Yintoni Ebangela Ukuqaqanjelwa Kwam Esuswini, kwaye Ndiphatha Njani Na?

Umxholo

• Kutheni uziva udumbile?
• Irhasi kunye nomoya
• Izizathu zonyango
• Izizathu ezinzulu
• Unyango lokuthintela okanye ukunciphisa ukudumba
• Utshintsho kwindlela yokuphila
• Imiyalezo
• Amayeza
• Nini ukubona ugqirha

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ukuqunjelwa kwesisu kwenzeka xa ithumbu lesisu (GI) ligcwele umoya okanye igesi. Uninzi lwabantu luchaza ukudumba njengokuziva ugcwele, uqinile, okanye udumbile esiswini. Isisu sakho sinokudumba (sikhutshiwe), kunzima, kwaye kubuhlungu. Ukuqhakaza kuhlala kuhamba kunye:

• intlungu
• irhasi egqithisileyo (ukuqunjelwa)
• ukubhodla rhoqo okanye ukubhinqa
• ukugungqa esiswini okanye ukugcuma

Ukuqunjelwa sisisu kungaphazamisa amandla akho okusebenza kunye nokuthatha inxaxheba kwezoluntu okanye ezolonwabo. Ukuqunjelwa kuyinto eqhelekileyo kubantu abadala nakubantwana.

Kutheni uziva udumbile?

Irhasi kunye nomoya

Irhasi sesona sizathu siqhelekileyo sokuqunjelwa, ngakumbi emva kokutya. Irhasi iyakha kwindlela yokugaya ukutya xa ukutya okungagaywanga kuyaphuka okanye xa uginya umoya. Wonke umntu uginya umoya xa esitya okanye esela. Kodwa abanye abantu banokuginya ngaphezulu kwabanye, ngakumbi ukuba ngaba:

• ukutya okanye ukusela ngokukhawuleza
• igum yokuhlafuna
• ukutshaya
• unxibe amazinyo emboleko

Ukuqhuma kunye nokuqumba ziindlela ezimbini eziginyayo zishiya umzimba emzimbeni. Ukulibazisa ukukhupha isisu (ukuthuthwa kwegesi kancinci) ukongeza ekuqokeleleni igesi kunokubangela ukudumba kunye nokuhamba kwesisu.

Izizathu zonyango

Abanye oonobangela bokuqunjelwa kunokuba ngenxa yeemeko zonyango. Oku kubandakanya:

• Isifo sengqondo sesifo (IBS)
• isifo sesisu sokuvuvukala, njengesifo sezilonda zesilonda okanye isifo sikaCrohn
• ezinye iingxaki zesisu esisebenzayo (FGIDs)
• isilungulela
• ukunganyamezelani ukutya
• ukutyeba kwakho
• i-hormonal flux (ngakumbi eyabasetyhini)
• giardiasis (usulelo lwe-parasite yamathumbu)
• iingxaki zokutya ezinje ngeanorexia amanosa okanye i-bulimia nervosa
• iimeko zempilo yengqondo ezinje ngoxinzelelo, uxinzelelo, uxinzelelo, kunye nokunye
• amanye amayeza

Ezi meko zibangela izinto ezinegalelo kwirhasi nasekuqunjeni, ezinje:

• ukugqithisa okanye ukusilela kweebhaktheriya ngaphakathi kwendlela ye-GI
• Ukuqokelelwa kwegesi
• utshintshe ukuhambisa kwesisu
• ukungahambi kakuhle kwegesi
• Ukungaqheleki kwesisu
• i-visceral hypersensitivity (imvakalelo yokuqunjelwa kutshintsho oluncinci okanye oluqhelekileyo lomzimba)
• ukutya kunye ne-carbohydrate malabsorption
• ukuqhina

Izizathu ezinzulu

Ukuqunjelwa sisisu nako kungangumqondiso weemeko ezinzima, kubandakanya:

• Ukuqokelelwa kwe-pathologic fluid kwisisu esiswini (ascites) ngenxa yomhlaza (umzekelo, umhlaza we-ovari), isifo sesibindi, ukusilela kwezintso, okanye ukusilela kwentliziyo
• isifo se-celiac, okanye ukunganyamezelani kwe-gluten
• ukungoneli kwepancreatic, okungalungelelananga nokwetyisa kuba iipancreas azikwazi ukuvelisa ii-enzymes ezaneleyo zokwetyisa
• Ukugqobeka kwephecana le-GI ngokuphunyuka kwegesi, ibhaktiriya eqhelekileyo ye-GI, kunye nezinye iziqulatho kwisisu esiswini

Unyango lokuthintela okanye ukunciphisa ukudumba

Utshintsho kwindlela yokuphila

Kwiimeko ezininzi, iimpawu zokuqunjelwa sisisu zinokuncitshiswa okanye zithintelwe ngokwamkela iinguqu ezimbalwa ezilula zendlela yokuphila njengokuhla komzimba, ukuba utyebe kakhulu.

Ukunciphisa ukugwinya umoya omninzi, unga:

• Kuphephe ukuhlafuna itshungama. Ukuhlafuna itshungama kunokubangela ukuba uginye umoya ongaphezulu, nto leyo enokubangela ukudumba.
• Nciphisa ukungenisa kwakho iziselo ezihlwahlwazayo.
• Kulumkele ukutya okubangela irhasi, imifuno enjalo kwikhaya lekhaphetshu, iimbotyi ezomileyo kunye neelentile.
• Yitya kancinci kwaye uphephe ukusela ngeendiza.
• Sebenzisa iimveliso zobisi ezingenayo i-lactose (ukuba awunyamezeli i-lactose).

Iiprobiotic zinokunceda ekuphindaphindeni kwegciwane lesifo elisempilweni. Uphando luxubene nokusebenza kweeprobiotic. Olunye uphononongo lufumanise ukuba iiprobiotic zinefuthe elilinganiselweyo, kunye nesivumelwano seipesenti ezingama-70 kwisiphumo saso ekunciphiseni isiqabu. Unokufumana iiprobiotic kwi-kefir kunye ne-yoghurt yesiGrike.

Thenga i-kefir kunye ne-yoghurt yamaGrike kwi-intanethi.

Imiyalezo

Ukuphulula isisu kunokunceda ekunciphiseni isisu esiswini. Omnye ujonge abantu abangama-80 abanee-ascites kwaye wabanika ukuphulula isisu imizuzu eli-15 kabini ngemini kangangeentsuku ezintathu. Iziphumo zibonise ukuba ukuphululwa komzimba kuphuculwe ukuxinezeleka, ukuxhalaba, ukuhlala kakuhle kunye nokuqonda iimpawu zokubamba isisu.

Amayeza

Thetha nogqirha wakho ukuba utshintsho kwindlela yokuphila kunye nokungenelela kokutya akukunciphisi isisu esiswini. Ukuba ugqirha wakho ufumana unobangela wezonyango wokuqunjelwa kwakho, banokucebisa ngonyango. Unyango lunokufuna i-antibiotics, i-antispasmodics, okanye i-anti-depressants, kodwa kuxhomekeke kwimeko yakho.

Nini ukubona ugqirha

Dibana nogqirha wakho ukuba ukuqunjelwa kukhatshwa zezi zinto zilandelayo:

• iintlungu ezinzima okanye ezinde zesisu
• igazi kwizitulo, okanye mnyama, zilindile
• ifiva ephezulu
• urhudo
• ukwanda kwentliziyo
• ukugabha
• ukwehla kobunzima obungachazwanga