Ngaba ngamanye amaxesha uziva uhluthi nasemva kokutya ukutya okuncinci? Ngaba uziva uziva ungonwabanga esiswini sakho nasemva kweeyure ezimbalwa utyile? Okanye uhlanza ukutya okungagayiwanga? Nokuba ucinga ukuba ezi zizinto nje eziqhelekileyo, usenokuba nesifo abantu abaninzi abangasaziyo, kodwa sinokukucaphukisa kancinci. Namhlanje sithetha ngesi sifo sibizwa ngokuba yi-gastroparesis.
Ngamafutshane, yintoni i-gastroparesis?
Eli ligama elintsonkothileyo, kodwa kulula kakhulu ukuliqonda. I-Gastroparesis kuxa ukutya okutyayo kuthatha ixesha elide kunesiqhelo ukusuka esiswini sakho ukuya emathunjini akho. Ngamafutshane, ukusebenza kwesisu sakho kuyaphazamiseka. Cinga ngako njengokuxinana kwezithuthi endleleni. Xa ukutya kuhlala esiswini sakho ixesha elide, ukungonwabi okukhankanyiweyo kuqala ukwenzeka. Elinye igama oogqirha abalibiza ngokuba "kukulibaziseka kokuphuma kwesisu." Lithetha nje ukuba ukukhupha ukutya esiswini sakho kuyalibaziseka.
Zithini iimpawu zale meko?
Ayinguye wonke umntu one-gastroparesis oneempawu ezifanayo. Abanye abantu basenokungabi nazo kwaphela iimpawu. Kodwa kukho ezinye iimpawu eziqhelekileyo. Jonga ukuba ezi mpawu zivakala ziqhelekile na kuwe.
| Uphawu | Ingcaciso elula |
|---|---|
| Isicaphucaphu nokuhlanza | Ukucaphuka rhoqo kwaye ngamanye amaxesha ukuhlanza ukutya okungagayekiyo okutyiweyo kwiiyure ezingaphambi kokuba kutyiwe. |
| Ukuzalisa isisu | Ukuziva uzele kakhulu nangona sele utye ukutya okuncinci. |
| Intlungu yesisu | Intlungu ebuhlungu okanye ebukhali esiswini esingaphezulu, kanye esiswini. |
| Iimpawu ezifana neGastritis (GERD) | Iimpawu ezifana ne-gastritis, ezifana neentlungu zesifuba kunye nesitshiso sentliziyo. |
| Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | Ukwehla kobunzima kunokwenzeka kuba uziva ungathandi ukutya kwaye umzimba wakho awufunxi kakuhle izondlo. |
| Ubunzima bokulawula amanqanaba eswekile egazini | Ingakumbi kubantu abanesifo seswekile, amanqanaba eswekile anokunyuka ngequbuliso kuba ukutya kulibaziseka ekufikeleleni emathunjini. |
Kutheni oku kusenzeka? Zithini izizathu?
Izihlandlo ezininzi, kunzima koogqirha ukukhomba unobangela othile, kodwa kwezinye iimeko, kuye kwafunyaniswa izinto ezininzi ezibangela le meko.
- Isifo seswekile: Isifo seswekile sesona sizathu siphambili nesixhaphakileyo se-gastroparesis. Xa amanqanaba eswekile egazini engalawulwa ixesha elide, yonakalisa imithambo-luvo emzimbeni. Xa i-vagus nerve, elawula inkqubo yethu yokugaya ukutya, yonakele, ukusebenza kwesisu kunokuphazamiseka.
- Utyando: Ezinye iindlela zotyando zesisu zingonakalisa i-vagus nerve ekhankanyiweyo apha ngasentla.
- Usulelo lwentsholongwane: Le meko inokwenzeka nasemva kwezinye izifo zentsholongwane zesisu (i-gastroenteritis).
- Amanye amayeza: Iipilisi zokunciphisa iintlungu (ingakumbi ii-narcotics) kunye nezinye ii-antidepressants nazo zinokucothisa inkqubo yokugaya ukutya.
- Ezinye iimeko zonyango: Ingabangelwa kukungabikho kwehomoni ye-thyroid (i-hypothyroidism), isifo sikaParkinson, izifo zenkqubo yemithambo-luvo ezifana ne-multiple sclerosis, kunye nezifo ezingaqhelekanga ezifana ne-amyloidosis kunye ne-scleroderma.
Eyona nto ibalulekileyo kukuba ukuba uneempawu ezinje, ngokuqinisekileyo kufuneka ubone ugqirha kwaye ufumane ingcebiso, ngaphandle kokuthatha isigqibo sokuba le yimbangela.
Zeziphi iingxaki ezinokubangela oku?
Ukuba i-gastroparesis ayinyangwa kakuhle, inokukhokelela kwiingxaki ezingakumbi.
- Ukukhula kweentsholongwane: Xa ukutya kuhlala esiswini ixesha elide kakhulu, kunokuqala ukubila kwaye kubangele ukukhula kweentsholongwane eziyingozi.
- Ukuphelelwa ngamanzi emzimbeni: Ukuba uhlanza rhoqo, ungalahlekelwa ngamanzi kunye neetyuwa emzimbeni wakho, nto leyo ekhokelela ekuphelelweni ngamanzi emzimbeni. Oku kunokuba yingozi.
- Ukungondleki kakuhle:Umzimba usenokungakwazi ukufunxa ukutya ngendlela efanelekileyo, nto leyo ebangela ukungabikho kwesondlo esifunekayo.
- Ukuvaleka kwamathumbu: Ngamanye amaxesha ukutya okungagayiwanga esiswini kunokuhlangana kube nzima njengelitye, oku kubangele ukuvaleka kwamathumbu. Oku kubizwa ngokuba yi-bezoar .
- Umgangatho wobomi ophantsi: Kunokuba nzima kakhulu ukwenza imisebenzi yemihla ngemihla enezi mpawu.
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uya kumamela ngenyameko iimpawu zakho aze akuhlole. Emva koko, unokuyalela iimvavanyo ezininzi ukuqinisekisa imeko.
- I-Gastric scintigraphy: Olu lolona vavanyo lubalulekileyo. Kolu vavanyo, utya ukutya okuncinci (njengeqanda) okuxutywe nento enokutsha. Emva koko, kusetyenziswa i-scanner ukujonga ukuba isisu sakho siphuma ngokukhawuleza kangakanani. Ukuba ngaphezulu kwe-10% yokutya kusesesiswini sakho emva kweeyure ezi-4, kuqinisekiswa ukuba une-gastroparesis.
- Uvavanyo lwegazi: Olu vavanyo lunceda ekujongeni ukuphelelwa ngamanzi emzimbeni, ukungabikho kokutya okunempilo, okanye iingxaki zezinga leswekile.
- I-Upper endoscopy: Ugqirha wakho uza kufaka ityhubhu encinci efakwe ikhamera ngomlomo wakho ukuze ahlole ingaphakathi lesisu sakho. Oku kunokunceda ukujonga ezinye iimeko (ezifana nezilonda).
- I-X-reyi yeBarium: Ulwelo olune-barium luyaginywa kwaye kuthathwe imifanekiso ye-X-reyi. Oku kunokunika umbono wesimo kunye nomsebenzi wesisu.
Kukwakho nezinye iimvavanyo ezikhethekileyo ezifana ne-`Gastric manometry` kunye ne-`Electrogastrography`. Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufunayo.
Zithini iindlela zonyango zoku?
I-Gastroparesis yimeko enokuba yingxaki yexesha elide (engapheliyo). Kodwa ungakhathazeki. Ingalawuleka kwaye ilawulwe.
Utshintsho kwiindlela zokutya
Eyona ndlela ilungileyo neyona ibalulekileyo yokulawula le meko kukutshintsha indlela otya ngayo.
- Ukutya okuncinci endaweni yokutya ukutya okukhulu: Endaweni yokutya ukutya okuthathu okukhulu ngosuku, yitya ukutya okuncinci amaxesha ama-5-6 ngosuku. Oku kuya kuthintela isisu sakho ukuba singaziva sigcwele kakhulu ngaxeshanye.
- Ukutya okumanzi nokuxutywe kakuhle: Endaweni yokutya iapile, yitya izinto ezifana ne-applesauce, isuphu yemifuno, umhluzi onamafutha aphantsi, kunye nejusi yeziqhamo.
- Nciphisa Amafutha kunye neFiber: Kungcono ukunciphisa ukutya okunamafutha, okunamafutha (ukutya okuqhotsiweyo) kunye nokutya okunefayibha eninzi (imifuno, iinkozo ezipheleleyo) njengoko kuthatha ixesha elide ukugaywa.
- Ukuphepha ukuqhinwa emva kokutya: Musa ukulala phantsi ubuncinane iiyure ezi-2 emva kokutya. Xa umi okanye uhamba, amandla adonsela phantsi anceda ukutya ukuba kuhambe.
Amayeza
Ugqirha wakho angakunika amayeza aliqela okulawula iimpawu zakho. Ungaze uwathathe la mayeza ngaphandle kwengcebiso kagqirha.
- Amayeza avuselela ukusebenza kwesisu: Amayeza afana ne-'Metoclopramide' kunye ne-'Erythromycin' avuselela ukufinyela kwemisipha yesisu kwaye ancede ukuhambisa ukutya emathunjini ngokukhawuleza.
- Imithi yokulwa nokugabha: Imithi yokulwa nokugabha efana ne-Ondansetron kunye ne-Prochlorperazine inokunceda ekulawuleni isicaphucaphu kunye nokuhlanza.
Ezinye iindlela zonyango
Kwezinye iimeko ezinzima, ugqirha angasebenzisa ezinye iindlela zonyango.
- Umbhobho wokutyisa: Ukuba imeko imbi kakhulu ukuba ingathathwa ukutya ngomlomo, umbhobho ungafakwa ngesisu ngqo emathunjini amancinci ukuze ufumane isondlo esilulwelo.
- Inaliti zeBotulinum toxin (iBotulinum toxin okanye iBotox): Le naliti isetyenziselwa ukuthomalalisa ivalvu (pylorus) apho ukutya kudlula khona ukusuka esiswini ukuya emathunjini.
- Ukuvuselelwa kombane: Ii-electrode zinamathele eludongeni lwesisu kwaye imiqondiso yombane isetyenziselwa ukubangela isisu sifinyele.
- Utyando: Olu tyando alusetyenziswa rhoqo kwaye lusetyenziswa kuphela xa kungekho nyango luphumeleleyo.
Ukuba unesifo seswekile, ukugcina amanqanaba eswekile egazini lakho ephantsi kolawulo kubalulekile ekulawuleni le meko.
Umyalezo Wokuya Ekhaya
- I-Gastroparesis yimeko apho ukutya kuphuma esiswini emva kwexesha eliqhelekileyo.
- Ukuba uneempawu ezifana nokucaphuka, ukuhlanza ukutya okungagayekiyo, ukuziva uhluthi kwanasemva kokutya kancinci, okanye iintlungu zesisu, musa ukuzityeshela uze ubone ugqirha.
- Isifo seswekile sisona sibangela esi sifo. Ngoko ke, ukuba unesifo seswekile, lawula kakuhle amanqanaba eswekile egazini lakho.
- Utshintsho kwindlela yokutya kunye namayeza anikwe ngugqirha zibaluleke kakhulu njengonyango.
- Le yimeko elawulekayo. Ngoko ke musa ukoyika kwaye ulandele iingcebiso zonyango ezifanelekileyo.
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