Chii chinonzi Gastroparesis? Zviratidzo, Zvinokonzera, & Kurapa

Gastroparesis chirwere umo misumbu yemudumbu yako haishande zvakanaka, zvichiita kuti chikafu chifambire zvishoma nezvishoma munzira yako yekudya kupfuura zvakajairwa. Funga nezvazvo sekuti nhengo dzemudumbu dzako dzakanganiswa, sekudanana kwakarasika nhando yaro.

Iyi chirwere chekudya chinoita kuti mudumbu mako ubvise chikafu muchiuno chako. Pane kudzora kwemishonga inoshandiswa kufambisa chikafu, mudumbu mako rinononoka kana kuti rinogona kutomira kushanda. Kunyange zvazvo izvi zvinganzwa zvichitityisa, kunzwisisa gastroparesis kunogona kukubatsira kuichengeta zvakanaka nemazano chaiwo.

Ndeapi zviratidzo zve gastroparesis?

Zviratidzo zve gastroparesis kazhinji zvinoonekwa zvishoma nezvishoma uye zvinogona kusiyana kubva kune munhu kune mumwe. Unganzwa wakazara nekukurumidza kana uchinge wadya, kunyange kana wangotadya zvishoma.

Heano mamwe ezviratidzo zvinowanzoitika aunogona kuona:

• Kusvotwa uye kurutsa, kunyanya chikafu chisinganyatsodigestiwa maawa mushure mekudya
• Kunzwa wakazara nekukurumidza panguva yekudya (early satiety)
• Kuzvimba uye kurwadziwa kwemudumbu
• Heartburn kana acid reflux
• Kurasikirwa nechido chekudya
• Kurasikirwa uremu pasina chikonzero
• Kuchinja kwehuga hweropa (kunyanya kana uine chirwere cheshuga)

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge kuchema kwemudumbu kana kunzwa sekunge chikafu chakamira pachifuva chavo. Izvi zviratidzo zvinogona kuuya nekuenda, zvichiita kuti gastroparesis ive yakaoma kuziva pakutanga.

Kukura kwezviratidzo kunogona kuchinja, mamwe mazuva uchinzwa uri nani kupfuura mamwe. Iyi tsika isingatarisirwi inowanzoitika ne gastroparesis, kunyange zvazvo zvinganzwa zvichikudzvinyiridza kana uri kuyedza kuronga mabasa ako ezuva nezuva.

Chii chinokonzera gastroparesis?

Gastroparesis inoitika kana tsinga ye vagus, inodzora misumbu yemudumbu mako, ikakuvara kana kuti ikarega kushanda zvakanaka. Iyi tsinga inoshanda senhengo inotungamira nhengo dzemudumbu, uye kana isiri kushanda zvakanaka, hurongwa hwese hunogona kusagadzikana.

Zvinokonzera zvakajairika zvinosanganisira:

• Chirwere cheshuga (kunyanya chirwere cheshuga chakareba, chisingadzoreki)
• Kuopereta kwakaitwa mudumbu kana mudumbu
• Zvirwere zvehutachiona zvinotapukira mudumbu
• Mishonga yakati (kunyanya mamwe mishonga inorwisa kuora mwoyo nemishonga yekurwadziwa)
• Zvirwere zvehuropi senge chirwere cheParkinson
• Zvirwere zve autoimmune
• Zvirwere zve thyroid

Muzviitiko zvakawanda, vanachiremba havawanikwe chikonzero chaicho, izvo zvinonzi idiopathic gastroparesis. Izvi hazvirevi kuti hapana chakaipa kana kuti zviri mumusoro mako. Zvinoreva kuti chikonzero chacho hachizivikanwi, izvo zvinoitika nezvirwere zvakawanda zvemuviri.

Zvimwe zvinokonzera zvisingawanzoitika zvinosanganisira zvirwere zve connective tissue senge scleroderma, zvirwere zvekutadza kudya, nezvimwe zvirwere zvemagwenya. Kunyange zvazvo izvi zvisingawanzoitika, chiremba wako achaafunga kana zviratidzo zvako zvisingafaniri nemuenzaniso wakajairwa.

Ndeapi marudzi e gastroparesis?

Gastroparesis kazhinji inoratidzwa zvichienderana nezvinokonzera, izvo zvinobatsira vanachiremba kusarudza nzira yekurapa yakakodzera mamiriro ako chaiwo.

Marudzi makuru anosanganisira:

• Diabetic gastroparesis - inokonzerwa nehuga hweropa hwakakwirira kwenguva yakareba huchikuvadza tsinga
• Idiopathic gastroparesis - hapana chikonzero chinogona kuwanikwa
• Post-surgical gastroparesis - inoitika mushure mekuopereta kwemudumbu kana mudumbu
• Medication-induced gastroparesis - inokonzerwa nemishonga yakati

Diabetic gastroparesis ndiyo yakajairika, inotapura vanenge wechitatu vevanhu vane chirwere cheshuga che Type 1 uye vamwe vane chirwere cheshuga che Type 2. Mashoko akanaka ndeakuti kudzora kwakanaka kweropa kunogona dzimwe nguva kubatsira kuvandudza zviratidzo nekufamba kwenguva.

Idiopathic gastroparesis, kunyange zvazvo inokanganisa nekuti hapana chikonzero chakajeka, kazhinji inopindura zvakanaka pakuchinja kudya nemishonga. Chiremba wako acashanda newe kuti uwane musanganiswa wakakodzera wekurapa pasinei nekuti uri nerudzii.

Rini unofanira kuona chiremba nekuda kwe gastroparesis?

Unofanira kubata nehutano hwako kana uri kunzwa kusvotwa, kurutsa, kana kunzwa wakazara mushure mekudya zvishoma zvekudya. Izvi zviratidzo, kunyanya kana zvichienderera kwemazuva akawanda, zvinoda kutarisirwa nachiremba.

Tsvaga rubatsiro rwekurapa nekukurumidza kana uine:

• Kurutsa kwakasimba kunokudzivisa kuchengeta chikafu kana zvinwiwa
• Zviratidzo zvekushaya mvura (kuora musoro, muromo wakaoma, kushoma kwekuenda kumusana)
• Kurwadziwa kwakasimba kwemudumbu
• Ropa mukurutsa kwako
• Kurasikirwa uremu nekukurumidza, pasina chikonzero
• Kunetseka kudzora huga hweropa (kana uine chirwere cheshuga)

Usamirira kana uri kutotambura nekushaya zvokudya zvakakwana kana zviratidzo zvako zvichikanganisa hupenyu hwako hwezuva nezuva. Kuongororwa nekukurumidza uye kurapwa kunogona kubatsira kudzivirira matambudziko uye kuvandudza hupenyu hwako.

Kana uine chirwere cheshuga uye ukaona izvi zviratidzo zve digestive, zvakakosha kutaura navanachiremba vako. Kudzora gastroparesis pamwe chete nechirwere cheshuga kunoda kubatana kwakanyatsojeka kuchengetedza shuga yako yeropa yakagadzikana.

Ndeapi njodzi dze gastroparesis?

Zvinhu zvakati zvinogona kuwedzera mukana wako wekuwana gastroparesis, kunyange zvazvo kuva nenjodzi hazvirevi kuti uchawana chirwere ichi.

Njodzi huru dzinosanganisira:

• Kuva nechirwere cheshuga, kunyanya kwemakore mazhinji
• Kuva mukadzi (gastroparesis inotapura vakadzi zvakanyanya kupfuura varume)
• Kuve wakamboitwa kuopereta kwemudumbu kana mudumbu
• Kutora mishonga yakati kwenguva yakareba
• Kuva nezvirwere zve autoimmune
• Zvirwere zvehutachiona zvakapfuura zvinotapukira mudumbu

Zera rinogonawo kutamba basa, sezvo gastroparesis ichionekwa zvakanyanya muvakuru vakati vakura. Zvisinei, inogona kuitika pazera ripi zvaro, kusanganisira vana nevakwegura.

Mamwe njodzi dzisingawanzoitika dzinosanganisira kuva nezvirwere zvekutadza kudya, kuitwa radiation therapy kumudumbu, kana kuva nezvimwe zvirwere zvemagwenya. Kunyange zvazvo izvi zvisingawanzoitika, zvakakosha kuti chiremba wako azvifunge paanongorora zviratidzo zvako.

Ndeapi matambudziko anogona kuitika ne gastroparesis?

Kunyangwe gastroparesis ichigona kudzorwa, inogona kukonzera matambudziko kana ikasadzorerwa kana isingadzorwi zvakanaka. Kunzwisisa izvi zvinogona kukubatsira kushanda nesangano rako rehutano kudzivirira izvi.

Matambudziko akajairika anosanganisira:

• Kushaya zvokudya zvakakwana nekuda kwekushomeka kwekugaya chikafu
• Kushaya mvura nekuda kwekurutsa kwakawanda
• Kuchinja kwehuga hweropa (kunyanya kunokanganisa vanhu vane chirwere cheshuga)
• Kubuda kwe bezoars (zvidimbu zvakaoma zvechikafu chisinganyatsodigestiwa)
• Gastroesophageal reflux disease (GERD)
• Kurasikirwa uremu pasina chikonzero

Bezoars zvinonyanya kunetseka nekuti zvinogona kudzivirira mudumbu mako, zvichiita kuti pave nekuita kwemishonga kubvisa. Zvinoitika kana zvidimbu zvechikafu chisinganyatsodigestiwa zvichisanganiswa, izvo zvinowanzoitika kana mudumbu mako risiri kubvisa chikafu zvakanaka.

Matambudziko asingawanzoitika asi akakomba anosanganisira kushomeka kwakasimba kwe electrolytes nekuda kwekurutsa kwenguva refu uye aspiration pneumonia kana zviri mumudumbu zvikaenda mumapapu. Izvi zvinoratidza kukosha kwekutarisirwa kwemishonga yakakodzera.

Mashoko akanaka ndeakuti akawanda ematambudziko anogona kudzivirirwa kana kuderedzwa nekurapwa kwakakodzera uye kuchinja kudya. Sangano rako rehutano richakutarisira pedyo kuti riwane chero matambudziko pakutanga.

Gastroparesis inogona kudzivirirwa sei?

Kunyangwe usingakwanisi kudzivirira zviitiko zvese zve gastroparesis, kunyanya zvimiro zve idiopathic, unogona kutora matanho kuderedza njodzi yako uye kudzivirira chirwere ichi kuti chisasawedzere kuipa.

Kana uine chirwere cheshuga, kuchengetedza kudzora kwakanaka kweropa ndicho chishandiso chako chakakosha chekudzivirira. Huga hweropa hwakakwirira kwenguva yakareba hunogona kukuvadza tsinga ye vagus, saka kuchengetedza huga hwako hweropa mumamiriro akakodzera kunodzivirira hurongwa hwako hwekudya.

Mamwe matanho ekudzivirira anosanganisira:

• Kutora mishonga sezvakanyorwa uye kutaura nezvemigumisiro nechikurapa chako
• Kudzorera zvirwere zviripo senge zvirwere zve thyroid kana zvirwere zve autoimmune
• Kudya chikafu chakaenzana chine zvinovaka muviri
• Kuchengetedza mvura mumuviri
• Kudzivisa kunwa doro zvakanyanya
• Kutevera mirairo yekuopereta zvakanyatsojeka kana wakamboitwa kuopereta kwemudumbu

Kuongororwa nguva dzose nehutano hwako kunogona kubatsira kuwana zviratidzo zve gastroparesis pakutanga, kunyanya kana uine njodzi. Usanetseka kutaura nezviratidzo zve digestive, kunyange zvazvo zvinganzwa zvishoma.

Kana uri kutogara ne gastroparesis, kutevera chirongwa chako chekurapa nguva dzose kunogona kudzivirira matambudziko uye kubatsira kuchengetedza hupenyu hwako.

Gastroparesis inoziviswa sei?

Kuziva gastroparesis kunosanganisira bvunzo dzakawanda kuyeresa kuti mudumbu mako rinobvisa chikafu zvakanaka sei uye kubvisa zvimwe zvirwere. Chiremba wako anotanga nehurukuro yakadzama yezviratidzo zvako uye nhoroondo yemishonga.

Bvunzo dzekuongorora dzakajairika dzinosanganisira:

• Gastric emptying study - unodya chikafu chine huwandu hudiki hwezvinhu zvinoratidza, uye mifananidzo inotevera kuti chikafu chinobuda sei mudumbu mako
• Upper endoscopy - chubhu duku, yakapfava ine kamera inotarisa mukati memudumbu mako
• Smart pill study - unomedza chidiki chemagetsi chinoyeresa kumanikidza uye pH sezvo chikafu chikapfuura munzira yako yekudya
• Bvunzo dzeropa kuongorora chirwere cheshuga, matambudziko e thyroid, uye kushomeka kwezvinovaka muviri
• Bvunzo dzemhepo dzinoona huwandu hwebhakitiriya

Gastric emptying study inofungwa seyakakosha bvunzo yekuongorora. Uchadya chikafu chakaenzana (kazhinji mazai akasanganiswa ne toast), uye vanachiremba vachatora mifananidzo yemudumbu mako nguva nenguva kuona kuti chikafu chakawanda chakasara.

Chiremba wako anogonawo kuita bvunzo kuti abvise zvinhu zvinodzivisa kana mamwe matambudziko emuviri. Izvi zvinogona kusanganisira CT scans kana barium swallow studies, kwaunonwa mvura ine zvinhu zvinoratidza pa X-rays.

Maitiro ekuongorora anogona kutora nguva, asi zvakakosha kuva wakanyatsojeka. Kuwana kuongororwa kwakanyatsojeka kunoita kuti uwane kurapwa kwakakodzera mamiriro ako chaiwo.

Kurapa kwe gastroparesis ndekupi?

Kurapa kwe gastroparesis kunotarisa pakudzora zviratidzo, kuvandudza kubvisa chikafu mudumbu, uye kuchengetedza zvokudya zvakakwana. Chiremba wako achaita chirongwa chako pachako zvichienderana nehukuru hwemamiriro ako uye chikonzero chacho.

Kuchinja kudya kazhinji ndiyo nzira yekutanga yekurapa:

• Kudya zvishoma, zvakawanda zvechikafu zuva rese
• Kusarudza chikafu chisina fiber yakawanda, chisina mafuta akawanda izvo zviri nyore kugaya
• Kunwa mvura yakawanda, kunyanya nechikafu
• Kudzivisa zvinwiwa zvine carbon dioxide nemafat yakawanda
• Kudya chikafu chakapwanyika kana mvura panguva yekuzvimba

Mishonga inogona kubatsira kukurudzira kuita kwemishonga yemudumbu uye kuderedza kusvotwa. Sarudzo dzakajairika dzinosanganisira metoclopramide, domperidone (uye iripo), uye mishonga inorwisa kusvotwa senge ondansetron.

Kune zviitiko zvakakomba, kurapwa kwakakomba kunogona kudiwa. Izvi zvinosanganisira gastric electrical stimulation (pacemaker yemudumbu mako), botulinum toxin injections, kana kuopereta kubatsira chikafu kupfuura nyore.

Kana uine chirwere cheshuga, kuvandudza kudzora kwako kweropa kwakakosha kuti kurapwa kubudirire. Chiremba wako anogona kuchinja mishonga yako yechirwere cheshuga kana insulin regimen kuti ishande zvakanaka ne gastroparesis yako.

Nzira yekudzora sei gastroparesis pamba?

Kudzorera gastroparesis pamba kunosanganisira kusarudza zvakanyatsojeka kuti chii, rini, uye sei unodya. Kuchinja duku mumaitiro ako ezuva nezuva kunogona kuita musiyano mukuru mukunzwa kwako.

Tanga nekudya zvishoma zvakawanda zvechikafu kakawanda zuva rese. Pane kudya zvokudya zvitatu zvikuru, edza zvitanhatu zviduku. Izvi zvinoderedza kunetseka kwemudumbu mako uye zvinoita kuti chikafu chifambire nyore.

Tarisisa chikafu chinonyore kugaya:

• Muriwo wakabikwa zvakanaka (dzivisa muriwo mbishi kana une fiber yakawanda)
• Mapuroteni akapfava senge huku, hove, kana tofu
• Rice chena, pasta, uye zviyo zvakacheneswa
• Soups nebroths
• Smoothies neprotein shakes
• Applesauce nezvimwe zvibereko zvakapwanyika

Chengetera mvura mumuviri nekudya zvinwiwa zuva rese, asi dzivisa kunwa zvakawanda panguva yekudya sezvo izvi zvinogona kukonzera kunzwa wakazara nekukurumidza. Mvura inodziya kana ine tembiricha yekamuri kazhinji inonzwisisika kupfuura inotonhora.

Chengeta bhuku rechikafu kuti uone kuti chikafu chipi chinokonzera zviratidzo zvako. Zvinokonzera zvinhu zvakasiyana kune munhu wese, saka zvinoshanda kune vamwe zvingasashande kwauri.

Kuita zvemitambo zvinyoro senge kufamba mushure mekudya kunogona kubatsira kukurudzira kugaya. Zvisinei, dzivisa kurara nekukurumidza mushure mekudya, sezvo izvi zvinogona kuwedzera zviratidzo.

Ungagadzirira sei kuenda kuchiremba?

Kuenda wakagadzirira kunosangana nehutano hwako kunobatsira kuve nechokwadi chekuti unowana zvakawanda panguva yako nehutano hwako. Tanga nekunyora zviratidzo zvako zvese, kusanganisira kana zvichiitika uye zvinoratidzika kukonzera.

Uya nehutsanangudzo hwemishonga yako yese, kusanganisira mishonga yekutengesa uye zvinowedzerwa. Mishonga yakati inogona kuwedzera zviratidzo zve gastroparesis, saka chiremba wako anoda kuziva zvese zvaunotora.

Chengeta bhuku rechikafu nezviratidzo kwevhiki rimwe chete usati waenda kuchiremba. Nyora zvaunodya, kana wangozvidya, uye chero zviratidzo zvinotevera. Aya mashoko anokosha kwazvo pakuziviswa uye kuronga kurapwa.

Gadzira mibvunzo yekubvunza chiremba wako:

• Ndeapi bvunzo dzandinoda kuti ndizive chirwere ichi?
• Chii chinokonzera gastroparesis yangu?
• Ndeapi maitiro ekurapa aripo?
• Izvi zvichaita sei hupenyu hwangu hwezuva nezuva?
• Ndinofanira kuona nyanzvi yekudya here?
• Kune chikafu chandinofanira kudzivisa zvachose here?

Kana uine chirwere cheshuga, uya nehutsanangudzo hweshuga yako yeropa kuratidza kuti gastroparesis inogona kunge ichikanganisa kudzora kwako kweropa. Izvi zvinobatsira chiremba wako kubatanidza kurapwa kwako kwechirwere cheshuga ne gastroparesis.

Usakanganwa kutaura nezve nhoroondo yemhuri yezvirwere zve digestive kana zvirwere zve autoimmune, sezvo izvi dzimwe nguva zvinogona kubatana ne gastroparesis.

Chii chinonyanya kukosha nezve gastroparesis?

Gastroparesis chirwere chinogona kudzorwa chinokanganisa kuti mudumbu mako rinobvisa chikafu sei, asi nemazano chaiwo, unogona kuchengetedza hupenyu hwakanaka. Kunyange zvazvo zvingada kuchinja mumaitiro ako ekudya uye hupenyu, vanhu vakawanda vanodzora zviratidzo zvavo zvakanaka.

Chinonyanya kukosha ndechekuyeuka kuti gastroparesis inokanganisa munhu wese zvakasiyana. Zvinoshanda kune mumwe munhu zvingasashande kune mumwe, saka iva nemoyo murefu sezvaunowana iwe nesangano rako rehutano musanganiswa wakakodzera wekurapa kwauri.

Kuongororwa nekukurumidza uye kurapwa kunogona kudzivirira matambudziko uye kukubatsira kunzwa uri nani nekukurumidza. Kana uri kunzwa zviratidzo senge kusvotwa kwenguva refu, kuzara nekukurumidza, kana kurutsa kwasinganzwisisiki, usanetseka kutaura nachiremba wako.

Yeuka kuti kudzora gastroparesis ibasa rechikwata rinosanganisira iwe, chiremba wako, uye zvichida nyanzvi yekudya kana vamwe nyanzvi. Nekutarisirwa kwemishonga yakakodzera, kuchinja kudya, uye dzimwe nguva mishonga, vanhu vakawanda vane gastroparesis vanogona kurarama upenyu hwakazara, hunoshanda.

Mibvunzo inowanzo bvunzwa nezve gastroparesis

Gastroparesis inogona kupera pachayo here?

Zvimwe zviitiko zve gastroparesis, kunyanya izvo zvinokonzerwa nemishonga kana zvirwere zvehutachiona, zvinogona kuvandudza nekufamba kwenguva. Zvisinei, zvirwere zvakareba senge diabetic gastroparesis kazhinji zvinodiwa kudzorwa nguva dzose pane kupora zvachose. Nekurapwa kwakakodzera, zviratidzo kazhinji zvinovandudza zvikuru kunyange kana chirwere chisingaperi zvachose.

Gastroparesis chirwere chakakomba here?

Gastroparesis inogona kuva yakakomba kana ikasadzorerwa, zvichikonzera kushaya zvokudya zvakakwana, kushaya mvura, uye matambudziko eshuga yeropa. Zvisinei, nekutarisirwa kwemishonga yakakodzera uye kuchinja hupenyu, vanhu vakawanda vanodzora zviratidzo zvavo zvakanaka uye kuchengetedza hupenyu hwakanaka. Chinhu chikuru ndechekushanda pedyo nesangano rako rehutano kudzivirira matambudziko.

Ndeapi mavara andinofanira kudzivisa ne gastroparesis?

Kazhinji, unofanira kuderedza chikafu chine fiber yakawanda (senge muriwo mbishi nezviyo zvizere), chikafu chine mafuta akawanda (izvo zvinononoka kugaya), uye zvinwiwa zvine carbon dioxide. Chikafu chinonetsa kugaya, senge nati, mbeu, nenyama yakaoma, zvinogonawo kukonzera matambudziko. Zvisinei, zvinokonzera zvinhu zvakasiyana kune munhu wese, saka kuchengetedza bhuku rechikafu kunobatsira kuziva zvinhu zvinokukanganisa.

Kunetseka kunogona kuwedzera gastroparesis here?

Hongu, kunetseka kunogona kuwedzera zviratidzo zve gastroparesis nekukanganisa kushanda kwehurongwa hwako hwekudya. Mazano ekudzora kunetseka senge kufema kwakadzika, kufungisisa, kana kuita zvemitambo zvinyoro zvinogona kubatsira kuvandudza zviratidzo zvako. Vanhu vakawanda vanoona kuti kudzora kunetseka chikamu chakakosha chechirongwa chavo chekurapa gastroparesis.

Ndichada kuopereta nekuda kwe gastroparesis here?

Vanhu vakawanda vane gastroparesis havadi kuopereta uye vanogona kudzora mamiriro avo nekuchinja kudya nemishonga. Kuopereta kazhinji kunoshandiswa kune zviitiko zvakakomba izvo zvisingapindure kurapwa kwakasiyana. Sarudzo dzinogona kusanganisira gastric electrical stimulation kana kuita kuti chikafu chifambire nyore nyore mudumbu, asi izvi zvinofungwa chete kana nzira dzakasiyana dzisina kubudirira.