Ua paʻa ka meaʻai i loko o ka ʻōpū? E aʻo kākou e pili ana i nā mea hana prokinetic

I kekahi manawa ma hope o kā mākou ʻai ʻana, ua piha a pehu ko mākou ʻōpū, ʻeā? Me he mea lā ʻaʻole e iho ana ka meaʻai i loko o ko mākou ʻōpū. A i ʻole e loaʻa iā mākou ka ʻoluʻolu ʻole e like me ka belching mau, ka ʻeha puʻuwai, a me ka luaʻi ʻana. ʻO kekahi kumu o kēia mau mea, ʻo ia paha ka lohi iki o kāu ʻōnaehana hoʻoheheʻe ʻana, ʻo ia hoʻi kou mau ʻōpū. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi papa kūikawā o nā lāʻau lapaʻau e kōkua mai i ia mau manawa.

I ka ʻōlelo maʻalahi, he aha kēia mau mea Prokinetic?

ʻO nā mea hana Prokinetic kahi ʻano lāʻau lapaʻau e hoʻoulu ai i nā mākala i loko o kāu ʻōpū gastrointestinal e ʻaelike, a i ʻole "paʻi," a kōkua i ka neʻe ʻana i ka meaʻai me ka maʻalahi.

E noʻonoʻo, i ka wā e moni ai kākou i ka meaʻai, ʻo nā ʻiʻo mai ko kākou esophagus a i ko kākou ʻōpū a me nā naʻau e ʻūlū wale a hoʻomaha e like me ka nalu, e hoʻokuke ana i ka meaʻai i mua. Kāhea mākou i kēia kaʻina hana spontaneous ʻo peristalsis . Ua like ia me ke ʻomi ʻana a me ka ʻomi ʻana i kahi mea i loko o kahi paipu a hoʻouna aku i mua. Ma muli o ka hana pono ʻana o kēia kaʻina hana, hiki i ko kākou kino ke omo i nā meaola e pono ai mai ka meaʻai.

Eia nō naʻe, inā no kekahi kumu ua hoʻonāwaliwali ʻia kēia kaʻina hana neʻe, hiki i ka meaʻai ke noho i loko o ka ʻōpū no ka manawa lōʻihi. Hiki i kēia ke hoʻoulu i ka ʻoluʻolu ʻole e like me ka pehu ʻana, ka paʻa ʻana o ka ʻōpū, a me ka ʻāʻī ʻana o ka puʻuwai. ʻO ia ka manawa e kōkua ai nā lāʻau lapaʻau i kapa ʻia ʻo Prokinetic Agents e hāʻawi i ko mākou ʻōpū i kahi "puʻi" iki a hoʻihoʻi i kēlā kaʻina hana.

Pehea e hana ai kēia lāʻau lapaʻau i loko o ke kino?

Hana nā mea hana prokinetic ma ka hoʻoulu ʻana i nā aʻalolo i loko o ko kākou ʻōpū, e hoʻoulu ai i nā ʻiʻo e ʻūlū. Hana kēia i kekahi mau mea koʻikoʻi:

• Hoʻonui i nā ʻūmiʻi o ka esophagus: ʻO kēia ke kumu e neʻe koke ai ka meaʻai i loko o ka ʻōpū.
• Hoʻoikaika i ka Lower Esophageal Sphincter (LES): ʻO kēia ka "puka" ma waena o ko kākou esophagus a me ka ʻōpū. Ke nāwaliwali ia, hiki i ka waikawa o ka ʻōpū ke kahe hou i luna i loko o ka esophagus. ʻO kēia ka mea a mākou e kapa nei he heartburn, a i ʻole GERD . Hoʻopaʻa nā lāʻau Prokinetic i kēia puka a kāohi i ka waikawa mai ke kahe hou ʻana i luna.
• Hoʻonui i nā ʻūmiʻi o ka ʻōpū: ʻAe kēia i ka meaʻai i loko o ka ʻōpū e neʻe wikiwiki i loko o ka ʻōpū liʻiliʻi. Ke hemo koke ka ʻōpū, ʻaʻole nui ka manawa e piʻi hou mai ai.
• Hoʻemi i ka manawa e pono ai no ka ʻōpū e hoʻokahe: Kōkua nui kēia i ka kaohi ʻana i nā kūlana e like me GERD i ʻōlelo ʻia ma luna.

He aha nā kūlana e hoʻohana ʻia ai nā mea prokinetic?

ʻO ka maʻamau, ʻōlelo pinepine ʻia kēia ʻano lāʻau e nā kauka i nā hihia kahi i loaʻa ʻole ai ka hōʻoluʻolu i nā lāʻau ʻē aʻe, no ka mea, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao.

He aha nā ʻano nui o nā mea prokinetic?

Hiki ke puʻunaue ʻia kēia mau lāʻau i ʻelua mau pūʻulu nui e pili ana i kā lākou hana: Agonists a me Antagonists .

• Nā Agonists: Hana kēia e like me nā neurotransmitters i loko o ko mākou kino a hana i ka mea like a lākou e hana ai. ʻO ia hoʻi, hoʻouna lākou i ka leka i nā ʻiʻo i loko o nā ʻōpū e ʻaelike.
• Nā Antagonists: Hana kēia ma ke kāohi ʻana i kahi kemika e lawe ana i nā leka aʻalolo e hoʻolohi ana i ka hana o nā ʻōpū mai ka hiki ʻana aku i kahi aʻalolo. ʻO ia hoʻi, ke ālai nei lākou i ka leka e "hoʻolohi" ai nā ʻōpū.

Aia kekahi mau ʻano lāʻau lapaʻau ma lalo o kēia:

• Nā mea kū'ē i ka Dopamine: ʻO Dopamine, kahi kemika i loaʻa i loko o ka lolo a me nā ʻōpū, e hōʻemi ana i ka hana o ka ʻōpū. Hana kēia mau lāʻau lapaʻau ma ke ālai ʻana i ka hana o ka dopamine. Nā laʻana: Metoclopramide, Domperidone .
• Nā agonists Serotonin: Hana lākou e like me kahi kemika i kapa ʻia ʻo serotonin a hoʻoulu i nā ʻūlū ʻōpū. Nā Laʻana: Prucalopride .
• Nā agonists Motilin: He kemika ʻo Motilin e kāohi ana i nā ʻūlū o ko kākou ʻōpū liʻiliʻi. Penei ka hana ʻana o kēia mau lāʻau. ʻO ka mea kupanaha, aia i loko o kēia hui nā antibiotics e like me Erythromycin .
• Nā agonists Cholinergic: Hana e like me ka neurotransmitter acetylcholine a hoʻoulu i nā ʻiʻo i loko o nā ʻōpū e ʻūlū. Nā laʻana: Bethanechol, Neostigmine .

He mea nui loa: Nā hopena ʻaoʻao o kēia lāʻau lapaʻau

Kuhikuhi wale nā ​​kauka i kēia mau lāʻau lapaʻau ke holo pono ʻole nā ​​​​lāʻau ʻē aʻe, a hāʻawi pinepine ʻia lākou i nā dosis haʻahaʻa a no ka manawa pōkole.

Nā hopena ʻaoʻao i ʻike pinepine ʻia:

• ʻeha ka ʻōpū
• Ka luaʻi a me ka luaʻi
• Ka maʻi pākī
• ʻIke pōwehiwehi
• ʻEha poʻo
• Luhi nui, hiamoe
• Kaumaha a me ka Hopohopo

Nā hopena ʻaoʻao koʻikoʻi e makaʻala ai:

He mea nui loa kēia mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e lawe ana i ka lāʻau prokinetic, pono ʻoe e hoʻomaopopo koke i kāu kauka.

• Dystonia: He ʻano kēia e ʻaelike ai nā ʻiʻo o ke kino ma ke ʻano hiki ʻole ke kāohi ʻia, e like me ka huki ʻia ʻana o ka ʻāʻī i kekahi ʻaoʻao, ka ʻōwili ʻana o nā maka i luna, a i ʻole ke alelo e kū ana i waho.
• Nā neʻe ʻana o nā ʻāpana o ka maka me ka makemake ʻole (Tardive Dyskinesia): He ʻano kēia e hiki ke hana ma hope o ka lawe ʻana i ka lāʻau lapaʻau no ka manawa lōʻihi. ʻO nā ʻāpana o ka maka, e like me ka waha, ke alelo, a me ka ʻauwae, e neʻe me ka makemake ʻole. I kekahi manawa, ʻaʻole e hoʻomaikaʻi kēia ʻano ma hope o ka hoʻōki ʻana i ka lāʻau lapaʻau.
• Nā pilikia o ka puʻuwai: Hiki i kekahi mau lāʻau lapaʻau, ʻoiai ʻo Domperidone , ke hana i nā puʻuwai puʻuwai kūpono ʻole (arrhythmias) a me nā hōʻeha puʻuwai. No kēia kumu, ua kaupalena ʻia ka hoʻohana ʻana i kēia mau lāʻau lapaʻau ma kekahi mau ʻāina.

Ma muli o kēia mau pilikia, inā kuhikuhi kāu kauka i kēia lāʻau lapaʻau, e kamaʻilio pono me ia e pili ana i nā pono a me nā pōʻino. E hōʻoia e haʻi i kāu kauka e pili ana i nā kūlana olakino ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.