Type 2 Matenda a shuga ndi GI: Kumvetsetsa ulalo

Zamkati

• Chidule
• Matenda a reflux a gastroesophageal (GERD) / kutentha pa chifuwa
• Kuvuta kumeza (dysphagia)
• Gastroparesis
• Matenda opatsirana m'mimba
• Matenda a chiwindi
• Pancreatitis
• Nthawi yoti muwonane ndi dokotala
• Kutenga

Chidule

Mtundu wachiwiri wa shuga ndi matenda a shuga wambiri m'magazi. Thupi lanu limatha kulimbana ndi zovuta za mahomoni a insulin, omwe nthawi zambiri amatulutsa shuga (shuga) m'magazi anu ndikulowetsa m'maselo anu.

Kuchuluka kwa shuga wamagazi kumawononga ziwalo ndi ziphuphu mthupi lanu lonse, kuphatikiza zomwe zili mu tsamba lanu la GI.

Mpaka 75 peresenti ya anthu omwe ali ndi matenda ashuga ali ndi vuto linalake la GI. Zizindikiro zodziwika ndizo:

• kutentha pa chifuwa
• kutsegula m'mimba
• kudzimbidwa

Zambiri mwazovuta za GI zimayambitsidwa ndi kuwonongeka kwa mitsempha kuchokera ku shuga wambiri wamagazi (matenda ashuga amanjenje).

Mitsempha ikawonongeka, kum'mero ​​ndi m'mimba sizingagwirizane momwe zimafunikiranso kukankhira chakudya kudzera mu tsamba la GI. Mankhwala ena omwe amachiza matenda a shuga amathanso kuyambitsa mavuto a GI.

Nazi zina mwazovuta za GI zolumikizidwa ndi matenda ashuga komanso momwe mungawathandizire.

Matenda a reflux a gastroesophageal (GERD) / kutentha pa chifuwa

Mukamadya, chakudya chimatsikira m'mimba mwanu, momwe zidulo zimawononga. Mtolo wa minofu pansi pamimba mwanu umasunga zidulo mkati mwanu.

Mu matenda a reflux a gastroesophageal (GERD), minofu imeneyi imafooka ndikulola asidi kukwera m'mimba mwanu. Reflux imayambitsa kupweteka pachifuwa pako kotchedwa kutentha pa chifuwa.

Anthu omwe ali ndi matenda a shuga amakhala ndi GERD komanso kutentha pa chifuwa.

Kunenepa kwambiri ndi chifukwa chimodzi cha GERD chomwe chimafala kwambiri mwa anthu omwe ali ndi matenda a shuga amtundu wa 2. China chomwe chingayambitse matenda a shuga m'mitsempha yomwe imathandiza m'mimba mwanu kuti mulibe chilichonse.

Dokotala wanu akhoza kuyesa reflux mwa kulamula endoscopy. Njirayi imaphatikizapo kugwiritsa ntchito kamera yokhala ndi mbali imodzi (endoscope) kuti muwone kumimba kwanu ndi m'mimba.

Mwinanso mungafunike kuyesa pH kuti muwone kuchuluka kwa asidi.

Kusamalira kuchuluka kwa shuga wamagazi ndikumwa mankhwala monga maantacid kapena proton pump inhibitors (PPIs) kungathandize kuthana ndi GERD ndi kutentha pa chifuwa.

Kuvuta kumeza (dysphagia)

Dysphagia imakupangitsani kukhala ndi vuto kumeza ndikumverera ngati chakudya chakhazikika pakhosi panu. Zizindikiro zake zina ndi izi:

• ukali
• chikhure
• kupweteka pachifuwa

Endoscopy ndi mayeso amodzi a dysphagia.

China ndi manometry, njira yomwe chubu chosinthira imayikidwa mpaka kummero kwanu ndipo masensa opanikizika amayesa momwe minofu yanu ikumeza.

Mukameza barium (esophagram), mumameza madzi okhala ndi barium. Madziwo amavala thirakiti lanu la GI ndipo amathandiza dokotala kuti awone zovuta zilizonse momveka bwino pa X-ray.

Ma PPI ndi mankhwala ena omwe amachiza GERD amathanso kuthandizira kutaya mtima. Idyani zakudya zazing'ono m'malo mwa zazikulu ndikudula chakudya chanu mzidutswa tating'onoting'ono kuti kumeza kumveke mosavuta.

Gastroparesis

Gastroparesis ndipamene m'mimba mwanu mumatulutsa chakudya pang'onopang'ono m'matumbo mwanu. Kuchepetsa kutaya m'mimba kumabweretsa zizindikilo monga:

• chidzalo
• nseru
• kusanza
• kuphulika
• kupweteka m'mimba

Pafupifupi gawo limodzi mwa atatu mwa anthu omwe ali ndi matenda a shuga amtundu wa 2 ali ndi gastroparesis. Zimayambitsidwa ndi kuwonongeka kwa mitsempha yomwe imathandizira m'mimba mwanu kukankhira chakudya m'matumbo mwanu.

Kuti mudziwe ngati muli ndi gastroparesis, dokotala wanu amatha kuyitanitsa ma endoscopy apamwamba kapena ma GI apamwamba.

Kukula kocheperako kokhala ndi kuwala ndi kamera kumapeto kumamupatsa dokotala mawonekedwe mkati mwanu, m'mimba, ndi gawo loyamba la m'matumbo mwanu kuti mufufuze zotchinga kapena zovuta zina.

Gastric scintigraphy imatha kutsimikizira matendawa. Mukamaliza kudya, kujambula kojambula kumawonetsa momwe chakudyacho chimadutsira mu tsamba lanu la GI.

Ndikofunika kuchiza gastroparesis chifukwa imatha kupangitsa kuti matenda anu ashuga asavute kuthana nawo.

Dokotala wanu kapena katswiri wazakudya angakulimbikitseni kuti muzidya zakudya zazing'ono, zopanda mafuta tsiku lonse ndikumwa madzi ena owonjezera kuti athandize m'mimba mwanu kuti mukhale opanda kanthu.

Pewani zakudya zamafuta ambiri komanso zonenepa kwambiri, zomwe zimachedwetsa kutaya m'mimba.

Mankhwala monga metoclopramide (Reglan) ndi domperidone (Motilium) amatha kuthandiza ndi zizindikilo za gastroparesis. Komabe, amabwera ndi zoopsa.

Reglan imatha kuyambitsa zovuta zina monga tardive dyskinesia, yomwe imanena za mayendedwe osalamulirika a nkhope ndi lilime, ngakhale sizachilendo.

Motilium imakhala ndi zovuta zochepa, koma imapezeka ku United States ngati mankhwala ofufuza. Maantibayotiki erythromycin amathandizanso gastroparesis.

Matenda opatsirana m'mimba

Enteropathy amatanthauza matenda aliwonse am'mimba. Zikuwoneka ngati zizindikilo monga kutsekula m'mimba, kudzimbidwa, komanso zovuta kuwongolera matumbo (fecal incontinence).

Matenda onse ashuga komanso mankhwala osokoneza bongo monga metformin (Glucophage) omwe amawachiritsa amatha kuyambitsa izi.

Dokotala wanu adzayamba kutulutsa zifukwa zina zomwe zingayambitse matenda anu, monga matenda kapena matenda a leliac. Ngati mankhwala a shuga akuyambitsa matenda anu, adokotala amatha kukusinthani mankhwala ena.

Kusintha kwa zakudya kungakhale koyeneranso. Kusintha zakudya zomwe sizili ndi mafuta komanso fiber, komanso kudya zakudya zochepa, zitha kuthandiza ndi zizindikilo.

Mankhwala oletsa kutsegula m'mimba monga Imodium amatha kuthandiza kutsekula m'mimba. Mukakhala ndi matenda otsekula m'mimba, imwani mankhwala a electrolyte kuti mupewe kuchepa thupi.

Komanso, mankhwala ofewetsa tuvi tolimba amatha kuthandizira kudzimbidwa.

Onetsetsani kuti mwalankhula ndi dokotala musanasinthe mtundu uliwonse wamankhwala anu.

Matenda a chiwindi

Matenda ashuga amachulukitsa chiopsezo chanu chokhala ndi matenda a chiwindi osakhala mowa.

Apa ndipamene mafuta amakula m'chiwindi, ndipo si chifukwa chakumwa mowa. Pafupifupi 60 peresenti ya anthu omwe ali ndi matenda a shuga amtundu wa 2 ali ndi vutoli. Kunenepa kwambiri kumawopsa chifukwa cha matenda ashuga komanso mafuta a chiwindi.

Madokotala amayesa mayeso monga ultrasound, chiwindi cha biopsy, ndi kuyezetsa magazi kuti apeze matenda a chiwindi. Mungafunike kukayezetsa magazi pafupipafupi kuti muwone momwe chiwindi chanu chikugwirira ntchito mukapezeka.

Matenda a chiwindi samayambitsa matenda, koma amatha kuonjezera chiwopsezo cha kufooka kwa chiwindi (cirrhosis) ndi khansa ya chiwindi. Amagwirizananso ndi chiopsezo chachikulu cha matenda amtima.

Sungani matenda anu ashuga kuti athe kupewa kuwononga chiwindi chanu ndikuchepetsa chiopsezo cha izi.

Pancreatitis

Mphuno yanu ndi chiwalo chomwe chimapanga insulini, yomwe ndi hormone yomwe imathandiza kuchepetsa shuga m'magazi mutatha kudya.

Pancreatitis ndikutupa kwa kapamba. Zizindikiro zake ndi izi:

• kupweteka m'mimba chapamwamba
• ululu mukatha kudya
• malungo
• nseru
• kusanza

Anthu omwe ali ndi matenda a shuga amtundu wa 2 atha kukhala ndi chiopsezo chowonjezeka cha kapamba poyerekeza ndi omwe alibe matenda ashuga. Matenda opatsirana kwambiri amatha kuyambitsa mavuto monga:

• matenda
• impso kulephera
• mavuto opuma

Mayeso omwe amagwiritsidwa ntchito pozindikira kuti kapamba amaphatikizapo:

• kuyesa magazi
• akupanga
• MRI
• Kujambula kwa CT

Chithandizo chimaphatikizapo kusala kudya kwa masiku angapo kuti mupatse kapamba wanu nthawi yoti muchiritse. Mungafunike kukhala kuchipatala kuti mukalandire chithandizo.

Nthawi yoti muwonane ndi dokotala

Onani dokotala ngati muli ndi matenda ovuta a GI, monga:

• kutsegula m'mimba
• kudzimbidwa
• kumverera kwakukhuta mutangodya
• kupweteka m'mimba
• vuto kumeza, kapena kumva ngati pali chotupa pakhosi panu
• kuvuta kuwongolera matumbo anu
• kutentha pa chifuwa
• kuonda

Kutenga

Nkhani za GI ndizofala kwambiri mwa anthu omwe ali ndi matenda amtundu wa 2 kuposa omwe alibe matendawa.

Zizindikiro monga acid reflux, kutsegula m'mimba, ndi kudzimbidwa zimatha kusokoneza moyo wanu, makamaka zikapitilira nthawi yayitali.

Pofuna kupewa mavuto a GI ndi zovuta zina, tsatirani dongosolo la matenda ashuga lomwe dokotala akukupatsani. Kusamalira bwino magazi kumakuthandizani kupewa izi.

Ngati mankhwala anu ashuga akuyambitsa zizindikilo zanu, osasiya kumwa nokha. Kaonaneni ndi dokotala wanu kuti akupatseni malangizo pa nkhani yosinthira ku mankhwala atsopano.

Komanso, lankhulani ndi dokotala wanu za kupanga dongosolo loyenera la chakudya pazakudya zanu kapena kutumizidwa kwa katswiri wazakudya.