Ukuphuma Kwesisu Sebile? Izimpawu, Izimbangela, Nokwelashwa

Ukuphuma kwesisu sebhile kwenzeka lapho ibile, isithombo sokudla esenziwa yibhefu lakho, sibuyela esiswini sakho noma esibindini sakho esikhulu kunokuba siqhubeke ngesistimu yakho yokugaya ukudla. Lokhu kubuyela emuva kungabangela ubuhlungu obukhulu, ukugula, nezinye izimpawu ezingakhululekile ezingase zifane nokuphuma kwesisu esiqinile.

Ngokungafani nokuvuvukala kwesisu okuvela e-asidi yesisu, ukuphuma kwesisu sebhile kuhilela isithombo sokudla esihlukile esihloselwe ukusiza ekwahlukaniseni amafutha esibindini sakho esincane. Uma ibile ifika endaweni engafanele, ingakhungathekisa izicubu ezinzima zesisu lakho nesibindini sakho esikhulu, okubangela ukuvuvukala nokungahambi kahle.

Kuyini ukuphuma kwesisu sebhile?

Ukuphuma kwesisu sebhile kwenzeka lapho ibile ibuya esibindini sakho esincane ibuyele esiswini sakho, futhi ngezinye izikhathi ifike nesibindini sakho esikhulu. IBhile iyisithombo sokudla esiluhlaza okwesibhakabhaka esenziwa yibhefu lakho ukusiza ekugayeni amafutha nokufunxa amavithamini athile.

Ngokuvamile, ibile igeleza kusuka ebhhefwini lakho iye e-gallbladder yakho yokugcinwa, bese ikhishwa esibindini sakho esincane lapho udle. Imisipha emincane ebizwa ngokuthi i-pyloric valve ilawula ukugeleza phakathi kwesisu sakho nesibindini sakho esincane. Uma le valve ingasebenzi kahle, ibile ingase igeleze emuva ezindaweni lapho ingafanele khona.

Lesi simo sihlukile esifo se-gastroesophageal reflux (GERD), yize lezi zombili zingase zenzeke ndawonye. Ngesikhathi i-GERD ihilela i-asidi yesisu ebuyela esibindini esikhulu, ukuphuma kwesisu sebhile kuhilela ngokukhethekile ibile evela esibindini esincane ehamba ngendlela engafanele.

Ziyini izimpawu zokuphaphama kwesisu sebhile?

Izimpawu zokuphaphama kwesisu sebhile zingase zibe nzima kakhulu futhi zingase zifane nezinye izimo zokugaya ukudla. Ungase uhlangabezane nalezi zimpawu njengoba umzimba wakho usabela ebile ekhungathekisa izicubu lapho ingafanele khona.

Izimpawu ezivamile zihlanganisa:

• Ubuhlungu obukhulu besisu obungase bube njengobushisa noma ukugaya
• Ukuvuvukala kwesisu noma ukushisa esifubeni sakho
• Ukugula, ikakhulukazi ngemva kokudla
• Ukugabha ibile, ebonakala iluhlaza okwesibhakabhaka noma eluhlaza
• Ukuphuma okungavamile koketshezi elinomuncu
• Ukuzizwa ugcwele ngokushesha lapho udle
• Ukukhukhumeka noma igesi

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile njengokukhotha okuqhubekayo, ukukhuluphala, noma ukuhlanza umlomo njalo. Lokhu kwenzeka lapho ibile ifika phezulu ngokwanele ukukhungathekisa umlomo wakho nemizwa yakho.

Izimpawu zivame ukuba zimbi kakhulu ngemva kokudla, ikakhulukazi ukudla okunemafutha, ngoba yilapho umzimba wakho ukhulula khona ibile eningi yokugaya ukudla. Ungase uqaphele ukuthi ukungahambi kahle kunzima kakhulu kunokuvuvukala kwesisu okuvamile futhi akuphenduli kahle e-antacids.

Ziyini izimbangela zokuphaphama kwesisu sebhile?

Ukuphuma kwesisu sebhile kwenzeka lapho ukugeleza okuvamile kwesisu sebhile kuphazamiseka, kuvumela ukuba kugeleze emuva kunokuba kuqhubeke ngesistimu yakho yokugaya ukudla. Lokhu kuvame ukwenzeka ngenxa yezinkinga ezimisipha nasezibalweni ezilawula ukugeleza kokugaya ukudla.

Izimbangela ezivamile zihlanganisa:

• Izinkinga zokuthuthukiswa kokuthuthukiswa kwesisu, ikakhulukazi izinqubo ezihilela isisu noma i-gallbladder
• I-ulcers ye-peptic ethonya i-pyloric valve
• Ukuhlinzwa kokususa i-gallbladder (cholecystectomy)
• Ukuhlinzwa kwe-gastric bypass noma ezinye izinqubo zokulahlekelwa isisindo
• Ukulimala kwe-pyloric valve kusuka ekuvuvukaleni noma ezikhishini

Izimbangela ezingavamile zihilela izimo ezihlupha indlela imisipha yakho yokugaya ukudla esebenza ngayo. Lezi zingase zihlanganise imithi ethile ephumula imisipha yokugaya ukudla, i-gastroparesis enzima (ukugaya ukudla okunqamile), noma izimo ezingavamile ze-genetic ezihlupha umsebenzi wokugaya ukudla.

Ngezinye izikhathi ukuphuma kwesisu sebhile kwenzeka ngaphandle kwesizathu esicacile, ikakhulukazi kubantu abadala lapho imisipha yokugaya ukudla ihlala iyancipha ngokuhamba kwesikhathi. Ukuqina nezici ezithile zokuphila zingase futhi zenze ukuphuma kwesisu sebhile kube sibi kakhulu, yize zingavamile ukubangela ngokwazo.

Nini okufanele ubona udokotela ngokuphaphama kwesisu sebhile?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu zokugaya ukudla eziqhubekayo ezingathuthuki ngokwelashwa okutholakala ngaphandle kwesikripthi. Ukubheka kusenesikhathi kungasiza ukuvimbela izinkinga nokwenza uzizwe ukhulu ngokushesha.

Funani ukunakekelwa kwezokwelapha uma una:

• Ukugabha njalo, ikakhulukazi uma kuluhlaza okwesibhakabhaka noma oluhlaza
• Ubuhlungu obukhulu besisu obuqhubekayo obuhlala izinsuku ezimbalwa
• Ukulahlekelwa isisindo okungachazeki
• Ubunzima bokuginya noma ukukhuluphala okuqhubekayo
• Izimpawu ezihlupha imisebenzi yakho yansuku zonke noma ubuthongo

Thola ukunakekelwa kwezokwelapha ngokushesha uma ugabha igazi, una ubuhlungu obukhulu besisu, noma uhlangabezana nezibonakaliso zokulahlekelwa amanzi omzimba njengokukhungatheka, umlomo owomile, noma ukunciphisa ukuya esithunzini. Lokhu kungase kubonise izinkinga ezinkulu ezidinga ukwelashwa ngokushesha.

Ungalindi uma izimpawu zakho ziya sibi noma uma i-antacids nezinguquko zokudla zingakusizi. Udokotela wakho angabona ukuthi una ukuphuma kwesisu sebhile noma enye isimo bese ekukhuthaza ukwelashwa okufanele.

Ziyini izici ezingase zikhulise ingozi yokuphaphama kwesisu sebhile?

Izici ezithile zingase zikhulise amathuba akho okuthuthukisa ukuphuma kwesisu sebhile, yize ukuba nezici ezingase zikhulise ingozi akusho ukuthi uzothola ngokuqinisekile lesi simo. Ukuqonda lokhu kungakusiza wena nodokotela wakho ukuhlola isimo sakho.

Izici ezikhulu ezingase zikhulise ingozi zihlanganisa:

• Ukuhlinzwa kwesisu noma i-gallbladder ngaphambili
• Umlando we-peptic ulcers
• Iminyaka engaphezu kuka-60, lapho imisipha yokugaya ukudla ingase iyancipha
• Imithi ethile ethonya umsebenzi wemisipha yokugaya ukudla
• I-Gastroesophageal reflux disease (GERD)
• Ukutheleleka kwe-Helicobacter pylori

Abantu abaye bahlinzwa ukulahlekelwa isisindo noma izinqubo zesisu banengozi enkulu ngoba lezi zinqubo zingase ziguqule ubukhulu bomzimba nomsebenzi wezibalwa zokugaya ukudla. Ngokufanayo, uma ususiwe i-gallbladder yakho, ibile igeleza ngendlela ehlukile ngesistimu yakho, okungase kube yimbangela yokuphaphama kwesisu.

Imithi ethile, ikakhulukazi leyo ephumula imisipha ebushelelezi, ingase ibe nomthelela ekuphumeni kwesisu sebhile ngokuthonya indlela izibalwa zakho zokugaya ukudla ezisebenza ngayo. Uma uthatha imithi yezinye izimo, udokotela wakho angakusiza uqonde noma yimiphi imiphumela yokugaya ukudla.

Ziyini izinkinga ezingase zenzeke ngenxa yokuphaphama kwesisu sebhile?

Ngesikhathi ukuphuma kwesisu sebhile kungase kube nzima, abantu abaningi bakwazi ukulawula kahle ngokwelashwa okufanele. Noma kunjalo, uma kushiywa kungelashwa, ukuvuvukala okuqhubekayo kusuka ebile kungase kube yimbangela yezinkinga ezinkulu ngokuhamba kwesikhathi.

Izinkinga ezingase zenzeke zihlanganisa:

• I-Gastritis (ukuvuvukala kwesicubu sesisu)
• I-Gastric ulcers noma ukubhebhetheka kwe-ulcers ezikhona
• I-Barrett's esophagus (ukuguquka kwesicubu sesibindini esikhulu)
• I-Esophageal stricture (ukunciphisa kwesibindini esikhulu)
• Ukungasebenzi kahle kokugaya ukudla (okungavamile kodwa okubi kakhulu)

Izindaba ezinhle ukuthi lezi zinkinga zithuthuka kancane futhi zingavikeleka ngokunakekelwa kwezokwelapha okufanele. Ukuqapha njalo nokwelashwa kungavikela isisu sakho ekubhujisweni isikhathi eside.

I-Barrett's esophagus iyinkinga enzima kakhulu lapho isicubu sesibindini esikhulu siguquka khona ngenxa yokuvuvukala okuqhubekayo. Ngesikhathi lesi simo singabi yingozi, singase sikhulise ingozi yomdlavuza eminyakeni eminingi. Udokotela wakho uzokugcina uqapha lokhu uma kwenzeka.

Ukuphuma kwesisu sebhile kunqunywa kanjani?

Ukunquma ukuphuma kwesisu sebhile kudinga udokotela wakho ukuba ahlukanise ezinye izimo futhi aqinisekise ukuthi ibile empeleni ibuya esiswini sakho noma esibindini sakho esikhulu. Inqubo ivame ukuqala ngokuxoxa ngezimpawu zakho nomlando wakho wezokwelapha.

Udokotela wakho angase akukhuthaze ukuhlolwa okuthile:

• I-Upper endoscopy ukuhlola ngeso lesibili isibindini sakho esikhulu nesisu
• Ukuhlolwa kwe-acid probe okuhambahambayo ukuqapha i-asidi nebile esibindini sakho esikhulu
• Ukuhlolwa kokugaya ukudla ukuhlola ukuthi isisu sakho liyaphuma kangcono kangakanani
• Uchungechunge lwe-Upper GI (ukugwinya i-barium) ukubona isakhiwo sesisu sakho
• Ukuhlolwa kwegazi ukuhlola i-H. pylori noma ezinye izifo

I-endoscopy ivame ukuba yivivinyo eliwusizo kakhulu ngoba ivumela udokotela wakho ukuba abone ukuvuvukala, ukuvuvukala, noma ezinye izinguquko esiswini sakho. Bangase futhi bathathe izibonelo zezicubu ezincane uma kudingeka.

Ukuhlolwa kwe-probe okuhambahambayo kuhilela ukufaka umthamo omncane ngaphansi kwesifuba sakho uye esibindini sakho esikhulu amahora angu-24. Ngesikhathi lokhu kuzwakala kungakhululekile, abantu abaningi bakuthola bekwazi ukumelana nakho, futhi kunikeza ulwazi oluwusizo mayelana namanani ebhile ne-asidi usuku lonke.

Kuyini ukwelashwa kokuphaphama kwesisu sebhile?

Ukwelashwa kokuphaphama kwesisu sebhile kugxile ekuthuthukiseni izimpawu, ukuvikela isisu sakho ekukhungathekeni okuqhubekayo, nokubhekana nezimbangela eziyisisekelo. Udokotela wakho uzoqamba uhlelo lokwelashwa olusekelwe esimweni sakho esithile nobunzima bezimpawu.

Izindlela zokwelapha ezivamile zihlanganisa:

• I-Bile acid sequestrants ukubopha ama-bile acids esibindini sakho
• I-Proton pump inhibitors ukunciphisa i-asidi yesisu nokuvikela izicubu
• I-Prokinetic agents ukuthuthukisa ukuxhumana kwemisipha yokugaya ukudla
• I-Sucralfate ukugqoka nokuvikela izicubu ezivuvukile
• I-Ursodiol ukwenza ibile ingabi yingozi ezicubeni

I-Bile acid sequestrants njenge-cholestyramine isebenza ngokubopha ama-bile acids esibindini sakho, kunciphisa inani elikhona ukuthi libuyele esiswini sakho. Le mithi ingasebenza kakhulu kodwa ingase ibe yimbangela yokumiswa noma ihluphe imithi eminye.

Ezimweni ezinzima ezingaphenduli emithi, udokotela wakho angase axoxe ngezinketho zokuthuthukiswa. Lezi zinqubo ziqondise ukugeleza kwesisu sebhile noma ziqinise izithiyo phakathi kwesisu sakho nesisu. Ukuhlinzwa kuvame ukucatshangelwa kuphela lapho ezinye izindlela zingasizanga futhi izimpawu zithinta kakhulu ikhwalithi yakho yokuphila.

Indlela yokuphatha ukuphuma kwesisu sebhile ekhaya?

Izinguquko ezithile zokuphila zingasiza ekuthuthukiseni izimpawu zokuphaphama kwesisu sebhile futhi zisebenze ndawonye nokwelashwa kwakho kwezokwelapha. Lezi zindlela zigxile ekuthuthukiseni ukucindezela esiswini sakho nasekunciphiseni izinto ezikhungathekisayo.

Izindlela ezisiza zokuphatha ekhaya zihlanganisa:

• Ukudla ukudla okuncane, okuvamile kunokudla okukhulu
• Ukuqapha ukudla okunemafutha okukhuthaza ukukhiqizwa kwesisu sebhile
• Ukulinganisela ukusetshenziswa kotshwala nekhafeyin
• Ukungalali phansi okungenani amahora angu-3 ngemva kokudla
• Ukuphakamisa ikhanda lembhede yakho ama-intshi angu-6-8
• Ukugcina isisindo esinempilo
• Ukuyeka ukubhema uma ubhema

Qaphela ukudla okubonakala kukhungathekisa izimpawu zakho. Izinto ezivamile zihlanganisa ukudla okubhakiwe, izithelo ze-citrus, amatamatisi, i-chocolate, nokudla okunoshisa. Ukugcina idayari yokudla kungakusiza ubone izinto ezikhungathekisayo zakho.

Izindlela zokulawula ukucindezeleka njengokuphefumula okujulile, ukuzivocavoca okuthambile, noma ukucamngca zingase futhi zisize. Ngesikhathi ukucindezeleka kungabangeli ukuphuma kwesisu sebhile, kungase kwenze izimpawu zibe zimbi ngokuthonya indlela isisu sakho esisebenza ngayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungela i-aphoyintimenti yakho kusiza udokotela wakho ukuqonda isimo sakho kangcono futhi aqambe uhlelo lokwelashwa olusebenza kahle. Ukulungiselela kancane kungenza ukuvakasha kwakho kube nomphumela futhi kuqinisekise ukuthi uthola ukunakekelwa okudingayo.

Ngaphambi kwe-aphoyintimenti yakho:

• Bhala zonke izimpawu zakho, kufaka phakathi lapho zenzeka khona nokuthi yini ezenzayo zibe ngcono noma zimbi
• Bala yonke imithi, izithasiselo, namavithamini owathatha
• Qaphela noma yikuphi ukuhlinzwa ngaphambili, ikakhulukazi okuhilela isisu sakho
• Gcina idayari yokudla izinsuku ezimbalwa ukuze ubone izinto ezingase zikhungathekise
• Lungiselela imibuzo mayelana nesimo sakho nezindlela zokwelapha

Letha uhlu lwezimpawu zakho ngemininingwane ecacile njengokuthi zivame kangakanani, zinzima kangakanani, nokuthi yini oyenzile ukuze uzilwe. Lolu lwazi lusiza udokotela wakho ukuqonda iphethini nobunzima besimo sakho.

Ungangabazi ukubuza imibuzo ngesikhathi se-aphoyintimenti yakho. Ungase ufune ukwazi ngezindlela zokwelapha, imiphumela emibi, izikhuthazo zokudla, noma nini okufanele ulinde ukuthuthuka. Udokotela wakho ufuna ukukusiza uqonde isimo sakho futhi uzizwe ukhululekile ngohlelo lwakho lokunakekelwa.

Iyini into ebalulekile mayelana nokuphuma kwesisu sebhile?

Ukuphuma kwesisu sebhile kuyisimo esilawuleka esenzeka lapho ibile yokugaya ukudla igeleza emuva esiswini sakho noma esibindini sakho esikhulu, ibangela izimpawu njengokugula, ubuhlungu obukhulu besisu, nokuvuvukala kwesisu. Ngesikhathi kungase kube nzima, izindlela zokwelapha ezisebenza kahle ziyatholakala ukukusiza uzizwe ukhulu.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuphuma kwesisu sebhile kuphendula kahle ekunakekelweni kwezokwelapha okufanele kuhlanganiswe nezinguquko zokuphila. Ukusebenza nodokotela wakho ukuthola ukuxuba okufanele kwemithi nezinguquko zokudla kungathuthukisa kakhulu izimpawu zakho nekhalithi yokuphila.

Ungashiyi izimpawu zokugaya ukudla eziqhubekayo zingelashwa. Ukunquma nokwelashwa kusenesikhathi akuhlinzeki kuphela ukukhululeka kodwa futhi kusiza ukuvimbela izinkinga ezingase zenzeke. Ngenhlanhla efanele, abantu abaningi abana ukuphuma kwesisu sebhile bangalawula izimpawu zabo ngokuphumelelayo futhi babuyele ekujabuleleni imisebenzi yabo yansuku zonke ngaphandle kokungahambi kahle.

Imibuzo evamile mayelana nokuphuma kwesisu sebhile

Ingabe ukuphuma kwesisu sebhile kufana nokuphuma kwesisu esiqinile?

Cha, ukuphuma kwesisu sebhile nokuphuma kwesisu esiqinile kuyizimo ezihlukile, yize zingase zenzeke ndawonye. Ukuphuma kwesisu esiqinile kuhilela i-asidi yesisu ebuyela esibindini esikhulu, ngesikhathi ukuphuma kwesisu sebhile kuhilela ibile evela esibindini esincane egeleza emuva esiswini noma esibindini esikhulu. Ukuphuma kwesisu sebhile kuvame ukungaphenduli kahle emithini evamile yokuvuvukala kwesisu futhi kungase kudinge izindlela ezihlukile zokwelapha.

Ingabe izinguquko zokudla zodwa zingalapha ukuphuma kwesisu sebhile?

Ngesikhathi izinguquko zokudla zingasiza kakhulu ekulawuleni izimpawu zokuphaphama kwesisu sebhile, ngokuvamile azanele ukwelapha lesi simo ngokwazo. Izinguquko zokudla zisebenza kangcono lapho zihlanganiswa nemithi efanele. Noma kunjalo, ukuqapha ukudla okukhungathekisayo njengokudla okunemafutha, utshwala, nekhafeyin kungenza umehluko omkhulu endleleni ozizwa ngayo usuku lonke.

Ukwelashwa kokuphaphama kwesisu sebhile kuthatha isikhathi esingakanani ukusebenza?

Abantu abaningi baqala ukuqaphela ukuthuthuka okuthile phakathi nezinsuku ezimbalwa zokuqala ukwelashwa, kodwa ukukhululeka okuphelele kwezimpawu kungase kuthathe izinyanga ezimbalwa. Imithi njenge-bile acid sequestrants ingase ithathe amasonto angu-4-6 ukufinyelela emiphumeleni yayo ephelele. Udokotela wakho uzokugcina uqapha intuthuko yakho futhi angase aguqule uhlelo lwakho lokwelapha uma ungaboni ukuthuthuka okwanele phakathi nesikhathi esifanele.

Ingabe ngizodinga ukuhlinzwa ngenxa yokuphaphama kwesisu sebhile?

Ukuhlinzwa akudingeki ngokuvamile ngenxa yokuphaphama kwesisu sebhile futhi kuvame ukucatshangelwa kuphela lapho imithi nezinguquko zokuphila zingakuniki ukukhululeka okwanele ngemva kwezinyanga ezimbalwa zokwelashwa. Abantu abaningi balawula izimpawu zabo ngokuphumelelayo ngokwelashwa okuqondile. Uma ukuhlinzwa kudingeka, udokotela wakho uzoxoxa ngokuphelele ngezinketho, izingozi, nezinzuzo nawe.

Ingabe ukuphuma kwesisu sebhile kungabuya ngemva kokwelashwa okuphumelelayo?

Ukuphuma kwesisu sebhile kungaba yisimo esiqhubekayo esidinga ukulawulwa okuqhubekayo kunokwelashwa okukodwa. Abantu abaningi badinga ukuqhubeka bethatha imithi nokulandela izinguquko zokudla isikhathi eside ukuvimbela izimpawu ezibuyayo. Noma kunjalo, ngokulawulwa okufanele, abantu abaningi bagcina ulawulo oluhle lwezimpawu futhi bangaphila impilo evamile, ekhululekile.