Ese uri umuntu urwaye diyabete? None se, hari igihe wumva uhaze ndetse no nyuma yo kurya ibiryo bike? Cyangwa ukunda kumva ufite isesemi, ukagira igifu, ndetse rimwe na rimwe uruka? Ukurikije ibi byose, ushobora kuba ugorwa no kugenzura urugero rw'isukari mu maraso yawe. Abantu benshi batekereza ko ibi ari ibibazo bisanzwe byo mu gifu. Ariko ibi bishobora kuba ikibazo cya diyabete ubwayo. Ibyo nibyo tugiye kuvugaho uyu munsi.
Gastroparesis ya diyabete ni iki?
Mu magambo make, ibi bibaho iyo imitsi yo mu nda yawe (igifu) idakora neza. Ubusanzwe, iyo turya, imitsi yo mu nda irakururana ikajya mu mara mato. Ariko muri gastroparesis, iyi nzira igenda buhoro cyane, cyangwa rimwe na rimwe igahagarara burundu. Bityo ibiryo biguma mu nda amasaha menshi.
Iyi ndwara iboneka muri diyabete yo mu bwoko bwa 1 n'iya 2. Ariko, ikunze kugaragara ku bantu bamaze imyaka irenga 10 barwaye diyabete kandi bafite izindi ngorane zikomoka kuri diyabete (urugero, kwangirika kw'imitsi).
Kuki ibi bitubaho?
Impamvu nyamukuru ni uko isukari mu maraso iguma hejuru igihe kirekire nta gisubizo . Diyabete idacunzwe ishobora kwangiza imitsi mu mubiri wacu.
Tekereza ko hari "umuyoboro" w'umuhanga ugenzura imikorere y'igifu cyacu. Uwo ni umuyoboro wa Vagus . Iyo uyu muyoboro wa Vagus wangiritse bitewe n'isukari nyinshi, igifu ntikira ikimenyetso cyo gusohora ibiryo neza. Bishobora kandi kwangiza imitsi yo mu gifu n'uturemangingo twihariye (uturemangingo dufasha mu gusohora ibiryo). Iyo izi mpamvu zose zihuye, ibiryo bigwa mu gifu maze gastroparesis ikaza.
Ni ibihe bimenyetso by'ingenzi by'ibi?
Reba niba ufite ibi bimenyetso. Ariko ibuka ko utatekereza ko ufite iyi ndwara kubera ko ufite kimwe cyangwa bibiri muri ibi bimenyetso. Nta gushidikanya ko wagombye kujya kwa muganga ku bijyanye na byo.
| Ibimenyetso | Ibisobanuro byoroshye |
|---|---|
| Kuribwa mu gifu/Reflux | Ibiryo birimo aside mu gifu bigaruka mu muhogo. |
| Isesemi | Kubabara nk'urwara buri gihe. |
| Kuruka | Mu bihe bikomeye, ibiryo bitarashyirwa mu nda amasaha make mbere y’uko umuntu arya bishobora kuruka. Kuri bamwe, ibi bishobora kubaho buri munsi. |
| Kugorwa no kugenzura urugero rw'isukari | Kubera ko bidashoboka kumenya neza igihe ibiryo byinjira mu mara, urugero rw'isukari rushobora kwiyongera no kugabanuka mu buryo butunguranye. |
| Kumva uhaze nubwo umaze kurya gato | Kubera ko igifu cyaba cyarabitse mbere, wumva uhaze nubwo wamaze kurya bike. |
| Kubyimba inda | Kumva ufite ibibyimba, nk'aho igifu cyuzuye umwuka. |
| Kubura ubushake bwo kurya no kugabanya ibiro/kongera ibiro | Ntushaka kurya kuko inda yawe iba yuzuye. Ibi bishobora gutuma ugabanya ibiro. |
Ni ibihe bihe bishobora guteza akaga?
Iyo indwara ya gastroparesis idavuwe neza, hari ingorane zimwe na zimwe zishobora kubaho.
- Kwangirika kw'ibiryo: Iyo ibiryo bigumye mu nda igihe kirekire, bishobora kwangirika bigatuma bagiteri ziyongera.
- Imiterere y'ibiryo: Ibiryo bitagayitse bishobora kwirundanya no gukora ikintu gikomeye mu gifu. Ibi byitwa bezoar . Ibi bishobora kuziba igifu no guhagarika burundu ibiryo kwinjira mu mara.
- Ingorane zo kurwanya diyabete: Iki ni cyo kibazo gikomeye. Ufata insuline mbere yo kurya. Ariko ibiryo bijya mu mara isukari ikagera mu maraso nyuma y'amasaha menshi. Hanyuma urugero rw'isukari rukazamuka runamanuka mu buryo butunguranye. Ibi biragoye cyane kubigenzura.
- Kubura amazi mu mubiri bitewe no kuruka: Iyo uruka kenshi, umubiri wawe ushobora gutakaza amazi no kubura amazi mu mubiri. Iyi ni indwara iteje akaga.
Niba ufite kuruka cyane no kubabara mu nda cyane, jya kwa muganga wita ku bibazo byihutirwa (ETU) ako kanya.
Ubibona ute, Muganga?
Muganga wawe ashobora gukeka ibi nyuma yo kumva ibimenyetso byawe no gukora isuzuma ry'umubiri. Hanyuma ashobora gukora ibizamini byinshi kugira ngo yemeze ko ari indwara, urugero:
- Isuzuma ryo hejuru rya Endoscopy: Umuyoboro muto ufite kamera ushyirwa mu muhogo kugira ngo usuzume imbere mu nda. Ibi bifasha kugenzura izindi mbogamizi mu nda.
- Barium X-ray: Nyuma yo kunywa amazi yitwa barium, hafatwa X-ray kugira ngo harebwe umuvuduko w'igifu cyo kuvamo.
- Gupima: Iki ni cyo gipimo nyamukuru. Urya ibiryo bike (akenshi igi) bivanze n'ibintu bihumanya ikirere, hanyuma ugasuzuma igifu cyawe buri saha mu gihe cy'amasaha agera kuri 4 kugira ngo urebe ingano y'ibiryo byakuwe mu gifu cyawe.
- Ibindi bizamini: Byongeye kandi, hari ibizamini byihariye nka gastric manometry na wireless motility capsule. Muganga wawe niwe uzaguhitiramo ikizamini gikubereye.
Kuvura no gucunga
Nubwo indwara ya gastroparesis idashobora gukira burundu, ibimenyetso birashobora gukemurwa no kubaho ubuzima busanzwe.
1. Mbere na mbere: genzura urugero rw'isukari mu maraso yawe!
Iyi ni intambwe ya mbere kandi y'ingenzi mu kuvura. Kugenzura urugero rw'isukari mu maraso yawe bishobora kugabanya kwangirika kw'imitsi. Vugana na muganga wawe niba ukeneye guhindura urugero rwa insuline yawe cyangwa igihe uyikoresha. Ni ngombwa kandi kugenzura urugero rw'isukari mu maraso yawe buri gihe.
2. Imiti
Muganga wawe ashobora kukwandikira imiti imwe n'imwe kugira ngo igufashe kugabanya ibimenyetso byawe.
- Imiti ifasha igifu kubura (urugero: Metoclopramide, Domperidone).
- Imiti ivura isesemi no kuruka (urugero: Ondansetron, Prochlorperazine).
- Hari igihe umuti witwa erythromycin uvura indwara zifata umubiri (antibiotics) utangwa igihe gito kugira ngo wongere imikorere y'igifu.
Icyitonderwa: Ntukigere ukoresha iyi miti utabanje kugisha inama muganga. Hari imiti ishobora kugira ingaruka mbi. Kubwibyo, kurikiza amabwiriza ya muganga wawe buri gihe.
3. Kuvura indwara zikomeye
Mu bihe bikomeye cyane bidashobora kugenzurwa n'ubundi buryo bwo kuvura, hashobora kuba hakenewe uburyo bwihariye bwo kuvura.
- Gukangura amashanyarazi mu gifu:Agakoresho gato kabazwe mu gifu kohereza ibimenyetso by'amashanyarazi kugira ngo gacunge isesemi no kuruka.
- Umuyoboro wo kugaburira: Umuyoboro (jejunostomy tube) ubagwa unyuze mu ruhu rw'inda kugira ngo ibiryo bijye mu mara mato, bitanyuze mu gifu. Ibi bikorwa gusa mu bihe bikomeye cyane.
Uburyo bwo guhindura indyo yawe
Igikomeye kurusha imiti ni uguhindura uburyo urya. Gukurikiza izi nama bishobora kugufasha kuruhuka cyane.
| Ibintu byo gukora (Ibyo gukora) | Ntugakore ibyo udakwiye gukora |
|---|---|
| Aho kurya amafunguro atatu ku munsi, jya urya amafunguro 5-6 make . | Irinde ibiryo birimo amavuta menshi n'ibinure byinshi (ibiryo bikaranze, ibiryo biryoshye). |
| Shyira imbere ibinyobwa n'ibiribwa byakuwemo ifu (urugero: isosi y'amapera aho gukoresha pome, isupu). | Gabanya ibiryo birimo fibre nyinshi (umuceri w'umukara, ingano, imboga zimwe na zimwe, imbuto). Ibi bifata igihe kirekire kugira ngo bigogorwe. |
| Kurya imboga n'imbuto byatetse neza . | Irinde kunywa amazi cyangwa ibindi bintu binyobwa mu gihe urya. Nywa iminota 30 mbere cyangwa nyuma yo kurya. |
| Icara akanya gato nyuma yo kurya. Ntukaryame urya . | Irinde ibinyobwa birimo karubone (soda) na alcool burundu. |
| Kora imyitozo ngororamubiri, nko kugenda buhoro, nyuma yo kurya. | Irinde kunywa itabi . Bigabanya cyane imikorere y'igifu. |
Ubutumwa bwo kujyana mu rugo
- Gastroparesis ya diyabete ni ikibazo gikunze kugaragara ku ndwara ya diyabete idagenzurwa neza.
- Ibimenyetso by'ingenzi ni isesemi, kuruka, kumva uhaze ndetse no nyuma yo kurya bike, no kugorwa no kugenzura urugero rw'isukari mu maraso.
- Intambwe y'ingenzi mu guhangana n'iki kibazo ni ugucunga neza urugero rw'isukari mu maraso yawe.
- Guhindura indyo yawe ni ingenzi cyane. Kurya amafunguro make, afite ibinure bike na fibre, bishobora gutanga ihumure rikomeye.
- Niba ufite ibi bimenyetso, ntugafate ibyemezo wenyine kandi nta kabuza ujye kwa muganga wawe kugira ngo akugire inama.
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