Uhlobo lwe-2 lweSwekile kunye neGastroparesis

Umxholo

• Iimpawu
• Imiba yomngcipheko
• Oonobangela
• Iingxaki
• Uthintelo kunye nonyango
• Imbonakalo

Ushwankathelo

I-Gastroparesis, ekwabizwa ngokuba kukulibazisa ukukhupha isisu, kukuphazamiseka kwendlela yokwetyisa ebangela ukuba ukutya kuhlale esiswini kangangexesha elide kune-avareji. Oku kwenzeka ngenxa yokuba imithambo-luvo ehambisa ukutya kumzila wokugaya yonakele, ngoko ke izihlunu azisebenzi kakuhle. Ngenxa yoko, ukutya kuhlala esiswini kungagqitywanga. Unobangela oqhelekileyo we-gastroparesis sisifo seswekile. Ingakhula kwaye iqhubeke ngokuhamba kwexesha, ngakumbi kwezo zinamazinga eswekile yegazi angalawulekiyo.

Iimpawu

Ezi zilandelayo ziimpawu zegastroparesis:

• isilungulela
• isicaphucaphu
• ukugabha kokutya okungacetywanga
• ukugcwala kwangoko emva kwesidlo esincinci
• ukuhla ukusinda
• ukudumba
• Ukuphelelwa ngumdla wokutya
• amanqanaba eglucose egazini ekunzima ukuzinzisa
• isisu esiswini
• i-asidi ye-asidi

Iimpawu ze-Gastroparesis zinokuba zincinci okanye zibukhali, kuxhomekeke kumonakalo kwi-vagus nerve, i-nerve ende ye-cranial ephuma kwingqondo iye kwizitho zesisu, kubandakanya nezo zokugaya ukutya. Iimpawu zinokuqhambuka nangaliphi na ixesha, kodwa zixhaphake kakhulu emva kokutya ukutya okunefayibha ephezulu okanye ukutya okunamafutha aphezulu, konke oku kuyacotha ukwetyisa.

Imiba yomngcipheko

Abasetyhini abanesifo seswekile banomngcipheko ophezulu wokuphuhlisa i-gastroparesis. Ezinye iimeko zinokudibanisa umngcipheko wokuphuhlisa ingxaki, kubandakanya utyando lwangaphambilini lwesisu okanye imbali yokuphazamiseka kwindlela otya ngayo.

Izifo kunye neemeko ngaphandle kweswekile zinokubangela i-gastroparesis, enje:

• usulelo lwentsholongwane
• isifo se-acid reflux
• ukuphazamiseka kwezihlunu

Ezinye izifo zinokubangela iimpawu zegastroparesis, kubandakanya:

• Isifo sikaParkinson
• pancreatitis ezingapheliyo
• icystic fibrosis
• isifo sezintso
• Isifo sikaTurner

Ngamanye amaxesha akukho sizathu saziwayo sinokufunyanwa, kwanasemva kovavanyo olubanzi.

Oonobangela

Abantu abane-gastroparesis banomonakalo kwi-vagus nerve yabo. Oku kuphazamisa ukusebenza kwemithambo-luvo kunye nokwetyisa ngenxa yokuba iimpembelelo ezifunekayo ukukhupha ukutya ziyacothiswa okanye ziyekwe. I-Gastroparesis kunzima ukuyifumanisa kwaye ngenxa yoko ihlala ingafumaneki. Abantu abanesifo seswekile sokuqala basukela kwiipesenti ezingama-27 ukuya kwezingama-58 kwaye kwabo bane-2 yeswekile baqikelelwa kwiipesenti ezingama-30.

I-Gastroparesis ixhaphake kakhulu kubantu abanamaqondo aphezulu, angalawulekiyo eswekile yegazi ngaphezulu kwexesha elide. Ixesha elongeziweyo leswekile ephezulu egazini ibangela ukonakala kwethambo emzimbeni wonke. Amanqanaba eswekile yegazi angapheliyo kwaye onakalise imithambo yegazi ebonelela ngemithambo kunye namalungu omzimba ngesondlo kunye neoksijini, kubandakanya i-vagus nerve kunye ne-digestive tract, zombini ezi zinto zikhokelela kwi-gastroparesis.

Ngenxa yokuba i-gastroparesis sisifo esiqhubela phambili, kwaye ezinye zeempawu zayo ezinjengokutsha kwentliziyo okanye isicaphucaphu zibonakala ziqhelekile, ngekhe uqaphele ukuba unale ngxaki.

Iingxaki

Xa ukutya kungagaywanga ngokwesiqhelo, kunokuhlala ngaphakathi esiswini, kubangele iimpawu zokugcwala kunye nokudumba. Ukutya okungafunekiyo kunokwenza kwakhona iziqu ezomeleleyo ezibizwa ngokuba zi-bezoars ezinokuthi zibe negalelo:

• isicaphucaphu
• ukugabha
• ukuphazamiseka kwamathumbu amancinci

I-Gastroparesis iveza iingxaki ezibalulekileyo kubantu abanesifo seswekile kuba ukulibaziseka ekucoleni ukutya kwenza kube nzima ukulawula iswekile yegazi. Esi sifo senza ukuba inkqubo yokugaya ukutya kunzima ukuyilandela, ke ukufundwa kweswekile kunokutshintsha. Ukuba uneglucose yokufunda engalunganga, yabelana nogqirha wakho, kunye nazo naziphi na ezinye iimpawu ohlangabezana nazo.

I-Gastroparesis yimeko engapheliyo, kwaye ukuba nesifo kunokuziva kunzima. Ukuqhubeka nenkqubo yokwenza utshintsho kwindlela yokutya kunye nokuzama ukulawula amanqanaba eswekile yegazi ngelixa uziva ugula kwaye ubucaphukisa ukuya kwinqanaba lokugabha kuyadinisa. Abo bane-gastroparesis bahlala beziva bekhathazekile kwaye bedandathekile.

Uthintelo kunye nonyango

Abantu abane-gastroparesis kufuneka bakuphephe ukutya ifayibha ephezulu, ukutya okunamafutha aphezulu, njengoko bethatha ixesha elide ukwetyisa. Oku kubandakanya:

• ukutya okuluhlaza
• Iziqhamo ezinefayibha ephezulu kunye nemifuno enjenge-broccoli
• Iimveliso zobisi ezityebileyo, ezinje ngobisi olupheleleyo kunye ne-ayisi khrim
• iziyobisi

Oogqirha bakwacebisa ukutya ukutya okuncinci imini yonke, kunye nokutya okuxutyiweyo xa kufuneka njalo. Kubalulekile ukuba uzigcine unkcenkceshelwe ngokufanelekileyo nangakumbi, ngakumbi ukuba uyagabha.

Ugqirha wakho uya kulungelelanisa kwakhona irejimeni yakho ye-insulin njengoko kufuneka. Banokucebisa oku kulandelayo:

• ukuthatha i-insulin rhoqo okanye ukutshintsha uhlobo lwe-insulin oyithathayo
• ukuthatha i-insulin emva kokutya, endaweni yangaphambili
• Ukujonga amanqanaba eglucose rhoqo emva kokutya kunye nokuthatha i-insulin xa kukho imfuneko

Ugqirha wakho uya kuba nakho ukukunika imiyalelo ethe ngqo malunga nokuba uyithatha njani kwaye uyithatha nini na i-insulin yakho.

Ukunyusa umbane esiswini lunyango olunokwenzeka kumatyala abuhlungu e-gastroparesis. Kule nkqubo, isixhobo sifakwa ngotyando esiswini sakho kwaye sihambisa iimpompo zombane kwimithambo-luvo nakwimisipha egudileyo yenxalenye esezantsi yesisu sakho. Oku kunokunciphisa isicaphucaphu nokugabha.

Kwiimeko ezinzima, ixesha elide abanesifo se-gastroparesis banokusebenzisa iityhubhu zokondla kunye nokutya okungamanzi kwisondlo.

Imbonakalo

Akukho lunyango lwe-gastroparesis. Yimeko engapheliyo. Nangona kunjalo, inokulawulwa ngempumelelo ngotshintsho kwindlela yokutya, amayeza, kunye nolawulo olululo lweglucose yegazi. Kuya kufuneka wenze utshintsho oluthile, kodwa ungaqhubeka nokuphila ubomi obusempilweni nobonelisayo.