Unonzwa kuguta here mushure mekudya chikafu chidiki? Kana kuti unonzwa kusagadzikana mushure memaawa ekudya? Kana uchigara uchingonzwa kuda kurutsa, kunzwa kuguta, uye uchinetseka nekudya, unofanira kuziva nezvechirwere ichi chatiri kutaura nezvacho nhasi chinonzi gastroparesis. Izvi zvinganzwika seshoko rakakomba, asi ngatitaurei nezvazvo zviri nyore.
Zvichitaurwa zviri nyore, chii chinonzi gastroparesis?
Izwi rekuti gastroparesis rinoreva "kusashanda zvakanaka kwemudumbu" kana kuti "kuoma kwemudumbu." Kutaura chokwadi, idambudziko rinokanganisa tsinga netsandanyama dziri mudumbu mako. Kazhinji, patinodya, tsandanyama dziri mudumbu dzinobatana, zvinoreva kuti dzinofamba semafungu, dzichisanganisa nekupwanya chikafu uye dzichichisundira zvishoma nezvishoma muura hudiki. Maitiro aya anonzi "peristalsis."
Asi kune munhu ane Gastroparesis, tsandanyama netsinga mudumbu hazvishande zvakanaka. Saka zvinotora nguva yakareba kuti chikafu chibve mudumbu chichienda muura hudiki, dzimwe nguva hazvifambi zvachose. Kufanana nemota yakabatwa mumotokari, chikafu chinobatwa mudumbu. Izvi ndizvo zvinokonzera zviratidzo zvese zvisingafadzi zvataurwa kare.
Kana chirwere ichi chikaramba chiripo, mamwe matambudziko anogona kumuka. Kurasikirwa nechido chekudya kunogona kukonzera kushomeka kwekudya kunovaka muviri , uye zvinogona kuoma kudzora huwandu hweshuga muropa . Dzimwe nguva, zvidimbu zvechikafu zvisingamedzwi zvinoungana mudumbu, zvichiita ganda rakasimba. Izvi zvinonzi "Bezoar" mukurapa.
Pane mhando dzakasiyana dzechirwere ichi here?
Ehe, vanachiremba vanowanzo patsanura chirwere ichi zvichienderana nechikonzero chacho.
- Gastroparesis inokonzerwa nechirwere cheshuga: Iri ndiro zita rinopiwa chirwere ichi kana chikaitika semhedzisiro yechirwere cheshuga.
- Gastroparesis mushure mekuvhiyiwa: Rudzi urwu rwegastroparesis runoitika sedambudziko rekuvhiyiwa mudumbu.
- Idiopathic Gastroparesis: Zvinoshamisa kuti kazhinji, hapana chikonzero chaicho chinogona kuwanikwa chechirwere ichi. Pakati pechikamu chimwe muzvina nehafu chevarwere vanowira muchikamu ichi.
Panyaya idzi, chikonzero chinonyanya kuzivikanwa uye chinowanzoonekwa chirwere cheshuga , icho chinokonzera chikamu chimwe muzvitatu chezvirwere zvegastroparesis.
Ndezvipi zviratidzo zvemunhu ane gastroparesis?
Zviratidzo izvi hazvifanani kune wese munhu, zvimwe zvinogona kunge zviri zvinyoro nyoro, nepo zvimwe zvingave zvakanyanya zvekuti zvinoita kuti zvisakwanise kuita mabasa ezuva nezuva. Ngatitarisei zviratidzo zvikuru.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kusagadzikana kwekugaya chikafu | Kunzwa kurema uye kusagadzikana mudumbu mushure mekudya. |
| Kuzvimba | Dumbu rinonzwa rakakura uye rakamanikana, sekunge rakazara negasi. |
| Kunzwa kuguta nekukurumidza | Kana wangodya chikafu chidiki, unonzwa wakaguta, wobva watadza kudya zvakare. Kunzwa ikoko kwekuguta kunogara kwemaawa akawanda. |
| Marwadzo emudumbu repamusoro | Kurwadziwa kana kupisa mudumbu repamusoro, pasi pechipfuva. |
| Kusvotwa nekurutsa | Ndinonzwa kuda kurutsa nguva dzese, uye dzimwe nguva ndinorutsa chikafu chisina kugayiwa. |
| Kuda kudya | Ndinorasikirwa nechido chekudya chose. |
| Uyo anosvika padombo uye kurwadziwa kwechipfuva | Kunzwa sekuti acid iri kubuda muhuro (acid reflux). |
| Kuchinja kwemazinga eshuga muropa | Nekuti nguva inotora kuti chikafu chisvike muura inokanganiswa, kupinda kweshuga muropa kunokanganiswa. Huwandu hweshuga hunogona kuwedzera kana kudzikira kamwe kamwe. |
Chinhu chinonyanya kukosha ndechekuti kana uine zviratidzo izvi, usangofungidzira kuti, "Izvi zvingangove chirwere chegastritis," uye tsvaga mazano kuna chiremba .
Ndezvipi zvikonzero zvikuru zve gastroparesis?
Sezvambotaurwa, kazhinji kacho, chikonzero hachiwanikwe. Asi pane zvimwe zvingangove zvikonzero. Zvese izvi zvinokonzerwa nekukuvara kwetsinga dzinodzora tsandanyama dzemudumbu.
Chirwere cheshuga
Ichi ndicho chikonzero chikuru. Kana huwandu hweshuga muropa husingadzoreki uye hwakakwira kwenguva yakareba, hunokuvadza tsinga dzakatetepa mumuviri. Tinoti izvi "Diabetic Neuropathy". Kukuvara uku kunokanganisawo tsinga dziri mudumbu. Ipapo chiratidzo kumhasuru dzemudumbu chekuti "dzinogwamba" hachifambi zvakanaka.
Kuvhiya
Panguva yekuvhiyiwa kwedumbu, chipfuva, kana nzvimbo dzakapoteredza, tsinga yemudumbu, iyo tsinga huru inodzora mashandiro edumbu, inogona kukuvara . Kukuvara uku kunogona kukonzera gastroparesis. Semuenzaniso, mamiriro aya anogona kuonekwa mushure mekuvhiyiwa kwakadai se `(Gastrectomy)` (kubviswa kwechikamu chedumbu) kana `(Cholecystectomy)` (kubviswa kwegallbladder).
Utachiona
Dambudziko iri rinogonawo kuitika mushure memamwe mavhairasi (akadai se'Norovirus', 'Rotavirus') kana hutachiona hwebhakitiriya. Kunyangwe zvisiri pachena kuti izvi zvinoitika sei chaizvo, zvinofungidzirwa kuti zvinogona kunge zvichikonzerwa nehutachiona pachahwo kana kuti masoja edu emuviri anokuvadza tsinga zvisizvo panguva yekurwisa hutachiona.
Mimwe Mishonga
Mimwe mishonga yaunotora inogona kukanganisa mashandiro emudumbu kwenguva pfupi. Unofanira kungwarira zvakanyanya nemishonga iyi kana uchitova nechirwere chegastroparesis.
- Mishonga inonyaradza marwadzo yakasimba - `(Opioids)`
- Fodya - `(Nikotini)`
- Mimwe mishonga yekuora mwoyo - `(Tricyclic antidepressants)`
- Mimwe mishonga yeBP yakakwira - `(Calcium channel blockers)`
- Mimwe mishonga yechirwere cheshuga - `(GLP-1 antagonists)`
Kune mimwe mishonga yakaita seiyi, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
Ndezvipi zvingakonzera izvi?
Gastroparesis haisi marwadzo emudumbu chete. Inogona kukonzera matambudziko akakomba kana ikasagadziriswa nemazvo.
- Kudzikira kwehuremu uye kushomeka kwekudya: Kugara uchingonzwa kuda kurutsa, kurutsa, uye kushaya chido chekudya zvinogona kukonzera kushaya chikafu, izvo zvinogona kukonzera kudzikira kwehuremu, kushaya mvura mumuviri, uye kushaya chikafu chinovaka muviri .
- Kurasikirwa nekudzora shuga muropa:Iri idambudziko guru, kunyanya kune vane chirwere cheshuga. Nekuti nguva yechikafu chinobva mudumbu inokanganiswa, maitiro eshuga inopinda muropa anokanganiswa. Huwandu hweshuga hunogona kudonha zvishoma nezvishoma (`Hypoglycemia`) kana kukwira kamwe kamwe zvakanyanya (`Hyperglycemia`). Izvi zvakaoma kwazvo kudzora.
- Kuumbwa kweBezoar: Sezvambotaurwa, zvidimbu zvechikafu zvisingamedzwi zvinogona kuungana mudumbu zvoita mapundu akaoma akafanana nematombo. Kana izvi zvikakura, zvinogona kuvhara nzira yechikafu ichibuda mudumbu. Izvi zvinokonzeresa emergency.
Chiremba anonyatsoongorora sei chirwere ichi?
Paunoenda kunoona chiremba, anotanga akubvunza nezvezviratidzo zvako, chero zvimwe zvirwere zvaunazvo (sechirwere cheshuga), uye chero kuvhiyiwa kwawakaitwa. Zvadaro, achaita bvunzo kuti aone kana zviratidzo zvako zvichikonzerwa nekuvharika kwedumbu rako.
1. Iva nechokwadi chekuti hapana zvinokutadzisa:
- Endoscopy Yepamusoro: Kamera diki inopinzwa nemuromo kuti iongorore mukati medumbu kuti ione kana paine bundu, maronda, kana zvimwe zvinovhara.
- Zvimwe zvekuskena: Kuongororwa kwakadai seCT scan kana MRI kunogona kutarisa mukati medumbu.
2. Kuyera mashandiro edumbu:
- Kana zvangoonekwa kuti hapana chinovhara, bvunzo dzakakosha dzinoitwa kuti vaone kuti mudumbu munokurumidza sei kuburitsa mvura.
- Gastric emptying scintigraphy (GES): Iyi ndiyo muedzo mukuru weizvi. Mumuedzo uyu, unodya chikafu chidiki (kazhinji zai) chakasanganiswa nechinhu chine radioactive. Zvadaro, mukati memaawa akati wandei, scan dzinotorwa kuti dzione kuti zvinotora nguva yakareba sei kuti chikafu chibude mudumbu.
- Kuongororwa Kwekufema: Unogona kuwana pfungwa yekushanda kwedumbu rako nekupa chikafu chine molekyuru yakakosha yekabhoni uye kuyera gasi raunoburitsa.
Mushure mekuongororwa uku, chiremba anogona kukuudza zvechokwadi kana une gastroparesis kana kuti kwete.
Ndezvipi zvirongwa zvekurapa gastroparesis?
Kukuvadzwa kwetsinga kunokonzera chirwere ichi hakugone kugadziriswa. Izvi zvinoreva kuti zvakaoma kurapa zvachose. Zvisinei, kune nzira dzakawanda dzinoshanda dzinogona kubatsira kudzora zviratidzo uye kurarama hupenyu hwakajairika .
Zvinangwa zvikuru zvekurapa ndeizvi:
- Zvinokurudzira tsandanyama dzemudumbu, zvichiita kuti chikafu chibude nekukurumidza.
- Iva nechokwadi chekuti muviri wako unowana zvinovaka muviri uye mvura yaunoda.
- Kudzora zviratidzo zvakaita sekuda kurutsa nekurwadziwa.
- Kana paine chikonzero cheizvi (senge chirwere cheshuga), zvakakosha kuti chidzorwe zvakanaka.
Mishonga
- Prokinetics:Aya ndiwo marudzi makuru emishonga anobatsira tsandanyama dzemudumbu kugwinha. `Metoclopramide` ndeimwe yemishonga inotenderwa pakurapa uku. Zvisinei, nekuda kwezvimwe migumisiro, inofanira kushandiswa chete sekurairwa nachiremba.
- Mishonga inorwisa kusvotwa: Izvi zvinobatsira kudzora kuda kurutsa nekurutsa .
- Mimwe mishonga: Mishonga yekuzvimba pachipfuva, kurwadziwa, uye kudzora chirwere cheshuga inogonawo kuiswa muchirongwa chekurapa.
Kuchinja mukudya
Ichi chikamu chakakosha kwazvo chekurapa.
- Panzvimbo pekudya katatu pazuva, idyai zvekudya zvidiki kashanu kusvika katanhatu.
- Kuderedza chikafu chine mafuta akawanda nefayibha (semuenzaniso chikafu chakakangwa, miriwo yakawanda, maganda emichero) nekuti izvi zvinotora nguva yakareba kuti zvigayiwe.
- Kunyatsoteerera chikafu chine mvura kana chakasanganiswa zvakanaka (soups, porridge, juices).
Kuvhiya
Kana mamwe marapirwo ese akakundikana, kuvhiyiwa kunofanira kuonekwa senzira yekupedzisira.
- Pyloroplasty: Kuvhiyiwa kwekukudza zvishoma mhete yetsandanyama (pylorus) uko chikafu chinopfuura chichibva mudumbu. Izvi zvino zvinogona kuitwa pasina kuchekwa uchishandisa endoscope (nzira ye `G-POEM`).
- Gastric Bypass: Kuvhiyiwa kunodarika chikamu chedumbu chisina kushanda zvakanaka uye kunogadzira nzira itsva yekuti chikafu chipfuure zvakananga muura hudiki.
Chii chaunofanira kungwarira paunenge uchirarama nechirwere ichi?
Gastroparesis chirwere chinogara kwenguva refu. Zvisinei, zvinokwanisika kurarama nacho zvakanaka. Zvakakosha kuchinja diki mararamiro ako.
- Tsvaga kuti ndezvipi zvekudya zvakakunakira uye kuti ndezvipi zvekudya zvakakunakira. Kunyora pasi zvekudya kunogona kubatsira neizvi.
- Famba-famba zvishoma mushure mekudya. Kufamba zvishoma nezvishoma kunogona kubatsira pakushanda kwedumbu.
- Dzivisa doro, kusvuta, nezvimwe zvinodhaka zvachose. Izvi zvinowedzera kukanganisa mashandiro emudumbu.
- Gara uchitaurirana nachiremba wako nguva nenguva. Muudze kana paine shanduko muzviratidzo zvako kana kuti uri kunetseka nemishonga yako.
Gastroparesis inogona kuva dambudziko rakaoma, asi nekurapwa kwakakodzera uye shanduko dzemararamiro, unogona kurarama zvakanaka uye kurarama hupenyu hwakajairika.
Mharidzo Yekuenda Nayo Kumba
- Gastroparesis chirwere chinokonzerwa nekugayiwa kwechikafu zvishoma nezvishoma nekuti tsinga netsandanyama zvemudumbu hazvishande zvakanaka.
- Zviratidzo zvikuru ndezvekunzwa kuguta kunyangwe mushure mekudya chikafu chidiki, kuda kurutsa, kuzvimba, uye kurutsa.
- Chirwere cheshuga ndicho chinonyanya kuzivikanwa chinokonzera chirwere ichi, asi kazhinji, hapana chikonzero chingawanikwa.
- Kurapa kunosanganisira mishonga, kuchinja zvekudya, uye dzimwe nguva kuvhiyiwa.
- Kana uine zviratidzo zvakadai, usazvisarudzire wega , asi taura nachiremba wako kuti akubatsire kuziva chirwere chako uye kuti akupe mishonga chaiyo.
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