He mau laina e like me ka wai meli ma kou ʻōpū? E kamaʻilio kākou e pili ana i kēlā 'ʻŌpū Wai Meli' (GAVE)!

Ke luhi nui nei ʻoe i kekahi manawa me ke kumu ʻole? A i ʻole pinepine ʻoe i ka ʻōpū ʻeha a i ʻole ka nalowale o ka makemake? Malia paha ʻike ʻoe i kahi koko liʻiliʻi ke kahe ʻoe. ʻOiai ʻaʻole mākou e nānā nui i kēia mau mea i kekahi manawa, aia paha nā kūlana olakino ma lalo a mākou e noʻonoʻo ʻole ai. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i laha ʻole, akā he mea nui loa ia no nā mea a pau e makaʻala. Ua kapa ʻia kēia ʻo 'Watermelon Stomach'.

He aha kēia 'ʻŌpū Waina'?

I ka ʻōlelo maʻalahi, ʻo ka 'ʻōpū meleni' ʻo ia ka wā e nāwaliwali ai nā kīʻaha koko i loko o kou ʻōpū, ʻo ia hoʻi, ka ʻaoʻao o loko o kou ʻōpū, a hoʻomaka e kahe ke koko. Ke kahe kēia koko, hoʻomohala ka paia o loko o kou ʻōpū i nā kaha lōʻihi, e like me ka ʻili o ka meleni. E noʻonoʻo e like me nā kaha ʻōmaʻomaʻo a me ka ʻōmaʻomaʻo māmā ma ka meleni. Ma muli o kēia mau kaha i kapa ʻia ai he 'ʻōpū meleni'.

ʻIke nā kauka i kēia mau laina i ka wā o ka endoscopy . Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma kou waha a nānā i loko o kou ʻōpū. ʻO ka inoa lapaʻau no kēia maʻi ʻo Gastric Antral Vascular Ectasis (GAVE) . He inoa lōʻihi kēlā, ʻeā? ʻO ia ke kumu i kapa ʻia ai e ka poʻe he GAVE, a i ʻole he 'ʻōpū watermelon.'

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea e loaʻa pinepine ai?

ʻO kaʻoiaʻiʻo, he mea kakaikahi loa kēia ʻano i kapa ʻia ʻo 'ʻōpū watermelon'. ʻO ka maʻamau, ke kahe ke koko i loko o ka ʻōpū, ua hoʻoulu ʻia e nā ʻano ʻē aʻe e like me nā ʻōpū ʻōpū a i ʻole nā ​​kīʻaha koko i hoʻonui ʻia (varices).

ʻOiai hiki ke hana kēia i kekahi, ʻoi aku ka maʻamau i waena o nā wahine ma luna o 70 mau makahiki. Eia naʻe, ʻaʻole ʻo ka makahiki wale nō ke kumu, aia paha kekahi mau kumu ʻē aʻe.

He aha nā hōʻailona o ka 'ʻōpū meleni' (GAVE)?

Hiki i ke kanaka me kēia maʻi ke ʻike i nā ʻano hōʻailona like ʻole. He ʻoluʻolu loa kekahi, a ʻo kekahi he koʻikoʻi loa. E nānā inā kamaʻāina kēia mau hōʻailona iā ʻoe:

• ʻEha ʻōpū: Hiki iā ʻoe ke ʻeha i ka ʻōpū ma hope koke iho o ka ʻai ʻana a ma hope koke iho paha o ka ʻai ʻana.
• Koko i loko o ka noho: I kekahi manawa e ʻeleʻele paha ka noho, a ʻike paha ʻoe i ke koko ʻulaʻula.
• Manaʻo luhi i nā manawa a pau: Hiki iā ʻoe ke manaʻo luhi a make ke ola ʻole ʻoiai me ka hana ʻole ʻana i kekahi mea.
• Ke kahe koko kūloko: ʻOiai ʻaʻole hiki ke ʻike ʻia kēia mai waho mai, hiki ke lilo i ke kahe koko kūloko.
• Anemia nele i ka hao: ʻO ke kahe koko mau e hoʻemi ai i ka hao i loko o ke kino, e alakaʻi ana i ka anemia.
• Nausea: Manaʻo e like me ʻoe e luaʻi ana.
• Ka luaʻi ʻana i ke koko: He hōʻailona koʻikoʻi kēia.

Eia nō naʻe, hiki i kekahi poʻe ke loaʻa i ka 'ʻōpū meleni' me ka ʻole o kekahi o kēia mau hōʻailona. ʻO ia ka pilikia me kēia.

No ke aha e ulu ai kēia 'ʻōpū meleni'? He aha ke kumu?

ʻAʻole maopopo i nā kānaka ʻepekema ke kumu e loaʻa ai i kekahi poʻe ke kūlana a ʻaʻole kekahi. Akā, ma muli o nā hōʻike o kēia manawa, aia kekahi mau mea i manaʻo ʻia e kōkua ana i ia mea:

• Hypergastrinemia: ʻO kēia ka wā e nui loa ai ka hormone gastrin i kou kino (kahi hormone e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai).
• ʻAchlorhydria: ʻO kahi kūlana i hana ʻole ai kou ʻōpū i ka waikawa hydrochloric (kahi e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai).
• Ka emi ʻana o nā pae o 'Pepsinogen': He enzyme kēia e pono ai no ka ʻeli ʻana i ka meaʻai.
• Ka hemahema o ke akepaʻa: Ke pilikia ka hana o ke akepaʻa, hiki ke hoʻonui ʻia nā kīʻaha koko.

ʻO kēia nā manaʻo nui i kēia manawa. Malia paha hoʻokahi a ʻoi aku paha o kēia mau mea, a i ʻole ka hui pū ʻana o lākou, e kōkua ana i kēia kūlana.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia 'ʻōpū meleni'?

ʻOi aku ka nui o ka poʻe me kekahi mau maʻi olakino e loaʻa i kēia 'ʻōpū wai meli'. ʻO kēia mau kūlana:

• Nā maʻi Autoimmune: ʻO kēia nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale o kou kino i kāu mau cell ponoʻī.
• ʻO ka gastritis atrophic: He maʻi mumū mau loa o ka ʻōpū.
• Maʻi diabetes
• Maʻi puʻuwai
• Ka hāʻule ʻana o ka puʻupaʻa
• ʻO ka Cirrhosis o ke akepaʻa
• ʻO ka maʻi metabolic

Inā loaʻa iā ʻoe nā maʻi olakino ʻē aʻe e like me kēia, he mea maikaʻi e makaʻala iki e pili ana i ka 'ʻōpū watermelon' pū kekahi.

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a, inā pono, e kuhikuhi iā ʻoe i kahi gastroenterologist . E hana ʻo ia i nā hoʻokolohua hou aʻe.

ʻO nā hoʻokolohua nui i hana ʻia no kēia:

• ʻO ka endoscopy luna: ʻO kēia ka hoʻāʻo koʻikoʻi loa. Nānā lākou i loko o ka ʻōpū e ʻike inā he ʻano like me ka wai meli.
• Biopsy: I ka wā o ka endoscopy, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka paia o ka ʻōpū a nānā ʻia ma lalo o kahi microscope. Hiki i kēia ke hāʻawi i ka ʻike hou aku.
• Nā hoʻāʻo koko: Hiki i kēia ke nānā inā he anemia kou, kahi hemahema koko.

E hoʻomanaʻo, he mea paʻakikī iki paha kēia mau hoʻāʻo, akā he mea nui loa ia i ka ʻike pololei ʻana i ka maʻi.

He aha nā lāʻau lapaʻau no ka 'ʻōpū meleni' (GAVE)?

Aia kekahi mau ala e mālama ai i kēia. E koho kāu kauka i ka lāʻau kūpono nou ma muli o ke koʻikoʻi o kou mau hōʻailona a inā he mau maʻi ʻē aʻe kāu. I kekahi manawa, inā ua nalowale ʻoe i ka nui o ke koko, pono paha ʻoe e loaʻa i kahi hoʻoili koko ulia pōpilikia .

Nā mea hoʻohui hao

Inā ʻike mua ʻia ka maʻi, hiki paha ke kāohi iā ia me nā papa hao (nā mea hoʻohui) wale nō. Akā, ʻaʻole kēia e hana no nā mea āpau. ʻOiai me nā papa hao, aia kekahi mau manawa e pono ai kekahi a ʻoi aku paha nā hoʻoili koko e kāohi i ke kahe ʻana o ke koko.

Nā lāʻau lapaʻau

Hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ke kahe ʻana o kou ʻōpū. ʻOiai ʻaʻole i maopopo loa ka palekana o kēia mau lāʻau lapaʻau i ka wā lōʻihi, hana maikaʻi lākou i ka wā pōkole.

• Nā Corticosteroids
• ʻOktreotide
• 'Hoʻōla lāʻau homona'

Nā Lapaʻau Endoscopic

ʻO ke ʻoki endoscopic ka lāʻau lapaʻau maʻamau no ka 'ʻōpū meleni'. Pili kēia i ka sila ʻana a i ʻole ka luku ʻana i nā kīʻaha koko e hoʻoulu ai i ke kahe ʻana o ke koko.

• ʻO ke kāpili ʻana o ka plasma Argon (APC): ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Ma kēia, hoʻohana ʻia kahi kinoea i kapa ʻia ʻo "Argon" e sila i nā kīʻaha koko.
• ʻO ka hoʻopaʻa ʻana o ke kāʻei Endoscopic (EBL): Pili kēia i ke kau ʻana i kahi kāʻei liʻiliʻi a puni kēlā me kēia kīʻaha koko a nakinaki iā ia. Hana ʻia kēia i kekahi manawa me ka APC.
• ʻO ka hoʻopau ʻana o ke alapine radio (RFA): Hoʻohana kēia i ka wela mai nā nalu lekiō e luku i nā kīʻaha koko.
• Cryotherapy: Hoʻohana kēia ʻano hana i kahi kinoea i kapa ʻia ʻo nitrous oxide e hoʻopaʻa i nā kīʻaha koko.

ʻO ka maʻamau, ʻaʻole i hoʻopau ʻia kēia lāʻau endoscopic i hoʻokahi kau. Pono kekahi mau lāʻau lapaʻau e hoʻokō i nā hopena i makemake ʻia .

Nā Hoʻoili Koko

Inā nui kou kahe koko ʻana, pono paha ʻoe i hoʻokahi a ʻoi aku paha mau hoʻoili koko . Eia nō naʻe, i ka hala ʻana o ka manawa, hiki i nā mea e like me nā pila hao, nā lāʻau lapaʻau, a me ka endoscopy ke kōkua i ka hōʻemi ʻana i ka nui o nā manawa āu e pono ai ke hoʻoili koko. Pono paha ʻoe e loaʻa i nā hoʻoili koko i kekahi manawa e pani i ke koko i nalowale a hiki i kāu kauka ke kāohi i ke kahe koko i ka lawa.

ʻoki kino

No ka poʻe i pane ʻole i nā pila hao, nā lāʻau lapaʻau, a i ʻole ka endoscopy, hana ʻia kahi ʻoki kino i kapa ʻia he gastrectomy hapa . Pili kēia i ka ʻoki ʻana i ka ʻāpana maʻi o kou ʻōpū. ʻO ka maʻamau, ʻaʻole pono ʻoe e hāʻawi hou i ke koko ma hope o kēia ʻoki kino.

ʻOiai ʻoi aku ka paʻakikī o kēia ʻoki kino ma mua o nā lāʻau endoscopic e like me 'APC', ʻo ia wale nō ke ala e ho'ōla piha ai i ke ʻano 'ʻōpū watermelon'.

Pehea ke kūlana ma hope o ka mālama ʻana?

Aia nō ia i ke koʻikoʻi o kou mau hōʻailona. ʻOiai ʻo ka pahuhopu o ka mālama ʻana, ʻo ia ke hoʻōki i ke kahe ʻana o ke koko, hiki i kekahi poʻe ke loaʻa hou nā pilikia ma hope o ka mālama ʻana. Inā hana ʻia kēlā, pono paha ʻoe e hoʻomau i ka loaʻa ʻana o nā hoʻoili koko. Eia nō naʻe, hoʻōla ka hapa nui o ka poʻe ma hope o ka mālama mua ʻana. E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i ka 'ʻōpū meleni'. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka ke ʻike ʻoe i kekahi mau hōʻailona hou a ʻano ʻē paha. Inā hoʻomaka mua ʻoe i ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻōki i ke kahe ʻana o ke koko ma mua o ka ʻino ʻana.

Pono anei ka mea me ka 'ʻōpū meleni' e makaʻala i kā lākou mea e ʻai ai?

ʻAʻohe papa inoa paʻa o nā meaʻai e pono ai a ʻaʻole pono e ʻai ʻia e ka poʻe me kēia maʻi. Eia nō naʻe, ʻoi aku ka maikaʻi o ka pale ʻana i kekahi mau meaʻai ma hope o kou loaʻa ʻana o kahi endoscopy luna:

• Meaʻai ʻala
• Nā meaʻai ʻakika (e like me nā lemona, nā ʻalani, nā paina)
• Nā mea inu caffeine e like me ke kofe a me ke kī
• ʻAila

A hiki i ka pau ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o ka ʻai ʻana i nā meaʻai palupalu a maʻalahi i ka ʻōpū, e like me nā hua manu, tofu, nā sopa, nā smoothies, a me nā ʻiʻo momona . ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka i nā meaʻai maikaʻi iā ʻoe.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e like me ka nausea a i ʻole ka luhi, pono ʻoe e haʻi mau i kāu kauka. Inā manaʻo ʻoe ʻaʻole pololei kekahi mea, mai kali. Inā ʻike ʻoe i ka maʻi a hoʻomaka i ka mālama ʻana i ka wā mua, hiki iā ʻoe ke hōʻemi i ka pono no ke ʻoki kino nui.

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, e like me ka luaʻi ʻana i ke koko, e hele koke i ka lumi pilikia o ka haukapila kokoke loa. ʻO ka mea nui loa, ʻo ia ka ʻimi ʻana i ke kumu a hoʻōki i ke kahe ʻana o ke koko i ka hikiwawe loa.

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā ʻike ʻoe he 'ʻōpū meleni' kou, he mea maikaʻi ke nīnau i kāu kauka i kēia mau nīnau:

• Pehea ka ʻino o koʻu kūlana?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Ehia mau lāʻau lapaʻau e pono ai?
• Pono anei au e hāʻawi koko? Inā pēlā, pehea pinepine?

Hiki ke hopohopo ka luaʻi ʻana i ke koko a i ʻole ka ʻike ʻana i ke koko i loko o kou ʻōpala. ʻOiai he mau hōʻailona kēia e hewa ana kekahi mea me kou ʻōpū, ʻaʻole maopopo mau nā hōʻailona. Malia paha ua luhi ʻoe no nā mahina. A i ʻole ua hoʻomaka wale ʻoe e loaʻa i nā ʻeha ʻōpū hou i kēia kakahiaka. He maʻi laha ʻole ka 'ʻōpū meleni', a ua like kona mau hōʻailona me nā maʻi ʻōpū ʻē aʻe. No laila, hiki ke lōʻihi ka manawa e loaʻa ai kahi hōʻailona kūpono. I kēia manawa, hiki iā ʻoe ke kaumaha ma muli o ke kānalua āu e manaʻo nei. No laila, ʻaʻohe mea i nā hōʻailona āu e loaʻa ai, e kamaʻilio me kāu kauka e pili ana iā lākou. A laila hiki iā ia ke ʻike i ke kumu a paipai i ka lāʻau kūpono nou.

No laila, eia kekahi mau mea hope loa e hoʻomanaʻo ai:

ʻOiai he inoa weliweli iki ka 'watermelon stomach', he mea nui e makaʻala iā ia. E hoʻomanaʻo:

• Hiki ke ʻokoʻa nā hōʻailona mai kēlā kanaka a kēia kanaka, a ʻaʻole paha kekahi poʻe e loaʻa iki nā hōʻailona.
• Mai hoʻowahāwahā i nā mea e like me ka luhi pinepine, ka ʻeha o ka ʻōpū, a me ke koko i loko o ka ʻeke.
• Ma ka ʻimi koke ʻana i ke kōkua lapaʻau, hiki iā ʻoe ke kaohi i ka maʻi ma mua o ka lilo ʻana i mea ʻino.
• Aia kekahi mau koho lapaʻau, a na kāu kauka e hoʻoholo i ka mea kūpono loa iā ʻoe.

Lana ko mākou manaʻo ua kōkua kēia ʻike iā ʻoe. E ola kino!

ʻōpū wai meli, GAVE, ʻōpū antral vascular ectasis, ʻōpū wai meli, kahe koko ʻōpū, endoscopy, ʻeha ʻōpū