Loaʻa iā ʻoe kekahi maʻi diarrhea mau? E kamaʻilio kākou e pili ana i kēia 'Chronic Diarrhea'!

Ua loaʻa iā kākou a pau ka maʻi diarrhea i kekahi manawa o ko kākou ola, ʻeā? He mea ʻoluʻolu ʻole loa ka loaʻa ʻana o nā ʻōpala palupalu a me ka pono koke e hele i ka lua me ka ʻeha o kou ʻōpū. ʻO ka maʻamau, hana ia ma hope o hoʻokahi a ʻelua paha lā ke loaʻa iā ʻoe ka lāʻau make, ke anu, a i ʻole ke kuni. Eia nō naʻe, inā loaʻa iā ʻoe ka maʻi diarrhea e mau ana no ʻehā pule , kapa mākou ia he 'diarrhea mau' a i ʻole ka diarrhea mau loa.

He aha kēia maʻi kahe mau? He mea koʻikoʻi maoli anei?

I ka ʻōlelo maʻalahi, ʻo ka maʻi diarrhea mau loa he ʻōpala wai a palupalu e mau ana no nā pule ʻehā a ʻoi. Manaʻo kekahi mau noiʻi aia ma waena o 1% a me 3% o ka heluna kanaka kēia maʻi. Eia nō naʻe, ʻoi aku ka kiʻekiʻe o kēia helu no ka mea ʻaʻole nui ka poʻe e ʻimi i ka lāʻau no ia mea ke ʻole lākou e loaʻa nā hōʻailona ʻē aʻe, e like me ka ʻeha o ka ʻōpū a i ʻole ke kahe ʻana o ke koko.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "He mea maʻamau anei ka loaʻa ʻana o ka maʻi diarrhea i ka lā a pau?" ʻAʻole maoli. ʻAʻole kēia he mea maʻamau. ʻO kou colon, ka ʻāpana i hana ʻia ai ka ʻōpala, ke pane nei paha i kahi mea ʻē. No kekahi poʻe, hiki ke hana ʻia kēia ʻano maʻi diarrhea e kahi maʻi ʻōpū hiki ʻole ke ho'ōla ʻia, akā hiki ke kāohi ʻia nā hōʻailona. Eia nō naʻe, i ka hapanui o nā hihia, hiki ke mālama ʻia nā kumu ʻē aʻe me ka lāʻau kūpono.

ʻO ka maʻamau, ua omo mālie ʻia ka ʻōpala meaʻai wai mai kou ʻōpū liʻiliʻi e kou ʻōpū nui a lilo i ʻōpala paʻa. Akā i ka wā e loaʻa ai iā ʻoe ka maʻi diarrhea, no kekahi kumu ua hoʻopau ʻia kēia kaʻina hana. ʻO ka mea e hana ʻia, ʻo ia ka hele ʻana o ka ʻōpala wai loa. ʻO ke ʻano kēia, ua paʻakikī i kou ʻōpū nui ke omo i ka wai e like me ka mea maʻamau, a i ʻole ke hoʻokuʻu nei i ka wai nui loa, a i ʻole nā ​​mea ʻelua. Hiki ke hana ʻia kēia ma muli o kahi pilikia me kou ʻōpū nui ponoʻī, a i ʻole kekahi mea ʻē i loko.

No ke aha lā mākou e pōloli mau nei? He aha nā kumu nui?

Hiki i nā maʻi he nui ke hoʻoulu i ka maʻi kahe mau. Akā ma mua o ka noʻonoʻo ʻana i kahi maʻi, e nīnau maoli ke kauka iā ʻoe e pili ana i kāu mau ʻano ʻai a me nā lāʻau lapaʻau āu e lawe nei. No ka mea, ʻo ia nā kumu a mākou e hana pinepine ai me ka ʻike ʻole, a hiki ke hoʻoponopono maʻalahi ʻia .

Pehea ka hopena o ka meaʻai a me ka mea inu

Hiki i kekahi mau meaʻai a me nā mea inu ke hoʻoulu i ka maʻi pākī. Inā ʻoe e ʻai mau iā lākou, i ka nui, a inā ʻoe e ʻoluʻolu loa iā lākou, hiki iā lākou ke hoʻoulu i kāu maʻi pākī. ʻO ka ʻike ʻana i nā meaʻai a me nā mea inu e hoʻoulu ai i ka maʻi pākī a me ka hōʻemi ʻana a i ʻole ka hoʻopau loa ʻana iā lākou e kōkua. E noʻonoʻo i kēia mau mea:

• Kofe/Kī: Hoʻolalelale ka inu kofe i kou neʻe ʻana o ka ʻōpū, a i ʻole 'motility'. ʻO ke ʻano kēia, ua hoʻokuke koke ʻia ka ʻōpala meaʻai i loko o ka ʻōpū nui ma mua o ka lilo ʻana i mea paʻa loa. ʻAʻole maopopo inā paha ma muli kēia o ka caffeine i loko o ke kofe a i ʻole nā ​​​​​​kemika ʻē aʻe. Hiki i kekahi poʻe ke ʻike i nā hopena like mai ka inu ʻana i ke kī caffeine e like me ka inu ʻana i ke kofe decaffeinated. ʻO ke ʻano kēia,He ʻokoʻa ka maʻalahi o nā kānaka like ʻole i nā kemika like ʻole (hiki i ka waiū a i ʻole ke kō āu e hoʻokomo ai i kāu kofe/kī ke lilo i kumu). Inā inu mau ʻoe i kēia mau mea, hiki iā ʻoe ke loaʻa nā hopena ʻaoʻao lōʻihi.
• ʻAiʻona: Hoʻolalelale pū ka ʻawaʻawa i ka hana ʻana o nā ʻōpū, ʻoiai hoʻi i ka ʻōpū ʻole. Eia nō naʻe, inā inu nui ʻoe i ka ʻawaʻawa, e lohi paha kāu ʻai ʻana, e alakaʻi ana i ka maloʻo a me ka paʻa ʻana o ka ʻōpū. Eia nō naʻe, inā inu nui ʻoe i ka ʻawaʻawa i nā manawa a pau, hiki ke hana ʻia ka maʻi diarrhea e kekahi kumu ʻē aʻe - ka mumū. Inā mumū kou kolona, ​​pehu, a ʻeha paha ma muli o ka ʻawaʻawa, ʻaʻole hiki iā ia ke omo hou i ka wai a me nā minelala ma ke ʻano maʻamau. Inā ua hōʻino ʻia ka uhi o kou kolona, ​​hiki iā ia ke hoʻokahe i nā wai.
• Kekahi mau kō: He paʻakikī ke hoʻoheheʻe ʻia kekahi mau kō, a inā ʻai nui ʻoe iā lākou, hiki iā lākou ke hoʻoulu i ka maʻi pākī. ʻAʻole paha i loaʻa i kou ʻōpū nā enzymes e pono ai ke hoʻoheheʻe iā lākou, a i ʻole ʻaʻohe ou o lākou. ʻO nā mea ʻono hana e like me ka sorbitol, mannitol, a me ka lactulose kekahi o nā kō i hiki ʻole i nā ʻōpū kanaka ke hoʻoheheʻe. ʻO ia ke kumu ʻaʻole lākou e hoʻohui i nā calorie. Ke hiki ʻole i nā ʻōpū ke wāwahi i kēia mau kō, huki lākou i ka wai hou aku e kōkua i ka hoʻokuke ʻana iā lākou mai ke kino. Hiki i ka Fructose ke loaʻa kēia hopena i kekahi mau nui. ʻO ia ke kumu e hiki ai i nā meaʻai i hana ʻia me ka syrup kulina fructose kiʻekiʻe ke hoʻoulu i ka maʻi pākī. Hiki i kekahi poʻe ke loaʻa i nā maʻi allergies, a i ʻole intolerances, i kekahi mau ʻano kō. ʻO ka lactose intolerance (paʻakikī i ka hoʻoheheʻe ʻana i ka waiū a me nā huahana waiū) ka mea maʻamau o kēia mau mea.
• ʻAʻole hiki ke hoʻomanawanui i ka meaʻai: Inā pilikia ʻoe i ka ʻeli ʻana i kahi meaʻai, hiki iā ʻoe ke loaʻa kahi ʻano ʻole i kēlā meaʻai. ʻO ke ʻano pinepine kēia, ʻaʻole i loaʻa i kāu ʻōnaehana ʻai nā enzymes e pono ai e ʻeli i kēlā meaʻai. ʻO nā hiʻohiʻona maʻamau e komo pū me ka ʻole o ka gluten (kahi protein i loaʻa i nā meaʻai e like me ka palaoa), ka ʻole o ka histamine, a me kekahi mau ʻano ʻole o ke kō (carbohydrate). Hoʻokumu ʻia ka maʻi diarrhea e nā meaʻai i ʻeli pono ʻole ʻia.

Hiki paha i ka lāʻau lapaʻau a mākou e lawe nei ke kumu?

Hiki i nā lāʻau lapaʻau he nui ke hoʻoulu i ka maʻi diarrhea mau loa ma ke ʻano he hopena ʻaoʻao. Hiki iā lākou ke hoʻoulu i kēia ʻano ma nā ʻano like ʻole. Inā loaʻa iā ʻoe, pili ia i nā mea he nui, e like me ka nui o ka lāʻau lapaʻau āu e lawe ai, kāu ʻai, a me nā kūlana olakino ʻē aʻe āu e loaʻa nei. E nānā kāu kauka i kāu mōʻaukala olakino piha e hoʻoholo ai inā ʻo ka lāʻau lapaʻau ke kumu. ʻO kekahi mau lāʻau lapaʻau e hiki ai ke hoʻoulu i ka maʻi diarrhea mau loa:

• 'NSAIDs' `(nā lāʻau anti-inflammatory nonsteroidal)` - nā mea hoʻomaha ʻeha, no ka laʻana aspirin `(aspirin)`, ibuprofen `(ibuprofen)`.
• Nā mea hoʻopaʻa pamu proton (PPIs) - Nā lāʻau lapaʻau i hāʻawi ʻia no ka gastritis.
• Nā lāʻau antibiotic - No ka laʻana, amoxicillin, cephalexin.
• Aia kekahi mau mea hoʻohui lāʻau a me nā kī i nā meaʻai e like me ka senna.
• ʻO ka lawe ʻana i nā nui kiʻekiʻe o kekahi mau huaora a me nā minelala, e like me ka huaora C a me ka magnesium.
• Nā antacids e loaʻa ana ka magnesium.
• Nā lāʻau hoʻēmi kaumaha - ʻoi aku hoʻi nā mea o ke ʻano selective serotonin reuptake inhibitors (SSRIs), e.g. fluoxetine (Prozac®), sertraline (Zoloft®).
• Nā Beta-blockers - Nā lāʻau lapaʻau no ke koko kiʻekiʻe.
• ʻO Metformin - kahi lāʻau lapaʻau no ka maʻi diabetes.
• Kemoterapi - Lāʻau lapaʻau no ke kanesa.
• Ka hoʻohana pono ʻole a me ka hoʻohana nui ʻana i nā laxatives, ʻoiai ma nā kūlana e like me ka bulimia nervosa.

Aia kekahi mau ʻano maʻi diarrhea like ʻole? He aha ko lākou mau kumu?

I kekahi manawa, hoʻokaʻawale nā ​​kauka i ka maʻi diarrhea i ʻekolu a ʻehā paha ʻano e maʻalahi ai ka loaʻa ʻana o ke kumu. Kōkua kēia mau ʻano i nā kauka e ʻike i nā ʻano kikoʻī o ka ʻōpala. Hōʻike kēia mau ʻano i nā māhele ākea o nā kumu hiki. ʻO nā ʻano nui ʻekolu: ka maʻi diarrhea mumū, ka maʻi diarrhea ʻaila, a me ka maʻi diarrhea wai. Hoʻokaʻawale kekahi poʻe i ka maʻi diarrhea wai i ʻelua mau ʻano hou aʻe (secretory a me osmotic) a manaʻo lākou he ʻehā ʻano nui.

Ka maʻi kahe wai

Hiki mai ka maʻi kahe wai ke hiki ʻole i kāu kolona ke omo i ka wai a me nā electrolytes mai kou ʻōpala, a i ʻole ke hoʻokuʻu ʻia ma mua o ka mea e omo ai.

• Hoʻokumu ʻia ka paʻa ʻana o ka osmotic e nā meaʻai i hoʻoheheʻe pono ʻole ʻia a i ʻole i omo ʻia. Huki kēia mau mea i ka wai hou aku i loko o ka colon. (Pēlā ka hana a kekahi mau laxatives.)
• ʻO ka diarrhea secretory e pili ana i ka diarrhea wai i hoʻokumu ʻia e nā maʻi like ʻole.

ʻO kekahi mau mea e hiki ai ke kumu i kēia:

• ʻO ka maʻi diarrhea bile acid (hana ʻia kēia i ka wā e hōʻiliʻili nui ai ka bile i loko o nā ʻōpū; kapa ʻia hoʻi ʻo bile acid malabsorption (BAM)).
• ʻO ke kolitis microscopic '(Microscopic colitis)'.
• Ka hōʻino ʻana o nā aʻalolo i hoʻokumu ʻia e ka maʻi diabetes (diabetic neuropathy).
• Vagotomy (wehe ʻoki ʻana i ke aʻalolo o ka ʻōpū).
• Hyperthyroidism (ka hana nui o ka thyroid).
• 'Nā pilikia o ke kelepa adrenal' `(Nā maʻi adrenal)`.
• Nā puʻupuʻu neuroendocrine.
• ʻO ka maʻi ʻōpū huhū (IBS).

Ka maʻi ʻōpū momona / Steatorrhea

I kekahi manawa, hiki i kou ʻōpala ke wai a puka ma ke ʻano he diarrhea ma muli o ka nui o ka ʻaila. Hana ʻia kēia ke pilikia kou kino i ka wāwahi ʻana a me ka omo pono ʻana i nā momona, a i ʻole ke hana ka bacteria i loko o kou ʻōpū i nā waikawa momona he nui. ʻAʻole paha e hana pinepine ʻia ka diarrhea ʻaila, akā hiki ke hana nui i ka manawa hoʻokahi. Hiki ke ʻala ʻino ma mua o ka maʻamau, a waiho paha i nā ʻōpala ʻaila i loko o ka lua. Hiki ke hele pū me nā hōʻailona e like me ka nausea, ka indigestion, a me ka pohō kaumaha.

Nā kumu kūpono:

• Nā maʻi malabsorption - ʻO ia hoʻi, ʻaʻole i komo pono nā meaola. Nā laʻana: ka lawa ʻole o ka pancreatic (ka hana emi ʻana o ka pancreas), ka maʻi celiac.
• Ka ulu nui ʻana o ka bacteria ʻōpū liʻiliʻi (SIBO).
• ʻO ka ischemia Mesenteric (ka pale ʻana o nā kīʻaha koko e hoʻolako ana i nā ʻōpū).
• ʻO ke ʻoki ʻana ma ke ala ʻōpū (ʻoki ʻana ma ke ala ʻōpū).

Ka maʻi ʻōpū mumū

Hiki mai kēia ʻano maʻi diarrhea ke loaʻa iā ʻoe kahi mumū o kou colon, i kapa ʻia ʻo colitis. Hoʻopilikia ka mumū i ka uhi o kou colon. Pehu ia, e emi ai ka hiki ke omo i nā meaʻai. ʻO ka maʻi diarrhea e hele mai me ka mumū he pinepine akā hele mai a hele. Hiki ke hele pū me ka ʻeha o ka ʻōpū, ke kuni, a i ʻole ke koko i loko o kou ʻōpala. ʻO nā kūlana mumū e hiki ai ke hoʻoulu i ka maʻi diarrhea mau loa:

• Nā maʻi hoʻomau, no ka laʻana nā maʻi i hoʻokumu ʻia e nā parasites, a i ʻole pseudomembranous colitis i hoʻokumu ʻia e ka bacteria C. diff.
• ʻO ka maʻi ʻōpū mumū (IBD) - Pili kēia i nā maʻi ʻōpū mumū. Nā laʻana: ulcerative colitis, ka maʻi Crohn.
• ʻO ka colitis ischemic (ka mumū i hoʻokumu ʻia e ka emi ʻana o ke kahe koko i ka ʻōpū nui).
• ʻO Diverticulitis (ka mumū o nā ʻeke liʻiliʻi i loko o ka ʻōpū nui).
• ʻO ka colitis radiation (ka mumū o ka colon i hoʻokumu ʻia e ka radiation therapy).
• Ka maʻi ʻaʻai.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka hoʻomau ʻana i ka ʻai ʻana?

E noʻonoʻo, pono pinepine ʻoe e hele i ka lua me ka wikiwiki, a i ʻole he paʻakikī iā ʻoe ke kāohi i kou neʻe ʻana o ka ʻōpū. Pehea ka nui o ka hopena o kēia maʻi i kou ola o kēlā me kēia lā? He mea hoʻonāukiuki loa ka noʻonoʻo mau ʻana i ka lua kokoke loa.

He mea paʻakikī ke hūnā i kēia ʻano mai nā poʻe ʻē aʻe no ka manawa lōʻihi. Hiki iā ia ke hoʻopilikia i kou hilinaʻi iā ʻoe iho a me ke ʻano o ke ola. Inā he hana kāu, ʻoiai hoʻi kahi e pili ana i ka nui o nā kānaka, hiki nō hoʻi iā ia ke hoʻopilikia i kēlā.

Ma ke kino, hiki i ka maʻi diarrhea mau ke hoʻolilo iā ʻoe i ka pilikia o ka dehydration a me kona mau hopena ʻaoʻao. Ke hoʻomau nei ka maʻi diarrhea, nalowale kou kino i ka nui o ka wai, a me nā electrolytes, nā minelala koʻikoʻi i loaʻa i nā wai o ke kino.

Hiki i ka emi ʻana o ka electrolyte ke loaʻa nā hopena koʻikoʻi. Hiki iā ia ke hoʻopilikia i kou puʻuwai, nā māmā, ka lolo, a me ka ʻōnaehana nerve. Hiki i ka maloʻo ʻana o ka wai ke kau i ke kaomi ma luna o kou mau puʻupaʻa, e alakaʻi ana i ka maʻi puʻupaʻa.

He aha kāu e hiki ai ke hana ma ka home no kēia?

Pono paha ʻoe i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau e hoʻōki i kēia. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hoʻāʻo ma mua o kēlā manawa:

• E noʻonoʻo pono i kāu ʻai. E noʻonoʻo inā paha i hoʻokumu ʻia kāu maʻi diarrhea e kahi mea āu e ʻai ai a inu mau paha. Inā inu ʻoe i ke kofe, ke kī, ka waiʻona, a i ʻole kekahi mea me nā mea ʻono artificial (e like me ka soda diet), e hoʻāʻo e hōʻoki mua i kēlā mau mea. Inā loaʻa iā ʻoe ka maʻi diarrhea ʻaila, e hoʻāʻo e hoʻopau i nā meaʻai ʻaila mai kāu ʻai e ʻike inā kōkua kēlā. He mea maʻamau ka lactose intolerance, ʻoiai i waena o ka poʻe o ka hanauna ʻApelika a ʻAsia paha. Hiki iā ʻoe ke hoʻāʻo e hōʻoki i nā mea waiū. Hiki iā ʻoe ke hoʻāʻo i kahi ʻai hoʻopau paʻa, e like me ka ʻai haʻahaʻa-FODMAP, e ʻike pono i kāu mau maʻi allergies meaʻai.
• Inā ʻoe e lawe mau i kekahi mau lāʻau lapaʻau, e nīnau i kāu kauka inā paha kekahi o lākou ke kumu o kou maʻi kahe. Inā pēlā, e nīnau inā hiki iā ʻoe ke hoʻāʻo i kahi ʻano ʻē aʻe a hoʻōki paha i ka lawe ʻana no kekahi manawa.
• E hōʻoia e noho hydrated ʻoe i ka wā e loaʻa ai iā ʻoe ka maʻi diarrhea. E hoʻāʻo i kahi hopena hydration, kahi mea inu haʻuki, a i ʻole kahi hui electrolyte i hui pū ʻia me ka wai. ʻO ka inu ʻana i ka wai wale nō ʻaʻole e hāʻawi iā ʻoe i nā electrolytes.

Pehea e hoʻopau ai i kēia ʻeha mau o ka ʻōpū? Pono anei au e ʻike i ke kauka?

Inā ua hoʻāʻo ʻoe i nā hoʻololi maʻalahi i kāu meaʻai a me kāu lāʻau lapaʻau a ʻaʻole i nalowale kāu maʻi diarrhea, pono ʻoe e ʻike i ke kauka. E nānā pono kāu kauka i nā kumu kūpono o kāu maʻi diarrhea mau a hoʻoholo i ka lāʻau kūpono. ʻO ka mālama ʻana i ke kūlana kumu e kōkua paha i ka hoʻoponopono ʻana i kāu maʻi diarrhea, a i ʻole ʻaʻole hiki ke mālama pololei i ke kūlana kumu. Inā pēlā, pono paha i kāu maʻi diarrhea kahi lāʻau kūikawā.

Hiki ke komo pū me ka lāʻau lapaʻau:

• Nā lāʻau antidiarrheal opiate: Hoʻolohi kēia i ka hana o kou kolona a hoʻonui i ka omo ʻana. ʻO Loperamide ka koho mua pinepine. ʻAʻole ia he mea hoʻopili a loaʻa ma luna o ke kūʻai aku (OTC).
• Ua kuhikuhi ʻia nā mea hoʻopaʻa waikawa bile no ka poʻe me ka maʻi diarrhea bile acid.
• ʻO Clonidine no ka maʻi palū i hoʻoulu ʻia e ka maʻi diabetes.
• ʻO Eluxadoline no ka maʻi pahū i hoʻokumu ʻia e IBS (irritable bowel syndrome).
• Nā lāʻau antibiotic a i ʻole antiparasitics no nā maʻi.
• Hiki i nā mea hoʻopihapiha fiber, e like me ka psyllium, ke kōkua i ka mānoanoa o nā ʻōpala a hoʻolohi i ko lākou hele ʻana.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

ʻAʻole ia he manaʻo maikaʻi ʻole ke ʻike i ke kauka inā loaʻa iā ʻoe ka maʻi diarrhea mau. Inā ʻaʻole ʻoe e manaʻo e hiki iā ʻoe ke hoʻoponopono iā ia ma ka hōʻoki ʻana i kahi mea mai kāu meaʻai, pono paha ʻoe i ka lāʻau lapaʻau. Inā ua lōʻihi ka manawa, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o nā pilikia ʻē aʻe, a pono paha e mālama ʻia. Inā loaʻa iā ʻoe nā hōʻailona ʻē aʻe e like me kēia, e ʻimi koke i ke kōkua lapaʻau:

• kuni
• ʻEha
• Koko i loko o ka ʻōpala
• Ka pohō kaumaha i manaʻo ʻole ʻia
• Keʻokeʻo
• Ka nāwaliwali a i ʻole ka luhi nui

ʻO ka mea hope loa, pono wau e ʻōlelo ...

ʻOiai he mea maʻamau ka maʻi kahe, e nalowale koke ia me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, ʻo ka maʻi kahe e mau ana no hoʻokahi mahina a ʻoi aku paha, pono e kūkākūkā ʻia me ke kauka. I kekahi manawa, ʻo ke kumu paha he mea maʻalahi a maʻalahi hoʻi e hoʻoponopono. I nā hihia ʻē aʻe, e ʻike paha ʻoe he maʻi olakino kou e pono ai ka lāʻau paʻakikī. Eia naʻe, mai hoʻowahāwahā i kēia hōʻailona. Hiki i kāu kauka ke kōkua iā ʻoe.

ʻO ka maʻi kahe, ka maʻi kahe mau, ka ʻōpū, ka ʻōnaehana hoʻoheheʻe, nā maʻi ʻōpū, ke olakino, ka maʻi kahe mau