Ngaba nawe uziva ngathi uhluthi nasemva kokutya ukutya okuncinci? Okanye udla ngokuziva unesicaphucaphu okanye uneengxaki zokuhlutha? Mhlawumbi isizathu soku kukutshintsha kwesantya sokuphuma kokutya esiswini sakho, oko kukuthi, esiswini sakho. Ngoko ke namhlanje, masithethe ngovavanyo olukhethekileyo lwezonyango olwenziwayo ukuze kufunyaniswe oku kanye. Oku sikubiza ngokuba yi-`(Uphando Lokukhupha Isisu)`.
Ngamafutshane, yintoni le nto ifundwayo yokuKhupha Isisu?
Olu luvavanyo olulula kakhulu. Lulinganisa ixesha elithathayo ukuba ukutya (okanye isiselo) okutyayo kudlule esiswini sakho kuze kube phandle ngokupheleleyo. Le nkqubo yokuhambisa ukutya kunye nolwelo esiswini sakho ibizwa ngokuba yi-"Gastric Motility". Oogqirha benza olu vavanyo ukuze babone ukuba isisu sakho sihamba ngokwesiqhelo na. Ukuba izinga lokuphelelwa kokutya likhawuleza okanye licotha kunesiqhelo, oko kungaba luphawu lwesifo esithile.
Indlela ephambili nesetyenziswa kakhulu koku luvavanyo olubizwa ngokuba yi-`(Gastric Emptying Scintigraphy - GES)`. Xa ugqirha ekuxelela ngolu vavanyo, yile nto adla ngokuyithetha. Olu luvavanyo lwe-`(Imaging Test)` lohlobo lwe-`(Nuclear Medicine)`, oko kukuthi, iskeni. Okwenzekayo koku kukuba i-radioactivity emzimbeni wakho iyaskeniwa kwaye kwenziwa imifanekiso. Ungakhathazeki, oku akunabungozi kuwe. Ukuze isisu sakho sifakwe kwiskeni, kongezwa into encinci kakhulu, engenabungozi ye-radioactive `(Radioactive Tracer)` ekutyeni okutyayo.
Ngaba zikho ezinye iindlela zokwenza olu vavanyo?
Ewe, kukho ezinye iindlela ezininzi ukongeza kweyona iphambili:
- Uvavanyo lokuPhefumla oluhambayo esiswini (GEBT): Olu vavanyo lulinganisa ubungakanani begesi oyikhuphayo kunye nendlela ukutya kwakho okuhamba ngayo emathunjini akho. Unikwa ukutya okuqulethe imolekyuli ekhethekileyo yekhabhoni ebizwa ngokuba yi-``Carbon-13''. Xa idlula emathunjini akho, ivelisa igesi yekhabhoni dayokhsayidi enokulinganiswa ekuphefumleni kwakho.
- I-SmartPill™ Wireless Motility Capsule: Oku kuquka ukuginya isixhobo esincinci se-elektroniki esifana nepilisi. Njengoko sihamba kwinkqubo yakho yokugaya ukutya, sithumela idatha kwi-"Receiver" oyinxibileyo. Ipilisi idluliselwa esitulweni sakho emva kosuku okanye ezimbini. Emva koko, xa unika ugqirha wakho i-"Receiver", unokujonga idatha aze afumane umbono wemeko yakho.
Yintoni esinokuyifunda kolu vavanyo?
Olu vavanyo lukuxelela ikakhulu ukuba isisu sakho siphuma ngokukhawuleza okanye kancinci . Lunokufumanisa nokuba esi santya sihamba phi esiswini sakho. Oku kunokuba luncedo olukhulu ekuqondeni unobangela wezinye zeengxaki zesisu sakho.
| Iimpawu ezinokubangela ukuba ugqirha acele olu vavanyo | |
|---|---|
| Ukuziva uzele | Ukuziva ugcwele kakhulu nokuba sele utye ukutya okuncinci, okanye ukuba nolo luvo ixesha elide emva kokutya. |
| Isicaphucaphu nokuhlanza | Ukucaphuka rhoqo kunye/okanye ukuhlanza. |
| Intlungu zesisu | Intlungu esiswini esingaphezulu. |
| Ukuzalisa isisu | Ukuziva unegesi kunye nokudumba. |
| Ezinye iimpawu | Ukulahlekelwa ngumdla wokutya, ukwehla kobunzima bomzimba, ukunyuka nokwehla ngequbuliso kwamanqanaba eswekile egazini, isiyezi, ukubetha kwentliziyo ngokukhawuleza, kunye nokubuyela kwi-acid reflux engapheliyo. |
Ukuba uqhubeka uneempawu ezinje, ngokuqinisekileyo kungcono ukuthetha nogqirha wakho.
Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?
Ukuba isisu siphuma kancinci kancinci, oko kungaba luphawu lokuvaleka kwesisu okanye imeko apho izihlunu kunye nemithambo-luvo esiswini zingasebenzi kakuhle. Oku kuthiwa yi -'Gastroparesis' ngokwezonyango.
Kwakhona, ukuba isisu siphuma ngokukhawuleza, sibizwa ngokuba yi -'Dumping Syndrome' . Le yingxaki enxulumene nezihlunu kunye nemithambo-luvo. Le meko ixhaphakile kubantu abaye batyandwa isisu. Nangona kunjalo, ukuba awuzange utyandwe, isenokuba luphawu lwenye imeko yezonyango engabonakaliyo.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Oku kubaluleke kakhulu. Ugqirha uza kukunika imiyalelo efunekayo ngaphambi kovavanyo. Ufanele umxelele nangamayeza owasebenzisayo kunye nezinye izifo onazo.
| Izinto Omele Uzenze Nezo Ungazifuni Ngaphambi Kovavanyo | |
|---|---|
| Ukutya neziselo | Musa ukutya okanye ukusela nantoni na ubuncinane iiyure ezi-4 ngaphambi kovavanyo. Ekubeni uvavanyo ludla ngokwenziwa kusasa, uya kucelwa ukuba uzile ukutya ukususela ngobusuku bangaphambi kovavanyo. |
| Ukuba unesifo seswekile | Ukuba uthatha i-insulin yesifo seswekile, yiza ne-insulin kunye ne-glucose meter yakho. Amanqanaba eswekile egazini lakho aya kulinganiswa ngaphambi kovavanyo kwaye i-insulin iya kunikwa ukuze ilawulwe ukuba kuyimfuneko. |
| Ukutshaya | Musa ukutshaya ngaphambi kovavanyo. Oku kunokulibazisa ukuphuma kwesisu sakho. |
| Amanye amayeza | Ngokuxhomekeke kwicebiso likagqirha wakho, kunokufuneka uyeke ukusebenzisa amayeza athile (umz., amayeza okudambisa iintlungu, amayeza okudakumba, kunye namanye amayeza e-gastritis) kangangeentsuku ezimbalwa. |
| Iziganeko ezikhethekileyo | Ukuba ukhulelwe okanye uncancisa, qiniseka ukuba uxelela ugqirha wakho ngale nto. Uvavanyo alwenziwa kwezi meko ngenxa yezinto ezisebenzisa i-radioactive. |
Kwenzeka ntoni ngexesha lovavanyo?
Le yinkqubo elula kakhulu.
1. Isidlo: Okokuqala, uza kunikwa isidlo esilungiselelwe ngokukodwa. Oku kudla ngokuba namaqanda amhlophe axutywe nesithako esinomswakama ``(Sulfur Colloid)``, isilayi sesonka esinejam, kunye neglasi yamanzi.Kufuneka ugqibe ukutya kungekapheli nemizuzu eli-10 .
2. Ukuskena: Ingcali iza kukusa kwiskena. Uza kucelwa ukuba ume ukuba kunokwenzeka, okanye ulale phantsi ukuba akunjalo. Ikhamera yokuskena iza kujoliswa esiswini sakho kwaye iskenwe malunga nomzuzu omnye ngexesha.
3. Ixesha: Iskeni yokuqala ithathwa emva nje kokuba ugqibile ukutya. Emva koko, uza kuskeniwa kwakhona emva kweyure, iiyure ezimbini, kunye neeyure ezine. Ungaphuma kwigumbi ngexesha lezi skeni, kodwa kufuneka ubuye ngexesha.
Olu vavanyo luphela ludla ngokuthatha phakathi kweeyure ezi-2 nezi-4 . Ixesha eliphezulu elithathayo ukuba isisu siphume lidla ngokuba ziiyure ezi-4, ngoko ke kufuneka ulinde ixesha elide kangako. Ukuba liphuma ngaphambi koko, uvavanyo luya kuphela ngokukhawuleza.
Awuyi kuva ntlungu okanye ukungakhululeki ngexesha lovavanyo. Awuyi kungcamla okanye ukuvumba izinto ezine-radioactive ekutyeni.
Ungaziqonda njani iziphumo zovavanyo?
Ugqirha wakho uza kukuchazela ingxelo oyifumeneyo emva kovavanyo. Ibonisa ukuba kusele ukutya okungakanani esiswini sakho kwiyure e-1, e-2, ne-4.
| Imeko | Isiphumo |
|---|---|
| Iziphumo Eziqhelekileyo | |
| Emva kweyure e-1 | Ngaphezulu kwe-30% yokutya kufuneka kuhlale esiswini. |
| Emva kweeyure ezi-2 | Ubuncinane i-40% yokutya mayingabi nanto. |
| Emva kweeyure ezi-4 | Ubuncinane i-90% yokutya mayingabi nanto (kushiyeke ngaphantsi kwe-10%). |
| Iziphumo ezingaqhelekanga | |
| Ukukhupha ukutya kancinci kancinci (iGastroparesis) | - Ukuba ngaphezulu kwama-60% okutya kusele esiswini emva kweeyure ezi-2. - Ukuba ngaphezulu kwe-10% yokutya kusele esiswini emva kweeyure ezi-4. |
| Isifo sokulahlwa kwenkunkuma | - Ukuba ngaphezulu kwe-70% yokutya akunanto emva kweyure e-1. |
Emva kolu vavanyo, izinto ezine-radioactive ezingene emzimbeni wakho ziya kususwa ngokupheleleyo ngomchamo kunye nendle kwisithuba seentsuku ezimbini. Ukusela amanzi amaninzi kuya kunceda ekukhawuleziseni le nkqubo.
Umyalezo Wokuya Ekhaya
- Uvavanyo oluthi ``Ukukhupha Ukutya Esiswini'' luvavanyo olulula nolungenabuhlungu olulinganisa ixesha elithathwayo ukuze ukutya kuphume esiswini sakho.
- Ukuba uneempawu ezifana nokudumba rhoqo, isicaphucaphu, kunye nokuqaqamba kwesisu, olu vavanyo lunokukunceda ufumane unobangela.
- Oku kunceda ekuchongeni iimeko ezifana ne-`Gastroparesis` (ukulibaziseka kokukhupha ukutya) kunye ne-`Dumping Syndrome` (ukukhupha ukutya ngokukhawuleza).
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha (ukuzila ukutya, ukuyeka amayeza athile) ngaphambi kovavanyo.
- Cela ugqirha wakho ukuba akuchazele iziphumo zovavanyo ngendlela onokuyiqonda.
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