I-Dyspepsia (ukungasebenzi kahle kokugaya ukudla)

Leli shidi likhuluma ukuphazamiseka kokugaya ukusebenza kanye nabo izimpawu. Izinkinga ezithile, njengokungabekezelelani kokudla kanye ne-allergies, i-irritable bowel syndrome, i-gastroenteritis, isifo se-celiac, ukuqunjelwa, isilonda sesisu kanye nesilonda se-duodenal, nesifo se-reflux ye-gastroesophageal kubangela ukuba kwenzeke. isihloko samafayela ahlukene.

Ukuphazamiseka kokugaya okusebenzayo kanye ne-dyspepsia: ziyini?

Ukuphazamiseka kokusebenza kokugaya ukudla yiziphazamiso okungekho kuzo isilonda esiqinisekisiwe, kodwa ukusebenza kanzima kwesistimu yokugaya ukudla. Kunezinhlobo eziningana, i isisu esibuhlungu sokugaya (ukuphelelwa ukudla, isicanucanu, isilungulela, ukuqunjelwa, ukuqunjelwa), okuvame ukubizwa ngokuthi I-dyspepsia, Futhi ukuphazamiseka kokugaya kwamathumbu (ukuqunjelwa, igesi yamathumbu, njll.) okuyizinkinga ezivamile.

La I-dyspepsia, lomuzwa we amandla adonsela phansi, “chichima” noma ukuvuvukala ihambisaneukubamba ama-rots), noma ubuhlungu obungaphezu kwenkaba okwenzeka phakathi noma ngemva kokudla, butholakala ku-25% kuya ku-40% wabantu abadala.1. Ngokuqondene Igesi amathumbu aphuma njenge umoya (izilwane ezifuywayo), masiqiniseke, zenzeka cishe kuwo wonke umuntu, izikhathi ezi-6 kuye kwezingama-20 ngosuku ziyahlukahluka kusuka ku-300 ml kuye ku-1 ilitha / ngosuku.

Kuyini ukugaya?

Ukugaya kuyinqubo yezinto eziphilayo lapho abantu ukudla ziyawohloka bese ziguqulwa zibe imisoco ehambisanayo bese idlula odongeni lwamathumbu ukuze ingene egazini.

Ukugaya kuqala emlonyeni, lapho ukudla kugaywa futhi kuhlanganiswe namathe, bese kuqhubekela esiswini, esikhipha amajusi wokugaya ukudla ama-asidi, eqhubeka ewohloka futhi egaya ukudla amahora ambalwa. Lapho uphuma esiswini, ukudla okugayiwe (okuthiwa chyme) aqhubeke nokuqhekeka emathunjini ngamajusi okugaya aphuma kumanyikwe kanye nenyongo. Izakhamzimba zidlula odongeni lwamathumbu futhi zidlule egazini ukuze zisetshenziswe ngumzimba. Okungakamuncwa, okwengezwe kumaseli afile odongeni lwamathumbu kuba yi-fecal matter kukholoni.

 

Izimbangela

A umsoco ongalungile noma ukudla ngokweqile cishe kuyimbangela eyinhlokoukungakhululeki kokugaya ukudla. Isibonelo, kwabanye abantu, ukudla okunamafutha, okumnandi noma okubabayo, ukuphuza iziphuzo ezine-carbonated, ikhofi noma utshwala kucasula isimiso sokugaya ukudla futhi kubangela ubuhlungu. Ukudla okukhulu kakhulu kungabangela ukuphazamiseka kokugayeka kokudla okusebenzayo kwesinye isikhathi okubizwa ngokuthi “inkinga yesibindi” ngolimi oludumile, noma indigestion.

Izinkinga zokugaya ukudla ube nesethulo esihlukahlukene :

  • Umuzwa wokuchichima, kuvame ukubangelwa ukungeniswa kweukudla okuningi noma okunamafutha kakhulu ebambezela ukugaya.
  • The ubuhlungu besisu
  • Ukusha ngemuva kwethambo lesifuba (i-retro-sternal) kuwuphawu oluyinhloko lwalokhu i-reflux yesisu.
  • The ubuhlungu besisu ukudla okukude kungase kudingeke :

* lapho zenzeka ngemva nje kokudla ukudla ngokweqile;

*kodwa lapho zenzeka kude nokudla, kubalulekile ukukhumbula ukuthola okungenzeka isilonda esiswini, inxeba olwelweni lwesisu noma lwe-duodenum), Bheka ikhasi lethu lemininingwane yezilonda zesisu kanye ne-duodenal ulcer.

  • The ukubamba (ukubhodla) ngemva kokudla kuyinto evamile. Ngokuvamile zibangelwa ukuxoshwa komoya okuvela engxenyeni engenhla yesisu futhi kuhlobene ngokuqondile nokungeniswa komoya.

    - ngenkathi udla;

    - ngokuphuza ngokushesha kakhulu noma ngokuphuza ngotshani;

    - ngokuhlafuna ushingamu (= gum);

    - ngokuphuza iziphuzo ezine-carbonated ezikhipha isamba esikhulu se-carbon dioxide.

Ukungenisa umoya omningi nakho kungaba imbangela i-hiccough.

Kodwa-ke, lokhu kubhoboza kungaxhunyaniswa nokuhlaselwa kolwelwesi lwesisu noma umminzo (i-esophagitis, i-gastritis, isilonda) okufakazela umbono kadokotela onguchwepheshe kanye ne-endoscopy uma kwenzeka ukuphikelela. .

  • The flatulence (igesi yamathumbu), ekhishwa njenge umoya (izilwane ezifuywayo), nazo ziyisenzakalo esivamile. Izimbangela ezivame kakhulu zegesi yamathumbu yilezi:

    - theukungenisa emoyeni ngenkathi edla noma ephuza. Uma umoya ungekho belched, uzolandela inkambo efanayo nokudla;

    - the uhlobo lokudla neziphuzo. Ukudla okuthile okunothe ngama-carbohydrate (njengama-crucifers, uphizi owomile, isitashi, ama-apula, njll.) kuyabilisa, kukhiqize igesi eningi kunabanye;

    - the ukuhamba kancane kwamathumbu okuvumela ukudla ukuthi kubile kakhulu emathunjini.

    Ziyingxenye ebalulekile ye-irritable bowel syndrome. Kuyaqabukela, igesi izoba wuphawu lwezifo zolwelwesi lwamafinyila, njengezifo ezivuvukalayo (i-Crohn's noma i-UC), isifo se-celiac noma ukungabekezelelani kokudla, okwaziwayo kakhulu ukuthi i-lactose.

  • The ukuvuvukala zibangelwa ukuba khona kwegesi emathunjini futhi zihambisana nokuphuma kwamathumbu. Ziwumphumela wezimbangela ezihlukahlukene: amathumbu acasulayo, ukuqunjelwa, umphumela ohlangothini wezidakamizwa noma izithako zokudla okunomsoco (ikakhulukazi eziqukethe imikhiqizo yobisi).

Ngemuva kweminyaka engama-50 noma yikuphi ukuqunjelwa okungakafiki isikhathi, ukuguqulwa kwendlela yokuhamba, kuqinisekisa umbono wochwepheshe, kanye ne-endoscopy (colonoscopy). Lokhu kuhlolwa kuphela kuzokwenza kube nokwenzeka ukuqeda isifo se-colonic mucosa, nokuqinisekisa ukuxilongwa "kwezibilini ezicasulayo" ezibizwa nangokuthi "i-colopathy esebenzayo".

  • The ubuhlungu besisu futhi ubuhlungu be-sternum kuwuphawu oluyinhloko lwe i-reflux yesisu. Bheka ishidi lethu ledatha ye-reflux ye-gastroesophageal.
  • The ubuhlungu besisu bungaba ngenxa yokudla ngokweqile, kodwa kuyadingeka ukukhumbula ukuthola okungenzeka isilonda esiswini. Kuwubuhlungu obukhona olwelweni lwesisu noma lwe-duodenum, okubangela ubuhlungu namajaqamba ngemva kokudla. Bheka ikhasi lethu lamaqiniso lezilonda zesisu kanye ne-duodenal ulcer.

Ezinye izimbangela ezivamile zokuphazamiseka kokugaya ukudla

  • Uma izimpawu zivela ngokuzumayo futhi zihambisana nokungakhululeki okuvamile, imbangela engenzeka kakhulu ukutheleleka emathunjini noma ubuthi bokudla. Lokhu kubizwa nge-gastroenteritis. Isicanucanu, ukuhlanza kanye nesifo sohudo yizimpawu ezivame kakhulu. Ukuphikelela kweziyaluyalu kufanele kuholele ekubonisaneni ne-gastroenterologist ukuze kutholwe inkinga yesifo sohudo (ukuphelelwa amanzi emzimbeni) noma esinye isizathu, ukwelashwa noma ukuhlinzwa, njengokuhlasela kwe-appendicitis.
  • Abaningi izidakamizwa, okuhlanganisa ama-antibiotics, i-aspirin, noma izidambisi zezinhlungu (izidakamizwa ezingezona ukuvuvukala), zingabangela ubuhlungu besisu, isifo sohudo noma ukuqunjelwa.
  • Ukukhathazeka nokucindezeleka ngezinye izikhathi kwanele ukuze kubangele izinkinga zokugaya ukudla.

Izinkinga “ezibizwa” ukusebenza

Naphezu kokuhlolwa okubanzi kwezokwelapha, udokotela angase angatholi isizathu sokuchaza ukuphazamiseka kokugaya ukudla. Ubuhlungu, ukungaphatheki kahle noma izimpawu zikhona, kodwa ziyasebenza, ngenxa yenkinga yokusebenza hhayi isifo noma isilonda esiphilayo.

Mayelana nokuphazamiseka kwesisu "esiphezulu", sikhuluma "nge-dyspepsia esebenzayo" kanye "ne-colic" ephansi "i-functional colopathy" noma "ithumbu elicasulayo".

Kwabanye abantu nge i-dyspepsia esebenzayo, isisu asihlukani njengoba kufanele ngemva kokudla, kubangele umuzwa wokuchichima.

Ukubonisana nini?

noma kunjalo ukuphazamiseka kokugaya ukudla ngokuvamile azinangozi, izimpawu ezithile eziyisixwayiso kufanele zikwenze uthintane nodokotela ngokushesha. Nazi ezimbalwa:

  • Ukuqala okungazelelwe kokuphazamiseka kokugaya ukudla ngaphandle kwezincazelo ezisobala;
  • Ubuhlungu obukhulu besisu, ngo ” hlaba ";
  • Uma izimpawu ziqhubeka noma zihlupha kakhulu;
  • Uma izimpawu zenzeka lapho ubuya ohambweni
  • Uma izimpawu zenzeka ngemva kokuphuza umuthi omusha.
  • Kunzima ukugwinya noma ubuhlungu lapho ugwinya;
  • I-nausea ukuhlanza okuholela ekungabekezelelani kokudla;
  • Ukwehla kwesisindo ;

Izimpawu ezibucayi kakhulu:

  • Ubukhona buka igazi ekuhlanzeni noma endle;
  • Ubukhona buka imfiva ;
  • jaundice noma umbala ophuzi wamehlo;
  • Ukuphelelwa amanzi emzimbeni (amajaqamba, amehlo angenalutho, isifiso esingavamile sokuchama, umlomo owomile, njll.);

 

shiya impendulo