Ngaba nawe uneentlungu zesisu xa usitya? Awufumani sizathu? Masithethe nge-(Functional Dyspepsia)!

Ngaba uhlala uziva ugcwele, unesicaphucaphu esiswini sakho, okanye uzive ukhathazekile emva kokutya? Ngamanye amaxesha awukwazi nokusifumana isizathu soku, akunjalo? Nokuba emva kokuya kugqirha nokwenza uvavanyo oluninzi, banokuthi, "Awuguli." Abantu abaninzi banamava anje. Yiloo nto siyibiza ngokuba yi-"Functional Dyspepsia", isifo sokugaya ukutya ekunzima ukufumana unobangela ocacileyo.

Yintoni i-`(I-Functional Dyspepsia)`? Ngamafutshane...

Ngamafutshane, "I-Functional Dyspepsia" yimeko apho unesifo sokungagayi kakuhle ukutya okungapheliyo, kodwa akukho sizathu sicacileyo sifumanekayo. "I-Dyspepsia" ligama elinye elithetha ukungagayi kakuhle ukutya. Luhlobo lweempawu ezenzeka kunye emva kokutya nangexesha lokugaya ukutya. "I-Functional" ithetha ukuba iimpawu zakho zokungagayi kakuhle ukutya azinakubalelwa kuzo naziphi na izizathu eziqhelekileyo zomzimba (ezifana nesilonda okanye i-gastritis).

Iimpawu zakho zinokuvakala ngathi zezesilonda sesisu okanye isifo se-gastroesophageal reflux (GERD) . Nangona kunjalo, uvavanyo lubonisa ukuba lincinci kakhulu inani labantu abanale meko. Abanye banento ebizwa ngokuba yi-Functional Dyspepsia.

Khawucinge nje, injini yemoto yakho yenza ingxolo, kodwa umkhandi akafumani nto ingalunganga. Yonke into ibonakala ilungile ngaphandle, kodwa kukho into engalunganga.

Ngaba kukho iintlobo ezahlukeneyo zezi?

I-Functional Dyspepsia ayisiyonto ifana nesifo esinye. Oku kuthetha ukuba indlela echaphazela ngayo umntu ngamnye kunye neempawu abazibonayo ziyahluka. Oogqirha bayihlukanise yaba ziintlobo ezimbini eziphambili:

1. I-Epigastric pain syndrome: Olu hlobo lwentlungu luvakala kakhulu kwinxalenye ephezulu yesisu kwaye lufana ne-heartburn . Ayisoloko inxulumene nokutya. Ngamanye amaxesha inokwenzeka esiswini esingenanto. Oku kufana kancinci neempawu ze-GERD.

2. I-Postprandial distress syndrome: Le yimeko apho isisu sibuhlungu emva kokutya. Umzekelo, ukuziva uzele nasemva kokutya kancinci (ukuhlutha kwangoko), ukuziva uzele, ukudumba, kunye nentlungu yesisu emva kokutya. Oku kufana kancinci neempawu zesifo sesilonda sesisu.

Asinguye wonke umntu ofaneleka kwezi ndidi zimbini. Abanye abantu banokufumana umxube wazo zombini, okanye banokufumana umxube wazo zombini.

Ziziphi iimpawu eziphambili zoku?

Xa une-"Functional Dyspepsia", unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:

• Intlungu kwisisu esingaphezulu (intlungu ye-epigastric):Intlungu esiswini esingaphezulu, ngaphantsi nje kwembambo. Le ndawo ibizwa ngokuba yi-"epigastrium". Kulapho isisu sakho, i-pancreas, i-duodenum (inxalenye yokuqala yamathumbu amancinci), kunye nenxalenye yesibindi sakho zikhoyo.
• Isisu esidumbileyo: Ukuziva ungakhululekanga kwaye uzele sisisu emva kokutya. Oku kudla ngokunxulunyaniswa negesi, ukudumba, nezinye izinto ezifana negesi. Kungavakala ngathi isisu sakho siyatsala.
• Ukuhlutha kunye nokulahlekelwa yinkanuko: Ukuziva uhluthi ngelixa usitya, emva kokutya, okanye nasemva kokungatyi kakhulu (ukutya kwangethuba) . Ngamanye amaxesha, ukuphelelwa yinkanuko kunokwenzeka nangaphambi kokutya.
• Imvakalelo Yokutsha: Imvakalelo yokutsha esifubeni, eyaziwa ngokuba yi-"heartburn", iqhelekile kwezi mpawu zokungagayi kakuhle kokutya. Oku kudla ngokubangelwa yi-asidi yesisu ephuma kwi -esophagus yakho (i-acid reflux). Usenokuziva utshile ngaphakathi esiswini sakho.

Ukongeza koku, ezinye iimpawu ezifana nezi zinokubonwa:

• Ukubhoboza okugqithisileyo
• Isicaphucaphu okanye ukuqunjelwa
• Ukuba une-IBS (irritable bowel syndrome), iimpawu zakho (umz. ukuhamba rhoqo kwamathumbu okanye ukuqhina) nazo zinokwanda.
• Ukuziva uxinezelekile okanye ungakhululekanga ngokweemvakalelo.

Kutheni le nto `(I-Functional Dyspepsia)` isenzeka? Zithini izizathu?

Oogqirha bathi isifo "esisebenzayo" sisigulo esingenasizathu sicacileyo seempawu. Esinye sezizathu zoku kusenokuba lunxibelelwano olusondeleyo phakathi kwamathumbu akho nengqondo yakho (i-gut-brain axis) . Olu hlobo lweengxaki zokusebenza lubonakala lunxulumene nenkqubo yakho yemithambo-luvo kunye nendlela obona kwaye uzive ngayo iintlungu okanye ukungakhululeki.

Nangona kungekho sizathu sinye "se-Functional Dyspepsia" (ukungasebenzi kakuhle kwemisipha)", zininzi izinto ezinokubangela oku:

• Ukuphazamiseka kwemithambo yegazi: Khawuthelekelele ukuba inkqubo yakho yemithambo-luvo inobuthathaka kakhulu. Usenokusabela kakhulu emzimbeni xa uxinezelekile. Usenokuba uqinisa izihlunu zakho ngokungazi, okanye inkqubo yakho yokugaya ukutya isenokuba iyehla ngenxa yoxinzelelo. Usenokuba nobuthathaka kakhulu kwizinto eziqhelekileyo ezenzeka ngaphakathi kwamalungu akho omzimba. Oku kunokwenza ukugaya ukutya kuzive kungakhululekanga nokuba kuhamba kakuhle.
• Ukuphazamiseka kokuhamba kwenkqubo yokugaya ukutya:Oku kuthetha ukuba kukho iingxaki kwindlela ukutya okuhamba ngayo nendlela okuhamba ngayo kwinkqubo yakho yokugaya ukutya (i-GI tract). Oku kungabangelwa kukunganxibelelani kakuhle phakathi kwengqondo yakho kunye nenkqubo yokugaya ukutya. Imithambo-luvo kunye nemisipha kwinkqubo yakho yokugaya ukutya zisenokungasebenzi kakuhle. Oku kunokubangela ukuba ukutya kubambeke kwindawo enye, okanye amalungu omzimba asenokungaphumli ngokupheleleyo kwaye angavumeli ukutya kudlule.
• I-Gut dysbiosis: Ukungalingani kwiintsholongwane ezisemathunjini akho (ezibizwa ngokuba yi-microbiome yakho) kunokukhokelela kwiimpawu ze-functional dyspepsia. Umzekelo, i-bacteria i-H. pylori inokonakalisa ulwelo lwesisu sakho, ibangele ukudumba kwaye yenze kube lula kwi-asidi yesisu. Kwakhona, ukuba iintsholongwane zikhula kakhulu emathunjini amancinci, zinokubangela ukudumba kunye nobunzima bokugaya amafutha.
• I-Eosinophilic duodenitis: Abanye abantu abane-functional dyspepsia bafunyenwe benohlobo olungaphezulu lweseli emhlophe yegazi ebizwa ngokuba yi-eosinophils kwinxalenye yokuqala yamathumbu amancinci (i-duodenum). Oku kunokubangela ukudumba kwexesha elide (i-duodenitis). Ezi eosinophils zikho ukuze zikukhusele kwinkqubo yakho yomzimba yokuzikhusela, usulelo, kunye nee-allergies. Oku kunokubangelwa lusulelo lwangaphambili okanye i-allergies yokutya.

Ziziphi izinto ezibangela umngcipheko wale meko?

Kukho ezinye izinto ezininzi ezonyusa umngcipheko wokuba ne-"Functional Dyspepsia":

• Izinto zengqondo: Iimeko zengqondo ezifana nokuxhalaba, ukudakumba (iingxaki zeemvakalelo), okanye iziganeko ezibuhlungu okanye ukuxhatshazwa okwenzekileyo kwixesha elidlulileyo.
• Imbali yosapho: Imbali yosapho eneengxaki zenkqubo yemithambo-luvo okanye ezinye iingxaki ze-GI ezifana ne-IBS.
• Uvakalelo lokutya: Uvakalelo lokutya okuthile (umz., ukutya okukwiqela le-`(FODMAPs)`) okanye ukunganyamezelani nokutya okuthile (umz., `(ukunganyamezelani kwe-lactose)` - ubunzima bokugaya ubisi kunye neemveliso zobisi).
• I-Atopy: Oku kuthetha ukuba uneengxaki ezininzi ze-allergy, ezifana ne-asthma, i-eczema, kunye ne-hay fever.

Oogqirha bakuqonda njani oku kanye kanye?

Oogqirha baxilonga `(I-Functional Dyspepsia)` emva kokuqinisekisa iimpawu zakho kunye nokususa ezinye izizathu (umz. `(GERD)`, `(Isifo sePeptic Ulcer)`). Ngamanye amaxesha usenokuba sele unenye yezi meko kwaye unyangelwe yona. Nangona kunjalo, ukuba ezo ndlela zonyango azinciphisi iimpawu zakho zokungagayi kakuhle, kuya kufuneka ucinge `(I-Functional Dyspepsia)`.

Iimpawu ze-"Functional Dyspepsia" azisoloko zikhona kwaye zinokufika zidlule. Oogqirha bayixilonga ngokuqwalasela ezi zinto zilandelayo:

• Ingaba iimpawu ziqhubeke ubuncinane iinyanga ezintathu ?
• Ingaba sele kudlule iinyanga ezintandathu ubuncinane ukususela oko iimpawu zaqala?
• Ingaba ezi mpawu azipheli ngokuginya, ukuphuma umoya (urhudo), okanye ukuba nesisu?
• Ngaba ezi mpawu azihambelani neentlungu ezibangelwa yi-gallstones (biliary colic) okanye ezinye iintlungu ze-gallbladder?

Nje ukuba oogqirha baqinisekise ukuba une-indigestion (i-dyspepsia), baza kukhangela unobangela womzimba (umz., isilonda, usulelo). Banokwenza uvavanyo olufana nolu:

• Uvavanyo lwegazi: Jonga ukuba kukho usulelo oluqhelekileyo kunye neemeko.
• Uvavanyo lokuphefumla: Umzekelo, uvavanyo lokuphefumla lwe-urea lunokujonga ubukho bebhaktheriya i-H. pylori. Uvavanyo lokuphefumla lwe-hydrogen lunokujonga ukukhula okungaqhelekanga kwebhaktheriya emathunjini.
• Izifundo zokukhupha isisu: Jonga ukuba ukutya kuhamba ngokukhawuleza/kancinci kangakanani ukusuka esiswini sakho ukuya emathunjini amancinci.
• I-endoscopy ephezulu: Kufakwa ityhubhu encinci ngomlomo ukuze ijonge ngaphakathi esiswini, emsophini , nakwinxalenye yokuqala yamathumbu amancinci. Oku kwenzelwa ukujonga nantoni na engaqhelekanga, njengesilonda. Ukuba kuyimfuneko, iqhekeza elincinci lesicwili (i-biopsy) linokuthathwa ukuze lihlolwe.

Luluphi unyango lwale nto?

Ukuba uvavanyo lubonisa unobangela oyintloko (umz., ukukhula kakhulu kweebhaktheriya, ukuphazamiseka kokuhamba), ugqirha wakho uya kuqala ukunyanga loo nto. Nangona kunjalo, amaxesha amaninzi, nokuba emva kokunyanga ezi zizathu zingundoqo, iimpawu zakho ze-"Functional Dyspepsia" azipheli ngokupheleleyo. Ke ngoko, ugqirha wakho uya kucebisa ezinye iindlela zonyango ukunceda ukulawula iimpawu zakho. Oku kudla ngokuba yindibaniselwano yeendlela ezahlukeneyo zonyango .

Amanye amayeza asetyenziswa kwi-"Functional Dyspepsia":

• Ukuba kukho usulelo lwebhaktiriya , amayeza okubulala iintsholongwane ayamiselwa.
• Iiprokinetics ziziyobisi ezivuselela intshukumo yenkqubo yokugaya ukutya.
• Amayeza anciphisa i-asidi yesisu: ii-proton pump inhibitors (PPIs) (umz. i-omeprazole) okanye ii-H2 blockers (umz. i-Ranitidine).
• Ii-tricyclic antidepressants ezisetyenziswa kwiidosi eziphantsi zokuzola inkqubo yemithambo-luvo nokunciphisa iintlungu (nangona la ngamayeza anikwa ukudakumba, akwasetyenziswa kwiidosi eziphantsi kwiimeko ezinje).

Ukongeza, kukwakho neendlela zonyango ezongezelelweyo kunye nezinye iindlela zonyango :

• Iifomyula ezisekelwe kwizityalo: Umzekelo, iikhaphu eziqulethe ipeppermint kunye neoyile yecaraway, okanye imixube yezityalo ezifana ne-Iberogast® (kuya kufuneka ubuze ugqirha wakho ukuba ezi zinto ziyafumaneka na eSri Lanka).
• Iindlela zonyango zokuphumla kwengqondo nomzimba:Ukucamngca, i-yoga, i-biofeedback (indlela yokwazi imisebenzi yomzimba nokufunda ukuyilawula), unyango lwengqondo.
• Utshintsho kwindlela yokutya: Chonga ukuba zeziphi ukutya ezingakulungelanga kwaye ezenza iimpawu zakho zibe zimbi ngakumbi ngokwenza "ukutya kokuphelisa ukutya" (ukuyeka ujonge iqela lokutya elinye ngexesha) kwaye ulungise indlela otya ngayo imihla ngemihla ngokufanelekileyo.
• Unyango lwe-Acupuncture: Ezinye izifundo zibonise ukuba le ndlela ikwanika isiqabu.

Kwenzeka ntoni ukuba une-`(Functional Dyspepsia)`? Ungalindela ntoni?

Kwabaninzi abantu, i-Functional Dyspepsia yimeko engapheliyo ephindaphindayo ubomi babo bonke. Kungathatha ixesha, kunye nomzamo omncinci, ukufumana unyango kunye nemikhwa ekusebenzelayo kwaye inciphise iimpawu zakho. Unokufumana isiqabu, kodwa isenokungapheli ngokupheleleyo. Kodwa, okona kubaluleke kakhulu, ayisiyongxaki. Ngoko ke ungakhathazeki.

Ndifanele ndimbone nini ugqirha?

Ngokuqinisekileyo kufuneka ufune iingcebiso zonyango ukuba unayo:

• Ukuba awukavavanywa izifo zenkqubo yokugaya ukutya okwangoku.
• Ukuba iimpawu zakho ziyatshintsha okanye ziya zisiba mandundu ngokucacileyo.
• Ukuba uhlanza rhoqo.
• Ukuba ubunzima bakho buyehla ngaphandle kwesizathu.

Ngaphandle kwesizathu esicacileyo okanye unyango oluchanekileyo, ukuxilongwa kwe-"Functional Dyspepsia" kunokuba yinto edidayo kwabo bafuna iimpendulo. "Iingxaki ze-GI zomsebenzi" ziyinkimbinkimbi ngakumbi. Zibandakanya ingqondo yakho, inkqubo yakho yemithambo-luvo, ukutya kwakho, indlela ophila ngayo, kwaye ngamanye amaxesha nezizathu ezisisiseko emzimbeni wakho. Yiyo loo nto kunokuba nzima ukuzilawula.

Uvavanyo lwezonyango lunokunceda ekuchongeni nasekususeni ezinye izinto ezibangela oku. Kodwa ekugqibeleni, nguwe wedwa onokuqonda ngokwenene ukuba yintoni eyenza iimpawu zakho zibe ngcono kwaye yintoni eyenza zibe mandundu. Njengoko uzama unyango olwahlukeneyo kwaye uchonga izinto ezibangela oku, uya kufumana indlela yakho eyahlukileyo yokuphila ne-Functional Dyspepsia.

Umyalezo oya ekhaya

• ``(I-Functional Dyspepsia)`` yintlungu yokwenyani oyivayo. Ayisiyonto "engqondweni yakho kuphela."
• Oku kulawulwa ngokulawula iimpawu, nto leyo enokunceda ngokutshintsha indlela yokuphila, ukutya, kwaye mhlawumbi namayeza.
• Kubaluleke kakhulu ukusebenzisana nogqirha. Thetha ngokukhululekileyo ngeempawu zakho, oko ukuzivayo, kunye noko ukuzamileyo.
• Musa ukuphelelwa lithemba. Abantu abaninzi bafumana iindlela zokumelana nale meko. Awuwedwa!

I- dyspepsia yokusebenza kakuhle, ukungagayi kakuhle ukutya, iintlungu zesisu, ukudumba, ukudumba kwesifuba, inkqubo yokwetyisa, uxinzelelo