Ngaba ungumntu onesifo seswekile? Ngoko ke, ngaba ngamanye amaxesha uziva uhluthi nasemva kokutya ukutya okuncinci? Okanye uziva unesicaphucaphu, unesitshiso sentliziyo, kwaye ngamanye amaxesha uhlanza? Ngenxa yezi zinto zonke, usenokuba unengxaki yokulawula amanqanaba eswekile egazini lakho. Abantu abaninzi bacinga ukuba ezi ziingxaki zesisu nje eziqhelekileyo. Kodwa oku kunokuba yingxaki yeswekile ngokwayo. Yiloo nto siza kuthetha ngayo namhlanje.
Yintoni iDiabetic Gastroparesis?
Ngamafutshane, oku kwenzeka xa izihlunu zesisu sakho (esiswini) zingasebenzi kakuhle. Ngokwesiqhelo, xa sisitya, izihlunu zesisu ziyafinyela zize zityhale ukutya emathunjini amancinci. Kodwa kwi-gastroparesis, le nkqubo yenzeka kancinci kakhulu, okanye ngamanye amaxesha iyeke ngokupheleleyo. Ngoko ke ukutya kuhlala esiswini iiyure ezininzi.
Le meko inokubonwa kwisifo seswekile sohlobo 1 nohlobo 2. Nangona kunjalo, idla ngokuvela kubantu abanesifo seswekile iminyaka engaphezu kwe-10 kwaye abanezinye iingxaki ezibangelwa sisifo seswekile (umzekelo, umonakalo wemithambo-luvo).
Kutheni oku kusenzeka kuthi?
Eyona nto iphambili kukuba amanqanaba eswekile egazini ahlala ephezulu ixesha elide ngaphandle kokulawulwa . Isifo seswekile esingalawulwayo singonakalisa imithambo-luvo emzimbeni wethu.
Khawucinge ukuba kukho "umlawuli" oyintloko olawula ukusebenza kwesisu sethu. Loo mthambo yiVagus . Xa lo mthambo weVagus wonakele ngenxa yamanqanaba aphezulu eswekile, isisu asifumani myalezo wokukhupha ukutya ngokufanelekileyo. Unokonakalisa nezihlunu esiswini kunye neeseli ezikhethekileyo (iiseli zepacemaker) ezinceda ekutyhaleni ukutya. Xa zonke ezi zizathu zidibana, ukutya kuyanamathela esiswini kwaye i-gastroparesis iyenzeka.
Ziziphi iimpawu eziphambili zoku?
Jonga ukuba unazo na ezi mpawu. Kodwa khumbula, ungacingi ukuba unesifo kuba nje unenye okanye ezimbini kwezi mpawu. Ngokuqinisekileyo kuya kufuneka ubone ugqirha ngenxa yoko.
| Uphawu | Ingcaciso elula |
|---|---|
| Isitshiso sentliziyo/Ukubuyela umva kwesisu | Ukutya okuneasidi esiswini kubuyela emphinjeni. |
| Isicaphucaphu | Ukungakhululeki okuvakala ngathi kukuhlanza rhoqo. |
| Ukuhlanza | Kwiimeko ezinzima, ukutya okungatyiwanga kwiiyure ezidlulileyo kunokuhlanzwa. Kwabanye, oku kunokwenzeka yonke imihla. |
| Ubunzima bokulawula amanqanaba eswekile | Ekubeni kungenakwenzeka ukufumanisa ngokuthe ngqo ukuba ukutya kungena nini emathunjini, amanqanaba eswekile anokunyuka aze ehle ngequbuliso. |
| Ukuziva ugcwele nangona emva kokutya kancinci | Ngenxa yokuba isisu besinokutya okugciniweyo ngaphambili, uziva ugcwele nasemva kokutya okuncinci. |
| Ukudumba kwesisu | Ukuziva uvuvukile, ngokungathi isisu sigcwele umoya. |
| Ukulahlekelwa ngumdla wokutya kunye nokuncipha/ukwanda kobunzima | Awufuni kutya kuba isisu sakho sihlala sigcwele. Oku kunokubangela ukwehla kobunzima. |
Ziziphi iimeko apho oku kunokuba yingozi khona?
Ukuba i-gastroparesis ayinyangwanga kakuhle, iingxaki ezithile zinokwenzeka.
- Ukonakala kokutya: Xa ukutya kuhlala esiswini ixesha elide, kunokonakala kubangele ukuba iintsholongwane zikhule.
- Ukwakheka kweBezoar: Ukutya okungagaywanga kunokuqokelelana kwenze inqwaba eqinileyo ngaphakathi esiswini. Oku kubizwa ngokuba yiBezoar . Oku kunokuthintela isisu kwaye kuthintele ngokupheleleyo ukuba ukutya kungangeni emathunjini.
- Ubunzima bokulawula isifo seswekile: Le yeyona ngxaki inkulu. Uthatha i-insulin ngaphambi kokuba utye. Kodwa ukutya kungena emathunjini kwaye iswekile ingene egazini emva kweeyure ezimbalwa. Emva koko inqanaba leswekile liyenyuka lize lehle ngequbuliso. Oku kunzima kakhulu ukukulawula.
- Ukuphelelwa ngamanzi emzimbeni ngenxa yokuhlanza: Ukuba uhlanza rhoqo, umzimba wakho unokulahlekelwa ngamanzi emzimbeni kwaye uphelelwe ngamanzi emzimbeni. Le yimeko eyingozi.
Ukuba uhlanza kakhulu kwaye uneentlungu eziqatha zesisu, yiya kwiSebe leNgxamiseko (ETU) ngokukhawuleza.
Uyifumana njani le nto, Gqirha?
Ugqirha wakho unokukukrokrela oku emva kokumamela iimpawu zakho aze enze uvavanyo lomzimba. Emva koko banokwenza iimvavanyo ezininzi ukuqinisekisa ukuxilongwa, ezinje ngezi:
- I-Upper Endoscopy: Ityhubhu encinci enekhamera eqhotyoshelweyo ifakwa entanyeni ukuze kuhlolwe ingaphakathi lesisu. Oku kunceda ukujonga naziphi na ezinye izithintelo esiswini.
- I-X-reyi yeBarium: Emva kokusela ulwelo olubizwa ngokuba yi-barium, kuthathwa i-X-reyi ukujonga isantya sokukhupha isisu.
- I-Scintography: Olu lolona vavanyo luphambili. Utya ukutya okuncinci (ngokuqhelekileyo iqanda) okuxutywe nento enokusasazeka ngemisebe, uze emva koko uskene isisu sakho rhoqo ngeyure kangangeeyure ezi-4 ukuze ubone ukuba kungakanani ukutya okukhutshiweyo esiswini sakho.
- Ezinye iimvavanyo: Ukongeza, kukho iimvavanyo ezikhethekileyo ezifana ne-gastric manometry kunye ne-wireless motility capsule. Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olukufaneleyo.
Unyango kunye nolawulo
Nangona i-gastroparesis ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa kwaye ubomi obuqhelekileyo bunokuphilwa.
1. Okokuqala nokubalulekileyo: lawula amanqanaba eswekile egazini lakho!
Eli linyathelo lokuqala nelona libalulekileyo kunyango. Ukulawula amanqanaba eswekile egazini lakho kunokunceda ukunciphisa umonakalo wemithambo-luvo. Thetha nogqirha wakho malunga nokuba kufuneka ulungise idosi yakho ye-insulin okanye ixesha. Kubalulekile ukujonga amanqanaba eswekile egazini lakho rhoqo.
2. Amayeza
Ugqirha wakho unokukunika amayeza athile ukunceda ekunciphiseni iimpawu zakho.
- Amayeza anceda isisu singabi nanto (umz. iMetoclopramide, iDomperidone).
- Amayeza okunyanga isicaphucaphu nokuhlanza (umz. i-Ondansetron, i-Prochlorperazine).
- Ngamanye amaxesha i-erythromycin yokubulala iintsholongwane inikwa ixesha elifutshane ukuze inyuse ukusebenza kwesisu.
Isilumkiso: Ungaze uwasebenzise la mayeza ngaphandle kokubonisana nogqirha. Amanye amayeza anokuba nemiphumo emibi. Ngoko ke, soloko ulandela imiyalelo kagqirha wakho.
3. Unyango lweemeko ezinzima
Kwiimeko ezinzima kakhulu ezingenakulawulwa ngezinye iindlela zonyango, kunokufuneka iindlela zonyango ezikhethekileyo.
- Ukuvuselelwa kombane esiswini:Isixhobo esincinci esifakwe esiswini ngotyando sithumela imiqondiso yombane ukulawula isicaphucaphu nokuhlanza.
- Umbhobho wokutyisa: Umbhobho (ityhubhu ye-jejunostomy) ufakwa ngotyando ngesikhumba sesisu ukuze kuthunyelwe ukutya emathunjini amancinci, kudlule isisu. Oku kwenziwa kuphela kwiimeko ezinzima kakhulu.
Indlela yokutshintsha ukutya kwakho
Okubaluleke ngakumbi kunamayeza kukutshintsha indlela otya ngayo. Ukulandela la macebiso kunokukunceda ufumane isiqabu esikhulu.
| Izinto onokuzenza (Okufanele uzenze) | Musa ukwenza |
|---|---|
| Endaweni yokutya izidlo ezithathu ngemini, yitya izidlo ezi-5-6 ezincinci . | Kuphephe ukutya okunamafutha amaninzi (ukutya okuqhotsiweyo, ii-curry ezinamafutha). |
| Beka phambili izinto ezilulwelo kunye nokutya okucoliweyo (umz., isosi yama-apple endaweni ye-apile, iisuphu). | Nciphisa ukutya okunefayibha eninzi (irayisi emdaka, ii-oats, imifuno ethile, iziqhamo). Oku kuthatha ixesha elide ukugaywa. |
| Yitya imifuno neziqhamo ziphekiwe kakuhle . | Kuphephe ukusela amanzi okanye ezinye izinto ezilulwelo xa usitya. Sela imizuzu engama-30 ngaphambi okanye emva kokutya. |
| Hlala phantsi okwethutyana emva kokutya. Musa ukulala phantsi ngelixa usitya . | Ziphephe ngokupheleleyo iziselo ezine-carbonated (i-soda) kunye notywala. |
| Yenza umthambo, njengokuhamba kancinci, emva kokutya. | Kuphephe ukutshaya . Kunciphisa ukusebenza kwesisu. |
Umyalezo Wokuya Ekhaya
- I-Diabetic Gastroparesis yingxaki eqhelekileyo yesifo seswekile esingalawulwa kakuhle.
- Iimpawu eziphambili sisicaphucaphu, ukuhlanza, ukuziva uzele nasemva kokutya kancinci, kunye nobunzima bokulawula amanqanaba eswekile egazini.
- Inyathelo elibalulekileyo ekulawuleni le meko kukugcina amanqanaba eswekile egazini lakho elawulwa kakuhle.
- Ukutshintsha indlela otya ngayo kubaluleke kakhulu. Ukutya ukutya okuncinci, okunamafutha aphantsi kunye nefayibha, kunokukunceda kakhulu.
- Ukuba unale mpawu, musa ukwenza izigqibo wedwa kwaye ngokuqinisekileyo bonana nogqirha wakho ukuze akunike icebiso.
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