Zifukwa za Kutsekula m'mimba Pambuyo Kudya

Zifukwa Zomwe Mungayendere Kutsekula kwa Mankhwala Otchedwa Postrandial

Kutsekula m'mimba mukatha kudya kumatchedwa kutsegula m'mimba. Zingangoyamba kuchitika, panthawiyi zimakhala zovuta, kapena mwakhala nazo kwa nthawi yaitali ndipo ndizovuta. Kuphunzira za zomwe zimayambitsa matenda otsekula m'mimba mutatha kudya kudzakuthandizani kuti muzitha kugwira ntchito ndi dokotala pa dongosolo la mankhwala.

Dokotala aliyense ayenera kuonetsetsa kuti akudwala matenda enaake atsopano kapena opitirirabe.

Ngakhale kutsekula m'mimba mutatha kudya kungakhale chifukwa cha chimodzi cha matenda omwe tafotokozedwa pano, chikhoza kukhala chizindikiro cha matenda ena akuluakulu.

Zifukwa za Kutsekula m'mimba Pakudya

Matenda otsegula m'mimba ndiwomwe amayamba kutsekula m'mimba. Kutsekula m'mimba chifukwa cha chifukwa china chimene chikhoza kuchitika mutatha kudya, ngati kudya kosavuta kumapangitsa kuti minofu ikuyende mkati mwa matumbo anu kuti mutaya matumbo anu. Ngati muli ndi vuto lalikulu monga matenda, poizoni wa chakudya, kapena IBS, mankhwalawa angakhale amphamvu komanso opweteka kwambiri kuposa momwe amachitira komanso amabwera ndi changu. Izi zikhoza kukhala zimayambitsa matenda otsegula m'mimba:

• Matenda a bakiteriya monga Salmonella kapena E. coli
• Kupha poizoni
• Matenda opatsirana (omwe amatchedwa "chifuwa cha m'mimba")
• Ziphuphu monga Giardia
• Mankhwala monga antiacids, antibiotics, chemotherapy
• Kusamvana kwa Lactose (kungakhalenso chifukwa chachikulu)
• Matenda owopsa a m'mimba ndi matenda otsegula m'mimba ( IBS-D ), omwe angakhalenso chifukwa chachikulu

Zimene Muyenera Kuchita Zokhudza Kutsekula m'mimba

1. Khalani hydrated. Muyenera kutsitsimula madzi ndi mchere zomwe thupi lanu silikuzigwiritsa ntchito chifukwa cha kuthamanga kwa sitima kudzera mwadongosolo lanu. Yesani kumamwa madzi ndi kumveka bwino madzi a zipatso ndi sip msuzi.
2. Musathamangire kugwiritsa ntchito kutsekula m'mimba monga Imodium kapena Kaopectate. Zakudyazi siziyenera kugwiritsidwa ntchito ngati muli ndi malungo kapena pali ntchentche kapena magazi m'mabedi anu. Pepto Bismol ikhoza kukhala njira koma ayambe dokotalayo. Palibe mankhwala awa omwe ayenera kuperekedwa kwa ana popanda chilolezo kuchokera kwa dokotala wa mwanayo.

1. Samalani ndi zakudya zanu ndi kudya zakudya zazing'ono. Fufuzani mndandanda wa zomwe mungadye mukakhala ndi kutsekula m'mimba komanso zakudya zomwe mungapewe ngati muli ndi m'mimba . Pambuyo pa kutsekula m'mimba, phunzirani zomwe mungadye mukakhala bwino .

Nthawi yoitanira Dokotala Wanu

Muyenera kutchula dokotala mwamsanga ngati mukukumana ndi zizindikiro zotsatirazi:

• Magazi mu malo anu
• Zizindikiro zowonongeka kwa madzi kuphatikizapo kuchepa kwa mkodzo, pakamwa, youma
• Kutentha pamwamba pa 100 F kapena kumatenga masiku osachepera atatu
• Kupweteka kwambiri m'mimba
• Kuthamanga kwa zizindikiro zotsekula m'mimba, kapena kutsekula m'mimba kudakalipo masiku awiri m'mwana kapena mwana, ndi masiku asanu pambuyo pa wamkulu.
• Dziwani zizindikiro zofiira za m'mimba zofiira , zomwe ziri zizindikiro zoopsa kwambiri kuti zisamalimbikitse kufunsa kwachipatala mwamsanga. Izi zimaphatikizapo kutuluka magazi, kusanza, kusowa kwa njala, kupweteka kwakukulu, kutentha thupi, kupweteka m'mimba ndi kupweteka usiku, ndi kuchepa kwa magazi m'thupi.

Zifukwa za Kutsekula m'mimba Kutatha Kudya

Vuto lopitirira kutsekula m'mimba mukatha kudya kungakhale chifukwa cha matenda osiyanasiyana omwe ali ndi matenda otsekula m'mimba monga chizindikiro. Ngati muli ndi vuto limodzili, kudya kosavuta kungakhale ngati vuto la kutsekula m'mimba.

Kulimbana ndi matenda opatsirana kungathandize kubweretsa mpumulo ku chizindikiro cha kuthamangira kuchimbudzi pambuyo pa chakudya.

• Kutsekula: Monga matenda otsegula m'mimba, pali matenda omwe angayambitse matenda otsekula m'mimba. Izi zikuphatikizapo Clostridium difficile , Giardia lamblia , ndi amoeba.
• Matenda owopsa a m'mimba (IBS) : Chakudya chokhacho chingakhale chokwanira kuchotsa chizindikiro cha kutsekula m'mimba mwa anthu ena omwe ali ndi IBS. Sitikudziwika bwino chifukwa chake pali matenda oterewa okhudzidwa ndi matendawa.
• Mafuta otsekula m'mimba (BAD): Ofufuza akuyamba kupeza umboni wakuti anthu ena omwe amapezeka ndi IBS ali ndi BAD. Mafuta acidi amavomerezedwa ndi ndulu yanu kuti chiwerengero chanu cha m'mimba chichepetse mafuta. Pamene mavitaminiwa sagwiritsidwa ntchito moyenera, amachititsa kuti m'mimba mwanu mukhale ndi mankhwala omwe amachititsa kutsekula m'mimba. Nthawi zina chifukwa cha BAD sichidziwika; Nthawi zina zimachitika opaleshoni kapena matenda okhudza ziwalo zanu za m'mimba (chifuwa chanu, kapangidwe kapena matumbo anu aang'ono).

• Kuchotsa m'mimba : Popanda ndulu, anthu ena amakumana ndi vuto lopanda mankhwala omwe amapezeka m'matumbo aang'ono ndi aakulu, omwe amawoneka ngati BAD. Ngakhale kuti chizindikiro ichi chimadzipangitsa kudzidzimitsa msanga pambuyo pa tsiku la opaleshoni, kwa anthu ena amakhalabe vuto lopitirira.
• Kusagwirizana kwa Lactose : Anthu omwe ali ndi vuto la lactose sagwirizana ndi enzyme yofunikira kuthetsa lactose, shuga wopezeka mkaka ndi mkaka. Izi zikhoza kuyambitsa chizindikiro cha kutsekula atatha kudya zakudya za mkaka. Kusagwirizana kwa Lactose kungadziŵike kupyolera mu kugwiritsa ntchito kupuma kwa mpweya kapena chakudya chochotsa .
• Malabsorption ya shuga : Kuwonjezera pa lactose, anthu ena satha kukumba fructose ya shuga ndi sorbitol. Fructose imapezeka mu zipatso zambiri komanso mazira a chimanga cha fructose. Sorbitol imapezedwanso mu zipatso zina komanso sweeteners zopangira. Mofanana ndi kusagwirizana kwa lactose, fructose kapena sorbitol malabsorption angadziwike pogwiritsa ntchito kupuma kupuma kapena kudya zakudya.
• Matenda a Celiac: Anthu omwe ali ndi matenda a celiac amakhudzidwa ndi mankhwala omwe amachititsa kuti alowe, omwe amapezeka mu tirigu, rye ndi balere. Matenda otsekemera ochokera ku matendawa amawopsya, ndipo chitseko chikhoza kuyandama m'malo mozama. Matenda a Celiac ali ndi zotsatira zoopsa kwambiri ndipo muyenera kufufuza matendawa ngati mukudwala matenda otsekula m'mimba mutatha kudya.
• Matenda opweteka kwambiri (IBD) : Matenda awiri a IBD-Crohn's disease ndi ulcerative colitis-amatha kuyambitsa matenda a kutsegula m'mimba atadya. Mosiyana ndi matenda alionse omwe ali pamwambawa, kutsegula m'mimba kwa IBD kungaphatikizepo zizindikiro za magazi mu mpando . Chizindikiro chilichonse cha magazi muchitetezo chiyenera kuchitidwa kwa dokotala.
• Matenda a Kutaya : Matendawa amapezeka kwambiri ndi anthu omwe adzichita opaleshoni yolepheretsa kulemera. Matenda otaya thupi amadziwikanso kuti kuthamanga kwa msanga kumatuluka chifukwa zakumbuyo zimatuluka mwamsanga mumatumbo aang'ono. Kudya kungayambitse zizindikiro monga kutsegula m'mimba, makamaka kudya chakudya ndi shuga.
• Matenda a microscopic : Mtundu uwu wa colitis ndi matenda osiyana kwambiri ndi ulcerative colitis. Ndi microscopic colitis, kutupa kwa maselo okwanira m'matumbo kungangowoneka pamene minofu ikuwoneka pansi pa microscope. Chifukwa cha microscopic colitis sichidziwika bwino. Zizindikiro zake zimaphatikizapo zigawo zotsalira kapena zotsekula m'mimba.
• Khansara ya Colon : Kutsekula m'mimba sikuli chizindikiro cha khansa yamtunda (kudzimbidwa kungakhale kosavuta), ngakhale kusintha kulikonse kwa kayendedwe ka m'mimba kumakhudzana ndi kukhalapo kwa khansa. Zizindikiro zina za khansa ya colon zimaphatikizapo magazi mkati kapena pachitetezo, kutopa, kuchepa magazi m'thupi, ndi kulemera kosawerengeka. Ngati muli ndi zizindikiro izi ndi matenda otsegula m'mimba, muyenera kuwona dokotala mwamsanga.
• Kutentha kwa Exocrine Kusakwanira : Mmavuto amenewa, mphukira sizimapangitsa kuti thupi likhale ndi mavitamini okwanira okwanira kudya zakudya zomwe mumadya. Ngakhale pali mayeso okhudza pancreatic exocrine ntchito yomwe imaphatikizapo kuyeza kuchuluka kwa mafuta muzitsulo, ofufuza apeza kuti mayesowa sangakhale olondola pozindikira kuchepa komwe kumayambitsa kutsegula m'mimba. Kafukufuku m'dera lino ndi ochepa. Ndemanga yomwe inapeza kafukufuku wina omwe amasonyeza ochepa peresenti ya odwala IBS-D akuvutika ndi kutuluka kwa pancreatic exocrine. Mu phunziro lina laling'ono, odwala IBS-D omwe anapatsidwa pancrelipase, mawonekedwe a mapuloteni opha tizilombo toyambitsa matenda, amachititsa kuchepetsa zizindikiro za kutsegula m'mimba.

Zimene mungachite pa mavuto omwe ali ndi matenda otsekula m'mimba mutatha kudya

1. Uzani dokotala wanu. Chizindikiro chilichonse chachilendo chiyenera kuchitidwa kwa dokotala wanu. Izi zimathandiza kuti mupeze chithandizo choyenera ndipo motero chithandizo chothandizira chingathandize.
2. Tsatirani malamulo anu a dokotala kuti musamalire bwino vuto lanu la thanzi.
3. Idye zakudya zazing'ono tsiku lonse ndikupewa zakudya zamtundu, monga chakudya chokazinga, zakudya zamtundu, ndi nkhuku zakuda. Zakudya zazikulu ndi zakudya zamtundu wa mafuta zimatha kuwonjezera mphamvu za m'mimba ndipo zimayambitsa kutsegula m'mimba.
4. Gwiritsani ntchito masewera olimbitsa thupi kuti muthetse thupi lanu. Chifukwa cha kugwirizana pakati pa ubongo wanu ndi matumbo anu , nkhawa ingayambe kuyambitsa kutsekula m'mimba . Anthu ambiri amakumana ndi mavuto ambiri m'miyoyo yawo, osati kutchula kuti kutsegula m'mimba mukatha kudya kumakhala kovuta. Zochita zonse zozizira komanso kupuma kwabwino kumathandiza kuchepetsa thupi lanu ndipo potero zimapangitsa kuchepetsa kutaya kwa matumbo anu.

Mfundo Zowonongeka za Postrandial Diarrhea Syndrome ku IBS

Zolingalira zatsopano zikusonyeza kuti chinthu china chikhoza kuchitika kwa odwala ena amene apezeka ndi matenda otsekula m'mimba-omwe amachititsa kuti matenda a m'mimba asakwiyitse (IBS-D). Kafukufuku wokhudzana ndi matenda otsegula m'mimba ndi ochepa. Nazi njira zomwe kafukufuku wamayambiriro wazindikira:

• Postprandial Diarrhea Syndrome: Akatswiri awiri a IBS, Drs. Ndalama ndi Camilleri, atchulapo zitatu zomwe zingayambitse zomwe amachitcha "matenda a m'mimba a postprandial." Iwo amavomereza kuti zizindikiro za matenda ndi zochepa, ndipo amasonyeza kuti kuyankhidwa kwabwino kwa chithandizo cha vuto loyambidwa kungakhale ngati kutsimikizira kwa matendawa. Amakhulupirira kuti matenda atatu ayenera kuganiziridwa kuti: bile acid malabsorption (BAM) , pancreatic exocrine yosakwanira, ndi kuchepa kwa glucosidase.
• Kuchulukitsa Gastric Acid: Zambiri zamkati za asidi zakhala zikugwirizana kwambiri ndi chitukuko cha matenda a reflux (GERD). Kafukufuku wochepa adapeza kuti mankhwala a GERD operekedwa kwa gulu la odwala IBS-D adachepetsa kwambiri zizindikiro za kutsegula m'mimba komanso posachedwa. Komabe, kupeza izi sikunayankhidwe.
• Madzi Amadzimadzi Ochepa: Gulu la ofufuza linapeza kuti, poyerekeza ndi machitidwe abwino, abambo a IBS-D ali ndi madzi ochepa m'matumbo aang'ono ndipo amadutsa m'mimba mwachangu kwambiri, zomwe zingapangitse kutsegula m'mimba. Kafukufukuyu akugwirizana ndi mfundo za FODMAP za IBS monga zakudya zokhala ndi mtengo wapatali wa osmotic (kutanthauza kuti zimabweretsa kuchuluka kwa madzi) makamaka zovuta kwa anthu omwe ali ndi IBS. Ngati zowona, chitukuko cha mankhwala omwe amatha kuchepetsa nthawi yopitako ndipo motero kuyendetsa bwino kutuluka kwa madzi mumatumbo akulu akhoza kukhala ofunika.

Chofunika Kwambiri pa Postprandial Diarrhea Research

Mwachiwonekere, kufufuza pazifukwa zomwe zimayambitsa kutsegula m'mimba ku IBS sizing'ono, choncho palibe lingaliro lomveka lomwe lingagwiritsidwe ntchito. Kuonjezerapo, ngakhale kuti pali zovuta zosiyanasiyana zofotokozera vutoli, deta yokhudzana ndi chithandizo cha matendawa siilipo, motero sikudziwika bwino momwe mankhwalawa athandizire odwala, ndipo osatero.

Tikukhulupirira kuti kufufuza kwina kudzawunikira kwambiri nkhaniyi ndikupereka njira zothandizira. Padakali pano, ngati mumakhala ndi matenda otsegula m'mimba mwamsanga mukatha kudya, kambiranani ndi dokotala wanu kuti muwone ngati njira zina zomwe mungakonze kuti zikhale zotetezeka.

Mawu Ochokera

Pamene kutsekula m'mimba kumachitika pakangotha ​​kudya kumakhala kovuta kudya. Mukhoza kusamala ndi zomwe mungadye ndikudandaula kuti musadye chilichonse. Simuli nokha. Anthu ambiri ali ndi chizindikiro ichi. Gwiritsani ntchito ndi dokotala wanu kuti mupeze chifukwa chenichenicho. Mutha kupeza njira zothetsera vuto lanu kuti musasangalale ndi chakudya chanu popanda kuopa kuti muthamangire kuchipinda.

> Zotsatira:

> DiBaise JK, Islam RS " Zomwe Zili M'thupi: Chodziwika ndi Chosavomerezeka Chifukwa cha Kutsekula Kwambiri Kutsekula Kumimba " Practical Gastroenterology 2012 36 (10): 32-44

> Kutsekula m'mimba. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea/symptoms-causes.

> Marciani, L., et.al. "Kusintha kwa Postprandial mu Madzi Amadzi Ochepa Omwe Amakhala ndi Thanzi Labwino ndi Odwala Amene Ali ndi Irritable Bowel Syndrome" Gastroenterology 2010 138: 469-477.

> Ndalama M, Camilleri M. "Ndemanga: Utsogoleri wa Postrandial Diarrhea Syndrome" The American Journal of Medicine 2012 125: 538-544.

> Wedlake L, et.al. "Kukonzekera Kwambiri: Kufala Kwambiri kwa Idiopathic Bile Acid Malabsorption monga Kuzindikiritsidwa ndi SeHCAT Kusintha kwa Odwala Opatsirana Ndi Matenda a Kutsekula Kwambiri Amadzimadzi Achipatala ndi Achipatala 2009 30: 707-717.