Ingabe ukudla kuyabuya emphinjeni wakho ngemva kokudla? Ake sixoxe ngale Rumination Syndrome!

Ngemva kokudla, ingabe uzizwa sengathi ukudla kubuyela emphinjeni wakho ngaphambi kokuba kugaywe ngokuphelele? Ngaphandle kwesicanucanu sokuhlanza, ingabe kuvele kuvele kancane, bese ngezinye izikhathi ukuhlafuna futhi ukugwinye? Noma kuphuma ungaqapheli? Lena inkinga ecasulayo kakhulu kwabanye abantu. Namuhla sizokhuluma ngalesi simo esibizwa ngokuthi i-Rumination Syndrome. Ungesabi, into ebaluleke kakhulu ukuqaphela lokhu.

Iyini i-Rumination Syndrome?

Kalula nje, i-Rumination Syndrome yilapho ukudla esikudlayo kubuya esiswini kungene emlonyeni ngaphambi kokuba kugaywe kahle. Kwezokwelapha, lokhu kubizwa nangokuthi i-regurgitation. Abanye abantu bayahlafuna futhi bagwinye ukudla okubuyela emphinjeni, kanti abanye bayakukhafula. Esikhathini esiningi, lokhu kwenzeka ngokushesha ngemva kokudla, noma kungakapheli nemizuzu embalwa.

Into ebaluleke kakhulu ukuthi uma lokhu kwenzeka, awuzizwa ubuhlungu noma isicanucanu njengokuhlanza okuhambisana nobuhlungu besisu. Kuzwakala sengathi ukudla kuyaphuma ngaphandle komzamo omkhulu. Cabanga ngakho njengoba kwenza ingane encane lapho ithola ubisi emphinjeni wayo.

Enye into ukuthi ukudla okufika emphinjeni kanje kuvame ukungabi nokunambitheka okumuncu noma okubabayo. Isizathu salokhu ukuthi ukudla akukaqali ukugaywa kahle nge-asidi yesisu. Okusho ukuthi, ukudla akukakangeni ngokugcwele enkambisweni yokugaya ukudla.

Lokhu kugabha ukudla emphinjeni, ngezinye izikhathi okubizwa ngokuthi "ugabha," kungaba isenzo esisheshayo esenzeka ngokuzenzakalelayo futhi esingenakulawulwa. Kodwa-ke, kwabanye abantu, ngokuhamba kwesikhathi, lokhu kungaba isenzo esihlosiwe noma umkhuba. Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lokhu akubangelwa ubuhlungu besisu, isifo esifana ne-gastritis, noma esinye isifo sesisu esibi.

Ubani onamathuba amaningi okuthola lesi simo?

Odokotela bebelokhu bazi ukuthi lesi simo, esibizwa ngokuthi i-Rumination Syndrome, senzeka ezinganeni ezincane nakulabo abanokukhubazeka kokukhula. Kodwa empeleni, singathinta noma ubani wanoma yimuphi ubudala . Lokho kusho ukuthi izingane ezincane, abantu abadala abasebasha, kanye nabantu abadala bonke bangabhekana nalesi simo.

Ucwaningo luthole ukuthi izingane kanye nabantu abadala abacindezelekile noma abakhathazekile kakhulu basengozini enkulu yokuthola i-rumination syndrome. Ngakho-ke, kungenzeka kakhulu ukuthi ubhekane nalokhu uma ungaphansi kokucindezeleka okukhulu, ukudabuka, noma ukukhathazeka .

Ziyini izimpawu zalokhu?

Kulungile, pho singayibona kanjani le Rumination Syndrome? Ziyini izimpawu zalokhu? Ake sibone.

• Uphawu oluyinhloko ukuphinde udle ukudla njalo, kulandelwe ukuhlafuna noma ukugwinya, noma ukukukhafula. Lokhu kuvame ukwenzeka ngemva kokudla ngakunye.
• Ukungakhululeki esiswini.Ukuzizwa ugcwele, ukuvuvukala, futhi ngezinye izikhathi ukugayeka kokudla kanye nobuhlungu besisu kungase kube khona.
• Izinkinga zamazinyo. Umoya omubi kanye nokubola kwamazinyo kungenzeka ngoba ukudla kuhlala kubhajwe emphinjeni. Lokhu kungenxa yokuthi ukudla okuvela esiswini kungase kube ne-asidi ethile.
• Ukwehlisa isisindo. Ngenxa yokuthi ukudla okudlayo akumuncwa kahle ngumzimba wakho, ungase wehlise isisindo ngokuhamba kwesikhathi. Lokhu kungathinta kakhulu ukukhula kwezingane.
• Izindebe ezomile neziqhekekile.

Uma ingane yakho inalesi simo, ingase yenze izinto ezifana nokugoba nokugoba umhlane wayo. (Kodwa-ke, lesi sibonakaliso singaba uphawu lwe-gastroesophageal reflux, okuyilapho i-asidi yesisu ikhuphukela emphinjeni, ngakho-ke kuwumqondo omuhle ukubona udokotela.) Izingane nazo zingase zenze umsindo wokubhonga.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Imbangela eqondile ye-Rumination Syndrome ayikaqondakali ngokugcwele. Kodwa-ke, odokotela bakholelwa ukuthi kungenzeka uma abanye abantu benezinkinga zempilo yengqondo noma behlangabezana nezimo ezicindezelayo ekuphileni kwabo. Lokhu kusho ukuthi kungase kuhlobane nempilo yengqondo .

Uma kuchazwa ngendlela ehlelekile, njengoba kwenzeka ngaphakathi emizimbeni yethu, kungaba into efana nale:

1. Uma sidla, isisu siyakhula, okusho ukuthi siyakhula.

2. Ngemuva kwalokho, umfutho wesisu uyakhuphuka.

3. Ngesikhathi esifanayo, i-sphincter engezansi yomphimbo, esebenza njenge-valve lapho i-esophagus yethu (ithubhu elithwala ukudla emlonyeni liya esiswini) ixhumana khona nesisu, iphumula.

Uma lezi zenzakalo zenzeka ngokulandelana, ukudla okungagayiwe esiswini kuqala "ukugabha" emuva emhubheni, emlonyeni.

Odokotela bakubona kanjani lokhu?

Kulungile, manje ake sibone ukuthi udokotela uhlonza kanjani lokhu, okungukuthi, ukuthi banquma kanjani ukuthi "Lokhu kuyi-Rumination Syndrome."

Ezimweni eziningi, lokhu kungatholakala ngomlando wezokwelapha kanye nokuhlolwa ngokomzimba ngudokotela wakho. Ikakhulukazi, uma ubulokhu uphuza ukudla okungenani izinyanga ezintathu, kodwa ungakahlanzi, kunobufakazi obanele bokuthi ungase ube ne-Rumination Syndrome.

Ngokusho kwe-Diagnostic and Statistical Manual of Mental Disorders eyamukelwe ngokwezokwelapha, uhlelo lwesihlanu (DSM-5), ukuze umuntu atholakale enalesi simo, kumele kuhlangatshezwane nalezi zindlela ezilandelayo:

• Ukudla kuyaqhubeka nokukhuphuka emphinjeni okungenani inyanga yonke. Ukudla okuphumayo kuyahlafunwa, kugwinywe, noma kukhishwe.
• Lokhu kubuyela kokudla akufanele kubangelwe yisimo sesisu noma esinye isimo sezokwelapha (isibonelo, izimo ezibizwa ngokuthi i-gastroesophageal reflux noma i-pyloric stenosis).
• Lesi sifo sokudla asinakwenzeka sodwa kanye nesinye isifo sokudla, njenge-anorexia nervosa, i-bulimia nervosa, isifo sokudla ngokweqile, noma isifo sokugwema/ sokuvimbela ukudla.
• Uma inkinga yokudla ihambisana nesinye isifo sengqondo (njengokukhubazeka kwengqondo), izimpawu kumele zibe zimbi ngokwanele ukuze kudingeke usizo lwezokwelapha.

Ngaphezu kwalokho, odokotela bangenza nokuhlolwa okuthile ukuze bathole ukuthi ngabe kukhona yini esinye isimo sezokwelapha esibangela lezi zimpawu. Isibonelo:

• Ukuhlolwa kokukhipha ukudla esiswini: Lokhu kulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ukudla kusuke esiswini kuye emathunjini amancane.
• I-endoscopy Ephezulu: Kule nqubo, udokotela ufaka ithubhu elincane elinekhamera encane ebizwa ngokuthi i-endoscope phansi emphinjeni wakho ukuze ahlole umphimbo wakho nesisu. Lokhu kungasiza ekuhloleni noma yiziphi izilonda noma ezinye izinkinga ngaphakathi.
• Ama-X-ray: Kuthathwa izithombe zangaphakathi komphimbo nesisu.

Iyini indlela yokwelapha?

Kulungile, pho yiziphi izindlela zokwelapha i-Rumination Syndrome? Ingabe lokhu kuyinto engelapheki? Cha.

Ukwelashwa okuyinhloko nokuphumelela kakhulu kwalokhu "ukwelashwa kokuziphatha." Kalula nje, kumayelana nokushintsha ukuziphatha kwakho ukuze uvimbele ukudla ukuthi kungene emphinjeni wakho. Ukwelashwa kokuziphatha odokotela abavame ukukunikeza lokhu "ukuphefumula okune-diaphragmatic." Abanye abantu bakubiza nangokuthi "ukuphefumula esiswini."

Kuyini ukuphefumula kwe-diaphragmatic?

I-diaphragm iyisicubu esikhulu, esinomumo we-dome esitholakala phakathi kwesifuba nesisu sethu. Yisicubu esiyinhloko esisebenza lapho siphefumula. Ukuphefumula nge-diaphragm kuhlose ukukhulula i-diaphragm yakho, ukuyisebenzisa kahle lapho uphefumula, nokusiza ukuyiqinisa. Lokhu kusiza ukulawula ukudla okwehla emphinjeni wakho.

Nansi indlela yokukwenza:

1. Lala ubheke phezulu endaweni eyisicaba (njengaphansi) noma embhedeni. Goba amadolo akho bese ubeka umcamelo ngaphansi kwekhanda lakho. Uma ufuna, ungabeka nomcamelo ngaphansi kwamadolo akho ukuze usekele imilenze yakho.

2. Beka isandla esisodwa esifubeni sakho kanti esinye isandla singaphansi kancane kwezimbambo zakho, okungukuthi, esiswini sakho. Lokhu kuzokusiza uzizwe ukunyakaza kwe-diaphragm yakho kanye nesisu sakho sikhuphuka futhi sehla njengoba uphefumula.

3. Manje, phefumula ngekhala lakho. Njengoba wenza kanjalo, isandla esiswini sakho kufanele siphakame. Okusho ukuthi, isisu sakho kufanele sikhule. Zama ukugcina isandla esifubeni sakho endaweni eyodwa ngangokunokwenzeka, ngaphandle kokusishukumisa. Sifundisa lokhu ezinganeni ezincane, "Phefumula njengomculi we-opera."

4. Okulandelayo, faka izindebe zakho kancane (njengokushaya ikhwela) bese ukhipha umoya ngomlomo wakho. Njengoba wenza lokhu, qinisa imisipha yesisu sakho bese uyivumela ingene. Lokhu kusho ukuthi isandla esiswini sakho kufanele sehle. Kuleli qophelo, gcina isandla esifubeni sakho sithule ngangokunokwenzeka.

Kufanele ngenze kangaki lo msebenzi wokuphefumula?

Yenza lo msebenzi kathathu kuya kane ngosuku, cishe imizuzu emi-5 kuya kweyi-10 ngesikhathi. Kungaba nzima kancane ekuqaleni, kodwa kuzoba lula ngokuzijwayeza. Uma ufuna ukwenza lo msebenzi ube nzima kakhudlwana, ungakwenza ubambe into efana nencwadi esiswini sakho.

Into ebaluleke kakhulu ukuzijwayeza lokhu 'kuphefumula ngesisu' ngemva kokudla ngakunye, noma ngisho nalapho udla ukudla, uma kudingeka. Lokhu kuzosiza kakhulu ukuvimba ukudla ukuthi kungene emphinjeni wakho.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma ingelashwa kahle, i-Rumination Syndrome ingalimaza umphimbo wethu (ipayipi elithwala ukudla kusuka emlonyeni kuya esiswini). Ngoba uma okuqukethwe esiswini kukhuphuka njalo, akukuhle kumphimbo.

Ngaphandle kwalokho, ezinye izinkinga zingavela. Lezi yizi:

• Amahloni, ukungakhululeki kokuba semphakathini. Lokhu kungathinta nengqondo.
• Ukuntuleka kokudla okunempilo. Ngoba umzimba awumunci ukudla ngendlela efanele.
• Ukwehluleka ukukhula kahle. Lokhu kungaba nomthelela omkhulu ekukhuleni kwezingane, ikakhulukazi.
• Ukungalingani kwama-electrolyte emzimbeni. Okusho ukuthi, ukungalingani kwezinhlobo zosawoti ezidingwa ngumzimba.
• Ukuphelelwa amanzi emzimbeni. Ukuntuleka kwamanzi emzimbeni.
• Ukufutha ukudla kungene emphinjeni noma emaphashini. Lokhu kuyingozi kancane ngoba kungabangela ukutheleleka emaphashini.
• Ukuphelelwa umoya.
• Ukutheleleka kwamaphaphu njenge-pneumonia.
• Ezimweni ezingavamile kakhulu nezinzima, ngisho nokufa kungenzeka. (Lokhu akuvamile kakhulu, kodwa kuhle ukuqaphela).

Ingabe zikhona izindlela zokuvimbela lokhu ukuthi kungenzeki?

Nakuba kunzima ukusho ukuthi kungavinjelwa ngokuphelele yini, ingozi ingancishiswa. Ikakhulukazi, ngokufunda izindlela ezinhle zokubhekana nezimo ezicindezelayo,Lokhu kusho ukuthi ngokusebenzisa "amasu okuhle okubhekana nesimo" kungenzeka ukunciphisa ingozi yokuthola "i-Rumination Syndrome" ngezinga elithile. Ukugcina impilo enhle yengqondo kubaluleke kakhulu.

Singaphila yini nalesi simo? Liyini ikusasa?

Yebo, abantu abaningi baphila impilo enempilo ngokuphelele, evamile ne-Rumination Syndrome. Uma yelashwa futhi iphathwa kahle, ngokuvamile ayinawo umthelela omkhulu emisebenzini yakho yansuku zonke. Ngakho-ke, ungadikibali uma uthola ukuthi unayo.

Kufanele ngimbone nini udokotela?

Uma wena noma ingane yakho ninezimpawu ze-Rumination Syndrome, okuyilokho esikhulume ngakho ngaphambilini, ikakhulukazi uma ukudla kuhlale kuvela emphinjeni wakho, qiniseka ukuthi ubona udokotela womndeni wakho noma udokotela wezingane. Yilokho okungcono kakhulu ongakwenza. Bangakuhlola kahle futhi bakunikeze iseluleko ngalokho okubangela lokhu nokuthi yini okufanele uyenze.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma unalesi simo, ungabuza imibuzo efana nale uma ubona udokotela. Lokhu kuzokusiza ukuthi uqonde kahle lokhu:

• "Dokotela, ingabe lesi sifo se-Rumination Syndrome sibi kangakanani?"
• "Iyini imbangela yangempela yalokhu?"
• "Yikuphi ukwelashwa okufanele mina? Kufanele ngenzeni?"
• "Ingabe ukhona umuthi walokhu? Noma ingabe ukuzivocavoca kokuphefumula nje?"
• "Ingabe lokhu kuzothinta impilo yami yansuku zonke?"

Okokugcina, ezinye izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu nge-Rumination Syndrome. Okokugcina, nazi izinto ezibalulekile okudingeka uzikhumbule:

I-Rumination Syndrome yisimo lapho ukudla kubuyela emphinjeni ngokushesha ngemva kokudla, ngaphambi kokuba kugaywe. Lokhu akusikho ukuhlanza. Kungenzeka kubantu banoma yibuphi ubudala, futhi ngezinye izikhathi kungahlotshaniswa nokucindezeleka.

>

Uma unalezi zimpawu , ungabi namahloni noma wesabe. Bonana nodokotela ngokushesha okukhulu bese uthola iseluleko. Ukwelashwa kokuziphatha okufana nokuzivocavoca kokuphefumula kwe-diaphragmatic kungasiza ekulawuleni lokhu ngezinga elikhulu.

>

Ukufuna iseluleko sezokwelapha esifanele kanye nokwelashwa kuyindlela engcono kakhulu yokuphatha lesi simo. Awuwedwa, futhi kukhona usizo olutholakalayo.

I- Rumination Syndrome, ukudla okuphuma emphinjeni, ukuhlanza, uhlelo lokugaya ukudla, ukucindezeleka, ukuphefumula kwe-diaphragmatic, ukwelashwa kokuziphatha