Ukuqothuka Kwesifo Sokudla? Izimpawu, Izimbangela, Nokwelashwa

Kuyini ukuqothuka kwesisu?

Ukuqothuka kwesisu kwenzeka lapho ukudla kuhamba ngokushesha kakhulu esiswini sakho siye emathunjini amancane. Lokhu kuhamba ngokushesha kungabangela uchungechunge lwezimpawu ezingathandeki ezivame ukuvela ngemva kokudla.

Cabanga ngesisu sakho njengendawo yokugcina evamise ukuphuma ukudla kancane kancane emathunjini akho. Uma le nqubo isheshisa kakhulu, umzimba wakho uhluleka ukusingatha ukufika okungazelelwe kokudla namanzi. Leli simo sivame ukubathinta abantu abake baba nokuhlinzwa okuthile kwesisu, nakuba lingase libe khona nakwezinye izimo.

Izindaba ezinhle ukuthi ukuqothuka kwesisu kuphatheka ngendlela efanele. Nakuba izimpawu zingase zibe nzima ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho nokusebenzisana neqembu lakho lokunakekelwa kwezempilo kungakusiza ukuthola impumuzo.

Ziyini izimpawu zokuqothuka kwesisu?

Izimpawu zokuqothuka kwesisu ziwela ezinhlotsheni ezimbili eziyinhloko ngokusekelwe ekutheni zenzeka nini ngemva kokudla. Ukuqothuka kwasekuqaleni kwenzeka phakathi nemizuzu engama-30 yokudla, kuyilapho ukuqothuka okulandelayo kwenzeka ngehora eli-1 kuya kwezintathu ngemva kokudla.

Izimpawu zokuqothuka kwasekuqaleni zivame ukuzwakala sengathi umzimba wakho ungena ekuqothukeni. Ungase uhlangane nalezi:

• Ukuphefumula nokugabha
• Ubuhlungu nobuhlungu besisu
• Ukhukhula noma izisu eziphumile
• Ukukhukhumela nokubona ugcwele ngokungalungi
• Ukushona kwenhliziyo (ukushayisana)
• Ukukhungatheka noma ukukhanya
• Ukubila nokufudumala
• Ukukhathala nobuthakathaka

Izimpawu zokuqothuka okulandelayo zihlukile futhi zihlangene nezinguquko zeshukela egazini. Lezi zingafaka indlala enkulu, ukuxakaxa, ukudideka, ukubila, nobuthakathaka. Abanye abantu bachaza ukuzizwa sengathi banokuhlaselwa ukukhathazeka phakathi kwalawa mehluko.

Ubukhulu bezimpawu bungase buhluke kakhulu kumuntu nomuntu. Abanye abantu bahlangabezana nokungakhululeki okuncane, kuyilapho abanye bethola izimpawu zabo zithinta kakhulu imisebenzi yabo yansuku zonke. Khumbula ukuthi ukuba nalezi zimpawu akusho ukuthi awenzi lutho olungalungile.

Ziyini izinhlobo zokuqothuka kwesisu?

Ochwepheshe bezempilo bayaqaphela izinhlobo ezimbili ezihlukile zokuqothuka kwesisu ngokusekelwe esikhathini nasezizathwini eziyinhloko. Ukuqonda ukuthi yiluphi uhlobo olukuhlangabezana nakho kusiza ukuqondisa indlela yokwelapha ephumelelayo.

Ukuqothuka kwesisu kwasekuqaleni kwenzeka ngemizuzu engama-10 kuya kwengu-30 ngemva kokudla. Lokhu kwenzeka lapho ukudla namanzi kuphuthuma emathunjini amancane ngokushesha kakhulu, kubangela ukushintsha kwamanzi egazini lakho liye emathunjini akho. Lokhu kushintsha kwamanzi kungakwenza uzizwe ukhanya, kuyilapho ukugcwaliswa okusheshayo kwamathumbu kubangela ukukhahlela nokukhukhula.

Ukuqothuka kwesisu okulandelayo kwenzeka ngehora eli-1 kuya kwezintathu ngemva kokudla, ikakhulukazi ngemva kokudla ukudla okunoshukela. Uma ushukela ungena emathunjini amancane ngokushesha, umzimba wakho ukhulula i-insulin eningi kakhulu njengomphendulo. Le insulin eyengeziwe bese ibingela ushukela egazini lakho wehle kakhulu, idala izimpawu ezifana ne-hypoglycemia.

Abanye abantu bahlangabezana nezinhlobo zombili, okungenza lesi simo sizizwe sinzima ngokukhethekile. Noma kunjalo, ukwelashwa kwesinye ngasinye kuhlanganisa, ngakho ukuba nazombili akusho ukuthi ukuphathwa kuba nzima kakhulu.

Yini ebangela ukuqothuka kwesisu?

Imbangela evamile kakhulu yokuqothuka kwesisu yikuhinzwa kwesisu, ikakhulukazi izinqubo ezishintsha indlela isisu sakho esiphuma ngayo. Lezi zinqubo ziguqula ubukhulu nokuhlangana kwesisu sakho.

Izinqubo zokuhinzwa ezivame ukubangela ukuqothuka kwesisu zifaka:

• Ukuhlinzwa kokunciphisa isisindo se-gastric bypass
• I-Sleeve gastrectomy (ukuhinzwa kokunciphisa isisu)
• Ukususwa kwesisu esingaphansi (gastric)
• Ukuhlinzwa kwe-Fundoplication ngenxa yokubuyela emuva kwesisu okunzima
• I-Vagotomy (ukusika inzwa) ukunciphisa ukukhiqizwa kwesisu

Ngokungavamile, ukuqothuka kwesisu kungaqala ngaphandle kokuhinzwa. Izimo zezokwelapha ezithile zingathinta indlela isisu sakho esiphuma ngayo, kufaka phakathi isifo sikashukela esonakalisa izinzwa zesisu, izifo ze-thyroid, nezinye izimo ze-autoimmune. Ngokungavamile kakhulu, abanye abantu bathuthukisa ukuqothuka kwesisu ngaphandle kwesizathu esiqondakalayo.

Into ebalulekile kuzo zonke izimo iwukuthi inqubo evamile yokukhishwa kwesisu kancane kancane iphazamiseka. Isisu sakho silahlekelwa yikho konke ukubamba ukudla okwesikhashana noma i-valve yokuphuma ibe ivulekile kakhulu, ivumela ukudla ukuphuthuma ngokushesha kakhulu.

Nini okufanele ubone udokotela ngokuqothuka kwesisu?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nezimpawu zesisu ezilandelayo ngemva kokudla, ikakhulukazi uma uke waba nokuhlinzwa kwesisu. Ukunakwa kwasekuqaleni kwezokwelapha kungavimbela lesi simo ekubeni sithinte kakhulu ikhwalithi yokuphila kwakho.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezinkulu njengokugabha okuqhubekayo okukuvimbela ekuqondeni amanzi, izimpawu zokulahlekelwa amanzi okukhulu njengokukhungatheka uma umi, noma iziqephu zokudideka nokuthuthumela okungaphuli ngokudla. Lezi zimpawu zingase zibonise izinkinga ezinkulu ezidinga ukwelashwa ngokushesha.

Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele uzixoxe nodokotela wakho. Ukuqothuka kwesisu kungase kube kubi ngokuhamba kwesikhathi uma kungaphathwa, futhi ukungenelela kwasekuqaleni kuvame ukubangela imiphumela emihle. Udokotela wakho angase futhi akhiphe ezinye izimo ezingase zibangele izimpawu ezifanayo.

Unganqikazi ukufinyelela uma izimpawu zithinta ikhono lakho lokudla ukudla okuvamile noma ukugcina isisindo sakho. Ukuphathwa kahle kokuthuthuka kwesisu kuvame ukudinga isiqondiso nokwesekwa kochwepheshe.

Ziyini izici ezingaholela ekuqothukeni kwesisu?

Izici eziningi zingandisa amathuba akho okuthuthukisa ukuqothuka kwesisu. Isici esibaluleke kakhulu yikuba nokuhlinzwa kwesisu, ngezinqubo ezithile eziqukethe ubungozi obukhulu kunabanye.

Izici ezingaholela ekuqothukeni kwesisu zifaka:

• Ukuhlinzwa kokunciphisa isisindo se-gastric bypass (ubungozi obukhulu)
• Ukususwa kwesisu esiphelele noma esingaphansi
• Ukuhlinzwa okususa noma okudlula i-pyloric valve
• Izinqubo ezishintsha umsebenzi wezinzwa zesisu

Izimo zezokwelapha ezingandisa ubungozi zifaka isifo sikashukela eside, ikakhulukazi uma sithinta umsebenzi wezinzwa zesisu, izifo ze-thyroid ezisheshayo, nezinye izimo ze-autoimmune. Iminyaka ngesikhathi sokuhlinzwa ingase futhi ibe nomthelela, ngeminye ucwaningo ephakamisa ukuthi abantu abancane bangase babe sengozini enkulu.

Izici zokudla zingase zibangele izimpawu kubantu abasengozini. Ukudla imingcele enkulu yoshukela oluqondile, ukudla ukudla okushisa kakhulu noma okubandayo, noma ukuphuza amanzi amaningi ngesikhathi sokudla kungase kube kubi izimpawu. Kodwa-ke, lezi zici zokudla azibangeli ukuqothuka kwesisu ngokwazo.

Ngokungavamile, izici zezakhiwo zingase zinikeze ubungozi bokuqothuka kwesisu, nakuba le ndawo idinga ucwaningo olwengeziwe. Imindeni eminye ibonakala inamalungu amaningi athuthukisa lesi simo ngemva kokuhinzwa, ephakamisa izici eziye zatholwa.

Ziyini izinkinga ezingase zenzeke ngokuqothuka kwesisu?

Nakuba ukuqothuka kwesisu ngokwako kungesona ubungozi ebomini, kungabangela izinkinga eziningi uma kungaphathwa kahle. Inkinga ekhathazayo kakhulu ukungondliwa kahle, okungase kuthuthukiswe lapho izimpawu zenza kube nzima ukudla imingcele efanele yokudla.

Izinkinga zokondliwa kahle zingafaka:

• Ukulahlekelwa isisindo esikhulu nobunzima bokuhlala unesisindo esinempilo
• Ukungaondliwa kahle kwe-vitamin neziminerali, ikakhulukazi ama-vitamin B nensimbi
• Ukungaondliwa kahle kwe-protein okuthinta ubunzima bemisipha nokululama
• Ubuthakathaka bethambo ngenxa yokushoda kwe-calcium ne-vitamin D

Iziqephu ezivamile zeshukela eliphansi egazini ekuqothukeni okulandelayo kungase futhi kubangele izinkinga. Iziqephu ezilandelayo ze-hypoglycemic zingase zithinte ikhono lakho lokuqaphela lapho ushukela egazini wakho uya ehla, okungenzeka kube yingozi uma uqhuba noma usebenza.

Izinkinga zenhlalo nezingokwengqondo nazo ziyizinto ezikhathazayo. Abantu abaningi abane-dumping syndrome bathuthukisa ukukhathazeka ngokudla, okungabangela ukuhlukaniswa komphakathi nokucindezeleka. Ukuqagela okungakwazi ukubikezelwa kwezimpawu kungenza kube nzima ukuhlela imisebenzi noma ukugcina izindlela zokuphila eziqondile.

Ezimeni ezingavamile, ukuqothuka kwesisu okunzima kungabangela ukushoda kwamanzi nokungahlangani kahle kwama-electrolyte adinga ukungena esibhedlela. Noma kunjalo, ngokuphathwa okuqondile, abantu abaningi bangavimbela lezi zinkinga ezinkulu.

Ukuqothuka kwesisu kungavikeleka kanjani?

Uma uhlela ukuhlinzwa kwesisu, ukuxoxa ngobungozi bokuqothuka kwesisu nodokotela wakho ngaphambi kwesikhathi kungakusiza ukulungiselela. Nakuba lesi simo singavikeleki njalo, ezinye izindlela zokuhinzwa zingase zinciphisa ubungozi bakho.

Kubantu abasenesifo sokuqothuka kwesisu, ukuvimbela iziqephu zezimpawu kugxile ekuguquleni ukudla nendlela yokuphila. Ukudla ukudla okuncane, okuvamile kunokudla okukhulu oku-3 kungasiza ukuvimbela ukugcwala kwesisu sakho. Ukuqeda ushukela oluqondile nama-carbohydrate ahlanzekile kunciphisa ubungozi beziqephu zokuqothuka okulandelayo.

Isikhathi sokudla nokwenziwa kwakho kubalulekile kakhulu. Ukudla i-protein nama-carbohydrate ahlanganisiwe ndawonye kungase lihambe kancane, kuyilapho ukugwema amanzi ngesikhathi sokudla kuvimbela amanzi engeziwe ukuba angene emathunjini akho. Ukuphumula imizuzu engama-15 kuya kwengu-30 ngemva kokudla kungasiza futhi ukunciphisa ukukhishwa kwesisu.

Ukushisa okukhulu kokudla neziphuzo kungase kubangele izimpawu, ngakho ukudla ukudla ngokushisa okuqondile kuvame ukusiza. Abanye abantu bathola ukuthi ukuhamba uhambo ngehora eli-2 kuya kwezintathu ngemva kokudla kusiza ekudleni, nakuba ukuzivocavoca okunzima ngokushesha ngemva kokudla kufanele kugwenywe.

Ukuqothuka kwesisu kunqunywa kanjani?

Ukuqothuka kwesisu kuvame ukuqala ngokushintsha ukudla, njengoba lezi zivame ukuba yisinyathelo sokuqala esiphumelelayo. Abantu abaningi babona ukuthuthuka okukhulu lapho beguqula ukuthi badla ini, nini, nokuthi badla kanjani.

Ukushintsha kokudla kuyisisekelo sokwelapha:

• Dlani ukudla okuncane, okuvamile usuku lonke
• Gwema ushukela oluqondile nama-carbohydrate ahlanzekile
• Faka i-protein nama-carbohydrate ahlanganisiwe kuwo wonke ukudla
• Phuza amanzi phakathi kokudla kunokudla
• Phumula imizuzu engama-15-30 ngemva kokudla

Uma ukushintsha kokudla kunganelisi, imithi ingasiza. I-Octreotide iyihomoni engase ihambe kancane ukukhishwa kwesisu futhi inciphisa izimpawu, nakuba idinga ukugonywa. I-Acarbose ingasiza ekuqothukeni okulandelayo ngokuhambisa ushukela emathunjini.

Ezimeni ezinkulu ezingaphenduli kwezinye izindlela zokwelapha, izinketho zokuhinzwa ziya khona. Lezi zingafaka izinqubo zokunciphisa ukukhishwa kwesisu noma, ngokungavamile, ukuguqula ukuhlinzwa kwangaphambili uma kungenzeka. Noma kunjalo, ukuhlinzwa kuvame ukubhekwa kuphela lapho ezinye izindlela zokwelapha zihlulekile futhi izimpawu zithinta kakhulu ikhwalithi yokuphila.

Ukusebenzisana nodokotela obhalisiwe onokuqonda ukuqothuka kwesisu kungaba usizo kakhulu. Bangakusiza ukwakha izinhlelo zokudla ezinikeza ukondliwa kahle ngenkathi beqeda izimpawu.

Ungaphatha kanjani ukuqothuka kwesisu ekhaya?

Ukuphatha ukuqothuka kwesisu ekhaya kudinga ukuzeka kade umsindo nokuzinza ngezindlela zakho zokudla nokudla. Okubalulekile ukwakha indlela yokuphila esebenza emzimbeni wakho nendlela yokuphila.

Qala ngokuhlela ukudla kwakho ngesikhathi esisebenza kahle kuwe. Abantu abaningi bathola ukudla njalo ngehora eli-2 kuya kwezintathu kusiza ukuvimbela kokubili indlala neziqephu zezimpawu. Lungiselela ukudla okusheshayo ngaphambi kwesikhathi ukuze ungalingi ukubamba ukudla okunoshukela uma ulambile.

Gcina idayari yezimpawu ukuze ubone izinto ezibangela izimpawu zakho. Qaphela ukuthi yini oyidlayo, lapho uyidla khona, nanoma yiziphi izimpawu ezilandelayo. Lolu lwazi lungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukulungisa uhlelo lwakho lokuphatha.

Phakathi neziqephu zezimpawu, gxila ekuhlaleni uthambile futhi ukhululekile. Ngempela, ukuphumula nokuphuza amanzi amancane amanzi acacile kungasiza. Ngeziqephu zokuqothuka okulandelayo, ukudla inani elincane lama-carbohydrate ahlanganisiwe kungasiza ukulinganisa ushukela egazini.

Cabanga ngokujoyina amaqembu wokusekela noma imiphakathi e-inthanethi yabantu abane-dumping syndrome. Ukwabelana ngamava nezeluleko nabanye abakuqondayo kungase kunikeze kokubili iseluleko esisebenzayo nokusekelwa ngokomzwelo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukulungiselela i-aphoyintimenti yakho yodokotela kungasiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nezincomo zokwelapha. Qala ngokubhala zonke izimpawu zakho, kufaka phakathi lapho zenzeka khona nokuthi yini ebonakala iyibangela.

Letha idayari yakho yezimpawu uma uke wayigcina, kanye nohlu lwemithi yonke nezinhlanganisela ozithathayo. Faka noma yimiphi imithi yokwelapha oyizame nokuthi ikusize yini. Udokotela wakho uzofuna futhi ukwazi ngembali yakho yokuhinzwa nanoma yiziphi ezinye izimo zezokwelapha.

Lungiselela uhlu lwemibuzo okumele uyibuze ngesikhathi sokuvakasha kwakho. Ungase ufune ukwazi ngezinketho zokwelapha, izincomo zokudla, lapho kufanele ulinde ukuthuthuka, noma yiziphi izimpawu ezifanele zibangele ukunakekelwa kwezokwelapha ngokushesha. Unganqikazi ukubuza ngezinsiza njengabachwepheshe bokudla noma amaqembu wokusekela.

Cabanga ngokuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-aphoyintimenti. Ukuvakasha kwezokwelapha kungase kube nzima, futhi ukuba nomunye umuntu okhona kungasiza ukuqinisekisa ukuthi awuphuthelwa imininingwane ebalulekile.

Iyini into ebalulekile ngokuqothuka kwesisu?

Ukuqothuka kwesisu kuyisimo esiphatheka esivame ukubathinta abantu abake baba nokuhlinzwa kwesisu. Nakuba izimpawu zingase zibe nzima ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho nokusebenzisana neqembu lakho lokunakekelwa kwezempilo kungabangela ukuthuthuka okukhulu.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi awuwedwa ekubhekaneni nalesi simo. Abantu abaningi baphatha kahle ukuqothuka kwesisu futhi bagcina ikhwalithi yokuphila enhle ngokushintsha ukudla, futhi uma kudingeka, ukwelashwa kwezokwelapha.

Bekezela ngawe njengoba ufunda ukuthi yini esebenza emzimbeni wakho. Kungase kudingeke isikhathi ukuthola ukuxuba okuqondile kokushintsha kokudla nokwelapha okunciphisa izimpawu zakho. Noma kunjalo, abantu abaningi bathola izindlela ezisebenzayo zokuphatha isimo sabo.

Unganqikazi ukufinyelela ukusekelwa uma ukudinga. Kungakhathaliseki ukuthi kuvela eqenjini lakho lokunakekelwa kwezempilo, ochwepheshe bokudla, noma abanye abake bahlangabezana nokuqothuka kwesisu, ukuba nokusekelwa kwenza uhambo lube lula futhi lube oluphumelelayo.

Imibuzo evamile ebuzwa ngokuqothuka kwesisu

Ingabe ukuqothuka kwesisu kuzophuma ngokwalo?

Izimpawu zokuqothuka kwesisu zingase zibe ngcono ngokuhamba kwesikhathi, ikakhulukazi unyaka wokuqala ngemva kokuhinzwa njengoba umzimba wakho uziqhelanisa. Noma kunjalo, lesi simo asipheli ngokuphelele ngaphandle kokushintsha kokudla nezindlela zokuphatha. Abantu abaningi badinga ukunakekelwa okuqhubekayo ngezindlela zabo zokudla ukuvimbela izimpawu.

Ngingasadli ushukela uma ngine-dumping syndrome?

Awudingi ukususa wonke ushukela, kodwa cishe uzodinga ukuba oqaphile kakhulu ngokuthi ungakanani nokuthi uyawudla nini. Imilingo emincane yoshukela wemvelo ngokudla okuqukethe i-protein nama-carbohydrate ahlanganisiwe ivame ukubekezeleleka kangcono kunokudla ukudla okunoshukela kuphela. Sebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze unqume amazinga akho okubekezelela.

Ingabe ukuqothuka kwesisu kuyingozi?

Ukuqothuka kwesisu ngokwako akuyona ingozi, kodwa kungabangela izinkinga uma kungaphathwa kahle. Izinto ezikhathazayo kakhulu ukungondliwa kahle ngenxa yobunzima bokudla nokwenzakala okungenzeka phakathi kweziqephu zeshukela eliphansi. Ngokuphathwa okuqondile, abantu abaningi bagwema izinkinga ezinkulu.

Isikhathi esingakanani iziqephu zokuqothuka kwesisu zihlala?

Iziqephu zokuqothuka kwasekuqaleni zivame ukuhlala imizuzu engama-30 kuya kwengu-60, kuyilapho iziqephu zokuqothuka okulandelayo zingase zihlale ihora eli-1 kuya kweli-2. Ubude bungase buhluke ngokusekelwe kulokho okukudlile, ukuthi udle kangakanani, nezici zomuntu. Abantu abaningi bathola ukuthi izimpawu ziya ngcono futhi zibe mfushane njengoba befunda ukuphatha isimo sabo ngokuphumelelayo.

Ingabe ukucindezeleka kwenza ukuqothuka kwesisu kube kubi?

Ukucindezeleka kungase kwenze izimpawu zokuqothuka kwesisu zibe zimbi ngokuthinta ukudla nokulinganisa ushukela egazini. Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca okuvamile, nokulala okwanele kungaba yingxenye ebalulekile yohlelo lwakho lokwelapha oluphelele. Abanye abantu bathola ukuthi ukukhathazeka ngokudla kungase kudale umjikelezo owenza izimpawu zibe zimbi.