Ukuguga kuyinto enhle ngakolunye uhlangothi. Ujabulela impilo futhi ube nesikhathi esiningi sokukhululeka. Kodwa ngakolunye uhlangothi, izinkinga zempilo ziyanda kancane. Ikakhulukazi njengoba abaningi bethu bekhula, enye yezinto eziyinhloko okufanele sibhekane nazo izinkinga ezahlukahlukene ngohlelo lokugaya ukudla. Nakuba lezi zinkinga zingavela kunoma yimuphi ubudala, cishe abantu abadala abangu-40% babhekana nenkinga ethile yesisu minyaka yonke. Ngakho-ke namuhla, ake sixoxe ngokuthi ziyini lezi zinkinga zokugaya ukudla ezihambisana nokuguga, ukuthi kungani zenzeka, nokuthi yini ongayenza ukuze ugcine uhlelo lwakho lokugaya ukudla luphilile.
Izinkinga zokugaya ukudla ezivame ukwenzeka ngokuguga
Njengoba sikhula, uhlelo lwethu lokugaya ukudla, njengazo zonke ezinye izinhlelo emzimbeni wethu, lushintsha. Ake sibheke ezinye zezinkinga ezinkulu ezingase zivele ngenxa yalokho.
| Inkinga yokugaya ukudla | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| Ukuqunjelwa | Njengoba sikhula, ukuhamba kwamathumbu kuba nzima ngenxa yokusebenza kancane kwamathumbu, imithi, ukuphuza amanzi amancane, kanye nokuzivocavoca okuncane. |
| Izifo Ezihlukahlukene | Amaphakethe amancane (amaphakethe) aphuma ezindaweni ezibuthakathaka ezindongeni zamathumbu amakhulu. Uma lawa etheleleka (i-diverticulitis), angabangela ubuhlungu besisu kanye nomkhuhlane. |
| Izilonda zesisu kanye nemithi yokwelapha izinhlungu | Ukusetshenziswa isikhathi eside kwemithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID), ikakhulukazi ezimweni ezifana ne-arthritis, kwandisa ingozi yokopha esiswini kanye nezilonda. |
| Ukuvuvukala kwesisu/umphimbo (GERD) | Isicanucanu sibangelwa yi-asidi yesisu egeleza ibuyela emphinjeni. Eminye imithi, ukukhuluphala ngokweqile, kanye nemikhuba yokudla engafanele kungabangela lokhu. |
| Ubunzima bokugwinya | Njengoba ukhula, ukusebenza komphimbo kuyehla, okwenza kube nzima ukugwinya ukudla noma isiphuzo. |
| Ama-polyp ekholoni | Ngemva kweminyaka engu-50, ingozi yokuthola ama-polyp amancane emathunjini iyanda. Amanye alawa angase abe umdlavuza. |
Ake sixoxe kabanzi ngalezi zinkinga.
1. Ukuqunjelwa
Lena yinkinga enkulu abantu abaningi ababhekana nayo ngemva kokufinyelela eminyakeni engu-60 noma engu-70. Izimpawu zifaka phakathi ubunzima bokukhipha indle, ukungakwazi ukuya endlini yangasese izinsuku eziningi, kanye nendle eyomile futhi eqinile njengamatshe. Kunezizathu eziningana zalokhu.
- Izinguquko ohlelweni lokugaya ukudla: Cabanga ngakho njengokucindezela ipayipi lomuthi wokuxubha amazinyo, amathumbu ethu ayafinyela futhi anwebeke ukuze asunduze ukudla phambili. Njengoba siguga, le nqubo yehla kancane. Bese, ukudla kuthatha isikhathi eside ukuhamba emathunjini. Ngalesi sikhathi, amanzi amaningi amuncwa emzimbeni esuka endle. Umphumela uba ukuthi indle iyoma.
- Imithi: Njengoba ukhula, kufanele uthathe imithi yezifo ezahlukahlukene. Eminye imithi ingabangela ukuqunjelwa. Isibonelo, eminye imithi yomfutho wegazi ophakeme (njenge-'Calcium channel blockers') ilungele umfutho wegazi, kodwa futhi ingabangela ukuqunjelwa. Futhi, izidakamizwa zokunciphisa ubuhlungu ezinikezwa ngemva kokuhlinzwa zinciphisa ngqo ukusebenza kwamathumbu.
- Ukuntuleka kokuzilolonga: Kuvamile ukuthi umzimba ulahlekelwe amandla awo okunyakaza njengoba sikhula. Kodwa uma sihlala phansi singashukumi, amathumbu ethu nawo ayayeka ukusebenza, okuholela ekuqunjelweni.
- Ukunciphisa ukuphuza amanzi: Ukuphuza amanzi amaningi kubalulekile ukuvimbela ukuqunjelwa kunoma yimuphi ubudala. Abantu asebekhulile banikezwa imithi yokukhipha isisu yokucindezeleka kwegazi okuphezulu kanye nesifo senhliziyo. Bese kuthi, ngenxa yokuthi kufanele baye endlini yangasese kaningi, abanye abantu banciphise ukuphuza amanzi. Ngakho-ke, ngakolunye uhlangothi, amanzi ayakhishwa ukuze kusetshenziswe imithi, kanti ngakolunye uhlangothi, abaphuzi amanzi. Khona-ke umzimba uyaphela amanzi emzimbeni futhi ukuqunjelwa kuyanda.
2. Izilonda Zesisu kanye nama-NSAID
Iningi labantu abadala bethu basebenzisa imithi yokubulala izinhlungu ngenxa yobuhlungu bamalunga kanye ne-arthritis. Ingozi yezilonda zesisu kanye nokopha okuvela esiswini iphezulu kakhulu uma le mithi ebizwa ngokuthi "imithi elwa nokuvuvukala engeyona i-steroidal (NSAIDs)" isetshenziswa njalo. Esikhathini esiningi, abantu abadala abazizwa ubuhlungu ngenxa yalezi zilonda. Kodwa-ke, ukopha esiswini kungenzeka ngaphandle kobuhlungu . Uma uhlanza igazi, uma indle yakho imnyama, noma uma ubona igazi lapho uya endlini yangasese uyihlanza, bona udokotela wakho ngokushesha .
3. Ama-polyp ekholoni kanye nengozi yomdlavuza
Ngemva kweminyaka engu-50, kunethuba elikhulu lokukhula kwama-polyp, uhlobo lokukhula okuncane emathunjini. Ezinye zalezi zimila ezivamile, kodwa ezinye zingaphenduka umdlavuza. Esikhathini esiningi, asiqapheli ukuthi sinazo ngoba azibangeli zimpawu.
Yingakho kunconywa ukuthi wonke umuntu oneminyaka engaphezu kwengu-50 ahlolwe i-colonoscopy. Lokhu kuhlolwa kungasusa lezi zimila ngaphambi kokuba zibe umdlavuza.
Uma othile emndenini wakho eke waba nomdlavuza wamathumbu amakhulu, udokotela wakho angase akuncome ukuthi wenze lokhu kuhlolwa kusenesikhathi.
Ngakho-ke, ungazivikela kanjani kulezi zinkinga zokugaya ukudla?
Njenganoma yisiphi isifo, indlela engcono kakhulu yokusivimbela ukusivimbela ngaphambi kokuba sivele. Indlela yokuphila enempilo ilungele amathumbu akho nawo wonke umzimba wakho. Nazi ezinye izinto ezilula ongazenza.
- Qaphela imithi yakho: Khuluma nodokotela wakho nganoma yimiphi imithi oyithathayo engabangela ukucasuka kwesisu. Uma uthatha ama-NSAID ngenxa yobuhlungu, wathathe kanye nokudla ngesilinganiso esiphansi kakhulu, futhi njalo thintana nodokotela wakho. Uma uthatha noma yimiphi imithi engadingeki, thintana nodokotela wakho mayelana nokuyekisa.
- Hlala umatasa: Ukuzivocavoca okungenani imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto, kungakuvikela ezifweni eziningi. Kungasiza futhi ekunciphiseni ukuqunjelwa futhi kunciphise ingozi yomdlavuza wamathumbu amakhulu.
- Yidla ukudla okucebile nge-fiber: Faka ukudla okucebile nge-fiber njengezithelo, imifino, ubhontshisi, okusanhlamvu okuphelele, nobhontshisi ekudleni kwakho. Lokhu kuvimbela ukuqunjelwa futhi kunciphisa nezimpawu ze-diverticulosis.
- Phuza amanzi amaningi: Phuza amanzi amaningi usuku lonke. Ungalindi uze uzizwe womile. Uma uthatha imithi yokukhipha isisu, khuluma nodokotela wakho ngezindlela zokugwema ukuphelelwa amanzi emzimbeni.
- Lawula isisindo sakho: Ukugcina isisindo esinempilo kungakusiza ekuvikeleni ezifweni eziningi, njengesifo senhliziyo, isifo sikashukela, kanye nomfutho wegazi ophakeme. Njengoba ukugula kwakho kwehla, kuzodingeka uthathe imithi embalwa. Lokhu kuzonciphisa nemiphumela emibi yomuthi.
- Thola ukuhlolwa kwezokwelapha njalo: Tshela udokotela wakho nganoma yiziphi izimpawu onazo. Buza ngokuhlolwa okufanele iminyaka.
Asikwazi ukuyeka ukuguga. Kodwa uma sinakekela ukudla kwethu nendlela yethu yokuphila, singazithiba ezinkingeni eziningi zempilo futhi sihlale siphilile futhi sijabule.
Umlayezo Wokuya Nawe Ekhaya
- Izinkinga zokugaya ukudla ezifana nokuqunjelwa, i-gastritis (GERD), kanye nezilonda zesisu zingaba yinto evamile njengoba ukhula.
- Imithi oyiphuzayo, ukuntuleka kokuzivivinya umzimba, kanye nemikhuba emibi yokudla yizona zimbangela eziyinhloko zalezi zimo.
- Khuluma nodokotela wakho njalo ngayo yonke imithi oyiphuzayo kanye nanoma yiziphi izimpawu ozizwayo.
- Eziningi zalezi zinkinga zingavinjelwa ngokudla ukudla okucebile nge-fiber, ukuphuza amanzi amaningi, ukuhlala umatasa, nokugcina isisindo esinempilo.
- Ngemva kweminyaka engu-50, kubaluleke kakhulu ukwenza ukuhlolwa kwezokwelapha okunconywayo (isib. i-colonoscopy) ukuze kutholakale izifo ezifana nomdlavuza wamathumbu amakhulu, ikakhulukazi.
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