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Gastroparesis

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Dumbu ndiro bhegi rine tsandanyama. Rinosvika sahwani duku rinowedzera ukuru kana uchidyira kana kunwa. Rinogona kubata kusvika ku lita ina (kana kuti magiramu mana) ezvokudya kana zvinwiwa. Kana dumbu rakapfapfaidza zvokudya, kuita kwetsandanyama kunonzi peristaltic waves kunotuma zvokudya kuenda ku pyloric valve. Pyloric valve inotungamira ku chikamu chepakati cheura duku, chinonzi duodenum.

Gastroparesis chirwere umo tsandanyama dziri mudumbu hadzifambisi zvokudya sezvazvinofanira kuti zvidyiwe.

Kazhinji, tsandanyama dzinokwevera kuti dzitumire zvokudya kuburikidza ne digestive tract. Asi ne gastroparesis, kufamba kwemudumbu, kunonzi motility, kunononoka kana kuti hakuiti zvachose. Izvi zvinoita kuti dumbu rirege kubuda zvakanaka.

Kazhinji, chikonzero che gastroparesis hachizivikanwi. Dzimwe nguva chinoenderana ne chirwere cheshuga. Uye vamwe vanhu vanowana gastroparesis mushure mekuvhiyiwa kana mushure mechirwere chevirusi.

Gastroparesis inokanganisa kugaya. Inogona kukonzera kurutsa, kurutsa uye kurwadziwa kwemudumbu. Inogonawo kukonzera matambudziko nemazinga eshuga neropa nekudya. Hapana mushonga we gastroparesis. Asi mishonga nekuchinja kwekudya zvinogona kupa zororo rimwechete.

Zviratidzo

Zviratidzo zvegastroparesis zvinosanganisira: Kuita manyoka.Kusvotwa.Kutemwa mudumbu.Kurwadziwa mudumbu.Kunzwa wakazara mushure mekudya zvishoma nezvimedu uye kwenguva refu mushure mekudya.Kuita manyoka zvekudya zvisina kugayiwa zvakadyiwa maawa mashoma apfuura.Acid reflux.Kuchinja kwemazinga eshuga yeropa.Kusada kudya.Kurasikirwa nehuremu uye kusawana zvinovaka muviri zvakakwana, kunonzi malnutrition. Vanhu vakawanda vane gastroparesis havaoni chero zviratidzo. Ita musangano nemunyanzvi wehutano hwako kana uine zviratidzo zvinokunetsa.

Nguva yekunoona chiremba

Enda kunachiremba wako kana uine zviratidzo zvinokunetsa.

Zvinokonzera

Hazvisi nguva dzose zviri pachena kuti chii chinokonzera gastroparesis. Asi dzimwe nguva kukuvara kwenhevedzano inodzora tsandanyama dzemudumbu kunogona kukonzera. Iyi nerve inonzi vagus nerve.

Vagus nerve inobatsira kudzora zvinoitika munzira yekudya. Izvi zvinosanganisira kutaurira tsandanyama dzemudumbu kuti dzisunge uye dzisundire chikafu mumatumbu maduku. Vagus nerve yakakuvara haigone kutumira mameseji kutsandanyama dzemudumbu sezvaifanira. Izvi zvinogona kukonzera kuti chikafu chirambe chichiri mudumbu kwenguva yakareba.

Zvirwere zvakadai sedayabetes kana kuvhiya mudumbu kana matumbo maduku zvinogona kukuvadza vagus nerve nemapazi ayo.

Zvinhu zvinokonzera njodzi

Zvinhu zvinogona kuwedzera njodzi ye gastroparesis zvinosanganisira:

  • Chikosha.
  • Kuoperesa mudumbu kana pahuro inobatanidza muromo nemuviri, inonzi esophagus.
  • Kunetseka nehutachiona.
  • Zvimwe zvirwere zvekenza uye kurapwa kwenzara, sekurapa ne radiation kuchipfuva kana mudumbu.
  • Mishonga inononotsa kuita kuti mudumbu ubvise zvokudya, senge mishonga inorwisa kurwadziwa ye opioid.
  • Dambudziko rinoita kuti ganda rive rakaoma uye rakasimba, rinonzi scleroderma.
  • Zvirwere zvehurongwa hwematumbu, senge migraine, chirwere cheParkinson kana multiple sclerosis.
  • Thyroid isingashande zvakanaka, inonziwo hypothyroidism.

Vanhu vakapihwa vakadzi pakuumbwa kwavo vanowanzo kuwana gastroparesis kupfuura vanhu vakapihwa varume pakuumbwa kwavo.

Matambudziko

Gastroparesis inogona kukonzera matambudziko akawanda, akadai se:

  • Kurasikirwa nemvura mumuviri, kunonzi kuoma kwemuviri. Kurutsa kakawanda kunogona kukonzera kuoma kwemuviri.
  • Kusawirirana kwezvinovaka muviri. Kusada kudya kunogona kureva kuti hauna kutora macalorie akakwana. Kana muviri wako ungasakwanise kutora zvinovaka muviri zvakakwana nekuda kwekurutsa.
  • Chikafu chisinganyatsodi gesti chinonamira uye chinoramba chichiri mudumbu. Chikafu ichi chinogona kuoma kuva gobvu rinonzi bezoar. Bezoars inogona kukonzera kurutsa uye manyoka. Zvinogona kutyisidzira hupenyu kana zvikaita kuti chikafu chisasapfuure mudumbu duku.
  • Kushanduka kwehuga hweropa. Gastroparesis haikonzere chirwere cheshuga. Asi kushanduka kwehuwandu nekumhanya kwechikafu chinopinda mudumbu duku kunogona kukonzera kushanduka kamwe kamwe kwehuga hweropa. Aya mashanduko ehukuru hweropa anogona kuita kuti chirwere cheshuga chiwedzere kuipa. Zvichitevera, kusadzora zvakanaka huga hweropa kunoita kuti gastroparesis iwedzere kuipa.
  • Hupenyu husina kunaka. Zviratidzo zvinogona kuita kuti zviome kushanda uye kuchengeta mabasa ezuva nezuva.
Kuongorora

Kuongororwa kwakawanda kunobatsira pakuzivisa gastroparesis uye kubvisa zvimwe zvirwere zvinogona kukonzera zviratidzo zvakafanana nezve gastroparesis. Kuongororwa kunogona kusanganisira:

Kuona kuti mudumbu rako rinobudisa zvokudya nekukurumidza sei, unogona kuita imwe kana kupfuura miedzo iyi:

  • Kuongororwa kwekufema. Pakuedzwa kwekufema, unodya chikafu chakaoma kana chinwiwa chine chinhu chinonyorwa nemuviri wako. Panguva yakati, chinhu ichocho chinoonekwa mukufema kwako.

Timu yako yekuchengetedza utano inounganidza sampuli dzekufema kwako kwemaawa mashoma kuti iyerere huwandu hwechinhu ichocho mukufema kwako. Huwandu hwechinhu ichocho mukufema kwako hunoratidza kuti mudumbu rako rinobudisa zvokudya nekukurumidza sei.

Scintigraphy. Iyi ndiyo bvunzo huru inoshandiswa pakuzivisa gastroparesis. Inosanganisira kudya chikafu chiduku, sekwaii uye toast, chine huwandu duku hwematerial inobuditsa mwaranzi. Scanner inotevera kufamba kwematerial inobuditsa mwaranzi. Scanner inofamba pamusoro pemudumbu kuratidza kuti chikafu chinobuda mudumbu nekukurumidza sei.

Bvunzo iyi inotora anenge maawa mana. Uchada kurega kutora mishonga ipi zvayo inogona kunonoka kubuda kwechikafu mudumbu. Bvunza nyanzvi yako yekuchengetedza utano zvausingafaniri kutora.

Kuongororwa kwekufema. Pakuedzwa kwekufema, unodya chikafu chakaoma kana chinwiwa chine chinhu chinonyorwa nemuviri wako. Panguva yakati, chinhu ichocho chinoonekwa mukufema kwako.

Timu yako yekuchengetedza utano inounganidza sampuli dzekufema kwako kwemaawa mashoma kuti iyerere huwandu hwechinhu ichocho mukufema kwako. Huwandu hwechinhu ichocho mukufema kwako hunoratidza kuti mudumbu rako rinobudisa zvokudya nekukurumidza sei.

Maitiro aya anoshandiswa kuona chubhu inobatanidza muromo nemudumbu, inonzi esophagus, mudumbu uye kutanga kweura duku, inonzi duodenum. Inoshandisa kamera duku pamugumo wetubhu refu, inobata.

Bvunzo iyi inogonawo kuzivisa zvimwe zvirwere zvinogona kuva nezviratidzo zvakafanana nezve gastroparesis. Mienzaniso ndeye peptic ulcer disease uye pyloric stenosis.

Bvunzo iyi inoshandisa mafungu esound ane simba rakakwirira kuita mifananidzo yezvikamu zviri mumuviri. Ultrasound inogona kubatsira pakuzivisa kana matambudziko ane gallbladder kana itsvo anogona kukonzera zviratidzo.

Kurapa

Kurapa gastroparesis kunotanga nekutsvaga nekurapa chirwere chinokonzera. Kana chirwere cheshuga chiri kukonzera gastroparesis yako, nyanzvi yako yehutano inogona kushanda newe kukubatsira kudzora mazinga ako eshuga yeropa.

Kuwana macalorie akawanda nezvokudya uchivandudza zviratidzo ndicho chinangwa chikuru pakurapa gastroparesis. Vanhu vazhinji vanogona kutonga gastroparesis nekuchinja kwekudya. Nyanzvi yako yehutano inogona kukutumira kunyanzvi, inonzi dietitian.

Dietitian anogona kushanda newe kuwana zvokudya zviri nyore kugaya. Izvi zvinogona kukubatsira kuwana zvokudya zvakakwana kubva muzvokudya zvaunodya.

Dietitian angave akakuedza zvinotevera:

  • Kudya zvokudya zviduku kazhinji kazhinji.
  • Chewa zvokudya zvakanaka.
  • Kudya michero nemiriwo yakabikwa zvakanaka panzvimbo pemichero nemiriwo mbishi.
  • Usadya michero nemiriwo ine fiber yakawanda, senge maorenji ne broccoli. Izvi zvinogona kuoma kuva mashoma anoramba ari mudumbu, anonzi bezoar.
  • Sarudza zvokudya zvine mafuta mashoma. Kana kudya mafuta kuchikunetsa, wedzera zvidiki zvezvokudya zvine mafuta mune zvaunodya.
  • Kudya miriwo ne zvokudya zvakapwanyika kana zvinwiwa zviri nyore kwauri kumira.
  • Inwa anenge 34 kusvika ku 51 ounces (1 kusvika ku 1.5 litres) emvura pazuva.
  • Dzidzira zvinyoro nyoro, sekufamba, mushure mekunge wadya.
  • Usanwe zvinwiwa zvine kabhoni, kana doro.
  • Usafume.
  • Usarega pasi kwemaawa maviri mushure mekudya.
  • Tora multivitamin zuva nezuva.
  • Usadya uye unwe panguva imwe chete. Vaparadzanisa nemaawa anenge imwe.

Bvunza dietitian wako kuti uwane rondedzero yezvokudya zvinokurudzirwa kune vanhu vane gastroparesis.

Mishonga yekurapa gastroparesis inogona kusanganisira:

  • Mishonga yekubatsira misumbu yemudumbu kushanda. Metoclopramide ndiyo mishonga chete iyo U.S. Food & Drug Administration (FDA) yakabvumira kurapa gastroparesis. Piritsi re metoclopramide (Reglan) rine njodzi yemhedzisiro yakakomba.

Asi FDA ichangobva kubvumira metoclopramide nasal spray (Gimoti) yekurapa diabetic gastroparesis. Nasal spray ine mhedzisiro shoma kupfuura piritsi.

Imwe mishonga inobatsira misumbu yemudumbu kushanda ndiyo erythromycin. Inogona kushanda zvishoma nezvishoma nekufamba kwenguva. Uye inogona kukonzera mhedzisiro senge manyoka.

Kune mushonga mutsva, domperidone, unoderedza zviratidzo zve gastroparesis. Asi FDA haibvumi mushonga kunze kwekunge kurapwa kwakakundikana. Kuti nyanzvi dzehutano dzinyorere mushonga, vanofanirwa kunyorera kuFDA.

  • Mishonga yekudzora kusvotwa nekurova. Mishonga inobatsira kudzikamisa kusvotwa nekurova inosanganisira diphenhydramine (Benadryl) ne ondansetron. Prochlorperazine (Compro) iri yekusvotwa nekurova zvisingaperi nemimwe mishonga.

Mishonga yekubatsira misumbu yemudumbu kushanda. Metoclopramide ndiyo mishonga chete iyo U.S. Food & Drug Administration (FDA) yakabvumira kurapa gastroparesis. Piritsi re metoclopramide (Reglan) rine njodzi yemhedzisiro yakakomba.

Asi FDA ichangobva kubvumira metoclopramide nasal spray (Gimoti) yekurapa diabetic gastroparesis. Nasal spray ine mhedzisiro shoma kupfuura piritsi.

Imwe mishonga inobatsira misumbu yemudumbu kushanda ndiyo erythromycin. Inogona kushanda zvishoma nezvishoma nekufamba kwenguva. Uye inogona kukonzera mhedzisiro senge manyoka.

Kune mushonga mutsva, domperidone, unoderedza zviratidzo zve gastroparesis. Asi FDA haibvumi mushonga kunze kwekunge kurapwa kwakakundikana. Kuti nyanzvi dzehutano dzinyorere mushonga, vanofanirwa kunyorera kuFDA.

Matumbo ekudyisa anogona kupfuudzwa nemuromo kana mumuromo kana zvakananga mudumbu duku kuburikidza neganda. Kazhinji kazhinji, chubhu chinowanikwa kwenguva pfupi. Chubhu chekudya chiri che gastroparesis yakakomba kana pasina imwe nzira inodzora mazinga eshuga yeropa. Vamwe vanhu vangada chubhu chekudya chinopinda mudziya muchipfuva, rinonzi intravenous (IV) feeding tube.

Vatsvakurudzi vanoramba vachitsvaga mishonga mitsva nemaitiro ekurapa gastroparesis.

Imwe mishonga itsva iri kukura inonzi relamorelin. Mhedzisiro yekuedzwa kwePhase 2 yakaona kuti mushonga unogona kukurumidza kuvhara mudumbu uye kudzikisa kurutsa. FDA haisati yabvumira mushonga, asi kudzidza kuri kuenderera mberi.

Vatsvakurudzi vari kudzidzawo kurapwa kwakasiyana-siyana kunosanganisira chubhu chidiki, chinonzi endoscope. Endoscope inopinda mu esophagus.

Imwe nzira, inozivikanwa se endoscopic pyloromyotomy, inosanganisira kuita kucheka muchiuno chemhasuru pakati pemudumbu nemuduku mudumbu. Ichi chiuno chemhasuru chinonzi pylorus. Inovhura chiteshi kubva mudumbu kuenda mudumbu duku. Nzira iyi inonziwo gastric peroral endoscopic myotomy (G-POEM). Nzira iyi inoratidza tariro ye gastroparesis. Kudzidza kwakawanda kunodiwa.

Mukugadziriswa kwemagetsi emudumbu, mudziyo unowanikwa mumuviri nekuvhiya unopa simba remagetsi kumisumbu yemudumbu kuti ufambe zvokudya zvakanaka. Mhedzisiro yekudzidza yakasanganiswa. Asi mudziyo unoita sekubatsira zvikuru kune vanhu vane chirwere cheshuga ne gastroparesis.

FDA inobvumira mudziyo kushandiswa kune avo vasingakwanisi kudzora zviratidzo zvavo zve gastroparesis nekuchinja kwekudya kana mishonga. Kudzidza kukuru kunodiwa.

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