Ingaba isisu sakho siphuma singenanto emva kokutya? Masithethe ngoPhando lokuKhupha isisu!

Ngaba wakha wazibuza ukuba ukutya okutyayo kuhlala ixesha elingakanani esiswini sakho kwaye kuphuma njani apho? Ngamanye amaxesha siziva sihluthi okanye sicaphukela emva kokutya. Ngamaxesha anjalo, uvavanyo olukhethekileyo lubizwa ngokuba yi-'Gastric Emptying Study' ukuze sibone ukuba ukutya kuhlala ixesha elingakanani esiswini sethu kwaye kuphuma njani. Oku kungasinceda sifumanise ukuba kukho ingxaki ekusebenzeni kwesisu sethu, oko kukuthi, esiswini.

Yintoni esinokuyifunda ngokwenene kolu vavanyo?

Khawuthelekelele, emva kokutya ukutya, ngaba uziva izinto ezinje:

• Ndiziva ndizele okwethutyana , kwaye loo nto izeleyo ibikho ixesha elide .
• Ndihlala ndiziva ndinesicaphucaphu kwaye ndihlanza .
• Ndinentlungu esiswini esingaphezulu .
• Isisu sam sivakala sigcwele, ngathi sidumbile .
• Ndilahlekelwa ngumdla wokutya kwaye ndincipha umzimba .
• Amanqanaba eswekile egazini anyuka ngequbuliso aze ehle kwakhona .
• Kuvakala ngathi ndinesizungu .
• Kuvakala ngathi intliziyo yakho ibetha ngokukhawuleza ngequbuliso .
• Kukho iimeko ezifana nokungagayi kakuhle kokutya kunye ne-gastritis .
• Ihlala inyuka iye emqaleni (i-acid reflux engapheliyo) .

Ukuba unale mpawu, ugqirha wakho unokucebisa ukuba kwenziwe uphando lokukhupha isisu. Kalula nje, olu vavanyo lulinganisa ukuba ukutya kuhamba kancinci okanye ngokukhawuleza kangakanani na esiswini sakho. Lunokukunika nombono wokuba esi santya sihamba phi esiswini sakho kwaye zeziphi iindawo zesisu sakho ezichaphazelekileyo. Oku kunokukunceda uqonde unobangela wezinye zeempawu zakho zesisu (GI) .

Zeziphi izifo ezifunyanwa yile nto?

Ngoku makhe sibone ukuba zeziphi izifo ezinokuthi zifunyanwe lolu vavanyo.

• Ukuba isisu sakho siphuma kancinci: Oku kungaba luphawu lokuba kukho ukuvaleka kwesisu sakho. Okanye, kungaba yimeko ebizwa ngokuba yi -gastroparesis, imeko apho izihlunu kunye nemithambo-luvo esiswini sakho zingasebenzi kakuhle, nto leyo ebangela ukuba isisu sakho singasebenzi kakuhle . I-Gastroparesis yingxaki yezihlunu kunye nemithambo-luvo esiswini sakho.
• Ukuba isisu sakho siphuma ngokukhawuleza: Oku kubizwa ngokuba yi -dumping syndrome . Oku kukwanxulumene nezihlunu kunye nemithambo-luvo esiswini sakho. Le meko idla ngokubonakala emva kotyando lwesisu. Nangona kunjalo, ukuba awuzange wenze utyando, inokuba luphawu lwenye imeko engaphantsi.

Yenziwa njani uvavanyo lwe-Gastric Emptying Scintigraphy oluqhele ukwenziwa?

Eyona ndlela iphambili yokwenza olu phononongo lokuKhupha Isisu ibizwa ngokuba yiGastric Emptying Scintigraphy (GES) . Eli ligama elisetyenziswa kakhulu ngoogqirha. Olu luvavanyo lokujonga amayeza enyukliya . Ngamafutshane, lusebenzisa imitha ukuskena umzimba wakho nokwenza imifanekiso.

Cinga ngayo njenge-'X-reyi yangaphakathi-ngaphandle'. I-X-reyi eqhelekileyo ithumela imitha emzimbeni wakho isuka ngaphandle. Kodwa kule meko, kongezwa i-radioactive tracer ekhethekileyo ekutyeni okutyayo. Xa le tracer ingena, ikhupha imitha ye-gamma . Emva koko, ikhamera ye-gamma iyayibona le mitha ize iyiguqule ibe ngumfanekiso oneemilinganiselo ezimbini. Le yindlela obona ngayo ukutya okutyayo kuhamba esiswini sakho.

Ngaphambi kolu vavanyo, uza kunikwa ukutya okuqhelekileyo okufanayo kuwo wonke umntu. Kuqulathe ubungakanani obuthile befayibha, iswekile, iiproteni, kunye namafutha. Oku kungenxa yokuba zonke ezi zinto zichaphazela intshukumo yesisu, oko kukuthi, ukuhamba kwesisu . I-isotope ene-radioactive eyongezwa koku kutya ibizwa ngokuba yiSulfur Colloid (99mTc) . Oku akunamonakalo mkhulu emzimbeni, oko kuthetha ukuba umngcipheko wetyhefu uphantsi kakhulu .

Ngaba zikho ezinye iindlela ngaphandle kwale?

Ewe, zikho ezinye iindlela ezininzi zokujonga ukusebenza kwesisu.

• Uvavanyo lokuPhefumla oluhambayo esiswini (GEBT): Oku kuquka ukuvavanya umoya wakho. Ukutya okukhethekileyo okuselayo kuqulethe imolekyuli yekhabhoni ebizwa ngokuba yiCarbon-13 . Xa oku kungena emathunjini akho, kuveliswa uhlobo oluthile lwegesi yekhabhoni dayokhsayidi elinganisekayo (CO2-13) . Loo gesi ilinganiswa emoyeni wakho ukuze kubonwe ukuba ukutya kuhamba ngesantya esingakanani na.
• I-SmartPill™ Wireless Motility Capsule: Oku kuquka ukuginya isixhobo se-elektroniki esincinci, esifana nepilisi. Njengoko sihamba kwinkqubo yakho yokugaya ukutya, sithumela ulwazi ngaphandle kwentambo kwisixhobo osinxibileyo. I-SmartPill™ idluliselwa esitulweni sakho emva kosuku okanye ezimbini. Emva koko, xa unika ugqirha wakho isixhobo, banokuhlalutya idatha baze benze uxilongo.

Yintoni esifanele siyiqaphele ngaphambi kovavanyo?

Ngaphambi kokuba wenze olu vavanyo, ugqirha wakho uza kuthetha nawe ngalo. Baza kukubuza ngezinye iimeko zempilo onazo kunye namayeza owasebenzisayo, njengoko oku kunokuchaphazela iziphumo zovavanyo.

• Ukuba unezinga eliphezulu leswekile egazini rhoqo (i-hyperglycemia) okanye izinga leswekile egazini eliphantsi ngequbuliso (i-hypoglycemia), mhlawumbi olu vavanyo alukufanelanga.
• Kungcono ukuba ungaluvavanyi olu vavanyo ukuba ukhulelwe okanye uncancisa . Isizathu soku kungenxa yezinto ezisebenzisa i-radioactive.
• Ukuba unexesha lokuya exesheni , ugqirha wakho angafuna ukuba ubhale olu vavanyo ngosuku oluthile lomjikelo wakho wokuya exesheni, njengoko utshintsho lweehomoni lunokuchaphazela isantya sokukhupha isisu sakho, nto leyo enokutshintsha iziphumo.

Ungazilungiselela njani uvavanyo?

Isisu sakho kufuneka singabi nanto xa usenza olu vavanyo. Ngoko ke ugqirha wakho uza kukuxelela ukuba ungatyi okanye ungaseli nto ubuncinane iiyure ezine ngaphambi kovavanyo. Ngokuqhelekileyo, olu vavanyo lwenziwa kusasa, ngoko ke kulula kuwe ukuba ungatyi okanye ungaseli nto ngobusuku bangaphambili.

• Ukuba unesifo seswekile kwaye usebenzisa i-insulin , uza kucelwa ukuba uze ne-insulin yakho kunye ne-glucose monitor . Ngaphambi kovavanyo, baza kujonga inqanaba leswekile egazini lakho, balibhale phantsi, baze bakunike i-insulin ukuba kuyimfuneko ukuze bayibuyisele kwinqanaba elifanelekileyo.
• Akuyonto ilungileyo ukutshaya ngaphambi kovavanyo, kuba oku kunokulibazisa ukuphuma kwesisu.
• Ungacelwa ukuba uyeke ukusebenzisa amayeza athile kwiintsuku ezimbalwa ngaphambi kovavanyo. Umzekelo:
• Izinto zokunciphisa igazi
• Ezinye iintlungu zentlungu, ingakumbi ii-opioids
• Ezinye izinto ezithintela uxinezeleko
• Izithinteli zemijelo yecalcium
• Amayeza okuthintela i-asidi
• Unyango lwe-hormone olusebenzisa abafazi

Khumbula, olu luhlu aluphelelanga, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo.

Kwenzeka ntoni ngexesha lovavanyo?

Kulungile, ngoku masibone ukuba kwenzeka ntoni xa senza uvavanyo.

• Okokuqala, uza kunikwa isidlo esikhethekileyo endisikhankanyileyo ngaphambili. Siqulathe iqanda elimhlophe eliqhotsiweyo elixutywe ne -sulfur colloid , isilayi sesonka esinejam yestrawberry, kunye neglasi yamanzi. Kubaluleke kakhulu ukugqiba konke oku kwimizuzu elishumi .
• Ukuba kunokwenzeka, kuya kufuneka ume ngenyawo ngelixa uvavanyo lusenziwa. Ukuba akunjalo, ungalala phantsi. Ingcali iya kubeka ikhamera okanye iikhamera esiswini sakho.
• Iskena siskena isisu sakho rhoqo malunga nomzuzu . Siskena malunga nezihlandlo ezine okanye ezintlanu ngolu hlobo.
• Iskeni sokuqala senziwa emva nje kokuba ugqibile ukutya . Ukuba ingcali ikrokrela ukuba isisu sakho siphuma ngokukhawuleza, iza kuphinda iskeni emva kwemizuzu engama-30 . Ezinye iiskeni zenziwe.Emva kweyure, iiyure ezimbini kunye neeyure ezine.
• Ungavuka uphume kwigumbi ngexesha lokuhlolwa, kodwa kufuneka ubuye ngexesha.

Olu vavanyo luthatha ixesha elingakanani?

I-Gastric Emptying Scintigraphy idla ngokuthatha malunga neeyure ezimbini ukuya kwezine ukugqiba. Iiyure ezimbini lixesha eliqhelekileyo elithathwayo ukuba isisu siphume. Ngoko ke ukuba isisu sakho singenanto ngokupheleleyo ngelo xesha, baya kuyeka ukuskena ngelo xesha. Kodwa ukuba kuthatha ixesha elide ngaphezu koko, banokuskena ukuya kuthi ga kwiiyure ezine.

Ingaba oku kubuhlungu? Ngaba kuvakala kungakhululekanga?

Akunjalo konke konke. Awuyi kuva i-scan okanye izinto ezine-radioactive konke konke . Awunakuyibona into ekutyeni ngokunambitha okanye ngevumba. Ngoko ke ungakhathazeki malunga nokungonwabi.

Yintoni iSifundo soKukhupha ulwelo esiswini?

Ngamanye amaxesha oogqirha baya ku-odola uvavanyo olwahlukileyo lwezinto ezimanzi (uphando lokukhupha ulwelo) . Oku kunokubonelela ngolwazi olongezelelekileyo malunga nemeko yakho. Ngenxa yokuba izinto ezimanzi azihambi esiswini ngendlela efanayo nokutya okuqinileyo, iziphumo zolu vavanyo zinokwahluka. Ugqirha wakho unoku-odola olu vavanyo lolwelo ngexesha elifanayo novavanyo lokutya okuqinileyo. Okanye, banoku-odola olu vavanyo kamva emva kovavanyo lokutya okuqinileyo.

Olu luvavanyo olufutshane . Uza kunikwa indebe yamanzi ene- sulfur colloid kuyo. Emva koko ingcali iza kuthatha imifanekiso emalunga neeseti ezintathu kwisithuba seyure.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga zovavanyo lweGastric Emptying Scintigraphy?

Ubungakanani bemitha efakwa emzimbeni wakho buncinci kakhulu , kwaye alwanelanga ukukulimaza. Nangona kunjalo, ukuba ukhulelwe, kunokubakho umngcipheko omncinci kumntwana wakho ongekazalwa . Ukuba ungumama oncancisayo, inani elincinci lemitha lingadlulela kumntwana wakho ngobisi lwakho . Yiyo loo nto uvavanyo luhlehliswa. Ngaphandle koko, akukho miphumo mibi eyaziwayo .

Le nto ine-radioactive iza kususwa ngokupheleleyo emzimbeni wakho kumchamo nakwindle yakho malunga neentsuku ezimbini. Sela amanzi amaninzi ngaloo mihla, kuba oku kuya kunceda ukuba iphume emzimbeni wakho ngokukhawuleza.

Ndiziqonda njani iziphumo zovavanyo lwam?

Ugqirha wakho uza kuhlola iziphumo zovavanyo aze akuchazele zona. Iziphumo zibonisa ukuba kuthathe ixesha elingakanani ukuba ukutya okutyileyo kuhambe esiswini sakho. Ziza kubonisa ukuba kuhambe umgama ongakanani kwiyure enye, iiyure ezimbini, okanye iiyure ezine. Emva koko baza kuthelekisa iziphumo nomyinge. Ukuba iziphumo zakho zikhawuleza okanye zicotha kunesiqhelo, oko kuthetha ukuba isisu sakho siphuma ngokukhawuleza okanye kancinci kakhulu.

Zifanele zibe njani iziphumo eziqhelekileyo?

Ukutya okuqinileyo:

• Kwimizuzu engama-30:Ubuncinane i-70% yokutya kufanele ukuba isesesiswini.
• Kwiyure enye: Ubuncinane i-30% yokutya kufuneka ibe isesiswini, kwaye ubuncinane i-10% mayingabi nanto.
• Kwiyure ezimbini: Ubuncinane i-40% yokutya kufuneka ingabi nanto.
• Kwiyure ezine: Ubuncinane i-90% yokutya kufuneka ingabi nanto.

Ixesha eliqhelekileyo lovavanyo lolwelo liphakathi kwemizuzu engama-20 ukuya kwengama-25 .

Zithini iziphumo ezingaqhelekanga?

Usenokuba ne -gastroparesis ukuba:

• Ukuba ngaphezulu kwama-60% okutya kusesesiswini emva kweeyure ezimbini.
• Ukuba ngaphezulu kwe-10% yokutya kusesesiswini emva kweeyure ezine.

Usenokuba une -Dumping Syndrome , imeko apho isisu siphuma ngokukhawuleza kakhulu, ukuba:

• Ukuba ngaphezulu kwe-30% yokutya sele kungenanto emva kwemizuzu engama-30.
• Ukuba ngaphezulu kwama-70% okutya sele kungenanto emva kweyure.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Gastric Emptying Scintigraphy yindlela elula, engangenisi ntsholongwane, nechanekileyo yokujonga ukusebenza kwesisu sakho, okanye ukuhamba kwesisu .

Ingatyhila okuninzi malunga nendlela amathumbu akho asebenza ngayo, ngaphandle kwengxaki, kwaye kwiiyure ezimbalwa nje zexesha lakho. Mhlawumbi ubuneempawu ixesha elide obungenakuzifumana unobangela wazo, kwaye unobangela weempawu ezingakhange ziphucuke ngonyango ngoku usenokuba ucacile. Ezi ziphumo zovavanyo ziya kuba luncedo olukhulu kugqirha wakho ekuxilongeni imeko yakho echanekileyo. Ke ngoko, ukuba ugqirha ucebisa olu vavanyo, akukho nto yokoyika. Thetha nogqirha wakho ngayo ngokupheleleyo, uqonde yonke into, kwaye wenze uvavanyo.

Ukukhupha isisu , uphando lokukhupha isisu, uvavanyo lwesisu, i-gastroparesis, i-dumping syndrome, ukugaya ukutya, i-scintigraphy