Thayipha i-2 Diabetes kanye nezinkinga ze-GI: Ukuqonda isixhumanisi

-Delile

• Ukubuka konke
• Isifo se-reflux se-Gastroesophageal (GERD) / isilungulela
• Inkinga yokugwinya (i-dysphagia)
• I-Gastroparesis
• Ukungena kwamathumbu emathunjini
• Isifo sesibindi esinamafutha
• I-Pancreatitis
• Ukubonana nodokotela nini
• Ukuthatha

Ukubuka konke

Uhlobo lwesifo sikashukela sohlobo lwe-2 yisifo sikashukela aphezulu egazini. Umzimba wakho umelana kakhulu nemiphumela ye-hormone insulin, evame ukukhipha ushukela (ushukela) egazini lakho ungene kumaseli akho.

Ukukhuphuka koshukela wegazi kulimaza izitho nezicubu emzimbeni wakho wonke, kufaka phakathi lezo ezisepheshaneni lakho le-GI.

Kuze kube ngamaphesenti angama-75 abantu abanesifo sikashukela abanohlobo oluthile lwenkinga ye-GI. Izimpawu ezijwayelekile zifaka:

• isilungulela
• isifo sohudo
• ukuqunjelwa

Eziningi zalezi zinkinga ze-GI zidalwa ukulimala kwezinzwa okusuka kushukela ophakeme wegazi (isifo sikashukela se-neuropathy).

Lapho izinzwa zonakalisiwe, isisu nesisu akukwazi ukungena njengoba kufanele ukuphusha ukudla ngepheshana le-GI. Eminye imishanguzo elapha isifo sikashukela nayo ingadala izingqinamba ze-GI.

Nazi ezinye zezinkinga ze-GI ezixhumene nesifo sikashukela nokuthi uzilapha kanjani.

Isifo se-reflux se-Gastroesophageal (GERD) / isilungulela

Uma udla, ukudla kwehla ngomphimbo wakho kungene esiswini sakho, lapho ama-acids akusiphula khona. Inqwaba yemisipha engezansi kwesisu sakho igcina ama-acid esiswini sakho.

Esikhathini sesifo se-reflux se-gastroesophageal (GERD), le misipha iyancipha futhi ivumela i-asidi ukuthi ikhuphukele emgodini wakho. I-Reflux ibangela ubuhlungu obushisayo esifubeni sakho obaziwa ngokuthi isilungulela.

Abantu abanesifo sikashukela banamathuba amaningi okuba ne-GERD nesilungulela.

Ukukhuluphala kungenye yezimbangela ze-GERD ezivame kakhulu kubantu abanesifo sikashukela sohlobo 2. Enye imbangela engaba khona ukulimala kwesifo sikashukela emithanjeni esiza isisu sakho singabi nalutho.

Udokotela wakho angahlolela i-reflux ngoku-oda i-endoscopy. Le nqubo ifaka phakathi ukusetshenziswa kwesimo esiguqukayo nekhamera ohlangothini olulodwa (i-endoscope) ukuhlola i-esophagus nesisu sakho.

Ungadinga futhi ukuhlolwa kwe-pH ukuhlola amazinga akho e-asidi.

Ukuphatha amazinga kashukela egazini lakho nokuthatha imishanguzo efana nama-antacids noma ama-proton pump inhibitors (ama-PPIs) kungasiza ekunciphiseni i-GERD nezimpawu zokushiswa yinhliziyo.

Inkinga yokugwinya (i-dysphagia)

I-Dysphagia ikwenza ube nenkinga yokugwinya futhi umuzwa wokuthi ukudla kunamathele emphinjeni wakho. Ezinye izimpawu zayo yilezi:

• ukushaqeka
• Umphimbo obuhlungu
• ubuhlungu besifuba

I-Endoscopy isivivinyo esisodwa se-dysphagia.

Enye i-manometry, inqubo lapho kufakwa khona ithubhu eliguquguqukayo lize liye emphinjeni bese izinzwa zokucindezela zilinganisa ukusebenza kwemisipha yakho yokugwinya.

Esimeni se-barium (esophagram), ugwinya uketshezi oluqukethe i-barium. Uketshezi kugqoka ipheshana lakho le-GI futhi kusiza udokotela wakho abone noma yiziphi izinkinga ngokucacile ku-X-ray.

Ama-PPIs nezinye izidakamizwa ezelapha i-GERD nazo zingasiza nge-dysphagia. Yidla ukudla okuncane esikhundleni sokudla okukhulu bese usika ukudla kwakho kube yizicucu ezincane ukwenza ukugwinya kube lula.

I-Gastroparesis

I-Gastroparesis yilapho isisu sakho sikhipha ukudla kancane emathunjini akho. Ukuphuza ukuphuma kwesisu kuholela ezimpawu ezifana nalezi:

• ukugcwala
• isicanucanu
• ukuhlanza
• ukuqunjelwa
• ubuhlungu besisu

Cishe ingxenye eyodwa kwezintathu zabantu abanesifo sikashukela sohlobo 2 bane-gastroparesis. Kubangelwa ukulimala kwezinzwa ezisiza isisu sakho ukuthi siphumelele ukudla ukudla emathunjini akho.

Ukuze uthole ukuthi une-gastroparesis, udokotela wakho angalawula i-endoscopy ephezulu noma uchungechunge oluphezulu lwe-GI.

Ububanzi obuncane obunokukhanya nekhamera ekugcineni kunikeza udokotela wakho umbono ngaphakathi kwesisu sakho, isisu, nengxenye yokuqala yamathumbu akho ukubheka ukuvinjelwa noma ezinye izinkinga.

I-Gastric scintigraphy ingaqinisekisa ukuxilongwa. Ngemuva kokudla, ukuskena kwe-imaging kukhombisa ukuthi ukudla kuhamba kanjani ngepheshana lakho le-GI.

Kubalulekile ukwelapha i-gastroparesis ngoba kungenza ukuthi kube nzima ukuphatha isifo sikashukela.

Udokotela wakho noma isazi sokudla angancoma ukuthi udle ukudla okuncane, okunamafutha amancane usuku lonke futhi uphuze uketshezi olungeziwe ukusiza isisu sakho singabi nalutho kalula.

Gwema ukudla okunamafutha aphezulu kanye nefayibha ephezulu, okunganciphisa ukuphuma kwesisu.

Izidakamizwa ezinjenge-metoclopramide (Reglan) ne-domperidone (Motilium) zingasiza ngezimpawu ze-gastroparesis. Noma kunjalo, ziza nezingozi.

I-Reglan ingadala imiphumela engemihle efana ne-tardive dyskinesia, ebhekisa ekunyakazeni okungalawuleki kobuso nolimi, yize kungajwayelekile.

I-Motilium inemiphumela emibi embalwa, kodwa itholakala kuphela e-United States njengesidakamizwa sokuphenya. I-erythromycin elwa namagciwane ibuye iphathe i-gastroparesis.

Ukungena kwamathumbu emathunjini

I-Enteropathy isho noma yisiphi isifo samathumbu.Kubonakala njengezimpawu ezifana nohudo, ukuqunjelwa, kanye nenkinga yokulawula ukunyakaza kwamathumbu (ukungabi namandla).

Kokubili isifo sikashukela nezidakamizwa ezifana ne-metformin (Glucophage) eyelaphayo kungadala lezi zimpawu.

Udokotela wakho uzoqala akhiphe ezinye izimbangela zezimpawu zakho, njengokutheleleka noma isifo se-celiac. Uma isidakamizwa sikashukela sibangela izimpawu zakho, udokotela wakho angakushintshela emithini ehlukile.

Ushintsho ekudleni nakho kungaqinisekiswa. Ukushintshela ekudleni okunamafutha amancane ne-fiber, kanye nokudla ukudla okuncane, kungasiza ngezimpawu.

Izidakamizwa ezilwa nohudo njenge-Imodium zingasiza ekuqedeni isifo sohudo. Ngenkathi unesifo sohudo, phuza izixazululo ze-electrolyte ukuze ugweme ukuthola amanzi emzimbeni.

Futhi, ama-laxatives angasiza ekwelapheni ukuqunjelwa.

Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza noma yiluphi ushintsho emthonjeni wakho wokwelashwa.

Isifo sesibindi esinamafutha

Isifo sikashukela sandisa amathuba okuba nesifo sesibindi esinamafutha angenalo utshwala.

Yilapho amanoni akhela esibindini sakho, futhi akubangelwa ukusetshenziswa kotshwala. Cishe amaphesenti angama-60 abantu abanesifo sikashukela sohlobo 2 banale nkinga. Ukukhuluphala kuyisici esivamile sengozi yesifo sikashukela kanye nesifo esinamafutha sesibindi.

Odokotela ba-oda izivivinyo ezifana ne-ultrasound, i-biopsy yesibindi, kanye nokuhlolwa kwegazi ukuthola isifo sesibindi esinamafutha. Ungadinga ukuhlolwa igazi njalo ukuze uhlole ukusebenza kwesibindi sakho uma usutholakele.

Isifo sesibindi esinamafutha asibangeli zimpawu, kepha singakhuphula ubungozi bokubamba isibindi (i-cirrhosis) nomdlavuza wesibindi. Iphinde yaxhunyaniswa nengozi ephezulu yesifo senhliziyo.

Gcina isifo sikashukela siphethwe kahle ukusiza ukuvimbela ukulimala okuqhubekayo esibindini sakho nokunciphisa ubungozi balezi zinkinga.

I-Pancreatitis

Ama-pancreas akho isitho esikhiqiza i-insulin, okuyi-hormone esiza ukwehlisa ushukela wegazi lakho ngemuva kokudla.

I-Pancreatitis ukuvuvukala kwamanyikwe. Izimpawu zayo zifaka:

• ubuhlungu esiswini esingenhla
• ubuhlungu ngemuva kokudla
• imfiva
• isicanucanu
• ukuhlanza

Abantu abanesifo sikashukela sohlobo lwe-2 bangaba nengozi eyengeziwe yokuphathwa yisifo sokuqaqamba kwamalunga uma kuqhathaniswa nabantu abangenaso isifo sikashukela. I-pancreatitis enamandla ingadala izinkinga ezifana nalezi:

• ukutheleleka
• ukwehluleka kwezinso
• izinkinga zokuphefumula

Ukuhlolwa okusetshenziselwa ukuxilonga i-pancreatitis kufaka:

• ukuhlolwa kwegazi
• i-ultrasound
• I-MRI
• Iskena se-CT

Ukwelashwa kufaka ukuzila ukudla izinsuku ezimbalwa ukunikeza amanyikwe isikhathi sokululama. Ungadinga ukuhlala esibhedlela ukuze uthole ukwelashwa.

Ukubonana nodokotela nini

Bheka udokotela uma unezimpawu ze-GI ezikhathazayo, njenge:

• isifo sohudo
• ukuqunjelwa
• umuzwa wokusutha ngokushesha ngemuva kokudla
• ubuhlungu besisu
• unenkinga yokugwinya, noma uzizwe sengathi kunesigaxa emphinjeni wakho
• unenkinga yokulawula ukunyakaza kwamathumbu akho
• isilungulela
• ukuncipha komzimba

Ukuthatha

Izinkinga ze-GI zivame kakhulu kubantu abanesifo sikashukela sohlobo 2 kunalabo abangenalesi sifo.

Izimpawu ezinjenge-acid reflux, isifo sohudo, nokuqunjelwa zingathinta impilo yakho kabi, ikakhulukazi uma ziqhubeka isikhathi eside.

Ukusiza ukuvimbela izingqinamba ze-GI nezinye izinkinga, landela uhlelo lokwelashwa kwesifo sikashukela odokotela bakho abakushoyo. Ukuphathwa kahle kukashukela egazini kuzokusiza ugweme lezi zimpawu.

Uma umuthi wakho wesifo sikashukela ubangela izimpawu zakho, ungayeki ukuwuthatha uwedwa. Bheka udokotela wakho ukuthola izeluleko ngokushintshela kumuthi omusha.

Futhi, khuluma nodokotela wakho mayelana nokwakha uhlelo olufanele lokudla ngezidingo zakho zokudla noma ukuthunyelwa kusazi sokudla.