Kutaya kwa Mimba Yam'mbuyo - Chodabwitsa Chakudya Chachidwi
Kodi msuzi wanu wa shuga umatha nthawi yokadya kapena kodi mumazizira mofulumira? Kodi muli ndi chisokonezo cham'mawa? Kungakhale kovuta ndi chimbudzi, monga gastroparesis . Ichi ndi chikhalidwe chimene nthawi zina chimatchedwanso kuchedwa kutaya mimba. Kuwombera kumachepa chifukwa cha kuwonongeka kwa mitsempha yomwe ingayambitse matenda ochepa m'mimba. Ngakhale pangakhale zifukwa zina, shuga ndi yowonjezeka kwambiri.
Kutsekedwa kwa mimba kumatenda kumachitika pakati pa 30-50% a anthu omwe ali ndi shuga.
Matenda a shuga angayambitse ku Gastroparesis - Kutaya kwa Mimba Yamatenda
Kusamalidwa bwino kwa matenda a shuga ndi mitsempha yapamwamba kapena matenda a shuga kwa nthawi yayitali kungayambitse mitsempha ya vagus ndipo ikhoza kuyambitsa mitundu yambiri ya gastroparesis. Mitsempha ya vagus imayendetsa minofu m'magazi omwe amathandizira kusuntha chakudya. Pamene mitsempha ndi minofu sizigwira ntchito bwino, chakudya sichimasuntha kapena chimayenda pang'onopang'ono kudutsa m'mimba. Matendawa amaoneka kuti amapezeka nthawi zambiri mwazimayi. Gastroparesis imatha kuyambitsa matenda oyambitsa matenda a shuga.
Zifukwa Zina Kuwonjezera pa Shuga
Zina mwazifukwa za gastroparesis zimakhala ndi matenda a tizilombo, mankhwala ena, opaleshoni, matenda a anorexia, bulimia, matenda a reflux (GERD), hypothyroidism , matenda osokoneza mitsempha, ndi matenda a mitsempha ya mitsempha.
Zovuta Zopangidwa ndi Gastroparesis
Mukadwala matenda a shuga, nthawi zambiri mumapemphedwa kuti muwone shuga yanu 1-2 maola mutatha kudya.
Ngati mutenga insulini, muyenera kutaya jekeseni wanu wa insulini malinga ndi momwe msinkhu wanu wa shuga umayambira. Pamene kutsekemera kwa mimba kumachedwetsa, shuga lanu la shuga la magazi likhoza kuwuka komanso kumapeto kwake kuposa momwe likuyembekezeredwa ndi kusadziŵika.
Chakudya chomwe chimakhala motalika kwambiri mmimba ndi ferments chingayambitse mabakiteriya ochulukirapo.
Chakudya chingakhalenso chovuta komanso kupanga mabala omwe amatchedwa bezoars omwe angayambitse kusokoneza ndi kusuta ndi kusanza.
Zovuta zina zikuphatikizapo kusoŵa zakudya m'thupi, kutopa, ndi kuwonongeka kwa kusanza ndi kuchepa kwa njala.
Zizindikiro za Gastroparesis
- Kuthamangitsani
- Kuwombera (makamaka chakudya chosagwiritsidwa ntchito)
- Nausea (chisokonezo chosautsa kapena cham'mawa)
- Kumva kukhuta mutatha kudya pang'ono
- Njala yosauka
- Mpweya woipa
- Mavuto osakaniza a shuga m'magazi
- Kutaya thupi
- Kutseka
- Palpitations
- Mimba yam'mimba
- Mimba yopweteka kapena kupweteka
- Reflux ya gastroesophageal
Kodi Gastroparesis Amadziwika Bwanji?
Kuzindikira kwa gastroparesis kumatengera momwe zimatengera nthawi kuti mimba ikhale yopanda kanthu. Zizindikiro zingakhale zofewa kapena zovuta koma izi sizikutanthauza kuopsa kwake. Munthu akhoza kukhala ndi zizindikiro zochepa koma ali ndi vuto lalikulu la gastroparesis. Munthu yemwe alibe zizindikiro zambiri akhoza kukhala ndi shuga wodetsedwa m'magazi, kumwa mankhwala osakwanira, ndi kuchepetsa kudya.
Zifukwa zina za zizindikiro zanu ziyenera kuthetsedwa. Izi zikhoza kuchitika ndi mapepala apamwamba otchedwa endoscopy , omwe amalola dokotala kufufuza momwe mimba imayambira. An ultrasound ingathandize kuthetsa zifukwa monga matenda a ndulu ndi chifuwa chachikulu. Mayeso a Laboratory angagwiritsidwe ntchito pofufuza zowonjezera zina, monga matenda osokoneza ubongo ndi magulu osadziwika a electrolyte.
Dokotala wanu akhoza kuchita mayesero omwe amathandizira kuwonetsa mimba yachisawawa ndikuthandizira kuthetsa zolepheretsa. M'mayesero awa, mudya chakudya kapena madzi omwe ali ndi chinthu chomwe chingathe kuwonetsedwa kudzera pa x ray kapena njira zina. Mayeserowa angaphatikizepo barium x-ray, barium beefsteak chakudya, kapena kanema ya radioisotope-kutaya kuyesa. Chipangizo chochepa chomwe chimatchedwa SmartPill chilipo, chomwe chingamezedwe ndi kusonkhanitsa zowonjezereka pamene chimadutsa m'magawo.
Mayesero ena ndi monga chapamimba manometry pomwe chubu imayikidwa kupyolera pakamwa mpaka m'mimba kuyesa ntchito zamagetsi ndi minofu nthawi ya chimbudzi.
Kuyezetsa mpweya kungagwiritsidwenso ntchito kuti ziwonetsere momwe mwamsanga zimakhalira m'mimba.
Chithandizo cha Gastroparesis
- Kudya zakudya zing'onozing'ono, nthawi zambiri kungakuthandizeni kupeŵa chakudya chochuluka m'mimba nthawi imodzi. Dokotala wanu akhoza kukupemphani kuti mudye chakudya chazing'ono zisanu ndi chimodzi patsiku. Zakudya zodyera zikhoza kulamulidwa mpaka pali kusintha. Mankhwalawa amatha kupyolera m'thupi mwachangu powapatsa chakudya chofunikira kwambiri.
- Kuchepetsa kapena kuchepetsa zakudya zamtengo wapatali komanso zam'mwamba. Zakudya izi zikhoza kuchepetsa kuchepa.
- Chotsani kapena kuchepetsa zakudya zomwe zimapangitsa ntchito yamagazi. Zakudya zimenezi zimaphatikizapo zakudya zamkaka, zakudya zam'mwamba, zakudya zokometsera zokometsera, mchenga, ndi caffeine.
- Sintha insulini regimen ngati mutenga insulini. Dokotala wanu angakufunseni kuti mutenge insulini mukatha kudya komanso nthawi zambiri. Izi ziyenera kuchitidwa ndi chitsogozo cha dokotala wanu. Muyenera kuyang'ana ma shuga a magazi anu nthawi zambiri monga mwa malangizo a dokotala wanu.
- Pezani ma shuga a magazi mu ulamuliro.
- Mankhwala, monga metoclopramide ndi erythromycin, angapangidwe. Mankhwala a zinthu zina nthawi zina amagwiritsidwa ntchito, monga Viagra, mirtazapine, kapena jekeseni wa Botox.
- Pazirombo zoopsa kwambiri, chubu chodyetsa chikhoza kulowetsedwa m'katikati mwa matumbo omwe amalola kuti zakudya zowonjezera zikhale zoperekera pozungulira mimba yonse.
- Chakudya chogonana ndizosiyana ndi jjunostomy. Ngati mankhwalawa akugwiritsidwa ntchito, zakudya zimaperekedwa m'magazi kudzera mu kathete yomwe imayikidwa mu mitsempha ya chifuwa.
- Kachilombo kamene kamayambitsa matendawa ndi mtundu wa "pacemaker" womwe umagwiritsidwa ntchito pa batri ndipo amaikidwa opaleshoni kuti awathandize kuchira.
Maganizo a shuga
Kusintha kwa zakudya zofunika pakuthandizira gastroparesis kungawoneke kuthamanga motsutsana ndi zakudya zokhudzana ndi matenda a shuga. Mwachitsanzo, mukakhala ndi matenda a shuga, ndikulimbikitseni kuti mudye zakudya zamtundu wapamwamba-komabe mungapemphe kuti muteteze zakudya izi kuti muthe mankhwala a gastroparesis. Muyenera kugwira ntchito ndi dokotala wanu ndi gulu la chisamaliro cha shuga kuti mubwere ndi dongosolo labwino la zakudya ndi shuga ya regimen kuti muyambe matenda onse a shuga ndi gastroparesis.
Zotsatira:
Gastroparesis. Association of American Diabetes Association. June 27. 2014.
Gastroparesis. National Institute of Diabetes ndi Matenda a Kumimba ndi Impso. June, 2012
Tonzi MSN NP CGRN, Martha K; Kulephera PhD RN MC-ADM, FAAN, James. "Kumvetsa Gastroparesis: Phunziro la Nkhani." Mayi Waukuta July / August 2002 25 (4): 154-160