Kodi chakudya chimabwerera pakhosi panu mukatha kudya? Tiyeni tikambirane za Rumination Syndrome iyi!

Mukadya, kodi mumamvanso ngati chakudyacho chabwerera m'mimba mwanu chisanagayike bwino? Popanda nseru yochokera ku kusanza, kodi chimangotuluka pang'ono, ndipo nthawi zina mumachitafunanso ndikuchimeza? Kapena chimatuluka osazindikira? Ili ndi vuto lokhumudwitsa kwambiri kwa anthu ena. Lero tikambirana za vuto ili lotchedwa Rumination Syndrome. Musachite mantha, chofunika kwambiri ndikudziwa izi.

Kodi Rumination Syndrome ndi chiyani?

Mwachidule, Rumination Syndrome ndi pamene chakudya chomwe timadya chimabwerera m'mimba kupita mkamwa chisanagayidwe bwino. Mu zamankhwala, izi zimatchedwanso regurgitation. Anthu ena amatafuna ndikumeza chakudya chomwe chimabwerera m'khosi, pomwe ena amachilavula. Nthawi zambiri, izi zimachitika atangodya, kapena mkati mwa mphindi zochepa.

Chofunika kwambiri ndichakuti izi zikachitika, simukumva kupweteka kulikonse kapena nseru monga kusanza komwe kumabwera chifukwa cha kupweteka m'mimba. Zimangokhala ngati chakudya chikutuluka popanda khama lalikulu. Taganizirani ngati mwana wamng'ono akalandira mkaka pakhosi pake.

Chinanso n’chakuti chakudya chomwe chimafika pakhosi motere nthawi zambiri sichikhala ndi kukoma kowawa kapena kowawa. Chifukwa cha izi n’chakuti chakudyacho sichinayambe kugayidwa bwino ndi asidi m’mimba. Ndiko kuti, chakudyacho sichinalowe mokwanira m’chimbudzi.

Kubweza chakudya m'khosi, komwe nthawi zina kumatchedwa "regurgitation," kungakhale chinthu chongochitika mwadzidzidzi ndipo sichingathe kulamulidwa. Komabe, kwa anthu ena, pakapita nthawi, izi zitha kukhala zochita mwadala kapena chizolowezi. Koma chofunika kwambiri kukumbukira ndichakuti izi sizichitika chifukwa cha kupweteka m'mimba, matenda monga gastritis, kapena matenda ena aliwonse oopsa am'mimba.

Ndani amene ali ndi mwayi waukulu wopeza vutoli?

Madokotala akhala akudziwa kale kuti vutoli, lotchedwa Rumination Syndrome, limapezeka mwa ana aang'ono ndi omwe ali ndi zilema zokulira. Koma zoona zake n'zakuti, lingakhudze aliyense wa msinkhu uliwonse . Izi zikutanthauza kuti ana aang'ono, achinyamata, ndi akuluakulu onse akhoza kukumana ndi vutoli.

Kafukufuku wapeza kuti ana ndi akuluakulu omwe ali ndi nkhawa kwambiri kapena omwe ali ndi nkhawa kwambiri ali pachiwopsezo chachikulu chotenga matenda a rumination syndrome. Chifukwa chake, mumakhala ndi mwayi wokumana ndi izi mukakhala ndi nkhawa zambiri, chisoni, kapena nkhawa .

Kodi zizindikiro za izi ndi ziti?

Chabwino, kodi tingazindikire bwanji Rumination Syndrome iyi? Kodi zizindikiro zake ndi ziti? Tiyeni tiwone.

• Chizindikiro chachikulu ndi kubweza chakudya pafupipafupi, kutsatiridwa ndi kutafuna kapena kumeza, kapena kuchilavula. Izi nthawi zambiri zimachitika mukatha kudya.
• Kusasangalala m'mimba.Kumva kukhuta, kudzimbidwa, ndipo nthawi zina kusadya bwino ndi kupweteka m'mimba kumatha kuchitika.
• Mavuto a mano. Mpweya woipa komanso kuwola kwa mano kungachitike chifukwa chakudya chimakakamira pakhosi nthawi zonse. Izi zili choncho chifukwa chakudya chochokera m'mimba chingakhale ndi asidi.
• Kuchepetsa thupi. Popeza chakudya chomwe mumadya sichimayamwa bwino ndi thupi lanu, mutha kuchepetsa thupi pakapita nthawi. Izi zitha kukhudza makamaka kukula kwa ana.
• Milomo youma, yosweka.

Ngati mwana wanu ali ndi vutoli, angachite zinthu monga kugwedezeka ndikupindika msana wake. (Komabe, chizindikiro ichi chingakhalenso chizindikiro cha gastroesophageal reflux, chomwe chimachitika pamene asidi m'mimba amakwera pakhosi, choncho ndi bwino kuonana ndi dokotala.) Makanda angapangenso phokoso logwedezeka.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chifukwa chenicheni cha Rumination Syndrome sichinadziwike bwino. Komabe, madokotala amakhulupirira kuti izi zingachitike pamene anthu ena ali ndi mavuto amisala kapena akukumana ndi zovuta m'miyoyo yawo. Izi zikutanthauza kuti zitha kukhala zokhudzana ndi thanzi lamisala .

Pofotokozedwa mwaukadaulo, monga momwe zimachitikira mkati mwa matupi athu, zitha kukhala motere:

1. Tikamadya, mimba imakula, zomwe zikutanthauza kuti imakula.

2. Kenako, kuthamanga kwa magazi m'mimba kumawonjezeka.

3. Nthawi yomweyo, gawo la m'munsi mwa mmero, lomwe limagwira ntchito ngati valavu komwe mmero wathu (chubu chonyamula chakudya kuchokera pakamwa kupita kumimba) umalumikizana ndi mimba, limapumula.

Zinthuzi zikachitika motsatizana, chakudya chosagayidwa m'mimba chimayamba "kubwerera m'mimba" kupita m'kamwa.

Kodi madokotala amazindikira bwanji izi?

Chabwino, tsopano tiyeni tiwone momwe dokotala amapezera izi, kutanthauza momwe angasankhire kuti "Iyi ndi Rumination Syndrome."

Nthawi zambiri, izi zitha kupezeka kudzera m'mbiri yachipatala komanso kuyezetsa thupi ndi dokotala wanu. Makamaka, ngati mwakhala mukubweza chakudya kwa miyezi itatu, koma simunasanze, pali umboni wokwanira wosonyeza kuti mwina muli ndi Rumination Syndrome.

Malinga ndi Buku Lovomerezeka la Matenda a Mitsempha ndi Kusanthula la Matenda a Mitsempha, Kope Lachisanu (DSM-5), kuti munthu apezeke ndi vutoli, zinthu zotsatirazi ziyenera kukwaniritsidwa:

• Chakudya chimapitirira kukwera pakhosi kwa mwezi umodzi kapena kuposerapo. Chakudya chomwe chimatuluka chimatafunidwa, kumezedwa, kapena kutuluka.
• Kubwerera m'mimba kwa chakudya kumeneku sikuyenera kuchitika chifukwa cha vuto la m'mimba kapena vuto lina lachipatala (monga matenda otchedwa gastroesophageal reflux kapena pyloric stenosis).
• Vuto la kudya limeneli silingachitike lokha ndi vuto lina la kudya, monga anorexia nervosa, bulimia nervosa, binge eating disorder, kapena pewani/ controller food intake.
• Ngati vuto la kudya likuchitika limodzi ndi matenda ena amisala (monga vuto la maganizo), zizindikiro zake ziyenera kukhala zazikulu mokwanira kuti zifunike thandizo lachipatala.

Kuphatikiza apo, madokotala angachitenso mayeso ena kuti adziwe ngati matenda ena akuyambitsa zizindikirozi. Mwachitsanzo:

• Kuyesa kuchotsa chakudya m'mimba: Izi zimayesa nthawi yomwe chakudya chimatenga kuti chisamuke kuchokera m'mimba kupita m'matumbo ang'onoang'ono.
• Endoscopy Yapamwamba: Pa njirayi, dokotala amaika chubu chopyapyala chokhala ndi kamera kakang'ono kotchedwa endoscope pakhosi panu kuti akaone m'mero ​​ndi m'mimba mwanu. Izi zingathandize kuwona zilonda zilizonse kapena mavuto ena mkati.
• X-ray: Zithunzi za mkati mwa mmero ndi m'mimba zimajambulidwa.

Kodi chithandizo chake ndi chiyani?

Chabwino, kodi mankhwala a Rumination Syndrome ndi otani? Kodi ichi ndi chinthu chomwe sichingathe kuchiritsidwa? Ayi.

Chithandizo chachikulu komanso chothandiza kwambiri pa izi ndi "mankhwala ochizira khalidwe." Mwachidule, ndi kusintha khalidwe lanu kuti chakudya chisatsike pakhosi panu. Chithandizo cha khalidwe chomwe madokotala nthawi zambiri amapereka pa izi ndi "kupuma mozungulira." Anthu ena amatchanso "kupuma m'mimba."

Kodi kupuma kwa diaphragmatic n'chiyani?

Diaphragm ndi minofu yayikulu, yooneka ngati dome yomwe ili pakati pa chifuwa chathu ndi m'mimba. Ndi minofu yayikulu yomwe imagwira ntchito tikamapuma. Kupuma kwa diaphragm cholinga chake ndi kumasula diaphragm yanu, kuigwiritsa ntchito bwino mukapuma, ndikuithandiza kuilimbitsa. Izi zimathandiza kulamulira chakudya chomwe chimapita pakhosi panu.

Umu ndi momwe mungachitire:

1. Gonani chafufumimba pamalo athyathyathya (monga pansi) kapena pabedi. Pindani mawondo anu ndikuyika pilo pansi pa mutu wanu. Ngati mukufuna, mutha kuyikanso pilo pansi pa mawondo anu kuti muthandizire miyendo yanu.

2. Ikani dzanja limodzi pachifuwa panu ndi dzanja lina pansi pang'ono pa nthiti zanu, ndiko kuti, pamimba panu. Izi zidzakuthandizani kumva diaphragm yanu ikuyenda komanso mimba yanu ikukwera ndi kugwa pamene mukupuma.

3. Tsopano, pumirani mpweya kudzera m'mphuno mwanu. Mukatero, dzanja lomwe lili pamimba panu liyenera kukwera. Ndiko kuti, mimba yanu iyenera kufutukuka. Yesetsani kusunga dzanja lomwe lili pachifuwa panu pamalo amodzi momwe mungathere, osasuntha. Timaphunzitsa ana aang'ono izi, "Pumirani mpweya ngati woyimba wa opera."

4. Kenako, sungani milomo yanu pang'ono (monga kuimbira mluzu) ndikutulutsa mpweya kudzera pakamwa panu. Mukamachita izi, limbitsani minofu yanu ya m'mimba ndikuilola kuti ilowe. Izi zikutanthauza kuti dzanja lomwe lili pamimba panu liyenera kutsika. Pakadali pano, sungani dzanja lanu pachifuwa chanu mokhazikika momwe mungathere.

Kodi ndiyenera kuchita kangati masewera olimbitsa thupi opumira awa?

Chitani izi katatu kapena kanayi patsiku, kwa mphindi pafupifupi 5 mpaka 10 nthawi imodzi. Zingakhale zovuta pang'ono poyamba, koma zidzakhala zosavuta mukamachita masewerowa. Ngati mukufuna kuti masewerowa akhale ovuta pang'ono, mutha kuchita izi mutagwira chinthu ngati buku pamimba panu.

Chofunika kwambiri ndikuchita izi mukatha kudya, kapena ngakhale mutadya chakudya, ngati pakufunika kutero. Izi zithandiza kwambiri kuti chakudyacho chisalowe m'mimba.

Kodi izi zingayambitse mavuto otani?

Ngati sichinachiritsidwe bwino, Rumination Syndrome ingawononge mmero wathu (chubu chomwe chimanyamula chakudya kuchokera pakamwa kupita m'mimba). Chifukwa chakuti pamene zinthu zomwe zili m'mimba zimatuluka nthawi zonse, sizili bwino mmero.

Kupatula apo, mavuto ena amatha kuchitika. Awa ndi:

• Manyazi, kusasangalala kukhala m'gulu. Izi zingakhudzenso maganizo.
• Kusowa zakudya zabwino. Chifukwa thupi silimayamwa chakudya moyenera.
• Kulephera kukula bwino. Izi zitha kukhudza kwambiri kukula kwa ana, makamaka.
• Kusalinganika kwa ma electrolyte m'thupi. Kutanthauza kusalinganika kwa mitundu ya mchere womwe thupi limafunikira.
• Kusowa madzi m'thupi. Kusowa madzi m'thupi.
• Kutulutsa chakudya m'mapapo kapena m'mapapo. Izi ndi zoopsa pang'ono chifukwa zingayambitse matenda m'mapapo.
• Kupuma movutikira.
• Matenda a m'mapapo monga chibayo.
• Muzochitika zosowa kwambiri komanso zoopsa, ngakhale imfa imatha kuchitika. (Izi sizichitika kawirikawiri, koma ndibwino kudziwa).

Kodi pali njira zopewera izi kuti zisachitike?

Ngakhale n'kovuta kunena ngati zingathe kupewedwa kotheratu, chiopsezocho chikhoza kuchepetsedwa. Makamaka, mwa kuphunzira njira zabwino zothetsera mavuto,Izi zikutanthauza kuti pogwiritsa ntchito "njira zabwino zothanirana ndi mavuto", n'zotheka kuchepetsa chiopsezo chokhala ndi "Rumination Syndrome" pang'ono. Kukhala ndi thanzi labwino la maganizo ndikofunikira kwambiri.

Kodi tingapirire ndi vutoli? Kodi tsogolo ndi lotani?

Inde, anthu ambiri amakhala ndi moyo wathanzi komanso wabwinobwino ndi Rumination Syndrome. Ngati atachiritsidwa ndikusamalidwa bwino, nthawi zambiri sakhudza kwambiri zochita zanu za tsiku ndi tsiku. Choncho, musataye mtima ngati mutapeza kuti muli ndi vutoli.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati inu kapena mwana wanu muli ndi zizindikiro za Rumination Syndrome, zomwe tidakambirana kale, makamaka ngati chakudya chikutuluka pakhosi panu nthawi zonse, pitani kwa dokotala wa banja lanu kapena dokotala wa ana. Ndicho chinthu chabwino kwambiri choti muchite. Akhoza kukuyang'anirani bwino ndikukupatsani upangiri pa zomwe zimayambitsa izi ndi zomwe mungachite.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati muli ndi vutoli, mutha kufunsa mafunso ngati awa mukapita kwa dokotala. Izi zikuthandizani kumvetsetsa bwino izi:

• "Dokotala, kodi Rumination Syndrome iyi ndi yoopsa bwanji?"
• "Chifukwa chenicheni cha izi n'chiyani?"
• "Ndi chithandizo chiti chomwe chili choyenera kwa ine? Ndiyenera kuchita chiyani?"
• "Kodi pali mankhwala aliwonse a izi? Kapena ndi masewera olimbitsa thupi opumira?"
• "Kodi izi zidzakhudza moyo wanga watsiku ndi tsiku?"

Pomaliza, zinthu zina zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, takambirana zambiri za Rumination Syndrome. Pomaliza, nazi zinthu zofunika zomwe muyenera kukumbukira:

Rumination Syndrome ndi vuto lomwe chakudya chimabwerera m'mimba mwamsanga mutadya, chisanagayidwe. Izi sizikutanthauza kusanza. Zingachitike mwa anthu azaka zilizonse, ndipo nthawi zina zimatha kugwirizanitsidwa ndi nkhawa.

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Ngati muli ndi zizindikiro izi , musachite manyazi kapena mantha. Pitani kwa dokotala mwamsanga ndipo funsani upangiri. Mankhwala ochizira matenda monga kuchita masewera olimbitsa thupi popuma angathandize kwambiri kuchepetsa vutoli.

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Kufunafuna upangiri woyenera wa dokotala ndi chithandizo ndiyo njira yabwino kwambiri yothetsera vutoli. Simuli nokha, ndipo pali thandizo lomwe likupezeka.

Matenda a Rumination , chakudya chomwe chimatuluka pakhosi, kubweza m'mimba, kugaya chakudya m'mimba, kupsinjika, kupuma movutikira, chithandizo cha khalidwe