Ukuphazamiseka kwamathumbu

Umxholo

• Zithini iintlobo ezahlukeneyo zokuphazamiseka kwamathumbu?
• Zithini iimpawu eziqhelekileyo zokuphazamiseka kwamathumbu?
• Yintoni ebangela ukuphazamiseka kwamathumbu?
• Zichongwa njani iingxaki zesisu?
• Zinyangwa njani iingxaki zesisu?
• Utshintsho kwindlela yokuphila
• Amayeza
• Ugqirha
• Ithini imbonakalo yokuphazamiseka kwamathumbu?

Zintoni iingxaki zamathumbu?

Ukuphazamiseka kwamathumbu ziimeko ezichaphazela amathumbu akho amancinci. Ezinye zazo zinokuchaphazela amanye amalungu enkqubo yakho yokwetyisa, njengamathumbu akho amakhulu.

Ukuphazamiseka kwamathumbu kuchaphazela indlela umzimba wakho owetyisa ngayo kunye nokufunxa ukutya. Banokubangela iimpawu ezingathandekiyo, ezinjengorhudo okanye ukuqhina. Ukuba ishiywe inganyangwa, inokubangela ezinye iingxaki zempilo.

Ukuba ukrokrela ukuba unengxaki yokuhamba kwamathumbu, yenza idinga nogqirha wakho. Banokukunceda ekuchongeni unobangela weempawu zakho kwaye bacebise ngesicwangciso sonyango.

Zithini iintlobo ezahlukeneyo zokuphazamiseka kwamathumbu?

Ezinye iingxaki eziqhelekileyo zamathumbu zibandakanya:

• Isifo sengqondo sesifo (IBS)
• Isifo sikaCrohn
• isifo se-celiac
• isithintelo samathumbu

Ichaphazela zombini amathumbu akho amancinci kunye amakhulu. Ingabangela iingxaki zesisu rhoqo eziphazamisa ubomi bakho bemihla ngemihla. Ichaphazela ukuya kuthi ga kwiipesenti ze-11 zabantu kwihlabathi liphela, baxele abaphandi kwiphephancwadi.

Isifo sikaCrohn luhlobo lwesifo sokukrala kwamathumbu. Ikwayingxaki yokuzimela komzimba apho umzimba wakho uhlasela izicwili zawo ezisempilweni. Ingonakalisa izicubu emathunjini akho, emlonyeni nasezimpundu.

Isifo seCeliac sisifo esibuhlungu somzimba apho i-gluten ibangela ukusabela okungalunganga. I-Gluten luhlobo lweprotheni efumaneka kwiinkozo ezithile, kubandakanya ingqolowa, irye nerhasi. Ukuba utya i-gluten xa unesifo se-celiac, amajoni akho omzimba aphendula ngokuhlasela ulusu lwangaphakathi lwamathumbu akho amancinci.

Izithintelo zamathumbu zenzeka xa amathumbu akho evaliwe. Inokuthintela inkqubo yakho yokwetyisa ekuqhubeni ukutya okanye ukuhambisa isitulo ngokufanelekileyo.

Ezinye iingxaki zonyango zinokukhokelela kwiimpawu ezifanayo kwezi ngxaki zamathumbu. Umzekelo, izilonda, usulelo, kunye nomhlaza wamathumbu kunokubangela iimpawu ezifanayo. Ukuxilongwa ngokuchanekileyo kubalulekile ekufumaneni unyango olufunayo.

Zithini iimpawu eziqhelekileyo zokuphazamiseka kwamathumbu?

Iimpawu zinokwahluka kwisifo esinye samathumbu kunye nomntu ukuya komnye. Kodwa ezinye iimpawu zixhaphake kuzo zonke iintlobo zokuphazamiseka kwamathumbu. Umzekelo, unokufumana:

• ukungonwabi okanye iintlungu esiswini sakho
• irhasi kunye nesisu esiswini
• isicaphucaphu
• urhudo
• ukuqhina
• ukugabha

Ukuba ubona igazi kwisitulo sakho, biza ugqirha wakho ngokukhawuleza. Ezinye iimpawu zesimo esinokuba sibi kubandakanya umkhuhlane kunye nokwehla ngesiquphe kobunzima.

Yintoni ebangela ukuphazamiseka kwamathumbu?

Kwiimeko ezininzi, oyena nobangela wokuphazamiseka kwamathumbu awaziwa. Umzekelo, iingcali azikayazi ukuba yintoni ebangela i-IBS. Isizathu esichanekileyo sesifo sikaCrohn naso asikaziwa. Kodwa umngcipheko othile unokunyusa umngcipheko wesifo sikaCrohn, kubandakanya:

• ukutshaya
• Imeko yendalo esingqongileyo, njengokutya
• izinto ezincinci kunye ne-immunologic
• Imbali yosapho yesifo sikaCrohn
• ungumnombo wamaYuda

Isifo seCeliac sisifo semfuza. Kungenzeka ukuba uyiphuhlise ukuba unembali yosapho kwimeko.

Uninzi lwezithintelo zamathumbu lubangelwa kukulimala, utyando lwangaphambili, i-hernias, okanye kwezinye iimeko, umhlaza. Amanye amayeza aphakamisa umngcipheko wokukhula kwamathumbu emathunjini.

Zichongwa njani iingxaki zesisu?

Ukuba ufumana iimpawu zokuphazamiseka kwamathumbu, yenza idinga nogqirha wakho. Banokunceda ekuchongeni unobangela weempawu zakho. Banoku-odola iimvavanyo ezahlukeneyo ukuze benze njalo.

Ukufumanisa okanye ukukhupha i-IBS, ugqirha wakho unokuvavanya iimpawu zakho usebenzisa iseti yeekhrayitheriya eyaziwa njengeenqobo zokugweba zaseRoma. Banokuchonga i-IBS ukuba ukhe weva iintlungu zesisu ubuncinci kwezi mpawu zilandelayo:

• utshintsho kwimvama yokuhamba kwamathumbu akho
• utshintsho kulungelelwaniso lwesihlalo sakho
• iimpawu eziphucula emva kokuhamba kwamathumbu

Ukufumanisa okanye ukulawula isifo sikaCrohn okanye iziphazamiso zamathumbu, ugqirha wakho unokuyalela iimvavanyo zokucinga. Umzekelo, banoku-odola ikhompyuter ye-tomography (CT), imaging resonance imaging (MRI), okanye i-endoscopy yokuvavanya indlela yokugaya ukutya. Banokuyalela ukuvavanywa kwegazi.

Ukufumanisa okanye ukulawula isifo se-celiac, ugqirha wakho unokuyalela uvavanyo lwegazi kunye ne-biopsy yamathumbu akho amancinci. Ukufumana i-biopsy, baya kwenza i-endoscopy ephezulu kwaye baqokelele isampulu yethishu emathunjini akho amancinci. Baya kuthumela isampuli elabhoratri ukuze zihlolwe.

Ugqirha wakho unokuyalela iimvavanyo ukukhangela ezinye iimeko ezinokubangela iimpawu zakho. Umzekelo, banoku-odola uvavanyo lwegazi okanye baqokelele isampuli yesitulo sakho ukujonga iimpawu zosulelo.

Zinyangwa njani iingxaki zesisu?

Isicwangciso sakho sonyango esithile siya kuxhomekeka kwisifo sakho. Ugqirha wakho unokucebisa ngokudityaniswa kwendlela yokuphila, amayeza, utyando, okanye ezinye iindlela zonyango.

Utshintsho kwindlela yokuphila

Ugqirha wakho unokucebisa utshintsho kwindlela yokuphila ukunceda ukunyanga iingxaki zamathumbu, kubandakanya utshintsho kwindlela otya ngayo. Ukunganyamezelani kokutya kunokwenza ukuba iimpawu ze-IBS, isifo sikaCrohn, kunye nesifo se-celiac sibi. Ukutya kakhulu okanye ifayibha encinci kunokubangela iingxaki.

Ukuba unesifo se-celiac, ugqirha wakho uya kukucebisa ukuba ulandele ukutya okungqongqo okungafunekiyo. Ukuthintela iimpawu kunye nokunciphisa umngcipheko weengxaki, kufuneka uphephe ukutya nantoni na equlathe irhasi, irye, okanye ingqolowa, kubandakanya isipelingi okanye i-kamut. Kuya kufuneka uphephe i-oats, ngaphandle kokuba ayinasiqinisekiso se-gluten. Ngelixa ii-oats zingenayo i-gluten, zihlala zicutshungulwa kwizixhobo ezifanayo nengqolowa kwaye zinokungcola ngegluten.

Ukuba une-IBS okanye isifo sikaCrohn, ugqirha wakho unokukukhuthaza ukuba ugcine ilog yokukhetha ukutya kunye neempawu zakho. Oku kunokukunceda uchonge ukutya okubangela ukuba iimpawu zakho zibe mandundu. Nje ukuba uchonge okubangela, thatha amanyathelo okuphepha. Ukugcina ukutya okunesondlo kangangoko kunokwenzeka kubalulekile.

Ugqirha wakho unokukukhuthaza ukuba wandise okanye unciphise inani lefayibha kwindlela otya ngayo. Ifayibha ibalulekile ekugcineni izibilini zakho zisempilweni. Kodwa ukuba unesifo sorhudo esihamba rhoqo, kuya kufuneka usinciphise kude kube kukuhamba kwamathumbu kuqhelekile. Kwelinye icala, ukutya ifibre ngakumbi kunokunceda ekuthinteleni nasekuthinteleni ukuqhina.

Ugqirha wakho unokuphinda acebise utshintsho kwimithambo yakho, ukulala, okanye indlela yokuphatha uxinzelelo.

Amayeza

Ugqirha wakho unokucebisa amayeza ukuba une-IBS okanye isifo sikaCrohn.

Ukuba unayo i-IBS kwaye ufumana urhudo, ugqirha wakho unokucebisa amayeza okulwa norhudo. Ukuba ufumana ukuqhina, banokucebisa ukuthambisa izitulo okanye laxatives. Ngokuxhomekeka kwiimpawu zakho, amayeza athile aluncedo ekunyangeni uxinzelelo anokuba luncedo kwizigulana ezinesifo sikaCrohn.

Ukuba unesifo sikaCrohn, ugqirha wakho unokucebisa ukunciphisa iintlungu ukunciphisa ukungonwabi kwakho. Ngamanye amaxesha, banokuyalela amanye amachiza, anje ngamayeza okuthintela urhudo, izitulo zokuthambisa, iziyobisi ze-immunotherapy, ii-corticosteroids, okanye ii-antibiotics.

Ugqirha

Ugqirha wakho unokucebisa utyando ukunceda ukunyanga isifo sikaCrohn okanye ukubhloka kwamathumbu.

Ukuba unesifo sikaCrohn, ugqirha wakho uya kuzama ukusinyanga ngotshintsho kwindlela yokuphila kunye namayeza kuqala. Ukuba ezo azisebenzi, banokucebisa ukuba kwenziwe utyando ukususa izicwili ezinesifo okanye ezonakeleyo.

Ukuba uhlakulela ukukhubazeka okukhulu kwamathumbu, ugqirha wakho unokufuna ukuqhuba utyando ukuze alususe okanye aludlule.

Ithini imbonakalo yokuphazamiseka kwamathumbu?

Ukuba ufumanisa ukuba unengxaki yokuhamba kwamathumbu, imeko yakho emfutshane kunye nexesha elide iya kuxhomekeka kwimeko yakho, kunye nokuba umzimba wakho uphendula njani kunyango.

Kwiimeko ezininzi, unokulawula iimpawu kunye nokunciphisa umngcipheko weengxaki ngokulandela isicwangciso sonyango esinconywayo. Ukuba iimpawu zakho aziphucuki okanye ziya zisiba mbi ekuhambeni kwexesha, nxibelelana nogqirha wakho. Basenokufuna ukulungelelanisa isicwangciso sakho sonyango.

Buza ugqirha wakho ngolwazi oluthe kratya malunga nesifo sakho esithile, ukhetho lonyango, kunye nembono yexesha elide.

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