Ukwaluphala yinto elungileyo kwelinye icala. Ufumana ukonwabela ubomi kwaye ube nexesha elingakumbi lokukhululeka. Kodwa kwelinye icala, iingxaki zempilo ziyanda kancinci. Ingakumbi njengoko uninzi lwethu lukhula, enye yezona zinto ziphambili ekufuneka sijongane nazo ziingxaki ezahlukeneyo kwinkqubo yokugaya ukutya. Nangona ezi ngxaki zinokwenzeka nangaliphi na ixesha, malunga nama-40% abantu abadala bafumana uhlobo oluthile lwengxaki yesisu minyaka le. Ke namhlanje, masithethe ngeengxaki zokugaya ukutya eziza nokwaluphala, isizathu sokuba zenzeke, kunye nento onokuyenza ukugcina inkqubo yakho yokugaya ukutya isempilweni.
Iingxaki zokugaya ukutya ezixhaphakileyo xa ukhula
Njengoko sikhula, inkqubo yethu yokugaya ukutya, njengayo yonke eminye inkqubo emzimbeni wethu, itshintsha. Makhe sijonge ezinye zeengxaki eziphambili ezinokuvela ngenxa yoko.
| Ingxaki yokugaya ukutya | Ngamafutshane, oku kwenzekayo. |
|---|---|
| Ukuqhinwa | Njengoko sikhula, ukuhamba kwamathumbu kuba nzima ngenxa yokusebenza kancinci kwamathumbu, amayeza, ukusela amanzi amancinci, kunye nokuzilolonga kancinci. |
| Izifo Ezihlukeneyo | Iingxowa ezincinci (iipokotho) eziphuma kwiindawo ezibuthathaka eludongeni lwamathumbu amakhulu. Ukuba ezi zisulelekile (i-diverticulitis), zinokubangela iintlungu zesisu kunye nomkhuhlane. |
| Izilonda zesisu kunye neyeza lokudambisa iintlungu | Ukusetyenziswa ixesha elide kwamayeza angengowe-steroidal anti-inflammatory (NSAIDs), ingakumbi kwiimeko ezifana ne-arthritis, kwandisa umngcipheko wokopha esiswini kunye nezilonda. |
| Ukudumba kwesisu/umlomo (GERD) | Isitshiso sentliziyo sibangelwa yi-asidi yesisu ebuyela emqaleni. Amanye amayeza, ukutyeba kakhulu, kunye nemikhwa yokutya engafanelekanga kunokubangela oku. |
| Ubunzima bokuginya | Njengoko ukhula, ukusebenza kwe-esophagus kuyehla, nto leyo eyenza kube nzima ukuginya ukutya okanye isiselo. |
| Iipolyps zamathumbu amakhulu | Emva kweminyaka engama-50 ubudala, umngcipheko wokukhula kweentsholongwane ezincinci (iipolyps) kumathumbu amakhulu uyanda. Ezinye zezi zifo zinokuba ngumhlaza. |
Makhe sithethe nzulu ngakumbi ngale miba.
1. Ukuqhinwa kwesisu
Le yeyona ngxaki iphambili abantu abaninzi abajongana nayo emva kokufikelela kwiminyaka engama-60 okanye engama-70. Iimpawu ziquka ubunzima bokukhupha indle, ukungakwazi ukuya kwindlu yangasese kangangeentsuku, kunye nendle eyomileyo neqinileyo njengelitye. Zininzi izizathu zoku.
- Utshintsho kwinkqubo yokugaya ukutya: Cinga ngayo njengokucinezela ityhubhu ye-toothpaste, amathumbu ethu ayafinyela aze akhule ukuze aqhubele phambili ukutya. Njengoko sikhula, le nkqubo iyancipha kancinci. Emva koko, ukutya kuthatha ixesha elide ukuhamba emathunjini. Ngeli xesha, amanzi amaninzi angena emzimbeni esuka kwi-tunnel. Isiphumo kukuba i-tunnel iyoma.
- Amayeza: Njengoko ukhula, kufuneka uthathe amayeza ezifo ezahlukeneyo. Amanye amayeza anokubangela ukuqhina. Umzekelo, amanye amayeza oxinzelelo lwegazi oluphezulu (afana ne-'Calcium channel blockers') alungile kuxinzelelo lwegazi, kodwa anokubangela nokuqhina. Kwakhona, amayeza okunciphisa iintlungu anikwa emva kotyando anciphisa ngokuthe ngqo ukusebenza kwamathumbu.
- Ukungazilolongi: Kuqhelekile ukuba umzimba uphelelwe ngamandla okushukuma njengoko sikhula. Kodwa xa sihleli singashukumi, amathumbu ethu nawo ayayeka ukusebenza, nto leyo ekhokelela ekuqhineni.
- Ukunciphisa ukungenisa amanzi: Ukusela amanzi amaninzi kubalulekile ukuthintela ukuqhina kwamathumbu nokuba kungakanani na ubudala. Abantu abadala banikwa amayeza okukhupha amanzi emzimbeni ngenxa yoxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo. Emva koko, ngenxa yokuba kufuneka baye kwindlu yangasese rhoqo, abanye abantu bayawanciphisa amanzi abawaselayo. Ngoko ke, kwelinye icala, amanzi ayakhutshwa ngenxa yamayeza, kwaye kwelinye icala, abawaseli amanzi. Emva koko umzimba uyaphelelwa ngamanzi emzimbeni kwaye ukuqhina kwamathumbu kuyanda.
2. Izilonda Zesisu kunye nee-NSAID
Uninzi lwabantu abadala bethu basebenzisa amayeza okudambisa iintlungu kwiintlungu zamalungu kunye ne-arthritis. Umngcipheko wezilonda zesisu kunye nokopha esiswini uphezulu kakhulu xa la mayeza abizwa ngokuba yi-"Nonsteroidal anti-inflammatory drugs (NSAIDs)" esetyenziswa rhoqo. Uninzi lwexesha, abantu abadala abaziva iintlungu zezi zilonda. Nangona kunjalo, ukopha esiswini kunokwenzeka ngaphandle kwentlungu . Ukuba uhlanza igazi, ukuba indle yakho imnyama, okanye ukuba ubona igazi xa usiya kwindlu yangasese kwaye uyicoca, bona ugqirha wakho ngoko nangoko .
3. Iipolyps zamathumbu amakhulu kunye nomngcipheko womhlaza
Emva kweminyaka engama-50 ubudala, kukho amathuba aphezulu okukhula kwee-polyps, uhlobo lokukhula okuncinci kumathumbu amakhulu. Ezinye zezi zikhula eziqhelekileyo, kodwa ezinye zinokuguquka zibe ngumhlaza. Uninzi lwexesha, asiqondi ukuba sinazo kuba azibangeli zimpawu.
Yiyo loo nto kucetyiswa ukuba wonke umntu oneminyaka engaphezu kwama-50 ubudala enze i-colonoscopy. Olu vavanyo lunokususa la maqhuma ngaphambi kokuba abe ngumhlaza.
Ukuba kukho umntu kusapho lwakho okhe waba nomhlaza wamathumbu amakhulu, ugqirha wakho unokucebisa ukuba wenze olu vavanyo kwanangaphambi kwexesha.
Ngoko ke, ungazikhusela njani kwezi ngxaki zokugaya ukutya?
Njengakwesiphi na isifo, eyona ndlela ilungileyo yokusithintela kukusithintela ngaphambi kokuba sivele. Indlela yokuphila esempilweni ilungile kumathumbu akho nakumzimba wakho wonke. Nazi ezinye izinto ezilula onokuzenza.
- Lumka ngamayeza akho: Thetha nogqirha wakho malunga nawo nawaphi na amayeza owasebenzisayo anokubangela ukuphazamiseka kwesisu. Ukuba uthatha ii-NSAIDs ngenxa yentlungu, zithathe kunye nokutya ngedosi ephantsi kangangoko, kwaye soloko uqhagamshelana nogqirha wakho. Ukuba uthatha nawaphi na amayeza angeyomfuneko, qhagamshelana nogqirha wakho malunga nokuwayeka.
- Hlala usempilweni: Ukuzilolonga ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki, kunokukukhusela kwizifo ezininzi. Kunokunceda ekunciphiseni ukuqhina komzimba nokunciphisa umngcipheko womhlaza wamathumbu amakhulu.
- Yitya ukutya okutyebileyo kwifayibha: Faka ukutya okutyebileyo kwifayibha njengeziqhamo, imifuno, iimbotyi, iinkozo ezipheleleyo, kunye neembotyi ekutyeni kwakho. Oku kuthintela ukuqhina kwaye kunciphisa neempawu ze-diverticulosis.
- Sela amanzi amaninzi: Sela amanzi amaninzi imini yonke. Musa ukulinda ude uzive unxaniwe. Ukuba usela amayeza okukhupha umchamo, thetha nogqirha wakho ngeendlela zokuphepha ukuphelelwa ngamanzi emzimbeni.
- Lawula ubunzima bakho: Ukugcina ubunzima obusempilweni kunokukunceda ekukhuselekeni kwizifo ezininzi, ezifana nesifo sentliziyo, isifo seswekile, kunye noxinzelelo lwegazi oluphezulu. Njengoko ukugula kwakho kuncipha, kuya kufuneka uthathe amayeza amancinci. Oku kuya kunciphisa nemiphumo emibi yeyeza.
- Fumana uhlolo lwezonyango rhoqo: Xelela ugqirha wakho ngazo naziphi na iimpawu onazo. Buza ngovavanyo olufanelekileyo ngokweminyaka.
Asinakuyeka ukwaluphala. Kodwa ukuba sinyamekela ukutya kwethu nendlela esiphila ngayo, singaziphepha iingxaki ezininzi zempilo size sihlale sisempilweni kwaye sonwabile.
Umyalezo Wokuya Ekhaya
- Iingxaki zokugaya ukutya ezifana nokuqunjelwa, isifo se-gastritis (GERD), kunye nezilonda zesisu zinokuba yinto eqhelekileyo njengoko ukhula.
- Amayeza owaselayo, ukungazilolongi, kunye nokutya ngendlela engafanelekanga zezona zinto zibangela ezi ngxaki.
- Soloko uthetha nogqirha wakho malunga namayeza owasebenzisayo kunye nazo naziphi na iimpawu onazo.
- Uninzi lwezi ngxaki zinokuthintelwa ngokutya ukutya okutyebileyo kwi-fiber, ukusela amanzi amaninzi, ukuhlala usebenza, kunye nokugcina ubunzima obusempilweni.
- Emva kweminyaka engama-50, kubaluleke kakhulu ukuba kwenziwe uhlolo lwezonyango olucetyiswayo (umz., i-colonoscopy) ukuze kufunyanwe izifo ezinje ngomhlaza wamathumbu amakhulu, ingakumbi.
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