Kodi nthawi zambiri mumamva kupweteka m'mimba, kumva kukhuta mukatha kudya, kapena kumva kukhuta ngakhale mutadya pang'ono? Kodi nthawi zina mumamva nseru kapena kusanza? Ndiye ndikofunikira kwambiri kuti mudziwe za vutoli lotchedwa gastroparesis . Tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.
Kodi gastroparesis ndi chiyani? Mwachidule…
Mawu akuti gastroparesis amatanthauza "kulephera kwa m'mimba." Kunena zoona, ndi vuto lomwe limakhudza mitsempha ndi minofu m'mimba mwanu. Minofu m'mimba mwanu imapindika ndikupumula mwanjira yapadera kuti isunthe chakudya chomwe mumadya kuchokera m'mimba mwanu kupita kumatumbo ang'onoang'ono. Izi zimatchedwa peristalsis. Chifukwa chake, mwa munthu yemwe ali ndi gastroparesis, minofu ndi mitsempha m'mimba mwanu sizigwira ntchito bwino, kotero chakudya chimakakamira m'mimba mwanu ndipo sichitulutsa madzi bwino. Izi zimasokoneza njira yonse yogayira chakudya.
Taganizirani ngati injini yamadzi. Ngati switch ya injiniyo sigwira ntchito, kapena ngati pali vuto ndi injiniyo, madziwo salowa mu thanki. Umu ndi momwe mimba imagwirira ntchito.
Anthu omwe ali ndi vutoli amavutika kwambiri kugaya chakudya. Kuphatikiza apo, pakhoza kukhala zotsatirapo zoyipa kwa nthawi yayitali. Izi zitha kuphatikizapo kusowa chilakolako cha chakudya, kusowa zakudya m'thupi, komanso kuvutika kuwongolera kuchuluka kwa shuga m'magazi. Nthawi zina, ngakhale chakudya chimadutsa m'mimba, sichingatuluke kwathunthu, ndikusiya zidutswa za chakudya. Zidutswa zotsalazi za chakudya zimatha kuwunjikana ndikulimba ngati miyala, ndikupanga chipolopolo cholimba chotchedwa bezoar.
Kodi pali mitundu yosiyanasiyana ya gastroparesis?
Inde, madokotala nthawi zambiri amagawa vutoli motsatira chifukwa chake.
- Gastroparesis yokhudzana ndi matenda a shuga : Izi zitha kuchitika ngati zotsatirapo zoyipa kwa anthu omwe ali ndi matenda a shuga.
- Gastroparesis pambuyo pa opaleshoni: Itha kuchitikanso ngati vuto pambuyo pa opaleshoni ya m'mimba.
- Idiopathic Gastroparesis: Nthawi zina palibe chifukwa chomveka chomwe chingapezeke . Izi zimatchedwa idiopathic gastroparesis.
Kodi mtundu wofala kwambiri ndi uti?
Matenda ambiri (pafupifupi kotala mpaka theka) a gastroparesis amagawidwa m'magulu a idiopathic . Izi zikutanthauza kuti madokotala sanathe kupeza chomwe chimayambitsa matenda enieni. Komabe, nthawi zina zomwe zimagwera m'gululi, n'zotheka kuti pali chifukwa koma sichinadziwike. Matenda a shuga ndiye chifukwa chachikulu kwambiri cha matendawa. Pafupifupi gawo limodzi mwa magawo atatu a odwala amakhala ndi matendawa chifukwa cha matenda a shuga.
Kodi zizindikiro za gastroparesis ndi ziti?
Pankhaniyi, mutha kukumana ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi:
- Kusagaya chakudya: Matenda omwe chakudya sichigayidwa.
- Mimba yotupa : Kumva ngati mimba yatupa.
- Kumva kukhuta mwachangu komanso kwa nthawi yayitali: Ngakhale kudya chakudya chochepa kungakupangitseni kumva kukhuta, ndipo kumva kukhuta kumeneko kungatenge maola ambiri. Tangoganizirani kudya mpunga pang'ono m'mawa ndikumva kukhuta mpaka masana.
- Kupweteka m'mimba pamwamba: Kupweteka m'mimba pamwamba .
- Kusanza ndi kusanza : Nthawi zina tinthu ta chakudya chosagayidwa tingatuluke.
- Kubwezeretsa chakudya chonse chosagayidwa: Monga momwe mbalame ya parrot imabwezera chakudya.
- Kusowa chilakolako cha chakudya .
- Kutupa kwa mtima ndi kutentha pamtima.
- Kusintha kosazolowereka kwa kuchuluka kwa shuga m'magazi (kusinthasintha kwa shuga m'magazi).
- Kudzimbidwa .
Kodi mumamva bwanji munthu akakhala ndi gastroparesis?
Minofu ya m'mimba mwanu ikapanda kugwira ntchito bwino, chakudya chimakhala m'mimba mwanu kwa nthawi yayitali mutadya. Mungathe kumva kukhuta mukangoyamba kudya, ndipo kumva kumeneko kungakhale kwa nthawi yayitali. Mungathe kumva kupweteka m'mimba, nseru, ndi kusanza. M'mimba mwanu mungamve kutupa komanso kutsekeka. Mungathenso kumva kutentha pamtima chifukwa cha acid reflux.
Kodi iyi ndi vuto lopweteka?
Zizindikiro za gastroparesis zimasiyana malinga ndi munthu. Anthu ochepa amanena kuti kupweteka m'mimba kosalekeza kumakhala koopsa kwambiri moti sangathe kuchita zinthu za tsiku ndi tsiku. Komabe, sizikuwoneka kuti pali mgwirizano wamphamvu pakati pa kuchuluka kwa ululu womwe anthu amakumana nawo, kuopsa kwa gastroparesis yawo, kapena liwiro lomwe m'mimba mwawo mumatuluka. Anthu ena amatha kumva ululu wambiri, mwina chifukwa chakuti mitsempha yawo ndi yovuta kumva. Izi zitha kukhala zokhudzana ndi chifukwa cha gastroparesis.
Kodi gastroparesis imakhudza bwanji matumbo?
Popeza gastroparesis imachepetsa ntchito yonse ya kugaya chakudya, ingathenso kuchedwetsa matumbo anu. Komanso, tinthu tambirimbiri ta chakudya chosagayidwa tingamangike m'matumbo anu, zomwe zimapangitsa kuti zikhale zovuta kutuluka. Ngakhale gastroparesis simakhudza mwachindunji mayendedwe a minofu m'matumbo anu, zina mwa zinthu zomwe zimayambitsa vutoli zingakhudzenso matumbo anu. Ndicho chifukwa chake anthu ena amatha kukhala ndi gastroparesis ndi kudzimbidwa nthawi imodzi.
Kodi chifukwa chachikulu cha gastroparesis ndi chiyani?
Mwachidule, gastroparesis imayamba chifukwa cha kuwonongeka kwa mitsempha yomwe imalamulira minofu ya m'mimba mwanu. Nthawi zambiri, minofu yokha imathanso kuwonongeka. Komabe, zotsatira zake ndi zakuti minofu yomwe imaphwanya chakudya m'mimba kenako n’kuchitulutsa imafooka. Izi zingayambitse mavuto m'mimba komanso kuchedwa kutulutsa chakudya m'mimba - zomwe zikutanthauza kuti chakudya chimakhala m'mimba kwa nthawi yayitali.
Kodi zifukwa zenizeni za gastroparesis ndi ziti?
Nazi zina mwa zifukwa zomwe zadziwika:
1. Matenda a Shuga (Diabetes Mellitus)
Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi matenda a shuga amakhala ndi vuto la gastroparesis. Izi zimatchedwa matenda a shuga okhudzana ndi matenda a shuga. Shuga ikachuluka m'magazi kwa nthawi yayitali, mitsempha imawonongeka. Komanso, shuga wambiri m'magazi umawononga mitsempha yamagazi yomwe imanyamula mpweya kupita ku minofu. Choncho zimakhudza mitsempha ndi minofu ya m'mimba.
2. Opaleshoni
Opaleshoni pamimba panu kapena pafupi ndi mimba yanu ingawononge mitsempha ya vagus, yomwe imadutsa m'mimba mwanu ndikuwongolera mayendedwe ake. Vutoli likhoza kuchitika nthawi iliyonse mutachita opaleshoni. Lingachitike nthawi yomweyo, kapena lingachitike miyezi kapena zaka pambuyo pake. Maopaleshoni ena omwe angayambitse izi ndi awa:
- Nissen fundoplication
- Kuchotsa gawo la m'mimba kapena m'mimba wonse (gastrectomy)
- Pancreatectomy (kuchotsedwa kwa gawo kapena kapamba wonse)
- Vagotomy (kudula mitsempha ya vagus)
- Kuchotsa ndulu (cholecystectomy)
3. Matenda opatsirana
Matenda a m'mimba, makamaka matenda opatsirana ndi mavairasi (monga norovirus, rotavirus) ndi matenda ena a bakiteriya, angayambitsenso gastroparesis. Asayansi sakudziwabe ngati matendawa amawononga mitsempha mwachindunji, kapena ngati maselo a chitetezo chamthupi omwe akulimbana ndi matendawa amawononga mitsempha molakwika.
4. Matenda a chitetezo chamthupi
Mu matenda a autoimmune, chitetezo chamthupi lathu chimaukira maselo athu mwa kupanga ma antibodies (autoantibodies). Kafukufuku watsopano akuwonetsa kuti ma autoantibodies amenewa amatha kuwononga mitsempha m'mimba. Mutha kukhala ndi gastroparesis ngakhale mutakhala kuti mulibe zizindikiro zina za autoimmune, kapena ngati zizindikirozo sizikugwirizana ndi m'mimba.
5. Mankhwala osokoneza bongo
Mankhwala ndi mankhwala ena amatha kuletsa zizindikiro za mitsempha zomwe zimalamulira minofu ya m'mimba. Izi zingayambitse gastroparesis kwakanthawi. Mankhwala ena amathanso kuperekedwa pa matenda ena omwe amagwirizana ndi gastroparesis (monga matenda a shuga). Ngati muli kale ndi gastroparesis, kapena munakhalapo nayo kale, muyenera kupewa mankhwalawa. Zitsanzo:
- Mankhwala osokoneza bongo (opioids)
- Nikotini (yomwe ili mu fodya)
- Chamba (Hemp)
- Mankhwala oletsa kuvutika maganizo a tricyclic
- Progesterone (hormone)
- Mankhwala a ziwengo monga antihistamines (Anticholinergics)
- Mankhwala oletsa kuthamanga kwa magazi (calcium channel blockers)
- Ma analog a Amylin / otsutsa a GLP-1 a matenda a shuga a mtundu wa 2
- Cyclosporine (mankhwala operekedwa kuti aletse kukanidwa panthawi yoika ziwalo zina)
- Clonidine (mankhwala ochizira kuthamanga kwa magazi)
- Lithium (mankhwala a matenda a bipolar)
- Mankhwala ena a matenda amisala (mankhwala oletsa matenda amisala)
6. Zifukwa zina
Zifukwa zina zomwe sizimakhudza kawirikawiri:
- Matenda a mitsempha: Matenda omwe amakhudza dongosolo la mitsempha, monga matenda a Parkinson, multiple sclerosis, ndi autonomic dysfunction, angayambitse mitsempha m'mimba kusagwira ntchito bwino.
- Matenda a Collagen-vascular: Matenda otupa osatha a minofu yolumikizana monga amyloidosis, scleroderma, lupus, ndi Ehlers-Danlos syndrome angayambitse kufooka kwa minofu ya m'mimba.
- Matenda a Endocrine: Matenda monga matenda a chithokomiro, matenda a adrenal, kusalinganika kwa ma electrolyte, ndi kulephera kwa impso zingayambitse kuwonongeka kwa mitsempha ndi mankhwala.
- Matenda a cystic fibrosis: Matendawa amachititsa kuti mamina (chinthu chofanana ndi mamina) azisonkhana m'mimba, zomwe zimapangitsa kuti thupi lonse lizigwira ntchito mochedwa. Akuti pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi matendawa ali ndi gastroparesis.
Kodi mavuto omwe angakhalepo chifukwa cha gastroparesis ndi ati?
Vutoli lingayambitse mavuto osiyanasiyana, kuphatikizapo:
- Kuchepetsa thupi, kusowa zakudya m'thupi, ndi kusowa madzi m'thupi: Kusanza kosalekeza, kusanza, ndi kusowa chilakolako cha chakudya kungayambitse kuchepa thupi ndi kusowa zakudya m'thupi. Kusanza pafupipafupi kungayambitse kusowa madzi m'thupi komanso kusowa kwa electrolyte (mchere m'thupi). Mungafunike kupita kuchipatala ndikupatsidwa chithandizo cha zakudya ndi saline.
- Mavuto okhudzana ndi acid reflux: Chifukwa chakuti m'mimba mumatupa chifukwa cha gastroparesis, zimakhala zosavuta kuti asidi m'mimba akwere mummero . Kupitirizabe kwa reflux kumeneku kumatha kuwononga m'mero . Mwachitsanzo, kutentha pamtima ndi esophagitis .
- Mavuto a shuga m'magazi: Gastroparesis imasokoneza njira yokhazikika, yolamulidwa yomwe chakudya chimadutsa m'mimba. Izi zimasokoneza kutulutsa shuga m'magazi nthawi zonse. Chakudya chikakhala m'mimba kwa nthawi yayitali, shuga m'magazi amatha kutsika. Chakudya chikatulutsidwa mwadzidzidzi, shuga m'magazi amatha kukwera. Kusinthasintha kwa shuga m'magazi ndi vuto makamaka kwa anthu odwala matenda ashuga, ndipo kungapangitse gastroparesis kukhala yoipa kwambiri.
- Kutsekeka kwa Bezoar ndi Kutsekeka kwa M'mimba: Bezoar ndi chotupa cholimba komanso cholimba cha chakudya chomwe chakhala m'mimba. Chimapangidwa kuchokera ku zidutswa za chakudya zomwe zatsala m'mimba mukamatuluka madzi. Nthawi zina, bezoar imatha kukhala yayikulu kwambiri kuti isadutse m'malo otulukira madzi pansi pa mimba. Ikhozanso kuletsa njira ya chakudya china. Madokotala angakupatseni mankhwala osungunula bezoar, kapena angachichotse mwa opaleshoni.
Kodi Gastroparesis imayesedwa bwanji?
Dokotala adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu yachipatala (matenda omwe angayambitse gastroparesis, opaleshoni). Kenako, adzakuyesani mayeso apadera kuti aone m'mimba mwanu. Mayesowa amayang'ana kutsekeka kulikonse kwa thupi, chifukwa izi zingayambitse zizindikiro zomwezo. Ngati palibe kutsekeka komwe kwapezeka, ndiye kuti adzachita mayeso oyenda m'mimba . Mayesowa amayang'ana momwe minofu ya m'mimba mwanu imagwirira ntchito.
Ndi mayeso ati omwe amachitidwa kuti adziwe matenda a gastroparesis?
Chinthu choyamba chomwe mungachite ndikuchita mayeso kuti muwone ngati pali kutsekeka kulikonse komwe kumayambitsa zizindikiro zanu. Izi zikuphatikizapo:
- Endoscopy Yapamwamba: Njira yomwe kamera yaying'ono imayikidwa kudzera pakamwa kuti ione m'mimba.
- Mndandanda wa GI wapamwamba: X-ray yotengedwa mutamwa mankhwala monga barium.
- Kujambula kwa CT
- MRI `(MRI)`
- Ultrasound ya m'mimba
Ngati mayesowa sakupeza kutsekeka kwa thupi, gawo lotsatira ndi maphunziro ochotsa m'mimba, omwe amayesa kuyenda kwa m'mimba. Izi zingaphatikizepo:
- Kuyeza kwa scintigraphy yotulutsa m'mimba (GES): Uku ndi kuyesa kwa mankhwala a nyukiliya. Mumapatsidwa chakudya kapena chakumwa chochepa chosakaniza ndi mankhwala owopsa, ndipo nthawi yomwe imatenga kuti idutse m'mimba mwanu imalembedwa.
- Kuyesa mpweya woyenda m'mimba (GEBT): Izi zimayesa liwiro limene chakudya chimayenda m'mimba mwanu poyesa kuchuluka kwa mpweya womwe mumapuma. Izi zimaphatikizapo kudya chakudya chomwe chili ndi molekyu yapadera ya kaboni yotchedwa ``carbon-13''. Ikalowa m'matumbo mwanu, imapanga mtundu wapadera wa carbon dioxide ``CO2-13'', womwe ungayesedwe mu mpweya wanu.
- Kafukufuku wokhudza kuyenda kwa m'matumbo akuluakulu: Izi zimayesa momwe chakudya chimayendera mofulumira kudzera m'matumbo akuluakulu . Izi zimaphatikizapo kumeza tinthu tating'onoting'ono tomwe timatha kuoneka pa X-ray pamene tikudutsa m'thupi.
Ngati zotsatira za mayeso anu a GES sizili bwino, dokotala wanu angakupatseni electrogastrogram (EGG) , yomwe imayesa ntchito yamagetsi ya minofu ya m'mimba.
Mayeso ena angachitike kuti apeze chomwe chimayambitsa gastroparesis. Mwachitsanzo, kuyezetsa magazi kungayang'ane ma antibodies otsala kuchokera ku matenda omwe adapezeka kale, kapena ma antibodies a autoimmune, omwe angasonyeze matenda a autoimmune.
Kodi mankhwala a gastroparesis ndi ati?
Madokotala sangathe kukonza mwachindunji kuwonongeka komwe kumachitika chifukwa cha gastroparesis. Komabe, angapereke chithandizo chomwe chimalimbikitsa minofu m'mimba kuti ichepetse ndikuthandiza kuti itulutse madzi m'mimba. Mankhwala ndiye mzere woyamba wa chithandizo. Ngati mankhwala sagwira ntchito kapena ngati sakupezeka, opaleshoni imaganiziridwa. Mankhwala onse amatha kukhala ndi zotsatirapo zake, ndipo palibe chithandizo chimodzi chomwe chimagwira ntchito kwa aliyense.
Zolinga za chithandizo ndi izi:
- Kulimbikitsa minofu ya m'mimba ndi/kapena kulola m'mimba kutuluka madzi.
- Onetsetsani kuti thupi lanu limalandira zakudya ndi madzi omwe likufunikira.
- Kuthana ndi zizindikiro ndi zotsatirapo zake.
- Ngati n'kotheka, thandizani chomwe chimayambitsa matendawa ndikuletsa kuti vutoli lisakule kwambiri.
Ndondomeko yanu ya chithandizo ingaphatikizepo:
- Mankhwala.
- Zakudya/hydrotherapy.
- Opaleshoni.
- Chithandizo chapadera cha matenda omwe amayambitsa gastroparesis yanu.
Mankhwala
Mankhwala otchedwa prokinetics, omwe ndi gulu la mankhwala omwe amalimbikitsa kuyenda kwa matumbo, ndi mankhwala oyamba a gastroparesis.
- Metoclopramide: Iyi ndi mankhwala okhawo omwe avomerezedwa ndi FDA (Food and Drug Administration) kuti athetse gastroparesis. Amathandizira kukokana kwa minofu m'mimba ndipo amathandiza kuchepetsa nseru. Komabe, ingayambitse zotsatirapo zoyipa (monga kunjenjemera, kugwedezeka kwa minofu), kotero muyenera kusamala kwambiri nayo.
- Mankhwala otchedwa Motilin agonists: Awa ndi mtundu wina wa mankhwala otchedwa prokinetic. Zitsanzo zake ndi monga Erythromycin ndi Azithromycin . Ngakhale kuti mankhwalawa amagwiritsidwa ntchito kwambiri ngati maantibayotiki, madokotala amawalimbikitsanso kuti azichiza matenda a gastroparesis.
- Mankhwala a Serotonin agonists: Tegaserod ndi Prucalopride ndi mankhwala awiri omwe amalimbikitsa matumbo kuti akonze kudzimbidwa. Ngakhale kuti sanayesedwe mokwanira kuti athetse gastroparesis, madokotala ena amawalimbikitsa pachifukwa ichi.
Mankhwala ena:
- Mankhwala oletsa kutsekula m'mimba amaletsa nseru ndi kusanza.
- Zoletsa za pampu ya proton pochiza mavuto a acid reflux.
- Mankhwala ochepetsa ululu wa m'mimba.
- Mankhwala a matenda a shuga oletsa kuchuluka kwa shuga m'magazi.
Chofunika: Musamadzipatse mankhwala aliwonse mwa mankhwalawa popanda upangiri wa dokotala. Nthawi zonse funsani dokotala ndipo imwani mankhwala okhawo ngati akulangizidwa.
Zakudya
Mungafunike kusintha zakudya zanu. Mwachitsanzo, idyani zakudya zopanda ulusi wambiri komanso mafuta ochepa kuti kugaya chakudya kukhale kosavuta. Mungafunikenso chithandizo chapadera cha zakudya kuti chithandize kusintha zakudya zomwe zatayika. Dokotala wanu angakulangizeni zowonjezera zakudya, kapena kukupatsani chakudya cham'mimba kwakanthawi kapena kukupatsani chakudya cham'mimba. Anthu ena angafunikenso kupatsidwa madzi amchere kudzera m'mitsempha kuti akonze vuto la kusowa madzi m'thupi komanso kusalinganika kwa ma electrolyte.
Opaleshoni
Opaleshoni ndiyo njira yomaliza yochizira matenda a gastroparesis. Ngati mankhwala ena onse alephera, mungafunike opaleshoni kuti musinthe mawonekedwe a m'mimba mwanu kuti chakudya chidutse. Ma opaleshoni awa akuphatikizapo:
- Pyloroplasty: Izi zimaphatikizapo kusintha pylorus yanu (valavu ya minofu yomwe ili pansi pa mimba yanu yomwe imalola chakudya kudutsa). Nthawi zambiri, minofu ya pylorus imadulidwa, khomo limakulitsidwa, ndipo khomo limamasuka. Njira yatsopano ndi njira yotchedwa G-POEM (gastric peroral endoscopic myotomy) . Izi zikutanthauza kuti opaleshoniyi imachitika kudzera pakamwa, popanda kudula m'mimba.
- Kudutsa m'mimba: Anthu ena amafunika kudutsa m'mimba monse. Izi zimaphatikizapo kuchotsa kapena kutseka mbali ya m'mimba, kupanga njira yatsopano yochokera m'mimba kupita ku matumbo ang'onoang'ono (gastrojejunostomy). Opaleshoni ya gastric bypass ndi opaleshoni yochepetsa thupi, makamaka kwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri omwe amayamba chifukwa cha kunenepa kwambiri. Ikhoza kukhala ndi zotsatirapo zazikulu pa matenda a shuga komanso gastroparesis. Dokotala wanu angakulimbikitseni pa gastroparesis yoopsa yokhudzana ndi matenda a shuga.
Kodi chiyembekezo cha gastroparesis ndi chiyani?
Nthawi zina, gastroparesis yomwe imayamba chifukwa cha mankhwala a nthawi yochepa kapena matenda a nthawi yochepa imatha kuchira pakapita nthawi. Koma kwa anthu ambiri, gastroparesis ndi vuto lomwe silingathe kuchiritsidwa, koma limatha kuthandizidwa ndi chithandizo. Zingatenge nthawi kuti mupeze chithandizo choyenera kwa inu, ndipo mutha kukhala ndi zotsatirapo zoyipa chifukwa cha chithandizo kapena zizindikiro zomwe zikupitirira. Dokotala wanu angakuthandizeni kuthana ndi izi pamene zikukula.
Kodi Gastroparesis imakhudza moyo wa munthu?
Gastroparesis nthawi zambiri siimayambitsa imfa. Komabe, mavuto ena omwe angachitike ndi gastroparesis (kusowa zakudya m'thupi, kusowa madzi m'thupi, kusalinganika kwa ma electrolyte, ndi kusinthasintha kwa shuga m'magazi mwa matenda a shuga) akhoza kukhala oopsa ngati atakula kwambiri. Dokotala wanu adzagwira nanu ntchito kuti achepetse chiopsezo cha mavutowa. Ndi chithandizo choyenera, chiopsezocho chimakhala chochepa kwambiri.
Kodi ndimadzisamalira bwanji ndikakhala ndi matenda a gastroparesis?
Samalani zizindikiro zanu, ndi zakudya ndi zizolowezi zomwe zimazipangitsa kukhala bwino kapena kuipiraipira. Kusintha pang'ono kungapangitse kusiyana kwakukulu momwe mukumvera. Anthu ena amaona kuti izi ndi zothandiza:
- M'malo modya chakudya chachikulu katatu patsiku, idyani chakudya chaching'ono kanayi kapena kasanu ndi kamodzi.
- Tsatirani zakudya zopanda mafuta ambiri komanso zopanda ulusi wambiri (gastroparesis diet). Funsani dokotala wanu kapena katswiri wa zakudya zamtunduwu za izi.
- Pewani mowa, fodya, ndi mankhwala osokoneza bongo. Izi zimachedwetsa kutuluka kwa madzi m'mimba.
- Mukatha kudya, chitani masewera olimbitsa thupi pang'ono, monga kuyenda pang'ono. Izi zingathandize pakuyenda m'mimba.
Matenda a gastroparesis amatha kuyambira ofatsa mpaka ovuta, ndipo momwe amakhudzira moyo wanu amatha kusiyana. Ngakhale kuti palibe mankhwala achangu, pali mankhwala ambiri omwe angakuthandizeni kuthana nawo. Dokotala wanu adzagwira ntchito limodzi nanu kuti apeze njira yabwino kwambiri yothandizira. Mungapezenso kuti kusintha zakudya ndi moyo wanu kungathandize. Pakadali pano, asayansi akupitiliza kufufuza njira zatsopano zothandizira.
Uthenga Wopita Nawo Kunyumba
Gastroparesis ndi vuto lomwe m'mimba simutulutsa madzi okwanira, koma m'malo mwake limadzaza. Izi zitha kuchitika chifukwa cha zinthu zingapo, kuphatikizapo matenda a shuga ndi opaleshoni. Ndikofunikira kufunafuna upangiri wa dokotala ngati mukukumana ndi zizindikiro monga kudzimbidwa, nseru, kusanza, kapena kupweteka m'mimba .
Musadandaule, vutoli lingathe kuthetsedwa. Mukapeza matenda oyenera komanso kulandira chithandizo choyenera, muli ndi mwayi wokhala ndi moyo wabwinobwino. Tsatirani malangizo a dokotala wanu mosamala, ndipo samalani ndi zakudya zanu komanso moyo wanu.











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