Matenda a shuga

Novembara 16, 2016, 13:31 0 3,893

Kuchepa kwa ntchito ya minofu ya m'mimba imatchedwa gastroparesis yam'mimba. Ndi gastroparesis, kuyamwa kwa chakudya kumakulirakulira, ndikuyenda kwa chakudya kupita m'matumbo kumachepetsa kapena kuyima kwathunthu. Zomwe zimayambitsa matendawa ndizosiyana - zovuta ndi ma pathologies m'thupi, opaleshoni, zovuta pambuyo pake. Ndi matenda a shuga opita patsogolo kwa zaka zingapo, pamakhala chiopsezo chachikulu chotenga matenda a diabetes. Pathology nthawi zambiri imakhala yachilengedwe ndipo imadzipangitsa kumverera kangapo pachaka. Ndi zovuta zazikulu, zimabweretsa chiwopsezo chachikulu pamoyo.

ZOFUNIKA KUDZIWA! Ngakhale chilonda "chosasiyidwa" kapena gastritis imatha kuchiritsidwa kunyumba, popanda opaleshoni ndi zipatala. Ingowerenga zomwe Galina Savina akunena werengani zonena zake.

Zofunika kwambiri! Savina G: "Ndingapangire njira imodzi yokhayo yothanirana ndi zilonda zam'mimba mwachangu" werengani.

Matenda a matenda

Gastroparesis ndi imodzi mwanjira zomwe zingatheke kugaya chakudya m'mimba ngati chakudya sichichotsedwa kwathunthu kapena pang'ono m'mimba, kapena kuchedwa kwakanthawi kuti muchite ntchito yotuluka kumachitika. Zimasokoneza minofu yam'mimba.

Nthawi zina chakudya chimatsala m'mimba chifukwa chosowa minyewa. Kukhala komweko kwa nthawi yayitali, kumasandulika chotupa chokhazikika, kupweteka kwambiri. Ngati chakudya chapezeka m'mimba kwa nthawi yayitali, kuvunda kumachitika. Chifukwa cha kuwola kwa chakudya mwachindunji m'mimba, mabakiteriya amakula omwe amasokoneza gawo la chiwalo.

Zolinga za maonekedwe

Maonekedwe a gastroparesis ndi mawonekedwe a kuwonongeka kwa ntchito yamanjenje yam'matumbo, ndipo, chifukwa, akuchepetsa kapena kuyimitsa ntchito yake. Izi zimachitika pazifukwa zingapo:

Izi ndizofunika kwenikweni! Pakali pano mutha kupeza njira yotsika mtengo yochotsera ululu wam'mimba. Phunzirani >>

• matenda amanjenje
• zovuta za matenda ashuga
• mavuto obwera chifukwa chomwa mankhwala
• kutupa kwa kapamba,
• kusowa kwa zinthu zofunika mthupi (mwachitsanzo potaziyamu),
• opaleshoni yam'mimba, yomwe idabweretsa zotsatira zoyipa (mitsempha ya vagus imawonongeka),
• Zotsatira za radiation kapena chemotherapy.

Choyambitsa chachikulu ndi matenda ashuga, omwe, motsutsana ndi kuwonongeka kwa mitsempha ya vagus, pambuyo pake amachititsa paresis yam'mimba. Izi matenda amatchedwa diabetesic gastroparesis.

Zizindikiro wamba

Zizindikiro zoyambira za matenda azisamba komanso kusanza. Zizindikiro za matendawa zimamveka mosasamala, komanso nthawi ndi nthawi (mutatha kudya ngakhale pang'ono). Zizindikiro zazikulu za matendawa:

• m'mimba mumatupa
• kutentha kwa mtima
• kudwala
• kumva bwino ngakhale mutadya pang'ono,
• kusowa kwa chakudya
• kuwonda
• kupweteka m'mimba kapena kum'mero,
• kudzimbidwa, kutsegula m'mimba,
• kusanza (nthawi zambiri mukatha kudya, koma ndi masiteji apamwamba, okwiyitsidwa ndi kudziunjikira kwa chakudya m'mimba).

Odwala amawunikidwa kuti awerenge kusakhazikika kwa shuga, momwe mulingo womwe umasinthasintha - kugwa kapena kukwera.

LAPANI ZOTSATIRA! Musatalikitse gastritis kapena chilonda musanakhale ndi khansa yam'mimba, ndikofunikira kusewera mosavomerezeka, koma muyenera. werengani nkhani ya Galina Savina >>

Gastroparesis ndi matenda ashuga

Matenda a shuga a gastroparesis amakula shuga. Imachitika chifukwa cha kufinya kwamimba m'mimba komwe kumachitika chifukwa cha kuwonongeka kwa mitsempha yomwe imayendetsa magwiridwe antchito a minofu ya chiwalo. Amachitika nthawi yayitali ndi matenda ashuga omwe amapita patsogolo.Zimapangitsa kudumpha m'magazi a shuga ndi kutsatira kwambiri zakudya zamafuta ochepa, zomwe zimakhala zovuta kwambiri kuzilamulira. Tiyenera kukumbukira kuti mu shuga mumakhala kusinthana kwa zoyambitsa ndi zotulukapo - kuphatikizika kwina kumakwiyitsa wina.

Pa gawo loyamba la chitukuko, gastroparesis wa matenda ashuga amawonetsedwa ndi kutentha kwamkati mutatha kudya, acid belching. Pali machulukitsidwe athunthu ngakhale mutatenga kachigawo kakang'ono ka chakudya chilichonse. Koma, kwakukulu, mawonetseredwe ali amodzi payekha. Gastroparesis mwa munthu yemwe alibe matenda ashuga komanso mwa wodwala yemwe amapezeka ndi izi amadziwoneka mosiyanasiyana. Nthawi imodzi, uku ndi kupuwala pang'ono kwamitsempha yam'mimba pazifukwa zosiyanasiyana, inayo - m'mimba yofowoka chifukwa chokhala ndi shuga m'magazi.

Idiopathic gastroparesis

Pathology ndiyofala - imapezeka mu 36% ya milandu. Idiopathic gastroparesis ndi ntchito yam'mimba yomwe ikukhumudwitsa yomwe imasokoneza dongosolo lochotsa chakudya m'mimba. Imadziwoneka yokha mukakhala ndi mseru, koma chocheperako - osapitilira katatu pa sabata. Kusanza kwakanthawi kumakhala kocheperako. Kuchulukana kumachitika kangapo pachaka. Zinthu zodetsa nkhawa m'maganizo zimatha kukhala zifukwa zina za kusakhazikika kwa m'mimba: kukhumudwa nthawi zonse, nkhawa zambiri.

Matenda a gastroparesis am'mimba

Kuti mupeze matenda amtunduwu m'magulu azachipatala, mayeso amagwiritsidwa ntchito omwe akuwonetsa kuchuluka kwa chakudya kuchokera m'mimba ndikutuluka kwake. Poyesa, kugwiritsa ntchito kosiyanitsa ndizofunikira zochepa zama radioase (isotope), zomwe zimawonjezeredwa njira zofunikira zogwiritsira ntchito phunzirolo lisanachitike. Radiography imachitika motere:

1. Wodwalayo amamwa madzi omwe bariamu amawonjezera.
2. Kuyimilako kumaphimba makhoma am'mimba ndi matumbo, chifukwa chomwe gawo lachiwonetsero limawonekera ndikuwoneka kwake ndikugwiritsa ntchito ma x-ray.

Kudzera pamatumbo, minyewa yam'mimba imayeza, kudziwa kuthamanga kwa chimbudzi. Ndipo ma elekitirogirogu amayesa zochitika zamagetsi pamimba. Kuyesedwa kwa kupuma, mayeso a ultrasound, endoscopy ndi njira zomwe zimakuthandizani kuti mupeze vuto la m'mimba, kukhazikitsa zomwe zimayambitsa ndikupatseni mankhwala oyenera.

Potsimikizira za matendawa, chithandizo chimayikidwa ndi katswiri woyenera. Mankhwala amagwiritsidwa ntchito omwe amathandizira kuchotsedwa kwa chakudya m'mimba, ndikuwonjezera ntchito ya contractions. Amatha kukhala mankhwala monga Erythromycin, Domperidone, Metoclopramide. Mankhwala amagwiritsidwanso ntchito kuchepetsa nseru.

M'mavuto owopsa, opaleshoni imalimbikitsidwa, pomwe mkanda wapadera umalowetsedwa m'matumbo kuti upatse thupi zinthu zofunika popanda kulowa m'mimba.

Matendawa ndiwovuta kuchiritsa kwathunthu, chifukwa amayamba kudwala msanga. Koma mutha kuyendetsa bwino mawonekedwe ake. Ngati m'mimba thirakiti yapezeka ndi matenda a shuga a m'magazi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga, komwe kumachepetsa kuwoneka ngati kowonjezera.

Onetsetsani kuti musinthe kadyedwe ka wodwala. Ndikulimbikitsidwa kugwiritsa ntchito njira zomwe zimathandizira njira yochotsa chakudya m'mimba. Ena a iwo:

• kukonzekera zamankhwala
• masewera olimbitsa thupi omwe amapangidwa nthawi ya chakudya kapena itatha.
• kusintha zakudya.

Kugwiritsa ntchito njirazi ndi kothandiza pa matenda ashuga, chifukwa kumathandizira kuchuluka kwa shuga m'magazi, chifukwa chomwe chiwonetsero cha paresis chimatha.

Anthu odwala matenda ashuga a gastroparesis amathandizidwa ndikutsatira zakudya zamafuta ochepa ndikugwiritsa ntchito njira zothandizira kuti shuga akhale ndi shuga, zomwe zimapangitsa kuti pakhale chakudya chomwe chilipo panthawi yake. Kusintha kwakuchuluka kwa kuchuluka kwa zakumwa kapena kapangidwe ka zakudya kungapangitse kuchepa kwa zinthu zofunika ndi thupi.Mitundu yonse ya chithandizo ndi zakudya ziyenera kuchitika moyang'aniridwa ndi katswiri.

Zakudya zofunikira

Nthawi zambiri zakudya zapadera zimagwiritsidwa ntchito. Choyambirira chimaperekedwa ku zinthu momwe mafuta ndi fiber zimapezeka pang'ono. Chakudya chimatengedwa m'magawo ang'onoang'ono, kutafuna bwino. Zakudya zowoneka bwino ndi zamadzimadzi zizipezeka muzakudya - zovomerezeka kwambiri zogwirizana ndi gastroparesis. Zakudya siziphatikiza chakudya, zomwe ndizovuta kugaya. Kugwiritsa ntchito zakudya zolimba ndikosayenera.

Kugwiritsa ntchito mankhwala wowerengeka

Kugwiritsa ntchito mankhwala azikhalidwe sikuchiritsanso matendawa. Mitundu ingapo ya zitsamba imagwiritsidwa ntchito yomwe imakongoletsa chimbudzi ndikuthandizira kuchepetsa zizindikiro:

1. Orange peel, masamba a dandelion, angelica amayambitsa mwachangu kuwonongeka ndi kugaya chakudya.
2. Hawthorn amasunga chakudya kuti chisazime m'matumbo.
   Ngati mumamwa kapu yamadzi musanadye, mutatsitsa chidutswa cha ndimu pamenepo, izi zidzakuthandizani kuyamwa michere muzakudya.

Njira zonsezi zimapereka zotsatira zabwino polimbana ndi gastroparesis. Pafupipafupi zizindikiritso izi zimachepetsedwa, mpaka kuzichotsa kwathunthu kwa izo. Chiwerengero cha kuchepa kwa shuga m'magazi mukatha kudya chimachepa kapena kutha konse. Shuga m'mawa ndiwabwinobwino musanadye. Sipuni ya shuga imatha ndipo mulingo wake wabwinobwino umakhala wokhazikika.

Magawo oyamba a matenda atha kutha kuchotsedwa posintha menyu, ndikuwonjezera chakudya chamafuta muzakudya. Kudzipangira nokha sikulimbikitsidwa. Chithandizo cholakwika kapena kusapezeka kwake kungayambitse matenda a gastroesophageal Reflux.

Gastroparesis: zambiri

Kuti kugaya moyenera, ntchito ya m'mimba iyenera kufanana ndi sewero la orchestra - ziwalo zonse ziyenera kugwira ntchito yawo moyenera komanso pa nthawi. Ngati m'modzi wa iwo "atenga zonama", mawonekedwe onse azakudya zomanga thupi amavutika. Chimodzi mwa "zolemba zabodza" izi ndi gastroparesis.

Ndi gastroparesis, minyewa yam'mimba imafooka, zomwe zimayambitsa kuchepa kwa chakudya mkati mwake. Chifukwa cha izi, magawo otsatirawo a chimbudzi amasokonezeka ndipo zizindikiro zimayamba zomwe zingakhudze kwambiri moyo wa wodwalayo, kuphatikiza thupi, malingaliro ndi ndalama. Odwala idiopathic wodziwika bwino (zomwe sizimayambitsa matendawa) ndi matenda a shuga a shuga.

Kodi gastroparesis ndi chiyani

Gastroparesis ndikuphwanya mphamvu ya m'mimba, momwe ntchito yake imalephera. Mimba ndi gawo lofunikira la chimbudzi chamunthu, chomwe, mwa kufupikitsa minofu yake, ndikupera chakudya cholimba ndikuchikankhira kumtumbo yaying'ono pa liwiro loyenera. Pankhani ya gastroparesis, minyewa imeneyi imachepetsedwa, chifukwa chake zomwe zimapezeka m'mimba zimakhazikika.

Ngakhale gastroparesis ndimatenda osowa kwambiri, zizindikiro zake zimatha kufooketsa. Odwala nthawi zambiri amadandaula kuti kunyansidwa, kusasangalala, komanso kupweteka kwam'mimba zimasokoneza ntchito, kulumikizana, komanso zochitika zina pamoyo wokangalika.

Gastroparesis imawonedwa ndikuphwanya kwa peristalsis, chifukwa palibe zolepheretsa zathupi kutuluka kwa chakudya kuchokera m'mimba.

Pafupifupi 36% yazomwe zimayambitsa matendawa sizingadziwike. Kenako gastroparesis amatchedwa idiopathic.

Zambiri zodziwika bwino zomwe zimapangitsa kuti kuchepa kwa m'mimba ikhale:

Matenda a diabetes a gastroparesis - amakula chifukwa cha kuwonongeka kwa ulusi wamitsempha chifukwa cha kuchuluka kwa shuga m'magazi. Mavuto a ntchito pamimba ndi ziwalo zina - gastroparesis imayamba chifukwa cha kuwonongeka kapena kutsutsana kwa mitsempha ya vagus. Matenda amitsempha - mwachitsanzo, matenda a Parkinson, multiple sclerosis.Scleroderma - peristalsis m'mimba amachepetsa chifukwa cha kuwonongeka kwa minofu yam'mimba kupsinjika.

Zizindikiro zokhudzana ndi gastroparesis zitha kukhala zovuta kuzisintha. Nthawi zambiri amati:

Kuchepetsa mseru Kubweza Kufalikira. Kukwera koyambirira. Kumva m'mimba kwathunthu mukatha kudya. Kupweteka kwam'mimba.

Kusanza kwa gastroparesis nthawi zambiri kumatha kudya. Komabe, ndi zovuta za matendawa, zimatha kuchitika osadya, izi zimachitika chifukwa cha kudzikundika kwa chinsinsi m'mimba. Popeza m'mimba simupera chakudya, masanzi nthawi zambiri amakhala ndi zidutswa zazikulu za chakudya.

Izi zimatha kuyambitsa bwalo loipa - zizindikilo zambiri zotchulidwa zimayambitsa nkhawa, zomwe zimayambitsa kuwonongeka kwambiri. Anthu ambiri omwe ali ndi gastroparesis amakhala ndi nkhawa.

Zizindikiro za gastroparesis titha kuonanso ndi matenda ena am'mimba, chifukwa chake, mayeso owonjezera amafunikira kuti amvetsetse matenda.

Ndani amathandizidwa?

Othandizira ndi gastroenterologists akukhudzidwa ndi mankhwalawa pang'onopang'ono kutulutsa madzi.

Kusintha kwa zakudya m'thupi ndi imodzi mwazithandizo zoyambirira za gastroparesis. Kutulutsa kwam'mimba kumachitika mwachangu pakakhala chakudya chochepa mkati mwake, kotero odwala amalangizidwa kuti azidya pafupipafupi komanso m'malo ochepa. Imathandizanso kuchotsa m'mimba mwa kudya zakudya zofewa komanso zamadzimadzi zomwe sizimafunika kupera.

Mafuta amayambitsa kutulutsa kwa mahomoni omwe amachepetsa mphamvu ya m'mimba, motero amalimbikitsidwa kuti azigwiritsa ntchito zakudya zomwe zili ndi zotsika. Kuphatikiza apo, madokotala amalangizira kuti zakudya ziyenera kukhala zochepa mu fiber, chifukwa zimachepetsa kutsanulira kwam'mimba.

Odwala omwe ali ndi gastroparesis ayenera kudya zakudya zambiri m'mawa. Sayenera kugona kwa maola 4-5 chakudya chatha, monga momwe supine imachotsera chithandizo champhamvu chotsitsa m'mimba.

Odwala sayenera kumwa zakumwa zoledzeretsa ndi mowa, komanso utsi.

Ngati kuli kotheka kudziwa zomwe zimayambitsa gastroparesis, chithandizo chikuyenera kukhala chowathetsa kapena kuwawongolera. Mwachitsanzo, matenda a diabetes a gastroparesis amatha kusinthidwa ndikamachepetsa magazi; odwala omwe ali ndi hypothyroidism ayenera kutenga mahomoni a chithokomiro.

Kuphatikiza apo, chithandizo chamankhwala chimachitika. Pazifukwa izi, gwiritsani ntchito:

Cisapride ndi mankhwala othandiza kuchiza gastroparesis. Komabe, kugwiritsidwa ntchito kwake kumangokhala pakukula kwa zovuta zowopsa, chifukwa chake zimangoperekedwa kwa odwala omwe ali ndi gastroparesis oopsa, omwe sangathe kuthandizidwa ndi njira zina. Domperidone - imathandizira kuti minyewa yam'mimba ikhale ndi kupendekera kwake. Metoclopramide - imathandizira bwino minyewa yam'mimba. Kugwiritsa ntchito mankhwalawa kumatha kuchepetsedwa ndi zovuta zake. Erythromycin ndi mankhwala wamba omwe, akagwiritsidwa ntchito mu Mlingo wochepa, amathandizira minyewa yam'mimba m'mimba ndi matumbo aang'ono.

Kuti mankhwalawa agwire ntchito, ayenera kulowa m'matumbo ang'onoang'ono, kuchokera komwe amalowa m'magazi. Ndi gastroparesis woopsa, kutsuka kwa m'mimba kulibe, ndiye chifukwa chake mankhwalawa amayenera kuperekedwa. Kwa kasamalidwe kotere, metoclopramide, erythromycin kapena sandostatin imagwiritsidwa ntchito.

Ngati kusintha kwa zakudya ndi mankhwala osokoneza bongo sizikuwakhudza Zizindikiro za matendawa, kukondoweza kwa m'mimba kumatha kugwiritsidwa ntchito. Njirayi imaphatikizira chida chaching'ono pansi pa khungu lam'mimba, kuchokera komwe ma electrodes awiri amapita ku minofu yam'mimba.

Zovuta zamagetsi zomwe zimachokera ku chipangizochi kudzera pa ma elekitiropu zimapangitsa kuti minyewa izigwira ntchito, yomwe imathandizira kuti m'mimba musataye chilichonse. Zimayatsa ndikuzimitsa magetsi kuchokera kunja. Milandu yambiri ya gastroparesis nthawi zina amathandizidwa ndi jakisoni wa botulinum mu valavu pakati pamimba ndi duodenum.Mankhwalawa amathandizanso minofu ya pylorous, yomwe imalola chakudya kusiya m'mimba. Kubayidwa kumachitika kudzera ku endoscope.

Nthawi zina odwala omwe ali ndi gastroparesis amafuna opaleshoni, pomwe bowo lalikulu limapangidwa pakati pamimba ndi matumbo. Kuchita izi kungachepetse zizindikiro za matendawa, kulola kuti m'mimba muchepe mofulumira.

Zakudya zamagulu

Ngati odwala sangakwanitse kudya michere mokwanira chifukwa chokhala ndi zakudya nthawi zonse, angafunike owonjezera. Pali njira zingapo zothandizira kukhazikitsa kwake.

Pazakudya zonse zamkati, jejunostomy imagwiritsidwa ntchito - kuchotsa kwa dzenje lamatumbo kupita kukhoma lamkati lam'mimba.

Matenda a shuga a gastroparesis, zizindikiro ndi chithandizo

Gastroparesis ndi chikhalidwe chomwe kuthekera kwa m'mimba kuyeretsa mkati mwake kumachepa, koma palibe blockade yomwe imawonedwa. Chifukwa chomwe gastroparesis imachitikira sichikudziwika, koma mkhalidwewo nthawi zambiri umayamba chifukwa cha kusokonezeka kwa chizindikiro cha mitsempha m'mimba. Nthendayi nthawi zambiri imakhala yovuta ya shuga.

Kodi matendawa amathandizidwa bwanji?

Wodwala matenda ashuga ayenera kuyang'anira shuga wamagazi nthawi zonse. Lemberani mankhwala ngati:

Mankhwala a cholinergic omwe amatha kugwira ntchito pama receptors a acetylcholine, erythromycin, metoclopramide, omwe amathandiza kupukusa m'mimba.

Nthawi zina, ndikofunikira kuchita opareshoni, kuti mupange dzenje pakati pa matumbo ang'ono ndi m'mimba. Izi zimathandizira kuti chakudya chizitha kudutsa m'matumbo am'mimba mosavuta (opaleshoni ya m'mimba).

Gastroparesis wa matenda ashuga

Anthu ambiri amavomereza kuti gastroparesis ndi matenda osachiritsika, sangathe kuchiritsidwa, koma mutha kuyesa kuwongolera matendawa. Ndiyenera kuwongolera shuga. Dotolo amatipatsa mankhwala omwe sangawononge m'mimba, makamaka, antidepressants, mankhwala ochepetsa kuthamanga kwa magazi, komanso mankhwala ochizira matenda ashuga. Funsani dokotala wanu kuti amwe mankhwala ati omwe amamwa bwino.

Gastroparesis wa matenda ashuga

Gastroparesis ndimimba yakukhumudwa yomwe anthu omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 amatha kudwala. Ndi gastroporesis, kutsuka kwa m'mimba kumatenga nthawi yambiri (kuchepetsedwa kwa m'mimba). Kuyenda kwa chakudya kudzera m'mimba kumayendetsedwa ndi mitsempha ya vagus. Ngati mitsempha ya vagus yawonongeka kapena yasiya kugwira ntchito, minyewa yam'mimba ndi matumbo sizigwira ntchito mwachizolowezi, ndipo kuyenda kwa chakudya kumachepetsa kapena kusiya.

Monga mitundu ina ya neuropathy, matenda a shuga amatha kuwononga mitsempha ya vagus ngati kuchuluka kwa shuga m'magazi kumakhala kotalika kwa nthawi yayitali. Mwazi wamagazi ambiri umapangitsa kusintha kwamankhwala mumitsempha ndi mitsempha yamagazi yomwe imanyamula mpweya ndi michere ku mitsempha.

Zizindikiro zake za gastroparesis ndi izi:

kutentha kwa mtima, nseru, kusanza kwa chakudya chopanda, kumva kukhuta m'mimba mukayamba kudya, kuchepa thupi, kutulutsa magazi, shuga osakhazikika m'magazi (shuga), kusowa kwa chakudya, kupsinjika khoma la m'mimba.

Zizindikiro zimatha kukhala zofatsa kapena zowopsa, kutengera munthu.

Mavuto

Gastroparesis ikhoza kuyambitsa zovuta zotsatirazi:

Kuthetsa madzi m'thupi kwambiri. Kutopa kwa thupi. Mapangidwe a bezoars m'mimba. Kusintha kwa shuga m'magazi. Kuzindikira m'moyo wabwino.

Kupewa

Sizingatheke kupewa milandu yambiri ya gastroparesis. Popeza matenda ashuga a gastroparesis ndi chifukwa cha vuto la neuropathy lomwe limayambitsidwa ndi matenda a shuga, odwala omwe ali ndi matendawa amalangizidwa kuti azisamala kuchuluka kwa shuga m'magazi kuti asawonongeke m'mimba.

Matenda a shuga a gastroparesis, zizindikiro ndi chithandizo

Gastroparesis ndi chikhalidwe chomwe kuthekera kwa m'mimba kuyeretsa mkati mwake kumachepa, koma palibe blockade yomwe imawonedwa. Chifukwa chomwe gastroparesis imachitikira sichikudziwika, koma mkhalidwewo nthawi zambiri umayamba chifukwa cha kusokonezeka kwa chizindikiro cha mitsempha m'mimba. Nthendayi nthawi zambiri imakhala yovuta ya shuga.

Zowopsa

Matendawa amakwiya:

matenda ashuga, systemic sclerosis, gastrectomy (pa opaleshoni kuti achotse mbali yam'mimba), mankhwala omwe amatseka chizindikiro cha mitsempha (mwachitsanzo, anticholinergics)

Kodi mkhalidwe umawoneka bwanji?

Zizindikiro za matendawa ndi monga:

hypoglycemia (odwala matenda a shuga), kutulutsa, msanga m'mimba mutatha kudya, kuwonda, nseru, kusanza.

Kodi matendawa amathandizidwa bwanji?

Wodwala matenda ashuga ayenera kuyang'anira shuga wamagazi nthawi zonse. Lemberani mankhwala ngati:

Mankhwala a cholinergic omwe amatha kugwira ntchito pama receptors a acetylcholine, erythromycin, metoclopramide, omwe amathandiza kupukusa m'mimba.

Nthawi zina, ndikofunikira kuchita opareshoni, kuti mupange dzenje pakati pa matumbo ang'ono ndi m'mimba. Izi zimathandizira kuti chakudya chizitha kudutsa m'matumbo am'mimba mosavuta (opaleshoni ya m'mimba).

Gastroparesis wa matenda ashuga

Anthu ambiri amavomereza kuti gastroparesis ndi matenda osachiritsika, sangathe kuchiritsidwa, koma mutha kuyesa kuwongolera matendawa. Ndiyenera kuwongolera shuga. Dotolo amatipatsa mankhwala omwe sangawononge m'mimba, makamaka, antidepressants, mankhwala ochepetsa kuthamanga kwa magazi, komanso mankhwala ochizira matenda ashuga. Funsani dokotala wanu kuti amwe mankhwala ati omwe amamwa bwino.

Mankhwala a Gastroparesis: zoyembekezeka ndi zotsatira zoyipa

Mankhwala omwe amatchulidwa amathanso kukonzanso minofu ya m'mimba, kusintha kukhetsa kwake, kuchepetsa mseru komanso kusanza. Koma mutha kukumana ndi mavuto monga kutopa, kuda nkhawa, kulumikizana, kukhumudwa, kugona.

Zakudya zamankhwala zawonetsedwa

Ndikofunikira kwambiri kwa odwala matenda ashuga kuwongolera zizindikiro za gastroparesis, kuwunika momwe mumadyera komanso zomwe mumadya. Ndikofunika kudya zakudya zazing'ono kangapo patsiku. Poterepa, pakadzakhala chakudya chochepa m'mimba, sipadzakhala chakudya, chakudya chimasiya m'mimba mwachangu.

Gastroparesis wa matenda ashuga

Gastroparesis ndimimba yakukhumudwa yomwe anthu omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 amatha kudwala. Ndi gastroporesis, kutsuka kwa m'mimba kumatenga nthawi yambiri (kuchepetsedwa kwa m'mimba). Kuyenda kwa chakudya kudzera m'mimba kumayendetsedwa ndi mitsempha ya vagus. Ngati mitsempha ya vagus yawonongeka kapena yasiya kugwira ntchito, minyewa yam'mimba ndi matumbo sizigwira ntchito mwachizolowezi, ndipo kuyenda kwa chakudya kumachepetsa kapena kusiya.

Monga mitundu ina ya neuropathy, matenda a shuga amatha kuwononga mitsempha ya vagus ngati kuchuluka kwa shuga m'magazi kumakhala kotalika kwa nthawi yayitali. Mwazi wamagazi ambiri umapangitsa kusintha kwamankhwala mumitsempha ndi mitsempha yamagazi yomwe imanyamula mpweya ndi michere ku mitsempha.

Zizindikiro zake za gastroparesis ndi izi:

kutentha kwa mtima, nseru, kusanza kwa chakudya chopanda, kumva kukhuta m'mimba mukayamba kudya, kuchepa thupi, kutulutsa magazi, shuga osakhazikika m'magazi (shuga), kusowa kwa chakudya, kupsinjika khoma la m'mimba.

Zizindikiro zimatha kukhala zofatsa kapena zowopsa, kutengera munthu.

Mavuto

Gastroparesis imatha kupangitsa matenda ashuga kukhala osavuta kuyendetsa. Ine.e. Magazi a glucose azovuta kukhala ovuta kuwongolera. Chakudya chomwe chimasungidwa m'mimba chimalowa m'matumbo ang'onoang'ono ndikuyamwa, shuga wamagazi amawonjezeka.

Kuphunzira kwa Barium X-Ray

Mukasala kudya kwa maola 12, mumamwa madzi akumwa okhala ndi barium, omwe amakuta mkatikati mwa m'mimba, omwe amachititsa kuti mawonedwe azikhala bwino pa x-ray. Pambuyo pakusala kudya kwa maola 12, m'mimba simudzakhala chilichonse. Ngati x-ray imawonetsa chakudya m'mimba, ndiye kuti gastroparesis yam'mimba ndiyotheka.

Radioisotope yoyang'ana m'mimba

Mudzadya chakudya chomwe chili ndi radioot isotopu - chinthu choyatsira pang'onopang'ono chomwe chidzawonetsedwa pa sikani. Mlingo wa radiation kuchokera ku radioot isotope ndi yaying'ono komanso si wowopsa. Mukatha kudya, mudzagona pansi pamakina omwe amapeza isotope ya radioion ndikuwonetsa chakudya m'mimba. Komanso, isotope ikuwonetsa kuchuluka kwa kutsuka kwa m'mimba. Gastroparesis amadziwika ngati zakudya zopitilira theka zikatsala m'mimba atatha maola awiri.

Chithandizo chabwino kwambiri cha gastroparesis mu odwala matenda ashuga ndikuwongolera kwambiri shuga. Ndikofunikira kutsatira zakudya, jakisoni wa panthawi yake wa insulin komanso mapiritsi ochepetsa shuga. Woopsa milandu, gastroparesis amathandizidwa ndi intravenous zakudya kapena chubu kudya.

Ngati muli ndi gastroparesis, chakudya chanu chimamizidwa pang'onopang'ono. Kuti muthane ndi shuga wamagazi anu, mwina muyenera kuyesa zotsatirazi:

Imwani insulin pafupipafupi, imwani insulin mukamadya, osanakhalapo, yang'anani kuchuluka kwa glucose anu mukatha kudya ndikusintha mlingo wa insulin mukafunikira.

Dokotala wanu adzakupatsani malangizo enieni kutengera ndi matendawa. Mankhwalawa gastroparesis, mankhwala osiyanasiyana amagwiritsidwa ntchito. Funsani dokotala kuti mupeze chithandizo chabwino kwambiri.

Kusintha zizolowezi zakudya kumatha kuthandizira kuwongolera gastroparesis. Dokotala wanu kapena wazakudya zakuthupi amatha kukupatsani malangizo achindunji oti musinthe. Muyenera kudya zakudya zochepa panthawi. Mwachitsanzo, idyani zakudya zing'onozing'ono zisanu ndi chimodzi patsiku m'malo mwa zakudya zazikulu zitatu. Muyeneranso kudya pang'onopang'ono, kudya mukangotha ​​kudya, kuyenda mukamadya.

Dokotala wanu angalimbikitsenso kuti musamachotse zakudya zomwe zimakhala zamafuta kwambiri komanso zowonda kwambiri. Zakudya zamafuta zimachepetsa chimbudzi. CHIKWANGWANI chingakhalenso chovuta kugaya, zomwe zimapangitsa kuti pakhale ma deposits opanda bezoar. Kutengera ndi kuopsa kwa matendawa, dokotala angakulimbikitseni kuyesa zakudya zamadzimadzi kapena kupereka mankhwala omwe amafulumira kugaya.

Kudyetsa chubu

Ngati njira zina sizigwira ntchito, opaleshoni ingafunikire kuyika chubu yodyetsera. Njirayi imatchedwa eunostomy. Chubu imayikidwa kudzera pakhungu pamimba kulowa m'matumbo aang'ono. Chubu yodyetsa imakulolani kuti muike michere mwachindunji m'matumbo ang'ono, ndikudutsa m'mimba.

Popewa gwero lavuto (m'mimba), michere ndi mankhwala zimaperekedwa mwachindunji kumatumbo ang'onoang'ono. Mudzakhala otsimikiza kuti zinthuzi zimakimbidwa mwachangu ndikupereka magazi. Ejunostomy imatha kukhala yakanthawi ndipo imagwiritsidwa ntchito pokhapokha ngati pakufunika, paresis yayikulu.

Ndikofunika kudziwa kuti nthawi zambiri, paresis yam'mimba ndi matenda osachiritsika. Kuchiza kumakuthandizani kusamalira gastroparesis kuti mukhale athanzi komanso athanzi.

Matenda a shuga a gastroparesis: ndi chiyani?

Matenda a shuga a shuga ndi imodzi mwazotsatira za matenda ashuga. Zikuwoneka motsutsana ndi maziko a shuga okwanira pambuyo pamachitidwe a matenda ashuga mzaka zingapo.

Gastroparesis ikachitika, ziwalo zina zam'mimba zimachitika, chifukwa chomwe chakudya chimakhala mkati mwa chiwalo chotalikirapo kuposa anthu athanzi.

Njira yamachitidwe oterewa mthupi imakhudza ntchito ya mitsempha, yomwe imayendetsa ntchito ya kutulutsa kwa ma enzymes ndi ma acid, komanso kuwongolera minofu, yomwe imatsimikizira njira yanthawi zonse yogaya chakudya.Kupanikizika kungakhudze ziwalo zonse ziwiri zam'mimba (m'mimba, matumbo), ndi zigawo zonse za chakudya cham'mimba.

Monga lamulo, chiwonetsero choyambirira cha matenda a shuga a gastroparesis amawonetsedwa ndi kuchepa kwa chidwi, kufooka kwa chidwi ndi mapazi owuma.

Zolemba za matendawa mu mtundu 1 ndi matenda ashuga 2

Kwa odwala matenda ashuga amtundu woyamba, matendawa ndi akulu kwambiri chifukwa chakuti thupi silitha kupatsa insulin.

Mosiyana ndi gulu ili la odwala, eni matenda a shuga a 2 ali ndi mavuto ochepa, chifukwa munthawi imeneyi kapamba sanayimitse chilengedwe zachilengedwe.

Nthawi zambiri, kuphatikiza kwa insulin kumachitika chakudya chikadutsa m'mimba kupita m'matumbo. Mpaka izi zitheke, mulingo wa shuga umakhalabe wotsika. Phunziro la zakudya, wodwala amafunika Mlingo wambiri wa insulin.

Odwala omwe ali ndi matenda a shuga a mtundu woyamba 1 kapena 2, amatha kukhala ndi shuga m'mawa, pamimba yopanda kanthu. Izi zimachitika mu nyengo zomwe dzulo linadya nthawi yayitali m'mimba kuposa masiku onse, njira yokumba inachitika usiku. Kudya mochedwa kumathanso kuchita izi mwanjira yomweyo.

Odwala omwe ali ndi matenda amtundu 2, ndizotheka kukhalabe ndi shuga.

Kusakhalako kwa zisokonezo ndizotheka pokhapokha kutulutsa kwam'mimba mutatha kudya kumachitika chimodzimodzi.

Komabe, ngati zokolola za anthu ochulukirapo zikufulumira kwambiri, padzakhala shuga wowonjezereka, omwe amatha kuthetsedwa ndi jakisoni wa insulin.

Chifukwa chachikulu chakuwonekera kupatuka kotereku ndi shuga wokwezeka komanso kugwira ntchito kwamanjenje chifukwa cha matenda ashuga.

Pali matenda ndi mikhalidwe yomwe imathandizira kukulitsa kwa gastroparesis. Izi zikuphatikiza:

• zilonda zam'mimba
• matenda osiyanasiyana a mtima,
• matenda am'mimba
• hypothyroidism
• anorexia amanosa
• kupsinjika kosalekeza
• scleroderma
• mavuto obwera chifukwa cha mankhwala omwe amapangitsa kuti magazi azithamanga,
• matumbo kapena kuvulala m'mimba,
• zopatuka zina.

Nthawi zina, kukula kwa matenda kungayambitse kuphatikiza pazinthu.

Maonekedwe a gastroparesis angayambitse kumwa kwambiri, khofi, zakudya zamafuta. Chifukwa chake, kumwa moyenera zinthu izi kumalimbikitsidwa ngakhale kwa anthu athanzi.

Nthawi yoyamba matendawa, wodwalayo amatha kudandaula kuti mtima wake ukusokonekera.

Amakhalanso ndi phokoso komanso kumva kuti ali ndi vuto lililonse m'mimba, ngakhale chakudya chomwe chinali chochepa chinali chochepa. Zingayambitsenso nseru, kusanza, kutulutsa, kudzimbidwa, kapena kutsegula m'mimba.

Munthawi zonsezi, zomwe zimapangitsa kuti mavutowo amveke ndi zofunikira kwambiri.

Matenda a shuga a shuga amatha kudzetsa kwambiri shuga. Pamaso pa matenda otere, kukwaniritsa zizolowezi zabwinobwino kumakhala kovuta kwambiri, ngakhale wodwalayo atatsatira zakudya okhwima.

Zotsatira zake

Popeza gastroparesis imayambitsa chakudya m'mimba, kuvunda kwake kumayamba.

Chifukwa cha njirazi, malo oyenera kufalitsa mabakiteriya oyipa amapangidwa mkati mwakudya. Kuphatikiza apo, zinyalala zolimba za chakudya zomwe zimapangidwa mkati zimalepheretsa kudutsa kwamatumbo ang'onoang'ono, zomwe zimapangitsanso kuchuluka kwa kuchotsa zinyalala m'mimba.

Vuto lina losapeweka lomwe gastroparesis limapanga ndikuwonjezeka kwa shuga. Chowonadi ndi chakuti m'mimba mulibe nthawi yogaya chakudya chofunikira kwakanthawi, chomwe sichikugwirizana ndi kuchuluka kwa insulini yomwe imapangidwa.

Pachifukwa ichi, kuwongolera kuchuluka kwa shuga ndikovuta kwambiri. Vutoli limakhala lalikulu makamaka kwa odwala omwe ali ndi matenda ashuga 1.

Odwala omwe ali ndi matenda amtundu wa 2 amatha kuwongoleredwa potsatira zakudya zochepa zama carb komanso kugwiritsa ntchito inulin. Ngati Mlingo wawukulu ukugwiritsidwa ntchito, kupewa hypoglycemia kumakhala kovuta kwambiri.

Mankhwala

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi imatha kudzetsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Masiku ano palibe njira yeniyeni yomwe ingachotse mwachangu komanso moyenera mawonetsero a matenda a shuga. Chifukwa chake, munthawi iliyonse, dokotala payekhapayekha amasankha makina a mankhwala kwa wodwalayo.

Monga lamulo, odwala oterewa amapatsidwa mankhwala omwe zochita zawo zimalimbikitsidwa kuti zalimbikitse m'mimba, komanso kuti muchepetse mawonetseredwe monga kusanza, kunyansidwa komanso kumva kuti muli m'mimba.

Pamene gastroparesis, kutsindika kuyenera kuyikidwa pazakumwa zamadzimadzi

Kuphatikiza apo, odwala amapatsidwa zakudya zomwe zimaphatikizapo malamulo otsatirawa:

• chakudya chizikhala cha mitundu mitundu komanso pafupipafupi,
• Zakudya zamafuta ndi zakudya zamafuta (i.e. masamba osaphika ndi zipatso) ziyenera kupewedwa,
• ndikofunikira kupanga gawo lalikulu la zakudya lamadzimadzi ndi chakudya chamafuta.

Muzochitika zovuta kwambiri zachipatala, madokotala amatengera zoopsa - kukhazikitsidwa kwa chubu la chakudya m'matumbo mwa opaleshoni.

Njira zina zochizira

Pachigawo choyamba, ndizotheka kuchotsa matendawa nokha, pogwiritsa ntchito njira zina.

Chithandizo cha chimbudzi ndi monga:

• masamba a lalanje,
• artichoke
• masamba a dandelion
• angelica.

Komanso kupewa chakudya chosagonjetseka m'mimba chithandiza Chinese hawthorn ndi kapu yamadzi yokhala ndi kagawo ka mandimu osamwa asanadye. Njira zomwe zalembedwazo zikuthandizira kukhazikitsa chakudya chamagetsi chokwanira kudya komanso kugwira ntchito moyenera.

Kugwiritsa ntchito wowerengeka azitsamba ndi munthu payekha. Chifukwa chake, musanayambe chithandizo mothandizidwa ndi maphikidwe a "agogo", onetsetsani kuti mwakumana ndi dokotala. Katswiri adzakuthandizani kusankha njira yoyenera ya anthu, komanso kukuthandizani kudziwa kuchuluka kwa mankhwalawo komanso kuchuluka kwa chithandizo.

Kuphatikiza pa kugwiritsa ntchito mankhwala wowerengeka, zolimbitsa thupi zimathandizanso polimbana ndi matenda a shuga. Phatikizaninso kuyenda (kapena kuthamanga) mukamadya chakudya chamasiku onse.

Komanso, m'mimba imasintha magwiridwe ake ntchito mwakufuna kwanu ndikubwereranso m'mimba kwa mphindi 4 (munthawi imeneyi muyenera kukhala ndi nthawi yokwanira kutulutsa 100).

Kupewa

Popewa kupezeka kwa matenda a diabetesic gastroparesis, tikulimbikitsidwa kutsatira zakudya (kudya zakudya zochepa zamafuta, khofi ndi mowa), kuyang'anira kuchuluka kwa shuga m'magazi, ndikuchitanso masewera olimbitsa thupi omwe atchulidwa pamwambapa, omwe amalola kutseguka kwa minofu yam'mimba.

Ngati matenda atapezeka kumayambiriro, ndizotheka kuthetseratu kupatuka ndikuletsa kutukula kwina.

Pazizindikiro, mankhwala ndi zakudya za anthu odwala matenda ashuga a kanema:

Pofuna kuti musawononge thanzi lanu komanso kuti musakulitse vuto lanu, sibwino kuti muzisankha nokha njira yochizira. Pofuna uphungu waluso, funsani dokotala.

Zizindikiro ndi matenda a shuga a m'magazi a m'mimba

Matenda a shuga - Matenda omwe amapezeka chifukwa cha nthawi yayitali matenda a shuga ndi kusokonekera kwa magwiridwe antchito amanjenje.

Ndi ziwalo pang'ono zam'mimba, zomwe zimakhudza chimbudzi.

Ichi ndichifukwa chake nthendayi nthawi zambiri imayendera limodzi ndi ma pathologies ena am'mimba.

Zoyambitsa matenda

Pali zifukwa zingapo zomwe zimathandizira kuti matenda ashuga azikhala:

• kuchuluka kwa shuga - shuga wambiri amachititsa kuti minofu yamitsempha,
• zotupa mu kapamba zomwe zimawononga ntchito ya m'mimba,
• kugwiritsa ntchito mankhwala mosalamulirika kapena kwa nthawi yayitali - antidepressants, mapiritsi ogona,
• Vuto pambuyo opaleshoni - kuwonongeka kwa vagus mitsempha,
• matenda amanjenje - matenda a Parkinson, sitiroko,
• chemotherapy
• kusowa kwa michere mthupi,
• mavuto.

Matenda a shuga a gastroparesis nthawi zambiri amapezeka chifukwa cha matenda ashuga ambiri. Nthawi zambiri imatha kutsagana ndi kupuwala kwamatumbo kapena esophagus.

Kuzindikira ndi chithandizo

Anthu odwala matenda ashuga a gastroparesis amadziwika ndi zotsatira za kuyesedwa kwa wodwala komanso mayeso othandizira. Njira Zothandiza Kuzizindikira:

• Radiography - kuyesa kwa nembanemba, komwe kumachitika pogwiritsa ntchito kuyimitsidwa kwa barium,
• Kuyesa kwa Ultrasound komwe kumapangitsa dongosolo la chimbudzi,
• gastric manometry - muyeso wa kukakamiza kwa chimbudzi,
• fibroesophagogastroduodenoscopy - kuwunika kwa m'mimba, kutenga biopsy,
• magazi mayeso - kutsimikiza mtima kwa shuga
• kupuma mayeso - kuwerengetsa kuthamanga kwa matumbo.

Njira zochizira matenda amilandu ya matenda ashuga zimasiyana malinga ndi zotsatira za kafukufukuyu. Nthawi zambiri, amakhala ndi kumwa mankhwala omwe amasintha gastric motility komanso shuga m'magazi.

Chithandizo cha munthu payekha chimasankhidwa kwa wodwala aliyense, cholinga chake ndikuchotsa zomwe zimayambitsa ndi zizindikiro za gastroparesis.

Mankhwala omwe amachepetsa zizindikiro za matendawa:

• Erythromycin - maantibayotiki omwe adapangidwa mu Mlingo wocheperako kuti azilimbitsa minyewa yam'mimba,
• Metoclopramide - imathandizira kuyenda kwa chakudya kulowa m'matumbo aang'ono,
• Domperidone - imathandizira minofu ntchito m'mimba.

Ndi kusanza komwe kumachitika mutatha kudya, mankhwala onse a shuga komanso mankhwala osokoneza bongo omwe amathandizira kugwira ntchito kwa m'mimba amadziwikiridwa ngati ma syrups. Chifukwa chake, mankhwalawa amalowetsedwa mwachangu ndikuletsa zomwe zimachitika kuti musambe.

Ndi matenda abwinobwino nthawi yayitali panthawi ya matenda a shuga, malinga ndi zomwe dokotala akuwonetsa, mankhwala ena omwe amachepetsa zizindikiro, monga Motilium kapena Metoclopramide, akhoza kuyimitsidwa.

Mankhwala othandizira

Matenda a shuga a gastroparesis amatanthauza zakudya zovomerezeka ndi zakudya zopatsa thanzi. Kuti tichite izi, timalimbikitsidwa kudya nthawi zambiri, koma m'magawo ang'onoang'ono, omwe amalepheretsa kukula kwa chikhalidwe cha hypoglycemia.

Chakudya chizikhala chamadzi komanso chofewa, tiyenera kutafuna mosamala. Kutengera ndi malingaliro onse okhazikitsidwa, kutsanulira kwa m'mimba kumachitika mwachangu.

Malamulo ena osungidwa pakudya kwa gastroparesis motsutsana ndi matenda ashuga:

• musanadye, muyenera kumwa magalasi 1-2 amadzimadzi osagwiritsidwa ntchito, njira yabwino kwambiri ndi madzi opanda mchere,
• zakudya zamafuta ambiri zimakhala pansi mu blender,
• nkhuku ndi nyama zamafuta ochepa okha zomwe zimaloledwa,
• chakudya chomaliza chichitike pasanadutse maola 4-5 asanagone.

Kulowetsa pamimba kapena kuyenda kumakongoletsa m'mimba mwako. Masewera olimbitsa thupi oterewa limodzi ndi zakudya zimatha kusintha mkhalidwe wa wodwala.

Makhalidwe a matenda

Matenda a shuga a gastroparesis ndi mkhalidwe womwe kufooka kwamisempha yam'mimba kumachitika. Izi zimaphatikizidwa ndi zovuta pakudya chimbudzi cha chakudya ndikupita kwake kwamatumbo. Ndi matenda a shuga a gastroparesis, kupita patsogolo kwamitundu yosiyanasiyana yamatumbo kumatha.

Matendawa amatuluka motsutsana ndi maziko a kuchuluka kwa shuga m'magazi. Sichimawoneka nthawi yomweyo, njirayi imatenga zaka zingapo. Nthawi zambiri mavutowa amakumana ndi anthu omwe amadalira insulin.Mwa odwala matenda ashuga a mtundu wachiwiri, gastroparesis imayamba kangapo.

Mwa anthu athanzi, minyewa yam'mimba, pomwe chakudya chimakonzedwa ndipo magawo amasunthira matumbo. Mu matenda a shuga, dongosolo lamanjenje limasokonezeka, kuphatikizapo kayendetsedwe ka kayendedwe ka m'mimba.

Izi ndichifukwa choti kuwonjezeka kwa glucose kumatha kuwononga mitsempha ya vagus. Mitsempha yomwe imayang'anira kuphatikiza kwa ma acids, ma enzyme, minofu yomwe imakhudzidwa ndikugaya umakhudzidwa.

Mavuto amatha kuyamba m'mbali iliyonse yamatumbo am'mimba.

Zizindikiro za matenda

Odwala matenda ashuga ayenera kudziwa momwe gastroparesis imachitikira mu shuga. Ngati wodwalayo anali ndi mbiri yolephera kuzindikira, panali kuwonongeka m'maganizo, mapazi owuma, ndiye kuti mavuto amabadwa ndi m'mimba.

Zizindikiro za gastroparesis zikuphatikiza:

• kubwatula kapena hiccups
• nseru mutatha kudya, kusanza,
• mawonekedwe a chidzalo cha kudzaza m'mimba pambuyo pazipikiro zoyambirira,
• kupweteka ndi kusasangalala m'mimba mutatha kudya,
• kuchepa kwa chidwi cha kudya,
• kutentha kwapakati kosalekeza
• ukufalikira
• kutsegula m'mimba
• kudzimbidwa
• amadumphira m'magazi a glucose ngakhale motsatira kwambiri zakudya zomwe analimbikitsa.

Ndi kuphwanya kulikonse kwa zakudya, zizindikiro za gastroparesis zimakulanso. Vutoli limakulirakudya nditatha kudya yokazinga, ma muffin, mafuta, zakudya zam'mimba, koloko. Kukula kwa zizindikiro kumatengera kuopsa kwa matendawa komanso mawonekedwe a thupilo.

Pa magawo oyamba, madokotala sangathe kukayikira nthawi zonse kutukuka kwa gastroparesis. Chikhalidwe cha matendawa ndikuti ndizosatheka kukhala ndi shuga.

Zomwe zimayambitsa matendawa

Popeza kuti odwala matenda ashuga onse amakhala ndi gastroparesis, ndikofunikira kudziwa zomwe zimapangitsa kuti pakhale zovuta zina. Cholinga chachikulu ndikuphwanya magwiridwe antchito amanjenje ndikuwonongeka kwa mitsempha ya vagus. Koma nthawi zambiri matendawa amapezeka mwa odwala omwe:

• mavuto ndi m'mimba thirakiti
• hypothyroidism
• zilonda zam'mimba,
• matenda a mtima
• scleroderma,
• Pali mbiri yovulala kwam'mimba, matumbo,
• anayamba kudwala
• kupsinjika kwakukulu.

Gastroparesis imatha kukhala zovuta pakugwiritsa ntchito mankhwala a antihypertensive. Nthawi zina, zomwe zimayambitsa izi ndizophatikiza pazinthu zina, kotero kuti mumvetsetse, chifukwa cha mavuto omwe abuka, ndikofunikira limodzi ndi dokotala.

Ndimakonda kwambiri khofi, zakudya zamafuta, mowa, mwayi wokhala ndi gastroparesis ukuwonjezeka. Kupatula apo, chakudya chotere chimapangitsa kuti m'mimba musamavutike.

Zinthu Zofunika

Odwala omwe ali ndi matenda omwe amadalira insulin ayenera kupatsidwa insulin asanadye. Mtundu wachiwiri wa matenda ashuga, odwala amamwa mankhwala apadera omwe amathandizira kuti apange insulin ndikupanga kusintha kwa kuyamwa kwa maselo. Nthawi yomweyo, chakudya chizilowa m'thupi, ngati sichikupezeka, kuchuluka kwa shuga kumatsika kwambiri.

Matendawa gastroparesis amadziwika chifukwa chakuti chakudya chimalephera kulowa bwino mthupi. Izi zimawononga thanzi lanu. Ndi matendawa, chakudya kuchokera m'mimba kulowa m'matumbo chimatha kulowa nthawi yomweyo, kapena mwina patatha masiku angapo. Pakusowa chakudya, odwala matenda ashuga amawonetsa zizindikiro za hypoglycemia. Zakudya zikamayenda m'matumbo, hyperglycemia imayamba.

Odwala omwe ali ndi matenda a shuga a mtundu wachiŵiri, gastroparesis amayambitsa mavuto ochepa kuposa odwala omwe ali ndi matenda a shuga. Zowonadi, ndi mtundu wodziyimira pawokha wa insulin, njira yachilengedwe yopanga mahomoni siyidodometsedwa (kupatula matendawo mu mawonekedwe owopsa). Chifukwa chake, kupanga kwake kumayambira panthawi yomwe chakudya chimachoka kuchokera m'mimba kupita m'matumbo.

Ngati matumbo atachotsa pang'onopang'ono kuposa zabwinobwino, koma pamlingo womwewo, ndiye kuti shuga mu odwala matenda ashuga a mtundu 2 azikhala otsalira. Koma m'malo pomwe chakudya chimalowetsedwa m'matumbo m'magawo akulu kwambiri, kuchuluka kwa shuga kumawonjezeka kwambiri. The odwala matenda ashuga sangathe payokha kulipira hyperglycemia.

Ndi matendawa, shuga ambiri amatha kuwonedwa m'mawa. Izi ndichifukwa choti chakudya chamadzulo sichilowa m'matumbo mwachangu ndikuyamba kugayidwa. Mchitidwewu umayamba usiku kapena m'mawa. Chifukwa chake, mutagona, shuga amakwezedwa.

Kuzindikira matendawa

Kuti mudziwe matenda a diabetes a gastroparesis, kuyezetsa ndi kufunsa wodwalayo ndi gastroenterologists ndikofunikira. Madokotala amayenera kupanga matenda osiyanasiyana. Ndipo kuti mudziwe bwino, kudziwunikira kwathunthu kwamagazi a glucose kumafunika. Kuwona kumachitika kwa milungu ingapo.

Mukawunika momwe wodwalayo alili, wodwalayo ayenera kuyang'anitsitsa kuchuluka kwa shuga:

• Maola 1-3 atatha kudya, shuga sawakhalabe wabwino (sayenera kukhala yomweyo),
• mukatha kudya, kulumpha kwa glucose sikumachitika, koma mphamvu yake imadzuka patatha maola 4-6 mutatha kudya,
• mayendedwe a shuga osala kudya ndiokwera kwambiri, koma ndizosatheka kuneneratu pasadakhale, amasintha tsiku ndi tsiku.

Matenda a shuga a gastroparesis amatha kukayikiridwa ndi kukhalapo kwa 2-3 mwa zizindikirozi. Koma chidziwitso cholondola kwambiri chazakuwonetsero ndikukula kwa shuga m'mawa.

Nthawi zambiri, gastroparesis ikachitika, wodwalayo sangathe kuyendetsa shuga, amayamba kuwonjezera kuchuluka kwa mankhwala omwe amachepetsa shuga. Zotsatira zake, matendawo amangokulira: kulumpha mu shuga kumakhala kwamuyaya.

Odwala omwe amadalira insulin amalangizidwa kuchita izi. Chakudya chamadzulo chikuyenera kudumphidwa, insulin nayonso siyiyenera kuperekedwa. Koma usiku muyenera kupanga jakisoni wa insulini, imwani mankhwala ochepetsa shuga.

Onani kuchuluka kwa shuga mutamwa mankhwala (jakisoni wa insulin) ndi m'mawa pamimba yopanda kanthu. Ndi njira yokhazikika ya matenda ashuga osavutitsa magwiridwe am'mimba a m'mimba, zizindikirazo ziyenera kukhala zabwinobwino.

Ndi gastroparesis, ndende ya shuga idzachepetsedwa.

Ndikulimbikitsidwanso kuyika chakudya cham'mbuyo mpaka nthawi yoyambirira ndikuwona kusintha kwamasamba. Ngati shuga amakhala wabwinobwino m'mawa popanda chakudya chamadzulo, ndipo amadzuka m'mawa ndi chakudya chamadzulo, adokotala amatha kudziwa matenda a shuga.

Payokha, madokotala amalemba mayeso otere.

1. Radiography pogwiritsa ntchito kuyimitsidwa kwa barium. Kafukufukuyu amatilola kupatula kusintha komwe kumapangitsa kuti mu mayesowo azikhala komanso kuwunika momwe alili.
2. Kuchita ma gastric manometry. Panthawi yonseyi, kupanikizika m'malo osiyanasiyana m'mimba kumayesedwa.
3. Pogwiritsa ntchito ultrasound, mutha kuwona zolimba zamkati mwamkati.
4. Endoscopic kupenda kwam'mimba gawo. Pakati pa njirayi, mkhalidwe wamkati wam'mimba umawunikiridwa.
5. Kuchita electrogastroenterography. Kupenda kumakupatsani mwayi kuti muyeze ntchito yamagetsi yam'mimba.

Gastroenterologist amayenera kuona zilonda zam'mimba, ziwopsezo zama gluteni, kuchuluka kwa msana wam'mimba, komanso matendawa.

Njira zamankhwala othandizira

Potsimikizira matenda a shuga a gastroparesis, tiyenera kukumbukira kuti ndizosatheka kusintha boma posintha mtundu wa insulin. Izi zimangobweretsa shuga mu shuga komanso kukulira kwa omwe akudwala matenda ashuga. Tsatirani njira inayo. Wodwalayo ayenera kuchita bwino pakutulutsa m'mimba ndikuyendetsa chakudya m'matumbo.

Pambuyo povomereza matendawa, muyenera kuyamba kuwunikira mosamala mawonekedwe a moyo.Chifukwa chachikulu ndikusokonekera kwa mitsempha ya vagus. Ngati nkotheka kubwezeretsa ntchito zake, ndiye kuti ndikotheka kutulutsa ntchito yam'mimba ndi chikhalidwe chamitsempha yamagazi ndi mtima.

Madokotala amasiyanitsa magulu anayi a njira zomwe zimapangitsa kuti zinthu zikhale bwino:

• mankhwala
• kuchita zolimbitsa thupi mutatha kudya,
• kusintha pang'ono zakudya
• kukonzanso kwathunthu kwa zakudya zopatsa thanzi, kugwiritsa ntchito chakudya m'madzimadzi kapena mawonekedwe amadzimadzi.

Koma mutha kukwaniritsa zofunika kwambiri ngati mumagwiritsa ntchito njira zonse pamodzi.

Mankhwala, mankhwala apadera amathandizira kuti apititse patsogolo kugaya chakudya. Ndi mitundu yofatsa ya gastroparesis, muyenera kumwa mapiritsi okha usiku. Kupatula apo, chakudya chamadzulo ndichakudya chambiri. Mwina izi zikuchitika chifukwa cha kuchepa kwa ntchito ya odwala madzulo.

Mankhwala amapezeka mu mawonekedwe a syrups kapena mapiritsi. Kuchita bwino kwa izi ndikotsika kwambiri, chifukwa chake ndikofunikira kugwiritsa ntchito mitundu ya mankhwala.

Njira zotere zitha kuperekedwa:

• Motilium (domperidone),
• Metoclopramide
• Mapiritsi otsekemera olemeretsedwa ndi michere pansi pa dzina la SuperPapayaEnzymePlus,
• "Acidin-pepsin" (betaine hydrochloride kuphatikiza pepsin).

Odwala olimbitsa thupi amatha kuyamba kuchita okha. Kuchita bwino kwa njirayi ndikokwera poyerekeza ndi kugwiritsa ntchito mankhwala. Anthu odwala matenda ashuga ayenera kuchita masewera olimbitsa thupi omwe amafulumira kuti madzi atuluke m'matumbo atalowa m'mimba. Amakulolani kuti mulimbikitse makoma am'mimba, omwe amakhala aulesi, komanso kusintha kukula kwa chimbudzi.

1. Njira yabwino yothandizira kuyambitsa m'mimba ndikuyenda. Kukhazikika kapena kugona mutatha kudya, makamaka pambuyo chakudya chamadzulo, ndizoletsedwa.
2. Kuthanso kwamimba m'mimba kumathandizanso - izi ziyenera kuchitika mukangodya. Pakupita mphindi 4, m'mimba muzikoka maulendo oposa 100.
3. Sinthani njira yopititsa ntchito patsogolo chakudya popendekera mmbuyo ndi mtsogolo. Kubwereza 20 ndikokwanira.

Chitani izi mwachindunji.

Pa matenda a diabetes a gastroparesis, kutafuna chingamu ndikulimbikitsidwa: izi zimathandiza kulimbikitsa kupindika kwa minofu yosalala yam'mimba.

Zakudya za odwala siziyenera kukhala zamafuta komanso zamafuta, ndizovuta kuzikumba, njira yotseka imachepetsa. Makonda ayenera kuperekedwa ku chakudya chamafuta ndi theka lamadzi.

Matenda a shuga a gastroparesis: ndi chiyani, zizindikiro ndi mankhwala a paresis

Matenda a shuga ndi matenda oopsa chifukwa nthawi zambiri zovuta zina zimayambira kumayambiriro ake. Chifukwa chake, matenda oopsa a hyperglycemia nthawi zambiri amakhala ndi angiopathy, retinopathy, nephropathy komanso matenda a shuga. Komanso, nthawi ya matendawa nthawi zambiri imakhala ndi ma pathologies angapo nthawi imodzi, yomwe nthawi zina imabweretsa imfa.

Gastroparesis ndi kupuwala pang'ono m'mimba, zomwe zimapangitsa kuti m'mimba muthe kaye pang'ono. Kuwoneka kwa kupsinjika kumeneku kumachitika chifukwa cha cholimba chamagazi chamagazi, chomwe chimakhala ndi zotsutsa pakugwira ntchito kwa NS.

Kulephera kotereku kumakhudza minyewa ya mitsempha yomwe imayambitsa kuphatikiza ma acid, ma enzyme, ndi minofu yomwe imakhudzidwa pakugwira ntchito kwa ziwalo zam'mimba. Ndizofunikira kudziwa kuti matenda a diabetes a gastroparesis sangakhudze chiwalo chodyera chilichonse, komanso gawo lonse logaya chakudya.

Zoyambitsa ndi zizindikiro

Chochita chotsogola kwambiri cha mawonekedwe amanjenje ndi kuchuluka kwa magazi a magazi pamene mitsempha ya vagus iwonongeka. Zomwe zimayambitsa zimathandizanso paresis - hypothyroidism, trauma ndi matenda am'mimba (zilonda zam'mimba), mtima wamitsempha, kupsinjika, anorexia manthaosa, scleroderma, mavuto obwera chifukwa cha mankhwala omwe amapangitsa magazi kukhala achilendo.

Nthawi zina gastroparesis mu matenda a shuga amapezeka motsutsana ndi maziko azinthu zingapo zomwe zikudziwikiratu.Mwachitsanzo, munthu amene amamwa mankhwala osokoneza bongo, zakumwa za khofi komanso mowa amakhala ndi chiopsezo chachikulu chotenga matendawa.

Ndikofunika kukumbukira kuti matenda ashuga a paresis amasiyana ndi nthawi zonse chifukwa chakuti m'mimba mumafooka odwala omwe ali ndi matenda oopsa a hyperglycemia. Ndipo chachiwiri, ziwalo zochepa zomwe sizakwanira zimadziwika.

Popeza kutsanulira kwam'mimba kumachitika pang'onopang'ono, wodwalayo amakhala ndi nkhawa akatha kudya, panthawi yopuma, komanso ngakhale akudya kumene. Chifukwa chake, ngakhale gawo laling'ono la chakudya limapangitsa kumva kupsinjika pamimba.

Ndi matenda omwe adakula matendawa, zakudya zingapo zimasonkhanitsidwa m'mimba nthawi imodzi. Pankhaniyi, zizindikiro zotsatirazi zimayamba:

1. kutsegula m'mimba
2. kupweteka
3. colic
4. chisangalalo
5. kubwatula.

Komanso, kuchedwa kutulutsa m'mimba kumabweretsa mavuto pakukonzekera chakudya, komwe kumakhudza thanzi lonse la wodwalayo.

Ndikofunika kudziwa kuti mawonekedwe oyamba a gastroparesis amatha kupezeka pokhapokha pokhapokha akuwonetsetsa kuti pali shuga.

Popeza minyewa yotulutsa minyewa imasokosera njira zotsata shuga. Vutoli limakulirakulira kwambiri chifukwa chosatsatira zakudya zoyenera.

Zotsatira za gastroparesis pa glycemia ndi zomwe zimachitika mu mtundu wachiwiri wa matenda ashuga

Wodwala matenda ashuga akabaya insulin musanadye kapena kugwiritsa ntchito mankhwala omwe amachititsa kuti pancreatic insulin ipange, ndiye kuti glucose imakhazikika. Koma ngati kumwa mankhwala kapena jakisoni wa insulin kunachitika popanda kudya chakudya, ndiye kuti kuchuluka kwa shuga kumatha kuchepa kwambiri. Ndipo gastroparesis mu shuga amachititsanso hypoglycemia.

Ngati m'mimba ikugwira ntchito moyenera, ndiye kuti mukatha kudya imatsata matumbo pomwepo. Koma pankhani ya matenda ashuga paresis, chakudya chimatha kukhala m'matumbo maola ochepa kapena masiku.

Zodabwitsazi nthawi zambiri zimayambitsa kuchepa kwakukulu kwa ndende yamagazi, yomwe imachitika pambuyo pa mphindi 60-120. mutatha kudya. Ndipo pakatha maola 12, chakudya chikalowa m'matumbo, shuga, m'malo mwake, zimachuluka kwambiri.

Ndi mtundu woyamba wa shuga, njira ya gastroparesis imakhala yovuta kwambiri. Komabe, ndimatenda odziyimira pawokha a insulin, kapamba amadzitengera payokha payokha, motero wodwala yemwe ali ndi vuto la kugaya chakudya amamva bwino.

Kupanga kwa insulin kumachitika chakudya chikamalowa m'mimba kulowa m'matumbo. Chakudya chili m'mimba, kupezeka kwa shuga woyambira kumadziwika. Komabe, wodwalayo akatsatira mfundo zamankhwala othandizira odwala matenda ashuga, amafunikira timadzi tambiri tomwe timagwiritsa ntchito, zomwe sizimathandizira pakuwoneka kwa hypoglycemia.

Ngati m'mimba mukutuluka pang'onopang'ono, kuthamanga kwa njirayi ndikofanana. Komabe, mu mtundu 2 wa shuga, kuchuluka kwa shuga m'magazi ndikwabwinobwino. Koma pakagwa mwadzidzidzi komanso mwadzidzidzi, kuwerengera kwama glucose kumatha kuchuluka kwambiri. Komanso, izi sizimayima asanayambitse jakisoni wa insulin.

Ndizofunika kudziwa kuti matenda a shuga a shuga amatha kukhala chifukwa chomwe chimakhudza kuchuluka kwa shuga m'mawa asanadye chakudya cham'mawa.

Chifukwa chake, ngati chakudya chatha kudya m'mimba, ndiye kuti chakudya chamatumbo chimachitika usiku ndipo shuga atadzuka adzaphwanyidwa.

Masewera Olimbitsa Thupi ndi Zakudya

Ndi matenda a diabetes a gastroparesis, masewera olimbitsa thupi apadera ayenera kuchitidwa, omwe mungalimbikitse khoma lam'mimba lanu. Izi zimalola kukhazikitsa zomwe zimachitika mthupi ndipo zimathandizira kuti kuchotseratu kuthamanga.

Chochita chophweka kwambiri ndikuyenda mukatha kudya, chomwe chimayenera kukhala pafupifupi mphindi 60. Ndikofunika kusuntha mukadya. Ndipo anthu odwala matenda ashuga omwe akumva bwino amatha kuthamanga.

Kutembenuza mozama m'mimba kumathandizanso kuthamanga kwamatumbo. Izi zimachitika mukatha kudya.Kuti mukwaniritse zomwe mukufuna, ndikofunikira kuchita pafupipafupi ndipo patatha milungu ingapo minofu ndi makhoma am'mimba azikhala olimba, zomwe zingakhale ndi zotsatirapo zabwino pakugaya.

Kuchita masewera olimbitsa thupi kuchitike kwa mphindi 4. Kwa nthawi yochulukirapo, m'mimba muyenera kuyambiranso nthawi 100.

Kuphatikiza apo, ndikofunikira kupanga malo otsetsereka akuya kutsogolo ndi kumbuyo, zomwe zimapangitsa kupititsa patsogolo chakudya pakatikati pa m'mimba. Kuchita masewera olimbitsa thupi kuchitike tsiku lililonse osachepera 20.

Kuti muchepetse zovuta zosasangalatsa za matenda a diabetesic gastroparesis, ndikofunikira kutsatira zakudya zapadera ndikutsatira malamulo ena:

• musanadye, muyenera kumwa makapu awiri amadzi kapena tiyi wopanda shuga,
• Ngati sipafunikanso jakisoni wa insulin musanadye, ndiye kuti zakudya ziyenera kupitilizidwa kukhala zazakudya zisanu ndi imodzi patsiku,
• Zakudya zamafuta ambiri ziyenera kuyika pansi musanagwiritse ntchito,
• chakudya chotsiriza sichikhala mochedwa kuposa maola 5 asanagone,
• Mitundu yanyama yovundikira iyenera kutayidwa (nkhumba, masewera, ng'ombe),
• osamadya agologolo chakudya chamadzulo,
• Zakudya zonse ziyenera kutafuna nthawi makumi anayi.

Makonda amayenera kuperekedwa ku nyama yodya (nkhuku, nkhuku, kalulu), yoboola mu chopukusira nyama. Ndikofunika kuti musadye nsomba zam'madzi mpaka mutachira kwathunthu.

Ngati chithandizo cha zakudya sichidabweretsa zotsatira zoyenera, ndiye kuti wodwalayo amasamutsidwa ku chakudya chambiri kapena chadzimadzi.

Si anthu ambiri amene amadziwa kuti kutafuna chingamu ndi njira yabwino yothandizira gastroparesis. Kupatula apo, zimapangitsa njira yosinthira minofu yosalala pamakoma am'mimba, kufooketsa phula la pyloric.

Nthawi yomweyo, simuyenera kuda nkhawa za kuchuluka kwa shuga, chifukwa kutafuna kumatheka kumangokhala ndi 1 g ya xylitol, yomwe ilibe chidwi ndi glycemia. Chifukwa chake, mukatha kudya chilichonse, chingamu chizitha kutafuna pafupifupi ola limodzi. Nkhaniyi ipereka zowonjezera zokhudzana ndi zovuta za matenda ashuga.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Zizindikiro za matenda a shuga a gastroparesis

Pa gawo loyamba, matendawa amakhala asymptomatic. Mwa mitundu ikuluikulu yokha yomwe gastroparesis imadziwika ndi izi:

• Kutentha kwadzuwa ndi kupindika mutatha kudya,
• Kumva kulemera ndi kuzaza kwam'mimba ngakhale mutakhala kadzutsa,
• Kudzimbidwa, kutsatiridwa ndi matenda am'mimba,
• Zowawa, kulawa koyipa mkamwa.

Ngati zizindikiro sizikupezeka, gastroparesis imatha kupezeka ndi kuchuluka kwa shuga m'magazi. Dibetic gastroparesis imapangitsa kukhala kovuta kukhala ndi shuga wabwinobwino, ngakhale wodwala matenda ashuga atatsata zakudya zochepa.

Zokhudza shuga

Kuti mumvetsetse momwe kuchuluka kwa shuga m'magazi kumatengera kutsika kwa m'mimba, muyenera kudziwa zomwe zimachitika mthupi la wodwala yemwe ali ndi matenda a shuga 1.

Asanadye, amafunika kuti alowetsedwe ndi insulin yofulumira.

Pambuyo jakisoni, wodwalayo ayenera kudya kena kake. Izi zikapanda kuchitika, shuga wamagazi ayamba kutsika ndipo zimayambitsa hypoglycemia.

Ndi zakudya gastroparesis, chakudya chikakhala kuti sichilowetsedwa m'mimba, zomwe zimachitikanso. Thupi silinalandire michere yofunika, hypoglycemia imayamba.

Ngakhale kuti insulini idathandizidwa pa nthawi malinga ndi malamulo onse, ndipo chakudya chinachitika.

Vuto ndilakuti wodwala matenda ashuga sangadziwe nthawi yeniyeni yomwe m'mimba mwake mudzayendetsere chakudya komanso chopanda kanthu. Pankhaniyi, adatha kubaya insulin pambuyo pake. Kapenanso, m'malo momwera mankhwala mwachangu, gwiritsani ntchito mankhwala ochepetsa kapena a nthawi yayitali.

Koma chinthu chochititsa chidwi ndichakuti matenda a shuga a gastroparesis ndichinthu chosayembekezereka. Palibe amene anganene motsimikiza kuti m'mimba mudzatuluka chiyani.Palibe ma pathologies komanso osokoneza ntchito oyang'anira chipata, kayendedwe kazakudya kamatha kuchitika patangopita mphindi zochepa chilandilireni. Nthawi yayikulu yotsanulira kwam'mimba ndi maola atatu.

Ngati phula phulusa ndipo valalo yatsekedwa, ndiye kuti chakudyacho chimatha kukhala m'mimba kwa maola ambiri. Ndipo nthawi zina masiku angapo. Pansi pamzere: kuchuluka kwa shuga m'magazi kumatsika pang'ono mpaka kukayikira, kenako mwadzidzidzi kukangotuluka.

Ichi ndichifukwa chake vutoli limabweretsa zovuta zazikulu ngati pakufunika kuwongolera kuchuluka kwa shuga m'magazi kuti apereke mankhwala oyenera. Kuphatikiza apo, mavuto amadza mwa iwo omwe, m'malo mwa jakisoni wa insulin, amatenga insulin pamapiritsi.

Pankhaniyi, timadzi ta pancreatic sitingamwe, titagona m'mimba limodzi ndi chakudya chopanda.

Kusiyana kwa gastroparesis mu mtundu 2 shuga

Popeza kapamba amatha kuphatikiza insulin mu shuga yachiwiri, odwala omwe ali ndi matenda amtunduwu amakhala ndi mavuto ochepa. Amakhalanso ndi zovuta: inshuwaransi yokwanira imangopangidwa kokha ngati chakudya chasunthira kumatumbo ndikugaya kwathunthu.

Ngati izi sizingachitike, shuga wochepa wokha amasungidwa m'magazi, okwanira kokha kupewa hypoglycemia.

Pokhapokha ngati pali zakudya zochepa za carb zomwe zimapangidwira odwala matenda ashuga a mtundu wa 2, palibe chifukwa chachikulu cha insulin. Chifukwa chake, mawonekedwe a gastroparesis pankhaniyi siowopsa.

Kuphatikiza apo, ngati kuchotsako kumachedwa koma kosakhazikika, mulingo wofunikira wamagazi ukadasungidwa. Mavuto amatuluka mwadzidzidzi komanso kutulutsa kwam'mimba kwathunthu. Kenako kuchuluka kwa shuga kumadutsa kwambiri malire ovomerezeka.

Mutha kubwezeranso mwakale mothandizidwa ndi jakisoni wa insulin wofulumira. Koma zitatha izi, maselo ochepa mphamvu a beta okha omwe amatha kuphatikiza insulin yambiri kotero kuti shuga yayamba kukula.

Vuto lina lalikulu, komanso chifukwa china chomwe chithandizo cha gastroparesis chikufunikira, ndicho matenda a m'mawa. Apa mungazindikire:

• Tiyerekeze kuti wodwala wadya chakudya chamadzulo, kuchuluka kwa shuga m'magazi ake ndikwabwinobwino.
• Koma chakudyacho sichinakudya nthawi yomweyo ndipo chinangokhala m'mimba.
• Ngati imayenda m'matumbo usiku, m'mawa wodwala matenda ashuga adzuka ndi shuga wambiri.

Mothandizidwa ndi chakudya chamafuta ochepa komanso kuwonjezereka kwa insulin yokhala ndi matenda a 2 shuga, chiopsezo cha hypoglycemia ndi gastroparesis ndi chochepa.

Mavuto amayamba mwa odwala omwe amatsatira zakudya zapadera ndipo nthawi yomweyo amaperekanso insulin. Nthawi zambiri amavutika ndi kusintha kwamwadzidzidzi m'magulu a shuga ndi kuvutidwa kwambiri kwa hypoglycemia.

Zoyenera kuchita mukatsimikizira gastroparesis

Ngati wodwalayo ali ndi zizindikiro zochepa za matenda a shuga a m'magazi, komanso kuchuluka kwa shuga m'magazi kumatsimikizira kuti ali ndi matenda, ndikofunikira kupeza njira yothanirana ndi shuga. Kuchiza pakusintha mosinthika a insulin sikungapereke chifukwa, koma kungovulaza.

Chifukwa chake, mutha kungokulitsa zinthuzo ndikukhala ndi zovuta zatsopano, koma simungathe kupewa kuukira kwa hypoglycemia. Pali njira zingapo zochizira kuchepetsedwa kwa m'mimba, zonse zomwe zalongosoledwa pansipa.

Kusintha kwa zakudya kuti muziwongolera gastroparesis

Chithandizo choyenera kwambiri chomwe chimachepetsa kwambiri matenda ashuga gastroparesis ndichakudya chapadera. Moyenera, liphatikize ndi masewera olimbitsa thupi omwe cholinga chake ndi kulimbikitsa ntchito yam'mimba komanso kukonza matumbo.

Zimakhala zovuta kuti odwala ambiri asinthane ndi kudya ndi zakudya zatsopano.Chifukwa chake, ndikulimbikitsidwa kuti muchite izi pang'onopang'ono, kuchoka pazovuta zosavuta kupita kuzambiri. Kenako mankhwalawo adzakhala otetezeka komanso othandiza.

1. Musanadye, muyenera kumwa magalasi awiri amadzimadzi aliwonse - chinthu chachikulu ndikuti sichotsekemera, mulibe caffeine ndi mowa.
2. Chepetsani kudya kwa fiber kwambiri momwe mungathere. Ngati zinthu zomwe zili ndi izi zidaphatikizidwanso m'zakudya, tikulimbikitsidwa kupukuta mu gruel mu blender musanagwiritse ntchito.
3. Ngakhale zakudya zofewa ziyenera kutafunidwa mosamala kwambiri - nthawi 40.
4. Muyenera kusiyiratu nyama yovuta kugaya mitundu - iyi ndi ng'ombe, nkhumba, masewera. Makonda ayenera kuperekedwa kwa mbale za nyama yophika kapena nyama yophika nkhuku, yoboola kudzera chopukusira nyama. Osamadya nsomba.
5. Chakudya chamadzulo sichikhala mochedwa kuposa maola asanu asanagone. Nthawi yomweyo, chakudya chamadzulo chimayenera kukhala ndi mapuloteni ochepa - ena mwa iwo ndi bwino kusamukira ku chakudya cham'mawa.
6. Ngati palibe chifukwa chobweretsera insulin musanadye, muyenera kupatula chakudya chambiri masiku atatu muzinthu zing'onozing'ono za 4-6.
7. Mwa mitundu yayikulu ya matendawa, pamene chithandizo cha zakudya sichinabweretse zotsatira zomwe zikuyembekezeka, ndikofunikira kusinthana ndi chakudya chamadzimadzi ndi theka.

Ngati m'mimba mwa odwala matenda ashuga amakhudzidwa ndi gastroparesis, CHIKWANGWANI chilichonse, ngakhale chosungunuka mosavuta, chimatha kuyambitsa mapangidwe a pulagi. Chifukwa chake, kugwiritsidwa ntchito kwake ndikovomerezeka pamitundu yaying'ono yodwala, koma pang'ono.

Izi zipititsa patsogolo shuga. Zotupa zokhala ndi ulusi wopera ngati fulakisi kapena mbewu zotsekemera ziyenera kutayidwa kwathunthu.

Kufotokozera kwa matendawa

Idiopathic gastroparesis ndiye mtundu waukulu wa matenda. Ichi ndi matenda ogwirira ntchito pomwe mulingo wachitetezo cham'mimba umagwira. Koma mtundu wamatenda, wotchedwa diabetesic gastroparesis, amatanthauza zovuta zowopsa zomwe zimayambitsidwa ndi matenda ashuga - matenda osokoneza bongo.

Nthawi zina matenda amatha kuyambitsa kuphatikiza kwa zinthu, chifukwa chake, kuyesedwa kwathunthu ndi endocrinologist kumafunika kwa wodwala matenda ashuga.

Zomwe zimapangitsa kuti pakhale zovuta za shuga ndi zifukwa ziwiri izi:

• shuga wamagazi ambiri
• kusokoneza ntchito yamanjenje.

Kuphatikiza pa iwo, njira zamatumbo zomwe zimayambitsa matenda ashuga zimatha kuchitika ndi:

• matenda am'mimba
• kuvulala m'mimba ndi matumbo,
• zovuta zomwe zimachitika pakumwa mankhwala, zomwe zimapangidwa kuti zikhale zovuta kutengera kukakamizidwa.

Nthawi zina gastroparesis mu shuga amapezeka motsutsana ndi maziko azinthu zingapo nthawi imodzi, zomwe zimafuna kupenda wodwala wodwala matenda a shuga.

Pakakhala kukayikira kwa mtundu wina wa matendawa kapena matenda ashuga, onse amayamba ndi matenda monga nseru, kupangitsa kusanza. Zizindikirozi zimachitika nthawi zina, nthawi zambiri zimadziwika pambuyo chakudya. Mndandanda wazisonyezo zina zamatenda am'mimba ndi motere:

kumverera kwa m'mimba kwathunthu, osasamala kuchuluka kwa chakudya,

Zizindikiro za gastroparesis zikatsimikiziridwa ndikuzindikira, zimatha kuchepetsedwa pogwiritsa ntchito othandizira omwe amakhumudwitsa minofu ya m'mimba kuti ipange zambiri, ndikupangitsa kuti atulutsire chimbudzi mwachangu. Zizindikiro zomwe zimasiyanitsa gastroparesis mu matenda a shuga, makamaka ngati zili zoyambirira, zikuphatikiza chizindikiro cha "kudumpha" kwamawonekedwe a shuga. Njira ya matenda ashuga a matenda am'mimba amadziwika kwambiri, ndipo odwala matenda ashuga, zizindikiro zimayendetsedwa kumtunda kwam'mimba.

Nthawi zambiri, kuchuluka kwa zizindikiro zotere m'matenda a shuga kumakulirakulira munthu wodwala matenda ashuga akamadya chakudya chamafuta, cholemera kapena chosakanika, amamwa chakumwa cha carbonated, kapena kudya chinthu chamafuta. Ngakhale kuchuluka kwa mawonetsedwe amawuwa kumawonetsedwa kwathunthu palokha kutengera zovuta kapena matendawa.

Osatayidwa m'mimba chakudya cha matenda ashuga chimayamba kuvunda. M'mimba mwake mumakhala mabakiteriya. Kuchulukitsa kwa mulingo wa vutoli kumachitika chifukwa chakuti masango olimba otsalira amatsekera kupitilira kwa matumbo ang'onoang'ono.

Maphikidwe a anthu

Kodi ndizotheka kuchotsa gastroparesis nokha? Ngakhale njira siyinapangidwepo yomwe imathandizira wodwalayo kuzindikirika kwa matenda, pali zitsamba zingapo zomwe zimathandizira kukonza chimbudzi.

Izi zikuphatikiza:

• masamba a lalanje,
• artichoke
• masamba a dandelion
• angelica.

Chinese hawthorn imathandizira kuchotsa m'mimba kusasinthika kwa chakudya ndi zizindikiro zokhudzana nazo. Komanso kapu yamadzi akumwa asanadye, pomwe pali kagawo ka mandimu, ndikokwanira kusintha m'mimba kuti mumvetse zinthu. Komabe, njira zonse zachikhalidwe zimachita payekha. Simungayambe kuzigwiritsa ntchito popanda kuvomerezedwa ndi adokotala.

Mitengo ya mankhwala yolingaliridwa pakati pamagawo akuluakulu

Malangizo & zidule

Malinga ndi ziwerengero, anthu omwe akuchita masewera olimbitsa thupi amachotsa msanga gastroparesis mwachangu kuposa omwe amagwiritsa ntchito njira yokhayo yachipatala. Ndikofunikira kuti pasakhale zovuta zina. Nthawi zambiri chifukwa chakufunika kwa mankhwalawa ndi ulesi waumunthu chabe.

Pogwiritsa ntchito masewera olimbitsa thupi osavuta, zidzatha kulimbitsa khoma la m'mimba, pambuyo pake chimbudzi chitha kugwira ntchito moyenera.

Chochita chophweka kwambiri ndi kuyenda kwa ola limodzi mutatha kudya. Ndizofunikira makamaka mukadya. Mkhalidwe waumoyo ukaloleza, zimakhala bwino kuchita bwino kwambiri.

Kugwira mwachangu pamimba kungathandize. Gwiritsani ntchito njira yofananira yokhazikika pakudya. Pakatha milungu yochepa, minyewa yam'mimba komanso makhoma a chiwalocho adzachira, chimbudzi chimachitika mokwanira. Ndikofunikira kuchita masewera olimbitsa thupi kwa mphindi 4, zomwe ndizokwanira kutulutsa peritoneum zana.

Njira yachitatu yolimbitsa thupi imakhudzanso zolimbitsa thupi. Chifukwa chake mutha kukonza njira yolimbikitsira chakudya mthupi lonse. Ndikokwanira kuchita 20 times zomwe mungazigwiritse ntchito ndikubwerera.

Kutopa ndi ululu m'mimba, m'mimba.

• kupweteka m'mimba
• kusanza
• kutsegula m'mimba
• kutentha kwa mtima

Mwayiwalani pamene mudali mumtendere wabwino, komanso makamaka mukamva bwino?
Inde, zovuta zam'mimba zimatha kuwononga moyo wanu!

Koma pali yankho: dokotala wa gastroenterologist, wamkulu wa dipatimenti ya gastroenterological Arkhipov Mikhail Vasilievich akufotokozera tsatanetsatane. >>>

Idiopathic gastroparesis

Idiopathic gastroparesis amatanthauza imodzi mwazinthu zazikulu za matenda. Matendawa ndi othandizirana m'mimba akachotsedwa ntchito. Matendawa amawonetsedwa ndi nseru, zomwe zimachitika kangapo pamlungu.

Kusanza kwakanthawi kumatheka, kumawonedwa kamodzi pa sabata, kapena kukomoka kwa masiku opitilira masiku 7 ndipo kumachitika katatu katatu pachaka. Kusokonezeka kwa m'mimba kumatha kuonedwa motsutsana ndi maziko a machitidwe a psychopathological - kukhumudwa komweko.

Chithandizo cha makolo

Kodi ndizotheka kuchitira gastroparesis ndi njira zina? Chowonadi ndi chakuti mpaka pano, njira sinapangidwe yomwe imalola kuti wodwalayo azindikire kwathunthu ndikukhazikitsa matumbo onse.Komabe, pali zitsamba zingapo zomwe zimathandizira kukonza chimbudzi.

Masamba a Angelica, dandelion ndi artichoke, ndi masamba a lalanje amathandizira kugawa chakudya mwachangu. Chinese hawthorn imalepheretsa chakudya kusayenda m'matumbo. Kapu yamadzi yokhala ndi chidutswa cha mandimu musanadye chakudya chamadzulo imathandizira kuti thupi lizimva bwino.

Komabe, njira zonse ndizangokhudza munthu payekha. Mulimonsemo, musanatenge mankhwala othandizira ndikugwiritsa ntchito njira zina, muyenera kufunsa dokotala.

Chimayambitsa matendawa ndi chiani?

Gastroparesis imachitika kuwonongeka kwamitsempha yam'mimba ikachitika kapena ikasiya kugwira ntchito. Choyambitsa matenda ambiri ndi shuga. Zomwe zimayambitsa zimatha kukhala zovuta zina zamagetsi, monga matenda a Parkinson kapena stroke, komanso mankhwala ena, monga ma tridclic antidepressants, calcium block blockers, ndi mapiritsi ogona.

Zizindikiro zake ndi ziti?

Zizindikiro zimatha kubwera ndipo nthawi zambiri zimachitika mukamadya kapena mukatha kudya. Atha kukhala:

Kumverera kwokhutitsidwa ndikudya pang'ono. Kuphuka pafupipafupi. Kubetcha ndi hiccups. Kupweteka kwamtima kapena kupweteka kwam'mimba kosadziwika. Mseru kapena kusanza. Kuchepetsa chilakolako cha thupi ndi kunenepa.

Zizindikiro zimatha kukhala zoonda mpaka zowawa. Zizindikiro zowopsa za gastroparesis zitha kuchepetsedwa ndi chithandizo cha mankhwala omwe amathandizira kutsitsa kwa m'mimba (kuwonjezera ntchito yake yolerera). Nthawi zina zovuta kwambiri, pakufunika kukhazikitsidwa kwa chubu ya chakudya m'matumbo aang'ono.

Munthu yemwe ali ndi gastroparesis amathanso kukhala ndi zigawo za shuga wambiri kapena wotsika kwambiri. Gastroparesis imatha kukayikiridwa mwa munthu yemwe ali ndi matenda ashuga omwe ali ndi zizindikiro zogwirizana ndi gawo logaya m'mimba kwambiri kapena zovuta kuthana ndi shuga. Kuwongolera kwawo kumatha kuchepetsa zizindikiro za gastroparesis.

Kodi amathandizidwa bwanji?

Chithandizo cha gastroparesis zimatengera kuopsa kwa vutoli ndipo zingaphatikizepo nthawi ngati izi:

Kudya kangapo patsiku m'magawo ang'onoang'ono, ndipo osati katatu patsiku m'magawo akulu. Kudya zakudya zamafuta ochepa mafuta. Mankhwala omwe amafulumira kutsanulira kwam'mimba (kuwonjezera ntchito yake ya contractile), monga metoclopramide (Cerucal), domperidone, kapena erythromycin. Erythromycin ndi maantibayotiki, komanso amathandizira kuthamangitsa chakudya kuchokera m'mimba. Kuikapo kanyumba kanyumba ka chakudya m'matumbo aang'ono ngati muli ndi gastroparesis.

Momwe mungachiritsire matenda ashuga a gastroparesis

Gastroparesis ndiofala kwambiri pakati pa anthu omwe ali ndi matenda amtundu woyamba 1, omwe amakhala ndi shuga wambiri. Tsoka ilo, matenda a shuga a gastroparesis ndi matenda osachiritsika omwe sangathe kuchiritsidwa. Komabe, njira zimakhalapo kuti muchepetse zizindikilo ndi kubwerera ku moyo wabwinobwino.

Chithandizo cha kunyumba

Samalani ndi shuga lanu. Shuga wambiri amachedwetsa kugaya ntchito chifukwa mitsempha ya vagus, yomwe imalimbikitsa chimbudzi, imalephereka. Kuchuluka kwa shuga kumayambitsa kusokonezeka kwa mitsempha m'mitsempha ndi m'mitsempha, komwe kumachepetsa kupuma kwa ma cell ndi metabolism ndikuchepetsa kutulutsa kwamkati, ndipo kugaya kumasokoneza.

Pezani mita ya shuga m'magazi alionse kuti mupeze shuga yanu. Mudzafunika kudulira chala kuti mupeze dontho la magazi. Viyikani gawo loyeserera mita mu dontho la magazi ndikudikirira masekondi angapo mpaka chipangizocho chiziwerengera kuchuluka kwa shuga.

Imwani insulin mukatha kudya, isanachitike. Ngati mukudwala matenda a shuga a gastroparesis, ndiye kuti mupeze insulin pambuyo chakudya, musanadye. Izi zimachedwetsa mphamvu ya insulin ndikusunga shuga nthawi zonse. Funsani dokotala wanu musanagwiritse ntchito njira imeneyi.

Idyani nthawi zambiri m'magawo ang'onoang'ono. Kuti muchepetse zizindikiro za matenda a diabetesic gastroparesis, ndibwino kudya nthawi zambiri m'magawo ang'onoang'ono kusiyana ndi magawo akuluakulu komanso osowa. Izi ndichifukwa choti magawo ang'onoang'ono amatengeka mosavuta ndi thupi kuposa okulirapo.

Tafuna chakudya chako bwino. Kutafuna chakudya chokwanira kumathandizira kugaya. Izi ndichifukwa choti makina osakanikirana ngati chakudya amawathandizira kulowa kwa madzi a m'mimba komanso kuthamangitsa kugaya.

Kutafuna chakudya chokwanira kumaphatikizapo kutafunafuna kwanthawi yayitali pang'ono ndi kumeza pang'onopang'ono. Tengani nthawi yanu mukudya. Yesetsani kuti musasokonezedwe ndi chakudya poonera TV, kuwerenga kapena kukambirana ndi munthu. Kusokoneza chakudya kumapangitsa kuti kudya kwathu kusamakhale kokwanira.

Pewani zakudya zamafuta ambiri monga malalanje, broccoli, maapulo, tirigu, nyemba, mtedza, kabichi. Pewani zakudya zomwe zili ndi mafuta ambiri. Mafuta ndizovuta kuyamwa ndi thupi, chifukwa samasungunuka m'madzi. Kudya kwa mafuta ndi njira yayitali, choncho ndikofunikira kupewa zakudya zamafuta, makamaka ngati muli ndi vuto lofooka m'mimba.

Zakudya zamafuta ambiri: batala, tchizi, nyama yokonzedwa, zakudya zam'chitini ndi nyama iliyonse yokazinga. Osamagona mutadya. Ndikofunikira kukhala owongoka mukatha kudya pafupifupi maola awiri. Izi zidzathandizira kugaya chakudya chifukwa cha mphamvu yokoka.

Yambani kuyenda kapena kuchita masewera olimbitsa thupi mutatha kudya. Izi zidzathandizira kugaya, ndipo m'mimba mumatuluka zinthu zomwe zimathamanga mwachangu. Kuchita masewera olimbitsa thupi kumawonjezera kuyamwa kwa glucose ndi maselo mphamvu. Izi zimapatsa thupi mphamvu yofunikira pakukonza chakudya.

Chithandizo cha mankhwala

Imwani mankhwala omwe amasintha mphamvu ya m'mimba. Ngati mwapezeka kuti muli ndi gastroparesis, dokotala amakulemberani mankhwala kuti mukulitse mphamvu ya m'mimba. Mwachitsanzo:

Ranitidine. Mankhwalawa amathandizira kuyendetsa gawo logaya chakudya. Nthawi zambiri imafotokozedwa mu mgawo wa 1 mg wa kilogalamu imodzi ya thupi kawiri tsiku lililonse piritsi.

Metoclopramide. Mankhwalawa amathandizira minofu kugwedezeka, imathandizira kutuluka kwa zinthu zam'mimba komanso imathandizira chidwi. Mankhwala amaletsa mseru komanso kusanza. Amatenga theka la ola musanadye komanso nthawi yogona kugona mu 10 mg katatu patsiku.

Dokotala wanu angakupatseni mankhwala azakumwa. Nthawi zina ndi matenda a shuga a gastroparesis, madokotala amalimbikitsa kuyambitsidwa kwa zakudya zamadzimadzi, chifukwa zinthu zamadzimadzi ndizosavuta kugaya. Zakudya izi zimaphatikizapo chimanga, tiyi, mkaka, ndi sopo.

Yesani zamagetsi kukondoweza kwa m'mimba. Ndi njirayi, chida choyendetsedwa ndi batri chimayikidwa m'mimba. Chipangizocho chimapereka mphamvu yamagetsi yam'mimba. Izi zimalimbikitsa ntchito yam'mimba, zimathandizira kutuluka kwa zomwe zili m'mimba ndikuthandizira kusanza komanso kusanza.

Catheter angagwiritsidwe ntchito kuperekera zakudya. Nthawi zina, mwa anthu omwe ali ndi matenda a shuga a gastroparesis, zakudya za makolo zitha kugwiritsidwa ntchito. Catheter imakhazikika pachifuwa ndipo michere yofunika imatumizidwa mwachindunji m'magazi.