I-Gastroparesis, ebizwa nangokuthi ilibazisekile isisu esiswini, isifo apho isisu sithatha ixesha elide ukukhupha izinto ezikuyo. Ngokuqhelekileyo kubakho kubantu abanesifo seswekile okanye uhlobo lwesifo sikashukela.
Sibanzi
I-Gastroparesis iyenzeka xa izibilini zesisu zonakaliswe okanye ziyeka ukusebenza. I-vagus nerervic controls the movement of food through the digestive tract.
Ukuba i-nerus vagus yonakaliswe, izihlunu zesisu nezisu zangasebenzi ngokuqhelekileyo kwaye ukunyakaza kokutya kuphuculwa okanye kumisiwe.
Isifo sikashukela sinokuyonakalisa iimbilini zesisu xa igazi legazi lihlala liphezulu ngaphezu kwexesha elide. Igazi eliphezulu le-glucose lenza ukuba utshintsho lweekhemikhali kumathambo kwaye lonakalise iimitha zegazi ezithwala i-oksijeni kunye nezondlo kumathambo.
Izizathu
I-Gastroparesis idla ngokubangela ukuba:
- Sikashukela
- I-postviral syndromes
- Anorexia nervosa
- Ugqirha kwisisu okanye nasentwini
- Amachiza, ngokukodwa i-anticholinergics kunye ne-narcotics (iziyobisi ezithintela ukuphazamiseka emathunjini)
- Isifo se-reflux se-Gastroesophageal (ngokungaqhelekanga)
- Ukuphazamiseka kwemisipha ephazamisayo, njenge-amyloidosis kunye ne- scleroderma
- Izifo zentsholongwane, eziquka isisu esiswini kunye nesifo sikaParkinson
- Iingxaki zemetaboliki, kuquka i- hypothyroidism
Izimpawu kunye neMpawu
Ezi zimpawu zinobubele okanye bunzima, kuxhomekeke kumntu:
- Ukuguquka
- I sizathu
- Ukuvuthwa kokutya okungagqithwanga
- Ukuvakalelwa kwangaphambili xa udla
- Ukuhla ukusinda
- Ukuqhaqha kwesisu
- Amanqanaba e-glucose yegazi
- Ukungabi nesidlo
- I-reflux ye-Gstroesophageal (GERD)
- Iipasimali zodonga lwesisu
Uvavanyo lweNgcaciso
Ukuxilongwa kwe-gastroparesis kuqinisekiswa ngenye okanye ngaphezulu kwezilingo ezilandelayo:
- I-Barium x-ray. Emva kokuzila ukutya kweeyure eziyi-12, uya kusela umbane onqabileyo obizwa ngokuba yi-barium, ehlambathe ngaphakathi ngaphakathi kwesisu, okwenza uboniswe kwi-ray-ray. Ngokuqhelekileyo, isisu asinanto yonke ukutya emva kweeyure ezili-12 zokuzila. Ukuba i-x-ray ibonisa ukutya kwisisu, i-gastroparesis inokwenzeka. Ukuba i-x-ray ibonisa isisu esingenalutho kodwa ugqirha usakrokrela ukuba ulibazise ukukhupha, ungadinga ukuphinda uvavanyo olunye usuku. Ngomnye umhla, umntu onomdla wegastroparesis unokugaya ukutya ngokuqhelekileyo, ukunika umphumo wokuhlola oqhelekileyo. Ukuba unesifo sikashukela, ugqirha wakho unokufumana imiyalelo ekhethekileyo ngokuzila ukutya.
- I-Barium beefsteak isidlo. Uya kudla isidlo esine-barium, ngaloo ndlela uvumela i-radiologist ukuba ibukele isisu sakho njengoko igalela isidlo. Isixa sithatha ixesha lokuba isidlo se-barium sitshiswe kwaye sishiye isisu sinika ugqirha ingcamango yokuba isisu sisisebenza njani. Olu vavanyo lunokunceda ukufumanisa iingxaki zokungabikho ezingabonakali kwi-raum x ray. Enyanisweni, abantu abane-gastroparesis ehlobene nesifo sikashukela bavame ukugaya umbane ngokuqhelekileyo, ngoko-ke i-barium beefsteak isidlo ingaba luncedo ngakumbi.
- I-radioisotope yokugaya isisu-sokukhupha. Uya kudla ukutya equlethiyoti, into echanekileyo yomsakazo eya kuvela kwi-scan. Umthamo we-radiation kwi-radiosotope incinci kwaye ayingozi. Emva kokutya, uya kulala phantsi komatshini obona i-radiosotope kwaye ubonisa umfanekiso wokutya esiswini kwaye kusenokukhawuleza kushiya isisu. I-Gastroparesis ifunyaniswa ukuba ngaphezulu kwesahlulo sokutya kuhleli kwisisu emva kweeyure ezimbini.
- I-manometry yesisu. Olu vavanyo lusetyenziswa umbane kunye nemisipha kwisisu. Ugqirha udlula ibhubhe elincinci phantsi komqala ukuya esiswini. Ityhubhu ine-wire ethatha isilinganiselo sesenzo sombane kunye nesistim njengoko isela ukutywala kunye nokutya okuqinileyo. Imilinganiselo ibonisa indlela isisu esisebenza ngayo kwaye ingaba kukho na ukulibaziseka kokugaya.
- Ukuhlolwa kwegazi. Ugqirha unokuphinde ulayishe iimvavanyo zelabhoratri ukujonga ukubala kwegazi kunye nokulinganisa amanqanaba emichiza kunye ne-electrolyte.
Ukulawula izizathu zegastroparesis ngaphandle kwesifo sikashukela, ugqirha unokukwenza i- endoscopy ephezulu okanye i-ultrasound.
- Endoscopy ephezulu. Emva kokukunika isondlo, ugqirha udlula ibhola elide, elincinci, elibizwa ngokuthi i-endoscope, ngomlomo kwaye ngokunyanisekileyo lilukhokelela kwisisu kwisisu. Ngokusebenzisa i-endoscope, ugqirha unokwazi ukujonga kwimbumba yesisu ukuze ahlole nayiphi na into engafanelekanga.
- Ultrasound. Ukulawula isifo se-gallbladder okanye i-pancreatitis njengomthombo wengxaki, unokuba novavanyo lwe-ultrasound, olusebenzisa amaza omsindo ongenakonakalisa ukucacisa nokucacisa umlo we-gallbladder kunye ne-pancreas.
Iingxaki
Ukuba ukutya kukude kakhulu esiswini, kunokubangela iingxaki ezinjenge-bacterial overgrowth kwi-fermentation of food. Kwakhona, ukutya kunokuthi kube nzima ukuya kwiindawo eziqinileyo, ezibizwa ngokuba yi-bezoars, ezinokubangela i-nausea, ukuhlanza nokukhupha esiswini. Iibhenta zingabungozi xa zivimba ukuhamba kwesidlo emathunjini amancinci.
I-Gastroparesis ingenza isifo sikashukela sibi ngakumbi ngokufaka ingxaki yokulawula i-blood glucose. Xa ukutya okubambezelekile kwisisu ngokugqibeleni kungena emathunjini amancinci kwaye kwandiswe, amazinga e-blood glucose aphakama.
Ekubeni i-gastroparesis yenza ukuba isisu singenakulungiswa, igazi lomntu i-glucose level lingangqiqo kwaye kunzima ukulawula.
Unyango
Injongo ephambili yonyango ye-gastroparesis enxulumene nesifo sikashukela kukuba kuphinde ilawulwe lizinga legazi le-glucose. Unyango luquka i-insulin, imithi yomlomo, utshintsho kwiyiphi na xa udla, kwaye, kwiimeko ezibuhlungu, izigulana zokutya kunye nokutya okunomdla.
Kubalulekile ukuqaphela ukuba kwiimeko ezininzi unyango aluphilisi i-gastroparesis-ngokuqhelekileyo yimeko engapheliyo.
Unyango lukunceda ukuba uphathe imeko ukuze uhlale unempilo kwaye ukhululekile kunokwenzeka.
Insulin yeGlucose Blood Control
Ukuba unayo i-gastroparesis, ukutya kwakho kuthathwa ngokukhawuleza kunye nexesha elingalindelekanga. Ukulawula i-glucose yegazi, unokufuna uku:
- Thatha i-insulin rhoqo
- Thatha i-insulin yakho emva kokuba udle endaweni engaphambili
- Hlola igalelo lakho legazi i-glucose rhoqo emva kokuba udle kwaye usebenzise i-insulin xa kuyimfuneko
Ugqirha wakho uya kukunika imiyalelo ethile ngokusekelwe kwiimfuno zakho ezithile.
Amachiza
Amachiza amaninzi asetyenziswa ukuphatha igastroparesis. Ugqirha wakho unokuzama iziyobisi ezahlukeneyo okanye ukudibanisa iziyobisi ukuze afumane unyango olufanelekileyo, kuquka:
- I-Metoclopramide (Reglan). Esi sidakamizwa sikhuthaza izicathulo zomzimba zesisu ukuze kuncedwe ukutya okungafumanekanga. Kwakhona kunceda ukunciphisa isicupunu kunye nokuhlanza. I-Metoclopramide ithathwa i-20 ukuya kwi-30 imizuzu ngaphambi kokutya nakwixesha lokulala. Imiphumo emibi yale nkunkuma ibandakanya ukukhathala, ukulala, kunye nokudandatheka, ngezinye iinkxalabo, ukuxhalaba kunye neengxaki zokuhamba.
- Erythromycin. Le antibiotic ibuye iphucule isisu sokukhupha. Isebenza ngokunyusa izithintelo ezihambisa ukutya kwisisu. Iziphumo ezichaphazelekayo zibandakanya izibilini, ukuhlanza, kunye nesisu esiswini.
- Domperidone. Ulawulo lwe-US Food and Drug Administration luhlolisisa i-domperidone, eye yasetyenziselwa kwenye indawo kwihlabathi ukuphatha igastroparesis. Igosa lokunyusa elifana ne-metoclopramide. Kwakhona kunceda nge-nausea.
- Amanye amayeza. Amanye amayeza angasetyenziselwa ukunyanga iimpawu kunye neengxaki ezinxulumene ne-gastroparesis. Ngokomzekelo, i-antiemetic inokukunceda nge-nausea nokuhlanza. I-antibiotics iya kucima intsholongwane yebhaktheriya. Ukuba unobungozi, ugqirha unokusebenzisa i-endoscope ukujova imithi eya kuyiqhawula.
Iinguqu zeZidlo
Ukutshintsha iindlela zokutya kwakho kunokunceda ukulawula i-gastroparesis. Ugqirha wakho okanye umdlo wesondlo uya kukunika imiyalelo ethile, kodwa unokucelwa ukuba udle ezintandathu ukutya okuncinane ngosuku kunokuba ezintathu ezinkulu. Ukuba ukutya okungaphantsi kungena kwisisu rhoqo xa usidla, kungenako ukuzaliswa ngokupheleleyo.
Kwakhona, ugqirha wakho okanye umdli wezilwanyana unokubonisa ukuba uzame ukutya okuninzi kwimihla, kuze kube yilapho igazi lakho lizinzile kwaye i-gastroparesis ilungisiwe.
Ukutya okuxilisayo kunika zonke izondlo ezitholakala kwizidlo eziqinileyo, kodwa zingadlula ngesisu ngokulula kwaye ngokukhawuleza.
Ukongeza, ugqirha wakho unokuncoma ukuba ugweme ukutya okuphezulu kunye nokutya okuphezulu. I-fat ngokwemvelo iyancipha ukutyalwa-ingxaki ongafuniyo ukuba unayo i-gastroparesis-kunye ne-fiber kunzima ukugaya. Ezinye zokutya eziphezulu, njengama-orange kunye ne-broccoli, ziqulethe izinto ezingenakunyulwa. Gwema oku kudla ngenxa yokuba inxalenye engapheliyo iya kuhlala kwisisu sakho eside kwaye mhlawumbi ifom.
Tube yokutya
Ukuba ezinye iindlela azisebenzi, ungadinga ukuhlinzwa ukufaka ityhubhu yokutya. I-tube, ebizwa ngokuba yi-jejunostomy tube, ifakwe ngesikhumba esikhwameni sakho kwisisu esincinci. I-tube yokuthambisa ikuvumela ukuba ufake izondlo ngqo emathunjini amancinci, ugqithe isisu ngokupheleleyo. Uya kufumana ukutya okukhethiweyo okusetyenzisiweyo ukusebenzisa ityhubhu.
Ijjunostomy inokusetyenziswa xa i-gastroparesis ikhusela izondlo kunye neyeza eziyimfuneko ukulawula amazinga e-blood glucose ekufikeleleni kwigazi.
Ngokugwema umthombo wengxaki-isisu-nokubeka izondlo kunye neyeza ngokuthe ngqo ngqo emathunjini amancinci, uyaqinisekisa ukuba le mveliso igalelwe kwaye ihanjiswe kwigazi lakho ngokukhawuleza. I-tube yejjunostomy ingasesikhashana kwaye isetyenziswe kuphela xa kuyimfuneko xa i-gastroparesis inzima.
Isondlo se Parenteral
Isondlo se-Parenteral sithetha ukuhambisa izondlo ngqo kwigazi, ngokugqithisa inkqubo yokutya. Ugqirha wakho uza kufaka ityhubhu encinci, ebizwa ngokuthi i-catheter, kwisihlunu sesifuba, eshiya ukuvula ngaphandle kwesikhumba.
Ukondla, unamathele isikhwama esinezondlo zamanzi okanye amayeza kwi-catheter. Umkhuhlane ufinyelela kwigazi lakho nge-vein. Ugqirha wakho uya kukuxelela uhlobo luni lwesondlo sokutya esisetyenziswayo.
Le ndlela yindlela enye ye-tube yejjunostomy kwaye ngokuqhelekileyo yindlela yokwexeshana yokufumana isifo esinzima se-gastroparesis. Isondlo se-Parenteral sisetyenziselwa kuphela xa i-gastroparesis inzima kwaye ayincedwa ezinye iindlela.
Izinketho ezintsha
- I-gastric neurostimulator ("pacemaker") iye yaphuhliswa ukunceda abantu abanegastroparesis. I-pacemaker ibhethri-esebenzayo, isixhobo sogesi-elektroni esenziwa ngokugqithiseleyo. Ikhupha izimpompo zamandla zombane ezikhuthaza iziphambano zesisu ukuze ukutya kugulwe kwaye kususwe sisisu kuya emathunjini. Ukuvuselelwa kombane kunceda ukulawula isicupunu kunye nokuhlanza okuhambisana ne-gastroparesis.
- Ukusetyenziswa kwe-toxin ye-botulin kuboniswe ukuphucula isisu kunye neempawu ze-gastroparesis ngokunciphisa iziphambano ezide zomsipha phakathi kwesisu nesisu esincinci (i-pyloric sphincter). I-toxin ifakwe kwi-sphincter ye-pyloric.
ILizwi
Le ngcaciso eninzi ukuyifumana, ngoko nantsi iinqonga ezi-6 ezibalulekileyo okumele uzikhumbule:
- I-Gastroparesis ingenzeka kubantu abane-type 1 yeswekile okanye uhlobo lwesifo sikashukela.
- I-Gastroparesis yimbangela yomonakalo kwimbilini yesisu, elawula ukuhamba kokutya ngokusebenzisa inkqubo yokutya. Esikhundleni sokutya okuhamba ngendlela yokutya ngokuqhelekileyo, kugcinwa kwisisu.
- I-nerus vagus ibonakaliswe emva kweminyaka yokulawulwa kwe-glucose yegazi, okubangele igastroparesis. Kananjalo, i-gastroparesis inomdla wokulawula i-glucose yegazi.
- Iimpawu zegastroparesis zibandakanya ukuzaliswa kwangaphambili, isisongela, ukuhlanza nokulahleka kwesisindo.
- I-Gastroparesis ifumaneka kwiimvavanyo ezifana ne-x-rays, i-manometry, kunye ne-scanning.
- Amanyango afaka utshintsho kwixesha kunye nento odlayo, utshintsho kwindlela yohlobo lwe-insulin kunye nexesha leentsholongwane, imithi yomlomo, ijjunostomy, isondlo se-parenteral, i-pacemaker yesisu, okanye i-toxin ye-botulinum.
Ukufumana ulwazi oluninzi, khangela iCandelo le-NIDDK yeDesase and Dissases. Baxhasa uphando olusisiseko kunye nekliniki kwizidumbu zesisu zomzimba, kuquka ne-gastroparesis. Phakathi kweminye imimandla, abaphandi bafunda ukuba imilingo yokulinga iyanciphisa okanye iyanciphise iimpawu ze-gastroparesis, ezifana nokubhubhisa, isisu esiswini, isisulu sokuncwina, nokuhlanza, okanye kufutshane ixesha elifunekayo ngesisu ukuba lichithe iziqulatho zalo emva kwesidlo esifanelekileyo.