Amaphilisi ayi-10 angcono kakhulu okuqunjelwa kanye negesi
Isenzakalo esibalulekile siseduze, kodwa ingabe kukhona isiphepho sangempela esiswini sakho? Sizothola ukuthi yiziphi izidakamizwa ezisebenzayo nezisebenza ngokushesha zokuqunjelwa kanye nokwakheka kwegesi ezingathengwa ekhemisi, nokuthi yini okufanele uyibheke lapho uzikhetha.

Ukuqunjelwa (i-flatulence) kungenye yezinkinga ezivame kakhulu ezihlobene nokuphazamiseka kohlelo lokugaya ukudla. Umuntu ukhononda ngomzwelo wokukhukhuma nokugcwala kwesisu, okuhambisana nokubunjwa kwegesi ngokweqile1. Futhi nakuba i-flatulence ngokwayo akuyona isifo esiyingozi, le nkinga ingabangela ukungakhululeki okukhulu nokuhlazeka.1.

Uhlu lwamaphilisi ayi-10 aphezulu angabizi futhi asebenza ngokushesha okuqunjelwa kanye negesi ngokusho kwe-KP

With udokotela ojwayelekile u-Oksana Khamitseva sihlanganise uhlu lwamakhambi okuqunjelwa angabizi, asebenza ngokushesha kanye negesi futhi saxoxa ngokuthi angasetshenziswa kanjani ngendlela efanele. Qaphela ukuthi ukuzelapha kungaholela emiphumeleni engalindelekile, ngakho-ke ngaphambi kokusebenzisa imithi, kufanele uthintane nochwepheshe.

1. Espumizan

Ikhambi elisebenzayo elisheshayo lokuqunjelwa nokuduma esiswini. I-Espumizan ayinawo umthelela enqubweni yokugaya, ayingeni egazini ("isebenza" kuphela ku-lumen yamathumbu), ayinayo i-lactose noshukela. Isithako esisebenzayo somuthi yi-simethicone, okuyikhambi eliphephile lokuqunjelwa. Inkambo yokwelashwa yizinsuku eziyi-14.

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ukuvinjelwa kwamathumbu, izingane ezingaphansi kweminyaka engu-6 ubudala.

okungezona umlutha, kuphephile kubantu abanesifo sikashukela kanye nabantu abanokungabekezelelani kwe-lactose.
ukwakheka okuphambene nemvelo, izindleko eziphezulu zomuthi.
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2. I-Meteospasmil

Isidakamizwa sinomphumela oyinkimbinkimbi: i-anesthetizes kahle futhi ikhulula imisipha yamathumbu, inciphisa ukwakheka kwegesi. I-Meteospasmil inqunyelwe i-flatulence kanye nokuqunjelwa kwesisu, kanye nesicanucanu, ukubhoboza nokuqunjelwa. Umuthi ubuye ulungele iziguli ezine-hypertonicity yamathumbu, ezivame ukuhlushwa yi-spastic constipation.

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ezivinjelwe izingane ezingaphansi kweminyaka engu-14 ubudala.

kufanelekile ukulungiselela isiguli ukuhlolwa okuhlukahlukene (i-ultrasound, i-endoscopy yesisu noma amathumbu), ibulala izinzwa futhi iphumuze imisipha yamathumbu.
amanani aphezulu, akunconywa kwabesifazane abakhulelwe nabancelisayo. 
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3. I-Simethicone nge-fennel

Umuthi unqunyelwe ukuqunjelwa kanye ne-colic, njengoba ukhulula ngokuphumelelayo ukwakheka kwegesi. Izithako ezisebenzayo zama-capsules yi-simethicone ne-fennel amafutha abalulekile. I-Fennel iqeda isifiso sokuhlanza futhi iyi-antispasmodic yemvelo.

I-Simethicone ene-fennel ithuthukisa ukugaya, ayinayo "imiphumela emibi" ngisho nokusetshenziswa isikhathi eside.

Ukungafani: akunconywa kwabesifazane abakhulelwe nabancelisayo, kanye nezingane ezingaphansi kweminyaka engu-6 ubudala. 

intengo ethengekayo, indlela elula yokukhululwa.
ukungezwani komzimba kungenzeka ngokungezwani komuntu ngamunye.
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4. I-Pancreatin

I-Pancreatin iqukethe isithako esisebenzayo segama elifanayo - i-enzyme eyenza lula ukugaya amaprotheni, amafutha kanye nama-carbohydrate futhi ithuthukise ukugaya. Umuthi ubhekana kahle nezimpawu zokucanuzela kwenhliziyo, ukuqunjelwa, ukuduma kanye nokusindwa yisisu.

Amaphilisi kufanele athathwe ngomlomo, ngaphandle kokuhlafuna futhi ngoketshezi olungenayo i-alkali (amanzi, amajusi ezithelo).

Ukungafani: i-acute futhi engapheli (esiteji esibucayi) i-pancreatitis kanye nokungabekezelelani kwe-lactose, izingane ezingaphansi kweminyaka engu-6 ubudala.

intengo ethengekayo, indlela elula yokukhululwa.
sebenzisa ngokuqapha ngesikhathi sokukhulelwa nokuncelisa.
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5. Antareit 

Amaphilisi ahlafunwayo i-Antareyt asiza ngokushesha ngokuqunjelwa, ukuqunjelwa kanye nesilungulela. Isenzo somuthi siqala phakathi nemizuzu embalwa ngemva kokufakwa kwesicelo futhi sinomphumela ohlala njalo. I-Antarite ivikela kahle i-mucosa yesisu, idala "ifilimu" yokuzivikela ebusweni bayo. Futhi, umuthi unciphisa i-asidi yejusi yesisu.

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ukwehluleka okukhulu kwezinso, ukungabekezelelani kwe-fructose (ngenxa yokuba khona kwe-sorbitol ekulungiseleleni).

kwandisa imisebenzi yokuzivikela ye-mucosa yesisu. Amaphilisi kulula ukuwahlafuna futhi awadingi amanzi okuphuza.
akunconywa kwabesifazane abakhulelwe nabancelisayo, kanye nezingane ezingaphansi kweminyaka engu-12 ubudala.
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6. Smecta

I-Smecta ingenye yamalungiselelo e-sorbent athandwa kakhulu futhi asebenzayo. Ibhekana kahle nobuthi, izinto ezicasulayo, kanye namabhaktheriya namagciwane asemgudwini wokugaya ukudla. I-sorbent isetshenziselwa ukuqunjelwa, ukwakheka kwegesi okwandisiwe, ukucasuka kwamathumbu kanye nesilungulela.2. I-Smecta inezinkomba ezifanayo ezinganeni nakubantu abadala.

Ukungafani: i-hypersensitivity ezingxenyeni, ukuqunjelwa okungapheli, ukuvinjelwa kwamathumbu, ukungabekezelelani kwe-fructose ezigulini.

egunyazwe ukusetshenziswa ngabesifazane abakhulelwe nabancelisayo, kanye nezingane kusukela enyangeni engu-1.
ayibafanele abantu abaphethwe ukuqunjelwa okungapheli.
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7. I-Trimedat

I-Trimedat iyi-antispasmodic ephumelelayo ebhekana kahle nokungahambi kahle kwesisu. Isithako esiyinhloko esisebenzayo ekubunjweni yi-trimebutine, ekhulula ngokushesha nangempumelelo ukungahambi kahle nobuhlungu besisu, ikhulula ukuqunjelwa kanye nesilungulela.3.

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, ukuvinjelwa kwamathumbu, ukungabekezelelani kwe-lactose ezigulini, ukukhulelwa.

inomphumela omuhle we-analgesic.
akufanele isetshenziswe izingane ezingaphansi kweminyaka engu-3 ubudala, inani eliphakeme uma kuqhathaniswa esigabeni.
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8. Duspatalin

Umuthi uqukethe i-mevebrine, okuyi-antispasmodic enhle, ngakho-ke ngokuvamile inqunyelwe ubuhlungu namajaqamba esiswini, ukungakhululeki nokuqunjelwa. I-Duspatalin ayinayo i-analgesic kuphela, kodwa futhi inomphumela wokwelapha, ukubhekana nezimpawu "zezibilini ezicasulayo"4. Amaphilisi kufanele athathwe imizuzu engu-20 ngaphambi kokudla ngamanzi amaningi.

Ukungafani: akunconywa kwabesifazane abakhulelwe nabancelisayo, kanye nezingane ezingaphansi kweminyaka engu-18 ubudala. 

indlela elula yokukhululwa, ikhulula ngokushesha ubuhlungu kanye nokwanda kwegesi yokwakheka.
akufanele ithathwe abantu abangaphansi kweminyaka engu-18 ubudala, kanye nabesifazane abakhulelwe nabancelisayo.
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9. I-Metenorm

I-Metenorm ayisona isidakamizwa, kodwa isithasiselo sokudla, umthombo owengeziwe we-inulin. Umuthi uthuthukisa ukusebenza kwamathumbu, usiza ngokuqunjelwa kanye nokwanda kokwakheka kwegesi. I-Metenorm inomphumela oyinkimbinkimbi ngenxa yokwakheka:

  • i-inulin ithuthukisa i-microflora yamathumbu engokwemvelo;
  • ukukhishwa kwe-fennel kuvimbela ukuqoqwa kwegesi;
  • i-dandelion extract inomphumela wokulwa nokuvuvukala;
  • i-mint extract isiza ngokuqunjelwa.

Ukungafani: ukungabekezelelani komuntu ngamunye ezingxenyeni zomuthi, akunconywa kwabesifazane abakhulelwe nabancelisayo, kanye nezingane ezingaphansi kweminyaka engu-18 ubudala. 

indlela elula yokukhululwa, ukwakheka kwemvelo, kuthuthukisa umsebenzi wamathumbu.
ukungezwani komzimba kungenzeka.
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10. Plantex

Ikhambi elihle kakhulu lokuqunjelwa kanye nokwakheka kwegesi kulabo abathokozela ukwakheka kwemvelo. I-Plantex iphinde inqunywe nge-colic yamathumbu kanye nokuvimbela kwabo ezinsaneni ezisanda kuzalwa.

Isithako esiyinhloko esisebenzayo se-Plantex yi-fennel fruit extract. I-Fennel iwusizo emgudwini wamathumbu ngoba iqukethe amafutha abalulekile, ama-organic acid namavithamini. Ithuluzi liqeda ubuhlungu nge-flatulence futhi lisiza ukudlula kwamagesi. Izinto ezisebenzayo zomuthi zimuncwa ngokuphelele futhi zikhulule ngokushesha ukuvuvukala.

Ukungafani: i-hypersensitivity ezingxenyeni zomuthi, i-galactose / glucose malabsorption syndrome, ukuntuleka kwe-lactase, i-galactosemia.

intengo ethengekayo, ukwakheka kwemvelo, okuvunyelwe ezinganeni.
iqukethe ushukela, inephunga elithile eliqinile.

Indlela yokukhetha amaphilisi okuqunjelwa kanye nokwakhiwa kwegesi

Lapho ukhetha izidakamizwa zokuqunjelwa kanye nokwanda kokwakhiwa kwegesi, kuyadingeka ukunamathela endleleni edidiyelwe. Kunezimiso ezilandelayo eziyisisekelo zokwelashwa kwe-flatulence:

  • ukuqedwa kwembangela (ukulungiswa kokudla, ukujwayelekile kwe-microflora yamathumbu, ukwelashwa kwezifo ezivuthayo nezithathelwanayo zepheshana lesisu, njll.);
  • ukukhipha igesi emathunjini5.

Ngemuva kokuhlolwa, udokotela uzokwazi ukuthola imbangela ye-flatulence futhi akhiphe izifo ezimbi kakhulu (isibonelo, isifo se-gallbladder) ohlwini lokuxilongwa okungenzeka.

Isiguli sinqunywe ukwelashwa okwanele ngokuhambisana nesizathu esibangele ukuqunjelwa. Ngezinye izikhathi udokotela angase anikeze ama-laxatives nezidakamizwa ezithuthukisa ukuhamba kwamathumbu.6.

Yonke imithi yokuqunjelwa ingahlukaniswa ngamaqembu amaningana: ama-enterosorbents, ama-defoamers, amalungiselelo e-enzyme, ama-probiotics, ama-herbal carminatives.6. Ukukhetha kahle ukwelashwa kodokotela kuvumela isiguli ukuthi sisuse uphawu olungathandeki oluphazamisayo.

Ukubuyekezwa kodokotela mayelana namaphilisi okuqunjelwa kanye nokwakhiwa kwegesi

Ukuqunjelwa kanye negesi kuyinkinga evamile abantu abaningi abadala nabantwana ababhekana nayo. Lena inqubo ye-pathological eqala ngenxa yokungagayeki futhi ihambisana nokuqoqwa kwamagesi emathunjini.

Odokotela abaningi bakholelwa ukuthi izidakamizwa ezisebenza ngokushesha futhi ezithengekayo zisiza ukwenza uhlelo lokugaya lube ngokwejwayelekile, lususe ukunqwabelana kwamagesi futhi luthuthukise inhlalakahle yesiguli. Okuthandwa kakhulu kukhona amalungiselelo aqukethe i-simethicone ekubunjweni (Espumizan) noma i-fennel extract (Plantex, Metenorm).

Imibuzo nezimpendulo ezidumile

Umelaphi u-Oksana Khamitseva uphendula imibuzo ethandwayo mayelana nokwelashwa kokuqunjelwa.

Kungani kwenzeka ukukhiqizwa kwegesi?

- Izimbangela zokuqunjelwa kanye nokwakheka kwegesi ngokuvamile:

• ukusetshenziswa ngokweqile kokudla okubangela igesi ngesikhathi sokugaya emathunjini;

• i-dysbacteriosis yamathumbu, ukukhula ngokweqile kwezitshalo;

• ukuhlasela kwe-parasite;

• izifo ezingapheli zomgudu wamathumbu;

• ukucindezeleka okuvusa i-dysbacteriosis kanye nesifo samathumbu esicasulayo.

Ngokwehlukana, ngingathanda ukugqamisa uhlu lwemikhiqizo engabangela ukuqunjelwa kanye nokwakheka kwegesi:

• izithelo: ama-apula, ama-cherries, amapheya, ama-peaches, ama-apricot, ama-plums;

• imifino: iklabishi, ama-beet, u-anyanisi, u-garlic, ama-legumes, amakhowe, i-asparagus;

• okusanhlamvu: ukolweni, i-rye, ibhali;

• ubisi nemikhiqizo yobisi: iyogathi, ice cream, ushizi othambile;

• ufulawa: amakhekhe, isinkwa esenziwe ngofulawa we-rye.

Ungakwazi yini ukuphuza amanzi aqunjelwe?

– Yebo, ungawaphuza amanzi, ikakhulukazi njengoba kusehlobo nokushisa egcekeni. Kodwa kuphela ehlanzekile, ehlungiwe noma ebhodleleni. Ngokuqunjelwa, kwenqatshelwe ngokuphelele ukuphuza iziphuzo ezinjenge-koumiss, kvass, ubhiya namanzi acwebileyo.

Yiziphi izivivinyo ezisiza ukuqeda amagesi?

- Ngokuvamile, izimo ezimbili zingenzeka ngokukhula kwegesi yokwakheka: ukukhishwa okukhulu kwamagesi nokuqunjelwa. Futhi uma ukudlula kwamagesi kubonisa ukuhamba kwamathumbu okujwayelekile, ukuqunjelwa kubonisa ukwephulwa kwalo msebenzi. Amathumbu "ama", ama-spasms. Lokhu kubangela ubuhlungu esiswini.

Ukuthuthukisa ukuhamba kwamathumbu, umsebenzi womzimba uwusizo kakhulu. Ukuhamba, ukugijima, ukubhukuda kuhle kulo msebenzi. Kodwa ukuvivinya umzimba kwabezindaba akufanele kwenziwe, njengoba kwandisa ingcindezi emgodini wesisu, okungase kubhebhethekise isimo.

Iyiphi indlela engcono kakhulu yokulala nesisu esikhukhumele?

- Ukuma okuhle ngesikhathi sokulala nokuqunjelwa kulele ngesisu sakho. Lokhu kunciphisa ukungezwani odongeni lwesisu futhi kunciphisa ubuhlungu. Kulokhu, inhloko yombhede kufanele iphakanyiswe ngo-15-20 cm.

Kunoma yiziphi izimpawu zokubonakala kwe-flatulence, kuyadingeka ukufuna iseluleko sikadokotela ojwayelekile noma i-gastroenterologist.

  1. I-Flatulence: umbuthano wolwazi noma umbuthano wokungazi? Shulpekova Yu.O. Umkhandlu Wezokwelapha, 2013. https://cyberleninka.ru/article/n/meteorizm-krug-znaniya-ili-krug-neznaniya
  2. Ukuqunjelwa. Izimbangela kanye nokwelashwa. I-Nogaller A. Magazine "Doctor", 2016. https://cyberleninka.ru/article/n/meteorizm-prichiny-i-lechenie
  3. Incwadi eyireferensi yemithi Vidal: Trimedat. https://www.vidal.ru/drugs/trimedat 17684
  4. Incwadi yereferensi yemithi Vidal: Duspatalin. https://www.vidal.ru/drugs/duspatalin__33504
  5. Ivashkin VT, Maev IV, Okhlobystin AV et al. Izincomo ze-Russian Gastroenterological Association zokuxilongwa nokwelashwa kwe-EPI. REGGC, 2018. https://www.gastroscan.ru/literature/authors/10334
  6. I-Gastroenterology. Ubuholi bukazwelonke. Uhlelo olufushane: izandla. /Umhl. VT Ivashkina, TL Lapina. M., 2012. https://booksee.org/book/1348790

shiya impendulo