Ua piha anei ʻoe ma hope o ka ʻai ʻana i kahi ʻai liʻiliʻi? A i ʻole ua ʻoluʻolu ʻole ʻoe ma hope o nā hola o ka ʻai ʻana? Inā ua nausea mau ʻoe, ua piha, a ua pilikia ʻoe i ka ʻai ʻana, pono ʻoe e makaʻala i kēia maʻi a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo gastroparesis. He huaʻōlelo koʻikoʻi paha kēia, akā e kamaʻilio maʻalahi kākou e pili ana.
I ka ʻōlelo maʻalahi, he aha ka gastroparesis?
ʻO ke ʻano maoli o ka huaʻōlelo gastroparesis ʻo ia hoʻi "ka hana ʻino ʻana o ka ʻōpū" a i ʻole "ka palaho o ka ʻōpū." I ka pololei, he ʻano ia e hoʻopilikia ai i nā aʻalolo a me nā ʻiʻo i loko o kou ʻōpū. ʻO ka maʻamau, i ka wā e ʻai ai mākou, ʻūlū nā ʻiʻo i loko o ka ʻōpū, ʻo ia hoʻi ke neʻe nei lākou e like me nā nalu, e kāwili ana a e kuʻi ana i ka meaʻai a e hoʻokuke mālie ana i loko o ka ʻōpū liʻiliʻi. Ua kapa ʻia kēia kaʻina hana ʻo peristalsis.
Akā i loko o kekahi kanaka me Gastroparesis, ʻaʻole hana pono nā ʻiʻo a me nā aʻalolo i loko o ka ʻōpū. No laila, lōʻihi ka manawa e neʻe ai ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi, i kekahi manawa ʻaʻole loa. E like me ke kaʻa i paʻa i ke kaʻa, paʻa ka meaʻai i loko o ka ʻōpū. ʻO kēia ke kumu o kēlā mau hōʻailona ʻoluʻolu ʻole i ʻōlelo ʻia ma mua.
Inā hoʻomau kēia ʻano, hiki ke kū mai nā pilikia ʻē aʻe. ʻO ka nalowale o ka makemake e alakaʻi i nā hemahema meaʻai , a he mea paʻakikī paha ke kāohi i nā pae kō koko . I kekahi manawa, hōʻiliʻili nā ʻāpana meaʻai i ʻeli ʻole ʻia i loko o ka ʻōpū, e hana ana i kahi puʻu paʻa. Ua kapa ʻia kēia he "Bezoar" ma nā ʻōlelo lapaʻau.
Aia kekahi mau ʻano like ʻole o kēia ʻano maʻi?
ʻAe, hoʻokaʻawale pinepine nā kauka i kēia kūlana e like me kona kumu.
- ʻO Gastroparesis e pili ana i ka maʻi diabetes: ʻO kēia ka inoa i hāʻawi ʻia i kēia ʻano ke hana ʻia ma ke ʻano he hopena ʻaoʻao o ka maʻi diabetes.
- ʻO ka gastroparesis ma hope o ke ʻoki ʻana: ʻO kēia ʻano gastroparesis e hana ʻia ma ke ʻano he pilikia o ke ʻoki ʻana ma ka ʻōpū.
- ʻO Idiopathic Gastroparesis: ʻO ka mea kupanaha, i ka hapanui o nā hihia, ʻaʻole hiki ke loaʻa ke kumu kikoʻī no kēia ʻano. Ma waena o ka hapaha a me ka hapa o nā maʻi e hāʻule ana i loko o kēia māhele.
ʻO kēia mau mea, ʻo ke kumu maʻamau a ʻike nui ʻia ʻo ia ka maʻi diabetes , ʻo ia hoʻi kahi hapakolu o nā hihia gastroparesis.
He aha nā hōʻailona o kahi kanaka me ka gastroparesis?
ʻAʻole like kēia mau hōʻailona no kēlā me kēia kanaka, hiki i kekahi ke akahai loa, aʻo kekahi paha he koʻikoʻi loa a hiki ʻole iā lākou ke hana i nā hana o kēlā me kēia lā. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻAʻai ʻole | Ka manaʻo kaumaha a me ka ʻeha ma ka ʻōpū ma hope o ka ʻai ʻana. |
| Pehu ʻana | Ua nui a paʻa ka ʻōpū, me he mea lā ua piha i ke kinoea. |
| Manaʻo piha koke | I ka wā e ʻai ai ʻoe i kahi meaʻai liʻiliʻi, ua piha ʻoe, a laila ʻaʻole hiki iā ʻoe ke ʻai hou. He mau hola kēlā manaʻo o ka piha. |
| ʻEha ʻōpū o luna | ʻEha a wela paha ma ka ʻōpū o luna, ma lalo o ka umauma. |
| Ka luaʻi a me ka luaʻi | Pau koʻu luaʻi i nā manawa a pau, a i kekahi manawa luaʻi au i ka meaʻai i ʻeli ʻole ʻia. |
| Makemake nui | Ua nalowale koʻu makemake e ʻai. |
| ʻO ka mea e hele mai ana i ka pōhaku a me ka ʻeha o ka umauma | Manaʻo e like me ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu (acid reflux). |
| Nā loli i nā pae kō koko | Ma muli o ka hoʻopilikia ʻia ʻana o ka manawa e hiki ai ka meaʻai i nā ʻōpū, ua hoʻopilikia ʻia ke komo ʻana o ke kō i loko o ke koko. Hiki ke piʻi koke a emi paha nā pae kō. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, mai manaʻo wale, "He gastritis paha kēia," a e ʻike pono i ke kauka no ka ʻōlelo aʻo.
He aha nā kumu nui o ka gastroparesis?
E like me ka mea i ʻōlelo ʻia ma mua, ʻo ka hapa nui o ka manawa, ʻaʻole i loaʻa ke kumu. Akā aia kekahi mau kumu hiki. Hoʻokumu ʻia kēia mau mea a pau e ka hōʻino ʻia ʻana o nā aʻalolo e kaohi ana i nā ʻiʻo o ka ʻōpū.
Maʻi diabetes
ʻO kēia ke kumu nui. Ke kāohi ʻole ʻia ke kiʻekiʻe o ke kō koko no ka manawa lōʻihi, hōʻino ia i nā aʻalolo palupalu o ke kino. Kāhea mākou i kēia he "Diabetic Neuropathy". Hoʻopilikia pū kēia hōʻino i nā aʻalolo o ka ʻōpū. A laila, ʻaʻole hele pono ka hōʻailona i nā ʻiʻo o ka ʻōpū e "ʻaelike".
ʻoki kino
I ka wā o ke ʻoki ʻana ma ka ʻōpū, ka umauma, a i ʻole nā wahi e pili ana, hiki ke hōʻino ʻia ke aʻalolo vagus, kahi aʻalolo nui e kaohi ana i ka hana o ka ʻōpū . Hiki i kēia hōʻino ke hana i ka gastroparesis. No ka laʻana, hiki ke ʻike ʻia kēia ʻano ma hope o nā ʻoki ʻana e like me `(Gastrectomy)` (wehe ʻana i kahi ʻāpana o ka ʻōpū) a i ʻole `(Cholecystectomy)` (wehe ʻana i ka gallbladder).
Nā maʻi
Hiki nō hoʻi ke kū mai kēia ʻano ma hope o kekahi mau maʻi (e like me 'Norovirus', 'Rotavirus') a i ʻole nā maʻi bacteria. ʻOiai ʻaʻole maopopo loa pehea e hana ai kēia, ua manaʻo ʻia he kumu ia e ka maʻi ponoʻī a i ʻole e ko mākou ʻōnaehana pale i kuhihewa i ka hōʻino ʻana i nā aʻalolo i ka wā e hakakā ana i ka maʻi.
Kekahi mau lāʻau lapaʻau
Hiki i kekahi mau lāʻau lapaʻau āu e lawe ai ke hoʻopilikia i ka hana ʻōpū no kekahi manawa. Pono ʻoe e makaʻala loa me kēia mau lāʻau lapaʻau inā loaʻa iā ʻoe ka gastroparesis.
- Nā lāʻau hoʻomaha ʻeha ikaika - `(Opioids)`
- Paka - `(Nikotina)`
- Kekahi mau antidepressants - `(Tricyclic antidepressants)`
- Kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe - `(Nā mea pale i ke kahawai Calcium)`
- Kekahi mau lāʻau lapaʻau no ka maʻi diabetes - `(GLP-1 antagonists)`
Aia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe e like me kēia, 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 nā hopena ʻaoʻao e hiki mai ana o kēia?
ʻAʻole ʻo Gastroparesis wale nō ka ʻeha ʻōpū. Hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi inā ʻaʻole mālama pono ʻia.
- ʻO ka pohō kaumaha a me ka nele i nā meaʻai: ʻO ka nausea pinepine, ka luaʻi ʻana, a me ka nalowale o ka makemake e alakaʻi i ka ʻai ʻole, hiki ke alakaʻi i ka pohō kaumaha, ka maloʻo, a me ka ʻai ʻole .
- Ka nalowale ʻana o ke kaohi ʻana i ke kō koko:He pilikia nui kēia, ʻoiai hoʻi no ka poʻe maʻi diabetes. No ka mea, ua hoʻopilikia ʻia ka manawa e pono ai ka meaʻai e haʻalele i ka ʻōpū, ua hoʻopilikia ʻia ke ʻano o ke kō e komo ana i ke koko. Hiki i nā pae kō ke hāʻule koke i lalo loa (`Hypoglycemia`) a piʻi koke paha i luna loa (`Hyperglycemia`). He mea paʻakikī loa kēia ke kāohi.
- Hoʻokumu ʻia ʻo Bezoar: E like me ka mea i ʻōlelo ʻia ma mua, hiki i nā ʻāpana meaʻai i ʻeli ʻole ʻia ke hōʻiliʻili i loko o ka ʻōpū a hana i nā puʻupuʻu paʻa e like me nā pōhaku. Inā lilo kēia mau mea i nui, hiki iā lākou ke ālai i ke hele ʻana o ka meaʻai mai loko mai o ka ʻōpū. He pilikia kēia.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, nā kūlana olakino ʻē aʻe āu i loaʻa ai (e like me ka maʻi diabetes), a me nā ʻoki kino āu i loaʻa ai. A laila, e hana ʻo ia i kekahi mau hoʻokolohua e ʻike ai inā ua hana ʻia kāu mau hōʻailona e kekahi poloka i loko o kou ʻōpū.
1. E hōʻoia ʻaʻohe mea keakea:
- ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi kāmela liʻiliʻi ma o ka waha e nānā i loko o ka ʻōpū e nānā i nā ʻōpū, nā ʻōpū, a i ʻole nā mea pale ʻē aʻe.
- Nā scan ʻē aʻe: Hiki i nā hoʻokolohua e like me ka CT scan a i ʻole MRI ke nānā i loko o ka ʻōpū.
2. Ke ana ʻana i ka hana o ka ʻōpū:
- Ke hōʻoia ʻia ʻaʻohe mea keʻakeʻa, hana ʻia nā hoʻokolohua kūikawā e ʻike i ka wikiwiki o ka hemo ʻana o ka ʻōpū.
- ʻO ka Gastric emptying scintigraphy (GES): ʻO kēia ka hoʻāʻo nui no kēia. Ma kēia hoʻāʻo, ʻai ʻoe i kahi meaʻai liʻiliʻi (ʻo ka hua manu maʻamau) i hui pū ʻia me kahi mea radioactive. A laila, ma luna o kekahi mau hola, lawe ʻia nā scan e ʻike i ka lōʻihi o ka manawa e haʻalele ai ka meaʻai mai ka ʻōpū.
- Hoʻāʻo Hanu: Hiki iā ʻoe ke loaʻa kahi manaʻo o ka hana o kou ʻōpū ma ka hāʻawi ʻana iā ia i kahi meaʻai i loaʻa kahi molekole kalapona kūikawā a me ke ana ʻana i ke kinoea āu e hoʻokuʻu aku ai.
Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi iā ʻoe inā he gastroparesis kou a ʻaʻole paha.
He aha nā lāʻau lapaʻau no ka gastroparesis?
ʻAʻole hiki ke hoʻihoʻi ʻia ka pōʻino o ke aʻalolo i hoʻokumu ai i kēia ʻano. ʻO ke ʻano kēia he paʻakikī ke ho'ōla loa. Eia nō naʻe, he nui nā lāʻau lapaʻau kūpono e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona a alakaʻi i kahi ola maʻamau .
ʻO nā pahuhopu nui o ka mālama ʻana:
- Hoʻoulu i nā ʻiʻo o ka ʻōpū, e hoʻopau wikiwiki ana i ka meaʻai.
- E hōʻoia i loaʻa i kou kino ka meaʻai a me nā wai e pono ai.
- Ke kaohi ʻana i nā hōʻailona e like me ka nausea a me ka ʻeha.
- Inā he kumu no kēia (e like me ka maʻi diabetes), he mea nui e kaohi pono iā ia.
Nā lāʻau lapaʻau
- Nā Prokinetics:ʻO kēia nā ʻano lāʻau lapaʻau nui e kōkua ai i ka ʻūlū ʻana o nā ʻiʻo o ka ʻōpū. ʻO 'Metoclopramide' kekahi lāʻau lapaʻau i ʻae ʻia no kēia. Eia nō naʻe, ma muli o kekahi mau hopena ʻaoʻao, pono e hoʻohana wale ʻia e like me ke kuhikuhi a ke kauka.
- Nā lāʻau antiemetics: Kōkua kēia i ka kaohi ʻana i ka nausea a me ka luaʻi ʻana .
- Nā lāʻau lapaʻau ʻē aʻe: Hiki ke hoʻokomo pū ʻia nā lāʻau lapaʻau no ka mumū o ka umauma, ka ʻeha, a me ka kaohi ʻana i ka maʻi diabetes i ka hoʻolālā lapaʻau.
Nā loli i ka ʻai
He ʻāpana koʻikoʻi loa kēia o ka lāʻau lapaʻau.
- Ma kahi o ʻekolu mau pāʻina i ka lā, e ʻai i 5-6 mau pāʻina liʻiliʻi.
- E hōʻemi i nā meaʻai kiʻekiʻe i ka momona a me ka fiber (e like me nā meaʻai palai, ka nui o nā mea kanu, nā ʻili huaʻai) no ka mea, lōʻihi ka manawa e hoʻoheheʻe ai kēia mau mea.
- Ke uku nui aku nei i ka nānā ʻana i nā meaʻai wai a i ʻole nā meaʻai i kāwili maikaʻi ʻia (nā sopa, ka porridge, nā wai huaʻai).
ʻoki kino
Pono e noʻonoʻo ʻia ke ʻoki ʻana ma ke ʻano he hopena hope loa inā ʻaʻole holomua nā lāʻau ʻē aʻe a pau.
- Pyloroplasty: He ʻoki kino e hoʻonui iki i ke apo ʻiʻo (pylorus) kahi e hele ai ka meaʻai mai ka ʻōpū. Hiki ke hana ʻia kēia me ka ʻole o ka ʻoki ʻia me ka hoʻohana ʻana i kahi endoscope (ke ʻano `G-POEM`).
- ʻO Gastric Bypass: He hana ʻoki e kāpae ana i ka ʻāpana hana pono ʻole o ka ʻōpū a hana i kahi ala hou no ka meaʻai e hele pololei i loko o ka ʻōpū liʻiliʻi.
He aha kāu e makaʻala ai i ka wā e noho ai me kēia maʻi?
He maʻi ʻo Gastroparesis no ke ola holoʻokoʻa. Eia nō naʻe, hiki ke ola me ia me ka maikaʻi. He mea nui e hana i nā hoʻololi liʻiliʻi i kou nohona.
- E ʻike i nā meaʻai maikaʻi iā ʻoe a me nā meaʻai maikaʻi ʻole iā ʻoe. Hiki i ka mālama ʻana i kahi puke moʻolelo meaʻai ke kōkua i kēia.
- E hele wāwae pōkole ma hope o ka ʻai ʻana. Hiki i ka hele mālie ke kōkua i ka hana o ka ʻōpū.
- E hōʻalo loa i ka waiʻona, ka puhi paka, a me nā lāʻau ʻē aʻe. Hoʻopilikia hou kēia i ka hana o ka ʻōpū.
- E hoʻomau i ka launa pū me kāu kauka i nā manawa a pau. E haʻi iā ia inā he mau loli i kāu mau hōʻailona a inā paha he pilikia kou me kāu lāʻau lapaʻau.
Hiki i ka Gastroparesis ke lilo i kūlana paʻakikī, akā me ka mālama kūpono a me nā loli o ke ʻano o ka nohona, hiki iā ʻoe ke hoʻokele maikaʻi a ola i kahi ola maʻamau.
Leka Lawe-Home
- ʻO Gastroparesis kahi kūlana i lohi loa ai ka ʻeli ʻana o ka meaʻai no ka mea ʻaʻole hana pono nā aʻalolo a me nā ʻiʻo i loko o ka ʻōpū.
- ʻO nā hōʻailona nui, ʻo ia ka māʻona ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, ka nausea, ka pehu ʻana, a me ka luaʻi ʻana.
- ʻO ka maʻi diabetes ke kumu nui i ʻike ʻia o kēia maʻi, akā i nā manawa he nui, ʻaʻole hiki ke loaʻa ke kumu.
- ʻO nā lāʻau lapaʻau e komo pū me nā lāʻau lapaʻau, nā hoʻololi ʻana i ka meaʻai, a i kekahi manawa ke ʻoki ʻana.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hoʻoholo ʻoe iho , akā e ʻike pono i kāu kauka no ka ʻike pololei a me ka lāʻau lapaʻau.
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