Ingabe ingane yakho encane ihlala ihlanza ngemva kokudla? Noma ingabe ikhala ngobuhlungu besisu, njengokungathi isisu sayo sigcwele? Ngezinye izikhathi, kungakhathaliseki ukuthi uyinika ukudla okungakanani, ayikhuluphali. Namuhla, sizokhuluma ngokuhlolwa okukhethekile okusetshenziswa odokotela ukuthola imbangela yalezi zinto. Lokhu kubizwa ngokuthi i-Gastric Emptying Study, noma i-GES ngamafuphi.
Kuyini Ucwaningo Lokukhipha Isisu (GES)?
Kalula nje, lokhu kuhlolwa kulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi ukudla kwengane yakho kuhambe kusuka esiswini (emathunjini) kuye emathunjini amancane. Odokotela basebenzisa isithwebuli esikhethekile, esibizwa ngekhamera ye-gamma, ukuthatha izithombe zesisu sengane ngemva kokudla. Lokhu kuhlolwa kwaziwa nangamanye amagama amaningana. Isibonelo:
- Ukuhlolwa kokukhipha isisu
- Ukuskena kokukhipha isisu
- Ukuhlolwa kokukhipha isisu
- I-scintigraphy yokuthulula isisu
Noma ngabe yikuphi, konke lokhu kusho ukuhlolwa okufanayo.
Yiziphi izifo ezingatholakala ngalesi sivivinyo?
Lena yindlela engcono kakhulu newusizo kakhulu yokubona ukuthi isisu sengane sisebenza kahle kangakanani.
Lokhu kuhlolwa kuthola kakhulu isimo esibizwa ngokuthi i-gastroparesis . Lokhu kusho ukuthi ukudla esiswini sengane kuthatha isikhathi eside kunokujwayelekile ukuze kuphele. Ngokuvamile, kuthatha cishe ihora nesigamu kuya emahoreni amabili ukuze ukudla esikudlayo kusuke esiswini kuye emathunjini amancane. Kumntwana one-gastroparesis, le nqubo yenzeka kancane kakhulu.
Futhi, ngezinye izikhathi ukudla kudlula ngokushesha kakhulu kusuka esiswini kuya emathunjini amancane. Lokhu kubizwa ngokuthi i-dumping syndrome . Lesi simo singatholakala futhi ngalesi sivivinyo. Ngaphezu kwalokho, ngezinye izikhathi singasiza ekutholeni i-gastroesophageal reflux, isimo lapho i-asidi yesisu igeleza khona ikhuphukele emhubheni.
Udokotela wakho angase akuncome lokhu kuhlolwa uma ingane yakho inezinye zezimpawu ezilandelayo:
- Uma uhlanza njalo
- Uma uqhubeka nokukhuluma ngobuhlungu besisu
- Uma ungakhuluphali ngendlela efanele iminyaka yakho
- Uma uzizwa usuthi ngisho nangemva kokudla ukudla okuncane (lokhu kubizwa ngokuthi ukusutha kwasekuqaleni)
Lokhu kuhlolwa kubaluleke kakhulu ukuthola imbangela yalezi zinkinga kusenesikhathi bese uqala ukwelashwa.
Uyilungiselela kanjani ingane yakho ukuhlolwa?
Ingane idinga ukulungiselela kancane ngaphambi kwalolu vivinyo.
Into ebaluleke kakhulu ukuthi ingane akufanele idle noma iphuze lutho ngemva kwamabili ngobusuku bangaphambi kokuhlolwa . Isisu sengane kufanele sibe singenalutho nhlobo.
Uma ingane yakho ithatha noma yimiphi imithi, qiniseka ukuthi utshela udokotela wakho ngayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile izinsuku ezimbalwa ngaphambi kokuhlolwa.
Futhi, fundisa ingane yakho kancane ngalokhu. Mtshele ukuthi, "Sizokwenza isivivinyo esincane, sithathe izithombe, ngeke kube buhlungu." Njengoba isivivinyo sizothatha amahora amaningana, ungakhohlwa ukuletha okuthile okuzogcina ingane yakho imatasa, njengethoyizi, incwadi, noma ithebhulethi, ngesikhathi sokuskena.
Kwenzekani ngesikhathi sokuhlolwa?
Ake sibheke izinyathelo zalokho okwenzekayo ngosuku lokuhlolwa. Uma uchazela ingane yakho lokhu ngendlela elula, kuzonciphisa ukwesaba kwayo.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukugqoka ingubo yasesibhedlela | Udokotela we-X-ray noma uchwepheshe uzoyisa ingane eyunithi yokuskena bese eyigqokisa ingubo ekhethekile enikezwe yisibhedlela. |
| 2. Ukudla okukhethekile | Okulandelayo, ingane inikwa ukudla okulula okuncane. Lokhu kuvame ukuba yinto efana neqanda elimhlophe elibilisiwe kanye nezingcezu ezimbili zesinkwa esinojamu. Banikwa namanzi okuphuza. |
| 3. Ukwengeza 'ama-tracer' | La maqanda aqukethe inani elincane kakhulu le-radioactive tracer engenangozi. Ungakhathazeki, ngeke kubangele monakalo. Ingane ngeke ibone umehluko ekunambithekeni noma embaleni. |
| 4. Isikhathi sokudla | Lokhu kudla kufanele kudliwe zingakapheli imizuzu eyi-10 . Gcina ingane inesithakazelo ngangokunokwenzeka bese uqeda ukudla zingakapheli leso sikhathi. Uma ingane ihlanza phakathi nalesi sikhathi, ukuhlolwa kungase kudingeke kwenziwe ngolunye usuku. |
| 5. Ukuskena | Ngemva kokudla, bakuyisa ekamelweni lokuskena. Okokuqala, benza ukuskena cishe umzuzu. Bese kuthi, ngehora, ngehora eli-1, amahora ama-2, namahora ama-4, bathathe ukuskena okuncane cishe umzuzu. Phakathi nalesi sikhathi, ingane akufanele inyakaze. |
| 6. Isikhawu | Awukwazi ukubanika okunye ukudla noma ukuphuza ngesikhathi sokuskena. Ngakho-ke kufanele uhlale useduze. Yilapho lawo mathoyizi nezincwadi ozilethile zizosebenza khona. |
Kuthatha isikhathi esingakanani lokhu kuhlolwa?
Isivivinyo sonke sivame ukuthatha amahora amane kuya kwamahlanu , ngakho-ke kungcono ukulungiselela kahle bese ubekela eceleni usuku lonke lwaso.
Wenzani ngemva kokuhlolwa?
Uma ukuskena kokugcina sekuqediwe, ungaya ekhaya. Akukho lutho olukhethekile ongalwenza. Ungavumela ingane yakho idle, iphuze, idlale, futhi iqhubeke nosuku lwayo njengokujwayelekile. Akukho mingcele.
Ingabe kukhona ingozi kulokhu?
Abazali abaningi bayayesaba le misebe. Kodwa akukho okufanele kwesatshwe. Inani lezinto ezisebenzisa imisebe ezisetshenziswa kulolu vivinyo lincane kakhulu. Odokotela bathi ngeke lilimaze ingane. Izinto ezisetshenziswayo ziyasuswa emzimbeni zingakapheli amahora ambalwa.
Kodwa into eyodwa okufanele uyikhumbule: Uma ungumama okhulelwe noma usola ukuthi ukhulelwe, akufanele uhlolwe . Imisebe ingaba yingozi enganeni engakazalwa.
Ngizoyazi nini imiphumela?
Udokotela we-X-ray uzobheka lezi ziskeni bese ebala isikhathi esithathiwe ukuze ukudla kuphume esiswini bese edala umbiko. Ezinsukwini ezimbalwa, umbiko uzothunyelwa kudokotela wengane yakho. Udokotela uzobe esexoxa nawe ngemiphumela bese echaza ukuthi yini okufanele uyenze ngokulandelayo ngokusekelwe emiphumeleni.
- Uyini umphumela ojwayelekile? Ngokuvamile kuthatha cishe ihora nesigamu kuya emahoreni amabili ukuthi ukudla esikudlayo kusuke esiswini kuye emathunjini amancane. Uma isisu sengane yakho siphela phakathi naleso sikhathi, lowo umphumela ojwayelekile.
- Kuthiwani uma imiphumela ingajwayelekile? Uma kukhona umehluko emiphumeleni, njengokuthi ukudla kuthatha isikhathi eside ukuqeda esiswini (i-Gastroparesis) noma uma kuqeda ngokushesha kakhulu (i-Dumping Syndrome), udokotela wakho uzokuchazela izindlela zokwelapha ezidingekayo.
Ingabe lolu vivinyo luyakwazi ukuthola umdlavuza?
Lena inkinga abantu abaningi abanayo. Lokhu kuhlolwa kulinganisa ngqo isivinini sokudla okuphuma ngaso esiswini. Ukuphuza kancane esiswini kungaba uphawu lomdlavuza, kodwa kuyinto engavamile kakhulu ezinganeni . Uma kusolwa ukuthi umdlavuza ukhona, kwenziwa ezinye izivivinyo ezikhethekile (isibonelo, i-endoscopy).
Ungamsiza kanjani ingane yakho ukuthi ibhekane nalolu vivinyo ngaphandle kokwesaba?
Isibhedlela singaba yindawo eyesabekayo enganeni. Nakuba lokhu kuhlolwa kungeyona into ebuhlungu, kungaba nzima ngengane ukuhlala endaweni eyodwa amahora amaningi. Nansi indlela ongasiza ngayo:
- Ukujwayela: Ngosuku olungaphambi kokuhlolwa, dlala umdlalo nengane yakho ukuze ihlale ithule isikhashana. Ngale ndlela, uma uyicela ukuthi ihlale ithule ngesikhathi sokuskena, ngeke kubonakale kuyinto enkulu kuyo.
- Ukusekela kwakho: Ngokuvamile, umama noma ubaba uvunyelwe ukuhamba nengane lapho kuskenwa. Kuyinsiza enhle kakhulu yengane okuwukuphela kwayo onayo.
- Okuthile okuvela ekhaya: Letha into ethandwa yingane yakho, njengethoyizi noma incwadi. Lokhu kuzoyisiza izizwe isekhaya ngisho nasesibhedlela.
- Tshela ingane yakho ukuthi ngeke kulimaze: Mkhumbuze kaningi ukuthi lokhu ngeke kulimaze nhlobo. Chaza kalula, njengokuthi, "Sizothatha isithombe sesisu."
- Hlala uzolile futhi: Uma uzizwa ukhathazekile, ingane yakho ingase yesabe nakakhulu. Isimo sakho sokuzola nokumamatheka siyisikhuthazo esikhulu enganeni yakho.
Umlayezo Wokuya Nawe Ekhaya
- Ucwaningo Lokukhipha Ukudla Esiswini (GES) luwukuhlolwa okungenabuhlungu okulinganisa isikhathi esithathwayo ukuze ukudla kuphume esiswini sengane.
- Lokhu kusiza ukuhlonza izimo ezifana ne-gastroparesis, okubangela izinkinga ezifana nokuhlanza njalo, ubuhlungu besisu, kanye nokwehla kwesisindo.
- Inani lemisebe esetshenziswe esivivinyweni liphansi kakhulu futhi liphephile ngokuphelele enganeni.
- Njengoba ukuhlolwa kuthatha cishe amahora angu-4-5, kubalulekile ukuletha amathoyizi noma izincwadi ukuze ingane yakho ihlale imatasa.
- Xoxa njalo ngemiphumela yokuhlolwa kanye nezinyathelo ezilandelayo nodokotela wakho.











💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho