Ke manaʻo nei ʻoe i kekahi manawa ua piha ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi? Ke manaʻo nei ʻoe i kahi manaʻo kaumaha a ʻoluʻolu ʻole i loko o kou ʻōpū i nā hola ma hope o ka ʻai ʻana? A i ʻole e luaʻi ʻoe i ka meaʻai i ʻeli ʻole ʻia? ʻOiai inā manaʻo ʻoe he mau mea maʻamau kēia, loaʻa paha iā ʻoe kahi maʻi i ʻike ʻole ʻia e ka poʻe he nui, akā hiki ke hoʻonāukiuki iki. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi i kapa ʻia ʻo gastroparesis.
I ka ʻōlelo maʻalahi, he aha ka gastroparesis?
He ʻano paʻakikī kēia inoa, akā he mea maʻalahi loa ke hoʻomaopopo. ʻO Gastroparesis ka wā e lōʻihi ai ka neʻe ʻana o ka meaʻai āu e ʻai ai mai kou ʻōpū a i kou mau ʻōpū ma mua o ka maʻamau. I ka ʻōlelo maʻalahi, ua pilikia ka hana o kou ʻōpū. E noʻonoʻo e like me ke kaʻa ma ke alanui. Ke noho lōʻihi ka meaʻai i loko o kou ʻōpū, hoʻomaka ka ʻoluʻolu ʻole i ʻōlelo ʻia ma luna. ʻO kekahi inoa ʻē aʻe a nā kauka i kapa ai i kēia ʻo "delayed gastric emptying." ʻO ia hoʻi, ua lohi ka hoʻokahe ʻana o ka meaʻai mai kou ʻōpū.
He aha nā hōʻailona o kēia maʻi?
ʻAʻole like nā hōʻailona o kēlā me kēia kanaka me ka gastroparesis. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Akā aia kekahi mau hōʻailona maʻamau. E nānā inā kamaʻāina kēia mau mea iā ʻoe.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka luaʻi a me ka luaʻi | Ka luaʻi pinepine ʻana a i kekahi manawa ka luaʻi ʻana i ka meaʻai i ʻeli ʻole ʻia i ʻai ʻia i nā hola ma mua. |
| Hoʻopiha i ka ʻōpū | Manaʻo piha loa ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi. |
| ʻEha ʻōpū | He ʻeha ʻoi a ʻehaʻeha paha ma ka ʻōpū o luna, ma loko pono o ka ʻōpū. |
| Nā hōʻailona like me ka Gastritis (GERD) | Nā hōʻailona like me ka gastritis, e like me ka ʻeha o ka umauma a me ka ʻāʻī. |
| Ka nalowale o ka makemake a me ka pohō kaumaha | Hiki ke hōʻemi kaumaha no ka mea ʻaʻole ʻoe makemake e ʻai a ʻaʻole omo pono kou kino i nā meaola. |
| Ka paʻakikī ke kāohi ʻana i nā pae kō koko | ʻOi aku hoʻi no ka poʻe maʻi diabetes, hiki ke piʻi koke ke kiʻekiʻe o ke kō ma muli o ka lohi o ka hiki ʻana o ka meaʻai i nā ʻōpū. |
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻO ka hapa nui o ka manawa, he paʻakikī i nā kauka ke kuhikuhi i kahi kumu kikoʻī, akā i kekahi mau hihia, ua ʻike ʻia kekahi mau kumu e kōkua i ke kūlana.
- ʻO ka maʻi diabetes: ʻO ka maʻi diabetes ke kumu nui a me ka mea maʻamau o ka gastroparesis. Ke ʻole e kāohi ʻia nā pae kō koko no ka manawa lōʻihi, hōʻino ia i nā aʻalolo o ke kino. Ke hōʻino ʻia ke aʻalolo vagus, ka mea e hoʻomalu i kā mākou ʻōnaehana hoʻoheheʻe, hiki ke hoʻopilikia ʻia ka hana o ka ʻōpū.
- Hana ʻoki: Hiki i kekahi mau ʻoki ʻōpū ke hōʻino i ke aʻalolo vagus i ʻōlelo ʻia ma luna.
- Nā maʻi viral: Hiki ke hana ʻia kēia ʻano ma hope o kekahi mau maʻi viral ʻōpū (gastroenteritis).
- ʻO kekahi mau lāʻau lapaʻau: Hiki i nā lāʻau ʻeha (ʻoi aku ka narcotics) a me kekahi mau antidepressants ke hoʻolohi i ke kaʻina hana o ka ʻai ʻana.
- Nā kūlana olakino ʻē aʻe: Hiki ke hana ʻia e ka hemahema o ka hormone thyroid (hypothyroidism), ka maʻi Parkinson, nā maʻi ʻōnaehana nerve e like me ka sclerosis maha, a me nā maʻi laha ʻole e like me ka amyloidosis a me ka scleroderma.
ʻO ka mea nui loa, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pono ʻoe e ʻike i ke kauka a ʻimi i ka ʻōlelo aʻo, me ka manaʻo ʻole he kumu kēia.
He aha nā pilikia e hiki ai i kēia ke hana?
Inā ʻaʻole mālama pono ʻia ka gastroparesis, hiki iā ia ke alakaʻi i nā pilikia hou aʻe.
- Ka ulu ʻana o ka bacteria: Ke noho lōʻihi ka meaʻai i loko o ka ʻōpū, hiki iā ia ke hoʻomaka e hoʻoulu a hoʻoulu i ka ulu ʻana o nā bacteria ʻino.
- Ka maloʻo ʻana o ka wai: Inā ʻoe e luaʻi pinepine, hiki iā ʻoe ke nalowale ka wai a me nā paʻakai mai kou kino, e alakaʻi ana i ka maloʻo ʻana o ka wai. Hiki ke lilo kēia i mea weliweli.
- ʻAi ʻole:ʻAʻole hiki i ke kino ke omo pono i ka meaʻai, a laila nele i ka meaʻai e pono ai.
- Ka ālai ʻana o ka ʻōpū: I kekahi manawa, hiki i ka meaʻai i ʻeli ʻole ʻia i loko o ka ʻōpū ke hui pū a lilo i paʻakikī e like me ka pōhaku, e hana ana i kahi ālai ʻana i loko o ka ʻōpū. Ua kapa ʻia kēia he bezoar .
- Ka emi ʻana o ke ʻano o ke ola: Hiki ke paʻakikī loa ka hana ʻana i nā hana o kēlā me kēia lā me kēia mau hōʻailona.
Pehea e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona a nānā iā ʻoe. A laila, e kauoha paha ʻo ia i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- ʻO ka scintigraphy gastric: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Ma kēia hoʻāʻo, ʻai ʻoe i kahi meaʻai liʻiliʻi (e like me ka hua manu) i hui pū ʻia me kahi mea radioactive. A laila, hoʻohana ʻia kahi scanner e nānā i ka wikiwiki o ka hakahaka ʻana o kou ʻōpū. Inā ʻoi aku ma mua o 10% o ka meaʻai i loko o kou ʻōpū ma hope o 4 mau hola, ua hōʻoia ʻia he gastroparesis kou.
- Nā hoʻāʻo koko: Kōkua kēia i ka nānā ʻana i ka maloʻo ʻana, nā hemahema meaʻai, a i ʻole nā pilikia pae kō.
- ʻO ka endoscopy luna: E hoʻokomo kāu kauka i kahi ʻōmole liʻiliʻi i lako me ke kāmela ma kou waha e nānā i loko o kou ʻōpū. Hiki i kēia ke kōkua i ka nānā ʻana i nā kūlana ʻē aʻe (e like me nā ʻōpū).
- ʻO ke kukuna X-ray Barium: Ua moni ʻia kahi wai i loaʻa ka barium a lawe ʻia nā kiʻi kukuna X. Hiki i kēia ke hāʻawi i kahi manaʻo o ke ʻano a me ka hana o ka ʻōpū.
Aia kekahi mau hoʻokolohua kūikawā ʻē aʻe e like me ka 'Gastric manometry' a me ka 'Electrogastrography'. Na kāu kauka e hoʻoholo i ka hoʻokolohua āu e pono ai.
He aha nā lāʻau lapaʻau no kēia?
He kūlana ka Gastroparesis i hiki ke lōʻihi (mau). Akā, mai hopohopo. Hiki ke mālama ʻia a kāohi ʻia.
Nā loli i nā ʻano ʻai
ʻO ke ala maikaʻi loa a koʻikoʻi hoʻi e kāohi ai i kēia maʻi, ʻo ia ka hoʻololi ʻana i kāu mau ʻano ʻai.
- Nā meaʻai liʻiliʻi ma kahi o nā meaʻai nui: Ma kahi o ka ʻai ʻana i 3 mau meaʻai nui i ka lā, e ʻai i nā meaʻai liʻiliʻi 5-6 mau manawa i ka lā. Ma kēia ʻano, ʻaʻole e hoʻopiha nui ʻia kou ʻōpū i ka manawa hoʻokahi.
- Nā meaʻai wai a me nā meaʻai i kāwili maikaʻi ʻia: Ma kahi o ka ʻai ʻana i ka ʻāpala, e ʻai i nā mea e like me ka applesauce, ka sopa mea kanu, ka wai momona haʻahaʻa, a me ka wai hua.
- E hōʻemi i ka momona a me ka fiber: ʻOi aku ka maikaʻi o ka kaupalena ʻana i nā meaʻai ʻaila a momona (nā meaʻai palai) a me nā meaʻai waiwai i ka fiber (nā mea kanu, nā palaoa piha) no ka mea, lōʻihi ka manawa e hoʻoheheʻe ai.
- Ke pale ʻana i ka paʻa ʻana o ka ʻōpū ma hope o ka ʻai ʻana: Mai moe i lalo no 2 mau hola ma hope o ka ʻai ʻana. Ke kū ʻoe a hele paha, kōkua ka umekaumaha i ka neʻe ʻana o ka meaʻai i lalo.
Nā lāʻau lapaʻau
Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kāohi i kāu mau hōʻailona. Mai lawe i kēia mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- Nā lāʻau lapaʻau e hoʻoulu ai i ka hana ʻōpū: ʻO nā lāʻau lapaʻau e like me 'Metoclopramide' a me 'Erythromycin' e hoʻoulu i ka ʻūlū ʻana o nā ʻiʻo o ka ʻōpū a kōkua i ka hoʻoneʻe ʻana i ka meaʻai i loko o nā ʻōpū me ka wikiwiki.
- Nā lāʻau antiemetics: Hiki i nā lāʻau antiemetics e like me Ondansetron a me Prochlorperazine ke kōkua i ka kaohi ʻana i ka nausea a me ka luaʻi ʻana.
Nā lāʻau lapaʻau ʻē aʻe
I kekahi mau hihia koʻikoʻi, hiki i ke kauka ke hoʻohana i nā lāʻau lapaʻau ʻē aʻe.
- ʻŌmole hānai: Inā ʻoi aku ka koʻikoʻi o ke kūlana e lawe ai i ka meaʻai ma ka waha, hiki ke hoʻokomo ʻia kahi ʻōmole ma o ka ʻōpū pololei i loko o ka ʻōpū liʻiliʻi e hāʻawi i ka meaʻai wai.
- Nā inikini Botulinum toxin (Botulinum toxin a i ʻole Botox): Hoʻohana ʻia kēia inikini e hoʻomaha i ka valve (pylorus) kahi e hele ai ka meaʻai mai ka ʻōpū a i nā ʻōpū.
- Hoʻoulu uila: Hoʻopili ʻia nā electrodes i ka paia o ka ʻōpū a hoʻohana ʻia nā hōʻailona uila e hoʻoulu ai i ka ʻōpū e ʻaelike.
- ʻOki kino: Hoʻohana kākaʻikahi ʻia kēia a inā wale nō ʻaʻohe lāʻau ʻē aʻe i holomua.
Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui ka mālama ʻana i kou pae kō koko ma lalo o ke kaohi no ka mālama ʻana i kēia maʻi.
Leka Lawe-Home
- ʻO Gastroparesis kahi kūlana e hemo ai ka meaʻai mai loko mai o ka ʻōpū ma hope o ka manawa maʻamau.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka nausea, ka luaʻi ʻana i ka meaʻai i ʻeli ʻole ʻia, ka manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana, a i ʻole ka ʻeha o ka ʻōpū, mai hoʻowahāwahā a e ʻike i ke kauka.
- ʻO ka maʻi diabetes kekahi kumu nui o kēia maʻi. No laila, inā loaʻa iā ʻoe ka maʻi diabetes, e kaohi pono i kou pae kō koko.
- He mea nui loa nā hoʻololi ʻana i ka ʻai a me nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka ma ke ʻano he lāʻau lapaʻau.
- He kūlana hiki ke mālama ʻia kēia. No laila, mai hopohopo a e hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono.
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