Ingaba isisu sakho sivakala ngathi siyabhajwa? Masithethe ngeGastric Outlet Obstruction (GOO)!

Ngaba uziva ungakhululekanga okanye ungakhululekanga esiswini sakho emva kokutya? Mhlawumbi uziva uhluthi nasemva kokutya kancinci? Okanye uyahlanza emva kokutya? Ezi zinto azizozinto nje ezingaqhelekanga. Isizathu esinokubakho sezonyango ngenxa yesi sifo esiza kuthetha ngaso namhlanje, esibizwa ngokuba yiGastric Outlet Obstruction, okanye iGOO (Gastric Outlet Obstruction) . Ungakhathazeki, siza kuthetha ngale nto ngokweenkcukacha nangokulula.

Ngaba uyazi ukuba yintoni iGastric Outlet Obstruction (GOO)?

Ngamafutshane, iGastric Outlet Obstruction (GOO) kuxa indlela ephakathi kwesisu sakho kunye namathumbu akho amancinci ivalekile ngesizathu esithile. Le ndlela siyibiza ngokuba yi-pylorus . Cinga ngayo ngolu hlobo: isisu sethu yingxowa eyenziwe ngezihlunu ezisinceda ekugayeni ukutya. Emazantsi ale ngxowa kukho i-pylorus, esebenza njengevalvu. Yiyo elawula indlela ukutya okugayiweyo okuhamba ngayo ukuya emathunjini amancinci. Ngoko ke, kwi-GOO, kukho into engalunganga ngale pylorus okanye kwindawo engqongileyo, kwaye ukutya akunakuphuma esiswini. Kufana nebhola yeenwele evala umsele.

Ngaba nawe unazo ezi mpawu?

Kwimeko ye-GOO, unokufumana iimpawu ezifana nezi:

• Isicaphucaphu: Ukuziva ugula rhoqo.
• Ukugabha emva kokutya: Ukugabha kwenzeka, ingakumbi emva nje kokutya. Ngamanye amaxesha, nezinto ezityiweyo kwiintsuku ezimbalwa ezidlulileyo zinokuphuma nokuhlanza.
• Intlungu yesisu: Usenokuba nentlungu engacacanga esiswini esingaphezulu.
• Ukuhlutha kwangethuba: Ukuziva uhluthi ngaphambi kokuba ugqibe ukutya.
• Ukwehla kobunzima: Ukwehla kobunzima kunokwenzeka ngenxa yokufunxwa kakubi kokutya kunye nokuhlanza.

Khawucinge nje, sele utye ukutya okuthandayo, kodwa isisu sakho sivakala sigcwele ngaphambi kokuba ugqibe nesiqingatha sesitya. Okanye, uhlanza ngento engaqhelekanga esiswini sakho emva nje kokutya. Ukuba oku kuyaqhubeka, kufuneka uxhalabe.

Kutheni oku kusenzeka? Zithini izizathu ze-GOO?

Zininzi izizathu ezahlukeneyo ze-GOO. Oogqirha babiza ezi “zithintelo zoomatshini.” Oku kuthetha ukuba kukho ukuvaleka komzimba kwindlela yokutya ephuma esiswini. Ezi zithintelo zinokuba yingozi okanye zibe yingozi .

Izizathu ezingezizo

Oku kuthetha ukuba oku kuthinteleka akubangelwanga ngumhlaza.

• Izilonda zesisu: Ezi zizilonda ezikhula esiswini okanye ekuqaleni kwamathumbu amancinci (i-duodenum). Amanxeba avela emva kokuba ezi zilonda ziphilisiwe anokubangela ukuba i-pylorus inciphe.
• IiBezoars:Ezi zizinto ezifana neenwele, amasuntswana okutya angagaywanga, okanye ezinye izinto eziqokelelana esiswini zize zenze amaqhuma. Ezi zinokuvala ne-pylorus. Ngamanye amaxesha, oku kunokwenzeka ukuba ngempazamo uginya izinto ezifana neenwele ngokutya kwakho.
• I-Pyloric stenosis: Le yimeko eyenzeka kwezinye iintsana ezincinci. Izihlunu zazo ze-pyloric ziba mxinwa, nto leyo eyenza kube nzima ukuba zikwazi ukwenza izinto ezifana nokuncancisa ngokufanelekileyo. Kulungile ukuqaphela oku njengoko kunokwenzeka nakubantwana bethu abancinci.
• I-Eosinophilic gastroenteritis: Le yimeko engaqhelekanga kakhulu, enokudumba kwindlela yokugaya ukutya (kuquka isisu kunye namathumbu amancinci). Oku kunokubangela ukuba i-pylorus ibe nkulu kwaye inciphe.
• Isifo sikaCrohn: Esi sisifo esichaphazela amathumbu. Ukuba sichaphazela isisu kunye namathumbu amancinci, ii-strictures zinokwenza kwaye zivale i-pylorus.
• I-hernia yokuzala: I-hernia enkulu yokuzala inokubangela ukuba inxalenye yesisu idlule kwi-diaphragm iye kwisifuba. Oku ngamanye amaxesha kunokubangela ukuba isisu sijijeke okanye sigobeke, nto leyo ebangela i-GERD.
• I-Pancreatitis: Ukudumba kwe-pancreas kunokubangela ukuba inxalenye yokuqala yamathumbu amancinci (i-duodenum) ivuvuke, ivale indlela yokutya esiswini.

Izizathu ezinobungozi

Ngamanye amaxesha oku kuthinteleka kunokubangelwa ngumhlaza.

• Umhlaza wesisu: Iithumba ezinomhlaza ezenzeka esiswini zinokubangela ukuba i-pylorus okanye izicubu ezingqongileyo zivuthuluke kwaye zivaleke.
• Umhlaza wePancreatic: Iithumba ezikhula kwipancreas zinokubangela ukuba inxalenye yokuqala yamathumbu amancinci ivuvuke, ivale indlela yokutya ephuma esiswini.
• Ii-Gastrointestinal stromal tumors (GISTs): Ezi luhlobo olungaqhelekanga lwe-tumor oluvela eludongeni lwesisu okanye emathunjini. Ngamanye amaxesha zinokubangela ukuvaleka.
• I-Lymphoma: Lo ngumhlaza wenkqubo ye-lymphatic. Ukuba ichaphazela ii-lymph nodes ezijikeleze isisu kunye namathumbu amancinci, zinokudumba kwaye zibangele i-GOO.
• Umhlaza osasazekayo: Ukuba umhlaza ukhula kwenye indawo emzimbeni uze usasazeke uye esiswini okanye kwizicwili ezingqongileyo, unokubangela ukuvaleka.

Ngubani osengozini enkulu yokuphuhlisa le GOO?

Abanye abantu banamathuba amaninzi okuba ne-GOO kunabanye. Nazi ezinye zezizathu zokuba kutheni:

• Usulelo lwe-H. pylori: Le bhaktiriya yenza buthathaka ulwelo lwesisu, nto leyo eyenza kube lula ukuba nezilonda zesisu. Ezi zilonda zinokuvala amanxeba kamva kwaye zinciphise i-pylorus.
• Ukusetyenziswa kwexesha elide kwe-NSAID painkillers:Ukusetyenziswa rhoqo kwemithi yokuthomalalisa iintlungu ethengiswa ngaphandle kwemvume kagqirha (i-Nonsteroidal anti-inflammatory drugs - NSAIDs) kunokonakalisa ulwelo lwesisu kwaye kwandise umngcipheko wokuba nezilonda.
• Ukuba ukhe watyandwa isisu ngaphambili: I-pylorus inokuba mxinwa ngenxa yamanxeba avela kutyando lwesisu lwangaphambili.
• Isifo se-Gastroesophageal Reflux (GERD): Ukubuyela kwe-acid okungapheliyo kunokonakalisa ulwelo lwesisu, kubangele ukuba kubekho izicubu ezibomvu kwaye kubangele ukuvaleka.

Zeziphi iingxaki ezinokwenzeka ukuba imeko ye-GOO iba mandundu?

Ukuba i-GOO ayinyangwa kakuhle, ekuhambeni kwexesha inokukhokelela kwiingxaki ezinkulu ezifana nezi:

• Ukuphelelwa ngamanzi emzimbeni: Ukuhlanza rhoqo kunokukhokelela ekuphelelweni ngamanzi emzimbeni, nto leyo enokubangela ukulahleka kwamanzi kunye neetyuwa emzimbeni.
• Ukungalingani kwe-electrolyte: Ukugabha kubangela ukuba umzimba ulahlekelwe zii-electrolyte ezibalulekileyo, ezifana ne-sodium kunye ne-potassium, ezinokuthi ziphazamise ukusebenza kwemisipha kunye nenkqubo yemithambo-luvo.
• Ukungondleki: Ngenxa yokuba ukutya akufunxwa kakuhle, umzimba awufumani izondlo ozifunayo, nto leyo enokubangela ukungondleki kakuhle kunye nokuphelelwa yimisipha.
• I-pneumonia yokuphefumla: Xa uhlanza, izinto ezihlanziweyo zingangena emiphungeni yakho. Oku kunokubangela i-pneumonia. Le yimeko eyingozi.

Kubalulekile: Ukuba unezi mpawu, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza ukuze ufumane ingcebiso. Oku kunokunceda ukuthintela iingxaki ezinje ngezi.

Ugqirha uyixilonga njani ngokuchanekileyo le meko ye-GOO?

Kukho iimvavanyo ezininzi ezinokwenziwa ukuqinisekisa ukufunyaniswa kwe-GOO. Ugqirha wakho uza kuqala akuhlole aze akubuze ngeempawu zakho. Emva koko, banokwenza ezi vavanyo zilandelayo:

• Ii-X-reyi: Imifanekiso ye-X-reyi yesisu inokunika umbono wokuba kukho naziphi na izithintelo.
• I-Endoscopy: Kolu vavanyo, kufakwa ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo ngomlomo ukuze ijonge ngqo esiswini nakwi-pylorus. Oku kunokunceda ekufumaneni unobangela wokuvaleka.
• Uthotho lwe-Upper GI: Kule nto, usela ulwelo olukhethekileyo (isisombululo sokungafaniyo) kwaye uthotho lwemifanekiso ye-X-ray ithathwa njengoko idlula kwinkqubo yakho yokugaya ukutya.
• Iskeni yokukhupha isisu: Olu vavanyo lulinganisa ukuba ukutya kukhawuleza kangakanani ukuphuma esiswini.
• I-CT scan: Oku kungathatha imifanekiso eneenkcukacha zesisu, inxalenye yokuqala yamathumbu amancinci, kunye namalungu angqongileyo. Oku kunceda kakhulu ekufumaneni unobangela wokuvaleka.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Iindaba ezimnandi zezokuba kukho unyango lwe-GOO. Unyango luxhomekeke kwisizathu sokuvaleka kunye nobunzima bemeko.

• Amayeza:Ukuba i-GOO ibangelwa sisilonda sesisu, amayeza anciphisa i-asidi yesisu (afana nee -proton pump inhibitors (PPIs) ) anokunikwa. La mayeza anokunceda izilonda ziphiliswe kwaye anciphise ukuvaleka.
• Utyando lwe-Endoscopic: Kwezinye iimeko, utyando olufana ne -pyloroplasty lunokwenziwa ngaxeshanye ne-endoscopy ukuze kwandiswe indawo enciphileyo.
• Utyando lweLaparoscopic okanye oluvulekileyo: Ngokuxhomekeke kwisizathu kunye nemeko ye-GOO, utyando lunokufuneka. Oku kunokubandakanya ukususa izicubu ezibomvu, ii-bezoars, okanye, kwiimeko ezinzima, ukususa inxalenye yesisu okanye amathumbu amancinci.
• I-balloon enteroscopy: Kule ndlela, kusetyenziswa i-catheter ekhethekileyo ene-balloon-tip ukwandisa i-pylorus ngaphandle kokwenza utyando oluvulekileyo.

Ingakanani iminyaka yobomi bomntu one-GOO?

Uqikelelo kunye nobude bobomi bomntu one-GOO buxhomekeke kwisizathu sokuvaleka kunye nobunzima bemeko. Ukuxilongwa kwangoko kunye nonyango kudla ngokuphumela kwiziphumo ezilungileyo. Nangona kunjalo, ukuba ayinyangwa, imeko inokuba mandundu, ibangele iingxaki kwaye ichaphazele ubomi.

Yintoni esinokuyenza ukuthintela ukwakheka kwe-GOO?

Nangona kungenakwenzeka ukuthintela ngokupheleleyo ukwakheka kwe-GOO, kukho izinto esinokuzenza ukunciphisa umngcipheko.

Ngaba kufuneka senze olu tshintsho kwindlela esiphila ngayo?

• Yeka ukutshaya: Ukutshaya kunokwenza izilonda zesisu zibe mandundu kwaye konyuse umngcipheko weengxaki ezifana nokurhawuzelelwa. Ukuyeka ukutshaya kulungile kwimpilo yakho iyonke kunye nenkqubo yokugaya ukutya.
• Lawula uxinzelelo: Uxinzelelo oluqhubekayo lunokunyusa iingxaki zokugaya ukutya. Ngoko zama ukulawula uxinzelelo ngezinto ezifana nokuzilolonga, iindlela zokuphumla, kunye nokucamngca.

Phatha iimeko zonyango ezingaphantsi ngokufanelekileyo

• Unyango losulelo lwe-H. pylori: Ukuba ufunyaniswe une-H. pylori, ukuyinyanga ngamayeza okubulala iintsholongwane kunokunciphisa kakhulu umngcipheko wokuba nezilonda kunye neengxaki ze-GOO. Emva konyango, ugqirha wakho uya kujonga ukuba usulelo luphelile na.
• Ulawulo lweGERD: Abantu abanesifo se-gastroesophageal reflux (GERD) bane-acid reflux engapheliyo. Oku kungonakalisa ulwelo lwesisu kwaye kukhokelele kwizilonda. Ke ngoko, kubalulekile ukuthatha amayeza eGERD nokwenza utshintsho kwindlela yokuphila ukuze uyilawule.

Masibe nomdla kancinci, akunjalo?

• Ukuhlolwa rhoqo kwezonyango: Ngokubona ugqirha rhoqo, iingxaki zenkqubo yokugaya ukutya ezinokukhokelela kwiimeko ezifana ne-GOO zinokuchongwa kwaye zinyangwe kwangethuba.
• Ukusebenzisa amayeza ngokukhuselekileyo:Amanye amayeza, ingakumbi i-NSAID (Nonsteroidal anti-inflammatory drugs) athomalalisa iintlungu, anokonakalisa ulwelo lwesisu kwaye anyuse umngcipheko wezilonda. Ngoko ke lumka xa uwasebenzisa. Ukuba kuyimfuneko, thetha nogqirha wakho ngezinye iindlela.

Ndingazinyamekela njani? (Emva konyango)

Emva konyango lwe-GOO, kuya kufuneka wenze utshintsho oluthile kwindlela ophila ngayo:

• Utshintsho kumaxesha okutya: Endaweni yokutya isidlo esikhulu ngaxeshanye, yitya ukutya okuncinci amaxesha amaninzi ngemini. Oku kuya kunciphisa umthwalo esiswini sakho.
• Ulawulo loxinzelelo: Ezinye iimpawu zokugaya ukutya zinokuba mandundu ngenxa yoxinzelelo, ngoko ke ukusebenzisa iindlela zokuzola kunokunceda.

Zeziphi ukutya okungafanelekanga ukukutya xa une-GOO?

Ukuba une-GOO, kufuneka uphephe ukutya iziqhamo eziluhlaza, imifuno, kunye neenkozo ezipheleleyo, kuba kunzima ukuzinqumla kwindawo evalekileyo. Kukwangumbono omhle ukunciphisa ukutya okuneziqholo, okunamafutha, kunye nokutya okune-asidi, kuba kunokucaphukisa ulwelo lwesisu.

Ndifanele ndimbone nini ugqirha?

Ukuba uqhubeka uneempawu ezifana nesicaphucaphu, ukuhlanza, kunye nentlungu yesisu, kubaluleke kakhulu ukubona ugqirha ukuze ufumane unobangela kwaye uthintele iingxaki.

Khumbula, ukunyanga izifo ezifihlakeleyo kwangethuba kunokunciphisa kakhulu umngcipheko we-GOO kwaye kugcine impilo yakho yokugaya ukutya iyonke.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Ukuba une-GOO, ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni enokubangela ukuba imeko yam ye-GOO ibe yeyomntu onesifo sengqondo?
• Imbi kangakanani le nto yokuvaleka?
• Ziziphi iindlela zonyango endinazo?
• Ziziphi iingenelo kunye neengxaki zezo ndlela zonyango?
• Injani imeko yam?
• Ngaba kuya kufuneka nditshintshe indlela enditya ngayo emva konyango?

Yintoni umahluko phakathi kweGastric Outlet Obstruction (GOO) kunye neGastroparesis?

Ukuvaleka kwesisu (i-GOO) kunye ne-gastroparesis zombini zinokubangela iingxaki ekudluleni kokutya esiswini. Nangona kunjalo, izizathu kunye neendlela zokusebenza kwezi zimbini zahlukile.

Cinga nge-GOO njengomjelo ovalekileyo. Oku kuvimbeka komzimba kuthintela ukutya ukuba kungaphumi esiswini kuqhubekele phambili kwinkqubo yokugaya ukutya.

I-Gastroparesis ayilovalo lomzimba njenge-GOO. Yimeko apho izihlunu eziseludongeni lwesisu ezihlala zinceda ekutyhaleni ukutya esiswini ziba buthathaka okanye zingasebenzi, nto leyo ebangela ukulibaziseka kokudlula kokutya esiswini.

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufunyaniswa uneGastric Outlet Obstruction (GOO). Kodwa eyona nto ibalulekileyo kukukhumbula ukuba le yimeko enokunyangeka.Oogqirha banamava amaninzi okulawula le meko. Kwakhona, kukho iindlela zonyango ezisebenzayo ngokuxhomekeke kwisizathu. Abantu abaninzi bajongana nale meko. Ukuba ufumana unyango olufanelekileyo, ungaphila ngokukhawuleza. Hlala unethemba, gxila ekufumaneni unyango olungcono, kwaye ukhumbule ukuba awuwedwa kule nto. Iqela lakho lezonyango liza kukunceda kuyo yonke inyathelo.

Ukuvaleka kwesisu, i -GOO, ukudumba kwesisu, ukuhlanza, isisu, i-pylorus, ukugaya ukutya, ukugcwala, iintlungu zesisu, isilonda se-peptic, i-H. pylori, i-endoscopy, i-gastroparesis