Ingabe nawe uzwa ubuhlungu esiswini uma udla? Awusitholi isizathu? Ake sixoxe nge-(Functional Dyspepsia)!

Uvame ukuzizwa usuthi, unomuzwa wokushisa esiswini sakho, noma uzizwa ucasukile nje ngemva kokudla? Ngezinye izikhathi awukwazi ngisho nokuthola isizathu salokhu, akunjalo? Ngisho nangemva kokuya kudokotela nokwenza izivivinyo eziningi, bangase bathi, "Awuguli." Abantu abaningi banokuhlangenwe nakho okufana nalokhu. Yilokho esikubiza ngokuthi "i-Functional Dyspepsia", ukuphazamiseka kokugaya ukudla okunzima ukuthola imbangela ecacile yalokhu.

Kuyini `(I-Functional Dyspepsia)`? Kalula nje...

Kalula nje, "I-Functional Dyspepsia" yisimo lapho unesifo sokungagayi kahle ukudla okungapheli, kodwa akukho sizathu esicacile esingatholakala. "I-Dyspepsia" elinye igama elisho ukungagayi kahle ukudla. Kuyiphethini yezimpawu ezenzeka ndawonye ngemva kokudla nangesikhathi sokugaya ukudla. "I-Functional" isho ukuthi izimpawu zakho zokungagayi kahle ukudla azikwazi ukuhlotshaniswa nanoma yiziphi izimbangela ezivamile zomzimba (njengesilonda noma i-gastritis).

Izimpawu zakho zingase zizwakale njengezesifo sesilonda se-peptic noma isifo se-gastroesophageal reflux (GERD) . Kodwa-ke, ukuhlolwa kubonisa ukuthi inani elincane kuphela labantu abanalezi zimo. Abanye banezinto ezibizwa ngokuthi i-Functional Dyspepsia.

Cabanga nje, injini yemoto yakho yenza umsindo, kodwa umakhenikha akakwazi ukuthola lutho olungalungile. Konke kubukeka kahle ngaphandle, kodwa kukhona okungahambi kahle.

Ingabe kunezinhlobo ezahlukene zalokhu?

I-Functional Dyspepsia iwuhlobo lwesifo kunokuba isifo esisodwa. Lokhu kusho ukuthi indlela esithinta ngayo umuntu ngamunye kanye nezimpawu azizwayo ingahluka. Odokotela bayihlukanise ngezinhlobo ezimbili eziyinhloko:

1. I-Epigastric pain syndrome: Lolu hlobo lobuhlungu luzwakala kakhulu engxenyeni engenhla yesisu futhi lufana nesilungulela . Aluhlobene njalo nokudla. Ngezinye izikhathi lungenzeka esiswini esingenalutho. Lokhu kufana kancane nezimpawu ze-GERD.

2. I-Postprandial distress syndrome: Lesi yisimo lapho kuvela khona ukungakhululeki esiswini ngemva kokudla. Isibonelo, ukuzizwa usuthi ngisho nangemva kokudla okuncane (ukusutha kwasekuqaleni), ukuzizwa usuthi, ukuqunjelwa, kanye nobuhlungu besisu ngemva kokudla. Lokhu kufana kancane nezimpawu zesifo sesilonda se-peptic.

Akuwona wonke umuntu ofaneleka kunoma yisiphi salezi zigaba ezimbili. Abanye abantu bangase babhekane nokuhlanganiswa kokubili, noma bangase babhekane nokuhlanganiswa kokubili.

Yiziphi izimpawu eziyinhloko zalokhu?

Uma une-"Functional Dyspepsia", ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu esiswini esingaphezulu (ubuhlungu be-epigastric):Ubuhlungu esiswini esingaphezulu, ngaphansi nje kwekheji lezimbambo. Le ndawo ibizwa ngokuthi "i-epigastrium". Yilapho isisu sakho, i-pancreas, i-duodenum (ingxenye yokuqala yamathumbu amancane), kanye nengxenye yesibindi sakho kutholakala khona.
• Isisu esivuvukele: Umuzwa wokungakhululeki nokugcwala esiswini ngemva kokudla. Lokhu kuvame ukuhlotshaniswa negesi, ukuvuvukala, nezinye izinto ezifana negesi. Kungase futhi kuzwakale sengathi isisu sakho siyadonsa.
• Ukugcwala kanye nokulahlekelwa yisifiso sokudla: Ukuzizwa usuthi ngesikhathi udla, ngemva kokudla, noma ngisho nangemva kokungadli kakhulu (ukusutha kwasekuqaleni) . Ngezinye izikhathi, ukulahlekelwa yisifiso sokudla kungenzeka ngisho nangaphambi kokudla.
• Umuzwa Wokushisa: Umuzwa wokushisa esifubeni, owaziwa nangokuthi "isicanucanu", uvame kakhulu kulezi zimpawu zokungagayi kahle ukudla. Lokhu kuvame ukubangelwa yi-asidi yesisu ekhuphuka ku -esophagus yakho (i-acid reflux). Ungase uzizwe nomuzwa wokushisa ngaphakathi esiswini sakho.

Ngaphezu kwalokhu, ezinye izici ezifana nalezi zingabonakala futhi:

• Ukubhoboza ngokweqile
• Isicanucanu noma ukuqunjelwa
• Uma une-IBS (irritable bowel syndrome), izimpawu zakho (isib. ukunyakaza kwamathumbu njalo noma ukuqunjelwa) nazo zingase zikhule.
• Ukuzizwa ucindezelekile noma ungakhululekile ngokomzwelo.

Kungani lokhu `(Ukungasebenzi kahle kwemizwa)` kwenzeka? Ziyini izimbangela?

Odokotela babiza isifo "esisebenzayo" ngokuthi isifo esingenambangela eqondile nesobala yezimpawu. Esinye isizathu salokhu kungaba ukuxhumana okuseduze phakathi kwamathumbu akho nobuchopho bakho (i-gut-brain axis) . Lezi zinhlobo zezifo zokusebenza zibonakala zihlobene nohlelo lwakho lwezinzwa kanye nendlela obona futhi uzizwa ngayo ubuhlungu noma ukungakhululeki.

Nakuba kungekho imbangela eyodwa "ye-Functional Dyspepsia" ekhona, kunezici eziningana ezingaba nomthelela kuyo:

• Ukuzwela kwe-visceral: Cabanga ukuthi uhlelo lwakho lwezinzwa luzwela kakhulu. Kungenzeka ukuthi usabele ngokomzimba ekucindezelekeni. Ungase uqinise imisipha yakho ngokungazi, noma uhlelo lwakho lokugaya ukudla lungase lwehle ngenxa yokucindezeleka. Ungase futhi uzwele kakhulu ezintweni ezivamile ezenzeka ngaphakathi kwezitho zakho zomzimba. Lokhu kungenza ukugaya ukudla kuzizwe kungakhululekile ngisho noma kuhamba kahle.
• Ukuphazamiseka kokunyakaza kwesistimu yokugaya ukudla:Lokhu kusho ukuthi kunezinkinga ngendlela ukudla okunyakaza ngayo nokunyakaza ngayo ohlelweni lwakho lokugaya ukudla (i-GI tract). Lokhu kungaba futhi umphumela wokuxhumana okungekuhle phakathi kobuchopho bakho nohlelo lokugaya ukudla. Imizwa nemisipha ohlelweni lwakho lokugaya ukudla kungenzeka kungasebenzi kahle. Lokhu kungabangela ukuthi ukudla kubhajwe endaweni eyodwa, noma izitho zomzimba zingase zingakhululeki ngokuphelele futhi zingavumeli ukudla kudlule.
• I-Gut dysbiosis: Ukungalingani kwamagciwane esiswini sakho (okubizwa ngokuthi i-microbiome yakho) kungaholela ezimpawini ze-functional dyspepsia. Isibonelo, i-bacteria i-H. pylori ingalimaza ulwelwesi lwesisu sakho, ibangele ukuvuvukala futhi yenze kube lula ukuzwela i-asidi yesisu. Futhi, uma ama-bacteria ekhula kakhulu emathunjini amancane, kungabangela ukuqunjelwa kanye nobunzima bokugaya amafutha.
• I-Eosinophilic duodenitis: Abanye abantu abane-dyspepsia yokusebenza kahle kutholakale ukuthi bane -cell eningi yegazi elimhlophe ebizwa ngokuthi ama-eosinophils engxenyeni yokuqala yamathumbu amancane (i-duodenum). Lokhu kungabangela ukuvuvukala kwesikhathi eside (i-duodenitis). Lawa ma-eosinophils akhona ukuze akuvikele ohlelweni lwakho lokuzivikela komzimba, izifo, kanye nokungezwani komzimba. Lokhu kungase kubangelwe ukutheleleka kwangaphambilini noma ukungezwani komzimba kokudla.

Yiziphi izinto ezibangela lesi simo?

Kunezinye izici eziningana ezandisa ingozi yokuthola i-``Functional Dyspepsia``:

• Izici zengqondo: Izimo zengqondo ezifana nokukhathazeka, ukucindezeleka (ukuphazamiseka kwemizwelo), noma izehlakalo ezibuhlungu noma ukuxhashazwa okuye kwenzeka esikhathini esidlule.
• Umlando womndeni: Umlando womndeni wezinkinga zesimiso sezinzwa noma ezinye izinkinga ze-GI ezifana ne-IBS.
• Ukuzwela kokudla: Ukuzwela ukudla okuthile (isb., ukudla okuseqenjini le-`(FODMAPs)`) noma ukungazweli ukudla okuthile (isb., `(ukungazweli i-lactose)` - ubunzima bokugaya ubisi nemikhiqizo yobisi).
• I-Atopy: Lokhu kusho ukuba nezimo eziningi zokungezwani komzimba, njenge-asthma, i-eczema, kanye nomkhuhlane we-hay.

Odokotela bakuthola kanjani lokhu ngqo?

Odokotela baxilonga `(I-Functional Dyspepsia)` ngemva kokuqinisekisa izimpawu zakho nokukhipha ezinye izimbangela (isib. `(GERD)`, `(Isifo Sezilonda Zesisu)`). Ngezinye izikhathi kungenzeka ukuthi usuvele unesinye salezi zimo futhi welashwe ngaso. Kodwa-ke, uma lezo zindlela zokwelapha zinganciphisi izimpawu zakho zokungagayi kahle ukudla, khona-ke kufanele usacabangele `(I-Functional Dyspepsia)`.

Izimpawu ze-"Functional Dyspepsia" azihlali zikhona futhi zingase zifike zidlule. Odokotela bayixilonga ngokucabangela izici ezilandelayo:

• Ingabe izimpawu ziqhubeke okungenani izinyanga ezintathu ?
• Ingabe sekuphele okungenani izinyanga eziyisithupha kusukela izimpawu zaqala?
• Ingabe lezi zimpawu aziqedwa ngokugwinya, ukuphuma umoya (uhudo), noma ukunyakaza kokuphuma komoya?
• Ingabe lezi zimpawu azihlobene nobuhlungu obubangelwa amatshe enyongo (i-biliary colic) noma obunye ubuhlungu benyongo?

Uma odokotela sebeqinisekisile ukuthi unesifo sokungagayi kahle ukudla (i-dyspepsia), bazobheka imbangela engokomzimba (isib. isilonda, ukutheleleka). Bangenza izivivinyo ezinjengalezi:

• Ukuhlolwa kwegazi: Hlola izifo ezivamile kanye nezimo.
• Ukuhlolwa kokuphefumula: Isibonelo, ukuhlolwa kokuphefumula kwe-urea kungahlola ukuba khona kwebhaktheriya i-H. pylori. Ukuhlolwa kokuphefumula kwe-hydrogen kungahlola ukukhula kwebhaktheriya okungavamile emathunjini.
• Izifundo zokukhipha ukudla esiswini: Hlola ukuthi ukudla kuhamba ngokushesha/kancane kangakanani kusuka esiswini sakho kuya emathunjini amancane.
• I-endoscopy Ephezulu: Kufakwa ithubhu elincane ngomlomo ukuze libheke ngaphakathi esiswini, emhubheni , kanye nengxenye yokuqala yamathumbu amancane. Lokhu kwenzelwa ukuhlola noma yini engavamile, njengesilonda. Uma kudingeka, kungathathwa ingxenye encane yezicubu (i-biopsy) ukuze ihlolwe.

Iyini indlela yokwelapha lokhu?

Uma ukuhlolwa kwembula imbangela eyisisekelo (isb., ukukhula ngokweqile kwamagciwane, ukuphazamiseka kokunyakaza), udokotela wakho uzokwelapha lokho kuqala. Kodwa-ke, izikhathi eziningi, ngisho nangemva kokwelapha lezi zimbangela eziyisisekelo, izimpawu zakho ze-"Functional Dyspepsia" azipheli ngokuphelele. Ngakho-ke, udokotela wakho uzosikisela ezinye izindlela zokwelapha ukusiza ukulawula izimpawu zakho. Lokhu kuvame ukuba yinhlanganisela yezindlela zokwelapha eziningana .

Eminye imithi esetshenziswa "kwe-Functional Dyspepsia":

• Uma kukhona ukutheleleka kwebhaktheriya , kunikezwa ama-antibiotic .
• Ama-prokinetics yimithi evuselela ukunyakaza kwesistimu yokugaya ukudla.
• Imithi enciphisa i-asidi yesisu: ama-proton pump inhibitors (ama-PPI) (isib. i-omeprazole) noma ama-H2 blockers (isib. i-Ranitidine).
• Ama-antidepressant e-Tricyclic atholakala ngemithamo ephansi ukuze kuthuliswe isimiso sezinzwa futhi kuncishiswe ubuhlungu (yize lokhu kuyimithi enikezwa ukucindezeleka, asetshenziswa futhi ngemithamo ephansi ezimweni ezinjengalezi).

Ngaphezu kwalokho, kunezindlela zokwelapha ezihambisanayo nezihlukile :

• Amafomula asekelwe ezitshalweni: Isibonelo, ama-capsule aqukethe i-peppermint namafutha e-caraway, noma izingxube zamakhambi njenge-Iberogast® (kuzodingeka ubuze udokotela wakho ukuthi ayatholakala yini eSri Lanka).
• Izindlela zokwelapha zokuphumula kwengqondo nomzimba:Ukuzindla, i-yoga, i-biofeedback (indlela yokuqaphela imisebenzi yomzimba nokufunda ukuyilawula), i-psychotherapy.
• Izinguquko ekudleni: Thola ukuthi yikuphi ukudla okungakulungele futhi okwenza izimpawu zakho zibe zimbi kakhulu ngokwenza "ukudla kokuqeda" (ukuma nokubheka iqembu lokudla elilodwa ngesikhathi) bese ulungisa ukudla kwakho kwansuku zonke ngokufanele.
• Ukwelashwa nge-acupuncture: Ezinye izifundo zikhombisile ukuthi le ndlela inikeza impumuzo ethile.

Kwenzekani uma une-`(Functional Dyspepsia)`? Yini ongayilindela?

Kubantu abaningi, i-Functional Dyspepsia yisimo esingamahlalakhona esiphindaphindekayo impilo yonke. Kungathatha isikhathi, kanye nokuzama kancane, ukuthola izindlela zokwelapha nemikhuba ekusebenzelayo futhi inciphise izimpawu zakho. Ungase uthole impumuzo, kodwa ingase ingapheli ngokuphelele. Kodwa, okubaluleke kakhulu, akuyona into embi kakhulu. Ngakho ungakhathazeki.

Kufanele ngimbone nini udokotela?

Kufanele nakanjani ufune iseluleko sezokwelapha uma une:

• Uma ungakahlolwa izifo zesistimu yokugaya ukudla.
• Uma izimpawu zakho zishintsha noma ziba zimbi kakhulu.
• Uma uhlanza njalo.
• Uma isisindo sakho sehla ngaphandle kwesizathu.

Njengoba kungekho imbangela ecacile noma ikhambi eliqinisekile, ukuxilongwa kwe-"Functional Dyspepsia" kungaba yinto edidayo kulabo abafuna izimpendulo. "Functional GI disorders" iyinkimbinkimbi kakhulu. Ihilela ubuchopho bakho, uhlelo lwakho lwezinzwa, ukudla kwakho, indlela yakho yokuphila, futhi ngezinye izikhathi ngisho nezimbangela eziyisisekelo emzimbeni wakho. Yingakho kungaba nzima kakhulu ukuzilawula.

Ukuhlolwa kwezokwelapha kungasiza ekuboneni nasekususeni izici ezithile ezibangela lokhu. Kodwa ekugcineni, nguwe wedwa ongaqonda ngempela ukuthi yini eyenza izimpawu zakho zibe ngcono nokuthi yini ezenza zibe zimbi kakhulu. Njengoba uzama izindlela zokwelapha ezahlukene futhi uthola izimbangela zakho, uzothola indlela yakho ehlukile yokuphila ne-Functional Dyspepsia.

Umyalezo oya nawo ekhaya

• "(I-Functional Dyspepsia)" kuyisimo esibuhlungu ngempela osizwayo. Akukhona "engqondweni yakho kuphela."
• Lokhu kulawulwa ngokulawula izimpawu, okungasizwa ukushintsha indlela yokuphila, ukudla, kanye nemithi.
• Kubaluleke kakhulu ukusebenza nodokotela. Khuluma ngokukhululekile ngezimpawu zakho, lokho okuzwayo, nalokho okuzamile.
• Ungalilahli ithemba. Abantu abaningi bathola izindlela zokubhekana nalesi simo. Awuwedwa!

I - dyspepsia yokusebenza kahle, ukungagayi kahle ukudla, ubuhlungu besisu, ukuqunjelwa, ukuvuvukala kwesifuba, uhlelo lokugaya ukudla, ukucindezeleka