Ingabe isisu sakho sizizwa sengathi siyabhajwa? Ake sixoxe nge-Gastric Outlet Obstruction (GOO)!

Ingabe uzizwa ungakhululekile noma ungakhululekile esiswini sakho ngemva kokudla? Mhlawumbe uzizwa usuthi ngisho nangemva kokudla okuncane? Noma uyahlanza ngemva kokudla? Lezi zinto akuzona nje izinto ezingahleliwe. Isizathu sezokwelapha esingaba khona ngemuva kwalokhu yisimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Gastric Outlet Obstruction, noma i-GOO (Gastric Outlet Obstruction) . Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe nangokulula.

Uyazi ukuthi yini i-Gastric Outlet Obstruction (GOO)?

Kalula nje, i-Gastric Outlet Obstruction (GOO) yilapho indlela ephakathi kwesisu sakho namathumbu akho amancane ivaleka khona ngesizathu esithile. Le ndlela esiyibiza ngokuthi i-pylorus . Cabanga ngayo kanje: isisu sethu siyisikhwama esenziwe ngemisipha esisisiza ukugaya ukudla. Ngaphansi kwalesi sikhwama kukhona i-pylorus, esebenza njenge-valve. Yiyo elawula ukudlula kokudla okugayiwe emathunjini amancane. Ngakho-ke, ku-GOO, kukhona okungahambi kahle ngale pylorus noma indawo ezungezile, futhi ukudla akukwazi ukuphuma esiswini. Kufana nebhola lezinwele elivimba umsele.

Ingabe nawe unalezi zimpawu?

Uma kwenzeka i-GOO, ungase ube nezimpawu ezifana nalezi:

• Isicanucanu: Umuzwa ohlala njalo wokugula.
• Ukuhlanza ngemva kokudla: Ukuhlanza kwenzeka, ikakhulukazi ngemva nje kokudla. Ngezinye izikhathi, ngisho nezinto ezidliwe ezinsukwini ezimbalwa ezedlule zingaphuma nokuhlanza.
• Ubuhlungu besisu: Ungase ube nobuhlungu obungacacile esiswini esingaphezulu.
• Ukusutha kusenesikhathi: Ukuzizwa usuthi ngaphambi kokuqeda ukudla.
• Ukwehla kwesisindo: Ukwehla kwesisindo kungenzeka ngenxa yokumunca ukudla kahle kanye nokuhlanza.

Cabanga nje, usudlile ukudla okuthandayo, kodwa isisu sakho sizizwa sigcwele ngaphambi kokuthi uqede ngisho nengxenye yepuleti. Noma, uhlanza ngento yangaphandle esiswini sakho ngokushesha ngemva kokudla. Uma lokhu kuqhubeka, kudingeka ukhathazeke.

Kungani lokhu kwenzeka? Yiziphi izimbangela ze-GOO?

Kunezimbangela eziningi ezahlukene ze-GOO. Odokotela babiza lokhu ngokuthi “ukuvinjelwa komshini.” Lokhu kusho ukuthi kukhona ukuvinjelwa ngokomzimba ekudluleni kokudla esiswini. Lokhu kuvinjelwa kungaba yingozi noma kube yingozi .

Izimbangela ezingezinhle

Lokhu kusho ukuthi lokhu kuvinjelwa akubangelwa umdlavuza.

• Izilonda zesisu: Lezi yizilonda ezakheka esiswini noma ekuqaleni kwamathumbu amancane (i-duodenum). Izibazi ezakheka ngemva kokuba lezi zilonda zipholile zingabangela nokuthi i-pylorus inciphe.
• AmaBezoars:Lezi yizinto ezifana nezinwele, izinhlayiya zokudla ezingagayiwe, noma ezinye izinto eziqoqana esiswini bese zakha amaqhubu. Lokhu kungavimba ne-pylorus. Ngezinye izikhathi, lokhu kungenzeka uma ugwinya izinto ezifana nezinwele ngokudla kwakho ngengozi.
• I-Pyloric stenosis: Lesi yisimo esenzeka kwezinye izingane ezincane. Imisipha yazo ye-pyloric iba mincane, okwenza kube nzima ngazo ukwenza izinto ezifana nokuncela kahle. Kuhle ukuqaphela lokhu njengoba kungenzeka nakwabantwana bethu abancane.
• I-Eosinophilic gastroenteritis: Lesi yisimo esingavamile kakhulu, esivuvukalayo sendlela yokugaya ukudla (kufaka phakathi isisu kanye namathumbu amancane). Lokhu kungabangela nokuthi i-pylorus iqine futhi inciphe.
• Isifo sikaCrohn: Lesi futhi yisimo sokuvuvukala kwamathumbu. Uma sithinta isisu namathumbu amancane, ukuqina kungakha futhi kuvimbe i-pylorus.
• I-hernia ye-hiatal: I-hernia enkulu ye-hiatal ingabangela ukuthi ingxenye yesisu idlule ku-diaphragm iye esifubeni. Lokhu ngezinye izikhathi kungabangela ukuthi isisu sisonteke noma sigoqeke, okubangela i-GERD.
• I-Pancreatitis: Ukuvuvukala kwe-pancreas kungabangela ukuthi ingxenye yokuqala yamathumbu amancane (i-duodenum) ivuvuke, kuvimbele ukudlula kokudla esiswini.

Izimbangela eziyingozi

Ngezinye izikhathi lokhu kuvinjelwa kungabangelwa umdlavuza.

• Umdlavuza wesisu: Izimila zomdlavuza ezakheka esiswini zingabangela ukuthi i-pylorus noma izicubu ezizungezile zivuvukale futhi zivaleke.
• Umdlavuza we-Pancreatic: Amathumba akhula ku-pancreas angabangela nokuthi ingxenye yokuqala yamathumbu amancane ivuvuke, ivimbe ukudlula kokudla esiswini.
• Izimila zesisu ezibangela ukusha kwesisu (GISTs): Lezi uhlobo olungavamile lwesimila olwakheka ezindongeni zesisu noma emathunjini. Ngezinye izikhathi zingadala nokuvinjelwa.
• I-Lymphoma: Lona umdlavuza wesistimu ye-lymphatic. Uma uthinta ama-lymph node azungeze isisu kanye namathumbu amancane, angavuvukala futhi abangele i-GOO.
• Umdlavuza we-Metastatic: Uma umdlavuza uvela kwenye indawo emzimbeni futhi usakazekela esiswini noma ezicutshini ezizungezile, ungabangela nokuvaleka.

Ubani osengozini enkulu yokuthola le GOO?

Abanye abantu banamathuba amaningi okuthola i-GOO kunabanye. Nazi ezinye zezizathu zokuthi kungani:

• Ukutheleleka kwe-H. pylori: Leli gciwane lenza ulwelwesi lwesisu lube buthaka, okwenza kube lula ukuthi kube nezilonda zesisu. Lezi zilonda zingaba nezibazi futhi zinciphise i-pylorus kamuva.
• Ukusetshenziswa isikhathi eside kwama-NSAID okubulala izinhlungu:Ukusetshenziswa okuqhubekayo kwemithi yokubulala ubuhlungu etholakala ngaphandle kwemithi kadokotela (imithi elwa nokuvuvukala engeyona eye-steroidal - ama-NSAID) kungalimaza ulwelwesi lwesisu futhi kwandise ingozi yokuthola izilonda.
• Uma uke wahlinzwa isisu ngaphambilini: I-pylorus ingaba mncane ngenxa yezibazi zokuhlinzwa kwesisu ngaphambilini.
• Isifo se-Gastroesophageal Reflux (GERD): Ukuvuvukala kwesisu okungapheli kungalimaza ulwelwesi lwesisu, kubangele ukwakheka kwezicubu zesilonda futhi kubangele ukuvaleka.

Yiziphi izinkinga ezingaba khona uma isimo se-GOO siba sibi kakhulu?

Uma i-GOO ingelashwa kahle, ngokuhamba kwesikhathi ingaholela ezinkingeni ezinkulu ezifana nalezi:

• Ukuphelelwa amanzi emzimbeni: Ukuhlanza okuqhubekayo kungaholela ekuphelelweni amanzi emzimbeni, okungaholela ekulahlekelweni kwamanzi nosawoti emzimbeni.
• Ukungalingani kwama-electrolyte: Ukuhlanza kubangela ukuthi umzimba ulahlekelwe ama-electrolyte abalulekile, njenge-sodium ne-potassium, okungaphazamisa ukusebenza kwemisipha kanye nesistimu yezinzwa.
• Ukungondleki kahle: Ngenxa yokuthi ukudla akumuncwa kahle, umzimba awutholi izakhamzimba ozidingayo, okungaholela ekungondleki kahle nasekulahlekelweni yimisipha.
• I-pneumonia yokuphefumula: Uma uhlanza, izinto ezihlanziwe zingangena emaphashini akho. Lokhu kungabangela i-pneumonia. Lesi yisimo esiyingozi.

Okubalulekile: Uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela ngokushesha ukuze uthole iseluleko. Lokhu kungasiza ekuvimbeleni izinkinga ezinjengalezi.

Udokotela usithola kanjani ngokunembile lesi simo se-GOO?

Kunezivivinyo eziningana ezingenziwa ukuqinisekisa ukutholakala kwe-GOO. Udokotela wakho uzokuhlola kuqala bese ebuza ngezimpawu zakho. Ngemuva kwalokho, bangenza izivivinyo ezilandelayo:

• Ama-X-ray: Izithombe ze-X-ray zesisu zinganikeza umbono wokuthi kukhona yini izithiyo.
• I-Endoscopy: Kulolu vivinyo, kufakwa ipayipi elincane neliguquguqukayo elinekhamera enamathiselwe ngomlomo ukuze libheke ngqo esiswini nase-pylorus. Lokhu kungasiza futhi ekutholeni imbangela yokuvaleka kwalesi sifo.
• Uchungechunge lwe-Upper GI: Kulokhu, uphuza uketshezi olukhethekile (isisombululo sokungafani) bese kuthathwa uchungechunge lwezithombe ze-X-ray njengoba ludlula ohlelweni lwakho lokugaya ukudla.
• Iskeni sokukhipha ukudla esiswini: Lokhu kuhlola kulinganisa ukuthi ukudla kuphuma ngokushesha kangakanani esiswini.
• I-CT scan: Lokhu kungathatha izithombe ezinemininingwane zesisu, ingxenye yokuqala yamathumbu amancane, kanye nezitho ezizungezile. Lokhu kusiza kakhulu ekutholeni imbangela yokuvaleka kwamathumbu.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Izindaba ezinhle ukuthi kunezindlela zokwelapha i-GOO. Ukwelashwa kuncike embangela yokuvaleka kanye nobunzima besimo.

• Imithi:Uma i-GOO ibangelwa isilonda sesisu, imithi enciphisa i-asidi yesisu (njenge- proton pump inhibitors (PPIs) ) ingase inikezwe. Lokhu kungasiza izilonda zelapheke futhi kunciphise ukuvaleka.
• Ukuhlinzwa kwe-Endoscopic: Kwezinye izimo, ukuhlinzwa okufana ne-pyloroplasty kungenziwa ngesikhathi esifanayo ne-endoscopy ukuze kwandiswe indawo encishisiwe.
• Ukuhlinzwa kwe-Laparoscopic noma okuvulekile: Kuye ngembangela kanye nesimo se-GOO, ukuhlinzwa kungadingeka. Lokhu kungabandakanya ukususa izicubu zesilonda, ama-bezoar, noma, ezimweni ezimbi kakhulu, ukususa ingxenye yesisu noma yamathumbu amancane.
• I-enteroscopy yebhaluni: Kule ndlela, kusetshenziswa i-catheter ekhethekile eneziqongo zebhaluni ukwandisa i-pylorus ngaphandle kokuhlinzwa okuvulekile.

Iyini isikhathi sokuphila somuntu one-GOO?

Ukubikezela kanye nobude bokuphila komuntu one-GOO kuncike embangela yokuvaleka kanye nobunzima besimo. Ukuxilongwa kusenesikhathi kanye nokwelashwa kuvame ukuba nemiphumela emihle. Kodwa-ke, uma kungelashwa, isimo singaba sibi kakhulu, sibangele izinkinga futhi sithinte impilo.

Yini esingayenza ukuvimbela ukwakheka kwe-GOO?

Nakuba kungenakwenzeka ukuvimbela ngokuphelele ukwakheka kwe-GOO, kunezinto esingazenza ukuze sinciphise ingozi.

Ingabe kufanele senze lezi zinguquko endleleni yokuphila?

• Yeka ukubhema: Ukubhema kungenza izilonda zesisu zibe zimbi kakhulu futhi kwandise ingozi yezinkinga ezifana nezibazi. Ukuyeka ukubhema kuhle empilweni yakho yonke kanye nohlelo lokugaya ukudla.
• Lawula ukucindezeleka: Ukucindezeleka okuqhubekayo kungandisa izinkinga zokugaya ukudla. Ngakho zama ukulawula ukucindezeleka ngezinto ezifana nokuzivocavoca, amasu okuphumula, kanye nokuzindla.

Phatha izimo zezokwelapha eziyisisekelo ngendlela efanele

• Ukwelashwa kokutheleleka kwe-H. pylori: Uma kutholakala ukuthi unesifo se-H. pylori, ukuselapha ngama-antibiotic kunganciphisa kakhulu ingozi yokuthola izilonda kanye nezinkinga ze-GOO. Ngemva kokwelashwa, udokotela wakho uzohlola ukuze abone ukuthi ukutheleleka sekuphelile yini.
• Ukuphathwa kwe-GERD: Abantu abanesifo se-gastroesophageal reflux (GERD) bane-acid reflux eqhubekayo. Lokhu kungalimaza ulwelwesi lwesisu futhi kuholele ezilondeni. Ngakho-ke, kubalulekile ukuthatha imithi ye-GERD nokwenza izinguquko endleleni yokuphila ukuze uyilawule.

Ake siqale ukuba nesithakazelo kancane, akunjalo?

• Ukuhlolwa njalo kwezokwelapha: Ngokubona udokotela njalo, izinkinga zesistimu yokugaya ukudla ezingaholela ezimweni ezifana ne-GOO zingatholakala futhi zelashwe kusenesikhathi.
• Ukusebenzisa imithi ngokuphephile:Eminye imithi, ikakhulukazi imithi yokwelapha izinhlungu ye-NSAID (Nonsteroidal anti-inflammatory drugs) , ingalimaza ulwelwesi lwesisu futhi yandise ingozi yezilonda. Ngakho-ke qaphela lapho uyisebenzisa. Uma kudingeka, khuluma nodokotela wakho ngezinye izindlela.

Ngizinakekela kanjani? (Ngemva kokwelashwa)

Ngemva kokwelashwa kwe-GOO, kuzodingeka wenze izinguquko ezithile endleleni yokuphila:

• Izinguquko ezikhathini zokudla: Esikhundleni sokudla ukudla okuningi ngesikhathi esisodwa, yidla ukudla okuncane izikhathi eziningana ngosuku. Lokhu kuzonciphisa umthwalo esiswini sakho.
• Ukulawulwa kokucindezeleka: Ezinye izimpawu zokugaya ukudla zingaba zimbi kakhulu ngenxa yokucindezeleka, ngakho-ke ukusebenzisa amasu okuzola kungasiza.

Yikuphi ukudla okungafanele ukudliwe uma une-GOO?

Uma une-GOO, kufanele ugweme ukudla izithelo, imifino, kanye nokusanhlamvu okuphekiwe, ngoba kunzima ukudlula ekuvinjweni. Kungumqondo omuhle futhi ukunciphisa ukudla okubabayo, okunamafutha, kanye ne-acidic, njengoba kungacasula ulwelwesi lwesisu.

Kufanele ngimbone nini udokotela?

Uma uqhubeka nokuba nezimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, kanye nobuhlungu besisu, kubaluleke kakhulu ukubona udokotela ukuze uthole imbangela nokuvimbela izinkinga.

Khumbula, ukwelapha izimo ezingaphansi kusenesikhathi kunganciphisa kakhulu ingozi ye-GOO futhi kulondoloze impilo yakho yokugaya ukudla iyonke.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma une-GOO, ungabuza udokotela wakho imibuzo efana nale:

• Yini okungenzeka ukuthi iyimbangela enkulu yesimo sami se-GOO?
• Kubi kangakanani ukuvinjelwa?
• Yiziphi izindlela zokwelapha enginazo?
• Yiziphi izinzuzo kanye nokungalungi kwalezo zindlela zokwelapha?
• Iyini ikusasa lesimo sami?
• Ingabe kuzodingeka ngishintshe indlela engidla ngayo ngemva kokwelashwa?

Uyini umehluko phakathi kwe-Gastric Outlet Obstruction (GOO) kanye ne-Gastroparesis?

Ukuvinjelwa kokuphuma kwesisu (GOO) kanye ne-gastroparesis kungabangela izinkinga ngokudlula kokudla esiswini. Kodwa-ke, izimbangela kanye nezindlela zokusebenza kwalokhu kokubili zihlukile.

Cabanga nge-GOO njengomgodi ovalekile. Lokhu kuvinjelwa ngokomzimba kuvimbela ukudla ukuthi kungaphumi esiswini kuqhubekele phambili enqubweni yokugaya ukudla.

I-Gastroparesis akuyona into evimbayo njenge-GOO. Yisimo lapho imisipha esodongeni lwesisu evame ukusiza ukusunduza ukudla esiswini iba buthakathaka noma ingasebenzi, okubangela ukubambezeleka kokudlula kokudla esiswini.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba futhi ukhathazekile uma utholakala une-Gastric Outlet Obstruction (GOO). Kodwa into ebaluleke kakhulu ukukhumbula ukuthi lesi yisimo esingelapheka.Odokotela banolwazi oluningi lokuphatha lesi simo. Futhi, kunezindlela zokwelapha ezisebenzayo kuye ngokuthi imbangela ikuphi. Abantu abaningi babhekene nalesi simo. Uma uthola ukwelashwa okufanele, ungalulama ngokushesha. Hlala unethemba, gxila ekutholeni ukwelashwa okungcono kakhulu, futhi ukhumbule ukuthi awuwedwa kulokhu. Ithimba lakho lezokwelapha lizokusiza kuzo zonke izinyathelo.

Ukuvinjelwa Kwesisu , i-GOO, ukucasuka kwesisu, ukuhlanza, isisu, i-pylorus, ukugaya ukudla, ukugcwala, ubuhlungu besisu, isilonda se-peptic, i-H. pylori, i-endoscopy, i-gastroparesis