Ngaba uziva uhluthi nasemva kokutya kancinci? Oku kusenokuba yi-gastroparesis!

Ngaba uziva uhluthi emva kokutya isidlo esincinci? Okanye uziva ungakhululekanga emva kweeyure zokutya? Ukuba uhlala unesicaphucaphu, uzive uhluthi, kwaye unengxaki yokutya, ngokuqinisekileyo kufuneka uqaphele le meko sithetha ngayo namhlanje ebizwa ngokuba yi-gastroparesis. Oku kunokuvakala njengegama elibalulekileyo, kodwa masithethe ngayo ngokulula.

Ngamafutshane, yintoni i-gastroparesis?

Igama elithi gastroparesis lithetha "ukungasebenzi kakuhle kwesisu" okanye "ukukhubazeka kwesisu." Ngokuchanekileyo, yimeko echaphazela imithambo-luvo kunye nemisipha esiswini sakho. Ngokwesiqhelo, xa sisitya, imisipha esiswini iyafinyela, oko kuthetha ukuba ihamba njengamaza, ixuba kwaye ityumze ukutya kwaye ikutyhale kancinci iye emathunjini amancinci. Le nkqubo ibizwa ngokuba yi "peristalsis."

Kodwa kumntu oneGastroparesis, izihlunu kunye nemithambo-luvo esiswini azisebenzi kakuhle. Ngoko ke kuthatha ixesha elide ukuba ukutya kusuke esiswini kuye emathunjini amancinci, ngamanye amaxesha akwenzeki konke konke. Njengemoto ebambeke kwiindlela ezininzi, ukutya kuyabambeka esiswini. Yile nto ibangela zonke ezo mpawu zingathandekiyo ezikhankanyiweyo ngaphambili.

Ukuba le meko iyaqhubeka, kunokubakho ezinye iingxaki. Ukulahlekelwa ngumdla kunokubangela ukunqongophala kwesondlo , kwaye kunokuba nzima ukulawula amanqanaba eswekile egazini . Ngamanye amaxesha, amasuntswana okutya angagaywanga aqokelelana esiswini, enze iqhekeza eliqinileyo. Oku kubizwa ngokuba yi-"Bezoar" ngokwezonyango.

Ngaba kukho iintlobo ezahlukeneyo zale meko?

Ewe, oogqirha badla ngokuhlela le meko ngokwesizathu sayo.

• I-Gastroparesis enxulumene nesifo seswekile: Eli ligama elinikwa le meko xa isenzeka njengesiphumo esingesihle sesifo seswekile.
• I-gastroparesis emva kotyando: Olu hlobo lwe-gastroparesis lwenzeka njengengxaki yotyando esiswini.
• Idiopathic Gastroparesis: Okumangalisayo kukuba, kwiimeko ezininzi, akukho sizathu sicacileyo sinokufunyanwa sale meko. Phakathi kwekota nesiqingatha sezigulane zingena kolu luhlu.

Kwezi, eyona nto ixhaphakileyo neyaziwa kakhulu sisifo seswekile , esibangela malunga nesinye kwisithathu seemeko ze-gastroparesis.

Zithini iimpawu zomntu one-gastroparesis?

Ezi mpawu azifani kuye wonke umntu, ezinye zinokuba buthathaka kakhulu, ngelixa ezinye zinokuba nzima kangangokuba zibenze bangakwazi ukwenza imisebenzi yemihla ngemihla. Makhe sijonge iimpawu eziphambili.

Ziziphi izizathu eziphambili ze-gastroparesis?

Njengoko bekutshiwo ngaphambili, uninzi lwexesha, unobangela awufumaneki. Kodwa kukho izizathu ezimbalwa ezinokubakho. Zonke ezi zinto zibangelwa kukonakala kwemithambo-luvo elawula izihlunu zesisu.

Isifo seswekile

Esi sesona sizathu siphambili. Xa amanqanaba eswekile egazini engalawuleki kwaye ephezulu ixesha elide, yonakalisa imithambo-luvo ebuthathaka emzimbeni. Oku sikubiza ngokuba yi-"Diabetic Neuropathy". Lo monakalo ukwachaphazela nemithambo-luvo esiswini. Emva koko isilumkiso kwizihlunu zesisu sokuba "zinciphe" asihambi kakuhle.

Utyando

Ngexesha lotyando esiswini, esifubeni, okanye kwiindawo ezingqongileyo, i-vagus nerve, i-nerve enkulu elawula ukusebenza kwesisu, inokonakala . Lo monakalo unokubangela i-gastroparesis. Umzekelo, le meko inokubonwa emva kotyando olufana ne-`(Gastrectomy)` (ukususwa kwenxalenye yesisu) okanye `(Cholecystectomy)` (ukususwa kwe-gallbladder).

Iintsholongwane

Le meko inokwenzeka nasemva kweentsholongwane ezithile (ezifana ne-'Norovirus', 'Rotavirus') okanye usulelo lweebhaktheriya. Nangona kungacaci kakuhle ukuba oku kwenzeka njani, kukholelwa ukuba kusenokubangelwa lusulelo ngokwalo okanye yinkqubo yethu yomzimba yokuzikhusela eyonakalise imithambo-luvo ngempazamo ngelixa ilwa nosulelo.

Amayeza athile

Amanye amayeza owasebenzisayo anokuphazamisa ukusebenza kwesisu okwethutyana. Kufuneka ulumke ngakumbi ngala mayeza ukuba sele une-gastroparesis.

• Iintlungu ezibuhlungu ezinamandla - `(Opioids)`
• Icuba - `(I-Nicotine)`
• Ezinye izidambisi-ntlungu - `(iTricyclic antidepressants)`
• Amanye amayeza oxinzelelo lwegazi oluphezulu - `(Ii-Calcium channel blockers)`
• Amanye amayeza esifo seswekile - `(i-GLP-1 antagonists)`

Kukho ezinye iintlobo zamayeza afana nala, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.

Zithini iziphumo ebezingalindelekanga ezinokubakho ngenxa yoku?

I-Gastroparesis ayisiyongxaki yesisu nje kuphela. Inokubangela iingxaki ezinkulu ukuba ayiphathwa kakuhle.

• Ukwehla kobunzima kunye nokungabikho kokutya okunempilo: Ukucaphuka rhoqo, ukuhlanza, kunye nokuphelelwa ngumdla wokutya kunokukhokelela ekungondlekini, okunokukhokelela ekunciphiseni umzimba, ekuphelelweni ngamanzi emzimbeni, nasekungondlekini kakuhle .
• Ukulahlekelwa kulawulo lweswekile egazini:Le yingxaki enkulu, ingakumbi kubantu abanesifo seswekile. Ngenxa yokuba ixesha elithathwayo ukuba ukutya kuphume esiswini liyaphazamiseka, indlela iswekile engena ngayo egazini iyaphazamiseka. Amanqanaba eswekile anokwehla ngequbuliso kakhulu (`Hypoglycemia`) okanye anyuke ngequbuliso kakhulu (`Hyperglycemia`). Oku kunzima kakhulu ukukulawula.
• Ukwakheka kweBezoar: Njengoko bekutshiwo ngaphambili, amasuntswana okutya angatyiwayo anokuqokelelana esiswini aze enze amaqhuma aqinileyo afana namatye. Ukuba la maqhuma aba makhulu, anokuvala indlela yokutya ephuma esiswini. Le yimeko engxamisekileyo.

Ugqirha uluchonga njani ngokuchanekileyo olu sifo?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, naziphi na ezinye iimeko zempilo onazo (ezifana nesifo seswekile), kunye naluphi na utyando oye walwenza. Emva koko, uza kwenza uvavanyo ukuze abone ukuba iimpawu zakho zibangelwa kukuvaleka kwesisu sakho.

1. Qinisekisa ukuba akukho ziphazamiso:

• I-Upper Endoscopy: Ikhamera encinci ifakwa ngomlomo ukuze ijonge ngaphakathi esiswini ukuze kuhlolwe iithumba, izilonda, okanye ezinye izithintelo.
• Ezinye iiskeni: Uvavanyo olufana ne-CT scan okanye i-MRI lunokujonga ngaphakathi kwesisu.

2. Ukulinganisa ukusebenza kwesisu:

• Nje ukuba kuqinisekiswe ukuba akukho nto iphazamisayo, kwenziwa uvavanyo olukhethekileyo ukuze kubonwe ukuba isisu sikhawuleza kangakanani ukuphuma.
• I-Gastric emptying scintigraphy (GES): Olu lolona vavanyo luphambili loku. Kolu vavanyo, utya ukutya okuncinci (ngokuqhelekileyo iqanda) okuxutywe nento enokutsha. Emva koko, kwixesha leeyure eziliqela, kuthathwa iiskeni ukuze kubonwe ukuba kuthatha ixesha elingakanani ukuba ukutya kuphume esiswini.
• Uvavanyo lokuPhefumla: Ungafumana umbono wokusebenza kwesisu sakho ngokusinika ukutya okuqulethe imolekyuli yekhabhoni ekhethekileyo kunye nokulinganisa igesi oyikhuphayo.

Emva kwezi mvavanyo, ugqirha angakuxelela ngokuqinisekileyo ukuba une-gastroparesis okanye akunjalo.

Ziziphi iindlela zonyango lwe-gastroparesis?

Umonakalo wemithambo-luvo obangela le meko awunakuguqulwa. Oku kuthetha ukuba kunzima ukunyanga ngokupheleleyo. Nangona kunjalo, kukho unyango oluninzi olusebenzayo olunokunceda ukulawula iimpawu kunye nokuphila ubomi obuqhelekileyo .

Iinjongo eziphambili zonyango zezi:

• Ukuvuselela izihlunu zesisu, okubangela ukuba ukutya kuphele ngokukhawuleza.
• Qinisekisa ukuba umzimba wakho ufumana izondlo kunye nolwelo olufunekayo.
• Ukulawula iimpawu ezifana nokucaphuka kunye nentlungu.
• Ukuba kukho unobangela woku (njengesifo seswekile), kubalulekile ukuyilawula kakuhle.

Amayeza

• Iiprokinetics:Ezi zezona ntlobo ziphambili zamayeza anceda izihlunu zesisu ukuba ziqine. I-'Metoclopramide' yenye yemithi evunyiweyo yoku. Nangona kunjalo, ngenxa yemiphumo emibi ethile, kufuneka isetyenziswe kuphela njengoko kuyalelwe ngugqirha wakho.
• Imithi yokulwa nokugabha: Ezi zinceda ekulawuleni isicaphucaphu nokuhlanza .
• Amanye amayeza: Amayeza okudumba esifubeni, iintlungu, kunye nolawulo lweswekile nawo anokubandakanywa kwisicwangciso sonyango.

Utshintsho kwindlela yokutya

Le yinxalenye ebaluleke kakhulu yonyango.

• Endaweni yokutya kathathu ngemini, yitya izidlo ezincinci ezi-5-6.
• Ukunciphisa ukutya okunamafutha amaninzi kunye nefayibha (umz. ukutya okuqhotsiweyo, imifuno emininzi, amaxolo eziqhamo) kuba oku kuthatha ixesha elide ukugaywa.
• Ukunika ingqalelo engakumbi ekutyeni okumanzi okanye okuxutywe kakuhle (iisuphu, ipapa, iijusi).

Utyando

Kuphela xa zonke ezinye iindlela zonyango zingaphumeleli, apho utyando lufanele luthathwe njengenyathelo lokugqibela.

• I-Pyloroplasty: Utyando lokwandisa kancinci iringi yemisipha (pylorus) apho ukutya kudlula khona esiswini. Oku ngoku kungenziwa ngaphandle kokusikwa kusetyenziswa i-endoscope (indlela ye-`G-POEM`).
• I-Gastric Bypass: Utyando oludlula inxalenye yesisu engasebenzi kakuhle kwaye ludale indlela entsha yokutya edlula ngqo emathunjini amancinci.

Yintoni omele uyilumkele xa uphila nale meko?

I-Gastroparesis yimeko yobomi bonke. Nangona kunjalo, kunokwenzeka ukuba uphile nayo kakuhle. Kubalulekile ukwenza utshintsho oluncinci kwindlela ophila ngayo.

• Chonga ukuba zeziphi ukutya ezilungileyo kuwe kunye nokutya okungalunganga kuwe. Ukubhala phantsi ukutya kunokunceda kule nto.
• Hamba kancinci emva kokutya. Ukuhamba kancinci kunokunceda ekusebenzeni kwesisu.
• Ziphephe ngokupheleleyo utywala, ukutshaya, nezinye iziyobisi. Ezi zinto ziphazamisa ukusebenza kwesisu.
• Hlala unxibelelana nogqirha wakho rhoqo. Mxelele ukuba kukho utshintsho kwiimpawu zakho okanye ukuba unengxaki ngamayeza akho.

I-Gastroparesis inokuba yingxaki enkulu, kodwa ngonyango olufanelekileyo kunye notshintsho lwendlela yokuphila, ungayilawula kakuhle kwaye uphile ubomi obuqhelekileyo.