Gastroparesis

I-Gastroparesis yimeko enciphisa amandla esisu ukukhupha iziqulatho zayo. Akubandakanyi ukubhloka (isithintelo).

Unobangela ngqo wegastroparesis awaziwa. Ingabangelwa kukuphazanyiswa kweempawu zemithambo-luvo esiswini. Imeko yingxaki eqhelekileyo yesifo seswekile. Ikwanokulandela utyando oluthile.

Imiba yomngcipheko we-gastroparesis ibandakanya:

• Seswekile
• I-Gastrectomy (utyando lokususa inxenye yesisu)
• Inkqubo yesclerosis
• Ukusetyenziswa kweyeza kuthintela imiqondiso ethile ye-nerve (iyeza le-anticholinergic)

Iimpawu zingabandakanya:

• Ukuqaqanjelwa sisisu
• Hypoglycemia (kubantu abanesifo seswekile)
• Isicaphucaphu
• Ukugcwala kwangaphambi kwesisu emva kokutya
• Ukwehla kobunzima ngaphandle kokuzama
• Ukuhlanza
• Intlungu zesisu

Uvavanyo onokulufuna lubandakanya:

• I-Esophagogastroduodenoscopy (i-EGD)
• Isifundo sokukhupha isisu (usebenzisa i-isotope labeling)
• Uthotho oluphezulu lwe-GI

Abantu abanesifo seswekile kufuneka balawule amanqanaba eswekile yegazi. Ukulawulwa okungcono kwenqanaba leswekile yegazi kunokuphucula iimpawu zegastroparesis. Ukutya ukutya okuncinci kunye nokutya okuthambileyo kunokunceda ekunciphiseni ezinye iimpawu.

Amayeza anokunceda kubandakanya:

• Amachiza eCholinergic, asebenza kwii-acetylcholine nerve receptors
• Erythromycin
• I-Metoclopramide, iyeza elinceda ukukhupha isisu
• Iziyobisi ezichasene neSerotonin, ezisebenza kwii-receptors ze-serotonin

Olunye unyango lunokubandakanya:

• Ityhefu yeBotulinum (Botox) ingene kwindawo esiswini (pylorus)
• Inkqubo yotyando eyenza ukuvulwa phakathi kwesisu kunye namathumbu amancinci ukuvumela ukutya ukuba kuhambe ngokugaya ngokulula (gastroenterostomy)

Unyango oluninzi lubonakala ngathi lunikeza uncedo lwethutyana kuphela.

Isicaphucaphu esiqhubekayo kunye nokugabha kunokubangela:

• Ukuphelelwa ngamanzi emzimbeni
• Ukungalingani kwe-Electrolyte
• Ukungondleki

Abantu abanesifo seswekile banokuba neengxaki ezinzima kulawulo lweswekile egazini.

Utshintsho kwindlela otya ngayo lunokunceda ukulawula iimpawu. Fowunela umboneleli wakho wezempilo ukuba iimpawu ziyaqhubeka okanye ukuba uneempawu ezintsha.

Gastroparesis seswekile; Ukulibazisa ukukhupha isisu; Seswekile - gastroparesis; Isifo seswekile neuropathy - gastroparesis

• Inkqubo yokwetyisa
• Isisu

Bircher G, Woodrow G. Gastroenterology kunye nesondlo kwizifo zezintso ezingapheliyo. Ku: Feehally J, Floege J, Tonelli M, Johnson RJ, ii-eds. I-Clinical Nephrology epheleleyo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2019: isahluko 86.

Koch KL. Umsebenzi we-gastric neuromuscular function kunye nokuphazamiseka kwe-neuromuscular. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 49.