Izimo Ezijwayelekile Ezingaqondakali Zamathumbu (GI)

-Delile

• 1.I-Exocrine insufficiency pancreatic (EPI)
• 2.Isifo samathumbu esivuthayo (IBD)
• 3. Isifo samathumbu esicasulayo (IBS)
• 4. I-Diverticulitis
• 5. Ischemic colitis
• Ezinye izimo ze-GI
• Ukudla okudlela endlini

Kungani ukuxilonga izimo ze-GI kunzima

Ukuqunjelwa, igesi, isifo sohudo, nobuhlungu besisu yizimpawu ezingasebenza kunoma iyiphi inombolo yezimo zesisu (GI). Kungenzeka futhi ukuthi ube nenkinga engaphezu kweyodwa ngezimpawu ezigqagqene.

Yingakho ukuxilonga izifo ze-GI kungaba inqubo ebabazekayo. Kungathatha uchungechunge lwezivivinyo zokuxilonga ukuqeda ezinye izifo nokuthola ubufakazi bezinye.

Ngenkathi mhlawumbe ulangazelela ukuxilongwa ngokushesha, kufanelekile ukulinda okulungile. Yize izimpawu zifana, zonke izifo ze-GI zihlukile. Ukuxilongwa okungalungile kungaholela ekwelashweni okubambezelekile noma okungalungile. Futhi ngaphandle kokwelashwa okufanele, ezinye izifo ze-GI zingaba nezinkinga ezisongela impilo.

Ungasiza le nqubo ngokutshela udokotela wakho ngazo zonke izimpawu zakho, umlando wakho wezokwelapha, nomlando wezokwelapha womndeni. Ungashiyi lutho ngaphandle. Izinto ezinjengokuntuleka kwesifiso sokudla kanye nokwehlisa isisindo kuyizinkomba ezibalulekile.

Lapho usutholile ukuxilongwa, udokotela wakho angakuchazela zonke izinketho zokwelashwa ukuze ungene endleleni yokuzizwa ungcono. Kungaba umqondo omuhle futhi ukuthola umbono wesibili uma ucabanga ukuthi noma yikuphi ukuxilongwa kwakho kushaywe indiva.

Qhubeka ufunda ukuze ufunde ngezimo ezithile ze-GI ezinezimpawu ezigqagqene ezingaba nzima ukuxilongwa.

1.I-Exocrine insufficiency pancreatic (EPI)

I-EPI kulapho amanyikwe akho engakhiqizi ama-enzyme owadingayo ukuze wephule ukudla. I-EPI nezinye izinkinga eziningi ze-GI zabelana ngezimpawu ezinjenge:

• ukungakhululeki esiswini
• ukuqunjelwa, ukuhlala uzizwa ugcwele
• igesi
• isifo sohudo

Uma uqhathaniswa nabantu abaningi, usengozini enkulu ye-EPI uma une:

• i-pancreatitis engapheli
• i-cystic fibrosis
• isifo sikashukela
• umdlavuza wepancreatic
• Inqubo yokuthengiswa kwamanyikwe

Kungenzeka futhi ukuba ne-EPI kanye nesinye isimo se-GI njenge:

• isifo sokuvuvukala kwamathumbu (IBD)
• isifo se-celiac
• i-irritable bowel syndrome (IBS)

Ukuthola lokhu kutholakala kahle kubalulekile. I-EPI iphazamisa ikhono lokumunca izakhamzimba ezibalulekile. Ukuxilongwa okulindelekile nokwelashwa kungaholela ekutheni ungadli kahle futhi wehlise isisindo. Ngaphandle kokwelashwa, i-EPI nayo ingadala ukungondleki. Izimpawu zokungondleki zifaka:

• ukukhathala
• umoya ophansi
• ubuthakathaka bemisipha
• buthakathaka amasosha omzimba, abangela ukugula njalo noma ukutheleleka

Asikho isivivinyo esisodwa esiqondile sokuxilonga i-EPI. Ukuxilongwa kuvame ukufaka uchungechunge lwezivivinyo, kufaka phakathi ukuhlolwa komsebenzi we-pancreatic.

2.Isifo samathumbu esivuthayo (IBD)

Isifo sikaCrohn nesifo sezilonda emathunjini zombili izifo ezingapheli zokuvuvukala kwamathumbu. Ngokubambisana, zithinta ngaphezu kwe-United States nezigidi eziningana emhlabeni jikelele.

Ezinye zezimpawu yilezi:

• ubuhlungu besisu
• uhudo olungamahlalakhona
• ukukhathala
• ukuphuma kwegazi, indle enegazi
• ukuncipha komzimba

I-ulcerative colitis ithinta ungqimba lwangaphakathi lwamathumbu amakhulu kanye ne-rectum. Kuvame ukuthinta amadoda amaningi kunabesifazane.

Isifo sikaCrohn sibandakanya wonke amapheshana e-GI kusuka emlonyeni kuya endunu futhi kufaka zonke izingqimba zodonga lwamathumbu. Ithinta abesifazane abaningi kunabesilisa.

Inqubo yokuxilonga ye-IBD ingaba yinselelo enkulu ngoba izimpawu zesifo sikaCrohn nesifo sezilonda emathunjini ziyafana. Futhi, zihlangana nezimpawu zokunye ukuphazamiseka kwe-GI. Kepha ukuthola ukuxilongwa okulungile kubalulekile ekukhetheni ukwelashwa okufanele nokugwema izinkinga ezinkulu.

3. Isifo samathumbu esicasulayo (IBS)

I-IBS ithinta cishe amaphesenti ayi-10 kuye kwayi-15 omhlaba wonke. Uma une-IBS, umzimba wakho uzwela kakhulu kugesi ohlelweni kanye nezinkontileka zakho zamakholoni kaningi. Izimpawu zingafaka:

• ubuhlungu besisu, ukuqunjelwa, nokungaphatheki kahle
• ukushintsha isifo sohudo, ukuqunjelwa, nolunye ushintsho ekunyakazeni kwamathumbu akho
• igesi nokuqunjelwa
• isicanucanu

I-IBS ivame kakhulu kwabesifazane kunabesilisa futhi imvamisa iqala kubantu abadala abaneminyaka engama-20 nengama-30.

Ukuxilongwa kusekelwe ikakhulukazi ezimpawu. Udokotela wakho angalawula uchungechunge lwezivivinyo ukukhipha i-IBS nezinye izifo ze-GI, ikakhulukazi uma une:

• izimpawu ezengeziwe njengezitokisi ezinegazi, umkhuhlane, ukunciphisa umzimba
• ukuhlolwa kwelebhu okungavamile noma ukutholakala komzimba
• umlando womndeni we-IBD noma umdlavuza obala

4. I-Diverticulitis

I-Diverticulosis yisimo lapho amaphakethe amancane akha khona ezindaweni ezibuthakathaka emathunjini amakhulu aphansi. I-Diverticulosis ayivamile ngaphambi kweminyaka yobudala engama-30, kepha ijwayelekile ngemuva kweminyaka yobudala engama-60. Ngokuvamile azikho izimpawu, ngakho-ke akunakwenzeka ukuthi wazi ukuthi unayo.

Inkinga ye-diverticulosis yi-diverticulitis. Lokhu kwenzeka lapho amagciwane avaleleka emaphaketheni, abangele ukutheleleka nokuvuvukala. Izimpawu zingafaka:

• ukopha
• Ukugodola, umkhuhlane
• ukunyanyiswa
• ubumnene esiswini esingezansi
• ukuvimbela ikholoni

Izimpawu zingafana nalezo ze-IBS.

Ukuxilongwa okulungile kubalulekile ngoba uma udonga lwamathumbu ludabula, imikhiqizo kadoti ingavuza ngaphakathi kwesisu. Lokhu kungaholela ekuthelelekeni okubuhlungu kwesisu esiswini, amathumba, nokuvimba kwamathumbu.

5. Ischemic colitis

Ischemic colitis kulapho imithambo emincane noma evinjiwe inciphisa ukugeleza kwegazi kuya emathunjini amakhulu. Njengoba inciphisa uhlelo lwakho lokugaya ukudla lwe-oxygen, ungahle ube:

• ukuqunjelwa esiswini, ubumnene, noma ubuhlungu
• isifo sohudo
• isicanucanu
• ukuphuma kwegazi

Izimpawu ziyefana nezo ze-IBD, kepha ubuhlungu besisu buvame ukuba sohlangothini lwesobunxele. I-Ischemic colitis ingenzeka nganoma yisiphi isikhathi kodwa kungenzeka kakhulu ngemuva kweminyaka yobudala engama-60.

Ischemic colitis ingelashwa nge-hydration futhi kwesinye isikhathi ixazululwa yodwa. Kwezinye izimo, kungalimaza ikholoni yakho, kwenze ukuhlinzwa kokulungisa kudingekile.

Ezinye izimo ze-GI

Uma unezinkinga ze-GI ezingatholakali, izimpawu zakho ezithile kanye nomlando wezokwelapha kuzosiza udokotela wakho anqume izinyathelo ezilandelayo. Ezinye izimo ze-GI ezinezimpawu ezigqagqene zifaka:

• ukutheleleka kwamagciwane
• isifo se-celiac
• ama-polyp polyps
• ukuphazamiseka kwe-endocrine njengesifo i-Addison noma izicubu ze-carcinoid
• ukuzwela kokudla kanye ne-allergies
• isifo se-reflux se-gastroesophageal (GERD)
• i-gastroparesis
• isifo sokuqaqamba kwamalunga
• ukutheleleka kwama-parasitic
• umdlavuza wesisu nowebala
• izilonda
• ukutheleleka ngegciwane

Ukudla okudlela endlini

Uma uhlangabezana nezimpawu ze-GI njengalezo ezibalwe ngenhla, yenza i-aphoyintimenti nodokotela wakho. Qiniseka ukuthi udlula kuzo zonke izimpawu zakho nokuthi unesikhathi esingakanani unazo. Yilungele ukukhuluma ngomlando wakho wezokwelapha nanoma yikuphi ukungezwani komzimba ongaba nakho.

Imininingwane yezimpawu zakho kanye nezimbangela zazo ezingaba yimininingwane ebalulekile kudokotela wakho ukuthola isimo sakho futhi akuphathe kahle.