Loaʻa iā ʻoe kekahi ʻeha o ka ʻōpū ke ʻai ʻoe? ʻAʻole hiki ke loaʻa ke kumu? E kamaʻilio kākou e pili ana i ka (Functional Dyspepsia)!

Ke manaʻo pinepine nei ʻoe ua piha ʻoe, loaʻa kahi ʻeha wela i loko o kou ʻōpū, a i ʻole ke kaumaha wale nei ma hope o ka ʻai ʻana? I kekahi manawa, ʻaʻole hiki iā ʻoe ke loaʻa ke kumu no kēia, ʻeā? ʻOiai ma hope o ka hele ʻana i ke kauka a hana i nā hoʻokolohua he nui, e ʻōlelo paha lākou, "ʻAʻole ʻoe maʻi." He nui ka poʻe i loaʻa i nā ʻike e like me kēia. ʻO ia ka mea a mākou e kapa nei he "Functional Dyspepsia", he maʻi ʻōpū e paʻakikī ke loaʻa kahi kumu maopopo.

He aha ka `(Functional Dyspepsia)`? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo "Functional Dyspepsia" kahi maʻi kahi e loaʻa ai iā ʻoe ka indigestion mau loa, akā ʻaʻohe kumu maopopo e loaʻa. ʻO "Dyspepsia" kekahi huaʻōlelo no ka indigestion. He ʻano ia o nā hōʻailona e kū pū ana ma hope o ka ʻai ʻana a i ka wā o ka ʻai ʻana. ʻO ke ʻano o "Functional" ʻaʻole hiki ke hoʻopili ʻia kāu mau hōʻailona indigestion i kekahi o nā kumu kino maʻamau (e like me ka ulcer a i ʻole gastritis).

Hiki ke kani like kāu mau hōʻailona me nā maʻi ʻōpū peptic a i ʻole ka maʻi reflux gastroesophageal (GERD) . Eia nō naʻe, hōʻike nā hoʻokolohua he kakaikahi wale nō ka poʻe i loaʻa i kēia mau maʻi. Loaʻa i ke koena ka mea i kapa ʻia ʻo Functional Dyspepsia.

E noʻonoʻo, ke walaʻau nei ka ʻenekini o kāu kaʻa, akā ʻaʻole hiki i ka mīkini ke loaʻa i kekahi mea hewa. Maikaʻi nā mea a pau mai waho mai, akā aia kekahi mea hewa.

Aia kekahi mau ʻano like ʻole o kēia?

ʻOi aku ka like o ka Functional Dyspepsia me he syndrome lā ma mua o hoʻokahi maʻi. ʻO ke ʻano kēia, hiki ke ʻokoʻa ke ʻano o kona hoʻopilikia ʻana i kēlā me kēia kanaka a me nā hōʻailona a lākou e ʻike ai. Ua hoʻokaʻawale nā ​​kauka iā ia i ʻelua ʻano nui:

1. ʻO ka maʻi ʻeha Epigastric: ʻO kēia ʻano ʻeha ka mea nui i ʻike ʻia ma ka ʻaoʻao o luna o ka ʻōpū a ua like ia me ka heartburn . ʻAʻole pili mau ia i ka ʻai. Hiki ke hana i kekahi manawa ma ka ʻōpū ʻole. Ua like iki kēia me nā hōʻailona o GERD.

2. Postprandial distress syndrome: He ʻano kēia e loaʻa ai ka ʻeha o ka ʻōpū ma hope o ka ʻai ʻana. No ka laʻana, ka manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi liʻiliʻi (māʻona mua), ka manaʻo piha, ka pehu ʻana, a me ka ʻeha o ka ʻōpū ma hope o ka ʻai ʻana. Ua like iki kēia me nā hōʻailona o nā maʻi ʻōpū peptic.

ʻAʻole kūpono nā kānaka a pau i kekahi o kēia mau ʻano ʻelua. Hiki i kekahi poʻe ke ʻike i ka hui pū ʻana o nā mea ʻelua, a i ʻole e ʻike paha i ka hui pū ʻana o nā mea ʻelua.

He aha nā hōʻailona nui o kēia?

Me ka "Functional Dyspepsia", hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona penei:

• ʻEha ma ka ʻōpū o luna (ʻeha epigastric):ʻEha ma ka ʻōpū o luna, ma lalo pono o ka pā iwi ʻaoʻao. Ua kapa ʻia kēia wahi ʻo "epigastrium". ʻO kēia kahi e loaʻa ai kou ʻōpū, pancreas, duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi), a me kahi hapa o kou ake.
• ʻŌpū pehu: He manaʻo o ka ʻoluʻolu ʻole a me ka piha i loko o ka ʻōpū ma hope o ka ʻai ʻana. Hoʻopili pinepine ʻia kēia me ke kinoea, ka pehu ʻana, a me nā mea ʻē aʻe e like me ke kinoea. Hiki nō hoʻi ke manaʻo e like me ka huki ʻana o kou ʻōpū.
• Piha a me ka nalowale o ka makemake: Manaʻo piha i ka wā e ʻai ana, ma hope o ka ʻai ʻana, a i ʻole ma hope o ka ʻai nui ʻole ʻana (māʻona mua) . I kekahi manawa, hiki ke nalowale ka makemake ma mua o ka ʻai ʻana.
• ʻO ka manaʻo wela: ʻO ka manaʻo wela i loko o ka umauma, i ʻike ʻia hoʻi ʻo "heartburn", he mea maʻamau ia me kēia mau hōʻailona indigestion. ʻO ka maʻamau, hana ʻia kēia e ka piʻi ʻana o ka waikawa o ka ʻōpū i kou esophagus (acid reflux). Hiki paha iā ʻoe ke manaʻo i kahi manaʻo wela i loko o kou ʻōpū.

Ma waho aʻe o kēia, hiki ke ʻike ʻia nā ʻano ʻē aʻe e like me kēia:

• Ka nui o ka belching
• Ka luaʻi a i ʻole ka ʻūlū ʻana
• Inā loaʻa iā ʻoe ka IBS (irritable bowel syndrome), hiki ke hoʻonui ʻia paha kāu mau hōʻailona (e like me ka neʻe pinepine ʻana o ka ʻōpū a i ʻole ka paʻa ʻana o ka ʻōpū).
• Ke kaumaha a i ʻole ka ʻoluʻolu ʻole o ka naʻau.

No ke aha e kū mai ai kēia `(Functional Dyspepsia)`? He aha nā kumu?

Ua kapa nā kauka i kahi maʻi "hana" he maʻi i loaʻa ʻole ke kumu pololei a maopopo no nā hōʻailona. ʻO kekahi kumu no kēia paha ka pilina pili ma waena o kou ʻōpū a me kou lolo (axis gut-brain) . Me he mea lā e pili ana kēia mau ʻano maʻi hana i kāu ʻōnaehana nerve a me ke ʻano āu e ʻike ai a manaʻo ai i ka ʻeha a i ʻole ka ʻoluʻolu ʻole.

ʻOiai ʻaʻohe kumu hoʻokahi o ka "Functional Dyspepsia", hiki i kekahi mau kumu ke kōkua i ia:

• ʻO ka hypersensitivity visceral: E noʻonoʻo he ʻano palupalu loa kou ʻōnaehana nerve. ʻOi aku ka nui o kou pane kino ʻana i ke kaumaha. Ke hoʻopaʻa nei paha ʻoe i kou mau ʻiʻo me ka ʻike ʻole, a i ʻole e lohi ana paha kāu ʻōnaehana digestive ma muli o ke kaumaha. Hiki paha iā ʻoe ke ʻano maʻamau i nā mea maʻamau e hana nei i loko o kou mau kino. Hiki i kēia ke hoʻoluhi i ka ʻai ʻana ʻoiai ke holo pono nei.
• Nā maʻi neʻe o ka ʻōnaehana digestive:ʻO ke ʻano kēia, aia nā pilikia me ke ʻano o ka neʻe ʻana o ka meaʻai ma o kāu ʻōnaehana hoʻoheheʻe (GI tract). Hiki i kēia ke hopena o ka kamaʻilio maikaʻi ʻole ma waena o kou lolo a me ka ʻōnaehana hoʻoheheʻe. ʻAʻole paha e hana pono nā aʻalolo a me nā ʻiʻo i loko o kāu ʻōnaehana hoʻoheheʻe. Hiki i kēia ke kumu e paʻa ai ka meaʻai ma kahi hoʻokahi, a i ʻole ʻaʻole paha e hoʻomaha piha nā ʻōkana a ʻaʻole e ʻae i ka meaʻai e hele ma waena.
• ʻO ka dysbiosis ʻōpū: ʻO kahi kaulike ʻole i loko o nā microbes i loko o kou ʻōpū (i kapa ʻia ʻo kou microbiome) hiki ke alakaʻi i nā hōʻailona o ka dyspepsia hana. No ka laʻana, hiki i ka bacteria H. pylori ke hōʻino i ka uhi o kou ʻōpū, e hoʻoulu ai i ka mumū a hoʻolilo iā ia i mea ʻoi aku ka maʻalahi i ka waikawa ʻōpū. Eia kekahi, inā ulu nui ka bacteria i loko o ka ʻōpū liʻiliʻi, hiki iā ia ke hoʻoulu i ka pehu a me ka paʻakikī i ka ʻeli ʻana i nā momona.
• ʻO ka duodenitis Eosinophilic: Ua ʻike ʻia kekahi poʻe me ka dyspepsia hana he keu o kahi ʻano koko keʻokeʻo i kapa ʻia ʻo eosinophils ma ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum). Hiki i kēia ke hana i ka mumū lōʻihi (duodenitis). Aia kēia mau eosinophils ma laila e pale iā ʻoe mai kāu ʻōnaehana pale, nā maʻi, a me nā allergies. Hiki ke hana ʻia kēia e kahi maʻi ma mua a i ʻole kahi allergy meaʻai.

He aha nā kumu pilikia no kēia maʻi?

Aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka "Functional Dyspepsia":

• Nā kumu noʻonoʻo: Nā kūlana noʻonoʻo e like me ka hopohopo, ke kaumaha (nā maʻi naʻau), a i ʻole nā ​​​​hanana traumatic a i ʻole ka hana ʻino i loaʻa i ka wā ma mua.
• Moʻolelo ʻohana: He moʻolelo ʻohana o nā maʻi ʻōnaehana nerve a i ʻole nā ​​maʻi GI hana ʻē aʻe e like me IBS.
• Nā ʻano ʻeha o ka meaʻai: ʻO ka ʻeha i kekahi mau meaʻai (e.g., nā meaʻai no ka hui `(FODMAPs)`) a i ʻole ka ʻae ʻole i kekahi mau meaʻai (e.g., `(lactose intolerance)` - ka paʻakikī i ka ʻeli ʻana i ka waiū a me nā huahana waiū).
• Atopy: ʻO ke ʻano kēia o ka loaʻa ʻana o nā maʻi allergies he nui, e like me ka hānō, eczema, a me ka hay fever.

Pehea e hoʻomaopopo pono ai nā kauka i kēia?

Hoʻoholo nā kauka i ka `(Functional Dyspepsia)` ma hope o ka hōʻoia ʻana i kāu mau hōʻailona a me ka kāpae ʻana i nā kumu ʻē aʻe (e.g. `(GERD)`, `(Peptic Ulcer Disease)`). I kekahi manawa ua loaʻa paha iā ʻoe kekahi o kēia mau kūlana a ua mālama ʻia no ia. Eia nō naʻe, inā ʻaʻole hōʻemi kēlā mau lāʻau i kāu mau hōʻailona indigestion, a laila pono ʻoe e noʻonoʻo i ka `(Functional Dyspepsia)`.

ʻAʻole mau nā hōʻailona o ka "Functional Dyspepsia" a hiki ke hele a hele aku. Hoʻomaopopo nā kauka iā ia ma ka noʻonoʻo ʻana i nā kumu aʻe:

• Ua mau anei nā hōʻailona no ʻekolu mahina ma ka liʻiliʻi ?
• Ua hala aku nei he ʻeono mahina ma ka liʻiliʻi mai ka hoʻomaka mua ʻana o nā hōʻailona?
• ʻAʻole anei e hōʻoluʻolu ʻia kēia mau hōʻailona ma ke ale ʻana, ka holo ʻana o ka ea (diarrhea), a i ʻole ka neʻe ʻana o ka ʻōpū?
• ʻAʻole anei pili kēia mau hōʻailona i ka ʻeha i hoʻokumu ʻia e nā gallstones (biliary colic) a i ʻole nā ​​ʻeha gallbladder ʻē aʻe?

Ke hōʻoia nā kauka ua loaʻa iā ʻoe ka indigestion (dyspepsia), e ʻimi lākou i kahi kumu kino (e.g., he ulcer, he maʻi). Hiki iā lākou ke hana i nā hoʻokolohua e like me kēia:

• Nā hoʻāʻo koko: E nānā i nā maʻi a me nā kūlana maʻamau.
• Nā hoʻāʻo hanu: No ka laʻana, hiki i ka hoʻāʻo hanu urea ke nānā i ke alo o ka bacteria H. pylori. Hiki i ka hoʻāʻo hanu hydrogen ke nānā i ka ulu ʻana o ka bacteria maʻamau ʻole i loko o ka ʻōpū.
• Nā haʻawina hoʻokaʻawale ʻōpū: E nānā i ka wikiwiki/lohi o ka neʻe ʻana o ka meaʻai mai kou ʻōpū a i loko o ka ʻōpū liʻiliʻi.
• ʻO ka endoscopy luna: Hoʻokomo ʻia kahi ʻōmole lahilahi ma o ka waha e nānā i loko o ka ʻōpū, ka esophagus , a me ka hapa mua o ka ʻōpū liʻiliʻi. Hana ʻia kēia e nānā i kekahi mea ʻē, e like me ka maʻi ʻōpū. Inā pono, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.

He aha ka lāʻau lapaʻau no kēia?

Inā hōʻike nā hoʻokolohua i kahi kumu kumu (e laʻa me ka ulu nui ʻana o ka bacteria, ka maʻi neʻe), e mālama mua kāu kauka i kēlā. Eia nō naʻe, i nā manawa he nui, ʻoiai ma hope o ka mālama ʻana i kēia mau kumu kumu, ʻaʻole e nalowale loa kāu mau hōʻailona o ka "Functional Dyspepsia". No laila, e kuhikuhi kāu kauka i nā lāʻau ʻē aʻe e kōkua i ka kaohi ʻana i kāu mau hōʻailona. ʻO ka maʻamau , he hui pū ʻana kēia o kekahi mau lāʻau .

ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka "Functional Dyspepsia":

• Inā loaʻa kahi maʻi bacteria , ua kuhikuhi ʻia nā antibiotics .
• ʻO nā Prokinetics nā lāʻau lapaʻau e hoʻoulu ai i ka neʻe ʻana o ka ʻōnaehana hoʻoheheʻe.
• Nā lāʻau lapaʻau e hoʻemi i ka waikawa o ka ʻōpū: nā mea hoʻopaʻa pale proton (PPI) (e.g. omeprazole) a i ʻole nā ​​mea pale H2 (e.g. Ranitidine).
• ʻO nā antidepressants Tricyclic i nā haʻahaʻa haʻahaʻa e hōʻoluʻolu i ka ʻōnaehana nerve a hōʻemi i ka ʻeha (ʻoiai he mau lāʻau lapaʻau kēia i hāʻawi ʻia no ke kaumaha, hoʻohana ʻia nō hoʻi lākou i nā haʻahaʻa haʻahaʻa no nā kūlana e like me kēia).

Eia kekahi, aia kekahi mau ʻano lapaʻau hoʻohui a me nā ʻano lapaʻau ʻē aʻe :

• Nā ʻano mea kanu: No ka laʻana, nā capsules e loaʻa ana ka peppermint a me ka ʻaila caraway, a i ʻole nā ​​​​​​hui lāʻau lapaʻau e like me Iberogast® (pono ʻoe e nīnau i kāu kauka inā loaʻa kēia mau mea ma Sri Lanka).
• Nā lāʻau hoʻomaha noʻonoʻo-kino:ʻO ka noʻonoʻo ʻana, ka yoga, ka biofeedback (kahi ʻano hana e ʻike ai i nā hana o ke kino a me ke aʻo ʻana e kaohi iā lākou), psychotherapy.
• Nā hoʻololi ʻana i ka ʻai: E ʻike i nā meaʻai maikaʻi ʻole iā ʻoe a ke hoʻonui nei i kou mau hōʻailona ma ka hana ʻana i ka "ʻai hoʻopau" (e kū a nānā i hoʻokahi hui meaʻai i ka manawa) a hoʻololi i kāu ʻai i kēlā me kēia lā.
• Acupuncture: Ua hōʻike kekahi mau noiʻi e hāʻawi pū ana kēia ʻano hana i kahi hōʻoluʻolu.

He aha ka mea e hana inā loaʻa iā ʻoe ka `(Functional Dyspepsia)`? He aha kāu e manaʻo ai?

No nā kānaka he nui, ʻo ka Functional Dyspepsia kahi maʻi mau loa e hoʻi hou ana i ke ola a pau. Hiki ke lōʻihi ka manawa, a me kahi hoʻāʻo iki a me ka hewa, e ʻike ai i nā lāʻau lapaʻau a me nā maʻamau e pono ai nou a hōʻemi i kāu mau hōʻailona. Loaʻa paha iā ʻoe kahi hōʻoluʻolu, akā ʻaʻole paha e nalowale loa. Akā, ʻo ka mea nui loa, ʻaʻole ia he mea koʻikoʻi. No laila, mai hopohopo.

Āhea wau e ʻike ai i ke kauka?

Pono ʻoe e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe:

• Inā ʻaʻole ʻoe i hoʻāʻo ʻia no nā maʻi o ka ʻōnaehana hoʻoheheʻe.
• Inā loli kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino.
• Inā ʻoe e luaʻi pinepine.
• Inā e emi ana kou kaumaha me ke kumu ʻole.

Me ka ʻole o ke kumu maopopo a i ʻole ka lāʻau lapaʻau paʻa, hiki i ka ʻike ʻana o ka "Functional Dyspepsia" ke lilo i mea huikau iki no ka poʻe e ʻimi nei i nā pane. ʻOi aku ka paʻakikī o nā "maʻi GI hana". Pili lākou i kou lolo, kou ʻōnaehana nerve, kāu ʻai, kou nohona, a i kekahi manawa nā kumu kumu i loko o kou kino. ʻO ia ke kumu e paʻakikī iki ai ke mālama.

Hiki i nā hoʻokolohua lapaʻau ke kōkua i ka ʻike a me ke kāpae ʻana i kekahi mau kumu kōkua. Akā ʻo ka mea hope loa, ʻo ʻoe wale nō ka mea hiki ke hoʻomaopopo maoli i ka mea e hoʻomaikaʻi ai i kāu mau hōʻailona a me ka mea e hoʻonui ai iā lākou. Ke hoʻāʻo ʻoe i nā lāʻau lapaʻau like ʻole a ʻike i kāu mau mea hoʻonāukiuki, e ʻike ʻoe i kāu ala kū hoʻokahi e ola ai me ka Functional Dyspepsia.

E lawe i ka leka i ka home

• ʻO ka "(Functional Dyspepsia)" he ʻano ʻoluʻolu ʻole maoli ia āu e manaʻo ai. ʻAʻole ia "i loko wale nō o kou manaʻo."
• Hoʻokele ʻia kēia ma ka kaohi ʻana i nā hōʻailona, ​​​​hiki ke kōkua ʻia e nā loli o ke ʻano o ka nohona, ka ʻai, a me nā lāʻau lapaʻau paha.
• He mea nui loa ka hana pū ʻana me ke kauka. E kamaʻilio ākea e pili ana i kāu mau hōʻailona, ​​​​​​i kou manaʻo, a me nā mea āu i hoʻāʻo ai.
• Mai hoʻopau i ka manaʻolana. Nui ka poʻe i ʻike i nā ala e ola kūleʻa ai me kēia maʻi. ʻAʻole ʻoe hoʻokahi!

ʻO ka dyspepsia hana, ka indigestion, ka ʻeha o ka ʻōpū, ka pehu ʻana, ka mumū o ka umauma, ka ʻōnaehana hoʻoheheʻe, ke kaumaha