Uzizwa usuthi ngisho nangemva kokudla kancane? Lokhu kungaba yi-gastroparesis!

Uzizwa usuthi ngemva kokudla ukudla okuncane? Noma uzizwa ungakhululekile ngemva kwamahora amaningi okudla? Uma uhlala unesicanucanu, uzizwa usuthi, futhi unenkinga yokudla, kufanele uqaphele lesi simo esikhuluma ngaso namuhla esibizwa ngokuthi i-gastroparesis. Lokhu kungase kuzwakale njengegama elingathi sína, kodwa ake sixoxe ngakho kalula.

Kalula nje, kuyini i-gastroparesis?

Igama elithi gastroparesis lisho ukuthi "ukungasebenzi kahle kwesisu" noma "ukukhubazeka kwesisu." Uma sikhuluma iqiniso, yisimo esithinta imizwa nemisipha esiswini sakho. Ngokuvamile, lapho sidla, imisipha esiswini iyafinyela, okusho ukuthi ihamba njengamagagasi, ixube futhi ichoboze ukudla bese ikucindezela kancane emathunjini amancane. Le nqubo ibizwa ngokuthi "i-peristalsis."

Kodwa kumuntu one-Gastroparesis, imisipha nemizwa esiswini azisebenzi kahle. Ngakho-ke kuthatha isikhathi eside ukuthi ukudla kusuke esiswini kuye emathunjini amancane, ngezinye izikhathi kungahambi nhlobo. Njengemoto ebhajwe emotweni, ukudla kuyabhajwa esiswini. Yilokhu okubangela zonke lezo zimpawu ezingakhululekile okukhulunywe ngazo ekuqaleni.

Uma lesi simo siqhubeka, kungase kuvele ezinye izinkinga. Ukulahlekelwa yisifiso sokudla kungaholela ekuntuleni ukudla okunempilo , futhi kungaba nzima ukulawula amazinga kashukela egazini . Ngezinye izikhathi, izinhlayiya zokudla ezingagayiwe ziyaqoqana esiswini, zakhe inqwaba eqinile. Lokhu kubizwa ngokuthi "i-Bezoar" ngokwezokwelapha.

Ingabe kunezinhlobo ezahlukene zalesi simo?

Yebo, odokotela bavame ukuhlukanisa lesi simo ngokwembangela yaso.

• I-Gastroparesis ehlobene nesifo sikashukela: Leli igama elinikezwa lesi simo uma kwenzeka njengomphumela wesifo sikashukela.
• I-gastroparesis yangemva kokuhlinzwa: Lolu hlobo lwe-gastroparesis lwenzeka njengenkinga yokuhlinzwa esiswini.
• I-Idiopathic Gastroparesis: Ngokumangalisayo, ezimweni eziningi, akukho mbangela ethile engatholakala yalesi simo. Phakathi kwengxenye yesine nengxenye yeziguli zingena kulesi sigaba.

Kulezi, imbangela evame kakhulu neyaziwa kakhulu yisifo sikashukela , esibangela cishe ingxenye eyodwa kwezintathu zamacala e-gastroparesis.

Ziyini izimpawu zomuntu one-gastroparesis?

Lezi zimpawu azifani kuwo wonke umuntu, ezinye zingase zibe mnene kakhulu, kanti ezinye zingase zibe zimbi kakhulu kangangokuthi zenze kube nzima ngabo ukwenza imisebenzi yansuku zonke. Ake sibheke izimpawu eziyinhloko.

Yiziphi izimbangela eziyinhloko ze-gastroparesis?

Njengoba kushiwo ngaphambili, isikhathi esiningi, imbangela ayitholakali. Kodwa kunezimbangela ezimbalwa ezingaba khona. Zonke lezi zibangelwa ukulimala kwemizwa elawula imisipha yesisu.

Isifo sikashukela

Lesi yisona sizathu esiyinhloko. Uma amazinga kashukela egazini engalawuleki futhi ephezulu isikhathi eside, kulimaza imizwa ebuthakathaka emzimbeni. Lokhu sikubiza ngokuthi "i-Diabetic Neuropathy". Lo monakalo uphinde uthinte imizwa esiswini. Ngemuva kwalokho isignali eya emisipheni yesisu "yokufinyela" ayihambi kahle.

Ukuhlinzwa

Ngesikhathi sokuhlinzwa esiswini, esifubeni, noma ezindaweni ezizungezile, i-vagus nerve, i-nerve enkulu elawula ukusebenza kwesisu, ingonakala . Lo monakalo ungabangela i-gastroparesis. Isibonelo, lesi simo singabonakala ngemva kokuhlinzwa okufana `(Gastrectomy)` (ukususwa kwengxenye yesisu) noma `(Cholecystectomy)` (ukususwa kwenyongo).

Izifo

Lesi simo singase senzeke nangemva kwamagciwane athile (njenge-'Norovirus', 'Rotavirus') noma ukutheleleka ngamagciwane. Nakuba kungacaci kahle ukuthi lokhu kwenzeka kanjani, kucatshangwa ukuthi kungenzeka ukuthi kubangelwa ukutheleleka ngokwako noma amasosha ethu omzimba alimaze ngephutha imizwa ngenkathi elwa nokutheleleka.

Izidakamizwa ezithile

Eminye imithi oyithathayo ingaphazamisa ukusebenza kwesisu okwesikhashana. Kufanele uqaphele kakhulu ngale mithi uma usuvele une-gastroparesis.

• Izinhlungu ezibuhlungu ezinamandla - `(Ama-opioid)`
• Ugwayi - `(I-Nicotine)`
• Ezinye izidakamizwa zokucindezeleka - `(izidakamizwa zokucindezeleka ze-Tricyclic)`
• Eminye imithi yokwelapha umfutho wegazi ophakeme - `(ama-Calcium channel blockers)`
• Eminye imithi yesifo sikashukela - `(abaphikisi be-GLP-1)`

Kunezinye izinhlobo zemithi efana nale, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Yimiphi imiphumela engemihle engaba khona ngenxa yalokhu?

I-Gastroparesis akuyona nje ubuhlungu besisu. Ingabangela izinkinga ezinkulu uma ingaphathwa kahle.

• Ukwehla kwesisindo kanye nokuntuleka kokudla okunempilo: Ukucanuzela kwenhliziyo okuvamile, ukuhlanza, kanye nokulahlekelwa yisifiso sokudla kungaholela ekungondleki kahle, okungaholela ekwehleni kwesisindo, ukuphelelwa amanzi emzimbeni, kanye nokungondleki kahle .
• Ukulahlekelwa ukulawula ushukela egazini:Lena inkinga enkulu, ikakhulukazi kwabanesifo sikashukela. Ngenxa yokuthi isikhathi esithathayo ukuze ukudla kuphume esiswini siyaphazamiseka, iphethini kashukela ongena egazini iyaphazamiseka. Amazinga kashukela angase ehle kakhulu ngokuzumayo (`Hypoglycemia`) noma akhuphuke kakhulu ngokuzumayo (`Hyperglycemia`). Lokhu kunzima kakhulu ukukulawula.
• Ukwakheka kwe-Bezoar: Njengoba kushiwo ngaphambili, izinhlayiya zokudla ezingagayiwe zingaqoqana esiswini bese zakha amaqhubu aqinile afana namatshe. Uma lawa eba makhulu, angavimba ukudlula kokudla esiswini. Lokhu kuyisimo esiphuthumayo.

Udokotela usithola kanjani lesi sifo ngokunembile?

Uma uya kudokotela, uzoqala akubuze ngezimpawu zakho, noma yiziphi ezinye izimo zezokwelapha onazo (njengesifo sikashukela), kanye nanoma yikuphi ukuhlinzwa oke wakwenza. Ngemuva kwalokho, uzokwenza izivivinyo ezithile ukuze abone ukuthi izimpawu zakho zibangelwa yini ukuvaleka kwesisu sakho.

1. Qiniseka ukuthi azikho izithiyo:

• I-Upper Endoscopy: Ikhamera encane ifakwa ngomlomo ukuze ibheke ngaphakathi esiswini ukuze kuhlolwe izimila, izilonda, noma ezinye izithiyo.
• Ezinye izikena: Ukuhlolwa okufana ne-CT scan noma i-MRI kungabheka ingaphakathi lesisu.

2. Ukulinganisa ukusebenza kwesisu:

• Uma sekuqinisekisiwe ukuthi akukho okuvimbekile, kwenziwa izivivinyo ezikhethekile ukuze kubonakale ukuthi isisu siphuma ngokushesha kangakanani.
• I-Gastric emptying scintigraphy (GES): Lesi yisilingo esiyinhloko salokhu. Kulesi sivivinyo, udla inani elincane lokudla (ngokuvamile iqanda) elixutshwe nento ekhipha imisebe. Bese kuthi, phakathi nesikhathi samahora amaningana, kuthathwe amaskeni ukuze kubonakale ukuthi kuthatha isikhathi esingakanani ukuthi ukudla kuphume esiswini.
• Ukuhlolwa Kokuphefumula: Ungathola umbono wokusebenza kwesisu sakho ngokusinika ukudla okuqukethe i-carbon molecule ekhethekile kanye nokukala igesi oyikhiphayo.

Ngemva kwalezi zivivinyo, udokotela angakutshela ngokuqinisekile ukuthi une-gastroparesis noma cha.

Yiziphi izindlela zokwelapha i-gastroparesis?

Umonakalo wemizwa obangela lesi simo awunakuguqulwa. Lokhu kusho ukuthi kunzima ukuselapha ngokuphelele. Kodwa-ke, kunezindlela eziningi zokwelapha ezisebenzayo ezingasiza ekulawuleni izimpawu nasekuphileni impilo evamile .

Imigomo eyinhloko yokwelashwa yile:

• Ukuvuselela imisipha yesisu, okwenza ukudla kuphele ngokushesha.
• Qiniseka ukuthi umzimba wakho uthola ukudla okunomsoco kanye noketshezi olukudingayo.
• Ukulawula izimpawu ezifana nokucanuzela kwenhliziyo nobuhlungu.
• Uma kukhona imbangela yalokhu (njengesifo sikashukela), kubalulekile ukuyilawula kahle.

Imithi

• Ama-Prokinetics:Lezi yizinhlobo eziyinhloko zemithi esiza imisipha yesisu ukuthi ifinyele. I-'Metoclopramide' ingenye yemithi evunyelwe lokhu. Kodwa-ke, ngenxa yemiphumela emibi ethile, kufanele isetshenziswe kuphela njengoba kuqondiswe udokotela wakho.
• Imithi yokulwa nokugabha: Lokhu kusiza ukulawula isicanucanu nokuhlanza .
• Eminye imithi: Imithi yokuvuvukala kwesifuba, ubuhlungu, kanye nokulawula isifo sikashukela nayo ingafakwa ohlelweni lokwelashwa.

Izinguquko ekudleni

Lena yingxenye ebaluleke kakhulu yokwelashwa.

• Esikhundleni sokudla kathathu ngosuku, yidla ukudla okuncane okungu-5-6.
• Ukunciphisa ukudla okunamafutha amaningi kanye ne-fiber (isib. ukudla okuthosiwe, imifino eminingi, amakhasi ezithelo) ngoba lokhu kuthatha isikhathi eside ukugaywa.
• Ukunaka kakhulu ukudla okumanzi noma okuxutshwe kahle (isobho, iphalishi, amajusi).

Ukuhlinzwa

Kuphela uma zonke ezinye izindlela zokwelapha zingaphumeleli, lapho ukuhlinzwa kufanele kubhekwe njengesinyathelo sokugcina.

• I-Pyloroplasty: Ukuhlinzwa kokwandisa kancane indandatho yemisipha (i-pylorus) lapho ukudla kudlula khona esiswini. Lokhu manje kungenziwa ngaphandle kokusikwa kusetshenziswa i-endoscope (indlela ye-`G-POEM`).
• I-Gastric Bypass: Ukuhlinzwa okudlula ingxenye yesisu engasebenzi kahle futhi kudala indlela entsha yokudla ukuze idlule ngqo emathunjini amancane.

Yini okufanele uyiqaphele uma uphila nalesi simo?

I-Gastroparesis iyisimo sokuphila konke. Kodwa-ke, kungenzeka ukuphila nayo kahle. Kubalulekile ukwenza izinguquko ezincane endleleni yakho yokuphila.

• Thola ukuthi yikuphi ukudla okuhle kuwe nokuthi yikuphi ukudla okubi kuwe. Ukugcina idayari yokudla kungasiza ngalokhu.
• Hamba kancane ngemva kokudla. Ukuhamba kancane kungasiza ekusebenzeni kwesisu.
• Gwema utshwala, ukubhema, nezinye izidakamizwa ngokuphelele. Lokhu kulimaza kakhulu ukusebenza kwesisu.
• Hlala uthintana nodokotela wakho njalo. Mtshele uma kukhona izinguquko ezimpawu zakho noma uma unenkinga ngemithi yakho.

I-Gastroparesis ingaba yisimo esiyinselele, kodwa ngokwelashwa okufanele kanye nokushintsha kwendlela yokuphila, ungayiphatha kahle futhi uphile impilo evamile.