Ukuphazamiseka kokuphazamiseka

I-Rumination disorder yisimo lapho umuntu eqhubeka nokukhuphula ukudla esiswini kungene emlonyeni (ukuphinda uvuseleleke) uphinde ukuqale kabusha ukudla.

Isifo sokuqaqamba kakhulu siqala ngemuva kwezinyanga ezintathu zeminyaka, kulandela isikhathi sokugaya okujwayelekile. Kwenzeka ezinganeni futhi akuvamile ezinganeni nasebusheni. Imbangela ivame ukungaziwa. Izinkinga ezithile, njengokuntuleka kokugqugquzela usana, ukunganakwa, nezimo zomndeni ezinengcindezi enkulu ziye zaxhunyaniswa nalesi sifo.

Ukuphazamiseka kokukhanyisa kungenzeka nakwabantu abadala.

Izimpawu zifaka:

• Ukuphindaphinda (ukuphinda uvuselele) ukudla kaninginingi
• Ukuphinda kuvangwe ukudla

Izimpawu kumele ziqhubeke okungenani inyanga eyodwa ukulingana nencazelo yesifo sokuduma.

Abantu ababonakali becasukile, bethinta kabusha, noma benengekile lapho beletha ukudla. Kungabonakala njengokudala injabulo.

Umhlinzeki wezokunakekelwa kwempilo kufanele aqale akhiphe izimbangela zomzimba, njenge-hernia yokubeletha, i-pyloric stenosis, kanye nokungajwayelekile kwesistimu yamathumbu okukhona kusukela ekuzalweni (kokuzalwa). Lezi zimo zingaphanjaniswa nenkinga yokuqhuma.

Ukuphazamiseka kokuphazamiseka kungadala ukungondleki. Izivivinyo ezilandelayo zebhu zingalinganisa ukuthi ukungondleki zinzima kangakanani futhi zinqume ukuthi iziphi izakhi zomzimba ezidinga ukwandiswa:

• Ukuhlolwa kwegazi kwe-anemia
• Imisebenzi ye-endocrine hormone
• Ama-electrolyte weSerum

Ukuphazamiseka kokukhanywa kuphathwa ngamasu wokuziphatha. Ukwelashwa okulodwa kuhlobanisa imiphumela emibi nokuhleba nemiphumela emihle nokuziphatha okufanelekile (ukuqeqeshwa okuphansi kokuzonda).

Amanye amasu afaka ukwenza ngcono imvelo (uma kukhona ukuhlukunyezwa noma ukunganakwa) nokweluleka abazali.

Kwezinye izimo, ukuphazamiseka kokuzuma kuzonyamalala ngokwakho, futhi ingane izobuyela ekudleni ngokujwayelekile ngaphandle kokwelashwa. Kwezinye izimo, ukwelashwa kuyadingeka.

Izinkinga zingafaka:

• Ukwehluleka ukuchuma
• Kwehliswe ukumelana nezifo
• Ukungondleki

Shayela umhlinzeki wakho uma ingane yakho ibonakala ikhafula ngokuphindaphindiwe, ihlanza noma iqala kabusha ukudla.

Akukho ukuvimbela okwaziwayo. Kodwa-ke, ukukhuthaza okujwayelekile nobudlelwano obunempilo bomzali nengane kungasiza ekunciphiseni izingqinamba zokuphazamiseka kwesifo.

Katzman DK, Kearney SA, Becker AE. Ukondla nokuphazamiseka kokudla. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 9.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Rumination kanye ne-pica. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 36.

Li BUK, Kovacic K. Ukuhlanza nokuhlanza. Ku: Wyllie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 8.