Kungani Abadala Bethola Uhudo Oluluhlaza Olunamanzimanzima: Izimbangela Ezejwayelekile

Yini ebanga uhudo oluluhlaza olunamanzimanzima kubantu abadala?

Ukuchaza ukuthi kungani uhudo lungaba luhlaza okokuhla, kuqala sidinga isifundo esifushane ngakho okwenza umququ omile ube nsundu. Umbala ojwayelekile omnyama womququ wakho uvela ekuhlanganeni kwe-bile—okuyimfihlo yokugaywa kokudla eluhlaza okokuhla eqondiswa isibindi sakho futhi igcinwe esithunjeni—kanye ne-bilirubin, umbala ophuma ekwephukeni kwamangqamuzana abomvu egazi umthombo. Njengoba ukudla kuhamba emgudwini wakho wokugaya, ama-enzyme ashintsha i-bile ne-bilirubin ngokwemvelo, kuyiguqule kusuka eluhlaza okokuhla ibe nsundu.

Uma umququ wakho uhamba ngokushesha kakhulu emakholweni akho (okuyisici sohudo), i-bile ne-bilirubin azizitholi isikhathi esanele sokudlula kulesi shintsho lwekhemikhali. Umphumela? Umququ uhlala unombala oluhlaza okokuhla we-bile, okuholela ku-uhudo olugqamile oluluhlaza okokuhla.

Ngakho, yini ebanga umququ oluhlaza okokuhla uhambe ngokushesha kangaka? Nansi eminye yemigangi ejwayelekile.

Izinto Ezibangela Ukudla kanye Nokudla

Ngezinye izikhathi, impendulo isesitrathelweni sakho. Ukudla okuthile kungashintsha umbala womququ wakho okwesikhashana. Lokhu kuvame ukuba yingozi futhi kuyayeka uma ukudla sekwaphuma emzimbeni wakho. * Ukudla Okunamafutha Kakhulu: Ukudla okunamafutha kungaba nzima ukugaywa, okuholela ekuhambeni okusheshayo emzimbeni wakho. * I-Beta-Carotene: Ukudla okunothe ngalo mbala, njengowom-carrots, amazambane, nama-apricot, kungabeka umbala oluhlaza okokuhla noma onsundu. * Izinongo Nemibala: Izinongo njengotumeric noma imibala yokudla ephuzi ngokwenziwa kwenziwe ezitophweni nasezintweni ezicubuziwe kungase kube isici. Uma ubone uhudo oluluhlaza okokuhla ngemuva kokudla ukudla okuthile, cabanga ukuthi kwakunjani.

Izifo kanye “ Nezifo Zesisu ”

Izifo zamathumbu ziyimbangela enkulu yohudo olungazelelwe. Amagciwane, amabhakteriya, namaparasiti angacasula amathumbu akho, abangele ukuvuvukala futhi aqhube ukugaya. * Izifo Zamagciwane: I-Norovirus ne-rotavirus ziyizigangi ezijwayelekile ngemuva kwe-gastroenteritis, ezivame ukudala uhudo olunamanzimanzima. * Izifo Zamabhakteriya: I-E. coli ne-Salmonella zingadala izimpawu ezifanayo. * Izifo Zamaparasiti: Enye yezimbangela ezaziwa kakhulu zohudo oluhlala njalo, oluqhumayo, kanye oluvusa iphunga elibi oluluhlaza okokuhla yi-Giardiasis. Lesi sifo sibangelwa ipharasithi elincane kakhulu elibizwa nge-Giardia lamblia futhi ngokuvamile litholwa emanzini angcolile umthombo. Uhudo oluvela ku-Giardiasis ngokuvamile luchazwa njengolunamaphunga aqinile namafutha.

Ukungakwazi Ukugaya Amafutha (Steatorrhea)

Uma uhudo lwakho lungamane lube luhlaza kodwa futhi lube namafutha, lube namagwebu, luthi luvele, futhi lube nephunga elinamandla, elibi kakhulu, ungase uhlangabezane ne-steatorrhea (umququ onamafutha). Lesi simo sichaza ukuthi umzimba wakho awukwazi ukumunca amafutha kahle, futhi amafutha amaningi akhishwa emquqweni wakho. Lokhu kungaba wuphawu lwezimo eziningana ezingezansi: * Isifo Samathumbu Esivamile Sokungabekezelelani Ne-Gluten (Celiac Disease): Isifo esizenzakalelayo lapho ukudla i-gluten kubangela ukulimala emathunjini amancane, kuthinte ukumunca izakha-mzimba. * Izinkinga Zesibindi: Izimo njenge-pancreatitis engapheli noma i-exocrine pancreatic insufficiency (EPI) kusho ukuthi isibindi sakho akusho amavithamini anele okwephuka amafutha. * Isifo Sika-Crohn: Lesi sifo samathumbu esivuvukalayo singalimaza umugqa womgudu wokugaya, kuthinte ukumunca amafutha.

Ukuzwa njalo uhudo olunamajusi oluhlaza okokuhla kuwuphawu olunamandla lokuthi kufanele ubheke umhlinzeki wezempilo ukuyohlola imbangela engaphansi.

Ingabe Uhudo Oluluhlaza Okokuhla Luwuphawu Lesifo Noma Izinkinga Zesibindi? Izinkinga Zesibindi Nesithuthu

Isibindi sakho nesithuthu bakha izinhloso ekugayweni kwamafutha ngokukhiqizwa nokukhululwa kwe-bile. Lapho leli hlelo liphazamiseka, lingadala izinguquko emquqweni wakho. * Izifo Zesibindi: Izifo njenge-cirrhosis noma i-hepatitis zingathinta ukukhiqizwa kwe-bile, okungaholela ku-izinkinga zesibindi umququ oluhlaza okokuhla ongaba buthakathaka noma onombala womhlabathi. * Amatshe Esithuthu: Lezi zingavimba imigudu ye-bile, ivimbele i-bile ukuba ifike emakholweni ukusiza ekugayeni. * Ukukhishwa Kwesithuthu: Ukuba nesithuthu sakho sikhathelwe yisizathu esivamile sezinguquko zokugaya. Ngaphandle kwesithuthu ukugcina futhi ukuhlanganisa i-bile, i-bile iyagcwala ngokuqhubekayo ethunjeni. Ngezinye izikhathi, lokhu kuholela ku-bile acid malabsorption, isimo lapho amathumbu angeke akwazi ukuphinda amunce wonke ama-bile acids, abangele ukucasuka kanye nohudo olunamanzimanzima, olugqamile oluluhlaza okokuhla umthombo. Lesi yisizathu esijwayelekile sohudo oluhlala njalo oluluhlaza okokuhla iziguli zesithuthu ezikhishwe ezihluphekayo.

Ukucindezeleka Nokukhathazeka

Ukuxhumana kwengqondo namathumbu kunamandla. Lapho ucindezeleke kakhulu noma ukhathazekile, umzimba wakho ukhulula ama-hormone angathumela uhlelo lwakho lokugaya emisebenzini esheshayo. Lokhu kuhamba okusheshayo kungadala uhudo olubonakala luhlaza okokuhla. Uma uthola ukuthi izimpawu zakho ziyanda ngezikhathi zokucindezeleka okuphezulu, ukuhlola ukuxhumana phakathi kohudo oluluhlaza okokuhla nokucindezeleka nodokotela wakho kungaba usizo.

Ezinye Izimo Zezokwelapha Nemithi

• Isifo Samathumbu Esicasulayo (IBS): Lesi sifo esijwayelekile sithinta amathumbu amakhulu futhi singadala izimpawu zohudo (IBS-D), olungaba luhlaza okokuhla ngenxa yesikhathi sokuhamba esheshayo.
• Isifo Sika-Gilbert: Isimo sesibindi esivamile, esingenabungozi somndeni lapho umzimba unobunzima ekucubunguleni i-bilirubin, okungadala ngokuphindisela i-jaundice nokuba nomququ ophuzi umthombo.
• Imithi: Imithi ethile, ikakhulukazi ama-antibiotics (awonakalisa amabhakteriya amathumbu) nemithi yokunciphisa umzimba njenge-Orlistat (evimbela ukumunca amafutha), ingadala uhudo olunamajusi oluluhlaza okokuhla.

Izindlela Zasekhaya: Indlela Yokulawula Uhudo Oluluhlaza Olunamanzimanzima

Uma izimpawu zakho zincane futhi awunazo izimpawu “ zefulegi elibomvu ” esizoxoxa ngazo ngezansi, ungakwazi ukuphatha ingozi ekhaya. Izinhloso eziyinhloko ukuhlala uqaphile futhi unikeze uhlelo lwakho lokugaya ithuba lokuphumula nokululama. Nansi eminye yemikhiqizo engcono kakhulu yohudo oluluhlaza okokuhla.

1. Ukubuyiselwa Kwamanzi Kungumgomo Wakho Omkhulu

Uhudo lungaholela ekulahlekelweni okukhulu kwamanzi namakhethini, abangele ukuqunjelwa. Ukuqunjelwa yilokho okuvame ukukwenza uzizwe ubuthakathaka futhi uhlanza ngesikhathi segciwane esiswini. * Phuza Amanzi Amanyekayo: Phonsa amanzi usuku lonke. * Buyisela Amakhethini: Izixazululo zokuphinda ususe amakhethini (njenge-Pedialyte noma amanye amakhethini emakhemisi), ijusi yezithelo eyashiywe ngamanzi, namakhona acwebile, zinhle ukuphinda zikhiqize usawoti namaminerali alahlekile umthombo. * Gwema Izitophu Ezikhipha Amanzi: Ziyeke izidakwa, i-caffeine, kanye namasoda anoshukela, angaqina ukuqunjelwa futhi acasule amathumbu akho.

2. Shintsha Ukudla Kwakho Okwesikhashana

Ukazi ukuthi yini okufanele uyidle nohudo oluluhlaza olunamanzimanzima kungaba nomthelela omkhulu esikhathini sakho sokuphulukisa. Umgomo ukudla ukudla okuyisicefe, okulula ukugaywa okusiza ukuqinisa umququ wakho. * Yamukela i-BRAT Diet: Leli ndlela yakudala—Bananas (Ama-banana), Rice (Ilisi-elimhlophe), Applesauce (I-apula elishayiwe), kanye ne-Toast (Isinkwa esimhlophe)—iyasebenza ekuthuthukiseni okwesikhashana ngoba lezi zokudla azina-fiber futhi ziqinile. * Ukudla Okunye Okuphephile: Amazambane abilisiwe, amakhekhe acwebile, kanye ne-oatmeal nakho kungenzeka kube izinketho ezinhle. * Ukudla Okumele Kugwenywe: Izinsuku ezimbalwa, gwema ukudla okungacasula uhlelo lwakho. Lokhu kufaka phakathi: * Ukudla okunamafutha amaningi, okunamafutha, noma okugayiwe * Ukudla okubabayo * Imikhiqizo yobisi * Ukudla okuboniswe kakhulu nokunoshukela * Ukudla okunama-fiber amaningi njengemifino eluhlaza nezinhlamvu eziluhlaza (nakuba ngokuvamile kunempilo, kungaba nzima ukugaywa ngesikhathi sohudo).

Abantu abaningi bahlangabezana nohudo oluluhlaza okokuhla ngemuva kokudla izinto ezibangela lokhu, ngakho ukunaka kakhulu ukudla kwakho kuyingxenye eyinhloko yokuphatha.

3. Cacisa Izinketho Ezitholakala Ngaphandle Kwesitolo

• Imithi Yohudo: Imithi njenge-loperamide (Imodium) ingasiza ukunciphisa imvamisa yokuphuma kwamathumbu. Noma kunjalo, kubalulekile ukuyisebenzisi uma unezinga lokushisa eliphezulu noma ubona igazi emquqweni wakho, njengoba lokhu kungase kubonise isifo esibi umzimba wakho ozama ukusikhipha.
• I-Bismuth Subsalicylate: Imikhiqizo njenge-Pepto-Bismol ingasiza esiswini esibuhlungu nohudo.
• I-Probiotics: Nakuba ingekho i-quick fix, ukuthatha i-probiotic supplement noma ukudla ukudla okunothe nge-probiotic njenge-yogurt (uma usukwazi ukubekezelela ubisi futhi) kungasiza ukubuyisa ibhalansi enamandla yamabhakteriya amathumbu akho, okungasiza kakhulu ngemuva kohambo lwe-antibiotics noma isifo umthombo.

Nini Okumele Ubheke Udokotela Mayelana Nohudo Oluluhlaza Okokuhla

Nakuba izingozi eziningi zohudo ziyayeka zodwa, kubalulekile ukwazi ukuthi nini izimpawu zakho zidinga ukwelashwa kochwepheshe. Ukungabheki izinkinga eziqhubekayo kungaholela ezinkingeni ezifana nokuqunjelwa okukhulu noma ukushiya isimo esibi esingatholwanga.

Nansi inhlaka yokuhlola ecacile echaza nini okumele ubheke udokotela wohudo oluluhlaza okokuhla:

• Kuhlala Isikhathi Esiningi: Uhudo lwakho luhlala izinsuku ezimbili kuya kwezintathu.
• Izimpawu Zokuqunjelwa: Uhlangabezana nezimpawu zokuqunjelwa, njengokoma kakhulu, umlomo owomile, ukuphuma kwemvula okuncane noma cha, umchamo obomvu, ubuthakathaka, noma isiyezi.
• Izinga Lokushisa Eliphezulu: Unezinga lokushisa elingu-102°F (39°C) noma eliphezulu.
• Ubuhlungu Obukhulu: Uhlangabezana nobuhlungu esiswini noma esithunjeni obukhulu noma obuqhubekayo.
• Umququ Oyegazi Noma Omnyama: Umququ wakho uqukethe igazi noma amanzi okugcoba, noma ubukeka umnyama futhi uyi-tarry.
• Ukuncipha Kwesisindo Okungachazeki: Uyancipha ngaphandle kokuzama.
• Izimpawu Zokukhanya Kwesibindi (Jaundice): Ubona ukukhanya esikhunjeni sakho noma ezimhlophe emehlweni akho. Leliwuphawu olubalulekile lwezinkinga zesibindi ezingase zikhonjwe uhudo oluhlaza okokuhla.

Lapho ubheka udokotela wakho, cishe uzobuza ngezimpawu zakho, ukudla kwakho, umlando wokuhamba, kanye nanoma iyiphi imithi oyiphuzayo. Bangase bafake izivivinyo njengesampula yomququ ukubheka amabhakteriya noma amaparasiti (njenge-Giardiasis), noma izivivinyo zegazi ukubheka umsebenzi wesibindi sakho nokubheka izimpawu zokuquqabuka noma isifo.

Umbhalo Ophansi

Noma kunjalo, umzimba wakho uyisikhulumisi esihle kakhulu. Uhudo oluqhubekayo, ikakhulukazi uma luhambisana nezinye izimpawu njengezinga lokushisa eliphezulu, ubuhlungu obukhulu, noma izimpawu ze-steatorrhea (umququ onamafutha), kuwuphawu olucacile lokuthi udinga ukufuna usizo kochwepheshe. Izinkinga eziqhubekayo ezihlobene ne-bile acid malabsorption noma uhudo oluluhlaza okokuhla nokucindezeleka nazo kungenzeka kudingeke ukuthi ubheke uchwepheshe.

Ungabambezeleki ukuthinta umhlinzeki wezempilo uma ukhathazekile. Bangakwazi ukunikeza ukuxilonga okunembayo, baqinisekise ukuthi uthola ukwelashwa okulungile, futhi bakunikeze ukuthula kwengqondo.