Flatulence

I-flatulence, ngokuvamile eyaziwa ngokuthi isenzo segesi edlulayo, umsebenzi womzimba wemvelo, okuthi nakuba uvame ukuhlangana namahloni, uyingxenye yokugaya komuntu. Nokho, uma lesi senzo siba ngokweqisa, singabonisa izinkinga zempilo eziwumsuka noma umphumela wokukhetha ukudla. Ukuqonda isizathu se-flatulence kanye nokuhlonza amakhambi asebenzayo e-flatulence kubalulekile ekugcineni ukunethezeka ngokomzimba nokuzethemba emphakathini. 

Yini I-Flatulence? 

I-flatulence, okuvame ukubizwa ngokuthi 'i-farting', umsebenzi ojwayelekile womzimba obangelwa igesi emathunjini. Amathumbu akhiqiza phakathi kuka-500 no-2,000 ml wegesi nsuku zonke. Le gesi iphuma endunu ngezikhathi ezithile. Le gesi, noma i-'flatus', ihlanganisa igesi, okuhlanganisa i-methane, i-nitrogen, ne-carbon dioxide. 

Izimbangela Zokuqunjelwa 

Ziningana izici ezingabangela i-flatulence yamathumbu: 

• Umoya Ogwinywe: Sigwinya umoya omncane ngokudla noketshezi. Ithumbu elincane limunca umoya-mpilo kanye ne-nitrogen emoyeni ogwinywe uye egazini, futhi noma yikuphi okweqile kuphuma ngethumbu. 
• Ukugaya Okujwayelekile: I-asidi yesisu iyancipha ngenxa yokukhishwa kwe-pancreatic. Ukusebenzisana okuwumphumela kudala igesi i-CO2 (i-carbon dioxide) njengomkhiqizo osalayo. 
• Amagciwane Asemathunjini: Ithumbu liqukethe inani elikhulu lamagciwane asiza ukugaya ngokuvubela izingxenye zokudla. Le nqubo yokuvutshelwa ihlanganisa igesi njengomkhiqizo osalayo. Enye yale gesi ingena egazini futhi ikhishwe ngamaphaphu, kuyilapho ingxenye esele iphushwa ngamathumbu. 
• Imiphumela Engathandeki Yemithi: Imithi ethile, kuhlanganise nezidakamizwa ezingezona ukuvuvukala (ama-NSAID), ama-laxatives, imithi elwa namagciwane, kanye nama-statins, ingaba nomthelela ekukhukhuleni ngokweqile noma okunuka kabi njengomphumela omubi. 
• Ukudla okune-fibre ephezulu: Ukudla okucebile nge-fibre kubalulekile empilweni yokugaya kodwa kungadala igesi eningi. Amathumbu amancane awakwazi ukudiliza izinhlanganisela ezithile. Kusho umsebenzi owengeziwe kumagciwane amathumbu akhiqiza igesi, ngaleyo ndlela abangele ukuqunjelwa. 
• Ukungabekezelelani kweLactose: Ukungakwazi komuntu ukugaya ushukela othile obisini lwenkomo. Lesi simo singakhiqiza igesi eningi ngokweqile yamathumbu. 
• Ukungabekezelelani Ama-carbohydrate E-Short-Chain: Abantu abathile bangase babe sengozini yokukhiqizwa kwegesi kusukela ekuvubeleni kwama-carbohydrate, njenge-fructose, etholakala emikhiqizweni eminingi yokudla, kuhlanganise noju, isiraphu yommbila, nezinye izithelo. 
• I-Underlying Digestive Disorders: Igesi eningi ingaba uphawu lwe ukuphazamiseka kokugaya ukudla, njenge- irritable bowel syndrome (IBS), isifo se-celiac, noma ukungabekezelelani kwe-lactose. 

Ukuxilongwa Kwe-flatulence 

Udokotela wakho cishe uzonquma imbangela yezinhlungu zakho zegesi nezegesi ngokweqile ngokusekelwe kulokhu okulandelayo: 

• Umlando Wezokwelapha: 
  • Ukubuyekezwa kwemikhuba yakho yokudla, okuhlanganisa noma yiziphi izinguquko zakamuva zokudla noma ukwethulwa kokudla okusha noma iziphuzo, kuzosiza ukukhomba izinto ezingaba izibangeli. 
• Ukuhlolwa Komzimba: Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzo: 
  • Thinta isisu sakho ukuze uhlole ukuthamba noma ukungajwayelekile. 
  • Sebenzisa i-stethoscope ukuze ulalele imisindo engaphakathi kwesisu sakho, engabonisa indlela umgudu wakho wokugaya ukudla osebenza kahle ngayo. 
  • Yenza ukuhlolwa kwe-digital rectal. 
• Ukuhlolwa Okwengeziwe: Ngezinye izikhathi, udokotela wakho angase a-ode ukuhlolwa okwengeziwe kokuxilonga, okufana nalokhu: 
  • Ukuhlolwa kwegazi ukuhlola izimo ezifana nesifo se-celiac 
  • Ukuhlolwa kokuphefumula ukuze kuhlonzwe ukungabekezelelani kwe-lactose noma ukwanda kwebhaktheriya 
  • Ukuhlolwa kwe-Colon (sigmoidoscopy noma i-colonoscopy) ukuthola ukuphazamiseka kokugaya okufana nesifo sikaCrohn noma umdlavuza wekoloni 
  • Izivivinyo zokuqeda ukudla ukuze kutholwe ukuthi ukudla okuthile kuyibanga legesi 
  • Ukuhlolwa kwepheshana le-Gastrointestinal (GI)., njengochungechunge lwe-GI engenhla noma i-barium swallow, ukuhlola umphimbo, isisu, namathumbu amancane. 

Ukwelashwa Kwe-flatulence

Indlela yokwelapha iyahlukahluka kuye ngembangela ewumsuka nobukhulu bezimpawu. 

• Izinguquko Zokudla: 
  • Ukunciphisa Ukudla Okune-Fibre Eningi: Ukunciphisa kancane kancane lokhu kudla noma ukunciphisa ukudla kwakho okwesikhashana kungase kunciphise izimpawu. 
  • Ukugwema Imikhiqizo Yobisi: Uma ungabekezeleli i-lactose, ukukhawulela noma ukuqeda imikhiqizo yobisi ekudleni kunganciphisa igesi nokuqunjelwa. 
  • Ukunciphisa Ukushintsha Ushukela: Ama-sweeteners okwenziwa njenge-sorbitol ne-xylitol angaba inselele ukugaya futhi angabangela igesi. 
  • Ukunciphisa Ukudla Okunamafutha Nokuthosiwe: Lokhu kudla kungabambezela ukuphuma kwegesi emathunjini, okuholela ekuphatheni kabi. 
  • Ukunciphisa Iziphuzo Ezinekhabhoni: I-carbonation kulezi ziphuzo ingenisa igesi eningi emgudwini wokugaya ukudla. 
• Ukuguqulwa kwendlela yokuphila: 
  • Ukushintsha okuthile kwendlela yokuphila kungasiza ekuvimbeleni ukugwinya komoya ngokweqile futhi kukhuthaze ukugaya okungcono, ngaleyo ndlela kunciphise ukuqunjelwa: 
  • Ukudla kancane futhi ukuhlafuna kahle 
  • Ukugwema ukukhuluma ngenkathi udla 
  • Ukuyeka ukubhema 
  • Ukuqinisekisa ukulingana okufanele kwamazinyo okufakelwa (uma kusebenza) 
• Imithi Nezithasiselo Ezitholakala Ngaphandle Kwekhawunta: 
  • Imikhiqizo eminingana etholakala ngaphandle kwekhawunta, njenge-simethicone, i-alpha-galactosidase, izithasiselo ze-lactase, namalahle acushiwe, ingase inikeze ukukhululeka kugesi nokuqunjelwa. 

Izinkinga 

I-flatulence ngokweqile noma ephikelelayo ingaholela ezinkingeni ezihlukahlukene ezidinga ukunakekelwa kwezokwelapha, njenge: 

• Ubuhlungu besisu, ukuqunjelwa, nokuqunjelwa 
• Ukuhlazeka komphakathi, okuholela ku ukukhathazeka nengcindezi 

Amakhambi Asekhaya E-flatulence

Amakhambi amaningi asekhaya angasiza ekuvimbeleni noma ekudambiseni i-flatulence. Nazi ezinye izinketho ezisebenzayo: 

• Izinguquko Zokudla: 
  • Yidla izingxenye ezincane esikhundleni sokudla okukhulu ukusiza ukugaya. 
  • Hlafuna ukudla kancane futhi kahle uvale umlomo ukuze ugweme ukugwinya umoya oweqile. 
  • Nciphisa ukudla okukhiqiza igesi njengobhontshisi, i-broccoli, amahlumela aseBrussels, nokusanhlamvu. 
  • Gwema iziphuzo ezine-carbonated.
  • Hlala unamanzi ngokuphuza amanzi afanele ukuze uvimbele ukuqunjelwa, imbangela yokuquleka ngokweqile. 
• Amakhambi: 
  • Phuza i-peppermint, i-chamomile, i-ginger, noma itiye le-anise ukusiza ukugaya nokunciphisa igesi. 
  • Engeza imbewu ye-fennel kumasaladi nezitshulu, noma uzihlafune ngemva kokudla ukuze uqabule umoya futhi ukhuthaze ukugaya. 
  • Amafutha e-clove angakhuphula ama-enzyme okugaya futhi anciphise igesi yamathumbu lapho edliwa ngemva kokudla. 
• Amanye Amakhambi: 
  • Ibhodlela lamanzi ashisayo noma iphedi esiswini lingaphumuza imisipha yamathumbu futhi kusize ukuxoshwa kwegesi. 
  • Lungiselela isipuni esisodwa se-apula cider uviniga emanzini bese uphuza ngaphambi kokudla ukuze uvimbele ubuhlungu begesi nokuqunjelwa. 
  • Zama amaphilisi amalahle acushiwe, angabamba futhi asuse igesi ngezihlalo. 
  • Cabangela izithasiselo ze-probiotic ukukhuthaza amagciwane e-gut anempilo futhi uthuthukise ukugaya. 
  • Zibandakanye ekuzilolongeni okulingene njengokuhamba noma i-yoga ukuze uthuthukise ukugaya. 
  • Zijwayeze ukuphefumula okujulile, kodwa gwema ukungena kakhulu emoyeni, okungase kwenyuse igesi. 
  • Imithi etholakala ngaphandle kwekhawunta ingasiza ukunqamula amabhamuza egesi ukuze kube lula ukudlula. 

Uyombona Nini Udokotela Ukuze Uthole I-flatulence

Nakuba i-flatulence ngezikhathi ezithile ijwayelekile futhi ingenabungozi, kunezimo ezithile lapho kutuswa ukubonana nodokotela: 

• Uma ukuphuza ngokweqile kuthinta izinga lakho lempilo kanye nezinyathelo zokuzisiza noma ukwelapha ngaphandle kwe-counter, akuhlinzeki ngokukhululeka. 
• Ubuhlungu besisu obuqhubekayo, ukuvuvukala, noma ukungakhululeki okungaqedi 
• Ukuqunjelwa okuphindaphindiwe noma isifo sohudo 
• Uma uhlangabezana ukwehla kwesisindo okungachazwanga. 
• Uma ubona igazi esithweni sakho isikhathi esingaphezu kwamasonto amathathu 
• I-flatulence ngokweqile noma enukayo 
• Ubunzima bokudlula indle nobuhlungu besisu 
• Ukuqunjelwa, ukungagayeki kokudla, isicanucanu, isifo sohudo, nokuqunjelwa, lezi zimpawu zingase zisikisele izifo zesisu. 

Ungakugwema Kanjani Ukuqunjelwa Okudlulele 

Unganciphisa inani le-flatulence ezenzakalelayo oyitholayo ngoshintsho oluthile lokudla kanye nemikhiqizo etholakala ezitolo. Lokhu kubandakanya: 

• Imikhuba Yokudla: Yidla kancane futhi ugweme ukudla ngenkathi wenza ezinye izinto. 
• Izinguquko Zokudla: Nciphisa ukusetshenziswa kokudla nge-fructose, i-lactose, i-fibre engancibilikiyo, nesitashi. 
• Ukulawula Ukungabekezelelani Kokudla: Ukudla okunciphisayo kungase kukusize ubone imbangela yegesi yakho eyeqile. 
• Imithi Engaphezu Kwe-Counter: I-enzyme yokugaya ebizwa ngokuthi i-galactosidase isiza ukudiliza ama-carbohydrate ayinkimbinkimbi. 
• Ama-Probiotics Nokuzivocavoca: Ama-Probiotics nokuzivocavoca kungathuthukisa ukugaya. 
• Ukugwema Ukubhema: Ukubhema kungengeza umoya omningi owengeziwe emzimbeni wakho. Kungase kube usizo ukuzama ukuyeka ukubhema uma ubhema. 

Isiphetho

Ngokuhlola izimbangela, amakhambi, namasu okuvimbela mayelana ne-flatulence, kuba sobala ukuthi lo msebenzi womzimba wemvelo, nakuba ngokuvamile ubangela amahloni, ubaluleke kakhulu enhlalakahleni yethu yonke kanye nempilo yokugaya ukudla. Ngokuqonda izimbangela zokudla ezifana nokudla okune-fibre ephezulu kanye ne-lactose nokusebenzisa izinguquko eziphakanyisiwe zendlela yokuphila njengokudla kancane nokuzijwayeza ukukhetha okufanele, abantu bangaphatha ngempumelelo futhi banciphise ukuvela kwe-flatulence ngokweqile. Ngaphezu kwalokho, ukugcizelelwa kokungenelela kwezokwelapha okungaba khona ezindabeni eziqhubekayo kugcizelela ukubaluleka kwesiqondiso sochwepheshe ekubhekaneni nezimo zempilo eziyisisekelo. 

Imibuzo Evame Ukubuzwa

1. Yikuphi ukudla okubangela ukuqunjelwa ngokweqile? 

Ukudla okubangela i-flatulence yizi: 

• Ubhontshisi, udali, nemidumba 
• Imikhiqizo yobisi njengobisi, ushizi, no-ayisikhilimu (kulabo abangabekezeleli i-lactose) 
• Izinhlamvu eziphelele (ukolweni, oats, nerayisi elinsundu) ezine-fiber ne-raffinose ephezulu 
• Imifino ethile efana namahlumela aseBrussels, i-broccoli, iklabishi, i-asparagus, ne-cauliflower 
• Izithelo ezifana nama-apula, amapentshisi, amapheya, nama-prunes (okuphezulu nge-sorbitol ne-fibre encibilikayo) 
• Anyanisi 
• Ukudla okugayiwe nge-fructose eyengeziwe noma i-lactose 
• Ukudla okuphezulu ku-fibre engancibiliki, njenge-oat bran nophizi 

2. Yiziphi izimbangela eziphambili ze-flatulence? 

Izimbangela eziyinhloko ze-flatulence zihlanganisa: 

• Ukugwinya umoya (aerophagia) ngenkathi udla noma uphuza 
• Inqubo yokugaya evamile, lapho i-asidi yesisu ihlangana nokuphuma kwe-pancreatic, ikhiqiza igesi 
• Amagciwane asemathunjini aphula izingxenye zokudla ezingagayekile ngokuvutshelwa, akhiphe amagesi 
• Izifo eziyisisekelo ze-Gastrointestinal 

3. Kungani okunye ukudla kubangela igesi eyengeziwe? 

Ukudla okuthile kungaholela ekukhiqizweni kwegesi ngokweqile ngenxa yezizathu ezilandelayo: 

• Zinoshukela oyinkimbinkimbi njenge-raffinose noma i-fructose umzimba odonsa kanzima ukuwugaya ngokugcwele. Lo shukela ongagayekile ufika ekoloni, lapho amagciwane awabilisa khona, akhiqize igesi. 
• Ziphezulu ku-fibre encibilikayo noma otshwala obushukela njenge-sorbitol, evutshelwa yibhaktheriya kukholoni bese ikhipha amagesi. 
• Ziqukethe i-fiber engancibilikiyo amathumbu amancane angakwazi ukuyidiliza, edinga umsebenzi owengeziwe ovela kumagciwane amathumbu akhiqiza igesi. 
• Ngokungabekezelelani kwe-lactose, umzimba awunawo ama-enzyme adingekayo ukuze ugaye kahle ama-carbohydrate athile, njenge-lactose, okuholela ekuvubeleni nasekukhiqizeni igesi. 

CARE Medical Team

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