Ingabe nawe unenkinga yokugaya ukudla? Ingabe isisu sakho sizizwa sigcwele? Ake sifunde nge-gastroparesis

Ingabe ngezinye izikhathi uzizwa usuthi ngisho nangemva kokudla ukudla okuncane? Ingabe uzizwa umuzwa osindayo, ongakhululekile esiswini sakho ngisho namahora ngemva kokudla? Noma ingabe uhlanza ukudla okungagayiwe? Ngisho noma ucabanga ukuthi lezi yizinto ezivamile, ungase ube nesimo abantu abaningi abangasazi, kodwa singakucasula kancane. Namuhla sikhuluma ngalesi simo esibizwa ngokuthi i-gastroparesis.

Kalula nje, kuyini i-gastroparesis?

Leli igama eliyinkimbinkimbi kancane, kodwa kulula kakhulu ukuliqonda. I-Gastroparesis yilapho ukudla okudlayo kuthatha isikhathi eside kunokujwayelekile ukusuka esiswini sakho kuya emathunjini akho. Kalula nje, ukusebenza kwesisu sakho kuyaphazamiseka. Cabanga ngakho njengokuminyana kwezimoto emgwaqweni. Uma ukudla kuhlala esiswini sakho isikhathi eside kakhulu, ukungakhululeki okukhulunywe ngakho ngenhla kuqala ukwenzeka. Elinye igama odokotela abalibiza ngokuthi "ukuphuma kwesisu okulibazisekile." Kusho nje ukuthi ukukhishwa kokudla esiswini sakho kuyalibazisa.

Ziyini izimpawu zalesi simo?

Akuwona wonke umuntu one-gastroparesis onezimpawu ezifanayo. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Kodwa kunezimpawu ezithile ezivamile. Bona ukuthi lezi zizwakala zijwayelekile yini kuwe.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Esikhathini esiningi, kunzima ngodokotela ukukhomba imbangela ethile, kodwa kwezinye izimo, kuye kwatholakala izici eziningana ezibangela lesi simo.

• Isifo Sikashukela: Isifo sikashukela siyimbangela eyinhloko nevame kakhulu ye-gastroparesis. Uma amazinga kashukela egazini engalawulwa isikhathi eside, konakalisa imizwa emzimbeni. Uma i-vagus nerve, elawula uhlelo lwethu lokugaya ukudla, yonakaliswa, ukusebenza kwesisu kungaphazamiseka.
• Ukuhlinzwa: Okunye ukuhlinzwa kwesisu kungalimaza i-vagus nerve eshiwo ngenhla.
• Ukutheleleka ngegciwane: Lesi simo singase senzeke nangemva kokutheleleka ngegciwane esiswini (i-gastroenteritis).
• Eminye imithi: Ama-painkiller (ikakhulukazi izidakamizwa) kanye neminye imithi yokucindezeleka inganciphisa inqubo yokugaya ukudla.
• Ezinye izimo zezokwelapha: Kungabangelwa futhi ukuntuleka kwama-hormone e-thyroid (i-hypothyroidism), isifo sikaParkinson, izifo zesimiso sezinzwa ezifana ne-multiple sclerosis, kanye nezifo ezingavamile njenge-amyloidosis kanye ne-scleroderma.

Yiziphi izinkinga ezingabangelwa yilokhu?

Uma i-gastroparesis ingelashwa kahle, ingaholela ezinkingeni ezengeziwe.

• Ukukhula kwamagciwane: Uma ukudla kuhlala esiswini isikhathi eside kakhulu, kungaqala ukubila futhi kubangele ukukhula kwamagciwane ayingozi.
• Ukuphelelwa amanzi emzimbeni: Uma uhlanza njalo, ungalahlekelwa amanzi nosawoti emzimbeni wakho, okuholela ekuphelelweni amanzi emzimbeni. Lokhu kungaba yingozi.
• Ukungondleki kahle:Umzimba ungase ungakwazi ukumunca ukudla ngendlela efanele, okubangela ukuntuleka kokudla okunomsoco okudingekayo.
• Ukuvaleka kwamathumbu: Ngezinye izikhathi ukudla okungagayiwe esiswini kungahlangana kube nzima njengetshe, okubangela ukuvaleka kwamathumbu. Lokhu kubizwa ngokuthi i-bezoar .
• Ukwehla kwezinga lempilo: Kungaba nzima kakhulu ukwenza imisebenzi yansuku zonke enalezi zimpawu.

Udokotela ukuthola kanjani lokhu?

Uma uya kudokotela, uzolalela ngokucophelela izimpawu zakho futhi akuhlole. Ngemuva kwalokho, angase akucele ukuthi uhlolwe kaningana ukuqinisekisa isimo.

• I-Gastric scintigraphy: Lesi yisilingo esibaluleke kakhulu. Kulesi sivivinyo, udla inani elincane lokudla (njengeqanda) elixutshwe nento ekhipha imisebe. Ngemuva kwalokho, kusetshenziswa isithwebuli ukuqapha ukuthi isisu sakho siphuma ngokushesha kangakanani. Uma ukudla okungaphezu kuka-10% kusesesiswini sakho ngemva kwamahora angu-4, kuqinisekiswa ukuthi une-gastroparesis.
• Ukuhlolwa kwegazi: Lokhu kusiza ekuhloleni ukuphelelwa amanzi emzimbeni, ukuntuleka kokudla okunempilo, noma izinkinga ezingeni likashukela.
• I-endoscopy ephezulu: Udokotela wakho uzofaka ipayipi elincane elifakwe ikhamera ngomlomo wakho ukuze ahlole ingaphakathi lesisu sakho. Lokhu kungasiza ekuhloleni ezinye izimo (njengezilonda).
• I-X-ray ye-Barium: Kugwinywa uketshezi oluqukethe i-barium bese kuthathwa izithombe ze-X-ray. Lokhu kunganikeza umbono ngesimo kanye nomsebenzi wesisu.

Kukhona nezinye izivivinyo ezikhethekile njenge-'Gastric manometry' kanye ne-'Electrogastrography'. Udokotela wakho uzonquma ukuthi yiluphi ukuhlolwa okudingayo.

Yiziphi izindlela zokwelapha lokhu?

I-Gastroparesis yisimo esingaba sesikhathi eside (esingamahlalakhona). Kodwa ungakhathazeki. Singalawulwa futhi silawulwe.

Izinguquko ezindleleni zokudla

Indlela engcono kakhulu nebaluleke kakhulu yokulawula lesi simo ukushintsha imikhuba yakho yokudla.

• Ukudla okuncane esikhundleni sokudla okukhulu: Esikhundleni sokudla ukudla okukhulu kathathu ngosuku, yidla ukudla okuncane izikhathi ezi-5-6 ngosuku. Lokhu kuzovimbela isisu sakho ukuthi singazizwa sigcwele kakhulu ngesikhathi esisodwa.
• Ukudla okumanzi nokuxutshwe kahle: Esikhundleni sokudla i-apula, yidla izinto ezifana ne-applesauce, isobho lemifino, umhluzi onamafutha amancane, kanye nejusi yezithelo.
• Nciphisa Amafutha Ne-Fiber: Kungcono ukunciphisa ukudla okunamafutha, okunamafutha (ukudla okuthosiwe) kanye nokudla okune-fiber eningi (imifino, okusanhlamvu okuphelele) njengoba kuthatha isikhathi eside ukugaywa.
• Ukugwema ukuqunjelwa ngemva kokudla: Ungalali phansi okungenani amahora amabili ngemva kokudla. Uma umi noma uhamba, amandla adonsela phansi asiza ukudla ukuthi kwehle.

Imithi

Udokotela wakho angase akunike imithi eminingana yokulawula izimpawu zakho. Ungalokothi uthathe le mithi ngaphandle kweseluleko sikadokotela.

• Izidakamizwa ezivuselela ukusebenza kwesisu: Izidakamizwa ezifana ne-'Metoclopramide' kanye ne-'Erythromycin' zivuselela ukufinyela kwemisipha yesisu futhi zisize ukuhambisa ukudla emathunjini ngokushesha.
• Imithi Yokulwa Nokucasuka: Imithi Yokulwa Nokucasuka efana ne-Ondansetron kanye ne-Prochlorperazine ingasiza ekulawuleni isicanucanu nokuhlanza.

Ezinye izindlela zokwelapha

Kwezinye izimo ezinzima, udokotela angase asebenzise ezinye izindlela zokwelapha.

• Ipayipi lokuphakela: Uma isimo sibi kakhulu ukuba kuthathwe ukudla ngomlomo, ipayipi lingafakwa ngesisu ngqo emathunjini amancane ukuze linikeze ukudla okumanzi.
• Imijovo ye-Botulinum toxin (i-Botulinum toxin noma i-Botox): Lo mjovo usetshenziselwa ukukhulula i-valve (i-pylorus) lapho ukudla kudlula khona kusuka esiswini kuya emathunjini.
• Ukuvuselelwa kukagesi: Ama-electrode anamathele odongeni lwesisu futhi izimpawu zikagesi zisetshenziselwa ukubangela isisu ukuba sifinyele.
• Ukuhlinzwa: Lokhu kusetshenziswa kaningi kakhulu futhi kuphela uma kungekho okunye ukwelashwa okuye kwaphumelela.

Uma unesifo sikashukela, ukugcina amazinga kashukela egazini lakho elawulwa kubalulekile ekulawuleni lesi simo.