Ukudla esikudlayo kuhamba kanjani esiswini sethu? Ake sifunde ngalokhu kunyakaza okumangalisayo (i-peristalsis)!

Sidla ukudla futhi siphuza amanzi nsuku zonke. Kodwa wake wazibuza ukuthi lokhu kudla neziphuzo, lapho sikugwinya, kuhamba kanjani emphinjeni wethu, kuhambe ibanga elide emathunjini, bese ekugcineni kuphuma emzimbeni njengemfucuza? Akumangalisi yini? Lonke lolu hlelo lwenzeka ngaphandle kokuthi siqaphele, cishe ngokuzenzakalelayo. Isizathu salokhu ukunyakaza kwemisipha okukhethekile okwenzeka endleleni yethu yokugaya ukudla. Yilokho esikubiza ngokuthi i-peristalsis . Namuhla, sizokhuluma ngalokhu ngokuningiliziwe nangokulula.

Kuyini lokhu kujikeleza kwegazi?

Kalula nje, i-peristalsis iwukunyakaza kwemisipha okuzenzakalelayo, okungahleliwe okwenzeka ohlelweni lwethu lokugaya ukudla . Cabanga ngakho, le nqubo iqala ngesikhathi ugwinya ukudla. Ihambisa ukudla noketshezi kusuka emphinjeni wakho, kuze kufike emgudwini wakho wokugaya ukudla , kuze kufike emathunjini akho, lapho imfucuza ikhishwa khona.

Ungacabanga ngomgudu wethu wokugaya ukudla njengochungechunge lwamapayipi axhumene, angenalutho. Amapayipi agcwele imisipha nemizwa. Ngakho-ke, lapho ukudla kungena emgodini wokugaya ukudla, uhlelo lwezinzwa luthumela isignali emisipheni. Yilapho imisipha iqala ukufinyela futhi iphumule ngendlela efana negagasi . Njengoba imisipha iqhubeka nokufinyela futhi iphumule, ukudla kuyasunduzelwa phambili. Kufana nokucindezela umuthi wokuxubha amazinyo phansi kwepayipi bese umuthi uphuma. Ukudla okuqhubekela phambili ngale ndlela ekugcineni kukhishwa nge-anus noma nge-urethra njengodoti.

Uyini umehluko phakathi kwe-peristalsis kanye ne-segmentation?

Ukuhlukaniswa kwemisipha kungenye indlela yokunyakaza kwemisipha okungahleliwe ohlelweni lwethu lokugaya ukudla. Kodwa ngokungafani nokunyakaza, ukuhlukaniswa kwemisipha kwenzeka ikakhulukazi emathunjini ethu, hhayi kuwo wonke umgudu wokugaya ukudla. Ukuhlukaniswa kwemisipha kuhilela ukufinyela kwemisipha eyindilinga emathunjini, ehambisa ukudla emuva naphambili. Kufana nokuwasha izingubo emshinini wokuwasha.

Njengoba ukudla kuhamba ngale ndlela, kuhlanganiswa kahle nojusi wesisu , kuhlukanise izingcezu ezinkulu zokudla zibe yizingcezu ezincane, okusiza ekugayweni kokudla. Lokhu kuqhekeka kwehlise ijubane lokudla okuhamba emathunjini kancane. Kodwa ungakhathazeki, ukunyakaza kuyaqhubeka nokuhambisa ukudla phambili.

Ingabe i-peristalsis yenzeka ngendlela ehlukile? - I-Reverse Peristalsis

Yebo, ngezinye izikhathi lokhu kufinyela kwemisipha okufana namagagasi kungabuyela emuva esikhundleni sokuya phambili. Yilokho esikubiza ngokuthi i-retroperistalsis noma i-reverse peristalsis . Yilokhu okwenzekayo uma uhlanza. I-retroperistalsis ibangela ukuthi ukudla okusemathunjini akho amancane kubuyele emuva.Ukudla kungabuyela esiswini, bese kusuka lapho, kungaphuma ngomqala bese kuphuma emlonyeni.

Futhi, uma ukudla kuvame ukuhamba ngendlela yokugaya ukudla futhi kuhlangane nokuvinjelwa , ukudla kungase kubuyele emuva ibanga elifushane bese kuzanywa ukuqhubeka phambili futhi.

Le peristalsis yenzani emizimbeni yethu?

Eqinisweni, ukuhambahamba yisona sizathu esenza inqubo yokugaya ukudla iqhubeke . Ngaphandle kwayo, besingeke sikwazi ukudla, ukugaya, futhi ekugcineni sikhiphe imfucuza. Cabanga ukuthi bekuzokwenzekani uma lokho kwenzeka!

Ukunyakaza kwesisu okuhamba kancane kodwa okuqhubekayo kunikeza imizimba yethu isikhathi sokuphula ukudla nokumunca izakhamzimba . Kuphinde kusize ekususeni amabhaktheriya angafuneki kanye nemikhiqizo engcolile eqoqana endleleni yethu yokugaya ukudla.

Okubalulekile: Uma ukunyakaza kokugingqika kungahlelwanga kahle futhi kwenzeka ngesivinini esifanele, okusho ukuthi uma kwanda ngesivinini noma kwehla ngesivinini, ezinye izinqubo zokugaya ukudla nazo zizoqala ukuphazamiseka.

I-peristalsis itholakala kuphi emzimbeni?

Ukunyakaza kokugoqa kwenzeka kuyo yonke indlela yethu yokugaya ukudla. Kodwa kusebenza kakhulu emgudwini wokugaya ukudla , ipayipi elithwala ukudla liye esiswini lapho sigwinya. Uma ugwinya okuthile, le nqubo iqala emphinjeni , ngemuva komphimbo wakho, bese isunduza ukudla phansi emgudwini wokugaya ukudla.

Kukhona igagasi eliyinhloko le-peristaltic ku-esophagus, eliqala lapho sigwinya okuthile. Ngezinye izikhathi, uma ukudla okukhulu kubhajwa, leli gagasi eliyinhloko lodwa alanele. Ngaleso sikhathi, igagasi lesibili le-peristaltic liqala ngenxa yokwelulwa kwezindonga ze-esophagus. Uma kukhona inkinga ngokunyakaza kwe-peristaltic kwe-esophagus, kungaba nobunzima bokugwinya (dysphagia) .

Ngemva kokuphuma komphimbo, ukunyakaza kokugoqa kuyaqhubeka esiswini nasemathunjini amancane namakhulu . Kodwa-ke, emathunjini, leli jubane liyancipha kancane, ngoba kudingeka livumele inqubo yokugoqa okukhulunywe ngayo ngaphambili. Ngesikhathi sokugoqa, ukunyakaza kokugoqa yikona okuhambisa inyongo ekhiqizwa yinyongo yethu iye emathunjini amancane ukuze kusize ekugayeni. Ngokufanayo, umchamo okhiqizwa yizinso uyiswa esinyeni ngosizo lwalokhu kugoqa.

Ekupheleni kwenqubo yokugaya ukudla, umchamo ukhishwa ngokunyakaza kokujikijela e-urethra, kanti indle ikhishwa ngokunyakaza kokujikijela e-rectum nase -anus . Okumangalisayo ukuthi lokhu kujikijela kuyaqhubeka ngisho nalapho silele, ngisho noma singenalutho esiswini, kususa noma yiziphi izinto ezingadingeki ezisele endleleni yokugaya ukudla.

Ibukeka kanjani ngempela le peristalsis?

Indlela imisipha esebenza ngayo ngesikhathi sokugingqa ibizwa ngokuthi igagasi ngoba imisipha iyaqhubeka nokufinyela futhi iphumule ngendlela evamile, isunduza ukudla phambili. Zombili imisipha eyindilinga ezungeze ipayipi elisemgudwini wethu wokugaya ukudla kanye nemisipha emide egijima ngepayipi ifaka isandla kulokhu. Njengoba imisipha eyindilinga ifinyela futhi ikhululeka ukuze isunduze ukudla phambili, imisipha emide iyasiza ekusunduzeni yonke into phambili.

Kodwa lokhu kuziphatha okufana namagagasi kuvame kakhulu engxenyeni yokuqala yomgudu wokugaya ukudla. Lapho ingxenye yokugcina yamathumbu, ingxenye lapho kuphuma khona indle, ifinyelelwa khona, imfucuza ingakhishwa ngokufinyeza imisipha izikhathi eziningana.

Ziyini izimpawu zezinkinga ze-peristalsis?

Siphinde sibize ngokuthi izinkinga zokuphazamiseka kokunyakaza . Ukunyakaza ukunyakaza kokudla ngendlela yethu yokugaya ukudla. Uma kunenkinga ngokunyakaza, ngokuvamile kusho ukuthi ijubane lokudla elihamba ngendlela yokugaya ukudla liyakhuphuka (i-Hypermotility noma i-Hyperperistalsis) noma linciphe (i-Hypomotility noma i-Hypoperistalsis) .

• Uma ijubane likhuphuka: Ngenxa yokuthi ukudla kuhamba ngokushesha kakhulu emzimbeni, akunaso isikhathi sokugaya kahle noma ukumunca izakhamzimba. Lokhu kungaholela ekuhudweni kanye nezinye izinkinga zokugaya ukudla .
• Uma ijubane lehla: Ngenxa yokuthi ukudla kuhamba kancane, imfucuza namagciwane akusulwa ngesikhathi. Lokhu kungaholela ezimweni ezifana nokuqunjelwa kanye nokukhula ngokweqile kwamagciwane .

Ukuphazamiseka kokunyakaza kungabangela izimpawu ezahlukahlukene. Ezinye zazo zifaka:

• Ukuqunjelwa : Ukungakwazi ukuya endlini yangasese izinsuku eziningana.
• Uhudo : Indle ekhululekile njalo.
• Igesi kanye nokuqunjelwa.
• Ubuhlungu besisu .
• Ukuvuvukala kwesisu .
• Isisu esivuvukele : Ukuzizwa sengathi isisu sakho siyakhula ngemva kokudla.
• Isicanucanu kanye nokuhlanza okungenzeka.
• Ukubuyela esimeni esijwayelekile .
• Ukubuyela kwe-acid : Njengokushisa kwenhliziyo.
• Ubunzima bokugwinya (i-Dysphagia) .
• Ukushoda kokudla okunempilo : Ngoba ukudla akumuncwa kahle ngumzimba.

Yiziphi izimbangela zezinkinga ze-peristalsis?

I-Gastroesophageal Reflux inqubo eyinkimbinkimbi ehilela imisipha, imizwa, nama-hormone . Ngakho-ke, izinkinga ngalokhu zingabangelwa inkinga ngemisipha noma inkinga ngesimiso sezinzwa. Lezi zinkinga zingavela noma kuphi endleleni yokugaya ukudla, noma ngisho nasendleleni yonke yokugaya ukudla.

AbanyeImithi, ukulimala, izifo, izifo, izinguquko zamahomoni, kanye nokungalingani kwama-electrolyte kungathinta imisipha noma imizwa ehilelekile ekuhambeni kwamathumbu. Ngezinye izikhathi, imbangela ayaziwa (idiopathic) . Izifo eziningi zesisu zihlotshaniswa nokuhamba kwamathumbu. Kodwa ngezinye izikhathi, kunzima ukusho ngokuqinisekile ukuthi isifo sibangela ukuhamba kwamathumbu noma ukuthi ukuhamba kwamathumbu kubangela isifo.

Imithi engathinta i-peristalsis

Kunemithi ethile enganciphisa noma yandise ukunyakaza kokugingqika.

• Imithi yokubulala ubuhlungu yama-opioid (isib. i-tramadol, i-morphine).
• Imithi yokulwa ne-cholinergic (imithi esetshenziselwa izimo ezifana nokungezwani komzimba okuthile kanye nesifo sikaParkinson).
• Ama-calcium channel blocker (eminye imithi esetshenziselwa umfutho wegazi ophakeme).
• Ama-antidepressant e-Tricyclic (eminye imithi emidala esetshenziselwa ukucindezeleka).

Izimo ezingathinta i-peristalsis

• Ukutheleleka kwendawo noma ukuvuvukala .
• Ukuhlinzwa , ikakhulukazi ukuhlinzwa kwesisu.
• Ukushoda kwe-electrolyte (isib. i-potassium ephansi).
• Isifo se-thyroid .
• Izinkinga ze-neurological (isib. isifo sikaParkinson, izinkinga ze-neurological).
• Ukulimala kwemizwa okubangelwa isifo sikashukela .
• I-Scleroderma nezinye izifo zezicubu ezixhumeneyo .
• I-intestinal ischemic syndrome (isimo lapho ukunikezwa kwegazi emathunjini kuncipha khona).
• "Ukungasebenzi kahle kwe-atrial kanye ne-intestinal (CAID)" .
• Isifo sikaHirschsprung - Lesi yisimo esivame ukuthinta izingane ezincane futhi sibangelwa amangqamuzana ezinzwa emathunjini angakhuli kahle.

Yiziphi ezinye izifo ezingabangelwa izinkinga nge-peristalsis?

Izinkinga zomgogodla zingabangela noma zibhebhethekise lezi zimo ezilandelayo:

• `I-Achalasia` : Isimo lapho imisipha engxenyeni engezansi yomhubhe ingaphumuli kahle, okwenza kube nzima ukuthi ukudla kudlulele esiswini.
• `Ukuvinjelwa kwamathumbu okungamanga` : Isimo lapho izimpawu (ukuqunjelwa, ubuhlungu, ukuhlanza) zivela sengathi kukhona ukuvinjelwa emathunjini, ngaphandle kokuba khona kokuvinjelwa empeleni.
• I-Gastroparesis : Isimo lapho imisipha yesisu iba buthakathaka futhi ukudla kuphuma kancane esiswini.
• Ukuqaqamba komphimbo : Isimo lapho imisipha emphinjeni iqina khona ngokuzumayo, okubangela ubuhlungu besifuba noma ubunzima bokugwinya.
• "I-Irritable Bowel Syndrome (IBS)": Isimo lapho izimpawu ezifana nokuqunjelwa, isifo sohudo, kanye nobuhlungu besisu kushintshana ngenxa yokuzwela okukhulu kwamathumbu.
• `GERD (Isifo Sokuphindezela Kwesisu Esisuka Emlonyeni)` : Isifo esibangela ukuvuvukala esifubeni ngenxa yokubuyela kwe-asidi yesisu njalo emlonyeni.
• I-Paralytic ileus : Ukuyeka okwesikhashana ukunyakaza kwamathumbu ngemva kokuhlinzwa noma ngezinye izizathu.

Ziphathwa kanjani lezi zinkinga ze-peristalsis?

Ukungasebenzi kahle kwe-erectile kuyinkinga eyinkimbinkimbi kancane. Ngakho-ke, ukuze uyelaphe kahle, okokuqala udinga ukuqonda ukuthi yini ebangela lokhu. Ngezinye izikhathi, ungayilungisa inkinga ngokushintsha imithi oyiphuzayo noma ngokwenza izinguquko ezithile ekudleni kwakho.

Kodwa izinkinga ngesimiso sezinzwa zingaba yinkimbinkimbi kakhulu. Izici zengqondo/zemizwelo , ama-hormone, kanye noketshezi lomzimba nakho kungadlala indima, ngakho-ke kungathatha ukuzama nokwenza amaphutha ukuxazulula lezi zinto. Ngezinye izikhathi, imbangela yenkinga yokunyakaza kungaba yisimo sezokwelapha esikhulu nesingaphansi. Kuleso simo, isimo esingaphansi sidinga ukwelashwa.

Yimiphi imithi esetshenziselwa izinkinga zokunyakaza?

Kuye ngesimo sakho, udokotela wakho angasikisela imithi elandelayo:

• Imithi ye-Parasympathomimetic : Le mithi isebenza ngokuvuselela uhlelo lwezinzwa lwe-parasympathetic nokwandisa ukunyakaza komgudu wokugaya ukudla.
• Ama-prokinetic agents : Le mithi ivuselela ukunyakaza komgudu wokugaya ukudla, okuye kwehliswa ijubane.
• Imithi yokulwa nohudo : Imithi enikezwa ukulawula uhudo uma kukhona uhudo.

Siyigcina kanjani i-peristalsis enempilo?

Ngaphansi kwezimo ezijwayelekile, ungalondoloza imetabolism enempilo ngokulandela imikhuba embalwa elula nenempilo yokuphila .

• Zivocavoce : Ukuzivocavoca okungenani imizuzu engama-30 ngosuku kusiza ekulawuleni ukugaya kanye nokuhamba kwamathumbu.
• Phuza amanzi amaningi : Ukuphuza okungenani izingilazi zamanzi ezingu-8 ngosuku kusiza ukudla ukuthi kuhambe kalula ngendlela yokugaya ukudla.
• Yidla ukudla okune-fiber : I-fiber ekusanhlamvu okuphelele, izithelo, kanye nemifino yengeza inqwaba endle futhi ivuselela ukuhamba kwamathumbu.
• Nciphisa ukudla okwenziwe ngezinto zokwenziwa kanye nokunamafutha amaningi : Lolu hlobo lokudla okucutshunguliwe lunciphisa ukugaya ukudla.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Ukuqhutshwa yinqubo eyenzeka ngokuzenzakalelayo emizimbeni yethu nsuku zonke, ngaphandle kokuthi sicabange ngayo, futhi sithembele kuyo. Kodwa kuthiwani uma ingasebenzi kahle?

Ungazama ukwenza izinguquko ezilula endleleni yakho yokuphila kuqala. Cabanga ngemithi oyithathayo nokuthi ingaba nemiphumela emibi ethinta ukuhamba kwakho kwamathumbu. Uma lezi zinto zingasizi, nakanjaniBheka udokotela wezifo zamathumbu.

Kungaba nezizathu eziningi zezinkinga ngokujikeleza komgogodla. Kodwa-ke, ukuhlolwa kwezokwelapha kanye nezeluleko zochwepheshe kuzokusiza ukuthola imbangela yale nkinga futhi uthole ukwelashwa okufanele. Ngakho-ke, uma unezimpawu ezinjengalezi, kungcono ukufuna iseluleko sezokwelapha kunokuzishaya indiva.

I- Peristalsis, ukugaya ukudla, amathumbu, ukuqunjelwa, isifo sohudo, umsele wokudla