Gastroparesis

Gastroparesis ndichikhalidwe chomwe chimachepetsa kuthekera kwa m'mimba kutulutsa zonse zomwe zili mkatimo. Sizimaphatikizapo kutseka (kutsekeka).

Zomwe zimayambitsa gastroparesis sizikudziwika. Zitha kuchitika chifukwa cha kusokonezeka kwa ziwonetsero zamitsempha m'mimba. Vutoli limakhala vuto wamba la matenda ashuga. Itha kutsatiranso maopaleshoni ena.

Zowopsa za gastroparesis ndizo:

• Matenda a shuga
• Gastrectomy (opaleshoni kuchotsa gawo la m'mimba)
• Zofunafuna ziwalo
• Kugwiritsa ntchito mankhwala omwe amaletsa zizindikiritso zina zamagetsi (mankhwala a anticholinergic)

Zizindikiro zimaphatikizapo:

• Kutsegula m'mimba
• Hypoglycemia (mwa anthu omwe ali ndi matenda ashuga)
• Nseru
• Kukwanira m'mimba msanga mukatha kudya
• Kuchepetsa thupi osayesa
• Kusanza
• Kupweteka m'mimba

Mayeso omwe mungafunike ndi awa:

• Esophagogastroduodenoscopy (EGD)
• Kuphunzira m'mimba (kugwiritsa ntchito kulemba kwa isotope)
• Mndandanda wapamwamba wa GI

Anthu omwe ali ndi matenda a shuga nthawi zonse amayenera kuwongolera shuga. Kulamulira bwino kwa shuga m'magazi kumatha kusintha zizindikiritso za gastroparesis. Kudya zakudya zazing'ono komanso pafupipafupi komanso zakudya zofewa kungathandizenso kuchepetsa zizindikilo.

Mankhwala omwe angathandize ndi awa:

• Mankhwala a Cholinergic, omwe amagwiritsa ntchito acetylcholine mitsempha yolandirira
• Mankhwalawa
• Metoclopramide, mankhwala omwe amathandiza kutulutsa m'mimba
• Mankhwala osokoneza bongo a Serotonin, omwe amagwira ntchito pama serotonin receptors

Mankhwala ena atha kukhala:

• Poizoni wa Botulinum (Botox) wolowetsedwa m'mimba (pylorus)
• Njira zopangira opaleshoni zomwe zimatsegula kutsegula pakati pa m'mimba ndi m'matumbo ang'onoang'ono kuti chakudya chiziyenda mosavuta m'mimba (gastroenterostomy)

Mankhwala ambiri amawoneka kuti amangopindulitsa kwakanthawi.

Mseru womwe ukupitilira ndi kusanza kumatha kuyambitsa:

• Kutaya madzi m'thupi
• Kusagwirizana kwa Electrolyte
• Kusowa zakudya m'thupi

Anthu omwe ali ndi matenda ashuga atha kukhala ndi mavuto akulu chifukwa cholephera kuwongolera shuga.

Kusintha kwa zakudya zanu kungathandize kuchepetsa zizindikiro. Itanani yemwe akukuthandizani ngati zizindikiro zikupitilira kapena ngati muli ndi zizindikilo zatsopano.

Gastroparesis matenda ashuga; Kuchedwa kutulutsa m'mimba; Matenda a shuga - gastroparesis; Ashuga neuropathy - gastroparesis

• Dongosolo m'mimba
• Mimba

Bircher G, Woodrow G. Gastroenterology ndi zakudya m'thupi la matenda a impso. Mu: Feehally J, Floege J, Tonelli M, Johnson RJ, olemba. Chachikulu Chachipatala Nephrology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2019: mutu 86.

Koch KL. Gastric neuromuscular function ndi zovuta za neuromuscular. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 49.