Tangoganizirani, mukukhala pansi kuti mudye ndi chidwi chachikulu. Mumagawana mbale ya chakudya chokoma. Koma mutadya zokwana ziwiri kapena zitatu, mwadzidzidzi mumamva kukhuta. Simungathenso kudya... Nthawi zina mumamva nseru komanso kusanza. Kodi mudakumanapo ndi izi? Izi ndi zomwe timatcha 'Kukhuta Koyambirira' mu zamankhwala. Nthawi zina izi zitha kuchitika chifukwa cha kupweteka m'mimba kapena chifukwa choti simunadye chilichonse. Koma ngati vutoli likupitirira, si bwino kungonyalanyaza. Chifukwa, lingakhalenso chizindikiro cha matenda aakulu omwe amayambitsa vutoli.
Kodi 'Kukhuta Koyambirira' n'chiyani kwenikweni?
Mwachidule, kukhuta msanga ndikumva kukhuta kwathunthu mutadya chakudya chochepa kwambiri. Izi zimapangitsa kuti zikhale zovuta kuti mumalize kudya. Mumamva kukhuta mukangoluma pang'ono. Kumva kumeneku kumatha kutsagana ndi nseru ndi chilakolako chofuna kusanza. Izi zitha kukhala ngati kachilombo ka m'mimba. Komabe, ngati vutoli lipitirira, zomwe zikutanthauza kuti mukumva motere kwa milungu ingapo, likhoza kukhala chizindikiro cha matenda aakulu. Chifukwa chake,
ndikofunikira kuwona dokotala . Ngati simulandira chithandizo, pakapita nthawi, mutha kukumana ndi
kusowa kwa michere, kusowa zakudya m'thupi, komanso
kuchepa thupi mwadala.
Kodi zifukwa zazikulu zomwe zimapangitsa munthu kukhuta msanga ndi ziti?
Nthawi zambiri, chifukwa chachikulu cha izi ndi matenda otchedwa
gastroparesis . Nthawi zambiri, chakudya chomwe timadya chimasweka m'mimba kenako minofu ya m'mimba imakokana kuti itumize ku matumbo. Komabe, mu gastroparesis, minofu ya m'mimba siimakokana bwino. Zotsatira zake, chakudya chimasonkhana m'mimba, zomwe zimakupangitsani kumva kukhuta mwachangu. Kuwonjezera pa kukhuta msanga, mungakumanenso ndi zizindikiro zina monga:
- Mimba yotupa
- Kusanza ndi kusanza
- Kupweteka m'mimba
- kutentha pamtima
- Kutaya chilakolako
Kuwonjezera pa chifukwa chachikulu ichi, kukhuta msanga kungachitike pazifukwa zina zingapo. Tiyeni tiwone.
| Chifukwa | Kufotokozera kosavuta |
|---|
| Matenda a Gastroesophageal Reflux (GERD) | Asidi wochokera m'mimba amabwerera m'mimba kupita ku mmero. Izi zingayambitse kutentha pamtima ndi nseru, zomwe zimapangitsa kuti zikhale zovuta kudya. |
| Zilonda za m'mimba | Zilonda m'mimba kapena gawo loyamba la matumbo ang'onoang'ono. Izi zingayambitse kupweteka, nseru, ndi kusanza, zomwe zimapangitsa kuti zikhale zovuta kudya. |
| Matenda a m'mimba okwiya (IBS) | Matenda a m'mimba. Kusamva bwino monga kudzimbidwa ndi kutsegula m'mimba kungayambitse kuchepa kwa chilakolako cha chakudya. |
| Kutsekeka kwa Matumbo | Kutsekeka kwa matumbo kumalepheretsa chakudya kuyenda m'matumbo. Izi zimayambitsa kupweteka, kutupa, ndi kusanza, zomwe zimapangitsa kuti zikhale zovuta kudya. |
| Khansa | Kukhuta msanga kungachitike chifukwa cha zifukwa monga kutsekeka kwa kugaya chakudya chifukwa cha chotupa. Mankhwala a khansa angayambitsenso nseru ndi kusanza. |
| Matenda Odya | Matendawa amatha kuchitika pamene matenda monga Anorexia Nervosa ndi Bulimia Nervosa awononga dongosolo la m'mimba ndipo zimapangitsa kuti zikhale zovuta kuyamwa zakudya. |
| Mavuto a Mitsempha | Kuwonongeka kwa mitsempha yomwe imalamulira minofu ya m'mimba kungawononge ntchito yake ndikupangitsa kuti munthu akhute msanga. |
| Mankhwala Ena | Mankhwala ena ochepetsa ululu, monga opioid, amatha kuchepetsa kugwira ntchito kwa m'mimba ngati zotsatirapo zake. |
Kodi vutoli limachiritsidwa bwanji?
Chithandizo cha kukhuta msanga chimadalira chomwe chimayambitsa. Mukapita kwa dokotala, mwina angakulangizeni kusintha zakudya zanu.
- Idyani zakudya zazing'ono pafupipafupi. M'malo modya zakudya zazikulu zitatu nthawi imodzi, idyani zakudya zazing'ono 5-6 tsiku lonse. Izi zimachepetsa kuchuluka kwa chakudya chomwe m'mimba mwanu mumayenera kugaya nthawi imodzi.
- Sankhani zakudya zopatsa thanzi komanso zosavuta kugayidwa. Yang'anani kwambiri zakudya zomwe zili ndi mapuloteni opanda mafuta ambiri, chakudya chopatsa mphamvu (zipatso, ndiwo zamasamba, tirigu wonse), ndi mafuta abwino. Mwachitsanzo, ndiwo zamasamba ndi zipatso zatsopano zimakhala ndi ulusi wambiri. Choncho zimatha kukhala m'mimba kwa nthawi yayitali. Izi zitha kuwonjezera zizindikiro. Chifukwa chake ngati muzizipanga ngati smoothie ndikumwa, zimakhala zosavuta kuzigayidwa.
- Imwani madzi ambiri. Kumwa madzi okwanira tsiku lonse kumathandiza kugaya chakudya komanso kupewa kutaya madzi m'thupi, zomwe zingapangitse kuti munthu akhute msanga.
- Pewani zakudya zomwe sizili bwino m'mimba mwanu. Pewani zakudya zokometsera, mafuta, asidi, kapena zakudya zomwe zimayambitsa kutupa pachifuwa.
Kutengera ndi chifukwa chake, dokotala wanu angakupatseni mankhwala enaake. Mwachitsanzo, mankhwala a GERD kapena maantibayotiki a zilonda zam'mimba. Kuphatikiza apo, mankhwala otchedwa
prokinetics angakupatseni. Mankhwala monga metoclopramide kapena domperidone amalimbikitsa minofu ya m'mimba kuti igwire bwino ntchito, zomwe zimapangitsa kuti chakudya chizidutsa mosavuta. Pa milandu yoopsa kwambiri, dokotala wanu angakupatseni njira zapadera.
- Kulimbikitsa Magetsi m'mimba: Kumalimbikitsa m'mimba ndi magetsi kuti achepetse nseru ndi kusanza.
- Machubu Odyetsera: Kupereka chakudya chamadzimadzi kudzera mu chubu chodutsa m'mphuno kupita m'mimba.
- Zakudya Zonse za Parenteral (TPN): Zakudya zamadzimadzi zimaperekedwa mwachindunji m'magazi kudzera mu catheter yomwe imayikidwa mumtsempha womwe uli pachifuwa.
- Jejunostomy: Chubu chomwe chimagwiritsidwa ntchito kupereka chakudya mwachindunji ku gawo la matumbo ang'onoang'ono lotchedwa jejunum, kudutsa m'mimba.
Kodi zoopsa za kusakhuta msanga ndi ziti?
Kunyalanyaza vutoli kungayambitse mavuto osiyanasiyana, kuyambira kusowa zakudya zokwanira mpaka mavuto aakulu azaumoyo. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
| Chiwopsezo | Kufotokozera |
|---|
| Kuchepetsa thupi ndi kusowa zakudya m'thupi | Kusadya chakudya msanga nthawi zonse kumapangitsa kuti zikhale zovuta kusunga kulemera kwabwino. Pakakhala zovuta kwambiri, zimatha kuyambitsa matenda a kusowa zakudya m'thupi. |
| Kusowa zakudya | Mukapanda kudya mokwanira, thupi lanu limasowa mavitamini ofunikira, michere, ndi michere ina. Izi zingayambitse kutopa, kufooka, kuchepa kwa chitetezo chamthupi, komanso mavuto a tsitsi lanu, khungu, ndi misomali. |
| Kutaya Minofu | Mukapanda kupeza mapuloteni okwanira, thupi lanu limayamba kuswa minofu kuti lipeze mphamvu. Izi zimapangitsa kuti minofu ikhale yofooka, yotopa, komanso mphamvu zochepa. |
| Kusalingana kwa Electrolyte | Kusadya mokwanira kungayambitse kusowa kwa ma electrolyte m'thupi, zomwe zimayambitsa mavuto monga kutopa, kupweteka kwa minofu, komanso kugunda kwa mtima kosakhazikika. |
| Kuwonjezeka kwa matenda oyamba | Kukhuta msanga ndi chizindikiro. Kunyalanyaza kungapangitse kuti vuto lomwe limayambitsa vutoli liipireipire ndipo kungayambitse mavuto ena okhudzana ndi vutoli. |
Kodi muyenera kufunsa upangiri wa dokotala liti?
Ngati nthawi zonse mumadzimva kukhuta mutadya chakudya chochepa, ngakhale mutakhala kuti mulibe zizindikiro zina,
muyenera kuonana ndi dokotala wanu. Kukhuta msanga kungakhale chizindikiro cha vuto linalake la thanzi. Choncho ndi bwino kupeza chomwe chikuyambitsa ndikuyamba kulandira chithandizo mwamsanga.
Kodi mumamva kukhuta mukatha kudya pang'ono? Kodi mumamva nseru ngakhale mutayesa kumaliza chakudya chanu? Uku ndi kukhuta msanga. Musangonyalanyaza. Chifukwa izi zingayambitse kusowa zakudya m'thupi, kutopa, komanso kuchepa thupi. Nthawi zambiri, izi ndi chizindikiro cha matenda enaake. Chifukwa chake, ndikofunikira kwambiri kuonana ndi dokotala mwachangu kuti mupeze chomwe chikuyambitsa ndikulandira chithandizo.
Uthenga Wopita Nawo Kunyumba
- Kumva kukhuta mutadya chakudya chochepa (kukhuta msanga) sikwachibadwa; kungakhale chizindikiro cha vuto linalake.
- Chifukwa chachikulu cha izi ndi gastroparesis, vuto lomwe limakhudza ntchito ya m'mimba.
- Izi zitha kuchitikanso chifukwa cha matenda aakulu monga GERD, zilonda zam'mimba, ndi khansa.
- Ngati sanalandire chithandizo, kusowa zakudya m'thupi, kuchepa thupi, ndi mavuto ena akuluakulu angachitike.
- Ngati chizindikirochi chikupitirira, pitani kwa dokotala mwamsanga kuti akupatseni chithandizo choyenera.
Kukhuta msanga mu Chisinhala, kudzaza m'mimba, kusakhoza kudya, gastroparesis, GERD, kutupa m'mimba, kusowa zakudya m'thupi
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