Ke pilikia nei kou ʻōpū i ka ʻeli ʻana i ka meaʻai? E kamaʻilio kākou e pili ana i ka gastroparesis!

Ke manaʻo pinepine nei ʻoe i ka ʻeha ʻōpū, ka manaʻo o ka piha ma hope o ka ʻai ʻana, a i ʻole ka manaʻo o ka piha ʻana ma hope o ka ʻai ʻana i kahi liʻiliʻi? Ke manaʻo nei ʻoe i kekahi manawa i ka luaʻi a i ʻole ka luaʻi? A laila he mea nui loa iā ʻoe ke makaʻala i kēia ʻano i kapa ʻia ʻo gastroparesis . E kamaʻilio maʻalahi kākou e pili ana i ia mea, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka gastroparesis? I ka ʻōlelo maʻalahi…

ʻO ke ʻano o ka huaʻōlelo gastroparesis ʻo ia hoʻi "ka hāʻule ʻana o ka ʻōpū." I ka pololei, he ʻano ia e hoʻopilikia ai i nā aʻalolo a me nā ʻiʻo i loko o kou ʻōpū. Hoʻopaʻa a hoʻomaha nā ʻiʻo i loko o kou ʻōpū ma ke ʻano kūikawā e hoʻoneʻe i ka meaʻai āu e ʻai ai mai kou ʻōpū a i kou ʻōpū liʻiliʻi. Ua kapa ʻia kēia he peristalsis. No laila, i loko o ke kanaka me ka gastroparesis, ʻaʻole hana pono nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū, no laila ua paʻa ka meaʻai i loko o kou ʻōpū a ʻaʻole e hoʻokahe pono. Hoʻopilikia kēia i ke kaʻina hana holoʻokoʻa.

E noʻonoʻo e like me ka motika wai. Inā ʻaʻole hana ke kuapo ma ka motika, a inā he hewa kekahi me ka motika ponoʻī, ʻaʻole e komo ka wai i loko o ka pahu. Pēlā ka hana a ka ʻōpū.

He nui ka paʻakikī o ka poʻe me kēia maʻi i ka ʻeli ʻana i ka meaʻai. Eia kekahi, hiki ke loaʻa nā hopena ʻaoʻao lōʻihi. Hiki i kēia ke komo pū me ka nalowale o ka makemake, ka ʻai ʻole, a me ka paʻakikī i ka kaohi ʻana i nā pae kō koko. I kekahi manawa, ʻoiai ke hele nei ka meaʻai ma ka ʻōpū, ʻaʻole paha e hoʻokahe loa ʻia, e waiho ana i nā ʻāpana meaʻai. Hiki i kēia mau ʻāpana meaʻai i koe ke hōʻiliʻili a paʻakikī e like me nā pōhaku, e hana ana i kahi puʻu paʻakikī i kapa ʻia he bezoar.

Aia kekahi ʻano gastroparesis like ʻole?

ʻAe, hoʻokaʻawale pinepine nā kauka i kēia kūlana ma ke kumu.

• ʻO Gastroparesis pili i ka maʻi diabetes : Hiki i kēia ke ulu aʻe ma ke ʻano he hopena ʻaoʻao i nā poʻe me ka maʻi diabetes mellitus.
• ʻO Gastroparesis ma hope o ke ʻoki ʻana: Hiki ke hana ia ma ke ʻano he pilikia ma hope o ke ʻoki ʻana o ka ʻōpū.
• ʻO ka Gastroparesis Idiopathic: I kekahi manawa ʻaʻole hiki ke loaʻa ke kumu maopopo . Ua kapa ʻia kēia he idiopathic gastroparesis.

He aha ke ʻano maʻamau?

Ua hoʻokaʻawale ʻia ka hapa nui o nā hihia (ma kahi o ka hapaha a i ka hapalua) o ka gastroparesis he idiopathic . ʻO ke ʻano kēia, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kikoʻī. Eia nō naʻe, i kekahi mau hihia e hāʻule ana i loko o kēia māhele, aia paha kekahi kumu i ʻike ʻole ʻia. ʻO ka maʻi diabetes ke kumu nui loa o kēia ʻano. Ma kahi o ka hapakolu o nā maʻi e loaʻa i ke ʻano e pili ana i ka maʻi diabetes.

He aha nā hōʻailona o ka gastroparesis?

I kēia hihia, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona penei:

• ʻAʻai ʻole: He kūlana i ʻeli ʻole ʻia ai ka meaʻai.
• ʻŌpū pehu : Manaʻo e like me ka pehu ʻana o ka ʻōpū.
• Manaʻo piha koke a no ka manawa lōʻihi: ʻOiai ʻo ka ʻai ʻana i kahi meaʻai liʻiliʻi hiki ke hoʻomāʻona iā ʻoe, a hiki i kēlā manaʻo o ka piha ke mau no nā hola. E noʻonoʻo i ka ʻai ʻana i kahi laiki liʻiliʻi i ke kakahiaka a manaʻo piha a hiki i ke awakea.
• ʻEha ʻōpū o luna: ʻEha ma ka ʻaoʻao o luna o ka ʻōpū .
• Ka luaʻi a me ka luaʻi : ​​I kekahi manawa e puka mai ana nā ʻāpana meaʻai i ʻeli ʻole ʻia.
• Ka luaʻi ʻana i nā ʻāpana meaʻai i hoʻoheheʻe ʻole ʻia: E like me ka manu ʻōʻō e luaʻi ana i ka meaʻai.
• Ka nalowale o ka makemake .
• ʻO ka reflux waikawa a me ka puʻuwai.
• Nā loli maʻamau ʻole i nā pae kō koko (nā loli o ke kō koko).
• Ka paʻa ʻana o ka ʻōpū .

Pehea ka manaʻo o ka loaʻa ʻana o ka gastroparesis?

Ke hana pono ʻole kou mau ʻiʻo ʻōpū, noho ka meaʻai i loko o kou ʻōpū no ka manawa lōʻihi ma hope o kou ʻai ʻana. Hiki iā ʻoe ke māʻona i ka wā e hoʻomaka ai ʻoe e ʻai, a hiki ke mau kēlā manaʻo no ka manawa lōʻihi. Hiki iā ʻoe ke ʻeha i ka ʻōpū, ka nausea, a me ka luaʻi. Hiki i kou ʻōpū ke pehu a paʻa. Hiki nō hoʻi iā ʻoe ke ʻeha i ka puʻuwai ma muli o ka reflux acid.

He ʻeha anei kēia?

ʻOkoʻa nā hōʻailona o ka Gastroparesis mai kēlā me kēia kanaka. Hōʻike kahi poʻe liʻiliʻi i ka ʻeha mau o ka ʻōpū i koʻikoʻi loa a hiki ʻole iā lākou ke hana i nā hana o kēlā me kēia lā. Eia nō naʻe, ʻaʻohe pilina ikaika ma waena o ka nui o ka ʻeha a ka poʻe e ʻike ai, ke koʻikoʻi o kā lākou gastroparesis, a i ʻole ka wikiwiki o ka hemo ʻana o ko lākou ʻōpū. Hiki i kekahi poʻe ke ʻeha hou aku, malia paha no ka mea ʻoi aku ka naʻau o ko lākou mau aʻalolo. Hiki ke pili pū kēia i ke kumu o ka gastroparesis.

Pehea e pili ai ka gastroparesis i ka neʻe ʻana o ka ʻōpū?

Ma muli o ka hoʻolohi ʻana o ka gastroparesis i kāu kaʻina hana holoʻokoʻa, hiki iā ia ke hoʻopaneʻe i kāu neʻe ʻana o ka ʻōpū. Eia kekahi, hiki i nā ʻāpana meaʻai nui i hoʻoheheʻe ʻole ʻia ke paʻa i loko o kou ʻōpū, e paʻakikī ai ke hele. ʻOiai ʻaʻole pili pololei ka gastroparesis i ka neʻe ʻana o nā ʻiʻo i loko o kou ʻōpū, hiki i kekahi o nā kūlana e hoʻoulu ai i kēia kūlana ke hoʻopilikia i kou ʻōpū. ʻO ia ke kumu e hiki ai i kekahi poʻe ke loaʻa ka gastroparesis a me ka constipation i ka manawa like.

He aha ke kumu nui o ka gastroparesis?

I ka ʻōlelo maʻalahi, hana ʻia ka gastroparesis e ka hōʻino ʻia ʻana o nā aʻalolo e kāohi ana i nā ʻiʻo o kou ʻōpū. I kekahi manawa, hiki ke hōʻino ʻia nā ʻiʻo ponoʻī. Eia nō naʻe, ʻo ka hopena hope loa, ua hoʻonāwaliwali ʻia nā ʻūlū ʻiʻo e wili ana i ka meaʻai i loko o ka ʻōpū a laila e hoʻokuke aku iā ia i waho. Hiki i kēia ke alakaʻi i nā pilikia o ka ʻōpū a me ka lohi o ka hoʻokahe ʻana o ka ʻōpū - ʻo ia hoʻi, noho lōʻihi ka meaʻai i loko o ka ʻōpū.

He aha nā kumu kūikawā o ka gastroparesis?

Eia kekahi o nā kumu i ʻike ʻia:

1. Maʻi diabetes (Diabetes Mellitus)

Ma kahi o ka hapakolu o ka poʻe me ka maʻi diabetes e loaʻa i ka gastroparesis. Ua kapa ʻia kēia he neuropathy pili i ka maʻi diabetes. Ke kiʻekiʻe ke kō koko no ka manawa lōʻihi, ua hōʻino ʻia nā aʻalolo. Eia kekahi, hōʻino nā pae kō koko kiʻekiʻe i nā kīʻaha koko e lawe ana i ka oxygen i nā ʻiʻo. No laila e hoʻopilikia ia i nā aʻalolo a me nā ʻiʻo o ka ʻōpū.

2. ʻOki kino

Hiki i ke ʻoki ʻana ma kou ʻōpū a kokoke paha i ka hōʻino ʻana i ke aʻalolo vagus, ka mea e holo ana ma kou ʻōpū a hoʻonohonoho i kāna mau neʻe ʻana. Hiki ke hana ʻia kēia ʻano i kēlā me kēia manawa ma hope o ke ʻoki ʻana. Hiki ke hana koke ʻia, a i ʻole hiki ke hana ʻia i nā mahina a i ʻole nā ​​makahiki ma hope. ʻO kekahi mau ʻoki ʻana e hiki ai ke hana i kēia:

• Ka hoʻopili ʻana o Nissen
• Gastrectomy (wehe ʻana i kahi ʻāpana a i ʻole ka ʻōpū holoʻokoʻa)
• Pancreatectomy (wehe ʻana i kahi hapa a i ʻole ka pancreas āpau)
• ʻO ka Vagotomy (ʻoki ʻana i ke aʻalolo vagus)
• Cholecystectomy (ka wehe ʻana i ka gallbladder)

3. Nā maʻi

ʻO nā maʻi ʻōpū, ʻoiai nā maʻi viral (e like me norovirus, rotavirus) a me kekahi mau maʻi bacteria, hiki ke hana i ka gastroparesis. ʻAʻole maopopo i nā kānaka ʻepekema inā hōʻino pololei kēia mau maʻi i nā aʻalolo, a inā paha ua hōʻino hewa nā pūnaewele pale e hakakā nei i ka maʻi i nā aʻalolo.

4. Nā maʻi autoimmune

I nā maʻi autoimmune, hoʻouka ka ʻōnaehana pale o ko mākou kino i kā mākou mau cell ponoʻī ma o ka hana ʻana i nā antibodies (autoantibodies). Hōʻike nā noiʻi hou e hiki i kēia mau autoantibodies ke hōʻino i nā aʻalolo i loko o ka ʻōpū. Hiki iā ʻoe ke hoʻomohala i ka gastroparesis ʻoiai inā ʻaʻohe ou mau hōʻailona autoimmune ʻē aʻe, a inā ʻaʻole pili kēlā mau hōʻailona i ka ʻōpū.

5. Nā lāʻau lapaʻau

Hiki i kekahi mau lāʻau lapaʻau a me nā lāʻau lapaʻau ke ālai i nā hōʻailona aʻalolo e kāohi ana i nā ʻiʻo o ka ʻōpū. Hiki i kēia ke hana i ka gastroparesis manawa pōkole. Hiki ke kuhikuhi ʻia kekahi o kēia mau lāʻau lapaʻau no nā kūlana ʻē aʻe e pili ana i ka gastroparesis (e like me ka maʻi diabetes). Inā loaʻa iā ʻoe ka gastroparesis, a i ʻole ua loaʻa iā ʻoe ma mua, pono ʻoe e pale i kēia mau lāʻau lapaʻau. Nā laʻana:

• ʻO nā opioids (nā lāʻau lapaʻau)
• ʻO ka nikotine (aia i loko o ka paka)
• Painālina (Hemp)
• Nā lāʻau antidepressant Tricyclic
• Progesterone (he hormone)
• Nā lāʻau lapaʻau e like me nā antihistamines (Anticholinergics)
• Nā mea pale o ke kahawai calcium no ke koko kiʻekiʻe
• Nā analog Amylin / nā antagonists GLP-1 no ka maʻi diabetes type 2
• ʻO Cyclosporine (kahi lāʻau i hāʻawi ʻia e pale i ka hōʻole ʻia ʻana i ka wā o nā hoʻoili kino)
• ʻO Clonidine (kahi lāʻau lapaʻau no ke koko kiʻekiʻe)
• Lithium (kahi lāʻau lapaʻau no ka maʻi bipolar)
• Kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo (nā lāʻau antipsychotic)

6. Nā kumu ʻē aʻe

ʻO nā kumu ʻē aʻe i hoʻopilikia pinepine ʻole ʻia:

• Nā maʻi Neurological: ʻO nā maʻi e hoʻopilikia i ka ʻōnaehana nerve, e like me ka maʻi Parkinson, ka sclerosis maha, a me ka hana autonomic, hiki ke hoʻolilo i nā aʻalolo i loko o ka ʻōpū i mea hana ʻole.
• ʻO nā maʻi collagen-vascular: ʻO nā maʻi pili pili mumū mau loa e like me ka amyloidosis, scleroderma, lupus, a me ka Ehlers-Danlos syndrome hiki ke hoʻonāwaliwali i nā ʻiʻo o ka ʻōpū.
• Nā maʻi Endocrine: ʻO nā kūlana e like me ka maʻi thyroid, nā maʻi adrenal, nā hemahema electrolyte, a me ka hāʻule ʻana o ka puʻupaʻa hiki ke hōʻino i nā kemika i nā aʻalolo.
• ʻO Cystic fibrosis: Hoʻoulu kēia maʻi i ka mucus (kahi mea like me ka mucus) e hōʻiliʻili i loko o ke ala ʻai, e hoʻolohi ana i ka ʻōnaehana holoʻokoʻa. Ua manaʻo ʻia he hapakolu o ka poʻe me kēia maʻi e loaʻa ana i ka gastroparesis.

He aha nā pilikia e hiki ke loaʻa mai ka gastroparesis?

Hiki i kēia kūlana ke hana i nā pilikia like ʻole, e like me:

• ʻO ka pohō kaumaha, ka ʻai ʻole, a me ka make wai: ʻO ka nausea mau, ka luaʻi ʻana, a me ka nalowale o ka makemake e alakaʻi i ka pohō kaumaha a me nā hemahema meaʻai. Hiki i ka luaʻi pinepine ke alakaʻi i ka make wai a me nā hemahema electrolyte (paʻakai kino). Pono paha ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia i ka lāʻau lapaʻau meaʻai a me ka saline.
• Nā pilikia e pili ana i ka reflux acid: No ka mea, ua pehu ka ʻōpū ma muli o ka gastroparesis, he mea maʻalahi ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus . Hiki i kēia reflux hoʻomau ke hōʻino i ka esophagus . No ka laʻana, ka heartburn a me ka esophagitis .
• Nā pilikia o ke kō koko: Hoʻopilikia ka Gastroparesis i ke kaʻina hana maʻamau a kāohi ʻia e neʻe ai ka meaʻai ma o ke ala ʻai. Hoʻopilikia kēia i ka hoʻokuʻu mau ʻana o ka glucose (kō) i loko o ke koko. Ke noho lōʻihi ka meaʻai i loko o ka ʻōpū, hiki ke hāʻule nā ​​​​pae kō koko. Ke hoʻokuʻu koke ʻia ka meaʻai, hiki ke piʻi aʻe nā pae kō koko. He pilikia nui kēia ʻano loli o ke kō koko no ka poʻe me ka maʻi diabetes, a hiki ke hoʻonui i ka gastroparesis.
• ʻO Bezoar a me ka ʻŌpū Puka: He puʻu meaʻai paʻa a paʻa ka bezoar i paʻa i loko o ka ʻōpū. Hana ʻia ia mai nā ʻāpana meaʻai i koe i ka wā e hemo ai ka ʻōpū. I kekahi manawa, hiki i ka bezoar ke lilo i mea nui loa e hele ai ma ka puka ma lalo o ka ʻōpū. Hiki iā ia ke ālai i ke hele ʻana o nā meaʻai ʻē aʻe. Hiki i nā kauka ke hāʻawi iā ʻoe i ka lāʻau lapaʻau e hoʻoheheʻe i ka bezoar, a i ʻole hiki iā lākou ke wehe iā ia ma ke ʻoki ʻana.

Pehea e ʻike ʻia ai ka Gastroparesis?

E nīnau mua ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino (nā kūlana e hiki ai ke kumu i ka gastroparesis, nā ʻoki kino). A laila, e hana lākou i kekahi mau hoʻokolohua kiʻi kūikawā e nānā i loko o kou ʻōpū. Ke nānā nei kēia mau hoʻokolohua i nā mea āpau e ālai ʻia ai ke kino, no ka mea hiki i kēia ke hana i nā hōʻailona like. Inā ʻaʻohe mea e ālai ʻia ai, a laila e hana lākou i nā hoʻokolohua neʻe gastric . Nānā kēia mau hoʻokolohua i ke ʻano o ka hana ʻana o kou mau ʻiʻo ʻōpū.

He aha nā hoʻokolohua e hana ʻia e hōʻoia i ka gastroparesis?

ʻO ka mea mua āu e hana ai, ʻo ia ke holo i nā hoʻokolohua e ʻike ai inā he poloka e hoʻopilikia ana i kāu mau hōʻailona. ʻO kēia mau mea:

• ʻO ka endoscopy kiʻekiʻe: He kaʻina hana e hoʻokomo ʻia ai kahi kāmela liʻiliʻi ma o ka waha e nānā i ka ʻōpū.
• Moʻo GI Kiʻekiʻe: He kiʻi X-ray i lawe ʻia ma hope o ka inu ʻana i kahi mea e like me ka barium.
• Nānā CT
• MRI `(MRI)`
• ʻO ka ultrasound ʻōpū

Inā ʻaʻole i loaʻa i kēia mau hoʻokolohua kahi ālai kino, ʻo ka hana aʻe he mau haʻawina hoʻokahe ʻōpū, e ana i ka neʻe ʻana o ka ʻōpū. Hiki i kēia mau mea ke komo pū me:

• ʻO ka scintigraphy hoʻokahe ʻōpū (GES): He hoʻāʻo lāʻau lapaʻau nukelea kēia. Hāʻawi ʻia ʻoe i kahi meaʻai liʻiliʻi a mea inu paha i hui pū ʻia me kahi mea radioactive, a ua hoʻopaʻa ʻia ka manawa e hele ai ma kāu ʻōnaehana hoʻoheheʻe.
• Hoʻāʻo hanu neʻe ʻōpū (GEBT): Ke ana kēia i ka wikiwiki o ka neʻe ʻana o ka meaʻai ma o kāu ʻōnaehana hoʻoheheʻe ma ke ana ʻana i ka nui o ka ea āu e hanu ai. Pili kēia iā ʻoe i ka ʻai ʻana i kahi meaʻai nona kahi molekole kalapona kūikawā i kapa ʻia ʻo "carbon-13". Ke komo ia i loko o kou ʻōpū, hana ia i kahi ʻano kūikawā o ke kalapona ʻokikene "CO2-13", hiki ke ana ʻia i loko o kou hanu.
• Haʻawina hoʻoili kolona: Hoʻāʻo kēia i ka wikiwiki o ka neʻe ʻana o ka meaʻai ma o ka ʻōpū nui . Pili kēia i ka ale ʻana i nā pellets liʻiliʻi i ʻike ʻia ma kahi X-ray i ko lākou hele ʻana ma ke kino.

Inā ʻaʻole kūpono nā hopena o kāu hoʻāʻo GES, hiki i kāu kauka ke kauoha i kahi electrogastrogram (EGG) , nāna e ana i ka hana uila o nā ʻiʻo o ka ʻōpū.

Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka gastroparesis. No ka laʻana, hiki i kahi hoʻokolohua koko ke nānā i nā antibodies i koe mai kahi maʻi ma mua, a i ʻole nā ​​​​autoantibodies, e hōʻike paha i kahi maʻi autoimmune.

He aha nā lāʻau lapaʻau no ka gastroparesis?

ʻAʻole hiki i nā kauka ke hoʻoponopono pololei i ka pōʻino i hana ʻia e ka gastroparesis. Eia nō naʻe, hiki iā lākou ke hāʻawi i nā lāʻau lapaʻau e hoʻoulu ai i nā ʻiʻo o ka ʻōpū e ʻūlū a kōkua iā ia e hoʻokahe. ʻO nā lāʻau lapaʻau ka laina mua o ka lāʻau. Inā ʻaʻole holo pono nā lāʻau lapaʻau a inā ʻaʻole loaʻa, ua noʻonoʻo ʻia ke ʻoki ʻana . Hiki i nā lāʻau lapaʻau āpau ke loaʻa nā hopena ʻaoʻao, a ʻaʻohe lāʻau lapaʻau hoʻokahi e holo pono no nā mea āpau.

ʻO nā pahuhopu o ka lāʻau lapaʻau:

• Ke hoʻoulu ʻana i nā ʻiʻo o ka ʻōpū a/a i ʻole e ʻae ana i ka ʻōpū e hakahaka.
• E hōʻoia i loaʻa i kou kino ka meaʻai a me ka wai e pono ai.
• Ka mālama ʻana i nā hōʻailona a me nā hopena ʻaoʻao.
• Inā hiki, e hoʻokele i ke kumu o ka maʻi a pale i ka hoʻonui ʻana o ke kūlana.

Hiki i kāu hoʻolālā lapaʻau ke komo pū me:

• Nā lāʻau lapaʻau.
• ʻAi/hydrotherapy.
• ʻOki kino.
• He lāʻau lapaʻau kūikawā no ke kūlana e hoʻoulu ai i kāu gastroparesis.

Nā lāʻau lapaʻau

ʻO Prokinetics, kahi papa o nā lāʻau lapaʻau e hoʻoulu ai i ka neʻe ʻana o ke ala ʻai, ʻo ia ka lāʻau lapaʻau mua no ka gastroparesis. Hoʻokomo pū lākou:

• Metoclopramide: ʻO kēia wale nō ka lāʻau i ʻae ʻia e ka FDA (Food and Drug Administration) e mālama i ka gastroparesis. Hoʻoulu ia i nā ʻūlū ʻiʻo i loko o ka ʻōpū a kōkua i ka hōʻemi ʻana i ka nausea. Eia nō naʻe, hiki iā ia ke hana i nā hopena ʻaoʻao (e.g., haʻalulu, ʻūlū ʻiʻo), no laila e mālama pono ʻia me ia.
• ʻO nā agonists Motilin: He ʻano lāʻau prokinetic ʻē aʻe kēia. ʻO nā hiʻohiʻona e komo pū me Erythromycin a me Azithromycin . ʻOiai ua hoʻohana pinepine ʻia kēia mau mea ma ke ʻano he antibiotics, paipai pū nā kauka iā lākou e mālama i ka gastroparesis.
• Nā agonists Serotonin: ʻO Tegaserod lāua ʻo Prucalopride ʻelua mau lāʻau lapaʻau e hoʻoulu ai i nā ʻōpū e hoʻomaikaʻi i ka paʻa ʻana o ka ʻōpū. ʻOiai ʻaʻole i loiloi piha ʻia lākou no ka mālama ʻana i ka gastroparesis, paipai kekahi mau kauka iā lākou no kēia kumu.

Nā lāʻau lapaʻau hou aʻe:

• Hoʻopau nā lāʻau antiemetics i ka nausea a me ka luaʻi.
• Nā mea hoʻopale pamu proton no nā pilikia reflux waikawa.
• Nā lāʻau hoʻopau ʻeha no ka ʻeha nui o ka ʻōpū.
• Nā lāʻau lapaʻau no ka maʻi diabetes e kaohi ai i ke kō koko.

Mea nui: Mai hoʻōla ponoʻī me kekahi o kēia mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka. E kūkākūkā mau me ke kauka a lawe i nā lāʻau lapaʻau ma muli o kā lākou ʻōlelo aʻoaʻo.

ʻAi Meaʻai

Pono paha ʻoe e hoʻololi i kāu papaʻai. No ka laʻana, e ʻai i kahi papaʻai haʻahaʻa-fiber, haʻahaʻa-momona e maʻalahi ai ka ʻeli ʻana. Pono paha ʻoe i ka lāʻau lapaʻau kūikawā e kōkua i ka hoʻololi ʻana i nā meaola i nalowale. Hiki i kāu kauka ke ʻōlelo aku i nā mea hoʻohui meaʻai, a hāʻawi paha iā ʻoe i ka hānai ʻana i ka tube a i ʻole ka hānai ʻana i ka IV no kekahi manawa. Pono paha kekahi poʻe e hāʻawi ʻia ka saline solution intravenously e hoʻoponopono i ka dehydration a me nā electrolyte imbalances.

ʻoki kino

ʻO ke ʻoki kino ke ala hope loa no ka mālama ʻana i ka gastroparesis. Inā hāʻule nā ​​​​lāʻau lapaʻau ʻē aʻe a pau, pono paha ʻoe e hana i ke ʻoki kino e hoʻololi i ke ʻano o kou ʻōpū e kōkua i ka hele ʻana o ka meaʻai ma o ia mea. ʻO kēia mau ʻoki kino:

• Pyloroplasty: Pili kēia i ka hoʻololi ʻana i kou pylorus (ka valve muscular ma lalo o kou ʻōpū e hiki ai i ka meaʻai ke hele ma waena). ʻO ka hapa pinepine, ʻoki ʻia ka ʻiʻo pylorus, hoʻonui ʻia ka puka, a hoʻomaha ʻia ka puka. ʻO kahi hana hou aʻe he hana i kapa ʻia ʻo G-POEM (gastric peroral endoscopic myotomy) . ʻO ke ʻano kēia, hana ʻia ke ʻoki ma o ka waha, me ka ʻoki ʻole ʻana i loko o ka ʻōpū.
• ʻO ke ala ʻoki ʻōpū: Pono kekahi poʻe e ala ʻoki loa i ka ʻaoʻao haʻahaʻa o ka ʻōpū. Pili kēia i ka wehe ʻana a i ʻole ka pani ʻana i kahi ʻāpana o ka ʻōpū, e hana ana i kahi ala hou mai ka ʻōpū a i ka ʻōpū liʻiliʻi (gastrojejunostomy). ʻO ke ʻoki ʻoki ʻōpū kahi ʻoki pohō kaumaha, ʻoiai no ka poʻe me ka maʻi diabetes type 2 i hoʻokumu ʻia e ka momona. Hiki iā ia ke loaʻa ka hopena koʻikoʻi i ka maʻi diabetes a me ka gastroparesis. Hiki i kāu kauka ke ʻōlelo aku no ka gastroparesis koʻikoʻi e pili ana i ka maʻi diabetes.

He aha ka manaʻolana no ka gastroparesis?

I kekahi manawa, ʻo ka gastroparesis i hoʻokumu ʻia e ka lāʻau lapaʻau pōkole a i ʻole kahi maʻi pōkole e hoʻomaikaʻi i ka hala ʻana o ka manawa. Akā no ka hapa nui o ka poʻe, ʻo ka gastroparesis kahi kūlana hiki ʻole ke ho'ōla ʻia, akā hiki ke mālama ʻia me ka lāʻau lapaʻau. Hiki ke lōʻihi ka manawa e ʻike ai i ka lāʻau kūpono nou, a loaʻa paha iā ʻoe nā hopena ʻaoʻao mai ka lāʻau lapaʻau a i ʻole nā ​​​​hōʻailona e hoʻomau nei. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kēia mau mea i ko lākou ulu ʻana.

Hoʻopilikia anei ka gastroparesis i ke ola?

ʻAʻole maʻamau ka Gastroparesis i mea hoʻoweliweli i ke ola. Eia nō naʻe, ʻo kekahi o nā pilikia e hiki ke kū mai me ka gastroparesis (ka ʻai pono ʻole, ka dehydration, nā electrolyte imbalances, a me nā loli o ke kō koko i ka maʻi diabetes) hiki ke hoʻoweliweli i ke ola inā lilo lākou i mea koʻikoʻi. E hana pū kāu kauka me ʻoe e hōʻemi i ka pilikia o kēia mau pilikia. Me ka mālama kūpono, ua haʻahaʻa loa ka pilikia.

Pehea e mālama ai iaʻu iho i ka wā e noho ana me ka gastroparesis?

E makaʻala i kāu mau hōʻailona, ​​a me nā meaʻai a me nā maʻamau e hoʻomaikaʻi ai a ʻoi aku paha ka maikaʻi ʻole. Hiki i nā hoʻololi liʻiliʻi ke hana i kahi ʻokoʻa nui i kou manaʻo. Manaʻo kekahi poʻe he kōkua kēia mau mea:

• Ma kahi o ka ʻai ʻana i ʻekolu mau pāʻina nui i ka lā, e ʻai i ʻehā a ʻeono mau pāʻina liʻiliʻi.
• E hahai i kahi papaʻai haʻahaʻa momona a haʻahaʻa fiber (papaʻai gastroparesis). E nīnau i kāu kauka a meaʻai meaʻai paha e pili ana i kēia.
• E pale i ka waiʻona, ka paka, a me nā lāʻau lapaʻau. Hoʻopaneʻe kēia i ka hoʻokahe ʻana o ka ʻōpū.
• Ma hope o ka ʻai ʻana, e hana i kekahi mau hoʻoikaika kino māmā, e like me ka hele wāwae pōkole. E kōkua kēia i ka neʻe ʻana o ka ʻōpū.

Hiki i ka Gastroparesis ke ʻano mai ka ʻoluʻolu a i ka ʻino, a ʻokoʻa ke ʻano o kona hoʻopilikia ʻana i kou ʻano ola. ʻOiai ʻaʻohe lāʻau lapaʻau wikiwiki, nui nā lāʻau lapaʻau e hiki ke kōkua iā ʻoe e hoʻokele. E hana pū kāu kauka me ʻoe e ʻike i ka hoʻolālā lapaʻau maikaʻi loa nāu. E ʻike paha ʻoe e hiki ke kōkua ka hana ʻana i nā hoʻololi i ka meaʻai a me ke ʻano o ka nohona. I kēia manawa, ke hoʻomau nei nā kānaka ʻepekema i ka noiʻi ʻana i nā lāʻau lapaʻau hou.

Leka Lawe-Home

ʻO Gastroparesis kahi kūlana i ʻole e hoʻokahe pono ka ʻōpū, akā e hoʻopiha ʻia. Hiki ke hana ʻia kēia e kekahi mau kumu, me ka maʻi diabetes a me ke ʻoki kino. He mea nui e ʻimi i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona e like me ka pehu ʻana, ka nausea, ka luaʻi ʻana, a i ʻole ka ʻeha o ka ʻōpū .

Mai hopohopo, hiki ke mālama ʻia kēia kūlana. Me ka ʻike kūpono a me ka mālama ʻana, loaʻa iā ʻoe ka manawa kūpono e ola i kahi ola maʻamau. E hahai pono i nā ʻōlelo a kāu kauka, a e makaʻala i kāu ʻai a me kou nohona.