Ngokugaya okujwayelekile, ukudla kudluliselwa emgqabeni wokugaya ngokwezinqamulelo zesigqi okuthiwa i- peristalsis . Le ntshukumo ibizwa ngokuthi "i-gastric motility". Uma othile ehlushwa isifo se-motility yokugaya ukudla, lezi zinkinga azisebenzi ngendlela efanele, okungenzeka ziholele ezinkingeni ezihlukahlukene.
Izindonga zamathumbu ziqukethe izinhlaka zemisipha.
Ezimweni ezivamile, lezi zinkontileka zemisipha futhi uphumule ngendlela ehlelekile, ehambisana nesidlo eshukumisa ukudla kusukela esondukwini kuya esiswini, nangomathumbu kuya kwi-anus. Kodwa phambi kwenkinga ye-motility, lezi zinkinga azenzeki ngendlela ehlelekile. Lokhu kubangela ukudla kungadluli emathunjini ngendlela efanele.
Ukukhathazeka kwamathumba emathunjini kungabangela izimbangela eziningi zokugaya, kuhlanganise nobunzima bokugwinya, isifo se-reflux esiswini (i-GERD esifushane), igesi, ukuqothula okukhulu, isifo sohudo, ubuhlungu besisu, ukuhlanza nokubhubhisa.
Inkinga ngemisipha yakho yokugaya ingaba ngenxa yezizathu ezimbili:
- Inkinga ngaphakathi kwemisipha elawula i-peristalsis
- Inkinga ngezinzwa noma ama-hormone alawula ukuphazamiseka kwemisipha
Kodwa-ke, kunezimo eziningi ezingabangela izinkinga ngemisipha yakho yokugaya noma emithanjeni ebalawulayo.
Uma unesifo se-motility disorder, kufanele ubone udokotela wakho ukuthola ukuxilongwa okufanele, ngoba ukwelashwa kuzohluka kuye ngokuthi imbangela yenkinga yakho.
Izimo Ezihlobene Ne-Gastric Motility Disorders
Kunezimo ezihlukahlukene zokugaya nokungahlosi okuhlukahlukene ezihlotshaniswa nokukhathazeka kwamathumbu emathunjini omzimba.
Nazi ezinye eziyisishiyagalombili zazo:
- I-syndrome e-irritable syndrome . I-IBS ibhekwa njengesimo "sokusebenza" sokugaya, okusho ukuthi sithinta indlela uhlelo lwakho lokugaya lusebenza kodwa alulimazi izitho ngokwabo. Uma unayo i-IBS, i-motility yakho yokugaya ishintshwe - kungasheshisa noma ihambe kancane, okuholela ekuhuleni noma ekuqotheni. Izindlela ezingavamile zokuhlukumeza imisipha nazo zibangelwa ubuhlungu.
- I-Gastroparesis. Lokhu kubizwa ngokuthi "ukubambezeleka kwe-gastric emptying" - ngamanye amazwi, isisu esincane sokuzithenga. Imisipha yakho yesisu ilawula ukuhamba kwesidlo esisodwa esiswini esiswini sakho nasomathunjini wakho omncane. Uma isisindo esilawula lezo musipha sonakalisiwe noma singasebenzi kahle, ukudla kuhamba kancane kancane. Ezimweni eziningi zegastroparesis, odokotela abakwazi ukubona imbangela.
- Isifo sikashukela . Cishe ungacabangi ngesifo sikashukela njengesimiso esithinta uhlelo lwakho lokugaya, kodwa empeleni cishe isigamu sabantu abanesifo sikashukela sinesifo sikashukela se-gastroparesis yisisusa esivame kakhulu kunazo zonke zalesi sifo senhliziyo esiswini. Amazinga kashukela ephezulu aphezulu angase abe ngecala le nkinga.
- I-spasms esophageal. Lezi yiziphazamiso ezingavamile zemisipha endaweni yakho, okuyi-tube ephethe ukudla kwakho emlonyeni wakho kuya esiswini sakho. Akucaci ukuthi kungani lezi zingqinamba ezingavamile zikhona, nakuba, kwabanye abantu, ukudla okushisa kakhulu noma okubandayo kungabangela. Ubuhlungu bokuphazamiseka kwe-esophageal kungalingani ngobuhlungu obuhlobene nenhliziyo, yingakho kufanele ube nodokotela ukuyihlola.
- Isifo sikaHirschsprung. Lokhu kuyinkinga yokubeletha lapho i-motility ye-digestive empofu ibangela ukuvimbela emathunjini amakhulu. Kuvame kakhulu kubafana kunamantombazane, futhi ngezinye izikhathi kuhlotshaniswa nezinye izimo ezinkulu ezizuzwe njengefa, njenge-Down's syndrome.
- Ukwelashwa kwamathumbu emathunjini angapheli. Lesi isimo esingavamile ngezimpawu ezenza kubonakale sengathi intombazane yakho enkulu ivinjelwe, yize kungenjalo. Kunalokho, izinkinga ezinezinzwa ezilawula imisipha yakho yokugaya kufanele zibekwe icala.
- Scleroderma. I-Scleroderma, isifo esizimele, sihilela ukuqinisa isikhumba nezicubu ezixhunyiwe, kodwa futhi kungathinta uhlelo lwakho lokugaya. I-GERD kanye namathumbu okuvimbela emathunjini avamile kubantu abano-scleroderma.
- I-Achalasia . Lesi simo sihilela ukugaya kwesisindo ngaphansi kwesifo sakho, lapho isisu sakho singena khona esiswini sakho. Uma une-achalasia, le indandatho ihluleka ukuphumula kahle ngenkathi igwinya, ngakho-ke ukudla akuhambisani kalula kusuka esiteshini sakho kuya esiswini sakho. Lesi simo ngenxa yomonakalo wezinzwa.
Imithombo:
Abrahammson H. Izinkinga zokukhulelwa kwamathumbu emzimbeni kweziguli ezine-diabetes mellitus. I-Journal of Medicine yangaphakathi. 1995 Apr; 237 (4): 403-9.
CD ye-Lind. Ukuphazamiseka kwe-Motility ku-syndrome eyathukuthelisa isisu. Imitholampilo ye-Gastroenterology eNyakatho Melika. 1991 Jun; 20 (2): 279-95.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Ishidi leqiniso le-Gastroparesis.
I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Ukunyuka kwamathumbu emathunjini.
Sjogren RW. Ukuhlukunyezwa kwamathumbu emzimbeni ku-scleroderma. I-arthritis ne-Rheumatism. 1994 Sep; 37 (9): 1265-82.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Iphepha lase-Achalasia.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Ishidi langempela le-spasm leshidi.
Ilabhulali Kazwelonke Yezokwelapha yase-US. Isifo se-Hirschsprung sika-fact sheet.