Ngaba nawe unesifo sorhudo esingapheliyo? Makhe sithethe ngale 'Sifo Sorhudo Esingapheliyo'!

Sonke sikhe sanesifo sohudo ngaxa lithile ebomini bethu, akunjalo? Akumnandi ukuba nendle ekhululekileyo kunye nesidingo sokuya kwigumbi lokuhlambela ngequbuliso unentlungu esiswini sakho. Ngokwesiqhelo, oku kwenzeka emva kosuku okanye ezimbini xa unesifo sokutya, umkhuhlane, okanye umkhuhlane. Nangona kunjalo, ukuba unesifo sohudo esihlala iiveki ezingaphezu kwezine , sibiza ngokuba 'sisifo sohudo esingapheliyo' okanye isifo sohudo esingapheliyo.

Yintoni le nto yorhudo olungapheliyo? Ingaba imbi ngokwenene?

Ngamafutshane, urhudo oluhlala luhleli luhamba lula, luhamba ngamanzi luhlala ixesha elingaphezu kweeveki ezine. Ezinye izifundo zibonisa ukuba phakathi kwe-1% kunye ne-3% yabemi banale meko. Nangona kunjalo, eli nani lisenokuba phezulu kakhulu kuba abantu abaninzi abafuni unyango lwalo ngaphandle kokuba banezinye iimpawu, ezifana neentlungu zesisu okanye ukopha.

Ngoku mhlawumbi uyazibuza, "Ngaba kuyinto eqhelekileyo ukuba norhudo imini yonke?" Akunjalo ngokwenene. Oku akuqhelekanga. Ikholoni yakho, indawo apho kwakheka khona indle, isenokuba isabela kwinto engaqhelekanga. Kwabanye abantu, olu hlobo lorhudo lunokubangelwa yimeko yamathumbu enganyangekiyo, kodwa iimpawu zinokulawulwa. Nangona kunjalo, kwiimeko ezininzi, ezinye izizathu zinokunyangwa ngonyango olufanelekileyo.

Ngokwesiqhelo, inkunkuma yokutya engamanzi esuka emathunjini amancinci ifunxwa kancinci kancinci lithumbu elikhulu ize iguqulwe ibe lithumbu eliqinileyo. Kodwa xa unesisu esibuhlungu, ngesizathu esithile le nkqubo iyaphazamiseka. Okwenzekayo kukuba uphume ilithumbu elingamanzi kakhulu. Oku kuthetha ukuba ithumbu lakho elikhulu linobunzima bokufunxa amanzi njengoko beliqhele ukwenza, okanye likhupha amanzi amaninzi kakhulu, okanye zombini. Oku kunokubangelwa yingxaki ngethumbu lakho elikhulu, okanye into engaqhelekanga ngaphakathi kulo.

Kutheni sihlala silamba? Zithini izizathu eziphambili?

Izifo ezininzi zinokubangela urhudo olungapheliyo. Kodwa ngaphambi kokuba ucinge ngesifo, ugqirha ngokuqinisekileyo uza kukubuza malunga nendlela otya ngayo kunye namayeza owasebenzisayo. Kuba ezi zezona zizathu esizibangelayo ngokungazi, kwaye ezinokulungiswa ngokulula .

Indlela ukutya neziselo ezichaphazela ngayo

Ukutya okuthile kunye neziselo kunokubangela urhudo. Ukuba uzitya rhoqo, ngobuninzi, okanye ukuba uziva ukhululekile kuzo, zisenokuba zibangela urhudo lwakho. Ukuchonga ukutya kunye neziselo ezibangela urhudo kunye nokunciphisa okanye ukukuphelisa ngokupheleleyo kunokunceda. Cinga ngezi zinto:

• Ikofu/Iti: Ukusela ikofu kuyakhawulezisa ukuhamba kwamathumbu akho, okanye 'ukuhambahamba'. Oku kuthetha ukuba inkunkuma yokutya emathunjini amakhulu ikhutshwa ngokukhawuleza ngaphambi kokuba iqine kakhulu. Akukacaci nokuba oku kungenxa yecaffeine ekwikofu okanye kwezinye iikhemikhali. Abanye abantu banokufumana iziphumo ezifanayo zokusela iti enecaffeine njengokusela ikofu engenacaffeine. Oku kuthetha ukuba,Abantu abahlukeneyo banomdla kwiikhemikhali ezahlukeneyo (ubisi okanye iswekile oyifaka kwikofu/iti yakho nayo inokuba yimbangela). Ukuba uzisela rhoqo ezi zinto, unokufumana iziphumo ebezingalindelekanga ezihlala ixesha elide.
• Utywala: Utywala bukwakhawulezisa amathumbu, ingakumbi xa ungenanto esiswini. Nangona kunjalo, ukuba usela utywala obuninzi, ukugaya kwakho ukutya kusenokucotha, nto leyo ekhokelela ekuphelelweni ngamanzi emzimbeni nasekuqhineni. Nangona kunjalo, ukuba usela utywala obuninzi rhoqo, urhudo lunokubangelwa yinto eyahlukileyo - ukudumba. Ukuba ikholoni yakho iyavuvukala, idumbe, okanye yonakale ngenxa yotywala, ayisakwazi ukufunxa amanzi kunye neeminerali ngokuqhelekileyo. Ukuba ulwelo lwekholoni yakho lonakele, lunokuvuza nolwelo.
• Ezinye iiswekile: Ezinye iiswekile kunzima ukuzicola, kwaye ukuba uzitya kakhulu, zinokubangela urhudo. Amathumbu akho asenokungabi nazo ii-enzymes ezifunekayo ukuze azicole, okanye usenokungabi nazo kwaphela. Izithambisi zokwenziwa ezifana ne-sorbitol, i-mannitol, kunye ne-lactulose zezinye zeeswekile ezingenako ukucolwa ngamathumbu omntu. Yiyo loo nto zingongezi iikhalori. Xa amathumbu engakwazi ukucola ezi swekile, atsala amanzi amaninzi ukunceda ukuzikhupha emzimbeni. I-Fructose inokuba nalo mphumo ngezixa ezithile. Yiyo loo nto ukutya okwenziwe ngesiraphu yombona ene-fructose eninzi kunokubangela urhudo. Abanye abantu banokuba ne-allergies, okanye ukunganyamezelani, neentlobo ezithile zeswekile. Ukunganyamezelani ne-lactose (ubunzima bokugaya ubisi kunye neemveliso zobisi) yeyona ixhaphakileyo kwezi.
• Ukunganyamezelani nokutya: Ukuba unengxaki yokugaya ukutya okuthile, usenokuba unganyamezelani nokutya oko. Oku kuthetha ukuba inkqubo yakho yokugaya ukutya ayinazo ii-enzymes ezifunekayo ukuze itye ukutya oko. Imizekelo eqhelekileyo ibandakanya ukunganyamezelani ne-gluten (iproteni efumaneka ekutyeni okufana nengqolowa), ukunganyamezelani ne-histamine, kunye nokunganyamezelani neswekile (ii-carbohydrate). Urhudo lubangelwa kukutya okungagaywanga kakuhle.

Ngaba amayeza esiwasebenzisayo angangunobangela?

Amayeza amaninzi anokubangela urhudo oluqhubekayo njengesiphumo esingesihle. Anokubangela le meko ngeendlela ezahlukeneyo. Ukuba uyayifumana na kuxhomekeke kwizinto ezininzi, ezifana nomthamo wamayeza owaselayo, ukutya kwakho, kunye nezinye iimeko zempilo onazo. Ugqirha wakho uza kujonga imbali yakho epheleleyo yezonyango ukuze abone ukuba amayeza abangela oko na. Amanye amayeza anokubangela urhudo oluqhubekayo aquka:

• 'Ii-NSAID' `(amayeza angengo-steroidal alwa nokuvuvukala)` - iintlungu zentlungu, umzekelo i-aspirin `(aspirin)`, i-ibuprofen `(ibuprofen)`.
• Izithinteli zeProton pump (PPIs) - Amayeza anikwayo kwi-gastritis.
• Ii-antibiotics - Umzekelo, i-amoxicillin, i-cephalexin.
• Ezinye izongezo zemifuno kunye neti ziqulethe izithako ezifana ne-senna.
• Ukuthatha iidosi eziphezulu zeevithamini kunye neeminerali ezithile, ezifana nevithamini C kunye ne-magnesium.
• Ii-antacids ezine-magnesium.
• Amayeza okudakumba - ingakumbi lawo akhetha i-serotonin reuptake inhibitors (SSRIs), umz. i-fluoxetine (Prozac®), i-sertraline (Zoloft®).
• Ii-Beta-blockers - Amayeza oxinzelelo lwegazi oluphezulu.
• I-Metformin - iyeza lesifo seswekile.
• Unyango lweKhemotherapy - Unyango lomhlaza.
• Ukusetyenziswa gwenxa nokusetyenziswa ngokugqithisileyo kwemithi yokulahla isisu, ingakumbi kwiimeko ezifana ne-bulimia nervosa.

Ngaba kukho iintlobo ezahlukeneyo zorhudo? Zithini izizathu zazo?

Ngamanye amaxesha oogqirha bahlulahlula urhudo lube ziintlobo ezintathu okanye ezine ukuze kube lula ukufumana unobangela. Oogqirha banokuchonga iimpawu ezithile zendle ezihambisana nezi ntlobo. Ezi zimele iindidi ezibanzi zezizathu ezinokubakho. Iintlobo ezintathu eziphambili zezi: urhudo oluvuthayo, urhudo olunamafutha, kunye norhudo olumanzi. Abanye abantu bahlulahlula urhudo olumanzi lube ziintlobo ezimbini ezongezelelweyo (i-secretory kunye ne-osmotic) kwaye bazijonga njengeentlobo ezine eziphambili.

Urhudo olumanzi

Urhudo oluphuma emanzini luyenzeka xa ikholoni yakho ingakwazi ukufunxa amanzi kunye nee-electrolytes ezaneleyo kwindle yakho, okanye xa ikhupha okungaphezulu koko ikufunxayo.

• Ukuqunjelwa yi-osmotic kubangelwa zizondlo ezingagaywanga kakuhle okanye ezingafunxwanga kakuhle. Ezi zitsala amanzi amaninzi kumathumbu amakhulu. (Le yindlela ezinye izilaxatives ezisebenza ngayo.)
• Urhudo oluyimfihlo lubhekisa kurhudo olumanzi olubangelwa zizifo ezahlukeneyo.

Ezinye izinto ezinokubangela oku:

• Urhudo olubangelwa yi-bile acid (oku kwenzeka xa i-bile eninzi iqokelelana emathunjini; okukwabizwa ngokuba yi-bile acid malabsorption (BAM)).
• 'I-Microscopic colitis' `(I-Microscopic colitis)`.
• Ukonakala kwemithambo-luvo okubangelwa sisifo seswekile (isifo seswekile esibizwa ngokuba yi-diabetic neuropathy).
• Ukususwa kwemithambo-luvo yesisu ngotyando (Vagotomy).
• I-Hyperthyroidism (i-thyroid gland esebenza kakhulu).
• 'Iingxaki ze-adrenal gland' `(Iingxaki ze-adrenal)`.
• Iithumba ze-neuroendocrine.
• 'Isifo samathumbu esirhawuzelelwayo' (IBS).

Urhudo olunamafutha / iSteatorrhea

Ngamanye amaxesha, indle yakho inokuba namanzi ize idlule njengorhudo ngenxa yeoyile eninzi. Oku kwenzeka xa umzimba wakho unengxaki yokuqhekeza nokufunxa amafutha ngokufanelekileyo, okanye xa iintsholongwane emathunjini akho zenza ii-fatty acids ezininzi kakhulu. Urhudo olunamafutha lusenokungenzeki rhoqo, kodwa lunokwenzeka ngobuninzi ngaxeshanye. Lunokunuka kakubi kunesiqhelo, kwaye lunokushiya amabala anamafutha kwindlu yangasese. Lunokuhamba neempawu ezifana nokucaphuka, ukungagayi kakuhle ukutya, kunye nokunciphisa umzimba.

Izizathu ezinokwenzeka:

• Iingxaki zokungafunxwa kakuhle kwezakhamzimba - Oku kuthetha ukuba izondlo azifunxwa kakuhle. Imizekelo: ukungasebenzi kakuhle kwepancreas (ukungasebenzi kakuhle kwepancreas), isifo se-celiac.
• Ukukhula ngokugqithisileyo kwebhaktheriya emathunjini amancinci (SIBO).
• I-Mesenteric ischemia (ukuvaleka kwemithambo yegazi ehambisa amathumbu).
• Utyando lwesisu (utyando kwindlela yokugaya ukutya).

Urhudo oluvuthayo

Olu hlobo lorhudo lwenzeka xa une-inflammation ye-colon yakho, ebizwa ngokuba yi-colitis. Ukuvuvukala kuchaphazela ulwelo lwe-colon yakho. Luyadumba, nto leyo eyenza ukuba ingakwazi ukufunxa izondlo. Urhudo oluza nokuvuvukala luhlala lukho kodwa lufika luze luphele. Lunokuhamba nentlungu yesisu, umkhuhlane, okanye igazi elisesitulweni sakho. Iimeko zokudumba ezinokubangela urhudo olungapheliyo ziquka:

• Usulelo oluqhubekayo, umzekelo usulelo olubangelwa zi-parasites, okanye i-pseudomembranous colitis ebangelwa yi-bacteria C. diff.
• Isifo samathumbu esidumbileyo (IBD) - Oku kubhekisa kwizifo zamathumbu ezidumbileyo. Imizekelo: i-ulcerative colitis, isifo sikaCrohn.
• I-Ischemic colitis (ukudumba okubangelwa kukuncipha kokunikezelwa kwegazi kumathumbu amakhulu).
• I-Diverticulitis (ukudumba kweengxowa ezincinci emathunjini amakhulu).
• I-radiation colitis (ukudumba kwamathumbu amakhulu okubangelwa lunyango lwe-radiation).
• Umhlaza.

Zithini iziphumo ebezingalindelekanga ezinokubakho zokuqhubeka nokutya?

Khawucinge nje, kufuneka uye kwigumbi lokuhlambela ngokukhawuleza, okanye unengxaki yokuzibamba. Le meko ichaphazela kangakanani ubomi bakho bemihla ngemihla? Kuyacaphukisa kakhulu ukuhlala ucinga ngegumbi lokuhlambela elikufutshane.

Kunzima ukugcina lo mkhwa ufihliwe kwabanye abantu ixesha elide. Ungayichaphazela indlela ozithemba ngayo kunye nomgangatho wobomi bakho. Ukuba unomsebenzi, ingakumbi obandakanya abantu abaninzi, ungawuchaphazela loo nto.

Ngokwemvelo, urhudo olungapheliyo lunokukubeka emngciphekweni wokuphelelwa ngamanzi emzimbeni kunye nemiphumo yalo. Njengoko urhudo luqhubeka, umzimba wakho ulahlekelwa ngamanzi amaninzi, kunye nee-electrolytes, iiminerali ezibalulekileyo ezifumaneka kulwelo lomzimba.

Ukuphelelwa ngamanzi emzimbeni (electrolyte) kunokuba nemiphumo emibi kakhulu. Kunokuchaphazela intliziyo yakho, imiphunga, ingqondo, kunye nenkqubo yemithambo-luvo. Ukuphelelwa ngamanzi emzimbeni kunokubangela uxinzelelo kwizintso zakho, nto leyo ekhokelela kwisifo sezintso.

Yintoni onokuyenza ekhaya ngale nto?

Ungadinga ingcebiso kagqirha kunye nonyango ukuze uyeke oku. Nangona kunjalo, kukho izinto ezimbalwa onokuzama ngaphambi koko:

• Cinga ngononophelo malunga nokutya kwakho. Cinga ukuba ingaba urhudo lwakho lubangelwa yinto oyityayo okanye oyiselayo rhoqo. Ukuba usela ikofu, iti, utywala, okanye nantoni na enezithambisi zokwenziwa (ezifana ne-diet soda), zama ukuzisusa kuqala. Ukuba urhudo olunamafutha, zama ukususa ukutya okunamafutha ekutyeni kwakho ukuze ubone ukuba oko kuyanceda na. Ukunganyamezelani ne-lactose kuxhaphake kakhulu, ingakumbi kubantu baseAfrika okanye baseAsia. Ungazama nokususa ubisi. Ungazama nokutya okungqongqo, njengokutya okune-FODMAP ephantsi, ukuze ufumane ukuba zeziphi na izinto ezibangela ukuba ungabi na-allergies ekutyeni.
• Ukuba usela amayeza rhoqo, buza ugqirha wakho ukuba ngaba kukho na amayeza anokubangela urhudo lwakho. Ukuba kunjalo, buza ukuba ungazama na enye indlela okanye uyeke ukuwasebenzisa okwethutyana.
• Qinisekisa ukuba uhlala unamanzi xa unesifo sorhudo. Zama isisombululo somanzi, isiselo sezemidlalo, okanye umxube we-electrolyte oxutywe namanzi. Ukusela amanzi kuphela akuyi kukunika ii-electrolytes.

Ndingawususa njani lo mzimba ubuhlungu rhoqo? Ngaba kufuneka ndiye kugqirha?

Ukuba uzame utshintsho olulula kwindlela otya ngayo namayeza akho kwaye urhudo lwakho alupheli, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ugqirha wakho uza kuhlola ngononophelo izizathu ezinokubangela urhudo lwakho oluqhubekayo aze amisele unyango olufanelekileyo. Ukunyanga imeko esisiseko kunokunceda ukusombulula urhudo lwakho, okanye kusenokungenzeki ukunyanga imeko esisiseko ngokuthe ngqo. Ukuba kunjalo, urhudo lwakho lunokufuna unyango oluthile.

Unyango lungabandakanya:

• I-Opiate antidiarrhea: Ezi zicothisa ukusebenza kwekholoni yakho kwaye zonyusa ukufunxwa. I-Loperamide idla ngokuba lukhetho lokuqala. Ayinamlutha kwaye ifumaneka ngaphandle kwekhawuntara (OTC).
• Izinto zokubopha i-bile acid zinikwe abo bane-bile acid diarrhea.
• I-Clonidine yonyango lorhudo olubangelwa sisifo seswekile.
• I-Eluxadoline yesifo sorhudo esibangelwa yi-IBS (i-irritable bowel syndrome).
• Ii-antibiotics okanye ii-antiparasites zosulelo.
• Izongezo zefayibha, ezifana ne-psyllium, zinokunceda ekuqiniseni isitulo kwaye zinciphise ukuhamba kwaso.

Ufanele uye nini ngokuqinisekileyo kugqirha?

Akuyonto imbi ukubona ugqirha ukuba unesifo sorhudo esingapheliyo. Ukuba ucinga ukuba awukwazi ukusilungisa ngokususa into ethile ekutyeni kwakho, kusenokwenzeka ukuba udinga unyango. Ukuba sele kuqhubeka ixesha elide, usemngciphekweni omkhulu wokufumana ezinye iingxaki, ezisenokufuna unyango. Ukuba unezinye iimpawu ezifana nezi, funa uncedo lwezonyango ngokukhawuleza:

• Ifiva
• Intlungu
• Igazi esitulweni
• Ukunciphisa umzimba ngokungeyomfuneko
• Ubumhlophe
• Ubuthathaka okanye ukudinwa kakhulu

Okokugqibela, ndimele ndithi...

Nangona urhudo luqhelekile, ludla ngokuphela ngokukhawuleza ngaphandle konyango. Nangona kunjalo, urhudo oluhlala inyanga okanye ngaphezulu kufuneka luxoxwe nogqirha. Ngamanye amaxesha unobangela unokuba yinto elula nelula ukuyilungisa. Kwezinye iimeko, unokufumanisa ukuba unesifo esifihlakeleyo esifuna unyango oluntsonkothileyo. Nangona kunjalo, musa ukulibala olu phawu. Ugqirha wakho unokukunceda.

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