Izimbangela Zokuhuda Emva kokudla

Izizathu Ungase Ube Nezifo Zesifo Sohudo Sokuthunyelwa Kwesifo Sokuthutha

Ukuthola isifo sohudo ngemuva kokuba udle kuyaziwa ngokuthi i-postprandial diarrhea. Kungenzeka ukuthi sekuqale ukuvela, noma ngabe kunzima kangakanani, noma kungenzeka ukuthi ube nayo isikhathi eside futhi kuyimpilo engapheli. Ukufunda ngezimbangela ezivamile zokuhuda emva kokudla kuzokusiza ukwazi ukusebenza nodokotela wakho ohlelweni olusebenzayo lwezokwelapha.

Noma yiluphi uphawu olusha noma oluqhubekayo lokugaya kufanele ludluliselwe udokotela wakho ukuze uthole uhlelo olufanele lokuthola i-diagnostic and treatment.

Nakuba isifo sohudo ngemuva kokudla singase sibe umphumela wezinye zezimo zezempilo ezichazwe lapha, kungase kube uphawu lwezinye izifo ezimbi.

Izimbangela Ze-Diarrhea Elula Ngemva kokudla

Ukuhuda okumangalisayo kuyisimo esiphuthumayo sokuhuda iziqephu. Isifo sohudo ngenxa yanoma yisiphi isizathu singase senzeke ngemuva kokudla, njengoba isenzo esilula sokudla sishukumisa imisipha ukuhamba ngaphakathi emathunjini akho amakhulu ukuze uchithe amathumba akho. Uma unesizathu esibangela ukutheleleka, uketshezi kokudla, noma i-IBS, lezi zingqinamba zingase zibe namandla kakhulu futhi zibuhlungu kakhulu kunokujwayelekile futhi zifike ngomqondo wokuphuthuma. Lokhu kungase kubangele izidakamizwa ezihulayo:

• Ukutheleleka kwebhaktheriya njengo- Salmonella noma i- E. coli
• Ukudla ubuthi
• Ukutheleleka nge-viral (okuvame ukubizwa ngokuthi "isisu somkhuhlane")
• Ama-parasites afana ne- Giardia
• Imithi efana nama-antiacids, ama-antibiotics, i-chemotherapy
• Ukwehlukana kwe-Lactose (kungenzeka futhi kube imbangela engapheli)
• I-syndrome ye-british irritable ene-diarrhea enkulu (i- IBS-D ), okungase ibe yimbangela engapheli

Okufanele Uyenze Ukuze Uhudo Oluvuthiwe

1. Hlala u-hydrated. Uzodinga ukufaka esikhundleni se-fluids nama-mineral ukuthi umzimba wakho awunamatheli ngenxa yokuhamba okusheshayo kwe-stool ngokusebenzisa uhlelo lwakho. Zama ukuphuza amanzi futhi uhlanze ijusi yezithelo nokuphuza umhluzi.
2. Ungasheshi ukusebenzisa umkhiqizo wokudonsa umshini ophezulu we-counter njenge-Imodium noma i-Kaopectate. Le mikhiqizo akufanele isetshenziswe uma unomkhuhlane noma kukhona i-mucus noma igazi ezitokisini zakho. I-Pepto Bismol ingaba inketho kodwa hlola nodokotela wakho kuqala. Ayikho yalezi zidakamizwa okufanele zinikezwe izingane ngaphandle kwemvume evela kudokotela wengane.

1. Qaphela ngokudla kwakho futhi udle ukudla okuncane. Hlola uhlu lwezinto ozodla uma unesifo sohudo kanye nokudla okumele ugweme uma unesifo sohudo . Ngemuva kokuthi uhudo lwakho seludlulile, funda ukuthi udleni uma uzizwa ungcono .

Nini Ukubiza Udokotela Wakho

Kumele ushayele udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo:

• Igazi emagcekeni akho
• Izimpawu zokudambiswa kwamanzi kuhlanganise nokunciphisa umchamo, umlomo owomile, amehlo agwetshiwe
• Umkhuhlane ongaphezu kwe-100 F noma ogcina izinsuku ezingaphezu kwezintathu
• Ubuhlungu obukhulu besisu
• Ukwehliswa kwezibonakaliso zokuhuda, noma uma isifo sohudo sisesezinsukwini ezimbili kamuva kusana noma ingane, nezinsuku ezinhlanu kamuva kumuntu omdala.
• Yazi izimpawu zokugaya izimpawu ezibomvu , okuyizimpawu eziyingozi kakhulu ukuqapha leyo kholi yokubonisana nokwelapha ngokushesha. Lokhu kuhlanganisa ukuphuma kwamagciwane, ukuhlanza, ukungabi nesifiso sokudla, ukulahlekelwa isisindo esibalulekile, ukushisa, ukuphuza esiswini kanye nokugubha ebusuku, nokwelashwa kwemithi.

Izimbangela Zesifo Sohudo Esingajwayelekile Ngemva kokudla

Inkinga eqhubekayo ngesifo sohudo ngemuva kokudla kungenziwa ngenxa yezinkinga ezihlukahlukene zempilo ezinesifo sohudo esingavamile njengesibonakaliso. Uma unesinye salezi zinkinga, isenzo esilula sokudla ukudla singase sisebenze njengesisusa se-diarrhea episodes.

Ukukhuluma ngesifo esiyingozi kungasiza ukuletha ukukhululeka ekuboniseni ukugeza endlini yokugezela emva kokudla.

• Ukutheleleka : Njengomuthi ohudo oluvuthiwe, kukhona izifo ezingabangela isifo sohudo esingapheli. Lokhu kuhlanganisa iClostridium difficile , i- Giardia lamblia , ne-amoeba.
• I-irritable bowel syndrome (i-IBS) : Isenzo esilula nje sokudla singakwanela ukususa uphawu lokuhuda kwabanye abantu abane-IBS. Akucaci ukuthi kungani kune-hyperreactivity enjalo yesistimu yokugaya ukudla kule nkinga.
• I-Bile acid yesifo sohudo (BAD): Abacwaningi baqala ukuthola ubufakazi bokuthi abanye abantu abatholwa ukuthi bane-IBS empeleni bane-BAD. Ama-acids e-bile afihlelwa yi-gallbladder yakho ukuze isimiso sakho sokugaya sifake amafutha. Lapho lezi zikhali zingabuyiselwa ngendlela efanele, ziyakhuthaza ukuphazamiseka emathunjini akho amakhulu, okubangelwa uhudo. Ngezinye izikhathi imbangela ye-BAD ayiziwa; ngezinye izikhathi kwenzeka ukuhlinzwa okulandelayo noma ukugula okubandakanya izitho zakho zokugaya (gallbladder yakho, pancreas noma intumbo yakho encane, isibonelo).

• Ukususwa kwe-Gallbladder : Ngaphandle kwe-gallbladder, abanye abantu bathola inkinga ngokulawulwa okungalungile kwe-bile acid emathunjini amancane namakhulu, okwenza izimpawu ezifanayo njenge-BAD. Nakuba lesi sibonakaliso sivame ukuzixazulula ngokushesha ngemva kosuku lokuhlinzwa, kwabanye abantu lihlala liyingxaki eqhubekayo.
• Ukwehlukana kwe-Lactose : Abantu abanezinkinga ze-lactose abanakho okwanele kwe-enzyme edingekayo ukuze baphule i-lactose, ushukela olutholakala ebisi nemikhiqizo yobisi. Lokhu kungabangela isibonakaliso sohudo ngemuva kokudla kokudla kwebele. Ukungaboni ngasoleleka kwe-Lactose kungabonakala ngokusebenzisa ukuhlolwa kokuphefumula noma ukudla kokuqeda .
• Ama-malabsorption e-Sugar : Ngaphezu kwe-lactose, abanye abantu abakwazi ukugaya i- fructose noshukela ne-sorbitol. I-Fructose itholakala ezithombeni eziningi kanye nesiraphu ye-fructose yamanzi. I-Sorbitol itholakala nakwezinye izithelo kanye nokunambitheka okufakelwayo. Njengokwehlukana kwe-lactose, i-fructose noma i-sorbitol malabsorption ingabonakala ngokusebenzisa ukusetshenziswa kokuphefumula noma ukudla kokuqeda.
• Isifo se-Celiac: Abantu abanesifo se-celiac bathola ukusabela okuzenzakalelayo ekuphenduleni ukungenisa i-gluten, iphrotheni etholakala ngokolweni, i-rye, nebhali. Uhudo oluvela esibhedlela se-celiac luvame ukuvutha, futhi isitokisi singase sikhululeke ngaphezu kokucwilisa. Isifo se-Celiac sinemiphumela emibi yezempilo futhi kufanele uhlolwe lesi sifo uma uthola isifo sohudo esingapheli ngemuva kokudla.
• Isifo sesifo sofuba (IBD) : Izinhlobo ezimbili ze-IBD- Crohn's disease kanye nesifo sofuba-kungabangela kokubili isibonakaliso sokuhuda ngemva kokudla. Ngokungafani nezinkinga zempilo ezingenhla, ukuhuda kwe-IBD kungafaka izimpawu zegazi esitokisini . Noma yisiphi isibonakaliso segazi esitokisini sidinga ukuhanjiswa udokotela wakho ngokushesha.
• I-Dumping syndrome : Le syndrome ivame ukuhlangenwe nakho ngabantu abaye bahlinzwa ukuhlinzwa kwesisindo. I-Dumping syndrome yaziwa nangokuthi ukugcoba ngokushesha kwe-gastric ngoba okuqukethwe kwesisu kungenalutho emathunjini amancane. Ukudla kungabangela izimpawu ezifana nesifo sohudo, ikakhulukazi ukudla okudla ngokuqukethwe ushukela ophezulu.
• I-microscopic colitis : Lolu hlobo lwe-colitis luyisifo esihluke kakhulu kune-ulcerative colitis. Nge-colitis encane, ukuvuvukala kwamangqamuzana ahlanganisa amathumbu kungabonakala kuphela uma izicubu zibukwa ngaphansi kwe-microscope. Isimbangela sokudlwengula okuncane kakhulu asikwazi kahle. Izimpawu zalo zihlanganisa iziqephu eziqhubekayo noma eziphakathi kwezihudo zamanzi.
• Umdlavuza weColon : Uhudo olungapheli aluvamile uphawu lomdlavuza wekoloni (ukuqothulwa kungase kube nomthelela), noma yikuphi ukuguquka emvuthweni wokuhamba kwamathumbu kuhlotshaniswa nokuba khona komdlavuza. Ezinye izimpawu zomdlavuza we-colon zifaka igazi ngaphakathi noma esiteshini, ukukhathala, i-anemia, nokulahlekelwa kwesisindo esingachaziwe. Uma unayo yalezi zimpawu kanye nesifo sohudo esingapheli, udinga ukubona udokotela wakho ngokushesha.
• Ukuntuleka Kwe-Exocrine Engenayo Pancretic : Kulesi simo, ama-pancreas akhiqizi izinyimba zokondla okwanele ukugaya ngokugcwele ukudla okudlayo. Nakuba kukhona ukuhlolwa kokusebenza kwe-pancreatic exocrine okubandakanya ukulinganisa inani lamafutha esitokisini, abacwaningi bathi inhlolovo kungenzeka ukuthi ayinembile ekutholeni ukungakwazi kahle okubangela ukuhuda kwe-postprandial. Ukucwaninga kule ndawo kuncane kakhulu. Ukubuyekezwa okutholwe isifundo esisodwa esabonisa iphesenti elincane leziguli ze-IBS-D zihlupheka ngenxa yokungakwazi ukusebenza kwe-pancreatic exocrine. Kwesinye isifundo esincane, iziguli ze-IBS-D ezanikezwa i-pancrelipase, uhlobo lwe-enzyme yokugaya inyama, libike ukunciphisa kweziqephu ze-diarrhea postpandial.

Okufanele Uyenze Ngezinkinga Zengqamuzana NgeHIV Lokudla Emva kokudla

1. Tshela udokotela wakho. Noma yiluphi uphawu olungavamile kufanele lugcinwe udokotela wakho ngaso sonke isikhathi. Lokhu kusiza ukuqinisekisa ukuthi uthola ukuxilongwa okufanele futhi ngakho-ke uhlelo lokusiza olwengeziwe lungathuthukiswa.
2. Landela imiyalo yakho kadokotela ukuze uphathe kahle inkinga yakho yezempilo engaphansi.
3. Yidla ukudla okuncane usuku lwakho lonke futhi ugweme ukudla okunamafutha, njengokudla okuthosiwe, ukudla okunamafutha, kanye ne-gravy obukhulu. Ukudla okukhulu kanye nokudla okunamafutha kungandisa amandla okuqhekeka emathunjini futhi ngaleyo ndlela kushukumise isiqephu sohudo.
4. Sebenzisa umzimba wokuzilibazisa ukuzola umzimba wakho. Ngenxa yokuxhuma okuphakathi kobuchopho bakho kanye nesisu sakho , ukucindezeleka kungaba yimbangela yokuhuda . Abantu abaningi babhekana nokucindezeleka okukhulu empilweni yabo, hhayi ukukhuluma ukuthi ukuhanjiswa ngemuva kokudla kwakho kuphazamisayo. Kokubili ukuzivocavoca okujulile nokuthuthuka kwamakhono okuphumula kungasebenza ekunciphiseni umzimba wakho ngakho-ke unikeze amandla okunciphisa ukukhishwa kwamathumbu akho.

Izintshumayelo Ezivela Emgodini We-Postprandial Diarrhea Syndrome ku-IBS

Imikhombandlela emisha iyaphakamisa ukuthi kukhona okunye okungase kwenzeke kwezinye iziguli eziye zatholakala ukuthi zinesifo sohudo-esiyinkimbinkimbi esilusizi isifo sofuba (IBS-D). Ucwaningo lwe-postpandial diarrhea aluncane kakhulu. Nazi izinyathelo zokucwaninga kwangaphambili eziye zaphawula:

• I-Postprandial Diarrhea Syndrome: Abacwaningi ababili be-IBS, uDkt. Imali kanye neCamilleri, bahlongoze izimbangela ezintathu zezinto abazibiza ngokuthi "i-postprandial diarrhea syndrome." Bayavuma ukuthi abamaki bokuxilonga banqunyelwe, futhi basikisela ukuthi impendulo enhle ekwelapheni inkinga ehlongozwayo ingase isebenze njengesiqiniseko sokuthola ukuxilongwa. Bakholelwa ukuthi izifo ezintathu kufanele zicatshangelwe: i- bile acid malabsorption (BAM) , ukungakwazi ukusebenza kwe-pancreatic exocrine, nokuntuleka kwe-glucosidase.
• I-Acid Gastric eyedlulele ngokweqile: Amanani amaningi ngokweqile we-asidi esiswini kakade ahlotshaniswa nokuthuthukiswa kwesifo se-reflux se-gastroesophageal (GERD). Ucwaningo oluthile oluthola ukuthi imithi ye-GERD eyanikezwa eqenjini leziguli ze-IBS-D yabangela ukwehla okukhulu kwezimpawu zokuhuda nokuphuthuma kwe-postprandial. Noma kunjalo, lokhu okutholayo akuchazwe.
• Okuqukethwe Kwamanzi Amancane Amathumbu: Iqembu labacwaningi lithole ukuthi, uma kuqhathaniswa nezihloko zokulawula okunempilo, iziguli ze-IBS-D zinamanzi amancane emathunjini amancane futhi zidlula ngokushesha emathunjini amakhulu, ezingabangela ukuhuda kwesibindi. Lolu cwaningo lubhekisana nenkolelo ye - FODMAP ye-IBS njengokudla okunenani eliphezulu le-osmotic (okusho ukuthi likhiqiza umthamo ophezulu wamanzi abizayo) ikakhulukazi kunzima kubantu abane-IBS. Uma kuyiqiniso, ukuthuthukiswa kwemithi eyophuza isikhathi sokuhamba futhi ngaleyo ndlela iqondise kangcono ukugeleza kwamanzi emathunjini amakhulu kungabaluleka.

Okubaluleke kakhulu nge-Postprandial Diarrhea Ucwaningo

Ngokusobala, ukucwaninga ngezimbangela zokuhuda kwe-postprandial ku-IBS kuncane kakhulu, ngakho-ke akukho ziphetho ezicacile ezingadalwa. Ngaphezu kwalokho, naphezu kwezinhlobonhlobo zezinkomba ezicacile ezichaza inkinga, idatha ephathelene nokuphulukiswa kwalesi simo ayikho, ngakho-ke akukacaci kuze kube manje ukuthi imithi izosiza iziguli, futhi ezingenzani.

Sethemba ukuthi ucwaningo oluqhubekayo luzokhanyisa kabanzi ngale ndaba futhi lunikeze izinketho zokwelashwa eziphumelelayo. Okwamanje, uma uvame ukuzwa uhudo oluphuthumayo iziqephu ngemuva kokuba udle, xoxisana nendaba nodokotela wakho ukuze ubone ukuthi noma yikuphi ukuphasiswa okuhlongozwayo kuyoba yindlela ephephile kuwe.

Izwi elivela

Uma isifo sohudo senzeke ngemva kokudla kuba nzima ukujabulela ukudla. Ungase uqaphele ukuthi yini ongadla nokukhathazeka ngokudla noma yini. Awuwedwa. Abantu abaningi banalesi sibonakaliso. Sebenza nodokotela wakho ukuthola isizathu esiyinhloko. Ungakwazi ukuthola izixazululo ukuze ukwazi ukujabulela ukudla kwakho ngaphandle kokwesaba ukuthi udinga ukugibela endlini yokudlela.

> Imithombo:

> I-DiBaise JK, i-Islam RS " I-Acile Acids: Isizathu Esingaqondakali Nokungaqinisekisiwe Sokuhuda Kwesifo Esingahleliwe " I- Gastroenterology Esebenzayo 2012 36 (10): 32-44

> Umhudo. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/symptoms-causes.

> Marciani, L., et.al. "Izinguquko zePostprandial ku-Content Mineral Water Content kanye neziguli ezine-Irritable Bowel Syndrome" I- Gastroenterology 2010 138: 469-477.

> Imali M, Camilleri M. "Ukubukeza: Ukuphathwa Kwe-Postprandial Diarrhea Syndrome" I-American Journal of Medicine 2012 125: 538-544.

> Wedlake L, et.al. "Ukubuyekeza Okuhlelekile: Ukusabalalisa kwe-Idiopathic Bile Acid Malabsorption njengoba kutholakala yi-SeHCAT Scanning in Iziguli ezine-Diarrhea-predominant Irritable Bowel Syndrome" I- Alimentary Pharmacology and Therapeutics 2009 30: 707-717.