Ngaba uhlala uziva isisu sibuhlungu, uzive ugcwele emva kokutya, okanye uzive ugcwele nasemva kokutya kancinci? Ngaba ngamanye amaxesha uziva unesicaphucaphu okanye uhlanza? Ngoko ke kubaluleke kakhulu ukuba uqaphele le meko ibizwa ngokuba yi -gastroparesis . Makhe sithethe ngayo ngokulula, ngendlela onokuyiqonda.
Yintoni i-gastroparesis? Ngamafutshane...
Igama elithi gastroparesis lithetha “ukungasebenzi kakuhle kwesisu.” Ukuchaneka, yimeko echaphazela imithambo-luvo kunye nemisipha esiswini sakho. Imisipha esiswini sakho iyafinyela kwaye iphumle ngendlela ekhethekileyo ukuze ihambise ukutya okutyayo ukusuka esiswini sakho ukuya emathunjini akho amancinci. Oku kubizwa ngokuba yi-peristalsis. Ngoko ke, kumntu one-gastroparesis, imisipha kunye nemithambo-luvo esiswini sakho ayisebenzi kakuhle, ngoko ke ukutya kunamathela esiswini sakho kwaye akuphumi kakuhle. Oku kuphazamisa yonke inkqubo yokugaya ukutya.
Cinga ngayo njengemoto yamanzi. Ukuba iswitshi kwimoto ayisebenzi, okanye ukuba kukho into engalunganga ngemoto ngokwayo, amanzi awayi kungena etankini. Yindlela esebenza ngayo isisu.
Abantu abanale meko banobunzima obukhulu bokugaya ukutya. Ukongeza, kunokubakho iziphumo ebezingalindelekanga ezihlala ixesha elide. Ezi zinokubandakanya ukuphelelwa ngumdla wokutya, ukungondleki kakuhle, kunye nobunzima bokulawula amanqanaba eswekile egazini. Ngamanye amaxesha, nangona ukutya kudlula esiswini, kusenokungaphumi ngokupheleleyo, kushiyeke iziqwenga zokutya. Ezi ziqwenga zokutya eziseleyo zinokuqokelelana kwaye ziqine njengamatye, zenze iqhekeza eliqinileyo elibizwa ngokuba yi-bezoar.
Ngaba kukho iintlobo ezahlukeneyo ze-gastroparesis?
Ewe, oogqirha badla ngokuhlela le meko ngokwesizathu.
- I-Gastroparesis enxulumene nesifo seswekile : Oku kunokuba yimpembelelo embi kubantu abanesifo seswekile.
- I-Gastroparesis emva kotyando: Inokwenzeka njengengxaki emva kotyando lwesisu.
- Idiopathic Gastroparesis: Ngamanye amaxesha akukho sizathu sicacileyo sifumanekayo . Oku kubizwa ngokuba yi-idiopathic gastroparesis.
Loluphi uhlobo oluqhelekileyo?
Uninzi lweemeko (malunga nekota ukuya kwisiqingatha) ze-gastroparesis zihlelwa njenge- idiopathic . Oku kuthetha ukuba oogqirha abakwazanga ukufumana unobangela ochanekileyo. Nangona kunjalo, kwezinye iimeko eziwela kolu luhlu, kusenokwenzeka ukuba kukho unobangela kodwa awukachongwa. Isifo seswekile sesona sizathu siphambili sale meko. Malunga nesithathu sezigulane ziba nale meko ngenxa yesifo seswekile.
Zithini iimpawu ze-gastroparesis?
Kule meko, unokufumana enye okanye ngaphezulu kwezi mpawu zilandelayo:
- Ukungagaywa kokutya: Imeko apho ukutya kungagaywa.
- Isisu esidumbileyo : Ukuziva ngathi isisu sidumbile.
- Ukuva uzele ngokukhawuleza kwaye ixesha elide: Nokuba utya ukutya okuncinci kunokukwenza uzive uzele, kwaye loo mvakalelo yokugcwala inokuhlala iiyure ezininzi. Khawuthelekelele utya irayisi encinci kusasa uze uzive uzele kude kube semini.
- Intlungu yesisu esingaphezulu: Intlungu kwinxalenye ephezulu yesisu .
- Isicaphucaphu nokuhlanza : Ngamanye amaxesha amasuntswana okutya angagaywanga anokuphuma.
- Ukuhlaziya ukutya okungagayiwanga: Njengesikhwenene esihlaziya ukutya.
- Ukulahlekelwa yintliziyo .
- I-acid reflux kunye ne-heartburn.
- Utshintsho olungaqhelekanga kumanqanaba eswekile egazini (ukuguquguquka kweswekile egazini).
- Ukuqhinwa kwesisu .
Kuvakala njani ukuba une-gastroparesis?
Xa izihlunu zesisu sakho zingasebenzi kakuhle, ukutya kuhlala esiswini sakho ixesha elide emva kokutya. Usenokuziva uhluthi kwangoko nje ukuba uqale ukutya, kwaye loo mvakalelo inokuhlala ixesha elide. Unokufumana iintlungu zesisu, isicaphucaphu, kunye nokuhlanza. Isisu sakho sinokuziva sidumbile kwaye siqinile. Unokufumana isitshiso sentliziyo ngenxa ye-acid reflux.
Ingaba le yimeko ebuhlungu?
Iimpawu zeGastroparesis ziyahluka kumntu nomntu. Inani elincinci labantu lixela iintlungu zesisu ezingapheliyo eziqatha kangangokuba abakwazi ukwenza imisebenzi yemihla ngemihla. Nangona kunjalo, akubonakali kukho unxibelelwano oluqinileyo phakathi kobungakanani bentlungu abantu abayifumanayo, ubunzima begastroparesis yabo, okanye isantya isisu sabo esiphuma ngaso. Abanye abantu banokufumana iintlungu ezingaphezulu, mhlawumbi ngenxa yokuba imithambo-luvo yabo inovelwano ngakumbi. Oku kunokunxulunyaniswa nesizathu segastroparesis.
I-gastroparesis iyichaphazela njani intshukumo yamathumbu?
Ngenxa yokuba i-gastroparesis iyayicothisa yonke inkqubo yakho yokugaya ukutya, inokuyilibazisa nokuhamba kwamathumbu akho. Kwakhona, amasuntswana okutya amakhulu, angagayekiyo anokunamathela emathunjini akho, okwenza kube nzima ukudlula. Nangona i-gastroparesis ingachaphazeli ngqo intshukumo yezihlunu emathunjini akho, ezinye zeemeko ezibangela le meko zinokuchaphazela namathumbu akho. Yiyo loo nto abanye abantu benokuba ne-gastroparesis kunye nokuqhinwa ngaxeshanye.
Yintoni eyona nto ibangela i-gastroparesis?
Ngamafutshane, i-gastroparesis ibangelwa kukonakala kwemithambo-luvo elawula izihlunu zesisu sakho. Amaxesha amaninzi, izihlunu ngokwazo zinokonakala. Nangona kunjalo, isiphumo sokugqibela kukuba ukushwabana kwemisipha okusila ukutya esiswini kuze kukutyhale kuphume buthathaka. Oku kunokukhokelela kwiingxaki zokugaya ukutya kunye nokulibaziseka kokuphuma kwesisu - oko kuthetha ukuba ukutya kuhlala esiswini ixesha elide kakhulu.
Ziziphi izizathu ezithile ze-gastroparesis?
Nazi ezinye zezizathu eziye zachongwa:
1. Isifo seswekile (isifo seswekile)
Malunga nesinye kwisithathu sabantu abanesifo seswekile baba ne-gastroparesis. Oku kubizwa ngokuba yi-diabetes-related neuropathy. Xa amanqanaba eswekile egazini ephezulu ixesha elide, imithambo-luvo yonakala. Kwakhona, amanqanaba aphezulu eswekile egazini ayonakalisa imithambo yegazi ethwala ioksijini iye kwizicubu. Ngoko ke ichaphazela zombini imithambo-luvo kunye nemisipha yesisu.
2. Utyando
Utyando olusesiswini sakho okanye olukufutshane naso lunokonakalisa umthambo we-vagus, ohamba esiswini sakho kwaye ulungelelanise iintshukumo zawo. Le meko ingenzeka nangaliphi na ixesha emva kotyando. Ingenzeka ngoko nangoko, okanye ingenzeka kwiinyanga okanye kwiminyaka kamva. Ezinye iindlela zotyando ezinokubangela oku ziquka:
- Ukufakwa kwe-Nissen fundoplication
- Ukususwa kwenxalenye okanye sonke isisu (Gastrectomy)
- I-pancreatectomy (ukususwa kwenxalenye okanye yonke i-pancreas)
- Ukususwa kwemithambo-luvo (ukusika umthambo wevagus)
- Ukususwa kwenyongo (i-cholecystectomy)
3. Iintsholongwane
Usulelo lwesisu, ingakumbi usulelo lwentsholongwane (umz., i-norovirus, i-rotavirus) kunye nosulelo oluthile lweentsholongwane, lunokubangela i-gastroparesis. Izazinzulu azikaqiniseki nokuba olu sulelo luyonakalisa ngokuthe ngqo imithambo-luvo, okanye ukuba iiseli zomzimba ezilwa nosulelo ziyonakalisa ngempazamo imithambo-luvo.
4. Izifo ezihlasela umzimba ngokwawo
Kwizifo ezibangelwa kukuzikhusela komzimba, inkqubo yomzimba wethu yokuzikhusela ihlasela iiseli zethu ngokuvelisa ii-antibodies (autoantibodies). Uphando olutsha lubonisa ukuba ezi autoantibodies zingonakalisa imithambo-luvo esiswini. Ungafumana i-gastroparesis nokuba awunazo ezinye iimpawu ezibangelwa kukuzimela komzimba, okanye ukuba ezo mpawu azinxulumananga nesisu.
5. Iziyobisi
Amanye amayeza kunye namayeza anokuthintela imiqondiso yemithambo-luvo elawula izihlunu zesisu. Oku kunokubangela i-gastroparesis yexeshana. Amanye ala mayeza anokumiselwa nakwezinye iimeko ezinxulumene ne-gastroparesis (ezifana nesifo seswekile). Ukuba sele une-gastroparesis, okanye ukhe wayinayo ngaphambili, kufuneka uwaphephe la mayeza. Imizekelo:
- Ii-opioids (iziyobisi)
- I-Nicotine (equlethwe kwicuba)
- Intsangu (iHemp)
- Ii-antidepressants ze-Tricyclic
- Iprogesterone (ihomoni)
- Amayeza okubangela i-aleji afana ne-antihistamines (i-Anticholinergics)
- Ii-calcium channel blockers zoxinzelelo lwegazi oluphezulu
- Ii-Amylin analogs / GLP-1 antagonists zesifo seswekile sohlobo lwesibini
- I-Cyclosporine (iyeza elinikwa ukuthintela ukwaliwa ngexesha lokufakelwa amalungu omzimba)
- I-Clonidine (iyeza loxinzelelo lwegazi oluphezulu)
- I-Lithium (iyeza le-bipolar disorder)
- Amanye amayeza okugula ngengqondo (amayeza e-Antipsychotic)
6. Ezinye izizathu
Ezinye izizathu ezingafane zichaphazele:
- Izifo ze-Neurological: Izifo ezichaphazela inkqubo ye-nervous, ezifana nesifo sikaParkinson, i-multiple sclerosis, kunye nokungasebenzi kakuhle kwe-autonomic, zinokubangela ukuba i-nervous esesiswini ingasebenzi kakuhle.
- Izifo zeCollagen-vascular: Izifo ezingapheliyo zokudumba kwezicubu ezidityanisiweyo ezifana ne-amyloidosis, i-scleroderma, i-lupus, kunye ne-Ehlers-Danlos syndrome zinokubangela ubuthathaka bemisipha yesisu.
- Iingxaki ze-endocrine: Iimeko ezifana nesifo se-thyroid, iingxaki ze-adrenal, ukungalingani kwe-electrolyte, kunye nokungasebenzi kakuhle kwezintso kunokubangela umonakalo kwiikhemikhali kwimithambo-luvo.
- I-Cystic fibrosis: Esi sifo sibangela ukuba i-mucus (into efana ne-mucus) iqokeleleke kwindlela yokugaya ukutya, nto leyo enciphisa isantya senkqubo yonke. Kuqikelelwa ukuba malunga nesithathu sabantu abanale sifo bane-gastroparesis.
Ziziphi iingxaki ezinokubakho ngenxa ye-gastroparesis?
Le meko inokubangela iingxaki ezahlukeneyo, kuquka:
- Ukwehla kobunzima, ukungondleki kakuhle, kunye nokuphelelwa ngamanzi emzimbeni: Ukucaphuka rhoqo, ukuhlanza, kunye nokuphelelwa ngumdla wokutya kunokukhokelela ekunciphiseni umzimba kunye nokungabikho kokutya okunempilo. Ukuhlanza rhoqo kunokukhokelela ekuphelelweni ngamanzi emzimbeni kunye nokungabikho kwe-electrolyte (ityuwa yomzimba). Kusenokufuneka ulaliswe esibhedlele kwaye unikwe unyango lwesondlo kunye ne-saline.
- Iingxaki ezinxulumene ne-acid reflux: Ngenxa yokuba isisu sidumbile ngenxa ye-gastroparesis, kulula ukuba i-asidi yesisu inyuke iye kwi-esophagus . Le reflux iqhubekayo inokonakalisa i-esophagus . Umzekelo, isitshiso sentliziyo kunye ne-esophagitis .
- Iingxaki zeswekile egazini: I-Gastroparesis iphazamisa inkqubo eqhelekileyo nelawulwayo apho ukutya kuhamba khona ngendlela yokugaya ukutya. Oku kuphazamisa ukukhululwa rhoqo kweswekile (iswekile) egazini. Xa ukutya kuhlala esiswini ixesha elide kakhulu, amanqanaba eswekile egazini anokwehla. Xa ukutya kukhutshwa ngequbuliso, amanqanaba eswekile egazini anokunyuka. Olu hlobo lokuguquguquka kweswekile egazini luyingxaki ngakumbi kubantu abanesifo seswekile, kwaye lunokwenza i-gastroparesis ibe mandundu.
- Ukuvaleka kweBezoar kunye neGastric Outlet: I-bezoar sisiqwenga sokutya esiqinileyo nesiqinileyo esinamathele esiswini. Senziwa ngamaqhekeza okutya aseleyo xa isisu siphuma. Ngamanye amaxesha, i-bezoar inokuba nkulu kakhulu ukuba ingadlula kwindawo yokukhupha ezantsi kwesisu. Ingavimba nokuhamba kokutya okunye. Oogqirha banokukunika amayeza okunyibilikisa i-bezoar, okanye banokuyisusa ngotyando.
Ifunyanwa njani iGastroparesis?
Ugqirha uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango (iimeko ezinokubangela i-gastroparesis, utyando). Emva koko, baza kwenza uvavanyo oluthile lokujonga ngaphakathi esiswini sakho. Olu vavanyo lukhangela naziphi na izithintelo zomzimba, njengoko ezi zinokubangela iimpawu ezifanayo. Ukuba akukho zithintelo zifunyenweyo, baza kwenza uvavanyo lokuhamba kwesisu . Olu vavanyo lujonga indlela ezisebenza ngayo izihlunu zesisu sakho.
Zeziphi iimvavanyo ezenziwayo ukufumanisa isifo se-gastroparesis?
Into yokuqala oza kuyenza kukwenza uvavanyo ukuze ubone ukuba akukho na ukuvaleka okubangela iimpawu zakho. Ezi ziquka:
- I-Upper endoscopy: Yinkqubo apho kufakwa ikhamera encinci ngomlomo ukuze kujongwe isisu.
- Uthotho lwe-Upper GI: I-X-ray ethathwe emva kokusela into efana ne-barium.
- Iskeni ye-CT
- I-MRI `(MRI)`
- I-ultrasound yesisu
Ukuba ezi mvavanyo azifumani ngxaki yokuvaleka komzimba, inyathelo elilandelayo kukufunda ngokuphuma kwesisu, okulinganisa intshukumo yesisu. Oku kungabandakanya:
- I-Gastric emptying scintigraphy (GES): Olu luvavanyo lwamayeza enyukliya. Unikwa ukutya okanye isiselo esincinci esixutywe nento enokutsha, kwaye ixesha elithathayo ukuze sidlule kwinkqubo yakho yokugaya liyarekhodwa.
- Uvavanyo lokuphefumla lwe-motility yesisu (GEBT): Olu vavanyo lulinganisa isantya sokuhamba kokutya kwinkqubo yakho yokugaya ukutya ngokulinganisa ubungakanani bomoya owuphefumlayo. Oku kuquka ukutya ukutya okuqulethe imolekyuli yekhabhoni ekhethekileyo ebizwa ngokuba yi-"carbon-13". Xa ingena emathunjini akho, ivelisa uhlobo olukhethekileyo lwekhabhoni dayoksayidi ``CO2-13'', enokulinganiswa ekuphefumleni kwakho.
- Uphononongo lokuhamba kwekholoni: Olu vavanyo luvavanya ukuba ukutya kuhamba ngokukhawuleza kangakanani emathunjini amakhulu . Oku kuquka ukuginya ii-pellets ezincinci ezinokubonwa kwi-X-ray njengoko zidlula emzimbeni.
Ukuba iziphumo zakho zovavanyo lwe-GES aziqhelekanga, ugqirha wakho unokuyalela i- electrogastrogram (i-EGG) , elinganisa umsebenzi wombane wemisipha yesisu.
Ezinye iimvavanyo zingenziwa ukuze kufunyanwe unobangela we-gastroparesis. Umzekelo, uvavanyo lwegazi lunokukhangela ii-antibodies ezishiyekileyo kwisifo sangaphambili, okanye ii-autoantibodies, ezinokubonisa isifo sokuzikhusela komzimba.
Ziziphi iindlela zonyango lwe-gastroparesis?
Oogqirha abanakukwazi ukulungisa ngokuthe ngqo umonakalo obangelwe yi-gastroparesis. Nangona kunjalo, banokubonelela ngonyango oluvuselela izihlunu esiswini ukuba zinciphe kwaye zincede ukuba siphume. Amayeza lunyango lokuqala. Ukuba amayeza awasebenzi okanye ukuba awafumaneki, kuyacetyiswa utyando . Zonke iindlela zonyango zinokuba nemiphumo emibi, kwaye akukho nyango lusebenzayo kuye wonke umntu.
Iinjongo zonyango zezi:
- Ukuvuselela izihlunu zesisu kunye/okanye ukuvumela isisu ukuba siphume.
- Qinisekisa ukuba umzimba wakho ufumana isondlo namanzi owadingayo.
- Ukulawula iimpawu kunye nemiphumo emibi.
- Ukuba kunokwenzeka, lawula unobangela wesifo kwaye uthintele imeko ukuba ingabi mandundu.
Isicwangciso sakho sonyango singabandakanya:
- Amayeza.
- Isondlo/unyango ngamanzi.
- Utyando.
- Unyango oluthile lwesifo esibangela i-gastroparesis yakho.
Amayeza
Iiprokinetics, udidi lwamayeza avuselela intshukumo yomgudu wokugaya ukutya, lolona nyango luphambili lwe-gastroparesis. Ziquka:
- I-Metoclopramide: Eli liyeza kuphela elivunyiweyo yi-FDA (uLawulo loKutya namayeza) ukunyanga i-gastroparesis. Livuselela ukushwabana kwemisipha esiswini kwaye linceda ekunciphiseni isicaphucaphu. Nangona kunjalo, linokubangela iziphumo ebezingalindelekanga (umz., ukungcangcazela, ukuxhuzula kwemisipha), ngoko ke kufuneka kuthathwe unonophelo olukhethekileyo ngalo.
- Ii-agonists zeMotilin: Ezi lolunye uhlobo lwamayeza e-prokinetic. Imizekelo ibandakanya i-Erythromycin kunye ne-Azithromycin . Nangona ezi zisetyenziswa rhoqo njengee-antibiotics, oogqirha bakwacebisa ukuba zinyange i-gastroparesis.
- Ii-agonists zeSerotonin: I-Tegaserod kunye nePrucalopride ngamayeza amabini avuselela amathumbu ukuba aphucule ukuqhina. Nangona engakavavanywa ngokupheleleyo kunyango lwe-gastroparesis, abanye oogqirha bayawacebisa ngale njongo.
Amayeza ongezelelweyo:
- Imithi yokulwa nokugabha ilawula isicaphucaphu kunye nokuhlanza.
- Izithinteli zempompo yeproton kwiingxaki ze-acid reflux.
- Iipilisi zokunciphisa iintlungu zesisu.
- Amayeza esifo seswekile okulawula amanqanaba eswekile egazini.
Kubalulekile: Musa ukuzinyanga ngamayeza ala mayeza ngaphandle kwengcebiso kagqirha. Soloko uqhagamshelana nogqirha kwaye uthathe amayeza kuphela ngokwengcebiso yakhe.
Isondlo
Kusenokufuneka utshintshe indlela otya ngayo. Umzekelo, yitya ukutya okunefayibha encinci, okunamafutha aphantsi ukuze kube lula ukugaya. Kusenokufuneka nonyango olukhethekileyo lwesondlo ukunceda ekuthatheni indawo yezakhamzimba ezilahlekileyo. Ugqirha wakho unokucebisa izongezo zesondlo, okanye akunike ukutya ngetyhubhu okanye nge-IV okwethutyana. Abanye abantu banokufuna ukuba isisombululo se-saline sinikwe ngemithambo ukuze kulungiswe ukungabikho kwamanzi emzimbeni kunye nokungalingani kwe-electrolyte.
Utyando
Utyando lolona khetho lokugqibela lokunyanga i-gastroparesis. Ukuba zonke ezinye iindlela zonyango aziphumeleli, kunokufuneka wenze utyando lokutshintsha imo yesisu sakho ukuze ukutya kudlule kuso. Olu tyando luquka:
- I-Pyloroplasty: Oku kuquka ukutshintsha i-pylorus yakho (ivalvu yemisipha esezantsi kwesisu sakho evumela ukutya ukuba kudlule). Ngokuqhelekileyo, umsipha we-pylorus uyasikwa, umngxuma uyandiswa, kwaye umngxuma uyakhululeka. Inkqubo entsha yinkqubo ebizwa ngokuba yi -G-POEM (gastric peroral endoscopic myotomy) . Oku kuthetha ukuba utyando lwenziwa ngomlomo, ngaphandle kokusikwa esiswini.
- Utyando lwesisu: Abanye abantu kufuneka badlule ngokupheleleyo kwinxalenye esezantsi yesisu. Oku kuquka ukususa okanye ukuvala inxalenye yesisu, ukudala indlela entsha esuka esiswini ukuya emathunjini amancinci (i-gastrojejunostomy). Utyando lwesisu lutyando lokunciphisa umzimba, ingakumbi kubantu abanesifo seswekile sohlobo lwesibini esibangelwa kukutyeba kakhulu. Lunokuba nefuthe elikhulu kwisifo seswekile kunye ne-gastroparesis. Ugqirha wakho unokulucebisa kwi-gastroparesis enzima enxulumene nesifo seswekile.
Iyintoni ingqikelelo ye-gastroparesis?
Ngamanye amaxesha, i-gastroparesis ebangelwa ngamayeza exesha elifutshane okanye usulelo lwexesha elifutshane iya kuba ngcono ngokuhamba kwexesha. Kodwa kubantu abaninzi, i-gastroparesis yimeko engenakuphiliswa, kodwa inokulawulwa ngonyango. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe, kwaye unokuba nemiphumo emibi evela kunyango okanye kwiimpawu eziqhubekayo. Ugqirha wakho unokukunceda ukulawula ezi zinto njengoko zikhula.
Ngaba iGastroparesis ichaphazela ubomi?
I-Gastroparesis ayisoloko isongela ubomi. Nangona kunjalo, ezinye zeengxaki ezinokubakho nge-gastroparesis (ukungondleki kakuhle, ukuphelelwa ngamanzi emzimbeni, ukungalingani kwe-electrolyte, kunye nokutshintsha kweswekile yegazi kwisifo seswekile) zinokuba yingozi ebomini ukuba ziba nzima kakhulu. Ugqirha wakho uza kusebenza nawe ukunciphisa umngcipheko wezi ngxaki. Ngonyango olufanelekileyo, umngcipheko uphantsi kakhulu.
Ndingazinyamekela njani ngelixa ndiphila ne-gastroparesis?
Nika ingqalelo kwiimpawu zakho, kunye nokutya kunye nemikhwa ezenza zibe ngcono okanye zibe mbi. Utshintsho oluncinci lunokwenza umahluko omkhulu kwindlela oziva ngayo. Abanye abantu bafumanisa ezi zinto ziluncedo:
- Endaweni yokutya izidlo eziphambili ezintathu ngosuku, yitya izidlo ezincinci ezine ukuya kwezintandathu.
- Landela ukutya okunamafutha aphantsi, okunefayibha ephantsi (ukutya kwe-gastroparesis). Buza ugqirha wakho okanye ingcali yesondlo ngale nto.
- Ziphephe utywala, icuba, neziyobisi. Ezi zinto ziyalibazisa ukuphuma kwesisu.
- Emva kokutya, yenza umthambo olula, njengokuhambahamba kancinci. Oku kuya kunceda ekuhambiseni isisu.
I-Gastroparesis inokwahluka ukusuka kwencinci ukuya kwenzima, kwaye indlela echaphazela ngayo umgangatho wobomi bakho inokwahluka. Nangona kungekho nyango lukhawulezileyo, kukho unyango oluninzi olunokukunceda ulawule. Ugqirha wakho uza kusebenza ngokusondeleyo nawe ukuze afumane isicwangciso sonyango esifanelekileyo kuwe. Ungafumanisa ukuba ukwenza utshintsho kwindlela yokutya kunye nendlela yokuphila kunokunceda. Okwangoku, izazinzulu ziyaqhubeka nokuphanda unyango olutsha.
Umyalezo Wokuya Ekhaya
I-Gastroparesis yimeko apho isisu singaphumi kakuhle, kodwa endaweni yoko sizale. Oku kunokubangelwa zizinto ezininzi, kubandakanya isifo seswekile kunye notyando. Kubalulekile ukufuna iingcebiso zonyango ukuba ufumana iimpawu ezinje ngokudumba, isicaphucaphu, ukuhlanza, okanye iintlungu zesisu .
Ungakhathazeki, le meko inokulawulwa. Ngokuchongwa ngokuchanekileyo kunye nonyango, unethuba lokuphila ubomi obuqhelekileyo. Landela imiyalelo kagqirha wakho ngononophelo, kwaye uqaphele ukutya kwakho kunye nendlela ophila ngayo.











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