Ma ke ʻano he makuahine, ua kamaʻāina paha ʻoe i kēia mau mea. Ke hele ʻoe e hānai i kāu pēpē, ʻai iki paha ʻo ia a laila ʻōlelo ʻo ia ua 'piha' ʻo ia, luaʻi pinepine, a ʻōhumu paha no ka ʻeha ʻōpū. I kekahi manawa ʻaʻole paha e loaʻa pono ke kaumaha o ka pēpē. I kēlā mau hihia, hiki i kāu kauka ke paipai i kahi hoʻokolohua kūikawā e ʻike ai i ka lōʻihi o ka noho ʻana o ka meaʻai i loko o ka ʻōpū o kāu pēpē a me ka lōʻihi o ka hele ʻana i loko o ka ʻōpū liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he 'Gastric Emptying Study' (GES).
He aha ka Gastric Emptying Study (GES)?
I ka ʻōlelo maʻalahi, ana kēia i ka lōʻihi o ka hele ʻana o ka meaʻai a kāu keiki mai ko lākou ʻōpū (ʻōpū) a i ko lākou ʻōpū liʻiliʻi. E noʻonoʻo i kēia ʻano: E like me ke kaʻa i paʻa i ke kaʻa, i kekahi manawa hiki i ka meaʻai a mākou e ʻai ai ke paʻa i loko o ko mākou ʻōpū a hele lohi loa. A i ʻole, e like me ka holo wikiwiki ʻana ma ke alaloa, i kekahi manawa hiki i ka meaʻai ke neʻe koke i waho o ko mākou ʻōpū. Hiki i kēia mau mea ʻelua ke lilo i mau pilikia. Ana kēia hoʻāʻo i kēlā wikiwiki.
Hoʻohana kēia i kahi scanner kūikawā i kapa ʻia ʻo "Gamma Camera". Ma hope o ka ʻai ʻana o ka pēpē, ana ʻia kēia wikiwiki ma ka lawe ʻana i nā kiʻi o ka ʻōpū o ka pēpē me kēia kāmela. He nui nā inoa ʻē aʻe o kēia hoʻāʻo, akā ʻo ka inoa i hoʻohana pinepine ʻia ʻo 'Gastric Emptying Study'.
He aha nā maʻi e hiki ke ʻike ʻia me kēia hoʻāʻo?
ʻO kēia ke ala maikaʻi loa a kūpono hoʻi e ʻike ai inā e hana pono ana ka ʻōpū o kāu pēpē. Hoʻohana pinepine nā kauka i kēia hoʻāʻo e ʻike i kahi maʻi i kapa ʻia ʻo Gastroparesis .
ʻO ke ʻano o Gastroparesis , ʻoi aku ka lōʻihi o ka manawa e hoʻokahe ai ka ʻōpū o kāu keiki ma mua o ka maʻamau. ʻO ka maʻamau, he hola a me ka hapa a ʻelua paha hola no ka neʻe ʻana o ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi.
Hiki i kēia hoʻāʻo ke ʻike i kekahi mau kūlana ʻē aʻe:
- ʻO ka Dumping Syndrome: Hana ʻia kēia i ka wā e neʻe ai ka meaʻai i loko o ka ʻōpū i loko o ka ʻōpū liʻiliʻi ma mua o ka mea i manaʻo ʻia.
- ʻO ka Reflux Gastroesophageal: Hiki ke manaʻo ʻia kēia e like me nā mea o loko o ka ʻōpū e hoʻi mai ana i luna i loko o ka puʻu.
Aia ma lalo iho kekahi mau kumu e noi ai ke kauka i kāu keiki e hana i kēia hoʻokolohua.
| Hōʻailona | Wehewehena |
|---|---|
| Luaʻi pinepine | Ka luaʻi ʻana me ke kumu ʻole ma hope o ka ʻai ʻana a i ʻole i kekahi manawa o ka lā. |
| ʻEha ʻōpū | Inā hoʻopiʻi pinepine ke keiki i ka ʻeha o ka ʻōpū a i ʻole ka ʻoluʻolu ʻole. |
| ʻAʻole e piʻi ke kaumaha | Inā ʻaʻole e piʻi ana ke kaumaha o ke keiki no kona mau makahiki. |
| Māʻona Mua | Inā hoʻomaka ʻoe e ʻai a laila ʻōlelo "Ua piha wau" ma hope o kekahi manawa. |
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, hiki i kēia hoʻāʻo ke kōkua nui i ka ʻike ʻana a me ka hoʻomaka ʻana i ka mālama ʻana no kahi kūlana e like me ka gastroparesis ma mua o ka hiki ke hoʻoulu i nā pilikia.
Pehea e hoʻomākaukau ai i ke pēpē no ka hoʻokolohua?
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana, akā pono ʻoe e makaʻala i kēia mau mea.
- E ho'ōki i ka ʻai ʻana a me ka inu ʻana: Mai ʻae i kāu pēpē e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ka hoʻāʻo ʻana. Pono e hakahaka loa ka ʻōpū i ka wā e hoʻomaka ai ka hoʻāʻo.
- E pili ana i nā lāʻau lapaʻau: Inā ke lawe nei kāu keiki i kekahi mau lāʻau lapaʻau, e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa ka ʻōlelo aʻoaʻo no ka mea pono e hoʻōki ʻia ma mua o ka hoʻāʻo ʻana.
- Ke wehewehe nei i ka pēpē: Inā ua lawa ka nui o ke pēpē e hoʻomaopopo ai, e wehewehe wale aku ʻaʻole e ʻeha kēia a e kiʻi ana ʻoe i nā kiʻi liʻiliʻi.
- Nā hoʻonā i ka luhi: ʻOiai e lōʻihi ana kēia hoʻāʻo no kekahi mau hola, mai poina e lawe mai i kāu pēpē i kahi mea a lākou e makemake ai, e like me kahi mea pāʻani punahele, puke, a papapihi paha, e hoʻomau i kā lākou hana.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
ʻOiai ua makaʻu iki wau i koʻu lohe ʻana i kēia, he hana maʻalahi loa ia.
1. ʻO ka mea mua, e lawe kekahi radiologist a loea paha i ka pēpē i ka lumi hoʻokolokolo a e hoʻokomo iā ia i kahi lole i hāʻawi ʻia e ka haukapila.
2. A laila e hāʻawi i ka pēpē i kahi meaʻai liʻiliʻi. ʻO kēia kekahi mea e like me ka hua manu i kāwili ʻia a me ʻelua ʻāpana berena me ka jam . Hāʻawi pū lākou iā lākou i kahi wai e inu.
3. Hoʻohui ʻia kahi mea radioactive liʻiliʻi loa (Tracer) i ka meaʻai hua manu. ʻAʻole kēia e hoʻololi i ka ʻono, ke kala, a i ʻole ke ʻala o ka meaʻai.ʻAʻohe mea e hopohopo ai, he liʻiliʻi loa kēia a ʻo kēia ka mea e hiki ai i ka mīkini scan ke ʻike i ke ʻano o ka neʻe ʻana o ka meaʻai ma loko o ka ʻōpū.
4. E hāʻawi ʻia ka pēpē i 10 mau minuke e ʻai ai i kēia meaʻai. Pono ʻoe e kōkua iā ia e ʻai i ka meaʻai i kēia manawa. Minamina, inā e luaʻi ka pēpē i kēia manawa, ʻaʻole hiki ke hana ʻia ka hoʻāʻo i kēlā lā a pono e hana hou ʻia i kekahi lā ʻē aʻe.
5. Ma hope o ka ʻai ʻana, e lawe ke loea i ka pēpē i ka lumi scan a lawe i kekahi mau kiʻi o ka ʻōpū. E lawe ʻia kēlā me kēia kiʻi ma kahi o hoʻokahi minute.
6. Ma hope o kēlā, lawe hou ʻia nā kiʻi i kēlā me kēia hola, ʻo ia hoʻi, ma 1 hola, 2 hola, a me 4 hola . I loko o kēia manawa, ʻaʻole hiki i ka pēpē ke ʻai a inu paha i kekahi mea ʻē aʻe. Pono ʻoe e kali a pau ka scan hope loa.
ʻEhia ka lōʻihi o ka hoʻāʻo ʻana?
ʻO kēia hoʻāʻo, i hana ʻia ma hope o ka hāʻawi ʻana i ka meaʻai, ʻo ka maʻamau he 4 a 5 mau hola .
He aha kāu e hana ai ma hope o ka hoʻāʻo?
Ke pau ka nānā ʻana hope loa, hiki iā ʻoe a me kāu pēpē ke hoʻi i ka home. ʻAʻohe kapu i ka mea āu e ʻai ai a inu paha i kēlā lā. Hiki iā ʻoe ke hoʻomau i kou lā e like me ka maʻamau.
Aia kekahi pilikia i loko o kēia?
He nui nā makuahine e makaʻu nei i ka radiation. Akā, ʻaʻohe mea e makaʻu ai. He haʻahaʻa loa ka nui o ka radiation i hoʻohana ʻia ma kēia hoʻāʻo. Wahi a nā kauka, ʻaʻole ia e hōʻeha i ka pēpē ma kekahi ʻano.
Akā, hoʻokahi mea āu e pono ai e makaʻala loa. Inā hāpai ʻoe, a inā paha he kānalua iki kou ua hāpai ʻoe, mai hele i loko o ka lumi kahi e hana ʻia ai kēia hoʻāʻo. E noi i kekahi e noho me ka pēpē. No ka mea, ʻaʻole maikaʻi kēia radiation no ka pēpē i loko o ka ʻōpū.
Āhea wau e loaʻa ai ka hōʻike? Pehea e hiki ai iaʻu ke ʻike e pili ana i nā hopena?
E nānā hou ke kauka radiology i nā scans, hoʻomākaukau i kahi hōʻike, a hoʻouna aku i ke kauka o kāu keiki i loko o kekahi mau lā.
ʻO ka maʻamau, ma kahi o hoʻokahi hola a me ka hapa a ʻelua paha hola no ka hele ʻana o ka meaʻai a mākou e ʻai ai mai ka ʻōpū a i ka ʻōpū liʻiliʻi. Inā ʻōlelo ka hōʻike ua hoʻokahe ʻia ka meaʻai i loko o kēlā manawa, he mea maʻamau ia.
Inā ʻaʻole kūpono nā hopena, ʻo ia hoʻi inā lohi ka hele ʻana o ka meaʻai ma ka ʻōpū, ʻo ia ka "Gastroparesis" ʻana, a inā wikiwiki ia, ʻo ia ka "Dumping Syndrome", e kamaʻilio kāu kauka me ʻoe a wehewehe pono i nā ʻanuʻu aʻe a me ka lāʻau lapaʻau.
Hiki i kēia hoʻāʻo ke ʻike i ke kanesa?
He nīnau kēia a nā mākua he nui e nīnau ai. I kekahi manawa, ʻo ka lohi o ka hoʻokahe ʻana o ka ʻōpū he hōʻailona ia o ka maʻi kanesa. Eia nō naʻe , he mea kakaikahi loa i kahi keiki ke loaʻa i kēia maʻi no ia kumu. Eia kekahi, ʻaʻole hoʻohana ʻia kēia hoʻāʻo e ʻike i ka maʻi kanesa; aia kekahi mau hoʻāʻo kūikawā ʻē aʻe no kēlā.
He aha kaʻu e hana ai e mālie ai kaʻu pēpē i ka wā o ka hoʻokolohua?
Hiki i kēia ke lilo i hoʻāʻo paʻakikī no kahi keiki ʻōpio, no ka mea, hiki ke hala nā hola a ʻaʻole hiki iā lākou ke ʻai a inu paha. Aia kekahi mau mea hiki iā ʻoe ke hana e hoʻomau i ko lākou mālie a hauʻoli.
- E hoʻomaʻamaʻa i ka noho mālie: I ka lā ma mua o ka hoʻāʻo, e hoʻāʻo e pāʻani i kahi pāʻani o "Mai neʻe iki kākou?" e hoʻomaʻamaʻa i kāu pēpē i ka noho mālie. E kōkua kēia iā ia e maʻa i ka wā e pau ai ke scan.
- E noho kokoke iā ʻoe: ʻO ka maʻamau, ʻae ʻia ka makuahine a i ʻole ka makuakāne e hele pū me ka pēpē i ke scan. He mea hoʻoikaika nui ia no ke pēpē hoʻokahi wale nō āu me ʻoe.
- E lawe mai i kahi mea kamaʻāina mai ka home mai: ʻO ka lawe ʻana mai i kahi mea kamaʻāina mai ka home mai, e like me ka mea pāʻani punahele a kāu pēpē a i ʻole kahi kapa moe liʻiliʻi, e kōkua i ka hōʻemi ʻana i ka manaʻo ʻē i loaʻa iā ia ma ka haukapila.
- E ʻōlelo ʻaʻole ia e ʻeha: E hoʻomanaʻo mau i kāu pēpē, "ʻAʻole kēia e ʻeha iki, e ke keiki kāne/kaikamahine."
Leka Lawe-Home
- He hoʻāʻo ʻeha ʻole ka Gastric Emptying Study (GES) e ana i ka manawa e pono ai ka meaʻai mai ka ʻōpū e neʻe i loko o ka ʻōpū liʻiliʻi.
- Kōkua kēia i ka hoʻoholo ʻana inā loaʻa i nā keiki me nā hōʻailona e like me ka luaʻi pinepine ʻana, ka ʻeha o ka ʻōpū, a me ka pohō kaumaha nā maʻi e like me Gastroparesis.
- ʻOiai he 4-5 mau hola ka lōʻihi o ka hoʻokolohua, e lawe mai i nā mea pāʻani a i ʻole nā puke e hoʻoluhi ai i kāu keiki.
- He haʻahaʻa loa ka nui o ka radiation i hoʻohana ʻia ma kēia hoʻāʻo, no laila ʻaʻole ia e hōʻeha i ka pēpē.
- Inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe, mai noho pū me ka pēpē i ka wā o ka hoʻāʻo.
- Inā he mau nīnau kāu e pili ana i ka hoʻāʻo a i ʻole nā hopena, mai kānalua e nīnau i kāu kauka.
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