Delayed Gastric Emptying - Chimwe Chinodiwa Kudya Dambudziko
Koga yega yega yega yega yega mushure mekudya here kana kuti mazinga ako akanganisa? Iwe une chisingararamiki mangwanani echisimba here? Inogona kuva dambudziko nekudya, zvakadai segastroparesis . Uyu ndiwo mamiriro ezvinhu anowanzonzi kunonoka gastric kubvisa. Kuchengetedza kunononoka nekuda kwehutano hwemhutu hunogona kukonzera kuora mitezo kwemuviri. Kunyange paine zvimwe zvinokonzera, chirwere cheshuga ndicho chakanyanya kufanana.
Delayed gastric abpting inogona kuitika mu30-50% yevanhu vane chirwere cheshuga.
Chirwere cheshuga Chinogona Kutungamirira kuGastroparesis - Kutadzisa Gastric Kubvisa
Varombo masimba ekurwara chirwere cheshuga nehupamhi hwemashuga kana kuti vane chirwere cheshuga kwenguva yakareba kunogona kukonzera kukanganisa kwenzara yeropa uye kunogona kukonzera chirwere chisingaperi che gastroparesis. Iyo vagus nerve inodzora misungo mumugwagwa wezvokudya unobatsira kutamisa kudya kuburikidza. Apo mishonga nemasumbu hazvishandi zvakanaka, zvokudya hazvifambi kana zvinofamba zvishoma nezvishoma kuburikidza nekugadzirisa chirongwa. Izvi zvinoratidzika sezviri kuitika kakawanda muvakadzi. Gastroparesis inogona kupa chinetso chekutarisira chirwere cheshuga.
Zvimwe Zvinokonzera Kunze kwechirwere cheshuga
Zvimwe zvinokonzera gastroparesis zvinosanganisira zvirwere zvehutachiona, mamwe mishonga, kuvhiyiwa, anorexia, bulimia, gastroesophageal reflux chirwere (GERD), hypothyroidism , kushungurudzika kwemisumbu, uye zvirwere zvehurongwa hwemagetsi.
Matambudziko Anokonzerwa neGastroparesis
Kana uine chirwere cheshuga, unowanzobvunzwa kuti uone shuga yako 1-2 maawa mushure mekunge wadya kudya.
Kana iwe ukatora insulini, unoda nguva yako injection ye insulin maererano nepamusoro pehutano hwehuga hwako hwepamusoro. Apo gastric kubudisa kunonoka, mazinga ehuga eropa rako anogona kumuka uye kukurumidza mberi pane zvaatararisirwa uye haasati azivikanwa.
Zvokudya zvinogara kwenguva yakareba mudumbu uye zvinovirisa zvinogona kukonzera kukwira kwebhakitiriya.
Zvokudya zvinogonawo kuoma uye kuumba mashoma anonzi bhabhasi anogona kukonzera kudzivirira uye kushungurudza uye kurutsa.
Zvimwe zvinetso zvinosanganisira kusadya zvokudya, kuneta, uye kuora muviri kunosuruvara nekuderedza kudya.
Zviratidzo zveGastroparesis
- Kushungurudza
- Kuputika (kunyanya zvokudya zvisina kufanira)
- Nausea (chirwere chisingaperi kana mangwanani)
- Kunzwa kuzara mushure mekudya zvishoma
- Kuda kudya
- Kufema kwakaipa
- Nhamba yehuga yakashata
- Kuonda
- Bloating
- Palpitations
- Dumbu remhepo
- Kuvhara pamuviri kana kurwadziwa
- Gastroesophageal reflux
Gastroparesis Inosangana Sei?
Kuongororwa kwegastroparesis kunotarirwa kuti zvinotora nguva yakaita sei mudumbu kusina chinhu. Zviratidzo zvinogona kuva zvinyoro kana zvakakomba asi izvi hazvirevi hazvo kusimba kwechiitiko. Munhu anogona kuva nezviratidzo zvishoma asi ane chirwere chakaipa che gastroparesis. Munhu asina zviratidzo zvizhinji angave ane hutachiona hwehuga husina kukodzera, kushandiswa kwakanyanya kwemishonga, uye kuvhara muviri.
Zvimwe zvikonzero zvezviratidzo zvako zvinofanira kuiswa kunze. Izvi zvinogona kuitwa nechokumusoro- endoscopy , iyo inobvumira chiremba kuti aongorore mamiriro ekudzimba kwepamu. An ultrasound inogona kubatsira kubvisa kunze zvinokonzera zvakadai se gallbladder chirwere uye pancreatitis. Kuongororwa kwebhizinesi kunogona kushandiswa kutarisa zvimwe zvinokonzera, zvakadai sehutachiona hwehutano husina kunaka uye maitiro asina kukwana e electrolyte.
Chiremba wako anogona kuita zviedzo zvinobatsira kufungidzira gastric kubvisa uye kubatsira kubvisa kunze kwekudzivirira. Mune miedzo iyi, iwe uchadya zvokudya kana mvura inenge ine chinhu chinogona kuonekwa nenzira ye-x-ray kana nedzimwe nzira. Iyi miedzo inogona kusanganisira barium x-ray, barium beefsteak kudya, kana redioisotope gastric-kutota scan. Chimwe chinhu chiduku chinonzi SmartPill chinowanikwawo, chinogona kumedzwa uye kuunganidza mashoko sezvo ichipfuura nepakati pekudya gumbo.
Mimwe miedzo inosanganisira gastric manometry apo bhuti rinowanikwa mumuromo kusvika mudumbu kuti uone basa remagetsi uye musimba kufamba panguva yekudya.
Mhepo yekufema inogona kushandiswawo kuratidza kuti inokurumidza sei mimba inopera.
Kurapa kweGastroparesis
- Kudya zviduku, kudya kunowanzoitika kunogona kubatsira kudzivirira zvokudya zvakawanda mukati mudumbu panguva imwechete. Chiremba wako angakukumbira kuti udye zvokudya zvitanhatu pazuva. Zvokudya zvinogona kunyorerwa kusvikira pane kuvandudzwa. Liquid inopfuura nepakati pemagetsi ehurumende nyore nyore apo ichipa chikafu chakakosha.
- Deredza kana kuderedza mafuta akawanda uye zvakanyanya-fiber. Zvokudya izvi zvinogona kuwedzera kukurumidza kudya.
- Dzorera kana kuderedza kudya kunowedzera basa remuviri. Zvokudya izvi zvinosanganisira zvinodhaka zvemukaka, zvokudya zvakakwirira-fiber, zvokudya zvekudya zvinonaka, prune juice, uye caffeine.
- Shandisa insulin regimen kana iwe ukatora insulini. Chiremba wako angakukumbira kuti utore insulini shure kwekudya uye kakawanda. Izvi zvinotofanira kuitwa nekutungamira kwachiremba wako. Iwe uchada kutarisa huwandu hwemashuga eropa rako kakawanda sekuraira kwechiremba wako.
- Wana mazinga ega shuga mukutonga.
- Mishonga, yakadai semetoclopramide uye erythromycin, inogona kunyorwa. Mishonga yemimwe mamiriro ezvinhu dzimwe nguva inoshandiswa, zvakadai seViagra, mirtazapine, kana kuti Botox injection.
- Mune zviitiko zvakakomba zvikuru, tubhuti yekudya inogona kuiswa mukati memukati maduku ichibvumira michina inokosha kuti ibudiswe apo ichidarika dumbu zvachose.
- Parenteral nutrition ndiyo imwe nzira yejjunostomy. Kana mushonga uyu uchishandiswa, michero inowanikwa muropa rega kuburikidza ne catheter inowanikwa mumhangu yepfupa.
- Anomiswa gastric neurostimulator chirwere che "stomach pacemaker" iyo bhatiri inoshandiswa uye yakagadzirwa chirwere kuti iibatsire mukudya.
Chirwere cheshuga
Zvokudya zvinoshandiswa zvinodiwa pakuvandudza gastroparesis zvinogona kuratidzika kuti zvinomhanya kune zvinorayira zvinorayira zvekutarisira chirwere cheshuga. Somuenzaniso, kana iwe une chirwere cheshuga, zvinokurudzirwa kuti udye zvakakwana-zviyo zvakakwirira-fibre zvokudya - zvisinei, unogona kubvunzwa kuti udzivise izvi zvekudya kwegastroparesis. Iwe unoda kushanda pamwe nachiremba wako uye sangano rekuchengetedza chirwere cheshuga kuti uuye nehutano hwakanaka hwerongwa uye chirwere cheshuga chekuita chirwere cheshuga uye gastroparesis.
Sources:
Gastroparesis. American Diabetes Association. June 27. 2014.
Gastroparesis. National Institute of Diabetes and Digestive and Kidney Diseases. June, 2012
Tonzi MSN NP CGRN, Martha K; Fain PhD RN MC-ADM, FAAN, James. "Kunzwisisa Gastroparesis: Chidzidzo Chechiitiko." Gastoenterology Nursing July / August 2002 25 (4): 154-160