Ingabe Izilonda Zingabanga Ukuqunjelwa? Okufanele Ukwazi Ngalesi Sihlahla Esingajabulisi

Yebo, izilonda ngezinye izikhathi zingabangela ukuqunjelwa, nakuba kungesona isibonakaliso esivamile abantu abasithola. Lapho izilonda zakhiwa ezingxenyeni ezithile zesistimu yakho yokugaya ukudla, zingaphazamisa indlela umzimba wakho ogaya futhi omunxa ngayo ukudla, okungaholela ezitheni ezibuthakathaka noma amanzi.

Ziyini Izilonda?

Izilonda izilonda ezivulekile ezakha emgqeni wesistimu yakho yokugaya ukudla. Zicabange njengezimbotshana ezibuhlungu kusendlalelo sivikelo esivame ukugcina isisu sakho namathumbu ekuswakama kokugaya. Lezi zilonda zingahlalisa kakhulu futhi zingathinta indlela isistimu yakho yokugaya esebenza ngayo nsuku zonke.

Izilonda eziningi zakha ezindaweni ezimbili eziyinhloko zesistimu yakho yokugaya ukudla. Indawo yokuqala yisikhumba, lapho lezi zilonda zibizwa khona ngokuthi izilonda zesikhumba. Indawo yesibili nengavamile yindawo yokuqala yamathumbu akho amancane, ngemuva kwesikhumba sakho, lapho zaziwa khona ngokuthi izilonda zamathumbu. Zombili izinhlobo zingaphansi kwesigaba esibanzi sezilonda zesisu.

Kuvamile kancane, izilonda zingakha emqaleni wakho noma zibheke phansi kwamathumbu akho amancane. Indawo ngayinye ingaveza izibonakaliso ezihlukene kancane ngokusekelwe lapho isilonda sikhona nokuthi singathinta kanjani ukugaya kwakho. Indawo yesilonda idlala indima enkulu ekumeleni ukuthi ukuqunjelwa kungaba yingxenye yezibonakaliso zakho.

Izilonda Ziqala Kanjani Ukudala Ukuqunjelwa?

Izilonda zingabangela ukuqunjelwa ngezigijimi eziningana ezihlukene kusistimu yakho yokugaya ukudla. Ukuxhumana akulula njalo, kodwa ukuqonda lezi zindlela kungakusiza ukuba uqonde ukuthi kwenzakalani ngaphakathi emzimbeni wakho.

Lapho isilonda sonakalisa umgqomo wamathumbu akho, singaphazamisa indlela umzimba wakho omunxa ngayo ukudla. Amanyathelo akho anendima ebalulekile ekugayeni amafutha nezinye izakhamzimba ngokusebenzisa izimvubelo zokugaya nokudla. Uma le ndawo inovuvukile noma yonakele ngesilonda, ukudla kungase kungagayi kahle, kuholele ezitheni ezibuthakathaka njengoba impahla engagayiwe ihamba ngokushesha kakhulu kusistimu yakho.

Izilonda zingathinta nemisipha yesistimu yakho yokugaya okujwayele ukulawula isivinini sokuhamba kokudla. Lapho le misipha icaphuka ngesifo, ingase ivikeleke ngokungajwayelekile noma ngokushesha kakhulu. Lokhu kuhlanganiswa kungaphusha ukudla ngamathumbu akho ngokushesha kunokujwayelekile, kunikeze umzimba wakho isikhathi esincane sokumunxa amanzi nezakhamzimba, okubangela ukuqunjelwa.

Ezinye izikhathi, ubukhona besilonda bubangela izinguquko ekukhiqizeni i-acid yesisu. Umzimba wakho ungakhiqiza i-acid eningi kakhulu noma encane kakhulu ukuphendula ukulimala. Lezi zingazingeni ze-acid zingashintsha imvelo yamathumbu akho, zithinte amagciwane asizayo ahlala lapho futhi zibe nomthelela ekugayeni okungalungile, okuhlanganisa nokuqunjelwa.

Ukuphuma kwegazi esilondeni kunikeza enye indlela yokuqunjelwa, nakuba lokhu kuyisimo esibi kakhulu. Lapho isilonda siphumela igazi kusistimu yakho yokugaya, igazi ngokwalo lingasebenza njengokucasula njengoba lihamba ngamathumbu akho. Lokhu kucasuka kungashesha ukuhamba kwamathumbu futhi kuholele ezitheni ezimnyama, ezinjengezibilayo noma ngezinye izikhathi ukuqunjelwa okuxube igazi.

Ziziphi Ezinye Izibonakaliso Ongase Uzithole Kanye Nokuqunjelwa?

Uma unesilonda, ukuqunjelwa kuvamile ukungaveli uwedwa. Umzimba wakho uvame ukuthumela izimpawu eziningi zokuthi kudingeka ukunakwa kusistimu yakho yokugaya ukudla. Ukubona isibonakaliso esiphelele sezibonakaliso kusiza ukudala isithombe esicacile kuwe nomhlinzeki wakho wezempilo.

Nazi izibonakaliso ezivamile ezivame ukuhambisana nezilonda, zikusiza uqonde ukuthi umzimba wakho ungase uthini:

• Ukushisa noma ukuluma esikhwameni sakho esingaphezulu, kuvame phakathi kokudla noma ebusuku lapho isikhumba sakho singanambitheki

• Ukugabha okuhambayo, ngezinye izikhathi kuba kubi ngemuva kokudla ukudla okuthile

• Umuzwa wokugcwala okungalindelekile noma ukuvuvukala, ngisho nangemuva kokudla izinkwa ezincane

• Isilungulela noma ukugeleza kwe-acid okubonakala kuhlala njalo futhi kungaphenduli ngokuphelele kumalungiselelo angaphezu kwezinga

• Ukulahlekelwa ukudla noma ukulahlekelwa isisindo okungalindelekile ngoba ukudla kuye kwaba yinkathazo

• Ukugabha, ikakhulukazi uma ubuhlungu buba bukhulu noma uma ubona igazi kulokho okuhlanza ngakho

Lezi zibonakaliso zingahluka ngamandla kusuka kokuncane nokulawulwa kuze kube kukhulu kakhulu. Iphrofayela kuvame ukusiza ukuthola isilonda, ikakhulukazi uma uqaphela ukuthi ubuhlungu buyathuthuka kancane ngemuva kokudla noma ukuthatha ama-antacid, bese buyabuya emuva emva kwamahora ambalwa.

Manje, ake sibheke ezinye izibonakaliso ezingavamile ezidinga ukunakekelwa kwezokwelapha ngokushesha ngoba zingabonisa izinkinga:

• Izithunzi ezimnyama, ezinjengezibilayo ezibukeka njengezinsipho zekhofi, zikhombisa ukuphuma kwegazi kusistimu yakho yokugaya ephezulu

• Igazi elibomvu elikhanyayo esitheni sakho noma esihlavini sakho, libonisa ukuphuma kwegazi okusebenzayo noma okubi kakhulu

• Ubuhlungu besisu obubukhali, obungajwayelekile obuhlukile kubuhlungu obujwayelekile, okungasho ukuthi isilonda sikhona noma senze imbobo

• Ukuzizwa ubuthakathaka, ukhathazekile, noma uzizwa inhliziyo yakho ishesha, ikakhulukazi uma uphinde ubona izibonakaliso zokuphuma kwegazi

• Ukugabha okuqhubekayo okukuvimbela ukuthi ugcine ukudla noma iziphuzo

Lezi zimpawu zesixwayiso zidinga ukuhloliswa ngokushesha ngoba zingabonisa izinkinga ezibi ezidinga ukwelashwa ngokushesha. Uma uhlangabezana nanoma yikuphi kwalokhu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha kunokulinda ukuze ubone ukuthi izinto ziyathuthuka zodwa.

Yiziphi Izimbangani Zokwakheka Kwezilonda Ekuqaleni?

Ukuqonda ukuthi kwenzeka kanjani izilonda kungakusiza ukuba uqonde izimbangela zakho eziyingozi futhi ungavimbela izinkinga zesikhathi esizayo. Izimbangani eziyinhloko seziye zaba ngcono kakhulu emashumini eminyaka adlule, kude nezinkolelo zakudala mayelana nengcindezi nokudla okunezinongo njengezimbangela eziyinhloko.

Isifo samagciwane nge-Helicobacter pylori, esivame ukubizwa nge-H. pylori, siyimbangela enkulu yezilonda zesisu emhlabeni jikelele. Leli gciwane elinamandla lingasinda endaweni enesimanga yesisu sakho ngokugxila emgqomeni wokuvikela. Uma selakhiwe, libopha izivikelo zesisu sakho futhi livumele i-acid ukuba yonakalise izicubu ezingaphansi, idale isilonda.

Ukusetshenziswa isikhathi eside kwemithi yokuvikela ukukhubazeka okungelona i-steroidal, eyaziwa kakhulu njenge-NSAIDs, kuyimbangela enkulu yesibili yezilonda. Imithi efana ne-ibuprofen, i-naproxen, ne-aspirin ingaphazamisa ikhono lesisu sakho lokukhiqiza umgqomo waso wokuvikela. Ngaphandle kwalesi sivikelo, umgqomo wesisu sakho uba novuvukelo ekonakalisa i-acid, ikakhulukazi uma uthatha le miyezi njalo noma ngemithamo ephezulu.

Nazi izinto ezingeziwe ezingaba nomthelela ekwakhekeni kwezilonda, zisebenza zodwa noma ngokuhlanganiswa nezingqinamba eziyinhloko:

• Ukubhema ugwayi, okwandisa ukukhiqizwa kwe-acid yesisu futhi kunciphise ukugeleza kwegazi emgqomeni wakho, okwenza ukululama kube nzima

• Ukuphuza utshwala kakhulu okucaphuna futhi kuxoshe umgqomo wesisu sakho

• Ukucindezeleka okukhulu komzimba kusuka esifweni esikhulu, ukuhlinzwa, noma ukusha, okungabangela izilonda zokucindezeleka ezigulini ezibucayi

• Izimo ezithile zezokwelapha njenge-Zollinger-Ellison syndrome, isifo esingajwayelekile esenza umzimba wakho ukhiqize i-acid yesisu eningi kakhulu

• Ukwelashwa ngemisebe okwedlule esikhwameni sakho, okungonakalisa umgqomo wokugaya isikhathi eside

Kubalulekile ukwazi ukuthi nakuba ingcindezi nokudla okunezinongo kungadali izilonda, zingenza izilonda ezikhona zibuhlungu kakhulu noma zibambezele ukululama. Isimo sakho somzwelo kanye nezinketho zakho zokudla kubalulekile ukuthuthuka nokululama, ngisho noma kungesona isizathu sokuqala senkinga.

Ziyini Izinketho Zokwelashwa Ezingasiza Ekululameni Kwezilonda Nokumisa Ukuqunjelwa?

Izindaba ezinhle ukuthi izilonda eziningi ziphendula kahle ekwelashweni, futhi izibonakaliso zakho ezihlanganisa nokuqunjelwa kufanele zithuthuke njengoba isilonda silulama. Izindlela zokwelashwa zincike kulokho okubangela isilonda sakho, kodwa zonke zihlose ukunciphisa ukuvezwa kwe-acid nokuvumela umgqomo wakho wokugaya ukudla ululame.

Uma kukhona ukutheleleka kwe-H. pylori, udokotela wakho uzonikeza imithi yokuhlanganisa ukuze aqede amagciwane. Lokhu kuvame ukuhlanganisa ama-antibiotics amabili ahlukene kanye nemithi yokunciphisa i-acid yesisu, ethathwa ndawonye cishe amasonto amabili. Ukuqedela isifundo esigcwele kubalulekile ngoba kukunika ithuba elihle kakhulu lokususa ukutheleleka ngokuphelele nokuvimbela isilonda ukuba sibuye.

Imithi yokunciphisa i-acid iyisibambiso sokwelashwa kwezilonda kungakhathaliseki ukuthi iyini imbangela. Izibopho ze-proton pump, noma ama-PPI, imithi enamandla eyanciphisa kakhulu ukukhiqizwa kwe-acid esiswini sakho. Zisebenza ngokuvimbela indlela izicubu zesisu sakho ezisebenzisa ukukhiqiza i-acid, zinikeze isilonda sakho ithuba lokululama endaweni engaphansi kokuqina.

Esinye isigaba semithi ebizwa ngokuthi ama-H2 blockers nayo inciphisa i-acid yesisu, nakuba ingabi namandla njengama-PPI. Udokotela wakho angakhetha leyo imithi uma izibonakaliso zakho zingezimnandi noma uma ama-PPI engafaneleki kuwe. Zombili izinhlobo zemithi zingathuthukisa kakhulu izibonakaliso zakho, okuhlanganisa nokuqunjelwa, phakathi kwezinsuku ezimbalwa kuye emavikini.

Uma ama-NSAID afaka isandla esilondeni sakho, udokotela wakho uzokweluleka ukuba uyeke ukuzisebenzisa uma kungenzeka noma usuke kwenye indlela yokukhulula ubuhlungu. Ngezinye izikhathi kungase kudingeke uqhubeke nokusebenzisa ama-NSAID kwezinye izimo zezempilo, kuleyo migomo udokotela wakho angakunikeza imithi yokuvikela oyithatha kanye nayo ukuze uvikele umgqomo wakho.

Nazi izinyathelo ezisekelayo ezingasiza inqubo yakho yokululama futhi zisize ekulawuleni izibonakaliso:

• Ukugwema ukudla neziphuzo ezibukeka zibi kakhulu izibonakaliso zakho, okuhlanganisa utshwala, ikhofi, nokudla okunezinongo kakhulu noma okunamanzi

• Ukudla izinkwa ezincane, eziningi kakhulu kunokudla okukhulu okudinga umsebenzi omningi wokugaya

• Ukuyeka ukubhema uma ubhema, njengoba ugwayi uphazamisa kakhulu ukululama kwezilonda

• Ukulawula ingcindezi ngokusebenzisa izindlela zokuphumula, ukuphumula okwanele, nemisebenzi yokweseka, okungasiza umzimba wakho ululame ngokuphumelela kakhudlwana

• Ukuthatha ama-probiotic, lokho abanye abantu abathola kusiza ekubuyiseleni ukulingana kokugaya, nakuba kufanele uxoxe ngalokhu nodokotela wakho kuqala

Izilonda eziningi zilulama phakathi kwezinsuku ezine kuya kweziyisishiyagalombili zokwelashwa, nakuba ezinye zithatha isikhathi eside kuye ngosayizi wazo kanye nesizathu. Udokotela wakho cishe uzofuna ukuphinda uvakashe ukuze aqinisekise ukuthi isilonda sakho silulama kahle, ikakhulukazi uma ubunokutheleleka kwe-H. pylori. Ukuhlolwa okungeziwe kuqinisekisa ukuthi amagciwane ayekho nokuthi isilonda sakho sisendleleni yokululama okuphelele.

Ingabe Izilonda Zingaholela Ezingqinambeni Zesikhathi Eside?

Nakuba izilonda eziningi zilulama ngaphandle kwezinkinga lapho zithola ukwelashwa okufanele, kuyasiza ukuqonda ukuthi yiziphi izinkinga ezingenzeka uma izilonda zingelashwa noma zingaphenduli ekwelashweni kokuqala. Lwazi aluhloselwe ukukukhathaza kodwa kunalokho ukugcizelela ukuthi kungani ukwelashwa okufanele nokulandelwa kusemqoka.

Ukuphuma kwegazi kuyinkinga evamile kakhulu yezilonda zesisu. Isilonda singakwazi ukuhlasela umthambo wegazi esitheni sakho noma emgqomeni wamathumbu, sibangele ukuphuma kwegazi okubanzi kusuka kancane naphambili kuya kungazelelwe kakhulu. Ukuphuma kwegazi njalo kungase kungabi sobala ngokushesha kodwa kungaholela ekuncipheleni komthamo wegazi esikhathini, kukwenze uzizwe ukhathele futhi ubuthakathaka.

Ukubhidliza kuyinkinga ebucayi kakhulu kodwa engavamile lapho isilonda senza imbobo ngokuphelele esitheni sakho noma emgqomeni wamathumbu. Lokhu kuvumela izinto zokugaya ukudla ukuba ziphumele esikhwameni sakho, kubangele ubuhlungu obubukhali obubukhali futhi kudingeke ukuhlinzwa okuphuthumayo. Ngenhlanhla, lokhu kwenzeka ezingxenyeni ezincane zezilonda.

Ezinye izilonda zingabangela ukuvimba, lapho ukuvuvukala nokululama kusukela ezilondeni ezivame ukuphinda ukuvimba phakathi kwesisu sakho namathumbu akho amancane. Lokhu kungenza kube nzima ukudla ukuba kudlule ngendlela ejwayelekile, kuholele ekugabheni okuqhubekayo, ukuzizwa ugcwale ngokushesha, nokulahlekelwa isisindo. Ukwelashwa kungahlanganisa imithi yokunciphisa ukuvuvukala noma ngezinye izikhathi izinqubo zokuheha indawo evimbelene.

Kuvamile kakhulu, ukutheleleka kwe-H. pylori isikhathi eside kanye nokuphikisana okuqhubekayo kungandisa ingozi yakho yomdlavuza wesisu eminyakeni eminingi. Lena enye yezizathu zokuthi kungani ukwelashwa ukutheleleka kwe-H. pylori kubalulekile ngisho noma izibonakaliso zakho zingezimnandi. Ingozi engaphelele ihlala iyincane, kodwa ukususa amagciwane kunciphisa le ngozi ngokwengeziwe.

Ungalindela Yini Ngesikhathi Sokululama?

Ukululama esilondeni kuvame ukuba yinqubo ebalulekile eyenzeka emavikini ambalwa. Ukuqonda ukuthi ungalindela yini kungakusiza ukuba uhlale unombheki emzimbeni wakho njengoba ululama futhi uqaphele izimpawu zokuthi ukwelashwa kuyasebenza.

Ezinkulumeni ezimbalwa zokuqala zokwelashwa, ungase uqaphele ukuthuthuka kwezibonakaliso ezifana nobuhlungu nokugabha, nakuba impumuzo ephelele kuvame ukuthatha isikhathi eside. Ukuqunjelwa kufanele futhi kuqale ukuzinza njengoba isistimu yakho yokugaya idingeka kancane. Abanye abantu bazizwa betuthuke kakhulu kungakapheli isonto, kanti abanye badinga isikhathi esincane esingeziwe.

Kuvamile ukuthi izibonakaliso zishintshe kancane ngesikhathi sokululama, ngezinye izinsuku uzizwe kangcono kunabanye. Lokhu akubalulekile ukuthi ukwelashwa kungasebenzi. Isistimu yakho yokugaya iyazilungisa kumithi futhi iqala ukulungisa umonakalo, okungabangela ukushintshashintsha okwesikhashana ekuzizweni kwakho.

Ungase uqaphele izinguquko emikhubeni yakho yokuphuma njengoba ukululama kuqhubeka. Uma ubuye wanakekela ukuqunjelwa, kufanele ubonise izitheni zakho zibe ziqinile futhi zibe njalo ngokujwayelekile. Abanye abantu babhekana nokuvaleka isikhashana ngenxa yemithi yokunciphisa i-acid, evame ukuzinza njengoba umzimba wakho uzilungisa.

Kubalulekile ukuxhumana njalo nomhlinzeki wakho wezempilo ngesikhathi sokululama. Bangakusiza uqonde ukuthi okuhlangenayo kuyilulama evamile noma ukuthi ukuhlanganiswa kohlelo lwakho lokwelashwa kungaba wusizo yini. Unganqeni ukuxhumana uma unezinkathazo noma uma izibonakaliso ziba zimbi kunezelukulwini.

Abantu abaningi bangabuyela emisebenzini yabo ejwayelekile ngesikhathi sokwelashwa kwezilonda, nakuba kungase kudingeke ukuthi wenze izinguquko zesikhashana ngokusekelwe ezibonakaliso zakho. Lalela umzimba wakho futhi uzihlalele, ikakhulukazi ezinyangeni ezimbalwa zokuqala lapho ukululama kuqala nje. Ukuphumula okwanele kusekela izinqubo zokulungisa zomzimba wakho.

Isiphetho

Ukubhekana nesilonda kanye nezibonakaliso zayo ezifana nokuqunjelwa kungazizwa kuyadukisa futhi kungajabulisi, kodwa ukuqonda ukuxhumana phakathi kwazo kukusiza ukuba uqonde ukuthi kwenzakalani emzimbeni wakho. Izilonda yizimo eziphumelela kakhulu ukwelashwa, futhi abantu abaningi balulama ngokuphelele ngosizo olufanele nesikhathi.

Uma uhlangabezana nokuqunjelwa okuqhubekayo kanye nobuhlungu besisu noma ezinye izibonakaliso zokugaya, ukuxhumana nomhlinzeki wakho wezempilo kuyisinyathelo esifanele nesibalulekile. Bangakusiza ukuba uthole ukuthi isilonda noma enye imbangela yezibonakaliso zakho yini, futhi bakuhlolele ukwelashwa okuphumelelayo. Akudingeki ukuba uyithole yodwa noma ubhekane nezibonakaliso uthemba ukuthi ziyozinza zodwa.

Khumbula ukuthi isistimu yakho yokugaya iyazikhethela kakhulu futhi iyakwazi ukululama lapho inikezwe ukwesekwa okufanele. Ngokwelashwa okufanele, izinguquko zendlela yokuphila, kanye nokubekezela, ungakulindela ukuzizwa kangcono futhi ubuyele ekugayeni okujwayelekile nokukhululekile. Umzimba wakho unamandla amangalisayo okuzilungisa lapho inkinga eyinhloko ibhekene nayo.