Type 2 Matenda a shuga ndi Gastroparesis
Zamkati
Chidule
Gastroparesis, yotchedwanso kuchedwetsa kutulutsa kwa m'mimba, ndimatenda am'mimba omwe amachititsa kuti chakudya chikhale m'mimba kwakanthawi kotalikirapo kuposa pafupipafupi. Izi zimachitika chifukwa mitsempha yomwe imasuntha chakudya kudzera munjira yogaya imawonongeka, chifukwa chake minofu siyigwira bwino ntchito. Zotsatira zake, chakudya chimakhala m'mimba osadya. Chifukwa chofala kwambiri cha gastroparesis ndi matenda ashuga. Ikhoza kukula ndikupita patsogolo pakapita nthawi, makamaka kwa iwo omwe ali ndi magawo osagwedezeka wamagazi.
Zizindikiro
Izi ndi zizindikiro za gastroparesis:
- kutentha pa chifuwa
- nseru
- kusanza kwa chakudya chosagayidwa
- kukhuta msanga atadya pang'ono
- kuonda
- kuphulika
- kusowa chilakolako
- shuga wamagazi omwe ndi ovuta kukhazikika
- kupweteka m'mimba
- Reflux ya asidi
Zizindikiro za Gastroparesis zitha kukhala zazing'ono kapena zazikulu, kutengera kuwonongeka kwa mitsempha ya vagus, mitsempha yayitali yomwe imachokera kuubongo kupita kumimba, kuphatikizaponso ya m'mimba. Zizindikiro zimatha kuyaka nthawi iliyonse, koma zimafala kwambiri mukadya zakudya zamafuta ambiri kapena zamafuta ambiri, zomwe zimachedwa kugaya.
Zowopsa
Amayi omwe ali ndi matenda ashuga ali pachiwopsezo chachikulu chotenga gastroparesis. Zinthu zina zitha kupangitsa kuti mukhale ndi vuto lodana ndi matendawa, kuphatikiza maopaleshoni am'mbuyomu am'mbuyomu kapena mbiri yovuta yakudya.
Matenda ndi mikhalidwe ina kupatula matenda ashuga imatha kuyambitsa gastroparesis, monga:
- matenda opatsirana
- matenda a asidi Reflux
- yosalala minofu kusokonezeka
Matenda ena amatha kuyambitsa matenda a gastroparesis, kuphatikiza:
- Matenda a Parkinson
- matenda kapamba
- cystic fibrosis
- matenda a impso
- Matenda a Turner
Nthawi zina palibe chifukwa chodziwika chomwe chingapezeke, ngakhale atayesedwa kwambiri.
Zoyambitsa
Anthu omwe ali ndi gastroparesis ali ndi vuto kumitsempha yawo ya vagus. Izi zimawononga kugwira ntchito kwa mitsempha ndi chimbudzi chifukwa zikhumbo zomwe zimafunikira chakudya zimachedwa kapena kuimitsidwa. Gastroparesis ndi yovuta kuzindikira ndipo motero nthawi zambiri imapezeka. Mwa anthu omwe ali ndi matenda a shuga amtundu woyamba 1 amakhala pakati pa 27 mpaka 58 peresenti ndipo kwa iwo omwe ali ndi matenda a shuga amtundu wa 2 akuti pafupifupi 30 peresenti.
Gastroparesis imafala kwambiri kwa anthu omwe ali ndi milingo yayikulu, yosalamulirika ya magazi kwa nthawi yayitali. Kutalika kwa shuga wambiri m'magazi kumawononga mitsempha m'thupi lonse. Kuchuluka kwa shuga m'magazi kumawononganso mitsempha yamagazi yomwe imapatsa thupi ndi ziwalo zathupi zakudya zopatsa thanzi komanso mpweya wabwino, kuphatikiza vagus mitsempha ndi kagayidwe kazakudya, zomwe pamapeto pake zimabweretsa gastroparesis.
Chifukwa gastroparesis ndi matenda opita patsogolo, ndipo zina mwazizindikiro zake monga kutentha pa chifuwa kapena mseru zimawoneka zofala, mwina simudziwa kuti muli ndi matendawa.
Zovuta
Chakudya chikapanda kugayidwa bwinobwino, chimatha kukhalabe m'mimba, ndikupangitsa kuti thupi likhale lokhuta komanso likulephera. Chakudya chosagwiritsidwa ntchito chimatha kupanganso magulu olimba otchedwa bezoars omwe angapangitse kuti:
- nseru
- kusanza
- kutsekeka kwa matumbo ang'onoang'ono
Gastroparesis imabweretsa mavuto akulu kwa anthu omwe ali ndi matenda ashuga chifukwa kuchedwa kwa chimbudzi kumapangitsa kuti kuwongolera magazi m'magazi kukhale kovuta. Matendawa amathandizira kuti chimbudzi chikhale chovuta kutsatira, chifukwa chake kuwerengetsa kwa glucose kumatha kusinthasintha. Ngati mukuwerenga molakwika shuga, gawani dokotala wanu, komanso zizindikilo zina zomwe mukukumana nazo.
Gastroparesis ndi matenda osachiritsika, ndipo kukhala ndi matendawa kumatha kukhala kovuta. Kupitiliza kupanga zosintha pazakudya ndikuyesera kuchepetsa kuchuluka kwa shuga wamagazi ndikumva kudwala ndikunyansidwa mpaka kusanza ndikutopetsa. Omwe ali ndi gastroparesis nthawi zambiri amakhumudwa komanso kukhumudwa.
Kupewa ndi chithandizo chamankhwala
Anthu omwe ali ndi gastroparesis ayenera kupewa kudya zakudya zopatsa thanzi, zamafuta ambiri, chifukwa amatenga nthawi yayitali kukumba. Izi zikuphatikiza:
- zakudya zosaphika
- Zipatso ndi ndiwo zamasamba apamwamba ngati broccoli
- Zakudya zabwino za mkaka, monga mkaka wonse ndi ayisikilimu
- Zakumwa za carbonate
Madokotala amalimbikitsanso kudya zakudya zazing'ono tsiku lonse, komanso zakudya zosakanikirana ngati pakufunika kutero. Ndikofunika kuti muzisungunuka mokwanira komanso, makamaka ngati mwasanza.
Dokotala wanu amathanso kusintha mayendedwe anu a insulin momwe angafunikire. Angalimbikitse zotsatirazi:
- kumwa insulin pafupipafupi kapena kusintha mtundu wa insulin womwe mumamwa
- kumwa insulin mukatha kudya, m'malo moyambiranso
- kuwunika kuchuluka kwa magazi m'magazi pafupipafupi mukatha kudya ndikumwa insulini pakafunika kutero
Dokotala wanu adzakupatsani malangizo achindunji amomwe mungatengere insulini yanu komanso nthawi yanji.
Kukondoweza kwamagetsi ndi njira yothetsera zovuta za gastroparesis. Pochita izi, chida chimayikidwa m'mimba mwanu ndipo chimapereka mphamvu zamagetsi kumitsempha ndi minofu yosalala ya m'munsi mwa mimba yanu. Izi zitha kuchepetsa mseru komanso kusanza.
Pazovuta kwambiri, odwala nthawi yayitali a gastroparesis atha kugwiritsa ntchito machubu odyetsa komanso chakudya chamadzi chopatsa thanzi.
Chiwonetsero
Palibe mankhwala a gastroparesis. Ndi matenda osatha. Komabe, itha kuyendetsedwa bwino ndi kusintha kwa zakudya, mankhwala, komanso kuwongolera shuga wamagazi. Muyenera kusintha zina, koma mutha kupitiliza kukhala ndi moyo wathanzi komanso wokhutiritsa.