Indle isiza ukukhipha udoti oqinile ekugayeni ukudla nezinye izinqubo ze-metabolic. Indle ngokuvamile iqukethe amanzi angaba ngu-75-85% kanye no-20% wezinto ezomile.

Ukuvama, ukubukeka nombala wendle kuyahluka kakhulu kumuntu nomuntu. Ngokwesilinganiso, ukuphuma kwamathumbu kwenzeka kanye noma kabili ngosuku, nakuba abanye abantu bephuma amathumbu kaningi kanti abanye baphuma kancane, ngaphandle kokuba lokhu kube okungavamile. Kunalokho, ukwenzeka kwezinguquko maqondana nokunyakaza kwamathumbu okuvamile okwenza kube nokwenzeka ukusho ukuthi isimo “asivamile”. Kungaba, ikakhulukazi:

• indle evame kakhulu futhi enamanzi kakhulu (uhudo)
• indle eqine kakhulu (ukuqunjelwa)
• ukushintshana kohudo / ukuqunjelwa
• indle enegazi noma amafinyila
• izihlalo ezinamafutha (steatorrhea)
• indle emnyama (ngezinye izikhathi okuwuphawu lokopha okwenzeka ohlelweni olungaphezulu lokugaya ukudla, isibonelo isisu: lokhu kubizwa ngokuthi i-melena)
• indle elula kakhulu noma emhlophe
• indle engavamile enombala noma enuka kakhulu
• indle equkethe izimuncagazi (kwesinye isikhathi ibonakala ngeso lenyama)

Ezinye izimpawu zingase zengezwe, njengobuhlungu bamathumbu (ama-spasms), igesi, izinkinga zokugaya ukudla, imfiva, njll.

Kufanele wazi ukuthi umbala ojwayelekile onsundu wendle ungenxa yobukhona bezingulube ze-bile, i-stercobilin ne-urobilin, izingulube ezinsundu.

Ukubonakala kwesihlalo kunikeza ulwazi mayelana nokuba khona kwe-pathologies engenzeka: ngakho-ke kubalulekile ukubonisana ngaphandle kokulibala uma isitulo sakho sinezici ezingavamile, njengalezo ezibalwe ngenhla.

Inani elikhulu lezifo lingadala ushintsho ekubukeni noma kumvamisa wokuhamba kwamathumbu. Ngaphandle kokwenza uhlu oluphelele, nazi izifo ezivame ukuhlangana nazo, ezivame ukubangela isifo sohudo:

• ukutheleleka kokugaya ukudla (i-gastroenteritis, ushevu wokudla, "turista", njll.) okungadala isifo sohudo esinamandla
• i-parasitosis yamathumbu (giardia, amoeba, pinworms, tapeworm rings, salmonella, njll.)
• isifo esingapheliyo sokuvuvukala kwamathumbu (IBD) njengesifo sikaCrohn noma i-ulcerative colitis, engadala amafinyila kanye nezihlalo ezinegazi
• i-irritable bowel syndrome (i-alternating diarrhea / constipation)
• i-malabsorption syndromes (njengokungabekezelelani kwe-gluten, isifo se-celiac), okungaholela ezindleleni ezinamafutha

Ukuqunjelwa kungaxhunyaniswa nezizathu eziningi:

• ukukhulelwa
• isitatimende
• izifo ze-endocrine (isifo sikashukela, i-hypothyroidism, i-hyperparathyroidism),
• isifo somzimba
• isifo sezinzwa (isifo sikaParkinson, njll.)
• ukuthatha imishanguzo ethile (imishanguzo elwa nokudangala, izidakamizwa ze-psychotropic, opiates)
• izifo zokugaya ukudla ezifana nesifo sikaHirschsprung

Ekugcineni, umdlavuza ungashintsha ukubukeka kwesitulo:

• umdlavuza wokugaya ukudla, okuhlanganisa nomdlavuza we-colorectal, ovame ukubangela ukuqunjelwa noma ukushintshanisa iziqephu zohudo nokuqunjelwa, noma ukuba khona kwegazi esitulweni.
• umdlavuza wamapancreas: indle iphuzi-mhlophe ngenxa yokuntuleka kosawoti wenyongo. Izihlalo ezinjalo zingase futhi ngenxa ye-pancreatitis, i-cystic fibrosis (i-cystic fibrosis), isifo se-celiac, njll.

Ngaphandle kokungaphatheki kahle okubangelwa ukuqunjelwa noma isifo sohudo, indle engavamile kufanele iqaphe njengoba ngokuvamile iwuphawu lwenkinga yezempilo, ikakhulukazi uma okungavamile kuqhubeka noma kubuya njalo.

Ukuba khona kwegazi esitokisini, ikakhulukazi, kufanele ngaso sonke isikhathi kube yinto yokubonisana nodokotela, ngoba kungakhombisa ukugula okungathi sína.

Ngokunjalo, indle emnyama, okungenzeka ibe mnyama ngenxa yokuba khona kwegazi eligaywe, ingase ibonise ukuthi kukhona ukopha kokugaya ukudla.

Ngokungabaza okuncane, ngakho-ke kubalulekile ukubonana nodokotela wakho. Ukuhlolwa okwengeziwe (ukuhlaziywa kwamakhophi, isiko lesitulo, i-endoscopy, njll.) Kuzokwazi ukusungula ukuxilongwa.

Izixazululo ngokusobala zincike kumbangela, yingakho kubalulekile ukuhlonza ngokushesha umsuka walesi sifo.

Uma isitulo siba esingajwayelekile ngemva kokubuya ohambweni, noma sihambisana nokuqaqanjelwa, imfiva, izinkinga zokugaya ukudla, kungenzeka ukuthi kuyisifo. Lokhu kungaphola ngokwakho ezimeni eziningi phakathi nezinsuku ezimbalwa, kodwa uma izimpawu ziqhubeka, thintana nodokotela wakho: kungase kube i-parasitosis yamathumbu edinga ukwelashwa okuqondile.

Uma kwenzeka ukuqunjelwa, kubalulekile ukufaka amanzi kahle, ukufaka i-fiber eningi ekudleni kwakho, ukuzama ama-laxative athile emvelo njengama-prunes. Qaphela ukuthi ungasebenzisi ngokweqile imishanguzo ye-laxative: ingacasula futhi yenze inkinga ibe yimbi kakhulu. Kubalulekile ukuthi uhlale ufuna izeluleko kudokotela wakho noma usokhemisi ngaphambi kokuthatha noma imuphi umuthi.

Ekugcineni, uma indle engajwayelekile idalula ubukhona besifo se-tumor, ukwelashwa emnyangweni we-oncology kuzodingeka ngokusobala. Uma kwenzeka i-IBD, ukulandelwa kwe-gastroenterology kuzosiza ekunciphiseni izimpawu nokuqinisekisa ukuthi umsoco wenziwa kahle.