Ulendo wamkati umasokonezeka mosavuta. Ngakhale sizowopsa nthawi zambiri, zimachitika kuti kutsekeka kwaminyewa komwe kumawonetsetsa kuti chakudya chikupita patsogolo, matumbo a m'mimba, ndi ofooka kwambiri kapena m'malo mwake amathamanga kwambiri. Zovuta izi zitha kukhala zosasangalatsa tsiku ndi tsiku. Zosintha pakugwira kwake?

Timatcha "peristalsis" matupi onse am'mimba ("kuyenda kwa peristaltic") am'magazi am'mimba omwe amachitika kuchokera pamwamba mpaka pansi ndikulola kupitilira kwa chakudya m'thupi. Mwanjira ina, makoma am'mero ​​amalowetsa chakudya m'mimba kudzera mukuyenda mwamphamvu komwe kumachitika ndi kutsekeka kwa minofu.

Mawuwa amachokera ku neo-Latin ndipo amachokera ku Greek peristallein, "kuzungulira".

Chifukwa cha minofu yomwe imawazungulira, ziwalo zopanda pake, kum'mero, m'mimba ndi m'matumbo, zimangokhalira kugwiranagwirana, kulola kuti chakudya chiziyenda bwino. Popanda chodabwitsa ichi, kukonza konse chakudya ndi kuyamwa kwa michere sikungakhale kotheka.

Ulesi wam'mimba komanso operewera m'mimba peristalsis nthawi zambiri zimayambitsa zovuta.

Maluso oyendetsa minofu yosalala yam'mimba ndi matumbo am'mimba amatha kuwonongeka ndi zinthu zingapo.

Zifukwa zakucheperako kwakanthawi zimatha kukhala zoyambira:

• Mahomoni: Mimba, kusamba, kutenga njira yolerera ya mahomoni;
• Zachilengedwe: kudwala kapena ukalamba;
• Iatrogenic: mankhwala obwerezabwereza;
• Psychogenic kapena chikhalidwe: anorexia nervosa, kukhumudwa;
• Kukhala ndi moyo wathanzi: kukhala mokhazikika: komwe kumalumikizidwa ndi kuchepa kwamiyendo yam'mimba: kagayidwe kazakudya kamakhala munjira zonse za mawu oti "waulesi", zakudya zopanda thanzi: makamaka kusowa kwa michere mu zakudya, kusowa kwa madzi: kuchepa kwamadzi zambiri, kupsinjika kapena kusintha zizolowezi (kusintha kwa moyo, kuyenda kapena kuda nkhawa kungasokoneze peristalsis).

Ulesi wam'mimba komanso operewera m'mimba peristalsis nthawi zambiri zimayambitsa zovuta monga:

• Kugwira ntchito kwa colopathy kapena matumbo opweteka: magwiridwe antchito, kutanthauza kuti magwiridwe antchito amatumbo amasinthidwa ndipo amakhudzanso kwambiri zomwe zimayambitsa magawo am'mimba kapena kudzimbidwa;
• Fecaloma: Matenda am'mimba omwe amadziwika ndi kuchuluka kwa ndowe. Ndi chimodzi mwa zovuta za kudzimbidwa kosatha;
• Gastroparesis: akuwonetsedwa ndikuchepetsa kutulutsa kwa m'mimba, m'mimba simukhala bwino kapena pang'onopang'ono;
• Achalasia: matenda omwe minofu ya khoma la kholingo komanso sphincter yomwe ili pakati pa kholingo ndi m'mimba sizipumula mukameza, zomwe zimalepheretsa chakudya kulowa m'mimba;
• Kutupa kwa m'mimba: kuimitsa kwakanthawi kwamatumbo peristalsis komwe kumawonekera pambuyo pakuchitidwa opaleshoni m'mimba, makamaka m'matumbo;
• Occlusive Syndrome: Kutsekeka kwa matumbo kumawonekera ngati kupweteka m'mimba, kuyimitsidwa kwa zinthu ndi gasi, nseru kapena kusanza, meteorism m'mimba ndipo nthawi zambiri kumafuna kuchitidwa opaleshoni mwadzidzidzi pomwe ena amalola chithandizo chamankhwala.

Chithandizo cha matumbo am'mimba chimalumikizidwa ndi chithandizo chamankhwala (zotchinga zamadzi koposa katatu patsiku kapena kangapo kuposa masiku onse) kapena kudzimbidwa.

Ngati mutsekula m'mimba

• Samalani kuti muchepetse kuchepa kwa madzi m'thupi: madzi alibe mchere wokwanira wamchere, ndibwino kumwa kola wopota, wokhala ndi ma electrolyte ambiri;
• Kondweretsani chakudya chomwe chimalimbikitsa:
• Kupulumutsa mankhwala: Smecta kapena zofananira zina zomwe zimagwira pakhungu ndi m'mimba.

Pakudzimbidwa

• Idyani wathanzi: muchepetse mafuta, mowa wambiri komanso zakudya zopangidwa;
• Kondani zinthu zomwe zili ndi fiber (zamasamba zobiriwira, zipatso zouma, chimanga cha mkate);
• Tengani nthawi yanu kudya;
• Khalani ndi madzi akumwa;
• Yesetsani kuchita masewera olimbitsa thupi (kusambira, kudumpha ndi masewera othamanga, kuyenda mwachangu, ndi zina).

Ileus

Chithandizo chimaphatikizapo:

• Kutulutsa nasogastrique;
• Kusala kudya;
• Kupereka kwa IV. Pakakhala matenda obwera chifukwa chokhudzana ndi ziwalo za peristalsis, ndiye chithandizo cha zomwe ndizofunika.

Palibe kuwunika kwachilengedwe komwe kuli kofunikira kuti mudziwe. Malangizowo akufuna kuti mukayezetse magazi ndikufufuza kuchepa kwa magazi m'thupi kapena mayeso a CRP kuti muwone kutupa, ndipo pamapeto pake muzitha kuwunika matenda a celiac.

Zizindikiro zochenjeza zomwe zingayambitse colonoscopy mwachangu ndi izi:

• kutuluka kwamphongo;
• Kuchepetsa thupi
• mbiri ya banja la khansa yamatumbo;
• kupezeka kwazachipatala (m'mimba);
• kuyamba kwa zizindikiro zoyambirira patadutsa zaka 60.