Khawuthelekelele, uhlala phantsi ukuze utye ngomdla omkhulu. Wabelana ngesitya esinokutya okumnandi. Kodwa emva kokutya imilomo emibini okanye emithathu, ngequbuliso uziva uhluthi. Awusakwazi ukutya... Ngamanye amaxesha uziva unesicaphucaphu kwaye ude uhlanze. Ngaba wakha wakubona oku? Oku kubizwa ngokuba 'kuKwanela kwangethuba' kwezonyango. Ngamanye amaxesha oku kunokwenzeka ngenxa yesisu esibuhlungu okanye kuba ungakhange utye nto. Kodwa ukuba le meko iyaqhubeka, ayilocebo lilungileyo ukuyityeshela. Kuba, inokuba luphawu lwesifo esinzulu esisisiseko.
Yintoni kanye kanye 'Ukwanela Kwangethuba'?
Ngamafutshane, ukuhlutha kwangoko kukuziva uzele ngokupheleleyo emva kokutya ukutya okuncinci kakhulu. Oku kwenza kube nzima kuwe ukugqiba ukutya. Uziva uzele emva kokuluma nje okumbalwa. Olu luvo lunokuhambisana nesicaphucaphu kunye nomnqweno wokuhlanza. Oku kunokuba yinto elula njengencukuthu yesisu. Nangona kunjalo, ukuba le meko iyaqhubeka, oko kuthetha ukuba uziva ngolu hlobo kangangeeveki, inokuba luphawu lwesifo esinzulu. Ke ngoko,
kubalulekile ukubona ugqirha . Ukuba awunyangwa, ngokuhamba kwexesha, unokufumana
ukunqongophala kwezondlo, ukungondleki kakuhle, kunye
nokunciphisa umzimba ngokungazi.
Zithini izizathu eziphambili zokuhlutha kwangethuba?
Kwiimeko ezininzi, eyona nto ibangela oku yimeko ebizwa ngokuba yi
-gastroparesis . Ngokwesiqhelo, ukutya esikutyayo kuyaqhekeka esiswini kwaye emva koko izihlunu zesisu ziyafinyela ukuze zikuthumele emathunjini. Nangona kunjalo, kwi-gastroparesis, izihlunu zesisu azifinyeli kakuhle. Ngenxa yoko, ukutya kuyaqokelelana esiswini, okukwenza uzive ugcwele ngokukhawuleza. Ukongeza ekuhlutheni kwangoko, unokufumana ezinye iimpawu ezifana nezi:
- Isisu esidumbileyo
- Isicaphucaphu nokuhlanza
- Intlungu zesisu
- Isitshiso sentliziyo
- Ukulahlekelwa ngumdla wokutya
Ukongeza kwesi sizathu siphambili, ukuhlutha kwangoko kunokwenzeka ngenxa yezinye izizathu ezininzi. Makhe sizijonge.
| Unobangela | Ingcaciso elula |
|---|
| Isifo seGastroesophageal Reflux (GERD) | I-asidi evela esiswini ibuyela kwi-esophagus iye emqaleni. Oku kunokubangela isitshiso sentliziyo kunye nesicaphucaphu, nto leyo eyenza kube nzima ukutya. |
| Izilonda zePeptic | Izilonda esiswini okanye kwinxalenye yokuqala yamathumbu amancinci. Oku kunokubangela iintlungu, isicaphucaphu, kunye nokuhlanza, okwenza kube nzima ukutya. |
| Isifo samathumbu esirhawuzelelwayo (IBS) | Isifo senkqubo yokugaya ukutya. Ukungakhululeki okufana nokudumba kunye norhudo kunokubangela ukuncipha komnqweno wokutya. |
| Ukuvaleka kwamathumbu | Ukuvaleka kwamathumbu kuthintela ukutya ukuba kungangeni emathunjini. Oku kubangela iintlungu, ukudumba, kunye nokuhlanza, okwenza kube nzima ukutya. |
| Umhlaza | Ukuhlutha kwangoko kunokwenzeka ngenxa yezizathu ezifana nokuvaleka kwendlela yokugaya ukutya ngenxa yethumba. Unyango lomhlaza lunokubangela isicaphucaphu nokuhlanza. |
| Iingxaki Zokutya | Le meko inokwenzeka xa iimeko ezifana ne-Anorexia Nervosa kunye ne-Bulimia Nervosa zonakalisa inkqubo yokugaya ukutya kwaye zenze kube nzima ukufunxa izondlo. |
| Iingxaki zeMithambo | Ukonakala kwemithambo-luvo elawula izihlunu zesisu kunokuphazamisa ukusebenza kwaso kwaye kubangele ukuhlutha kwangethuba. |
| Amayeza athile | Ezinye iipilisi zokuphelisa iintlungu, ezifana nee-opioid, zinokucothisa ukusebenza kwesisu njengesiphumo esibi. |
Inyangwa njani le meko?
Unyango lokuhlutha kwangoko luxhomekeke kwisizathu. Xa ubona ugqirha, kusenokwenzeka ukuba baqale bakucebise ngotshintsho oluthile kwindlela otya ngayo.
- Yitya ukutya okuncinci rhoqo. Endaweni yokutya izidlo ezinkulu ezi-3 ngexesha elinye, yitya izidlo ezincinci ezi-5-6 imini yonke. Oku kunciphisa ukutya okufuneka kugaywe sisisu sakho ngexesha elinye.
- Khetha ukutya okunesondlo nokulula ukugaywa. Gxila ekutyeni okuqulethe iiproteni ezingenamafutha, iicarbohydrate ezintsonkothileyo (iziqhamo, imifuno, iinkozo ezipheleleyo), kunye namafutha anempilo. Umzekelo, imifuno emitsha kunye neziqhamo ziphezulu kwifayibha. Ngoko ke zingahlala esiswini ixesha elide. Oku kunokunyusa iimpawu. Ngoko ke ukuba uzenza zibe njengesmoothie kwaye uzisele, kulula ukuzigaya.
- Sela amanzi amaninzi. Ukusela amanzi aneleyo imini yonke kunceda ekugayweni kokutya kwaye kuthintele ukuphelelwa ngamanzi emzimbeni, nto leyo enokwenza ukuba ukuhlutha kwangoko kube kubi.
- Kuphephe ukutya okungalunganga esiswini sakho. Kuphephe ukutya okuneziqholo, okunamafutha, okune-asidi, okanye ukutya okubangela ukudumba kwesifuba.
Ngokuxhomekeke kwisizathu, ugqirha wakho unokukunika amayeza athile. Umzekelo, amayeza e-GERD okanye ii-antibiotics zezilonda zesisu. Ukongeza, amayeza abizwa ngokuba
yi-prokinetics anokunikwa. Amayeza anjenge-metoclopramide okanye i-domperidone avuselela izihlunu zesisu ukuba zinciphe, okwenza kube lula ukuba ukutya kudlule. Kwiimeko ezinzima ngakumbi, ugqirha wakho unokucebisa iinkqubo ezikhethekileyo.
- Ukuvuselela Umbane Wesisu: Kuvuselela isisu ngee-electrical pulses ukulawula isicaphucaphu nokuhlanza.
- Iityhubhu Zokondla: Ukubonelela ngesondlo esilulwelo ngetyhubhu edlula empumlweni iye esiswini.
- Isondlo Esipheleleyo Somzali Okhulelweyo (TPN): Isondlo esilulwelo singeniswa ngqo egazini nge-catheter efakwe kumthambo osesifubeni.
- I-Jejunostomy: Ityhubhu esetyenziselwa ukuhambisa isondlo ngqo kwinxalenye yamathumbu amancinci ebizwa ngokuba yi-jejunum, idlula isisu.
Zithini iingozi zokungafumani unyango lokwanela kwangethuba?
Ukungayinaki le meko kunokukhokelela kwiingxaki ezahlukeneyo, ukusuka ekusweleni kokutya okunesondlo ukuya kwiingxaki zempilo ezinzulu. Ngoko ke, kubaluleke kakhulu ukukwazi oku.
| Umngcipheko | Ingcaciso |
|---|
| Ukunciphisa umzimba kunye nokungondleki kakuhle | Ukuhlutha okungapheliyo kwasebuncinaneni kwenza kube nzima ukugcina ubunzima obusempilweni. Kwiimeko ezinzima, kunokukhokelela ekungondlekini kakuhle. |
| Ukunqongophala kwesondlo | Xa ungatyi ngokwaneleyo, umzimba wakho uyaphoswa ziivithamini ezibalulekileyo, iiminerali, kunye nezinye izondlo. Oku kunokukhokelela ekudinweni, ubuthathaka, ukuncipha kwamandla omzimba, kunye neengxaki ngeenwele zakho, ulusu kunye neenzipho. |
| Ukulahlekelwa yimisipha | Xa ungafumani protein yaneleyo, umzimba wakho uqala ukuqhekeza izicubu zemisipha ukuze ufumane amandla. Oku kukhokelela ekubeni buthathaka kwemisipha, ukudinwa, kunye nokuncipha kwamandla. |
| Ukungalingani kwe-Electrolyte | Ukungatyi ngokwaneleyo kunokukhokelela ekusweleni kwe-electrolyte emzimbeni, nto leyo ekhokelela kwiingxaki ezinje ngokudinwa, ukuqaqamba kwemisipha, kunye nokubetha kwentliziyo okungaqhelekanga. |
| Ukwanda kwesifo esisisiseko | Ukuhlutha kwangoko luphawu. Ukungayinaki loo nto kunokwenza imeko engundoqo ibe mandundu kwaye kukhokelele kwezinye iingxaki ezinxulumene naloo meko. |
Ufanele ufune nini ingcebiso kagqirha?
Ukuba uhlala uziva uhluthi emva kokutya ukutya okuncinci, nokuba awunazo ezinye iimpawu,
ngokuqinisekileyo kuya kufuneka ubone ugqirha wakho. Ukuhlutha kwangoko kunokuba luphawu lwengxaki yempilo engabonakaliyo. Ngoko ke kungcono ukufumana unobangela kwaye uqale unyango ngokukhawuleza.
Ngaba uziva uhluthi emva kokutya iimilo ezimbalwa? Ngaba uziva unesicaphucaphu nangona uzama ukugqiba ukutya kwakho? Oku kukwanela kwangethuba. Musa ukungayinaki nje. Kuba oku kunokukhokelela ekungondlekini kakuhle, ekudinweni, nasekunciphiseni umzimba. Rhoqo, olu luphawu lwengxaki yempilo engabonakaliyo. Ke ngoko, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane unobangela kwaye ufumane unyango.
Umyalezo Wokuya Ekhaya
- Ukuziva uhluthi emva kokutya ukutya okuncinci (ukuhlutha kwangoko) akuqhelekanga; kunokuba luphawu lwesifo esithile esingabonakaliyo.
- Isizathu esiphambili soku yi-gastroparesis, imeko apho ukusebenza kwesisu kuphazamiseka khona.
- Oku kunokubangelwa zizifo ezinzima ezifana ne-GERD, izilonda zesisu, kunye nomhlaza.
- Ukuba ayinyangwa, ukungondleki kakuhle, ukwehla kobunzima bomzimba, kunye nezinye iingxaki ezinzulu zinokwenzeka.
- Ukuba olu phawu luyaqhubeka, bonana nogqirha wakho ngokukhawuleza ukuze ufumane uxilongo olufanelekileyo kunye nonyango.
ukuhlutha kwangethuba ngesiSinhala, isisu esizeleyo, ukungakwazi ukutya, i-gastroparesis, i-GERD, ukudumba kwesisu, ukungondleki kakuhle
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