Dumbu rako rinonzwa sekunge rava kubatwa here? Ngatikurukurei nezve Gastric Outlet Obstruction (GOO)!

Unonzwa kusagadzikana kana kusagadzikana mudumbu rako mushure mekudya here? Pamwe unonzwa kuguta kunyangwe mushure mekudya zvishoma? Kana kuti unorutsa here mushure mekudya? Izvi hazvisi zvinhu zvisina kurongeka. Chikonzero chekurapa chingave chiri shure kweizvi chirwere chatichataura nezvacho nhasi, chinonzi Gastric Outlet Obstruction, kana GOO (Gastric Outlet Obstruction) . Usanetseke, tichataura nezvazvo zvakadzama uye zviri nyore.

Unoziva here kuti Gastric Outlet Obstruction (GOO) chii?

Zvichitaurwa zviri nyore, Gastric Outlet Obstruction (GOO) inguva iyo nzira iri pakati pedumbu rako neura hwako hudiki inovharika nekuda kwechimwe chikonzero. Nzira iyi ndiyo yatinodaidza kuti pylorus . Funga nezvazvo seizvi: dumbu redu ibhegi rakagadzirwa netsandanyama dzinotibatsira kugaya chikafu. Pasi pebhegi iri pane pylorus, iyo inoshanda sevharuvhu. Ndiyo inodzora kufamba kwechikafu chakagayiwa muura hudiki. Saka, muGOO, pane chakaipa neiyi pylorus kana zvakaipoteredza, uye chikafu hachigoni kubuda mudumbu. Zvakafanana nebhora rebvudzi rinovhara nzira yekubuda kwemvura.

Unewo zviratidzo izvi here?

Kana uine GOO, unogona kuona zviratidzo zvakaita seizvi:

• Kusvotwa: Kunzwa kurwara nguva dzose.
• Kurutsa mushure mekudya: Kurutsa kunoitika, kunyanya nguva pfupi mushure mekudya. Dzimwe nguva, kunyange zvinhu zvakadyiwa mazuva mashoma apfuura zvinogona kubuda pamwe chete nekurutsa.
• Kurwadziwa mudumbu: Unganzwa kurwadziwa kusinganzwisisike mudumbu repamusoro.
• Kuguta usati watanga: Kunzwa wakaguta usati wapedza kudya.
• Kudzikira kwehuremu: Kudzikira kwehuremu kunogona kuitika nekuda kwekusapinza chikafu zvakanaka uye kurutsa.

Fungidzira, wadya chikafu chaunofarira, asi mudumbu mako munonzwa kuguta usati watombopedza hafu yendiro. Kana kuti, unorutsa nechinhu chisiri chako mudumbu mako nguva pfupi yadarika. Kana izvi zvikaramba zvichiitika, unofanira kunetseka.

Sei izvi zvichiitika? Ndezvipi zvinokonzera GOO?

Kune zvikonzero zvakasiyana-siyana zveGOO. Vanachiremba vanoti izvi "zvipingamupinyi zvemagetsi." Izvi zvinoreva kuti pane kuvharika kwemuviri kwenzira yechikafu ichibva mudumbu. Zvipingamupinyi izvi zvinogona kunge zvisina njodzi kana kuti zvine njodzi .

Zvikonzero zvisina kunaka

Izvi zvinoreva kuti kuvharika uku hakusi kukonzerwa nekenza.

• Maronda emudumbu: Aya maronda anobuda mudumbu kana pakutanga kweura hudiki (duodenum). Maronda anobuda mushure mekunge maronda aya apora anogonawo kukonzera kuti pylorus itetepe.
• MaBezoars:Izvi zvinhu zvakaita sebvudzi, zvidimbu zvechikafu zvisingagayiwe, kana zvimwe zvinhu zvinoungana mudumbu zvoita mapundu. Izvi zvinogonawo kuvharira pylorus. Dzimwe nguva, izvi zvinogona kuitika kana ukangoerekana wamedza zvinhu zvakaita sebvudzi nechikafu chako.
• Kuoma kwetsinga dzemuviri: Ichi chirwere chinoitika kune vamwe vacheche vadiki. Tsandanyama dzavo dzemuviri dzinova dzakatetepa, zvichiita kuti zvivaomere kuita zvinhu zvakaita sekuyamwisa zvakanaka. Zvakanaka kuziva izvi sezvo zvinogona kuitikawo kuvana vedu vadiki.
• Eosinophilic gastroenteritis: Ichi chirwere chisingawanzoitiki uye chinozvimba mudumbu (kusanganisira mudumbu nemudumbu diki). Izvi zvinogonawo kukonzera kuti pylorus ikure uye itete.
• Chirwere cheCrohn: Ichi chirwere chinowanzokonzera kuzvimba kwemudumbu. Kana chikakanganisa dumbu neura hudiki, mavanga anogona kuumba nekuvharira pylorus.
• Hernia yemudumbu: Hernia huru yemudumbu inogona kukonzera kuti chikamu chedumbu chipfuure nepadiaphragm chichipinda muchipfuva. Izvi zvinogona dzimwe nguva kukonzera kuti dumbu rimonere kana kupeta, zvichikonzera GERD.
• Pancreatitis: Kuzvimba kwepancreas kunogona kukonzera kuti chikamu chekutanga cheura hudiki (duodenum) chizvimbe, zvichivhara nzira yechikafu kubva mudumbu.

Zvikonzero zvinokuvadza

Dzimwe nguva kuvharika uku kunogonawo kukonzerwa negomarara.

• Kenza yemudumbu: Mabundu ekenza anoumbwa mudumbu anogona kukonzera kuti pylorus kana nyama dzakapoteredza dzizvimbe uye dzivharike.
• Gomarara rePancreatic: Mabundu anokura mupancreas anogonawo kukonzera kuti chikamu chekutanga cheura hudiki chizvimbe, zvichivhara nzira yechikafu kubva mudumbu.
• Matumbu emudumbu (GISTs): Aya ndiwo mhando yebundu risingawanzoitiki rinoumbwa mumadziro emudumbu kana muura. Dzimwe nguva anogonawo kukonzera kuvharika.
• Lymphoma: Iyi igomarara remudumbu. Kana ikakanganisa ma lymph nodes akakomberedza dumbu neura hudiki, anogona kuzvimba uye kukonzera GOO.
• Kenza yakapararira mumuviri: Kana kenza ikaitika kune imwe nzvimbo mumuviri ikapararira mudumbu kana munyama dzakapoteredza, inogonawo kukonzera kuvharika.

Ndiani ari panjodzi huru yekuwana chirwere ichi?

Vamwe vanhu vane mukana mukuru wekuwana chirwere cheGOO kupfuura vamwe. Heano mamwe ezvikonzero nei:

• Utachiona hweH. pylori: Utachiona uhwu hunopedza simba mukati medumbu, zvichiita kuti pave nemukana wekuva nemaronda emudumbu. Maronda aya anogona kuzopedzisira aita mavanga nekutetepa kwe pylorus.
• Kushandiswa kwenguva refu kweNSAIDs:Kugara uchishandisa mishonga inonyaradza marwadzo inotengeswa kunze kwemushonga unotengwa nechiremba (Nonsteroidal anti-inflammatory drugs - NSAIDs) kunogona kukuvadza mudumbu uye kuwedzera njodzi yekuve nemaronda.
• Kana wakambovhiyiwa dumbu kare: Pilorus inogonawo kutetepa nekuda kwemavanga ekuvhiyiwa dumbu kare.
• Chirwere cheGastroesophageal Reflux (GERD): Kuramba uchirwara neacid reflux kunogona kukuvadza dumbu, zvichiita kuti mavanga aumbe uye kukonzera kuvharika.

Ndezvipi zvinetso zvinogona kuitika kana chirwere cheGOO chikanyanya kuipa?

Kana GOO ikasarapwa zvakanaka, nekufamba kwenguva inogona kukonzera matambudziko akakomba akadai se:

• Kushaya mvura mumuviri: Kuramba uchirutsa kunogona kukonzera kupera mvura mumuviri, izvo zvinogona kukonzera kurasikirwa nemvura nemunyu mumuviri.
• Kusawirirana kwema electrolyte: Kurutsa kunoita kuti muviri urasikirwe nema electrolyte akakosha, akadai se sodium ne potassium, izvo zvinogona kukanganisa mashandiro emhasuru netsinga.
• Kusadya Zvinovaka Muviri: Nekuda kwekuti chikafu hachinyudzwe zvakanaka, muviri haugamuchire zvinovaka muviri zvaunoda, izvo zvinogona kukonzera kushaya chikafu uye kurasikirwa netsandanyama.
• Pneumonia yekufema: Kana uchirutsa, zvinhu zvakarutswa zvinogona kupinda mumapapu ako. Izvi zvinogona kukonzera pneumonia. Ichi chirwere chine njodzi.

Zvakakosha: Kana uine zviratidzo izvi, zvakakosha kuti uone chiremba nekukasika kuti akupe mazano. Izvi zvinogona kubatsira kudzivirira matambudziko akadai.

Chiremba anonyatsoongorora sei chirwere ichi cheGOO?

Kune bvunzo dzinoverengeka dzinogona kuitwa kusimbisa kuongororwa kweGOO. Chiremba wako achatanga akuongorora uye obvunza nezvezviratidzo zvako. Zvadaro, vanogona kuita bvunzo dzinotevera:

• X-ray: Mifananidzo yeX-ray yemudumbu inogona kupa pfungwa yekuti pane zvipingamupinyi here.
• Endoscopy: Muongororo iyi, chubhu yakatetepa, inochinjika ine kamera yakabatanidzwa inopinzwa nemuromo kuti ione zvakananga mudumbu ne pylorus. Izvi zvinogonawo kubatsira kuona chikonzero chekuvharika kwemasero.
• Upper GI series: Muizvi, unonwa mvura yakakosha (contrast solution) uye mifananidzo yakawanda yeX-ray inotorwa painopfuura nemudumbu mako.
• Kuongororwa kwekubuda kwechinhu mudumbu: Kuongororwa uku kunoongorora kuti chikafu chinokurumidza sei kubuda mudumbu.
• CT scan: Izvi zvinogona kutora mifananidzo yakadzama yedumbu, chikamu chekutanga cheura hudiki, uye nhengo dzakapoteredza. Izvi zvinobatsira zvikuru pakutsvaga chikonzero chekuvharika kwedumbu.

Mishonga yeizvi ndeipi? Inogona kurapwa here?

Mashoko akanaka ndeekuti kune mishonga yeGOO. Kurapa kunoenderana nechikonzero chekuvharika uye kuoma kwechirwere chacho.

• Mishonga:Kana GOO ichikonzerwa nedumbu, mishonga inoderedza acid yemudumbu (yakadai seproton pump inhibitors (PPIs) ) inogona kupihwa. Iyi mishonga inogona kubatsira maronda kupora uye kuderedza kuvharika kwawo.
• Kuvhiyiwa kweEndoscopic: Mune zvimwe zviitiko, kuvhiyiwa kwakadai se pyloroplasty kunogona kuitwa panguva imwe chete ne endoscopy kuti nzvimbo yakamanikana ikure.
• Kuvhiyiwa kweLaparoscopic kana kuti kuvhiyiwa kwakavhurika: Zvichienderana nechikonzero uye mamiriro eGOO, kuvhiyiwa kunogona kudiwa. Izvi zvinogona kusanganisira kubvisa mavanga, bezoars, kana, muzviitiko zvakakomba, kubvisa chikamu chedumbu kana ura hudiki.
• Enteroscopy yemabara: Munzira iyi, catheter yakakosha ine muromo webharumu inoshandiswa kuwedzera pylorus pasina kuvhiyiwa kwakavhurika.

Munhu ane GOO anotarisirwa kurarama kwenguva yakareba sei?

Kufanotaura kwenguva refu uye tarisiro yekurarama kwemunhu ane GOO zvinoenderana nechikonzero chekuvharika kwechirwere uye kuoma kwechirwere. Kuongororwa nekukurumidza uye kurapwa kunowanzo guma nemigumisiro yakanaka. Zvisinei, kana chikasarapwa, chirwere ichi chinogona kuipa, zvichikonzera matambudziko uye kukanganisa hupenyu.

Chii chatingaita kudzivirira kuumbwa kweGOO?

Kunyange zvazvo zvisingabviri kudzivirira zvachose kuumbwa kweGOO, pane zvatinogona kuita kuderedza njodzi yacho.

Tinofanira kuchinja mararamiro edu here?

• Rega kusvuta: Kusvuta kunogona kuwedzera maronda emudumbu uye kuwedzera njodzi yematambudziko akadai semavanga. Kurega kusvuta kwakanakira hutano hwako hwese uye kugaya chikafu.
• Kudzora kushushikana: Kuramba uchinetseka kunogona kuwedzera matambudziko ekugaya chikafu. Saka edza kudzora kushushikana uchishandisa zvinhu zvakaita sekurovedza muviri, nzira dzekuzorora, uye kufungisisa.

Rapa zvirwere zviri pasi pako nemazvo

• Kurapa H. pylori: Kana ukaonekwa uine H. pylori, kuirapa nemishonga inorwisa mabhakitiriya kunogona kuderedza zvikuru njodzi yekuve nemaronda uye matambudziko eGOO. Mushure mekurapwa, chiremba wako achaongorora kana hutachiona hwapera zvachose.
• Kutarisira GERD: Vanhu vane chirwere chegastroesophageal reflux (GERD) vane acid reflux inogara iripo. Izvi zvinogona kukuvadza mudumbu uye kukonzera maronda. Saka, zvakakosha kutora mishonga yeGERD uye kuchinja mararamiro kuti uzvigadzirise.

Ngatitangei kufarira zvishoma isu pachedu, handiti?

• Kuongororwa nachiremba nguva dzose: Nekuona chiremba nguva dzose, matambudziko ekugaya chikafu anogona kukonzera zvirwere zvakaita seGOO anogona kuonekwa uye kurapwa nekukurumidza.
• Kushandisa mishonga zvakachengeteka:Mimwe mishonga, kunyanya NSAID (Nonsteroidal anti-inflammatory drugs) inoderedza marwadzo, inogona kukuvadza mudumbu uye kuwedzera njodzi yemaronda. Saka chenjerera paunenge uchiishandisa. Kana zvichidikanwa, taura nachiremba wako nezvedzimwe nzira.

Ndinozvitarisira sei? (Mushure mekurapwa)

Mushure mekurapwa kweGOO, uchafanirwa kuchinja mararamiro ako:

• Kuchinja kwenguva yekudya: Pane kudya chikafu chikuru panguva imwe chete, idya chikafu chidiki kakawanda pazuva. Izvi zvinoderedza mutoro wedumbu rako.
• Kudzora kushushikana: Zvimwe zviratidzo zvekugaya zvinogona kuwedzerwa nekushushikana, saka kushandisa nzira dzekudzikamisa muviri kunogona kubatsira.

Ndezvipi zvekudya zvisina kunaka kudya kana uine GOO?

Kana uine GOO, unofanira kudzivisa kudya michero, miriwo, nezviyo zvisina kubikwa, sezvo zvakaoma kupfuura nepaburi rakavharika. Zvakanakawo kuderedza kudya zvine spice, mafuta, uye acidic, sezvo zvinogona kutsamwisa mudumbu.

Ndinofanira kuona chiremba rini?

Kana ukaramba uine zviratidzo zvakaita sekuda kuda kurutsa, kurutsa, uye kurwadziwa mudumbu, zvakakosha kuti uone chiremba kuti uwane chikonzero uye kudzivirira matambudziko.

Yeuka, kurapa zvirwere zviri pasi peganda nekukurumidza kunogona kuderedza zvikuru njodzi yeGOO uye kuchengetedza hutano hwako hwekugaya chikafu.

Ndeipi mibvunzo inokosha yekubvunza chiremba?

Kana uine GOO, unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Chii chingangove chikonzero chikuru chechirwere changu cheGOO?
• Kuvharika kwacho kwakaipa sei?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndezvipi zvakanakira nezvakaipa zvesarudzo idzodzo dzekurapa?
• Chii chiri kutarisirwa pamamiriro angu ezvinhu?
• Ndichafanira kuchinja kudya kwangu mushure mekurapwa here?

Ndeupi musiyano uripo pakati peGastric Outlet Obstruction (GOO) neGastroparesis?

Kuvharika kwemudumbu (GOO) uye gastroparesis zvinogona kukonzera matambudziko ekufamba kwechikafu kubva mudumbu. Zvisinei, zvikonzero uye mashandiro ezviviri izvi zvakasiyana.

Funga nezveGOO senzira yekubuda kwemvura yakavharika. Kuvharika uku kunodzivirira chikafu kuti chisabude mudumbu uye chienderere mberi kune zvimwe zvese zvinoitwa pakugaya chikafu.

Gastroparesis haisi dambudziko remuviri seGOO. Idambudziko apo tsandanyama dziri mudumbu dzinobatsira kusunda chikafu kubva mudumbu dzinoshaya simba kana kusashanda, zvichikonzera kunonoka kwekupfuura kwechikafu kubva mudumbu.

Chekupedzisira, chinhu chakakosha kurangarira (Mharidzo Yekuenda Kumba)

Zvakajairika kuti unzwe kutya uye kunetseka kana waonekwa uine Gastric Outlet Obstruction (GOO). Asi chinonyanya kukosha ndechekuyeuka kuti ichi chirwere chinorapika.Vanachiremba vane ruzivo rwakawanda mukurapa chirwere ichi. Zvakare, kune nzira dzekurapa dzinoshanda zvichienderana nechikonzero chacho. Vanhu vazhinji vanosangana nechirwere ichi. Kana ukawana kurapwa kwakakodzera, unogona kukurumidza kupora. Ramba uine tariro, tarisa pakuwana kurapwa kwakanakisa, uye yeuka kuti hausi wega mune izvi. Chikwata chako chekurapa chichakubatsira nhanho dzese dzenzira.

Kuvharirwa kwemudumbu, GOO , kurwadziwa kwemudumbu, kurutsa, mudumbu, pylorus, kugaya chikafu, kuzara, kurwadziwa kwemudumbu, maronda emudumbu, H. pylori, endoscopy, gastroparesis