Dzimwe nguva unonzwa wakaguta here kunyangwe mushure mekudya chikafu chidiki? Unonzwa kunzwa kusingafadzi mudumbu mako here kunyangwe maawa mashoma mushure mekudya? Kana kuti unorutsa chikafu chisina kugayiwa? Kunyangwe uchifunga kuti izvi zvinhu zvakajairika, ungave uine chirwere chisingazivikanwe nevanhu vazhinji, asi chinogona kunetsa zvishoma. Nhasi tiri kutaura nezvechirwere ichi chinonzi gastroparesis.
Zvichitaurwa zviri nyore, chii chinonzi gastroparesis?
Iri izita rakaoma kunzwisisa, asi riri nyore kunzwisisa. Gastroparesis zvinoreva kana chikafu chaunodya chinotora nguva yakareba kupfuura yakajairika kuti chibve mudumbu chiende mudumbu. Kuti zvive nyore, mashandiro emudumbu anokanganiswa. Funga nezvazvo semudhudhudhu uri mumugwagwa. Kana chikafu chikagara mudumbu kwenguva yakareba, kusagadzikana kwataurwa pamusoro apa kunotanga kuitika. Rimwe zita rinonzi nachiremba i "kunonoka kubuda mudumbu." Zvinongoreva kuti kubuda kwekudya mudumbu kunononoka.
Ndezvipi zviratidzo zvechirwere ichi?
Havasi vese vane gastroparesis vane zviratidzo zvakafanana. Vamwe vanhu vanogona kunge vasina zviratidzo zvachose. Asi pane zvimwe zviratidzo zvakajairika. Tarisa kana izvi zvichinzwika sekunge wava kuziva.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kusvotwa nekurutsa | Kuda kurutsa kakawanda uye dzimwe nguva kurutsa chikafu chisina kugayiwa maawa mashoma zvisati zvaitika. |
| Kuzadza dumbu | Kunzwa kuguta zvakanyanya kunyangwe mushure mekudya chikafu chidiki. |
| Kurwadziwa kwedumbu | Kurwadziwa kusinganzwiki kana kuti kwakapinza mudumbu repamusoro, mudumbu chaimo. |
| Zviratidzo zvakafanana neGastritis (GERD) | Zviratidzo zvakafanana nechirwere chegastritis, zvakaita sekurwadziwa pachipfuva uye chirungurira. |
| Kurasikirwa nechido chekudya uye kudzikira kwehuremu | Kudzikira kwehuremu kunogona kuitika nekuti haunzwi kuda kudya uye muviri wako haunyatso tora zvinovaka muviri. |
| Kuoma kudzora huwandu hweshuga muropa | Kunyanya kune vane chirwere cheshuga, huwandu hweshuga hunogona kukwira kamwe kamwe nekuti chikafu chinononoka kusvika muura. |
Sei izvi zvichiitika? Ndezvipi zvikonzero?
Kazhinji, zvinonetsa vanachiremba kutaura chikonzero chaicho, asi mune dzimwe nguva, zvinhu zvakati wandei zvakaonekwa zvinokonzera chirwere ichi.
- Chirwere cheshuga: Chirwere cheshuga ndicho chinokonzera gastroparesis. Kana huwandu hweshuga muropa hukasadzorwa kwenguva yakareba, hunokuvadza tsinga dzemuviri. Kana tsinga yemudumbu, iyo inodzora kugaya kwedu, ikakuvara, mashandiro emudumbu anogona kukanganisika.
- Kuvhiyiwa: Kumwe kuvhiyiwa kwedumbu kunogona kukuvadza tsinga yemudumbu yataurwa pamusoro apa.
- Utachiona hwemavhairasi: Chirwere ichi chinogonawo kuitika mushure memamwe hutachiona hwemudumbu (gastroenteritis).
- Mimwe mishonga: Mishonga inouraya marwadzo (kunyanya mishonga inodhaka) uye mimwe mishonga inorwisa kuora mwoyo inogonawo kunonotsa kugaya chikafu.
- Zvimwe zvirwere: Zvinogonawo kukonzerwa nekushomeka kwemahormone ethyroid (hypothyroidism), chirwere cheParkinson, zvirwere zvetsinga zvakaita se multiple sclerosis, uye zvirwere zvisingawanzoitiki zvakaita se amyloidosis uye scleroderma.
Chinhu chinonyanya kukosha ndechekuti kana uine zviratidzo zvakaita seizvi, unofanira kuona chiremba wotsvaga mazano, usingafungi kuti ndicho chikonzero chacho.
Ndezvipi zvinetso zvinogona kukonzera izvi?
Kana gastroparesis ikasarapwa nemazvo, inogona kukonzera mamwe matambudziko.
- Kukura kwebhakitiriya: Kana chikafu chikagara mudumbu kwenguva yakareba, chinogona kutanga kuvirisa uye kukonzera kukura kwebhakitiriya inokuvadza.
- Kushaya mvura mumuviri: Kana ukarutsa kakawanda, unogona kurasikirwa nemvura nemunyu mumuviri wako, zvichikonzera kupera mvura mumuviri. Izvi zvinogona kuva nengozi.
- Kushaya chikafu chinovaka muviri:Muviri ungasakwanisa kupinza chikafu zvakanaka, zvichikonzera kushaya chikafu chinodiwa.
- Kuvharika kwedumbu: Dzimwe nguva chikafu chisina kumedzwa mudumbu chinogona kuungana pamwe chete chooma sedombo, zvichikonzera kuvharika kwedumbu. Izvi zvinonzi bezoar .
- Kuderera kwehupenyu: Zvinogona kuoma kuita mabasa ezuva nezuva nezviratidzo izvi.
Chiremba anowana sei izvi?
Paunoenda kunoona chiremba, achanyatsoteerera zviratidzo zvako uye achakuongorora. Zvadaro, anogona kuraira bvunzo dzinoverengeka kuti asimbise chirwere chako.
- Kuongororwa kwedumbu: Iyi ndiyo bvunzo inonyanya kukosha. Muongororo iyi, unodya chikafu chidiki (senge zai) chakasanganiswa nechinhu chine mwaranzi. Zvadaro, scanner inoshandiswa kuona kuti mudumbu mako munokurumidza sei kubuda. Kana chikafu chinopfuura 10% chichiri mudumbu mako mushure memaawa mana, zvinosimbiswa kuti une gastroparesis.
- Kuongororwa kweropa: Izvi zvinobatsira kuona kana paine matambudziko ekushaya mvura mumuviri, kushomeka kwezvokudya zvinovaka muviri, kana kuti shuga.
- Endoscopy yepamusoro: Chiremba wako achaisa chubhu diki ine kamera mumuromo mako kuti aongorore mukati medumbu mako. Izvi zvinogona kubatsira kutarisa zvimwe zvirwere (zvakaita semaronda).
- X-ray yeBarium: Mvura ine barium inomedzwa uye mifananidzo yeX-ray inotorwa. Izvi zvinogona kupa pfungwa yechimiro uye mashandiro edumbu.
Kunewo mimwe miedzo yakasarudzika yakaita se `Gastric manometry` uye `Electrogastrography`. Chiremba wako ndiye achasarudza kuti ndeipi bvunzo yaunoda.
Ndezvipi zvinorapwa izvi?
Gastroparesis chirwere chinogona kugara kwenguva refu (chisingaperi). Asi musazvidya mwoyo. Chinogona kudzorwa uye kudzorwa.
Kuchinja kwemaitiro ekudya
Nzira yakanakisisa uye inonyanya kukosha yekudzora dambudziko iri ndeyekuchinja maitiro ako ekudya.
- Kudya zvidiki panzvimbo pekudya zvakawanda: Pane kudya katatu pazuva, idya zvidiki ka5-6 pazuva. Izvi zvinodzivirira dumbu rako kuti risanzwa kuguta zvakanyanya panguva imwe chete.
- Zvekudya zvine mvura uye zvakasanganiswa zvakanaka: Pane kudya apuro, idya zvinhu zvakaita se applesauce, soup yemuriwo, muto usina mafuta akawanda, uye muto wemichero.
- Deredza Mafuta neFiber: Zvakanakisisa kuderedza chikafu chine mafuta, chine mafuta (chikafu chakakangwa) nechikafu chine fiber yakawanda (muriwo, tsanga dzose) sezvo zvinotora nguva yakareba kuti zvigayiwe.
- Kudzivirira kuvimbiwa mushure mekudya: Usarara pasi kwemaawa maviri mushure mekudya. Paunomira kana kufamba, simba rinokwevera zvinhu pasi rinobatsira kuti chikafu chidzike.
Mishonga
Chiremba wako anogona kukupa mishonga yakawanda yekudzora zviratidzo zvako. Usambofa watora mishonga iyi usina kurayirwa nachiremba.
- Mishonga inosimudzira kushanda kwedumbu: Mishonga yakaita se'Metoclopramide' ne'Erythromycin' inosimudzira kusimba kwetsandanyama dzemudumbu uye inobatsira kufambisa chikafu nemumatumbu nekukurumidza.
- Mishonga Inorwisa Kusvotwa: Mishonga inorwisa kusvotwa yakadai seOndansetron neProchlorperazine inogona kubatsira kudzora kuda kurutsa nekurutsa.
Mamwe marapirwo
Mune zvimwe zviitiko zvakakomba, chiremba anogona kushandisa mamwe marapirwo.
- Chubhu yekudyisa: Kana chirwere chacho chakanyanya kuoma zvekusagona kutora chikafu nemuromo, chubhu inogona kuiswa nedumbu zvakananga muura hudiki kuti ipe chikafu chinovaka muviri.
- Majekiseni eBotulinum toxin (Botulinum toxin kana Botox): Jekiseni iri rinoshandiswa kusunungura vharuvhu (pylorus) apo chikafu chinopfuura kubva mudumbu chichienda muura.
- Kukurudzira magetsi: Maelectrode anonamirwa pamadziro edumbu uye masaini emagetsi anoshandiswa kukonzera kuti dumbu rigadzikane.
- Kuvhiya: Izvi hazviwanzo shandiswa uye chete kana pasina mamwe marapirwo akabudirira.
Kana uine chirwere cheshuga, kuchengetedza huwandu hweshuga muropa rako huri pasi pesimba kwakakosha pakugadzirisa chirwere ichi.
Mharidzo Yekuenda Nayo Kumba
- Gastroparesis chirwere apo chikafu chinobuda mudumbu nguva isati yakwana.
- Kana uine zviratidzo zvakaita sekusvotwa, kurutsa chikafu chisina kugayiwa, kunzwa kuguta kunyangwe mushure mekudya zvishoma, kana kurwadziwa mudumbu, usazviregeredza woona chiremba.
- Chirwere cheshuga ndicho chinokonzera chirwere ichi. Saka, kana uine chirwere cheshuga, dzora huwandu hweshuga muropa rako zvakanaka.
- Kuchinja zvekudya uye mishonga inonyorerwa nachiremba zvakakosha zvikuru sekurapa.
- Ichi chirwere chinorapika. Saka usavhunduka wotevera mazano akakodzera echiremba.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga