Ngisho nomuntu onempilo ngokuphelele angabhekana nokuphulwa kwemisebenzi yokugaya. Ebusuku noma ngesikhathi sokuzikhandla ngokomzimba, okuqukethwe okusemathunjini okuqukethwe okugayiwe kungadluliselwa emuva emathunjini. Lesi simo sibizwa ngokuthi i-reflux ye-duodenogastric ye-bile. Akuhlali njalo kuthuthuke ngokwehlukana, kaningi kuyisibonakaliso sezinkinga ezinzima ezifana ne-duodenitis noma isifo sangasese. Ngakho-ke, ukuze uvikele izinkinga, kubalulekile ukuqala ukwelashwa ngesikhathi.
Izimpawu ze-reflux ye-duodenogastric bile reflux
Njengoba lesi simo singabonwa ngabaningi, ukubonakala kwawo akusho njalo ukuthi kuqhubeka izinqubo zokuphilisa umzimba. Kodwa-ke, uma lezi zibonakaliso ezilandelayo zigcinwa njalo, yilesi sizathu sokuya kudokotela:
- ubuhlungu e-peritoneum, futhi kunzima ukucacisa indawo yangakini;
- ukuqhutshwa ngendlela enjabulisayo yokufutheka;
- ukubhoboza nokufiphaza kwesisu;
- i-plaque ngolunye ulimi oluphuzi;
- ukuphuza inhliziyo nokubuhlungu ngemva kwe-sternum.
Ukwelashwa kwe-reflux ye-duodenogastric ye-bile
Ngemuva kokuxilongwa, udokotela ubeka imithi, ezovumela ukusebenza okujwayelekile kwendlela yokugaya ukudla, ukuvuselela imisebenzi yabo yokuphumula nokuvimbela ukutholakala kwezinkinga.
Imithi esemqoka ihlanganisa:
- i-proctinetics (i-Cisapride, i-Motilium), ekhuthaza ukuhamba ngokushesha kwe-bile;
- i-antacids (i-Almagel, i-Maaalox), ukunciphisa ubuhle besisu;
- Amalungiselelo i-ursodeoxycholic acid (i-Ursosan, i-Ursofalk) igwema i-asidi ye-bile, ebangela ukuba ihlakazwe ngokuphumelelayo;
- amavithamini A, B, E, okudingekayo ukubuyisela umzimba futhi ukusheshisa umzimba.
Yidla nge-reflux ye-duodenogastric ye-bile
Ukwelashwa kuzosebenza kuphela uma imithetho ekhethekile yokudla ihlale ihlonishwa. Lokhu kuzoqeda izimpawu futhi kuvimbele ukuxoshwa kokuqukethwe emathunjini. Okokuqala, ukudla akufanele kube khona:
- ukushisa;
- amafutha;
- okumnandi;
- bukhali;
- ukubhema;
- umuncu.
Kubalulekile futhi ukulahla:
- izimpahla eziphekiwe;
- izithelo ze-citrus;
- iziphuzo ze-carbonated.
Ukusheshisa izinqubo zokuvuselela, kubalulekile ukugcina imithetho enjalo:
- Ngemva kokudla, zivikele ekuzikhandla ngokomzimba futhi uzame ukulala phansi okwesikhashana.
- Yidla ukudla okuncane ngokuvama okungenani izikhathi ezinhlanu ngosuku.
- Ukuhlafuna ngokudla noma ukugaya ku-blender.
- Kudla esikhundleni senhlanzi.
- Yidla imifino eminingi, izithelo, i-cottage ushizi, ubisi obunamakha.
- Imikhiqizo ebhaka noma ebilisiwe.
- Ungadli ngokweqile.