Ukuxoshwa kwe-Gastric edikibele - Inselele Yedethi Eyingqayizivele
Ingabe amahora okudla ushukela egazini ngemuva kokudla noma amazinga akho ahlukumezekile? Ingabe unesivinini esiphuthumayo sekusasa? Kungaba inkinga ngokugaya, njenge- gastroparesis . Lesi yisimo okuthiwa ngezinye izikhathi njengokulibaziseka ukuphuma kwesisu. Ukugaya kungasheshi ngenxa yomonakalo wezinzwa ongabangela ukukhubazeka okwengxenye kwesisu. Nakuba kungase kube nezinye izimbangela, isifo sikashukela sivame kakhulu.
Ukuxoshwa kwe-gastric echelile kungase kuvele kubantu abangu-30-50% abanesifo sikashukela.
Isifo sikashukela singabhekisela eGastroparesis - Ukuchithwa kwe-Gastric echelile
Ukuphathwa kabi kwesifo sikashukela esinamazinga aphezulu e-glucose noma ukuba nesifo sikashukela isikhathi eside kungabangela umonakalo ku-vagus nerve futhi kungabangela uhlobo olungapheli lwe-gastroparesis. I-vagus nererve ilawula imisipha egazini lokugaya elisiza ukuhambisa ukudla ngokusebenzisa. Uma izinzwa nemisipha engasebenzi kahle, ukudla akuhambisani noma kuhamba kancane kancane ohlelweni lokugaya. Lesi simo sibonakala senzeke kaningi kakhulu kwabesifazane. I-Gastroparesis ingaletha inselelo yokuphathwa kwesifo sikashukela.
Ezinye Izimbangela Ngaphandle Kwesifo Sikashukela
Ezinye izimbangela ze-gastroparesis zifaka izifo ezibangelwa amagciwane, ezinye izidakamizwa, ukuhlinzwa, i-anorexia, i-bulimia, isifo se-reflux se-gastroesophageal (GERD), i- hypothyroidism , izinkinga zesisu ezibushelelezi nezifo zesimiso sezinzwa.
Izinkinga ezibangelwa i-Gastroparesis
Uma unesifo sikashukela, uvame ukucelwa ukuthi uhlole ushukela wakho amahora angu-1-2 ngemuva kokudla.
Uma uthatha i-insulini, udinga ukufaka injection yakho ye-insulin ngokuya lapho amazinga okushukela egazini ephakeme. Uma ukugcoba kwesisu kuphelelwa isikhathi, amazinga ashukela egazini akho angakhuphuka futhi aveze kamuva kunalindelekile futhi angabi nakwazi.
Ukudla okuhlala isikhathi eside kakhulu esiswini kanye nokuvuthwa kungabangela ukwanda kwamabhaktheriya.
Ukudla kungabuye kube nzima futhi kwakha izixuku ezibizwa ngokuthi i-bezoars ezingabangela ukuvinjelwa nokucabangela nokuhlanza.
Ezinye izinkinga zihlanganisa ukungondleki, ukukhathala, nokunciphisa umzimba ngokuhlanza nokunciphisa ukudla.
Izimpawu zeGastroparesis
- Ukuguquka kwenhliziyo
- Ukuvuthwa (ikakhulukazi ukudla okungaphenduliwe)
- I-nausea (i-nausea engapheli noma ekuseni)
- Ukuzwa ukugcwala emva kokudla imali encane
- Isifiso esibi
- Umoya omubi
- Amazinga kashukela ephutha egazini
- Ukulahlekelwa kwesisindo
- Ukuvimbela
- Amapulpitations
- Iziphazamiso zesisu
- Ukuvimbela kwesisu noma ubuhlungu
- Reflux ye-gastroesophageal
I-Gastroparesis ihlolwe kanjani?
Ukuxilongwa kwe-gastroparesis kuncike ekutheni kuthatha isikhathi eside isisu singenalutho. Izimpawu zingaba mnene noma zikhuni kodwa lokhu akusho ukuthi ubunzima besimo. Umuntu angaba nezibonakaliso ezinomzimba kodwa abe nesifo esinzima se-gastroparesis. Umuntu ongenazo izimpawu eziningi angase abe namazinga ashukela egazini egazi, ukutholakala kabi kwemithi, nokuvinjelwa kwamagciwane.
Ezinye izizathu zezimpawu zakho kufanele zikhishwe ngaphandle. Lokhu kungenziwa nge- endoscopy engenhla, evumela udokotela ukuba ahlole isimo sesineke esiswini. I-ultrasound ingasiza ukulawula izimbangela ezifana nesifo se-gallbladder ne-pancreatitis. Ukuhlola i-Laboratory kungasetshenziselwa ukuhlola ezinye izimbangela, njengokusebenza kabi kwe -roid kanye namazinga angavamile we-electrolyte.
Udokotela wakho angenza izivivinyo ezisiza ukubona ngeso lengqondo ukugcoba kwesisu bese usiza ukulawula ukuvimbela. Kulezi zivivinyo, uzodla ukudla noma uketshezi oluqukethe izinto ezingabonwa nge-x ray noma ngezinye izindlela. Lezi zivivinyo zingabandakanya i-barium x ray, i-barium beefsteak, noma i-radioisotope yokukhipha isisu. Idivayisi encane ebizwa ngokuthi i-SmartPill iyatholakala, engagwinywa futhi iqoqe ulwazi njengoba idlula ngendlela yokugaya.
Ezinye izivivinyo zihlanganisa i-manometry yesisu esiswini lapho kufakwa khona ithubhu emlonyeni ukuya esiswini ukukala umsebenzi kagesi nokunyakaza kwamasipha ngesikhathi sokugaya.
Uhlolo lokuphefumula lungabuye lusetshenziselwe ukukhombisa ukuthi isisu sishesha kanjani.
Ukwelashwa kweGastroparesis
- Ukudla ukudla okuncane, okudla njalo kungasiza ekugwemeni ukudla okuningi kakhulu esiswini ngesikhathi esisodwa. Udokotela wakho angakucela ukuthi udle ukudla okuyisithupha okuncane ngosuku. Ukudla kwamanzi kungahle kubekiwe kuze kube khona ukuthuthukiswa. Ama-liquid adlula ohlelweni lokugaya kalula kalula ngenkathi enikeza ukudla okudinga kakhulu.
- Ukunciphisa noma ukunciphisa ukudla okunamafutha amaningi nokuphezulu kwe-fiber. Lokhu kudla kungathuthukisa ukugaya.
- Nciphisa noma unciphise ukudla okwandisa umsebenzi wesilonda. Lokhu kudla kubandakanya imikhiqizo yobisi, ukudla okuphezulu-fiber, ukudla okunezicucu, i-prune juice, ne-caffeine.
- Shintsha i-insulin regimen uma uthatha i-insulin. Udokotela wakho angakucela ukuba uthathe i-insulin emva kokudla futhi kaningi. Lokhu kufanele kwenziwe ngesikhombisi sikadokotela wakho. Uzodinga ukuhlola amazinga okushukela egazini kaningi ngokwama-oda akho kadokotela.
- Thola amazinga kashukela egazi ekulawuleni.
- Imithi, njenge- metoclopramide ne-erythromycin, ingahle ibekiwe. Imithi yezinye izimo ngezinye izikhathi isetshenziswa, njenge-Viagra, mirtazapine, noma injection ye-Botox.
- Ezimweni ezimbi kakhulu, i-tube yokudla ingase ifakwe emathunjini amancane avumela izakhi ezikhethekile ukuba zithunyelwe ngenkathi zidlula isisu ngokuphelele.
- Ukudla kokubeletha kuyindlela ehlukile ye-jejunostomy. Uma lokhu kusetshenziselwa ukwelashwa, izakhi zihanjiswa ngqo emgodleni wegazi nge-catheter efakwe emthanjeni wesifuba.
- I-neurostimulator ye-gastric isetshenziselwa uhlobo lwe "isisu se-pacemaker" esetshenziswa ngebhethri futhi isetshenziselwa ukuhlinzwa ukuze kutholakale ukugaya.
Ukucabangela ngesifo sikashukela
Izinguquko zokudla ezidingekayo ukuze kuthuthukiswe i-gastroparesis ingase ibonakale ihamba ngokumelene nezincomo zokudla zokuphathwa kwesifo sikashukela. Isibonelo, uma unesifo sikashukela, kunconywa ukuthi udle ukudla okugcwele okusanhlamvu okuphezulu-noma kunjalo, ungase ucelwe ukuthi ugweme lezi zokudla zokwelashwa kwe-gastroparesis. Kuzodingeka usebenze nethimba lakho lokunakekelwa nodokotela nesifo sikashukela ukuze uhlele uhlelo oluhle lokudla nesifo sikashukela ukuze uphathe kokubili isifo sikashukela kanye ne-gastroparesis.
Imithombo:
I-Gastroparesis. Association of American Diabetes Association. Juni 27. 2014.
I-Gastroparesis. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. Juni, 2012
Tonzi MSN NP CGRN, uMarta K; Ihluleka ukuphumelela i-PhD RN MC-ADM, FAAN, James. "Ukuqonda i-Gastroparesis: Isifundo Sezifundo." I-Gastoenterology Nursing July / Agasti 2002 25 (4): 154-160