Saamai, munogona kunge muchiziva zvinhu izvi. Paunoenda kunodyisa mwana wenyu, anogona kudya zvishoma obva ati 'aguta', obva arutsa kakawanda, kana kunyunyuta nezvekurwadziwa kwemudumbu. Dzimwe nguva mwana anogona kusawedzera uremu zvakanaka. Muzviitiko zvakadaro, chiremba wenyu anogona kukurudzira bvunzo yakakosha kuti aone kuti chikafu chemwana wenyu chinogara kwenguva yakareba sei mudumbu make uye kuti chinotora nguva yakareba sei kuti chipfuure kusvika muura hudiki. Ndizvo zvatinodaidza kuti 'Gastric Emptying Study' (GES).
Chii chinonzi Gastric Emptying Study (GES)?
Zvichitaurwa zviri nyore, izvi zvinoyera kuti zvinotora nguva yakareba sei kuti chikafu chemwana wako chifambe kubva mudumbu make (mudumbu) kuenda muura hwake hudiki. Funga nezvazvo nenzira iyi: Kufanana nemota yakabatwa mumotokari, dzimwe nguva chikafu chatinodya chinogona kubatwa mudumbu medu chofamba zvishoma nezvishoma. Kana, sekumhanya mumugwagwa mukuru, dzimwe nguva chikafu chinogona kubuda mudumbu medu nekukurumidza. Zvese izvi zvinogona kuva matambudziko. Muedzo uyu unoyera kumhanya ikoko.
Izvi zvinoshandisa scanner yakakosha inonzi ``Gamma Camera''. Mushure mekunge mwana adya, kumhanya uku kunoyerwa nekutora mifananidzo yedumbu remwana nekamera iyi. Bvunzo iyi ine mamwe mazita akati wandei, asi zita rinonyanya kushandiswa ndi 'Gastric Emptying Study'.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Iyi ndiyo nzira yakanakisisa uye inoshanda yekuona kana dumbu remwana wako riri kushanda nemazvo. Vanachiremba vanowanzo shandisa bvunzo iyi kuongorora chirwere chinonzi Gastroparesis .
Gastroparesis zvinoreva kuti dumbu remwana wako rinotora nguva yakareba kupfuura yakajairika kuti ribude. Kazhinji, zvinotora awa imwe nehafu kusvika maawa maviri kuti chikafu chibve mudumbu chiende muura hudiki.
Kuongororwa uku kunogonawo kuona zvimwe zvirwere zvakasiyana-siyana:
- Dumping Syndrome: Izvi zvinoitika kana chikafu chiri mudumbu chikafamba chichipinda muura hudiki nekukurumidza kupfuura zvaitarisirwa.
- Gastroesophageal Reflux: Izvi zvinogonawo kufungidzirwa sezviri mukati medumbu zvichidzokera muhuro.
Pazasi pane zvimwe zvikonzero nei chiremba angakumbira mwana wenyu kuti aongororwe.
| Chiratidzo | Tsananguro |
|---|---|
| Kurutsa kakawanda | Kurutsa pasina chikonzero chakajeka mushure mekudya kana chero nguva yezuva. |
| Kurwadziwa kwedumbu | Kana mwana achigara achinyunyuta nezvekurwadziwa kwemudumbu kana kusagadzikana. |
| Kusawedzera uremu | Kana mwana asiri kuwedzera uremu zvinoenderana nezera rake. |
| Kuguta Kwepakutanga | Kana ukatanga kudya wobva wati "Ndaguta" mushure mechinguva. |
Kana uine zviratidzo zvakaita seizvi, bvunzo iyi inogona kubatsira zvikuru pakuona nekutanga kurapwa kwechirwere chakadai segastroparesis chisati chakonzera matambudziko.
Ungagadzirira sei mwana bvunzo?
Izvi hazvidi kugadzirira kwakawanda, asi unofanira kungwarira nezvezvinhu izvi.
- Rega kudya nekunwa: Usarega mwana wako achidya kana kunwa chero chinhu mushure mehusiku husiku husati hwaitwa bvunzo. Dumbu rinofanira kunge risina chinhu zvachose kana bvunzo yatanga.
- Nezvemishonga: Kana mwana wako ari kutora mishonga, iva nechokwadi chekutaura nachiremba wako nezvazvo uye uwane mazano ekuti anofanira kumira here bvunzo isati yaitwa.
- Kutsanangurira mwana: Kana mwana akura zvakakwana kuti anzwisise, ingotsanangura kuti izvi hazvizokukuvadzi uye kuti uchatora mifananidzo midiki.
- Mhinduro dzekusafinhwa: Sezvo bvunzo iyi ichizotora maawa akati wandei, musakanganwa kuunza mwana wenyu chimwe chinhu chaanoda, senge toyi yaanofarira, bhuku, kana piritsi, kuti agare akabatikana.
Chii chinoitika panguva yebvunzo?
Kunyangwe ndakatya zvishoma pandakanzwa izvi, inyaya iri nyore kwazvo.
1. Kutanga, chiremba weX-ray kana technician achatora mwana kuenda naye kukamuri rekuongororwa obva amupfekedza rokwe raakapihwa nechipatara.
2. Wobva wapa mwana chikafu chidiki. Izvi zvinowanzoita sezai rakakangwa uye zvidimbu zviviri zvechingwa chine jamu . Vanomupawo mvura yekunwa.
3. Chinhu chidiki chisina njodzi, chine mwaranzi (Tracer) chinowedzerwa muchikafu chemazai. Izvi hazvichinje kuravira, ruvara, kana kunhuhwirira kwechikafu.Hapana chekunetseka nacho, ichi chidiki kwazvo uye ichi ndicho chinoita kuti muchina wekuongorora uone kuti chikafu chinofamba sei nemudumbu.
4. Mwana achapihwa maminetsi gumi ekudya chikafu ichi. Unofanira kumubatsira kudya chikafu panguva iyi. Zvinosuwisa kuti kana mwana akarutsa panguva iyi, bvunzo haizokwanisi kuitwa zuva iroro uye inofanira kudzokororwa rimwe zuva.
5. Mushure mekudya, nyanzvi yezveutano ichaenda nemwana kukamuri rekuskena uye inotora mifananidzo yakawanda yedumbu. Mufananidzo wega wega uchatora inenge miniti.
6. Mushure meizvozvo, mifananidzo inotorwa zvakare paawa imwe, maawa maviri, uye maawa mana . Munguva iyi, mwana haakwanise kudya kana kunwa chimwe chinhu. Unofanira kumirira kusvika scan yekupedzisira yapera.
Bvunzo yacho inotora nguva yakareba sei?
Bvunzo iyi, inoitwa mushure mekupihwa chikafu, inowanzotora maawa angangoita mana kusvika mashanu .
Unoitei mushure mekuongororwa?
Kana scan yekupedzisira yaitwa, iwe nemwana wako munogona kuenda kumba. Hapana zvirambidzo pane zvamunodya kana kunwa musi iwoyo. Munogona kuita mabasa enyu ezuva nezuva sezvakajairika.
Pane njodzi here mune izvi?
Vanaamai vazhinji vanotya mwaranzi. Asi hapana chekutya. Huwandu hwemwaranzi hunoshandiswa muongororo iyi hwakaderera zvikuru. Vanachiremba vanoti hazvizokuvadzi mwana chero nzira ipi zvayo.
Asi pane chinhu chimwe chete chaunofanira kungwarira zvikuru. Kana uine pamuviri, kana kuti kana uine kakufungira kuti une pamuviri, usapinde mukamuri riri kuitwa bvunzo iyi. Kumbira mumwe munhu kuti agare nemwana. Nekuti mwaranzi iyi haina kunaka kumwana ari mudumbu.
Ndichagamuchira riini mushumo wacho? Ndingaziva sei nezvemhedzisiro yacho?
Chiremba weX-ray achaongorora mifananidzo yescan, ogadzira mushumo, uye outumira kuna chiremba wemwana wenyu mukati memazuva mashoma.
Kazhinji, zvinotora anenge awa nehafu kusvika maawa maviri kuti chikafu chatinodya chifambe kubva mudumbu kuenda muura hudiki. Kana mushumo ukati chikafu chabviswa mukati menguva iyoyo, zvakajairika.
Kana mhedzisiro yacho isina kujairika, zvichireva kuti kana chikafu chikanonoka kupfuura nemudumbu, i "Gastroparesis", kana kuti chikakurumidzira, i "Dumping Syndrome", chiremba wako achataura newe uye achatsanangura zvakajeka matanho anotevera uye marapirwo.
Kuongororwa uku kunogona kuona kenza here?
Uyu mubvunzo unobvunzwa nevabereki vazhinji. Kashoma kuti kunonoka kubvisa zvinhu mudumbu kuve chiratidzo chegomarara. Zvisinei , hazviwanzoitiki kuti mwana awane chirwere ichi nekuda kwechikonzero chakadaro. Zvakare, bvunzo iyi haishandiswi kuona gomarara; kune dzimwe bvunzo dzakagadzirwa dzeizvozvo.
Ndingaitei kuti mwana wangu agare akadzikama panguva yekuedzwa?
Izvi zvinogona kuva muedzo wakaoma kumwana mudiki, sezvo zvichigona kutora maawa akawanda uye vasingakwanise kudya kana kunwa. Pane zvinhu zvishoma zvaunogona kuita kuti vagare vakadzikama uye vachifara.
- Dzidzirai kuramba makadzikama: Zuva risati rasvika bvunzo, edzai kutamba mutambo wekuti "Ngatirege kufamba zvachose?" kuti mwana wenyu ajairire kuramba makadzikama. Izvi zvichamubatsira kuti ajairire kana scan yapera.
- Gara pedyo newe: Kazhinji, amai kana baba vanobvumirwa kuenda nemwana kunoongororwa. Izvi zvinopa rubatsiro rukuru kumwana mumwe chete wauinaye.
- Uya nechimwe chinhu chaunoziva kubva kumba: Kuuya nechimwe chinhu chaunoziva kubva kumba, senge toyi yaunofarira mwana wako kana gumbeze diki, zvichabatsira kuderedza manzwiro asinganzwisisike aangave nawo muchipatara.
- Taura kuti hazvikuvadzi: Gara uchiyeuchidza mwana wako kuti, "Izvi hazvikuvadzi zvachose, mwanakomana/mwanasikana."
Mharidzo Yekuenda Nayo Kumba
- Chidzidzo chekubvisa chikafu mudumbu (GES) inzira yekuongorora pasina kurwadziwa inoyera nguva inotora kuti chikafu chibve mudumbu chipinde mudumbu diki.
- Izvi zvinobatsira kuona kana vana vane zviratidzo zvakaita sekurutsa nguva nenguva, kurwadziwa mudumbu, uye kudzikira kwehuremu vane zvirwere zvakaita seGastroparesis.
- Sezvo bvunzo yacho ichizotora maawa 4-5, uyai nematoyi kana mabhuku kuti mwana wenyu agare akabatikana.
- Huwandu hwemwaranzi inoshandiswa muongororo iyi hwakaderera zvikuru, saka haizokuvadzi mwana.
- Kana uine pamuviri kana kuti uchifungidzira kuti une pamuviri, usave nemwana panguva yekuongororwa.
- Kana muine mibvunzo nezvebvunzo kana mhedzisiro, musazeza kubvunza chiremba wenyu.
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