Yini engaba isisu esiqhakazile nokuthi wenzeni

-Delile

• Kungaba yini isisu esiqhakazile
• 1. Amagesi amaningi
• 2. Ukungabekezelelani kokudla
• 3. Izifo
• 4. IDyspepsia
• 5. Ukudla ngokushesha
• 6. Umdlavuza wesisu
• Uzoya nini kudokotela

Umuzwa wesisu esiqhakazile ungahlotshaniswa nezici eziningana, kepha ikakhulukazi ngokugaya ukudla okungalungile, ukungabekezelelani kokunye ukudla kanye namagesi amaningi. Kodwa-ke, ukuqunjelwa kwesisu kungakhombisa ukutheleleka ngama-parasites noma ama-bacteria, njenge H. pylori, isibonelo, kufanele ziphathwe.

Isisu esiqunjelwe ngokuvamile asibonisi izinkinga ezinkulu zempilo, kepha kubalulekile ukuthi imbangela ikhonjwe ukuze ukwazi ukushintsha imikhuba yakho yokudla noma uqale ukwelashwa ngemithi, ngokwesibonelo, ukukhulula ukuvuvukala, njengoba kungakhathazi neze.

Kungaba yini isisu esiqhakazile

Isisu esiqhakazile singenzeka ngenxa yezimo eziningana, okuyizona eziyinhloko:

1. Amagesi amaningi

Ukweqisa ngokweqile kungaholela ekuphatheni kabi esiswini nasekuqunjweni, ukungakhululeki okujwayelekile ngisho nesisu esiqunjelwe. Ukwanda kokukhiqizwa kwegesi imvamisa kuhlobene nemikhuba yabantu, njengokungajwayezi ukwenza izinto zomzimba, ukuphuza iziphuzo eziningi ezine-carbon kanye nokudla okunzima ukugaya, njengeklabishi, i-broccoli, ubhontshisi namazambane, ngokwesibonelo. Bheka eminye imikhuba ekhulisa ukukhiqizwa kwegesi.

Okufanele ukwenze: Indlela engcono yokulwa nokukhiqizwa kwegesi ngokweqile futhi ngaleyo ndlela ukhulule izimpawu ukwamukela imikhuba enempilo, njengokuvivinya umzimba njalo nokudla okulula. Bona ezinye izindlela zemvelo neziphumelelayo zokuqeda amagesi emathumbu.

2. Ukungabekezelelani kokudla

Abanye abantu bangahle bangabekezelelani uhlobo oluthile lokudla, okuholela ebunzimeni bomzimba ekugayeni lokho kudla futhi kuholele ekuveleni kwezimpawu ezinjengegesi eyeqile, ubuhlungu besisu, isicanucanu kanye nomuzwa wokusinda esiswini, ngokwesibonelo. Bona ukuthi yiziphi izimpawu zokungabekezelelani kokudla.

Okufanele ngikwenze: Uma kubonakala ukuthi ngemuva kokusetshenziswa kokudla okuthile izimpawu ziyavela, kubalulekile ukuya kudokotela wamathumbu ukuze uqinisekise ukungabekezelelani, ngaphezu kokuncoma ukugwema ukusetshenziswa kokudla okubangela izimpawu.

3. Izifo

Ezinye izifo zingaholela ezimpawu zesisu, njengokutheleleka ngama-parasite. Amanye ama-parasites angadala izimpawu zesisu, okuholela kuhudo, ukuhlanza, isicanucanu kanye nesisu esikhukhulayo, isibonelo. Bona ukuthi ziyini izimpawu zezikelemu.

Ngaphezu kokutheleleka nge-worm, imvubelo kanye nokutheleleka ngamagciwane nakho kungaholela ekuzweleni kwesisu esiqhakazile. Isibonelo ukutheleleka ngegciwane I-Helicobacter pylori, okungaba khona esiswini futhi kuholele ekwakhekeni kwezilonda, ukuqubuka njalo, ukungathandi ukudla, ubuhlungu besisu kanye negesi emathunjini eyeqile. Yazi izimpawu ze- H. pylori esiswini.

Okufanele ngikwenze: Kubalulekile ukuya kudokotela wamathumbu ukuze kwenziwe izivivinyo ukuze kutholakale imbangela yokutheleleka futhi, ngaleyo ndlela, kutholakale indlela yokwelashwa engcono kakhulu. Endabeni yokutheleleka ngamagciwane, kunganconywa ukusetshenziswa kwe-Albendazole noma iMebendazole, futhi kufanele kusetshenziswe ngokuyalelwa ngudokotela.

Endabeni yokutheleleka nge H. pylori, udokotela angancoma ukusetshenziswa kwama-antibiotic ahambisana nezidakamizwa zokuvikela esiswini, ngaphezu kokuncoma ukuvakashela isazi sokudla ukuze umuntu akwazi ukulandela ukudla okwanele. Thola ukuthi ukwelashwa kwenziwa kanjani H. pylori.

4. IDyspepsia

I-Dyspepsia ihambelana nokugayeka kokudla okuhamba kancane futhi okunzima okungahle kuhlobene nokusetshenziswa kokudla okucasulayo, njengekhofi, iziphuzo ezithambile, ukudla okubabayo kakhulu noma okubabayo, izimo ezingokomzwelo, njengokuxineka, ukukhathazeka noma ukudangala, kanye nokusetshenziswa eminye imithi, njengezidakamizwa ezingezona ukuvuvukala, i-ibuprofen, i-corticosteroids noma ama-antibiotics. I-Dyspepsia nayo ingahlotshaniswa nokuba khona kwegciwane I-Helicobacter pylori. 

Okufanele ngikwenze: Ukwelashwa kwe-dyspepsia kuhloselwe ukuqeda izimpawu, futhi kunconywa ukushintsha imikhuba yokudla, futhi umuntu kufanele adle ukudla okukhanyayo nokunomsoco, njengezithelo, imifino nenyama engenamafutha, isibonelo.

Uma kwenzeka kubangelwa I-Helicobacter pylori, i-gastroenterologist izosungula ukwelashwa okufanele kakhulu ukuqedwa kwamagciwane.

5. Ukudla ngokushesha

Ukudla ngokushesha okukhulu nokuhlafuna okuncane kakhulu kuvimbela isisu ekuthumeleni amasiginali ebuchosheni ukuthi sigcwele, okwenza umuntu adle kakhulu, okungagcini nje ngokuzuza isisindo, kepha futhi nasekuzweleni kwesisu esigcwele futhi esiqhakazile, ukugaya ukudla okungalungile nesilungulela.

Ngaphezu kwalokho, ukuntuleka kokuhlafuna kuvimbela ukudla ukuthi kungagayeki kahle esiswini, kubangele ukuhamba kwamathumbu ukuthi kwehle, kubangele ukuqunjelwa, ukubhandwa kanye negesi, ngokwesibonelo.

Okufanele ngikwenze: Uma isisu esiqunjelwe sihlobene nokudla ngokushesha okukhulu, kubalulekile ukuthi umuntu anake lokho akudlayo, adle ukudla endaweni ethulile nenokuthula, ukuhlafune ukudla izikhathi ezingama-20 kuya kwezingama-30 futhi ame phakathi komlomo ngamunye, okungcono ukushiya okusikiwe epuletini, ukuze ubone ukuthi unelisekile noma cha.

6. Umdlavuza wesisu

Umdlavuza wesisu wuhlobo lomdlavuza olungathinta noma iyiphi ingxenye yesisu futhi kubangele izimpawu ezifana nokushaywa yinhliziyo, isicanucanu, ukuhlanza, ukuba buthakathaka, ukwehlisa isisindo ngaphandle kwesizathu, ukuncipha kwesifiso sokudla kanye nesisu esigcwele futhi esivuvukile, ikakhulukazi ngemuva kokudla, futhi ukuvuvukala kweqembu lesinxele elingu-supraclavicular ganglion, elibizwa nangokuthi i-ganglion kaVirchow, okusikisela kakhulu umdlavuza wesisu. Yazi izimpawu zomdlavuza wesisu.

Okufanele ngikwenze: Ukwelashwa komdlavuza wesisu kwenziwa nge-chemo noma nge-radiotherapy futhi, ngokuya ngobukhulu, usayizi nendawo yesimila esiswini, kungadingeka ukwenza ukukhishwa kokuhlinzwa kwengxenye noma kwawo wonke amalungu omzimba. Ngaphezu kwalokho, kubalulekile ukwamukela imikhuba yokuphila enempilo, njengokudla okunomsoco nokuvivinya umzimba njalo ukuvimbela ukuqhubeka kwezifo.

Uzoya nini kudokotela

Yize singesibi kakhulu isikhathi esiningi, kubalulekile ukuya kudokotela we-gastroenterologist uyohlola imbangela yokuvuvukala kwesisu futhi, ngalokho-ke, ukwelashwa okungcono kakhulu kungachazwa. Ngaphezu kwalokho, kubalulekile ukuya kudokotela uma:

• Ukuvuvukala kuyaphikelela;
• Ezinye izimpawu zenzeka, njengokuhuda, ukugabha noma ukopha;
• Kukhona ukwehla kwesisindo ngaphandle kwesizathu;
• Izimpawu azinciphi ngemuva kokwelashwa okunikezwe ngudokotela.

Uma kwenzeka umuzwa wesisu esiqunjelwe uhlobene nezinkinga ezihlobene nokudla, i-gastroenterologist ingancoma ukuya kudokotela wezokudla ukuze lowo muntu akwazi ukuqondiswa ngemikhuba yakhe yokudla.

Uma kuhlobene nokutheleleka, udokotela angancoma ukusetshenziswa kwemithi elwa namagciwane noma ama-antibiotic ngokusho kwe-ejenti elithathelwanayo elihlonziwe, ngaphezu kokusetshenziswa kwezidakamizwa zokuvikela esiswini, njenge-Omeprazole noma i-Pantoprazole, ngokwesibonelo.