Ukutya esikutyayo kuhamba njani esiswini sethu? Masifunde ngale ntshukumo imangalisayo (i-peristalsis)!

Sitya ukutya kwaye sisela amanzi yonke imihla. Kodwa ngaba wakha wazibuza ukuba oku kutya neziselo, xa siziginya, zingena njani emqaleni wethu, zihambe umgama omde emathunjini, zize ekugqibeleni ziphume emzimbeni njengenkunkuma? Ayimangalisi na? Le nkqubo yonke yenzeka ngaphandle kokuba siqaphele, phantse ngokuzenzekelayo. Isizathu soku kukunyakaza kwemisipha okukhethekileyo okwenzeka kwindlela yethu yokugaya ukutya. Yiloo nto siyibiza ngokuba yi-peristalsis . Namhlanje, siza kuthetha ngale nto ngokweenkcukacha nangokulula.

Yintoni le peristalsis?

Ngamafutshane, i-peristalsis yintshukumo yemisipha eyenzeka ngokungazi, engaqhelekanga eyenzeka kwinkqubo yethu yokugaya ukutya . Cinga ngayo, le nkqubo iqala kwangoko xa uginya ukutya. Ihambisa ukutya kunye nolwelo emqaleni wakho, yonke indlela eya kwindlela yakho yokugaya ukutya , yonke indlela eya emathunjini akho, apho inkunkuma ikhutshwa khona.

Ungacinga indlela yethu yokugaya ukutya njengoluhlu lweetyhubhu ezidibeneyo nezingenanto. Ezi tyhubhu zigcwele izihlunu kunye nemithambo-luvo. Ngoko ke, xa ukutya kungena kwindlela yokugaya ukutya, inkqubo yemithambo-luvo ithumela umyalezo kwiimisipha. Kulapho izihlunu ziqala ukufinyela kwaye ziphumle ngendlela efana namaza . Njengoko izihlunu ziqhubeka zifinyela kwaye ziphumla, ukutya kuyatyhalelwa phambili. Kufana nokucinezela i-toothpaste ezantsi kwityhubhu kwaye iyeza liphume. Ukutya okuhamba phambili ngale ndlela ekugqibeleni kukhutshwa nge-anus okanye nge-urethra njengenkunkuma.

Yintoni umahluko phakathi kwe-peristalsis kunye ne-segmentation?

Ukwahlulwahlulwa kolunye uhlobo lwemisipha olungenanjongo kwinkqubo yethu yokugaya ukutya. Kodwa ngokungafaniyo nokunyakaza, ukwahlulwahlulwa kohlobo lwemisipha kwenzeka ikakhulu emathunjini ethu, kungekhona kuyo yonke indlela yokugaya ukutya. Ukwahlulwahlulwa kohlobo lwemisipha kubandakanya ukucutheka kwemisipha ejikelezayo emathunjini, ehambisa ukutya ngasemva nangasemva. Kufana nokuhlamba impahla kumatshini wokuhlamba impahla.

Njengoko ukutya kuhambahamba ngale ndlela, kuxubaniswa kakuhle neejusi zesisu , kuqhekeza iziqwenga ezinkulu zokutya zibe ziingceba ezincinci, nto leyo enceda ekugayweni kokutya. Oku kuqhekeka kunciphisa isantya sokuhamba kokutya emathunjini kancinci. Kodwa ungakhathazeki, ukuhambahamba kuyaqhubeka nokuhambisa ukutya phambili.

Ngaba i-peristalsis yenzeka ngenye indlela? - I-Reverse Peristalsis

Ewe, ngamanye amaxesha ezi zihlunu zifana namaza zinokubuyela umva endaweni yokuba ziye phambili. Yiloo nto siyibiza ngokuba yi-retroperistalsis okanye i-reverse peristalsis . Oku kwenzeka xa uhlanza. I-retroperistalsis ibangela ukuba ukutya okusemathunjini akho amancinci kubuyele umva.Ukutya kunokubuyela esiswini, kwaye ukusuka apho, kunokuphuma ngomqala kuphume emlonyeni.

Kwakhona, ukuba ukutya kuhamba ngendlela yokugaya ukutya kudla ngokuphazanyiswa , ukutya kunokuhamba umva umgama omfutshane kuze kuphinde kuzanywe ukuhamba phambili kwakhona.

Yintoni le peristalsis eyenzayo emizimbeni yethu?

Enyanisweni, ukuhambahamba kwento yimbangela yokuba inkqubo yokugaya iqhubeke . Ngaphandle kwayo, besingenakukwazi ukutya, ukugaya, size ekugqibeleni sikhuphe inkunkuma. Khawucinge ukuba bekuya kwenzeka ntoni ukuba oko bekunokwenzeka!

Intshukumo yesisu ecothayo kodwa eqhubekayo inika imizimba yethu ixesha lokuqhekeza ukutya nokufunxa izondlo . Ikwanceda ekususeni iintsholongwane ezingafunekiyo kunye nenkunkuma eqokelelana kwindlela yethu yokugaya ukutya.

Kubalulekile: Ukuba intshukumo yokuqengqeleka ayibekwanga ngexesha elifanelekileyo kwaye yenzeka ngesantya esifanelekileyo, oko kuthetha ukuba ukuba iyanda ngesantya okanye yehla ngesantya, nezinye iinkqubo zokugaya ukutya nazo ziya kuqala ukuphazamiseka.

Iphi emzimbeni apho i-peristalsis yenzeka khona?

Ukuqengqeleka kwenzeka kuyo yonke indlela yethu yokugaya ukutya. Kodwa kusebenza ngakumbi kwi-esophagus , ityhubhu ethwala ukutya iye esiswini xa siginya. Xa uginya into ethile, le nkqubo iqala kwi-pharynx , ngasemva komqala wakho, kwaye ityhala ukutya kuye kwi-esophagus.

Kukho i-primary peristaltic wave kwi-esophagus, eqala xa siginya into ethile. Ngamanye amaxesha, ukuba isiqwenga esikhulu sokutya sibambekile, eli liza lilodwa alanele. Ngelo xesha, i-secondary peristaltic wave iqala ngenxa yokwelulwa kweendonga ze-esophagus. Ukuba kukho nayiphi na ingxaki ngentshukumo ye-peristaltic ye-esophagus, ubunzima bokuginya bunokubakho.

Emva komqala, intshukumo yokuqengqeleka iyaqhubeka ngesisu nasemathunjini amancinci namakhulu . Nangona kunjalo, emathunjini, esi santya siyancipha kancinci, kuba kufuneka sivumele inkqubo yokuqhekeka ekhankanyiweyo ngaphambili. Ngexesha lokuqhekeka, intshukumo yokuqengqeleka yiyo eshukumisa inyongo eveliswa yinyongo yethu iye emathunjini amancinci ukunceda ekugayweni. Ngokufanayo, umchamo oveliswa zizintso uthwalwa uye esinyini ngoncedo lwale ntshukumo yokuqengqeleka.

Ekupheleni kwenkqubo yokugaya ukutya, umchamo uphuma ngokujikajika kwi-urethra, kwaye ilindle liphuma ngokujikajika kwi-rectum nakwi -anus . Okumangalisayo kukuba, olu jiko luyaqhubeka nokuba silele, nokuba singenanto esiswini, sisusa naziphi na izinto ezingafunekiyo ezisele kwindlela yokugaya ukutya.

Ibonakala njani kanye kanye le peristalsis?

Indlela ezisebenza ngayo izihlunu ngexesha lokuqengqeleka ibizwa ngokuba yi-wave kuba izihlunu zihlala zincipha kwaye ziphumla ngendlela eqhelekileyo, zityhala ukutya phambili. Zombini izihlunu ezijikelezayo ezijikeleze umbhobho kwindlela yethu yokugaya ukutya kunye nezihlunu ezinde ezihamba ecaleni kombhobho zinegalelo koku. Njengoko izihlunu ezijikelezayo zincipha kwaye ziphumla ukuze zityhale ukutya phambili, izihlunu ezinde zinceda ekutyhaleni yonke into phambili.

Kodwa le ndlela yokwenza izinto efana namaza ixhaphake kakhulu kwinxalenye yokuqala yendlela yokugaya ukutya. Xa kufikelelwa kwinxalenye yokugqibela yamathumbu, indawo apho kuphuma khona isitulo, inkunkuma ingakhutshwa ngokuzibopha izihlunu izihlandlo ezininzi.

Zithini iimpawu zeengxaki ze-peristalsis?

Sikwabiza iingxaki zokuphazamiseka kokuhamba . Ukuhamba kukuhamba kokutya kwindlela yethu yokugaya ukutya. Xa kukho ingxaki yokuhamba, kudla ngokuthetha ukuba isantya sokutya esihamba kwindlela yokugaya ukutya siyanda (i-Hypermotility okanye i-Hyperperistalsis) okanye sinciphe (i-Hypomotility okanye i-Hypoperistalsis) .

• Ukuba isantya siyanda: Ngenxa yokuba ukutya kuhamba ngokukhawuleza emzimbeni, akunaxesha lokugaya kakuhle okanye ukufunxa izondlo. Oku kunokukhokelela kwisifo sohudo kunye nezinye iingxaki zokugaya ukutya .
• Ukuba isantya siyacotha: Ngenxa yokuba ukutya kuhamba kancinci, inkunkuma kunye neebhaktheriya azisuswa ngexesha. Oku kunokukhokelela kwiimeko ezifana nokuqunjelwa kunye nokukhula kakhulu kweebhaktheriya .

Ukuphazamiseka kwentshukumo kunokubangela iimpawu ezahlukeneyo. Ezinye zazo ziquka:

• Ukuqhinwa : Ukungakwazi ukuya kwindlu yangasese kangangeentsuku ezininzi.
• Urhudo : Ukuhlala ukhululekile.
• Igesi kunye nokudumba.
• Intlungu zesisu .
• Ukuvuvukala kwesisu .
• Isisu esidumbileyo : Ukuziva ngathi isisu sakho siyakhula emva kokutya.
• Isicaphucaphu mhlawumbi nokuhlanza.
• Ukubuyela emsebenzini kwakhona .
• I-acid reflux : Njengesitshiso sentliziyo.
• Ubunzima bokuginya (i-Dysphagia) .
• Ukunqongophala kwezondlo : Kuba ukutya akufunxwa kakuhle ngumzimba.

Zithini izizathu zeengxaki ze-peristalsis?

I-Gastroesophageal reflux yinkqubo enzima ebandakanya izihlunu, imithambo-luvo, kunye neehomoni . Ngoko ke, iingxaki ngale nto zinokubangelwa yingxaki yezihlunu okanye yingxaki kwinkqubo yemithambo-luvo. Ezi ngxaki zinokwenzeka naphi na kwindlela yokugaya ukutya, okanye nakwindlela yonke yokugaya ukutya.

EzinyeAmayeza, ukwenzakala, usulelo, izifo, utshintsho lweehomoni, kunye nokungalingani kwe-electrolyte kunokuchaphazela izihlunu okanye imithambo-luvo ebandakanyekayo ekushukumeni kwamathumbu. Ngamanye amaxesha, unobangela awaziwa (idiopathic) . Izifo ezininzi zesisu zinxulunyaniswa nokuhamba kwamathumbu. Kodwa ngamanye amaxesha, kunzima ukutsho ngokuqinisekileyo ukuba isifo sibangela ukuhamba kwamathumbu okanye ukuba ukuhamba kwamathumbu kubangela isifo.

Amayeza anokuchaphazela i-peristalsis

Kukho amayeza athile anokunciphisa okanye anyuse intshukumo yokuqengqeleka.

• Iziyobisi ezinciphisa iintlungu ze-opioid (umz. i-tramadol, i-morphine).
• Amayeza okulwa ne-cholinergics (amayeza asetyenziselwa iimeko ezifana ne-allergies ezithile kunye nesifo sikaParkinson).
• Izithinteli zeCalcium channel (ezinye iindlela zonyango ezisetyenziselwa uxinzelelo lwegazi oluphezulu).
• Ii-tricyclic antidepressants (ezinye zeziyobisi ezindala ezisetyenziselwa ukudakumba).

Iimeko ezinokuchaphazela i-peristalsis

• Usulelo lwasekuhlaleni okanye ukudumba .
• Utyando , ingakumbi utyando lwesisu.
• Ukunqongophala kwe-electrolyte (umz. i-potassium ephantsi).
• Isifo se-thyroid .
• Izifo ze-neurological (umz. isifo sikaParkinson, iingxaki ze-neurological).
• Ukonakala kwemithambo-luvo ngenxa yesifo seswekile .
• I-Scleroderma kunye nezinye iingxaki zezicubu ezidibeneyo .
• I-intestinal ischemic syndrome (imeko apho ukunikezelwa kwegazi emathunjini kuncipha).
• ``Ukungasebenzi kakuhle kwe-atrial kunye ne-intestinal dysrhythmia engapheliyo (CAID)'' .
• Isifo sikaHirschsprung - Esi sisifo esichaphazela abantwana abancinci kakhulu kwaye sibangelwa ziiseli zemithambo-luvo emathunjini ezingakhuli kakuhle.

Ziziphi ezinye izifo ezinokubangelwa ziingxaki ze-peristalsis?

Iingxaki zomqolo zingabangela okanye zibenze mandundu ezi meko zilandelayo:

• `I-Achalasia` : Imeko apho izihlunu ezikwinxalenye esezantsi yomqala zingaphumli kakuhle, nto leyo eyenza kube nzima ukuba ukutya kudlulele esiswini.
• `Ukuvinjwa kwamathumbu okungamampunge` : Imeko apho iimpawu (ukudumba, iintlungu, ukuhlanza) zibonakala ngathi kukho ukuvaleka kwamathumbu, ngaphandle kokuba kubekho ukuvaleka.
• I-Gastroparesis : Imeko apho izihlunu zesisu zibuthathaka kwaye ukutya kuphuma kancinci esiswini.
• Ukuqaqamba komlomo : Imeko apho izihlunu ezikumlomo ziqina ngequbuliso, nto leyo ebangela iintlungu esifubeni okanye ubunzima bokuginya.
• "Isifo samathumbu esirhawuzelelwayo (IBS)": Imeko apho iimpawu ezinje ngokuqhinwa, urhudo, kunye nentlungu yesisu zitshintshana ngenxa yokwanda kovakalelo lwamathumbu.
• `GERD (Gastroesophageal Reflux Disease)` : Isifo esibangela ukudumba esifubeni ngenxa yokubuyela rhoqo kwe-asidi yesisu kwi-esophagus.
• I-Paralytic ileus : Ukuyeka okwethutyana ukuhamba kwamathumbu emva kotyando okanye ngenxa yezinye izizathu.

Ziphathwa njani ezi ngxaki ze-peristalsis?

Ukungasebenzi kakuhle kwe-erectile yingxaki enzima kakhulu. Ngoko ke, ukuze uyinyange ngokufanelekileyo, kufuneka uqale uqonde ukuba yintoni ebangela oko. Ngamanye amaxesha, ungayilungisa ingxaki ngokutshintsha amayeza owaselayo okanye wenze utshintsho kwindlela otya ngayo.

Kodwa iingxaki zenkqubo yemithambo-luvo zinokuba nzima ngakumbi. Izinto zengqondo/zeemvakalelo , iihomoni, kunye nolwelo lomzimba nazo zinokudlala indima, ngoko ke kungathatha uvavanyo kunye neempazamo ukusombulula ezi zinto. Ngamanye amaxesha, unobangela wengxaki yokuqengqeleka inokuba yimeko yezonyango enkulu, engaphantsi. Kwimeko enjalo, imeko engaphantsi kufuneka inyangwe.

Ngawaphi amayeza asetyenziselwa iingxaki zokunyakaza?

Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa amayeza alandelayo:

• Amayeza e-Parasympathomimetic : La mayeza asebenza ngokuvuselela inkqubo ye-parasympathetic nervous kunye nokwandisa intshukumo yokugaya ukutya.
• Ii-Prokinetic agents : La mayeza avuselela intshukumo yendlela yokugaya ukutya, eye yacotha.
• Amayeza okuthintela urhudo : Amayeza anikwa ukulawula urhudo ukuba kukho urhudo.

Siyigcina njani i-peristalsis esempilweni?

Kwiimeko eziqhelekileyo, ungagcina imetabolism isempilweni ngokulandela imikhwa embalwa elula nenempilo yokuphila .

• Yenza umthambo : Ukuzilolonga ubuncinane imizuzu engama-30 ngosuku kunceda ekulawuleni ukugaywa kokutya kunye nokuhamba kwamathumbu.
• Sela amanzi amaninzi : Ukusela ubuncinane iiglasi ezisi-8 zamanzi ngosuku kunceda ukutya kuhambe lula kwindlela yokugaya ukutya.
• Yitya ukutya okunefayibha : Ifayibha efumaneka kwiinkozo ezipheleleyo, iziqhamo, kunye nemifuno yongeza ubukho bendle kwaye ivuselela ukuhamba kwamathumbu.
• Nciphisa ukutya okwenziweyo nokunamafutha amaninzi : Olu hlobo lokutya okucutshungulwayo luyacothisa ukugaya ukutya.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Ukuqhutywa yinkqubo eyenzeka ngokuzenzekelayo emizimbeni yethu yonke imihla, ngaphandle kokuba sicinge ngayo, kwaye sithembele kuyo. Kodwa kuthekani ukuba ayisebenzi kakuhle?

Ungazama ukwenza utshintsho olulula kwindlela ophila ngayo kuqala. Cinga ngamayeza owasebenzisayo kunye nokuba anazo na iziphumo ebezingalindelekanga ezichaphazela ukuhamba kwakho kwamathumbu. Ukuba ezi zinto azincedi, ngokuqinisekileyoBona ingcali yezifo zesisu.

Zininzi izizathu ezibangela iingxaki ngokujikeleza komqolo. Nangona kunjalo, uvavanyo lwezonyango kunye neengcebiso zeengcali ziya kukunceda ufumane unobangela wale ngxaki kwaye ufumane unyango olufanelekileyo. Ngoko ke, ukuba uneempawu ezinje ngezi, kungcono ukufuna iingcebiso zonyango kunokuba uzityeshele.

I- Peristalsis, ukugaya ukutya, amathumbu, ukuqhina, urhudo, umjelo wokutya