Matenda a shuga ndi matenda osachiritsika omwe amakhudza kugwira ntchito kwa pafupifupi thupi lonse, kuphatikizapo dongosolo lamanjenje. Kuphwanya sikumangokhudza mathero amanjenje okha omwe amachititsa chidwi cha minyewa komanso chidwi, komanso magawo omwe amalimbikitsa kupanga ma enzyme m'mimba kuti agwetse ndikugaya chakudya.
Ngati patadutsa zaka zingapo kuchuluka kwa shuga m'magazi kwachulukirachulukira, kulumikizidwa kwazomwe kumagwira ntchito kwamanjenje kumachitika kawirikawiri, ndipo matenda monga matenda a shuga a shuga amayamba.
Gastroparesis ndi ziwalo zosakwanira zam'mimba, zomwe zimapangitsa kuti zikhale zovuta kugaya komanso kusunthira chakudya patsogolo m'matumbo. Izi zikuwopseza kukula kwa zina za m'mimba, matumbo, kapena zonse ziwiri.
Ngati wodwala ali ndi vuto lililonse la neuropathy, ngakhale laling'ono kwambiri, ndiye kuti atha kudwala matenda ashuga.
Zizindikiro za matenda a shuga a gastroparesis
Pa gawo loyamba, matendawa amakhala asymptomatic. Mwa mitundu ikuluikulu yokha yomwe gastroparesis imatha kuzindikira ndi izi:
- Kutentha kwadzuwa ndi kupindika mukatha kudya;
- Kumverera kolemetsa ndi chodzaza cha m'mimba, ngakhale mutangoyamwa;
- Kudzimbidwa, kutsatiridwa ndi matenda am'mimba;
- Zowawa, kulawa koyipa mkamwa.
Ngati zizindikiro sizikupezeka, gastroparesis imatha kupezeka ndi kuchuluka kwa shuga m'magazi. Dibetic gastroparesis imapangitsa kukhala kovuta kukhala ndi shuga wabwinobwino, ngakhale wodwala matenda ashuga atatsata zakudya zochepa.
Zotsatira za matenda a shuga a gastroparesis
Gastroparesis ndi matenda a shuga a shuga ndi njira ziwiri zosiyana. Poyamba, kudwala ziwalo pang'ono. Mu chachiwiri - m'mimba ofowoka odwala odwala shuga osakhazikika.
Chifukwa chachikulu chomwe chimatithandizira kukula kwamatendawa ndikuphwanya ntchito za mitsempha ya vagus yomwe imayamba chifukwa cha kuchuluka kwa glucose m'magazi.
Mitsempha iyi ndiyopadera, imayendetsa ntchito zosiyanasiyana za thupi, zomwe zimachitika popanda kutenga nawo mbali mwachidziwitso. Izi zikuphatikiza:
- chimbudzi
- kugunda kwa mtima
- mamembala amuna, etc.
Chimachitika ndi chiyani ngati wodwala atayamba kudwala gastroparesis?
- Popeza m'mimba mukutuluka pang'onopang'ono, imakhalabe yodzadza ndi chakudya chotsatira itatha yapita.
- Chifukwa chake, ngakhale magawo ang'onoang'ono amayambitsa kukhumudwa ndi kulemera m'mimba.
- Woopsa matenda, mitundu ingapo ya chakudya imatha kudzikundana.
- Pankhaniyi, wodwalayo amadandaula za zizindikiro monga kupindika, kufinya, kupweteka, kupweteka m'mimba.
Poyambirira, matendawa amapezeka pokhapokha poyeza shuga nthawi zonse. Chowonadi ndi chakuti gastroparesis, ngakhale mofatsa, samakulolani kuti muwongole kuchuluka kwa shuga m'magazi. Kulimbana ndi zakudya kumapangitsanso zinthu zina.
Chofunikira: mukamadya mafuta, zakudya zama calorie ambiri, zakudya zokhala ndi khofi, mowa kapena kumwa mankhwala oletsa kununkhira, kutsitsa kwam'mimba kumachepetsa kwambiri.
Zokhudza shuga
Kuti mumvetsetse momwe kuchuluka kwa shuga m'magazi kumatengera kutsika kwa m'mimba, muyenera kudziwa zomwe zimachitika mthupi la wodwala yemwe ali ndi matenda a shuga 1.
Asanadye, amafunika jakisoni wa insulin yofulumira.
PPambuyo pa jakisoni, wodwala ayenera kudya kena kake. Izi ngati sizichitika, kuchuluka kwa shuga m'magazi kumayamba kutsika ndipo kungayambitse hypoglycemia. Ndi zakudya gastroparesis, chakudya chikakhala kuti sichilowetsedwa m'mimba, zomwe zimachitikanso. Thupi silinalandire michere yofunika, hypoglycemia imayamba. Ngakhale kuti insulini idathandizidwa pa nthawi malinga ndi malamulo onse, ndipo chakudyacho chidachitika.
Vuto ndilakuti wodwala matenda ashuga sangadziwe nthawi yeniyeni yomwe m'mimba mwake mudzayendetsere chakudya komanso chopanda kanthu. Pankhaniyi, adatha kubaya insulin pambuyo pake. Kapena m'malo momwa mankhwala othamangira mwachangu, gwiritsani ntchito mankhwala ochepetsa kapena a nthawi yayitali.
Koma chinthu chodziwikiratu ndikuti diabetesic gastroparesis ndichinthu chosayembekezereka. Palibe amene anganene motsimikiza kuti m'mimba mudzatuluka chiyani. Palibe ma pathologies komanso osokoneza ntchito oyang'anira chipata, kayendedwe kazakudya kamatha kuchitika patangopita mphindi zochepa chilandilireni. Nthawi yayikulu yotsanulira kwam'mimba ndi maola atatu.
Ngati phula phulusa ndipo valalo yatsekedwa, ndiye kuti chakudyacho chimatha kukhala m'mimba kwa maola ambiri. Ndipo nthawi zina masiku angapo. Pansi pamzere: kuchuluka kwa shuga m'magazi kumatsika pang'ono mpaka kukayikira, kenako mwadzidzidzi kukangotuluka.
Ichi ndichifukwa chake vutoli limabweretsa zovuta zazikulu ngati pakufunika kuwongolera kuchuluka kwa shuga m'magazi kuti apereke mankhwala oyenera. Kuphatikiza apo, mavuto amadza mwa iwo omwe, m'malo mwa jakisoni wa insulin, amatenga insulin pamapiritsi.
Pankhaniyi, timadzi ta pancreatic sitingamwe, tikhalabe m'mimba limodzi ndi chakudya chopanda.
Kusiyana kwa gastroparesis mu mtundu 2 shuga
Popeza kapamba amatha kuphatikiza insulin mu shuga yachiwiri, odwala omwe ali ndi matenda amtunduwu amakhala ndi mavuto ochepa. Amakhalanso ndi zovuta: inshuwaransi yokwanira imangopangidwa kokha ngati chakudya chasunthira kumatumbo ndikugaya kwathunthu.
Ngati izi sizingachitike, shuga wochepa wokha amasungidwa m'magazi, mokwanira kungoletsa hypoglycemia.
Pokhapokha ngati pali zakudya zochepa za carb zomwe zimapangidwira odwala matenda ashuga a mtundu wa 2, palibe chifukwa chachikulu cha insulin. Chifukwa chake, mawonekedwe a gastroparesis pankhaniyi siowopsa.
Kuphatikiza apo, ngati kuchotsako kumachedwa koma mosasunthika, mulingo wofunikira wamagazi umakhalabe. Mavuto amatuluka mwadzidzidzi komanso kutulutsa kwam'mimba kwathunthu. Kenako kuchuluka kwa shuga kumadutsa kwambiri malire ovomerezeka.
Mutha kubwezeranso mwakale mothandizidwa ndi jakisoni wa insulin wofulumira. Koma zitatha izi, pakangopita maola ochepa, maselo ofooka a beta amatha kupanga insulini yambiri kotero kuti shuga yayamba kukula.
Vuto lina lalikulu, komanso chifukwa china chomwe chithandizo cha gastroparesis chikufunikira, ndicho matenda a m'mawa. Apa mungazindikire:
- Tiyerekeze kuti wodwala wadya chakudya chamadzulo, kuchuluka kwa shuga m'magazi ake ndikwabwinobwino.
- Koma chakudyacho sichinakudya nthawi yomweyo ndipo chinangokhala m'mimba.
- Ngati imayenda m'matumbo usiku, m'mawa munthu wodwala matenda ashuga adzuka ndi shuga wambiri.
Mothandizidwa ndi chakudya chamafuta ochepa komanso kuwonjezereka kwa insulin yachiwiri mtundu wa 2 shuga, chiopsezo cha hypoglycemia ndi gastroparesis ndi chocheperako.
Mavuto amayamba mwa odwala omwe amatsatira zakudya zapadera ndipo nthawi yomweyo amaperekanso insulin. Nthawi zambiri amavutika ndi kusintha kwamwadzidzidzi m'magulu a shuga komanso kuzunzidwa koopsa kwa hypoglycemia
Zoyenera kuchita mukatsimikizira gastroparesis
Ngati wodwalayo ali ndi zizindikiro zochepa za matenda a shuga a m'magazi, komanso kuchuluka kwa shuga m'magazi kumatsimikizira matendawa, ndikofunikira kupeza njira yothanirana ndi shuga. Kuchiza posintha mosinthika wa insulin sikungapereke chifukwa, koma kungovulaza.
Chifukwa chake, mutha kungokulitsa zinthuzo ndikukhala ndi zovuta zatsopano, koma simungathe kupewa kuukira kwa hypoglycemia. Pali njira zingapo zochizira kuchepetsedwa kwa m'mimba, zonse zomwe zalongosoledwa pansipa.
Kusintha kwa zakudya kuti muziwongolera gastroparesis
Chithandizo choyenera kwambiri chomwe chimachepetsa kwambiri matenda ashuga gastroparesis ndichakudya chapadera. Moyenera, liphatikizeni ndi magawo olimbitsa thupi omwe ali ndi cholinga cholimbikitsa ntchito zam'mimba komanso kukonza matumbo.
Zimakhala zovuta kuti odwala ambiri asinthane ndi kudya ndi zakudya zatsopano. Chifukwa chake, ndikulimbikitsidwa kuti muchite izi pang'onopang'ono, kuchoka pazovuta zosavuta kupita kuzambiri. Kenako mankhwalawo adzakhala otetezeka komanso othandiza.
- Musanadye, muyenera kumwa magalasi awiri amadzimadzi aliwonse - chinthu chachikulu ndikuti sichotsekemera, mulibe caffeine ndi mowa.
- Chepetsani kudya kwa fiber kwambiri momwe mungathere. Ngati zinthu zomwe zili ndi izi mulinso m'gulu la zakudyazo, ndikofunikira kuti azizipaza mu gruel mu blender musanagwiritse ntchito.
- Ngakhale zakudya zofewa ziyenera kutafunidwa mosamala kwambiri - nthawi 40.
- Ndikofunikira kusiya nyama yovuta kugaya mitundu - iyi ndi ng'ombe, nkhumba, masewera. Makonda ayenera kuperekedwa kwa mbale za nyama yophika kapena nyama yophika nkhuku, yoboola kudzera chopukusira nyama. Osamadya nsomba.
- Chakudya chamadzulo sichikhala mochedwa kuposa maola asanu asanagone. Nthawi yomweyo, chakudya chamadzulo chimayenera kukhala ndi mapuloteni ochepa - ndibwino kusamutsa ena kuti adye chakudya cham'mawa.
- Ngati palibe chifukwa chobweretsera insulin musanadye, muyenera kupatula zakudya zitatu muzikhala zazing'ono za 4-6.
- Woopsa matenda, pamene chithandizo ndi zakudya sizinabweretse zotsatira zoyenera, ndikofunikira kusinthana ndi chakudya chamadzimadzi ndi theka.
Ngati m'mimba mwa munthu wodwala matenda ashuga amakhudzidwa ndi gastroparesis, CHIKWANGWANI chilichonse, ngakhale chosungunuka mosavuta, chimatha kuyambitsa mapulagini mu valavu. Chifukwa chake, kugwiritsidwa ntchito kwake ndikovomerezeka pamitundu yaying'ono yodwala, koma pang'ono.
Izi zipititsa patsogolo shuga. Zotupa zokhala ndi ulusi wopera ngati fulakisi kapena mbewu zotsekemera ziyenera kutayidwa kwathunthu.
