Ngaba unesifo seswekile? Ukuba kunjalo, usenokuba uqhelene nemvakalelo yokudumba, okanye urhudo, ngaphandle kwesizathu esicacileyo. Nangona oku kunokuba yintloni kwaye kungakhululeki ukuthetha ngako kwabanye abantu, yimeko eqhelekileyo ehambisana nesifo seswekile. Enyanisweni, malunga nomntu omnye kwabahlanu abanesifo seswekile unokufumana urhudo rhoqo. Ngoko masithethe ngale nto ngokukhululekileyo namhlanje.
Luluphi ulwalamano phakathi kwesifo seswekile kunye nesifo sorhudo?
Ngamafutshane, isifo seswekile sinokuchaphazela indlela esebenza ngayo inkqubo yethu yokugaya ukutya. Lo mngcipheko uphezulu kakhulu kubantu abanesifo seswekile ixesha elide kwaye abangalawuli kakuhle amanqanaba eswekile egazini labo.
Ngamanye amaxesha, kunye nolu rhudo, ingakumbi ebusuku, unokufumana imeko ebizwa ngokuba yi- "Fecal Incontinence". Oku kwenzeka kuba isifo seswekile sibangela umonakalo kwimithambo-luvo (``neuropathy``) kwaye umsipha we-anal sphincter olawula ukuhamba kwamathumbu (``anal sphincter``) awufumani zimpawu zifanelekileyo.
Khumbula, oku akulona ityala lakho. Yingxaki nje eyenzeka njengenxalenye yesifo esibizwa ngokuba sisifo seswekile. Ngoko ke kubaluleke kakhulu ukuthetha nogqirha wakho ngale nto ngaphandle kokuba neentloni.
Ziziphi izizathu eziphambili zorhudo olubangelwa sisifo seswekile?
Kukho izizathu ezahlukeneyo zoku. Makhe sijonge ezona ziphambili. Ndiza kukubonisa oku kwitheyibhile elula ukuyiqonda.
| Isizathu | Ingcaciso elula |
|---|---|
| I-Autonomic Neuropathy | Amanqanaba aphezulu eswekile egazini ngokuhamba kwexesha anokonakalisa imithambo-luvo elawula inkqubo yethu yokugaya ukutya. Oku kunokutshintsha isantya sokuhamba kokutya emathunjini, okubangela urhudo okanye ukuqhinwa. |
| Amayeza esifo seswekile | Ngokukodwa, iyeza elithi metformin, eliqhele ukumiselwa abantu abanesifo seswekile, linokubangela ukudumba kwesisu kunye norhudo kwabanye abantu. |
| Izithambisi zokwenziwa | Abantu abanesifo seswekile badla ngokusebenzisa ezi zinto endaweni yeswekile. Ukutya ukutya okuninzi okune-'sugar alcohols' efana ne-sorbitol kunye ne-mannitol kunokubangela urhudo. |
| Isifo seCeliac | Abantu abanesifo seswekile (ingakumbi uhlobo loku-1) basengozini enkulu yokuba nesifo se-celiac (i-gluten allergy). Aba bantu banokufumana isifo sorhudo nasemva kokutya into encinci equlethe i-gluten, njengomgubo wengqolowa. |
| Ukukhula kweebhaktheriya emathunjini | Ngamanye amaxesha, xa ixesha lokugaya ukutya lisanda, oko kuthetha ukuba ukutya kuhlala emathunjini ixesha elide, iintsholongwane ezingafunekiyo zinokukhula zize zibangele urhudo. |
| Ukungabikho kakuhle kwe-Exocrine Pancreatic | I-pancreas yethu ivelisa ii-enzymes ezisinceda ekugayeni ukutya. Isifo seswekile sinokuphazamisana nale nkqubo, sibangele urhudo kunye nokugaya ukutya okungalunganga. |
Le meko indichaphazela njani?
Oku akufani kuye wonke umntu.
- Abanye abantu basenokuqhubeka benesifo sorhudo.
- Abanye banokuba nesifo sorhudo kangangeenyanga eziliqela baze bangabi nangxaki kwakhona okwethutyana.
- Into abantu abaninzi abayibonayo kukutshintshatshintshana phakathi korhudo nokuqhina . Kwiveki enye usenokuziva uqunjelwe, kwaye kwiveki elandelayo usenokungakwazi ukuya kwigumbi lokuhlambela ngokufanelekileyo. Oku kungaba yingxaki enkulu.
Ugqirha unyanga njani oku?
Xa uxelela ugqirha wakho ngezi mpawu, uza kuqala azame ukufumanisa ukuba ingaba urhudo lubangelwa sisifo seswekile okanye yinto ethile. Baza kukubuza imibuzo baze bakuthumele kwingcali yezifo zamathumbu.
Unyango lugxile kwizinto ezininzi eziphambili.
1. Okona kubaluleke kakhulu: Lawula iswekile egazini
Eli linyathelo lokuqala nelona libalulekileyo.Okukhona ulawula ngcono amanqanaba eswekile egazini lakho, kokukhona ungenza umonakalo omncinci kwimithambo-luvo yakho. Oku kunokunceda ekulawuleni iingxaki ezininzi zesifo seswekile, kuquka norhudo.
2. Utshintsho kwindlela yokutya
Ugqirha wakho okanye ingcali yesondlo iza kudala isicwangciso sokutya esifanelekileyo kuwe. Baza kukuxelela ukuba ugxile kwizinto ezifana nezi:
- Yitya ukutya okuninzi okunefayibha eninzi (umz., irayisi emdaka, iinkozo ezipheleleyo, i-oats, iziqhamo, imifuno), kodwa lumka ngeecarbohydrates.
- Sela amanzi amaninzi . Urhudo lubangela ukuba kulahleke ulwelo oluninzi emzimbeni.
- Lumka ngemifuno ethile (efana nekhaphetshu kunye nekholifulawa) kuba inokubangela ukudumba kwabanye abantu.
3. Unyango ngamayeza
Ukuba kunzima ukulawula oku ngokulawula ukutya kunye neswekile kuphela, ugqirha wakho unokukunika amayeza.
- Amayeza orhudo oluqhelekileyo: Amayeza anjenge-loperamide (umz., i-Imodium®) anokunceda ukuyeka urhudo okwethutyana. Nangona kunjalo, la mayeza akufanele asetyenziswe rhoqo ngaphandle kwengcebiso kagqirha .
- Izongezo zefayibha: Izinto ezifana neMetamucil® zinceda ekuqiniseni isitulo.
- Amayeza athile orhudo olubangelwa sisifo seswekile: Ugqirha wakho angakunika inaliti efana ne-'Octreotide acetate', enikwa urhudo olubangelwa kukonakala kwemithambo-luvo, okanye amanye amayeza athile.
- Ezinye iindlela zonyango: Ii-antibiotics zinganikwa ukuba unobangela lusulelo lwebhaktiriya, kwaye amayeza anganikwa ukuba unobangela kukungabikho kwe-enzyme yepancreas.
Ungaphila njani kakuhle nale meko?
Nangona ezi ngxaki zesisu eziza nesifo seswekile zinokuba yinto ecaphukisayo, ungazilawula kwaye uphile ubomi obusempilweni. Kubaluleke kakhulu ukulandela la macebiso.
- Landela isicwangciso sakho seswekile ngokuchanekileyo. Sela amayeza anikwe ngugqirha wakho ngexesha, lawula ukutya kwakho, kwaye uzilolonge.
- Yongeza ukutya okuziinkozo kunye nokutya okunefayibha eninzi ekutyeni kwakho.
- Sela ubuncinane iiglasi ezisi-8-10 zamanzi ngosuku.
- Yeka okanye unciphise ukutshaya nokusebenzisa utywala . Ezi zinto zonakalisa ngakumbi imithambo-luvo.
- Ukuba unesifo sohudo rhoqo , utshintshana phakathi kohudo nokuqhina kwesisu , okanye ezinye iingxaki zesisu, ungaze uyityeshele loo nto . Qiniseka ukuba uthetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- Urhudo luqhelekile kwisifo seswekile. Musa ukuba neentloni okanye ukoyika.
- Unyango olungcono nolubaluleke kakhulu koku kukulawula amanqanaba eswekile egazini lakho kakuhle.
- Amanye amayeza owasebenzisayo, njengeMetformin, izithambisi zokwenziwa, kunye nokutya okuthile nazo zinokubangela oku.
- Ukuba urhudo luyaqhubeka, lutshintshana nokuqhinwa, okanye ukuba uyahamba ungaqondanga, qiniseka ukuba uthetha nogqirha wakho kwaye ufumane ingcebiso efanelekileyo.
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