Gastroparesis

Gastroparesis waa xaalad yareysa awoodda caloosha inay faaruqiso waxa ku jira. Kuma lug leedahay xannibaad (xannibaad).

Sababta saxda ah ee calool xanuunku lama garanayo. Waxaa sababi kara carqaladeynta calaamadaha neerfaha ee caloosha. Xaaladdu waa cillad guud oo sonkorowgu leeyahay. Waxay sidoo kale raaci kartaa qalliinnada qaarkood.

Waxyaabaha halista u ah calool xanuunku waxaa ka mid ah:

• Sonkorowga
• Gastrectomy (qalliin looga saarayo qayb ka mid ah caloosha)
• Cudurka 'systemic sclerosis'
• Adeegsiga daawada xannibaya astaamaha dareemayaasha qaarkood (daawada xinjirowga lidka ku ah)

Calaamadaha waxaa ka mid noqon kara:

• Kala-baxa caloosha
• Hypoglycemia (dadka qaba sonkorowga)
• Lallabbo
• Dhicis buuxda caloosha ka dib cuntada
• Miisaanka oo yaraada adiga oo aan isku dayin
• Matagid
• Calool xanuun

Tijaabooyinka aad u baahan karto waxaa ka mid ah:

• Esophagogastroduodenoscopy (EGD)
• Daraasada faaruqinta caloosha (iyadoo la adeegsanayo calaamadeynta isotope)
• Taxanaha GI ee sare

Dadka qaba sonkorowgu waa inay marwalba xakameeyaan heerarka sonkorta dhiigooda. Xakamaynta wanaagsan ee heerka sonkorta dhiigga ayaa laga yaabaa inay hagaajiso calaamadaha cudurka 'gastroparesis'. Cunista cunnooyinka yaryar iyo kuwa soo noqnoqda iyo cuntooyinka jilicsan ayaa sidoo kale kaa caawin kara yareynta calaamadaha qaarkood.

Daawooyinka laga yaabo inay ku caawiyaan waxaa ka mid ah:

• Daawooyinka loo yaqaan 'Cholinergic drugs', ee ku dhaqma qabtayaasha acetylcholine
• Erythromycin
• Metoclopramide, daawo caawisa faaruqinta caloosha
• Daawooyinka neerfaha ee loo yaqaan 'Serotonin antagonist', oo ku shaqeeya qabtayaasha serotonin

Daaweynta kale waxaa ka mid noqon kara:

• Sunta botulinum (Botox) oo lagu mudo irida caloosha (pylorus)
• Nidaamka qalliinka ee abuuraya furitaanka u dhexeeya caloosha iyo xiidmaha yar yar si loogu oggolaado cuntada inay si fudud uga gudubto habka dheef-shiidka (gastroenterostomy)

Daawooyin badan ayaa umuuqda inay bixinayaan keliya waxtar ku meel gaar ah.

Lallabbo iyo matag socda ayaa sababi kara:

• Fuuqbax
• Isku dheelitir la'aanta korantada
• Nafaqo darrada

Dadka qaba sonkorowga waxaa laga yaabaa inay yeeshaan dhibaatooyin daran oo ka yimaada xakamaynta sonkorta dhiigga oo liidata.

Isbedelada ku yimaada cuntadaada ayaa laga yaabaa inay gacan ka geysato xakameynta astaamaha. Wac daryeel caafimaad bixiyahaaga haddii calaamadaha ay sii socdaan ama haddii aad leedahay calaamado cusub.

Gastroparesis cudurka sonkorowga; Daahitaanka caloosha oo daahday; Sonkorowga - gastroparesis; Diabetic neuropathy - cudurka caloosha ku dhaca

• Nidaamka dheefshiidka
• Caloosha

Bircher G, Woodrow G. Gastroenterology iyo nafaqada cudurada kalyaha ee joogtada ah. Gudaha: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Neefroloji Caafimaad oo dhameystiran. 6aad ed. Philadelphia, PA: Elsevier; 2019: baab 86.

Koch KL. Waxqabadka qanjirka 'neuromuscular' iyo cilladaha neerfaha. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 49.