E noʻonoʻo, e noho ana ʻoe i lalo e ʻai me ka hoihoi nui. Ke kaʻana like nei ʻoe i kahi pā o ka meaʻai ʻono. Akā ma hope o ka ʻai ʻana i ʻelua a ʻekolu paha waha piha, ua piha koke ʻoe. ʻAʻole hiki iā ʻoe ke ʻai hou... I kekahi manawa manaʻo ʻoe ua luaʻi a luaʻi paha. Ua ʻike anei ʻoe i kēia? ʻO kēia ka mea a mākou e kapa nei ʻo 'Early Satiety' i ka lāʻau lapaʻau. I kekahi manawa hiki ke hana ʻia kēia ma muli o ka ʻeha ʻōpū a i ʻole no ka mea ʻaʻole ʻoe i ʻai i kekahi mea. Akā inā hoʻomau kēia ʻano, ʻaʻole ia he manaʻo maikaʻi e hoʻowahāwahā wale iā ia. No ka mea, hiki nō hoʻi ke lilo i hōʻailona o kahi maʻi koʻikoʻi.
He aha maoli ke ʻano o ka 'Māʻona Mua'?
I nā huaʻōlelo maʻalahi, ʻo ka māʻona mua ka manaʻo o ka piha loa ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi loa. ʻO kēia ka mea e paʻakikī ai iā ʻoe ke hoʻopau i kahi ʻai. Manaʻo ʻoe ua piha ʻoe ma hope o kekahi mau nahu. Hiki ke hele pū kēia manaʻo me ka nausea a me ka makemake e luaʻi. Hiki i kēia ke lilo i mea maʻalahi e like me ka ʻōpū. Eia naʻe, inā hoʻomau kēia ʻano, ʻo ia hoʻi ke manaʻo nei ʻoe i kēia ʻano no nā pule, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila,
he mea nui e ʻike i ke kauka . Inā haʻalele ʻia, i ka hala ʻana o ka manawa, hiki iā ʻoe ke loaʻa i
nā hemahema o nā meaʻai, ka ʻai ʻole, a me
ka pohō kaumaha i manaʻo ʻole ʻia.
He aha nā kumu nui o ka māʻona mua?
I ka hapanui o nā hihia, ʻo ke kumu nui o kēia he ʻano i kapa ʻia ʻo
gastroparesis . ʻO ka maʻamau, ua wāwahi ʻia ka meaʻai a mākou e ʻai ai i loko o ka ʻōpū a laila ʻūlū nā ʻiʻo o ka ʻōpū e hoʻouna iā ia i nā ʻōpū. Eia nō naʻe, i ka gastroparesis, ʻaʻole ʻūlū pono nā ʻiʻo o ka ʻōpū. ʻO ka hopena, hōʻiliʻili ka meaʻai i loko o ka ʻōpū, e hoʻomāʻona koke ai ʻoe. Ma waho aʻe o ka māʻona mua, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe e like me:
- ʻŌpū pehu
- Ka luaʻi a me ka luaʻi
- ʻEha ʻōpū
- ʻĀʻī puʻuwai
- Ka nalowale o ka makemake
Ma waho aʻe o kēia kumu nui, hiki ke loaʻa ka māʻona mua no kekahi mau kumu ʻē aʻe. E nānā kākou iā lākou.
| Kumu | He wehewehe maʻalahi |
|---|
| ʻO ka maʻi Reflux Gastroesophageal (GERD) | Hoʻi hou ka waikawa mai ka ʻōpū i luna o ka esophagus a i loko o ka puʻu. Hiki i kēia ke hana i ka ʻeha puʻuwai a me ka nausea, e paʻakikī ai ka ʻai ʻana. |
| Nā ʻōpū peptic | Nā ʻōpū maʻi a i ʻole ka hapa mua o ka ʻōpū liʻiliʻi. Hiki i kēia ke hōʻeha, ka nausea, a me ka luaʻi ʻana, e paʻakikī ai ka ʻai ʻana. |
| ʻO ka maʻi ʻōpū huhū (IBS) | He maʻi o ka ʻōnaehana hoʻoheheʻe. ʻO ka ʻoluʻolu ʻole e like me ka pehu ʻana a me ka maʻi kahe hiki ke hoʻemi i ka makemake. |
| Ka pale ʻana o ka ʻōpū | ʻO kahi ālai ʻana i loko o nā ʻōpū e pale ai i ka neʻe ʻana o ka meaʻai ma o nā ʻōpū. Hoʻoulu kēia i ka ʻeha, ka pehu ʻana, a me ka luaʻi ʻana, e paʻakikī ai ka ʻai ʻana. |
| Ka maʻi ʻaʻai | Hiki ke hiki mai ka māʻona mua ma muli o nā kumu e like me ka paʻa ʻana o ke ala ʻai ma muli o kahi puʻupuʻu. Hiki i nā lāʻau lapaʻau maʻi kanesa ke hoʻoulu i ka nausea a me ka luaʻi. |
| Nā maʻi ʻai | Hiki ke hōʻike ʻia kēia kūlana ke hōʻino nā kūlana e like me Anorexia Nervosa a me Bulimia Nervosa i ka ʻōnaehana hoʻoheheʻe a hoʻolilo iā ia i mea paʻakikī ke omo i nā meaola. |
| Nā pilikia aʻalolo | ʻO ka hōʻino ʻana i nā aʻalolo e kaohi ana i nā ʻiʻo o ka ʻōpū hiki ke hoʻopilikia i kāna hana a hoʻoulu i ka māʻona mua. |
| Kekahi mau lāʻau lapaʻau | Hiki i kekahi mau lāʻau ʻeha, e like me nā opioids, ke hoʻolohi i ka hana o ka ʻōpū ma ke ʻano he hopena ʻaoʻao. |
Pehea e mālama ʻia ai kēia maʻi?
ʻO ka lāʻau no ka māʻona mua e pili ana i ke kumu. Ke ʻike ʻoe i ke kauka, e ʻōlelo mua lākou i kekahi mau hoʻololi i kāu meaʻai.
- E ʻai pinepine i nā meaʻai liʻiliʻi. Ma kahi o ka ʻai ʻana i 3 mau meaʻai nui i ka manawa hoʻokahi, e ʻai i 5-6 mau meaʻai liʻiliʻi i ka lā holoʻokoʻa. Hoʻemi kēia i ka nui o ka meaʻai a kou ʻōpū e ʻeli ai i ka manawa hoʻokahi.
- E koho i nā meaʻai momona a maʻalahi hoʻi e ʻeli. E kālele i nā meaʻai i loaʻa nā protein lean, nā carbohydrates paʻakikī (nā huaʻai, nā mea kanu, nā palaoa piha), a me nā momona olakino. No ka laʻana, he kiʻekiʻe ka fiber i nā mea kanu hou a me nā huaʻai. No laila hiki iā lākou ke noho lōʻihi i loko o ka ʻōpū. Hiki i kēia ke hoʻonui i nā hōʻailona. No laila inā ʻoe e hana iā lākou e like me ka smoothie a inu iā lākou, ʻoi aku ka maʻalahi o ka ʻeli ʻana.
- E inu i ka wai he nui. ʻO ka inu ʻana i nā wai lawa i ka lā a pau e kōkua i ka ʻai ʻana a pale i ka maloʻo ʻana o ka wai, kahi e hiki ai ke hoʻonui i ka māʻona mua.
- E pale i nā meaʻai maikaʻi ʻole no kou ʻōpū. E pale i nā meaʻai ʻala, ʻaila, ʻakika, a i ʻole nā meaʻai e hoʻoulu ai i ka mumū o ka umauma.
Ma muli o ke kumu, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau. No ka laʻana, nā lāʻau lapaʻau no GERD a i ʻole nā antibiotics no nā ʻōpū ʻōpū. Eia kekahi, hiki ke kuhikuhi ʻia nā lāʻau lapaʻau i kapa ʻia ʻo
prokinetics . ʻO nā lāʻau lapaʻau e like me metoclopramide a i ʻole domperidone e hoʻoulu i nā ʻiʻo i loko o ka ʻōpū e ʻaelike, e maʻalahi ai ka hele ʻana o ka meaʻai. I nā hihia koʻikoʻi, hiki i kāu kauka ke kuhikuhi i nā kaʻina hana kūikawā.
- Hoʻoulu Uila Gastric: Hoʻoulu i ka ʻōpū me nā pulse uila e kāohi i ka nausea a me ka luaʻi.
- Nā ʻŌmole Hānai: Ke hāʻawi nei i ka meaʻai wai ma o kahi ʻōmole i hoʻokomo ʻia ma ka ihu i loko o ka ʻōpū.
- ʻO ka ʻai Parenteral Holoʻokoʻa (TPN): Hoʻouna pololei ʻia ka meaʻai wai i loko o ke kahe koko ma o kahi catheter i hoʻokomo ʻia i loko o kahi aa koko ma ka umauma.
- ʻO Jejunostomy: He ʻōmole i hoʻohana ʻia e hāʻawi pololei i ka meaʻai i kahi ʻāpana o ka ʻōpū liʻiliʻi i kapa ʻia ʻo ka jejunum, e pale ana i ka ʻōpū.
He aha nā pilikia o ka waiho ʻole ʻana i ka māʻona mua me ka mālama ʻole ʻia?
ʻO ka hoʻowahāwahā ʻana i kēia kūlana hiki ke alakaʻi i nā pilikia like ʻole, mai nā hemahema meaʻai a hiki i nā pilikia olakino koʻikoʻi. No laila, he mea nui loa ka makaʻala i kēia.
| Pōpilikia | Wehewehena |
|---|
| ʻO ka pohō kaumaha a me ka ʻai ʻole | ʻO ka māʻona mua mau e paʻakikī ai ka mālama ʻana i ke kaumaha olakino. I nā hihia koʻikoʻi, hiki iā ia ke alakaʻi i ka ʻai ʻole. |
| Nā hemahema meaʻai | Ke ʻai ʻole ʻoe i ka lawa, nele kou kino i nā huaora koʻikoʻi, nā minelala, a me nā meaola ʻē aʻe. Hiki i kēia ke alakaʻi i ka luhi, ka nāwaliwali, ka emi ʻana o ka palekana, a me nā pilikia me kou lauoho, ʻili, a me nā kui. |
| Poho ʻiʻo | Ke loaʻa ʻole iā ʻoe ka lawa o ka protein, hoʻomaka kou kino e wāwahi i nā ʻiʻo no ka ikehu. ʻO kēia ke alakaʻi i ka nāwaliwali o nā ʻiʻo, ka luhi, a me ka emi ʻana o ka ikehu. |
| Nā Kaulike ʻole o ka Electrolyte | ʻO ka ʻai ʻole i ka lawa ʻana hiki ke alakaʻi i nā hemahema electrolyte i loko o ke kino, e alakaʻi ana i nā pilikia e like me ka luhi, nā ʻeha ʻiʻo, a me ka puʻuwai puʻuwai kūpono ʻole. |
| Ka hoʻonui ʻia ʻana o ka maʻi kumu | He hōʻailona ka māʻona mua. ʻO ka hoʻowahāwahā ʻana iā ia hiki ke hoʻonui i ke kūlana kumu a alakaʻi i nā pilikia ʻē aʻe e pili ana i kēlā kūlana. |
Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?
Inā ʻoe e māʻona mau ana ma hope o ka ʻai ʻana i nā meaʻai liʻiliʻi, ʻoiai inā ʻaʻohe ou hōʻailona ʻē aʻe,
pono ʻoe e ʻike i kāu kauka. Hiki i ka māʻona mua ke lilo i hōʻailona o kahi maʻi olakino. No laila ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kumu a hoʻomaka i ka lāʻau i ka wā hikiwawe loa.
Ua piha anei ʻoe ma hope o ka ʻai ʻana i kekahi mau ʻāpana waha? Ua nawaliwali anei ʻoe ʻoiai ke hoʻāʻo nei ʻoe e hoʻopau i kāu ʻai? ʻO kēia ka Māʻona Mua. Mai hoʻowahāwahā wale iā ia. No ka mea, hiki i kēia ke alakaʻi i ka ʻai ʻole, ka luhi, a me ka pohō kaumaha. I ka manawa pinepine, he hōʻailona kēia o kahi maʻi maʻi. No laila, he mea nui loa e ʻike koke i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻAʻole maʻamau ka manaʻo piha ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi (ka māʻona mua); hiki ke lilo i hōʻailona o kahi maʻi maʻi.
- ʻO ke kumu nui o kēia, ʻo ia ka gastroparesis, kahi kūlana i hoʻopilikia ʻia ai ka hana o ka ʻōpū.
- Hiki ke hana ʻia kēia e nā maʻi koʻikoʻi e like me GERD, nā ʻōpū peptic, a me ke kanesa.
- Inā ʻaʻole mālama ʻia, hiki ke loaʻa ka ʻai ʻole, ka pohō kaumaha, a me nā pilikia koʻikoʻi ʻē aʻe.
- Inā hoʻomau kēia hōʻailona, e ʻike koke i kāu kauka no ka ʻike kūpono a me ka lāʻau lapaʻau.
māʻona mua ma Sinhala, ʻōpū piha, hiki ʻole ke ʻai, gastroparesis, GERD, mumū o ka ʻōpū, ʻai ʻole
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