Kodi mumamvanso ngati mwakhuta ngakhale mutadya chakudya chochepa? Kapena nthawi zambiri mumadzimva nseru kapena muli ndi mavuto okhudzana ndi kukhuta? Mwina chifukwa cha izi ndi kusintha kwa liwiro lomwe chakudya chimatuluka m'mimba mwanu, ndiko kuti, m'mimba mwanu. Kotero lero, tiyeni tikambirane za mayeso apadera azachipatala omwe amachitidwa kuti tidziwe izi. Ichi ndi chomwe timachitcha `(Kafukufuku Wotulutsa Madzi M'mimba)`.
Mwachidule, kodi Kafukufuku Wochotsa M'mimba uyu ndi chiyani?
Iyi ndi njira yosavuta kwambiri yoyezera. Imayesa nthawi yomwe chakudya (kapena chakumwa) chomwe mumadya chimatenga kuti chidutse m'mimba mwanu kenako n’kutulutsa chilichonse. Njira imeneyi yoyendetsera chakudya ndi zakumwa m'mimba mwanu imatchedwa ``Gastric Motility''. Madokotala amachita mayesowa kuti aone ngati m'mimba mwanu mukuyenda bwino. Ngati kuchuluka kwa chakudya chomwe chimatha m'mimba kuli mofulumira kapena pang'onopang'ono kuposa masiku onse, kungakhale chizindikiro cha matenda.
Njira yayikulu komanso yogwiritsidwa ntchito kwambiri pa izi ndi mayeso otchedwa `(Gastric Emptying Scintigraphy - GES)`. Dokotala akakuuzani za mayesowa, izi ndi zomwe nthawi zambiri amatanthauza. Iyi ndi `(Image Test)` ya mtundu wa `(Nuclear Medicine)`, kutanthauza, scan. Chomwe chimachitika pamenepa ndichakuti radioactivity m'thupi lanu imajambulidwa ndipo zithunzi zimapangidwa. Musadandaule, izi sizikuvulazani. Kuti mimba yanu iphatikizidwe mu scan, chinthu chochepa kwambiri, chopanda vuto cha radioactive `(Radioactive Tracer)` chimawonjezedwa ku chakudya chomwe mumadya.
Kodi pali njira zina zochitira mayeso awa?
Inde, pali njira zina zingapo kuwonjezera pa imodzi yayikulu:
- Mayeso a Mpweya Oyenda M'mimba (GEBT): Izi zimayesa kuchuluka kwa mpweya womwe mumatulutsa komanso momwe chakudya chanu chimayendera m'matumbo mwanu. Mumapatsidwa chakudya chokhala ndi molekyu yapadera ya kaboni yotchedwa ``Carbon-13''. Ikadutsa m'matumbo mwanu, imapanga mpweya wa kaboni dayokisaidi womwe ungayesedwe mumpweya wanu.
- SmartPill™ Wireless Motility Capsule: Izi zimaphatikizapo kumeza chipangizo chamagetsi chaching'ono chomwe chimawoneka ngati piritsi. Pamene chikuyenda m'mimba mwanu, chimatumiza deta kwa ``Receiver`` yomwe mumavala. Piritsilo limaperekedwa mu ndowe yanu patatha tsiku limodzi kapena awiri. Kenako, mukapereka ``Receiver`` kwa dokotala wanu, iye akhoza kuyang'ana detayo ndikupeza lingaliro la vuto lanu.
Kodi tingaphunzire chiyani kuchokera ku mayeso awa?
Kuyezetsa kumeneku kumakuuzani makamaka ngati m'mimba mwanu mukutuluka madzi mwachangu kwambiri kapena pang'onopang'ono kwambiri . Kungakuthandizeninso kudziwa komwe kuthamanga kwa magazi m'mimba mwanu kukuchepa. Izi zingakuthandizeni kwambiri kumvetsetsa chomwe chimayambitsa mavuto ena m'mimba mwanu.
| Zizindikiro zomwe zingapangitse dokotala kuyitanitsa mayeso awa | |
|---|---|
| Kumva kukhuta | Kumva kukhuta kwambiri ngakhale mutadya chakudya chochepa, kapena kukhala ndi kumva choncho kwa nthawi yayitali mutadya. |
| Kusanza ndi kusanza | Kusanza ndi/kapena kusanza pafupipafupi. |
| Kupweteka m'mimba | Ululu m'mimba chapamwamba. |
| Kudzaza mimba | Kumva mpweya ndi kudzimbidwa. |
| Zina mwazinthu | Kutaya chilakolako cha chakudya, kuchepa thupi, kuwonjezeka mwadzidzidzi ndi kuchepa kwa shuga m'magazi, chizungulire, kugunda kwa mtima mofulumira, komanso kuchira kwa asidi nthawi zonse. |
Ngati mukupitirizabe kukhala ndi zizindikiro ngati izi, ndi bwino kulankhula ndi dokotala wanu.
Ndi matenda ati omwe angadziwike ndi mayeso awa?
Ngati m'mimba mukutuluka madzi pang'onopang'ono, izi zitha kukhala chizindikiro cha kutsekeka kwa m'mimba kapena vuto lomwe minofu ndi mitsempha m'mimba sizikugwira ntchito bwino. Izi zimatchedwa `Gastroparesis` m'mankhwala.
Komanso, ngati m'mimba mwatuluka madzi mwachangu kwambiri, timatcha `Dumping Syndrome` . Ilinso ndi vuto la minofu ndi mitsempha. Vutoli ndi lofala pakati pa anthu omwe adachitidwa opaleshoni ya m'mimba. Komabe, ngati simunachite opaleshoni, likhozanso kukhala chizindikiro cha vuto lina lachipatala lomwe limadziwika.
Kodi muyenera kukonzekera bwanji musanayese mayeso?
Izi ndizofunikira kwambiri. Dokotala adzakupatsani malangizo ofunikira musanayesedwe. Muyeneranso kumuuza za mankhwala omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
| Zoyenera Kuchita ndi Zosayenera Kuchita Musanayambe Kuyesedwa | |
|---|---|
| Chakudya ndi zakumwa | Musadye kapena kumwa chilichonse kwa maola osachepera 4 musanayesedwe . Popeza mayeso nthawi zambiri amachitidwa m'mawa, mudzapemphedwa kusala kudya kuyambira usiku watha. |
| Ngati muli ndi matenda a shuga | Ngati mukumwa insulin chifukwa cha matenda a shuga, bweretsani insulin yanu ndi glucometer yanu. Muyezo wa shuga m'magazi mwanu udzayesedwa musanayesedwe ndipo insulin idzaperekedwa kuti ilamulire ngati pakufunika kutero. |
| Kusuta | Musasute fodya musanayesedwe. Kusuta fodya kungachedwetse kutulutsa madzi m'mimba mwanu. |
| Mankhwala ena | Kutengera ndi upangiri wa dokotala wanu, mungafunike kusiya kumwa mankhwala ena (monga mankhwala ochepetsa ululu, mankhwala oletsa kuvutika maganizo, ndi mankhwala ena a gastritis) kwa masiku angapo. |
| Zochitika zapadera | Ngati muli ndi pakati kapena mukuyamwitsa, onetsetsani kuti mwauza dokotala wanu za izi. Kuyezetsaku sikumachitika pazochitika izi chifukwa cha zinthu zomwe zili ndi ma radiation. |
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Iyi ndi njira yosavuta kwambiri.
1. Chakudya: Choyamba, mudzapatsidwa chakudya chokonzedwa mwapadera. Nthawi zambiri chimakhala ndi mazira oyera osakanikirana ndi mankhwala owopsa a ``(Sulfur Colloid)``, chidutswa cha mkate ndi jamu, ndi galasi la madzi.Muyenera kumaliza kudya mkati mwa mphindi 10 .
2. Kujambula: Katswiri adzakutengerani ku skana. Mudzapemphedwa kuti muime ngati n'kotheka, kapena mugone pansi ngati sichoncho. Kamera yojambula idzayang'ana m'mimba mwanu ndipo kujambulako kudzatenga mphindi imodzi nthawi imodzi.
3. Nthawi: Kujambula koyamba kumachitika mukangomaliza kudya. Kenako, mudzajambulidwanso pakatha ola limodzi, maola awiri, ndi maola anayi. Mutha kutuluka m'chipindamo mukajambula izi, koma muyenera kubwerera nthawi yake.
Mayeso onsewa nthawi zambiri amatenga pakati pa maola awiri ndi anayi . Nthawi yokwanira yomwe imatenga kuti m'mimba mutulutse madzi nthawi zambiri imakhala maola anayi, kotero muyenera kudikira nthawi yayitali. Ngati atulutsa madzi musanayambe, mayesowo amatha msanga.
Simudzamva kupweteka kapena kusasangalala panthawi yoyezetsa iyi. Simudzalawa kapena kununkhiza zinthu zowopsa zomwe zili mu chakudya.
Kodi mungamvetse bwanji zotsatira za mayeso?
Dokotala wanu adzakufotokozerani lipoti lomwe mwalandira mutamaliza kuyezetsa. Lidzasonyeza kuchuluka kwa chakudya chomwe chinatsala m'mimba mwanu pa ola limodzi, awiri, ndi anayi.
| Udindo | Zotsatira |
|---|---|
| Zotsatira Zachizolowezi | |
| Pambuyo pa ola limodzi | Chakudya choposa 30% chiyenera kukhala m'mimba. |
| Patatha maola awiri | Chakudya chokwana 40% chiyenera kukhala chopanda kanthu. |
| Patatha maola anayi | Chakudya chokwana 90% chiyenera kukhala chopanda kanthu (chotsala ndi chochepera 10%). |
| Zotsatira Zosazolowereka | |
| Kutaya chakudya pang'onopang'ono (Gastroparesis) | - Ngati chakudya choposa 60% chatsala m'mimba patatha maola awiri. - Ngati chakudya choposa 10% chatsala m'mimba patatha maola 4. |
| Matenda Otaya Madzi | - Ngati chakudya choposa 70% chilibe kanthu patatha ola limodzi. |
Pambuyo pa mayesowa, zinthu zowononga zomwe zinalowa m'thupi lanu zidzachotsedwa kwathunthu kudzera mu mkodzo ndi ndowe mkati mwa masiku awiri. Kumwa madzi ambiri kungathandize kuti izi zichitike mwachangu.
Uthenga Wopita Nawo Kunyumba
- `Kafukufuku Wochotsa Chakudya M'mimba` ndi njira yosavuta komanso yopanda ululu yomwe imayesa nthawi yomwe chakudya chimatenga kuti chituluke m'mimba.
- Ngati muli ndi zizindikiro monga kudzimbidwa pafupipafupi, nseru, komanso kupweteka m'mimba, mayesowa angakuthandizeni kupeza chomwe chikuyambitsa.
- Izi zimathandiza kuzindikira matenda monga `Gastroparesis` (kuchedwa kutaya chakudya) ndi `Dumping Syndrome` (kufulumira kutaya chakudya).
- Ndikofunikira kwambiri kutsatira malangizo a dokotala (kusala kudya, kusiya kumwa mankhwala enaake) musanayesedwe.
- Funsani dokotala wanu kuti akufotokozereni zotsatira za mayeso m'njira yomwe mungamvetse.
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