Izizathu Zokudwelisa Emva kokutya

Izizathu Ukuba Unako Ukuhamba Ngesifo Sohudo

Ukufumana isifo sohudo emva kokuba udle kuyaziwa ngokuba yi-postrandial diarrhea. Kungenzeka ukuba sele iqalile ukuvela, kwimeko apho ibukhali, okanye mhlawumbi ube nayo ixesha elide kwaye yimeko engapheliyo. Ukufunda ngezizathu eziqhelekileyo zesifo sohudo emva kokutya kuya kukunceda ukwazi ukusebenza kunye nodokotela wakho kwisicwangciso sonyango esisebenzayo.

Naluphi na uphawu olutsha okanye oluqhubekayo lokugaya kufuneka lugqitywe ngugqirha wakho ukwenzela ukuba ufumane isicwangciso esiluncedo sokuxilonga kunye nonyango.

Nangona ihudo emva kokutya singabangela umgangatho weemeko zempilo ezichazwe apha, kungabakho uphawu lwezinye izifo ezinzulu.

Iimbangela ze-Dwarrhea eqhelekileyo Emva kokutya

I-diarrhea enobuchule iqala ngokukhawuleza ye-diarrhea episodes. Idayarrha ngenxa yeso nasiphi na isizathu esenzeka emva kokutya, njengoko isenzo esilula sokutya sishukumisa intshukumo yomzimba ngaphakathi emathunjini akho amakhulu ukukhupha amathambo akho. Xa unesisisiseko esinjengokusuleleka, ukutyhelwa kokutya, okanye i-IBS, ezi zintlukwano zingasomelela kwaye zibe zibuhlungu kunokuba ziqhelekileyo kwaye zize zifumane ingqiqo. Ezi zinokubangela izibilini zorhudo:

• Izifo ezifana ne- Salmonella okanye i- E. coli
• Ityhefu yokutya
• Usulelo lwe-Viral (olubizwa ngokuthi "isifo somkhuhlane")
• Izidumbu ezifana neGiardia
• Amachiza afana ne-antiacids, antibiotics, chemotherapy
• Ukunganyamezelani kwaLactose (kungakho nokuba yinto ebangelwayo)
• I-irritable bowel syndrome ene-diarrhea enkulu ( IBS-D ), enokuthi ibe yinto ebangela

Yintoni oyenzayo ukuze ufumane isifo sohudo

1. Hlala u-hydrated. Uya kufuneka ukutshintshwa kwamanzi kunye namaminerali ukuba umzimba wakho ungabonakali ngenxa yokuhamba ngokukhawuleza kwe-stool ngokusebenzisa inkqubo yakho. Zama ukusela amanzi kunye nokucoca ijusi yesithelo kunye ne-spyth.
2. Musa ukukhawuleza ukusebenzisa i-diarrhea ye-diarrhea imveliso efana ne- Imodium okanye i-Kaopectate. Ezi mveliso akufanele zisetyenziswe ukuba unomkhuhlane okanye kukho i-mucus okanye igazi kwiindawo zakho. I-Pepto Bismol inokukhetha kodwa jonga ugqirha wakho kuqala. Akukho nanye kula mayeza kufuneka anikwe abantwana ngaphandle kwemvume evela kugqirha lomntwana.

1. Qaphela ukutya kwakho kwaye udle ukutya okuncinci. Hlola uluhlu lwezinto zokutya xa unesifo sohudo kunye nokutya ukuphepha xa unesifo sohudo . Emva kokuba isifo sohudo sidlulile, sifunde into oyidlayo xa uziva ungcono .

Nini ukubiza uDokotela wakho

Umele ugqirha ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu ezilandelayo:

• Igazi kwiindawo zakho
• Izimpawu zokungcoliswa kwamanzi ziquka umchamo owehlayo, umlomo owomileyo, amehlo aqhekekileyo
• Umlilo ngaphezu kwe-100 F okanye ohlala ngaphezu kweentsuku ezintathu
• Ubuhlungu besisu esiswini
• Ukuphuculwa kweempawu zorhudo, okanye ukuba isifo sohudo sisaphila iintsuku ezimbini kamva kwintsana okanye umntwana, kunye neentsuku ezintlanu emva komntu omdala.
• Yazi iimpawu zomzimba ezibomvu zeempawu , eziyimpawu ezinobungozi ngokugqithiseleyo ukuba zijonge ukuba unxibelelwano lwezokwelapha ngokukhawuleza. Ezi ziquka ukuphuma kwegazi, ukuhlanza, ukungabikho kwesidlo, ukulahlekelwa kwesisindo esikhulu, umkhuhlane, ubuhlungu besisu kunye nokunyanzeliswa ebusuku, kunye ne-anemia.

Iimbangela zeHludo lokuHlulela emva kokutya emva kokutya

Ingxaki eqhubekayo yokurhuda emva kokutya kungenziwa ngenxa yeengxaki ezahlukeneyo zempilo ezinesifo sohudo esingapheliyo njengesifo. Ukuba unezinye zezi ngxaki, isenzo esilula sokutya sisenokusebenza njengesiphumo sohudo.

Ukujongana nesifo esisisigxina kunokunceda ukukhupha kwiimpawu zokuhamba kwindawo yokuhlambela emva kokutya.

• Usuleleko : Njengoko uhudo oluvakalayo, kukho izifo ezinokubangela ukurhuda. Ezi ziquka uClostridium difficile , uGiardia lamblia , kunye ne-amoeba.
• I-irritable bowel syndrome (IBS) : Isenzo esilula nje sokutya singanele ukunqanda uphawu lwesifo sohudo kwabanye abantu abane-IBS. Akwazeki ngokucacileyo ukuba kutheni kukho ukungahambi kakuhle kwenkqubo yokugaya ukutya kule ngxaki.
• I-Bile acid isifo sohudo (BAD): Abaphandi baqala ukufumanisa ubungqina bokuba abanye abantu abafumene i-IBS banenjongo yokuba babe ne-BAD. I-bile acids ifihliwe ngu-gallbladder yakho ukuze inkqubo yakho yokugaya igaye amafutha. Xa ezi zi-acids zingabuyiselwa ngokufanelekileyo, ziyakhuthaza ukuphazamiseka emathunjini akho amakhulu, okubangelwa uhudo. Ngamanye amaxesha imbangela ye-BAD ayiyazi; ngamanye amaxesha kwenzeka emva kokuhlinzwa okanye ukugula okubandakanya izitho zakho zokugaya (i-gallbladder yakho, i-pancreas okanye intlungu yakho encinane, umzekelo).

• Ukususwa kwe-Gallbladder : Ngaphandle kwe-gallbladder, abanye abantu bafumana ingxaki ngokulawulwa kakubi kwe-bile acids emathunjini amancinci amakhulu, okwenza iimpawu ezifana ne-BAD. Nangona le ngxaki isoloko isombulula ngokukhawuleza emva komhla wokuhlinzwa, kwabanye abantu ihlala ingxaki eqhubekayo.
• Ukunganyamezelani kwaLoctose : Abantu abanokuxhatshazwa kwe-lactose abanakho okwaneleyo kwe-enzyme efunekayo ukuphula i-lactose, ushukela olutholakala kubisi kunye nemveliso yobisi. Oku kungenza isibonakaliso sesifo sohudo emva kokutya kokutya kweebisi. Ukunganyamezelani kwaLactose kungabonwa ngokusetyenziswa kovavanyo lokuphefumula okanye ukutya kokuphelisa .
• I-malabsorption ye-Sugar : Ukongeza kwi-lactose, abanye abantu abakwazi ukugaya i-sugar fructose ne-sorbitol. I-Fructose ifumaneka kwiziqhamo ezininzi kunye ne-fructose ye-corn syrup. I-Sorbitol ifunyenwe kwezinye izityalo kwakunye nezibhamo zokubumba. Ukungaxolisi kwe-lactose, i-fructose okanye i-sorbitol malabsorption ingaqatshelwa ngokusetyenziswa kovavanyo lokuphefumula okanye ukutya kokuphelisa.
• Isifo seCeliac: Abantu abanesifo se-celiac bafumana ukuphendula ngokuzenzekelayo ekuphenduleni ukutywala i-gluten, iprotheni efunyenwe ngqolowa, i-rye kunye nebhali. Isifo sohudo esivela kwisifo se-celiac sisoloko sivumba, kwaye isitopu sinokuthi sitshatile kunokuba sitshise. Isifo seCeliac sinemiphumo emibi yempilo kwaye kufuneka uhlolwe kwesi sifo ukuba unesifo sohudo esingapheli emva kokutya.
• Isifo sesibindi sokuvuvukala (IBD) : Iifom ezimbini ze-IBD- Crohn's disease kunye nesifo sesilonda-zimbini zibangele uphawu lwesifo sohudo emva kokutya. Ngokungafani naziphi na iingxaki zempilo zingentla, ukuhanjiswa kwe-IBD kunokubandakanya iimpawu zegazi kwisitulo . Naluphina uphawu lwegazi kwisitulo kufuneka luziswe ngokukhawuleza ugqirha wakho.
• I-Dumping syndrome : Le syndrome ixhaphake ngokuqhelekileyo ngabantu abaye bafumana utyando lwe-bariatry ukulahleka kwesisindo. I-Dumping syndrome yaziwa nangokuthi isantya esiphuthumayo esiphuthumayo ngenxa yokuba iziqulatho zesisu zingenanto ngokukhawuleza ukuba zibe emathunjini amancinci. Ukutya kunokubangela iimpawu ezinjenge-diarrhea, ngokukodwa ukutya ukutya kunye nomxholo ophezulu ushukela.
• I-Microscopic colitis : Olu hlobo lwe-colitis lugula ngokugqithisileyo kunesifo se-ulcerative colitis. Nge-colitis microscopic, ukuvuvukala kweeseli ezithwala amathumbu kubonakala kuphela xa izicubu zijongwa phantsi kwe-microscope. Isizathu se-microscopic colitis asiyazi kakuhle. Izimpawu zalo ziquka iziqhekeza eziqhubekayo okanye eziphakathi kwamanzi ehudo.
• Umdlavuza we-Colon : Uhudo olungapheliyo aluqhelekanga uphawu lomhlaza wekolon (ukuqothulwa kunokuba lunokwenzeka), nangona nayiphi na utshintsho kwixesha lokuhamba kwintlungu lidibaniswe nobukho bomhlaza. Ezinye iimpawu zomhlaza wekolon ziquka igazi okanye kwi-stool, ukukhathala, i-anemia, kunye nokulahlekelwa kwesisindo esingachazwanga. Ukuba unayo nayiphi na le mpawu kunye nesifo sohudo esingapheliyo, kufuneka ubone ugqirha wakho ngokukhawuleza.
• I-Pancreatic Insufficiency Inquility : Kule meko, i-pancreas ayivelisi ngokwaneleyo i-enzymes yokutya ukugaya ngokupheleleyo ukutya okutyayo. Nangona kukho uvavanyo lwe-pancreatic ukusebenza kwe-exocrine equka ukulinganisa inani leenqatha kwiindawo, abaphandi baye bathi uvavanyo olungenakuchaneka ekufumaneni ukungafezekanga okubangela ukuba uhudo oluphambili. Uphando kulo mmandla akancinci. Ukuphonononga okufumene isifundo esinye esabonisa ipesenti ye-IBS-D izigulane zihlupheke ngenxa yokungakwazi ukusebenza kwe-pancreatic exocrine. Kwesinye isifundo esincinci, izigulane ze-IBS-D ezanikwa i-pancrelipase, uhlobo lwe-encenatic digestive digestive, lichazwe ukunciphisa iziqwenga zesifo sohudo.

Yintoni enokuyenza ngeengxaki ezingapheliyo ngeDivarha Emva kokutya

1. Xelela ugqirha. Naluphi na uphawu olungavamile kufuneka lugqitywe ngogqirha wakho. Oku kunceda ukuqinisekisa ukuba ufumene ukuxilongwa ngokufanelekileyo kwaye ngoko ke isicwangciso sonyango esibalulekileyo sinokuphuhliswa.
2. Landela imiyalelo yegqirha yakho ukulawula kakuhle ingxaki yakho yezempilo.
3. Yidla ukutya okuncinci kwimihla yakho kwaye ugweme ukutya okunamafutha, njengokutya okuthosiweyo, inyama enamafutha kunye ne-gravy eninzi. Ukutya okuninzi kunye nokutya okunamafutha kunokwandisa amandla okuphulwa kwamathumbu emathunjini kwaye ngaloo ndlela kuphakamisa i-diarrhea episode.
4. Sebenzisa ukuzithoba umzimba ukuze uhlalise umzimba wakho. Ngenxa yokuqhagamshelana okufutshane phakathi kwengqondo yakho kunye nesisu sakho , uxinzelelo lunokuba ngumphumo wokurhudo . Abantu abaninzi banokujamelana noxinzelelo oluninzi ebomini babo, kungekhona ukukhankanya ukuba ukuhanjiswa emva kokutya kwakho kuphazamisekile. Ubomi bokubhukuda obukhulu kunye nezakhono zokuphucula izisulu ziya kusebenza ngokuthobisa umzimba wakho ngoko ke unike amandla okunciphisa ukukhutshwa kwamathumbu akho.

Iingcamango ezivela kwi-Postprandial Diarrhea Syndrome kwi-IBS

Iingcamango ezintsha ziyavela ukuba ziveze ukuba enye into enokuthi yenzeke kwezinye izigulane eziye zafumanisa ukuba zine- diarrhea-eyona nto igxekayo isifo sesisu (IBS-D). Uphando lwe-postrandial diarrhea alunanci. Nazi iindlela zokuphanda uphando lokuqala.

• I-Postprandial Diarrhea Syndrome: Abaphandi ababini be-IBS, iiDr. Imali kunye neCamilleri, ziphakamise izizathu ezintathu zokuba zibiza ngokuba yi-"postpandial diarrhea syndrome". Bayavuma ukuba amanqaku okuxilonga aphelelanga, kwaye acetyiswa ukuba impendulo enokunyango kwinkinga echaziweyo ingasebenza njengesigunyaziso sokuxilongwa. Bakholelwa ukuba ezintathu zokuxilongwa kufuneka ziqwalaselwe: i- bile acid malabsorption (BAM) , ukungakwazi ukusebenza kwe-pancreatic exocrine, kunye nokuntuleka kwe-glucosidase.
• I-Acid Gastric Exidation excessive : Inani eligqithisileyo le-acast gastric sele lidibaniswe nokuphuhliswa kwesifo se-reflux (GERD) yesifo se-gastroesophageal . Uphando oluncinci lufumene ukuba imishanguzo yeGERD enikezelwa kwiqela lezigulane ze-IBS-D yabangela ukwehla okukhulu kwiimpawu zorhudo kunye nokuphuthuma kweposi. Nangona kunjalo, oku kufunyanwe akuzange kuphindwe.
• Ubuncwane bamanzi obuninzi: Iqela labaphandi lifumene ukuba, xa kuthelekiswa nezifundo zokulawula impilo, izigulane ze-IBS-D zinamanzi amancinci emathunjini amancinci kwaye idlulayo ngokukhawuleza ukuya emathunjini amakhulu, anokubangela ukuba uhudo oludlulileyo. Olu phando luchaza ne- FODMAP ye-IBS njengento yokutya enexabiso eliphezulu le-osmotic (oku kuthetha ukuba livelisa umlinganiselo ophezulu wamanzi) zixakeke ngakumbi kubantu abane-IBS. Ukuba yinyani, ukuphuhliswa kwamachiza okuza kunciphisa ixesha lokuhamba kwaye ngokubhetele ukulawula ukuhamba kwamanzi emathunzini amakhulu kunokubaluleka.

Umxholo ongaphantsi kwe-Postprandial Diarrhea Research

Kucacile ukuba uphando malunga nezinto ezenziwa emva kwe-postpandial diarrhea kwi-IBS akancinci, kwaye ke akukho zigqibo ezichanekileyo ezinokubanjwa. Ukongezelela, nangona iindidi zeengcamango ezicacileyo zichaza ingxaki, idatha malunga nokunyangwa kwelo mqathango ayikho, ngoko kuyacaca ngoku ukuba unyango luya kunceda izigulane, kwaye ezingenayo.

Ngethemba, uphando olongezelelweyo luya kukhanyisa ngakumbi umxholo kwaye lunikeze ezinye iindlela zokwenza unyango olufanelekileyo. Okwangoku, ukuba udla ukufumana isifo sohudo esiphuthumayo emva kokutya, xubusha ngento yakho nodokotela wakho ukuba ubone ukuba nayiphi na inxaxheba ekucetywayo iya kuba yindlela ekhuselekileyo kuwe.

ILizwi

Xa isifo sohudo senzeke emva kokutya, kuba nzima ukufumana ukutya. Uyakwazi ukuqwalasela okokutya kunye nokuxhalabisa ngokutya nantoni na. AWUKHO wedwa. Abantu abaninzi banalo uphawu. Sebenzisana nogqirha wakho ukufumana isizathu esiyintloko. Unokwazi ukufumana isisombululo ukuze unandiphe ukutya kwakho ngaphandle kokwesaba ukuba ufuna ukukhawuleza ukuya kwindlu yangasese.

> Imithombo:

> I-DiBaise JK, i-Islam RS " I-Acile Acids: I-Critical and Underappreciated Cause of Diarrhea Isifo esingapheliyo " I- Gastroenterology esebenzayo 2012 36 (10): 32-44

> Uhudo. Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. https://www.niddk.nih.gov/ealth-information/digestive-diseases/diarrhea/symptoms-causes.

> Marciani, L., et.al. "Iinguqu zePostprandial kwi-Content Boiler yamanzi kwiZifundo eziMpilo kunye nezigulane ezine-Irritable Bowel Syndrome" I- Gastroenterology 2010 138: 469-477.

> Imali M, Camilleri M. "Ukuhlaziywa: Ulawulo lwe-Postprandial Diarrhea Syndrome" I-American Journal of Medicine 2012 125: 538-544.

> Wedlake L, et.al. Uhlolo lokuQinisekisa: Ubuninzi be-Idiopathic Bile Acid Malabsorption njengoko ufunyenwe ngu-SeHCAT Ukukhangela kwizigulane ezine-Diarrhea-eziphambili kwi-Irritable Bowel Syndrome "I- Pharmacology ne-Therapeutics ye-Alimentary 2009 30: 707-717.