Ukuphazamiseka Kwamathumbu

-Delile

• Yiziphi izinhlobo ezahlukahlukene zokuphazamiseka kwamathumbu?
• Yiziphi izimpawu ezivamile zokuphazamiseka kwamathumbu?
• Yini ebangela ukuphazamiseka kwamathumbu?
• Kutholakala kanjani ukuphazamiseka kwamathumbu?
• Zelashwa kanjani izifo zamathumbu?
• Izinguquko zendlela yokuphila
• Imithi
• Ukuhlinzwa
• Uyini umbono wezinkinga zamathumbu?

Ziyini izinkinga zamathumbu?

Izinkinga zamathumbu yizimo ezivame ukuthinta amathumbu akho amancane. Ezinye zazo zingathinta nezinye izingxenye zesistimu yakho yokugaya ukudla, njengethumbu lakho elikhulu.

Ukuphazamiseka kwamathumbu kuthinta ukuthi umzimba wakho ugaya futhi umunce kanjani ukudla. Zingadala izimpawu ezingakhululekile, ezifana nohudo noma ukuqunjelwa. Uma ishiywe ingalashwa, ingahle iholele ezinkingeni ezengeziwe zezempilo.

Uma usola ukuthi unenkinga yamathumbu, yenza i-aphoyintimenti nodokotela wakho. Bangasiza ukuxilonga imbangela yezimpawu zakho futhi bancome uhlelo lokwelashwa.

Yiziphi izinhlobo ezahlukahlukene zokuphazamiseka kwamathumbu?

Ezinye izifo ezivamile zamathumbu zifaka:

• i-irritable bowel syndrome (IBS)
• Isifo sikaCrohn
• isifo se-celiac
• ukuvinjelwa kwamathumbu

I-IBS ithinta amathumbu akho amancane namakhulu. Kungadala izinkinga zesisu ezivamile eziphazamisa impilo yakho yansuku zonke. Ithinta abantu abangafika kumaphesenti ayi-11 emhlabeni jikelele, kubika abacwaningi kulo magazini.

Isifo sikaCrohn luhlobo lwesifo samathumbu esivuthayo. Futhi kuyisifo sokuzimela lapho umzimba wakho uhlasela izicubu zawo ezinempilo. Kungalimaza izicubu emathunjini akho, emlonyeni naku-anus.

Isifo seCeliac yisifo sokuzimela lapho i-gluten ibangela ukusabela okungalungile. I-Gluten uhlobo lwamaprotheni atholakala ezinhlamvwini ezithile, kufaka phakathi ukolweni, i-rye nebhali. Uma udla i-gluten uma unesifo se-celiac, amasosha akho omzimba aphendula ngokuhlasela ulwelwesi lwangaphakathi lwamathumbu akho amancane.

Ukuvinjelwa kwamathumbu kwenzeka lapho amathumbu akho evimbekile. Kungavimbela uhlelo lwakho lokugaya ukudla ekucubunguleni ukudla noma ukudlula kahle indle.

Ezinye izinkinga zezokwelapha nazo zingaholela ezimpawu ezifana nalezi zinkinga zamathumbu. Isibonelo, izilonda, izifo, nomdlavuza wamathumbu kungadala izimpawu ezifanayo. Ukuxilongwa okufanele kuyisihluthulelo sokuthola ukwelashwa okudingayo.

Yiziphi izimpawu ezivamile zokuphazamiseka kwamathumbu?

Izimpawu zingahluka kusuka kokunye ukuphazamiseka kwamathumbu nomuntu kuye kwesinye. Kodwa ezinye izimpawu zivame kakhulu kuzo zonke izinhlobo zokuphazamiseka kwamathumbu. Isibonelo, ungahlangabezana:

• ukungakhululeki noma ubuhlungu esiswini sakho
• ukuqhuma kwegesi nesisu
• isicanucanu
• isifo sohudo
• ukuqunjelwa
• ukuhlanza

Uma ubona igazi esitokisini sakho, shayela udokotela wakho ngokushesha. Ezinye izimpawu zesimo esingaba simbi kakhulu zibandakanya umkhuhlane kanye nokwehla kwesisindo okungazelelwe.

Yini ebangela ukuphazamiseka kwamathumbu?

Ezimweni eziningi, imbangela ngqo yamathumbu ayaziwa. Isibonelo, ochwepheshe abazi okwamanje ukuthi yini ebangela i-IBS. Isizathu esiqondile sesifo sikaCrohn naso asikaziwa. Kodwa izici ezithile zobungozi zingakhuphula ubungozi besifo sikaCrohn, kufaka phakathi:

• ukubhema
• izici zemvelo, njengokudla
• izici ze-microbial kanye ne-immunologic
• umlando womndeni wesifo sikaCrohn
• ngokuba ngowesizwe samaJuda

Isifo seCeliac yisifo sofuzo. Kungenzeka ukuthi uyithuthukise uma unomlando womndeni waleso simo.

Ukuvinjelwa okuningi kwamathumbu kubangelwa ukulimala, ukuhlinzwa kwangaphambilini, i-hernias, noma kwezinye izimo, umdlavuza. Eminye imishanguzo iphakamisa nengozi yakho yokuthola ukuvinjelwa kwamathumbu.

Kutholakala kanjani ukuphazamiseka kwamathumbu?

Uma uhlangabezana nezimpawu zokuphazamiseka kwamathumbu, yenza i-aphoyintimenti nodokotela wakho. Bangasiza ukuxilonga imbangela yezimpawu zakho. Bangayalela izivivinyo ezahlukahlukene ukwenza lokho.

Ukuxilonga noma ukukhipha i-IBS, udokotela wakho angahlola izimpawu zakho esebenzisa iqoqo lezindlela ezibizwa ngokuthi yi-Rome criteria.Bangakwazi ukuxilonga i-IBS uma ngabe uhlangabezana nobuhlungu besisu okungenani ezinezimpawu ezilandelayo:

• izinguquko kumvamisa wokuhamba kwamathumbu akho
• izinguquko ngokungaguquguquki kwesitulo sakho
• izimpawu ezithuthuka ngemuva kokuhamba kwamathumbu

Ukuxilonga noma ukukhipha isifo seCrohn noma ukuvinjelwa kwamathumbu, udokotela wakho angahle ahlele ukuhlolwa kwezithombe. Isibonelo, banga-oda ukuskena kwe-computed tomography (CT), imaging resonance imaging (MRI), noma i-endoscopy ukuhlola umgudu wakho wokugaya ukudla. Bangabuye ba-oda ukuhlolwa kwegazi.

Ukuhlonza noma ukukhipha isifo se-celiac, udokotela wakho angalawula ukuhlolwa kwegazi kanye ne-biopsy yamathumbu akho amancane. Ukuthola i-biopsy, bazokwenza i-endoscopy ephezulu bese beqoqa isampula lezicubu emathunjini akho amancane. Bazothumela isampula elabhorethri ukuze liyohlaziywa.

Udokotela wakho angaphinde ahlele ukuhlolwa ukuze ahlole ezinye izimo ezingadala izimpawu zakho. Isibonelo, banga-oda ukuhlolwa kwegazi noma baqoqe isampula lesitulo sakho ukuhlola izimpawu zokutheleleka.

Zelashwa kanjani izifo zamathumbu?

Uhlelo lwakho lokwelashwa oluthile luzoya ngokuxilongwa kwakho. Udokotela wakho angancoma inhlanganisela yezinguquko zendlela yokuphila, imithi, ukuhlinzwa, noma ezinye izindlela zokwelashwa.

Izinguquko zendlela yokuphila

Udokotela wakho angancoma izinguquko zendlela yokuphila ukusiza ukuphatha ukuphazamiseka kwamathumbu, kufaka phakathi izinguquko ekudleni kwakho. Ukungabekezelelani kokudla kungenza izimpawu ze-IBS, isifo sikaCrohn, nesifo se-celiac sibe sibi kakhulu. Ukudla ifayibha eningi kakhulu noma okuncane kakhulu kungadala nezinkinga.

Uma unesifo se-celiac, udokotela wakho uzokweluleka ukuthi ulandele ukudla okuqinile okungenayo i-gluten. Ukugwema izimpawu nokunciphisa ubungozi bezinkinga, kufanele ugweme ukudla noma yini equkethe ibhali, i-rye, noma ukolweni, kufaka phakathi isipelingi noma i-kamut. Kufanele futhi ugweme ama-oats, ngaphandle kokuthi aqinisekisiwe ukuthi awuna-gluten. Ngenkathi i-oats ingenayo i-gluten, ivame ukucutshungulwa kwimishini efanayo nokolweni futhi ingangcoliswa ne-gluten.

Uma une-IBS noma isifo sikaCrohn, udokotela wakho angakukhuthaza ukuthi ugcine ilog yokukhetha kwakho ukudla nezimpawu. Lokhu kungakusiza ukuthi ubone izimbangela zokudla ezenza izimpawu zakho zibe zimbi kakhulu. Uma usuzibonile izimbangela, thatha izinyathelo zokuzigwema. Ukugcina ukudla okunomsoco ngangokunokwenzeka kubalulekile.

Udokotela wakho angakukhuthaza futhi ukuthi ukhuphule noma wehlise inani le-fiber ekudleni kwakho. I-fibre ibalulekile ekugcineni amathumbu akho enempilo. Kepha uma uhlushwa isifo sohudo kaningi, kungadingeka ukuthi usinciphise kuze kube yilapho ukunyakaza kwamathumbu kujwayelekile. Ngakolunye uhlangothi, ukudla i-fiber eningi kungasiza ekunciphiseni nasekuvimbeleni ukuqunjelwa.

Udokotela wakho futhi angancoma izinguquko emikhubeni yakho yokuzivocavoca, ukulala noma ukucindezela.

Imithi

Udokotela wakho angancoma imishanguzo uma une-IBS noma isifo sikaCrohn.

Uma une-IBS futhi uhlangabezana nohudo, udokotela wakho angancoma imithi elwa nohudo. Uma uhlangabezana nokuqunjelwa, bangancoma izithambisi zendle noma ama-laxatives. Ngokuya ngezimpawu zakho, imishanguzo ethile ewusizo ekwelapheni ukucindezeleka ingasiza futhi ezigulini ezinesifo sikaCrohn.

Uma unesifo sikaCrohn, udokotela wakho angancoma ukudambisa izinhlungu ukuze unciphise ukungakhululeki kwakho. Kwezinye izimo, bangaphinde banikeze ezinye izidakamizwa, njengemithi elwa nohudo, izithambisi zendle, izidakamizwa ze-immunotherapy, i-corticosteroids, noma ama-antibiotics.

Ukuhlinzwa

Udokotela wakho angancoma ukuhlinzwa ukuze kusizwe ukwelapha isifo sikaCrohn noma ukuvinjelwa kwamathumbu.

Uma unesifo sikaCrohn, udokotela wakho kungenzeka azame ukuselapha ngokushintsha indlela yokuphila nemithi kuqala. Uma lezo zingasebenzi, bangancoma ukuhlinzwa ukuze kususwe izicubu ezigulayo noma ezilimele.

Uma uba nokuvinjelwa okukhulu kwamathumbu, udokotela wakho angadinga ukwenza ukuhlinzwa ukuze asuswe noma adlule.

Uyini umbono wezinkinga zamathumbu?

Uma kutholakala ukuthi unenkinga yamathumbu, umbono wakho wesikhashana nesikhathi eside uzoncika esimweni sakho, nokuthi umzimba wakho uphendula kahle kanjani ekwelashweni.

Ezimweni eziningi, ungalawula izimpawu futhi wehlise ubungozi bezinkinga ngokulandela uhlelo lokwelashwa olunconyiwe lukadokotela wakho. Uma izimpawu zakho zingathuthuki noma ziba zimbi ngokuhamba kwesikhathi, xhumana nodokotela wakho. Bangadinga ukulungisa isu lakho lokwelashwa.

Buza udokotela wakho ukuthola eminye imininingwane mayelana nokuxilongwa kwakho okuthile, izinketho zokwelashwa, nombono wesikhathi eside.

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