Gastroparesis

Gastroparesis ke boemo bo fokotsang bokhoni ba mpa ho tšolla se kahare ho sona. Ha e kenyeletse ho thiba (tšitiso).

Lebaka le tobileng la gastroparesis ha le tsejoe. E ka bakoa ke ho senyeha ha matšoao a methapo mpeng. Boemo ke bothata bo tloaelehileng ba lefu la tsoekere. E ka latela hape lingaka tse ling tsa ho buuoa.

Lisosa tse kotsi tsa gastroparesis li kenyelletsa:

• Lefu la tsoekere
• Gastrectomy (ho buuoa ho tlosa karolo ea mpa)
• Ts'ebetso ea sclerosis
• Ts'ebeliso ea moriana o thibelang matšoao a mang a methapo (moriana oa anticholinergic)

Matšoao a ka kenyelletsa:

• Ho senya mpa
• Hypoglycemia (ho batho ba nang le lefu la tsoekere)
• Ho nyekeloa
• Ho khora ka mpeng pele ho nako ka mor'a lijo
• Ho theola boima ba 'mele ntle le ho leka
• Ho hlatsa
• Bohloko ba mpeng

Liteko tseo u ka li hlokang li kenyelletsa:

• Esophagogastroduodenoscopy (EGD)
• Boithuto ba ho ntša mpa (ho sebelisa mabitso a isotope)
• Lihlooho tse kaholimo tsa GI

Batho ba nang le lefu la tsoekere ba lokela ho laola maemo a tsoekere maling ka linako tsohle. Ho laola hamolemo boemo ba tsoekere maling ho ka ntlafatsa matšoao a gastroparesis. Ho ja lijo tse nyane hape khafetsa le lijo tse bonolo ho ka thusa ho kokobetsa matšoao a mang.

Meriana e ka thusang e kenyelletsa:

• Lithethefatsi tsa Cholinergic, tse sebetsanang le li-receptor tsa methapo ea acetylcholine
• Erythromycin
• Metoclopramide, moriana o thusang ho tšolla mpa
• Lithethefatsi tse khahlanong le serotonin, tse sebetsang ho li-receptor tsa serotonin

Mefuta e meng ea kalafo e ka kenyelletsa:

• Chefo ea Botulinum (Botox) e kenngoeng ka mpeng (pylorus)
• Ts'ebetso ea ho buoa e etsang lesoba pakeng tsa mpa le mala a manyane ho lumella lijo ho feta habonolo feela (gastroenterostomy)

Kalafo e mengata e bonahala e fana ka melemo ea nakoana feela.

Ho nyekeloa ke pelo le ho hlatsa ho ka baka:

• Ho felloa ke metsi 'meleng
• Ho se leka-lekane ha Electrolyte
• Khaello ea phepo e nepahetseng

Batho ba nang le lefu la tsoekere ba ka ba le mathata a tebileng ka lebaka la taolo e mpe ea tsoekere maling.

Liphetoho lijong tsa hau li ka thusa ho laola matšoao. Bitsa mofani oa tlhokomelo ea bophelo haeba matšoao a ntse a tsoela pele kapa u na le matšoao a macha.

Lefu la tsoekere la Gastroparesis; Ho lieha ho ntša mpa; Lefu la tsoekere - gastroparesis; Lefu la tsoekere neuropathy - gastroparesis

• Tsamaiso ea ho sila lijo
• Mala

Bircher G, Woodrow G. Gastroenterology le phepo e nepahetseng mafung a sa foleng a liphio. Ho: Feehally J, Floege J, Tonelli M, Johnson RJ, bangoli. Kakaretso ea Nephrology ea Kliniki. La 6th. Philadelphia, PA: Elsevier; 2019: khaolo ea 86.

Koch KL. Ts'ebetso ea gastric neuromuscular le mathata a neuromuscular. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mpeng le Mafu a Sebete. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 49.