Kodi mumavutikanso kugaya chakudya? Kodi m'mimba mwanu mumamva kukhuta? Tiyeni tiphunzire za gastroparesis

Kodi nthawi zina mumamva kukhuta ngakhale mutadya chakudya chochepa? Kodi mumamva kupweteka m'mimba ngakhale maola angapo mutadya? Kapena mumasanza chakudya chosagayidwa? Ngakhale mutaganiza kuti izi ndi zinthu wamba, mutha kukhala ndi vuto lomwe anthu ambiri sakudziwa, koma likhoza kukhala lokhumudwitsa pang'ono. Lero tikulankhula za vuto ili lotchedwa gastroparesis.

Mwachidule, kodi gastroparesis ndi chiyani?

Dzina ili ndi lovuta pang'ono, koma n'losavuta kulimvetsa. Gastroparesis ndi pamene chakudya chomwe mumadya chimatenga nthawi yayitali kuposa masiku onse kuti chisamuke kuchokera m'mimba kupita m'matumbo. Mwachidule, ntchito ya m'mimba imasokonekera. Taganizirani ngati kuchuluka kwa magalimoto pamsewu. Chakudya chikakhala m'mimba kwa nthawi yayitali, kusasangalala komwe kwatchulidwaku kumayamba kuchitika. Dzina lina lomwe madokotala amatcha izi ndi "kuchedwa kutha kwa chakudya m'mimba." Zimangotanthauza kuti kutha kwa chakudya m'mimba kumachedwa.

Kodi zizindikiro za vutoli ndi ziti?

Si aliyense amene ali ndi gastroparesis amene ali ndi zizindikiro zomwezo. Anthu ena sangakhale ndi zizindikiro zilizonse. Koma pali zizindikiro zina zodziwika bwino. Onani ngati izi zikumveka ngati mukudziwa kale.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Nthawi zambiri, madokotala amavutika kudziwa chomwe chimayambitsa vutoli, koma nthawi zina, zinthu zingapo zapezeka zomwe zimayambitsa vutoli.

• Matenda a shuga: Matenda a shuga ndiye chifukwa chachikulu komanso chofala kwambiri cha gastroparesis. Ngati kuchuluka kwa shuga m'magazi sikulamuliridwa kwa nthawi yayitali, kumawononga mitsempha m'thupi. Pamene mitsempha ya vagus, yomwe imayang'anira kugaya chakudya, yawonongeka, ntchito ya m'mimba imatha kusokonekera.
• Opaleshoni: Maopaleshoni ena a m'mimba amatha kuwononga mitsempha ya vagus yomwe yatchulidwa pamwambapa.
• Matenda opatsirana ndi mavairasi: Matendawa amathanso kuchitika pambuyo pa matenda ena a m'mimba (gastroenteritis).
• Mankhwala ena: Mankhwala ochepetsa ululu (makamaka mankhwala osokoneza bongo) ndi mankhwala ena oletsa kuvutika maganizo amathanso kuchepetsa kugaya chakudya.
• Matenda ena: Angayambitsidwenso ndi kusowa kwa mahomoni a chithokomiro (hypothyroidism), matenda a Parkinson, matenda amitsempha monga multiple sclerosis, ndi matenda osowa monga amyloidosis ndi scleroderma.

Kodi izi zingayambitse mavuto otani?

Ngati gastroparesis sichitha kuchiritsidwa bwino, ingayambitse mavuto ena.

• Kukula kwa bakiteriya: Chakudya chikakhala m'mimba kwa nthawi yayitali, chingayambe kuwira ndikuyambitsa kukula kwa mabakiteriya oopsa.
• Kusowa madzi m'thupi: Ngati mukusanza pafupipafupi, mutha kutaya madzi ndi mchere m'thupi lanu, zomwe zimapangitsa kuti thupi lanu lisamasuke. Izi zitha kukhala zoopsa.
• Kusowa zakudya m'thupi:Thupi silingathe kuyamwa chakudya moyenera, zomwe zimapangitsa kuti lisakhale ndi zakudya zofunikira.
• Kutsekeka kwa matumbo: Nthawi zina chakudya chomwe sichingagayidwe m'mimba chimatha kusonkhana pamodzi n’kukhala cholimba ngati mwala, zomwe zimapangitsa kuti matumbo atsekeke. Izi zimatchedwa bezoar .
• Moyo wochepa: Zingakhale zovuta kwambiri kuchita zinthu za tsiku ndi tsiku ndi zizindikirozi.

Kodi dokotala amapeza bwanji izi?

Mukapita kukaonana ndi dokotala, adzamvetsera mosamala zizindikiro zanu ndikukuyang'anirani. Kenako, angakupatseni mayeso angapo kuti atsimikizire vutoli.

• Kujambula m'mimba: Iyi ndi njira yofunika kwambiri yoyezera. Mu njira iyi, mumadya chakudya chochepa (monga dzira) chosakanikirana ndi mankhwala owopsa. Kenako, makina oyezera amagwiritsidwa ntchito kuti aone momwe m'mimba mwanu mumatulutsira madzi mwachangu. Ngati chakudya choposa 10% chikadali m'mimba mwanu patatha maola 4, zimatsimikiziridwa kuti muli ndi gastroparesis.
• Kuyezetsa magazi: Izi zimathandiza kuwona ngati pali kusowa madzi m'thupi, kusowa zakudya m'thupi, kapena mavuto a shuga.
• Kujambula m'mimba mozama kwambiri: Dokotala wanu adzaika chubu chaching'ono chokhala ndi kamera kudzera pakamwa panu kuti aone mkati mwa m'mimba mwanu. Izi zingathandize kuwona matenda ena (monga zilonda zam'mimba).
• X-ray ya Barium: Madzi okhala ndi barium amamezedwa ndipo zithunzi za X-ray zimatengedwa. Izi zingapereke chithunzi cha mawonekedwe ndi ntchito ya m'mimba.

Palinso mayeso ena apadera monga `Gastric manometry` ndi `Electrogastrography`. Dokotala wanu adzasankha mayeso omwe mukufuna.

Kodi mankhwala ochizira izi ndi otani?

Gastroparesis ndi vuto lomwe limatha kukhala la nthawi yayitali (losatha). Koma musadandaule. Lingathe kuthandizidwa ndi kulamulidwa.

Kusintha kwa kadyedwe

Njira yabwino komanso yofunika kwambiri yothanirana ndi vutoli ndikusintha kadyedwe kanu.

• Zakudya zazing'ono m'malo mwa kudya chakudya chachikulu: M'malo modya chakudya chachikulu katatu patsiku, idyani chakudya chaching'ono ka 5-6 patsiku. Izi zithandiza kuti m'mimba mwanu musamve kukhuta nthawi imodzi.
• Zakudya zamadzimadzi ndi zosakaniza bwino: M'malo modya apulo, idyani zinthu monga applesauce, supu ya ndiwo zamasamba, msuzi wopanda mafuta ambiri, ndi madzi a zipatso.
• Chepetsani Mafuta ndi Ulusi: Ndi bwino kuchepetsa zakudya zamafuta, zonenepa (zakudya zokazinga) ndi zakudya zokhala ndi ulusi wambiri (masamba, tirigu wonse) chifukwa zimatenga nthawi yayitali kuti zigayidwe.
• Kupewa kudzimbidwa mukatha kudya: Musagone pansi kwa maola osachepera awiri mutadya. Mukayimirira kapena kuyenda, mphamvu yokoka imathandiza kuti chakudya chiziyenda pansi.

Mankhwala

Dokotala wanu angakupatseni mankhwala angapo kuti muchepetse zizindikiro zanu. Musamwe mankhwala awa popanda upangiri wa dokotala.

• Mankhwala omwe amalimbikitsa ntchito ya m'mimba: Mankhwala monga `Metoclopramide` ndi `Erythromycin` amalimbikitsa kufupika kwa minofu ya m'mimba ndikuthandizira kusuntha chakudya m'matumbo mwachangu.
• Mankhwala Oletsa Kutsekula M'mimba: Mankhwala oletsa kutsekula m'mimba monga Ondansetron ndi Prochlorperazine angathandize kuchepetsa nseru ndi kusanza.

Mankhwala ena

Pa milandu ina yovuta kwambiri, dokotala angagwiritse ntchito njira zina zochiritsira.

• Chitoliro chodyetsera: Ngati vutoli ndi lalikulu kwambiri moti silingathe kumeza chakudya pakamwa, chitolirocho chikhoza kulowetsedwa m'mimba mwachindunji m'matumbo ang'onoang'ono kuti chipereke chakudya chamadzimadzi.
• Jakisoni wa poizoni wa botulinum (Botulinum toxin kapena Botox): Jakisoniyu amagwiritsidwa ntchito kumasula valavu (pylorus) komwe chakudya chimadutsa kuchokera m'mimba kupita m'matumbo.
• Kulimbikitsa magetsi: Ma electrode amamangiriridwa kukhoma la m'mimba ndipo zizindikiro zamagetsi zimagwiritsidwa ntchito kuti m'mimba mukoke.
• Opaleshoni: Izi sizigwiritsidwa ntchito kawirikawiri ndipo pokhapokha ngati palibe njira zina zothandizira zomwe zapambana.

Ngati muli ndi matenda a shuga, kusunga shuga m'magazi mwanu moyenera ndikofunikira kuti muchepetse vutoli.