Ðe wò dɔgbo le kuxi me tom le nuɖuɖu ɖuɖu mea? Mina míaƒo nu tso dɔgbo ƒe dɔléle ŋu!

Ðe nèsena le ɖokuiwò me zi geɖe be yeƒe dɔgbo le vevem, èsena le ɖokuiwò me be yeƒe lãme yɔ fũ le nuɖuɖu vɔ megbe, alo èsena le ɖokuiwò me be yeƒe lãme yɔ fũ le nuɖuɖu sue aɖe ɖuɖu vɔ megbe gɔ̃ hã? Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe lãme gbãna alo ɖea aɖuɖɔa? Ekema ele vevie ŋutɔ be nànya nɔnɔme sia si woyɔna be gastroparesis . Mina míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye dɔgbo ƒe dɔléle? Kpuie ko la...

Nya gastroparesis gɔmee nye “dɔgbo ƒe dɔmawɔmawɔ nyuie.” Ne míagblɔe tututu la, enye nɔnɔme si gblẽa nu le lãmekawo kple lãmeka siwo le wò dɔgbo me ŋu. Lãmetsi siwo le wò dɔgbo me la ƒoa ƒu heɖea dzi ɖi le mɔ tɔxɛ aɖe nu be wòana nuɖuɖu si nèɖuna tso wò dɔgbo me ayi wò dɔgbo suea me. Woyɔa esia be peristalsis. Eyata, le amesi ŋu gastroparesis le gome la, lãmekawo kple lãmeka siwo le wò dɔgbo me mewɔa dɔ nyuie o, eyata nuɖuɖu tsia wò dɔgbo me eye meƒuna nyuie o. Esia gblẽa nuɖuɖumeŋusẽ ƒe dɔwɔwɔ bliboa me.

Bu eŋu abe tsi ƒe mɔ̃ ene. Ne mɔ̃a ƒe ʋuƒoa mewɔ dɔ o, alo ne nane gblẽ le mɔ̃a ŋutɔ ŋu la, tsia mage ɖe tsigoa me o. Aleae dɔgboa wɔa dɔe.

Nuɖuɖu ɖuɖu sesẽna na amesiwo ŋu dɔléle sia le ŋutɔ. Tsɔ kpe ɖe eŋu la, nugbegblẽ le ame ŋu ate ŋu anɔ anyi ɣeyiɣi didi. Esiawo ate ŋu anye nuɖuɖu ƒe dzodzro, nunyuimakpɔɖu, kple sukli ƒe agbɔsɔsɔ si le ʋu me dzi ɖuɖu sesẽ. Ɣeaɖewoɣi la, togbɔ be nuɖuɖu toa dɔgboa me hã la, ɖewohĩ makɔ keŋkeŋ o, eye nuɖuɖu kakɛwo agblẽ ɖi. Nuɖuɖu kakɛ siawo siwo susɔ ate ŋu aƒo ƒu ahasesẽ abe kpe ene, eye woawɔ nu sesẽ aɖe si woyɔna be bezoar.

Ðe dɔgbo ƒe dɔléle ƒomevi vovovowo lia?

Ẽ, zi geɖe la, ɖɔktawo bua nɔnɔme sia ɖe hatsotsowo me le nusi gbɔ wòtso nu.

• Suklidɔ -si do ƒome kple Gastroparesis: Esia ate ŋu adze abe eƒe nugbegblẽ le ame ŋu ene le amesiwo ŋu suklidɔ le ŋu.
• Amekoko megbe Gastroparesis: Ate ŋu adzɔ hã abe kuxi ene le dɔgbo ƒe dɔwɔwɔ vɔ megbe.
• Idiopathic Gastroparesis: Ɣeaɖewoɣi la, womate ŋu akpɔ nusi gbɔ wòtso si me kɔ o . Woyɔa esia be dɔgbo ƒe dɔléle si nye idiopathic gastroparesis.

Nukae nye ƒomevi si bɔ wu?

Wobua dɔgbo ƒe dɔléle akpa gãtɔ (anɔ abe akpa enelia va ɖo afã) be enye dɔléle si nye idiopathic . Esia fia be ɖɔktawo mete ŋu ke ɖe nusi koŋ gbɔ wòtso ŋu o. Gake le go aɖewo siwo dze le hatsotso sia me me la, ate ŋu anye be nane si gbɔ wòtso si womede dzesii o. Suklidɔ koe nye nu vevitɔ kekeake si hea nɔnɔme sia vɛ. Dɔnɔ siwo ade akpa etɔ̃lia va xɔa nɔnɔmea le suklidɔ ŋu.

Nukae nye dɔgbo ƒe dɔléle ƒe dzesiwo?

Le go sia me la, àte ŋu akpɔ dzesi siwo gbɔna la dometɔ ɖeka alo esi wu nenema:

• Nuɖuɖumaɖumaɖu: Nɔnɔme si me nuɖuɖu meɖuna o.
• Dɔgbo si fu: Sese le eɖokui me abe ɖe ƒodoa vuvu ene.
• Sese le ɖokuiwò me be yeɖi ƒo kabakaba eye wòanɔ anyi eteƒe nadidi: Nuɖuɖu sue aɖe ɖuɖu gɔ̃ hã ate ŋu ana nàse le ɖokuiwò me be yeɖi ƒo, eye yɔyɔ ƒe seselelãme ma ate ŋu anɔ anyi gaƒoƒo geɖe. Kpɔe ɖa le susu me be èɖu bli sue aɖe le ŋdi me eye nèɖi ƒo vaseɖe ŋdɔ ga wuieve.
• Ƒodo ƒe akpa si le etame ƒe vevesese: Vevesese le dɔgboa ƒe akpa si le etame .
• Aɖuɖɔtoe kple ʋuʋudedi : Ɣeaɖewoɣi la, nuɖuɖu ƒe akpa siwo womeɖu o ate ŋu ado.
• Nuɖuɖu siwo womeɖu o ƒe kakɛ blibowo tsɔtsɔ ƒu gbe: Abe akpɔkplɔ si le nuɖuɖu ƒom ene.
• Nuɖuɖudzroame ƒe vɔvɔ .
• Acid reflux kple dzimeve.
• Tɔtrɔ siwo mesɔ o le sukli ƒe agbɔsɔsɔ me (Ʋu me sukli ƒe tɔtrɔ).
• Miléle .

Aleke wòsena le eɖokui me ne dɔgbo ƒe dɔléle le ame ŋu?

Ne wò dɔgbo ƒe lãmekawo mewɔa dɔ nyuie o la, nuɖuɖu nɔa wò dɔgbo me ɣeyiɣi didi le nuɖuɖu vɔ megbe. Ðewohĩ àse le ɖokuiwò me be yeɖi ƒo ne ènya dze nuɖuɖu gɔme ko, eye seselelãme ma ate ŋu anɔ anyi eteƒe nadidi. Àte ŋu akpɔ dɔgbo ƒe ʋuʋu, aɖuɖɔtoe, kple aɖuɖɔtoe. Wò dɔgbo ate ŋu ase le eɖokui me be yevuvu eye wòate. Àte ŋu ase dzitodzito hã le acid reflux ta.

Ðe esia nye nɔnɔme si me vevesese lea?

Gastroparesis ƒe dzesiwo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Ame ʋɛ aɖewo gblɔna be dɔgbo ƒe vevesese atraɖii si nu sẽ ale gbegbe be womete ŋu wɔa gbesiagbedɔwo o. Gake edze abe ƒomedodo sẽŋu aɖeke mele vevesese si amewo sena, alesi woƒe dɔgbo ƒe ʋuʋu sesẽe, alo alesi woƒe dɔgbo ƒuna kabakabae dome o ene. Ame aɖewo ate ŋu ase veve geɖe wu, ɖewohĩ le esi woƒe lãmekawo sea veve wu ta. Esia ate ŋu ado ƒome kple nusi gbɔ dɔgbo ƒe dɔlélea tso hã.

Aleke dɔgbo ƒe dɔléle kpɔa ŋusẽ ɖe dɔgbo ƒe ʋuʋu dzii?

Esi wònye be gastroparesis nana wò nuɖuɖumeŋusẽ katã nɔa blewu ta la, ate ŋu ahe wò dɔgbo ƒe ʋuʋu hã ɖe megbe. Azɔ hã, nuɖuɖu ƒe akpa gã siwo womeɖu o ate ŋu atɔ ɖe wò dɔgbo me, si ana wòasesẽ be nàto eme. Togbɔ be gastroparesis mekpɔa ŋusẽ ɖe lãmeka siwo le wò dɔgbo me ƒe ʋuʋu dzi tẽ o hã la, nɔnɔme aɖewo siwo hea nɔnɔme sia vɛ ate ŋu akpɔ ŋusẽ ɖe wò dɔgbowo hã dzi. Esia tae ame aɖewo ate ŋu axɔ dɔgbo ƒe dɔléle kple dɔmeɖui le ɣeyiɣi ɖeka me.

Nuka koŋ gbɔe dɔgbo ƒe dɔmawɔmawɔ nyuie tsona?

Kpuie ko la, lãmeka siwo kpɔa wò dɔgbo ƒe lãmekawo dzi ƒe gbegblẽ gbɔe dɔgbo ƒe dɔmawɔmawɔ nyuie tsona. Ƒã hafi lãmekaawo ŋutɔ hã ate ŋu agblẽ. Gake nusi dona tso eme mlɔebae nye be lãmeka siwo ƒoa nuɖuɖu le dɔgboa me eye emegbe wòtutunɛ doa goe la gbɔdzɔna. Esia ateŋu ahe nuɖuɖumeŋusẽ ƒe kuxiwo vɛ eye dɔgboa ƒe tsi ƒuƒlu nahe ɖe megbe – si fia be nuɖuɖu nɔa dɔgboa me ɣeyiɣi didi akpa.

Nukawo koŋ gbɔe dɔgbo ƒe dɔmawɔmawɔ nyuie tsona?

Susu siwo ŋu wode dzesii dometɔ aɖewoe nye esi:

1. Suklidɔ (Suklidɔ) .

Suklidɔlélawo ƒe akpa etɔ̃lia lɔƒo xɔa dɔgbo ƒe dɔmawɔmawɔ nyuie. Woyɔa esia be ahɔhɔ̃mekawo ƒe dɔléle si do ƒome kple suklidɔ. Ne sukli sɔ gbɔ ɖe ʋu me ɣeyiɣi didi aɖe la, lãmekawo gblẽna. Azɔ hã, sukli ƒe agbɔsɔsɔ si sɔ gbɔ ɖe ʋu me gblẽa nu le ʋuka siwo tsɔa ɔksidzin yia lãmekawo me ŋu. Eyata egblẽa nu le dɔgboa ƒe lãmekawo kple lãmekawo siaa ŋu.

2. Amekoko

Amekoko le wò dɔgbo ŋu alo le egbɔ ate ŋu agblẽ nu le vagus nerve, si toa wò dɔgbo me eye wòwɔa ɖoɖo ɖe eƒe ʋuʋu ŋu. Nɔnɔme sia ate ŋu adzɔ ɣesiaɣi le amekokoa megbe. Ate ŋu adzɔ enumake, alo ate ŋu adzɔ le ɣleti alo ƒe geɖe megbe. Amekoko siwo ate ŋu ahe esia vɛ dometɔ aɖewoe nye:

• Nissen ƒe fundoplication
• Gastrectomy (dɔgbo ƒe akpa aɖe alo eƒe akpa bliboa ɖeɖeɖa) .
• Pancreatectomy (dɔgbo ƒe akpa aɖe alo wo katã ɖeɖe ɖa) .
• Vagotomy (vagus ƒe lãmeka si le lãme na ame la ɖeɖeɖa) .
• Cholecystectomy (aɖuɖɔtoe ɖeɖeɖa) .

3. Dɔlékuiwo

Dɔgbo ƒe dɔlékuiwo, vevietɔ dɔlékui ƒe dɔlékuiwo (e.g., norovirus, rotavirus) kple dɔlékui aɖewo hã ateŋu ahe dɔgbo ƒe dɔléle vɛ. Dzɔdzɔmeŋutinunyalawo meka ɖe edzi haɖe be dɔlékui siawo gblẽa nu le lãmekawo ŋu tẽ, alo nenye be dɔlélenutsiŋutete ƒe lãmenugbagbevi siwo le avu wɔm kple dɔlékuia gblẽa nu le lãmekawo ŋu vodadatɔe o.

4. Dɔléle siwo dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna

Le dɔléle siwo dɔlélenutsiŋutete wɔna me la, míaƒe ŋutilã ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi to dɔlékuiwutikewo (autoantibodies) wɔwɔ me. Numekuku yeyewo ɖee fia be autoantibodies siawo ate ŋu agblẽ nu le lãmeka siwo le dɔgboa me ŋu. Àte ŋu axɔ gastroparesis ne dɔlélenutsiŋutete ƒe dzesi bubu aɖeke mele ŋuwò o, alo ne dzesi mawo medo ƒome kple dɔgbo o gɔ̃ hã.

5. Atike vɔ̃ɖiwo zazã

Atike kple atike aɖewo ate ŋu axe mɔ na lãmeka ƒe dzesi siwo kpɔa dɔgboa ƒe lãmekawo dzi. Esia ate ŋu ana dɔgbo natsi ɣeyiɣi kpui aɖe. Woate ŋu aŋlɔ atike siawo dometɔ aɖewo hã na dɔléle bubu siwo do ƒome kple dɔgbo ƒe dɔmawɔmawɔ nyuie (abe suklidɔ ene). Ne dɔgbo ƒe dɔléle le ŋuwò xoxo, alo wòxɔe va yi la, ele be nàƒo asa na atike siawo. Kpɔɖeŋuwo:

• Opioid (atike vɔ̃ɖiwo) .
• Nicotine (si le atama me) .
• Marijuana (Hemp) .
• Blanuilélenutsitike siwo wozãna zi etɔ̃
• Progesterone (lãmetsiŋusẽ aɖe) .
• Atike siwo wozãna na nulɔdɔwo abe antihistamines (Anticholinergics) ene .
• Calcium channel blockers na ʋusɔgbɔdɔ
• Amylin analogs / GLP-1 antagonists na suklidɔ ƒomevi evelia
• Cyclosporine (atike si wonana be woatsɔ axe mɔ ɖe gbegbe nu le ŋutinuwo dodo na ame me) .
• Clonidine (atike si wozãna na ʋusɔgbɔdɔ) .
• Lithium (atike si wozãna na tagbɔdɔléle ƒe dɔléle) .
• Tagbɔdɔléle ƒe atike aɖewo (Antipsychotic medications) .

6. Susu bubuwo tae

Nu bubu siwo gbɔ wòtsona siwo ƒã hafi wògblẽa nu le:

• Ahɔhɔ̃mekawo ƒe dɔlélewo: Dɔléle siwo gblẽa nu le lãmekawo ŋu, abe Parkinson ƒe dɔléle, lãmekawo ƒe ʋuʋu, kple ɖokuisinɔnɔ ƒe dɔmawɔmawɔ nyuie ene, ate ŋu ana lãmeka siwo le dɔgboa me nagawɔ dɔ nyuie o.
• Collagen-ʋukawo ƒe dɔlélewo: Dɔléle siwo nɔa anyi didi siwo xɔa dɔdzẽ abe amyloidosis, scleroderma, lupus, kple Ehlers-Danlos syndrome ene ate ŋu ana dɔgboa ƒe lãmekawo nagbɔdzɔ.
• Dɔlékuiwutikewo ƒe dɔmawɔmawɔ nyuie: Nɔnɔmewo abe thyroid dɔléle, adrenal ƒe dɔmawɔmawɔ nyuie, elektrikŋusẽ ƒe masɔmasɔ, kple ayiku ƒe dɔmawɔmawɔ nyuie ate ŋu ana atikewo nagblẽ nu le lãmekawo ŋu.
• Cystic fibrosis: Dɔléle sia nana ʋuʋudedi (nusi le abe ʋuʋudedi ene) ƒoa ƒu ɖe nuɖuɖumeŋusẽ me, si wɔnɛ be lãmeka bliboa nɔa blewu. Wobu akɔnta be amesiwo ŋu dɔléle sia le ƒe akpa etɔ̃lia lɔƒoe dɔgbo ƒe dɔmawɔmawɔ nyuie le.

Nukawoe nye kuxi siwo ate ŋu ado tso dɔgbo ƒe dɔmawɔmawɔ nyuie me?

Nɔnɔme sia ate ŋu ahe kuxi vovovowo vɛ, siwo dometɔ aɖewoe nye:

• Kpekpeme dzi ɖeɖe kpɔtɔ, nunyuimakpɔɖui, kple tsikuɖiɖi: Aɖuɖɔtoe, ʋuʋudedi, kple nuɖuɖumadzroame atraɖii ate ŋu ana ame ƒe lolo dzi naɖe akpɔtɔ eye nunyiame ƒe veve nasu ame si. Ne èɖea aɖuɖɔ enuenu la, ate ŋu ana tsi nagbɔdzɔ eye elektrikŋusẽ (ŋutilã me dze) nagbɔdzɔ. Ðewohĩ ahiã be woaxɔ wò ɖe kɔdzi eye woana nunyiametike kple saline wò.
• Kuxi siwo do ƒome kple acid reflux: Esi dɔgboa vuvu le gastroparesis ta la, ele bɔbɔe be dɔgboa me acid nado ɖe nuɖuɖutome . Tsitretsitsi sia si ayi edzi ate ŋu agblẽ nu le nuɖuɖutome ŋu . Le kpɔɖeŋu me, dzimeve kple nuɖuɖutomedɔléle .
• Ʋumesukli ƒe kuxiwo: Gastroparesis gblẽa nu le nuɖuɖu ƒe zɔzɔ to nuɖuɖumeŋusẽ me edziedzi, si dzi wokpɔna ŋu. Esia gblẽa sukli (sukli) ƒe dodo ɖe ʋukawo me edziedzi. Ne nuɖuɖu tsi dɔgboa me ɣeyiɣi didi akpa la, sukli si le ʋu me ate ŋu aɖiɖi. Ne nuɖuɖu do kpata la, sukli ate ŋu adzi ɖe edzi le ʋu me. Suklidɔ ƒe tɔtrɔ sia ƒomevi nye kuxi na suklidɔlélawo koŋ, eye ate ŋu ana dɔgbo ƒe dɔmawɔmawɔ nyuie nagado gã ɖe edzi.
• Bezoar kple Gastric Outlet Exstruction: Bezoar nye nuɖuɖu ƒe ƒuƒoƒo sesẽ si sesẽ si tsi dɔgboa me. Nuɖuɖu kakɛ siwo susɔ ne dɔgboa tsi ƒuƒlu ye dzɔna. Ɣeaɖewoɣi la, bezoar la ate ŋu alolo akpa be wòato do si le dɔgboa te la me. Ate ŋu axe mɔ na nuɖuɖu bubuwo ƒe zɔzɔ hã. Ðɔktawo ate ŋu ana atike wò be wòatsɔ alɔ bezoar la, alo woate ŋu aɖee ɖa to amekoko me.

Aleke wokpɔa Gastroparesis ƒe dɔlélea?

Ðɔkta abia wò gbã tso wò dzesiwo kple wò atikewɔwɔ ŋutinya (nɔnɔme siwo ate ŋu ana dɔgbo natsi, amekokowo) ŋu. Emegbe, woawɔ nɔnɔmetatawo dodokpɔ tɔxɛ aɖewo atsɔ alé ŋku ɖe wò dɔgbo me. Dodokpɔ siawo dia ŋutilã me mɔxenu ɖesiaɖe, elabena esiawo ate ŋu ahe dzesi mawo ke vɛ. Ne womekpɔ mɔxenu aɖeke o la, ekema woawɔ dɔgboa ƒe ʋuʋu ƒe dodokpɔwo . Dodokpɔ siawo léa ŋku ɖe alesi wò dɔgbo ƒe lãmekawo le dɔ wɔm ŋu.

Dodokpɔ kawoe wowɔna tsɔ nyaa dɔgbo ƒe dɔmawɔmawɔ nyuie?

Nu gbãtɔ si nàwɔe nye be nàwɔ dodokpɔwo akpɔe ɖa be mɔxenu aɖe li si he wò dzesiawo vɛ hã. Esiawo dometɔ aɖewoe nye:

• Upper endoscopy: Dɔwɔwɔ si me wotsɔa fotoɖemɔ̃ sue aɖe dea nu me tsɔ léa ŋku ɖe dɔgboa ŋu.
• Upper GI series: X-ray si woɖena le atike aɖe abe barium ene nono vɔ megbe.
• CT-dɔdamɔnu
• MRI `(MRI)`
• Ƒodo me ultrasound ƒe dodokpɔ

Ne dodokpɔ siawo mekpɔ be ŋutilã me xe o la, afɔɖeɖe si kplɔe ɖoe nye dɔgbo me tsi ƒuƒlu ŋuti numekukuwo, siwo dzidzea dɔgboa ƒe ʋuʋu. Esiawo ate ŋu anye:

• Gastric emptying scintigraphy (GES): Esia nye nukliaŋusẽ dodokpɔ. Wonaa nuɖuɖu alo nunono sue aɖe si wotsaka kple nusi me keklẽŋusẽ le wò, eye woŋlɔa ɣeyiɣi si wòxɔna hafi wòtoa wò nuɖuɖumeŋusẽ me la ɖi.
• Gastric motility breath test (GEBT): Esia dzidzea alesi nuɖuɖu zɔna kabakaba to wò nuɖuɖumeŋusẽ me to ya agbɔsɔsɔme si nègbɔna la dzidzedze me. Esia bia be nàɖu nuɖuɖu si me carbon molecule tɔxɛ aɖe si woyɔna be ``carbon-13'' le. Ne ege ɖe wò dɔgbo me la, ewɔa carbon dioxide ƒomevi tɔxɛ aɖe ``CO2-13'', si woateŋu adzidze le wò gbɔgbɔ me.
• Dɔgbo ƒe mɔzɔzɔ ŋuti numekuku: Esia doa alesi nuɖuɖu zɔna kabakaba to dɔgbo gã la me kpɔna . Esia bia be woami kpe suesuesue siwo woate ŋu akpɔ le X-ray dzi ne wole ametia me tom.

Ne wò GES dodokpɔa me tsonu mesɔ o la, wò ɖɔkta ate ŋu abia be woawɔ electrogastrogram (EGG) , si dzidzea dɔgboa ƒe lãmekawo ƒe elektrikŋusẽ ƒe dɔwɔwɔ.

Woate ŋu awɔ dodokpɔ bubuwo atsɔ adi nusi gbɔ dɔgbo ƒe dɔléle tsona. Le kpɔɖeŋu me, ʋudodokpɔ ate ŋu adi dɔlékuiwutike siwo susɔ tso dɔlékui aɖe si woxɔ va yi me, alo autoantibodies, si ate ŋu afia be dɔlélenutsiŋutete ƒe dɔléle aɖe le eŋu.

Nukawoe nye dɔgbo ƒe dɔmawɔmawɔ nyuie ƒe atikewo?

Ðɔktawo mate ŋu aɖɔ nusiwo dɔgbo ƒe dɔléle gblẽ le wo ŋu ɖo tẽ o. Gake woate ŋu ana atike siwo ana lãmeka siwo le dɔgboa me natsi eye woakpe ɖe eŋu wòaƒu ƒuƒlu. Atikewoe nye atikewɔwɔ ƒe mɔnu gbãtɔ. Ne atikewo mewɔ dɔ o alo ne womeli o la, wobua amekoko ŋu. Dɔdamɔnuawo katã ate ŋu agblẽ nu le ame ŋu, eye atikewɔmɔnu ɖeka aɖeke mewɔa dɔ na amesiame o.

Taɖodzinu siwo le atikewɔwɔ ŋue nye:

• Dɔgbo ƒe lãmekawo dodo ɖe ŋgɔ kple/alo mɔɖeɖe be dɔgboa natsi ƒuƒlu.
• Kpɔ egbɔ be nunyiame kple tsi si wò ŋutilã hiã la su esi.
• Dzesiwo kple eƒe nugbegblẽ le ame ŋu dzi kpɔkpɔ.
• Ne anya wɔ la, kpɔ nusi gbɔ dɔlélea tso gbɔ eye nàxe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o.

Wò atikewɔwɔ ƒe ɖoɖoa ate ŋu anye:

• Atikewo.
• Nunyiame/tsi ƒe atikewɔwɔ.
• Amekoko.
• Atikewɔwɔ tɔxɛ na nɔnɔme si na wò dɔgbo ƒe ʋuʋu.

Atikewo

Prokinetics, si nye atikewo ƒe hatsotso aɖe si doa ŋusẽ nuɖuɖumeŋusẽ ƒe ʋuʋu, ye nye atike gbãtɔ si wozãna na dɔgbo ƒe dɔmawɔmawɔ nyuie. Wo dometɔ aɖewoe nye:

• Metoclopramide: Esia koe nye atike si dzi FDA (Nuɖuɖu Kple Atike Ŋuti Dɔwɔƒe) da asi ɖo be woatsɔ ada dɔgbo ƒe dɔléle. Eʋãa lãmekawo ƒe tete le dɔgboa me eye wòkpena ɖe ame ŋu wòɖea ʋuʋudedi dzi kpɔtɔna. Gake ate ŋu ahe nugbegblẽ le ame ŋu vɛ (e.g., ʋuʋudedi, lãmekawo ƒe ʋuʋu), eyata ele be woakpɔ nyuie etɔxɛe.
• Motilin agonists: Esiawo nye atike bubu siwo wozãna tsɔ wɔa dɔe. Kpɔɖeŋu aɖewoe nye Erythromycin kple Azithromycin . Togbɔ be wozãa esiawo zi geɖe abe dɔlékuiwutikewo ene hã la, ɖɔktawo kafui hã be woatsɔ ada dɔgbo ƒe dɔléle.
• Serotonin agonists: Tegaserod kple Prucalopride nye atike eve siwo doa ŋusẽ dɔgboa be wòana dɔgboa nanyo ɖe edzi. Togbɔ be womeda wo kpɔ bliboe be woatsɔ ada dɔgbo ƒe dɔléle o hã la, ɖɔkta aɖewo kafua wo na esia.

Atike bubuwo:

• Atike siwo tsia ʋuʋudedi nu ɖua ʋuʋudedi kple ʋuʋudedi dzi.
• Proton pɔmpi mɔxenuwo na acid reflux kuxiwo.
• Vevesesenutsitikewo na dɔgbo ƒe vevesese ɖedzesi aɖe.
• Suklidɔtike siwo woatsɔ akpɔ sukli ƒe agbɔsɔsɔ le ʋu me dzi.

Vevietɔ: Mègatsɔ atike siawo dometɔ aɖeke awɔ atike na ɖokuiwò atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o. Kpɔ ɖɔkta gbɔ ɣesiaɣi eye nàno atikewo le woƒe aɖaŋuɖoɖo nu ko.

Nunyiame ŋuti nunya

Ðewohĩ ahiã be nàtrɔ wò nuɖuɖu. Le kpɔɖeŋu me, ɖu nuɖuɖu si me fibre mesɔ gbɔ ɖo o, si me ami mesɔ gbɔ ɖo o be wòaɖu nu bɔbɔe. Àte ŋu ahiã nunyiame ƒe atikewɔwɔ tɔxɛ hã be wòakpe ɖe ŋuwò nàɖɔli nunyiame siwo bu. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã nunyiame kpeɖeŋutɔ, alo ana nàna nuɖuɖu wò to mɔ̃ me alo ana wò le ʋuka me hena ɣeyiɣi aɖe. Ðewohĩ ahiã hã be woado dzetsi na ame aɖewo to ʋuka me be woatsɔ aɖɔ tsikuɖiɖi kple elektrikŋusẽ ƒe masɔmasɔ ɖo.

Amekoko

Amekokoe nye mɔnu mamlɛtɔ si dzi woato ada dɔgbo ƒe dɔléle. Ne dɔdamɔnu bubuawo katã do kpo nu la, ahiã be woawɔ dɔ na wò be nàtrɔ wò dɔgbo ƒe nɔnɔme be wòakpe ɖe nuɖuɖu ŋu wòato eme. Amekoko siawo dometɔ aɖewoe nye:

• Pyloroplasty: Esia bia be nàtrɔ wò pylorus (lãmeka si le wò dɔgbo ƒe gɔme si nana nuɖuɖu toa eme). Zi geɖe la, wotsoa pylorus lãmeka, ʋuƒoa lolona, ​​eye ʋuʋua ɖea dzi ɖi. Dɔdamɔnu yeye aɖee nye dɔdamɔnu si woyɔna be G-POEM (gastric peroral endoscopic myotomy) . Esia fia be wowɔa amekokoa to nu me, eye wometsoa dɔgboa me o.
• Gastric bypass: Ele be ame aɖewo nato dɔgboa ƒe akpa si le ete keŋkeŋ. Esia bia be woaɖe dɔgboa ƒe akpa aɖe ɖa alo axee, si ana mɔ yeye aɖe tso dɔgboa me ayi dɔgbo suea me (gastrojejunostomy). Dɔgbo ƒe dɔwɔwɔ na ame nye amekoko si me woɖea lolo dzi kpɔtɔna, vevietɔ na amesiwo ŋu suklidɔ ƒomevi evelia si lolo akpa hena vɛ. Ate ŋu akpɔ ŋusẽ gã aɖe ɖe suklidɔ kple dɔgbo ƒe dɔléle siaa dzi. Wò ɖɔkta ate ŋu akafui na wò na dɔgbo ƒe dɔléle sesẽ si do ƒome kple suklidɔ.

Nukae nye gastroparesis ƒe mɔkpɔkpɔ?

Ɣeaɖewoɣi la, dɔgbo ƒe dɔmawɔmawɔ nyuie si atike siwo wozãna ɣeyiɣi kpui aɖe alo dɔlékui si woxɔna ɣeyiɣi kpui aɖe hena vɛ la anyo ɖe edzi le ɣeyiɣi aɖe megbe. Gake le ame akpa gãtɔ gome la, dɔgbo ƒe dɔléle nye dɔléle si womate ŋu ada o, gake woate ŋu akpɔ egbɔ to atikewɔwɔ me. Ate ŋu axɔ ɣeyiɣi aɖe hafi woakpɔ atike nyuitɔ na wò, eye ate ŋu agblẽ nu le ŋuwò le atikewɔwɔ alo dzesi siwo yia edzi me. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò nàkpɔ nusiawo gbɔ ne wole tsitsim.

Ðe Gastroparesis kpɔa ŋusẽ ɖe agbenɔƒe dzia?

Zi geɖe la, dɔgbo ƒe dɔmawɔmawɔ nyuie medea ame ƒe agbe afɔku me o. Gake kuxi siwo ate ŋu ado mo ɖa le dɔgbo ƒe dɔmawɔmawɔ nyuie (nunyuimakpɔɖu, tsikuɖiɖi, elektrikŋusẽ ƒe masɔmasɔ, kple suklidɔ ƒe tɔtrɔ le ʋu me) me dometɔ aɖewo ate ŋu ade ame ƒe agbe afɔku me ne wova nu sẽ. Wò ɖɔkta awɔ dɔ kpli wò be nàɖe kuxi siawo ƒe afɔkua dzi akpɔtɔ. Ne wodae nyuie la, afɔkua dzi ɖena kpɔtɔna ŋutɔ.

Aleke malé be na ɖokuinye esime mele agbe kple dɔgbo ƒe dɔléle?

Lé ŋku ɖe wò dzesiwo ŋu, kple nuɖuɖu kple numame siwo nana wònyona ɖe edzi alo wògblẽna ɖe edzi. Tɔtrɔ suesuesuewo ate ŋu ana tɔtrɔ gã aɖe nanɔ ale si nèsena le ɖokuiwò me la me. Ame aɖewo kpɔnɛ be nu siawo ɖea vi:

• Le esi teƒe be nàɖu nu vevi etɔ̃ gbesiagbe la, ɖu nu sue ene va ɖo ade.
• Wɔ ɖe nuɖuɖu si me ami mesɔ gbɔ ɖo o, si me fibre mesɔ gbɔ ɖo o (gastroparesis nuɖuɖu) dzi. Bia wò ɖɔkta alo nuɖuɖuŋutinunyala tso esia ŋu.
• Ƒo asa na ahanono, atamanono, kple atike vɔ̃ɖiwo zazã. Esiawo hea ƒodo ƒe ƒuƒlu ɖe megbe.
• Ne èɖu nu vɔ la, de kame vie, abe azɔlizɔzɔ kpui aɖe ene. Esia akpe ɖe ame ŋu le aɖuɖɔtoe me.

Dɔgbo ƒe dɔléle ate ŋu atso esi nu mesẽ o dzi va ɖo esi nu sẽ, eye alesi wòkpɔa ŋusẽ ɖe wò agbenɔnɔ dzii ate ŋu ato vovo. Togbɔ be womate ŋu adae kaba o hã la, atikewɔmɔnu geɖewo li siwo ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔ. Wò ɖɔkta awɔ dɔ kpli wò kplikplikpli be yeadi atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò. Àte ŋu akpɔe hã be tɔtrɔ le nuɖuɖu kple agbenɔnɔ ŋu ate ŋu akpe ɖe ŋuwò. Le ɣeyiɣi sia me la, dzɔdzɔmeŋutinunyalawo yi edzi le numekuku wɔm tso atikewɔmɔnu yeyewo ŋu.

Gbedasi si Wotsɔ Yi Aƒeme

Gastroparesis nye nɔnɔme si me dɔgboa me mekɔna nyuie o, ke boŋ eyɔ fũ. Nu geɖe ate ŋu atso esia gbɔ, siwo dometɔ aɖewoe nye suklidɔ kple amekoko. Ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne èkpɔ dzesiwo abe ʋuʋudedi, ʋuʋudedi, ʋuʋudedi, alo dɔgbo ƒe vevesese ene .

Mègatsi dzi o, woate ŋu akpɔ nɔnɔme sia gbɔ. Ne wokpɔ dɔlélea nyuie hedae nyuie la, mɔnukpɔkpɔ asu asiwò be nànɔ agbe si sɔ. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie, eye nàlé ŋku ɖe wò nuɖuɖu kple agbenɔnɔ ŋu.