Igesi - ukuqumba

Igesi lingumoya emathunjini adluliswa ku-rectum. Umoya osuka endaweni yokugaya ukudla ungene emlonyeni ubizwa ngokuthi yi-belching.

Igesi ibizwa nangokuthi i-flatus noma i-flatulence.

Ngokuvamile igesi yakhiwa emathunjini njengoba umzimba wakho ugaya ukudla.

Igesi ingakwenza uzizwe uqunjelwe. Kungadala izinhlungu noma isisu esiswini sakho.

Igesi ingabangelwa ukudla okuthile okudlayo. Ungaba negesi uma:

• Yidla ukudla okunzima ukugaya, njenge-fiber. Kwesinye isikhathi, ukufaka i-fiber eyengeziwe ekudleni kwakho kungadala igesi yesikhashana. Umzimba wakho ungashintsha futhi uyeke ukukhiqiza igesi ngokuhamba kwesikhathi.
• Yidla noma uphuze okuthile umzimba wakho ongenakukubekezelela. Isibonelo, abanye abantu banokungabekezelelani kwe-lactose futhi abakwazi ukudla noma ukuphuza imikhiqizo yobisi.

Ezinye izimbangela ezivamile zegesi yilezi:

• Imithi elwa namagciwane
• Isifo samathumbu esicasulayo
• Ukwehluleka ukuthola izakhamzimba ngendlela efanele (malabsorption)
• Ukwehluleka ukugaya izakhi kahle (i-maldigestion)
• Ugwinya umoya ngenkathi udla
• Ushingamu
• Ukubhema osikilidi
• Ukuphuza iziphuzo ezine-carbonated

Izeluleko ezilandelayo zingakusiza uvikele igesi:

• Ukuhlafuna kahle ukudla kwakho.
• Ungadli ubhontshisi noma iklabishi.
• Gwema ukudla okune-carbohydrate engagayeki kahle. Lokhu kubizwa ngama-FODMAP futhi kufaka phakathi i-fructose (ushukela wezithelo).
• Gwema i-lactose.
• Ungaphuzi iziphuzo ezinekhabhoni.
• Musa ukuhlafuna ushungamu.
• Yidla kancane.
• Khululeka ngenkathi udla.
• Hamba imizuzu eyi-10 kuye kwengu-15 ngemuva kokudla.

Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Igesi nezinye izimpawu ezifana nobuhlungu besisu, ubuhlungu be-rectal, isilungulela, isicanucanu, ukuhlanza, isifo sohudo, ukuqunjelwa, umkhuhlane noma ukunciphisa umzimba
• Izitulo ezinamafutha, ezinuka kabi, noma ezinegazi

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo ngomlando wakho wezokwelapha nezimpawu, njenge:

• Yikuphi ukudla ovame ukukudla?
• Ingabe indlela odla ngayo ishintshile muva nje?
• Ngabe uyinyusile i-fiber ekudleni kwakho?
• Udla ngokushesha kangakanani, uhlafuna, ugwinya?
• Ungasho ukuthi igesi yakho imnene noma inzima?
• Ngabe igesi yakho ibonakala ihlobene nokudla imikhiqizo yobisi noma okunye ukudla okuthile?
• Yini ebonakala yenza igesi yakho ibe ngcono?
• Imiphi imithi oyiphuzayo?
• Ngabe unezinye izimpawu, njengobuhlungu besisu, uhudo, ukusutha kwasekuseni (ukusutha ngaphambi kwesikhathi ngemuva kokudla), ukuqunjelwa noma ukuncipha?
• Ingabe uhlafuna ushingamu ongelona iqiniso noma udla uswidi wokuzenzela? (Lezi zivame ukuqukethe ushukela ongagayeki ongaholela ekukhiqizeni igesi.)

Ukuhlolwa okungenziwa kufaka phakathi:

• Iskena se-CT esiswini
• I-ultrasound yesisu
• I-xarium ye-Barium enema
• I-Barium swallow x-ray
• Umsebenzi wegazi njenge-CBC noma umehluko wegazi
• I-Sigmoidoscopy
• I-endoscopy ephezulu (EGD)
• Ukuhlolwa komoya

Isisu; UFlatus

• Igesi emathunjini

U-Azpiroz F. Igesi lamathumbu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 17.

IHolo JE, iHholo ME. I-Physiology yokuphazamiseka kwamathumbu. Ku: IHholo JE, iHholo ME, ama-eds. Incwadi kaGuyton neHholo yePhysical Physiology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2021: isahluko 67.

McQuaid KR. Sondela esigulini ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 123.