Thayipha i-2 Diabetes kanye ne-Gastroparesis
-Delile
Ukubuka konke
I-Gastroparesis, ebizwa nangokuthi ukubambezeleka kokukhipha isisu, ukuphazamiseka kwendlela yokugaya ukudla okwenza ukuthi ukudla kuhlale esiswini isikhathi eside ukudlula isilinganiso. Lokhu kwenzeka ngoba izinzwa ezihambisa ukudla ngomgudu wokugaya ukudla zilimele, ngakho imisipha ayisebenzi kahle. Ngenxa yalokhu, ukudla kuhlala esiswini kungadliwe. Isizathu esivame kakhulu se-gastroparesis yisifo sikashukela. Ingakhula futhi ithuthuke ngokuhamba kwesikhathi, ikakhulukazi kulabo abanamazinga kashukela egazi angalawulwa.
Izimpawu
Okulandelayo izimpawu ze-gastroparesis:
- isilungulela
- isicanucanu
- ukuhlanza kokudla okungadliwe
- ukusutha ngaphambi kokudla okuncane
- ukuncipha komzimba
- ukuqunjelwa
- ukulahlekelwa isifiso sokudla
- amazinga eglucose egazi okunzima ukuwasimamisa
- ukudumba kwesisu
- i-asidi ye-asidi
Izimpawu ze-Gastroparesis zingase zibe zincane noma zibe nzima, kuya ngomonakalo we-vagus nerve, inzwa ende ende ephuma ebuchosheni isiya ezithweni zesisu, kufaka phakathi lezo zomgudu wokugaya ukudla. Izimpawu zingaqhuma noma nini, kepha zivame kakhulu ngemuva kokusetshenziswa kokudla okunama-fiber amaningi noma okunamafutha amaningi, konke okuphuza ukugaya.
Izici zobungozi
Abesifazane abanesifo sikashukela banengozi enkulu yokuthuthukisa i-gastroparesis. Ezinye izimo zingahlanganisa ingozi yakho yokuthuthukisa lesi sifo, kufaka phakathi ukuhlinzwa kwangaphambilini kwesisu noma umlando wokuphazamiseka kokudla.
Izifo nemibandela ngaphandle kwesifo sikashukela kungadala i-gastroparesis, efana nale:
- ukutheleleka ngegciwane
- isifo se-acid reflux
- ukuphazamiseka kwemisipha ebushelelezi
Ezinye izifo zingadala izimpawu ze-gastroparesis, kufaka phakathi:
- Isifo sikaParkinson
- i-pancreatitis engapheli
- i-cystic fibrosis
- isifo sezinso
- I-Turner's syndrome
Kwesinye isikhathi asikho isizathu esaziwayo esingatholwa, noma ngabe sekuhlolwe kabanzi.
Izimbangela
Abantu abane-gastroparesis banomonakalo emithanjeni yabo ye-vagus. Lokhu kuphazamisa ukusebenza kwezinzwa nokugayeka kokudla ngoba imizwa edingekayo yokuphaka ukudla iyehliswa noma imiswe. I-Gastroparesis kunzima ukuyixilonga futhi ngaleyo ndlela ihlala ingatholakali. Kubantu abanesifo sikashukela sohlobo 1 kusuka kumaphesenti angama-27 kuye kwangama-58 kanti kulabo abanesifo sikashukela sohlobo 2 balinganiselwa kumaphesenti angama-30.
I-Gastroparesis ivame kakhulu kubantu abanamazinga aphezulu, angalawuleki kashukela egazini isikhathi eside. Izikhathi ezinwetshiwe zeshukela ephezulu egazini zidala ukulimala kwemizwa emzimbeni wonke. Amazinga kashukela aphakeme ngokungapheli abuye alimaze nemithambo yegazi enikezela izinzwa nezitho zomzimba ngokudla nangomoya-mpilo, kufaka phakathi i-vagus nerve kanye nomgudu wokugaya ukudla, womabili lawo ekugcineni aholela ku-gastroparesis.
Ngoba i-gastroparesis yisifo esiqhubekela phambili, futhi ezinye zezimpawu zaso njengokuphamba kwenhliziyo okungapheli noma isicanucanu kubonakala kujwayelekile, ungahle ungaboni ukuthi unalesi sifo.
Izinkinga
Lapho ukudla kungagayeki ngokujwayelekile, kungahlala ngaphakathi esiswini, kubangele izimpawu zokugcwala nokuqunjelwa. Ukudla okungagaywanga futhi kungakha izixuku eziqinile ezibizwa ngama-bezoars ezingaba neqhaza kulokhu:
- isicanucanu
- ukuhlanza
- ukuvinjelwa kwamathumbu amancane
I-Gastroparesis iletha izinkinga ezinkulu kubantu abanesifo sikashukela ngoba ukubambezeleka kokugaya kwenza kube nzima ukulawula i-glucose yegazi. Lesi sifo senza inqubo yokugayeka kanzima ukuyilandelela, ngakho-ke ukufundwa kwe-glucose kungashintsha. Uma unokufundwa okungaguquguquki koshukela, wabelane ngakho nodokotela wakho, kanye nezinye izimpawu obhekene nazo.
I-Gastroparesis yisimo esingelapheki, futhi ukuba nalesi sifo kungazizwa kukhungathekisa. Ukuqhubeka nenqubo yokwenza ushintsho ekudleni nokuzama ukulawula amazinga kashukela egazini ngenkathi uzizwa ugula futhi uhlupheka kuze kube seqophelweni lokuhlanza kuyakhathaza. Labo abane-gastroparesis bavame ukuzizwa bekhungathekile futhi becindezelekile.
Ukuvimbela nokwelashwa
Abantu abane-gastroparesis kufanele bagweme ukudla i-fiber ephezulu, ukudla okunamafutha amaningi, njengoba kuthatha isikhathi eside ukugaya. Lokhu kufaka phakathi:
- ukudla okuluhlaza
- izithelo nemifino ephakeme kakhulu njenge-broccoli
- imikhiqizo yobisi ecebile, njengobisi lonke no-ayisikhilimu
- iziphuzo ezine-carbonated
Odokotela bancoma nokuthi badle ukudla okuncane usuku lonke, nokudla okuhlanganisiwe uma kudingeka. Kubalulekile ukuzigcina unamanzi afanele futhi, ikakhulukazi uma uhlanza.
Udokotela wakho futhi uzolungisa indlela yakho ye-insulin njengoba kudingeka. Bangancoma okulandelayo:
- ukuthatha i-insulin kaningi noma ukushintsha uhlobo lwe-insulin oyithathayo
- ukuthatha i-insulin ngemuva kokudla, esikhundleni saphambilini
- ukuhlola amazinga eglucose egazini njalo ngemuva kokudla nokuthatha i-insulin uma kunesidingo
Udokotela wakho uzokwazi ukukunikeza imiyalo ethe xaxa yokuthi uyithatha kanjani futhi nini i-insulin yakho.
Ukugqugquzela ugesi kuyindlela yokwelashwa yamacala abucayi e-gastroparesis. Kule nqubo, kufakwa idivaysi ethile esiswini sakho bese iletha imithambo kagesi ezinzwa nasemisipha ebushelelezi yengxenye engezansi yesisu sakho. Lokhu kunganciphisa isicanucanu nokuhlanza.
Ezimweni ezinzima, abanesifo sesikhathi eside se-gastroparesis bangasebenzisa amashubhu okondla nokudla okumanzi ukondleka.
Umbono
Alikho ikhambi le-gastroparesis. Kuyisimo esingalapheki. Kodwa-ke, ingaphathwa ngempumelelo ngezinguquko zokudla, imishanguzo, kanye nokulawulwa okufanele kweglucose yegazi. Kuzofanele wenze izinguquko ezithile, kepha ungaqhubeka nokuphila impilo enempilo negculisayo.