Isifo sikashukela i-mellitus yisifo esibi esingamahlalakhona esithinta ukusebenza cishe kwawo wonke amasistimu omzimba, kubandakanya nohlelo lwezinzwa. Ukwephulwa kwemigwaqo akuthinti kuphela ukuphela kwezinzwa okuphathelene nokuzwela kwezicubu nokukhalipha, kodwa futhi nalawo ma-receptors agqugquzela ukukhiqizwa kwama-enzyme esiswini ukwehla nokugaya ukudla.
Uma phakathi neminyaka eminingana amazinga kashukela wegazi akhule ngokuqinile, ukungasebenzi kahle ekusebenzeni okuvamile kohlelo lwezinzwa kwenzeka njalo, futhi kuba nesifo esifana nesifo sikashukela se-gastroparesis.
IGastroparesis ukukhubazeka okungaphelele kwezicubu zesisu, okwenza kube nzima ukugaya nokuhambisa ukudla kuqhubeke amathumbu. Lokhu kusongela ukuthuthukiswa kwe-pathologies eyengeziwe yesisu, amathumbu, noma yomibili.
Uma isiguli sinezimpawu ze-neuropathy, ngisho nezincane kunazo zonke, khona-ke kungenzeka futhi ukuthi azokhula nesifo sikashukela se-gastroparesis.
Izimpawu ze-gastroparesis yesifo sikashukela
Esigabeni sokuqala, lesi sifo cishe siyi-asymptomatic. Kungamafomu amakhulu kuphela lapho i-gastroparesis ingaqashelwa yizimpawu ezilandelayo:
- Ukushaya kwenhliziyo kanye nokugoba ngemuva kokudla;
- Umuzwa wesisindo nokugcwala kwesisu, ngisho nangemuva kokudla okulula;
- Ukuqunjelwa, kulandelwa yisifo sohudo;
- I-Sour, ukunambitheka okubi emlonyeni.
Uma izimpawu zingekho, i-gastroparesis ingatholakala ngegciwane le-glucose elibi. I-Dibetic gastroparesis yenza kube nzima ukugcina ushukela wegazi ojwayelekile, noma ngabe isiguli sikashukela silandela ukudla okune-carbohydrate ephansi kakhulu.
Imiphumela ye-gastroparesis yesifo sikashukela
I-Gastroparesis ne-gastroparesis ye-diabetes yimiqondo ehlukene nemigomo. Esimweni sokuqala, kukhulunywa ngokukhubazeka kwesisu okuyingxenye. Esikhathini sesibili - isisu esibuthakathaka ezigulini ezihlushwa ushukela wegazi ongazinzi.
Isizathu esiyinhloko sokuqalwa kwesifo ukwephulwa kwemisebenzi ye-vagus nerve ebangelwa lizinga eliphakeme le-glucose egazini.
Le nzwa ihlukile, ilawula imisebenzi eminingi yomzimba womuntu, eyenziwa ngaphandle kokubamba iqhaza ngokuqondile komqondo. Lokhu kufaka phakathi:
- ukugaya
- ukushaya kwenhliziyo
- ukwakhiwa kwamadoda, njll.
Kwenzekani uma isiguli sihlaselwa i-gastroparesis?
- Njengoba isisu singena kancane, sihlala sigcwele ngesikhathi sokudla okulandelayo ngemuva kwangaphambilini.
- Ngakho-ke, ngisho nezingxenye ezincane zibangela umuzwa wokugcwala nosizi esiswini.
- Ngezindlela ezibucayi zesifo, ukudla okuningana ngokulandelana kunganqwabelana.
- Kulokhu, isiguli sikhononda ngezimpawu ezinjengokulunywa, ukuqhakaza, i-colic, izinhlungu, isisu esidabukisayo.
Ezigabeni zokuqala, lesi sifo sitholakala kuphela ngesilinganiso esivamile sikashukela wegazi. Iqiniso ngukuthi i-gastroparesis, noma isefomini emnene, ayikuvumeli ukuthi ulawule inani le-glucose egazini. Ukuphamba ngokudla kubuye kusixaka lesi simo.
Okubalulekile: uma udla ukudla okunamafutha amaningi, ukudla okune-khalori eningi, ukudla okune-cocoa, utshwala noma ukuthatha ama-antidepressants ama-tricyclic, ukukhishwa kwesisu kwehlisa ngisho nangaphezulu.
Umphumela kushukela wegazi
Ukuze uqonde ukuthi i-glucose yegazi incike kanjani ekuthini ukuthulula esiswini, okokuqala kudingeka uthole ukuthi kwenzekani emzimbeni wesiguli esinesifo sikashukela sohlobo 1.
Ngaphambi kokudla, udinga umjovo we-insulin esebenza ngokushesha.
PNgemuva komjovo, isiguli kumele sidle okuthile. Uma lokhu kungenzeki, izinga loshukela wegazi lizoqala ukuncipha futhi kungaholele ku-hypoglycemia. Nge-gastroparesis yokudla, lapho ukudla kuhlala kungathintwanga esiswini, kwenzeka into efanayo. Umzimba awuzange uthole izakhi ezidingekayo, i-hypoglycemia iyakhula. Naphezu kweqiniso lokuthi i-insulin yenziwa ngesikhathi ngokuya ngayo yonke imithetho, futhi isidlo senzeka.
Inkinga ukuthi umuntu onesifo sikashukela akasoze azi kahle ukuthi isisu siyokuhambisa nini ukudla futhi singanalutho. Kulokhu, kungenzeka ukuthi wafaka i-insulin ngokuhamba kwesikhathi. Noma esikhundleni somuthi osebenza ngokushesha, sebenzisa isidakamizwa esiphakathi noma esisebenza isikhathi eside.
Kodwa into engenakuphikwa ukuthi isifo sikashukela siyi-gastroparesis yinto engalindeleki. Akekho ongasho ngokuqinisekile ukuthi isisu sizosutha nini. Lapho kungekho khona ama-pathologies kanye nomsebenzi wesiphazamisi ongasebenzi kahle, ukuhamba kokudla kungenzeka emizuzwini embalwa ngemuva kokutholwa. Isikhathi esikhulu sokukhishwa ngokuphelele kwesisu ngamahora ama-3.
Uma kuba nokuxinana kwenhliziyo bese i-valve ivaliwe, khona-ke ukudla kungaba sesiswini amahora amaningi. Futhi ngezinye izikhathi izinsuku ezimbalwa. Umugqa ophansi: amazinga kashukela egazi ehla ngokuqinile aze agxeke, bese kuthi ngokungazelelwe aqhamuke esibhakabhakeni, ngokushesha lapho kuvela konke.
Kungakho le nkinga idala ubunzima obukhulu uma kudingekile ukulawula amazinga kashukela egazini ukuze kunikezwe ukwelashwa okufanele. Ngaphezu kwalokho, kuvela izinkinga kulabo, esikhundleni sokujova i-insulin, bathathe i-insulin ezibhebheni.
Kulokhu, i-pancreatic hormone ngeke nje igwinywe, ihlale esiswini kanye nokudla okungaphanjwanga.
Umehluko kuma-gastroparesis kuhlobo 2 sikashukela
Njengoba ama-pancreas esakwazi ukuhlanganisa i-insulin kwishukela likashukela lohlobo lwesibili, iziguli ezinale hlobo lwalesi sifo zinezinkinga ezimbalwa. Ziba nesikhathi esinzima: inani elanele le-insulin likhiqizwa kuphela lapho ukudla sekuthuthele amathumbu futhi kugaywe ngokuphelele.
Uma lokhu kungenzeki, kugcinwa kuphela ushukela omncane kakhulu egazini, okwanele ukuvikela i-hypoglycemia.
Ngokudla kokudla okuphansi kwe-carb kuvumelana nabanesifo sikashukela esinohlobo lwe-2, asikho isidingo semithamo emikhulu ye-insulin. Ngakho-ke, ukubonakaliswa kwe-gastroparesis kule ndaba akuyona eyethusayo kakhulu.
Ngaphezu kwalokho, uma ukuthulula kuhamba kancane kepha kuqinile, izinga loshukela wegazi osadingeka lizogcinwa. Izinkinga ziqhamuka ngokuthululwa kwesisu okungazelelwe futhi kuphelele. Lapho-ke inani le-glucose lizodlula kakhulu imingcele evunyelwe.
Ungayibuyisela kokujwayelekile kuphela ngosizo lomjovo we-insulin osheshayo. Kepha noma ngemuva kwalokhu, kungakapheli amahora ambalwa, amangqamuzana we-beta abuthaka azokwazi ukuhlanganisa i-insulin eningi ukuze izinga likashukela lifane.
Enye inkinga enkulu, futhi esinye isizathu esenza ukuthi ukwelashwa kwe-gastroparesis kudingeke, yisifo sokusa sokusa. Lapha ungabona:
- Ake sithi isiguli sidla isidlo sakusihlwa, izinga likashukela egazini lakhe lejwayelekile.
- Kepha ukudla akuzange kugaye masinyane kwahlala esiswini.
- Uma ingena emathunjini ebusuku, ekuseni umuntu onesifo sikashukela uyovuka noshukela wegazi ophakeme ngokweqile.
Ngokuya ngokudla okune-carbohydrate ephansi kanye nokufakwa komthamo ophansi we-insulin ngohlobo 2 sikashukela, ingozi ye-hypoglycemia ene-gastroparesis mincane.
Kuvela ubunzima kulezi ziguli ezinamathela ekudleni okukhethekile futhi ngasikhathi sinye ezihambisa imithamo emikhulu ye-insulin. Ngokuvamile bahlushwa izinguquko ezingazelelwe emazingeni kashukela nokuhlaselwa kanzima kwe-hypoglycemia.
Yini okufanele uyenze lapho uqinisekisa i-gastroparesis
Uma isiguli sinezimpawu ezibucayi ze-gastroparesis yesifo sikashukela, kanye nezilinganiso eziningi zeglucose yegazi eziqinisekisa ukutholakala kwesifo, kuyadingeka ukuthola indlela yokulawula ushukela okhipha ushukela. Ukwelashwa ngokushintsha njalo umthamo we-insulin ngeke kunikeze umphumela, kodwa kungalimaza kuphela.
Ngakho-ke, ungakhulisa isimo bese uthola izinkinga ezintsha, kepha ngeke ukwazi ukugwema ukuhlaselwa yi-hypoglycemia. Kunezindlela eziningana zokwelapha ukungasebenzi kwe-gastric ebambezelekile, zonke ezichazwe ngezansi.
Ukulungiswa kokudla ukulawula i-gastroparesis
Ukwelashwa okuhle kakhulu okunciphisa kakhulu izimpawu ze-gastroparesis sikashukela kungukudla okukhethekile. Ngokufanele, uyihlanganise nesethi yokuzivocavoca okuhloswe ngayo ukuvuselela umsebenzi wesisu nokwenza ngcono ukuhamba kwamathumbu.
Kunzima ukuthi iziguli eziningi zishintshele ngokushesha ekudleni okusha nasekudla. Ngakho-ke, kunconywa ukuba wenze lokhu kancane kancane, usuka ezishintshashintshashintsheni ezilula kakhulu uye kwesokuguquguqukayo. Lapho-ke ukwelashwa kuzobe kuphephile futhi kusebenza.
- Ngaphambi kokudla, kufanele uphuze izingilazi ezimbili zanoma yiluphi uketshezi - into esemqoka ukuthi ayinamnandi, ayinayo i-caffeine notshwala.
- Yehlisa ukungena kwe-fiber ngangokunokwenzeka. Uma imikhiqizo equkethe le nto ifakiwe ekudleni, kuyanconywa ukuyigaya ibe yi-gruel ku-blender ngaphambi kokuyisebenzisa.
- Ngisho nokudla okuthambile kufanele kuhlafunwe ngokucophelela - okungenani izikhathi ezingama-40.
- Kuyadingeka ukulahla ngokuphelele inyama enzima yokugaya izinhlobo - lena yenkomo, ingulube, umdlalo. Izintandokazi kufanele zinikezwe ezitsheni zenyama eyosiwe noma inyama yenkukhu ebilisiwe, eyosiwe nge-grinder yenyama. Ungadli ama-clams.
- Ukudla kwakusihlwa akufanele kube ngaphambi kwamahora amahlanu ngaphambi kokulala. Ngaso leso sikhathi, isidlo sakusihlwa kufanele sibe namaprotheni amancane - kungcono ukudlulisela amanye awo esidlweni sasekuseni.
- Uma kunesidingo sokwethula i-insulin ngaphambi kokudla, udinga ukwephula ukudla kwezinsuku ezintathu kokukodwa okuncane okungu-4-6.
- Ezimweni ezinamandla zalesi sifo, lapho ukwelashwa ngokudla kungalethi imiphumela ebilindelekile, kuyadingeka ukushintshela ekudleni okuwuketshezi nolwe-ketshezi.
Uma isisu sesifo sikashukela sihlushwa i-gastroparesis, i-fiber nganoma yiluphi uhlobo, noma inyibilika kalula, ingavusa ukwakheka kwepulaki ku-valve. Ngakho-ke, ukusetshenziswa kwayo kuvunyelwe kuphela ezinhlotsheni ezithambile zesifo, kodwa ngamanani amancane.
Lokhu kuzothuthukisa ushukela wegazi. Ama-laxatives aqukethe i-fiber enjengamakha wefilakisi noma imbewu yensimbi kufanele alahlwe ngokuphelele.
