Koj puas xav tias koj puv txawm tias tom qab noj me ntsis lawm? Los yog koj feem ntau xeev siab lossis muaj teeb meem nrog kev puv? Tej zaum qhov laj thawj rau qhov no yog kev hloov pauv ntawm qhov ceev uas cov khoom noj tawm ntawm koj lub plab, uas yog, koj lub plab. Yog li hnub no, cia peb tham txog kev kuaj mob tshwj xeeb uas tau ua los nrhiav qhov tseeb no. Qhov no yog qhov peb hu ua '(Gastric Emptying Study)'.
Hais yooj yim xwb, qhov kev tshawb fawb txog kev zom zaub mov hauv plab no yog dab tsi?
Qhov no yog ib qho kev sim yooj yim heev. Nws ntsuas seb nws siv sijhawm ntev npaum li cas rau cov khoom noj (lossis dej haus) uas koj noj kom dhau los ntawm koj lub plab thiab tom qab ntawd khoob tag nrho. Cov txheej txheem no ntawm kev txav cov khoom noj thiab cov kua dej hla koj lub plab hu ua "Gastric Motility". Cov kws kho mob ua qhov kev sim no los saib seb koj lub plab puas txav mus li qub. Yog tias qhov nrawm uas cov khoom noj khoob sai dua lossis qeeb dua li qub, nws yuav yog ib qho cim ntawm tus mob.
Txoj kev tseem ceeb thiab feem ntau siv rau qhov no yog qhov kev kuaj mob hu ua '(Gastric Emptying Scintigraphy - GES)'. Thaum tus kws kho mob qhia koj txog qhov kev kuaj mob no, qhov no yog qhov nws feem ntau txhais tau. Qhov no yog '(Kev Ntsuas Duab)' ntawm '(Nuclear Medicine)' hom, uas yog, kev luam theej duab. Qhov tshwm sim hauv qhov no yog tias cov radioactivity hauv koj lub cev raug luam theej duab thiab cov duab raug tsim. Tsis txhob txhawj, qhov no tsis ua rau koj mob. Yuav kom koj lub plab suav nrog hauv kev luam theej duab, cov tshuaj radioactive me me, tsis muaj teeb meem '(Radioactive Tracer)' raug ntxiv rau cov khoom noj uas koj noj.
Puas muaj lwm txoj hauv kev los ua qhov kev xeem no?
Yog, muaj ntau lwm txoj kev ntxiv rau qhov tseem ceeb:
- Kev Ntsuas Kev Ua Pa ntawm Lub Plab (GEBT): Qhov no ntsuas qhov ntau ntawm cov pa uas koj tso tawm thiab seb koj cov khoom noj txav mus los ntawm koj txoj hnyuv li cas. Koj tau txais cov khoom noj uas muaj cov pa roj carbon tshwj xeeb hu ua "Carbon-13". Thaum nws hla koj txoj hnyuv, nws tsim cov pa roj carbon dioxide uas tuaj yeem ntsuas tau hauv koj txoj pa.
- SmartPill™ Wireless Motility Capsule: Qhov no suav nrog kev nqos ib lub cuab yeej hluav taws xob me me uas zoo li ib lub tshuaj ntsiav. Thaum nws mus ncig los ntawm koj lub cev zom zaub mov, nws xa cov ntaub ntawv mus rau "Receiver" uas koj hnav. Cov tshuaj ntsiav raug xa tawm hauv koj lub quav hauv ib lossis ob hnub. Tom qab ntawd, thaum koj muab "Receiver" rau koj tus kws kho mob, nws tuaj yeem saib cov ntaub ntawv thiab tau txais lub tswv yim ntawm koj tus mob.
Peb kawm tau dab tsi los ntawm qhov kev xeem no?
Qhov kev kuaj no feem ntau qhia rau koj seb koj lub plab puas tso zis sai dhau lossis qeeb dhau . Nws kuj tseem tuaj yeem nrhiav tau qhov twg hauv koj lub plab qhov kev ceev no qeeb zuj zus. Qhov no tuaj yeem pab tau zoo hauv kev nkag siab txog qhov ua rau qee yam teeb meem ntawm koj lub plab.
| Cov tsos mob uas yuav ua rau tus kws kho mob txiav txim siab qhov kev kuaj no | |
|---|---|
| Kev xav tias puv npo | Txawm tias noj me ntsis los xij, xav tias puv nkaus heev, lossis xav tias puv ntev tom qab noj mov tas. |
| Xeev siab thiab ntuav | Xeev siab thiab/lossis ntuav ntau zaus. |
| Mob plab | Mob hauv plab sab saud. |
| Ua kom lub plab puv | Kev xav tias muaj roj thiab o. |
| Lwm yam nta | Tsis xav noj mov, poob phaus, ntshav qab zib nce thiab nqis sai sai, kiv taub hau, lub plawv dhia ceev ceev, thiab kua qaub ncaug rov qab los tas li. |
Yog tias koj tseem muaj cov tsos mob zoo li no, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob.
Qhov kev kuaj no yuav kuaj tau cov kab mob twg?
Yog tias lub plab zom mov qeeb qeeb, nws yuav yog ib qho cim qhia tias lub plab txhaws lossis yog ib qho mob uas cov leeg thiab cov hlab ntsha hauv lub plab tsis ua haujlwm zoo. Qhov no hu ua 'Gastroparesis' hauv kev kho mob.
Tsis tas li ntawd xwb, yog tias lub plab khoob sai dhau, peb hu nws tias 'Dumping Syndrome '. Qhov no kuj yog teeb meem nrog cov leeg thiab cov hlab ntsha. Qhov mob no feem ntau tshwm sim ntawm cov neeg uas tau phais plab. Txawm li cas los xij, yog tias koj tsis tau phais, nws kuj tuaj yeem yog ib qho tsos mob ntawm lwm yam mob.
Koj yuav tsum npaj li cas ua ntej qhov kev xeem?
Qhov no tseem ceeb heev. Tus kws kho mob yuav muab cov lus qhia tsim nyog rau koj ua ntej kuaj. Koj yuav tsum qhia rau nws txog cov tshuaj uas koj noj thiab lwm yam kab mob uas koj muaj.
| Ua thiab Tsis Ua Ua Ntej Qhov Kev Xeem | |
|---|---|
| Khoom noj thiab dej haus | Tsis txhob noj lossis haus dab tsi li ntawm 4 teev ua ntej qhov kev kuaj mob. Vim tias qhov kev kuaj mob feem ntau yog ua thaum sawv ntxov, koj yuav raug hais kom yoo mov txij hmo ua ntej. |
| Yog koj muaj mob ntshav qab zib | Yog koj siv tshuaj insulin rau tus kab mob ntshav qab zib, nqa koj lub insulin thiab lub ntsuas ntshav qab zib tuaj. Yuav ntsuas koj cov ntshav qab zib ua ntej kuaj thiab yuav muab tshuaj insulin rau koj kom tswj tau qhov teeb meem yog tias tsim nyog. |
| Haus luam yeeb | Tsis txhob haus luam yeeb ua ntej kuaj. Nws tuaj yeem ncua koj lub plab kom tsis txhob qhuav. |
| Qee cov tshuaj | Nyob ntawm koj tus kws kho mob cov lus qhia, tej zaum koj yuav tsum tsis txhob noj qee yam tshuaj (piv txwv li, tshuaj tua kab mob, tshuaj tiv thaiv kev nyuaj siab, thiab qee yam tshuaj rau mob gastritis) rau ob peb hnub. |
| Cov sijhawm tshwj xeeb | Yog koj cev xeeb tub lossis pub niam mis, nco ntsoov qhia rau koj tus kws kho mob txog qhov no. Qhov kev kuaj no tsis ua rau muaj cov teeb meem no vim yog cov khoom siv radioactive. |
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Qhov no yog ib qho txheej txheem yooj yim heev.
1. Pluas Noj: Ua ntej, koj yuav tau txais ib pluag mov tshwj xeeb uas tau npaj tseg. Feem ntau qhov no muaj qe dawb sib xyaw nrog cov tshuaj radioactive "(Sulfur Colloid)", ib daim mov ci nrog jam, thiab ib khob dej. Qhov noKoj yuav tsum noj tag hauv 10 feeb .
2. Kev Luam Ntawv: Tus kws kho mob mam li coj koj mus rau lub tshuab luam ntawv. Yog ua tau, yuav hais kom koj sawv ntsug, lossis pw yog ua tsis tau. Lub koob yees duab luam ntawv yuav tsom mus rau koj lub plab thiab luam ntawv li ib feeb ib zaug.
3. Lub Sijhawm: Thawj qhov kev luam theej duab yuav raug thaij tom qab koj noj mov tas. Tom qab ntawd, koj yuav raug luam theej duab dua hauv ib teev, ob teev, thiab plaub teev. Koj tuaj yeem tawm hauv chav thaum lub sijhawm luam theej duab no, tab sis koj yuav tsum rov qab los raws sijhawm.
Feem ntau qhov kev kuaj no yuav siv sijhawm li ntawm 2 txog 4 teev . Lub sijhawm siab tshaj plaws uas lub plab yuav tsum tau ua kom khoob yog 4 teev, yog li koj yuav tsum tos ntev npaum li ntawd. Yog tias nws khoob ua ntej ntawd, qhov kev kuaj yuav tiav sai sai.
Koj yuav tsis hnov mob lossis tsis xis nyob thaum lub sijhawm kuaj no. Koj yuav tsis saj lossis tsis hnov cov khoom siv radioactive hauv cov khoom noj.
Yuav nkag siab cov txiaj ntsig ntawm kev xeem li cas?
Koj tus kws kho mob yuav piav qhia daim ntawv qhia uas koj tau txais tom qab kuaj. Nws qhia tias muaj pes tsawg yam khoom noj seem hauv koj lub plab thaum 1, 2, thiab 4 teev.
| Xwm txheej | Qhov tshwm sim |
|---|---|
| Cov Txiaj Ntsig Ib Txwm | |
| Tom qab 1 teev | Ntau tshaj 30% ntawm cov khoom noj yuav tsum nyob hauv plab. |
| Tom qab 2 teev | Yam tsawg kawg yog 40% ntawm cov khoom noj yuav tsum khoob. |
| Tom qab 4 teev | Yam tsawg kawg yog 90% ntawm cov khoom noj yuav tsum khoob (tsawg dua 10% yuav tsum tshuav). |
| Cov Txiaj Ntsig Txawv Txawv | |
| Kev zom zaub mov qeeb qeeb (Gastroparesis) | - Yog tias ntau tshaj 60% ntawm cov khoom noj tseem nyob hauv plab tom qab 2 teev. - Yog tias tseem muaj ntau tshaj 10% ntawm cov khoom noj nyob hauv plab tom qab 4 teev. |
| Kev Tso Tseg Syndrome | - Yog tias ntau tshaj 70% ntawm cov khoom noj khoob tom qab 1 teev. |
Tom qab qhov kev kuaj no, cov khoom siv radioactive uas nkag mus rau hauv koj lub cev yuav raug tshem tawm tag nrho los ntawm cov zis thiab cov quav hauv ob hnub. Haus dej ntau yuav pab ua kom cov txheej txheem no sai dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho 'Kev Tshawb Fawb Txog Kev Tshem Tawm Pa Hauv Plab' yog ib qho kev kuaj yooj yim thiab tsis mob uas ntsuas lub sijhawm uas nws siv rau cov khoom noj kom tshem tawm ntawm koj lub plab.
- Yog tias koj muaj cov tsos mob xws li mob plab ntau zaus, xeev siab, thiab mob plab, qhov kev kuaj no tuaj yeem pab nrhiav qhov ua rau.
- Qhov no pab txheeb xyuas cov mob xws li 'Gastroparesis' (kev tso zaub mov qeeb) thiab 'Dumping Syndrome' (kev tso zaub mov sai).
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia (yoo mov, tsum qee yam tshuaj) ua ntej qhov kev kuaj mob.
- Nug koj tus kws kho mob kom piav qhia cov txiaj ntsig ntawm kev kuaj mob rau hauv txoj kev uas koj nkag siab tau.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus