He kanaka anei ʻoe i loaʻa i ka maʻi diabetes? No laila, ke manaʻo nei ʻoe i kekahi manawa ua piha ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi? A i ʻole ke manaʻo pinepine nei ʻoe i ka luaʻi, ka ʻōpū, a i kekahi manawa ka luaʻi? Me kēia mau mea a pau, ke paʻakikī nei paha ʻoe e kaohi i kou pae kō koko. Manaʻo ka poʻe he nui he mau pilikia ʻōpū maʻamau kēia. Akā hiki i kēia ke lilo i pilikia o ka maʻi diabetes ponoʻī. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha ka maʻi Diabetic Gastroparesis?
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e hana pono ʻole ai nā ʻiʻo o kou ʻōpū (ʻōpū). ʻO ka maʻamau, ke ʻai mākou, ʻūlū nā ʻiʻo o ka ʻōpū a hoʻokuke i ka meaʻai i loko o ka ʻōpū liʻiliʻi. Akā i ka gastroparesis, lohi loa kēia hana, a i kekahi manawa pau loa. No laila, noho ka meaʻai i loko o ka ʻōpū no nā hola.
Hiki ke ʻike ʻia kēia ʻano maʻi diabetes type 1 a me type 2. Eia nō naʻe, ʻike pinepine ʻia ia i nā poʻe i loaʻa i ka maʻi diabetes no nā makahiki he 10 a ʻoi aʻe a loaʻa iā lākou nā pilikia ʻē aʻe mai ka maʻi diabetes (no ka laʻana, ka hōʻino ʻia o ke aʻalolo).
No ke aha lā kēia e hana nei iā kākou?
ʻO ke kumu nui o kēia, ʻo ia ka noho kiʻekiʻe ʻana o ke kō koko no ka manawa lōʻihi me ke kāohi ʻole ʻia . Hiki i ka maʻi diabetes i kāohi ʻole ʻia ke hōʻino i nā aʻalolo i loko o ko mākou kino.
E noʻonoʻo ʻoe aia kekahi "mea hoʻomalu" haku e kaohi ana i ka hana o ko kākou ʻōpū. ʻO ia ke aʻalolo Vagus . Ke hōʻino ʻia kēia aʻalolo Vagus ma muli o ke kiʻekiʻe o ke kō, ʻaʻole loaʻa i ka ʻōpū ka hōʻailona e hoʻokahe pono i ka meaʻai. Hiki iā ia ke hōʻino i nā ʻiʻo i loko o ka ʻōpū a me nā pūnaewele kūikawā (nā pūnaewele pacemaker) e kōkua ana i ka hoʻokuke ʻana i ka meaʻai. Ke hui pū ʻia kēia mau kumu a pau, paʻa ka meaʻai i loko o ka ʻōpū a loaʻa ka gastroparesis.
He aha nā hōʻailona nui o kēia?
E nānā e ʻike inā loaʻa iā ʻoe kēia mau hōʻailona. Akā e hoʻomanaʻo, mai manaʻo ua loaʻa iā ʻoe kēia maʻi no ka mea he hoʻokahi a ʻelua paha o kēia mau hōʻailona. Pono ʻoe e ʻike i ke kauka no kēlā.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻĀʻī/Reflux | Hoʻi hou mai ka meaʻai ʻakika i loko o ka ʻōpū i loko o ka puʻu. |
| Ka luaʻi | ʻO ka ʻoluʻolu ʻole e like me ka luaʻi ʻana i nā manawa a pau. |
| Ka luaʻi ʻana | I nā hihia koʻikoʻi, hiki ke luaʻi ʻia ka meaʻai i ʻeli ʻole ʻia i nā hola ma mua. No kekahi poʻe, hiki ke hana ʻia kēia i kēlā me kēia lā. |
| Ka paʻakikī o ka kaohi ʻana i nā pae kō | Ma muli o ka hiki ʻole ke ʻike pololei i ka wā e komo ai ka meaʻai i loko o nā ʻōpū, hiki ke piʻi a hāʻule koke nā pae kō. |
| Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana | Ma muli o ka mālama ʻana o ka ʻōpū i ka meaʻai ma mua, ua piha ʻoe ma hope o ka ʻai ʻana i kahi liʻiliʻi. |
| Pehu ʻōpū | Ke pehu nei ka ʻōpū, me he mea lā ua piha i ka ea. |
| Ka nalowale o ka makemake a me ka pohō/ka piʻi ʻana o ke kaumaha | ʻAʻole ʻoe makemake e ʻai no ka mea ua piha mau kou ʻōpū. Hiki i kēia ke alakaʻi i ka pohō kaumaha. |
He aha nā kūlana kahi e hiki ai ke hoʻoweliweli?
Inā ʻaʻole mālama pono ʻia ka gastroparesis, hiki mai kekahi mau pilikia.
- ʻO ka palaho ʻana o ka meaʻai: Ke noho lōʻihi ka meaʻai i loko o ka ʻōpū, hiki iā ia ke palaho a hoʻoulu i ka ulu ʻana o ka bacteria.
- Hoʻokumu ʻia ʻana o Bezoar: Hiki i ka meaʻai i ʻeli ʻole ʻia ke hōʻiliʻili a hana i kahi puʻu paʻa i loko o ka ʻōpū. Ua kapa ʻia kēia he bezoar . Hiki i kēia ke ālai i ka ʻōpū a pale loa i ka hele ʻana o ka meaʻai i loko o nā ʻōpū.
- Paʻakikī i ka kaohi ʻana i ka maʻi diabetes: ʻO kēia ka pilikia nui loa. Lawe ʻoe i ka insulin ma mua o ka ʻai ʻana. Akā, komo ka meaʻai i loko o nā ʻōpū a komo ke kō i loko o ke koko ma hope o kekahi mau hola. A laila piʻi a iho koke ke kiʻekiʻe o ke kō. He mea paʻakikī loa kēia ke kaohi.
- Ka maloʻo ʻana ma muli o ka luaʻi ʻana: Inā ʻoe e luaʻi pinepine, hiki i kou kino ke nalowale ka wai a maloʻo. He kūlana weliweli kēia.
Inā loaʻa iā ʻoe ka luaʻi nui a me ka ʻeha nui o ka ʻōpū, e hele koke i ka Emergency Department (ETU) .
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Hiki i kāu kauka ke kānalua i kēia ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka hana ʻana i kahi hoʻokolokolo kino. A laila hiki iā lākou ke hana i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona, e like me:
- ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia i lalo o ka ʻāʻī e nānā i loko o ka ʻōpū. Kōkua kēia i ka nānā ʻana i nā mea ʻē aʻe i paʻa i loko o ka ʻōpū.
- X-ray Barium: Ma hope o ka inu ʻana i kahi wai i kapa ʻia ʻo barium, lawe ʻia kahi X-ray e nānā i ka wikiwiki o ka hoʻokahe ʻana o ka ʻōpū.
- Scintigraphy: ʻO kēia ka hoʻāʻo nui. ʻAi ʻoe i kahi meaʻai liʻiliʻi (ʻo ka hua manu maʻamau) i hui pū ʻia me kahi mea radioactive, a laila e scan ʻoe i kou ʻōpū i kēlā me kēia hola no kahi o 4 mau hola e ʻike i ka nui o ka meaʻai i hoʻokahe ʻia mai kou ʻōpū.
- Nā hoʻokolohua ʻē aʻe: Eia kekahi, aia nā hoʻokolohua kūikawā e like me ka manometry gastric a me ka capsule motility wireless. Na kāu kauka e hoʻoholo i ka hoʻokolohua kūpono iā ʻoe.
Ka mālama ʻana a me ka hoʻokele ʻana
ʻOiai ʻaʻole hiki ke ho'ōla piha ʻia ka gastroparesis, hiki ke mālama ʻia nā hōʻailona a hiki ke ola i ke ola maʻamau.
1. ʻO ka mea mua a me ka mea nui loa: e kāohi i kou pae kō koko!
ʻO kēia ka hana mua a koʻikoʻi loa i ka mālama ʻana. Hiki i ka kaohi ʻana i kou pae kō koko ke kōkua i ka hōʻemi ʻana i ka pōʻino o ke aʻalolo. E kamaʻilio me kāu kauka e pili ana i ka pono e hoʻoponopono i kāu nui o ka insulin a i ʻole ka manawa. He mea nui hoʻi e nānā pinepine i kou pae kō koko.
2. Nā lāʻau lapaʻau
Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kōkua i ka hōʻoluʻolu i kāu mau hōʻailona.
- Nā lāʻau lapaʻau e kōkua ai i ka hoʻokahe ʻana o ka ʻōpū (e like me Metoclopramide, Domperidone).
- Nā lāʻau lapaʻau no ka nausea a me ka luaʻi (e like me Ondansetron, Prochlorperazine).
- I kekahi manawa hāʻawi ʻia ka antibiotic erythromycin i ka manawa pōkole e hoʻonui i ka hana o ka ʻōpū.
ʻŌlelo Aʻo: Mai hoʻohana i kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka. Hiki i kekahi mau lāʻau lapaʻau ke loaʻa nā hopena ʻaoʻao. No laila, e hahai mau i nā ʻōlelo a kāu kauka.
3. Lapaʻau no nā hihia koʻikoʻi
I nā hihia koʻikoʻi loa i hiki ʻole ke kaohi ʻia me nā lāʻau ʻē aʻe, pono paha nā ʻano lāʻau kūikawā.
- Hoʻoulu uila ʻōpū:Hoʻouna kahi mea liʻiliʻi i hoʻopili ʻia i ka ʻōpū i nā hōʻailona uila e kaohi i ka nausea a me ka luaʻi.
- ʻŌmole hānai: Hoʻokomo ʻia kahi ʻōmole (ʻōmole jejunostomy) ma ke ʻoki ʻana ma o ka ʻili o ka ʻōpū e kuhikuhi i ka meaʻai i loko o ka ʻōpū liʻiliʻi, e pale ana i ka ʻōpū. Hana ʻia kēia i nā hihia koʻikoʻi loa.
Pehea e hoʻololi ai i kāu meaʻai
ʻOi aku ka nui ma mua o ka lāʻau lapaʻau ka hoʻololi ʻana i kāu mau ʻano ʻai. Hiki i ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e loaʻa ka hōʻoluʻolu nui.
| Nā mea e hana ai (Do's) | Nā mea ʻaʻole e hana ʻia |
|---|---|
| Ma kahi o ka ʻai ʻana i ʻekolu mau pāʻina i ka lā, e ʻai i 5-6 mau pāʻina liʻiliʻi . | E hōʻalo i nā meaʻai i kiʻekiʻe i ka ʻaila a me ka momona (nā meaʻai palai, nā curry ʻaila). |
| E hoʻoikaika i nā mea inu a me nā meaʻai i pure ʻia (e like me ka applesauce ma kahi o ka ʻāpala, nā sopa). | E hōʻemi i nā meaʻai kiʻekiʻe i ka fiber (laiki ʻeleʻele, ʻoka, kekahi mau mea kanu, nā huaʻai). ʻOi aku ka lōʻihi o ka hoʻoheheʻe ʻana o kēia mau mea. |
| E ʻai i nā huaʻai a me nā mea kanu i hoʻolapalapa maikaʻi ʻia . | E hōʻalo i ka inu ʻana i ka wai a i ʻole nā wai ʻē aʻe i ka wā e ʻai ana. E inu i 30 mau minuke ma mua a ma hope paha o ka ʻai ʻana. |
| E noho no kekahi manawa ma hope o ka ʻai ʻana. Mai moe i lalo i ka wā e ʻai ana . | E hōʻalo loa i nā mea inu kalapona (soda) a me ka waiʻona. |
| E hana i kekahi mau hoʻoikaika kino, e like me ka hele wāwae māmā, ma hope o ka ʻai ʻana. | E pale i ka puhipaka . Hoʻemi hou aku ia i ka hana o ka ʻōpū. |
Leka Lawe-Home
- ʻO ka Diabetic Gastroparesis kahi pilikia maʻamau o ka maʻi diabetes i kāohi pono ʻole ʻia.
- ʻO nā hōʻailona nui ka nausea, ka luaʻi ʻana, ka manaʻo māʻona ʻoiai ma hope o ka ʻai ʻana i kahi liʻiliʻi, a me ka paʻakikī ke kaohi ʻana i nā pae kō koko.
- ʻO ka hana nui loa i ka mālama ʻana i kēia kūlana, ʻo ia ka mālama pono ʻana i kou pae kō koko.
- He mea nui loa ka hoʻololi ʻana i kāu papaʻai. ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi, haʻahaʻa i ka momona a me ka fiber, hiki ke hāʻawi i ka hōʻoluʻolu nui.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻoholo i kāu iho a e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
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