Kodi inunso mumadwala matenda otsegula m'mimba nthawi zonse? Tiyeni tikambirane za 'Matenda Otsegula M'mimba Osatha' awa!

Tonsefe tinakhalapo ndi vuto lotsegula m'mimba nthawi ina m'miyoyo yathu, sichoncho? N'zovuta kwambiri kukhala ndi ndowe zotayirira komanso kufunikira kupita kuchimbudzi mwadzidzidzi ndi ululu m'mimba. Nthawi zambiri, zimachitika patatha tsiku limodzi kapena awiri mukakhala ndi poizoni wa chakudya, chimfine, kapena malungo. Komabe, ngati muli ndi vuto lotsegula m'mimba lomwe limatenga milungu yoposa inayi , timalitcha kuti 'kutsegula m'mimba kosatha' kapena kutsegula m'mimba kosatha.

Kodi kutsegula m'mimba kosalekeza kumeneku n'chiyani? Kodi ndi koopsadi?

Mwachidule, kutsegula m'mimba kosalekeza kumakhala kotayirira, ndowe zamadzi zomwe zimatha kwa milungu yoposa inayi. Kafukufuku wina akusonyeza kuti pakati pa 1% ndi 3% ya anthu ali ndi vutoli. Komabe, chiwerengerochi chikhoza kukhala chokwera kwambiri chifukwa anthu ambiri safuna chithandizo cha vutoli pokhapokha ngati ali ndi zizindikiro zina, monga kupweteka m'mimba kapena kutuluka magazi.

Tsopano mwina mukudabwa kuti, "Kodi ndi zachilendo kutsekula m'mimba tsiku lonse?" Ayi ndithu. Izi si zachilendo. M'mimba mwanu, komwe kumapanga ndowe, mungakhale mukuchitapo kanthu pa chinthu chachilendo. Kwa anthu ena, kutsekula m'mimba kwamtunduwu kumatha kuchitika chifukwa cha vuto la m'mimba lomwe silingathe kuchiritsidwa, koma zizindikiro zake zimatha kuthetsedwa. Komabe, nthawi zambiri, zifukwa zina zimatha kuchiritsidwa ndi chithandizo choyenera.

Kawirikawiri, zinyalala zamadzimadzi kuchokera m'matumbo anu ang'onoang'ono zimalowa pang'onopang'ono m'matumbo anu akuluakulu ndipo zimasanduka ndowe zolimba. Koma mukakhala ndi kutsegula m'mimba, pazifukwa zina njirayi imasokonekera. Chomwe chimachitika ndichakuti mumatuluka ndowe zomwe zimakhala zamadzimadzi kwambiri. Izi zikutanthauza kuti matumbo anu akuluakulu amavutika kuyamwa madzi monga momwe amachitira nthawi zonse, kapena amatulutsa madzi ambiri, kapena zonse ziwiri. Izi zitha kukhala chifukwa cha vuto la matumbo anu akuluakulu, kapena china chake chosazolowereka mkati mwake.

N’chifukwa chiyani timakhala ndi njala nthawi zonse? Kodi zifukwa zazikulu ndi ziti?

Matenda ambiri angayambitse kutsegula m'mimba kosalekeza. Koma musanaganizire za matenda, dokotala adzakufunsani za zakudya zomwe mumadya komanso mankhwala omwe mukumwa. Chifukwa izi ndi zomwe nthawi zambiri timadziyambitsa tokha mosadziwa, ndipo zitha kukonzedwa mosavuta .

Mmene chakudya ndi zakumwa zimakhudzira

Zakudya ndi zakumwa zina zingayambitse kutsegula m'mimba. Ngati mumazidya nthawi zonse, mochuluka, kapena ngati mumazidya mopitirira muyeso, zitha kukhala zikuyambitsa kutsegula m'mimba kwanu. Kuzindikira zakudya ndi zakumwa zomwe zimayambitsa kutsegula m'mimba ndikuzichepetsa kapena kuzichotsa kwathunthu kungathandize. Ganizirani izi:

• Khofi/Tiyi: Kumwa khofi kumafulumizitsa matumbo anu, kapena 'kuyenda'. Izi zikutanthauza kuti zinyalala za chakudya m'matumbo akulu zimatuluka mwachangu zisanaume kwambiri. Sizikudziwikabe ngati izi zikuchitika chifukwa cha caffeine yomwe ili mu khofi kapena mankhwala ena. Anthu ena angakumane ndi zotsatira zomwezo chifukwa chomwa tiyi wokhala ndi caffeine monga momwe amachitira ndi kumwa khofi wopanda caffeine. Izi zikutanthauza kuti,Anthu osiyanasiyana amakhudzidwa ndi mankhwala osiyanasiyana (mkaka kapena shuga womwe mumayika mu khofi/tiyi wanu ungakhalenso chifukwa). Ngati mumamwa izi nthawi zonse, mutha kukhala ndi zotsatirapo zoyipa kwa nthawi yayitali.
• Mowa: Mowa umathandizanso kuti matumbo aziyenda mofulumira, makamaka m'mimba yopanda kanthu. Komabe, ngati mumamwa mowa wambiri, kugaya chakudya kungachepe, zomwe zimapangitsa kuti musamathe madzi m'thupi komanso kuti mudzimbidwe. Komabe, ngati mumamwa mowa wambiri nthawi zonse, kutsegula m'mimba kungayambitsidwe ndi chifukwa china - kutupa. Ngati m'mimba mwanu mutupa, kutupa, kapena kuvulala chifukwa cha mowa, simungayamwitsenso madzi ndi mchere mwachibadwa. Ngati m'mimba mwanu mwawonongeka, mutha kutulutsa madzi.
• Shuga wina: Shuga wina ndi wovuta kugaya, ndipo ngati mudya wochuluka, angayambitse kutsegula m'mimba. Matumbo anu akhoza kusowa ma enzyme ofunikira kuti awagaye, kapena simungakhale nawo konse. Zotsekemera zopangidwa monga sorbitol, mannitol, ndi lactulose ndi zina mwa shuga zomwe matumbo a anthu sangathe kugaya. Ndicho chifukwa chake sizimawonjezera ma calories. Matumbo akalephera kuswa shuga awa, amakoka madzi ambiri kuti awathandize kutulutsa m'thupi. Fructose ingakhalenso ndi izi pang'onopang'ono. Ndicho chifukwa chake zakudya zopangidwa ndi madzi a chimanga a fructose ambiri zingayambitse kutsegula m'mimba. Anthu ena akhoza kukhala ndi ziwengo, kapena kusalolera, mitundu ina ya shuga. Kusalolera kwa lactose (kuvuta kugaya mkaka ndi mkaka) ndi komwe kumapezeka kwambiri mwa izi.
• Kusalolera chakudya: Ngati mukuvutika kugaya chakudya china, mwina simungalolere chakudyacho. Izi nthawi zambiri zikutanthauza kuti m'thupi lanu mulibe ma enzyme ofunikira kugaya chakudyacho. Zitsanzo zodziwika bwino ndi monga kusalolera gluten (puloteni yomwe imapezeka muzakudya monga tirigu), kusalolera histamine, ndi kusalolera shuga (chakudya). Kutsegula m'mimba kumachitika chifukwa cha zakudya zomwe sizigayidwa bwino.

Kodi mankhwala omwe timamwa ndi omwe amayambitsa vutoli?

Mankhwala ambiri angayambitse kutsegula m'mimba kosalekeza ngati zotsatira zoyipa. Angayambitse vutoli m'njira zosiyanasiyana. Kaya mukupeza vutoli kumadalira zinthu zambiri, monga mlingo wa mankhwala omwe mumamwa, zakudya zanu, ndi matenda ena omwe muli nawo. Dokotala wanu adzawunikanso mbiri yanu yonse yachipatala kuti adziwe ngati mankhwalawo akuyambitsa vutoli. Mankhwala ena omwe angayambitse kutsegula m'mimba kosalekeza ndi awa:

• 'NSAIDs' `(mankhwala oletsa kutupa omwe si a steroidal)` - mankhwala ochepetsa ululu, mwachitsanzo aspirin `(aspirin)`, ibuprofen `(ibuprofen)`.
• Mankhwala oletsa kupopera kwa proton (PPIs) - Mankhwala operekedwa kwa gastritis.
• Maantibayotiki - Mwachitsanzo, amoxicillin, cephalexin.
• Zakudya zina zowonjezera zitsamba ndi tiyi zimakhala ndi zosakaniza monga senna.
• Kumwa mavitamini ndi michere yambiri, monga vitamini C ndi magnesium.
• Mankhwala oletsa asidi okhala ndi magnesium.
• Mankhwala oletsa kuvutika maganizo - makamaka omwe ali ndi serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac®), sertraline (Zoloft®).
• Beta-blockers - Mankhwala ochizira kuthamanga kwa magazi.
• Metformin - mankhwala a matenda a shuga.
• Chemotherapy - Chithandizo cha khansa.
• Kugwiritsa ntchito molakwika komanso mopitirira muyeso mankhwala otsegulitsa m'mimba, makamaka pa matenda monga bulimia nervosa.

Kodi pali mitundu yosiyanasiyana ya matenda otsegula m'mimba? Kodi zimayambitsa matenda amenewa ndi chiyani?

Nthawi zina madokotala amagawaniza kutsegula m'mimba m'mitundu itatu kapena inayi kuti zikhale zosavuta kupeza chomwe chimayambitsa vutoli. Mitundu iyi imathandiza madokotala kuzindikira makhalidwe enieni a ndowe. Mitundu iyi ikuyimira magulu akuluakulu a zifukwa zomwe zingatheke. Mitundu itatu yayikulu ndi iyi: kutsegula m'mimba kotupa, kutsegula m'mimba kokhala ndi mafuta, ndi kutsegula m'mimba kokhala ndi madzi. Anthu ena amagawaniza kutsegula m'mimba kokhala ndi madzi m'mitundu iwiri ina (yotulutsa madzi ndi yotulutsa madzi) ndipo amaona kuti ndi mitundu inayi yayikulu.

Kutsegula m'mimba kwa madzi

Kutsegula m'mimba m'mimba kumachitika pamene m'mimba mwanu simungayamwe madzi ndi ma electrolyte okwanira kuchokera ku ndowe zanu, kapena pamene mutulutsa madzi ochulukirapo kuposa momwe mumayamwa.

• Kudzimbidwa kwa osmotic kumachitika chifukwa cha michere yomwe sigayidwa bwino kapena kuyamwa. Izi zimakoka madzi ambiri m'matumbo. (Umu ndi momwe mankhwala ena otsekereza mimba amagwirira ntchito.)
• Kutsegula m'mimba kobisika kumatanthauza kutsegula m'mimba kotuluka madzi komwe kumachitika chifukwa cha matenda osiyanasiyana.

Zinthu zina zomwe zingayambitse izi:

• Kutsegula m'mimba kwa asidi ya bile (izi zimachitika pamene ndulu yochuluka imaunjikana m'matumbo; imatchedwanso bile acid malabsorption (BAM)).
• 'Mikroscopic colitis' `(Mikroscopic colitis)`.
• Kuwonongeka kwa mitsempha komwe kumachitika chifukwa cha matenda a shuga (diabetic neuropathy).
• Vagotomy (kuchotsa mitsempha ya m'mimba ndi opaleshoni).
• Hyperthyroidism (chithokomiro chogwira ntchito mopitirira muyeso).
• 'Mavuto a Adrenal gland' `(Mavuto a Adrenal)`.
• Matenda a neuroendocrine.
• 'Irritable Bowel Syndrome' (IBS).

Kutsegula m'mimba konenepa / Steatorrhea

Nthawi zina, ndowe zanu zimatha kukhala zamadzimadzi ndipo zimatha kufalikira ngati kutsegula m'mimba chifukwa cha mafuta ambiri. Izi zimachitika thupi lanu likamavutika kugaya ndi kuyamwa mafuta bwino, kapena pamene mabakiteriya m'matumbo mwanu amapanga mafuta ambiri. Kutsegula m'mimba kwamafuta sikungachitike kawirikawiri, koma kungachitike mochuluka nthawi imodzi. Kunganunkhize kwambiri kuposa masiku onse, ndipo kungasiye madontho amafuta m'chimbudzi. Kungaphatikizeponso zizindikiro monga nseru, kusadya bwino, komanso kuchepa thupi.

Zifukwa zomwe zingatheke:

• Matenda a Malabsorption - Izi zikutanthauza kuti zakudya sizimayamwa bwino. Zitsanzo: kusowa kwa kapamba (kuchepa kwa ntchito ya kapamba), matenda a celiac.
• Kuchuluka kwa mabakiteriya m'matumbo ang'onoang'ono (SIBO).
• Mesenteric ischemia (kutsekeka kwa mitsempha yamagazi yomwe imapatsa matumbo).
• Opaleshoni ya m'mimba (opaleshoni ya m'mimba).

Kutsegula m'mimba kotupa

Mtundu uwu wa kutsegula m'mimba umachitika mukakhala ndi kutupa kwa m'matumbo anu, kotchedwa colitis. Kutupa kumeneku kumakhudza mkati mwa m'matumbo anu. Kumatupa, zomwe zimapangitsa kuti zisathe kuyamwa michere. Kutsegula m'mimba komwe kumabwera ndi kutupa kumachitika kawirikawiri koma kumabwera ndikutha. Kungathenso kutsagana ndi kupweteka m'mimba, malungo, kapena magazi m'chimbudzi chanu. Matenda otupa omwe angayambitse kutsegula m'mimba kosalekeza ndi awa:

• Matenda osatha, mwachitsanzo matenda oyambitsidwa ndi tizilombo toyambitsa matenda, kapena pseudomembranous colitis yoyambitsidwa ndi bakiteriya C. diff.
• Matenda a m'matumbo otupa (IBD) - Izi zikutanthauza matenda a m'matumbo otupa. Zitsanzo: matenda a zilonda zam'mimba, matenda a Crohn.
• Ischemic colitis (kutupa komwe kumachitika chifukwa cha kuchepa kwa magazi kupita ku matumbo akulu).
• Diverticulitis (kutupa kwa matumba ang'onoang'ono m'matumbo akulu).
• Matenda a radiation colitis (kutupa kwa m'matumbo chifukwa cha chithandizo cha radiation).
• Khansa.

Kodi zotsatirapo zake zingakhale zotani ngati munthu apitiriza kudya?

Tangoganizirani, nthawi zambiri mumayenera kupita kuchimbudzi mwachangu, kapena mukuvutika kudziletsa. Kodi vutoli limakhudza bwanji moyo wanu watsiku ndi tsiku? N'zokhumudwitsa kwambiri nthawi zonse kuganizira za chimbudzi chapafupi.

N'zovuta kubisala chizolowezichi kwa ena kwa nthawi yayitali. Chingakhudze kudzidalira kwanu komanso moyo wanu wabwino. Ngati muli ndi ntchito, makamaka yomwe imakhudza anthu ambiri, ingakhudzenso zimenezo.

Kutsegula m'mimba kosalekeza kungakuikeni pachiwopsezo cha kutaya madzi m'thupi ndi zotsatira zake. Pamene kutsegula m'mimba kukupitirira, thupi lanu limataya madzi ambiri, komanso ma electrolyte, mchere wofunikira womwe umapezeka m'madzi amthupi.

Kuchepa kwa ma electrolyte m'thupi kungayambitse mavuto aakulu. Kungakhudze mtima wanu, mapapo, ubongo, ndi dongosolo lamanjenje. Kusowa madzi m'thupi kungayambitsenso impso zanu kupanikizika, zomwe zingayambitse matenda a impso.

Kodi mungachite chiyani kunyumba pa izi?

Mungafunike upangiri wa dokotala ndi chithandizo kuti muthetse vutoli. Komabe, pali zinthu zingapo zomwe mungayesere musanachite izi:

• Ganizirani mosamala za zakudya zanu. Ganizirani ngati kutsegula m'mimba kwanu kumachitika chifukwa cha chakudya chomwe mumadya kapena kumwa nthawi zonse. Ngati mumamwa khofi, tiyi, mowa, kapena chilichonse chokhala ndi zotsekemera zopangidwa (monga diet soda), yesani kuzichotsa kaye. Ngati muli ndi kutsegula m'mimba kokhala ndi mafuta, yesani kuchotsa zakudya zamafuta muzakudya zanu kuti muwone ngati zikuthandizani. Kusagwirizana ndi lactose n'kofala kwambiri, makamaka pakati pa anthu ochokera ku Africa kapena Asia. Mungayesenso kuchepetsa mkaka. Mungayesenso kudya zakudya zochotsa mkaka, monga zakudya zopanda FODMAP, kuti mudziwe zomwe zimayambitsa ziwengo pazakudya.
• Ngati mumamwa mankhwala aliwonse nthawi zonse, funsani dokotala wanu ngati pali mankhwala ena omwe angayambitse kutsegula m'mimba. Ngati ndi choncho, funsani ngati mungayesere njira ina kapena kusiya kumwa kwa kanthawi.
• Onetsetsani kuti mumakhala ndi madzi okwanira m'thupi mukatsegula m'mimba. Yesani kumwa madzi okwanira m'thupi, chakumwa chamasewera, kapena kusakaniza ndi madzi osakaniza ndi electrolyte. Kumwa madzi okha sikungakupatseni electrolyte.

Kodi ndingatani kuti ndithetse kupweteka kwa m'mimba kosalekeza kumeneku? Kodi ndiyenera kupita kwa dokotala?

Ngati mwayesa kusintha zakudya zanu ndi mankhwala anu mosavuta ndipo kutsegula m'mimba kwanu sikutha, muyenera kuonana ndi dokotala. Dokotala wanu adzafufuza mosamala zomwe zingayambitse kutsegula m'mimba kwanu kosalekeza ndikupeza chithandizo choyenera. Kuchiza vuto lomwe limayambitsa vutoli kungathandize kuthetsa kutsegula m'mimba kwanu, kapena sikungatheke kuchiza vuto lomwe limayambitsa vutoli mwachindunji. Ngati ndi choncho, kutsegula m'mimba kwanu kungafunike chithandizo chapadera.

Chithandizo chingaphatikizepo:

• Mankhwala oletsa kutsegula m'mimba otchedwa Opiate: Mankhwalawa amachepetsa mphamvu ya m'matumbo mwanu ndipo amawonjezera kuyamwa kwa mankhwala. Loperamide nthawi zambiri ndiye mankhwala oyamba. Siwoledzeretsa ndipo amapezeka popanda kugulitsidwa ndi dokotala (OTC).
• Mankhwala oletsa kutuluka kwa bile acid amaperekedwa kwa anthu omwe ali ndi vuto la kutsegula m'mimba.
• Clonidine yokhudza kutsegula m'mimba komwe kumachitika chifukwa cha matenda a shuga.
• Eluxadoline yokhudza kutsegula m'mimba komwe kumachitika chifukwa cha IBS (irritable bowel syndrome).
• Mankhwala opha tizilombo toyambitsa matenda kapena mankhwala opha tizilombo toyambitsa matenda.
• Zakudya zowonjezera ulusi, monga psyllium, zingathandize kukhuthala ndowe ndikuchepetsa kuyenda kwake.

Kodi muyenera kupita kwa dokotala liti?

Sikoipa kuonana ndi dokotala ngati muli ndi vuto lotsegula m'mimba nthawi zonse. Ngati mukuganiza kuti simungathe kuthetsa vutoli mwa kusiya kudya zakudya zinazake, mwina mungafunike chithandizo. Ngati lakhala likuchitika kwa nthawi yayitali, muli pachiwopsezo chachikulu chokumana ndi mavuto ena, omwe angafunikenso chithandizo. Ngati muli ndi zizindikiro zina ngati izi, pitani kuchipatala nthawi yomweyo:

• Malungo
• Ululu
• Magazi mu chopondapo
• Kuchepetsa thupi mosadziwa
• Kutuwa
• Kufooka kapena kutopa kwambiri

Pomaliza, ndiyenera kunena...

Ngakhale kutsegula m'mimba kumachitika kawirikawiri, nthawi zambiri kumatha msanga komanso popanda chithandizo. Komabe, kutsegula m'mimba komwe kumatenga mwezi umodzi kapena kuposerapo kuyenera kukambidwa ndi dokotala. Nthawi zina chifukwa chake chingakhale chosavuta komanso chosavuta kukonza. Nthawi zina, mungazindikire kuti muli ndi vuto linalake lomwe limafuna chithandizo chovuta. Komabe, musanyalanyaze chizindikiro ichi. Dokotala wanu angakuthandizeni.

Kutsegula m'mimba , Kutsegula m'mimba kosalekeza, Kutupa m'mimba, M'mimba, Matenda a m'mimba, Thanzi, Kutsegula m'mimba kosatha