Mwana wako mudiki anogara achirutsa here mushure mekudya? Kana kuti anonyunyuta nezvekurwadziwa kwemudumbu, sekunge mudumbu make makazara? Dzimwe nguva, zvisinei nekuti unomupa chikafu chakawanda sei, haawedzere uremu. Nhasi, tichataura nezvebvunzo yakakosha inoshandiswa navanachiremba kuti vawane chikonzero chezvinhu izvi. Izvi zvinonzi Gastric Emptying Study, kana kuti GES muchidimbu.
Chii chinonzi Gastric Emptying Study (GES)?
Zvichitaurwa zviri nyore, bvunzo iyi inoyera kuti zvinotora nguva yakareba sei kuti chikafu chemwana wako chifambe kubva mudumbu (mudumbu) kuenda muura hudiki. Vanachiremba vanoshandisa scanner yakakosha, inonzi gamma camera, kutora mifananidzo yedumbu remwana mushure mekudya. bvunzo iyi inozivikanwawo nemamwe mazita akati wandei. Semuenzaniso:
- Kuedzwa kwekuburitsa zvinhu mudumbu
- Kuskena kwekuburitsa zvinhu mudumbu
- Kuongororwa kwekubuda kwedumbu
- Kubvisa zvinhu mudumbu
Chero zvazvingava, zvese izvi zvinoreva bvunzo imwe chete.
Ndezvipi zvirwere zvinogona kuonekwa nebvunzo iyi?
Iyi ndiyo nzira yakanakisisa uye inoshanda yekuona kuti dumbu remwana riri kushanda zvakanaka sei.
Kuongororwa uku kunonyanya kuona chirwere chinonzi gastroparesis . Izvi zvinoreva kuti chikafu chiri mudumbu remwana chinotora nguva yakareba kupfuura yakajairika kuti chibude. Kazhinji, zvinotora awa imwe nehafu kusvika maawa maviri kuti chikafu chatinodya chibve mudumbu chichienda muura hudiki. Mumwana ane gastroparesis, maitiro aya anoitika zvishoma nezvishoma.
Uyewo, dzimwe nguva chikafu chinopfuura nekukurumidza kubva mudumbu chichienda muura hudiki. Izvi zvinonzi dumping syndrome . Chirwere ichi chinogonawo kuonekwa nebvunzo iyi. Pamusoro pezvo, dzimwe nguva chinogona kubatsira kuona gastroesophageal reflux, chirwere umo acid yemudumbu inoyerera ichidzokera mugumbo.
Chiremba wako anogona kukurudzira mwana wako kuti aedze bvunzo iyi kana aine chimwe chezviratidzo zvinotevera:
- Kana uchirutsa kakawanda
- Kana ukaramba uchitaura nezvekurwadziwa kwemudumbu
- Kana usiri kuwedzera uremu nenzira inoenderana nezera rako
- Kana uchinzwa kuguta kunyangwe mushure mekudya chikafu chidiki (izvi zvinonzi kuguta nekukurumidza)
Kuongororwa uku kwakakosha zvikuru kuti uwane chikonzero chematambudziko akadaro nekukurumidza uye kutanga kurapwa.
Munogadzirira sei mwana wenyu bvunzo?
Mwana anofanira kugadzirira zvishoma bvunzo iyi isati yaitwa.
Chinhu chinonyanya kukosha ndechekuti mwana asadye kana kunwa chero chinhu mushure mehusiku husiku husati hwaitwa bvunzo . Dumbu remwana rinofanira kunge risina chinhu zvachose.
Kana mwana wako ari kutora mishonga, iva nechokwadi chekuudza chiremba wako nezvayo. Unogona kukumbirwa kuti urege kutora mimwe mishonga kwemazuva mashoma bvunzo isati yaitwa.
Dzidzisaiwo mwana wenyu zvishoma nezveizvi. Muudzei kuti, "Tichaita bvunzo diki, torai mapikicha, hazvikuvadzi." Sezvo bvunzo yacho ichizotora maawa akati wandei, musakanganwa kuuya nechimwe chinhu chinoita kuti mwana wenyu agare akabatikana, zvakaita setoyi, bhuku, kana piritsi, panguva yekuskena.
Chii chinoitika panguva yebvunzo?
Ngationgororei matanho ezvinoitika pazuva rebvunzo. Kana mukatsanangurira mwana wenyu izvi nenzira iri nyore, zvichaderedza kutya kwavo.
| Matanho | Chii chiri kuitika? |
|---|---|
| 1. Kupfeka gown rechipatara | Nyanzvi yeX-ray kana technician vachaendesa mwana kuchikamu chekuskena uye vachamupfekedza rokwe rakakosha rakapihwa nechipatara. |
| 2. Kudya kwakakosha | Zvadaro, mwana anopihwa chikafu chidiki. Izvi zvinowanzoita sezai jena rakabikwa uye zvidimbu zviviri zvechingwa zvine jamu. Vanopihwawo mvura yekunwa. |
| 3. Kuwedzera 'matracer' | Mazai aya ane huwandu hushoma hwechinhu chisingakuvadzi chine radioactive tracer. Musazvidya moyo, hazvizokuvadzi. Mwana haazooni mutsauko mukuravira kana ruvara. |
| 4. Nguva yekudyisa | Chikafu ichi chinofanira kudyiwa mukati memaminitsi gumi . Ita kuti mwana arambe achifarira uye pedzisa chikafu mukati menguva iyoyo. Kana mwana akarutsa panguva iyi, bvunzo yacho ingangofanira kuitwa rimwe zuva. |
| 5. Kuskena | Mushure mekudya, vanokuendesai kukamuri rekuskena. Kutanga, vanoskena kwemaminitsi angangoita gumi. Zvadaro, paawa imwe chete, paawa imwe chete, maawa maviri, uye maawa mana, vanoskena diki kwemaminitsi angangoita gumi. Munguva iyi, mwana haafanire kufamba. |
| 6. Nguva yepakati | Hamugoni kuvapa chimwe chinhu chekudya kana chekunwa panguva yekuongororwa uku. Saka munofanira kugara pedyo. Apa ndipo pazvichabatsira matoyi nemabhuku awakauya nawo. |
Bvunzo iyi inotora nguva yakareba sei?
Bvunzo yese inowanzotora maawa mana kusvika mashanu , saka zvakanaka kugadzirira zvakanaka woisa parutivi zuva rose.
Unoitei mushure mekuongororwa?
Kana scan yekupedzisira yapera, unogona kuenda kumba. Hapana chinhu chakakosha chekuita. Unogona kurega mwana wako achidya, achinwa, achitamba, uye achienderera mberi nebasa rake remazuva ese. Hapana zvirambidzo.
Pane njodzi here mune izvi?
Vabereki vazhinji vanotya mwaranzi iyi. Asi hapana chekutya. Huwandu hwezvinhu zvine mwaranzi zvinoshandiswa muongororo iyi hudiki kwazvo. Vanachiremba vanoti hazvizokuvadzi mwana. Zvinhu izvi zvinobviswa mumuviri mukati memaawa mashoma.
Asi chinhu chimwe chete chekurangarira: Kana uri amai vane pamuviri kana kuti uchifungidzira kuti une pamuviri, haufanirwe kuongororwa izvi . Mwaranzi inogona kukuvadza mwana asati aberekwa.
Ndichaziva rini mhedzisiro yacho?
Chiremba weX-ray achaongorora ma scan aya overenga nguva yakatora chikafu kuti chibude mudumbu obva agadzira mushumo. Mukati memazuva mashoma, mushumo uchatumirwa kuna chiremba wemwana wako. Chiremba achakurukura newe zvabuda uye otsanangura zvekuita zvichienderana nezvabuda.
- Chii chinonzi mhedzisiro yakajairika? Kazhinji zvinotora awa imwe nehafu kusvika maawa maviri kuti chikafu chatinodya chibve mudumbu chichienda muura hudiki. Kana dumbu remwana wako rikapera mukati menguva iyoyo, mhedzisiro yacho yakajairika.
- Ko kana mhedzisiro yacho isina kujairika? Kana paine musiyano mumhedzisiro, senge kana chikafu chinotora nguva yakareba kuti chibude mudumbu (Gastroparesis) kana kana chikabuda nekukurumidza (Dumping Syndrome), chiremba wako achakutsanangurira nzira dzekurapa dzinodiwa.
Kuongororwa uku kunogona kuona kenza here?
Iri idambudziko rinosangana nevanhu vazhinji. Kuongororwa uku kunoongorora zvakananga kumhanya kunoita chikafu kubva mudumbu. Kunonoka kubuda mudumbu kunogona kuva chiratidzo chekenza, asi hazviwanzoitiki kuvana . Kana paine fungidziro yekuti kenza, dzimwe bvunzo dzakagadzirwa (semuenzaniso, endoscopy) dzinoitwa.
Ungabatsira sei mwana wako kutarisana nemuedzo uyu asingatyi?
Chipatara chinogona kuva nzvimbo inotyisa kumwana. Kunyangwe bvunzo iyi isingarwadzi, zvinogona kuoma kuti mwana agare panzvimbo imwe kwemaawa. Heino nzira yaungabatsira nayo:
- Kujaira: Zuva risati rasvika bvunzo, tambai mutambo nemwana wenyu kuti agare akanyarara kwenguva yakati. Nenzira iyi, kana mukamukumbira kuti agare akanyarara panguva yekuongororwa, hazvizoite sechinhu chikuru kwaari.
- Rutsigiro rwako: Kazhinji, amai kana baba vanobvumirwa kuenda nemwana kunoongororwa. Rutsigiro rukuru kumwana mumwe chete wauinaye.
- Chimwe chinhu chinobva kumba: Uya nechimwe chinhu chinodiwa nemwana wako, senge toyi kana bhuku. Izvi zvichamubatsira kuti anzwe ari kumba kunyangwe ari muchipatara.
- Udza mwana wako kuti hazvikuvadzi: Muyeuchidze kakawanda kuti hazvikuvadzi zvachose. Tsanangura zviri nyore, sekuti, "Tichatora mufananidzo wedumbu."
- Ramba wakadzikamawo: Kana ukatanga kutya, mwana wako anogona kutotya zvakanyanya. Chiso chako chakadzikama uye chinonyemwerera chinokurudzira mwana wako zvikuru.
Mharidzo Yekuenda Nayo Kumba
- Chidzidzo chekubvisa chikafu mudumbu (GES) inzira isingarwadzi inoyera nguva inotorwa kuti chikafu chibude mudumbu remwana.
- Izvi zvinobatsira kuziva zvirwere zvakaita se gastroparesis, izvo zvinokonzera matambudziko akadai sekurutsa nguva nenguva, kurwadziwa mudumbu, uye kudzikira kwehuremu.
- Huwandu hwemwaranzi inoshandiswa muongororo iyi hwakaderera zvikuru uye hwakachengeteka zvachose kumwana.
- Sezvo bvunzo yacho ichitora maawa angangoita mana kusvika mashanu, zvakakosha kuuya nematoyi kana mabhuku kuti mwana wako agare akabatikana.
- Gara uchikurukura nachiremba wako nezvemhedzisiro yebvunzo uye matanho anotevera.
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