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

Gastroparesis Ndi matenda opatsirana pachipatala, omwe amadziwika ndi kuphwanya gawo la chakudya kudzera m'mimba chifukwa chakuchepa kwa ziwalo za minofu khoma lachiwalo. Matendawa amadziwika ndi mawonekedwe osasangalatsa atatha kudya, kumverera msanga, kusanza, kusanza mobwerezabwereza. Kuzindikira kwa gastroparesis kumapangidwa pamaziko a mawonetseredwe azachipatala ndi deta kuchokera ku maphunziro apadera (radiology, FGDS, electrogastrography, scintigraphy, kupuma mayeso). Chithandizo chimaphatikizapo zakudya zoyenera, kuikidwa kwa prokinetics, antiemetic, psychotropic zvinhu. M'mitundu ikuluikulu, kukondoweza kwa m'mimba, njira zogwiritsira ntchito opaleshoni zimagwiritsidwa ntchito.

Zambiri

Gastroparesis ndi chikhalidwe chodziwika ndi kuchepa kwa mphamvu ya m'mimba. Kuphwanya minofu contractions ya chiwalo kumayambitsa kuchedwa kutulutsa kwam'mimba. Izi zimaphatikizidwa ndi kuwoneka kwa zizindikiro zamankhwala, zomwe zimakhudza moyo wa wodwalayo. Zomwe zimachitika pakati pa achikulire ndi 4%. Nthawi zambiri gastroparesis imapezeka mwa azimayi achichepere. Mitundu yachipatala yamatenda ambiri ndi yoyamba kapena idiopathic (36%) ndi matenda ashuga (29%), postoperative ndi zovuta zina za peristalsis ndizochepa kwambiri (13%).

Zoyambitsa gastroparesis

Kupezeka kwa matendawa kumatha chifukwa cha zinthu zosiyanasiyana. Popeza zifukwa za gastroenterology zamakono, zosankha zitatu zokhudzana ndi gastroparesis ndizodziwika bwino:

Idiopathic. Peristalsis matenda amachitika popanda chifukwa. Pali chiphunzitso chakuti matendawa amakhudzana ndi ma virus (kachilombo ka cytomegalovirus, kachilombo ka Epstein-Barr), koma umboni wodalirika sunapezekabe.
Matenda a shuga. Odwala omwe ali ndi matenda a shuga (onse amtundu wa 1 ndi mtundu wa 2) amakula hyperglycemia - kuchuluka kwa shuga. Ndi nthawi yayitali ya matendawa, shuga wowonjezereka amayambitsa kuwonongeka kwa makoma a capillaries omwe amadyetsa minyewa yamanjenje. Neuropathy ya ulusi, imapereka magwiridwe antchito a esophagus ndi m'mimba, imayambitsa kufalikira kwa mitsempha. Kukhazikika kwa maselo a minofu yamatumbo kumayendera limodzi ndi kuchepa kwa kamvekedwe kake.
Opaleshoni yam'mbuyo. Matendawa amatha kuchitika atachitidwa opaleshoni pamimba. Izi ndi monga vagotomy, opaleshoni ya bariatric, fundoplication.

Zowopsa zomwe zimayambitsa gastroparesis zimaphatikizapo hypothyroidism, matenda a Parkinson, scleroderma, kulephera kwa impso. Maonekedwe a gastroparesis nthawi zambiri amagwirizanitsidwa ndi kugwiritsa ntchito mankhwala omwe amakhudza gastric motility. Izi zimaphatikizapo opioid othandizira, dopamine agonists, mchere wa lithiamu, cyclosporine.

Kutulutsa kwachizolowezi kumachitika nthawi zonse. Magawo oyambirirawo amakhala ndi kamvekedwe kosalekeza, ndipo komaliza (antrum) - amakhala ndi zochitika zamakono. Chifukwa cha izi, kupanikizika kwachilengedwe kumapangidwa, komwe kumathandizira kutuluka kwa chakudya.

Mlingo wa minyewa imayendetsedwa ndi zinthu zambiri: mphamvu yamanjenje, mahomoni am'mimba ndi ma peptides, ntchito yama cell a Cahal. Kusintha kwamomwe mumachitika manjenje komanso amanyazi kumasokoneza ntchito zogwirizana za ziwalo za minofu ya m'mimba. Kuchepa kamvekedwe ndi kuchepa kwa ntchito ya peristalsis ndiko njira yayikulu yothandizira kupezeka kwa zizindikiro za gastroparesis.

Gulu

Kuopsa kwa zizindikiro za gastroparesis kukhoza kukhala kosiyanasiyana mwa odwala. Kukula kwa matendawo kumatsimikizira momwe wodwalayo alili, moyo wake. Madigiri atatu azovuta za gastroparesis amadziwika:

Ofatsa. Zizindikiro za matendawa zimatha kusinthidwa mosavuta ndi mankhwala enaake. Komabe, wodwalayo sawonda kwambiri. Chakudya cha wodwalayo chimafanana ndi zakudya zomwe zili ndi malire ochepa.
Giredi yapakatikati. Mawonetsedwe azachipatala amatha kuimitsidwa pang'ono ndi pharmacotherapy. Chofunikira popereka chithandizo ndi mawonekedwe awa ndi kuwongolera moyo, kuphatikizapo kusintha kwa zakudya zoyenera.
Madigiri akulu. Zizindikiro zimapitilira ngakhale ndi chithandizo chamankhwala. Wodwala amafunikira chithandizo chamanthawi zonse, nthawi zambiri amapita kuchipatala kuti akalandire chithandizo.

Muzovuta kwambiri, zovuta zomwe wodwala amatha kudya yekha. Odwala otere amapatsidwa zakudya zowonjezera kudzera pa kafukufuku. Ngati ndi kotheka, kuthandizira opaleshoni kungafunike.

Zizindikiro za Gastroparesis

Chithunzi chachipatala cha matendawa chimaphatikizapo zizindikiro zingapo chifukwa cha kupukusa m'mimba. Chizindikiro chachikulu cha gastroparesis ndikumverera koyamba kukwiya komwe kumachitika ndi chakudya. Wodwalayo amasangalala msanga, ngakhale amadya pang'ono kuposa masiku onse. Kuwonetsedwa kumeneku nthawi zambiri kumayendetsedwa ndi kupezeka kwamkati pamimba (epigastric dera): kumverera kwodzaza, kupweteka.

Mukatha kudya, kunyansidwa kwambiri kumamveka nthawi zonse, kusanza kumatha kuchitika, komwe sikubweretsa mpumulo. Ndi matenda oopsa a matendawa, amatha kubwereza. Matenda a wodwalayo akuipiraipira, chifukwa madzi am'madzi amayamba kukula. Zimaphatikizidwa ndi kusokonezeka kwa electrolyte, komwe kumatha kupangitsa kuti ma concomitant pathologies awoneke.

Mavuto

Mavuto a matendawa amafotokozedwera ndi nthawi yayitali ya chakudya m'mimba. Chifukwa choti zinthu zamagaya sizisunthira m'matumbo kwa nthawi yayitali, misa yosasokonekera imatha kuuma. Kuchokera pamenepo amapezeka mtanda wokulirapo - wowoneka bwino. Ikasunthira m'mimba, imagundika ndikuwunika kwamatumbo, komwe kumayambitsa matumbo. Kusasinthika kwa chakudya kumathandizira kuti pakhale malo abwino pakupanga mabakiteriya. Kufalikira kogwiritsa ntchito microflora ya pathogenic kungayambitse chotupa mu mucosa, chomwe chimayambitsa kukula kwa gastritis.

Zizindikiro

Dokotala wazachipatala amatha kukayikira kukhalapo kwa gastroparesis ngati zizindikiro zamatenda atapezeka. Kuzindikira koyambirira kumatsimikiziridwa ndikusunga anamnesis. Kukhalapo kwa matenda ashuga odwala kapena opaleshoni yam'mimba pamimba kumawonjezera mwayi wokhala ndi gastroparesis. Pakati pa kuyesedwa, kufunsa ndi dokotala wa opaleshoni, endocrinologist kapena neurologist kungafunike. Njira zothandizira zotsatirazi zimagwiritsidwa ntchito kutsimikizira matenda:

Kuunika kwa X-ray. X-ray yam'mimba imaphatikizapo kafukufuku wokhudza kupumula kwa chiwalo malinga ndi zithunzi za x-ray zomwe zimapezeka mutadzaza pamimba ndi sing'anga yotalikirapo (kuyimitsidwa kwa barium). Mwa kuthamanga kwa barium, munthu amatha kuwunika ngati pali kusintha kwamitsempha yamafupa.
Mayeso a Endoscopic. Kuchita endoscopy kumawonetsedwa kupatula matenda omwe ali ndi zofananira. Njirayi ndiyofunika kwambiri pakuwonetsetsa kuti pali gastroparesis.
Electrogastrography. Pogwiritsa ntchito njirayi, ntchito za bioelectric zomwe zimapangitsa kuti minofu yam'mimba isanthulidwe. Ngati kuphwanya kwa ntchito ya mota kwa chiwalo, kusintha kwamunthu kumachitika - mano osasinthika okhala ndi matalikidwe osasiyanasiyananso, mafunde akufunde.
Mbiri. Pamaso pamaso pa scintigraphy ya m'mimba, wodwala amapeza chakudya cham'mawa chomwe chili ndi isotopes. Kuthamanga kwa zinthu izi kudzera m'mimba yogaya kumakonzedwa pogwiritsa ntchito zida zapadera. Nthawi zambiri, pakatha maola 4, chakudya chonse chimayenera kuchotsedwa pamimba kupita m'matumbo. Gastroparesis ikachitika, nthawi ino imachuluka.
Kuyesa kwa mpweya wa C-octane. Njirayi imaphatikizanso kuyambitsa kwa cholembedwa kuti mpweya ndi mtundu wa isotope mu thupi. Mu duodenum, chinthucho chimalowa mu mawonekedwe a mpweya woipa, womwe umathiridwa kunja. Mlingo wa kaboni dayokisi wopangidwa umakhazikitsidwa ndi zida zapadera. Mwa zomwe zili mu mpweya wotulutsidwa, munthu akhoza kuyerekezera kuchuluka kwa chakudya kuchokera kumimba.

Kusiyanitsa kosiyanasiyana kwa matenda am'mimba kumachitika ndi zovuta zina zogwira ntchito (dyspepsia, cyclic kusanza syndrome). Zizindikiro za matendawa ndi ofanana ndi vuto la kudya (anorexia, bulimia). Kwa zinthu izi, kuyamba kwa mseru, kusanza, ndi kulemera pamimba ndizodziwika. Ndikofunikira kusiyanitsa gastroparesis kuchokera ku organic pathologies omwe amapezeka kwambiri mu gastroenterology (chapamimba, zotupa, matenda am'matumbo).

Chithandizo cha gastroparesis

Maziko a chithandizo chamankhwala ndi matenda a m'mimba, kulimbana ndi matenda oyambitsidwa, omwe adatipatsa chifukwa chosawoneka bwino. Mu mawonekedwe a matenda ashuga, chithandizo choterechi chimayenera kukhala ndi cholinga chokonza hyperglycemia. Maupangiri azachipatala, mosasamala mtundu wa gastroparesis, ndi:

Kusintha zakudya. Wodwala ayenera kudya chakudya nthawi zambiri, koma m'malo ochepa (zakudya zazing'ono). Zakudyazo ziyenera kukhala ndi ma amino acid ofunikira, mavitamini komanso mafuta osakwaniritsidwa a mafuta.
Mankhwala. Zimatanthawuza kukhazikitsidwa kwa prokinetics - mankhwala omwe amalimbikitsa machitidwe a m'mimba. Njira zimaphatikizidwa ndi mankhwala a antiemetic, omwe amapanga maziko a chizindikiro cha matenda. Mankhwala a Psychotropic amaperekedwa kwa odwala ena. Kugwiritsa ntchito mankhwala kumachepetsa kuuma kwa chithunzi cha matenda (kusanza, nseru, kupweteka m'mimba).
Botulinum mankhwala. Monga njira ina yothandizira, kumayambiriro kwa botulinum toxin A mu dera la antrum. Mankhwala amachepetsa cholinergic kusungidwa kwa maselo, zomwe zimapangitsa kuchepa kwamphamvu kwa tinthu chomaliza. Mothandizidwa ndi kukondoweza, chakudya chimalowa m'matumbo mwachangu. Komabe, luso la njirayi limakhalabe lokayikira. Zotsatira zosafunikira zamaphunziro azachipatala sizinapezekebe.
Kukondoweza kwam'mimba. Amagwiritsidwa ntchito kukonza kutchulidwa gastroparesis. Mphamvu ya magetsi pakhungu la minofu imakulitsa ntchito ya peristalsis ya ziwalo, zomwe zimapangitsa kutsika kwamphamvu kwa Zizindikiro.
Zakudya zopatsa mphamvu. Mu gastroparesis woopsa, kudzilimbitsa nokha ndikovuta. Potere, kudyetsa kafukufuku kumachitika. Zakudya za makolo zitha kutumikiridwa kwakanthawi kochepa. Kugwiritsa ntchito mankhwala kwa mtsempha kwa nthawi yayitali kumayambitsa kukula kwa zovuta - matenda kapena thrombosis.
Mankhwala othandizira. Woopsa m'matenda, kuchitapo kanthu kungafunike. Chithandizo cha opaleshoni chimaphatikizapo kupatsidwa kwa jejunostoma - dzenje lochita kupanga mu jejunum. Pambuyo pake, wodwalayo amadyetsedwa kudzera mu izi. Pazochitika zina, ndikofunikira kuchita opanga kwambiri - gastrectomy.

Zotsogola ndi kupewa

Kukula kwa matendawa m'magawo oyambawa ndikabwino. Gastroparesis imatheka pakukonzanso madokotala. Ikachitika, zizindikiro za pathological zimatha. Kuzindikira mochedwa matendawa kungakulitse kudwala kwa wodwalayo. Njira yonyalanyazidwa imafunikira njira zochiritsira mosamala kwambiri. Pambuyo pa opaleshoni, zovuta zimatha kuchitika. Opaleshoniyo imayambitsa kuchepa kwa moyo wa wodwalayo chifukwa cha kupatsidwa kwa enterostomy.

Kupewa matendawa kumaphatikizapo kukhala ndi moyo wathanzi, wathanzi labwino. Kwa anthu omwe ali ndi matenda ashuga, ndikofunikira kuwunikira kuchuluka kwa shuga. Kugwiritsa ntchito pafupipafupi kwa othandizira a hypoglycemic kumaphatikizidwa ndi kupewa matenda a shuga.

Chithunzi cha kuchipatala

The kupezeka kwa chapamimba paresis mu matenda osokoneza bongo amayamba asymptomatic. Matendawa amatha kuzindikiridwa pokhapokha ngati matenda atayamba. Zizindikiro zake ndi:

kutentha kwa mtima
kulemera kwa epigastrium, ngakhale ndi chakudya chochepa, pamimba yotsika,
kubwatula
kusakhazikika kwanyumba, komwe kungawonetse kuti matumbo akukhudzidwa,
kupezeka kwa wowawasa kukoma.

Kusapezeka kwa chithunzithunzi chotere kumatha kukhazikitsa gastroparesis kokha mothandizidwa ndi mayeso apadera - gastrography. Kukhalapo kwa matenda a psychology kumalepheretsa kukonzanso kwa index ya glycemic mwa malire oyenera.

Zizindikiro zazikulu zakukula kwa matendawa

Ndi gastroparesis, wodwalayo amadandaula kuti satiety yachakudya mwachangu, ngakhale kwenikweni chakudya chochepa chidadyedwa. Nthawi yomweyo, m'mimba mwadzaza, zimapweteka, monga zimachitika ndi kudya kwambiri. Komabe, munthuyo amayamba kuchepa thupi. Amadwala kudzimbidwa, kumatulutsa, komanso kusanza pafupipafupi atatha kudya.

Izi matenda sangathe kukayikiridwa nthawi yomweyo, chifukwa chake ndikofunikira kuyesedwa mosamala ndi katswiri wa gastroenterologist pamene zizindikiro zoyambitsa zimayamba.

Njira zamankhwala othandizira

Mpaka pano, palibe mankhwala omwe amathetseratu gastroparesis. Koma kuphatikiza kwamankhwala osokoneza bongo osakanikirana ndi zakudya zoyenera kumabweretsa kuchepa kwa mawonekedwe owawa komanso kukhazikika kwa mkhalidwe wa wodwalayo. Kukhalapo kwa matenda oopsa kumatanthauza opaleshoni, yomwe imaphatikizapo kuyambitsa chubu cha chakudya m'matumbo.

Malangizo akulu pazakudya:

pewani zakudya zamafuta, komanso zakudya zokazinga ndi zamafuta, chifukwa chakudya chamafuta chimavuta kugaya, ndipo mafuta amachepetsa chimbudzi.
gwiritsitsani chakudya chamtengo wapatali,
perekani chidwi ndi kusinthasintha kwamadzimadzi (monga chakudya chophika).

Ndikofunikanso kwambiri kuchepetsa kuchuluka kwa shuga m'magazi, popeza kuchuluka kwa shuga kumathandizira kuchepetsa pang'ono minofu ya m'mimba.

Mankhwalawa, mankhwalawa amagwiritsidwa ntchito kwambiri omwe amafulumizitsa gastric motility (Itomed, Ganaton), komanso antiulcer mankhwala (pantoprazole, omeprazole), mankhwala omwe amalepheretsa kusanza (metoclopramide, domperidone) komanso kupondeleza kuphipha (celecoxib, parecoxib).

Chithandizo cha zitsamba sichimachepetsa kwathunthu matendawa, koma chimalimbikitsa kugwira ntchito mwachangu ndi m'mimba. Pakadali pano, decoctions motengera lalanje, mphukira zobiriwira za artichoke ndi dandelions akuchita ntchito yabwino kwambiri.

Kulowetsedwa kwa hawthorn Wachinayi kumalepheretsa kusayenda kwa chakudya ndikuthandizira kuthana ndi kwachilengedwe.

Pamaso pa chakudya chachikulu chilichonse, tikulimbikitsidwa kumwa theka kapu ya madzi ofunda ndi mandimu. Zomwe amamwa zimatsogolera ntchito ya ziwalo zogaya chakudya m'njira yoyenera.

Gastroparesis mu shuga samachiritsidwa kwathunthu. Mankhwala othandizira ayenera kukhala okwanira.

Kuwunikira pafupipafupi kuchuluka kwa shuga m'thupi pogwiritsa ntchito glucometer ndiye chinthu chofunikira kwambiri pakukhazikitsa wodwalayo.

Ndikofunika kuperekera insulin mukatha kudya, popeza izi zimachepetsa mphamvu ya mankhwalawo komanso kupewa kutulutsa kosafunikira kwa shuga.

Zakudya zoyenera

Mu diabetesic gastroparesis, zakudya zomwe zimakhala ndi fiber siziyenera kuphatikizidwa.Kugwiritsa ntchito mtedza, kabichi, malalanje, njere, ndi nyemba kumachepetsa kuthira kwam'mimba ndipo kumapangitsa kuti mukhale ndi nthawi yayitali yodzaza.

Zakudya zamafuta, komanso mitundu yam'mimba yodimba, siziyeneranso kukhala m'zakudya za omwe ali ndi matenda chifukwa chotenga nthawi yayitali, chomwe sichabwino kwambiri chifukwa cha gastroparesis.

Tisaiwale kuti kusokonekera kwamatumbo kwamatumbo kumayambitsa kufunikira kwa kudya pang'ono komanso kutafuna chakudya mosamala, komanso m'malo ovuta kwambiri - pakugwiritsira ntchito mbale kapena madzi ochepa okha.

M'magawo omaliza a matenda, kugwiritsa ntchito zakudya zama probe kapena zakudya za makolo sikumayikidwa pakudyetsa wodwalayo.

Mankhwala osokoneza bongo omwe amagwiritsa ntchito mankhwala omwe amathandizira kugaya chakudya amatha kukhazikitsidwa ndi katswiri.

Zabwino zimachitika chifukwa chogwiritsa ntchito Motilium, Metoclopramide, Acidin-Pepsin.

Dziwani kuti ndikofunikira kugwiritsa ntchito mitundu yamadzimadzi chifukwa chonyowa mwachangu mthupi.

Kuchita masewera olimbitsa thupi osavuta kulinso kothandiza kwambiri kuposa kugwiritsa ntchito mankhwala osokoneza bongo. Ndikofunikira:

mutatha kudya, khazikani kwakanthawi kwakanthawi,
kuyenda
mukatha kudya, bwezerani m'mimba kwa mphindi zingapo, koma osachepera 100,
tsamira kutsogolo ndi kubwerera kumbuyo 20.

Opaleshoni imakhudzidwa kwambiri. Chithandizo cha mtundu uwu chimaphatikizapo:

enterostomy - kukhazikitsidwa kwa fistula yakunja pamimba laling'ono kuti isinthe matumbo,
gastroectomy - kuchotsa kwa m'mimba.

Kuphatikiza pa kuchuluka kwa chitetezo chosagwiritsidwa ntchito mu shuga, gastroporesis imatha kubweretsa kuchepa madzi m'thupi, kutsika kwa thupi, komanso kuwonongeka kwa thanzi lonse la wodwalayo.

Kupewera kwa gastroparesis mu shuga sikungatheke. Kusamalira bwino kuchuluka kwa shuga mthupi, kutsatira malangizo a dotolo, komanso mayeso mwatsatanetsatane amachepetsa kuopsa kwa matenda.

Kusintha zakudya. Wodwala ayenera kudya chakudya nthawi zambiri, koma m'malo ochepa (zakudya zazing'ono). Zakudyazo ziyenera kukhala ndi ma amino acid ofunikira, mavitamini komanso mafuta osakwaniritsidwa a mafuta.
Mankhwala. Zimatanthawuza kukhazikitsidwa kwa prokinetics - mankhwala omwe amalimbikitsa machitidwe a m'mimba. Njira zimaphatikizidwa ndi mankhwala a antiemetic, omwe amapanga maziko a chizindikiro cha matenda. Mankhwala a Psychotropic amaperekedwa kwa odwala ena. Kugwiritsa ntchito mankhwala kumachepetsa kuuma kwa chithunzi cha matenda (kusanza, nseru, kupweteka m'mimba).
Therapy Botulinum. Monga njira ina yothandizira, kumayambiriro kwa botulinum toxin A mu dera la antrum. Mankhwala amachepetsa cholinergic kusungidwa kwa maselo, zomwe zimapangitsa kuchepa kwamphamvu kwa tinthu chomaliza. Mothandizidwa ndi kukondoweza, chakudya chimalowa m'matumbo mwachangu. Komabe, luso la njirayi limakhalabe lokayikira. Zotsatira zosafunikira zamaphunziro azachipatala sizinapezekebe.
Kukondoweza kwa magetsi pamimba. Amagwiritsidwa ntchito kukonza kutchulidwa gastroparesis. Mphamvu ya magetsi pakhungu la minofu imakulitsa ntchito ya peristalsis ya ziwalo, zomwe zimapangitsa kutsika kwamphamvu kwa Zizindikiro.
Zakudya zopatsa mphamvu. Mu gastroparesis woopsa, kudzilimbitsa nokha ndikovuta. Potere, kudyetsa kafukufuku kumachitika. Zakudya za makolo zitha kutumikiridwa kwakanthawi kochepa. Kugwiritsa ntchito mankhwala kwa mtsempha kwa nthawi yayitali kumayambitsa kukula kwa zovuta - matenda kapena thrombosis.
Mankhwala othandizira. Woopsa m'matenda, kuchitapo kanthu kungafunike. Chithandizo cha opaleshoni chimaphatikizapo kupatsidwa kwa jejunostoma - dzenje lochita kupanga mu jejunum. Pambuyo pake, wodwalayo amadyetsedwa kudzera mu izi. Pazochitika zina, ndikofunikira kuchita opanga kwambiri - gastrectomy.

Monga momwe zamankhwala zimasonyezera, mankhwala a gastroparesis ndi thandizo laling'ono pochepetsa zizindikiro zake. Ntchito yayikulu yamankhwala ndimadokotala ndikuthandizira kugaya chakudya kuti igwire.

Motilium iyenera kumwedwa ola limodzi asanadye, mapiritsi awiri okhala ndi kapu yamadzi. Mankhwala osokoneza bongo a domperidone, omwe ali gawo lalikulu la mankhwalawa, amatsogolera kuchepa kwa potency mwa amuna komanso kuphwanya kwamiseche kwa akazi.
Metoclopramide ndiyo njira yothandiza kwambiri yotulutsira matumbo, koma amangopatsidwa matenda oopsa. Zina mwazotsatira zake ndi kugona, kuda nkhawa, kusinthika kukhala nkhawa, komanso zizindikiro zofanana ndi matenda a Parkinson.
Betaine pepsin hydrochloride imathandizira kukonza chakudya chochuluka mthupi. Itha kuchitika pokhapokha ngati dokotala atamufufuza ndi kudziwa kuchuluka kwa acid m'mimba.

Popeza chifukwa chomwe chakudya sichidutsare m'matumbo ndikuphwanya minofu yosalala ya chimbudzi, masewera olimbitsa thupi apadera ndi cholinga chowalimbikitsa.

Choyambirira komanso chosavuta kwambiri ndikumayenda pambuyo pa chakudya kwa ola limodzi mwachangu kapena mwachangu. Itha m'malo mwa kuthamangira, koma kuwala kokha.
Nthawi iliyonse mukatha kudya, ndikofunikira kukoka m'mimba mwake momwe mungathere, kuti mupereke chithunzi chakuti zakhudza msana, kenako ndikuwutulutsa. Mwa kuchita izi pafupipafupi komanso kwanthawi yayitali (kuyambira mphindi 4 mpaka 15), patatha miyezi yochepa mphamvu ya "ophunzitsidwa" minofu yamatumbo am'mimba imatheka. Amayamba kuyendetsa yekha chakudya m'matumbo.

Chodabwitsa ndichakuti kugwiritsa ntchito chingamu chopanda shuga ndiye prophylactic yabwino kwambiri ya gastroparesis. Madotolo amalimbikitsa kutafuna pafupifupi ola limodzi mutatha kudya.

Ngati matendawa atsimikizira matenda a shuga a gastroparesis, kulandira chithandizo kuyenera kuyambira ndikuwunika za moyo ndi kuwongolera shuga mthupi. Mtsempha wa vagus umawerengedwa kuti ndiye chifukwa chachikulu cha chitukuko cha matenda. Pakukonzekera chithandizo, amafunika kubwezeretsa ntchito yake. Zotsatira zake, m'mimba imagwira ntchito bwino, momwe mtima ndi mitsempha yamagazi zimakhazikika. Pali njira zingapo zochizira matenda a shuga:

Kugwiritsa ntchito mankhwala.
Zopangidwa mwapadera zolimbitsa thupi pambuyo pa chakudya.
Kukonzanso zakudya.
Kupanga mndandanda wosalira, kusinthira ku chakudya chamadzimadzi kapena chonyowa.

Dokotala akatsimikizira wodwala kuti ali ndi vuto la gastroparesis, amalandira chithandizo mogwirizana ndi mkhalidwe wa wodwalayo.

Nthawi zambiri, izi ndi:

Kukonzanso zakudya, cholinga chazakudya. Zakudyazo zimaphatikizapo zakudya zomwe zimakhala ndi gawo laling'ono la fiber ndi mafuta.
Gawo la tsiku ndi tsiku limagawidwa m'magawo ang'onoang'ono m'magawo ang'onoang'ono.
Mankhwala amagwiritsidwa ntchito omwe amafulumira kutsuka kwam'mimba ndikuwonjezera ntchito za kulera. Ikhoza kukhala erythromycin mankhwala, domperidone kapena metoclopramide. Nthawi yomweyo, erythromycin ndi gulu la maantibayotiki, koma katundu wake amathandizira kuthamanga kwa chakudya m'mimba.
Kuthandizira kwa opaleshoni komwe chubu cha chakudya kumaikidwira m'matumbo aang'ono. Njira imagwiritsidwa ntchito makamaka ku ma pathologies aukali.

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.

Zotsatira ndi zovuta

Ndikofunikira kumvetsetsa kuti gastroparesis wamba ndiosiyana ndi matenda ashuga chifukwa amachititsa kuti minofu isakwanitse. Panthawi yamimba ndi shuga, tikulankhula za kufooka kwa minofu. Pa mtima wa pathology ndi kuchepa kwa mphamvu ya nyini - mitsempha ya vagus chifukwa cha kuchuluka kwa shuga.

Kusiyana kwa mitsempha ya vagus kumachitika chifukwa cha momwe imakhudzira thupi la munthu. Amawongolera:

kugaya chakudya
ntchito yamtima
kugonana.

Mndandanda wa pathophysiological wa gastroparesis.

Kuchepetsa m'mimba kumabweretsa kuti pofika nthawi yotsatira chakudya, chakudya chosaphatikizidwa chimatsaliramo.
Izi zimapangitsa kuti muzimva kukomoka mukamadya magawo ang'onoang'ono.
Mimba imayamba kutambasuka, yomwe imakwiyitsa kukula kwa zizindikiro monga kutulutsa, kuyecha, kusanza, nseru, kukokana, ndipo wodwala nthawi zambiri amakhala ndi kupweteka kwam'mimba.

Pambuyo pake, matenda a zilonda zam'mimba amatha kupezeka, omwe amayambitsidwa ndi matenda a Helicobacter pylori, omwe amatha kupulumuka mothandizidwa ndi chiwalo chokwanira. Zilonda zam'mimba za shuga zimatha kuthandizidwa kwambiri kuposa popanda matendawa. Chizindikiro chake ndi kusowa kwa zowawa.

Njira zowola za chakudya chosagwiritsidwa ntchito bwino zimathandizira kufalitsa mabakiteriya azinthu zomwe zimakhudza kugwira ntchito kwa m'mimba. Kuphatikiza pa zonsezi, chakudya chimasungunuka ndikutchingira kutuluka kwakukulu kumimba. Zinthu zikuipiraipira nthawi iliyonse.

Zotsatira zinanso zazikulu za gastroparesis mu matenda ashuga ndi hypoglycemia. Njira yomwe singagwiritsidwe ntchito ndi thupi imachitika motsutsana ndi zomwe sizinachitike pakudya, zomwe thupi la munthu limafunikira. Kutengera izi, ndizotheka kufananiza zolakwika za kuchuluka kwa insulin ya mahomoni ndi kuchuluka kwa chakudya chomwe chimatengedwa.

Zotsatira zomwe zimapezeka chifukwa cha matenda ashuga a gastroparesis amathanso kuchitika mwa odwala matenda amishuga 2, okhawo omwe ali ndi vuto lochepa. Panthawi imeneyi, kapamba amatha kudzipangira mahomoni ake. Chifukwa chake, chiwopsezo cha glycemia mukamatsata zakudya zamagulu otsika pang'ono ndi zovuta za insulin ndizofunikira.

Njira zopewera

Ndizosatheka kuletsa kukula kwa matendawa, chifukwa matendawa amapezeka chifukwa cha kupindika kwa mitsempha pamaso pa matenda a shuga.

Odwala omwe ali ndi matenda amtunduwu ayenera kuyang'anira kuchuluka kwa shuga m'magazi, zizindikiro zowonetsa zomwe zimakhudza kuyenda kwam'mimba.

Monga momwe zamankhwala zimasonyezera, kukulira mitundu yamatenda yamatenda imatha kupewedwa ndikuchita masewera olimbitsa thupi komanso zakudya zama carb otsika, chinthu chachikulu pano si ulesi. Njira yodwala matenda amatanthauza ambiri a iwo omwe kuchiritsa kumangokhala m'manja mwa wodwalayo.