Ukudla Kuhanjiswe Kanjani Emzimbeni Ngesikhathi Ukugaya
Lapho imisipha ethile emaphepheni wokugaya nokugaya, ibizwa ngokuthi i-peristalsis. I-Peristalsis iyihlobo oluthile lwe-muscle contraction ngoba inhloso yalo ukuhambisa izinsimbi noma uketshezi ngaphakathi kwezakhiwo ezinjenge-tubes namapheshana amaminerali. I-Peristalsis ayiyona inhlangano yokuzivocavoca okuzithandela, ngakho akuyona into abantu abangakwazi ukuyilawula ngokucophelela.
Kunalokho, imisipha ebushelelekile ehilelekile ekusebenzeni i-peristalsis isebenza uma ivuselelwa ukwenza kanjalo.
I-Peristalsis ibalulekile ukugaya kepha ngezinye izikhathi ayisebenzi kahle. Ukuba nesifo sohudo noma ukuqothulwa kungase kube uphawu lokuthi kukhona okuye kwavela haywire nge-peristalsis. Lokhu kungabangelwa imithi kodwa kungase kube nesimo esibizwa ngokuthi i-motility disorder. Ukukhathazeka kwe-Motility kungaba yinselele ekuphatheni, ngakho-ke kubalulekile ukubona isazi sokugaya ukudla, isifo se-gastroenterologist, ukuthola izixazululo.
I-Peristalsis ku-The Digestive Tract
I-Peristalsis emgqatsheni wokugaya iqala ku-esophagus. Ngemuva kokuba ukudla kugwinya, kuhanjiswa phansi yi-peristalsis. Imisipha esiswini, amathumbu amancane , kanye namathumbu amakhulu aqhubeka nenqubo. Ukudla kuyagcinwa futhi kuphulwe phansi njengoba ihamba ngendlela yokugaya, isusizwa amajusi wokugaya ayengezwa endleleni.
Ibheyili, okuyingxenye ebalulekile yenqubo yokugaya inyama, ikhiqizwa enkongweni ye-gallbladder futhi idluliselwa kusuka ku-gallbladder ibe yi-duodeum (isigaba samathumbu amancane) nge-peristalsis. Ekupheleni kohambo lwayo emzimbeni nge-peristalsis, ukudla okugayiwe kukhishwa ngaphakathi kwe-anus njenge-stool.
I-Peristalsis ku-The Urinary Tract
I-urine nayo ishukunyiswa ngomzimba wonke ngosizo lwe-peristalsis. Ama-tubes amabili e-urinary tract okuthiwa urereters sebenzisa i-peristalsis ukuhambisa amanzi kusuka ezinsweni kuya kwesinye. Leli ketshezi liphuma emzimbeni ngokusebenzisa i-urethra njengomchamo.
Ukuphazamiseka kwe-Peristalsis ne-Motility
Uma i-peristalsis ingenzi ngendlela efanele, ingabangela enye yeqembu lezimiso ezibizwa ngokuthi ukukhathazeka kwe-motility. Kwamanye abantu, i-peristalsis ingahamba ngokushesha kakhulu, eyaziwa njenge-hypermotility, noma kancane kancane, eyaziwa njenge-hypomotility. Ukukhathazeka kwe-Motility kungahle kwenzeke ngezizathu ezihlukahlukene, kuhlanganise nomthelela ohlangothini womuthi, umphumela wenye inqubo yesifo, noma ngisho nangesizathu esaziwayo (esibizwa nge-idiopathic). Abantu abanezifo zesifo sofuba (IBD) bangase babe nezinkinga ze-motility, kodwa aziwa ngalesi sikhathi ukuthi lezi zimo zingahle zihlobene kanjani, futhi zingaki zenzeka ndawonye.
Ezinye izibonelo zokukhathazeka kwe-motility zihlanganisa:
- Dysphagia . E-dysphagia, i-peristalsis egazini iyathinteka, futhi abantu abanezimo bathola ukuthi kunzima noma akunakwenzeka ukugwinya ukudla neziphuzo.
- I-spasms esophageal . Kunezinhlobo ezimbalwa ezihlukahlukene zezifo ezingabangela izimpucu zemisipha endaweni. I-spasms ingaba yesikhashana futhi / noma ikhulu futhi ingabangela ukuphindwa kabusha kokudla.
- Isifo se-reflux ye-gastroesophageal (GERD) . I-GERD ingahle ibe noxhumano nomoya ongenalutho, kodwa ubuhlobo busacwaningweni.
- I-Gastroparesis . Ngalesi simo, yizinsipho zesisu ezingahambisani nokudla emathunjini amancane. Lokhu kungabangela izimpawu zokuzihlambalaza nokuhlanza. Kunezimbangela eziningi ezingabangela, kodwa kwezinye izimo, imbangela ayaziwa.
- Ukunyuka kwamathumbu emathunjini . Ukuvinjelwa kwenzeka lapho ukuhamba kokudla emathunjini kunqunywe okuthile, njengokunciphisa ubisi noma isithinte esithintekayo. Kodwa-ke, ngokuvimbela umkhondo, akukho okwamanje okuvimbelayo, kodwa uhlelo lokugaya lungaphumeleli njengokungathi kukhona ukuvinjelwa kwemishini. Lesi isimo esingavamile.
- I-irritable bowel syndrome (i-IBS) . Abantu abane-IBS nabo bangathola i-hypermotility, i-hypomotility, noma kokubili ngokulandelana. Izimpawu zingafaka phakathi isifo sohudo noma ukuqothulwa. Indlela u-motility ehambisana ngayo nokuxilongwa kwe-IBS namanje ayiqondakali kahle, kodwa ucwaningo oluningi lwenziwa.
> Imithombo:
> Bassotti G, Antonelli E, Villanacci V, et al. "Ukuphazamiseka Kwezinsipho Zomzimba Kwisifo Sezifo Ezivuthayo." I-World J Gastroenterol . 2014 Jan 7; 20: 37-44. doi: 10.3748 / wjg.v20.i1.37
> Katsanos KH, et al. "Ukwakhiwa kanye nokuziqhenya-Ukuvimbela izifo ezikhukhumeza izifo." Ama- Annal of Gastroenterology 2010; 23: 243-256.
> Kristinsson JO, Hopman WP, Oyen WJ, Drenth JP. "I-Gastroparesis ezigulini ezinezifo ezingasebenzi zikaCrohn: i-Case Series." BMC Gastroenterol. 2007; 7:11. i-doi: 10.1186 / 1471-230X-7-11