Ingabe unesifo sikashukela? Uma kunjalo, ungase ujwayelene nomuzwa wokuqunjelwa, noma isifo sohudo, ngaphandle kwesizathu esibonakalayo. Nakuba lokhu kungase kube namahloni futhi kungakhululeki ukukhuluma ngakho kwabanye abantu, kuyisimo esivamile esihambisana nesifo sikashukela. Eqinisweni, cishe umuntu oyedwa kwabahlanu abanesifo sikashukela angase abe nesifo sohudo njalo. Ngakho ake sixoxe ngalokhu ngokukhululekile namuhla.
Buyini ubudlelwano phakathi kwesifo sikashukela nesifo sohudo?
Kalula nje, isifo sikashukela singathinta indlela uhlelo lwethu lokugaya ukudla olusebenza ngayo. Le ngozi iphezulu kakhulu kubantu asebenesifo sikashukela isikhathi eside futhi abangalawuli kahle amazinga abo kashukela egazini.
Ngezinye izikhathi, kanye nalesi sifo sohudo, ikakhulukazi ebusuku, ungase ube nesimo esibizwa ngokuthi "i-Fecal Incontinence". Lokhu kwenzeka ngoba isifo sikashukela sibangela ukulimala kwemizwa (``neuropathy``) kanye nemisipha ye-anal sphincter elawula ukunyakaza kwamathumbu (``anal sphincter``) ayitholi izimpawu ezifanele.
Khumbula, lokhu akulona iphutha lakho. Kuyinkinga nje eyenzeka njengengxenye yesifo esibizwa ngokuthi isifo sikashukela. Ngakho-ke kubaluleke kakhulu ukukhuluma nodokotela wakho ngalokhu ngaphandle kokuzizwa unamahloni.
Yiziphi izimbangela eziyinhloko zohudo olubangelwa isifo sikashukela?
Kunezizathu eziningana zalokhu. Ake sibheke eziyinhloko. Ngizokukhombisa lokhu etafuleni okulula ukuliqonda.
| Isizathu | Incazelo elula |
|---|---|
| I-Autonomic Neuropathy | Amazinga aphezulu kashukela egazini ngokuhamba kwesikhathi angalimaza imizwa elawula uhlelo lwethu lokugaya ukudla. Lokhu kungashintsha isivinini sokudla okudlula ngaso emathunjini, okubangela uhudo noma ukuqunjelwa. |
| Imithi yesifo sikashukela | Ikakhulukazi, umuthi i -metformin, ovame ukunqunyelwa isifo sikashukela, ungabangela ukucasuka kwesisu kanye nesifo sohudo kwabanye abantu. |
| Izithambisi Zokwenziwa | Abantu abanesifo sikashukela bavame ukusebenzisa lokhu esikhundleni sikashukela. Ukudla ukudla okuningi okuqukethe 'i-sugar alcohols' njenge-sorbitol ne-mannitol kungabangela isifo sohudo. |
| Isifo se-Celiac | Abantu abanesifo sikashukela (ikakhulukazi uhlobo 1) basengozini enkulu yokuthola isifo se-celiac (ukungezwani komzimba ne-gluten). Laba bantu bangaba nesifo sohudo ngisho nangemva kokudla inani elincane lento equkethe i-gluten, njengofulawa kakolweni. |
| Ukukhula kwamagciwane emathunjini | Ngezinye izikhathi, uma isikhathi sokugaya ukudla sanda, okusho ukuthi ukudla kuhlala emathunjini isikhathi eside kakhulu, amabhaktheriya angafuneki angakhula futhi abangele isifo sohudo. |
| Ukuntuleka Kwe-Exocrine Pancreatic | Ama-pancreas ethu akhiqiza ama-enzyme asisiza ekugayeni ukudla. Isifo sikashukela singaphazamisa le nqubo, sibangele uhudo kanye nokugaya ukudla okungekuhle. |
Lesi simo singithinta kanjani?
Lokhu akufani kuwo wonke umuntu.
- Abanye abantu bangase baqhubeke nokuba nesifo sohudo.
- Abanye bangase babe nesifo sohudo izinyanga eziningana bese bengasenazo izinkinga futhi isikhathi esithile.
- Lokho abantu abaningi ababhekana nakho ukushintshana phakathi kohudo nokuqunjelwa . Isonto elilodwa ungase uzizwe uvuvukele, kanti ngesonto elilandelayo ungase ungakwazi ukuya endlini yangasese kahle. Lokhu kungaba inkinga enkulu.
Udokotela ukwelapha kanjani lokhu?
Uma utshela udokotela wakho ngalezi zimpawu, uzoqala azame ukuthola ukuthi ngabe uhudo lubangelwa isifo sikashukela noma okunye. Bazokubuza imibuzo futhi bangakudlulisela kudokotela wezifo zamathumbu.
Ukwelashwa kugxila ezintweni eziningana eziyinhloko.
1. Okubaluleke kakhulu: Lawula ushukela egazini
Lesi yisinyathelo sokuqala nesibaluleke kakhulu.Uma ulawula kangcono amazinga kashukela egazini lakho, kulapho umonakalo ongawenza ezinzwa zakho uncipha khona. Lokhu kungasiza ekulawuleni izinkinga eziningi zesifo sikashukela, okuhlanganisa nesifo sohudo.
2. Izinguquko ekudleni
Udokotela wakho noma isazi sokudla okunempilo sizokwakha uhlelo lokudla olukufanele. Bazokutshela ukuthi ugxile ezintweni ezifana nalezi:
- Yidla ukudla okucebile nge-fiber (isib. ilayisi elinsundu, okusanhlamvu okuphelele, i-oats, izithelo, imifino), kodwa qaphela ama-carbohydrate.
- Phuza amanzi amaningi . Uhudo lubangela ukulahleka koketshezi oluningi emzimbeni.
- Qaphela imifino (njengeklabishi nekholifulawa) ngoba ingabangela ukuqunjelwa kwabanye abantu.
3. Ukwelashwa ngemithi
Uma kunzima ukulawula lokhu ngokulawula ukudla noshukela kuphela, udokotela wakho angase akunike imithi.
- Imithi yohudo oluvamile: Imithi efana ne-loperamide (isb., i-Imodium®) ingasiza ekumiseni uhudo okwesikhashana. Kodwa-ke, lokhu akufanele kusetshenziswe njalo ngaphandle kweseluleko sikadokotela .
- Izithako zefayibha: Izinto ezifana neMetamucil® zisiza ekuqiniseni indle.
- Imithi ethile yohudo olubangelwa isifo sikashukela: Udokotela wakho angase akunike imijovo efana ne-'Octreotide acetate', enikezwa isifo sohudo olubangelwa ukulimala kwemizwa, noma eminye imithi ethile.
- Ezinye izindlela zokwelapha: Ama-antibiotic anganikezwa uma imbangela kuyigciwane, kanti imithi inganikezwa uma imbangela iwukuntuleka kwe-enzyme ye-pancreatic.
Ungaphila kanjani kahle nalesi simo?
Nakuba lezi zinkinga zesisu ezihambisana nesifo sikashukela zingase zicasule kancane, ungazilawula futhi uphile impilo enempilo. Kubaluleke kakhulu ukulandela lawa macebiso.
- Landela uhlelo lwakho lwesifo sikashukela ngqo. Phuza imithi udokotela wakho ayinikeza ngesikhathi, lawula ukudla kwakho, futhi uvivinye umzimba.
- Faka okusanhlamvu okuphelele nokudla okune-fiber eningi ekudleni kwakho.
- Phuza okungenani izingilazi zamanzi ezingu-8-10 ngosuku.
- Yeka noma unciphise ukubhema nokuphuza utshwala . Lokhu kulimaza kakhulu imizwa.
- Uma unesifo sohudo esivamile , ukushintshana phakathi kohudo nokuqunjelwa , noma okunye ukungakhululeki esiswini, ungalokothi ukushaye indiva . Qiniseka ukuthi ukhuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Uhudo luvame kakhulu kubantu abanesifo sikashukela. Ungabi namahloni noma wesabe.
- Ukwelashwa okungcono nokubaluleke kakhulu kwalokhu ukulawula amazinga kashukela egazini lakho kahle.
- Eminye imithi oyithathayo, njengeMetformin, izinongo zokwenziwa, kanye nokudla okuthile nakho kungabangela lokhu.
- Uma uhudo luqhubeka, lushintshana nokuqunjelwa, noma uma uphuma indle ungaqapheli, qiniseka ukuthi ukhuluma nodokotela wakho futhi uthole iseluleko esifanele.
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