Ubuhlungu besisu kwisifo sikashukela: ukugabha kanye nenausea, ukwelashwa kwezinkinga

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"Isifo Somnandi" minyaka yonke sibulala abantu abayizigidi eziyi-1. Imvamisa ukufa kwenzeka ngokwelashwa okungalawulwa ngenxa yokungakhathalelwa kwesiguli. Ubuhlungu besisu kwisifo sikashukela kuwuphawu olukhulu olukhombisa ukuqhubeka kwe-pathology.

Ubuhlungu besisu bungabangelwa ukuphazamiseka komgudu wesisu.

Izibalo ziqinisekisa ukuthi ama-75% abantu abanesifo sikashukela abanenkinga yokugaya ukudla. Ngasikhathi sinye, Ubuhlungu besisu obungakhuphuki buhambisana nezibonakaliso eziphambili zesifo sikashukela: i-polyuria, ukoma okunganqamuki, ukungabekezeleleki kanye nokuxineka.

Isifo sikashukela kanye nomgudu wokugaya ukudla

Ukuqhubeka kwesifo kungaholela ezinguquko ezinqala emgudwini we-gastrointestinal, njengokuthi ubuthi bokudla, izilonda, ama-gallstones nezinye izifo.

Esikhathini sikashukela, noma yiluphi uhlelo lokugaya lungathinteka: kusukela esophagus kuya ku-rectum. Ngakho-ke, izimpawu ezinokungasebenzi okunjalo zingahluka. Izimpawu ezijwayelekile zokucasuka kokugaya ukudla yilezi:

  1. IDysphagia inqubo enzima yokugwinya eyenzeka ngenxa yokuvuvukala komlomo wesibeletho, i-esophagus, ukuvela kwezinhlayiya zakwamanye amazwe, njll.
  2. I-Reflux - ukulahla okuqukethwe esiswini ngakolunye uhlangothi.
  3. Ukuqunjelwa noma isifo sohudo, isicanucanu nokuhlanza.
  4. Ubuhlungu besisu.

Isifo sikashukela sihlanganisa inani elikhulu lezitho zomzimba, kufaka phakathi ipheshana lesisu. Uma isiguli singalawulwa ushukela wegazi kahle, lokhu kungaholela ezinkingeni ezibucayi zohlelo lokugaya ukudla.

Futhi, izifo eziningi zomgudu wokugaya ukudla zihlotshaniswa nokusebenza kokuphazamiseka kohlelo lwezinzwa.

Ukulimala kuma-neurons esiswini kungaba yimbangela yokucasulwa okulimazayo, ukumuncwa, kanye nokuhamba kwemizwa.

Ukugula kwesophagus nesisu kushukela

Imvamisa iziguli ezingondleki kahle, ikakhulukazi ezidla ukudla okunamafutha, zingakhula nesifo sikashukela se-diabetes. Le pathology ibambezela okuqukethwe esiswini. Ngenxa yalokhu, umuntu onesifo sikashukela angaba nesisu, ukuthokomala, izimpawu zokucanuzelelwa kwenhliziyo noma ukuhlanza. Futhi, ukucinana esiswini kungaholela ku-Reflux. Uma kunezimpawu ezinjalo, udinga ukuya kudokotela ukuze uzokuqokwa. Eqinisweni, akukho ukuxilongwa okunembile kwalesi sifo, ngoba i-endoscopy ephezulu ayinakucacisa futhi ihlole ukukhishwa kwesisu ekudleni okugayishiwe. Ukuxilongwa kwenziwa uma isiguli sinezikhalazo ezifanele.

Ekutholakalweni kwe-gastroparesis yesifo sikashukela, ukuhlolwa kokuhlola lesi sifo kuthathwa njengokuphumelela ngokwengeziwe. Esifundweni, ukudla okufanele kudliwe yisiguli kungumhlaba we-technetium isotope. Ngemuva kwalokho, kusetshenziswa i-scintigraphy, uchwepheshe angakwazi ukubona isilinganiso sokukhishwa kwesisu kokuqukethwe kwaso. Ngokuyisisekelo, ukuhlolwa okunjalo kunikeza imiphumela ethembekile, kepha kwezinye izimo, lapho uthatha umuthi othinta ukwehla noma ukushesha kwesisu, kwaba nemiphumela emibi yokuhlaziywa.

Ukuze umuntu onesifo sikashukela afunde ukubhekana ne-gastroparesis, kuyadingeka ukulandela imithetho ethile yezondlamzimba:

  1. Udinga ukudla ngezingxenye ezincane, kepha kaningi. Ngaphandle kwalokho, isifo sikashukela esitholakele singadala imiphumela emibi kakhulu.
  2. Susa ukudla okunamafutha amaningi futhi aphezulu ku-fiber.
  3. Qiniseka ukuthi udla izitsha eziwuketshezi (amasobho, ama-borscht).
  4. Susa imikhuba emibi - ukubhema notshwala.
  5. Bamba iqhaza emisebenzini elula yomzimba (ukuhamba, ezemidlalo).

Uma izimpawu ziba zimbi ngokwedlulele, kungadingeka ukuthi uguqukele kubazali be-hydration noma ishubhu lesisu. Ekwelashweni kwe-gastroparesis yesifo sikashukela, izidakamizwa ezahlukahlukene zingasetshenziswa, ngokwesibonelo, iRaglan, Cisapride, Motilium, Erythromycin. Thatha izidakamizwa kuphela ngemuva kokuqokwa kwe-Therapist noma i-gastroenterologist, ngoba ukuzilapha kungaholela emiphumeleni engalindeleki.

Isifo se-peptic ulcer nesifo sohudo kushukela

Emhlabeni, i-10% yabo bonke abantu (abanaso futhi ngaphandle kwesifo sikashukela) bahlushwa isilonda se-peptic. IHydrochloric acid ingacasula izindawo ezithintekile zesisu noma i-esophagus, ibangele ukukhuphuka kokugaya ukudla, ukushisa kwenhliziyo nobuhlungu besisu.

E-diabetesics, izinga elikhulayo lamagciwane ahlala esiswini kanye ne-duodenum livame ukunqunywa. Yi-Helicobacter pylori ebangela iningi lezilonda. Eqinisweni, isifo sikashukela kubantu asebekhulile noma intsha yodwa ayifakeli isandla ekuthuthukisweni kwesilonda se-peptic.

Ukwelashwa kwezilonda kubantu abanesifo sikashukela nabantu abanempilo akuhlukile. Imvamisa, izidakamizwa zibekelwa ukuthi zinciphise ukukhululeka kwe-acid - proton pump inhibitors, izidakamizwa ezilwa namagciwane - Metronidazole, Clarithromycin, njll.

Ama-22% eziguli ezinesifo sikashukela anezihlalo ezikhululekile. Isifo sikashukela yisifo sohudo esenzeka ngaphandle kwesizathu. Isizathu sokuvela kwayo kungaba ukwanda kwesifo sikashukela, okuhambisana ne-autonomic neuropathy, izinkinga zamathumbu, noma i-bowel syndrome (ukwenzeka okuvame kakhulu).

Lapho welapha isifo sohudo sikashukela, udokotela ubeka izidakamizwa ezinjenge-diphenoxylate, loperamide noma i-Imodium, ezisusa inkinga yezitofu ezikhululekile.

Ngaphezu kwalokho, ngezinye izikhathi ama-antispasmodics anqunyelwe ukunciphisa imvamisa yokuhamba kwamathumbu.

Izinkinga zamathumbu amancane namakhulu

Njengoba isifo sikashukela siqhubekela phambili emathunjini amancane, izinzwa ezikhipha izinzwa ezibangela ubuhlungu besisu, ukufuthana, noma isifo sohudo zingabhujiswa. Uma ukudla kuzokubambezeleka isikhathi eside noma, ngakolunye uhlangothi, kukhishwe ngokushesha emathunjini, kukhona ithuba lokuthuthukiswa kwesifo sokukhula ngokweqile kwe-microflora. Isimo esinjalo sizodala izinhlungu zesisu nezitulo ezikhululekile.

Ukuxilongwa kwe-pathology enjalo kuyinkimbinkimbi; kuvame ukusetshenziswa okuncane kwamathumbu. Ngemuva kokuxilongwa, udokotela unquma i-cisapride noma i-metoclopramide, esheshisa ukudlula kokudla, kanye nemithi elwa namagciwane ukunciphisa ukunqwabelana kwamagciwane esiswini.

Uma ungayiphathi le sifo ngesikhathi, kungaholela ebuhlungu obungapheli esiswini nasemilenzeni ngokuhamba kwesikhathi. Lesi sifo kunzima ukuselapha. Ngokukhula kobuhlungu obungamahlalakhona, izidakamizwa ze-antidepressant ziyasetshenziswa.

I-neuropathy yesisu ingathinta nekholoni, okuholela ekuqunjelweni njalo. Ukudambisa lesi simo, kuyadingeka ukwenza izinqubo nge-enema noma i-colonoscopy. Futhi, udokotela angakunquma ama-laxatives, anomthelela omncane ekususweni kwesitulo. Ngaphezu kwalokho, nge-pathology enjalo, ukudla okufanele kufanele kusekelwa.

Futhi, izinhlungu esiswini zingahlotshaniswa nama-pathologies ahlukahlukene we-pancreas kanye nesibindi (hemochromatosis, fatpat hepatosis). Ngaphezu kwalokho, ukuba khona kwamatshe ku-gallbladder noma izinso kungadala ubuhlungu besisu, isicanucanu, ukugabha, isifo sohudo nezinye izimpawu eziningi. Lama-pathologies akhula ngokushesha, ngakho-ke isiguli kufanele sibonane nodokotela.

Uma isiguli sinenkinga yesifo sikashukela, lokhu kungakhombisa ukuqhubeka kwesifo kanye nezinkinga ezahlukahlukene. Ngakho-ke, isiguli kufanele sihlolwe ngokuphelele ukuze sikhombe izimbangela zobuhlungu besisu, bese silandela zonke izincomo zikadokotela bese silawula izinga loshukela. Ividiyo ekulesi sihloko ikhuluma ngezimpawu zesifo sikashukela.

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