Mob plab zom zaub mov

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Hauv cov kab lus hauv peb lub vev xaib, "mob ntshav qab zib" gastroparesis "feem ntau pom. Qhov no yog qee qhov tuag tes tuag taw ntawm lub plab, uas ua rau nws lub cev qeeb tom qab noj mov. Mob ntshav qab zib kom ntshav qab zib mus ntau xyoo ua rau muaj kev cuam tshuam ntau yam hauv kev ua haujlwm ntawm lub paj hlwb. Nrog rau lwm txoj hlab ntshav, cov uas txhawb kev tsim cov acids thiab enzymes, nrog rau cov leeg nqaij uas yuav tsum tau rau kev zom zaub mov, kuj raug kev txom nyem. Cov teeb meem tuaj yeem tshwm sim nrog lub plab, plab hnyuv, lossis ob qho tib si. Yog hais tias tus neeg mob ntshav qab zib muaj qee cov hom neuropathy (ob txhais taw qhuav, tsis hnov ​​dab tsi hauv ob txhais ceg, tsis muaj zog reflexes), ces nws yuav muaj teeb meem ntawm lub plab.

Mob ntshav qab zib ua rau lub plab zom zaws ua rau cov tsos mob tsis zoo tsuas yog thaum nws muaj mob hnyav. Tom qab noj mov, tej zaum yuav ua rau kub siab, hlwv, zoo nkaus li lub plab tag nrho tom qab noj mov me me, tsam plab, xeev siab, ntuav, cem quav, qaub saj hauv lub qhov ncauj, nrog rau cem quav, hloov pauv nrog raws plab. Cov tsos mob ntawm cov teeb meem no yog tus neeg heev hauv txhua tus neeg mob. Yog tias tsis muaj cov tsos mob tshwm sim saum toj no, tom qab ntawd peb feem ntau kuaj ncua lub plab zom mov tom qab noj mov vim tsis muaj ntshav tswj ntshav qab zib. Kev mob ntshav qab zib ua rau nws nyuaj rau kev tswj cov ntshav qab zib kom ib txwm, txawm hais tias tus neeg mob ntshav qab zib ua raws li kev noj haus uas tsis muaj zaub mov zoo.

Cov teeb meem ntshav qab zib mob ntshav qab zib ua kom muaj dab tsi?

Gastroparesis txhais tau tias "ua rau lub plab tuag tes tuag taw ib nrab", thiab lub plab zom mov txhais tau hais tias "lub plab tsis muaj zog hauv cov neeg mob ntshav qab zib." Nws lub ntsiab tseem ceeb yog qhov kev tawm tsam ntawm lub paum ntawm qhov hlab ntsha vim yog ua ntu zus txhawb cov ntshav qab zib. Cov hlab ntsha no pabcuam rau ntau txoj haujlwm hauv lub cev uas tshwm sim yam tsis tau nco qab, suav nrog lub siab thiab lub plab. Hauv cov txiv neej, mob ntshav qab zib neuropathy ntawm lub paum ntawm qhov chaw mos kuj tuaj yeem ua rau muaj teeb meem nrog potency. Yuav kom nkag siab txog yuav ua li cas mob ntshav qab zib gastroparesis tshwm sim, koj yuav tsum kawm hauv daim duab hauv qab no.

Ntawm sab laug yog lub plab nyob rau hauv ib txwm mob tom qab noj mov. Nws cov ntsiab lus maj mam dhau mus rau hauv txoj hnyuv los ntawm pylorus. Lub qhov rooj sib tw lub qhov rooj dav dav (lub leeg ua kom zoo). Qhov qis qis dua ntawm txoj hlab pas yog kaw kom nruj kom tiv thaiv kom txhob tawg thiab nqus cov zaub mov ntawm lub plab rov qab rau hauv txoj hlab pas. Cov leeg ntsa ntawm lub plab ua haujlwm sib cog lus thiab pab rau kev coj noj coj ua qub.

Ntawm sab xis peb pom lub plab ntawm tus neeg mob ntshav qab zib uas tau tsim muaj tus mob plab zom mov. Qhov kev ua kom zoo li qub ntawm lub cev ntawm phab ntsa ntawm lub plab tsis tshwm sim. Lub pylorus yog kaw, thiab qhov no cuam tshuam nrog kev txav ntawm cov zaub mov los ntawm lub plab mus rau hauv cov hnyuv. Qee zaum, tsuas muaj qhov sib txawv me me tuaj yeem pom hauv lub pylorus, nrog txoj kab uas hla tsis tshaj li tus cwj mem, dhau ntawm cov khoom noj khoom haus kua ntws mus rau hauv cov hnyuv nrog tee. Yog tias lub qhov rooj sib tw lub qhov rooj yog qhov chaw nruab siab, ces tus neeg mob yuav hnov ​​mob cramp txij hauv qab ntawm ntaws.

Txij li thaum qhov qis qis ntawm txoj hlab pas yog so thiab qhib, cov ntsiab lus ntawm lub plab, noo nrog kua qaub, txeej rov qab rau hauv txoj hlab pas. Qhov no ua rau ua rau lub siab kub, tshwj xeeb tshaj yog thaum ib tus neeg pw ua ntej. Txoj hlab pas yog txoj hlab loj uas txuas cov pharynx rau lub plab. Hauv qab dej ntawm cov kua qaub, kub hnyiab ntawm nws cov phab ntsa tshwm sim. Nws feem ntau tshwm sim uas vim kev kub siab tsis tu ncua, txawm tias cov hniav puas.

Yog hais tias lub plab tsis khoob, raws li qhov ib txwm muaj, ces tus neeg hnov ​​mob siab rau txawm tias dhau los tom qab noj mov me me. Hauv kev muaj mob hnyav tshaj plaws, muaj ntau pluas noj nyob uake ua ke hauv plab, thiab qhov no ua rau tsam plab mob heev. Txawm li cas los xij, feem ntau, cov neeg mob ntshav qab zib tsis tseem xav tias nws muaj mob plab ua ntej txog thaum nws pib siv hom 1 kev kho mob ntshav qab zib hom los yog hom kev kho mob ntshav qab zib hom 2. Peb cov kev kho kab mob ntshav qab zib xav tau kev saib xyuas koj cov ntshav qab zib kom zoo, thiab ntawm no qhov teeb meem ntawm gastroparesis feem ntau tau kuaj pom.

Mob ntshav qab zib gastroparesis, txawm tias hauv nws daim ntawv me tshaj, cuam tshuam nrog kev tswj hwm ntawm ntshav qab zib. Kev noj haus caffeine, roj zaub mov, cawv, lossis tricyclic cov tshuaj tiv thaiv kab mob muaj peev xwm ua rau lub plab zom mov qis dua thiab teeb meem ntxiv.

Vim li cas gastroparesis ua rau cov ntshav qab zib ntau heev

Xav txog dab tsi tshwm sim rau tus mob ntshav qab zib uas tsis muaj thawj ntu ntawm insulin secretion tso rau hauv kev noj mov. Nws txhaj tshuaj nws tus kheej nrog insulin sai ua ntej noj mov lossis noj tshuaj mob ntshav qab zib uas txhawb kev tsim lub pancreatic insulin. Nyeem vim li cas koj yuav tsum tsis noj cov tshuaj no thiab dab tsi tsim txom lawv. Yog tias nws txhaj tshuaj insulin lossis noj tshuaj, thiab hla kev noj mov, ces nws cov ntshav qab zib yuav poob qis heev, mus txog qib ntshav qis. Hmoov tsis zoo, kev noj qab haus huv lub plab zom mov yuav luag zoo tib yam li kev noj zaub mov zoo.

Yog tias tus neeg mob ntshav qab zib tau paub thaum twg nws lub plab yuav muab nws cov ntsiab lus rau cov hnyuv tom qab noj mov, nws tuaj yeem ncua qhov kev txhaj tshuaj ntawm insulin lossis ntxiv rau nruab nrab NPH-insulin kom ceev cov tshuaj insulin kom qeeb cov kev ua. Tab sis qhov teeb meem ntawm ntshav qab zib gastroparesis yog nws qhov tshwm sim tsis tau. Peb yeej tsis paub ua ntej yuav ua li cas lub plab sai sai tom qab noj mov. Yog tias tsis muaj spasm ntawm lub pylorus, tom qab ntawd lub plab tuaj yeem qee qhov khoob tom qab ob peb feeb, thiab ua tiav tag nrho hauv 3 teev. Tab sis yog tias cov neeg zov me nyuam lub valve tau kaw ntom nti, ces cov zaub mov tuaj yeem nyob hauv plab ntau hnub. Raws li qhov no, cov piam thaj hauv ntshav tuaj yeem yuav poob qis dua "qis hauv plinth" 1-2 teev tom qab noj mov, thiab tom qab ntawd mam li ya tawm sai sai tom qab 12 teev, thaum lub plab thaum kawg muab nws cov ntsiab lus rau cov hnyuv.

Peb tau kuaj xyuas txoj kev tsis tuaj yeem paub txog ntawm kev zom zaub mov hauv plab zom zaub mov. Nws ua rau nws nyuaj rau kev tswj ntshav qab zib hauv cov ntshav qab zib insulin-cov neeg mob ntshav qab zib. Cov teeb meem kuj tseem tsim rau cov neeg mob ntshav qab zib yog tias lawv noj cov tshuaj uas pab txhawb cov tshuaj insulin los ntawm tus txiav, uas peb pom zoo kom tso.

Nta ntawm gastroparesis hauv ntshav qab zib hom 2

Rau cov neeg mob uas muaj ntshav qab zib hom 2, ntshav qab zib ua rau lub plab tsim cov teeb meem tsawg dua li cov neeg mob ntshav qab zib hom 1, vim tias lawv tseem muaj kev tsim lawv tus kheej li insulin los ntawm tus txiav. Insulin tseem ceeb tsim tawm tsuas yog tshwm sim thaum khoom noj los ntawm lub plab nkag mus rau hauv hnyuv. Txog thaum lub plab tsis muaj dab tsi, tsuas yog qis qis (yoo mov) cov kua dej ntawm cov tshuaj insulin tswj hwm hauv cov ntshav. Yog tias tus neeg mob uas muaj ntshav qab zib hom 2 soj ntsuam cov zaub mov muaj protein tsawg, tom qab kev txhaj tshuaj nws tau txais cov tshuaj insulin tsawg tsawg xwb, uas tsis ua rau muaj teeb meem loj heev ntawm kev mob ntshav qab zib.

Yog tias lub plab zom mov qeeb me ntsis, tab sis nyob rau ntawm qhov tsis tu ncua, tom qab ntawd rau cov neeg mob uas muaj ntshav qab zib hom 2, kev ua haujlwm ntawm pancreatic beta hlwb feem ntau txaus ua kom cov ntshav qab zib nyob li qub. Tab sis yog tias lub dheev lub plab khoob tas, ces muaj qhov dhia hauv ntshav qab zib, uas tsis tuaj yeem tua tau tam sim ntawd yam tsis muaj kev txhaj tshuaj tiv thaiv kab mob sai. Hauv ob peb teev, cov kabmob hlwb uas tsis muaj zog yuav tuaj yeem tsim cov tshuaj insulin ntau dua vim lawv tuaj yeem rov qab muaj suab thaj rau li qub.

Kev mob ntshav qab zib yog yam thib ob uas ua rau kev yoo mov tom qab hnub tag kis ntau dua. Yog tias koj qhov noj hmo tsis tawm hauv koj lub plab raws sijhawm, ces kev zom zaub mov yuav tshwm sim thaum tsaus ntuj. Nyob rau hauv cov xwm txheej zoo li no, tus mob ntshav qab zib tuaj yeem mus pw nrog cov piam thaj ib txwm, thiab tom qab ntawd sawv los thaum sawv ntxov nrog cov piam thaj ntau ntxiv. Txawm li cas los xij, yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate thiab txhaj tshuaj insulin tsawg lossis yog tias koj tsis mob ntshav qab zib hom 2, ces gastroparesis tsis hem koj nrog hypoglycemia. Cov neeg mob ntshav qab zib uas ua raws li kev noj zaub mov kom sib luag thiab noj tshuaj insulin ntau dua muaj ntau yam teeb meem. Vim cov mob ntshav qab zib ua rau lub plab zom zaws, lawv muaj kev nce siab ntau rau cov piam thaj thiab cov kev mob ntshav qab zib ntau heev.

Yuav kuaj li cas thiaj ua txoj kev mob ntshav qab zib no

Txhawm rau kom nkag siab tias koj puas muaj mob ntshav qab zib gastroparesis lossis tsis tau, thiab yog tias nws, muaj zog npaum li cas, koj yuav tsum kawm cov ntaub ntawv ntawm cov txiaj ntsig ntawm kev tswj tus kheej ntawm cov ntshav qab zib rau ob peb lub lis piam. Nws kuj tseem zoo rau muaj kws kho mob plab kuaj tshuaj kom paub seb puas muaj teeb meem nrog txoj hnyuv tsis cuam tshuam txog ntshav qab zib.

Hauv cov ntaub ntawv ntawm cov txiaj ntsig ntawm kev ntsuas tus kheej hauv qab zib, koj yuav tsum tau them sai sai seb puas muaj cov xwm txheej hauv qab no:

  • Cov piam thaj hauv ntshav qis dua li ib txwm tshwm sim 1-3 teev tom qab noj mov (tsis tas yuav yog txhua lub sijhawm).
  • Tom qab noj mov, qab zib yog qhov qub, thiab tom qab ntawd nce tom qab 5 teev lossis tom qab, tsis muaj laj thawj.
  • Qhov teeb meem nrog ntshav qab zib thaum sawv ntxov hauv cov ntshav ntawm lub plab khoob, txawm hais tias tus neeg mob ntshav qab zib tau noj hmo thaum nag hmo - 5 teev ua ntej nws mus pw, lossis tseem ntxov dua. Los sis cov ntshav qab zib thaum sawv ntxov coj tsis zoo, tab sis qhov tseeb tias tus neeg mob noj hmo thaum ntxov.

Yog tias cov xwm txheej No. 1 thiab 2 tshwm sim ua ke, ces qhov no txaus ntseeg tus mob plab. Qhov xwm txheej No. 3 txawm tias tsis tas yuav tso cai rau koj los kuaj xyuas tus mob ntshav qab zib gastroparesis. Yog tias muaj teeb meem nrog cov piam thaj hauv qab zib hauv cov ntshav ntawm lub plab khoob, tom qab ntawv cov neeg mob ntshav qab zib muaj peev xwm nce nws cov koob tshuaj insulin lossis ntsiav tshuaj ntxiv thaum tsaus ntuj. Thaum kawg, nws hloov tawm tias thaum hmo ntuj nws tau txais qhov mob ntshav qab zib ntau heev, uas ntau tshaj li qhov sawv ntxov ntxov, txawm hais tias nws tau noj thaum ntxov. Tom qab ntawd, thaum sawv ntxov yoo mov cov ntshav qab zib yuav coj cwj pwm tsis paub. Nyob rau qee hnub, nws yuav nyob rau qhov nce, thaum ntawm lwm tus nws yuav zoo li qub lossis txawm tias qis heev. Qab zib tsis muaj kev tiv thaiv yog lub cim tseem ceeb rau kev xoom xaim ntawm gastroparesis.

Yog tias peb pom tias thaum sawv ntxov yoo mov cov ntshav qab zib kom coj cwj pwm tsis tau, tom qab ntawd peb tuaj yeem ua qhov kev sim kom paub meej lossis rov ua kom mob ntshav qab zib. Ib hnub hla kev noj hmo thiab, raws li, tsis txhob txhaj tshuaj insulin sai ua ntej noj hmo. Hauv qhov no, thaum tsaus ntuj koj yuav tsum siv cov koob tshuaj uas ib txwm muaj ntawm insulin thiab / lossis hom tshuaj ntshav qab zib kom yog. Ntsuas koj cov ntshav qab zib ua ntej yuav mus pw, thiab tom qab ntawv thaum sawv ntxov ntawm lub plab khoob, sai li koj sawv. Nws tau kwv yees tias koj yuav muaj qab zib li qub thaum hmo ntuj. Yog tias tsis muaj suab thaj, qab zib thaum sawv ntxov hloov mus ua qhov qub lossis qis dua, tom qab ntawd, feem ntau yuav, mob plab zom mov ua rau muaj teeb meem rau nws.

Tom qab sim, noj hmo kom ntxov rau ob peb hnub. Saib xyuas seb koj cov piam thaj ua li cas thaum yav tsaus ntuj ua ntej yuav mus pw thiab tag kis. Tom qab ntawv rov ua qhov kev sim ua dua. Tom qab ntawd dua, noj hmo ob peb hnub thiab saib. Yog tias cov piam thaj hauv ntshav muaj peev xwm lossis qis dua thaum sawv ntxov uas tsis tau noj hmo, thiab thaum koj tau noj hmo, qee zaum nws hloov mus rau tag kis sawv ntxov, tom qab ntawd koj yuav tau mob ntshav qab zib. Koj yuav muaj peev xwm kho thiab tswj nws siv cov hau kev sau hauv cov ncauj lus hauv qab no.

Yog tias tus mob ntshav qab zib noj ntawm kev noj zaub mov kom sib luag, noj kom hnyav nrog cov khoom noj carbohydrates, ces nws cov ntshav qab zib hauv ib kis yuav tsis tuaj yeem tsis nco qab, tsis hais muaj kab mob gastroparesis.

Yog tias cov kev sim tsis muab cov txiaj ntsig tsis tiav, tom qab ntawv koj yuav tsum tau kuaj xyuas koj tus kws kho mob plab thiab kuaj pom tias muaj qee yam teeb meem hauv qab no:

  • lub plab zom mov lossis mob hnyuv duodenal;
  • erosive lossis atrophic gastritis;
  • lub plab zom zaws;
  • hiatal hernia;
  • tus kab mob celiac (gluten tsis haum);
  • lwm yam kab mob gastroenterological.

Kev kuaj mob los ntawm tus kws kho mob kws kho mob gastroenterologist yuav pab tau rau txhua kis Cov teeb meem ntawm txoj hnyuv, uas tau teev saum toj saud, teb tau zoo rau kev kho mob yog tias koj ua tib zoo ua raws li tus kws kho mob cov lus pom zoo. Qhov kev kho no pab txhim kho cov ntshav qab zib kom ntshav qab zib hauv ntshav qab zib.

Cov hau kev rau kev tswj ntshav qab zib gastroparesis

Yog li, nws tau paub tseeb tias koj tau tsim kho cov ntshav qab zib ua haujlwm, raws li cov txiaj ntsig ntawm kev tswj hwm tus kheej ntawm cov ntshav qab zib, nrog rau tom qab ntau qhov rov ua dua ntawm cov kev sim tau piav saum toj no. Ua ntej tshaj plaws, koj yuav tsum kawm paub tias qhov teeb meem no tsis tuaj yeem tswj kav los ntawm kev txhaj tshuaj ntawm cov tshuaj insulin. Cov kev sim no tsuas yog ua rau muaj ntshav qab zib thiab ua rau muaj ntshav qab zib ntau ntxiv, thiab lawv kuj yuav ua rau muaj kev pheej hmoo ntawm ntshav qab zib. Txhawm rau tswj ntshav qab zib gastroparesis, koj yuav tsum sim txhim kho lub plab zom mov tom qab noj mov, thiab ntau txoj hauv kev tau piav qhia hauv qab no.

Yog tias koj muaj mob gastroparesis, ces qhov kev tiv thaiv hauv lub neej muaj ntau dua li lwm cov neeg mob uas ua tiav peb hom kev kho mob ntshav qab zib hom 1 lossis hom kho mob ntshav qab zib hom 2. Koj tuaj yeem coj cov teebmeem no tswj hwm thiab tswj cov ntshav qab zib kom ib txwm yog koj ua tib zoo ua raws li kev coj noj coj ua. Tab sis qhov no muab qhov zoo tseem ceeb. Raws li koj paub, mob ntshav qab zib gastroparesis tshwm sim vim kev puas tsuaj rau lub paum ntawm qhov hlab ntsha tshwm sim los ntawm kev nce qib ntshav qab zib. Yog tias ntshav qab zib raug qhuab qhia tau ntau lub hlis lossis xyoo, kev ua haujlwm ntawm chaw mos tau rov qab los. Tab sis cov hlab ntshav no tswj tsis tsuas yog lub plab zom mov, tab sis kuj tseem lub plawv dhia thiab lwm yam kev ua haujlwm hauv lub cev. Koj yuav tau txais kev txhim kho kev noj qab haus huv tseem ceeb, ntxiv rau kev kho tus mob gastroparesis. Thaum mob neuropathy mob ntshav siab dhau, ntau tus txiv neej yuav txawm txhim kho potency.

Cov hau kev los txhim kho lub plab zom mov tom qab noj mov tau muab faib ua 4 pawg:

  • noj tshuaj;
  • kev tawm dag zog tshwj xeeb thiab zaws lub sijhawm thiab tom qab noj mov;
  • kev hloov pauv me me hauv kev noj haus;
  • kev hloov pauv ntawm cov zaub mov hnyav, kev siv kua los yog kua ib nrab cov khoom noj.

Raws li txoj cai, tag nrho cov hau kev no ib leeg tsis ua haujlwm txaus, tab sis ua ke lawv tuaj yeem ua tiav cov ntshav qab zib ib txwm nyob hauv qhov mob loj tshaj. Tom qab nyeem cov ntawv no, koj yuav paub yuav ua li cas hloov lawv rau koj kev nyiam thiab yam koj nyiam.

Lub hom phiaj ntawm kev kho mob ntshav qab zib yog:

  • Kev txo qis lossis ua tiav qhov tso tseg ntawm cov tsos mob - hnov ​​zaum ntev, xeev siab, duav, kub siab, tsam plab, cem quav.
  • Txo cov xwm txheej uas muaj suab thaj tsawg tom qab noj mov.
  • Li niaj zaus ntawm cov ntshav qab zib thaum sawv ntxov nyob rau ntawm lub plab khoob (lub cim tseem ceeb ntawm gastroparesis).
  • Ua kom cov suab thaj khov, muaj kev ruaj khov dua ntawm cov ntshav qab zib kom tswj tus kheej.

Koj tsuas tuaj yeem ncav cuag 3 lub ntsiab lus kawg los ntawm daim ntawv no yog tias koj kho mob gastroparesis thiab tib lub sijhawm ua raws li cov zaub mov tsis muaj roj ntau ntau. Txog rau hnub no, tsis muaj txoj hauv kev los tshem tawm cov piam thaj rau cov neeg mob ntshav qab zib uas ua raws li "kev noj zaub mov kom sib luag" uas tau noj ntau nrog cov carbohydrates. Vim tias kev noj zaub mov zoo li no yuav tsum txhaj cov tshuaj insulin ntau dua, uas ua yam haujlwm tsis txaus ntseeg. Kawm seb cov txheej txheem teeb taws yog dab tsi yog tias koj tseem tsis tau ua tiav.

Cov tshuaj siv hauv daim ntawv ntawm cov ntsiav tshuaj lossis kua dej kua

Tsis muaj ib yam tshuaj twg los kho tau tus mob ntshav qab zib ua kom ntshav qab zib tau. Tsuas yog ib yam uas yuav tshem tau qhov kev cuam tshuam mob ntshav qab zib no yog ntshav qab zib tau ob peb xyoos uake. Txawm li cas los xij, qee cov tshuaj tuaj yeem ua kom lub plab zom mov tom qab noj mov, tshwj xeeb yog tias koj lub plab zom mov tsis hnyav lossis mob hnyav. Qhov no pab ua kom cov ntshav qab zib hloov ua kom sib txawv.

Cov neeg mob ntshav qab zib feem ntau yuav tsum noj tshuaj ua ntej txhua txhua hnub noj mov. Yog hais tias gastroparesis nyob rau hauv ib daim ntawv me me, ces nws yuav muaj peev xwm tau nrog kev noj tshuaj ua ntej noj hmo. Vim qee qhov, kev mob plab zom mov hauv cov neeg mob ntshav qab zib yog qhov nyuaj tshaj plaws. Tej zaum vim tias tom qab noj hmo lawv koom nrog kev tawm dag zog tsawg dua thaum nruab hnub, lossis vim tias qhov loj tshaj plaws yog noj rau hmo. Nws tau kwv yees tias lub plab zom mov tom qab noj hmo kuj tseem qeeb hauv cov neeg noj qab haus huv dua li tom qab lwm cov pluas noj.

Cov tshuaj noj rau ntshav qab zib ua rau lub plab zom mov tuaj yeem ua hom tshuaj ntsiav lossis kua dej haus.Cov ntsiav tshuaj feem ntau tsis tshua muaj txiaj ntsig, vim tias ua ntej lawv pib ua, lawv yuav tsum yaj thiab ua kom lub plab khiav tawm ntawm lub plab. Yog tias ua tau, nws zoo dua los siv tshuaj kua. Txhua ntsiav tshuaj koj noj rau ntshav qab zib gastroparesis yuav tsum tau zom kom zoo ua ntej yuav nqos. Yog tias koj noj cov ntsiav tshuaj yam tsis tau zom, tom qab ntawd lawv yuav pib ua tsuas yog tom qab ob peb teev.

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Dr. Bernstein hauv nws phau ntawv Dr. Bernstein Txoj Kev Mob Ntshav Qab Zib tau sau hais tias kev noj cov enzymes zom pab cov ntshav qab zib ua kom ntau ntawm nws cov neeg mob. Hauv kev hais plaub, nws hais tias cov neeg mob tshwj xeeb qhuas Super Papaya Enzyme Plus. Cov no yog cov mint flavored chewable ntsiav tshuaj. Lawv daws cov teeb meem ntawm kev tsam plab thiab tawv muag, thiab ntau tus neeg mob ntshav qab zib tau pab ua kom cov ntshav qab zib tau txawv txav uas lawv ntsib vim yog gastroparesis.

Super Papaya Enzyme Plus muaj cov enzymes papain, amylase, lipase, cellulase thiab bromelain, uas pab zom cov protein, rog, carbohydrates thiab fiber ntau thaum lawv tseem nyob hauv plab. Nws raug nquahu los zom 3-5 ntsiav tshuaj nrog txhua pluas mov: ua ntej koj pib noj, nrog zaub mov, thiab tseem noj tom qab. Cov khoom no muaj cov sorbitol thiab lwm cov khoom qab zib, tab sis hauv ib qho me me, uas yuav tsum tsis txhob muaj teeb meem loj rau koj cov ntshav qab zib. Kuv tau hais txog ntawm no cov khoom tshwj xeeb nrog digestive enzymes, vim tias Dr. Bernstein sau txog nws hauv nws phau ntawv. Download tau cov lus qhia ntawm yuav ua li cas thiaj li xa cov khoom ntawm iHerb nrog kev xa khoom xa tuaj hauv cov ntawv ntawm cov pob xa ntawv.

Motilium (domperidone)

Txog cov mob ntshav qab zib ua pa, Dr. Bernstein sau tshuaj rau hauv cov tshuaj hauv qab no - zom ob lub ntsiav tshuaj 10 mg 1 teev ua ntej noj mov thiab haus khob dej, koj tuaj yeem dej qab zib. Tsis txhob nce ntau ntxiv, vim tias qhov no tuaj yeem ua teeb meem nrog potency rau tus txiv neej, nrog rau qhov tsis muaj kev coj khaub ncaws rau poj niam. Domperidone yog cov tshuaj nquag, thiab Motilium yog lub npe lag luam hauv qab uas cov tshuaj yuav muag.

Motilium txhawb kev tshem tawm ntawm cov zaub mov hauv lub plab tom qab noj mov hauv txoj kev tshwj xeeb, tsis zoo li lwm yam tshuaj uas tau hais hauv tsab xov xwm no. Yog li ntawd, nws raug nquahu kom siv nws ua ke nrog lwm cov tshuaj, tab sis tsis nrog metoclopramide, uas peb yuav tham txog hauv qab no. Yog tias muaj kev mob tshwm sim los ntawm kev noj Motilium, tom qab ntawd lawv ploj thaum lawv tsum tsis siv cov tshuaj no.

Metoclopramide

Metoclopramide tej zaum yuav yog qhov muaj zog tshaj plaws rau ua kom lub plab zom mov tom qab noj mov. Nws ua zoo li domperidone, inhibiting (inhibiting) qhov cuam tshuam ntawm dopamine hauv plab. Tsis zoo li domperidone, cov tshuaj no nkag mus rau lub hlwb, yog li nws feem ntau ua rau muaj kev phiv loj heev - tsaug zog, kev nyuaj siab, ntxhov siab, thiab syndromes uas zoo li Parkinson tus kab mob. Hauv qee cov tib neeg, cov kev mob tshwm sim no tshwm sim sai sai, thaum nyob hauv lwm tus - tom qab ntau lub hlis ntawm kev kho mob nrog metoclopramide.

Cov tshuaj tiv thaiv rau kev phiv los ntawm metoclopramide yog diphenhydramine hydrochloride, uas yog lub npe hu ua diphenhydramine. Yog tias cov thawj coj ntawm metoclopramide ua rau muaj kev phiv loj heev uas yuav tsum tau kho nrog diphenhydramine hydrochloride, metoclopramide yuav tsum tso tseg mus ib txhis. Cov neeg tau txais kev kho mob ntev 3 lub hlis los yog ntev dua tuaj yeem ua rau muaj kev xav tsis zoo. Yog li, cov tshuaj ntawm cov tshuaj no rau xoom yuav tsum tau maj mam txo.

Txhawm rau kho ntshav qab zib gastroparesis, Dr. Bernstein sau tshuaj metoclopramide tsuas yog mob siab tshaj plaws, vim tias muaj kev phiv ntau tshwm sim thiab mob hnyav. Ua ntej siv cov cuab yeej no, sim txhua lwm txoj kev xaiv uas peb sau hauv tsab xov xwm, suav nrog kev tawm dag zog, zaws thiab kev noj zaub mov hloov. Siv tshuaj metoclopramide tsuas yog muab ntawv pov thawj los ntawm kws kho mob thiab muab hauv qhov ntau npaum li cas uas nws qhia.

Betaine hydrochloride + pepsin

Betaine hydrochloride + pepsin yog qhov sib xyaw ua ke uas ua rau lub zog tawg ntawm kev noj zaub mov hauv plab. Cov zaub mov ntau dua hauv kev zom hauv lub plab, qhov muaj mob yuav kis tau sai sai hauv cov hnyuv. Pepsin yog cov enzyme zom zaub mov. Betaine hydrochloride yog ib qho tshuaj uas tsim los ntawm cov kua qaub hydrochloric, uas ua rau muaj cov kua qaub ntau ntawm lub plab. Ua ntej noj betaine hydrochloride + pepsin, yauv mus kuaj nrog kws kho mob plab thiab sab laj nrog nws. Ntsuas cov kua qaub ntawm koj lub plab kua txiv. Yog tias qhov acidity nce ntxiv lossis qee zaus - betaine hydrochloride + pepsin tsis haum. Qhov no yog qhov cuab yeej muaj zog, tab sis yog siv tsis tau kev pom zoo ntawm kws kho mob tsaj lij, qhov kev rau txim yuav mob hnyav. Nws yog tsim rau cov neeg uas muaj acidity ntau. Yog tias koj cov acidity tsis zoo, tom qab ntawd sim cov khoom siv ntawm Super Papaya Enzyme Plus enzyme, uas peb tau sau txog saum toj no.

Betaine hydrochloride + pepsin tuaj yeem yuav tom cov chaw muag tshuaj hauv daim ntawv ntawm cov ntsiav tshuaj Acidin-Pepsin

lossis xaj los ntawm Asmeskas nrog kev xa ntawv, piv txwv, nyob rau hauv daim ntawv ntawm cov tshuaj tiv no

Dr. Bernstein pom zoo kom pib nrog 1 lub ntsiav tshuaj lossis tshuaj ntsiav hauv nruab nrab ntawm kev noj mov. Tsis txhob noj betaine hydrochloride + pepsin ntawm qhov khoob! Yog tias kev kub siab tsis tshwm sim los ntawm ib qho tshuaj ntsiav, tom qab ntawv tom qab koj tuaj yeem sim nce qhov koob ntxiv rau 2, thiab tom qab ntawd mus rau 3 tshuaj ntsiav rau txhua pluas noj. Betaine hydrochloride + pepsin tsis txhawb nqa qhov chaw mos. Yog li no, cov cuab yeej no ib feem pab txawm tias feem ntau muaj mob ntshav qab zib muaj ntshav qabzib. Txawm li cas los xij, nws muaj ntau yam kev sib txuam thiab cov kev txwv. Contraindications - gastritis, txoj hlab pas, mob plab los yog mob duodenal.

Xyaum Uas Ua Kom Ntsej Muag Tsis Txhob Mob Siab Tom Qab Noj

Kev tawm dag zog lub cev muaj txiaj ntsig zoo dua kev siv tshuaj los kho ntshav qab zib gastroparesis. Nws kuj tseem siv dawb thiab tsis muaj kev cuam tshuam. Zoo ib yam li txhua lwm yam xwm txheej ntsig txog ntshav qab zib, cov tshuaj tsuas yog siv rau cov neeg mob uas tub nkeeg tsis xav tawm dag zog. Yog li, cia peb kawm saib qhov kev qoj ib ce ua kom qhov kev tshem tawm ntawm lub plab los tom qab noj mov tag. Hauv lub plab noj qab haus huv, cov leeg nqaij ntawm phab ntsa ua haujlwm sib zog ua ke rau kev cia zaub mov hla nrog txoj hnyuv. Hauv lub plab cuam tshuam los ntawm cov mob ntshav qab zib gastroparesis, cov leeg ntawm phab ntsa yog qhov qeeb thiab tsis tau cog lus. Nws hloov tawm tias nrog kev pab los ntawm kev tawm dag zog lub cev, uas peb yuav piav qhia hauv qab no, koj tuaj yeem sim cov kev tawm tsam no thiab ua kom nrawm khiav tawm ntawm cov zaub mov los ntawm lub plab.

Koj yuav tsum tau pom tias taug kev tom qab noj mov txhim kho kev zom mov. Cov nyhuv no yog qhov muaj txiaj ntsig tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib gastroparesis. Yog li ntawd, kev tawm dag zog thawj zaug uas Dr. Bernstein pom zoo kom taug kev qhov nruab nrab lossis nrawm nrawm rau 1 teev tom qab noj mov, tshwj xeeb tshaj yog tom qab noj hmo. Peb pom zoo kom tsis txhob taug kev, tab sis qhov txaus siab khiav haujlwm raws li cov txheej txheem Chi-running. Los ntawm cov txheej txheem no, koj yuav nyiam khiav txawm tias tom qab noj mov tas. Nco ntsoov tias kev khiav haujlwm tuaj yeem ua rau koj txaus siab!

Kev tawm dag zog txuas mus ntxiv tau qhia rau Dr. Bernstein los ntawm tus neeg mob uas tau lees paub nws los ntawm nws tus kws qhia yoga thiab paub tseeb tias nws pab tau tiag tiag. Nws yog ib qho tsim nyog kom kos hauv lub plab kom tob li sai tau kom lawv lo rau tus tav, thiab tom qab ntawd nws kis rau kom nws loj loj thiab convex, zoo li lub nruas. Tom qab noj mov tag, rov qab suab qoj ib ce rov qab ua qhov kev ua ub no yooj yim npaum li koj ua tau. Hauv ob peb lub lis piam lossis hli, koj cov leeg hauv plab yuav ua kom muaj zog thiab ua kom tau zoo. Koj tuaj yeem rov ua qoj ib ce ntau dua thiab ntau zaug ua ntej koj yuav nkees. Lub hom phiaj yog kom ua nws ntau pua zaug ua ke. 100 reps siv sijhawm tsawg dua 4 feeb. Thaum koj kawm ua 300-400 qhov rov ua dua thiab siv sijhawm 15 feeb txhua lub sijhawm tom qab noj mov, cov kev hloov pauv hauv cov piam thaj hauv ntshav yuav dhau mus ua kev nyab xeeb.

Lwm qhov kev tawm dag zog zoo sib xws uas koj xav tau ua tom qab noj mov. Zaum lossis sawv ntsug, khoov rov qab kom deb npaum li koj ua tau. Tom qab ntawd khoov rau pem hauv ntej kom tsawg li tsawg tau. Rov qog ntau zaus ua uake li koj ua tau. Qhov kev tawm dag zog no, nrog rau ib qho muab rau saum toj no, nws yooj yim heev, nws kuj zoo li ua dag. Txawm li cas los xij, lawv ua kom sai rau kev khiav tawm ntawm cov zaub mov hauv lub plab tom qab noj mov, pab nrog lub plab zom mov, thiab txhim kho cov ntshav qab zib kom tsawg yog tias koj raug txim.

Kev zom khoom qab ntawm cov pos hniav - tshuaj kho rau cov mob ntshav qab zib gastroparesis

Thaum koj zom, cov qaub ncaug raug tso tawm. Nws tsis tsuas yog muaj cov enzymes zom, tab sis kuj txhawb kev ua leeg nqaij mus rau ntawm phab ntsa hauv plab thiab so lub pyloric valve. Cov zom khaub noom tsis muaj piam thaj tsis muaj ntau dua 1 gram ntawm xylitol, thiab qhov no tsis zoo li yuav muaj kev cuam tshuam loj rau koj cov ntshav qab zib. Koj yuav tsum zom ib lub tais los yog cab rau ib teev tag nrho tom qab noj mov. Qhov no txhim kho cov chav kawm muaj ntshav qab zib ua pa, ntxiv rau kev tawm dag zog thiab kev noj zaub mov zoo. Tsis txhob siv ntau lub phaj lossis dumplings hauv ib kab, vim tias qhov no tuaj yeem nce koj cov ntshav qab zib.

Yuav hloov pauv kev noj haus ntshav qab zib kom tswj tau tus mob plab hnyuv

Txoj kev noj haus zoo rau kev tswj ntshav qab zib gastroparesis zoo tshaj li tshuaj. Tshwj xeeb yog hais tias koj muab lawv ua ke nrog cov kev tawm dag zog lub cev tau piav qhia hauv ntu dhau los. Qhov teeb meem yog hais tias cov neeg mob ntshav qab zib tsis nyiam cov khoom noj hloov uas yuav tsum tau ua. Cia peb sau cov kev hloov pauv no, los ntawm qhov yooj yim mus rau qhov nyuaj tshaj plaws:

  • Koj yuav tsum haus tsawg kawg 2 khob kua dej ua ntej txhua pluas noj. Cov kua no yuav tsum tsis txhob muaj suab thaj thiab lwm cov carbohydrates, thiab ntxiv rau caffeine thiab cawv.
  • Txo cov khoom noj muaj fiber ntau, lossis nws txawm tsis noj nws. Fiber ntau cov zaub, yav tas los sib tsoo hauv ib rab, kom txog thaum ib nrab kua.
  • Zuaj cov zaub mov uas koj noj kom qeeb thiab kom zoo. Txo txhua rab tom tsawg kawg 40 zaug.
  • Tshem tawm cov nqaij tawm ntawm cov khoom noj uas tsis hauv av hauv nqaij kib, i.e. mus rau cov nqaij pob txha nqaij. Ua kom tiav cais cov nqaij uas tsis yooj yim rau kev zom zaub mov. Nov yog nqaij nyuj, rog noog, nqaij npuas thiab nees. Nws tseem yog qhov tsis txaus siab kom noj qwj ntses.
  • Muaj sijhawm noj hmo, 5-6 teev ua ntej yuav mus pw. Txo koj cov protein tsawg thaum noj hmo, hloov qee cov protein los ntawm hmo ua tshais thiab noj su.
  • Yog tias koj tsis txhaj tshuaj insulin sai ua ntej noj mov, ces tsis txhob noj 3 zaug hauv ib hnub, tab sis ntau zaus, 4-6 zaug, feem me me.
  • Feem ntau ntawm cov mob ntshav qab zib ua rau lub plab zom mov, hloov mus rau cov khoom noj ib nrab thiab kua.

Nyob rau hauv lub plab cuam tshuam los ntawm ntshav qab zib gastroparesis, soluble thiab insoluble fiber tuaj yeem tsim lub cork thiab tag nrho ntsaws lub qhov rooj nqaim me me. Nyob rau hauv ib txwm muaj xwm txheej, qhov no tsis yog qhov teeb meem vim tias lub qhov rooj vag lub qhov rooj dav qhib. Yog tias cov mob ntshav qab zib ua rau me ntsis, cov ntshav qab zib yuav tswj tau zoo dua thaum koj txo cov khoom noj muaj fiber ntau, tshem tawm nws kom tas, los yog tsawg kawg zom zaub rau hauv rab kom pab txhawb lawv kev zom zaub mov. Tsis txhob siv cov tshuaj pleev cev uas muaj cov tshuaj fiber ntau hauv daim ntawv ntawm cov noob flax lossis flea plantain (psyllium).

Hloov ib feem ntawm koj cov protein ua mov rau noj su thiab noj tshais tsis txhob noj hmo

Cov neeg feem coob muaj qhov pluas noj loj tshaj plaws ntawm hnub noj hmo. Rau noj hmo, lawv noj loj tshaj plaws ntawm cov nqaij lossis lwm cov zaub mov muaj protein ntau. Rau cov neeg mob ntshav qab zib uas tau txhim kho gastroparesis, cov zaub mov zoo li no ua rau kev tswj cov ntshav qab zib thaum sawv ntxov nyob rau ntawm lub plab khoob. Cov tsiaj protein, tshwj xeeb tshaj yog cov nqaij liab, feem ntau txhaws pyloric valve hauv plab, uas yog qhov nqaim vim cov leeg mob. Kev daws - Hloov qee yam ntawm koj cov tsiaj cov protein kom tsawg rau pluas tshais thiab su.

Tso tawm tsis ntau tshaj 60 gram ntawm cov protein rau noj hmo, uas yog, tsis pub ntau tshaj 300 gram ntawm cov zaub mov muaj protein ntau, thiab txawm tias tsawg dua yog qhov zoo dua. Nws tuaj yeem yog ntses, nqaij nyob rau hauv daim ntawv ntawm meatballs los yog minced nyuj steak, cheese lossis qe. Nco ntsoov tias qhov txiaj ntsig ntawm qhov kev ntsuas no, koj cov piam thaj thaum sawv ntxov ntawm ib plab khoob yuav dhau los ua rau muaj kev sib luag. Yog lawm, thaum koj hloov cov protein los noj hmo mus rau lwm cov pluas noj, tom qab ntawd cov tshuaj sib txuas ntawm cov tshuaj insulin ua ntej noj zaub mov tseem yuav tsum tau faib ib feem. Tej zaum, qhov kev noj tshuaj ntev ntev ntawm cov tshuaj insulin lossis ntshav qab zib mob hmo ntuj kuj tseem tuaj yeem txo qis yam tsis muaj kab mob ntshav qab zib thaum sawv ntxov.

Nws tuaj yeem hloov tawm qhov ntawd vim qhov hloov ntawm ib feem ntawm cov protein los ntawm noj hmo rau noj tshais thiab noj su, koj cov piam thaj yuav pib nce tom qab cov pluas noj no, txawm tias koj tau hloov pauv ntawm cov ntshav sai sai ua ntej noj mov. Qhov no yog qhov tsis zoo dua li kev ua lub siab ntev rau cov ntshav qab zib txhua hmo. Yog tias koj tsis txhaj cov insulin sai ua ntej noj mov, ces noj 4 zaug ib hnub rau qee qhov me me kom cov piam thaj kom khov dua thiab ze rau qhov qub. Thiab yog tias koj tsis tau txhaj tshuaj insulin txhua lub sijhawm, nws zoo dua los noj 5-6 zaug ib hnub nyob rau hauv qee qhov me me. Nco qab tias yog tias koj txhaj tshuaj insulin sai ua ntej noj mov, koj yuav tsum noj txhua 5 teev kom qhov tshwm sim ntawm cov tshuaj insulin tsis txhob sib tshooj ntau.

Kev haus dej haus cawv thiab kev noj haus caffeine ua rau qeeb cov zaub mov tshem tawm ntawm lub plab tom qab noj mov. Tib cov nyhuv ntawm peppermint thiab chocolate. Txhua yam ntawm cov tshuaj yuav tsum raug zam, tshwj xeeb tshaj yog thaum noj hmo, yog tias koj lub plab zom mov yog mob hnyav lossis hnyav.

Semi-kua thiab kua zaub mov - ib qho tshuaj rau cov mob plab

Txoj hauv kev kho neeg mob ntshav qab zib ntau tshaj plaws yog hloov mus rau cov khoom noj ib nrab lossis kua zaub mov. Yog tias qhov no ua tiav, tom qab ntawd tus neeg poob ib feem loj ntawm kev txaus siab ntawm kev noj mov. Tsawg tsawg tus neeg zoo li no. Ntawm qhov tod tes, qhov no yuav yog tib txoj kev los xyuas kom meej tias cov piam thaj hauv ntshav hauv tus neeg mob ntshav qab zib nyob ze rau qhov qub. Yog tias koj tswj hwm nws ob peb lub hlis lossis xyoo, tom qab ntawd txoj haujlwm ntawm lub cev ntawm lub paum yuav maj mam zoo zuj zus thiab lub plab zom mov yuav dhau. Tom qab ntawv nws yuav tuaj yeem noj ib txwm tsis muaj kev cuam tshuam txog ntshav qab zib. Ib lub sijhawm, Dr. Bernstein nws tus kheej tau mus li no.

Cov kua roj ib nrab ua kua rau cov kab mob ntshav qab zib ua rau lub plab cov khoom noj muaj me nyuam mos thiab yogurt mis nyuj dawb. Koj tuaj yeem yuav cov zaub roj uas tsis tshua muaj rog nyob hauv lub khw muag khoom, thiab cov tsiaj muaj cov tsiaj txhu uas tsis pub muaj cov carbohydrate hauv hom ua cov rhawv zeb nrog menyuam cov khoom noj. Koj yuav tsum ua tib zoo kawm cov ntawv npe thaum xaiv cov khoom no. Yuav ua li cas xaiv cov kua mis nyeem qaub, peb yuav tham txog hauv qab no. Tsuas yog cov kua mis nyeem yog tsim nyog, uas tsis yog kua, tab sis nyob rau hauv daim ntawv ntawm jelly. Nws yog muag hauv Tebchaws Europe thiab Asmeskas, tab sis nws nyuaj rau nws los ntawm cov tebchaws Lavxias.

Hauv ib tsab xov xwm hais txog kev tsim cov ntawv qhia zaub mov rau cov zaub mov uas tsis muaj carbohydrate, peb tau taw qhia tias cov zaub ua tiav ntau dua, qhov sai dua lawv nce cov ntshav qab zib. Qhov no ua tau zoo li cas nrog kev pom zoo kom noj cov zaub ntsuab ib nrab rau cov mob ntshav qab zib? Qhov tseeb yog tias yog qhov tshwm sim ntawm tus mob ntshav qab zib tshwm sim, ces cov khoom noj nkag rau hauv plab los ntawm lub plab mus rau hauv cov hnyuv qeeb kawg. Qhov no kuj siv rau cov zaub ua kua ib nrab los ntawm lub hwj nrog cov menyuam yaus. Txawm tias cov zaub "zoo" tshaj plaws yuav luag tsis muaj sij hawm nce ntshav qab zib kom ncav sij hawm kom khiav ceev ntawm cov tshuaj insulin uas koj txhaj ua ntej noj. Thiab tom qab ntawd, feem ntau yuav ua rau, nws yuav tsim nyog kom qeeb qhov kev ua ntawm luv luv insulin ua ntej noj, sib xyaw nws nrog nruab nrab NPH-insulin protafan.

Yog tias koj hloov mus rau cov khoom noj khoom haus ib nrab kom tswj tau cov ntshav qab zib ua kom tsis qab, ces sim ua kom tsis txhob muaj protein txaus hauv koj lub cev. Ib tus neeg uas ua rau muaj kev ua neej nyob sab hnub poob yuav tsum haus 0.8 grams ntawm cov protein ib 1 kg ntawm nws lub cev qhov hnyav zoo ib hnub. Khoom noj muaj protein muaj li 20% ntawm cov protein ntshiab, i.e., koj yuav tsum noj zaub mov ntawm protein 4 grams rau 1 kg ntawm lub cev qhov hnyav. Yog tias koj xav txog nws, ces qhov no tsis txaus. Cov neeg uas koom nrog kev kawm tawm dag zog, nrog rau cov menyuam yaus thiab cov hluas uas loj hlob, yuav tsum tau cov protein ntau li 1.5-2 npaug.

Cov mis nyuj haus yogurt yog ib qho khoom muaj txiaj ntsig (!) Qhov tsim nyog rau cov zaub mov muaj txiaj ntsig zoo rau kev mob ntshav qab zib, suav nrog ntshav qab zib.Qhov no hais txog cov kua mis nyeem qaub dawb hauv daim ntawv ntawm jelly, tsis yog ua kua, tsis muaj roj, tsis muaj rog ntxiv, tsis muaj ntxiv qab zib, txiv hmab txiv ntoo, jam, thiab lwm yam. Hauv cov kua mis nyeem qaub no rau saj, koj tuaj yeem ntxiv stevia thiab cinnamon. Tsis txhob noj cov kua mis nyeem qaub tsis muaj roj vim tias nws muaj cov khoom noj tshaj li tsis muaj ntshav qab zib.

Peb siv cov khoom noj ua kua kom tswj tau tus mob ntshav qab zib ua kom muaj mob thaum tsis muaj kua tsis pab kom txaus. Cov no yog cov khoom tshwj xeeb rau cov neeg tau koom nrog kev tsim kho lub cev. Tag nrho cov ntawm lawv muaj ntau ntau cov protein, tau muag hauv daim ntawv ntawm hmoov uas yuav tsum tau diluted hauv dej thiab qaug cawv. Peb tsuas yog haum rau cov uas muaj yam tsawg kawg ntawm carbohydrates thiab, ntawm chav kawm, tsis muaj ib qho twg ntxiv ntawm "chemistry" zoo li anabolic steroids. Siv cov khoom siv roj hauv lub cev ua los ntawm cov qe lossis whey kom tau txais tag nrho cov amino acids uas koj lub cev xav tau. Soy Protein Cov Khoom Siv Lub Cev Cov Khaub Ncaws Tsis Yog Qhov Kev Xaiv Zoo Tshaj Plaws. Lawv yuav muaj tshuaj - sterols - hauv qauv zoo ib yam li poj niam estrogen.

Yuav ua li cas txhaj tshuaj insulin ua ntej noj mov kom hloov kho mus rau gastroparesis

Cov kev ib txwm siv cov insulin ceev ua ntej noj mov tsis haum rau lub sijhawm muaj ntshav qab zib gastroparesis. Lawv nce qhov kev pheej hmoo ntawm cov ntshav qab zib vim qhov tseeb tias cov khoom noj maj mam nqus thiab tsis muaj sijhawm txaus los nce cov ntshav qab zib hauv lub sijhawm. Yog li, koj yuav tsum maj mam ua li cas ntawm insulin. Ua ntej tshaj plaws, nrhiav kom paub nrog kev pab ntawm glucometer, nrog dab tsi ncua koj cov zaub mov noj tau zom. Tsis tas li hloov ultrashort insulin ua ntej noj mov nrog luv luv. Koj tuaj yeem sim txiav nws li 40-45 feeb ua ntej noj mov, raws li peb feem ntau ua, tab sis tsuas yog ua ntej koj zaum noj mov. Hauv qhov xwm txheej no, siv cov kev ntsuas los tswj cov gastroparesis, uas peb tau piav qhia saum toj no hauv tsab xov xwm.

Yog tias, txawm hais tias qhov no, luv luv insulin tseem ua sai dhau, tom qab ntawd sim txhaj nws nyob hauv nruab nrab ntawm ib pluas noj lossis txawm tias thaum koj tau noj mov tag. Kev kho mob tshaj plaws tshaj plaws yog hloov qee qhov ntawm cov koob tshuaj ntawm cov tshuaj insulin luv luv nrog nruab nrab NPH-insulin. Mob ntshav qab zib gastroparesis yog qhov xwm txheej tsuas yog thaum nws tso cai kom sib xyaw ntau hom tshuaj insulin hauv ib qho kev txhaj tshuaj.

Xws li koj yuav tsum tau txhaj qhov sib xyaw ntawm 4 yam ntawm luv luv insulin thiab 1 chav nyob ntawm nruab nrab NPH-insulin. Txhawm rau ua qhov no, koj xub txhaj 4 yam ntawm luv luv insulin rau hauv cov phwj, li niaj zaus. Tom qab ntawv ntxig cov koob txhaj tshuaj rau hauv lub khob ntawm NPH-insulin thiab co tag nrho cov qauv ntau zaus zog. Tam sim ntawd noj 1 UNIT ntawm cov tshuaj insulin los ntawm lub khob kom txog rau thaum cov tshuaj tiv thaiv cov nyom muaj sij hawm los khom tom qab co, thiab kwv yees li 5 U ntawm huab cua. Huab cua tshuab pa yuav pab sib xyaw kom luv thiab NPH-insulin hauv kev txhaj tshuaj. Ua qhov no, tig lub phwj rau sab nraum zoov thiab tawm mus ntau zaus. Tam sim no koj tuaj yeem hno qhov sib xyaw ntawm cov tshuaj insulin thiab txawm tias huab cua me me. Cov cua hauv qab dej yuav tsis ua rau muaj kev phom sij.

Yog tias koj muaj mob ntshav qab zib gastroparesis, tom qab ntawd tsis txhob siv cov tshuaj insulin sai li sai insulin ua ntej noj mov. Vim tias txawm li luv luv insulin ua sai sai nyob rau hauv xws li qhov xwm txheej, thiab txawm ntau dua li ntawd, ultrashort, uas ua txawm tias nrawm dua, tsis tsim nyog. Ultrashort insulin tsuas yog siv los ua ib qho kev txhim kho bolus rau normalize ntshav qab zib. Yog tias koj txhaj qhov sib xyaw ntawm luv luv thiab NPH-insulin ua ntej noj mov, koj tuaj yeem nkag mus rau ib qho kev txhim kho tsuas yog thaum sawv ntxov tom qab sawv. Raws li kev siv tshuaj insulin sai ua ntej noj mov, koj tuaj yeem siv luv luv lossis sib tov ntawm luv thiab NPH-insulin.

Kev mob ntshav qab zib: tshawb pom

Mob ntshav qab zib yog ib qho kev tsis txaus siab uas ua rau muaj kev tswj ntshav qab zib kom hnyav, txawm hais tias koj nyob rau hom kev kho mob ntshav qab zib hom 1 lossis kev kho ntshav qab zib hom 2 thiab noj cov zaub mov uas muaj cov rog ua kom qis. Coj kev tswj hwm txoj hnyuv kom mob tiag. Yog tias, txawm hais tias muaj qhov teeb meem no, koj kawm paub tswj kom muaj ntshav qab zib kom tsis tu ncua, tom qab ob peb hlis lossis xyoo, kev ua haujlwm ntawm lub qhov paum yuav maj mam rov qab, thiab lub plab yuav ua haujlwm zoo li qub. Tab sis kom txog rau lub sijhawm no, koj yuav tsum nruj saib xyuas lub tseem fwv.

Txawm hais tias tsis muaj cov tsos mob tshwm sim ntawm lub plab zom mov, mob ntshav qab zib ua rau lub cev tsis zoo rau cov ntshav qab zib. Tsis txhob xav tias yog tias tsis muaj cov tsos mob ntawm kev tsis pom kev, kom mob plab zom mov tsis tuaj yeem tswj tau. Yog tias koj tsis mob siab rau qhov no, ntshav qab zib cov ntshav yuav muaj txuas ntxiv thiab cov teeb meem ntshav qab zib yuav tshwm sim uas ua rau muaj mob xiam oob qhab lossis tuag ntxov.

Koj yuav tsum qhia cov qauv sib txawv uas tau piav qhia hauv kab lus no. Koj yim pom ntau txoj hauv kev uas pab koj tswj hwm tus mob gastroparesis, yog qhov tshwm sim zoo dua. Muaj kev zam tshwj xeeb yog tsis siv cov tshuaj metoclopramide thiab Motilium (domperidone) ua ke. Vim tias cov tshuaj no ua tib yam nkaus, thiab yog tias lawv tau noj tib lub sijhawm, kev pheej hmoo ntawm kev phiv tshuaj ntau ntxiv. Raws li ib txwm muaj, kev tawm dag zog yog qhov ua tau zoo thiab muaj kev nyab xeeb, zoo dua li kev siv tshuaj.

Nws xav tias yog tias koj noj alpha lipoic acid, nws yuav pab kho ntshav qab zib neuropathy, nrog rau cov teeb meem nrog lub hauv paum plab. Tab sis cov ntaub ntawv ntawm cov ntawv no yog qhov tsis sib xws, thiab alpha-lipoic acid tshuaj yog kim heev. Yog li ntawd, peb tsis tsom rau lawv hauv kab lus. Tab sis kev siv cov protein ua noj haus rau lub cev tsim kom muaj peev xwm pab koj tswj hwm koj cov ntshav qab zib thiab gastroparesis kom zoo.

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