Ngaba ukutya kuyabuya emqaleni wakho emva kokuba utyile? Makhe sithethe ngale Rumination Syndrome!

Emva kokutya, ngaba uziva ngathi ukutya kubuyela emqaleni wakho ngaphambi kokuba kugaywe ngokupheleleyo? Ngaphandle kokuba unesicaphucaphu sokugabha, ngaba kuvela nje kancinci, uze ngamanye amaxesha ukuhlafune kwakhona ukuginye? Okanye kuphuma ungaqondanga? Le yingxaki ecaphukisayo kakhulu kwabanye abantu. Namhlanje siza kuthetha ngale meko ibizwa ngokuba yiRumination Syndrome. Musa ukoyika, eyona nto ibalulekileyo kukwazi oku.

Yintoni iRumination Syndrome?

Ngamafutshane, iRumination Syndrome kuxa ukutya esikutyayo kubuyela emlonyeni ngaphambi kokuba kugaywe kakuhle. Kwizonyango, oku kukwabizwa ngokuba yi-regurgitation. Abanye abantu bayahlafuna baze baginye ukutya okubuyela emqaleni, ngelixa abanye bekukhafula. Uninzi lwexesha, oku kwenzeka emva nje kokutya, okanye kwimizuzu embalwa.

Eyona nto ibalulekileyo kukuba xa oku kusenzeka, awuziva ntlungu okanye isicaphucaphu esifana nokuhlanza okubangelwa yintlungu yesisu. Kuvakala ngathi ukutya kuyaphuma ngaphandle komgudu omkhulu. Cinga ngako njengomntwana omncinci xa efumana ubisi emqaleni.

Enye into kukuba ukutya okufika emqaleni ngolu hlobo kudla ngokungabi nancasa emuncu okanye ekrakra. Isizathu soku kukuba ukutya akukaqali ukugaywa ngokufanelekileyo nge-asidi yesisu. Oko kukuthi, ukutya akukangeni ngokupheleleyo kwinkqubo yokugaya ukutya.

Oku kugabha ukutya emqaleni, ngamanye amaxesha okubizwa ngokuba yi-"regurgitation," kunokuba sisenzo esenzeka ngokungacwangciswanga kwaye esingenakulawulwa. Nangona kunjalo, kwabanye abantu, ngokuhamba kwexesha, oku kungaba sisenzo esicwangcisiweyo okanye umkhwa. Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba oku akubangelwa yintlungu yesisu, isifo esifana ne-gastritis, okanye nasiphi na esinye isifo esinzulu sesisu.

Ngubani onokuba nethuba elikhulu lokufumana le meko?

Oogqirha bebesazi kudala ukuba le meko, ebizwa ngokuba yiRumination Syndrome, iyenzeka kubantwana abancinci nakwabo baneziphene zokukhula. Kodwa eneneni, inokuchaphazela nabani na wanoma yiphi na iminyaka . Oko kuthetha ukuba abantwana abancinci, abantu abadala abaselula, kunye nabantu abadala banokuhlangabezana nale meko.

Uphando lufumanise ukuba abantwana kunye nabantu abadala abaxinezelekileyo okanye abaxhalabileyo basengozini enkulu yokuba ne-rumination syndrome. Ngoko ke, kunokwenzeka ukuba oku kwenzeke xa uphantsi koxinzelelo olukhulu, usizi, okanye uxhalabile .

Zithini iimpawu zoku?

Kulungile, singayibona njani le Rumination Syndrome? Zithini iimpawu zale nto? Makhe sibone.

• Uphawu oluphambili kukuphinda utye rhoqo, kulandele ukuhlafuna okanye ukuginya, okanye ukukukhafula. Oku kwenzeka rhoqo emva kokutya.
• Ukungakhululeki esiswini.Ukuziva uzele, uqunjelwe, kwaye ngamanye amaxesha ukungagayi kakuhle kokutya kunye nesisu esibuhlungu kunokwenzeka.
• Iingxaki zamazinyo. Umoya onukayo nokubola kwamazinyo kunokwenzeka kuba ukutya kuhlala kunamathela emqaleni. Oku kungenxa yokuba ukutya okuvela esiswini kusenokuba ne-asidi ethile.
• Ukunciphisa umzimba. Ngenxa yokuba ukutya okutyayo akufunxwa kakuhle ngumzimba wakho, unokunciphisa umzimba ngokuhamba kwexesha. Oku kunokuchaphazela ngakumbi ukukhula kwabantwana.
• Imilebe eyomileyo, eqhekekileyo.

Ukuba umntwana wakho unale meko, unokwenza izinto ezifana nokugoba aze agobe umqolo wakhe. (Nangona kunjalo, olu phawu lunokuba luphawu lwe-gastroesophageal reflux, apho i-asidi yesisu ingena emqaleni, ngoko ke kulungile ukubona ugqirha.) Iintsana nazo zinokwenza isandi sokugoba.

Kutheni oku kusenzeka? Zithini izizathu?

Isizathu esichanekileyo seRumination Syndrome asikaqondwa ngokupheleleyo. Nangona kunjalo, oogqirha bakholelwa ukuba oku kunokwenzeka xa abanye abantu beneengxaki zempilo yengqondo okanye behlangabezana neziganeko ezixinzelelekileyo ebomini babo. Oku kuthetha ukuba kusenokuba kunxulumene nempilo yengqondo .

Xa ichazwa ngendlela yoomatshini, njengoko isenzeka ngaphakathi emizimbeni yethu, inokuba yinto efana nale:

1. Xa sisitya, isisu siyakhula, oko kuthetha ukuba siba sikhulu.

2. Emva koko, uxinzelelo lwesisu luyanda.

3. Kwangaxeshanye, i-sphincter esezantsi ye-esophageal, esebenza njengevalvu apho i-esophagus yethu (ityhubhu ethwala ukutya emlonyeni ukuya esiswini) iqhagamshela khona nesisu, iphumla.

Xa ezi ziganeko zisenzeka ngokulandelelana, ukutya okungagayiwanga esiswini kuqala "ukugabha" kwakhona kubuyele emlonyeni.

Oogqirha bayibona njani le nto?

Kulungile, ngoku makhe sibone ukuba ugqirha ufumanisa njani oku, oko kukuthi, indlela abagqiba ngayo ukuba "Le yiRumination Syndrome."

Kwiimeko ezininzi, oku kunokufunyanwa ngembali yezonyango kunye novavanyo lomzimba ngugqirha wakho. Ngokukodwa, ukuba ubusoloko usela ukutya kangangeenyanga ezi-3 ubuncinane, kodwa awukahlanzi, kukho ubungqina obaneleyo bokubonisa ukuba usenokuba uneRumination Syndrome.

Ngokwe-Diagnostic and Statistical Manual of Mental Disorders, iFifth Edition (DSM-5) eyamkelweyo kwezonyango, ukuze umntu afunyaniswe enale meko, kufuneka kuhlangatyezwane nale migaqo ilandelayo:

• Ukutya kuyaqhubeka nokuphuma emqaleni ubuncinane inyanga. Ukutya okuphumayo kuyahlafunwa, kuginywe, okanye kukhutshwe.
• Oku kubuyela kokutya akufanele kubangelwe yimeko yesisu okanye enye imeko yezonyango (umzekelo, iimeko ezibizwa ngokuba yi-gastroesophageal reflux okanye i-pyloric stenosis).
• Le ngxaki yokutya ayinakwenzeka yodwa kunye nenye ingxaki yokutya, efana ne-anorexia nervosa, i-bulimia nervosa, i-binge eating disorder, okanye i-avpestrating/ restrictive food impact disorder.
• Ukuba ingxaki yokutya iyenzeka kunye nesinye isifo sengqondo (njengokukhubazeka kwengqondo), iimpawu kufuneka zibe zinkulu ngokwaneleyo ukuze kufunyanwe unyango.

Ukongeza, oogqirha banokwenza uvavanyo oluthile ukuze babone ukuba kukho enye imeko yezonyango ebangela ezi mpawu. Umzekelo:

• Uvavanyo lokukhupha isisu: Olu vavanyo lulinganisa ixesha elithathayo ukuba ukutya kusuke esiswini kuye emathunjini amancinci.
• I-endoscopy ephezulu: Kule nkqubo, ugqirha ufaka ityhubhu encinci enekhamera encinci ebizwa ngokuba yi-endoscope ezantsi emqaleni wakho ukuze ahlole umphimbo wakho nesisu. Oku kunokunceda ukujonga naziphi na izilonda okanye ezinye iingxaki ngaphakathi.
• Ii-X-reyi: Kuthathwa imifanekiso yangaphakathi kwe-esophagus kunye nesisu.

Luthini unyango?

Kulungile, zeziphi iindlela zonyango lweRumination Syndrome? Ngaba le yinto engenakunyangeka? Hayi.

Unyango oluphambili nolusebenzayo koku "lunyango lokuziphatha." Ngamafutshane, kukutshintsha indlela oziphatha ngayo ukuze uthintele ukutya ukuba kungene emqaleni wakho. Unyango lokuziphatha oluhlala lunikwa ngoogqirha koku "kukuphefumula nge-diaphragmatic." Abanye abantu bakwabiza oku ngokuthi "kukuphefumla ngesisu."

Yintoni ukuphefumla nge-diaphragmatic?

I-diaphragm sisihlunu esikhulu, esimile okwedome esiphakathi kwesifuba nesisu sethu. Sisihlunu esiphambili esisebenza xa siphefumla. Ukuphefumla nge-diaphragm kujolise ekuphumzeni i-diaphragm yakho, ukuyisebenzisa ngokufanelekileyo xa uphefumla, kunye nokunceda ukuyiqinisa. Oku kunceda ukulawula ukutya okuhla emqaleni wakho.

Nantsi indlela yokwenza oku:

1. Lala ujonge phezulu kwindawo ethe tyaba (njengomgangatho) okanye ebhedini. Goba amadolo akho uze ubeke umqamelo phantsi kwentloko yakho. Ukuba uyafuna, ungabeka nomqamelo phantsi kwamadolo akho ukuze uxhase imilenze yakho.

2. Beka isandla esinye esifubeni sakho nesinye isandla ngaphantsi kancinci kweembambo zakho, oko kukuthi, esiswini sakho. Oku kuya kukunceda uzive i-diaphragm yakho ishukuma kwaye isisu sakho sinyuka kwaye siwa njengoko uphefumla.

3. Ngoku, phefumlela ngaphakathi ngempumlo yakho. Njengoko usenza njalo, isandla esisesiswini sakho kufuneka siphakame. Oko kukuthi, isisu sakho kufuneka sande. Zama ukugcina isandla esifubeni sakho kwindawo enye kangangoko kunokwenzeka, ngaphandle kokusishukumisa. Sifundisa abantwana abancinci oku, "Phefumla ngaphakathi njengomculi we-opera."

4. Okulandelayo, faka imilebe yakho kancinci (njengokuvuthela umlozi) uze ukhuphe umoya ngomlomo wakho. Njengoko usenza oku, qinisa izihlunu zakho zesisu uze uzivumele zingene. Oku kuthetha ukuba isandla esisesiswini sakho kufuneka sehle. Ngeli xesha, gcina isandla esifubeni sakho singashukumi kangangoko unako.

Ndifanele ndenze kangaphi olu qheliselo lokuphefumla?

Yenza lo mthambo kathathu ukuya kane ngemini, malunga nemizuzu emi-5 ukuya kweli-10 ngexesha. Kusenokuba nzima kancinci ekuqaleni, kodwa kuya kuba lula ngokuziqhelanisa. Ukuba ufuna ukwenza lo mthambo ube nzima kancinci, ungakwenza ubambe into efana nencwadi esiswini sakho.

Eyona nto ibalulekileyo kukuqhelisela oku 'kuphefumla ngesisu' emva kokutya ngakunye, okanye nokuba utya kancinci, ukuba kuyimfuneko. Oku kuya kunceda kakhulu ekuthinteleni ukutya ukuba kungangeni emqaleni wakho.

Zeziphi iingxaki ezinokubangela oku?

Ukuba ayinyangwa kakuhle, iRumination Syndrome inokonakalisa umphimbo wethu (umbhobho othwala ukutya ukusuka emlonyeni ukuya esiswini). Kuba xa umxholo wesisu uphuma rhoqo, ayilungelanga umphimbo.

Ngaphandle koko, ezinye iingxaki zinokwenzeka. Nazi:

• Iintloni, ukungakhululeki kokuba phakathi koluntu. Oku kunokuchaphazela nengqondo.
• Ukungabikho kokutya okunempilo. Kuba umzimba awufunxi ukutya kakuhle.
• Ukungaphumeleli ukukhula kakuhle. Oku kunokuba nefuthe elikhulu ekukhuleni kwabantwana, ingakumbi.
• Ukungalingani kwe-electrolyte emzimbeni. Oko kukuthi, ukungalingani kwiintlobo zeetyuwa ezifunekayo emzimbeni.
• Ukuphelelwa ngamanzi emzimbeni. Ukungabikho kwamanzi emzimbeni.
• Ukufutha ukutya kumoya okanye emiphungeni. Oku kuyingozi kancinci kuba kunokubangela usulelo emiphungeni.
• Ukuqhawukelwa ngumphefumlo.
• Usulelo lwemiphunga olufana ne-pneumonia.
• Kwiimeko ezinqabileyo kakhulu nezinzima, nokufa kunokwenzeka. (Oku kunqabile kakhulu, kodwa kulungile ukuqaphela).

Ngaba zikho iindlela zokuthintela oku ukuba kungenzeki?

Nangona kunzima ukutsho ukuba ingathintelwa ngokupheleleyo na, umngcipheko mhlawumbi ungancitshiswa. Ngokukodwa, ngokufunda iindlela ezilungileyo zokujongana neemeko ezixinzelelekileyo,Oku kuthetha ukuba ngokusebenzisa "amaqhinga okumelana neengxaki" afanelekileyo, kunokwenzeka ukunciphisa umngcipheko wokufumana "iRumination Syndrome" ngandlela ithile. Ukugcina impilo yengqondo intle kubaluleke kakhulu.

Ngaba singaphila nale meko? Liyintoni ikamva?

Ewe, abantu abaninzi baphila ubomi obusempilweni nobuqhelekileyo neRumination Syndrome. Ukuba inyangiwe kwaye ilawulwa kakuhle, ayidli ngokuba nefuthe elikhulu kwimisebenzi yakho yemihla ngemihla. Ngoko ke, musa ukudimazeka ukuba ufumanisa ukuba unayo.

Ndifanele ndimbone nini ugqirha?

Ukuba wena okanye umntwana wakho uneempawu zeRumination Syndrome, nto leyo ebesithethe ngayo ngaphambili, ingakumbi ukuba ukutya kuhlala kuphuma emqaleni wakho, ngokuqinisekileyo bonana nogqirha wosapho lwakho okanye ugqirha wezingane. Leyo yeyona nto ilungileyo onokuyenza. Banokukuhlola ngokufanelekileyo baze bakunike iingcebiso malunga nokuba yintoni ebangela oku kunye nento omawuyenze.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba unale meko, ungabuza imibuzo efana nale xa ubona ugqirha. Oku kuya kukunceda ukuba uqonde kakuhle oku:

• "Gqirha, ingaba le Rumination Syndrome imbi kangakanani?"
• "Yintoni eyona sizathu soku?"
• "Loluphi unyango olufanelekileyo kum? Ndingenza ntoni?"
• "Ingaba likho iyeza loku? Okanye yimithambo yokuphefumla nje?"
• "Ngaba oku kuya kuyichaphazela ubomi bam bemihla ngemihla?"

Okokugqibela, ezinye izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sithethe kakhulu ngeRumination Syndrome. Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

I-Rumination Syndrome yimeko apho ukutya kubuyela emqaleni emva nje kokutya, ngaphambi kokuba kugaywe. Oku akukokuhlanza. Kunokwenzeka nakubantu banoma luphi na ubudala, kwaye ngamanye amaxesha kunokunxulunyaniswa noxinzelelo.

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Ukuba unale mpawu , musa ukuba neentloni okanye ukoyika. Bonana nogqirha ngokukhawuleza kwaye ufumane ingcebiso. Unyango lokuziphatha olufana nokuzilolonga ngokuphefumla kwe-diaphragmatic lunokunceda ekulawuleni oku kakhulu.

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Ukufuna ingcebiso nonyango olufanelekileyo yeyona ndlela ilungileyo yokulawula le meko. Awuwedwa, kwaye kukho uncedo olufumanekayo.

Isifo sokurhawuzelela, ukutya okuphuma emqaleni, ukurhawuzelela, inkqubo yokwetyisa, uxinzelelo, ukuphefumla okubangelwa kukwaphuka kwesisu, unyango lokuziphatha