Ezitratweni ebusika, bubuphi ubumnandi obona buhendayo? Kunjalo, yi tanghulu ebomvu nemenyezelayo! Ngokuluma konke, incasa emnandi nemuncu ibuyisa enye yezona nkumbulo zibalaseleyo zobuntwana.
Nangona kunjalo, rhoqo ekwindla nasebusika, kukho ukwanda okubonakalayo kwizigulane ezine-gastric bezoars kwiikliniki zezigulane ze-gastroenterology. I-Endoscopically, iintlobo ezahlukeneyo ze-gastric bezoars zinokubonwa kuyo yonke indawo, ezinye zazo zinkulu kwaye zifuna izixhobo ze-lithotripsy ukuze ziziqhekeze zibe ngamaqhekeza amancinci, ngelixa ezinye zilukhuni kakhulu kwaye azikwazi ukutyunyuzwa naziphi na "izixhobo" ze-endoscopic.
La matye "anenkani" esiswini anxulumene njani ne-tanghulu? Ngaba sisenako ukuxhamla kolu lonwabo lumnandi? Ungakhathazeki, namhlanje, ugqirha wegastroenterologist ovela kwiSibhedlele seKholeji yezoNyango sasePeking uya kukunika ulwazi oluneenkcukacha.
Ukutya kakhulu i-hawthorn akuncedi ukugaywa
Kutheni ukutya i-tanghulu ngokungakhathali kukhokelela kwi-gastric bezoars? I-Hawthorn ngokwayo ityebile kwi-tannic acid, kwaye ukuyidla kakhulu kunokuba lula "intsebenziswano" kunye ne-gastric acid kunye neeprotheni esiswini ukwenza ilitye elikhulu.
Ngaba ucinga ukuba i-asidi yesisu inamandla? Iya "kugwayimba" xa idibana nala matye. Ngenxa yoko, ilitye liyaxinga esiswini, libangele iintlungu ezibuhlungu kunye namathandabuzo ebomini, kwaye kunokukhokelela kwisilonda se-peptic, ukubhoboza, kunye nokuphazamiseka, okunokuthi kube yingozi ebomini kwiimeko ezinzima.
Ngaphandle kwe-hawthorn, ukutya okutyebileyo nge-tannic acid, okufana neepersimmons (ingakumbi ezingavuthwanga) kunye nejujube, kukwakukutya okuxhaphakileyo ekwindla nasebusika kodwa kusenokuba negalelo ekuyilweni kwe-gastric bezoar. I-tannic acid kwezi ziqhamo, xa isetyenziswe yi-asidi yesisu, idibanisa neeprotheyini ukwenza i-tannic acid protein, enganyibilikiyo emanzini. Ngokuthe ngcembe iqokelelana kwaye ijiyane nezinto ezifana nepectin kunye neselulosi, ekugqibeleni yenze iibezoars zesisu, eziqhele ukuba yimifuno.
Ngoko ke, inkolelo yokuba ukutya i-hawthorn ikhuthaza ukugaya ayichanekanga ngokupheleleyo. Ukusebenzisa i-hawthorn eninzi kwisisu esingenalutho okanye emva kokusela utywala, xa i-asidi ye-gastric igqithise kakhulu, inokukhuthaza ukubunjwa kwe-bezoars yesisu, ehamba kunye neempawu ezinzima ezifana ne-dyspepsia, i-bloating, kunye nezilonda ezinzima zesisu.
Ukonwabela i-tanghulu ngentwana yecola
Ivakala iyothusa kakhulu. Ngaba sisenako ukuyonwabela ingqukuva yeswekile yomkhenkce ngolonwabo? Ewe, unako. Yitshintshe nje indlela oyitya ngayo. Ungayitya ngokumodareyitha okanye "usebenzise umlingo ukoyisa umlingo" ngokusebenzisa i-cola ukuchasana nomngcipheko wee-bezoars.
Kwizigulane ezine-bezoar yemifuno ephakathi ukuya kwephakathi, ukusela i-cola lunyango olukhuselekileyo nolusebenzayo lwe-pharmacological.
I-Cola ibonakaliswe ngezinga layo eliphantsi le-pH, equlethe i-sodium bicarbonate enyibilikisa i-mucus, kunye namaqamza amaninzi e-CO2 akhuthaza ukuchithwa kwee-bezoars. I-Cola inokuphazamisa i-aggregated structure ye-bezoars yemifuno, ibenze ibe yinto ethambileyo okanye ide iphule ibe ngamaqhekeza amancinci anokuthi akhutshelwe kwi-digestive tract.
Uphononongo olucwangcisiweyo lufumene ukuba kwisiqingatha samatyala, i-cola yodwa yayisebenza ngokuchithwa kwe-bezoars, kwaye xa idibene nonyango lwe-endoscopic, ngaphezu kwe-90% yeemeko ze-bezoar zingaphathwa ngempumelelo.
Kwinkqubo yonyango, izigulana ezininzi ezineempawu ezibuthathaka eziye zatya ngaphezulu kwe-200ml ye-cola ngomlomo izihlandlo ezibini ukuya kwezintathu ngosuku kwiveki enye ukuya kwezimbini zinyibilikise ngempumelelo iibezoar zazo, zinciphisa imfuno ye-endoscopic lithotripsy, ngaloo ndlela zithomalalisa iintlungu kakhulu kwaye zehlisa iindleko zonyango.
"Unyango lweCola" alukho i-panacea
Ngaba ukusela i-cola ngokwaneleyo? "Unyango lweCola" alusebenzi kuzo zonke iintlobo ze-bezoars zesisu. Kwii-bezoar ezinobunzima bokuthungwa okanye ubukhulu obukhulu, ukungenelela kwe-endoscopic okanye utyando kunokufuneka.
Nangona unyango lwe-cola lunokwaphula ii-bezoar ezinkulu zibe ngamaqhekeza amancinci, la maqhekeza angangena ethunjini elincinci kwaye abangele isithintelo, esenza imeko ibe mandundu. Ukusetyenziswa kwe-cola ixesha elide kunemiphumo emibi, njenge-metabolic syndrome, i-caries yamazinyo, i-osteoporosis, kunye nokuphazamiseka kwe-electrolyte. Ukusetyenziswa ngokugqithiseleyo kweziselo zekhabhoni kubangela umngcipheko wokunyuka kwesisu.
Ngapha koko, abaguli abalupheleyo, ababuthathaka, okanye abaneemeko eziphantsi ezifana nezilonda zesisu okanye i-gastrectomy engaphelelanga akufuneki bazame le ndlela ngokwabo, njengoko inokuyandisa imeko yabo. Ngoko ke, ukuthintela lelona qhinga.
Isishwankathelo, isitshixo sokuthintela i-gastric bezoars kukugcina ukutya okufanelekileyo:
Kulumkele ukutya okune-tannic acid eninzi, njenge-hawthorn, i-persimmons, kunye ne-jujubes. Akukhuthazwa kwizigulane ezikhulileyo, ezibuthathaka, okanye ezinezifo zokugaya ukutya ezifana nezilonda ze-peptic, i-reflux esophagitis, i-achalasia, imbali yotyando lwesisu, okanye i-hypomotility.
Landela umgaqo wokumodareyitha. Ukuba ukunqwenela ngenene oku kutya, kuphephe ukutya kakhulu ngexesha elinye kwaye utye iziselo ezinekhabhoni, njenge-cola, ngokumodareyitha ngaphambi nasemva kokutya.
Funa unyango ngokukhawuleza. Ukuba ufumana iimpawu ezinxulumene nazo, funa unyango ngokukhawuleza kwaye ukhethe indlela efanelekileyo yonyango phantsi kwesikhokelo sogqirha oqeqeshiweyo.
Ixesha lokuposa: Jan-09-2025