Yini Ebangela Ukungakhululeki Kwesisu Sami? Imibuzo Ongayibuza Udokotela Wakho

-Delile

• 1. Yini engadala izimpawu zami?
• 2. Yikuphi ukuhlolwa okuzokusiza ukuthi ufinyelele ekuxilongweni?
• 3. Okwamanje, ingabe ikhona imithi yokwelapha izimpawu?
• 4. Ngenkathi ngilinde ukuxilongwa, ngabe kufanele ngenze ushintsho ekudleni kwami?
• 5. Kuthiwani ngezithako zokudla?
• 6. Ngabe ikhona imisebenzi engenza izimpawu zami zibe zimbi kakhulu?
• 7. Ingabe kukhona ukuzivocavoca noma izindlela zokwelapha engingazenza ukuze ngizizwe ngingcono?
• 8. Yiziphi izinhlobo zokwelashwa ezikhona zezifo ze-GI?
• 9. Yiziphi izimpawu eziyisixwayiso zokuthi ngidinga ukwelashwa okuphuthumayo?
• Ukudla okudlela endlini

Ukubuka konke

Ukungakhululeki okuncane kwesisu kungafika kudlule, kepha ubuhlungu besisu obuqhubekayo kungaba uphawu lwenkinga enkulu yempilo.

Uma unezinkinga ezingapheli zokugaya ukudla njengokuqunjelwa, ubuhlungu besisu, nohudo, udokotela wakho wokunakekelwa okuyisisekelo uzokudlulisela kuchwepheshe. I-gastroenterologist ngudokotela ogxile ekuhloleni nasekwelapheni ukuphazamiseka kohlelo lokugaya ukudla.

Ukuqokwa kukadokotela kungaba matasa futhi kube nengcindezi, ikakhulukazi uma ufuna ukuxilongwa. Uncike kudokotela wakho ukuthola ukuthi yini okungahambi kahle nokuthi iyiphi indlela engcono kakhulu yokwelashwa.

Udokotela wakho uthembele kuwe ukuthi unikeze imininingwane eminingi ngangokunokwenzeka, futhi abuze imibuzo.

Ukusebenza ngokubambisana nodokotela wakho kuzokusiza kukuhambise ekuxilongweni. Ngemuva kwalokho ungaqala ukwelashwa, ufunde ukuthi ungaziphatha kanjani izimpawu zakho, futhi uthuthukise ikhwalithi yempilo yakho.

Ngezansi, sihlanganise uhlu lwemibuzo ewusizo nebalulekile ukuze ubuze udokotela wakho ngokungakhululeki esiswini okuzwayo.

1. Yini engadala izimpawu zami?

Ama-gastroenterologists abhekana nalo lonke uhlelo lwesisu (GI). Lokhu kufaka phakathi:

• ingono
• isisu
• isibindi
• amanyikwe
• Amapayipi enyongo
• inyongo
• amathumbu amancane namakhulu

Ukwedlula izimpawu zakho kuzosiza udokotela wakho ukuthi abe nombono wokuthi inkinga ivelaphi. Ezinye izimo ezingadala ukungakhululeki esiswini yilezi:

• Isifo i-Addison
• ukwelashwa
• ukungasebenzi kahle kwe-exocrine pancreatic (EPI)
• i-gastroparesis
• isifo se-reflux se-gastroesophageal (GERD)
• i-irritable bowel syndrome (IBS)
• isifo sokuvuvukala kwamathumbu (IBD), esifaka phakathi i-ulcerative colitis nesifo sikaCrohn
• isifo sokuqaqamba kwamalunga
• izilonda

Ukuzwela kokudla nakho kungadala ukungakhululeki. Ungazwela ku:

• ubumnandi bokufakelwa
• fructose
• i-gluten
• i-lactose

Izinkinga ze-GI nazo zingabangelwa:

• ukutheleleka kwamagciwane
• ukutheleleka kwama-parasitic
• ukuhlinzwa kwangaphambilini okubandakanya umgudu wokugaya ukudla
• amagciwane

2. Yikuphi ukuhlolwa okuzokusiza ukuthi ufinyelele ekuxilongweni?

Ngemuva kokuhlola izimpawu zakho nomlando wezokwelapha, udokotela wakho uzoba nomqondo ongcono wokuthi yiziphi izivivinyo ezingase ziholele ekuxilongweni. Lezi zivivinyo zibalulekile ngoba izinkinga eziningi zomgudu wokugaya zinezimpawu ezigqagqene futhi zingatholwa ngokungaqondile.

Ukuhlolwa ngokucophelela kuzosiza ukuqondisa udokotela wakho ekuhloleni okuyikho.

Ezinye izivivinyo ze-GI yilezi:

• izivivinyo zokucabanga esiswini kusetshenziswa i-ultrasound, i-CT scan, noma i-MRI
• ukugwinya kwe-barium, noma uchungechunge oluphezulu lwe-GI, usebenzisa ama-X-ray ukubheka ipheshana lakho eliphezulu le-GI
• i-endoscopy ephezulu ye-GI ukuxilonga nokwelapha izinkinga kupheshana lakho eliphezulu le-GI
• i-barium enema, ukuhlolwa kwe-imaging okusebenzisa ama-X-ray ukubuka ipheshana lakho eliphansi le-GI
• sigmoidoscopy, isivivinyo sokuhlola ingxenye engezansi yekoloni yakho
• colonoscopy, inqubo ehlola ingaphakathi lakho lonke amathumbu akho amakhulu
• indle, umchamo nokuhlaziywa kwegazi
• ukuhlolwa komsebenzi we-pancreatic

Eminye imibuzo ongayibuza mayelana nokuhlolwa:

• Injani inqubo? Ingabe kuyahlasela? Ngabe kumele ngenze noma yini ukulungiselela?
• Ngingalindela imiphumela kanjani futhi nini?
• Ngabe imiphumela izocaca noma ingabe ukukhipha okuthile?

3. Okwamanje, ingabe ikhona imithi yokwelapha izimpawu?

Udokotela wakho angakwazi ukukuhlinzeka ngemithi yokudambisa izimpawu ngisho nangaphambi kokutholakala kwesifo. Noma bangancoma imithi engaphezulu kwe-the-counter (OTC) engasiza.

Buza ngemiphumela emibi ejwayelekile, ukuxhumana kwezidakamizwa, ukuthi ungayithatha isikhathi esingakanani, futhi uma kunemithi ethile ye-OTC okufanele uyigweme.

4. Ngenkathi ngilinde ukuxilongwa, ngabe kufanele ngenze ushintsho ekudleni kwami?

Njengoba ubhekene nokungahambi kahle esiswini, ungahle ubhekane nokuncipha kwesifiso sokudla. Noma mhlawumbe uqaphele ukuthi ukudla okuthile kwenza izimpawu zakho zibe zimbi kakhulu.

Udokotela wakho angakunika umbono ongcono wokudla okungenzeki ukuthi kucasule isisu.

5. Kuthiwani ngezithako zokudla?

Uma unesifiso esibi noma ulahlekelwe isisindo esingaqondakali, kungadingeka ukuthi ungeze ukudla kwakho ngamavithamini namaminerali.

Ukuphazamiseka okuthile, njengesifo sikaCrohn, i-EPI, nesilonda esilimaza ulcerative, kungaphazamisa amandla omzimba wakho okuthola izakhamzimba.

6. Ngabe ikhona imisebenzi engenza izimpawu zami zibe zimbi kakhulu?

Izinto ezithile, ezifana nokubhema noma ukuphuza utshwala ne-caffeine, kungakhuphula ukungakhululeki esiswini. Tshela udokotela wakho uma wenza umsebenzi okhandlayo womzimba ongaqinisa izimpawu.

7. Ingabe kukhona ukuzivocavoca noma izindlela zokwelapha engingazenza ukuze ngizizwe ngingcono?

Ngokuya ngezimpawu zakho nempilo ejwayelekile, udokotela wakho angancoma imikhuba ethile, efana ne-yoga, i-tai chi, noma izivivinyo zokuphefumula ezijulile ezingakusiza ukuthi ucindezeleke futhi welule imisipha yakho.

8. Yiziphi izinhlobo zokwelashwa ezikhona zezifo ze-GI?

Uma ungenakho ukuxilongwa okwamanje, udokotela wakho angakunika umbono wokwelashwa okujwayelekile kwezinkinga ze-GI, ngakho-ke uyazi ukuthi yini ongayilindela.

Futhi, ukufunda ngezinketho zakho ngaphambi kokuxilongwa kungakusiza wenze izinqumo ezifundiswe kakhulu ngokuhamba kwesikhathi.

9. Yiziphi izimpawu eziyisixwayiso zokuthi ngidinga ukwelashwa okuphuthumayo?

Ngenkathi ulinde ukuxilongwa, kungalinga ukukhipha izimpawu ezintsha noma eziya ziba zimbi. Kepha kufanele wazi izimpawu zokuthi udinga usizo lwezempilo ngokushesha.

Ngokwesibonelo:

• igazi noma ubomvu ezindlini zakho
• ubuhlungu besifuba
• imfiva
• uhudo olunzima nokuphelelwa amanzi emzimbeni
• ngokuzumayo, ubuhlungu obukhulu besisu
• ukuhlanza

Ukudla okudlela endlini

Ubuhlungu besisu obungapheli nezimpawu ze-GI kungathinta injabulo yakho nekhwalithi yempilo. Uma uhlangabezana nezinto ezifana nokuqunjelwa, igesi, nohudo ngokungaguquguquki, yenza i-aphoyintimenti nodokotela wakho.

Qiniseka ukuthi ubhala phansi zonke izimpawu zakho, bese uzama ukubona ukuthi unganciphisa yini noma yiziphi izimbangela ngokugcina iphephabhuku lezimpawu. Ulwazi olwengeziwe okwazi ukuluhlanganyela nodokotela wakho, kuzoba lula ngabo ukukunikeza ukuxilongwa okulungile.