Ingabe nawe unesifo sohudo esingapheli? Ake sixoxe ngalesi 'Sifo Sohudo Esingapheli'!

Sonke sike saba nesifo sohudo esikhathini esithile empilweni yethu, akunjalo? Akumnandi neze ukuba nendle ekhululekile kanye nesidingo sokuya endlini yokugezela ngokuzumayo une-cramp esiswini sakho. Ngokuvamile, kwenzeka ngemva kosuku noma ezimbili lapho unesifo sokudla, umkhuhlane, noma umkhuhlane. Kodwa-ke, uma unesifo sohudo esihlala isikhathi esingaphezu kwamasonto amane , sikubiza ngokuthi 'isifo sohudo esingamahlalakhona' noma isifo sohudo esiqhubekayo.

Kuyini lokhu kukhishwa kwesisu okuqhubekayo? Ingabe kuyingozi ngempela?

Kalula nje, uhudo oluqhubekayo luyindle ekhululekile, enamanzi ehlala isikhathi esingaphezu kwamasonto amane. Ezinye izinhlolovo ziphakamisa ukuthi phakathi kuka-1% no-3% wabantu banalesi simo. Kodwa-ke, leli nani lingase libe phezulu kakhulu ngoba abantu abaningi abafuni ukwelashwa ngalo ngaphandle kokuba benezinye izimpawu, njengobuhlungu besisu noma ukopha.

Manje cishe uzibuza ukuthi, "Ingabe kuyinto evamile ukuba nesifo sohudo usuku lonke?" Akunjalo ngempela. Lokhu akuvamile. Ikholoni yakho, ingxenye lapho kwakheka khona indle, ingase isabela entweni engavamile. Kwabanye abantu, lolu hlobo lohudo lungabangelwa yisimo samathumbu esingelapheki, kodwa izimpawu zingalawulwa. Kodwa-ke, ezimweni eziningi, ezinye izimbangela zingelashwa ngokwelashwa okufanele.

Ngokuvamile, imfucuza yokudla okumanzi emathunjini akho amancane imuncwa kancane kancane emathunjini akho amakhulu bese iguqulwa ibe yindle eqinile. Kodwa uma unesifo sohudo, ngesizathu esithile le nqubo iyaphazamiseka. Okwenzekayo ukuthi uphuma indle emanzi kakhulu. Lokhu kusho ukuthi ithumbu lakho elikhulu linenkinga yokumunca amanzi njengoba livame ukwenza, noma likhipha amanzi amaningi kakhulu, noma kokubili. Lokhu kungaba ngenxa yenkinga ngethumbu lakho elikhulu, noma into engajwayelekile ngaphakathi kwalo.

Kungani siqhubeka silamba? Yiziphi izizathu eziyinhloko?

Izifo eziningi zingabangela isifo sohudo esiqhubekayo. Kodwa ngaphambi kokucabangela isifo, udokotela uzokubuza ngokuqinisekile ngemikhuba yakho yokudla kanye nemithi oyiphuzayo. Ngoba lezi yizimbangela esivame ukuzibangela thina ngokungazi, futhi ezingalungiswa kalula .

Indlela ukudla neziphuzo ezithinta ngayo

Ukudla neziphuzo ezithile kungabangela isifo sohudo. Uma uzidla njalo, ngobuningi, noma uma uzwela kakhulu kuzo, kungenzeka ukuthi zibangela isifo sohudo. Ukuthola ukudla neziphuzo ezibangela isifo sohudo nokunciphisa noma ukukuqeda ngokuphelele kungasiza. Cabanga ngalezi zinto:

• Ikhofi/Itiye: Ukuphuza ikhofi kusheshisa ukuhamba kwamathumbu akho, noma 'ukunyakaza'. Lokhu kusho ukuthi imfucuza yokudla emathunjini amakhulu ikhishwa ngokushesha ngaphambi kokuba iqine kakhulu. Akukacaci okwamanje ukuthi lokhu kungenxa ye-caffeine ekhofini noma kwamanye amakhemikhali. Abanye abantu bangase babe nemiphumela efanayo yokuphuza itiye eline-caffeine nokuphuza ikhofi elingena-caffeine. Lokhu kusho ukuthi,Abantu abahlukene bazwela kakhulu kumakhemikhali ahlukene (ubisi noma ushukela owufaka ekhofini/etiyeni lakho nakho kungaba yimbangela). Uma uphuza lokhu njalo, ungase ube nemiphumela emibi yesikhathi eside.
• Utshwala: Utshwala luphinde lusheshise amathumbu, ikakhulukazi uma ungenalutho esiswini. Kodwa-ke, uma uphuza utshwala obuningi, ukugaya kwakho kungase kwehle, okuholela ekuphelelweni amanzi emzimbeni kanye nokuqunjelwa. Kodwa-ke, uma uphuza utshwala obuningi njalo, isifo sohudo singabangelwa imbangela ehlukile - ukuvuvukala. Uma ikholoni yakho ivuvukala, ivuvukala, noma ilimele ngenxa yotshwala, ayisakwazi ukumunca amanzi namaminerali ngendlela evamile. Uma ulwelwesi lwekholoni yakho lonakele, lungavuza ngisho noketshezi.
• Amanye ushukela: Amanye ushukela kunzima ukuwagaya, futhi uma uwadla kakhulu, angabangela isifo sohudo. Amathumbu akho angase aswele ama-enzyme adingekayo ukuwagaya, noma ungase ungabi nawo nhlobo. Izithambisi zokwenziwa ezifana ne-sorbitol, i-mannitol, ne-lactulose ngezinye zeshukela amathumbu omuntu angenakuzigaya. Yingakho engangezi amakhalori. Lapho amathumbu engakwazi ukuphula lawa ushukela, adonsa amanzi amaningi ukuze awasuse emzimbeni. I-Fructose ingaba nalomphumela ngamanani athile. Yingakho ukudla okwenziwe ngesiraphu yommbila ene-fructose ephezulu kungabangela isifo sohudo. Abanye abantu bangaba nokungezwani komzimba, noma ukungabekezelelani, nezinhlobo ezithile zikashukela. Ukungabekezelelani kwe-lactose (ubunzima bokugaya ubisi nemikhiqizo yobisi) kuyinto evame kakhulu kulezi.
• Ukungabekezelelani nokudla: Uma unenkinga yokugaya ukudla okuthile, ungase ungakubekezelelani lokho kudla. Lokhu kuvame ukusho ukuthi uhlelo lwakho lokugaya alunawo ama-enzyme adingekayo ukugaya lokho kudla. Izibonelo ezivamile zifaka phakathi ukungabekezelelani ne-gluten (iphrotheni etholakala ekudleni okunjengokolweni), ukungabekezelelani ne-histamine, kanye nokungabekezelelani noshukela (ama-carbohydrate). Uhudo lubangelwa ukudla okungagaywanga kahle.

Ingabe imithi esiyiphuzayo ingaba yimbangela?

Imithi eminingi ingabangela isifo sohudo esiqhubekayo njengomphumela ongemuhle. Ingabangela lesi simo ngezindlela ezahlukene. Ukuthi uyasithola yini kuncike ezintweni eziningi, njengomthamo wemithi oyiphuzayo, ukudla kwakho, kanye nezinye izimo zezokwelapha onazo. Udokotela wakho uzobuyekeza umlando wakho ophelele wezokwelapha ukuze anqume ukuthi imithi iyimbangela yini. Eminye imithi engabangela isifo sohudo esiqhubekayo ihlanganisa:

• 'Ama-NSAID' `(imithi elwa nokuvuvukala engeyona eye-steroidal)` - ama-painkiller, isibonelo i-aspirin `(aspirin)`, i-ibuprofen `(ibuprofen)`.
• Ama-proton pump inhibitors (PPIs) - Imithi enikezwayo ye-gastritis.
• Ama-antibiotic - Isibonelo, i-amoxicillin, i-cephalexin.
• Ezinye izithako zemithi kanye netiye ziqukethe izithako ezifana ne-senna.
• Ukuthatha imithamo ephezulu yamavithamini namaminerali athile, njengevithamini C ne-magnesium.
• Ama-antacid aqukethe i-magnesium.
• Ama-antidepressants - ikakhulukazi lawo ohlobo lwe-selective serotonin reuptake inhibitors (SSRIs), isib. i-fluoxetine (Prozac®), i-sertraline (Zoloft®).
• Ama-Beta-blockers - Imithi yokwelapha umfutho wegazi ophakeme.
• I-Metformin - umuthi wesifo sikashukela.
• Ukwelashwa ngamakhemikhali - Ukwelashwa komdlavuza.
• Ukusetshenziswa kabi kanye nokusebenzisa ngokweqile imithi yokulalisa isisu, ikakhulukazi ezimweni ezifana ne-bulimia nervosa.

Ingabe kunezinhlobo ezahlukene zesifo sohudo? Ziyini izimbangela zaso?

Odokotela ngezinye izikhathi bahlukanisa uhudo lube izinhlobo ezintathu noma ezine ukuze kube lula ukuthola imbangela. Odokotela bangabona izici ezithile zendle ezihambisana nalezi zinhlobo. Lezi zimele izigaba ezibanzi zezimbangela ezingaba khona. Izinhlobo ezintathu eziyinhloko yilezi: uhudo oluvuvukalayo, uhudo olunamafutha, kanye nohudo olunamanzi. Abanye abantu bahlukanisa uhudo olunamanzi lube izinhlobo ezimbili ezengeziwe (i-secretory kanye ne-osmotic) futhi bazibheka njengezinhlobo ezine eziyinhloko.

Uhudo olunamanzi

Uhudo olunamanzi lwenzeka lapho ikholoni yakho ingakwazi ukumunca amanzi anele kanye nama-electrolyte esitulweni sakho, noma lapho ikhipha okungaphezu kwalokho ekumuncayo.

• Ukuqunjelwa yi-osmotic kubangelwa izakhamzimba ezingagaywanga kahle noma ezingamuncwa kahle. Lokhu kudonsela amanzi amaningi emathunjini. (Yile ndlela eminye imithi yokuhlanza esebenza ngayo.)
• Uhudo oluyimfihlo lubhekisela kuhudo olumanzi olubangelwa izifo ezahlukahlukene.

Ezinye izinto ezingadala lokhu:

• Uhudo lwe-bile acid (lokhu kwenzeka lapho i-bile eningi kakhulu inqwabelana emathunjini; okubizwa nangokuthi i-bile acid malabsorption (BAM)).
• 'I-Microscopic colitis' `(I-Microscopic colitis)`.
• Ukulimala kwemizwa okubangelwa isifo sikashukela (i-diabetic neuropathy).
• Ukususwa kwe-Vagotomy (ukususwa kwemithambo yesisu ngokuhlinzwa).
• I-Hyperthyroidism (indlala yegilo esebenza ngokweqile).
• 'Izinkinga ze-adrenal gland' `(Izinkinga ze-adrenal)`.
• Izimila ze-neuroendocrine.
• 'Isifo Samathumbu Esithukuthele' (IBS).

Uhudo Olunamafutha / I-Steatorrhea

Ngezinye izikhathi, indle yakho ingaba namanzi futhi idlule njengohudo ngenxa yamafutha amaningi kakhulu. Lokhu kwenzeka lapho umzimba wakho unenkinga yokuphula nokumunca amafutha kahle, noma lapho amagciwane emathunjini akho enza ama-fatty acid amaningi kakhulu. Uhudo olunamafutha lungase lungenzeki njalo, kodwa lungenzeka ngobuningi ngesikhathi esisodwa. Lungase lunuke kabi kunokuvamile, futhi lungashiya amabala anamafutha endlini yangasese. Lungaphinde luhambisane nezimpawu ezifana nokucanuzela kwenhliziyo, ukungagayi kahle ukudla, kanye nokwehla kwesisindo.

Izimbangela ezingaba khona:

• Izinkinga zokungamuncwa kahle kokudla - Lokhu kusho ukuthi izakhamzimba azimuncwa kahle. Izibonelo: ukungasebenzi kahle kwe-pancreatic (ukungasebenzi kahle kwe-pancreatic), isifo se-celiac.
• Ukwanda ngokweqile kwamagciwane emathunjini amancane (SIBO).
• I-Mesenteric ischemia (ukuvaleka kwemithambo yegazi ehlinzeka ngamathumbu).
• Ukuhlinzwa kwe-gastric bypass (ukuhlinzwa kwendlela yokugaya ukudla).

Uhudo oluvuthayo

Lolu hlobo lohudo lwenzeka uma unesifo sohudo esingapheli, esibizwa ngokuthi i-colitis. Uhudo luthinta ulwelwesi lwe-colon yakho. Luyavuvukala, okwenza lungasakwazi ukumunca izakhamzimba. Uhudo oluhambisana nokuvuvukala luvame kodwa luyafika luphinde luphele. Lungaphinde luhambisane nobuhlungu besisu, umkhuhlane, noma igazi esitulweni sakho. Izimo zokuvuvukala ezingabangela uhudo oluqhubekayo zifaka:

• Ukutheleleka okuqhubekayo, isibonelo ukutheleleka okubangelwa yizinambuzane, noma i-pseudomembranous colitis ebangelwa yibhaktheriya i-C. diff.
• Isifo samathumbu esivuvukalayo (IBD) - Lokhu kubhekisela ezifweni zamathumbu ezivuvukalayo. Izibonelo: i-ulcerative colitis, isifo sikaCrohn.
• I-Ischemic colitis (ukuvuvukala okubangelwa ukuncipha kokunikezwa kwegazi emathunjini amakhulu).
• I-Diverticulitis (ukuvuvukala kwezikhwama ezincane emathunjini amakhulu).
• I-radiation colitis (ukuvuvukala kwekholoni okubangelwa ukwelashwa ngemisebe).
• Umdlavuza.

Yimiphi imiphumela emibi engaba khona yokuqhubeka nokudla?

Cabanga nje, uvame ukuphoqeleka ukuya endlini yangasese ngokushesha, noma unenkinga yokuzibamba. Lesi simo sithinta kangakanani impilo yakho yansuku zonke? Kuyacasula kakhulu ukuhlala ucabanga ngendlu yangasese eseduze.

Kunzima ukugcina lo mkhuba ufihliwe kwabanye isikhathi eside. Kungathinta ukuzethemba kwakho kanye nekhwalithi yempilo yakho. Uma unomsebenzi, ikakhulukazi ohilela abantu abaningi, kungathinta nalokho.

Ngokwemvelo, uhudo oluqhubekayo lungakubeka engozini yokuphelelwa amanzi emzimbeni kanye nemiphumela yalo emibi. Njengoba uhudo luqhubeka, umzimba wakho ulahlekelwa amanzi amaningi, kanye nama-electrolyte, amaminerali abalulekile atholakala oketshezini lomzimba.

Ukuncipha kwe-electrolyte kungaba nemiphumela emibi kakhulu. Kungathinta inhliziyo yakho, amaphaphu, ubuchopho kanye nesimiso sezinzwa. Ukuncipha kwamanzi emzimbeni nakho kungacindezela izinso zakho, okuholela ezifweni zezinso.

Yini ongayenza ekhaya ngalokhu?

Ungadinga iseluleko sezokwelapha kanye nokwelashwa ukuze uvimbele lokhu. Kodwa-ke, kunezinto ezimbalwa ongazizama ngaphambi kwalokho:

• Cabanga ngokucophelela ngokudla kwakho. Cabanga ukuthi ngabe uhudo lwakho lubangelwa yini into oyidlayo noma oyiphuzayo njalo. Uma uphuza ikhofi, itiye, utshwala, noma yini enezithako zokwenziwa (njenge-diet soda), zama ukuzikhipha kuqala. Uma unesifo sohudo esinamafutha, zama ukususa ukudla okunamafutha ekudleni kwakho ukuze ubone ukuthi lokho kuyasiza yini. Ukungabekezelelani ne-lactose kuvamile kakhulu, ikakhulukazi kubantu base-Afrika noma base-Asia. Ungazama futhi ukuyeka ubisi. Ungazama nokudla okuqinile okususa ukudla, njengokudla okungenayo i-FODMAP eningi, ukuze uthole ukuthi yini ngempela i-allergy yakho yokudla.
• Uma uphuza noma yimiphi imithi njalo, buza udokotela wakho ukuthi ikhona yini engabangela uhudo lwakho. Uma kunjalo, buza ukuthi ungazama yini enye indlela noma uyeke ukuyithatha isikhashana.
• Qiniseka ukuthi uhlala unamanzi emzimbeni uma unesifo sohudo. Zama isisombululo sokuphuza amanzi emzimbeni, isiphuzo sezemidlalo, noma ingxube ye-electrolyte exutshwe namanzi. Ukuphuza amanzi kuphela ngeke kukunikeze ama-electrolyte.

Ngingakuqeda kanjani lokhu buhlungu besisu obuhlala bukhona? Ingabe ngidinga ukubona udokotela?

Uma uke wazama ukushintsha ukudla kwakho kanye nemithi yakho futhi isifo sakho sohudo singapheli, kufanele nakanjani ubone udokotela. Udokotela wakho uzohlola ngokucophelela izimbangela ezingaba khona zohudo lwakho oluqhubekayo futhi anqume ukwelashwa okufanele. Ukwelapha isimo esiyisisekelo kungasiza ekuxazululeni isifo sakho sohudo, noma kungase kungenzeki ukwelapha isimo esiyisisekelo ngqo. Uma kunjalo, isifo sakho sohudo singadinga ukwelashwa okukhethekile.

Ukwelashwa kungafaka:

• Imithi yokwelapha uhudo e-Opiate: Lokhu kunciphisa ukusebenza kwekholoni yakho futhi kwandisa ukumuncwa. I-Loperamide ivame ukuba yisinqumo sokuqala. Ayiluthi futhi iyatholakala ngaphandle kwemithi kadokotela (OTC).
• Ama-binding e-bile acid anqunyelwe labo abanesifo sohudo se-bile acid.
• I-Clonidine yesifo sohudo esibangelwa isifo sikashukela.
• I-Eluxadoline yesifo sohudo esibangelwa yi-IBS (i-irritable bowel syndrome).
• Ama-antibiotic noma ama-antiparasitic okwelapha izifo.
• Izithasiselo ze-fibre, njenge-psyllium, zingasiza ekuqiniseni indle futhi zinciphise ukuhamba kwayo.

Kufanele uye nini kudokotela?

Akuyona neze into embi ukubona udokotela uma unesifo sohudo esiqhubekayo. Uma ucabanga ukuthi awukwazi ukusilungisa ngokususa okuthile ekudleni kwakho, cishe uzodinga ukwelashwa. Uma sekuphele isikhathi eside, usengozini enkulu yokuthola ezinye izinkinga, ezingadinga nokwelashwa. Uma unezinye izimpawu ezifana nalezi, funa usizo lwezokwelapha ngokushesha:

• Imfiva
• Ubuhlungu
• Igazi esitulweni
• Ukwehlisa isisindo ngokungenhloso
• Ubumpunga
• Ubuthakathaka noma ukukhathala ngokweqile

Ekugcineni, kufanele ngithi...

Nakuba isifo sohudo sivamile, sivame ukuphela ngokushesha futhi ngaphandle kokwelashwa. Kodwa-ke, isifo sohudo esiqhubeka inyanga noma ngaphezulu kufanele sixoxwe nodokotela. Ngezinye izikhathi imbangela ingaba yinto elula futhi elula ukuyilungisa. Kwezinye izimo, ungathola ukuthi unesifo esiyisisekelo esidinga ukwelashwa okuyinkimbinkimbi. Kodwa-ke, ungasinaki lesi sibonakaliso. Udokotela wakho angakusiza.

Uhudo , Uhudo Oluqhubekayo, Ukuqunjelwa, Isimiso Sokugaya Ukudla, Izifo Zamathumbu, Impilo, Uhudo Olungapheli