Ukunyakaza Kwamathumbu Kaningi

Umuntu uphuma amathumbu kaningi lapho evakashela endlini yangasese kaningi kunokuvamile. Ayikho indinganiso eyodwa evamile ekhona yokuvama kokunyakaza kwamathumbu. Ucwaningo lukhombisa ukuthi imvamisa 'enempilo' isukela kathathu ngosuku ukuya kathathu ngeviki.

Ukuphuma kwamathumbu kaningi kuhluke ngokuphelele isifo sohudo. Odokotela basebenzisa amagama anjengokuthi 'pseudodiarrhea' noma 'hyperdefecation' lapho indle ihlala yakheka kodwa ivela kaningi. Ukunyakaza kwamathumbu okungaphansi kokuthathu kwamasonto onke kungase kubonise ukuqunjelwa, ikakhulukazi ngendle eqinile okunzima ukuyidlula. Ukunyakaza okumanzi kathathu noma ngaphezulu nsuku zonke kuphakamisa isifo sohudo.

Ngokwemvelo abantu bayakhathazeka lapho imikhuba yabo yokugezela ishintsha ngokungalindelekile. Ukwanda komthamo wezihlalo zomuntu ngaphezu kokuphindwe kabili ngosuku, kuhlanganiswe nezinye izimpawu, kungase kubonise inkinga yezempilo. Ukuqonda okucacile kwamaphethini avamile kusiza abantu ukuba bahlukanise phakathi kwezinguquko ezingenangozi kanye nokukhathazeka kwezokwelapha okungase kube khona.

Kuyini Ukuhamba Kwamathumbu Kaningi?

Inqubo yakho yamathumbu iyashesha phakathi nokukhipha amathumbu njalo. Lokhu kubangela ukuthi abantu baye endlini yangasese izikhathi eziningi kunokuvamile. Inqubo yawo wonke umuntu evamile yokugezela ihlukile, kodwa ukuhamba izikhathi ezingaphezu kwezintathu ngosuku kungasho ukuthi ukunyakaza kwakho kwamathumbu kwenzeka kaningi. Indle ihlala ijwayelekile ngokungaguquguquki nakuba kwenzeka kaningi, okwenza lokhu kuhluke nesifo sohudo.

Izimpawu Nezimpawu Zokunyakaza Kwamathumbu Kaningi 

Isiguli singase sibe:

• Ukunyakaza kwamathumbu amaningi kunephethini yakho evamile
• Izifiso ezinamandla, okunzima ukuzilawula zokusebenzisa indlu yokugezela
• Ubuhlungu besisu kanye nokuminyana ngaphambi kokuvakashela endlini yangasese
• Ukuzizwa uqunjelwe ngegesi eyengeziwe
• Ukukhathala ohambweni lwangasese oluvamile

Izimbangela Zokugeleza Kwamathumbu Kaningi 

Lokhu okulandelayo yizimbangela ezivamile zokuphuma kwesisu njalo:

• Okuhlobene nokudla: Ukudla okune-fibre eningi, izitsha ezibabayo kanye ne-caffeine eningi
• Izinkinga ezihlobene nokudla: Izinkinga nge-lactose, isifo se-celiac, ukusabela kokudla
• Izimbungulu zesisu: Amagciwane, amabhaktheriya, noma ama-parasites
• Izimo zezempilo: IBS, isifo samathumbu esivuthayo
• Imiphumela yomuthi: Ama-antibiotics, ama-laxatives, eminye imithi yezinhlungu

Izingozi Zezingozi 

Lezi zinto ezilandelayo zandisa ingozi yokuphuma amathumbu njalo:

• Izinguquko ezintsha zokudla, ikakhulukazi i-fiber eningi
• High ukucindezeleka namazinga okukhathazeka
• I-hormone iyashintsha ngesikhathi sokukhulelwa noma ngesikhathi sokukhulelwa
• Ukusebenzisa ikhofi njalo noma utshwala
• Ukuthatha ama-antibiotic muva nje

Izinkinga Zokugeleza Kwamathumbu Kaningi

Uma kungelashwa ngaleso sikhathi, ukunyakaza kwamathumbu njalo kungabangela:

• Ingozi ephakeme yenhliziyo kanye izinkinga zezinso ngohambo oluvame kakhulu
• Ukulahlekelwa uketshezi okungenzeka okuholela ekuphelelweni amanzi emzimbeni
• Ukumuncwa kabi kwezakhi uma izimpawu zihlala isikhathi eside
• Ukucindezeleka kwengqondo okuvela njalo udinga ukufinyelela endlini yangasese

Sifo 

Umlando wezokwelapha kanye nokuhlolwa komzimba: Udokotela wakho ubuyekeza umlando wakho wezokwelapha, imikhuba yokudla, amazinga okucindezeleka, nemithi yamanje. Udokotela uzophinde ahlole izimpawu zokuthambile kwesisu noma ukuqunjelwa.

Odokotela bayala lezi zivivinyo ezilandelayo ukuze bathole ukunyakaza kwamathumbu njalo:

• Ukuhlolwa kwegazi kuhlola ukutheleleka, ukuvuvukala, noma Izinkinga ze-thyroid
• Amasampula endle akhomba izifo, izimuncagazi, noma ubukhona begazi
• Ukuhlola okwengeziwe kungase kuhlanganise colonoscopy, ama-CT scan, noma izivivinyo zokuphefumula ukuze kugwenywe ukukhula ngokweqile kwamagciwane

Ukwelashwa Kokunyakaza Kwamathumbu Kaningi

Izinketho zokwelashwa zifaka:

• Ukulungiswa kokudla okubandakanya ukunciphisa ukudla okubabayo, i-caffeine, nokusetshenziswa kotshwala
• Imithi etholakala ngaphandle kwe-counter ukusiza ukukhulula izimpawu
• Ama-probiotics abuyisela ibhalansi ye-bacterial gut enempilo
• Imithi kadokotela esekelwe kumsuka (antispasmodics, bile acid binders)
• Izindlela zokulawula ingcindezi zisiza ngezinkinga zamathumbu ahlobene nokukhathazeka
• Ukuzivocavoca umzimba njalo kusekela ukugaya okunempilo

Uzoyibona Nini Udokotela

Xhumana nodokotela wakho uma une:

• Izimpawu zihlala ngaphezu kwezinsuku ezimbalwa
• Igazi, amafinyila, noma ubomvu buvela esitulweni
• Ubuhlungu besisu obunzima noma obungapheli buyenzeka
• Umkhuhlane, isicanucanu, noma ukuhlanza kuhambisana nokushintsha kwamathumbu
• Ukwehla kwesisindo okungalindelekile siqala
• Izimpawu ze kwamanzi emzimbeni ukuphuma (ukoma okukhulu, isiyezi, umlomo owomile)
• I-incontinence yamathumbu (ukungakwazi ukulawula ukunyakaza)

Isiphetho

Abantu abaningi bahlangabezana nokuphuma kwamathumbu njalo ngesikhathi esithile empilweni yabo. Lezi zinkinga ngokuvamile zizihambela zodwa ngaphandle kwezinkinga ezinkulu. Kufanele wazi ukuthi yini evamile emzimbeni wakho. Lokhu kukusiza ukuthi uqaphele izinguquko ezibalulekile ezingase zidinge ukunakekelwa kwezempilo. Izimo eziningi zivela kulokho okudlayo, ukucindezeleka, noma ukugula kwesikhashana kunezimo ezimbi kakhulu.

Izinguquko ezilula zendlela yokuphila zingasebenza ukuphatha le nkinga. Ungathola impumuzo ngokuphuza i-caffeine encane nokudla ukudla okubabayo okumbalwa. Ukubuka indlela odla ngayo i-fiber nakho kungasiza. Impilo yakho yamathumbu ixhumene kakhulu nendlela ozizwa ngayo ngokomzwelo, ngakho-ke izindlela zokulawula ukucindezeleka zivame ukuletha impumuzo kubantu abaningi.

Ezinye izimpawu eziyisixwayiso zisho ukuthi udinga nje ukubonana nodokotela ngokushesha. Qaphela igazi esitulweni sakho, ubuhlungu obunzima, imfiva, noma izimpawu ezihlala isikhathi esingaphezu kwezinsuku ezimbalwa. Udokotela wakho unamathuluzi okuthola ukuthi kungani kwenzeka futhi angaphakamisa ukwelashwa okufanelana nesimo sakho.

Qaphela ukuthi imikhuba yamathumbu yawo wonke umuntu ihlukile. Okubonakala kuvame kakhulu kumuntu oyedwa kungase kube yinto evamile komunye. Ukubona amashifu emikhubeni yakho evamile kubaluleke kakhulu. Nakuba kungase kuzwakale kungavamile ukuxoxa, izinkinga zokugaya zingaba nomthelela empilweni yakho yansuku zonke futhi zidinga ukubhekwana nazo.

Impilo enhle yokugaya ukudla idinga ukuthi ulalele umzimba wakho, wenze ukukhetha okuhlakaniphile kokudla, uphuze amanzi anele futhi uthole usizo lapho ukudinga. Uhlelo lokugaya ukudla olunempilo luyisisekelo sempilo yonke kanye nokunethezeka kwansuku zonke.

Imibuzo Evame Ukubuzwa

1. Uzikhathaza nini ngokuphuma kwamathumbu?

Iseluleko sezokwelapha siyadingeka uma ubona:

• Igazi endle yakho (okubomvu okukhanyayo, okumnyama, noma okuphuzi)
• Izinguquko ezihlala ngaphezu kwamasonto amabili
• Uhudo olunzima oluhambisana nomkhuhlane, ukugodola, ukuhlanza noma ukuquleka
• I-rectum yakho ivuza amafinyila noma uketshezi
• Imisebenzi yansuku zonke iphazanyiswa izifiso ezingazelelwe
• Ukwehla kwesisindo ngaphandle kwencazelo

"Okuvamile" komuntu ngamunye kuhlukile. Izinguquko ezivela kuphethini yakho evamile zibaluleke kakhulu.

2. Ungakumisa kanjani ukunyakaza kwamathumbu njalo?

Qala ngokubona izinto ezingaba izingcupho ekudleni kwakho. Kufanele unciphise:

• Ikhofi ne-caffeine
• Ama-sweeteners wokufakelwa
• Imikhiqizo yobisi (uma i-lactose ingabekezeleli)
• Ukudla okunezipayisi

Umsebenzi wakho wamathumbu uvame ukuba ngcono ngamasu okulawula ukucindezeleka. Imithi etholakala ngaphandle kwe-counter inganikeza ukukhululeka kwesikhashana ezinkingeni eziqhubekayo. Amanzi engeziwe asiza ukuvimbela ukuphelelwa amanzi emzimbeni, ikakhulukazi uma unendle exekethile.

3. Yiziphi izimpawu zamathumbu okungafanele zishaywe indiva?

Qaphela:

• Izihlalo ezinjengepensela noma iribhoni
• Ukuqunjelwa kwesisu noma ukuqunjelwa okungeke kuphele
• Igazi, ubomvu, noma amafinyila esitulweni
• Izihlalo ezimnyama noma ezilindile
• Ulahlekelwe ukulawula ukunyakaza kwamathumbu
• Izimpawu ezenzeka ngesikhathi sokulala
• Uhudo oluthatha amahora angaphezu kwama-48, ikakhulukazi ezinganeni noma kubantu abadala

UDkt. Saurabh Lanjekar

MBBS, MD, DNB (Gastroenterology)
I-Ganga CARE Hospital Limited, eNagpur

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529