Kodi mudadyapo chakudya kenako n’kungomaliza, ndipo patangopita mphindi zochepa, mumamva ngati mukusanza, koma sizikutanthauza kuti mukusanza, zili ngati mukusanza, zili ngati mukusanza, zili ngati mukusanza. Mwina mungatafunenso n’kumeza. Kapena mungamulavulire. Ngati izi zimachitika nthawi zonse, mukatha kudya chakudya chilichonse, ndikofunikira kudziwa za vutoli lomwe tikukamba lero lotchedwa Rumination Syndrome. N’zachilendo kumva, koma anthu ena amavutika mwakachetechete.
Mwachidule, kodi Rumination Syndrome ndi chiyani?
Izi ndi nkhani yapadera kwambiri. Siziyenera kusokonezedwa ndi kusanza komwe timadziwa nthawi zambiri. Kusanza ndi kutulutsa mwamphamvu zomwe zili m'mimba pambuyo pa kupweteka m'mimba kapena nseru. Koma sizomwe zimachitika mu Rumination Syndrome. Izi zimachitika zokha, popanda mphamvu, ululu, kapena nseru . Zili ngati kulowa pakhosi, koma nthawi yomweyo chakudya chomwe chamezedwa chimabwerera mmwamba pakhosi.
Tangoganizirani, pali valavu yopangidwa ndi minofu ngati chipata pakati pa mmero ndi m'mimba kuti chakudya chomwe chili m'mimba mwathu chisakwere mmwamba kupita kukhosi kwathu. Timachitcha kuti `lower esophageal sphincter (LES).` Kawirikawiri, valavu iyi imatseguka tikameza chakudya, kenako imatsekanso mwamphamvu chakudya chikalowa m'mimba. Koma pazifukwa zina, njirayi imasokonekera mwa munthu yemwe ali ndi Rumination Syndrome. Pamene kupanikizika mkati mwa m'mimba kukukwera, valavu iyi imatseguka poyankha. Kenako chakudya chosalowetsedwa chomwe chalowa m'mimba chimabwereranso mmwamba.
Ichi si chinthu chomwe mumachita dala. Chili ngati chizolowezi chomwe thupi lanu lachipanga lokha. Ndicho chifukwa chake timachitcha kuti ndi njira yokhayokha komanso nthawi zambiri yosazindikira .
Kodi zizindikiro zazikulu za vutoli ndi ziti?
Pali zizindikiro zina zomwe zingakuthandizeni kuzindikira vutoli. Onaninso ngati muli ndi izi. Ndiziika patebulo kuti zikhale zosavuta kuzimvetsa bwino.
| Khalidwe | Kufotokozera |
|---|---|
| Chakudya chimabwera pakhosi popanda kupweteka | Ichi ndiye chinthu chachikulu. Pakangopita mphindi zochepa kuchokera pamene munthu wadya, chakudyacho chimalowa m'khosi mosavuta. |
| Palibe nseru kapena kusanza. | Mseru womwe umachitika munthu asanasanze sumveka konse pankhaniyi. |
| Palibe kukoma kowawa mu chakudya. | Kukoma kwa chakudya chomwe chimalowa pakhosi panu ndi chimodzimodzi ndi pamene munadya. Sichimakoma ngati kusanza. Izi zili choncho chifukwa chakudyacho sichinakhale ndi nthawi yokwanira yosakaniza ndi asidi m'mimba mwanu. |
| Kutafunanso ndi kumeza kapena kulavula | Anthu ena amatafuna ndikumeza chakudya chomwe chafika pakhosi pawo, ena amachilavula. |
| Makhalidwe a ana aang'ono | Ngati mwana wamng'ono ali ndi vutoli, akhoza kusonyeza makhalidwe monga kugoba msana wake ndi kupanga phokoso lofuula. |
Koma kuwonjezera pa zizindikiro zazikuluzi, anthu ena amathanso kumva kupweteka m'mimba, kusasangalala monga kudzimbidwa, komanso nthawi zina kusanza.
N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?
Ndipotu, madokotala sakudziwabe chomwe chimayambitsa izi. Ndi chinsinsibe. Madokotala ena amatcha izi kuti ndi 'functional GI disorder', zomwe zikutanthauza vuto la magwiridwe antchito a m'mimba. Ena amati ndi 'khalidwe la matenda'.
Mwachidule, ichi chikhoza kukhala chizolowezi choipa chomwe thupi laphunzira. Vutoli lingayambe pambuyo pa kuvulala kwakukulu kwamaganizo kapena chochitika chodetsa nkhawa. Izi zikutanthauza kuti mwina chifukwa cha vuto linalake mu ubale pakati pa maganizo ndi thupi lathu.
Pali zinthu zingapo zomwe zingayambitse vutoli:
- Kupsinjika maganizo kapena kuvulala kwambiri: Izi zingayambe mutakumana ndi vuto lalikulu kapena kuvulala kwambiri m'moyo.
- Izi zitha kuwoneka ndi matenda ena amisala: kupsinjika maganizo, nkhawa, ndi zina zotero.
- Matenda Ena Okhudza Kudya: Izi zimachitika kawirikawiri kwa anthu omwe ali ndi matenda ena okhudzana ndi kudya.
- Kuchedwa kukula: Vutoli limapezeka kwambiri pakati pa ana aang'ono ndi omwe ali ndi mavuto a kukula.
- Kusasamalidwa maganizo ali ana: Izi zingachitikire ana omwe salandira chikondi ndi chisamaliro chomwe amafunikira kuchokera kwa makolo awo kapena osamalira awo.
Kodi izi zingayambitse mavuto otani?
Ngakhale kuti iyi si matenda oopsa, ingayambitse mavuto ena ngati ipitirira kwa nthawi yayitali. Chifukwa chake, ndikofunikira kwambiri kudziwa izi.
| Mavuto | Kufotokozera |
|---|---|
| Kuchepetsa thupi ndi kusowa zakudya m'thupi | Popeza chakudya chomwe mumadya sichimayamwa bwino ndi thupi, mutha kuchepetsa thupi ndikusowa michere monga mavitamini ndi michere. Izi zingayambitsenso kukula mochedwa mwa ana. |
| Mavuto a mano | Chakudya chikafika pakhosi nthawi zonse, ngakhale asidi pang'ono m'mimba amatha kusungunula enamel ya mano ndikuyambitsa kuwola kwa mano. Mpweya woipa ungachitikenso. |
| Kuwonongeka kwa m'mero | Kubwerera m'mimba pafupipafupi kwa asidi m'khosi kumatha kuwononga minofu ya m'mero. |
| Kusowa madzi m'thupi komanso kusalingana kwa mchere | Kusowa madzi m'thupi kungachitike chifukwa thupi limataya madzi ndi mchere pamodzi ndi chakudya. |
| Kukhumba | Ngati tinthu ta chakudya tomwe timalowa pakhosi mwangozi tilowa mu mpweya wopuma , tingayambitse kupuma movutikira kapena matenda monga chibayo. |
| Mavuto a anthu | Vuto lalikulu ndi ili. Chifukwa cha vutoli, munthu angamve manyazi kudya ndi anthu, kupita ku maphwando, kapena kupita ndi anzake. Chifukwa chake, pang'onopang'ono amayesetsa kudzipatula ku chikhalidwe cha anthu. |
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, onetsetsani kuti mwaonana ndi dokotala wanu . Chinthu choyamba chomwe dokotala wanu angachite ndikukufunsani funso latsatanetsatane lokhudza zizindikiro zanu, monga momwe zinayambira komanso nthawi yomwe zinayamba.
Pambuyo pake, mungafunike kuyesedwa kuti muwonetsetse kuti palibe matenda ena aakulu. Mwachitsanzo:
- Endoscopy Yapamwamba: Chubu chaching'ono chokhala ndi kamera chimayikidwa kudzera pakamwa kuti chione m'mero ndi m'mimba.
- Esophagram: Chinthu chotchedwa barium chimaperekedwa kuti amwe ndipo X-ray imatengedwa kuti ione momwe kumeza kumachitikira.
- Mayeso a Esophageal manometry: Mayeso omwe amayesa momwe minofu ya m'mero imagwirira ntchito.
- Kafukufuku wochotsa chakudya m'mimba: Kuyesa komwe kumayesa nthawi yomwe chakudya chimatenga kuti chituluke m'mimba.
Dokotala akatsimikizira kuti palibe mavuto ena onsewa, adzatha kuzindikira Rumination Syndrome poiyerekeza ndi zizindikiro zanu.
Kodi mankhwala ochizira izi ndi otani?
Chithandizo chabwino komanso chofunikira kwambiri cha izi ndi chithandizo cha khalidwe . Izi zikutanthauza kuti, m'malo mwa mankhwala, timawongolera vutoli mwa kusintha khalidwe lathu ndi momwe timalamulira matupi athu.
Izi makamaka zimaphunzitsa masewera olimbitsa thupi opumira pogwiritsa ntchito diaphragm (`kupuma kwa diaphragmatic`) . Tiyeni tiwone momwe tingachitire izi moyenera. Izi zimaphunzitsa thupi lathu kuyimitsa njirayi chakudya chikangolowa pakhosi.
Momwe mungachitire masewera olimbitsa thupi a kupuma pogwiritsa ntchito diaphragm:
1. Choyamba, gonani pansi. Gwadani mawondo anu ndipo ikani pilo yaying'ono pansi pa mutu wanu.
2. Ikani dzanja lanu limodzi pamwamba pa chifuwa chanu. Ikani dzanja lina pamimba panu, pansi pa nthiti.
3. Tsopano pumirani pang'onopang'ono kudzera mu mphuno mwanu. Pamene mukupuma, yesani kusunga dzanja lanu pachifuwa chanu mokhazikika momwe mungathere ndikukweza dzanja lanu pamimba panu. Ndiko kuti, tulutsani mimba yanu ndikutulutsa mpweya.
4. Kenako, tulutsani milomo yanu pang'ono ndikutulutsa mpweya pang'onopang'ono, ndikulimbitsa minofu yanu ya m'mimba. Pamene mukutulutsa mpweya, sungani dzanja lanu pachifuwa chanu kuti likhale chete ndipo mumve kuti mimba yanu ikulowa.
Kuchita masewera olimbitsa thupi kumeneku kuyenera kuchitika kangapo patsiku. Ndikofunikira kwambiri kuchita izi mukatha kudya. Ngati mugwiritsa ntchito njira yopumira iyi mukangomva chakudya chikulowa pakhosi panu, mutha kuyimitsa.
Kuphatikiza apo, pali njira zina zochiritsira:
- Kuyankha kwa Biofeedback:Njira yophunzirira kulamulira zochita za thupi lanu (monga kupweteka kwa minofu) pogwiritsa ntchito makina, pogwiritsa ntchito chophimba.
- Chithandizo cha khalidwe la chidziwitso (CBT): Uphungu umathandiza kusintha mavuto amisala ndi malingaliro omwe amayambitsa vutoli.
- Mankhwala: Nthawi zina, dokotala wanu angakupatseni mankhwala monga baclofen, omwe amathandiza kulimbitsa sphincter ya m'munsi mwa mmero. Komabe, si aliyense amene amapatsidwa mankhwalawa.
Kodi ndiyenera kupita kwa dokotala liti?
Izi ndizofunikira kwambiri. Ngati mukumva ngati mukusanza mukatha kudya, ndipo sizichitika kamodzi kapena kawiri kokha, koma nthawi zonse, chonde musanyalanyaze . Musataye nthawi kuganiza kuti, "Izi ndi zina chabe." Chifukwa matenda amenewa amatha kuipiraipira pakapita nthawi. Kenako zimatenga nthawi yayitali kuti chithandizo chichitike.
Choncho, mukangoona zizindikiro zilizonsezi, pitani kwa dokotala wa banja lanu ndipo mukambirane izi. Mukayamba chithandizo mwachangu, mudzachira msanga.
Uthenga Wopita Nawo Kunyumba
- Matenda a Rumination si kusanza. Ndi njira yodzidzimutsa yomwe imachitika popanda nseru kapena kupweteka.
- Chifukwa chachikulu cha izi ndi chizolowezi choipa chomwe thupi laphunzira. Zinthu monga kupsinjika maganizo zimatha kukhudza izi.
- Chithandizo chabwino kwambiri cha izi ndi chithandizo cha khalidwe, makamaka masewera olimbitsa thupi opumira a diaphragmatic.
- Ngakhale kuti vutoli silikuika moyo pachiswe, likhoza kuwononga mano, nkhama, komanso lingayambitse kusowa zakudya m'thupi kwa nthawi yayitali.
- Ngati muli ndi zizindikiro izi, musachite manyazi kapena mantha, pitani kwa dokotala nthawi yomweyo ndipo mupeze upangiri. Ndicho chinthu chabwino kwambiri chomwe mungachite.
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