Unowanzo nzwa kurwadziwa mudumbu, kunzwa kuguta mushure mekudya, kana kunzwa kuguta kunyangwe mushure mekudya zvishoma here? Dzimwe nguva unonzwa kuda kurutsa kana kurutsa here? Saka zvakakosha kuti uzive nezvechirwere ichi chinonzi gastroparesis . Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.
Chii chinonzi gastroparesis? Zvichitaurwa zviri nyore…
Izwi rekuti gastroparesis rinoreva "kutadza kushanda zvakanaka kwedumbu." Kutaura chokwadi, chirwere chinokanganisa tsinga netsandanyama dziri mudumbu mako. Tsandanyama dziri mudumbu mako dzinobatana uye dzinozorora nenzira yakakosha kuti dzifambise chikafu chaunodya kubva mudumbu mako kuenda muura hwako hudiki. Izvi zvinonzi peristalsis. Saka, mumunhu ane gastroparesis, tsandanyama netsinga dziri mudumbu mako hadzishande zvakanaka, saka chikafu chinonamira mudumbu mako uye hachibudi zvakanaka. Izvi zvinokanganisa kugaya kwese.
Funga nezvazvo semota yemvura. Kana switch pamota isingashande, kana paine chimwe chinhu chisina kumira zvakanaka pamota pachayo, mvura haizopindi mutangi. Ndiwo mashandiro anoita dumbu.
Vanhu vane chirwere ichi vane dambudziko guru rekugaya chikafu. Pamusoro pezvo, zvinogona kuva nemigumisiro yenguva refu. Izvi zvinogona kusanganisira kurasikirwa nechido chekudya, kushaya chikafu chakakwana, uye kuoma kudzora huwandu hweshuga muropa. Dzimwe nguva, kunyangwe chikafu chikapfuura nemudumbu, chingasave chakazara, zvichisiya zvidimbu zvechikafu. Zvidimbu zvechikafu izvi zvinogona kuungana uye kuomarara sematombo, zvichiita kuti pave nechinhu chakaoma chinonzi bezoar.
Kune mhando dzakasiyana dze gastroparesis here?
Ehe, vanachiremba vanowanzo patsanura chirwere ichi zvichienderana nechikonzero.
- Gastroparesis ine chekuita nechirwere cheshuga : Izvi zvinogona kuitika semhedzisiro kune vanhu vane chirwere cheshuga.
- Gastroparesis mushure mekuvhiyiwa: Inogonawo kuitika sedambudziko mushure mekuvhiyiwa mudumbu.
- Idiopathic Gastroparesis: Dzimwe nguva hapana chikonzero chakajeka chingawanikwa . Izvi zvinonzi idiopathic gastroparesis.
Ndeipi mhando inonyanya kuzivikanwa?
Zviitiko zvizhinji (zvinenge chikamu chimwe muzvina kusvika hafu) zve gastroparesis zvinoiswa muchikamu che idiopathic . Izvi zvinoreva kuti vanachiremba havana kukwanisa kuwana chikonzero chaicho. Zvisinei, mune zvimwe zviitiko zvinowira muchikamu ichi, zvinokwanisika kuti pane chikonzero chiripo asi hachisati chazivikanwa. Chirwere cheshuga ndicho chikonzero chikuru chechirwere ichi. Vanenge chikamu chimwe muzvitatu chevarwere vanowana chirwere ichi chine chekuita nechirwere cheshuga.
Ndezvipi zviratidzo zve gastroparesis?
Muchiitiko ichi, unogona kuona chimwe kana kupfuura chezviratidzo zvinotevera:
- Kusagaya: Kusagaya chikafu: Kusagaya chikafu.
- Dumbu rakazvimba : Kunzwa sekunge dumbu rakazvimba.
- Kunzwa kuguta nekukurumidza uye kwenguva yakareba: Kunyangwe kudya chikafu chidiki kunogona kuita kuti unzwe kuguta, uye kunzwa ikoko kwekuguta kunogona kugara kwemaawa akawanda. Fungidzira uchidya mupunga mudiki mangwanani wonzwa kuguta kusvika masikati.
- Kurwadziwa kwemudumbu: Kurwadziwa mudumbu repamusoro .
- Kusvotwa nekurutsa : Dzimwe nguva zvidimbu zvechikafu zvisina kugayiwa zvinogona kubuda.
- Kudzosera chikafu chose chisina kumedzwa: Seshiri inodzosera chikafu.
- Kushaya chido chekudya .
- Kushungurudzika kweacid uye chirungurira.
- Kuchinja kusingawanzoitika muhuwandu hweshuga muropa (kuchinja-chinja kweshuga muropa).
- Kuzvimba kwemuviri .
Zvinonzwa sei kuva negastroparesis?
Kana tsandanyama dzemudumbu mako dzikasashanda zvakanaka, chikafu chinogara mudumbu kwenguva yakareba mushure mekudya. Unogona kunzwa wakaguta paunongotanga kudya, uye kunzwa ikoko kunogona kugara kwenguva yakareba. Unogona kunzwa kurwadziwa mudumbu, kuda kurutsa, uye kurutsa. Mudumbu mako unogona kunzwa kuzvimba uye kusungwa. Unogonawo kunzwa kupisa kwemoyo nekuda kweacid reflux.
Urwu chirwere chinorwadza here?
Zviratidzo zveGastroparesis zvinosiyana kubva pamunhu nemunhu. Vanhu vashoma vanotaura nezvekurwadziwa kwemudumbu kunoramba kuripo kwakanyanya zvekuti havakwanise kuita mabasa ezuva nezuva. Zvisinei, zvinoita sekunge hapana hukama hwakasimba pakati pehuwandu hwekurwadziwa kunosangana nevanhu, kuoma kwegastroparesis yavo, kana kumhanya kunoita mudumbu mavo kubuda ropa. Vamwe vanhu vanogona kurwadziwa zvakanyanya, pamwe nekuti tsinga dzavo dzinonzwa zviri nani. Izvi zvinogonawo kunge zvine chekuita nechikonzero chegastroparesis.
Gastroparesis inokanganisa sei kufamba kwemudumbu?
Nekuti gastroparesis inoderedza kugaya kwako kwese, inogonawo kunonotsa kufamba kwedumbu rako. Zvakare, zvidimbu zvechikafu zvakakura, zvisina kumedzwa zvinogona kunamira mudumbu rako, zvichiita kuti zviome kubuda. Kunyangwe gastroparesis isingakanganisi zvakananga kufamba kwemhasuru dziri mudumbu rako, mamwe ematambudziko anokonzera chirwere ichi anogonawo kukanganisa ura hwako. Ndosaka vamwe vanhu vachigona kuva negastroparesis uye kuvimbiwa panguva imwe chete.
Chii chinonyanya kukonzera gastroparesis?
Zvichitaurwa zviri nyore, gastroparesis inokonzerwa nekukuvadzwa kwetsinga dzinodzora tsandanyama dzemudumbu. Kashoma, tsandanyama pachadzo dzinogonawo kukuvara. Zvisinei, mhedzisiro ndeyekuti marwadzo etsandanyama anokuya chikafu mudumbu obva achisundira kunze anodzikira. Izvi zvinogona kukonzera matambudziko ekugaya chikafu uye kunonoka kubuda kwedumbu - zvichireva kuti chikafu chinogara mudumbu kwenguva yakareba.
Ndezvipi zvikonzero chaizvo zve gastroparesis?
Heano zvimwe zvezvikonzero zvakawanikwa:
1. Chirwere cheshuga (chirwere cheshuga)
Vanhu vanosvika chikamu chimwe muzvitatu vane chirwere cheshuga vanotambura negastroparesis. Izvi zvinonzi chirwere cheshuga-related neuropathy. Kana huwandu hweshuga muropa hwakwira kwenguva yakareba, tsinga dzinokuvara. Uyewo, huwandu hweshuga muropa hunokuvadza tsinga dzeropa dzinotakura okisijeni kuenda kunyama. Saka zvinokanganisa tsinga netsandanyama dzemudumbu.
2. Kuvhiyiwa
Kuvhiyiwa padumbu rako kana pedyo naro kunogona kukuvadza tsinga yemudumbu, iyo inofamba nemudumbu mako uye inotungamira mafambiro ayo. Dambudziko iri rinogona kuitika chero nguva mushure mekuvhiyiwa. Rinogona kuitika ipapo ipapo, kana kuti rinogona kuitika mwedzi kana makore gare gare. Mamwe mavhiyiwa anogona kukonzera izvi anosanganisira:
- Nissen fundoplication
- Kubviswa kwechikamu chedumbu kana dumbu rese (gastrectomy)
- Pancreatectomy (kubviswa kwechikamu kana kuti pancreas yese)
- Kubvisa tsinga yemudumbu (vagotomy)
- Kubviswa kwegallbladder (Cholecystectomy)
3. Utachiona
Utachiona hwemudumbu, kunyanya hutachiona hwehutachiona (semuenzaniso, norovirus, rotavirus) uye humwe hutachiona hwebhakitiriya, hunogonawo kukonzera gastroparesis. Masayendisiti haasati ava nechokwadi kana hutachiona uhwu huchikuvadza tsinga zvakananga, kana kuti masero ekudzivirira muviri ari kurwisa hutachiona aya anokuvadza tsinga zvisizvo here.
4. Zvirwere zve autoimmune
Muzvirwere zve autoimmune, masoja emuviri wedu anorwisa masero edu nekugadzira ma antibodies (autoantibodies). Tsvagiridzo itsva inoratidza kuti ma autoantibodies aya anogona kukuvadza tsinga dziri mudumbu. Unogona kuva ne gastroparesis kunyangwe usina zvimwe zviratidzo zve autoimmune, kana kana zviratidzo izvozvo zvisina chekuita nedumbu.
5. Zvinodhaka
Mimwe mishonga nemishonga inogona kuvharira zviratidzo zvetsinga zvinodzora tsandanyama dzemudumbu. Izvi zvinogona kukonzera gastroparesis yenguva pfupi. Mimwe yemishonga iyi inogonawo kunyorerwa kune zvimwe zvirwere zvine chekuita negastroparesis (yakadai sechirwere cheshuga). Kana watova negastroparesis, kana kuti wakambova nayo kare, unofanira kudzivisa mishonga iyi. Mienzaniso:
- Maopioid (zvinodhaka)
- Nikotini (iri mufodya)
- Mbanje (Hemp)
- Mishonga yeTricyclic antidepressants
- Progesterone (hormone)
- Mishonga yeAllergy yakaita seAntihistamines (Anticholinergics)
- Mishonga yeCalcium channel blockers yeBP yakakwira
- Amylin analogs / GLP-1 antagonists yechirwere cheshuga cherudzi rwechipiri
- Cyclosporine (mushonga unopiwa kudzivirira kurambwa panguva yekuisirwa nhengo)
- Clonidine (mushonga weBP yakakwira)
- Lithium (mushonga webipolar disorder)
- Mimwe mishonga yekurapa chirwere chepfungwa (Mishonga yeAntipsychotic)
6. Zvimwe zvikonzero
Zvimwe zvikonzero zvisingawanzo kanganisa:
- Zvirwere zvetsinga: Zvirwere zvinokanganisa tsinga dzemudumbu, zvakaita seParkinson's disease, multiple sclerosis, uye autonomic dysfunction, zvinogona kukonzera kuti tsinga dzemudumbu dzisashande zvakanaka.
- Zvirwere zveCollagen-vascular: Zvirwere zvinogara zvichikonzera kuzvimba kwenhengo dzemuviri zvakaita seamyloidosis, scleroderma, lupus, uye Ehlers-Danlos syndrome zvinogona kukonzera kusasimba kwetsandanyama dzemudumbu.
- Matambudziko eEndocrine: Matambudziko akadai sechirwere chethyroid, matambudziko eadrenal, kusawirirana kwema electrolyte, uye kutadza kushanda kweitsvo zvinogona kukonzera kukuvara kwetsinga nemakemikari.
- Cystic fibrosis: Chirwere ichi chinokonzera kuti madzihwa (chinhu chakaita semadzihwa) aungane mudumbu, zvichideredza kushanda kwemuviri wese. Zvinofungidzirwa kuti vanhu vanosvika chikamu chimwe muzvitatu vane chirwere ichi vane gastroparesis.
Ndezvipi zvinetso zvinogona kuitika nekuda kwegastroparesis?
Chirwere ichi chinogona kukonzera matambudziko akasiyana-siyana, anosanganisira:
- Kudzikira kwehuremu, kushaya chikafu chakakwana, uye kushaya mvura mumuviri: Kuramba uchingonzwa kuda kurutsa, kurutsa, uye kushaya chido chekudya zvinogona kukonzera kudzikira kwehuremu uye kushaya chikafu chinovaka muviri. Kurutsa nguva dzose kunogona kukonzera kushaya mvura mumuviri uye kushaya electrolyte (munyu wemuviri). Ungangoda kuendeswa kuchipatara uye kupihwa mushonga wekudya uye saline.
- Matambudziko ane chekuita neacid reflux: Nekuti dumbu rakazvimba nekuda kwegastroparesis, zviri nyore kuti acid yemudumbu ikwire mugurokuro . Kuramba uchidzoka kunogona kukuvadza gurokuro . Semuenzaniso, chirungurira uye esophagitis .
- Matambudziko eshuga muropa: Gastroparesis inokanganisa maitiro akajairika, anodzorwa ayo chikafu chinofamba nemudumbu. Izvi zvinokanganisa kuburitswa kweshuga (shuga) muropa nguva dzose. Kana chikafu chikaramba chiri mudumbu kwenguva yakareba, huwandu hweshuga muropa hunogona kudzikira. Kana chikafu chikaburitswa kamwe kamwe, huwandu hweshuga muropa hunogona kukwira. Kuchinja kweshuga muropa uku kunonyanya kunetsa vanhu vane chirwere cheshuga, uye kunogona kuita kuti gastroparesis iwedzere kuipa.
- Kuvharirwa kweBezoar neGastric Outlet: Bezoar ibundu rakaomarara rechikafu rakanamira mudumbu. Rinoumbwa kubva muzvidimbu zvechikafu zvinosara kana dumbu rabuda. Dzimwe nguva, bezoar inogona kukura zvakanyanya zvekuti haikwanise kupfuura nemunobuda nedumbu. Inogonawo kuvhara kufamba kwechimwe chikafu. Vanachiremba vanogona kukupa mushonga wekunyungudutsa bezoar, kana kuti vanogona kuibvisa nekuvhiyiwa.
Gastroparesis inoonekwa sei?
Chiremba achatanga akubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano (zvirwere zvinogona kukonzera gastroparesis, kuvhiyiwa). Zvadaro, vachakuitira bvunzo dzekuongorora muviri kuti vaone mukati medumbu rako. Miedzo iyi inotarisa chero chipi zvacho chakavharika mumuviri, sezvo izvi zvinogona kukonzera zviratidzo zvakafanana. Kana pasina chakavharika chakawanikwa, vachabva vaita bvunzo dzekufamba kwemudumbu . Miedzo iyi inotarisa mashandiro ari kuita tsandanyama dzemudumbu mako.
Ndezvipi zvidzidzo zvinoitwa kuti uone gastroparesis?
Chinhu chekutanga chauchaita ndechekuita bvunzo kuti uone kana paine kuvharika kuri kukonzera zviratidzo zvako. Izvi zvinosanganisira:
- Endoscopy yepamusoro: Maitiro ekuisa kamera diki nemuromo kuti ione dumbu.
- Upper GI series: X-ray inotorwa mushure mekunwa chinhu chakadai sebarium.
- Kuongororwa kweCT
- MRI `(MRI)`
- Ultrasound yemudumbu
Kana bvunzo idzi dzikasawana kuvharika kwemuviri, danho rinotevera nderekuongorora kubuda kwemudumbu, uko kunoyera kufamba kwemudumbu. Izvi zvinogona kusanganisira:
- Gastric emptying scintigraphy (GES): Iyi bvunzo yemushonga wenyukireya. Unopiwa chikafu kana chinwiwa chakasanganiswa nechinhu chine mwaranzi, uye nguva yazvinotora kuti zvipfuure nemudumbu mako inonyorwa.
- Kuongororwa kwekufema kwemudumbu (GEBT): Izvi zvinoyera kumhanya kunoita chikafu mudumbu mako nekuyera huwandu hwemhepo yaunofema. Izvi zvinosanganisira kudya chikafu chine kabhoni inonzi ``carbon-13''. Painopinda mudumbu mako, inoburitsa kabhoni dhayiokisijeni ``CO2-13'', iyo inogona kuyerwa mukufema kwako.
- Chidzidzo chekufamba kwemudumbu: Izvi zvinoedza kuti chikafu chinofamba nekukurumidza sei nemukati medumbu guru . Izvi zvinosanganisira kumedza tunhu tudiki tunoonekwa paX-ray patunopfuura nemuviri.
Kana zvabuda muongororo yeGES zvisina kunaka, chiremba wako anogona kukuraira electrogastrogram (EGG) , iyo inoyera mashandiro emagetsi emhasuru dzemudumbu.
Mimwe miedzo inogona kuitwa kuti pave nechikonzero chegastroparesis. Semuenzaniso, kuongororwa kweropa kunogona kutsvaga ma antibodies akasara kubva kuhutachiona hwekare, kana kuti ma antibodies emuviri, izvo zvinogona kuratidza chirwere che autoimmune.
Ndezvipi zvirongwa zvekurapa gastroparesis?
Vanachiremba havagone kugadzirisa zvakananga kukuvara kunokonzerwa ne gastroparesis. Zvisinei, vanogona kupa mishonga inosimudzira tsandanyama dziri mudumbu kuti dziite kuti dzisabude. Mishonga ndiyo nzira yekutanga yekurapa. Kana mishonga isingashande kana kuti isipo, kuvhiyiwa kunofanirwa kufungwa. Mishonga yese inogona kuva nemigumisiro yakaipa, uye hapana mushonga unoshanda kune wese munhu.
Zvinangwa zvekurapa ndeizvi:
- Kukurudzira tsandanyama dzemudumbu uye/kana kubvumira mudumbu kuti mubude maburi.
- Iva nechokwadi chekuti muviri wako unowana zvinovaka muviri nemvura yaunoda.
- Kugadzirisa zviratidzo nemigumisiro.
- Kana zvichibvira, gadzirisai chinokonzera chirwere uye dzivirirai kuti chirwere chacho chisanyanya kuipa.
Chirongwa chako chekurapa chingasanganisira:
- Mishonga.
- Kurapa nekudya/mvura.
- Kuvhiyiwa.
- Kurapa kwakanangana nechirwere chinokonzera gastroparesis yako.
Mishonga
Prokinetics, rudzi rwemishonga inokurudzira kufamba kwenzira yekugaya chikafu, ndiyo nzira yekutanga yekurapa gastroparesis. Inosanganisira:
- Metoclopramide: Uyu ndiwo mushonga wega wakatenderwa neFDA (Food and Drug Administration) kurapa gastroparesis. Unokurudzira marwadzo emhasuru mudumbu uye unobatsira kuderedza kuda kurutsa. Zvisinei, unogona kukonzera migumisiro yakaipa (semuenzaniso kudedera, kugwinha kwemhasuru), saka unofanira kungwarira zvikuru.
- Motilin agonists: Iyi imwe mhando yemishonga yeprokinetic. Mienzaniso inosanganisira Erythromycin neAzithromycin . Kunyangwe izvi zvichishandiswa zvakanyanya semishonga inorwisa mabhakitiriya, vanachiremba vanokurudzirawo kuti zvirapwe gastroparesis.
- Mishonga yeSerotonin agonists: Tegaserod nePrucalopride mishonga miviri inokurudzira ura kuti huvandudze kuvimbiwa. Kunyangwe isati yaongororwa zvizere kuti irapwe gastroparesis, vamwe vanachiremba vanokurudzira kuti ishandiswe pakurapa gastroparesis.
Mimwe mishonga:
- Mishonga inorwisa kusvotwa inodzora kuda kurutsa nekurutsa.
- Proton pump inhibitors yekurapa matambudziko eacid reflux.
- Mishonga inonyaradza marwadzo emudumbu zvakanyanya.
- Mishonga yechirwere cheshuga yekudzora huwandu hweshuga muropa.
Zvakakosha: Usazvirape wega nemishonga iyi usina kupiwa mazano nachiremba. Nguva dzose bvunza chiremba uye tora mishonga kana vakurayira chete.
Kudya zvinovaka muviri
Ungangoda kuchinja kudya kwako. Semuenzaniso, idya chikafu chine fiber shoma uye chisina mafuta akawanda kuti zvive nyore kugaya. Ungangodawo kurapwa kwakakosha kwezvekudya kuti kubatsire kutsiva zvinovaka muviri zvakarasika. Chiremba wako anogona kukurudzira zvekudya zvinovaka muviri, kana kukupa mushonga wepachubhu kana wemuchina kwenguva pfupi. Vamwe vanhu vangangodawo kupihwa mushonga wesaline nemutsinga kuti vagadzirise kushaya mvura mumuviri uye kusawirirana kwema electrolyte.
Kuvhiya
Kuvhiyiwa ndiyo nzira yekupedzisira yekurapa gastroparesis. Kana mimwe mishonga yese ikakundikana, ungangoda kuvhiyiwa kuti uchinje chimiro chedumbu rako kuti chikafu chipfuure nepariri. Kuvhiyiwa uku kunosanganisira:
- Pyloroplasty: Izvi zvinosanganisira kuchinja pylorus yako (vharuvhu yemhasuru iri pasi pedumbu rako inobvumira chikafu kupfuura nepakati). Kazhinji, tsandanyama yepylorus inochekwa, buri rinokura, uye buri rinozorodzwa. Nzira itsva inonzi G-POEM (gastric peroral endoscopic myotomy) . Izvi zvinoreva kuti kuvhiyiwa kunoitwa nemuromo, pasina kucheka mudumbu.
- Kuvhiyiwa kwemudumbu: Vamwe vanhu vanofanira kuvhiyiwa pasi pedumbu zvachose. Izvi zvinosanganisira kubvisa kana kuvhara chikamu chedumbu, zvichiita kuti pave nenzira itsva kubva mudumbu ichienda muura hudiki (gastrojejunostomy). Kuvhiyiwa kwemudumbu kuvhiyiwa kwekuderedza uremu, kunyanya kune vanhu vane chirwere cheshuga cherudzi rwechipiri chinokonzerwa nekufutisa. Kuvhiyiwa uku kunogona kukanganisa zvakanyanya chirwere cheshuga negastroparesis. Chiremba wako anogona kukukurudzira kune gastroparesis ine chekuita nechirwere cheshuga.
Ndeipi tarisiro ye gastroparesis?
Dzimwe nguva, gastroparesis inokonzerwa nemishonga yenguva pfupi kana hutachiona hwenguva pfupi inozopora nekufamba kwenguva. Asi kune vanhu vazhinji, gastroparesis chirwere chisingarapike, asi chinogona kugadziriswa nekurapwa. Zvinogona kutora nguva kuti uwane kurapwa kwakakodzera kwauri, uye unogona kuva nemigumisiro yekurapwa kana zviratidzo zvinoramba zvichiitika. Chiremba wako anogona kukubatsira kudzora izvi sezvazvinokura.
Ko Gastroparesis inokanganisa hupenyu hwemunhu here?
Gastroparesis kazhinji haisi njodzi kuhupenyu. Zvisinei, mamwe ematambudziko anogona kuitika ne gastroparesis (kushaya kudya kwakakwana, kupera mvura mumuviri, kusawirirana kwema electrolyte, uye kuchinja kweshuga muropa muchirwere cheshuga) anogona kutyisidzira hupenyu kana zvikanyanya. Chiremba wako achashanda newe kuderedza njodzi yematambudziko aya. Nekurapwa kwakakodzera, njodzi yacho ishoma kwazvo.
Ndingazvitarisira sei ini ndichirarama nechirwere chegastroparesis?
Nyatsoteerera zviratidzo zvako, uye kuti ndezvipi zvekudya netsika zvinoita kuti zvive nani kana kuti zviwedzere kuipa. Kuchinja kudiki kunogona kuita mutsauko mukuru pamanzwiro ako. Vamwe vanhu vanoona zvinhu izvi zvichibatsira:
- Pane kudya katatu pazuva, idyai zvekudya zvidiki zvina kusvika zvitanhatu.
- Tevedzera kudya kusina mafuta akawanda uye kusina fiber yakawanda (gastroparesis diet). Bvunza chiremba wako kana nyanzvi yezvekudya nezvenyaya iyi.
- Dzivisa doro, fodya, uye zvinodhaka. Izvi zvinononotsa kubuda kwemvura mudumbu.
- Mushure mekudya, ita maekisesaizi akareruka, akadai sekufamba-famba kwenguva pfupi. Izvi zvichabatsira pakuita zvekubvisa tsvina.
Gastroparesis inogona kusiyana kubva padiki kusvika pakanyanya, uye maitiro ayo anokanganisa hupenyu hwako anogona kusiyana. Kunyange zvazvo pasina mushonga unokurumidza, kune nzira dzakawanda dzekurapa dzinogona kukubatsira kuibata. Chiremba wako achashanda newe padhuze kuti awane nzira yakanakisisa yekurapa. Unogonawo kuona kuti kuchinja zvekudya nemararamiro kunogona kubatsira. Panguva ino, masayendisiti ari kuramba achitsvagurudza nzira itsva dzekurapa.
Mharidzo Yekuenda Nayo Kumba
Gastroparesis chirwere apo mudumbu hamubudisi mvura zvakanaka, asi muchizadza. Izvi zvinogona kukonzerwa nezvinhu zvakawanda, zvinosanganisira chirwere cheshuga nekuvhiyiwa. Zvakakosha kutsvaga rubatsiro rwechiremba kana ukaona zviratidzo zvakaita sekuzvimba, kuda kurutsa, kurutsa, kana kurwadziwa mudumbu .
Usanetseke, chirwere ichi chinogona kugadziriswa. Kana ukanyatsoongororwa uye ukarapwa, une mukana wekurarama hupenyu hwakanaka. Tevedzera mirairo yachiremba wako nokungwarira, uye ngwarira kudya kwako nemararamiro ako.











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