Tora 2 Chirwere cheshuga uye GI Matambudziko: Kunzwisisa chinongedzo

Zvemukati

• Mhedziso
• Gastroesophageal Reflux chirwere (GERD) / chirungurira
• Dambudziko kumedza (dysphagia)
• Gastroparesis
• Utumbo hwekupinda mukati
• Chirwere chechiropa chakakora
• Pancreatitis
• Nguva yekuona chiremba
• Kutora

Mhedziso

Rudzi rwechipiri chirwere cheshuga chirwere cheshuga yakakwira muropa. Mumuviri wako unowedzera kusagadzikana nemhedzisiro yehomoni insulin, iyo inowanzo fambisa glucose (shuga) kubva muropa rako uye kupinda mumaseru ako.

Kukwidza shuga yeropa kunokuvadza nhengo uye nyama mukati memuviri wako wese, kusanganisira iwo ari mune yako GI turakiti.

Kusvika pa75 muzana yevanhu vane chirwere cheshuga vane imwe mhando yeGI nyaya. Zviratidzo zvakajairika zvinosanganisira:

• chirungurira
• manyoka
• kuvimbiswa

Mazhinji eaya maGI nyaya anokonzerwa nekukuvara kwetsinga kubva pashuga yeropa (chirwere cheshuga chirwere cheshuga).

Kana tsinga dzikakuvadzwa, dumbu uye dumbu hazvigone kubatika pamwe sezvavanofanira kusundira chikafu kuburikidza neturakiti reGI. Mimwe mishonga inorapa chirwere cheshuga inogona zvakare kukonzera nyaya dzeGI.

Heano mamwe eenyaya dzeGI dzakabatana nechirwere cheshuga uye maitiro ekuvarapa.

Gastroesophageal Reflux chirwere (GERD) / chirungurira

Paunodya, chikafu chinofamba chichidzika nesophagus yako mudumbu rako, uko maacids anochipwanya. Tsapo yemhasuru pazasi peyophagus yako inochengeta maacids mukati medumbu rako.

Mune gastroesophageal Reflux chirwere (GERD), mhasuru idzi dzinopera simba uye dzinobvumira asidhi kuti ikwire mudumbu rako. Reflux inokonzera kurwadziwa kunopisa muchipfuva chako kunozivikanwa sekurwadzisa.

Vanhu vane chirwere cheshuga vanowanzo kuve neGERD nekurwadziwa nechirungurira.

Kufutisa ndechimwe chikonzero cheGERD icho chinowanzoitika kune vanhu vane rudzi rwechipiri chirwere cheshuga. Chimwe chikonzero chinokonzeresa kukuvara kweshuga kumitsipa inobatsira dumbu rako kushaya chinhu.

Chiremba wako anogona kuyedza reflux nekuraira endoscopy. Maitiro aya anosanganisira kushandiswa kwenzvimbo inochinjika nekamera kune rimwe divi (endoscope) kuongorora yako yegurokuro nedumbu.

Iwe unogona zvakare kuda pH bvunzo kuti uone ako acid mazinga.

Kugadzirisa mashuga eropa rako uye kutora mishonga senge maantacids kana proton pump inhibitors (PPIs) kunogona kubatsira kudzikisira GERD uye kurwadziwa kwechirungurira.

Dambudziko kumedza (dysphagia)

Dysphagia inokonzera kuti uve nedambudziko kumedza uye kunzwa sekudya kwakanamatira muhuro mako. Zvimwe zviratidzo zvacho ndezvi:

• hoarseness
• huro inorwadza
• kurwadziwa pachipfuva

Endoscopy imwe bvunzo yedysphagia.

Imwe ndeye manometry, maitiro umo inochinjika chubhu inoiswa pasi muhuro uye kumanikidza sensors kuyera iko kuita kweanomedza mhasuru.

Mune bhabheri kumedza (esophagram), iwe unomedza mvura ine barium. Iyo mvura inofukidza yako GI turakiti uye inobatsira chiremba wako kuona chero matambudziko zvakanyanya kujeka pane X-ray.

PPIs nemimwe mishonga inobata GERD inogona zvakare kubatsira nedysphagia. Idya zvidiki zvidiki pane zvakakura uye cheka chikafu chako kuita zvidimbu zvidiki kuti kumedza kuve nyore.

Gastroparesis

Gastroparesis ndipo apo dumbu rako rinodurura chikafu zvishoma nezvishoma kupinda mumatumbu ako. Kunonoka kubuda mudumbu kunotungamira kune zviratidzo se:

• kuzara
• kusvotwa
• kurutsa
• kuzvimba
• kurwadziwa mudumbu

Inenge chetatu chevanhu vane mhando 2 chirwere cheshuga vane gastroparesis. Izvo zvinokonzerwa nekukuvara kwemitsipa iyo inobatsira yako dumbu kondakita kusundira chikafu mumatumbu ako.

Kuti uone kana iwe uine gastroparesis, chiremba wako anogona kuraira yepamusoro endoscopy kana yepamusoro GI akateedzana.

Chikamu chakatetepa chine mwenje uye kamera pamagumo chinopa chiremba wako maonero mukati medu, dumbu, uye chikamu chekutanga chemuura wako kutsvaga mabhureki kana mamwe matambudziko.

Gastric scintigraphy inogona kusimbisa kuongororwa. Mushure mekudya, imaging scan inoratidza kuti chikafu chinofamba sei kuburikidza neGI turakiti rako.

Izvo zvakakosha kurapa gastroparesis nekuti inogona kuita kuti chirwere cheshuga chako chiome kubata.

Chiremba wako kana chiremba wezvekudya anogona kukurudzira kuti iwe udye zvidiki, zvine mafuta mashoma zuva rese uye unwe zvinwiwa zvinowedzera kubatsira dumbu rako kushaya chinhu zviri nyore.

Dzivisa zvakakora-mafuta uye zvakakwirira-fiber zvekudya, izvo zvinogona kunonoka kubuda mudumbu.

Zvinodhaka senge metoclopramide (Reglan) uye domperidone (Motilium) zvinogona kubatsira nezviratidzo zvegastroparesis. Asi, vanouya nenjodzi.

Reglan inogona kukonzera isingafadzi mhedzisiro senge tardive dyskinesia, iyo inoreva kufamba kusingadzoreke kwechiso nerurimi, kunyangwe zvisiri zvakajairika.

Motilium ine mashoma mhedzisiro, asi inongowanikwa muUnited States semushonga wekuferefeta. Iyo inorwisa mabhakitiriya erythromycin inobatawo gastroparesis.

Utumbo hwekupinda mukati

Enteropathy inoreva chero chirwere chemukati. Inotaridza sezviratidzo senge manyoka, kuzvimbirwa, uye kunetseka kudzora ura (fecal incontinence).

Zvese chirwere cheshuga uye zvinodhaka senge metformin (Glucophage) inozvibata zvinogona kukonzera izvi zviratidzo.

Chiremba wako anotanga kutonga zvimwe zvinokonzeresa zvezviratidzo zvako, senge chirwere kana chirwere chechiliac. Kana chirwere cheshuga chiri kukonzera zviratidzo zvako, chiremba wako anogona kukuchinjira kune mumwe mushonga.

Shanduko mukudya inogona zvakare kuve inofanirwa. Kuchinjira kuchikafu chakaderera mumafuta uye faibha, pamwe nekudya zvidiki zvidiki, zvinogona kubatsira nezviratidzo.

Anti-diarrhea mishonga yakadai seImodium inogona kubatsira kubvisa manyoka. Paunenge uine manyoka, inwa maelectrolyte mhinduro kuti urege kupera mvura.

Uyezve, laxatives inogona kubatsira kubata kupatira.

Ive neshuwa yekutaura nachiremba wako usati waita chero shanduko kuhurongwa hwako hwekurapa.

Chirwere chechiropa chakakora

Chirwere cheshuga chinowedzera njodzi yako yekukudziridza isina-doro doro mafuta chiropa chirwere.

Apa ndipo mafuta paanowedzera muropa rako, uye hazvisi nekuda kwekushandisa doro. Vanoda kusvika makumi matanhatu muzana vevanhu vane chirwere cheshuga chechipiri vane chirwere ichi. Kufutisa kunowanzo kuve nenjodzi kune ese chirwere cheshuga uye chakakora chirwere chechiropa.

Vanachiremba vanoraira bvunzo senge ultrasound, chiropa biopsy, uye kuongororwa kweropa kuti vaone chakakora chiropa chirwere. Ungangoda kugara uchiongororwa ropa kuti utarise chiropa chako kana uchinge waonekwa.

Chirwere chemafuta chiropa hachikonzeri zviratidzo, asi chinogona kuwedzera njodzi yako yekukuvara kwechiropa (cirrhosis) uye gomarara rechiropa. Yakave zvakare yakabatana nenjodzi yakakwira yechirwere chemwoyo.

Chengetedza chirwere cheshuga chakanyatsogadzirirwa kubatsira kudzivirira kumwe kukuvara kuchiropa chako uye kudzikisa njodzi yako yezvinetso izvi.

Pancreatitis

Pancreas yako inhengo inogadzira insulin, inova iyo hormone inobatsira kudzikisa shuga yako yeropa mushure mekudya.

Pancreatitis kuzvimba kwepancreas. Zviratidzo zvacho zvinosanganisira:

• kurwadziwa mudumbu repamusoro
• kurwadziwa mushure mekudya
• kupindwa nechando
• kusvotwa
• kurutsa

Vanhu vane rudzi rwechipiri chirwere cheshuga vanogona kuve nenjodzi yakawedzera yepancreatitis zvichienzaniswa nevanhu vasina chirwere cheshuga. Kuwedzera kwepancreatitis kunogona kukonzera matambudziko se:

• hutachiona
• itsvo kutadza
• matambudziko ekufema

Miedzo inoshandiswa kuongorora pancreatitis inosanganisira:

• kuongororwa ropa
• Ultrasound
• MRI
• CT scan

Kurapa kunosanganisira kutsanya kwemazuva mashoma kuti upe pancreas yako nguva yekuporeswa. Ungangoda kugara muchipatara kuti urapwe.

Nguva yekuona chiremba

Ona chiremba kana iwe uchinetsa zviratidzo zveGI, senge:

• manyoka
• kuvimbiswa
• kunzwa kwekuguta nekukurumidza mushure mekudya
• kurwadziwa mudumbu
• kunetseka kumedza, kana kunzwa sekunge kune bundu muhuro mako
• kunetseka kudzora ura hwako
• chirungurira
• kuonda

Kutora

GI nyaya dzakanyanya kuwanda kune vanhu vane mhando 2 chirwere cheshuga kupfuura kune vasina chirwere ichi.

Zviratidzo zvakaita seasidhi Reflux, manyoka, uye kupatira zvinogona kukanganisa hupenyu hwako, kunyanya kana zvikaramba zvichireba.

Kubatsira kudzivirira nyaya dzeGI uye zvimwe zvinetswa, tevera chirongwa cheshuga chekurapa chirwere chako chinorayirwa nachiremba. Kugadziriswa kweshuga muropa kuchakubatsira kudzivirira izvi zviratidzo.

Kana yako chirwere cheshuga iri kukonzera zviratidzo zvako, usamire kuitora wega. Ona chiremba wako kuti akupe mazano ekushandura mushonga mutsva.

Zvakare, taura nachiremba wako nezve kugadzira gadziriro yekudya chaiyo yezvido zvako zvekudya kana kuendesa kune anoona nezvehutano.