Izinkinga zesisu akuhlale ziqala esiswini
Ngesinye isikhathi noma enye, wonke umuntu ubhekene nezinkinga zokugaya ukudla , kungakhathaliseki ukuqothulwa , isifo sohudo noma nje umuzwa woozy jikelele. Kuyadabukisa futhi kuphazamise ukucabanga ukuthi kukhona okungahambi kahle, kodwa ucwaningo lubonisa isimiso sezinzwa se-enteric, esilawula uhlelo lwesisu lomzimba (aka emathunjini ), lidlala indima enkulu kunazo zonke empilweni yonke kunalokho okucatshangwa ngaphambilini.
Uma ungaqiniseki ukuthi iyiphi inkinga, nansi uhlu lwezimbangela ezivame kakhulu zezinkinga zesisu nokugaya. Ukuze uthole izimpawu zesisu noma izimpawu zokugaya ukudla, ikakhulukazi igazi esitokisini noma ubuhlungu obunzima, bheka ochwepheshe bezempilo ngokushesha.
Izinkinga zesisu esiswini esingapheli
Nakuba indawo yezimpawu kanye nenkinga yenkinga akuhlale ihambisana ngokuqondile, kunezinkinga eziningana zokugaya ezihlobene nezimboni zokugaya eziphakeme phezulu "ebhanini lokuthutha" okuyisistimu yakho yokugaya ukudla . Izimpawu zezinkinga ezingaphezulu kwesisu zingase zihlanganise ukubhoboza ngokweqile, ukushisa emphinjeni noma esifubeni, isicashu, ukuhlanza noma ubuhlungu esiswini esiswini.
- Izifo ze-Reflux ze-Gastroesophageal (GERD) : I-GERD iyimbangela eyinhloko yesifo esivame ukubizwa ngokuthi i-heartburn. Lapho i-sphincter engaphansi ephansi ingasebenzi ngendlela efanele, isisu siphakanyiswe phezulu (noma i-reflux) ibe sesiswini. Isimo esivamile kakhulu, esimakwe ukuzwa okuvuthayo esiswini esiswini, ngokuvamile emva kokudla.
- Izilonda ze-Peptic : Isilonda esiphezulu siwukuguguleka kwesilonda esiswini noma i-duodenum esibangelwa yisisu esiswini kanye ne-pepsin (i-enzyme yokugaya). Izimpawu zingafaka ukuphuma kwegazi, ukuvinjelwa kwesisu kanye nezinye izimo, i-perforation esongela ukuphila. Izilonda eziningi ze-peptic zibangelwa ukutheleleka kwe-H. pylori.
- I-Gastritis : I-Gastritis ukuvuvukala kwesisu esiswini esinempawu ezifana nokugubha. Kuvame ukuphathwa ngemithi yokwehlisa isisu se-esiswini.
- I-Gastroparesis : Ebizwa nangokuthi ukubambezeleka kwe-gastric emptying, i-gastroparesis iyisifo lapho isisu sithatha isikhathi eside ukuze singenalutho okuqukethwe kwayo, ngokuvamile okubangelwa ukulimala kwesisu sezinsongo. Uma unesifo sikashukela sohlobo lwe-Type 1 noma Type 2, usengozini enkulu ye-gastroparesis.
- Ama-gallstones : Ama-gallstones angakha i-gallbladder uma i-bile ikhuni. Lapho ama-gallstones evimbela umzila we-cystic we-gallbladder, ungase uzizwe ubuhlungu obukhulu. Amanye ama-gallstones akalokothi abangele izimpawu kanti abanye kudingeka basuswe ngokuhlinzwa.
Izinkinga Zesisu Esiphansi Esiswini Esiphansi
Njengezimpawu ezingaphezulu kwesisu, ubuhlungu esiswini esingaphansi akusho ukuthi inkinga ikhona emathunjini, njengoba ubuhlungu bungakhanya. Kodwa-ke, kunezinkinga eziningana zokugaya ukudla okungabangela izimpawu zamathumbu, kuhlanganise nobuhlungu obuphansi besisu, ukuchotshoza nezinkinga zokunyakaza kwesisu. Nazi ezinye zezinto ezivame kakhulu:
- Isifo se-Celiac : Abantu abanesifo se-celiac abakwazi ukudla i-gluten ngoba kulimaza intombazane encane. Lesi yisimo ongadinga ukuthi uhlolwe ngumhlinzeki wezempilo, futhi ngokuvamile uphutha ngenxa yezifo ezithile zomzimba ngaphambi kokubonakala.
- Izifo ezihlukahlukene : I-Diverticulitis ukuvuvukala kwe-diverticula, okuyizingxenye zezindonga zamathumbu. Ukuba khona kwalezi zikhwama kuyaziwa ngokuthi yi-diverticulosis. Iningi labantu abane-diverticulosis angeke lithole izimpawu. Ngakolunye uhlangothi, i-Diverticulitis iveza izinhlungu ezibuhlungu esiswini esingaphansi kwesisu, ngokuvamile sihambisana nomkhuhlane. Uma usola ukuhlukumeza, bheka umhlinzeki wezempilo ngokushesha ngangokunokwenzeka. Uma ishiywe ingalashwa, i-diverticulitis ingabangela ukucindezeleka kokuphila.
- Isifo sesifuba sokuvuvukala : Lesi yisikhathi sesambulela sezimiso ezimbili ezihlukene: i-ulcerative colitis nesifo sikaCrohn. Zombili yizimo ezingapheli ezidinga ukuqapha konke nokwelapha.
- I-irritable bowel syndrome (i-IBS) : Abantu ababhekana nalesi sifo esivamile kakhulu sokugaya umzimba baye baphinde baphinde baphuze emathunjini, futhi noma isifo sohudo, ukuqothulwa noma kokubili.
Izimpawu zesifo somdlavuza wesisu
Umdlavuza wesisu ngokuvamile, nakuba ungahlali njalo, unikeza ezinye izimpawu "ezibomvu-flag". Lokhu kufaka:
- Izimpawu zokuphuma kwegazi, njengegazi esitokisini
- Ukuntuleka kokudla okungapheli
- Ukulahlekelwa kwesisindo esingachaziwe
- Ukukhathala okukhulu, okuqhubekayo ukukhathala
- Imizwa evamile
- Ukuphikelela, ubuhlungu obuphindaphindiwe
- I-anemia
Uma Udinga ukubona i-Gastroenterologist
Umhlinzeki wezempilo uyakulungiswa kangcono ukuhlola ukuthi yini engase idale ukucindezeleka kokugaya ukudla. Uma ubhekene nanoma yikuphi " izimpawu ezibomvu-flag ," njengokungena kwamagciwane , kubalulekile ukuthi ufune ukwelashwa ngokushesha.
Uma unogqirha womndeni, cishe uzofuna ukuqala lapho. Kodwa-ke, kungenzeka ukuthi bazokudlulisela ku- gastroenterologist , udokotela ogxile ezifweni nasezinkingeni zegciwane lakho lokugaya.
> Imithombo:
> I-American Cancer Society. Izimpawu Nezibonakaliso Zomdlavuza.
> Katz PO, Gerson LB, Vela MF. Imihlahlandlela yokuHlola nokuPhathwa kwezifo ze-Reflux ze-Gastroesophageal. Am J Gastroenterol 2013; 108: 308.
> Lau JY, Sung J, Hill C, et al. Ukubuyekezwa Okuhlelekile Kwe-Epidemiology Yezinkinga Eziyinkimbinkimbi Zezilonda Zase-Peptic: Ingozi, Ukuphindaphindiwe, Izingozi Zengozi Nokufa. Ukugaya ukudla 2011; 84: 102.
> National Institute of Digestive and Diabetes kanye Nezifo Zesifo Sezinso. Izifo zeCeliac.
> Isikhungo sezokwelapha saseCedars-Sinai. Izifo Ezihlukahlukene. Imisedari-Sinai.edu 2011.
> I-J, i-Vanuytsel T, i-Corsetti M. "Ukuphathwa Kwamanje Kwe-Irritable Bowel Syndrome: Okungaphezu Kwemvelo." Izifo zokugaya 2016; 34: 566-573.