Umsindo Wesisu (Wamathumbu)

-Delile

• Izimpawu zemisindo yesisu
• Izimpawu ezihambisana nemisindo yesisu
• Izimbangela zemisindo yesisu
• Ezinye izimbangela
• Ukuhlolwa kwemisindo yesisu
• Ukwelapha imisindo yesisu
• Imisindo yesisu nezimo eziphuthumayo zezokwelapha
• Umbono wemisindo yesisu

Isisu (amathumbu) imisindo

Isisu, noma amathumbu, imisindo ibhekisa kwimisindo eyenziwe ngaphakathi kwamathumbu amancane namakhulu, imvamisa ngesikhathi sokugaya. Zibonakala ngemisindo engenalutho engahle ifane nemisindo yamanzi ehamba ngamapayipi.

Imisindo yamathumbu imvamisa iyinto eyejwayelekile. Kodwa-ke, imisindo evame kakhulu, engajwayelekile noma ukungabi khona kwemisindo yesisu kungakhombisa isimo esingaphansi kohlelo lokugaya ukudla.

Izimpawu zemisindo yesisu

Imisindo yesisu yimisindo eyenziwe amathumbu. Bangachazwa ngala mazwi alandelayo:

• ukugquma
• kuduma
• ebubula
• ukuphakama okuphezulu

Izimpawu ezihambisana nemisindo yesisu

Imisindo yesisu iyodwa ayiyona imbangela yokukhathazeka. Kodwa-ke, ukuba khona kwezinye izimpawu ezihambisana nemisindo kungakhombisa ukugula okuyisisekelo. Lezi zimpawu zingafaka:

• igesi eyeqile
• imfiva
• isicanucanu
• ukuhlanza
• isifo sohudo njalo
• ukuqunjelwa
• indle enegazi
• isilungulela esingaphenduli emithini yokwelashwa
• ukwehla kwesisindo ngokungenhloso nangokungazelelwe
• imizwa yokugcwala

Xhumana nodokotela wakho uma uhlangabezana nenye yalezi zimpawu noma ubuhlungu besisu. Ukunakekelwa kwezokwelapha ngokushesha kungakusiza ugweme izinkinga ezingaba yingozi.

Izimbangela zemisindo yesisu

Imisindo yesisu oyizwayo kungenzeka ukuthi ihlobene nokuhamba kokudla, iziphuzo, amajusi wokugaya ukudla, nomoya emathunjini akho.

Lapho amathumbu akho ecubungula ukudla, isisu sakho singakhononda noma sibhonge. Izindonga zomgudu wamathumbu ikakhulukazi zakhiwa yimisipha. Uma udla, izindonga ziyavuma ukuxuba nokukhama lokho kudla ngamathumbu akho ukuze kugayeke. Le nqubo ibizwa nge-peristalsis. IPeristalsis imvamisa inesibopho somsindo odumayo owuzwayo ngemuva kokudla. Kungavela emahoreni amaningana ngemuva kokudla ngisho nasebusuku lapho uzama ukulala.

Indlala nayo ingadala imisindo yesisu. Ngokwe-athikili ekhishwe yi-, lapho ulambile, izinto ezifana ne-hormone ebuchosheni zenza kusebenze isifiso sokudla, bese kuthumela izimpawu emathunjini nasesiswini. Ngenxa yalokho, imisipha esesistimeni sakho sokugaya ukudla iyavumelana futhi ibangele le misindo.

Imisindo yesisu ingahle ihlukaniswe njengokujwayelekile, ngokungenangqondo, noma ngokungasebenzi. Imisindo yamathumbu engacabangi, noma encishisiwe ivame ukukhombisa ukuthi umsebenzi wamathumbu wehlile. Ngakolunye uhlangothi, imisindo yamathumbu engasebenzi yimisindo ephakeme kakhulu ehlobene nokwanda komsebenzi wamathumbu ongezwakala kwabanye. Zivame ukuvela ngemuva kokudla noma uma uhudo.

Ngenkathi imisindo yamathumbu e-hypoactive ne-hyperactive ngezikhathi ezithile ingejwayelekile, okwenzeka kaningi emaphethelweni we-spectrum nokuba khona kwezinye izimpawu ezingajwayelekile kungakhombisa inkinga yezokwelapha.

Ezinye izimbangela

Iningi lemisindo oyizwayo emathunjini akho kungenxa yokugayeka kokujwayelekile, kepha imisindo yesisu enezimpawu ezihambisana nayo kungenzeka ngenxa yesimo esibi kakhulu noma ukusetshenziswa kwemithi ethile.

Imisindo yamathumbu engasebenzi kahle, engacabangi noma elahlekile ingabangelwa ngu:

• ukuhlukumezeka
• ukutheleleka ngaphakathi komgudu wokugaya ukudla
• i-hernia, okuyilapho ingxenye yesitho noma esinye isicubu sidlulela endaweni ebuthakathaka yemisipha yodonga lwesisu
• ukujiya kwegazi noma ukugeleza kwegazi okuphansi kuya emathunjini
• amazinga e-potassium egazi angajwayelekile
• amazinga egazi we-calcium angajwayelekile
• isimila
• ukuvinjelwa kwamathumbu, noma ukuvinjelwa kwamathumbu
• ukwehla kwesikhashana kokuhamba kwamathumbu, noma ileus

Ezinye izimbangela zemisindo yamathumbu engasebenzi yilezi:

• izilonda ezophayo
• ukungezwani kokudla
• izifo eziholela ekuvukeleni noma kuhudo
• ukusetshenziswa kwe-laxative
• ukopha emkhakheni wokugaya ukudla
• isifo sokuvuvukala, ikakhulukazi isifo sikaCrohn

Izimbangela zemisindo yesisu engasebenzi noma ukungabikho kwemisindo yamathumbu yilezi:

• izilonda ezinamanzi
• imithi ethile, njenge-codeine
• i-anesthesia ejwayelekile
• ukuhlinzwa esiswini
• ukulimala kwemisebe
• ukulimala emathunjini
• ukuvimba okuncane noma okuphelele kwamathumbu
• ukutheleleka kwesisu, noma i-peritonitis

Ukuhlolwa kwemisindo yesisu

Uma imisindo engavamile yesisu ivela nezinye izimpawu, udokotela wakho uzokwenza izivivinyo eziningana ukuthola imbangela eyimbangela. Udokotela wakho angaqala ngokubuyekeza umlando wakho wezokwelapha futhi abuze imibuzo embalwa mayelana nobuningi nobukhulu bezimpawu zakho. Bazophinda basebenzise i-stethoscope ukulalela noma imiphi imisindo yamathumbu engavamile. Lesi sinyathelo sibizwa ngokuthi yi-auscultation. Ukuvinjelwa kwamathumbu kuvame ukukhiqiza imisindo ephezulu kakhulu. Le misindo ivame ukuzwakala ngaphandle kokusebenzisa i-stethoscope.

Udokotela wakho angenza ezinye izivivinyo:

• I-CT scan isetshenziselwa ukuthatha izithombe ze-X-ray zendawo yesisu.
• I-endoscopy isivivinyo esisebenzisa ikhamera enamathiselwe kubhubhu encane, eguquguqukayo ukuthwebula izithombe esiswini noma emathunjini.
• Ukuhlolwa kwegazi kusetshenziselwa ukukhipha ukutheleleka, ukuvuvukala, noma ukulimala komzimba.

Ukwelapha imisindo yesisu

Ukwelashwa kuzoya ngesizathu sezimpawu zakho. Imisindo yamathumbu ejwayelekile ayidingi ukwelashwa. Ungahle uthande ukunciphisa ukudla kwakho okukhiqiza igesi. Lokhu kufaka phakathi:

• izithelo
• ubhontshisi
• ubumnandi bokufakelwa
• iziphuzo ezinekhabhoni
• imikhiqizo okusanhlamvu okuphelele
• imifino ethile efana neklabishi, amahlumela eBrussels, ne-broccoli

Gwema ubisi uma ungabekezelelani ne-lactose.

Ukugwinya umoya ngokudla ngokushesha okukhulu, ukuphuza ngotshani, noma ushingamu nakho kungaholela emoyeni omningi emgudwini wakho wokugaya ukudla.

Ama-Probiotic angasiza ngemisindo yamathumbu, kodwa.

Kubalulekile ukukhumbula ukuthi iningi lale misindo ingezwakala kuwe kuphela. Iningi labanye abantu alibazi noma abanandaba.

Imisindo yesisu nezimo eziphuthumayo zezokwelapha

Uma unezimpawu zesimo esiphuthumayo sezokwelapha, njengokuphuma kwegazi, ukulimala kwamathumbu, noma ukuvinjelwa okukhulu, kuzodingeka ungeniswe esibhedlela ukuze uthole ukwelashwa. Esibhedlela, ithubhu lingafakwa emlonyeni noma ekhaleni lakho nasesiswini noma emathunjini ukuze ulikhiphe. Ngokuvamile ngeke ukwazi ukudla noma ukuphuza noma yini ngemuva kwalokho ukuvumela amathumbu akho ukuthi aphumule.

Kwabanye abantu, ukuthola uketshezi ngomthambo nokuvumela uhlelo lokuphefumula kwamathumbu kuzokwanela ukuphatha le nkinga. Abanye abantu bangadinga ukuhlinzwa. Isibonelo, uma unesifo esibi noma ulimele emathunjini akho noma uma kutholakala ukuthi amathumbu avinjwe ngokuphelele, ungadinga ukuhlinzwa ukuze kulungiswe inkinga futhi kulashwe noma yimuphi umonakalo.

Imithi iyatholakala kwizifo ezithile zesisu ezifana nesifo sikaCrohn noma i-ulcerative colitis. Uma uthola ukuthi unalezi zimo, udokotela wakho angakunika imithi.

Umbono wemisindo yesisu

Umbono wemisindo yesisu uncike ebucayi benkinga. Kaningi kunalokho, imisindo ohlelweni lwakho lokugaya ukudla ijwayelekile futhi akufanele ibe yimbangela yokukhathazeka. Uma imisindo yakho yesisu ibonakala ingavamile noma ihambisana nezinye izimpawu, funa ukunakekelwa kwezokwelapha ngokushesha ukuze unciphise ubungozi bezinkinga.

Ezimweni ezingavamile, izinkinga ezithile zingasongela impilo uma zingalashwa. Ukuvinjelwa kwamathumbu, ikakhulukazi, kungaba yingozi. Ukuvinjelwa kungaholela ekufeni kwezicubu uma kunqamula ukunikezwa kwegazi engxenyeni yamathumbu akho. Noma yikuphi ukukhala esiswini noma odongeni lwamathumbu kungaholela ekuthelelekeni emgodini wesisu. Lokhu kungabulala.

Ezinye izimo nezifo ezinjengezicubu noma isifo sikaCrohn kungadinga ukwelashwa nokuqashwa kwesikhathi eside.