Ku mihanda mu gihe cy'itumba, ni ubuhe buryohe bushimishije cyane? Nibyo, ni tanghulu itukura kandi irabagirana! Hamwe no kurumwa, uburyohe kandi busharira bugarura kimwe mubyiza byo kwibuka mubana.
Nyamara, buri gihe cyizuba nimbeho, habaho kwiyongera kugaragara kubarwayi bafite bezoar gastrici mumavuriro ya gastroenterology. Endoscopically, ubwoko butandukanye bwa bezoar gastrica burashobora kugaragara ahantu hose, bimwe muribi binini cyane kandi bisaba ibikoresho bya lithotripsy kubicamo uduce duto, mugihe ibindi birakomeye cyane kandi ntibishobora guhonyorwa nintwaro "endoskopi".
Nigute aya mabuye "yinangiye" munda afitanye isano na tanghulu? Turashobora gukomeza kwishora muribi biryoha? Ntugire ikibazo, uyumunsi, gastroenterologue wo mubitaro bya Peking Union Medical College azaguha amakuru arambuye.
Kurya amahwa menshi ntabwo byanze bikunze bifasha igogorwa
Kuki kurya tanghulu utitonze biganisha kuri bezoar gastric? Hawthorn ubwayo ikungahaye kuri aside ya tannic, kandi kurya byinshi birashobora "gukorana" byoroshye na aside gastric na proteyine mu gifu kugirango ibe ibuye rinini.
Utekereza ko aside gastric ifite imbaraga? "Izajya mu myigaragambyo" iyo ihuye naya mabuye. Kubera iyo mpamvu, ibuye ryagumye mu gifu, ritera ububabare bukabije no gushidikanya mu buzima, kandi rishobora no gutera ibisebe bya peptike, gutobora, no guhagarika, bishobora guhitana ubuzima mu bihe bikomeye.
Usibye amahwa, ibiryo bikungahaye kuri acide ya tannic, nka perimoni (cyane cyane idahiye) na jujubes, na byo ni ibiryo biryoshye mu gihe cyizuba n'itumba ariko birashobora no kugira uruhare mu gushiraho bezoar gastric. Acide ya tannic muri izo mbuto, iyo ikozwe na acide gastric, ihuza na proteyine ikora proteine ya tannic aside, idashobora gushonga mumazi. Igenda yegeranya buhoro buhoro hamwe nibintu nka pectine na selile, amaherezo ikora bezoar gastric, ubusanzwe ikomoka ku bimera.
Kubwibyo, kwizera ko kurya amahwa bitera igogora ntabwo aribyo rwose. Kunywa amahembe menshi ku gifu cyuzuye cyangwa nyuma yo kunywa inzoga, iyo aside gastricike ikabije, bishobora gutera kwibumbira mu nda, biherekejwe n'ibimenyetso bikomeye nka dyspepsia, kubyimba, n'ibisebe bikabije byo mu gifu.
Kwishimira tanghulu hamwe na cola nkeya
Birasa naho biteye ubwoba. Turashobora gukomeza kwishimira isukari-isukari yishimye? Birumvikana ko urashobora. Gusa uhindure uburyo urya. Urashobora kuyarya mu rugero cyangwa "koresha amarozi kugirango utsinde amarozi" ukoresheje cola kugirango urwanye ibyago bya bezoars.
Ku barwayi bafite imboga zoroheje kandi ziciriritse, kunywa cola nubuvuzi bwiza kandi bwiza.
Cola irangwa nurwego ruto rwa pH, irimo sodium bicarbonate ishonga mucus, hamwe na CO2 nyinshi zitera gusesa bezoar. Cola irashobora guhungabanya imiterere yegeranye ya bezoar yimboga, ikayoroshya cyangwa ikanayigabanyamo uduce duto dushobora gusohoka binyuze mu nzira yigifu.
Isuzuma ryakozwe ryerekanye ko kimwe cya kabiri cy’imanza, cola yonyine yagize uruhare mu gushonga bezoar, kandi iyo ihujwe no kuvura endoskopi, hejuru ya 90% by’indwara ya bezoar ishobora kuvurwa neza.
Mubikorwa byubuvuzi, abarwayi benshi bafite ibimenyetso byoroheje banywa 200ml zirenga 200 cola kumunwa inshuro ebyiri cyangwa eshatu kumunsi mugihe cyicyumweru kimwe cyangwa bibiri byashize neza bezoar zabo, bikagabanya ubukana bwa lithotripsi ya endoskopi, bityo bikagabanya cyane ububabare no kugabanya amafaranga yubuvuzi.
"Cola therapy" ntabwo ari umuti
Kunywa cola birahagije? "Cola therapy" ntabwo ikoreshwa muburyo bwose bwa bezoar gastric. Kuri bezoars igoye muburyo cyangwa bunini, ubunini bwa endoskopique cyangwa kubaga bushobora gukenerwa.
Nubwo kuvura cola bishobora kumena bezoar nini mo uduce duto, ibyo bice bishobora kwinjira mu mara mato kandi bigatera inzitizi, bikarushaho kuba bibi. Kunywa igihe kirekire cola nabyo bigira ingaruka, nka syndrome de metabolike, karitsiye y amenyo, osteoporose, hamwe n’imivurungano ya electrolyte. Kunywa cyane ibinyobwa bya karubone nabyo bitera ibyago byo kwaguka gukabije.
Byongeye kandi, abarwayi bageze mu za bukuru, bafite intege nke, cyangwa bafite ibibazo byihishe inyuma nka ibisebe byo mu gifu cyangwa gastrectomie igice ntibagomba kugerageza ubu buryo bonyine, kuko bishobora kongera ubuzima bwabo. Kubwibyo, kwirinda ni ingamba nziza.
Muri make, urufunguzo rwo kwirinda gastro bezoar ruri mu gukomeza indyo yuzuye:
Witondere ibiryo birimo aside tannic, nka hawthorn, perimmons, na jujubes. Ntabwo byemewe kubarwayi bageze mu zabukuru, bafite intege nke, cyangwa bafite uburwayi bwigifu nka ibisebe bya peptike, reflux esophagitis, achalasia, amateka yo kubaga gastrointestinal, cyangwa hypomotility.
Kurikiza ihame ryo gushyira mu gaciro. Niba rwose wifuza ibyo biryo, irinde kurya icyarimwe icyarimwe kandi unywe ibinyobwa bya karubone, nka cola, mugihe gito mbere na nyuma yo kurya.
Shakisha ubuvuzi bidatinze. Niba ufite ibimenyetso bifitanye isano, shakisha ubuvuzi bwihuse uhitemo uburyo bukwiye bwo kuvura uyobowe na muganga wabigize umwuga.
Igihe cyo kohereza: Mutarama-09-2025