Iyini i-Rumination Syndrome? Izimpawu, Izimbangela, & Ukwelashwa

I-rumination syndrome iyisimo esingavamile sokuphazamiseka kokudla lapho ukudla okuphakathi kokudliwa kubuyela emlonyeni kusuka esiswini ngaphandle kokuzwa usuku noma ukugabha. Ngokungafani nokugabha, lokhu kwenzeka ngokuphindaphindiwe futhi ngokuvamile phakathi nemizuzu engama-30 yokudla, futhi ukudla kuvame ukulunywa futhi kudliwe futhi.

Lesi simo sithinta kokubili izingane nabantu abadala, nakuba sivame ukubonakala ezinganeni ezincane nabantu abanezinkinga zokuthuthuka. Izindaba ezinhle ukuthi i-rumination syndrome iyaphatheka, futhi abantu abaningi bangaphatha izimpawu zabo ngokuphumelelayo ngendlela efanele.

Ziyini izimpawu ze-rumination syndrome?

Isimpawu esiyinhloko ukubuyela kokudla ngokuphindaphindiwe ngemva kokudla, kodwa lokhu kubukeka kuhlukile kakhulu ekugabheni okuvamile. Ungase uqaphele ukuthi ukudla kuvela kalula futhi ngokuthula, ngaphandle kokucindezela okuqine kwenzeka ngokugabha.

Nawa izimpawu eziyisisekelo ongazihlangabezana nazo:

• Ukudla kubuyela emlonyeni wakho phakathi kwemizuzu engama-10-30 ngemva kokudla
• Ukulunywa kabusha nokudliwa kabusha kokudla okubuyela phezulu
• Ukubona okubabayo noma okubabayo emlonyeni wakho
• Umoya omubi ongaphucuki ngokuhlamba amazinyo
• Ubuhlungu besisu noma ukungakhululeki ngaphambi kokuba ukudla kubuyele phezulu
• Ukulahlekelwa isisindo ngokugwema ukudla noma ukulahlekelwa ama-nutrients
• Izinkinga zamahlombe ngenxa yokubonakala kwe-acid yesisu

Ezinganeni ezincane, ungase futhi uqaphele ukuthi zenze imizamo yokuluma lapho kungekho ukudla, noma zibeke ikhanda lazo nezinqe ngezindlela ezingavamile. Abanye abantu bachaza ukuzwa ukuphumula ngemva kokuba ukudla kubuyele phezulu, okuhlukile ekuzwini okungalungile kokugabha.

Yini ebangela i-rumination syndrome?

I-rumination syndrome iyenzeka lapho umsipha ophakathi kwesisu sakho nesophagus ungasebenzi kahle, kodwa imbangela eqondile ayicaci ngaso sonke isikhathi. Ezimweni eziningi, kubonakala sengathi kuyindlela yokuziphatha efundwayo eyenzeka ngokungazi.

Izici eziningi zingase zifake isandla ekuthuthukiseni lesi simo:

• Ukuqina, ukukhathazeka, noma izinselele zomzwelo
• Ukushintsha emazingeni okudla noma isikhathi sokudla
• Isifo se-Gastroesophageal reflux (GERD) esibangela le ndlela yokuziphatha
• Izinkinga zesisu noma zokudla ngaphambili
• Ezinganeni ezincane, ukushoda kokukhuthazwa noma ukunakekelwa ngesikhathi sokudla
• Imithi ethile ethonya ukudla

Ezimweni ezingavamile, i-rumination syndrome ingathuthuka ngemva kokutheleleka kwesisu noma ukuhlinzwa. Ngezinye izikhathi iqala phakathi nezinkathi zokucindezeleka okukhulu noma izinguquko ezinkulu zokuphila. Into ebalulekile ukuyiqonda ukuthi lokhu akuyona into oyenzayo ngenhloso, futhi akuyona uphawu lokuhlupheka kokudla.

Nini okufanele ubheke udokotela nge-rumination syndrome?

Kufanele ubheke udokotela uma uqaphela ukudla kubuyela ngokuphindaphindiwe ngemva kokudla, ikakhulukazi uma kwenzeka izikhathi eziningi ngesonto. Ukwelashwa kwasekuqaleni kungavimbela izinkinga futhi kukusize uzizwe ukhulu ngokushesha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu:

• Ukulahlekelwa isisindo okukhulu noma ubunzima bokuvikela isisindo sakho
• Ukuphelelwa amanzi emzimbeni noma izimpawu ezinjengokuzwela isizungu nomlomo owomile
• Ukuonakala kwamazinyo okukhulu noma izinkinga zamahlombe
• Ubuhlungu esifubeni noma ubunzima bokuginya
• Igazi ekudleni okubuyela phezulu
• Izimpawu eziphazamisa umsebenzi, ikolishi, noma imisebenzi yokuxhumana nabantu

Ungalindi uma ugwema izimo zokuxhumana nabantu ngenxa yezimpawu zakho. Udokotela wakho angakusiza ahlukanise i-rumination syndrome kwezinye izimo futhi akuqalise endleleni yokuzwa ukhulu.

Ziyini izici ezingozi ze-rumination syndrome?

Izici ezithile zingakwenza kube lula ukuthuthukisa i-rumination syndrome, nakuba ukuba nalezi zici ezingozi akusho ukuthi uzoyithola ngokuqinisekile le simo. Ukuqonda lokhu kungakusiza wena nodokotela wakho ukuthi nibone imbangela ngokushesha.

Izici ezingozi ezivamile zihlanganisa:

• Ubudala (kuvamile ebuntwaneni nasebuntwaneni obuqala)
• Ukuhlupheka kokuthuthuka noma ukungabi namandla engqondo
• Umlando wokukhathazeka, ukucindezeleka, noma ezinye izimo zempilo yengqondo
• Izinkinga zokudla ngaphambili ezinjenge-GERD noma i-gastroparesis
• Amazinga aphezulu okucindezeleka noma izehlakalo ezicasulayo zakamuva
• Ukuhlupheka kokudla noma izindlela ezingavamile zokudla

Ezimweni ezingavamile, izimo ezithile zezinzwa noma ukulimala kwengqondo kungandisa ingozi. Umlando womndeni awubonakali udlala indima ebalulekile, okusho ukuthi lesi simo ngokuvamile asilithiwe. Abantu abaningi abathuthukisa i-rumination syndrome abanazo lezi zici ezingozi, ngakho-ke kungenzeka kunoma ubani.

Ziyini izinkinga ezingase zenzeke ngenxa ye-rumination syndrome?

Nakuba i-rumination syndrome ngokwayo ingabi yingozi, ukuyishiya ingaphathwa kungabangela izinkinga eziningi zempilo ngokuhamba kwesikhathi. Izindaba ezinhle ukuthi izinkinga eziningi zingavikeleka noma ziqondwe ngokwelashwa okufanele.

Nawa izinkinga eziyinhloko okufanele uzazi:

• Ukondleka okungalungi ngenxa yokulahlekelwa ama-nutrients lapho ukudla kubuyela phezulu
• Ukuphelelwa amanzi emzimbeni, ikakhulukazi uma ugwema ukudla amanzi
• Ukuonakala kwamazinyo nesifo samahlombe ngenxa yokubonakala kwe-acid yesisu
• Ukuvuvukala komphimbo nokwenzeka kokulimaza i-esophagus yakho
• Ukuhlukaniswa komphakathi ngenxa yokujabula ngezimpawu
• Ukungahlangani kahle kwama-electrolyte okungathinta izinga lokugijima kwenhliziyo yakho

Ezimweni ezingavamile, i-rumination ehlala njalo ingabangela i-aspiration pneumonia uma izingcezu zokudla zingena emaphashini akho. Abanye abantu futhi bathuthukisa umoya omubi ohlala njalo noma izinkinga zomphimbo. Umphumela womzwelo ungaba mkhulu futhi, uholele ekukhathazekeni ngokudla obala noma ukucindezeleka ngenxa yezimpawu eziqhubekayo.

I-rumination syndrome ihlonishwa kanjani?

Ukuhlonishwa kwe-rumination syndrome kuqala ngodokotela wakho olalela ngokucophelela izimpawu zakho nomlando wakho wezokwelapha. Ayikho i-test eyodwa yalesi simo, ngakho-ke udokotela wakho uzodinga ukuqeda ezinye izinkinga zokudla kuqala.

Udokotela wakho cishe uzokubuza ngesikhathi izimpawu zaqala, yini ezibangela, nokuthi zithinta kanjani impilo yakho yansuku zonke. Bazofuna ukwazi uma ukudla okuvela kunambitheka okubabayo noma okungadliwanga, nokuthi uyalunywa futhi uyaludla.

Izivivinyo ezivamile zingafaka:

• I-Upper endoscopy ukubuka ngaphakathi kwesisu sakho ne-esophagus
• I-Barium swallow X-ray ukubuka ukuthi ukudla luhamba kanjani ohlelweni lwakho lokudla
• Isifundo sokuqeda isisu ukuhlola ukuthi isisu sakho liyaphuma ngokushesha kangakanani
• Ukuqapha i-pH ukuqapha amazinga e-acid e-esophagus yakho
• Izivivinyo zegazi ukuhlola ukushoda kwama-nutrients

Ezimweni ezithile, udokotela wakho angase asebenzise ukuhlolwa okukhethekile okuthiwa yi-high-resolution manometry ukuqapha ukucindezela e-esophagus yakho. Ukuhlonishwa kuvame ukwenziwa ngokuya ngezimpawu zakho nokuqeda ezinye izimo kunokuthola into ethile ezivivinyweni.

Yini ukwelashwa kwe-rumination syndrome?

Ukwelashwa kwe-rumination syndrome kugxile ekuqedeni isizungu sokubuyisela ukudla phezulu nokubhekana nanoma yiziphi izimbangela eziyisisekelo. Indlela yokwelapha iyahluka kuye ngobudala bakho nokuthi yini engase ibe yimbangela yezimpawu zakho.

Izindlela eziyinhloko zokwelapha zihlanganisa:

• Ukwelashwa kokuziphatha ukuze ufunde izindlela ezintsha zokudla nokuphuma komoya
• Ukuzivocavoca kokuphefumula kwe-diaphragmatic ngesikhathi nangemva kokudla
• Imithi yokunciphisa i-acid yesisu noma ukuthuthukisa ukudla
• Ukushintsha kokudla njengokudla izingxenye ezincane, ezivame kakhulu
• Ukuphathwa kokucindezeleka nezinqubo zokuphumula
• Ukwelashwa kwezimo eziyisisekelo ezinjengokukhathazeka noma i-GERD

Ukwelashwa kokuziphatha kuvame ukuba ukwelashwa okuphumelelayo kakhulu, ikakhulukazi indlela ethiwe yi-habit reversal. Lokhu kukufundisa ukuqaphela isifiso sokurumina futhi usithathe indawo ngezindlela ezingafani ezinjengokuphefumula kwe-diaphragmatic. Abantu abaningi babona ukuthuthuka phakathi kwamasonto ambalwa kuya ezinyangeni zokuzivocavoca okuqhubekayo.

Indlela yokuphatha i-rumination syndrome ekhaya?

Kunezinto eziningi ongazenza ekhaya ukuze usize uphathe izimpawu zakho futhi usekele ukwelashwa kwakho. Lezi zindlela zisebenza kangcono lapho zihlanganiswe nokunakekelwa kwezokwelapha kochwepheshe.

Nawa amasu okulawula ekhaya awusizo:

• Zivocavoce ukuphefumula kwe-diaphragmatic imizuzu engama-20 ngemva kokudla ngakunye
• Dla izingxenye ezincane kaningi usuku lonke
• Gwema ukuwela phansi okungenani amahora ama-2 ngemva kokudla
• Gcina idayari yokudla ukuze ubone ukudla noma izimo ezibangela izimpawu
• Hlala uqonde futhi uhlanganyele emisebenzini ngemva kokudla
• Lawula ukucindezeleka ngokuzindla, i-yoga, noma ezinye izindlela zokuphumula

Ukudala indawo yokudla ethulile kungasiza futhi. Zama ukudla ukudla ngaphandle kokuphazamiseka njenge-TV noma amafoni, futhi thatha isikhathi sokuluma ukudla kwakho ngokuphelele. Abanye abantu bathola ukuthi ukuphuza amanzi amancane ngesikhathi sokudla kusiza, kanti abanye benza kangcono ukugwema izinto ezinwetshiwe ngokudla.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukuza ulungile kwi-appointment yakho kuzosisiza udokotela wakho ukuthi aqonde kangcono izimpawu zakho futhi athuthukise uhlelo lokwelapha oluphumelelayo. Ukuthatha isikhathi sokulungisa imicabango yakho ngaphambili kungenza ukuvakasha kube nomphumela omuhle.

Ngaphambi kwe-appointment yakho, buza lolu lwazi:

• Ngesikhathi izimpawu zakho zaqala nokuthi zivele kaningi kangakanani
• Yikuphi ukudla noma izimo ezibonakala zibangela izimpawu
• Uhlu lwemithi yonke nezinhlanganisela ozithathayo
• Noma yiziphi izinkinga zokudla ngaphambili noma ukwelashwa okuzamiwe
• Indlela izimpawu ezithinta ngayo impilo yakho yansuku zonke nobudlelwano
• Imibuzo mayelana nezindlela zokwelapha nokuthi yini okulindelekile

Cabanga ukuthwala idayari yesimpawu isikhathi esisodwa noma ezimbili ngaphambi kokuvakasha kwakho. Qaphela ukuthi yini oyidlayo, lapho izimpawu zivele khona, nokuthi yini ebonakala ikusiza noma iyenza ibe mbi. Lolu lwazi lunganikeza izikhuthazo ezibalulekile mayelana nezinto ezibangela izimpawu zakho kanye nezindlela.

Yini eyisisekelo mayelana ne-rumination syndrome?

I-rumination syndrome iyisimo esiphatheka esithinta indlela ohlelo lwakho lokudla olusebenza ngayo, okubangela ukudla ukubuyela phezulu ngemva kokudla. Nakuba kungaba yinto ehluphekayo futhi ekhathazayo, abantu abaningi bangaphatha izimpawu zabo ngokuphumelelayo ngendlela efanele yokwelapha.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi akuyona iphutha lakho, futhi awudingi ukuphila nalezi zimpawu. Ukwelashwa kwasekuqaleni ngokuvamile kuholela emiphumeleni emihle, futhi abantu abaningi babona ukuthuthuka okukhulu phakathi kwezinyanga ezimbalwa beqala ukwelashwa.

Ukusebenzisana nabaphakeli bezempilo abaqonda lesi simo kubalulekile ukuthola ukusekelwa okudingayo. Ngokwelashwa okufanele, abantu abaningi bangabuyela ekudleni okuvamile nasemisebenzini yokuxhumana nabantu ngaphandle kwezimpawu eziqhubekayo.

Imibuzo evamile ebuzwayo mayelana ne-rumination syndrome

Ingabe i-rumination syndrome ifana ne-bulimia noma ukuhlupheka kokudla?

Cha, i-rumination syndrome ihlukile ekuhluphekeni kokudla njenge-bulimia. Ku-rumination syndrome, ukudla kubuyela phezulu ngokungazi ngaphandle kokuzwa usuku, futhi ngokuvamile kulunywa futhi kudliwe. I-Bulimia ihilela ukugabha okuqondile ngemva kokudla inani elikhulu lokudla. Noma kunjalo, zombili izimo zingase zenzeke ndawonye kwezinye izimo.

Ingabe i-rumination syndrome ingaphela yodwa?

Nakuba i-rumination syndrome ngezinye izikhathi ingathuthuka ngaphandle kokwelashwa, ikakhulukazi ezinganeni ezincane, ngokuvamile idinga ukungenelela ezinganeni ezindala nabantu abadala. Izindlela zokuziphatha ezifaka isandla ekurumineni ngokuvamile zidinga amasu athile okuwelapha ukuze ziqede isizungu ngokuphumelelayo.

Ukwelashwa kwe-rumination syndrome kuthatha isikhathi esingakanani?

Abantu abaningi baqala ukubona ukuthuthuka phakathi kwamasonto angu-2-4 beqala ukwelashwa, ngokuthuthuka okukhulu okuvamile okuvela phakathi kwezinyanga ezingu-2-3. Noma kunjalo, abanye abantu bangadinga izikhathi ezinde zokwelashwa, ikakhulukazi uma benokukhathazeka okuyisisekelo noma ezinye izici ezifaka isandla ezidinga ukulungiswa.

Ngingasadli ngokujwayelekile nge-rumination syndrome?

Yebo, ngokwelashwa okufanele, abantu abaningi bangabuyela ezindleleni zokudla ezijwayelekile. Ngesikhathi sokwelashwa, ungase udinga ukwenza izinguquko zesikhashana ezinjengokudla ukudla okuncane noma ukugwema ukudla okuthile okubangela izimpawu, kodwa umgomo ukubuyisela ukudla okuvamile ngaphandle kokulinganiselwa.

Ingabe i-rumination syndrome ivame kakhulu emagqabini ethile ebudala?

I-rumination syndrome ivame ukubonakala ezinganeni ezincane ezineminyaka engama-3-12, kodwa ingase ibe khona kunoma yiliphi iminyaka. Eminyakeni yamuva, iyaziwa kakhulu kubasakhulayo nabantu abadala, mhlawumbe ngoba ukwazi lesi simo kuye kwathuthuka phakathi kwabahlinzeki bezempilo.