pseudo-obstruction` : Embeera obubonero (okuzimba, obulumi, okusiiyibwa) mwe bulabikira nga waliwo ekiziyiza mu kyenda, nga mu butuufu tewali kiziyiza.
• Gastroparesis : Embeera ng’ebinywa by’olubuto binafu ate ng’emmere efuluma mpola nnyo okuva mu lubuto.
• Okusannyalala kw’omumwa gwa nnabaana : Embeera ebinywa mu nnywanto gye binywezebwa amangu, ekivaako okulumwa ekifuba oba okukaluubirirwa okumira.
• ``Obulwadde bw'ekyenda ekinyiiga (IBS)''.: Embeera obubonero ng’okuziyira, ekiddukano, n’okulumwa olubuto mwe bikyukakyuka olw’ebyenda okweyongera okuwulikika.
• `GERD (Gastroesophageal Reflux Disease)` : Obulwadde obuleeta okuzimba mu kifuba olw’okuddamu okuyingira asidi w’olubuto enfunda eziwera mu nnywanto.
• Paralytic ileus : Okulekera awo okutambula kw’ekyenda okumala akaseera oluvannyuma lw’okulongoosebwa oba olw’ensonga endala.

Ebizibu bino eby’obulwadde bwa peristalsis bijjanjabwa bitya?

Obuzibu bw'okusituka nsonga nzibu katono . Kale, okugijjanjaba obulungi, olina okusooka okutegeera ekigireeta . Oluusi, osobola okutereeza ekizibu ng’okyusa eddagala ly’omira oba ng’okola enkyukakyuka mu mmere yo.

Naye ebizibu by’obusimu biyinza okubeera ebizibu katono. Mental/emotional factors , hormones, n’amazzi g’omubiri byonna bisobola okukola kinene, kale kiyinza okutwala akatono okugezesa n’ensobi okuzuula ekivaako ekizibu. Oluusi, ekivaako ekizibu ky’okutambula kw’okuyiringisibwa kiyinza okuba embeera y’obujjanjabi ennene, enzijuvu. Mu mbeera eyo, embeera evuddemu yeetaaga okujjanjabibwa.

Eddagala ki erikozesebwa ku buzibu bw’okutambula?

Okusinziira ku mbeera gy’olimu, omusawo ayinza okukuwa eddagala lino wammanga:

• Eddagala eriyitibwa parasympathomimetic drugs : Lino likola nga lisitula obusimu obuyitibwa parasympathetic nervous system n’okwongera ku ntambula y’enkola y’okugaaya emmere.
• Prokinetic agents : Eddagala lino lisitula entambula y’enkola y’okugaaya emmere, ebadde ekendedde.
• Antidiarrheals : Eddagala eriweebwa okuziyiza ekiddukano singa wabaawo ekiddukano.

Tukuuma tutya obulwadde bwa peristalsis obulungi?

Mu mbeera eya bulijjo, osobola okukuuma omubiri omulungi ng’ogoberera emize mitono egyangu, egy’obulamu obulungi .

• Funa dduyiro : Okukola dduyiro okumala eddakiika ezitakka wansi wa 30 olunaku kiyamba okutereeza enkola y’okugaaya emmere n’okutambula kw’ekyenda.
• Nywa amazzi amangi : Okunywa waakiri egiraasi z’amazzi 8 olunaku kiyamba emmere okuyita mu nkola y’okugaaya emmere mu ngeri ennyangu.
• Lya emmere erimu ebiwuziwuzi : Ebiwuziwuzi ebiri mu mmere ey’empeke, ebibala n’enva endiirwa byongera obungi mu musulo n’okusitula ekyenda.
• Okukendeeza ku mmere ey’obutonde n’erimu amasavu amangi : Ebika by’emmere erongooseddwa bikendeeza ku kugaaya emmere.

N’ekisembayo, ebintu ebikulu by’olina okujjukira

Okusitula (propulsion) nkola ebaawo mu mibiri gyaffe mu ngeri ey’otoma buli lunaku, nga tetukirowoozezzaako wadde, era tugyesigamyeko. Naye watya singa kiba tekikola bulungi?

Osobola okugezaako okusooka okukola enkyukakyuka ennyangu mu bulamu bwo. Lowooza ku ddagala ly’omira era oba lirina ebizibu ebikosa ekyenda kyo. Ebintu bino bwe biba tebiyamba, ddalaLaba omusawo w’omu lubuto.

Wayinza okubaawo ensonga nnyingi ezireeta obuzibu mu kuzimbulukuka kw’omugongo. Wabula okukebera abasawo n’okubuulirira kw’abakugu kijja kukuyamba okuzuula ekikolo ky’ekizibu kino n’ofuna obujjanjabi obutuufu. N’olwekyo, bw’oba ​​olina obubonero nga buno, kirungi n’onoonya amagezi g’abasawo okusinga okububuusa amaaso.

` Obulwadde bwa Peristalsis, okugaaya emmere, ebyenda, okuziyira, ekiddukano, omukutu gw’emmere