Lub plab

Gastroparesis yog qhov mob uas ua kom lub plab zom mov ntxiv rau nws cov ncauj lus. Nws tsis suav nrog kev thaiv (thaiv).

Qhov tseeb ua rau mob plab zom mov tsis paub. Nws yuav yog qhov tshwm sim los ntawm kev cuam tshuam ntawm cov hlab ntsaws mus rau lub plab. Tus mob yog qhov xwm txheej uas nquag muaj los ntawm cov ntshav qab zib. Nws tuaj yeem ua tau raws li qee cov kev phais.

Cov teeb meem txaus ntshai rau txoj hlab ntsws xws li:

• Mob ntshav qab zib
• Gastrectomy (phais kom tshem tawm ib feem ntawm lub plab)
• Kab mob sclerosis
• Siv cov tshuaj uas thaiv cov kab mob ntawm cov hlab (tshuaj tua kab mob)

Cov tsos mob tuaj yeem suav nrog:

• Lub plab txawv
• Mob Hypoglycemia (hauv cov neeg mob ntshav qab zib)
• Xeev siab
• Kev mob plab ua ntej puv plab tom qab noj mov
• Lub cev yuag yam tsis ua kom yuag
• Ntuav
• Mob plab

Tej zaum koj yuav xav tau:

• Esophagogastroduodenoscopy (EGD)
• Kev mob plab zom mov (siv isotope labeling)
• Upper GI series

Cov neeg mob ntshav qab zib yuav tsum tswj hwm lawv cov ntshav qab zib kom ntau. Tswjhwm zoo nyob rau hauv cov ntshav qab zib theem yuav txhim kho cov tsos mob ntawm gastroparesis. Noj khoom noj me me thiab ntau zaus me me thiab cov khoom noj muag muag kuj yuav pab txo qee cov tsos mob.

Cov tshuaj uas yuav pab tau suav nrog:

• Cov tshuaj cholinergic, uas ua rau acetylcholine receptors
• Erythromycin
• Metoclopramide, yog ib yam tshuaj uas ua kom lub plab zom mov
• Serotonin antagonist tshuaj, uas ua rau serotonin receptors

Lwm yam kev kho mob suav nrog:

• Botulinum toxin (Botox) txhaj rau hauv qhov hluav taws xob (pylorus)
• Kev phais mob uas ua rau muaj qhov qhib nruab nrab ntawm lub plab thiab cov hnyuv me me kom cov zaub mov txav mus los ntawm txoj hnyuv tau yooj yim dua (gastroenterostomy)

Ntau qhov kev kho mob zoo li tsuas yog muab cov txiaj ntsig ib ntus.

Tseem pheej xeev siab thiab ntuav yuav ua rau:

• Lub cev qhuav dej
• Kev ntsuas hluav taws xob tsis txaus
• Khoom noj khoom haus tsis muaj zog

Cov neeg mob ntshav qab zib yuav muaj teeb meem loj los ntawm cov tswj ntshav qab zib tsis zoo.

Hloov pauv hauv koj cov zaub mov noj yuav pab tswj cov tsos mob tshwm sim. Hu koj tus kws kho mob yog tias cov tsos mob txuas ntxiv lossis yog tias koj muaj cov tsos mob tshiab.

Gastroparesis diabeticorum; Ncauj kev mob plab zom mov; Ntshav qab zib - gastroparesis; Ntshav qab zib mob neuropathy - gastroparesis

• Lub plab zom mov
• Plab

Bircher G, Woodrow G. Gastroenterology thiab khoom noj haus zoo rau kab mob raum. Hauv: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Cov Chaw Kho Mob Tshaj LojCov. 6 tus ed. Philadelphia, PA: Elsevier; 2019: chap 86.

Koch KL. Gastric neuromuscular muaj nuj nqi thiab cov neuromuscular mob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 49.