Cabanga nje, uhlala phansi ukuze udle ngentshiseko enkulu. Uhlanganyela ipuleti lokudla okumnandi. Kodwa ngemva kokudla izindebe ezimbili noma ezintathu, uzizwa usuthi ngokuzumayo. Awusakwazi ukudla... Ngezinye izikhathi uzizwa unesicanucanu futhi uhlanza. Wake wabhekana nalokhu? Lokhu yilokho esikubiza ngokuthi 'Ukwaneliseka Kwasekuqaleni' kwezokwelapha. Ngezinye izikhathi lokhu kungenzeka ngenxa yobuhlungu besisu noma ngoba awukadli lutho. Kodwa uma lesi simo siqhubeka, akuwona umqondo omuhle ukusishaya indiva. Ngoba, kungaba futhi uphawu lwesifo esibucayi esiyisisekelo.
Kuyini ngempela 'Ukwaneliseka Kwasekuqaleni'?
Kalula nje, ukusutha kusenesikhathi umuzwa wokusutha ngokuphelele ngemva kokudla ukudla okuncane kakhulu. Lokhu kwenza kube nzima ngawe ukuqeda ukudla. Uzizwa usuthi ngemva kokulunywa okumbalwa nje. Lo muzwa ungahambisana nesicanucanu kanye nesifiso sokuhlanza. Lokhu kungaba yinto elula njengegciwane lesisu. Kodwa-ke, uma lesi simo siqhubeka, okusho ukuthi uzizwa ngale ndlela amasonto, kungaba uphawu lwesifo esibucayi. Ngakho-ke,
kubalulekile ukubona udokotela . Uma ungelashwa, ngokuhamba kwesikhathi, ungase ube
nokuntuleka kwezakhamzimba, ukungondleki kahle, kanye
nokwehla kwesisindo okungahlosiwe.
Yiziphi izimbangela eziyinhloko zokusutha kwasekuqaleni?
Ezimweni eziningi, imbangela eyinhloko yalokhu yisimo esibizwa ngokuthi
i-gastroparesis . Ngokuvamile, ukudla esikudlayo kuyaphuka esiswini bese imisipha yesisu iyafinyela ukuze ikuthumele emathunjini. Kodwa-ke, ku-gastroparesis, imisipha yesisu ayifinyeleli kahle. Ngenxa yalokho, ukudla kuyaqongelela esiswini, okwenza uzizwe usuthi ngokushesha. Ngaphezu kokusutha kusenesikhathi, ungase ubhekane nezinye izimpawu ezifana nalezi:
- Isisu esivuvukele
- Isicanucanu nokuhlanza
- Ubuhlungu besisu
- Isilungulela
- Ukulahlekelwa yisifiso sokudla
Ngaphezu kwalesi sizathu esiyinhloko, ukusutha kusenesikhathi kungenzeka ngenxa yezinye izizathu eziningi. Ake sizibheke.
| Imbangela | Incazelo elula |
|---|
| Isifo Sokuphindezela Kwesisu (i-GERD) | I-asidi evela esiswini igeleza ibuyele emphinjeni iye emphinjeni. Lokhu kungabangela isilungulela kanye nesicanucanu, okwenza kube nzima ukudla. |
| Izilonda Zesisu | Izilonda esiswini noma engxenyeni yokuqala yamathumbu amancane. Lokhu kungabangela ubuhlungu, isicanucanu, nokuhlanza, okwenza kube nzima ukudla. |
| I-Irritable Bowel Syndrome (IBS) | Isifo somgudu wokugaya ukudla. Ukungakhululeki njengokuqunjelwa kanye nesifo sohudo kungabangela ukwehla kwesifiso sokudla. |
| Ukuvinjelwa Kwamathumbu | Ukuvaleka kwamathumbu kuvimbela ukudla ukuthi kungangeni emathunjini. Lokhu kubangela ubuhlungu, ukuqunjelwa, nokuhlanza, okwenza kube nzima ukudla. |
| Umdlavuza | Ukusutha kusenesikhathi kungenzeka ngenxa yezizathu ezifana nokuvaleka kwendlela yokugaya ukudla ngenxa yesimila. Ukwelashwa komdlavuza nakho kungabangela isicanucanu nokuhlanza. |
| Izinkinga Zokudla | Lesi simo singase senzeke uma izimo ezifana ne-Anorexia Nervosa kanye ne-Bulimia Nervosa zonakalisa uhlelo lokugaya ukudla futhi zenze kube nzima ukumunca izakhamzimba. |
| Izinkinga Zezinzwa | Ukulimala kwemizwa elawula imisipha yesisu kungaphazamisa ukusebenza kwayo futhi kubangele ukusutha kwasekuqaleni. |
| Imithi Ethile | Amanye ama-painkiller, njenge-opioid, angenza ukuthi isisu singasebenzi kahle njengomphumela ongemuhle. |
Lesi simo selashwa kanjani?
Ukwelashwa kokusutha kusenesikhathi kuncike embangela. Uma ubona udokotela, cishe bazoncoma kuqala izinguquko ezithile ekudleni kwakho.
- Yidla ukudla okuncane njalo. Esikhundleni sokudla ukudla okukhulu okuthathu ngesikhathi esisodwa, yidla ukudla okuncane okungu-5-6 usuku lonke. Lokhu kunciphisa inani lokudla okufanele kugaywe yisisu sakho ngesikhathi esisodwa.
- Khetha ukudla okunomsoco futhi okulula ukukugaya. Gxila ekudleni okuqukethe amaprotheni angenamafutha amaningi, ama-carbohydrate ayinkimbinkimbi (izithelo, imifino, okusanhlamvu okuphelele), namafutha anempilo. Isibonelo, imifino nezithelo ezintsha zinothile ku-fiber. Ngakho zingahlala esiswini isikhathi eside. Lokhu kungandisa izimpawu. Ngakho-ke uma uzenza zibe njenge-smoothie bese uziphuza, kulula ukuzigaya.
- Phuza amanzi amaningi. Ukuphuza uketshezi olwanele usuku lonke kusiza ekugayweni kokudla futhi kuvimbele ukuphelelwa amanzi emzimbeni, okungenza ukusutha kusenesikhathi kube kubi kakhulu.
- Gwema ukudla okungalungile esiswini sakho. Gwema ukudla okunongwe, okunamafutha, okune-asidi, noma ukudla okubangela ukuvuvukala kwesifuba.
Kuye ngembangela, udokotela wakho angakunikeza imithi ethile. Isibonelo, imithi ye-GERD noma ama-antibiotic ezilonda zesisu. Ngaphezu kwalokho, imithi ebizwa ngokuthi
i-prokinetics inganikezwa. Imithi efana ne-metoclopramide noma i-domperidone ivuselela imisipha esiswini ukuba inciphe, okwenza kube lula ukuthi ukudla kudlule. Ezimweni ezimbi kakhulu, udokotela wakho angancoma izinqubo ezikhethekile.
- Ukuvuselelwa Kogesi Kwesisu: Kuvuselela isisu ngokushaya kwenhliziyo kagesi ukulawula isicanucanu nokuhlanza.
- Amapayipi Okuphakela: Ukunikeza ukudla okumanzi ngepayipi elidlula ekhaleni liye esiswini.
- Ukudla Okuphelele Kwabazali (TPN): Ukudla okunezakhamzimba kulethwa ngqo egazini nge-catheter efakwe emthanjeni osesifubeni.
- I-Jejunostomy: Ipayipi elisetshenziselwa ukuhambisa ukudla okunomsoco ngqo engxenyeni yamathumbu amancane ebizwa ngokuthi i-jejunum, lidlula isisu.
Yiziphi izingozi zokuyeka ukusutha kusenesikhathi kungelashwa?
Ukungazinaki lesi simo kungaholela ezinkingeni ezahlukahlukene, kusukela ekuntuleni ukudla okunempilo kuya ezinkingeni ezinkulu zempilo. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
| Ingozi | Incazelo |
|---|
| Ukwehlisa isisindo kanye nokungondleki kahle | Ukusutha okungapheli kwasekuqaleni kwenza kube nzima ukugcina isisindo esinempilo. Ezimweni ezimbi kakhulu, kungaholela ekungondleki kahle. |
| Ukuntuleka kokudla okunempilo | Uma ungadli ngokwanele, umzimba wakho ulahlekelwa amavithamini abalulekile, amaminerali, nezinye izakhamzimba. Lokhu kungaholela ekukhathaleni, ebuthakathakeni, ekunciphiseni amasosha omzimba, kanye nezinkinga ngezinwele zakho, isikhumba, kanye nezinzipho. |
| Ukulahlekelwa Imisipha | Uma ungatholi amaprotheni anele, umzimba wakho uqala ukuphula izicubu zemisipha ukuze uthole amandla. Lokhu kuholela ebuthakathakeni bemisipha, ukukhathala, kanye nokuncipha kwamandla. |
| Ukungalingani kwe-Electrolyte | Ukungadli ngokwanele kungaholela ekusweleni kwama-electrolyte emzimbeni, okuholela ezinkingeni ezifana nokukhathala, ukuqaqamba kwemisipha, kanye nokushaya kwenhliziyo okungajwayelekile. |
| Ukwanda kwesifo esiyisisekelo | Ukusutha kusenesikhathi kuyimpawu. Ukungakunaki kungenza isimo esiyisisekelo sibe sibi kakhulu futhi kuholele kwezinye izinkinga ezihlobene naleso simo. |
Kufanele ufune nini iseluleko sezokwelapha?
Uma uzizwa usuthi njalo ngemva kokudla ukudla okuncane, noma ngabe awunazo ezinye izimpawu,
kufanele nakanjani ubone udokotela wakho. Ukusutha kusenesikhathi kungaba uphawu lwesimo sempilo esiyisisekelo. Ngakho-ke kungcono ukuthola imbangela bese uqala ukwelashwa ngokushesha okukhulu.
Uzizwa usuthi ngemva kokudla izindebe ezimbalwa? Uzizwa unesicanucanu ngisho noma uzama ukuqeda ukudla kwakho? Lokhu kuwukusutha kwasekuseni. Ungakushayi indiva nje. Ngoba lokhu kungaholela ekungondleki kahle, ukukhathala, kanye nokwehla kwesisindo. Ngokuvamile, lokhu kuyisibonakaliso sesimo sezempilo esicashile. Ngakho-ke, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu ukuze uthole imbangela futhi uthole ukwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuzizwa usuthi ngemva kokudla ukudla okuncane (ukusutha kwasekuqaleni) akuvamile; kungaba uphawu lwesifo esithile esiyimfihlo.
- Isizathu esiyinhloko salokhu yi-gastroparesis, isimo lapho ukusebenza kwesisu kuphazamiseka khona.
- Lokhu kungabangelwa nayizimo ezimbi kakhulu njenge-GERD, izilonda zesisu kanye nomdlavuza.
- Uma kungelashwa, ukungondleki kahle, ukwehla kwesisindo, kanye nezinye izinkinga ezinkulu kungavela.
- Uma lesi sibonakaliso siqhubeka, bona udokotela wakho ngokushesha ukuze uthole ukuxilongwa okufanele kanye nokwelashwa.
ukusutha kwasekuqaleni ngesiSinhala, isisu esigcwele, ukungakwazi ukudla, i-gastroparesis, i-GERD, ukuvuvukala kwesisu, ukungondleki kahle
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