Unonzwawo sekunge wakaguta kunyangwe mushure mekudya chikafu chidiki here? Kana kuti unowanzonzwa kuda kurutsa kana kuti une matambudziko ekuguta? Pamwe chikonzero cheizvi kuchinja kwekumhanya kunoita chikafu kubva mudumbu mako, ndiko kuti, mudumbu mako. Saka nhasi, ngatitaurei nezvebvunzo yakakosha yekurapa inoitwa kuti tizive izvi chaizvo. Izvi ndizvo zvatinodaidza kuti `(Gastric Emptying Study)`.
Zvichitaurwa zviri nyore, chii chinonzi Chidzidzo chekubvisa zvinhu mudumbu?
Iyi bvunzo iri nyore kwazvo. Inoyera kuti zvinotora nguva yakareba sei kuti chikafu (kana chinwiwa) chaunodya chipfuure nemudumbu mako wobva washaya zvachose. Maitiro aya ekufambisa chikafu nezvinwiwa nemudumbu mako anonzi ``Gastric Motility''. Vanachiremba vanoita bvunzo iyi kuti vaone kana dumbu rako riri kufamba zvakanaka. Kana mwero wekushaya chikafu uchikurumidza kana kuti uchinonoka kupfuura zvakajairika, zvinogona kuva chiratidzo chechirwere.
Nzira huru uye inonyanya kushandiswa pakuita izvi ndeye bvunzo inonzi `(Gastric Emptying Scintigraphy - GES)`. Kana chiremba akakuudza nezvebvunzo iyi, izvi ndizvo zvaanoreva. Iyi i`(Imaging Test)` yerudzi rwe`(Nuclear Medicine)`, kureva, scan. Chinoitika apa ndechekuti radioactivity mumuviri wako inoskenwa uye mifananidzo inogadzirwa. Usazvidya moyo, izvi hazvikukuvadzi. Kuti dumbu rako riiswe muskeni, chinhu chidiki chisina njodzi chine radioactive `(Radioactive Tracer)` chinowedzerwa kuchikafu chaunodya.
Pane dzimwe nzira dzekuita bvunzo iyi here?
Ehe, kune dzimwe nzira dzinoverengeka pamusoro peiyo huru:
- Kuedza Kufamba Kwemhepo Mudumbu (GEBT): Izvi zvinoyera huwandu hwemhepo yaunoburitsa uye kuti chikafu chako chinofamba sei nemudumbu mako. Unopiwa chikafu chine kabhoni inonzi ``Carbon-13''. Kana ikapinda nemudumbu mako, inoburitsa kabhoni dhayokisaidhi inogona kuyerwa mukufema kwako.
- SmartPill™ Wireless Motility Capsule: Izvi zvinosanganisira kumedza mudziyo mudiki wemagetsi unoita sepiritsi. Paunenge uchifamba nemudumbu mako, unotumira data ku "Receiver" yaunopfeka. Piritsi rinopfuudzwa mutsvina yako mukati mezuva rimwe kana maviri. Zvadaro, paunopa "Receiver" kuna chiremba wako, anogona kutarisa data racho owana pfungwa yemamiriro ako ezvinhu.
Chii chatingadzidza kubva mubvunzo iyi?
Kuongororwa uku kunonyanya kukuudza kana mudumbu mako muchibuda ropa nekukurumidza kana kuti zvishoma nezvishoma . Kunogonawo kuona kuti mudumbu mako munogona kunonoka sei kumhanya uku. Izvi zvinogona kubatsira zvikuru pakunzwisisa chinokonzera mamwe matambudziko emudumbu mako.
| Zviratidzo zvinogona kuita kuti chiremba arayire bvunzo iyi | |
|---|---|
| Kunzwa kuzara | Kunzwa kuguta zvakanyanya kunyangwe mushure mekudya chikafu chidiki, kana kuva nemanzwiro iwayo kwenguva yakareba mushure mekudya. |
| Kusvotwa nekurutsa | Kuda kurutsa kana kurutsa kakawanda. |
| Kurwadziwa kwemudumbu | Kurwadziwa mudumbu repamusoro. |
| Kuzadza dumbu | Kunzwa gasi uye kuzvimba. |
| Zvimwe zvinhu | Kushaya chido chekudya, kudzikira kwehuremu, kuwedzera nekudzika kwehuwandu hweshuga muropa kamwe kamwe, dzungu, kurova kwemoyo nekukurumidza, uye kusingaperi kweacid reflux. |
Kana ukaramba uine zviratidzo zvakadai, zvakanaka kutaura nachiremba wako.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Kana mudumbu muchiita zvinhu zvishoma nezvishoma, zvinogona kuva chiratidzo chekuvharika kwemudumbu kana kuti chirwere chekuti tsandanyama netsinga dzemudumbu hazvisi kushanda zvakanaka. Izvi zvinonzi `Gastroparesis` mune zvekurapa.
Uyewo, kana mudumbu mukabuda mvura nekukurumidza, tinoidaidza kuti `Dumping Syndrome` . Iri idambudzikowo retsandanyama netsinga. Dambudziko iri rinowanzoitika kuvanhu vakambovhiyiwa mudumbu. Zvisinei, kana usina kuvhiyiwa, rinogonawo kuva chiratidzo cheimwe dambudziko rehutano riripo.
Unofanira kugadzirira sei bvunzo isati yaitwa?
Izvi zvakakosha zvikuru. Chiremba achakupa mirairo inodiwa usati waongororwa. Unofanirawo kumuudza nezvemishonga yauri kutora uye zvimwe zvirwere zvaunazvo.
| Zvekuita Nezvekusaita Usati Waita Bvunzo | |
|---|---|
| Chikafu nechinwiwa | Usadye kana kunwa chero chinhu kwemaawa mana usati waita bvunzo. Sezvo bvunzo iyi ichiwanzoitwa mangwanani, uchakumbirwa kutsanya kubva husiku hwapfuura. |
| Kana uine chirwere cheshuga | Kana uchitora insulin yechirwere cheshuga, uya ne insulin yako ne glucometer. Huwandu hweshuga muropa rako huchayerwa usati waongororwa uye insulin ichapihwa kuti idzorerwe kana zvichidikanwa. |
| Kusvuta | Usasvuta usati waongororwa. Izvi zvinogona kunonotsa kubuda kweropa mudumbu mako. |
| Mimwe mishonga | Zvichienderana nezano rachiremba wako, ungangoda kurega kushandisa mimwe mishonga (semuenzaniso, mishonga inoderedza marwadzo, mishonga inorwisa kuora mwoyo, nemimwe mishonga yechirwere chegastritis) kwemazuva mashoma. |
| Zviitiko zvakakosha | Kana uine pamuviri kana kuti uchiyamwisa, iva nechokwadi chekuudza chiremba wako nezveizvi. Muzviitiko izvi, bvunzo hadziitwe nekuda kwezvinhu zvine mwaranzi. |
Chii chinoitika panguva yebvunzo?
Iyi inzira iri nyore kwazvo.
1. Kudya: Kutanga, uchapihwa chikafu chakagadzirwa zvakananga. Izvi zvinowanzova nemazai machena akasanganiswa nechinhu chine mwaranzi chinonzi ``(Sulfur Colloid)``, chidimbu chechingwa chine jamu, negirazi remvura. IzviUnofanira kupedza kudya mukati memaminitsi gumi .
2. Kuskena: Nyanzvi ichakuendesai kuskena. Muchakumbirwa kumira kana zvichibvira, kana kurara pasi kana zvikasadaro. Kamera yekuskena ichatariswa padumbu renyu uye ichaskenwa kweinenge miniti imwe panguva.
3. Nguva: Kuongororwa kwekutanga kunotorwa mushure mekunge mapedza kudya. Wobva waongororwazve muawa imwe, maawa maviri, uye maawa mana. Unogona kubuda mukamuri panguva yekuongororwa uku, asi unofanira kudzoka nenguva.
Bvunzo iyi yese inowanzotora pakati pemaawa maviri nemana . Nguva yepamusoro inotorwa kuti dumbu ribude riine chinhu inowanzova maawa mana, saka unofanira kumirira kwenguva yakareba kudaro. Kana ikabuda risati rasvika, bvunzo yacho inopera nekukurumidza.
Hamuzonzwi kurwadziwa kana kusagadzikana panguva yekuyedzwa uku. Hamuzoravi kana kunhuwidza zvinhu zvine mwaranzi zviri muchikafu.
Unganzwisisa sei mhedzisiro yebvunzo?
Chiremba wako achakutsanangurira mushumo waunogamuchira mushure mekuongororwa. Unoratidza kuti chikafu chakawanda sei chakasara mudumbu mako mumaawa 1, 2, uye 4.
| Chinzvimbo | Mhedzisiro |
|---|---|
| Mhedzisiro Yakajairika | |
| Mushure meawa imwe chete | Zvinopfuura 30% zvechikafu zvinofanira kuramba zviri mudumbu. |
| Mushure memaawa maviri | Zvinenge 40% yechikafu chinofanira kunge chisina chinhu. |
| Mushure memaawa mana | Zvinenge 90% yechikafu chinofanira kunge chisina chinhu (chinofanira kusara chisingasviki 10%). |
| Mhedzisiro Isina Kunaka | |
| Kubvisa chikafu zvishoma nezvishoma (Gastroparesis) | - Kana chikafu chinopfuura 60% chikasara mudumbu mushure memaawa maviri. - Kana chikafu chinopfuura 10% chikasara mudumbu mushure memaawa mana. |
| Chirwere cheDumping | - Kana chikafu chinopfuura 70% chisina chinhu mushure meawa imwe chete. |
Mushure mekuyedzwa uku, zvinhu zvine mwaranzi zvinopinda mumuviri wako zvichabviswa zvachose kuburikidza neweti netsvina mukati memazuva maviri. Kunwa mvura yakawanda kunobatsira kukurumidzisa maitiro aya.
Mharidzo Yekuenda Nayo Kumba
- `Chidzidzo chekubvisa chikafu mudumbu` iongororo iri nyore uye isingarwadzi inoyera nguva inotora kuti chikafu chibude mudumbu.
- Kana uine zviratidzo zvakaita sekuramba uchizvimba, kuda kurutsa, uye kurwadziwa mudumbu, bvunzo iyi inogona kukubatsira kuwana chikonzero.
- Izvi zvinobatsira kuziva zvirwere zvakaita se `Gastroparesis` (kunonoka kubvisa chikafu) uye `Dumping Syndrome` (kukurumidza kubvisa chikafu).
- Zvakakosha zvikuru kutevedzera mirairo yachiremba (kutsanya, kurega mimwe mishonga) usati waongororwa.
- Kumbira chiremba wako kuti akutsanangurire zvabuda muongororo nenzira yaunogona kunzwisisa.
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga