Created at:1/16/2025
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Rumination syndrome chirwere chisingawanzoitika chemudumbu umo chikafu chakabikwa chiri kudzoka kubva mudumbu kuenda mumuromo pasina kurutsa kana kusvotwa. Kusiyana nekurutsa, izvi zvinoitika kakawanda uye kazhinji mukati memaminitsi makumi matatu ekudya, uye chikafu chinowanzo chekwa zvakare uye chinodyiwa zvakare.
Chirwere ichi chinotapura vana nevakuru, kunyange zvazvo chinozivikanwa zvikuru muvana vaduku nevanhu vane zvirwere zvekusimukira. Mashoko akanaka ndeawo kuti rumination syndrome inorapika, uye vanhu vazhinji vanogona kutonga zviratidzo zvavo zvakanaka nenzira yakakodzera.
Chiratidzo chikuru ndechekudzokera kwechikafu mushure mekudya, asi izvi zvinoita zvakasiyana nekurutsa kwakajairika. Ungacherechedza kuti chikafu chinodzoka nyore nyore uye zvine nyore, pasina kuita simba kwakawanda kunoitwa nekurutsa.
Heano mamwe ezviratidzo zvaunogona kuona:
Muvana vaduku, unogona kuonawo vachiita mafambiro ekukwesha kana pasina chikafu, kana kuisa musoro wavo nemutsipa munzira dzisingawanzoitiki. Vamwe vanhu vanotsanangura kunzwa zororo mushure mekudzoka kwechikafu, izvo zvakasiyana nekunzwa kwakaipa kwekurutsa.
Rumination syndrome inoitika kana tsandanyama iri pakati pemudumbu rako neesophagus isingashande zvakanaka, asi chikonzero chaicho hachizivikanwi nguva dzose. Muzviitiko zvakawanda, zvinoita sekunge iri tsika yakadzidzwa inokura isingazivikanwi.
Zvinhu zvakati wandei zvinogona kuita kuti chirwere ichi chibude:
Muzviitiko zvisingawanzoitiki, rumination syndrome inogona kuitika mushure mehutachiona hwemudumbu kana kuvhiya. Dzimwe nguva inotanga panguva dzekunetseka kwakanyanya kana kushanduka kukuru muhupenyu. Chinhu chakakosha kunzwisisa ndechekuti izvi hazvisi chimwe chinhu chauri kuita nemaune, uye hazvisi chiratidzo chechirwere chekudya.
Unofanira kuona chiremba kana ukaona chikafu chichiudzoka nguva dzose mushure mekudya, kunyanya kana zvichiitika kakawanda pavhiki. Kurapwa kwekukurumidza kunogona kudzivirira matambudziko uye kukubatsira kunzwa nani nekukurumidza.
Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona izvi:
Usamirira kana uchizvidzivisa mamiriro evanhu nekuda kwezviratidzo zvako. Chiremba wako anogona kukubatsira kusiyanisa rumination syndrome nezvimwe zvirwere uye kutanga kukurapa kuti unzwe nani.
Zvinhu zvakati wandei zvinogona kukukonzera kuti uve nerumination syndrome, kunyange zvazvo kuva nezvinhu izvi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa izvi kunogona kukubatsira iwe nechikurapa chako kuziva chikonzero nekukurumidza.
Zvinhu zvinowedzera ngozi zvinosanganisira:
Muzviitiko zvisingawanzoitiki, zvimwe zvirwere zvehuropi kana kukuvara kwehuropi zvinogona kuwedzera ngozi. Nhoroondo yemhuri haionekwi kuita basa rakakura, zvinoreva kuti chirwere ichi hachina kuwanzova nhaka. Vanhu vazhinji vanowana rumination syndrome havave nezvimwe zvezvinhu izvi zvinowedzera ngozi, saka zvinogona kuitika kune ani naani.
Kunyangwe rumination syndrome pachayo isiri ngozi, kuisiya isina kurapwa kunogona kukonzera matambudziko akawanda ehutano nekufamba kwenguva. Mashoko akanaka ndeawo kuti matambudziko mazhinji anogona kudzivirirwa kana kugadziriswa nekurapwa kwakakodzera.
Heano matambudziko makuru aunofanira kuziva:
Muzviitiko zvisingawanzoitiki, rumination inogona kukonzera aspiration pneumonia kana zvidimbu zvechikafu zvikaenda mumapapu ako. Vamwe vanhu vanogonawo kuva nekufema kwakaipa kana matambudziko ehwani. Mhedzisiro yemanzwiro inogona kuva yakakurawo, ichikonzera kuzvidya mwoyo nezvekudya paruzhinji kana kuora mwoyo nekuda kwezviratidzo zviripo.
Kuona rumination syndrome kunotanga nechikurapa chako chichinzwa zviratidzo zvako nenhoroondo yemishonga yako. Hapana bvunzo imwe chete yechirwere ichi, saka chiremba wako achada kubvisa mamwe matambudziko emudumbu kutanga.
Chiremba wako anogona kukubvunza nezvekuti zviratidzo zvakatanga riini, chii chinodzikonzera, uye zvinoita sei muhupenyu hwako hwezuva nezuva. Vachada kuziva kana chikafu chinodzoka chine kunaka kwakashata kana chisina kubikwa, uye kana uchicheka zvakare uchidyazve.
Bvunzo dzakajairika dzinogona kusanganisira:
Muzviitiko zvimwe, chiremba wako anogona kushandisa bvunzo yakasarudzika inonzi high-resolution manometry kuyera kumanikidza mu esophagus yako. Kuona chirwere kunowanzoitwa zvichienderana nezviratidzo zvako uye kubvisa mamwe mamiriro pane kuwana chimwe chinhu chaicho mu bvunzo.
Kurapa kwe rumination syndrome kunotarisa pakuputsa chiitiko chekudzokera kwechikafu uye kugadzirisa zvikonzero zviripo. Nzira yacho inosiyana zvichienderana nezera rako nezvinogona kukonzera zviratidzo zvako.
Nzira huru dzekurapa dzinosanganisira:
Behavioral therapy kazhinji ndiyo kurapa kwakanakisa, kunyanya nzira inonzi habit reversal. Izvi zvinokudzidzisa kuziva chido chekurutsa uye kuchichinja nemaitiro asingafaniri senge diaphragmatic breathing. Vanhu vazhinji vanoona kugadziriswa mukati memavhiki mashoma kusvika kumwedzi yekushanda kwenguva refu.
Kune zvinhu zvakati wandei zvaunogona kuita pamba kuti ukwanise kutonga zviratidzo zvako uye kutsigira kurapwa kwako. Aya maitiro anoshanda zvakanaka kana akabatana nekurapwa kwakakodzera.
Heano mamwe mazano ekutonga pamba:
Kuita nzvimbo yekudya yakadzikama kunogonawo kubatsira. Edza kudya pasina zvinokanganisa senge TV kana mafoni, uye tenga nguva yekukwesha chikafu chako zvakakwana. Vamwe vanhu vanoona kuti kunwa mvura shoma panguva yekudya kunobatsira, nepo vamwe vachizviita zvakanaka kudzivisa zvinwiwa nezvikafu.
Kuuya wakagadzirira kuona chiremba wako kuchabatsira chiremba wako kunzwisisa zviratidzo zvako zviri nani uye kuita chirongwa chekurapa chinobatsira. Kutora nguva yekuronga pfungwa dzako usati waenda kunogona kuita kuti shanyo ive yakakodzera.
Usati waenda kuona chiremba,unganidza ruzivo urwu:
Funga kuchengeta bhuku rezviratidzo kwevhiki kana mbiri usati waenda kuona chiremba. Nyora zvaunodya, zviratidzo zvinoitika riini, uye chii chinobatsira kana kuzviita zvakanyanya. Ruzivo urwu runogona kupa zviratidzo zvinokosha nezve zvinokonzera zvako uye maitiro.
Rumination syndrome chirwere chinorapika chinotapura kuti mudumbu rako rinoshanda sei, zvichikonzera kuti chikafu chidzoke mushure mekudya. Kunyange zvazvo zvingava kunyara uye kunonetsa, vanhu vazhinji vanogona kutonga zviratidzo zvavo zvakanaka nekurapwa kwakakodzera.
Chinhu chakakosha kukurangarira ndechekuti izvi hazvisi mhosva yako, uye haufanire kurarama nezviratidzo izvi. Kurapwa kwekukurumidza kazhinji kunounza mhedzisiro iri nani, uye vanhu vazhinji vanoona kugadziriswa kukuru mukati memwedzi mishoma yekutanga kurapwa.
Kushanda nevanachiremba vanonzwisisa chirwere ichi ndicho chinhu chakakosha pakutora rutsigiro rwaunoda. Nekurapwa kwakakodzera, vanhu vazhinji vanogona kudzokera pakudya kwakajairika nemabasa evanhu pasina zviratidzo zviripo.
Kwete, rumination syndrome yakasiyana nezvirwere zvekudya senge bulimia. Mu rumination syndrome, chikafu chinodzoka zvisina kuzivikanwa pasina kurutsa, uye kazhinji chinochekwa zvakare uye chinodyiwa. Bulimia inosanganisira kurutsa nemaune mushure mekudya zvakawanda. Zvisinei, mamiriro maviri anogona kuitika pamwe chete mune dzimwe nguva.
Kunyangwe rumination syndrome ichigona kuvandudza pasina kurapwa, kunyanya muvana vaduku, kazhinji inoda kurapwa muvana vakuru nevakuru. Maitiro akadzidzwa anokonzera rumination kazhinji anoda nzira dzakakosha dzekurapa kuti aputse chiitiko zvakanaka.
Vanhu vazhinji vanotanga kuona kugadziriswa mukati memavhiki maviri kusvika mana ekutanga kurapwa, nekufambira mberi kukuru kazhinji kunoitika mukati memwedzi miviri kusvika mitatu. Zvisinei, vamwe vanhu vangada nguva yakareba yekurapwa, kunyanya kana vaine kuzvidya mwoyo kana zvimwe zvinhu zvinokonzera zvinoda kugadziriswa.
Hongu, nekurapwa kwakakodzera, vanhu vazhinji vanogona kudzokera kumaitiro ekudya akajairika. Panguva yekurapwa, ungada kuita shanduko dzekuwedzera senge kudya zvidimbu zviduku kana kudzivisa zvimwe zvekudya zvinokonzera, asi chinangwa ndechekudzorera kudya kwakajairika pasina miganho.
Rumination syndrome inowanzoonekwa muvana vaduku vane makore matatu kusvika gumi nemaviri, asi inogona kuitika pazera ripi neripi. Mumakore achangopfuura, iri kuonekwa kazhinji mune vechidiki nevakuru, zvichida nekuti kuziva kwechirwere ichi kwakavandudzwa pakati pevanachiremba.