Ingabe isisu sakho sinenkinga yokugaya ukudla? Ake sixoxe nge-gastroparesis!

Ingabe uvame ukuzwa ubuhlungu besisu, umuzwa wokugcwala ngemva kokudla, noma umuzwa wokugcwala ngisho nangemva kokudla okuncane? Ingabe ngezinye izikhathi uzizwa unesicanucanu noma uhlanza? Ngakho-ke kubaluleke kakhulu ukuthi uqaphele lesi simo esibizwa ngokuthi i-gastroparesis . Ake sixoxe ngakho kalula, ngendlela ongayiqonda.

Kuyini i-gastroparesis? Kalula nje...

Igama elithi gastroparesis lisho “ukwehluleka kwesisu.” Uma sikhuluma iqiniso, yisimo esithinta imizwa nemisipha esiswini sakho. Imisipha esiswini sakho iyafinyela futhi iphumule ngendlela ekhethekile ukuze ihambise ukudla okudlayo kusuka esiswini sakho kuya emathunjini akho amancane. Lokhu kubizwa ngokuthi i-peristalsis. Ngakho-ke, kumuntu one-gastroparesis, imisipha nemizwa esiswini sakho ayisebenzi kahle, ngakho ukudla kuyabhajwa esiswini sakho futhi akuphumi kahle. Lokhu kuphazamisa yonke inqubo yokugaya ukudla.

Cabanga ngakho njengenjini yamanzi. Uma iswishi kunjini ingasebenzi, noma uma kukhona okungahambi kahle ngenjini ngokwayo, amanzi ngeke angene ethangini. Yileyo ndlela isisu esisebenza ngayo.

Abantu abanalesi simo banenkinga enkulu yokugaya ukudla. Ngaphezu kwalokho, kungaba nemiphumela emibi yesikhathi eside. Lokhu kungafaka phakathi ukulahlekelwa yisifiso sokudla, ukungondleki kahle, kanye nobunzima bokulawula amazinga kashukela egazini. Ngezinye izikhathi, noma ukudla kudlula esiswini, kungase kungaphumi ngokuphelele, kushiye izingcezu zokudla ngemuva. Lezi zingcezu zokudla ezisele zinganqwabelana futhi ziqine njengamatshe, zakhe inqwaba eqinile ebizwa ngokuthi i-bezoar.

Ingabe kunezinhlobo ezahlukene ze-gastroparesis?

Yebo, odokotela bavame ukuhlukanisa lesi simo ngezimbangela.

• I-Gastroparesis ehlobene nesifo sikashukela : Lokhu kungavela njengomphumela omubi kubantu abanesifo sikashukela.
• I-Gastroparesis Ngemva kokuhlinzwa: Ingase futhi ibe yinkinga ngemva kokuhlinzwa kwesisu.
• I-Idiopathic Gastroparesis: Ngezinye izikhathi asikho isizathu esicacile esingatholakala . Lokhu kubizwa ngokuthi i-idiopathic gastroparesis.

Yiluphi uhlobo oluvame kakhulu?

Amacala amaningi (cishe ingxenye yesine kuya kwengxenye) e-gastroparesis ahlukaniswa njenge -idiopathic . Lokhu kusho ukuthi odokotela abakwazanga ukuthola imbangela eqondile. Kodwa-ke, kwezinye izimo eziwela kulesi sigaba, kungenzeka ukuthi kukhona imbangela kodwa ayikatholakali. Isifo sikashukela siyimbangela ebaluleke kakhulu yalesi simo. Cishe ingxenye yesithathu yeziguli iba nalesi simo esihlobene nesifo sikashukela.

Ziyini izimpawu ze-gastroparesis?

Kulesi simo, ungase ubhekane nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ukungagayeki kahle kokudla: Isimo lapho ukudla kungagayeki khona.
• Isisu esivuvukele : Ukuzizwa sengathi isisu sivuvukele.
• Ukuzizwa usuthi ngokushesha futhi isikhathi eside: Ngisho nokudla ukudla okuncane kungakwenza uzizwe usuthi, futhi lowo muzwa wokusuthi ungahlala amahora amaningi. Cabanga ngokudla irayisi elincane ekuseni bese uzizwa usuthi kuze kube semini.
• Ubuhlungu besisu esingaphezulu: Ubuhlungu engxenyeni engenhla yesisu .
• Isicanucanu nokuhlanza : Ngezinye izikhathi izinhlayiya zokudla ezingagayiwe zingase ziphume.
• Ukuhlanza izingcezu zokudla okungagayiwe: Njengepholi elihlanza ukudla.
• Ukulahlekelwa yisifiso sokudla .
• I-acid reflux kanye nokushisa kwenhliziyo.
• Izinguquko ezingavamile emazingeni kashukela egazini (ukushintshashintsha kukashukela egazini).
• Ukuqunjelwa .

Kuzwakala kanjani ukuba ne-gastroparesis?

Uma imisipha yesisu sakho ingasebenzi kahle, ukudla kuhlala esiswini sakho isikhathi eside ngemva kokudla. Ungase uzizwe usuthi ngokushesha nje lapho uqala ukudla, futhi lowo muzwa ungase uhlale isikhathi eside. Ungase ube nezinhlungu zesisu, isicanucanu, nokuhlanza. Isisu sakho singase sizizwe sivuvukele futhi siqinile. Ungase futhi ube nesicanucanu ngenxa ye-acid reflux.

Ingabe lesi yisimo esibuhlungu?

Izimpawu ze-Gastroparesis ziyahlukahluka kumuntu nomuntu. Inani elincane labantu libika ubuhlungu besisu obuqhubekayo obukhulu kangangokuthi abakwazi ukwenza imisebenzi yansuku zonke. Kodwa-ke, kubonakala sengathi akukho ukuhlobana okuqinile phakathi kobuningi bobuhlungu abantu ababuzwayo, ubukhali be-gastroparesis yabo, noma isivinini isisu sabo esiphuma ngaso. Abanye abantu bangase babe nobuhlungu obuningi, mhlawumbe ngoba izinzwa zabo zizwela kakhulu. Lokhu kungase kuhlobane nembangela ye-gastroparesis.

I-gastroparesis ithinta kanjani ukuhamba kwamathumbu?

Ngenxa yokuthi i-gastroparesis yehlisa yonke inqubo yakho yokugaya ukudla, ingase futhi ilibazise ukuhamba kwamathumbu akho. Futhi, izinhlayiya zokudla ezinkulu, ezingagayeki zingabhajwa emathunjini akho, okwenza kube nzima ukudlula. Nakuba i-gastroparesis ingathinti ngqo ukunyakaza kwemisipha emathunjini akho, ezinye zezimo ezibangela lesi simo zingathinta namathumbu akho. Yingakho abanye abantu bengaba ne-gastroparesis kanye nokuqunjelwa ngesikhathi esisodwa.

Iyini imbangela eyinhloko ye-gastroparesis?

Kalula nje, i-gastroparesis ibangelwa ukulimala kwemizwa elawula imisipha yesisu sakho. Akuvamile, imisipha ngokwayo nayo ingonakala. Kodwa-ke, umphumela wokugcina uba ukuthi ukufinyela kwemisipha okugaya ukudla esiswini bese kukucindezela kuyancipha. Lokhu kungaholela ezinkingeni zokugaya ukudla kanye nokuphuza kwesisu okulibazisekile - okusho ukuthi ukudla kuhlala esiswini isikhathi eside kakhulu.

Yiziphi izimbangela eziqondile ze-gastroparesis?

Nazi ezinye zezizathu eziye zatholakala:

1. Isifo Sikashukela (Isifo Sikashukela)

Cishe ingxenye yesithathu yabantu abanesifo sikashukela iba ne-gastroparesis. Lokhu kubizwa ngokuthi i-diabetes-related neuropathy. Uma amazinga kashukela egazini ephezulu isikhathi eside, imizwa iyalimala. Futhi, amazinga kashukela egazini aphezulu alimaza imithambo yegazi ethwala umoya-mpilo ezicutshini. Ngakho-ke kuthinta imizwa nemisipha yesisu.

2. Ukuhlinzwa

Ukuhlinzwa esiswini sakho noma eduze kwaso kungalimaza i-vagus nerve, egijima esiswini sakho futhi iqondise ukunyakaza kwayo. Lesi simo singavela nganoma yisiphi isikhathi ngemva kokuhlinzwa. Singenzeka ngokushesha, noma singenzeka ezinyangeni noma eminyakeni kamuva. Ezinye izihlinzeko ezingabangela lokhu zifaka:

• Ukufakwa kwe-Nissen fundoplication
• Ukususwa kwesisu (ukususwa kwengxenye noma sonke isisu)
• Ukususwa kwe-pancreatectomy (ukususwa kwengxenye noma yonke i-pancreas)
• Ukususwa kwe-vagus (ukusika i-vagus nerve)
• Ukususwa kwe-gallbladder (i-Cholecystectomy)

3. Ukutheleleka

Ukutheleleka kwesisu, ikakhulukazi ukutheleleka ngamagciwane (isib. i-norovirus, i-rotavirus) kanye nokutheleleka ngamagciwane athile, nakho kungabangela i-gastroparesis. Ososayensi abakaqiniseki ukuthi lokhu kutheleleka kulimaza ngqo imizwa, noma ukuthi amangqamuzana omzimba alwa nokutheleleka alimaza imizwa ngephutha.

4. Izifo ezihlasela amasosha omzimba

Ezifweni ezibangelwa ukuzivikela komzimba, amasosha omzimba wethu ahlasela amangqamuzana ethu ngokukhiqiza ama-antibodies (ama-autoantibodies). Ucwaningo olusha lubonisa ukuthi la ma-autoantibodies angalimaza imizwa esiswini. Ungaba ne-gastroparesis noma ngabe awunazo ezinye izimpawu zokuzivikela komzimba, noma uma lezo zimpawu zingahlobene nesisu.

5. Izidakamizwa

Eminye imithi nemithi ingavimba izimpawu zemizwa ezilawula imisipha yesisu. Lokhu kungabangela i-gastroparesis yesikhashana. Eminye yale mithi ingase inikezwe nezinye izimo ezihlotshaniswa ne-gastroparesis (njengesifo sikashukela). Uma usunayo i-gastroparesis, noma uke waba nayo esikhathini esidlule, kufanele uyigweme le mithi. Izibonelo:

• Ama-opioid (izidakamizwa)
• I-Nicotine (equkethwe kugwayi)
• Insangu (iHemp)
• Ama-antidepressant e-Tricyclic
• I-progesterone (i-hormone)
• Imithi yokungezwani komzimba efana nama-antihistamine (i-Anticholinergics)
• Ama-calcium channel blockers okwelapha umfutho wegazi ophakeme
• Ama-Amylin analogues / abaphikisi be-GLP-1 besifo sikashukela sohlobo 2
• I-Cyclosporine (umuthi onikezwa ukuvimbela ukwenqatshwa ngesikhathi sokufakelwa izitho)
• I-Clonidine (umuthi womfutho wegazi ophakeme)
• I-Lithium (umuthi we-bipolar disorder)
• Eminye imithi yokwelapha isifo sengqondo (imithi yokulwa nesifo sengqondo)

6. Ezinye izizathu

Ezinye izimbangela ezingathinteki kakhulu:

• Izifo ze-neurological: Izifo ezithinta uhlelo lwezinzwa, njengesifo sikaParkinson, i-multiple sclerosis, kanye nokungasebenzi kahle kwe-autonomic, zingabangela ukuthi izinzwa esiswini zingasebenzi kahle.
• Izifo ze-Collagen-vascular: Izifo ezingapheli zezicubu ezixhumeneyo ezivuvukalayo njenge-amyloidosis, i-scleroderma, i-lupus, kanye ne-Ehlers-Danlos syndrome zingabangela ubuthakathaka bemisipha yesisu.
• Izinkinga ze-endocrine: Izimo ezifana nesifo se-thyroid, izinkinga ze-adrenal, ukungalingani kwe-electrolyte, kanye nokwehluleka kwezinso kungabangela umonakalo wamakhemikhali ezinzwa.
• I-Cystic fibrosis: Lesi sifo sibangela ukuthi i-mucus (into efana ne-mucus) iqongeleleke endleleni yokugaya ukudla, okuyehlisa ijubane lohlelo lonke. Kulinganiselwa ukuthi cishe ingxenye eyodwa kwezintathu yabantu abanalesi sifo bane-gastroparesis.

Yiziphi izinkinga ezingaba khona ngenxa ye-gastroparesis?

Lesi simo singabangela izinkinga ezahlukahlukene, okuhlanganisa:

• Ukwehla kwesisindo, ukungondleki kahle, kanye nokuphelelwa ngamanzi emzimbeni: Ukucanuzela kwenhliziyo okuqhubekayo, ukuhlanza, kanye nokuphelelwa yisifiso sokudla kungaholela ekunciphiseni isisindo kanye nokuntuleka kokudla okunempilo. Ukuhlanza njalo kungaholela ekuphelelweni amanzi emzimbeni kanye nokuntuleka kwe-electrolyte (usawoti womzimba). Kungadingeka ukuthi ulaliswe esibhedlela futhi unikezwe ukwelashwa okunempilo kanye nosawoti.
• Izinkinga ezihlobene ne-acid reflux: Ngenxa yokuthi isisu siyavuvukala ngenxa ye-gastroparesis, kulula ukuthi i-asidi yesisu ikhuphukele emphinjeni . Lokhu kuqhubeka kwe-reflux kungalimaza i-esophagus . Isibonelo, isilungulela kanye ne-esophagitis .
• Izinkinga zikashukela egazini: I-Gastroparesis iphazamisa inqubo evamile, elawulwayo lapho ukudla kuhamba khona ngomgudu wokugaya ukudla. Lokhu kuphazamisa ukukhishwa njalo kwe-glucose (ushukela) egazini. Uma ukudla kuhlala esiswini isikhathi eside kakhulu, amazinga kashukela egazini angehla. Uma ukudla kukhishwa ngokuzumayo, amazinga kashukela egazini angakhuphuka. Lolu hlobo lokushintshashintsha kukashukela egazini luyinkinga ikakhulukazi kubantu abanesifo sikashukela, futhi lungenza i-gastroparesis ibe yimbi kakhulu.
• Ukuvimba Kwe-Bezoar Nokuphuma Kwesisu: I-bezoar iyisigaxa sokudla esiqinile nesiqinile esibhajwe esiswini. Sakhiwa ngezingcezu zokudla ezisele lapho isisu siphuma. Ngezinye izikhathi, i-bezoar ingaba nkulu kakhulu ukuba idlule endaweni yokukhipha ukudla engezansi kwesisu. Ingavimba nokudlula kokunye ukudla. Odokotela bangakunika umuthi wokuncibilikisa i-bezoar, noma bangayisusa ngokuhlinzwa.

I-Gastroparesis itholakala kanjani?

Udokotela uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha (izimo ezingase zibangele i-gastroparesis, ukuhlinzwa). Ngemuva kwalokho, bazokwenza izivivinyo ezikhethekile zokuthatha izithombe ukuze babheke ngaphakathi esiswini sakho. Lezi zivivinyo zibheka noma yikuphi ukuvinjelwa ngokomzimba, njengoba lokhu kungabangela izimpawu ezifanayo. Uma kungatholakali ukuvinjelwa, bazokwenza izivivinyo zokunyakaza kwesisu . Lezi zivivinyo zibheka ukuthi imisipha yesisu sakho isebenza kanjani.

Yiziphi izivivinyo ezenziwayo ukuze kutholakale i-gastroparesis?

Into yokuqala ozoyenza ukwenza izivivinyo ukuze ubone ukuthi kukhona yini ukuvaleka okubangela izimpawu zakho. Lokhu kufaka phakathi:

• I-endoscopy ephezulu: Inqubo lapho kufakwa khona ikhamera encane ngomlomo ukuze kubhekwe isisu.
• Uchungechunge lwe-Upper GI: I-X-ray ethathwe ngemva kokuphuza into efana ne-barium.
• Ukuskena kwe-CT
• I-MRI `(MRI)`
• I-ultrasound yesisu

Uma lezi zivivinyo zingatholi ukuvaleka ngokomzimba, isinyathelo esilandelayo izifundo zokukhipha isisu, ezilinganisa ukunyakaza kwesisu. Lokhu kungafaka:

• I-Gastric emptying scintigraphy (GES): Lokhu ukuhlolwa kwemithi yenuzi. Unikwa inani elincane lokudla noma isiphuzo esixutshwe nento ekhipha imisebe, bese isikhathi esithathayo ukuze sidlule ohlelweni lwakho lokugaya ukudla siyaqoshwa.
• Ukuhlolwa kokuphefumula kokunyakaza kwesisu (GEBT): Lokhu kulinganisa isivinini ukudla okudlula ngaso ohlelweni lwakho lokugaya ukudla ngokulinganisa inani lomoya owuphefumulayo. Lokhu kuhilela ukudla ukudla okuqukethe i-carbon molecule ekhethekile ebizwa ngokuthi "carbon-13". Uma ingena emathunjini akho, ikhiqiza uhlobo olukhethekile lwe-carbon dioxide "CO2-13", olungalinganiswa ekuphefumuleni kwakho.
• Ucwaningo lokuhamba kwamathumbu amakhulu: Lokhu kuhlola ukuthi ukudla kuhamba ngokushesha kangakanani emathunjini amakhulu . Lokhu kuhilela ukugwinya ama-pellets amancane angabonakala ku-X-ray njengoba edlula emzimbeni.

Uma imiphumela yakho yokuhlolwa kwe-GES ingajwayelekile, udokotela wakho angase akucele i -electrogastrogram (i-EGG) , elinganisa umsebenzi kagesi wemisipha yesisu.

Ezinye izivivinyo zingenziwa ukuthola imbangela ye-gastroparesis. Isibonelo, ukuhlolwa kwegazi kungabheka ama-antibodies asele ekuthelelekeni kwangaphambilini, noma ama-autoantibodies, okungase kubonise isifo sokuzivikela komzimba.

Yiziphi izindlela zokwelapha i-gastroparesis?

Odokotela abakwazi ukulungisa ngqo umonakalo obangelwe yi-gastroparesis. Kodwa-ke, banganikeza ukwelashwa okuvuselela imisipha esiswini ukuba inciphe futhi kusize ukuthi ingabi nalutho. Imithi iyindlela yokuqala yokwelapha. Uma imithi ingasebenzi noma uma ingatholakali, ukuhlinzwa kuyacatshangelwa. Zonke izindlela zokwelapha zingaba nemiphumela emibi, futhi akukho ukwelashwa okukodwa okusebenzela wonke umuntu.

Imigomo yokwelashwa yile:

• Ukuvuselela imisipha yesisu kanye/noma ukuvumela isisu ukuthi siphume.
• Qiniseka ukuthi umzimba wakho uthola umsoco namanzi owadingayo.
• Ukuphatha izimpawu nemiphumela emibi.
• Uma kungenzeka, phatha imbangela yesifo futhi uvimbele isimo ukuba singabi sibi kakhulu.

Uhlelo lwakho lokwelashwa lungafaka:

• Imithi.
• Ukwelashwa okunempilo/okusebenzisa amanzi.
• Ukuhlinzwa.
• Ukwelashwa okuqondile kwesimo esibangela i-gastroparesis yakho.

Imithi

Ama-prokinetics, uhlobo lwemithi evuselela ukunyakaza komgudu wokugaya ukudla, ayindlela yokuqala yokwelapha i-gastroparesis. Ahlanganisa:

• I-Metoclopramide: Lona umuthi kuphela ovunyelwe yi-FDA (Food and Drug Administration) ukwelapha i-gastroparesis. Uvuselela ukufinyela kwemisipha esiswini futhi usize ekunciphiseni isicanucanu. Kodwa-ke, ungabangela imiphumela emibi (isb., ukuthuthumela, ukudikiza kwemisipha), ngakho-ke kufanele kuthathwe ukunakekelwa okukhethekile ngawo.
• Ama-agonist e-Motilin: Lawa ngolunye uhlobo lwemithi ye-prokinetic. Izibonelo zifaka phakathi i-Erythromycin ne -Azithromycin . Nakuba lawa evame ukusetshenziswa njengama-antibiotic, odokotela bayawancoma futhi ukuthi elaphe i-gastroparesis.
• Ama-agonist e-Serotonin: I-Tegaserod ne-Prucalopride yimithi emibili evuselela amathumbu ukuze ithuthukise ukuqunjelwa. Nakuba ingakahlolwa ngokugcwele ekwelapheni i-gastroparesis, abanye odokotela bayincoma ngale njongo.

Imithi eyengeziwe:

• Imithi yokulwa nokugabha ilawula isicanucanu nokuhlanza.
• Izithibi ze-proton pump zezinkinga ze-acid reflux.
• Iziqeda-zinhlungu zobuhlungu obukhulu besisu.
• Imithi yesifo sikashukela yokulawula amazinga kashukela egazini.

Okubalulekile: Ungaziniki umuthi nganoma yimuphi wale mithi ngaphandle kweseluleko sikadokotela. Njalo xhumana nodokotela futhi uphuze imithi kuphela uma bencoma.

Ukudla okunempilo

Kungase kudingeke ushintshe ukudla kwakho. Isibonelo, yidla ukudla okune-fiber encane, okunamafutha amancane ukuze kube lula ukugaya. Kungase kudingeke nokwelashwa okukhethekile okunomsoco ukuze kusize ekuthatheni indawo yezakhamzimba ezilahlekile. Udokotela wakho angase akuncomele izithasiselo zokudla okunempilo, noma akunike ukudla ngepayipi noma nge-IV okwesikhashana. Abanye abantu kungadingeka futhi ukuthi banikezwe isisombululo se-saline ngemithambo yegazi ukuze kulungiswe ukuntuleka kwamanzi emzimbeni kanye nokungalingani kwama-electrolyte.

Ukuhlinzwa

Ukuhlinzwa kuyindlela yokugcina yokwelapha i-gastroparesis. Uma zonke ezinye izindlela zokwelapha zingaphumeleli, kungadingeka ukuthi uhlinzwe ukuze ushintshe isimo sesisu sakho ukuze kusize ukudla kudlule kuso. Lokhu kuhlinzwa kufaka phakathi:

• I-Pyloroplasty: Lokhu kuhilela ukushintsha i-pylorus yakho (i-valve yemisipha engezansi kwesisu sakho evumela ukudla ukuthi kudlule). Ngokuvamile, imisipha ye-pylorus iyasikwa, imbobo iyakhuliswa, futhi imbobo iyakhululeka. Inqubo entsha inqubo ebizwa ngokuthi i-G-POEM (i-gastric peroral endoscopic myotomy) . Lokhu kusho ukuthi ukuhlinzwa kwenziwa ngomlomo, ngaphandle kokusikwa esiswini.
• Ukuhlinzwa kwesisu: Abanye abantu kudingeka badlule ingxenye engezansi yesisu ngokuphelele. Lokhu kuhilela ukususa noma ukuvala ingxenye yesisu, okudala indlela entsha esuka esiswini iye emathunjini amancane (i-gastrojejunostomy). Ukuhlinzwa kwesisu kuyindlela yokunciphisa isisindo, ikakhulukazi kubantu abanesifo sikashukela sohlobo 2 esibangelwa ukukhuluphala. Kungaba nomthelela omkhulu kokubili kusifo sikashukela kanye ne-gastroparesis. Udokotela wakho angase akuncomele i-gastroparesis enzima ehlobene nesifo sikashukela.

Iyini inhloso ye-gastroparesis?

Ngezinye izikhathi, i-gastroparesis ebangelwa imithi yesikhashana noma ukutheleleka kwesikhashana izothuthuka ngokuhamba kwesikhathi. Kodwa kubantu abaningi, i-gastroparesis yisimo esingelapheki, kodwa esingalawulwa ngokwelashwa. Kungathatha isikhathi ukuthola ukwelashwa okufanele, futhi ungase ube nemiphumela emibi evela ekwelashweni noma ezimpawini eziqhubekayo. Udokotela wakho angakusiza ukuthi ulawule lokhu njengoba kukhula.

Ingabe i-Gastroparesis ithinta impilo yakho?

I-Gastroparesis ngokuvamile ayisongeli impilo. Kodwa-ke, ezinye zezinkinga ezingase zenzeke nge-gastroparesis (ukungondleki kahle, ukuphelelwa amanzi emzimbeni, ukungalingani kwama-electrolyte, kanye nokushintshashintsha koshukela egazini kusifo sikashukela) zingaba yingozi empilweni uma ziba zimbi kakhulu. Udokotela wakho uzosebenza nawe ukunciphisa ingozi yalezi zinkinga. Ngokwelashwa okufanele, ingozi iphansi kakhulu.

Ngizinakekela kanjani ngenkathi ngiphila ne-gastroparesis?

Naka izimpawu zakho, nokuthi yikuphi ukudla nemikhuba okwenza zibe ngcono noma zibe zimbi kakhulu. Izinguquko ezincane zingenza umehluko omkhulu endleleni ozizwa ngayo. Abanye abantu bathola lezi zinto ziwusizo:

• Esikhundleni sokudla ukudla okuyinhloko kathathu ngosuku, yidla ukudla okuncane okune kuya kokuyisithupha.
• Landela ukudla okunamafutha aphansi, okune-fiber ephansi (ukudla kwe-gastroparesis). Buza udokotela wakho noma isazi sokudla okunempilo ngalokhu.
• Gwema utshwala, ugwayi, nezidakamizwa. Lokhu kubambezela ukuphuma kwesisu.
• Ngemva kokudla, yenza ukuzivocavoca okulula, njengokuhamba kancane. Lokhu kuzosiza ekuthuthweni.

I-Gastroparesis ingahluka kusukela kwencane kuya kwenzima, futhi indlela ethinta ngayo ikhwalithi yempilo yakho ingahluka. Nakuba kungekho ikhambi elisheshayo, kunezindlela eziningi zokwelapha ezingakusiza ukuthi uyilawule. Udokotela wakho uzosebenza eduze nawe ukuthola uhlelo lokwelashwa olungcono kakhulu kuwe. Ungase uthole nokuthi ukwenza izinguquko zokudla nendlela yokuphila kungasiza. Okwamanje, ososayensi bayaqhubeka nokucwaninga izindlela ezintsha zokwelapha.

Umlayezo Wokuya Nawe Ekhaya

I-Gastroparesis yisimo lapho isisu singakhiphi kahle, kodwa kunalokho sigcwala. Lokhu kungabangelwa yizici eziningana, okuhlanganisa isifo sikashukela nokuhlinzwa. Kubalulekile ukufuna iseluleko sezokwelapha uma uhlangabezana nezimpawu ezifana nokuqunjelwa, isicanucanu, ukuhlanza, noma ubuhlungu besisu .

Ungakhathazeki, lesi simo singalawuleka. Ngokuthola ukuxilongwa okufanele kanye nokwelashwa, unethuba lokuphila impilo evamile. Landela imiyalelo kadokotela wakho ngokucophelela, futhi uqaphele ukudla kwakho nendlela yakho yokuphila.