Gastroparesis

Gastroparesis mamiriro anoderedza kugona kwedumbu kuburitsa zvirimo. Izvo hazvireve kuvhara (kuvharidzira).

Chikonzero chaicho chegastroparesis hachizivikanwe. Inogona kukonzerwa nekukanganiswa kwemasaini etsinga mudumbu. Mamiriro acho chinetso chakajairika cheshuga. Inogona zvakare kutevera kumwe kuvhiya.

Njodzi zvinhu zvegastroparesis zvinosanganisira:

• Chirwere cheshuga
• Gastrectomy (kuvhiya kubvisa chikamu chedumbu)
• Systemic sclerosis
• Kushandiswa kwemushonga unovhara zvimwe zviratidzo zvetsinga (anticholinergic mushonga)

Zviratidzo zvinogona kusanganisira:

• Kusununguka kwemukati
• Hypoglycemia (mune vanhu vane chirwere cheshuga)
• Nausea
• Premature mudumbu kuzadza mushure mekudya
• Kurera huremu pasina kuyedza
• Kusvipa
• Marwadzo emudumbu

Miedzo iwe yaungangoda inosanganisira:

• Esophagogastroduodenoscopy (EGD)
• Gastric kubvisa kudzidza (uchishandisa isotope kunyora)
• Kumusoro GI dzakateedzana

Vanhu vane chirwere cheshuga vanofanira kugara vachidzora huwandu hweshuga yeropa. Kudzora kuri nani kweshuga yeropa kunogona kuwedzera zviratidzo zvegastroparesis. Kudya zvidiki uye zvinowanzoitika kudya uye zvakapfava chikafu kunogona kubatsira kubvisa zvimwe zviratidzo.

Mishonga inogona kubatsira inosanganisira:

• Cholinergic zvinodhaka, izvo zvinoshanda pane acetylcholine nerve receptors
• Erythromycin
• Metoclopramide, mushonga unobatsira kubvisa dumbu
• Serotonin anopikisa zvinodhaka, izvo zvinoshanda pane serotonin receptors

Mimwe mishonga inogona kusanganisira:

• Botulinum toxin (Botox) yakajowa mukati medumbu (pylorus)
• Nzira yekuvhiya inogadzira kuvhurika pakati pemudumbu uye ura mudiki kubvumira chikafu kufamba nenzira yekugaya zviri nyore (gastroenterostomy)

Mazhinji marapirwo anoita kunge anongobatsira kwenguva pfupi.

Kuenderera mberi kusvotwa uye kurutsa kunogona kukonzera:

• Kupera mvura mumuviri
• Electrolyte kusaenzana
• Kushaya zvokudya zvinovaka muviri

Vanhu vane chirwere cheshuga vanogona kuve nematambudziko akakomba kubva mukutadza kweshuga muropa

Shanduko mukudya kwako dzinogona kubatsira kudzora zviratidzo. Fonera wako mupi wezvehutano kana zviratidzo zvikaenderera kana uine zviratidzo zvitsva.

Gastroparesis chirwere cheshuga; Kunonoka gastric kupera; Chirwere cheshuga - gastroparesis; Chirwere cheshuga neuropathy - gastroparesis

• Kugaya chirongwa
• Dumbu

Bircher G, Woodrow G. Gastroenterology uye chikafu mune chisingaperi chirwere cheitsvo. Muna: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Yakakwana Kliniki Nephrology. 6th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 86.

Koch KL. Gastric neuromuscular basa uye neuromuscular kusagadzikana. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 49.