Ukuhamba kwamathumbu kuphazamiseka kalula. Yize kungenzi kubi ezimweni eziningi kakhulu, kuyenzeka ukuthi ukuphambana kwemisipha okuqinisekisa ukuqhubeka kokudla emgudwini wokugaya ukudla, amathumbu peristalsis, abuthakathaka kakhulu noma ngokuphambene ngokushesha okukhulu. Lokhu kuphazamiseka kungacasula nsuku zonke. Buyekeza ekusebenzeni kwayo?

Lokhu sikubiza nge- “peristalsis” konke ukucindezela kwemisipha (“ukunyakaza kwe-peristaltic”) kwendlela yokugaya ukudla okwenziwa kusuka phezulu kuye phansi kuvumela ukuqhubeka kokudla ngaphakathi kwesitho esingenalutho. Ngamanye amagama, izindonga zomhosha ziqhubekisela ukudla esiswini ngokunyakaza okunesigqi okukhiqizwa ukucindezela kwemisipha.

Leli gama lisuselwa ku-neo-Latin futhi livela kwi-peristallein yesiGreki, "ukuzungeza".

Ngenxa yemisipha ebazungezile, izitho eziyize, iminjunju, isisu namathumbu, ziyavumelana ngokuzenzekelayo, okuvumela ukuqhubeka kokudla okuqhubekayo. Ngaphandle kwalesi simo, konke ukucutshungulwa kokudla nokumuncwa kwezakhi bekungeke kwenzeke.

Ubuvila bokugaya ukudla nokungasebenzi kahle kwamathumbu emathunjini ngokuvamile kubangela izinkinga ezingapheli.

Amakhono emisipha yemisipha ebushelelezi yomgudu wokugaya ukudla kanye ne-peristalsis yamathumbu ingahlanjalazwa yizinto eziningi.

Izizathu zalokhu kuncipha kwepheristaltic kungaba ngezemvelaphi:

• IHormonal: ukukhulelwa, ukuya esikhathini, ukuthatha umuthi wokuvimbela inzalo wamahomoni;
• Okungokwemvelo: ukugula noma ukuguga;
• Iatrogenic: umuthi ophindaphindiwe;
• I-Psychogenic noma inhlalo: i-anorexia nervosa, ukudangala;
• Indlela yokuphila enempilo: ukuhlala phansi kokuhlala: okuhambisana nokuncipha kokunyakaza kwepheriyali: umgudu wokugaya ukudla uba kuzo zonke izinzwa zegama elithi "ukuvilapha", ukudla okungenamsoco: ikakhulu ukungabikho kwefayibha ekudleni, ukungabi namanzi: ukwehla kokungeniswa kwamanzi ku ngokujwayelekile, ukucindezelwa noma ukuguquka kwemikhuba (ushintsho lwempilo, ukuhamba noma ukukhathazeka kungaphazamisa kakhulu i-peristalsis).

Ubuvila bokugaya ukudla nokungasebenzi kahle kwamathumbu emathunjini ngokuvamile kubangela izinkinga ezingapheli ezifana ne:

• I-colopathy esebenzayo noma i-bowel syndrome ecasulayo: i-pathology esebenzayo, okusho ukuthi ukusebenza kwamathumbu kuguquliwe futhi kuphendula ngamandla kakhulu kubangele iziqephu zohudo noma ukuqunjelwa;
• I-Fecaloma: ukuphazamiseka kwendlela yokugaya ukudla okubonakala ngokuqongelela kwendle ngokungajwayelekile. Ngenye yezinkinga zokuqunjelwa okungamahlalakhona;
• I-Gastroparesis: iboniswa ukukhipha isisu okulibele, isisu sikhipha kabi noma kancane kakhulu;
• I-Achalasia: i-pathology lapho imisipha yodonga lokuqina kanye ne-sphincter etholakala phakathi kwe-esophagus nesisu ayiphumuli ngemuva kokugwinya, okuvimba ukudla ukungena esiswini;
• I-leus yamathumbu: ukumiswa okwesikhashana kwe-peristalsis yamathumbu okuvame ukuvela ngemuva kokuhlinzwa kwesisu, ikakhulukazi lapho amathumbu esetshenzisiwe;
• I-Occlusive Syndrome: Ukuvaleka kwamathumbu kubonakala njengobuhlungu besisu, ukumiswa kwempahla negesi, isicanucanu noma ukuhlanza, isimo sezulu esiswini futhi ngokuvamile kudinga ukuhlinzwa okuphuthumayo ngenkathi abanye bevumela ukwelashwa.

Ukwelashwa kwe-peristalsis yamathumbu kuxhumene nokwelashwa kwesifo sohudo (indle enamanzi ngaphezu kokuthathu ngosuku noma kaningi kunokujwayelekile) noma ukuqunjelwa.

Uma kwenzeka uhudo

• Qaphela ukuvimbela ukuphelelwa amandla kwamanzi okungenzeka: amanzi aqukethe usawoti owanele wamaminerali, kungcono ukuphuza i-cola ene-degassed, ecebile ngama-electrolyte;
• Thanda ukudla okunika amandla: irayisi, izaqathe eziphekiwe, imicibisholo yezithelo, ubhanana, noma i-quince jelly, futhi wehlise izithelo nemifino eluhlaza okukhulisa ukunyakaza kwamathumbu;
• Izidakamizwa zokutakula: I-Smecta noma ezinye izifaniso ezisebenza ekuqunjeni nasekukhanyeni.

Uma kwenzeka uqunjelwa

• Yidla ukudla okunempilo: nciphisa amafutha, utshwala obuningi nokudla okwenziwe;
• Favour imikhiqizo ecebile i-fiber (imifino eluhlaza, izithelo ezomisiwe, okusanhlamvu okuphelele kwesinkwa sokusanhlamvu);
• Zinike isikhathi sokudla;
• Hlala uhanjiswe ngamanzi okuphuza;
• Zijwayeze ukuvivinya umzimba njalo (ukubhukuda, ukugxuma nokugijima imidlalo, ukuhamba ngamandla, njll.).

Ileus

Ukwelashwa kufaka:

• Ukuphefumula nasogastrique;
• Ukuzila ukudla;
• Ukunikezwa kwe-IV i-hydroelectrolytic: ukunxephezela ukulahleka ngaphambi kwesenzo sokusebenza kodwa futhi nokucabanga ngemiphumela ngenxa yesenzo nangendlela yokubulala izinzwa. Uma kwenzeka kuba nesifo se-occlusive esihlobene nokukhubazeka kwe-peristalsis, ukwelashwa kwembangela okubalulekile.

Akukho luhlolo lwebhayoloji olubalulekile ekuxilongweni. Isincomo sihlongoza ukuhlolwa kwegazi ngokuseshwa kwe-anemia noma ukuhlolwa kwe-CRP ukuze kubhekwe ukuvuvukala, futhi ekugcineni kwenziwe ukuhlolwa okungenzeka kube nesifo se-celiac.

Izimpawu eziyisixwayiso eziholela ekwenzeni i-colonoscopy ngokushesha yilezi:

• ama-rectorragies;
• ukwehla kwesisindo okungachazwanga
• umlando womndeni womdlavuza wamathumbu;
• ukutholakala kokungajwayelekile komtholampilo (isisu esiswini);
• ukuqala kwezimpawu zokuqala ngemuva kweminyaka engama-60.