Ke manaʻo nei hoʻi ʻoe ua piha ʻoe ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi? A i ʻole ke manaʻo pinepine nei ʻoe i ka luaʻi a i ʻole he pilikia me ka piha? Malia paha ke kumu o kēia he loli i ka wikiwiki o ka hoʻokahe ʻana o ka meaʻai mai kou ʻōpū, ʻo ia hoʻi kou ʻōpū. No laila i kēia lā, e kamaʻilio kākou e pili ana i kahi hoʻokolohua lapaʻau kūikawā i hana ʻia e ʻike pono i kēia. ʻO kēia ka mea a mākou e kapa nei he `(Gastric Emptying Study)`.
I ka ʻōlelo maʻalahi, he aha kēia Gastric Emptying Study?
He hoʻāʻo maʻalahi loa kēia. Ana ia i ka lōʻihi o ka manawa e hele ai kahi meaʻai (a mea inu paha) āu e ʻai ai ma kou ʻōpū a laila e hakahaka loa. ʻO kēia kaʻina hana o ka hoʻoneʻe ʻana i ka meaʻai a me nā wai ma kou ʻōpū ua kapa ʻia ʻo "Gastric Motility". Hana nā kauka i kēia hoʻāʻo e ʻike inā e neʻe maʻamau ana kou ʻōpū. Inā ʻoi aku ka wikiwiki a lohi paha o ka hakahaka ʻana o ka meaʻai ma mua o ka maʻamau, he hōʻailona paha ia o kahi maʻi.
ʻO ke ʻano nui a hoʻohana pinepine ʻia no kēia, ʻo ia ka hoʻāʻo i kapa ʻia ʻo `(Gastric Emptying Scintigraphy - GES)`. Ke haʻi aku ke kauka iā ʻoe e pili ana i kēia hoʻāʻo, ʻo ia kāna manaʻo maʻamau. He `(Imaging Test)` kēia o ke ʻano `(Nuclear Medicine)`, ʻo ia hoʻi, he scan. ʻO ka mea e hana ʻia ma kēia, ʻo ia ka scan ʻana i ka radioactivity i loko o kou kino a hana ʻia nā kiʻi. Mai hopohopo, ʻaʻole kēia he mea ʻino iā ʻoe. I mea e hoʻokomo ʻia ai kou ʻōpū i ka scan, hoʻohui ʻia kahi mea radioactive liʻiliʻi loa a ʻino ʻole `(Radioactive Tracer)` i ka meaʻai āu e ʻai ai.
Aia kekahi mau ala ʻē aʻe e hana ai i kēia hoʻokolohua?
ʻAe, aia kekahi mau ʻano hana ʻē aʻe ma waho aʻe o ka mea nui:
- Hoʻāʻo Hanu ʻŌpū (GEBT): Ke ana kēia i ka nui o ke kinoea āu e hoʻopuka ai i waho a pehea e neʻe ai kāu meaʻai ma o kou ʻōpū. Hāʻawi ʻia ʻoe i kahi meaʻai me kahi molekole kalapona kūikawā i kapa ʻia ʻo "Carbon-13". Ke hele ia ma o kou ʻōpū, hoʻopuka ia i ke kinoea kalapona ʻokikene hiki ke ana ʻia i loko o kou hanu.
- SmartPill™ Wireless Motility Capsule: ʻO kēia ke ale ʻana i kahi mea uila liʻiliʻi e like me ka pila. I kona hele ʻana ma o kāu ʻōnaehana hoʻoheheʻe ʻana, hoʻouna ia i ka ʻikepili i kahi "Receiver" āu e ʻaʻahu ai. Hoʻopuka ʻia ka pila i loko o kou ʻōpala i hoʻokahi a ʻelua paha lā. A laila, ke hāʻawi ʻoe i ka "Receiver" i kāu kauka, hiki iā ia ke nānā i ka ʻikepili a loaʻa kahi manaʻo o kou kūlana.
He aha kā mākou e aʻo ai mai kēia hoʻokolohua?
Hōʻike nui kēia hoʻāʻo iā ʻoe inā e hoʻokahe wikiwiki ana kou ʻōpū a lohi paha . Hiki iā ia ke ʻike i kahi o kou ʻōpū e lohi nei kēia wikiwiki. Hiki i kēia ke lilo i mea kōkua nui i ka hoʻomaopopo ʻana i ke kumu o kekahi o kou mau pilikia ʻōpū.
| Nā hōʻailona e hiki ai ke koi i ke kauka e kauoha i kēia hoʻokolohua | |
|---|---|
| Manaʻo o ka piha | Ke manaʻo nei i ka māʻona loa ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, a i ʻole ka loaʻa ʻana o ia manaʻo no ka manawa lōʻihi ma hope o ka ʻai ʻana. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi pinepine ʻana a me/a i ʻole ka luaʻi ʻana. |
| ʻEha ʻōpū | ʻEha ma ka ʻōpū luna. |
| Hoʻopiha i ka ʻōpū | Manaʻo o ke kinoea a me ka pehu. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka nalowale o ka makemake e ʻai, ka emi ʻana o ke kaumaha, ka piʻi koke ʻana a me ka emi ʻana o ke kō koko, ka poniuniu, ka puʻuwai wikiwiki, a me ka reflux acid mau loa. |
Inā hoʻomau ʻoe i nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.
He aha nā maʻi e hiki ke ʻike ʻia e kēia hoʻāʻo?
Inā e hoʻokahe mālie ana ka ʻōpū, he hōʻailona paha ia o kahi paʻa ʻana o ka ʻōpū a i ʻole kahi kūlana kahi e hana pono ʻole ai nā ʻiʻo a me nā aʻalolo i loko o ka ʻōpū. Ua kapa ʻia kēia ma ke ʻano lapaʻau he 'Gastroparesis' .
Eia kekahi, inā e hakahaka koke ka ʻōpū, kapa mākou ia he 'Dumping Syndrome' . He pilikia nō hoʻi kēia me nā ʻiʻo a me nā aʻalolo. He mea maʻamau kēia ʻano i waena o ka poʻe i hana ʻia ke ʻoki ʻōpū. Eia nō naʻe, inā ʻaʻole ʻoe i hana ʻia ke ʻoki ʻana, hiki nō hoʻi ke lilo i hōʻailona o kekahi ʻano maʻi ʻē aʻe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
He mea nui loa kēia. E hāʻawi ke kauka iā ʻoe i nā kuhikuhi e pono ai ma mua o ka hoʻāʻo ʻana. Pono ʻoe e haʻi iā ia e pili ana i nā lāʻau lapaʻau āu e lawe nei a me nā maʻi ʻē aʻe āu e loaʻa nei.
| Nā mea e hana ai a me nā mea ʻaʻole e hana ma mua o ka hoʻāʻo | |
|---|---|
| Meaʻai a me ka mea inu | Mai ʻai a inu paha i kekahi mea no 4 mau hola ma mua o ka hoʻāʻo. ʻOiai ʻo ka hoʻāʻo maʻamau e hana ʻia i ke kakahiaka, e noi ʻia ʻoe e hoʻokē ʻai mai ka pō ma mua. |
| Inā loaʻa iā ʻoe ka maʻi diabetes | Inā ʻoe e lawe ana i ka insulin no ka maʻi diabetes, e lawe mai i kāu insulin a me ka mika glucose. E ana ʻia kou pae kō koko ma mua o ka hoʻāʻo ʻana a e hāʻawi ʻia ka insulin e kāohi iā ia inā pono. |
| Puhipaka | Mai puhi paka ma mua o ka hoʻāʻo. Hiki iā ia ke hoʻopaneʻe i ka hoʻokahe ʻana o kou ʻōpū. |
| Kekahi mau lāʻau lapaʻau | Ma muli o ka ʻōlelo aʻo a kāu kauka, pono paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (e laʻa me nā painkiller, antidepressants, a me kekahi mau lāʻau lapaʻau no ka gastritis) no kekahi mau lā. |
| Nā hanana kūikawā | Inā hāpai ʻoe a hānai waiū paha, e hōʻoia e haʻi i kāu kauka e pili ana i kēia. ʻAʻole hana ʻia ka hoʻāʻo ma kēia mau hihia ma muli o ka mea radioactive. |
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
He hana maʻalahi loa kēia.
1. ʻAi: ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi meaʻai i hoʻomākaukau kūikawā ʻia. ʻO ka maʻamau, aia kēia i nā keʻokeʻo hua manu i hui pū ʻia me kahi mea radioactive ``(Sulfur Colloid)``, kahi ʻāpana berena me ka jam, a me ke aniani wai. ʻO kēiaPono ʻoe e hoʻopau i ka ʻai ʻana i loko o 10 mau minuke .
2. Ke nānā ʻana: A laila e lawe ke loea iā ʻoe i ka mea nānā. E noi ʻia ʻoe e kū inā hiki, a moe paha inā ʻaʻole. E kuhikuhi ʻia ke kāmela nānā i kou ʻōpū a nānā ʻia no hoʻokahi minute i ka manawa.
3. Manawa: Lawe ʻia ka scan mua ma hope koke iho o kou pau ʻana i ka ʻai ʻana. A laila, e scan hou ʻia ʻoe i loko o hoʻokahi hola, ʻelua hola, a me ʻehā hola. Hiki iā ʻoe ke haʻalele i ka lumi i ka wā o kēia mau scan, akā pono ʻoe e hoʻi i ka manawa.
ʻO ka maʻamau, ma waena o 2 a me 4 mau hola ka lōʻihi o kēia hoʻāʻo holoʻokoʻa. ʻO ka manawa lōʻihi loa e pono ai no ka ʻōpū e hoʻokahe, he 4 mau hola ia, no laila pono ʻoe e kali i kēlā lōʻihi. Inā e hoʻokahe ʻia ma mua o kēlā, e pau koke ka hoʻāʻo.
ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha i kēia hoʻāʻo. ʻAʻole ʻoe e ʻono a honi paha i ka mea radioactive i loko o ka meaʻai.
Pehea e hoʻomaopopo ai i nā hopena o ka hoʻāʻo?
E wehewehe ana kāu kauka i ka hōʻike āu e loaʻa ai ma hope o ka hoʻāʻo ʻana. Hōʻike ia i ka nui o ka meaʻai i waiho ʻia i loko o kou ʻōpū i 1, 2, a me 4 mau hola.
| Kūlana | Hopena |
|---|---|
| Nā Hopena Maʻamau | |
| Ma hope o 1 hola | Pono e waiho ʻia ma mua o 30% o ka meaʻai i loko o ka ʻōpū. |
| Ma hope o 2 mau hola | Pono e hakahaka ma ka liʻiliʻi he 40% o ka meaʻai. |
| Ma hope o 4 mau hola | Ma ka liʻiliʻi he 90% o ka meaʻai e hakahaka (ʻaʻole e waiho ʻia ma lalo o 10%). |
| Nā Hopena Maʻamau ʻole | |
| Ka hoʻokahe lohi ʻana o ka meaʻai (Gastroparesis) | - Inā ʻoi aku ma mua o 60% o ka meaʻai e koe ana i loko o ka ʻōpū ma hope o 2 mau hola. - Inā ʻoi aku ma mua o 10% o ka meaʻai i loko o ka ʻōpū ma hope o 4 mau hola. |
| ʻO ka maʻi hoʻolei | - Inā ʻoi aku ma mua o 70% o ka meaʻai e hakahaka ma hope o 1 hola. |
Ma hope o kēia hoʻāʻo ʻana, e hoʻopau loa ʻia ka mea radioactive i komo i loko o kou kino ma o ka mimi a me nā feces i loko o ʻelua lā. ʻO ka inu ʻana i ka wai he nui e kōkua i ka wikiwiki ʻana i kēia kaʻina hana.
Leka Lawe-Home
- He hoʻāʻo maʻalahi a ʻeha ʻole ka 'Gastric Emptying Study' e ana i ka manawa e pono ai ka meaʻai e hoʻokahe mai kou ʻōpū.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka pehu pinepine ʻana, ka nausea, a me ka ʻeha o ka ʻōpū, hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i ke kumu.
- Kōkua kēia i ka ʻike ʻana i nā kūlana e like me 'Gastroparesis' (ka lohi o ka hoʻokahe ʻana o ka meaʻai) a me 'Dumping Syndrome' (ka wikiwiki o ka hoʻokahe ʻana o ka meaʻai).
- He mea nui loa e hahai i nā ʻōlelo a ke kauka (ka hoʻokē ʻai ʻana, ka hoʻōki ʻana i kekahi mau lāʻau lapaʻau) ma mua pono o ka hoʻāʻo ʻana.
- E noi i kāu kauka e wehewehe i nā hopena o ka hoʻāʻo ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo