Gastroparesis cuta ce ta narkar da abinci, gabaɗaya na yau da kullun, wanda ke haifar da jinkirin zubar da ciki, idan babu wani cikas na inji. Sau da yawa na yau da kullun, gastroparesis na iya haifar da illa mai haɗari, musamman ga mutanen da ke fama da ciwon sukari. Duk da yake tsabtace abinci sau da yawa yana isa don rage alamun, wasu lokuta zasu buƙaci magani na dogon lokaci ko ma tiyata.

Ma'anar gastroparesis

Gastroparesis cuta ce ta narkar da abinci, gabaɗaya na yau da kullun, wanda ke haifar da jinkirin zubar da ciki, idan babu wani cikas na inji.

Gastroparesis matsala ce ta daidaita ayyukan tsokar ciki. Yana faruwa lokacin da jijiyoyin farji ba sa yin waɗannan ayyuka da kyau. Wannan jijiyoyi biyu suna haɗawa, a tsakanin sauran abubuwa, kwakwalwa zuwa mafi yawan hanyoyin narkar da abinci kuma yana aika saƙon da ake buƙata don ingantaccen aikin tsokar ciki. Maimakon a ja shi bayan kusan awanni biyu a cikin abin da ya biyo baya na narkewar abinci, abincin sai ya tsaya cikin ciki na tsawon lokaci.

Nau'in gastroparesis

Gastroparesis ana iya rarrabe shi a cikin waɗannan rukuni:

• Idiopathic gastroparesis, wato ba tare da wani dalili da aka gano ba;
• Gastroparesis ta hanyar shigar da jijiyoyin jiki;
• Gastroparesis ta lalacewar myogenic (cutar tsoka);
• Gastroparesis saboda wani ilimin halitta.

Sanadin gastroparesis

A cikin fiye da kashi uku na lokuta, gastroparesis idiopathic ne, wato ba tare da wani dalili ba.

Ga duk sauran lamuran, yana tasowa daga dalilai da yawa, an jera anan daga mafi yawan zuwa mafi ƙarancin lokaci:

• Rubuta 1 ko 2 ciwon sukari;
• Yin tiyata na narkewa: vagotomy (sashin tiyata na jijiyoyin farji a cikin ciki) ko guntun madaidaicin yanki (cirewar ciki daga ciki);
• Magungunan da ake amfani da su: anticholinergics, opioids, antidepressants ciki har da tricyclics, phenothiazines, L-Dopa, anticalcics, alumina hydroxide;
• Cutar (Epstein-Barr virus, varicella virus, zonatosis, trypanosoma cruzi);
• Cututtukan jijiyoyin jiki: sclerosis da yawa, bugun jini, cutar Parkinson;
• Cututtukan tsarin: scleroderma, polymyositis, amyloidosis;
• Ci gaban dystrophies na muscular;
• Zollinger-Ellison ciwo (wata cuta da ke nuna tsananin ciwon ciki da duodenal ulcers);
• Cututtuka na hanji da cututtukan da ke haifar da farmaki;
• Ischemia na narkewa ko raguwar samar da jini ga ciki;
• Anorexia nervosa;
• Hypothyroidism ko sakamakon ƙarancin samar da hormones ta glandar thyroid;
• Rashin ciwan koda.

Binciken gastroparesis

Lokacin da ake zargin gastroparesis, scintigraphy yana ba da damar auna saurin abincin da ake narkar da shi: ƙaramin abu mai rediyo, wanda za a iya kula da haskensa ta hanyar hoton likita, sannan a cinye shi da abinci mai sauƙi kuma yana sa ya yiwu a bi ƙimar. wanda abincin ke wucewa ta hanyar narkar da abinci. Gwajin numfashin octanoic acid wanda aka yiwa alama tare da tsayayyen isotope na carbon (13C) ba shine madadin scintigraphy ba.

Sauran hanyoyin da aka ba da shawarar don nazarin zubar da ciki sun haɗa da:

• Duban dan tayi wanda ke tantance canje -canje a farfajiya na rufin ciki a matsayin aiki na lokaci bayan cin abinci kuma yana taimakawa don tantance idan akwai wasu abubuwan rashin lafiyar jiki waɗanda zasu iya haifar da alamun alamun da aka danganta da gastroparesis;
• Scanner ko hoton resonance magnetic (MRI) wanda ke sake gina ƙimar na ciki akan lokaci.

Alamar bincike na ɓarna na ciki, wanda ake samu a cibiyoyi na musamman, ana ba da izini ne kawai idan akwai manyan alamu da suka shafi yanayin abinci mai haƙuri:

• Gastroscopy endoscopy ne - shigar da ƙaramin bututu mai sassauƙa wanda aka saka tare da kyamara da haske - yana ba da damar hangen bangon ciki na ciki, esophagus da duodenum;
• Manometry na Peptic ya haɗa da shigar da doguwar, bututu mai bakin ciki wanda ke auna matsin tsoka da ƙanƙara daga cikin narkar da abinci zuwa ciki.

Haɗin capsule, SmartPill ™ motility a halin yanzu ana gwada shi don yin rikodin bambancin matsin lamba, pH da zazzabi a cikin narkewar abinci. Yana iya zama madadin binciken marasa lafiya a waje da cibiyoyi na musamman.

Mutanen da ke fama da gastroparesis

Gastroparesis yana shafar kusan 4% na yawan jama'a kuma da alama yana fallasa mata sau uku zuwa huɗu fiye da maza.

Mutanen da ke da ciwon sukari suna iya haifar da gastroparesis.

Abubuwan da ke fifita gastroparesis

Kasancewar gastroparesis ya fi yawa a cikin masu ciwon sukari waɗanda ke gabatar da:

• Nephropathy (wahalar da ke faruwa a cikin kodan);
• Retinopathy (lalacewar jijiyoyin jini a cikin retina);
• Neuropathy (lalacewar motsi da jijiyoyin jijiyoyi).

Dogon narkewa

Gastroparesis galibi ana bayyana shi ta hanyar jin cikakken ciki daga cizon farko, wanda ke da alaƙa da jin daɗin narkewar abinci na ɗan lokaci, jin daɗi da wuri da tashin zuciya.

Abun ciki na ciki

Ciwon ciki yana shafar fiye da 90% na marasa lafiya da gastroparesis. Waɗannan baƙin ciki galibi na yau da kullun ne, wani lokaci na dindindin, kuma suna faruwa da dare a kusan kashi biyu cikin uku na lokuta.

Weight Loss

A cikin masu ciwon sukari, amai ya fi yawa ko ma ba ya nan. Gastroparesis galibi yana haifar da lalacewar da ba a bayyana ba a cikin yanayin majiyyaci, kamar asarar nauyi da wahalar daidaita ma'aunin glucose a cikin jini - ko sukari na jini - duk da magani.

Bezoar

Gastroparesis wani lokaci na iya haifar da ƙaramin hadadden abinci wanda ba a narkar da shi ko kuma ɗan narkar da shi, wanda ake kira bezoar, don ƙirƙirar wanda ba zai iya fita daga ciki ba.

Sauran alamu

• Rashin ci;
• Kumburin ciki;
• Maƙarƙashiya;
• Raunin tsoka;
• Gumi na dare;
• Ciwon ciki;
• Amai;
• Ragewa;
• Rashin ruwa;
• Gastroesophageal reflux;
• Ciwon hanji.

Shawarwarin tsabtace-tsarin abinci sune zaɓin da aka fi so a cikin maganin gastroparesis:

• Rushewar abinci tare da amfani da ƙananan abinci amma galibi;
• Rage lipids, zaruruwa;
• Cire magungunan da ke rage kumburin ciki;
• Normalization na sukari na jini;
• Maganin maƙarƙashiya.

Prokinetics, wanda ke motsa motsin ciki, yana wakiltar babban zaɓi na warkewa a cikin gastroparesis.

Idan rashin nasarar magani ya ci gaba, ana iya yin la’akari da wasu mafita:

• Ƙarfafa wutar lantarki na ciki (ESG): wannan na'urar da aka girka tana haifar da hasken wutar lantarki mai haske wanda ke motsa jijiyoyin mahaifa a kusa da hanyar narkar da abinci don hanzarta ɓarkewar ciki;
• Hanyoyin ciyar da wucin gadi;
• Yin tiyata, a cikin nau'i na ɗan ƙaramin ɓangare ko ƙaramar ƙwayar cuta, ya kasance na musamman.

Idan da alama yana da wahala a hana farawar gastroparesis, wasu nasihu na iya iyakance alamun sa:

• Ku ci abinci mai sauƙi sau da yawa;
• Fi son abinci mai taushi ko ruwa;
• Tauna da kyau;
• Haɗa kayan abinci mai gina jiki a cikin hanyar abin sha tare da abinci.