Mudumbu mako munonzwa matumbu zvakanaka here mushure mekudya? Ngatitaurei nezveChidzidzo cheKubvisa Matumbu Mudumbu!

Wakambozvibvunza here kuti chikafu chaunodya chinogara kwenguva yakareba sei mudumbu mako uye kuti chinobuda sei imomo? Dzimwe nguva tinonzwa takaguta kana kuti tichinzwa kuda kurutsa mushure mekudya. Panguva dzakadaro, bvunzo yakakosha inonzi 'Gastric Emptying Study' kuti tione kuti chikafu chinogara kwenguva yakareba sei mudumbu medu uye kuti chinobuda sei. Izvi zvinogona kutibatsira kuona kana paine dambudziko nekushanda kwedumbu redu, kureva mudumbu.

Chii chatingadzidza kubva mubvunzo iyi?

Fungidzira, mushure mekudya chikafu, unonzwa zvinhu zvakaita seizvi here:

• Ndiri kunzwa kuguta kwenguva yakati , uye kuguta ikoko kwagara kuripo kwenguva yakareba .
• Ndinowanzonzwa kuda kurutsa uye kurutsa .
• Ndiri kurwadziwa mudumbu repamusoro .
• Dumbu rangu rinonzwa kuzara, sekunge rakazvimba .
• Ndinorasikirwa nechido chekudya uye ndinodzikisa huremu .
• Shuga yeropa inongoerekana yakwira yozodzikira zvakare .
• Zvinoita sedzungu .
• Zvinonzwa sekunge moyo wako uri kurova nekukurumidza kamwe kamwe .
• Kune zvirwere zvakaita sekusagaya chikafu uye gastritis .
• Kugara kuchikwira muhuro (chronic acid reflux) .

Kana uine zviratidzo izvi, chiremba wako anogona kukupa zano rekuti uongorore kubuda kwechinhu mudumbu. Muchidimbu, bvunzo iyi inoongorora kana chikafu chiri kubuda mudumbu rako zvishoma nezvishoma kana nekukurumidza . Inogonawo kukupa pfungwa yekuti mudumbu mako kumhanya uku kuri kuderera kupi uye kuti ndeapi matumbu ako ari kukanganiswa. Izvi zvinogona kukubatsira kunzwisisa chikonzero chezvimwe zvezviratidzo zvemudumbu mako (GI) .

Ndezvipi zvirwere zvinoonekwa neizvi?

Iye zvino ngationei kuti ndeapi zvirwere zvinogona kuonekwa nebvunzo iyi.

• Kana mudumbu mako muchibuda ropa zvishoma nezvishoma: Izvi zvinogona kuva chiratidzo chekuti mudumbu mako mune dambudziko rekuti pane dambudziko rekuti mudumbu mako mune chimwe chinhu chakavharika . Kana kuti, chirwere chinonzi gastroparesis, chinova chirwere chekuti tsandanyama netsinga dziri mudumbu mako hadzisi kushanda zvakanaka, zvichiita kuti mudumbu mako muome . Gastroparesis idambudziko retsandanyama netsinga dziri mudumbu mako.
• Kana mudumbu mako mukabuda mvura nekukurumidza: Izvi zvinonzi dumping syndrome . Izvi zvine chekuitawo netsandanyama netsinga dziri mudumbu mako. Dambudziko iri rinowanzoonekwa mushure mekuvhiyiwa mudumbu. Zvisinei, kana usati wavhiyiwa, rinogona kunge riri chiratidzo cheimwe dambudziko riripo.

Bvunzo yeGastric Emptying Scintigraphy inowanzoitwa inowanzoitwa sei?

Nzira huru yekuita chidzidzo ichi cheGastric Emptying Study inonzi Gastric Emptying Scintigraphy (GES) . Iri ndiro zita rinoshandiswa nevakawanda navanachiremba. Iri ndiro bvunzo yekuongorora mishonga yenyukireya . Zvichitaurwa zviri nyore, rinoshandisa mwaranzi kuongorora muviri wako nekugadzira mifananidzo.

Funga nezvazvo se 'X-ray yemukati-kunze'. X-ray yakajairika inotumira mwaranzi mumuviri wako kubva kunze. Asi muchiitiko ichi, tracer yakakosha inowedzerwa kuchikafu chaunodya. Kana tracer iyi ichipinda, inoburitsa gamma rays . Zvadaro, kamera ye gamma inoona mwaranzi iyi yoishandura kuita mufananidzo une mativi maviri. Aya ndiwo maonero aunoita chikafu chaunodya chichifamba nemudumbu mako.

Usati watanga bvunzo iyi, uchapihwa kudya kwakajairika kwakafanana kune wese munhu. Kune huwandu hwakati hwefayibha, shuga, mapuroteni, nemafuta. Izvi zvinodaro nekuti zvese izvi zvinokanganisa kufamba kwedumbu, ndiko kuti, kufamba kwemudumbu . Iyo radioactive isotope inowedzerwa kuchikafu ichi inonzi Sulfur Colloid (99mTc) . Izvi hazvina kukuvadza muviri zvakanyanya, zvinoreva kuti njodzi yekukuvadzwa nechepfu yakaderera .

Pane dzimwe nzira kunze kweiyi here?

Ehe, kune dzimwe nzira dzakawanda dzekuongorora mashandiro edumbu.

• Kuongororwa Kwekufema Kwemudumbu (GEBT): Izvi zvinosanganisira kuyedza kufema kwako. Chikafu chaunonwa chine kabhoni inonzi Carbon-13 . Kana ichinge yapinda mudumbu mako, mhando yakakosha yekabhoni dhayiokisaidhi (CO2-13) inoyerwa inogadzirwa. Gasi iroro rinoyerwa mukufema kwako kuti uone kuti chikafu chiri kufamba nekukurumidza sei.
• SmartPill™ Wireless Motility Capsule: Izvi zvinosanganisira kumedza mudziyo mudiki wemagetsi wakaita sepiritsi. Painofamba nemudumbu mako, inotumira ruzivo kune receiver yaunopfeka isina waya. SmartPill™ inoburitswa mutsvina yako mukati mezuva rimwe kana maviri. Zvadaro, paunopa receiver kuna chiremba wako, vanogona kuongorora data racho voongorora chirwere chacho.

Chii chatinofanira kuziva tisati tatanga bvunzo?

Usati waita bvunzo iyi, chiremba wako achakutaurira nezvazvo. Vachakubvunza nezvezvimwe zvirwere zvaunazvo uye chero mishonga yauri kutora, sezvo izvi zvichigona kukanganisa mhedzisiro yebvunzo.

• Kana uine huwandu hweshuga muropa (hyperglycemia) kakawanda kana huwandu hweshuga muropa hushoma kamwe kamwe (hypoglycemia), pamwe bvunzo iyi haikufadze.
• Zvakanakisisa kudzivisa bvunzo iyi kana uine pamuviri kana kuti uchiyamwisa . Chikonzero cheizvi inyaya yezvinhu zvine mwaranzi.
• Kana uri kuenda kumwedzi , chiremba wako angangoda kuti unyore bvunzo iyi pazuva rawakatanga kuenda kumwedzi, sezvo shanduko dzemahormone dzichigona kukanganisa mwero wekubuda kweropa mudumbu mako, izvo zvinogona kuchinja mhedzisiro yacho.

Ungagadzirira sei bvunzo?

Dumbu rako rinofanira kunge risina chinhu kana waongororwa. Saka chiremba wako achakuudza kuti usadye kana kunwa chero chinhu kwemaawa mana usati waongororwa. Kazhinji, bvunzo iyi inoitirwa mangwanani, saka zviri nyore kuti usadye kana kunwa chero chinhu husiku hwapfuura.

• Kana uine chirwere cheshuga uye uchishandisa insulin , uchakumbirwa kuti uuye ne insulin yako ne glucometer . Vasati vaongororwa, vachatarisa huwandu hweshuga muropa rako, vonyora pasi, uye vokupa insulin kana zvichidikanwa kuti idzoke padanho rakakodzera.
• Hazvina kunaka kusvuta usati waongororwa, sezvo izvi zvinogona kunonotsa kubuda kweropa mudumbu.
• Unogonawo kukumbirwa kuti urege kutora mimwe mishonga mazuva mashoma bvunzo isati yaitwa. Semuenzaniso:
• Zvinoderedza ropa
• Mimwe mishonga inoderedza marwadzo, kunyanya maopioid
• Mimwe mishonga yekuora mwoyo
• Zvinodzivirira calcium channel
• Mishonga inodzivisa acid
• Kurapa kwemahormone evakadzi

Yeuka kuti runyorwa urwu haruna kukwana, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.

Chii chinoitika panguva yebvunzo?

Zvakanaka, ngationei zvinoitika kana taita bvunzo.

• Kutanga, muchapihwa chikafu chakakosha chandambotaura. Chinosanganisira jena rezai rakakangwa rakasanganiswa ne sulfur colloid , chidimbu chechingwa chine jamu restrawberry, negirazi remvura. Zvakakosha kuti mupedze zvese izvi mukati memaminitsi gumi .
• Kana zvichibvira, uchafanira kumira apo bvunzo iri kuitwa. Kana zvikasadaro, unogona kurara pasi. Nyanzvi ichaisa kamera kana makamera padumbu rako.
• Chinoskena chinoskena dumbu rako nguva dzose kweinenge miniti . Chinoskena kanenge kana kashanu seizvi.
• Kuongororwa kwekutanga kunoitwa mushure mekunge mapedza kudya . Kana nyanzvi yezvemagetsi ikafungidzira kuti dumbu renyu riri kubuda nekukurumidza, ichaita kumwe kuongorora mushure memaminitsi makumi matatu . Zvimwe zvinoongororwa.Mushure meawa imwe, maawa maviri nemaawa mana.
• Unogona kumuka wobuda muimba panguva yekuongororwa uku, asi unofanira kudzoka nenguva.

Bvunzo iyi inotora nguva yakareba sei?

Kubvisa zvinhu mudumbu (Gastric Emptying Scintigraphy) kunowanzo tora maawa maviri kusvika mana kuti kupedzwe. Maawa maviri ndiyo nguva yakajairika inotorwa kuti dumbu ribude. Saka kana dumbu rako risina chinhu mukati menguva iyoyo, vanomira kuskena panguva iyoyo. Asi kana zvikatora nguva yakareba kupfuura iyoyo, vanogona kuskena kwemaawa anosvika mana.

Izvi zvinorwadza here? Zvinonzwa zvisina kugadzikana here?

Kwete zvachose. Hauzonzwi kuskena kana zvinhu zvine mwaranzi zvachose . Haugone kuona chinhu chiri muchikafu nekuravira kana kunhuwidza. Saka usazvidya moyo nekusagadzikana.

Chii chinonzi Chidzidzo cheKubvisa Mvura Mudumbu?

Dzimwe nguva vanachiremba vanoraira bvunzo yakasiyana yezvinwiwa (ongororo yekuburitsa mvura) . Izvi zvinogona kupa rumwe ruzivo nezvemamiriro ako ezvinhu. Nekuti zvinwiwa hazvifambi nemudumbu sezvinoita chikafu chakasimba, mhedzisiro yebvunzo iyi inogona kunge yakasiyana. Chiremba wako anogona kuraira bvunzo iyi yemvura panguva imwe chete neyebvunzo yechikafu chakasimba. Kana, vanogona kuraira bvunzo iyi pane imwe nguva mushure mekuongororwa kwechikafu chakasimba.

Iyi ibvunzo pfupi . Uchapihwa kapu yemvura ine sarufa colloid . Zvadaro nyanzvi yezvemagetsi inotora mifananidzo mitatu mukati meawa imwe chete.

Pane njodzi kana migumisiro yebvunzo yeGastric Emptying Scintigraphy here?

Huwandu hwemwaranzi inoiswa mumuviri wako hushoma kwazvo , uye hahuna kukwana kukukuvadza. Zvisinei, kana uine pamuviri, panogona kunge paine njodzi diki kumwana wako asati aberekwa . Kana uri amai vanoyamwisa, mwaranzi diki inogona kupfuudzwa kumwana wako kuburikidza nemukaka wako . Ndosaka bvunzo ichimiswa. Zvikasadaro, hapana mimwe migumisiro inozivikanwa .

Zvinhu izvi zvine mwaranzi zvichabviswa zvachose mumuviri wako muweti yako netsvina yako mumazuva maviri anotevera. Inwa mvura yakawanda mumazuva iwayo, sezvo izvi zvichabatsira kuti ibude mumuviri wako nekukurumidza.

Ndinonzwisisa sei zvabuda muongororo yangu?

Chiremba wako achaongorora zvabuda mubvunzo wozvitsanangura kwauri. Zvabuda zvinoratidza kuti zvakatora nguva yakareba sei kuti chikafu chawadya chifambe mudumbu mako. Zvinoratidza kuti zvakafamba sei muawa imwe chete, maawa maviri, kana maawa mana. Vachaenzanisa zvabuda neavhareji. Kana zvabuda zviri nekukurumidza kana kuti zvishoma nezvishoma kupfuura zvakajairika, zvinoreva kuti mudumbu mako muri kubuda ropa nekukurumidza kana kuti zvishoma nezvishoma.

Mhedzisiro yakajairika inofanira kunge yakaita sei?

Zvekudya zvakasimba:

• Mumaminitsi makumi matatu:Zvinenge 70% yechikafu chinofanira kunge chichiri mudumbu.
• Muawa imwe chete: Zvinenge 30% yechikafu chinofanira kunge chichiri mudumbu, uye zvisingasviki 10% chinofanira kunge chisina chinhu.
• Mumaawa maviri: Zvinenge 40% yechikafu chinofanira kunge chisina chinhu.
• Mumaawa mana: Zvinenge 90% yechikafu chinofanira kunge chisina chinhu.

Nguva yeavhareji yekuedza mvura inenge iri pakati pemaminitsi makumi maviri kusvika makumi maviri nemashanu .

Ndezvipi mhedzisiro isina kujairika?

Ungave uine gastroparesis kana:

• Kana chikafu chinopfuura 60% chichiri mudumbu mushure memaawa maviri.
• Kana chikafu chinopfuura 10% chichiri mudumbu mushure memaawa mana.

Ungave uine Dumping Syndrome , chirwere chinoita kuti mudumbu mubude mvura nekukurumidza, kana:

• Kana chikafu chinopfuura 30% chatove chisina chinhu mushure memaminitsi makumi matatu.
• Kana chikafu chinopfuura 70% chatove chisina chinhu mushure meawa imwe chete.

Chekupedzisira, zvinhu zvaunofanira kurangarira

Kubvisa dumbu mudumbu inzira iri nyore, isingakuvadzi, uye yakarurama yekutarisa mashandiro edumbu rako, kana kuti kufamba kwedumbu .

Zvinogona kuburitsa zvakawanda nezvekushanda kuri kuita ura hwako, pasina dambudziko, uye mumaawa mashoma chete enguva yako. Pamwe wave nezviratidzo kwenguva yakareba zvausingakwanise kuwana chikonzero, uye chikonzero chezviratidzo zvisina kunaka nekurapwa chingave chakajeka. Mhedzisiro yebvunzo iyi ichave rubatsiro rukuru kuna chiremba wako mukuongorora mamiriro ako chaiwo. Saka, kana chiremba akakurudzira bvunzo iyi, hapana chekutya. Taura nachiremba wako nezvazvo zvizere, nzwisisa zvese, uye ongororwa.

Kubuda kwedumbu , kudzidza nezvekubvisa dumbu, bvunzo dzemudumbu, gastroparesis, dumping syndrome, kugaya chikafu, scintigraphy