Ingabe nawe uzizwa sengathi usuthi ngisho nangemva kokudla ukudla okuncane? Noma uvame ukuzizwa unesicanucanu noma unezinkinga zokusutha? Mhlawumbe isizathu salokhu ushintsho esivivinyweni sokudla okuphuma ngaso esiswini sakho, okungukuthi, esiswini sakho. Ngakho-ke namuhla, ake sixoxe ngokuhlolwa okukhethekile kwezokwelapha okwenziwayo ukuthola lokhu ngqo. Lokhu yilokho esikubiza ngokuthi `(Ucwaningo Lokukhipha Ukudla Esiswini)`.
Kalula nje, luyini lolu cwaningo lokukhipha isisu?
Lokhu ukuhlolwa okulula kakhulu. Kulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ukudla (noma isiphuzo) okukudlayo kudlule esiswini sakho bese kungenalutho ngokuphelele. Le nqubo yokuhambisa ukudla noketshezi esiswini sakho ibizwa ngokuthi "i-Gastric Motility". Odokotela benza lokhu kuhlolwa ukuze babone ukuthi isisu sakho sihamba ngendlela evamile. Uma izinga lokuphelelwa ukudla lishesha noma lihamba kancane kunokujwayelekile, kungaba uphawu lwesimo sempilo.
Indlela eyinhloko nevame ukusetshenziswa kakhulu kulokhu ukuhlolwa okubizwa ngokuthi `(Gastric Emptying Scintigraphy - GES)`. Uma udokotela ekutshela ngalolu vivinyo, yilokhu avame ukukusho. Lokhu `(Imaging Test)` yohlobo `(Nuclear Medicine)`, okungukuthi, iskeni. Okwenzekayo kulokhu ukuthi i-radioactivity emzimbeni wakho iyaskeniwa bese kudalwa izithombe. Ungakhathazeki, lokhu akukubi. Ukuze isisu sakho sifakwe kuskeni, kunezelwa into encane kakhulu, engenangozi e-radioactive `(Radioactive Tracer)` ekudleni okudlayo.
Zikhona yini ezinye izindlela zokwenza lokhu kuhlolwa?
Yebo, kunezinye izindlela eziningana ngaphezu kweyokuqala:
- Ukuhlolwa Kokuhamba Komoya Esiswini (GEBT): Lokhu kulinganisa inani legesi oyikhiphayo kanye nendlela ukudla kwakho okuhamba ngayo emathunjini akho. Unikwa ukudla okuqukethe i-carbon molecule ekhethekile ebizwa ngokuthi ``Carbon-13''. Uma idlula emathunjini akho, ikhiqiza igesi ye-carbon dioxide engalinganiswa ekuphefumuleni kwakho.
- I-SmartPill™ Wireless Motility Capsule: Lokhu kuhilela ukugwinya idivayisi encane kagesi ebukeka njengephilisi. Njengoba ihamba ohlelweni lwakho lokugaya ukudla, ithumela idatha ku-"Receiver" oyigqokile. Iphilisi lidluliselwa esitulweni sakho ngosuku olulodwa noma ezimbili. Ngemuva kwalokho, uma unikeza udokotela wakho i-"Receiver", angabheka idatha futhi athole umbono wesimo sakho.
Yini esingayifunda kulolu vivinyo?
Lokhu kuhlolwa kukutshela kakhulu ukuthi isisu sakho siphuma ngokushesha noma kancane kakhulu . Kungathola nokuthi lesi sivinini sehla kuphi esiswini sakho. Lokhu kungaba usizo olukhulu ekuqondeni imbangela yezinkinga ezithile zesisu sakho.
| Izimpawu ezingase zenze udokotela acele lolu vivinyo | |
|---|---|
| Ukuzizwa ugcwele | Ukuzizwa usuthi kakhulu ngisho nangemva kokudla ukudla okuncane, noma ukuba nalowo muzwa isikhathi eside ngemva kokudla. |
| Isicanucanu nokuhlanza | Ukucanuzela njalo kanye/noma ukuhlanza. |
| Ubuhlungu besisu | Ubuhlungu esiswini esingaphezulu. |
| Ukugcwalisa isisu | Ukuzwa umoya nokuqunjelwa. |
| Ezinye izici | Ukulahlekelwa yisifiso sokudla, ukwehla kwesisindo, ukwanda nokwehla okungazelelwe kwamazinga kashukela egazini, isiyezi, ukushaya kwenhliziyo okusheshayo, kanye nokubuyela kwe-acid okungapheli. |
Uma uqhubeka nokuba nezimpawu ezinjengalezi, kungcono kakhulu ukukhuluma nodokotela wakho.
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Uma isisu siphuma kancane kancane, kungaba uphawu lokuvaleka kwesisu noma isimo lapho imisipha nemizwa esiswini kungasebenzi kahle. Lokhu kubizwa ngokuthi i-`Gastroparesis` ngokwezokwelapha.
Futhi, uma isisu siphuma ngokushesha kakhulu, sibiza ngokuthi 'i-Dumping Syndrome' . Lokhu kuyinkinga yemisipha nemizwa. Lesi simo sivame kakhulu kubantu abaye bahlinzwa isisu. Kodwa-ke, uma ungakaze uhlinzwe, kungaba uphawu lwesinye isimo sezokwelapha esiyisisekelo.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Lokhu kubaluleke kakhulu. Udokotela uzokunikeza imiyalelo edingekayo ngaphambi kokuhlolwa. Kufanele futhi umtshele ngemithi oyiphuzayo kanye nanoma yiziphi ezinye izifo onazo.
| Okumele Ukwenze Nokungafanele Ukwenze Ngaphambi Kokuhlolwa | |
|---|---|
| Ukudla neziphuzo | Ungadli noma uphuze lutho okungenani amahora ama-4 ngaphambi kokuhlolwa. Njengoba ukuhlolwa kuvame ukwenziwa ekuseni, uzocelwa ukuba uzile ukudla kusukela ngobusuku obandulele. |
| Uma unesifo sikashukela | Uma uthatha i-insulin yesifo sikashukela, letha i-insulin yakho kanye ne-glucose meter. Amazinga kashukela egazini lakho azolinganiswa ngaphambi kokuhlolwa futhi i-insulin izonikezwa ukuze ilawulwe uma kudingeka. |
| Ukubhema | Ungabhemi ngaphambi kokuhlolwa. Kungabambezela ukuphuma kwegazi esiswini sakho. |
| Eminye imithi | Kuye ngokweseluleko sikadokotela wakho, kungadingeka uyeke ukuthatha imithi ethile (isib., imithi yokunciphisa ubuhlungu, imithi yokucindezeleka, kanye neminye imithi yokwelapha i-gastritis) izinsuku ezimbalwa. |
| Imicimbi ekhethekile | Uma ukhulelwe noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngalokhu. Ukuhlolwa akwenziwa kulezi zimo ngenxa yezinto ezikhipha imisebe. |
Kwenzekani ngesikhathi sokuhlolwa?
Lena inqubo elula kakhulu.
1. Ukudla: Okokuqala, uzonikezwa ukudla okulungiselelwe ngokukhethekile. Lokhu kuvame ukuba namaqanda amhlophe axutshwe nomuthi okhipha imisebe ethi ``(Sulfur Colloid)``, ucezu lwesinkwa olunojamu, kanye nengilazi yamanzi.Kufanele uqede ukudla zingakapheli imizuzu eyi-10 .
2. Ukuskena: Uchwepheshe uzobe esekuyisa kusikena. Uzocelwa ukuthi ume uma kungenzeka, noma ulale phansi uma kungenjalo. Ikhamera yokuskena izoqondiswa esiswini sakho futhi iskenwe cishe umzuzu owodwa ngesikhathi.
3. Isikhathi: Ukuskena kokuqala kwenziwa ngokushesha nje ngemva kokuqeda ukudla. Ngemuva kwalokho, uzoskenwa futhi ngemva kwehora, amahora amabili, namahora amane. Ungaphuma ekamelweni phakathi nalokhu kuskena, kodwa kufanele ubuye ngesikhathi.
Lonke lolu vivinyo luvame ukuthatha phakathi kwamahora amabili namane . Isikhathi esiphezulu esithathwayo ukuze isisu siphume sivame ukuba amahora amane, ngakho-ke kufanele ulinde isikhathi eside kangako. Uma siphuma ngaphambi kwalokho, ukuhlolwa kuzophela ngokushesha.
Ngeke uzwe ubuhlungu noma ukungakhululeki phakathi nalolu vivinyo. Ngeke uzwe noma unuke izinto ezikhipha imisebe ekudleni.
Ungayiqonda kanjani imiphumela yokuhlolwa?
Udokotela wakho uzochaza umbiko owutholayo ngemva kokuhlolwa. Ukhombisa ukuthi kungakanani ukudla okusele esiswini sakho emahoreni angu-1, 2, kanye nama-4.
| Isimo | Umphumela |
|---|---|
| Imiphumela Ejwayelekile | |
| Ngemva kwehora eli-1 | Ukudla okungaphezu kuka-30% kufanele kuhlale esiswini. |
| Ngemva kwamahora ama-2 | Okungenani u-40% wokudla kufanele ungabi nalutho. |
| Ngemva kwamahora ama-4 | Okungenani u-90% wokudla kufanele ungabi nalutho (kusele ngaphansi kuka-10%). |
| Imiphumela Engavamile | |
| Ukukhipha ukudla kancane kancane (i-Gastroparesis) | - Uma ukudla okungaphezu kuka-60% kusasele esiswini ngemva kwamahora ama-2. - Uma ukudla okungaphezu kuka-10% kusala esiswini ngemva kwamahora ama-4. |
| Isifo Sokulahla Inkunkuma | - Uma ukudla okungaphezu kuka-70% kungenalutho ngemva kwehora eli-1. |
Ngemva kwalokhu kuhlolwa, izinto ezikhipha imisebe emzimbeni wakho zizosuswa ngokuphelele ngomchamo kanye nendle zingakapheli izinsuku ezimbili. Ukuphuza amanzi amaningi kuzosiza ekusheshiseni le nqubo.
Umlayezo Wokuya Nawe Ekhaya
- `Ucwaningo Lokukhipha Ukudla Esiswini` luyindlela elula futhi engenabuhlungu yokuhlola isikhathi esithathayo ukuze ukudla kuphume esiswini sakho.
- Uma unezimpawu ezifana nokuqunjelwa njalo, isicanucanu, kanye nobuhlungu besisu, lokhu kuhlolwa kungakusiza ukuthola imbangela.
- Lokhu kusiza ukuhlonza izimo ezifana ne-`Gastroparesis` (ukuphuza ukulahla ukudla) kanye ne-`Dumping Syndrome` (ukulahla ukudla ngokushesha).
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela (ukuzila ukudla, ukuyeka imithi ethile) ngaphambi nje kokuhlolwa.
- Cela udokotela wakho akuchazele imiphumela yokuhlolwa ngendlela ongayiqonda.
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