Zvokudya Zvakaendeswa Sei Mumumuviri Panguva Yokudya
Apo dzimwe mishonga mumakapeti ekugadzira uye ekuvhenekesa anobvumirana, inonzi peristalsis. Peristalsis inongove yakasiyana-siyana, inenge yakafanana-ye-muscle contraction nokuti chinangwa chayo ndechokuendesa zvakasvibirira kana zvinodhaka mukati mehutu-sezvivako zvemashoko okudya uye emuguta. Peristalsis haisi yekuzvidira musimba kufamba, naizvozvo hachisi chinhu chinogona kutariswa nevanhu.
Pane kudaro, mitsipa inotapira inobatanidzwa mu peristalsis inoshanda apo inokurudzirwa kuita saizvozvo.
Peristalsis inokosha pakuchera asi dzimwe nguva haishande zvakanaka. Kuva nekugara kwezuva kana kuvhara kunogona kuva chiratidzo chokuti chimwe chinhu chakaenda haywire ne peristalsis. Izvi zvinogona kukonzerwa nemishonga asi zvinogonawo kubva kune imwe iyo inonzi chirwere chemotility. Kushungurudzika kwemaitiro kunogona kuva kwakaoma kurapa, saka zvakakosha kuona nyanzvi yezvokudya, gastroenterologist, kuwana mhinduro.
Peristalsis muThe Digestive Tract
Peristalsis mumugwagwa wekudya unotanga mudumbu. Mushure mokunge zvokudya zvamedzwa, zvinoderedzwa pasi pasi nekusvibiswa. Mishonga mumudumbu, mudumbu mutsva , uye mumatumbo makuru inoenderera mberi. Zvokudya zvinowedzera kugadzirwa uye zvakaputsika apo inofamba nepakati pemugwagwa wekudya, uchibatsirwa nemajusi ekudya anowedzerwa munzira.
Bira, iro chikamu chinokosha chekudya kwekudya, rinobudiswa mu gallbladder uye inotamirwa kubva ku gallbladder kusvika ku duodeum (chikamu chemukati mudumbu) kuburikidza ne peristalsis. Pakupera kworwendo rwayo kuburikidza nemuviri kuburikidza ne-peristalsis, zvokudya zvakakangwa zvinodhindwa kuburikidza ne anus sechigaro.
Peristalsis muThe Urinary Tract
Urini inotungamirirwawo kuburikidza nomuviri nemubatsiro we peristalsis. Mipira miviri mumugwagwa wemuguta unonzi ureters inoshandisa peristalsis kusunungura mvura kubva kuitsvo kusvika kune bladder. Ichi chemvura inobva mumuviri kuburikidza nechirwere chinonzi urre.
Peristalsis uye Motility Matambudziko
Apo peristalsis haisi kuitika sezvinofanira, inogona kuguma kune imwe yeboka remamiriro ezvinhu anonzi kushungurudzwa kwemotility. Mune vamwe vanhu, peristalsis inogona kukurumidza kukurumidza, inozivikanwa se hypermotility, kana kuti zvishoma nezvishoma, inozivikanwa se hypomotility. Kushungurudzika kwemhuka kunogona kuitika nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira kubuda kwechirwere chemishonga, chikonzero cheimwe chirwere chirwere, kana kunyange pasina chikonzero chakazivikanwa (chinonzi idiopathic). Vanhu vane chirwere chechirwere chinokonzera chirwere (IBD) vanogonawo kuva nekusawirirana kwemhepo, asi hazvizivikanwi panguva ino kuti izvi zvinogona kunge zvakabatana sei, uye kuti dzinowanzoitika sei pamwe chete.
Mimwe mienzaniso yekushungurudzika kwemaitiro inosanganisira:
- Dysphagia . Mu dysphagia, iyo peristalsis iri muhutachi inotambudzwa, uye vanhu vane chirwere ichi vanoona kuti zvakaoma kana kuti hazvigoneki kumedza kudya uye mvura.
- Esophageal spasms . Kune dzimwe nzira dzakasiyana-siyana dzakasiyana-siyana dzinogona kukonzera kuparadzaniswa kwemisumbu muhuputi. Mafasimusi anogona kunge ari pakati nepakati uye / kana akaoma uye angaguma nekudzoka kwezvokudya.
- Gastroesophageal reflux chirwere (GERD) . GERD inogonawo kuva nehukama nehutera husina kunaka, asi hukama huri pasi pechidzidzo.
- Gastroparesis . Nechiitiko ichi, ihwo hutumbu hwemudumbu husingafambisi zvokudya kusvika mudumbu duku. Izvi zvinogona kuguma muzviratidzo zvekutsvoda uye kurutsa. Kune zvakawanda zvinogona kuita zvinokonzera, asi mune dzimwe nguva, mhaka yacho haisati yazivikanwa.
- Utumbo hunokanganisa-kuvhiringidza . Kuvhara kunoitika apo kufamba kwezvokudya kuburikidza nemarumbo kunoremedzwa nechimwe chinhu, zvakadai sekudzivirirwa kwemukati kana kuchinja chigaro. Kunyange zvakadaro, mukudzivirira-kwemazivo, hapana kuvhara kwezvino, asi chirwere chekudya chinenge chisina simba sekunge kana paine magetsi. Ichi chinhu chisingawanzoitiki.
- Irritable bowel syndrome (IBS) . Vanhu vane IBS vanogonawo kuva ne hypermotility, hypomotility, kana zvose zviri zviviri. Zviratidzo zvinogona kusanganisira chirwere kana kuvimbiswa. Izvo zvinoita kuti hutano hukwanise kupinda muhutano uye kurapwa kweBib hachiri kunzwisiswa zvakanaka, asi humwe tsvakurudzo huri kuitwa.
> Sources:
> Bassotti G, Antonelli E, Villanacci V, et al. "Kucheka Kwemimba Motility Kushungurudzika Mukuputika Kwezvirwere Zvirwere." World J Gastroenterol . 2014 Jan 7; 20: 37-44. doi: 10.3748 / wjg.v20.i1.37
> Katsanos KH, et al. "Kuvakwa nekunyengera-Kugadziriswa kwechiremera chezvirwere zvechirwere." Annals yeGastroenterology 2010; 23: 243-256.
> Kristinsson JO, Hopman WP, Oyen WJ, Drenth JP. "Gastroparesis muVachipatara Vasina Kushanda Crohn's Disease: a Case Series." BMC Gastroenterol. 2007; 7:11. doi: 10.1186 / 1471-230X-7-11