Ukuqunjelwa: Izimbangela, Izimpawu, Ukwelashwa, Nokuvimbela

Kuyini Ukuqunjelwa?

Ukuqunjelwa yisimo esivamile sokugaya ukudla lapho ukunyakaza kwamathumbu kuba okungajwayelekile, okunzima, noma okungaphelele. Kungaba okungakhululeki, okukhungathekisayo, nokuphazamisa impilo yansuku zonke. Ngezindlela zokuphila zesimanje ezivame ukufaka imikhuba yokudla engajwayelekile, ukudla i-fiber ephansi, umsebenzi womzimba olinganiselwe, kanye namazinga aphezulu okucindezeleka, ukuqunjelwa akusagcini kubantu abadala futhi kubonakala kakhulu kuwo wonke amaqembu eminyaka.

Ngamazwi alula, ukuqunjelwa kubhekisela enkingeni yokuphuma kwendle. Ngokwezokwelapha, kuchazwa njengokuhamba kwendle okungaphansi kokuvamile noma ukuphuma kwendle eqinile neyomile okunzima ukuyikhipha. Abantu abaningi abaqunjelwa bachaza umuzwa wokusinda noma ukugcwala esiswini esingezansi, okubonisa ukungapheleli kwamathumbu.

Ukuqunjelwa kwenzeka lapho indle ihamba kancane kakhulu ngendlela yokugaya ukudla. Njengoba ukudla kudlula emathunjini, amanzi angaphezulu angase amuncwe yindle. Lokhu kuholela endle eqinile neyomile, okwenza ukuhamba kwamathumbu kube buhlungu noma kube nzima. Lapho ukuqunjelwa kuba nzima futhi kuqhubeka isikhathi eside, kungase kuqhubekele esimweni esaziwa ngokuthi ukuvinjelwa, lapho ukudlula kwendle kunzima kakhulu noma kuvinjiwe.

Ngokuvamile, umuntu ubhekwa njengomuntu oqunjelwe yisisu uma ukuhamba kwamathumbu kwenzeka ngaphansi kwezikhathi ezintathu ngesonto, noma lapho indle ihlala iqinile, yomile, futhi iphuma kanzima. Nakuba ukuqunjelwa ngezikhathi ezithile kuvame kakhulu futhi kuvame ukuba okwesikhashana, ukuqunjelwa okungapheli noma okuphindaphindayo kungaphazamisa imisebenzi yansuku zonke futhi kungadinga usizo lwezokwelapha.

Ukuqaphela ukuqunjelwa kusenesikhathi nokuqonda izimbangela zako kubalulekile, njengoba izinguquko zendlela yokuphila noma ukwelashwa ngesikhathi esifanele kungasiza ekubuyiseleni ukusebenza kwamathumbu okuvamile futhi kuthuthukise impilo yokugaya ukudla iyonke.

Izimpawu Zokuqunjelwa

Ukuqunjelwa kungabonakala ngezimpawu ezahlukahlukene ezihlobene ubunzima noma izinguquko ekuhambeni kwamathumbuLezi zimpawu zingase zihluke ngobukhulu futhi zingakhula kancane kancane.

Izimpawu ezivamile zokuqunjelwa zihlanganisa:

• Having ukuhamba kwamathumbu okuncane kunokujwayelekile, ngokuvamile ngaphansi kwezikhathi ezintathu ngesonto
• Ukucindezela ngesikhathi sokunyakaza kwamathumbu noma umuzwa wokuthi ukuphuma endlini yangasese kudinga umzamo omkhulu
• Ukuphasa indle eqinile, eyomile, noma encane
• Umuzwa oqhubekayo wokuthi amathumbu anawo akukasuswa ngokuphelele
• Ukuqunjelwa kwesisu noma ukungakhululeki, ngokuvamile kuchazwa njengomzwelo wokugcwala

Uma lezi zimpawu zenzeka njalo noma ziqhubeka isikhathi eside, zingase zibonise ukuqunjelwa okuqhubekayo futhi akufanele zinganakwa. Ukuqaphela kusenesikhathi kusiza ekubhekaneni nalesi simo ngaphambi kokuba siqale ukuphazamisa imisebenzi yansuku zonke.

Izimbangela Zokuqunjelwa

Ukuqunjelwa kungavela ngenxa yezizathu ezahlukahlukene ezihlobene ukudla, indlela yokuphila, imithi, kanye nezimo zezokwelapha eziyisisekeloEzimweni eziningi, izinto ezingaphezu kwesisodwa zinegalelo enkingeni.

Izimbangela Zokudla

Imbangela evamile yokuqunjelwa yilesi i-fibre yokudla enganeleAbantu abadla ukudla okucebile nge-fiber bavame ukunyakaza kwamathumbu njalo, kanti labo abadla ukudla okune-fiber ephansi bathambekele kakhulu ekuqunjelweni.

Imikhuba yokudla yesimanje encike kakhulu ekudleni okucutshunguliwe, inyama, ushizi, kanye nama-carbohydrate acwengisisiwe ivame ukungabi nemifino eyanele, izithelo, kanye nokolweni ophelele.

I-fibre yokudla inezinhlobo ezimbili:

• I-fibre encibilikayo, emunca amanzi futhi yakhe into efana nejeli esiza ukuthambisa indle
• I-fibre enganyibiliki, okwandisa ubukhulu bendle futhi kusekela ukuhamba kwamathumbu njalo

Zombili izinhlobo zibalulekile ekugayweni kokudla okunempilo.

Ukuphuza amanzi anganele kungenza ukuqunjelwa kube kubi nakakhulu, njengoba indle iba nzima futhi kunzima ukuyikhipha.

Indlela Yokuphila Nezimbangela Zokuziphatha

Ukungawuvivinyi umzimba kudlala indima enkulu ekuqunjelweni. Ukunyakaza njalo kusiza ekuvuseleleni ukunyakaza kwe-peristaltic, okuyimisipha efinyeza indle emathunjini. Indlela yokuphila yokuhlala phansi, ukuhlala isikhathi eside, kanye nokungazivocavoci kunganciphisa ukusebenza kwamathumbu.

Ezinye izinkinga ezihlobene nendlela yokuphila zihlanganisa:

• Ukumelana noma ukubambezela isifiso sokuhamba ngendle
• Ukucindezeleka kanye nezinguquko endleleni yokuphila yansuku zonke, njengokuhamba
• Ukusetshenziswa ngokweqile kwemithi yokuhlanza isisu, okunganciphisa ukusebenza kwamathumbu ngokwemvelo ngokuhamba kwesikhathi

Imithi Engabangela Ukuqunjelwa

Eminye imithi inganciphisa ukuhamba kwamathumbu noma iqinise indle, okuhlanganisa:

• antidepressant
• Ama-opioid noma ama-narcotic painkiller
• Ama-anticonvulsants
• Ama-block block wesiteshi seCalcium
• Izithako zensimbi
• isisu
• Ama-antacid aqukethe i-calcium noma i-aluminium

Ukusetshenziswa isikhathi eside kwale mithi kwandisa ingozi yokuqunjelwa.

Izimbangela Zama-Hormonal Nezomzimba

Ukuqunjelwa kungase kwenzeke ngenxa yezinguquko zemvelo zomzimba noma ithonya lamahomoni, njenge:

• ukukhulelwa
• Ukuguga
• kwemikhuba yokudla
• Amazinga e-calcium amaningi egazini, aziwa ngokuthi i-hypercalcaemia
• I-thyroid engasebenzi kahle, eyaziwa ngokuthi i-hypothyroidism

Izimo Zezokwelapha Ezihambisana Nokuqunjelwa

Izimo eziningana zezokwelapha zingaphazamisa ukusebenza kahle kwamathumbu, okuhlanganisa:

• I-syndrome e-irritable syndrome
• Umdlavuza weColon
• Diabetes
• Isifo sikaParkinson
• multiple sclerosis
• Ama-hemorrhoids
• Izinkinga zokunyakaza kwamathumbu ezingapheli ezifana nokuvinjelwa kwamathumbu okungama-pseudo
• Izimo ezihlobene nezinso ezifana ne-uremia

Lapho Ukuqunjelwa Kuba Okukhathazayo

Ukuqunjelwa kufanele kuhlolwe kabanzi uma kuqhubeka, kunzima, noma kuhlotshaniswa nezimpawu ezifana nokwehla kwesisindo okungachazeki, igazi endle, noma izinguquko ezisheshayo emikhubeni yamathumbu. Ukuthola imbangela eyisisekelo kubalulekile ukuze kuphathwe kahle.

Yini Okufanele Uyenze Uma Uqunjelwa?

Amacala amaningi okuqunjelwa ayathuthuka uma indlela yokuphila elula kanye nezinguquko zokudlaUkuthatha izinyathelo zakuqala kungasiza ekubuyiseleni ukuhamba kwamathumbu njalo futhi kuvimbele inkinga ukuthi ingapheli.

Izinyathelo Ezingasiza Ekudambiseni Ukuqunjelwa

• Khulisa ukuphuza uketshezi ngokuphuza izingilazi ezimbili kuya kwezine zamanzi ngosuku, ngaphandle uma ukuphuza uketshezi kunqunyelwe ngesinye isizathu sezokwelapha.
• Faka uketshezi olufudumele, ikakhulukazi ekuseni, njengoba lungasiza ekuvuseleleni ukuhamba kwamathumbu
• Engeza izithelo nemifino eminingi ekudleni kwansuku zonke ukuze wandise ukudla okune-fiber
• Yidla ukudla okucebile nge-fiber njenge-prunes noma okusanhlamvu kwe-bran
• Yenza umsebenzi womzimba ojwayelekile ezinsukwini eziningi zesonto, njengoba ukunyakaza kusiza ekuvuseleleni umsebenzi wemisipha yamathumbu
• Phendula ngokushesha esifisweni sokuphuma indle futhi ugweme ukulibazisa ukuhamba kwamathumbu

Kwezinye izimo, imithi yokuhlanza ingasetshenziswa ukuze kutholakale impumuzo yesikhashana. Kunezinhlobo ezahlukene ezitholakala ngaphandle kwekhawunta, ngayinye isebenza ngendlela ethile. Kubalulekile ukuzisebenzisa ngokucophelela nangesikhathi esilinganiselwe. Isiqondiso esivela kudokotela noma kusokhemisi singasiza ekunqumeni inketho efanele kakhulu kanye nobude bokusetshenziswa.

Kufanele Ubize Nini Udokotela?

Iseluleko sezokwelapha kufanele sicelwe ngokushesha ezimweni ezithile, ikakhulukazi lapho ukuqunjelwa kungase kuhlotshaniswe nesimo esingaphansi.

Xhumana nodokotela uma:

• Ukuqunjelwa kuqala ngokuzumayo futhi kuhambisana nobuhlungu obukhulu besisu noma ukuqaqamba, kanye nokungakwazi ukuphuma kwendle noma igesi
• Ukuqunjelwa kuyinkinga entsha futhi akuthuthuki ngokushintsha kwendlela yokuphila
• Igazi likhona esitulweni
• Kukhona ukuncipha kwesisindo okungachazeki
• Ukunyakaza kwamathumbu kuhlotshaniswa nobuhlungu obukhulu
• Ukuqunjelwa kuqhubeka isikhathi esingaphezu kwamasonto amabili
• Kukhona ushintsho oluphawulekayo ngobukhulu, ukuma, noma ukuhambisana kwesihlalo

Ukhiye Ohamba phambili

Ukuqunjelwa ngezikhathi ezithile kuyinto evamile futhi kuvame ukuphathwa ngezindlela ezilula. Kodwa-ke, izimpawu eziqhubekayo noma ezinzima akufanele zinganakwa, njengoba ukuhlolwa kwasekuqaleni kusiza ekuboneni imbangela futhi kuvimbele izinkinga.

Kuphathwa Kanjani Ukuqunjelwa?

Ukwelashwa kokuqunjelwa kuncike ezintweni eziningana, okuhlanganisa impilo iyonke, umlando wezokwelapha, ubukhali bezimpawu, kanye nokuthi lesi simo sesibe khona isikhathi esingakanani. Ezimweni eziningi, ukuqunjelwa kuyathuthuka uma izinguquko zokudla kanye nendlela yokuphila, kuyilapho ukwelashwa kwezokwelapha kungase kunconywe uma izimpawu ziqhubeka.

Izinguquko Zokudla Nendlela Yokuphila

Kwabaningi, ukuqunjelwa kungalawulwa ngempumelelo ngemikhuba elula yansuku zonke.

• A ukudla okune-fiber ephezulu kusiza ekwakheni indle ethambile, enkulu okulula ukuyikhipha. Abantu abadala ngokuvamile belulekwa ukuba badle cishe Amagremu angu-20 kuya kwangu-35 e-fibre ngosukuImithombo emihle ifaka phakathi izithelo, imifino, ubhontshisi, okusanhlamvu okuphelele, kanye nokolweni we-bran.
• Ukunciphisa ukudla okune-fiber ephansi njengokudla okucutshunguliwe, ushizi owengeziwe, inyama, kanye nemikhiqizo ecolisisiwe nakho kungasiza.
• Ukuphuza uketshezi okwanele kubalulekile. Amalitha angu-1.5 kuya kwangu-2 amanzi noma olunye uketshezi nsuku zonke isekela ukusebenza kwefayibha futhi ivimbela indle ukuthi ingabi lukhuni, ngaphandle kokuthi kuye kwacelwa ukuthi kuncishiswe uketshezi ngenxa yesinye isizathu sezokwelapha.
• Ukuzivocavoca umzimba njalo kukhuthaza ukunyakaza kwamathumbu. Ukuzivocavoca okulingene okungenani Imizuzu engama-30 ezinsukwini eziningi kungathuthukisa ukusebenza kwamathumbu.
• Ukusabela ngokushesha esifisweni sokuphuma indle nokuvumela isikhathi esanele sokuhamba kwesisu kusiza ukugcina umjikelezo ojwayelekile.

Imithi

Uma izindlela zokudla nendlela yokuphila zingasebenzi, ama-laxatives kunganconywa ukusetshenziswa kwesikhathi esifushane. Izinhlobo ezahlukene zemithi yokuhlanza zisebenza ngezindlela ezahlukene, njengokuthambisa indle noma ukuvuselela ukuhamba kwamathumbu. Lokhu kufanele kusetshenziswe ngokucophelela futhi kungcono ngaphansi kwesiqondiso sezokwelapha ukuze kugwenywe ukuthembela noma imiphumela emibi.

Kwezinye izimo, ukuqunjelwa kungahlotshaniswa nemithi ethile. Ukulungisa noma ukushintsha le mithi kungasiza, ngaphansi kokuqondisa kukadokotela.

I-Biofeedback Therapy

Ngokuqunjelwa okungapheli okubangelwa izinkinga ngokuhlangana kwemisipha ye-pelvic floor noma i-anorectal muscle, ukwelashwa kwe-biofeedback kungase kwelulekwe. Le ndlela isiza ekuqeqesheni kabusha imisipha ehilelekile ekunyakazeni kwamathumbu futhi ingasebenza kahle ezimweni ezithile.

Izindlela Zasekhaya Nezindlela Zokwelapha Ezisekelayo

Abanye abantu bathola impumuzo ngezinyathelo ezilula zasekhaya ezisekela ukugaya ukudla, njenge:

• Ukwanda kokudla izithelo kanye nefayibha yokudla yemvelo
• Ukuphuza uketshezi olufudumele ekuseni
• Umsebenzi womzimba omnene noma i-yoga ukukhuthaza ukuhamba kwamathumbu

Nakuba izindlela zokwelapha zasekhaya zendabuko zivame ukuxoxwa ngazo, kufanele zisetshenziswe ngokuqapha. Ukuqunjelwa okuqhubekayo akufanele kwelashwe kuphela ngemithi yasekhaya, ikakhulukazi uma izimpawu zinzima noma zinde.

Kungani Ukuhlolwa Kwezokwelapha Kubalulekile

Ukuqunjelwa kwesikhathi eside noma okuphindaphindiwe kufanele kuhlolwe ukuze kutholakale noma iyiphi imbangela yezokwelapha eyisisekelo. Izimo ezithinta uhlelo lokugaya ukudla, ama-hormone, noma uhlelo lwezinzwa zingase zibe nomthelela ekuqunjweni futhi zidinga ukwelashwa okukhethekile.

Ukuqunjelwa okungelashwanga kungathinta induduzo, ukusebenza kwansuku zonke, kanye nenhlalakahle iyonke. Ukuhlonza imbangela kusenesikhathi kuvumela ukuphathwa okufanele futhi kusiza ukuvimbela izinkinga.

Ukhiye Ohamba phambili

Iningi lamacala okuqunjelwa asabela kahle ekudleni, emanzini, emsebenzini womzimba, kanye nemikhuba emihle yamathumbu. Uma izimpawu ziqhubeka naphezu kwalezi zinyathelo, ukuhlolwa kwezokwelapha kubalulekile ukuze kuqondiswe ukwelashwa okwengeziwe futhi kukhishwe izimo eziyisisekelo.

Isiphetho

Ukuqunjelwa kuyinkinga evamile yokugaya ukudla engathinta abantu babo bonke ubudala. Nakuba ukuqunjelwa ngezikhathi ezithile kuvame ukungabi nangozi, izimpawu eziqhubekayo noma eziphindaphindayo zingaphazamisa impilo yansuku zonke futhi zingase zibonise inkinga yezempilo eyisisekelo. Amacala amaningi ayathuthuka uma izinguquko ekudleni, amanzi anele, ukuvivinya umzimba njalo, kanye nemikhuba emihle yamathumbu.

Ukuqashelwa kusenesikhathi kwezimpawu kanye nokulungiswa kwendlela yokuphila ngesikhathi kungasiza ekubuyiseleni ukunyakaza okuvamile kwamathumbu. Uma ukuqunjelwa kungathuthuki noma kuhlotshaniswa nezimpawu eziyisixwayiso ezifana nobuhlungu, ukopha, noma ukwehla kwesisindo okungachazeki, ukuhlolwa kwezokwelapha kubalulekile. Ngokunakekelwa okufanele kanye nesiqondiso, ukuqunjelwa kungaphathwa ngempumelelo futhi izinkinga zingagwenywa.

Imibuzo evame ukubuzwa (FAQs)

Yini ebhekwa njengokuqunjelwa?

Ukuqunjelwa ngokuvamile kuchazwa ngokuthi ukuhamba kwamathumbu okungaphansi kwezintathu ngesonto, ukuphuma kwendle eqinile noma eyomile, noma ukubhekana nobunzima noma ukuphuma kwamathumbu okungaphelele.

Ingabe ukuqunjelwa kuyisimo esibucayi?

Ukuqunjelwa ngezikhathi ezithile ngokuvamile akuyona into embi kakhulu. Kodwa-ke, ukuqunjelwa isikhathi eside noma okukhulu kungaholela ezinkingeni futhi kufanele kuhlolwe udokotela.

Yini ebangela ukuqunjelwa okuvame kakhulu?

Izimbangela ezivame kakhulu zifaka phakathi ukudla i-fiber ephansi, ukusetshenziswa koketshezi okwanele, ukuntuleka kokuzivocavoca umzimba, ukucindezeleka, kanye nemithi ethileIzimo zezokwelapha kanye nokuphazamiseka kwama-hormone nakho kungaba nomthelela.

Ingabe ukuqunjelwa kungalashwa ngaphandle kwemithi?

Yebo. Amacala amaningi ayathuthuka nge i-fibre yokudla, ukumanzisa okwanele, ukuvivinya umzimba njalo, kanye nokusabela ngokushesha esifisweni sokuhamba ngendleImithi ivame ukucatshangelwa uma lezi zinyathelo zingasebenzi.

Ingabe imithi yokuhlanza iphephile ukuyisebenzisa njalo?

Ama-laxative angasiza ekunciphiseni ubuhlungu besikhashana kodwa akufanele isetshenziswe njalo ngaphandle kweseluleko sikadokotela, njengoba ukusetshenziswa ngokweqile kungase kubhebhethekise ukuqunjelwa noma kuholele ekubutheni.

Kunini lapho kufanele kuboniswe khona udokotela ngokuqunjelwa?

Iseluleko sezokwelapha kufanele sicelwe uma ukuqunjelwa:

• Kuhlala isikhathi esingaphezu kwamasonto amabili
• Kwenzeka ngokuzumayo ngaphandle kwesizathu esicacile
• Kuhlotshaniswa nobuhlungu obukhulu, igazi endle, noma ukwehla kwesisindo
• Akuthuthuki ngokushintsha kwendlela yokuphila

Ingabe ukuqunjelwa kungavinjelwa?

Ezimweni eziningi, ukuqunjelwa kungavinjelwa ngokugcina ukudla okune-fiber eningi, ukuphuza uketshezi olwanele, ukuhlala usebenza ngokomzimba, kanye nokulawula ukucindezelekaImikhuba evamile yokugaya ukudla nayo idlala indima ebalulekile.

Ingabe ukuqunjelwa kuthinta impilo yonke?

Uma kungelashwa, ukuqunjelwa okungapheli kungathinta induduzo, isifiso sokudla, kanye nekhwalithi yokuphila. Ukukubona nokukulawula kusenesikhathi kusiza ukusekela impilo yokugaya ukudla yesikhathi eside kanye nenhlalakahle.