Ke hoʻokahe pono nei kou ʻōpū ma hope o ka ʻai ʻana? E kamaʻilio kākou e pili ana i ka Gastric Emptying Study!

Ua noʻonoʻo paha ʻoe i ka lōʻihi o ka noho ʻana o ka meaʻai āu e ʻai ai i loko o kou ʻōpū a pehea e puka ai i waho? I kekahi manawa ua piha mākou a ua luaʻi paha ma hope o ka ʻai ʻana. I kēlā mau manawa, ua kapa ʻia kahi hoʻokolohua kūikawā he 'Gastric Emptying Study' e ʻike i ka lōʻihi o ka noho ʻana o ka meaʻai i loko o ko mākou ʻōpū a pehea e puka ai i waho. Hiki i kēia ke kōkua iā mākou e ʻike inā he pilikia me ka hana o ko mākou ʻōpū, ʻo ia hoʻi, ka ʻōpū.

He aha kā mākou e aʻo maoli ai mai kēia hoʻokolohua?

E noʻonoʻo, ma hope o kou ʻai ʻana i kahi meaʻai, manaʻo paha ʻoe i nā mea e like me kēia:

• Ua piha au no kekahi manawa , a ua lōʻihi ka manawa o ia piha ʻana.
• Hoʻomaʻamaʻa pinepine wau i ka luaʻi a me ka ʻeha .
• ʻEha koʻu ʻōpū luna .
• Ua piha koʻu ʻōpū, me he mea lā ua pehu .
• Ua nalowale koʻu makemake a ua emi koʻu kaumaha .
• Piʻi koke ke kiʻekiʻe o ke kō koko a laila iho hou .
• Me he poniuniu lā .
• Me he mea lā e kuʻi wikiwiki koke ana kou puʻuwai .
• Aia nā maʻi e like me ka indigestion a me ka gastritis .
• Ke piʻi mau nei i loko o ka puʻu (chronic acid reflux) .

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​​​e kuhikuhi paha kāu kauka i kahi noiʻi hoʻokaʻawale ʻōpū. I ka ʻōlelo maʻalahi, ana kēia hoʻāʻo inā e neʻe mālie ana ka meaʻai mai loko mai o kou ʻōpū a wikiwiki paha . Hiki iā ia ke hāʻawi iā ʻoe i kahi manaʻo o kahi o kou ʻōpū e lohi nei kēia wikiwiki a me nā ʻāpana o kou ʻōpū i hoʻopilikia ʻia. Hiki i kēia ke kōkua iā ʻoe e hoʻomaopopo i ke kumu o kekahi o kāu mau hōʻailona gastrointestinal (GI) .

He aha ke ʻano o nā maʻi e ʻike ʻia e kēia?

I kēia manawa, e nānā kākou i nā maʻi e hiki ke ʻike ʻia e kēia hoʻokolohua.

• Inā e hoʻokahe mālie ana kou ʻōpū: He hōʻailona paha kēia aia kahi mea e ālai ana i loko o kou ʻōpū. A i ʻole, he ʻano paha ia i kapa ʻia ʻo gastroparesis, ʻo ia hoʻi kahi e hana pono ʻole ai nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū, e lilo ai kou ʻōpū i maʻi lolo . He pilikia ʻo Gastroparesis me nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū.
• Inā ʻōhū koke kou ʻōpū: Ua kapa ʻia kēia he dumping syndrome . Pili pū kēia i nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū. ʻIke pinepine ʻia kēia ʻano ma hope o ke ʻoki ʻōpū. Eia nō naʻe, inā ʻaʻole ʻoe i hana ʻia i ke ʻoki ʻana, he hōʻailona paha ia o kekahi ʻano maʻi ʻē aʻe.

Pehea e hana ʻia ai ka hoʻāʻo Gastric Emptying Scintigraphy i hana pinepine ʻia?

ʻO ke ʻano nui o ka hana ʻana i kēia Gastric Emptying Study i kapa ʻia ʻo Gastric Emptying Scintigraphy (GES) . ʻO kēia ka inoa a ka hapa nui o nā kauka e hoʻohana ai. He hoʻāʻo kiʻi lāʻau lapaʻau nukelea kēia. I ka ʻōlelo maʻalahi, hoʻohana ia i ka radiation e scan i kou kino a hana i nā kiʻi.

E noʻonoʻo e like me kahi 'X-ray mai loko mai'. Hoʻouna kahi X-ray maʻamau i ka radiation ma o kou kino mai waho. Akā i kēia hihia, hoʻohui ʻia kahi tracer radioactive kūikawā i ka meaʻai āu e ʻai ai. Ke komo kēia tracer, hoʻopuka ia i nā kukuna gamma . A laila, ʻike kahi kāmela gamma i kēia radiation a hoʻololi iā ia i kiʻi ʻelua-dimensional. Penei ʻoe e ʻike ai i ka meaʻai āu e ʻai ai e neʻe ana ma kou ʻōpū.

Ma mua o kēia hoʻāʻo ʻana, e hāʻawi ʻia ʻoe i kahi papaʻai maʻamau e like no nā mea āpau. Loaʻa iā ia kekahi mau nui o ka fiber, ke kō, ka protein, a me ka momona. ʻO kēia no ka mea e pili ana kēia mau mea āpau i ka neʻe ʻana o ka ʻōpū, ʻo ia hoʻi, ka neʻe ʻana o ka ʻōpū . ʻO ka isotope radioactive i hoʻohui ʻia i kēia meaʻai ua kapa ʻia ʻo Sulfur Colloid (99mTc) . He liʻiliʻi loa ka pōʻino o ke kino, ʻo ia hoʻi, he haʻahaʻa loa ka pilikia o ka ʻawahia .

Aia kekahi mau ʻano hana ʻē aʻe ma waho aʻe o kēia?

ʻAe, aia kekahi mau ala ʻē aʻe e nānā ai i ka hana o ka ʻōpū.

• Hoʻāʻo Hanu ʻŌpū Gastric (GEBT): Pili kēia i ka hoʻāʻo ʻana i kou hanu. Aia i loko o kahi meaʻai kūikawā āu e inu ai kahi molekole kalapona i kapa ʻia ʻo Carbon-13 . Ke komo kēia i loko o kou ʻōpū, hana ʻia kahi ʻano kinoea kalapona dioxide (CO2-13) kūikawā. Ana ʻia kēlā kinoea i loko o kou hanu e ʻike i ka wikiwiki o ka neʻe ʻana o ka meaʻai.
• ʻO SmartPill™ Wireless Motility Capsule: Pili kēia i ka 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 ʻike me ke kelepona ʻole i kahi mea hoʻokipa āu e ʻaʻahu ai. Hoʻopuka ʻia ka SmartPill™ i loko o kou ʻōpala i hoʻokahi a ʻelua paha lā. A laila, ke hāʻawi ʻoe i ka mea hoʻokipa i kāu kauka, hiki iā lākou ke kālailai i ka ʻikepili a hana i kahi hōʻailona.

He aha kā mākou e ʻike ai ma mua o ka hoʻokolohua?

Ma mua o kou hana ʻana i kēia hoʻāʻo, e kamaʻilio kāu kauka me ʻoe e pili ana i ia mea. E nīnau lākou e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei, no ka mea, hiki i kēia ke hoʻopilikia i nā hopena o ka hoʻāʻo.

• Inā loaʻa pinepine iā ʻoe nā pae kō koko kiʻekiʻe (hyperglycemia) a i ʻole nā ​​​​pae kō koko haʻahaʻa koke (hypoglycemia), malia paha ʻaʻole kūpono kēia hoʻokolohua iā ʻoe.
• ʻOi aku ka maikaʻi o ka pale ʻana i kēia hoʻāʻo inā hāpai ʻoe a hānai waiū paha . ʻO ke kumu o kēia, ʻo ia ka mea radioactive.
• Inā he menstrual cycle kou , makemake paha kāu kauka e lawe ʻoe i kēia hoʻāʻo ma kahi lā kikoʻī o kāu menstrual cycle, ʻoiai hiki i nā loli hormonal ke hoʻopili i ka wikiwiki o ka hoʻokuʻu ʻana o kou ʻōpū, hiki ke hoʻololi i nā hopena.

Pehea e hoʻomākaukau ai no ka hoʻokolohua?

Pono kou ʻōpū e hakahaka i ka wā e loaʻa ai kēia hoʻāʻo. No laila e haʻi aku kāu kauka iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no ka liʻiliʻi o ʻehā hola ma mua o ka hoʻāʻo. ʻO ka hapa nui, hana ʻia kēia hoʻāʻo i ke kakahiaka, no laila e maʻalahi iā ʻoe ke ʻai ʻole a inu paha i kekahi mea i ka pō ma mua.

• Inā loaʻa iā ʻoe ka maʻi diabetes a hoʻohana ʻoe i ka insulin , e noi ʻia ʻoe e lawe mai i kāu insulin a me kahi mea nānā glucose . Ma mua o ka hoʻāʻo ʻana, e nānā lākou i kou pae kō koko, e hoʻopaʻa iā ia, a hāʻawi iā ʻoe i ka insulin inā pono e hoʻihoʻi iā ia i ka pae kūpono.
• ʻAʻole maikaʻi ka puhipaka ma mua o ka hoʻāʻo ʻana, no ka mea hiki i kēia ke hoʻopaneʻe i ka hoʻokahe ʻana o ka ʻōpū.
• Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ka hoʻāʻo. Eia kekahi laʻana:
• Nā mea hoʻokahe koko
• ʻO kekahi mau lāʻau ʻeha, ʻoiai nā opioids
• ʻO kekahi mau antidepressants
• Nā mea pale i ke kahawai kalipuna
• Nā lāʻau lapaʻau e ālai ana i ka waikawa
• Hoʻōla lāʻau hoʻouluulu wahine

E hoʻomanaʻo, ʻaʻole i piha kēia papa inoa, no laila he mea nui loa e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?

ʻAe, e nānā kākou i ka mea e hana ʻia ke hana mākou i ka hoʻāʻo.

• ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka pāʻina kūikawā aʻu i ʻōlelo ai ma mua. Aia ia i kahi hua manu palai i hui pū ʻia me kahi colloid sulfur , kahi ʻāpana berena me ka jam strawberry, a me ke aniani wai. He mea nui loa e hoʻopau i kēia mau mea a pau i loko o nā minuke he ʻumi .
• Inā hiki, pono ʻoe e kū i luna i ka wā e hana ʻia ai ka hoʻāʻo. Inā ʻaʻole, hiki iā ʻoe ke moe i lalo. A laila e kau ke loea i ke kāmela a i ʻole nā ​​​​kāmela ma kou ʻōpū.
• Hoʻomau ka scanner i kou ʻōpū no hoʻokahi minute . Hoʻomau ia i ka scan ʻana ma kahi o ʻehā a ʻelima paha manawa e like me kēia.
• Hana ʻia ke scan mua ma hope koke o kou pau ʻana i ka ʻai ʻana . Inā manaʻo ka loea e hoʻokahe wikiwiki ana kou ʻōpū, e hana ʻo ia i kahi scan ʻē aʻe ma hope o 30 mau minuke . Hana ʻia nā scan ʻē aʻe.Ma hope o hoʻokahi hola, ʻelua hola a me ʻehā hola.
• Hiki iā ʻoe ke ala a haʻalele i ka lumi i kēia wā o ke kiʻi ʻana, akā pono ʻoe e hoʻi mai i ka manawa.

Pehea ka lōʻihi o kēia hoʻāʻo ʻana?

ʻO ka maʻamau, ʻelua a ʻehā hola ka lōʻihi o ka hoʻopau ʻana i ka Gastric Emptying Scintigraphy. ʻElua hola ka awelika o ka manawa e pono ai no ka hoʻokahe ʻana o ka ʻōpū. No laila, inā ua hakahaka loa kou ʻōpū i loko o kēlā manawa, e hoʻōki lākou i ka nānā ʻana i kēlā manawa. Akā inā ʻoi aku ka lōʻihi ma mua o kēlā, hiki iā lākou ke scan a hiki i ʻehā hola.

He ʻeha anei kēia? He mea ʻoluʻolu ʻole anei ia?

ʻAʻole loa. ʻAʻole ʻoe e ʻike i ke kiʻi a i ʻole ka mea radioactive . ʻAʻole hiki iā ʻoe ke ʻike i ka mea i loko o ka meaʻai ma o ka ʻono a i ʻole ke ʻala. No laila, mai hopohopo e pili ana i kekahi ʻoluʻolu ʻole.

He aha ke ʻano o kahi Haʻawina Hoʻokaʻawale Wai ʻŌpū?

I kekahi manawa e kauoha nā kauka i kahi hoʻāʻo ʻokoʻa no nā wai (kahi noiʻi hoʻokahe wai) . Hiki i kēia ke hāʻawi i ka ʻike hou aku e pili ana i kou kūlana. No ka mea, ʻaʻole neʻe nā wai ma o ka ʻōpū e like me ke ʻano o ka meaʻai paʻa, ʻokoʻa paha nā hopena o kēia hoʻāʻo. Hiki i kāu kauka ke kauoha i kēia hoʻāʻo wai i ka manawa like me ka hoʻāʻo meaʻai paʻa. A i ʻole, hiki iā lākou ke kauoha i kēia hoʻāʻo ma kahi lā ma hope ma hope o ka hoʻāʻo meaʻai paʻa.

He hoʻāʻo pōkole kēia. E hāʻawi ʻia ʻoe i kahi kīʻaha wai me ke colloid sulfur i loko. A laila e lawe ka loea i ʻekolu mau kiʻi i loko o hoʻokahi hola.

Aia kekahi mau pilikia a i ʻole nā ​​​​hopena ʻaoʻao o ka hoʻāʻo Gastric Emptying Scintigraphy?

He liʻiliʻi loa ka nui o ka radiation i hoʻokomo ʻia i loko o kou kino , a ʻaʻole lawa ia e hōʻeha iā ʻoe. Eia nō naʻe, inā hāpai ʻoe, aia paha kahi pilikia liʻiliʻi i kāu pēpē i hānau ʻole ʻia . Inā he makuahine hānai ʻoe, hiki i kahi liʻiliʻi o ka radiation ke hele i kāu pēpē ma o kāu waiū . ʻO ia ke kumu i hoʻopanee ʻia ai ka hoʻāʻo. A i ʻole, ʻaʻohe hopena ʻē aʻe i ʻike ʻia .

E aneane hoʻopau loa ʻia kēia mea radioactive mai kou kino i loko o kou mimi a me nā ʻōpala i loko o ʻelua lā. E inu i ka wai nui i kēlā mau lā, no ka mea, e kōkua kēia iā ia e haʻalele koke i kou kino.

Pehea e maopopo ai iaʻu nā hopena o kaʻu hoʻāʻo?

E nānā hou kāu kauka i nā hopena hoʻāʻo a wehewehe iā ʻoe. Hōʻike nā hopena i ka lōʻihi o ka neʻe ʻana o ka meaʻai āu i ʻai ai ma kou ʻōpū. E hōʻike lākou i ka mamao o kona hele ʻana i loko o hoʻokahi hola, ʻelua hola, a i ʻole ʻehā hola. A laila e hoʻohālikelike lākou i nā hopena me ka awelika. Inā ʻoi aku ka wikiwiki a lohi paha o kāu mau hopena ma mua o ka maʻamau, ʻo ia hoʻi ke hoʻokahe wikiwiki nei kou ʻōpū a lohi paha.

Pehea lā ke ʻano o nā hopena maʻamau?

No nā meaʻai paʻa:

• I loko o 30 mau minuke:Ma ka liʻiliʻi he 70% o ka meaʻai e waiho mau ana i loko o ka ʻōpū.
• I loko o hoʻokahi hola: Ma ka liʻiliʻi he 30% o ka meaʻai e waiho mau ana i loko o ka ʻōpū, a ma ka liʻiliʻi he 10% e hakahaka.
• I loko o ʻelua hola: Ma ka liʻiliʻi he 40% o ka meaʻai e nele.
• I loko o ʻehā hola: Ma ka liʻiliʻi he 90% o ka meaʻai e nele.

ʻO ka awelika manawa no kahi hoʻāʻo wai ma waena o 20 a me 25 mau minuke .

He aha nā hopena kūpono ʻole?

Loaʻa paha iā ʻoe ka gastroparesis inā:

• Inā ʻoi aku ma mua o 60% o ka meaʻai i loko o ka ʻōpū ma hope o ʻelua hola.
• Inā ʻoi aku ma mua o 10% o ka meaʻai i loko o ka ʻōpū ma hope o ʻehā hola.

Loaʻa paha iā ʻoe ka Dumping Syndrome , kahi kūlana e hemo koke ai ka ʻōpū, inā:

• Inā ʻoi aku ma mua o 30% o ka meaʻai ua hakahaka ma hope o 30 mau minuke.
• Inā ʻoi aku ma mua o 70% o ka meaʻai ua hakahaka ma hope o hoʻokahi hola.

ʻO ka mea hope loa, nā mea e pono ai ʻoe e hoʻomanaʻo

He ala maʻalahi, ʻaʻole komo hewa, a pololei hoʻi ka Gastric Emptying Scintigraphy e nānā ai i ka hana o kou ʻōpū, a i ʻole ka neʻe ʻana o ka gastric .

Hiki iā ia ke hōʻike i nā mea he nui e pili ana i ke ʻano o ka hana ʻana o kou ʻōpū, me ka ʻole o ka pilikia, a i loko o kekahi mau hola wale nō o kou manawa. Malia paha ua loaʻa iā ʻoe nā hōʻailona no ka manawa lōʻihi ʻaʻole hiki iā ʻoe ke loaʻa ke kumu, a ʻo ke kumu o nā hōʻailona i hoʻomaikaʻi ʻole ʻia me ka mālama ʻana e maopopo paha i kēia manawa. E lilo kēia mau hopena hoʻāʻo i mea kōkua nui i kāu kauka i ka ʻike ʻana i kou kūlana pololei. No laila, inā kuhikuhi ke kauka i kēia hoʻāʻo, ʻaʻohe mea e makaʻu ai. E kamaʻilio pono me kāu kauka e pili ana i ia mea, e hoʻomaopopo i nā mea āpau, a e hana i ka hoʻāʻo.

ʻO ka hoʻokahe ʻōpū, ke aʻo ʻana i ka hoʻokahe ʻōpū, ka nānā ʻana i ka ʻōpū, gastroparesis, ka maʻi hoʻolei ʻōpala, ka ʻai ʻana, scintigraphy