Ukunciphisa ukukhutshwa kweGastric-Out Challenge Dietary Challenge
Ingaba igazini legazi lakho lihamba emva kweeyure emva kokutya okanye ngaba amanqanaba akho ayenzileyo? Ngaba unesiqhwala esingapheliyo? Kungaba yinkinga ngokugaya, njengegastroparesis. Le yimiqathango edlalwa ngamanye amaxesha njengokulibaziseka isisu sokukhupha. Ukugonywa kuncitshiswa ngenxa yomonakalo wentsholongwane onokubangela ukukhubazeka ngokwengxenye kwesisu. Nangona kukho ezinye izizathu, isifo sikashukela sininzi kakhulu.
Ukulibazisa isisu sokugaya kungenziwa kwi-30-50% yabantu abanesifo sikashukela.
Isifo sikashukela sinokukhokelela kwiGastroparesis-Ukuchithwa kweGastric Exptying
Ukulawulwa kakubi kwesifo sikashukela esinamazinga aphezulu e-glucose okanye ukuba nesifo sikashukela ixesha elide kunokudala umonakalo kwi-vagus nererve kwaye kungabangela uhlobo olungapheliyo lwe-gastroparesis. I-vagus nerve ilawula izihlunu kwi-digestive tract ekuncedeni ukuhambisa ukutya. Xa iimbilini kunye neemisipha zingasebenzi kakuhle, ukutya akuhambisi okanye kuhamba ngokukhawuleza kwinkqubo yokutya. Le meko ibonakala ibonakala ngokuphindaphindiweyo kubafazi. I-Gastroparesis ingabonisa umngeni kwi-diabetes management.
Ezinye izizathu ngaphandle kwesifo sikashukela
Ezinye izizathu zegastroparesis ziquka izifo zentsholongwane, ezinye iyeza, unyango, i-anorexia, i-bulimia, isifo se-reflux yesifo se-gastroesophageal (GERD), i- hypothyroidism , izifo eziphazamisayo zomzimba kunye nezifo zesimiso se-nervous.
Iingxaki ezibangelwa yiGastroparesis
Xa unesifo sikashukela, uvame ukucelwa ukuba ukhangele ushukela wakho 1-2 iiyure emva kokuba udlile isidlo.
Ukuba uthatha i-insulin, kufuneka ufumane ixesha lokufakelwa kwe-insulin ngokuya kwinqanaba le-sugar level. Xa ukugaya isisu kulibaziseka, amazinga eeshukela egazini akho angakhula kwaye angaphaya kwexesha elilindelekileyo kwaye alunganiseki.
Ukutya okuhlala ixesha elide kwisisu kunye neentsimbi kungabangela ukugqithisa kweebhaktheriya.
Ukutya kunokuba lukhuni kwaye lufake iindiza ezibizwa ngokuba yi-bezoars ezingabangela ukuphazamiseka kunye neentlanzi kunye nokuhlanza.
Ezinye iingxaki zibandakanya ukungondleki, ukukhathala, kunye nokulahleka kwesisindo ekuhlanjeni nokunciphisa ukutya.
Iimpawu zeGastroparesis
- Ukuguquka
- Ukuvuthwa (okuninzi ukutya okungaphelelwanga)
- I-nausea (i-nudea engapheliyo okanye isantya)
- Ukuziva ukuzaliseka emva kokutya isixa esincinci
- Ukutya okubi
- Ukuphefumula
- Amanqanaba eshukela echanekileyo egazi
- Ukuhla ukusinda
- Ukuqhawula
- Iipilpitations
- Isisu somoya
- Isisu esiswini okanye intlungu
- Reflux yeGastroesophageal
I-Gastroparesis ichongwa njani?
Ukuxilongwa kwe-gastroparesis kusekelwe ekubeni kuthatha ixesha elingakanani isisu ukuba singenanto. Iimpawu zinobubele okanye bunzima kodwa oku akuthi kubonakalisa ubunzima bemeko. Umntu unokufumana iimpawu ezintle kodwa unesifo esinzima segastroparesis. Umntu ongenayo impawu ezininzi unokufumana amanqanaba eshukela egazini, ukungabikho kwamachiza amaninzi, kunye nokukhutshwa kwamagciwane.
Ezinye izizathu zempawu zakho kufuneka zilawulwe ngaphandle. Oku kungenziwa nge- endoscopy ephezulu, evumela ugqirha ukuba ahlole imeko yesisu esiswini. I-ultrasound inokunceda ukulawula izizathu ezifana nesifo se gallbladder kunye ne-pancreatitis. Iimvavanyo zeLebhu zingasetyenziselwa ukuvavanya ezinye izizathu, ezifana nokusebenza kakubi kwe-thyroid kunye namanqanaba angekho phantsi kwe-electrolyte.
Ugqirha wakho angenza iimvavanyo ezikunceda ukubonisa isisu esiswini kunye nokunceda ukulawula ukuphazamiseka. Kule mvavanyo, uya kudla ukutya okanye i-liquid equlethe into enokuboniswa nge-ray okanye ngezinye iindlela. Ezi mvavanyo zingabandakanya i-barium x-ra, i-barium beefsteak isidlo, okanye i-radioisotope ye-gastric-exptying scan. Ifowuni encinane ebizwa ngokuba yi-SmartPill iphinda ifumaneke, enokugonywa kwaye iqokelele ulwazi njengoko idlula kwi-digestive tract.
Ezinye iimvavanyo zibandakanya i-manometry yegastric apho ityhubhu ifakwe emlonyeni ukuya kwisisu ukulinganisa umbane kunye nokunyakaza kwama-muscular ngexesha lokutya.
Uvavanyo lokuphefumula lungasetyenziselwa ukubonisa ukuba isisu sishesha kangakanani.
Unyango lweGastroparesis
- Ukutya okuncinci, ukutya okudla rhoqo kunokunceda ukuphepha ukutya okuninzi kwisisu ngelo xesha. Ugqirha wakho unokucela ukuba udle ezintandathu ukutya okuncinane ngosuku. Ukutya okutywala kunokumiselwa kude kubekho uphuculo. Iinqwelo ezidlula kwi-digestive system ngokulula xa zibonelela ukutya okunomsoco.
- Ukuphelisa okanye ukunciphisa ukutya okunamafutha amaninzi kunye nokutya okuphezulu. Ezi zokutya zinganciphisa ukugonya.
- Ukunciphisa okanye ukunciphisa ukutya okwandisa umsebenzi wezilwanyana. Ezi zokutya zibandakanya iimveliso zobisi, ukutya okuphezulu, ukutya okunesonka, i-prune juice kunye ne-caffeine.
- Shintsha i-insulin regimen ukuba uthetha i-insulin. Ugqirha wakho unokucela ukuba uthathe i-insulin emva kokutya kwaye kaninzi. Oku kufuneka kwenziwe ngesikhokelo sakho sogqirha. Uya kufuneka uhlolisise amanqanaba eeshukela egazi ngokuphindaphindiweyo njengemiyalelo yakho.
- Fumana amanqanaba eshukela e-blood ekulawuleni.
- Imithi, efana ne- metoclopramide ne-erythromycin, inokumiselwa. Mayeza ngamanye amaxesha ngamanye amaxesha asetyenziswa, njenge-Viagra, mirtazapine, okanye i-Botox injection.
- Kwiimeko ezinzima kakhulu, ityhubhu yokutya ingafakwa emathunjini amancinci avumela izondlo ezikhethekileyo ukuba zihanjiswe xa zidlula isisu ngokupheleleyo.
- Isondlo se-Parenteral yindlela ehlukile kwi-jejunostomy. Ukuba le nyeza isetyenziswe, izondlo zihanjiswa ngqo kwigazi nge-catheter efakwe kwisitya somfuba.
- I-gastric neurostimulator ifakwe ngumzimba we "isisu se-pacemaker" esetyenziswa ngebhetri kwaye yenziwa ngokugqithiseleyo ukuze incedise ekutyeni.
Ukujongana nesifo sikashukela
Iinguqu zokutya eziyimfuneko ekuphuculeni i-gastroparesis zibonakala zihamba ngokumalunga neziphakamiso zokutya zesifo sikashukela. Umzekelo, xa unesifo sikashukela, kunconywa ukuba udle ukutya okutya okutya okutya okugqithiseleyo-nangona kunjalo, unokucelwa ukuba ugweme oku kudlalwa yonyango lwe-gastroparesis. Uya kufuneka usebenze kunye negqirha lakho kunye neqela lokunyamekela isifo sikashukela ukuba ufikelele kwisicwangciso sokutya kunye nesifo sikashukela sokulawula isifo sikashukela kunye ne-gastroparesis.
Imithombo:
Gastroparesis. Umbutho weSwekile waseMelika. Juni 27. 2014.
Gastroparesis. Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Juni, 2012
Tonzi MSN NP CGRN, uMarta K; I-Fain PhD i-RN MC-ADM, FAAN, Yakobi. "Ukuqonda iGastroparesis: Isifundo seNkundla." I-Gastoenterology Nursing July / Agasti 2002 25 (4): 154-160