Ingabe ungumuntu onesifo sikashukela? Ngakho-ke, ingabe ngezinye izikhathi uzizwa usuthi ngisho nangemva kokudla ukudla okuncane? Noma uvame ukuzizwa unesicanucanu, unesilungulela, futhi ngezinye izikhathi uhlanza? Ngenxa yazo zonke lezi zinto, ungase ube nobunzima bokulawula amazinga kashukela egazini lakho. Abantu abaningi bacabanga ukuthi lezi yizinkinga zesisu ezivamile. Kodwa lokhu kungaba yinkinga yesifo sikashukela ngokwaso. Yilokho esizokhuluma ngakho namuhla.
Kuyini i-Diabetic Gastroparesis?
Kalula nje, lokhu kwenzeka lapho imisipha esiswini sakho (esiswini) ingasebenzi kahle. Ngokuvamile, lapho sidla, imisipha esiswini iyafinyela bese isunduza ukudla emathunjini amancane. Kodwa ku-gastroparesis, le nqubo yenzeka kancane kakhulu, noma ngezinye izikhathi ime ngokuphelele. Ngakho ukudla kuhlala esiswini amahora amaningi.
Lesi simo singabonakala kokubili kusifo sikashukela sohlobo 1 kanye nohlobo 2. Kodwa-ke, sivame ukwenzeka kubantu asebenesifo sikashukela iminyaka engaphezu kweyi-10 futhi abanezinye izinkinga ezibangelwa isifo sikashukela (isibonelo, ukulimala kwemizwa).
Kungani lokhu kwenzeka kithi?
Isizathu esiyinhloko salokhu ukuthi amazinga kashukela egazini ahlala ephezulu isikhathi eside ngaphandle kokulawulwa . Isifo sikashukela esingalawulwa singalimaza imizwa emzimbeni wethu.
Cabanga ukuthi kukhona "umlawuli" oyinhloko olawula ukusebenza kwesisu sethu. Lowo yi -Vagus nerve . Uma lo mzwe we-Vagus wonakele ngenxa yamazinga aphezulu kashukela, isisu asitholi isignali yokukhipha ukudla ngendlela efanele. Kungalimaza nemisipha esiswini kanye namaseli akhethekile (amaseli e-pacemaker) asiza ekucindezeleni ukudla. Lapho zonke lezi zizathu zihlangana, ukudla kuyabhajwa esiswini bese kuba ne-gastroparesis.
Yiziphi izimpawu eziyinhloko zalokhu?
Bheka ukuthi unazo yini lezi zimpawu. Kodwa khumbula, ungacabangi ukuthi unalesi sifo ngoba nje unesinye noma ezimbili zalezi zimpawu. Kufanele nakanjani ubone udokotela ngalokho.
| Isibonakaliso | Incazelo elula |
|---|---|
| Isilungulela/Ukubuyela emuva kwesisu | Ukudla okune-asidi esiswini kubuyela emphinjeni. |
| Isicanucanu | Ukungakhululeki okuzwakala sengathi ukuhlanza njalo. |
| Ukuhlanza | Ezimweni ezimbi kakhulu, ukudla okungagayiwe okudliwe emahoreni ambalwa ngaphambi kokudla kungahlanzwa. Kwabanye, lokhu kungenzeka nsuku zonke. |
| Ubunzima bokulawula amazinga kashukela | Njengoba kungenakwenzeka ukusho ngokuqondile ukuthi ukudla kungena nini emathunjini, amazinga kashukela angakhuphuka futhi ehle ngokuzumayo. |
| Ukuzizwa usuthi ngisho nangemva kokudla kancane | Ngenxa yokuthi isisu besinokudla okugciniwe ngaphambilini, uzizwa usuthi ngisho nangemva kokudla okuncane. |
| Ukuqunjelwa kwesisu | Ukuzizwa uvuvukele, sengathi isisu sigcwele umoya. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla/ukwanda kwesisindo | Awuzizwa sengathi ufuna ukudla ngoba isisu sakho sihlala sigcwele. Lokhu kungaholela ekwehleni kwesisindo. |
Yiziphi izimo lapho lokhu kungaba yingozi khona?
Uma i-gastroparesis ingelashwa kahle, kungaba nezinkinga ezithile.
- Ukonakala kokudla: Uma ukudla kuhlala esiswini isikhathi eside kakhulu, kungabola futhi kubangele ukukhula kwamagciwane.
- Ukwakheka kwe-Bezoar: Ukudla okungagaywanga kungaqoqana futhi kwakheke inqwaba eqinile esiswini. Lokhu kubizwa ngokuthi i-bezoar . Lokhu kungavimba isisu futhi kuvimbele ngokuphelele ukudla ukuthi kungadluleli emathunjini.
- Ubunzima bokulawula isifo sikashukela: Lena inkinga enkulu kunazo zonke. Uthatha i-insulin ngaphambi kokudla. Kodwa ukudla kuya emathunjini bese ushukela ungena egazini ngemva kwamahora amaningana. Bese izinga likashukela liyenyuka futhi lehle ngokuzumayo. Lokhu kunzima kakhulu ukukulawula.
- Ukuphelelwa amanzi emzimbeni ngenxa yokuhlanza: Uma uhlanza njalo, umzimba wakho ungalahlekelwa amanzi bese uphelelwa amanzi emzimbeni. Lesi yisimo esiyingozi.
Uma uhlanza kakhulu futhi uzwa ubuhlungu obukhulu esiswini, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha.
Ukuthola kanjani lokhu, Dokotela?
Udokotela wakho angase akusole lokhu ngemva kokulalela izimpawu zakho nokwenza ukuhlolwa ngokomzimba. Angase enze izivivinyo eziningana ukuqinisekisa ukuxilongwa, njengokuthi:
- I-Upper Endoscopy: Ipayipi elincane elinekhamera lifakwa emphinjeni ukuze kuhlolwe ingaphakathi lesisu. Lokhu kusiza ukuhlola noma yikuphi okunye ukuvinjelwa esiswini.
- I-X-ray ye-Barium: Ngemva kokuphuza uketshezi olubizwa ngokuthi i-barium, kuthathwa i-X-ray ukuhlola isivinini sokukhipha isisu.
- I-scintigraphy: Lesi yisilingo esiyinhloko. Udla inani elincane lokudla (ngokuvamile iqanda) elixutshwe nomuthi onemisebe, bese uskena isisu sakho njalo ngehora cishe amahora amane ukuze ubone ukuthi kungakanani ukudla okukhishwe esiswini sakho.
- Ezinye izivivinyo: Ngaphezu kwalokho, kunezivivinyo ezikhethekile ezifana ne-gastric manometry kanye ne-wireless motility capsule. Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okufanele wena.
Ukwelashwa nokuphathwa
Nakuba i-gastroparesis ingelapheki ngokuphelele, izimpawu zingalawulwa futhi impilo evamile ingaphilwa.
1. Okokuqala nokubaluleke kakhulu: lawula amazinga kashukela egazini lakho!
Lesi isinyathelo sokuqala nesibaluleke kakhulu ekwelashweni. Ukulawula amazinga kashukela egazini lakho kungasiza ekunciphiseni ukulimala kwemizwa. Khuluma nodokotela wakho mayelana nokuthi udinga ukulungisa umthamo wakho we-insulin noma isikhathi. Kubalulekile futhi ukuhlola amazinga kashukela egazini lakho njalo.
2. Imithi
Udokotela wakho angase akunike imithi ethile ukusiza ekunciphiseni izimpawu zakho.
- Imithi esiza isisu singenalutho (isib. iMetoclopramide, iDomperidone).
- Imithi yokucanuzela nokuhlanza (isib. i-Ondansetron, i-Prochlorperazine).
- Ngezinye izikhathi i-erythromycin yama-antibiotic nayo inikezwa isikhathi esifushane ukuze kwandiswe ukusebenza kwesisu.
Isexwayiso: Ungalokothi usebenzise le mithi ngaphandle kokubonisana nodokotela. Eminye imithi ingaba nemiphumela emibi. Ngakho-ke, landela njalo imiyalelo kadokotela wakho.
3. Ukwelashwa kwamacala abucayi
Ezimweni ezinzima kakhulu ezingenakukwazi ukulawulwa ngezinye izindlela zokwelapha, kungadingeka izindlela zokwelapha ezikhethekile.
- Ukuvuselelwa kukagesi esiswini:Ithuluzi elincane elixhunywe esiswini ngokuhlinzwa lithumela izimpawu zikagesi ukulawula isicanucanu nokuhlanza.
- Ipayipi lokuphakela: Ipayipi (ipayipi le-jejunostomy) lifakwa ngokuhlinzwa ngesikhumba sesisu ukuze kuqondiswe ukudla emathunjini amancane, kudlule isisu. Lokhu kwenziwa kuphela ezimweni ezinzima kakhulu.
Indlela yokushintsha ukudla kwakho
Okubaluleke kakhulu kunemithi ukushintsha imikhuba yakho yokudla. Ukulandela lawa macebiso kungakusiza uthole impumuzo enkulu.
| Izinto okufanele zenziwe (Okufanele Uzenze) | Okungafanele ukwenze |
|---|---|
| Esikhundleni sokudla ukudla kathathu ngosuku, yidla ukudla okuncane okungu-5-6 . | Gwema ukudla okunamafutha amaningi (ukudla okuthosiwe, ama-curry anamafutha). |
| Beka phambili uketshezi nokudla okucoliwe (isib., isosi yama-apple esikhundleni se-apula, amasobho). | Nciphisa ukudla okune-fiber eningi (irayisi elinsundu, i-oats, imifino ethile, izithelo). Lokhu kuthatha isikhathi eside ukugaywa. |
| Yidla imifino nezithelo ziphekiwe kahle . | Gwema ukuphuza amanzi noma ezinye izinto eziwuketshezi ngenkathi udla. Phuza imizuzu engama-30 ngaphambi noma ngemva kokudla. |
| Hlala isikhashana ngemva kokudla. Ungalali phansi ngenkathi udla . | Gwema iziphuzo ezine-carbonated (i-soda) kanye notshwala ngokuphelele. |
| Zivocavoce kancane, njengokuhamba kancane, ngemva kokudla. | Gwema ukubhema . Kunciphisa kakhulu ukusebenza kwesisu. |
Umlayezo Wokuya Nawe Ekhaya
- I-Diabetic Gastroparesis iyinkinga evamile yesifo sikashukela esingalawulwa kahle.
- Izimpawu eziyinhloko isicanucanu, ukuhlanza, ukuzizwa usuthi ngisho nangemva kokudla okuncane, kanye nobunzima bokulawula amazinga kashukela egazini.
- Isinyathelo esibaluleke kakhulu ekuphatheni lesi simo ukugcina amazinga kashukela egazini lakho elawulwa kahle.
- Ukushintsha ukudla kwakho kubaluleke kakhulu. Ukudla ukudla okuncane, okunamafutha amancane kanye ne-fiber encane, kungakunikeza impumuzo enkulu.
- Uma unalezi zimpawu, ungenzi izinqumo wedwa futhi nakanjani ubone udokotela wakho ukuze akunike iseluleko.
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