Kodi m'mimba mwanu mumakhala ndi chakudya chokwanira mukatha kudya? Tiyeni tikambirane za Kafukufuku Wokhudza Kutulutsa Madzi M'mimba!

Kodi munayamba mwadzifunsapo kuti chakudya chomwe mumadya chimakhala m'mimba kwa nthawi yayitali bwanji komanso kuti chimatuluka bwanji? Nthawi zina timamva kukhuta kapena nseru tikatha kudya. Nthawi ngati zimenezi, mayeso apadera amatchedwa 'Gastric Emptying Study' kuti tiwone nthawi yomwe chakudyacho chimakhala m'mimba mwathu komanso momwe chimatulutsidwira. Izi zingatithandize kudziwa ngati pali vuto lililonse ndi momwe m'mimba mwathu mumagwirira ntchito, kutanthauza m'mimba.

Kodi tingaphunzire chiyani kwenikweni kuchokera ku mayeso awa?

Tangoganizirani, mutadya chakudya, kodi mumamva zinthu motere:

• Zimatenga nthawi kuti mimba imve kukhuta , ndipo kukhuta kumeneko kwakhalapo kwa nthawi yayitali .
• Nthawi zambiri ndimamva nseru komanso kusanza .
• Ndikumva kupweteka m'mimba chapamwamba .
• Mimba yanga ikumva kudzaza, ngati kuti yatupa .
• Ndimataya chilakolako changa cha chakudya ndipo ndimachepa thupi .
• Shuga m'magazi amakwera mwadzidzidzi kenako n’kutsikanso .
• Zikumveka ngati chizungulire .
• Mukumva ngati mtima wanu ukugunda mofulumira mwadzidzidzi .
• Pali matenda monga gastritis ndi kudzimbidwa .
• Kumatuluka nthawi zonse pakhosi (chronic acid reflux) .

Ngati muli ndi zizindikiro izi, dokotala wanu angakulangizeni kuti mufufuze ngati chakudya chikutuluka m'mimba. Mwachidule, mayesowa amayesa ngati chakudya chikutuluka m'mimba mwanu pang'onopang'ono kapena mwachangu kwambiri . Angakupatseninso lingaliro la komwe liwiro la m'mimba mwanu likuchepa komanso magawo a m'mimba mwanu omwe akukhudzidwa. Izi zingakuthandizeni kumvetsetsa chifukwa cha zizindikiro zina za m'mimba mwanu (GI) .

Kodi izi zimazindikira matenda amtundu wanji?

Tsopano tiyeni tiwone matenda omwe mayesowa angazindikire.

• Ngati m'mimba mwanu mukutuluka madzi pang'onopang'ono: Ichi chingakhale chizindikiro chakuti pali chotchinga m'mimba mwanu. Kapena, chingakhale vuto lotchedwa gastroparesis, lomwe ndi vuto lomwe minofu ndi mitsempha m'mimba mwanu sizikugwira ntchito bwino, zomwe zimapangitsa kuti m'mimba mwanu mufewe . Gastroparesis ndi vuto la minofu ndi mitsempha m'mimba mwanu.
• Ngati m'mimba mwanu mwatuluka madzi mwachangu: Izi zimatchedwa dumping syndrome . Izi zimagwirizananso ndi minofu ndi mitsempha m'mimba mwanu. Vutoli nthawi zambiri limawonekera mukachita opaleshoni ya m'mimba. Komabe, ngati simunachite opaleshoni, ikhoza kukhala chizindikiro cha vuto lina loyambitsa vutoli.

Kodi mayeso ofala kwambiri a Gastric Emptying Scintigraphy amachitidwa bwanji?

Njira yayikulu yochitira Kafukufuku Wochotsa Zinthu M'mimba uyu imatchedwa Gastric Emptying Scintigraphy (GES) . Ili ndi dzina lomwe madokotala ambiri amagwiritsa ntchito. Kwenikweni ili ndi mayeso ojambulira mankhwala a nyukiliya . Mwachidule, imagwiritsa ntchito kuwala kwa dzuwa kuti ijambule thupi lanu ndikupanga zithunzi.

Taganizirani izi ngati 'X-ray yamkati-kunja'. X-ray yachizolowezi imatumiza kuwala kudzera m'thupi lanu kuchokera kunja. Koma pankhaniyi, chowunikira chapadera cha radioactive chimawonjezeredwa ku chakudya chomwe mumadya. Chowunikira ichi chikalowa, chimatulutsa kuwala kwa gamma . Kenako, kamera ya gamma imazindikira kuwala kumeneku ndikukusintha kukhala chithunzi cha magawo awiri. Umu ndi momwe mumaonera chakudya chomwe mumadya chikuyenda m'mimba mwanu.

Musanayambe mayesowa, mudzapatsidwa zakudya zomwe aliyense amadya. Muli ndi ulusi, shuga, mapuloteni, ndi mafuta. Izi zili choncho chifukwa zonsezi zimakhudza kayendedwe ka m'mimba, kutanthauza kuyenda kwa m'mimba . Isotope ya radioactive yomwe imawonjezeredwa ku chakudya ichi imatchedwa Sulfur Colloid (99mTc) . Izi sizimavulaza thupi kwambiri, zomwe zikutanthauza kuti chiopsezo cha poizoni ndi chochepa kwambiri .

Kodi pali njira zina kupatula iyi?

Inde, pali njira zina zingapo zowunikira momwe mimba imagwirira ntchito.

• Kuyesa Mpweya Woyenda M'mimba (GEBT): Izi zimaphatikizapo kuyesa mpweya wanu. Chakudya chapadera chomwe mumamwa chimakhala ndi molekyulu ya kaboni yotchedwa Carbon-13 . Izi zikalowa m'matumbo anu, mpweya wapadera wa kaboni dioxide (CO2-13) woyezeka umapangidwa. Mpweya umenewo umayesedwa mu mpweya wanu kuti muwone momwe chakudyacho chikuyendera mofulumira.
• SmartPill™ Wireless Motility Capsule: Izi zimaphatikizapo kumeza chipangizo chamagetsi chaching'ono, chofanana ndi mapiritsi. Pamene chikuyenda m'mimba mwanu, chimatumiza uthenga kwa chipangizo chomwe mumavala popanda waya. SmartPill™ imaperekedwa mu ndowe zanu patatha tsiku limodzi kapena awiri. Kenako, mukapereka chipangizocho kwa dokotala, amatha kusanthula detayo ndikupeza matenda.

Kodi tiyenera kudziwa chiyani tisanayese mayeso?

Musanayambe kuyezetsa magazi, dokotala wanu adzakambirana nanu za vutoli. Adzakufunsani za matenda ena aliwonse omwe muli nawo komanso mankhwala aliwonse omwe mukumwa, chifukwa izi zingakhudze zotsatira za mayeso.

• Ngati muli ndi shuga wambiri m'magazi (hyperglycemia) kapena shuga wotsika mwadzidzidzi m'magazi (hypoglycemia), mwina mayeso awa sakukuyenererani.
• Ngati muli ndi pakati kapena mukuyamwitsa, ndi bwino kupewa mayesowa. Chifukwa chake ndi zinthu zowononga.
• Ngati muli ndi msambo , dokotala wanu angafune kuti muyesedwe tsiku linalake la msambo wanu, chifukwa kusintha kwa mahomoni kungakhudze kuchuluka kwa madzi m'mimba mwanu, zomwe zingasinthe zotsatira zake.

Kodi mungakonzekere bwanji mayeso?

M'mimba mwanu mukamayesedwa izi muyenera kukhala opanda kanthu . Choncho dokotala wanu adzakuuzani kuti musadye kapena kumwa chilichonse kwa maola osachepera anayi musanayesedwe . Nthawi zambiri, mayesowa amachitidwa m'mawa, kotero zimakhala zosavuta kuti musadye kapena kumwa chilichonse usiku watha.

• Ngati muli ndi matenda a shuga ndipo mukugwiritsa ntchito insulin , mudzapemphedwa kuti mubweretse insulin yanu ndi chowunikira shuga . Asanayesedwe, adzayang'ana kuchuluka kwa shuga m'magazi mwanu, adzalemba, ndikukupatsani insulin ngati pakufunika kuti ibwererenso pamlingo woyenera.
• Si bwino kusuta musanayesedwe, chifukwa izi zingachedwetse kutulutsa madzi m'mimba.
• Mungapemphedwenso kuti musiye kumwa mankhwala ena masiku angapo mayeso asanachitike. Mwachitsanzo:
• Mankhwala ochepetsa magazi
• Mankhwala ena ochepetsa ululu, makamaka ma opioid
• Mankhwala ena oletsa kuvutika maganizo
• Zoletsa njira za calcium
• Mankhwala oletsa asidi
• Chithandizo cha mahomoni cha akazi

Kumbukirani kuti mndandandawu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.

Kodi chimachitika ndi chiyani panthawi ya mayeso?

Chabwino, tsopano tiyeni tiwone zomwe zimachitika tikachita mayeso.

• Choyamba, mudzapatsidwa chakudya chapadera chomwe ndatchula kale. Chimakhala ndi dzira loyera lokazinga losakanizidwa ndi sulfur colloid , chidutswa cha mkate ndi jamu ya sitiroberi, ndi galasi la madzi. Ndikofunikira kwambiri kumaliza zonsezi mkati mwa mphindi khumi .
• Ngati n'kotheka, muyenera kuimirira pamene mayeso akuchitidwa. Ngati sichoncho, mukhoza kugona pansi. Katswiri adzaika kamera kapena makamera pamimba panu.
• Chojambuliracho chimasanthula mimba yanu mosalekeza kwa mphindi imodzi . Chimasanthula pafupifupi kanayi kapena kasanu motere.
• Kujambula koyamba kumachitika mukangomaliza kudya . Ngati katswiri akuganiza kuti m'mimba mwanu mukutuluka madzi mwachangu, adzajambulanso patatha mphindi 30. Kujambula kwina kumachitika.Patatha ola limodzi, maola awiri ndi maola anayi.
• Mukhoza kudzuka ndikutuluka m'chipindamo panthawi yofufuzayi, koma muyenera kubweranso nthawi yake.

Kodi mayesowa amatenga nthawi yayitali bwanji?

Kujambula zithunzi za Scintigraphy m'mimba nthawi zambiri kumatenga maola awiri kapena anayi kuti kumalizidwe. Maola awiri ndi nthawi yapakati yomwe imatenga kuti m'mimba mutulutse madzi. Choncho ngati m'mimba mwanu mulibe kanthu mkati mwa nthawi imeneyo, amasiya kujambula panthawiyo. Koma ngati zitenga nthawi yayitali kuposa pamenepo, amatha kujambula kwa maola anayi.

Kodi izi zikupweteka? Kodi sizikumveka bwino?

Ayi konse. Simudzamva scan kapena zinthu zotulutsa ma radiation konse . Simungathe kuzindikira chinthu chomwe chili mu chakudya mwa kukoma kapena fungo. Choncho musadandaule za kusasangalala kulikonse.

Kodi Kafukufuku Wokhudza Kutulutsa Madzi M'mimba ndi Chiyani?

Nthawi zina madokotala amalamula mayeso osiyana a zakumwa (kafukufuku wochotsa madzi m'thupi) . Izi zingapereke zambiri zowonjezera za matenda anu. Chifukwa madzi samayenda m'mimba monga momwe chakudya cholimba chimayendera, zotsatira za mayesowa zitha kukhala zosiyana. Dokotala wanu akhoza kulamula mayeso amadzimadzi awa nthawi yomweyo ndi mayeso a chakudya cholimba. Kapena, akhoza kulamula mayesowa tsiku lina pambuyo pa mayeso a chakudya cholimba.

Iyi ndi mayeso afupiafupi . Mudzapatsidwa kapu ya madzi okhala ndi sulfure colloid . Kenako katswiri adzajambula zithunzi pafupifupi zitatu mkati mwa ola limodzi.

Kodi pali zoopsa kapena zotsatirapo zilizonse za mayeso a Gastric Emptying Scintigraphy?

Kuchuluka kwa kuwala komwe kumayikidwa m'thupi lanu ndi kochepa kwambiri , ndipo sikukwanira kukuvulazani. Komabe, ngati muli ndi pakati, pakhoza kukhala chiopsezo chochepa kwa mwana wanu wosabadwa . Ngati ndinu mayi woyamwitsa, kuwala kochepa kumatha kupita kwa mwana wanu kudzera mu mkaka wanu . Ndicho chifukwa chake mayesowo amachedwetsedwa. Kupanda kutero, palibe zotsatira zina zodziwika .

Zinthu zotulutsa ma radiation izi zidzachotsedwa kwathunthu m'thupi lanu mu mkodzo ndi ndowe zanu pakatha masiku awiri. Imwani madzi ambiri masiku amenewo, chifukwa izi zithandiza kuti zituluke m'thupi lanu mwachangu.

Kodi ndimamvetsa bwanji zotsatira za mayeso anga?

Dokotala wanu adzawunikanso zotsatira za mayeso ndikukufotokozerani. Zotsatira zake zikusonyeza nthawi yomwe chakudya chomwe mudadya chinatenga kuti chiziyenda m'mimba mwanu. Zidzasonyeza momwe chakudyacho chinayendera mu ola limodzi, maola awiri, kapena maola anayi. Kenako adzayerekeza zotsatira zake ndi avareji. Ngati zotsatira zanu zili mofulumira kapena pang'onopang'ono kuposa masiku onse, zikutanthauza kuti m'mimba mwanu mukutuluka madzi mwachangu kwambiri kapena pang'onopang'ono kwambiri.

Kodi zotsatira zabwinobwino ziyenera kukhala zotani?

Zakudya zolimba:

• Mu mphindi 30:Pafupifupi 70% ya chakudya chiyenera kukhala m'mimba.
• Mu ola limodzi: Osachepera 30% ya chakudya chiyenera kukhala m'mimba, ndipo osachepera 10% chiyenera kukhala chopanda kanthu.
• Mu maola awiri: Osachepera 40% ya chakudya chiyenera kukhala chopanda kanthu.
• Mu maola anayi: Osachepera 90% ya chakudya chiyenera kukhala chopanda kanthu.

Nthawi yapakati yoyesera madzi ndi pakati pa mphindi 20 ndi 25 .

Kodi zotsatira zachilendo ndi ziti?

Mungakhale ndi gastroparesis ngati:

• Ngati chakudya choposa 60% chikadali m'mimba patatha maola awiri.
• Ngati chakudya choposa 10% chikadali m'mimba patatha maola anayi.

Mungakhale ndi Dumping Syndrome , vuto lomwe m'mimba mumatuluka madzi mwachangu kwambiri, ngati:

• Ngati chakudya choposa 30% chili kale chopanda kanthu patatha mphindi 30.
• Ngati chakudya choposa 70% chili kale chopanda kanthu patatha ola limodzi.

Pomaliza, zinthu zomwe muyenera kukumbukira

Kujambula kwa Gastric Emptying Scintigraphy ndi njira yosavuta, yosavulaza, komanso yolondola yowunikira momwe m'mimba mwanu mukuyendera, kapena kuyenda kwa m'mimba .

Zingakuuzeni zambiri zokhudza momwe matumbo anu akugwirira ntchito, popanda vuto lililonse, komanso m'maola ochepa chabe a nthawi yanu. Mwina mwakhala ndi zizindikiro kwa nthawi yayitali zomwe simunapeze chifukwa chake, ndipo chifukwa cha zizindikiro zomwe sizinasinthe ndi chithandizo tsopano zitha kumveka bwino. Zotsatira za mayesowa zithandiza kwambiri dokotala wanu kuzindikira vuto lanu lenileni. Chifukwa chake, ngati dokotala akupereka mayeso awa, palibe choopa. Lankhulani ndi dokotala wanu za izi bwino, mvetsetsani chilichonse, ndikuyesedwa.

Kutulutsa m'mimba , kafukufuku wotulutsa m'mimba, kufufuza m'mimba, gastroparesis, dumping syndrome, kugaya chakudya, scintigraphy