Ingabe isisu sakho sigcwele kahle ngemva kokudla? Ake sixoxe ngocwaningo lokukhipha ukudla esiswini!

Wake wazibuza ukuthi ukudla okudlayo kuhlala isikhathi esingakanani esiswini sakho nokuthi kuphuma kanjani lapho? Ngezinye izikhathi sizizwa sigcwele noma sinesicanucanu ngemva kokudla. Ngezikhathi ezinjalo, ukuhlolwa okukhethekile kubizwa ngokuthi 'Ucwaningo Lokukhipha Ukudla Esiswini' ukuze kubonakale ukuthi ukudla kuhlala isikhathi esingakanani esiswini sethu nokuthi kuphuma kanjani. Lokhu kungasisiza sithole ukuthi kukhona yini inkinga ngokusebenza kwesisu sethu, okungukuthi, esiswini.

Yini ngempela esingayifunda kulolu vivinyo?

Cabanga nje, ngemva kokudla ukudla, uzizwa izinto ezinjengalezi:

• Ngizizwa ngigcwele isikhathi esithile , futhi lokho kugcwala sekukhona isikhathi eside .
• Ngivame ukuzizwa nginesicanucanu futhi ngihlanze .
• Nginobuhlungu esiswini esingaphezulu .
• Isisu sami sizwakala sigcwele, sengathi sivuvukele .
• Ngilahlekelwa yisifiso sokudla futhi ngehlise isisindo .
• Amazinga kashukela egazini akhuphuka ngokuzumayo bese ehla futhi .
• Kuzwakala sengathi unesiyezi .
• Kuzwakala sengathi inhliziyo yakho ishaya ngokushesha ngokuzumayo .
• Kunezimo ezifana nokungagayi kahle ukudla kanye ne-gastritis .
• Ihlala ikhuphuka emphinjeni (i-acid reflux engapheli) .

Uma unalezi zimpawu, udokotela wakho angase asikisele ucwaningo lokukhipha ukudla esiswini. Kalula nje, lokhu kuhlolwa kulinganisa ukuthi ukudla kuhamba kancane noma ngokushesha kakhulu yini esiswini sakho. Kungakunikeza nombono wokuthi lesi sivinini sehla kuphi esiswini sakho nokuthi yiziphi izingxenye zesisu sakho ezithintekile. Lokhu kungakusiza uqonde imbangela yezinye zezimpawu zakho zesisu (GI) .

Yiziphi izinhlobo zezifo ezitholwa yilokhu?

Manje ake sibone ukuthi yiziphi izifo ezingatholwa yilolu vivinyo.

• Uma isisu sakho siphuma kancane: Lokhu kungaba uphawu lokuthi kukhona ukuvinjelwa esiswini sakho. Noma, kungaba yisimo esibizwa ngokuthi i-gastroparesis, okuyisimo lapho imisipha nemizwa esiswini sakho ingasebenzi kahle, okubangela ukuba isisu sakho singasebenzi kahle . I-Gastroparesis iyinkinga ngemisipha nemizwa esiswini sakho.
• Uma isisu sakho siphuma ngokushesha kakhulu: Lokhu kubizwa ngokuthi i-dumping syndrome . Lokhu kuhlobene nemisipha nemizwa esiswini sakho. Lesi simo sivame ukubonakala ngemva kokuhlinzwa kwesisu. Kodwa-ke, uma ungakaze uhlinzwe, kungaba uphawu lwesinye isimo esiyisisekelo.

Ukuhlolwa kwe-Gastric Emptying Scintigraphy okwenziwa kakhulu kwenziwa kanjani?

Indlela eyinhloko yokwenza lolu cwaningo lokuthulula i- Gastric Emptying Scintigraphy (GES) . Leli igama elisetshenziswa kakhulu odokotela. Empeleni lokhu ukuhlolwa kwezithombe zemithi yenuzi . Kalula nje, isebenzisa imisebe ukuskena umzimba wakho nokudala izithombe.

Cabanga ngakho 'njenge-X-ray yangaphakathi-ngaphandle'. I-X-ray evamile ithumela imisebe emzimbeni wakho isuka ngaphandle. Kodwa kulokhu, kufakwa i-tracer ekhethekile yemisebe ekudleni okudlayo. Uma le tracer ingena, ikhipha imisebe ye-gamma . Ngemuva kwalokho, ikhamera ye-gamma ithola le misebe bese iyiguqula ibe isithombe esinobukhulu obubili. Yile ndlela obona ngayo ukudla okudlayo kuhamba esiswini sakho.

Ngaphambi kwalokhu kuhlolwa, uzonikezwa ukudla okujwayelekile okufanayo kuwo wonke umuntu. Kuqukethe inani elithile le-fiber, ushukela, amaprotheni, namafutha. Lokhu kungenxa yokuthi zonke lezi zinto zithinta ukunyakaza kwesisu, okungukuthi, ukunyakaza kwesisu . I-isotope enemisebe efakwa kulokhu kudla ibizwa ngokuthi i-Sulfur Colloid (99mTc) . Lokhu akunawo umonakalo omkhulu emzimbeni, okusho ukuthi ingozi yobuthi iphansi kakhulu .

Zikhona yini ezinye izindlela ngaphandle kwalena?

Yebo, kunezinye izindlela eziningana zokuhlola ukusebenza kwesisu.

• Ukuhlolwa Kokuphefumula Kokuhamba Kwesisu (GEBT): Lokhu kuhilela ukuhlola ukuphefumula kwakho. Ukudla okukhethekile okuphuzayo kuqukethe i-carbon molecule ebizwa ngokuthi i-Carbon-13 . Uma lokhu kungena emathunjini akho, kukhiqizwa uhlobo olukhethekile lwegesi elinganiswayo ye-carbon dioxide (CO2-13) . Leyo gesi ilinganiswa emoyeni wakho ukuze kubonwe ukuthi ukudla kuhamba ngokushesha kangakanani.
• I-SmartPill™ Wireless Motility Capsule: Lokhu kuhilela ukugwinya idivayisi encane kagesi efana nephilisi. Njengoba ihamba ohlelweni lwakho lokugaya ukudla, idlulisela ulwazi ngaphandle kwentambo kumuntu oyisebenzisayo. I-SmartPill™ idluliselwa esitulweni sakho ngosuku olulodwa noma ezimbili. Ngemuva kwalokho, uma unikeza udokotela wakho i-receiver, bangahlaziya idatha bese bethola ukuthi ikhona yini inkinga.

Yini okufanele siyiqaphele ngaphambi kokuhlolwa?

Ngaphambi kokuba wenze lokhu kuhlolwa, udokotela wakho uzokhuluma nawe ngakho. Bazokubuza nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi imithi oyiphuzayo, njengoba lokhu kungathinta imiphumela yokuhlolwa.

• Uma unezinga likashukela egazini elikhuphuka njalo (i-hyperglycemia) noma amazinga kashukela egazini aphansi ngokuzumayo (i-hypoglycemia), mhlawumbe lolu vivinyo alukufanelani.
• Kungcono ukugwema lokhu kuhlolwa uma ukhulelwe noma uncelisa . Isizathu salokhu yizinto ezikhipha imisebe.
• Uma unesikhathi sokuya esikhathini , udokotela wakho angase afune ukuthi uhlole lokhu ngosuku oluthile lomjikelezo wakho wokuya esikhathini, njengoba izinguquko zamahomoni zingathinta izinga lokukhipha isisu sakho, okungashintsha imiphumela.

Ungalungiselela kanjani ukuhlolwa?

Isisu sakho sidinga ukuba singenalutho uma wenza lokhu kuhlolwa. Ngakho udokotela wakho uzokutshela ukuthi ungadli noma uphuze lutho okungenani amahora amane ngaphambi kokuhlolwa. Ngokuvamile, lokhu kuhlolwa kwenziwa ekuseni, ngakho-ke kulula ukuthi ungadli noma uphuze lutho ngobusuku obandulele.

• Uma unesifo sikashukela futhi usebenzisa i-insulin , uzocelwa ukuthi ulethe i-insulin yakho kanye ne-glucose monitor . Ngaphambi kokuhlolwa, bazohlola izinga likashukela egazini lakho, balibhale phansi, bese bekunikeza i-insulin uma kudingeka ukuze balibuyisele ezingeni elifanele.
• Akuyona into enhle ukubhema ngaphambi kokuhlolwa, ngoba lokhu kungalibazisa ukuphuma kwegazi esiswini.
• Ungase futhi ucelwe ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Isibonelo:
• Izinto zokunciphisa igazi
• Ezinye izidakamizwa zokunciphisa ubuhlungu, ikakhulukazi ama-opioid
• Ezinye izidakamizwa zokucindezeleka
• Izithiyo zesiteshi se-calcium
• Imithi yokuvimbela i-asidi
• Ukwelashwa kwama-hormone kwabesifazane

Khumbula, lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Kwenzekani ngesikhathi sokuhlolwa?

Kulungile, manje ake sibone ukuthi kwenzekani uma senza isivivinyo.

• Okokuqala, uzonikezwa ukudla okukhethekile engikushilo ekuqaleni. Kuqukethe iqanda elimhlophe elithosiwe elixutshwe ne -sulfur colloid , ucezu lwesinkwa olunejamu le-strawberry, kanye nengilazi yamanzi. Kubaluleke kakhulu ukuqeda konke lokhu kungakapheli imizuzu eyishumi .
• Uma kungenzeka, kuzodingeka ume ngezinyawo ngesikhathi kwenziwa isivivinyo. Uma kungenjalo, ungalala phansi. Uchwepheshe uzobe esebeka ikhamera noma amakhamera esiswini sakho.
• Isithwebuli sihlola isisu sakho njalo cishe umzuzu . Sihlola cishe izikhathi ezine noma ezinhlanu kanje.
• Ukuskena kokuqala kwenziwa ngokushesha nje ngemva kokuqeda ukudla . Uma uchwepheshe esola ukuthi isisu sakho siphuma ngokushesha kakhulu, uzokwenza okunye ukuskena ngemva kwemizuzu engama-30 . Okunye ukuskena kwenziwa.Ngemva kwehora, amahora amabili namahora amane.
• Ungavuka uphume ekamelweni ngesikhathi sokuskena, kodwa kumele ubuye ngesikhathi.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

I-Scitigraphy Yokukhipha Isisu imvamisa ithatha cishe amahora amabili kuya kwamane ukuqeda. Amahora amabili isikhathi esimaphakathi esithathayo ukuze isisu siphume. Ngakho-ke uma isisu sakho singenalutho ngokuphelele phakathi naleso sikhathi, bazoyeka ukuskena ngaleso sikhathi. Kodwa uma kuthatha isikhathi eside kunalokho, bangaskena kuze kube amahora amane.

Ingabe lokhu kubuhlungu? Ingabe kuzwakala kungakhululekile?

Lutho neze. Ngeke uzizwe ukuskena noma izinto ezikhipha imisebe nhlobo . Awukwazi ukubona into ekudleni ngokunambitha noma ngephunga. Ngakho ungakhathazeki nganoma yikuphi ukungakhululeki.

Kuyini Ucwaningo Lokukhipha Uketshezi Esiswini?

Ngezinye izikhathi odokotela bazo-oda ukuhlolwa okuhlukile koketshezi (ucwaningo lokukhipha uketshezi) . Lokhu kungakunikeza ulwazi olwengeziwe ngesimo sakho. Ngenxa yokuthi uketshezi aluhambi esiswini ngendlela efanayo nokudla okuqinile, imiphumela yalolu vivinyo ingase ihluke. Udokotela wakho angase a-oda lolu vivinyo loketshezi ngesikhathi esifanayo nokuhlolwa kokudla okuqinile. Noma, bangase ba-oda lolu vivinyo ngosuku olulandelayo ngemva kokuhlolwa kokudla okuqinile.

Lokhu ukuhlolwa okufushane . Uzonikezwa inkomishi yamanzi ene- sulfur colloid kuyo. Uchwepheshe uzothatha cishe amasethi amathathu ezithombe phakathi nehora.

Ingabe zikhona izingozi noma imiphumela emibi yokuhlolwa kwe-Gastric Emptying Scintigraphy?

Inani lemisebe efakwa emzimbeni wakho lincane kakhulu , futhi alanele ukukulimaza. Kodwa-ke, uma ukhulelwe, kungaba nengozi encane enganeni yakho engakazalwa . Uma ungumama oncelisayo, inani elincane lemisebe lingadlulela enganeni yakho ngobisi lwakho . Yingakho ukuhlolwa kuhlehliswa. Ngaphandle kwalokho, azikho ezinye imiphumela emibi eyaziwayo .

Lokhu okunemisebe kuzosuswa cishe ngokuphelele emzimbeni wakho emchameni wakho nasezindleleni cishe ezinsukwini ezimbili. Phuza amanzi amaningi phakathi nalezo zinsuku, njengoba lokhu kuzosiza ukuthi iphume emzimbeni wakho ngokushesha.

Ngiyiqonda kanjani imiphumela yokuhlolwa kwami?

Udokotela wakho uzobuyekeza imiphumela yokuhlolwa bese ekuchazela yona. Imiphumela ikhombisa ukuthi kuthathe isikhathi esingakanani ukuthi ukudla okudlile kuhambe esiswini sakho. Izokhombisa ukuthi kuhambe ibanga elingakanani ngehora elilodwa, amahora amabili, noma amahora amane. Bazobe sebeqhathanisa imiphumela nesilinganiso. Uma imiphumela yakho ishesha noma ihamba kancane kunokujwayelekile, kusho ukuthi isisu sakho siphuma ngokushesha kakhulu noma kancane kakhulu.

Imiphumela evamile kufanele ibe njani?

Ukudla okuqinile:

• Ngemizuzu engama-30:Okungenani u-70% wokudla kufanele kube kusesiswini.
• Ngehora: Okungenani u-30% wokudla kufanele ube usesiswini, kanti okungenani u-10% kufanele ube ungenalutho.
• Emahoreni amabili: Okungenani u-40% wokudla kufanele kube kungenalutho.
• Emahoreni amane: Okungenani u-90% wokudla kufanele kube kungenalutho.

Isikhathi esimaphakathi sokuhlolwa koketshezi siphakathi kwemizuzu engama-20 nengama-25 .

Yiziphi imiphumela engavamile?

Ungase ube ne-gastroparesis uma:

• Uma ukudla okungaphezu kuka-60% kusesesiswini ngemva kwamahora amabili.
• Uma ukudla okungaphezu kuka-10% kusesesiswini ngemva kwamahora amane.

Ungase ube ne -Dumping Syndrome , isimo lapho isisu siphuma khona ngokushesha kakhulu, uma:

• Uma ukudla okungaphezu kuka-30% sekuphelile ngemva kwemizuzu engama-30.
• Uma ukudla okungaphezu kuka-70% sekuphelile ngemva kwehora.

Okokugcina, izinto okudingeka uzikhumbule

I-Gastric Emptying Scintigraphy iyindlela elula, engahlaseli, futhi enembile yokuhlola ukusebenza kwesisu sakho, noma ukunyakaza kwesisu .

Kungaveza okuningi ngendlela amathumbu akho asebenza ngayo, ngaphandle kokuhlupheka, futhi emahoreni ambalwa nje esikhathi sakho. Mhlawumbe usunezimpawu isikhathi eside ongazange uthole imbangela yazo, futhi imbangela yezimpawu ezingathuthukanga ngokwelashwa manje ingase icace. Le miphumela yokuhlolwa izoba usizo olukhulu kudokotela wakho ekuxilongeni isimo sakho esiqondile. Ngakho-ke, uma udokotela ephakamisa lokhu kuhlolwa, akukho okufanele ukwesabe. Khuluma nodokotela wakho ngakho ngokuphelele, uqonde konke, bese uhlolwa.

Ukukhipha isisu , ucwaningo lokukhipha isisu, ukuhlolwa kwesisu, i-gastroparesis, i-dumping syndrome, ukugaya ukudla, i-scintigraphy