Ngaba wakha watya waza wagqiba, kwaye kwimizuzu embalwa, uzive ngathi uza kuhlanza, kodwa akufani nokuba uza kuhlanza, kufana nokuba uza kuhlanza, kufana nokuba uza kuhlanza. Mhlawumbi uya kuyihlafuna kwakhona uze uyiginye. Okanye ungayikhafula. Ukuba oku kwenzeka rhoqo, emva kokutya okutyayo, kubalulekile ukuba uqaphele le meko sithetha ngayo namhlanje ebizwa ngokuba yiRumination Syndrome. Kuyinto engaqhelekanga ukuyiva, kodwa abanye abantu bayabandezeleka buthule.
Ngamafutshane, yintoni iRumination Syndrome?
Le yimeko ekhethekileyo kakhulu. Akufanele idideke nokuhlanza esiqhele ukukwazi. Ukuhlanza kukukhupha ngamandla okungaphakathi esiswini emva kwentlungu yesisu okanye isicaphucaphu. Kodwa oko akwenzeki kwiRumination Syndrome. Oku kwenzeka ngokuzenzekelayo, ngaphandle kwamandla, iintlungu, okanye isicaphucaphu . Kufana nokungena emqaleni, kodwa kwangaxeshanye ukutya okuginyiweyo kubuyela emqaleni.
Khawucinge nje, kukho ivalvu eyenziwe ngezihlunu ezifana nesango eliphakathi komqala nesisu ukuze kuthintelwe ukutya esiswini ukuba kunganyuki kuye emqaleni. Oku sikubiza ngokuba yi-'lower esophageal sphincter (LES).' Ngokwesiqhelo, le valve iyavuleka xa siginya ukutya, ize ivaleke kwakhona emva kokuba ukutya kungene esiswini. Kodwa ngesizathu esithile, le nkqubo iyaphazamiseka kumntu oneRumination Syndrome. Xa uxinzelelo olungaphakathi esiswini lusanda, le valve ivuleka nje ngokuphendula. Emva koko ukutya okungagayiwanga okungene esiswini kuyabuya.
Oku akuyonto oyenzayo ngabom. Kufana nomkhwa umzimba oye wawenza wodwa. Yiyo loo nto siwubiza ngokuba yinkqubo ezenzekelayo nehlala ingazi .
Ziziphi iimpawu eziphambili zale meko?
Kukho iimpawu ezinokukunceda uchonge esi sifo. Jonga ukuba unazo na ezi. Ndiza kuzibeka etafileni ukuze kube lula ukuziqonda ngokucacileyo.
| Uphawu | Inkcazo |
|---|---|
| Ukutya okuhla emqaleni ngaphandle kwentlungu | Olu lolona phawu luphambili. Kwimizuzu embalwa yokutya, ukutya kudlulela emqaleni ngaphandle kobunzima. |
| Akukho sicaphucaphu okanye ukuhlanza. | Isicaphucaphu esiphambi kokuhlanza asivakali konke konke kule meko. |
| Akukho ncasa imuncu ekutyeni. | Incasa yokutya okufika emqaleni wakho iyafana naleyo wawuyitya xa wawusitya. Ayinancasa imuncu njengomhlanzo. Oku kungenxa yokuba ukutya akubanga naxesha laneleyo lokuxuba ne-asidi esiswini sakho. |
| Ukuhlafuna kwakhona nokuginya okanye ukukhafula | Abanye abantu bayahlafuna baze baginye ukutya okufikelele emphinjeni. Abanye bayakukhafula. |
| Iimpawu zabantwana abancinci | Ukuba umntwana omncinci unale meko, unokubonakalisa iindlela zokuziphatha ezifana nokugoba umqolo wakhe nokwenza izandi zokugquma. |
Kodwa ukongeza kwezi mpawu ziphambili, abanye abantu banokufumana iintlungu zesisu, ukungakhululeki okufana nokudumba, kwaye ngamanye amaxesha nokuhlanza.
Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?
Enyanisweni, oogqirha abakayazi kakuhle into ebangela oku. Kuseyimfihlakalo. Abanye oogqirha bakubiza ngokuba yi-'functional GI disorder', nto leyo ethetha ingxaki yokusebenza kwenkqubo yokugaya ukutya. Abanye bathi yi-'behavioral disorder'.
Ngamafutshane, oku kusenokuba ngumkhwa ombi umzimba owufundileyo. Le meko isenokuqala emva kokwenzakala okukhulu ngokweemvakalelo okanye isiganeko esixinzelelekileyo. Oku kuthetha ukuba kusenokuba kungenxa yengxaki ethile kulwalamano phakathi kwengqondo nomzimba wethu.
Kukho izinto ezininzi ezinokubangela le meko:
- Uxinzelelo okanye ukwenzakala okukhulu: Oku kungaqala emva kokuba ujongene nengxaki enkulu okanye ukwenzakala ebomini.
- Oku kunokubonwa nakwezinye izifo zengqondo: ukudakumba, ixhala, njl.
- Ezinye Iingxaki Zokutya: Oku kunokwenzeka ngakumbi kubantu abanezinye iingxaki zokutya.
- Ukulibaziseka kokukhula: Le meko ixhaphake kakhulu kubantwana abancinci nakwabo baneengxaki zokukhula.
- Ukungahoywa ngokweemvakalelo ngexesha lobuntwana: Oku kunokwenzeka kubantwana abangafumani thando nenkathalo abayidingayo kubazali babo okanye kubanakekeli babo.
Zeziphi iingxaki ezinokubangela oku?
Nangona esi sisifo singesosisongelo kubomi, sinokubangela iingxaki ezithile ukuba sihlala ixesha elide. Kungoko ke, kubaluleke kakhulu ukukwazi oku.
| Ingxaki | Inkcazo |
|---|---|
| Ukunciphisa umzimba kunye nokungabikho kokutya okunempilo | Ngenxa yokuba ukutya okutyayo akufunxwa kakuhle ngumzimba, unokunciphisa umzimba kwaye ungabi nazo izondlo ezifana neevithamini kunye neeminerali. Oku kunokubangela nokukhula okungalindelekanga ebantwaneni. |
| Iingxaki zamazinyo | Xa ukutya kufikelela rhoqo emqaleni, ne-asidi encinci yesisu inokunyibilikisa i-enamel yamazinyo ize ibangele ukubola kwamazinyo. Umlomo onukayo unokubakho. |
| Umonakalo kwi-esophagus | Ukubuyela rhoqo kwe-asidi yesisu emqaleni kunokonakalisa izicubu zomqala. |
| Ukuphelelwa ngamanzi emzimbeni kunye nokungalingani kwetyuwa | Ukuphelelwa ngamanzi emzimbeni kunokwenzeka kuba umzimba ulahlekelwa zizinto ezimanzi kunye neetyuwa kunye nokutya. |
| Umnqweno | Ukuba amasuntswana okutya angena emqaleni ngempazamo angena kwindlela yomoya , oko kunokubangela ukufuthaniseka okanye izifo ezifana ne-pneumonia. |
| Iingxaki zentlalo | Le yingxaki enkulu. Ngenxa yesi simo, umntu unokuba neentloni zokutya nabantu, ukuya kwiipati, okanye ukuphuma nabahlobo. Ngenxa yoko, bazama kancinci kancinci ukuzikhwebula kuluntu. |
Ugqirha uyixilonga njani le nto?
Ukuba unale mpawu, qiniseka ukuba ubona ugqirha wakho . Into yokuqala ugqirha wakho aza kuyenza kukubuza umbuzo oneenkcukacha malunga neempawu zakho, njengokuthi zaqala njani kwaye zenzeke nini.
Emva koko, kunokufuneka wenze uvavanyo oluthile ukuqinisekisa ukuba akukho ezinye iimeko zempilo ezinzulu. Umzekelo:
- I-endoscopy ephezulu: Kufakwa ityhubhu encinci enekhamera ngomlomo ukuze kuhlolwe umphimbo nesisu.
- I-Esophagram: Into ebizwa ngokuba yi-barium inikwa ukuba iselwe kwaye kuthathwa i-X-ray ukuze kuhlolwe inkqubo yokuginya.
- Uvavanyo lwe-Esophageal manometry: Uvavanyo olulinganisa ukusebenza kwemisipha kwi-esophagus.
- Uphononongo lokukhupha isisu: Uvavanyo olulinganisa ixesha elithathayo ukuba ukutya kuphume esiswini.
Emva kokuqinisekisa ukuba akukho ngxaki zimbi kuzo zonke ezi zinto, ugqirha uya kukwazi ukufumanisa iRumination Syndrome ngokuyithelekisa neempawu zakho.
Zithini iindlela zonyango zoku?
Unyango olungcono nolubaluleke kakhulu koku lunyango lokuziphatha . Oko kukuthi, endaweni yonyango, silawula le meko ngokutshintsha indlela esiziphatha ngayo nendlela esilawula ngayo imizimba yethu.
Oku kufundisa kakhulu imithambo yokuphefumla kusetyenziswa i-diaphragm (`ukuphefumla nge-diaphragm`) . Makhe sibone indlela yokwenza oku ngokufanelekileyo. Oku kufundisa umzimba wethu ukuba uyeke le nkqubo xa ukutya sele kuza kungena emqaleni.
Indlela yokwenza umthambo wokuphefumla we-diaphragmatic:
1. Okokuqala, lala phantsi. Goba amadolo akho uze ubeke umqamelo omncinci phantsi kwentloko yakho.
2. Beka esinye sezandla zakho phezu kwenxalenye ephezulu yesifuba sakho. Beka esinye isandla esiswini sakho, ngaphantsi nje kwembambo.
3. Ngoku phefumla kancinci ngempumlo yakho. Njengoko uphefumla, zama ukugcina isandla sakho sisesifubeni sakho singashukumi kwaye uphakamise isandla esiswini sakho kuphela. Oko kukuthi, vuthela isisu sakho uze uphefumlele ngaphandle.
4. Emva koko, susa imilebe yakho kancinci uze ukhuphe umoya kancinci, uqinise izihlunu zesisu sakho. Njengoko ukhupha umoya, gcina isandla sakho sisesifubeni sakho singashukumi kwaye uzive isisu sakho singena.
Olu qheliselo kufuneka luqheliswe izihlandlo ezininzi ngemini. Kubaluleke kakhulu ukwenza oku emva kokutya. Ukuba usebenzisa le ndlela yokuphefumla kwangoko nje ukuba uzive ukutya kungena emqaleni wakho, ungayiyeka loo nkqubo.
Ukongeza, kukho ezinye iindlela zonyango:
- Impendulo yebhayoloji:Indlela yokufunda ukulawula imisebenzi yomzimba wakho (njengokubhitya kwemisipha) usebenzisa umatshini, usebenzisa isikrini.
- Unyango lokuziphatha kwengqondo (CBT): Ukunika iingcebiso kunceda ukutshintsha iingxaki zengqondo kunye neendlela zokucinga ezibangela le meko.
- Amayeza: Ngamanye amaxesha, ugqirha wakho unokukunika amayeza afana ne-baclofen, enceda ukuqinisa i-sphincter esezantsi kwesophageal. Nangona kunjalo, oku akunikwa wonke umntu.
Ndifanele ndimbone nini ugqirha?
Oku kubaluleke kakhulu. Ukuba uziva ngathi uyakrwitshwa emva kokutya, kwaye kungekuko kanye okanye kabini, kodwa kuyenzeka rhoqo, nceda ungakunaki oko . Musa ukuchitha ixesha ucinga, "Le yinto nje eyahlukileyo." Kuba ezi meko zinokuba mandundu ngokuhamba kwexesha. Emva koko kuthatha ixesha elide ukunyanga.
Ngoko ke, ngokukhawuleza nje ukuba uqaphela naziphi na ezi mpawu, bonana nogqirha wosapho lwakho nize nixoxe ngale nto. Okukhona uqala unyango ngokukhawuleza, kokukhona ungaphola ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Rumination Syndrome ayikokugabha. Yinkqubo eyenzeka ngokungacwangciswanga eyenzeka ngaphandle kwesicaphucaphu okanye iintlungu.
- Eyona sizathu siphambili soku ngumkhwa ombi oye wafundwa ngumzimba. Izinto ezifana noxinzelelo zinokuchaphazela oku.
- Eyona ndlela ilungileyo yokunyanga oku kunyango lokuziphatha, ingakumbi umthambo wokuphefumla osebenzisa i-diaphragmatic.
- Nangona le meko ingasongeli ubomi, ingonakalisa amazinyo, iintsini, kwaye ibangele ukungondleki kakuhle kwexesha elide.
- Ukuba unezi mpawu, ungabi nantloni okanye ungoyiki, bonana nogqirha ngoko nangoko uze ufumane ingcebiso. Leyo yeyona nto ingcono onokuyenza.
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