Ua loaʻa anei iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka ʻāʻī no kekahi manawa? A i ʻole he mau ʻōpū ʻōpū kou e hoʻi hou mai ana ma hope o ka lawe ʻana i ka lāʻau lapaʻau? I nā manawa e like me kēia, e noi paha kāu kauka iā ʻoe e hana i kahi hoʻāʻo koko kūikawā. ʻO ia ke ʻano o ka Gastrin Test . E kamaʻilio kākou e pili ana i kēia ma ke ʻano maopopo a maʻalahi hoʻi i kēia lā.
E nānā mua kākou, he aha ʻo Gastrin?
I ka ʻōlelo maʻalahi, he hormone ʻo gastrin i hana ʻia i loko o ko kākou ʻōpū. Hana ʻia ia e kahi ʻano cell kūikawā i kapa ʻia ʻo G-cells, i loaʻa i loko o nā paia o ko kākou ʻōpū. ʻAʻole wale kēia mau cell i loko o ka ʻōpū, akā, aia pū kekahi ma ka ʻaoʻao o luna o ko kākou ʻōpū liʻiliʻi.
No laila, ʻo ka hana nui o kēia hormone gastrin ka hoʻoulu ʻana i ka hana ʻana o ka waikawa gastric i loko o ka ʻōpū. Me he mea lā e hāʻawi ana kekahi i kahi hōʻailona e ʻōlelo ana, "ʻAe, e hoʻomaka e hana i ka waikawa i kēia manawa." He mea nui kēia waikawa gastric no ka ʻeli ʻana a me ka omo ʻana o ka meaʻai a mākou e ʻai ai, ʻoiai nā protein a me nā waikawa amino. E noʻonoʻo wale, hana ko mākou ʻōpū ma kahi o 2 a 3 lita o kēia wai waikawa i kēlā me kēia lā!
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
Inā kānalua kāu kauka e pili ana i kāu mau pae gastrin, ʻo ia hoʻi, inā manaʻo lākou ua kiʻekiʻe loa a haʻahaʻa paha, hiki iā lākou ke paipai i kēia hoʻāʻo. No ka mea, hiki i nā loli i nā pae gastrin ke lilo i hōʻailona o kahi pilikia i loko o kā mākou ʻōnaehana hoʻoheheʻe.
ʻO ka maʻamau, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ua kuhikuhi ʻia ʻoe no kēia hoʻokolohua:
- ʻEha pinepine o ka ʻōpū .
- Ka maʻi pākī mau.
- nā ʻeha peptic e hoʻi hou mai ana me ka lāʻau lapaʻau.
Eia kekahi, hana ʻia kēia hoʻāʻo i kekahi manawa ma luna o kekahi kanaka i loaʻa iā ia kahi ʻōpū hana gastrin i wehe ʻia e hōʻoia inā ua hoʻi mai ka ʻōpū .
Pehea mākou e hoʻomākaukau ai ma mua o ka hoʻokolohua?
Ua like kēia me kekahi mau hoʻokolohua koko ʻē aʻe, a pono ai kahi hoʻomākaukau iki.
- Ka hoʻokē ʻai ʻana no 12 mau hola: ʻOi aku ka maikaʻi o ka ʻai ʻole ʻana i kekahi mea no 12 mau hola ma mua o ka hoʻāʻo ʻana. Eia nō naʻe, ua maikaʻi ke inu wai.
- ʻAʻohe waiʻona: Pono ʻoe e pale loa i ka inu ʻana i ka waiʻona no ka liʻiliʻi he 24 mau hola ma mua.
- I ke kauka e pili ana i ka lāʻau lapaʻauʻŌlelo: ʻO kēia ka mea nui loa. Pono ʻoe e haʻi aku i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kauka, nā huaora, nā mea hoʻohui, nā lāʻau lapaʻau lāʻau, a me nā lāʻau lapaʻau kū ʻole i ke kānāwai āu e lawe nei. Hiki i kāu kauka ke aʻo aku iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau no kekahi mau lā ma mua o ka hoʻāʻo.
ʻO ka mea nui loa, mai ho'ōki i kekahi o kāu mau lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ke noi ʻana aku i kāu kauka.
| Nā mea e hiki ke hoʻopilikia i nā hopena hoʻokolohua | |
|---|---|
| ʻoki kino | Inā ua loaʻa iā ʻoe ma mua a i ʻole e hoʻonohonoho ʻia ana e hana i ke ʻoki no nā ʻōpū ʻōpū (peptic ulcer). |
| ʻAi | Inā ʻoe e ʻai nui i nā meaʻai waiwai i ka protein (e.g. ʻiʻo, iʻa, hua manu). |
| Nā kūlana olakino ʻē aʻe | Inā ʻoe e lawe i ka insulin no ka maʻi diabetes. |
| Nā lāʻau lapaʻau | Nā pila kalipuna, nā antacids no ka gastritis, a me nā lāʻau lapaʻau ʻē aʻe e hoʻopilikia ai i ka hana ʻana o ka waikawa o ka ʻōpū. |
| Nā mea inu | Inā ʻoe e inu i nā mea inu i loaʻa ka caffeine (kofe, tī, kekahi mau mea inu palupalu). |
| Nā lāʻau lapaʻau ʻē aʻe | ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ke kaumaha. |
He aha kā mākou e aʻo ai mai nā hopena?
Ke loaʻa iā ʻoe nā hopena hoʻāʻo (hōʻike), ma mua o ka hoʻāʻo ʻana e wehewehe i nā waiwai, e lawe iā ia i kāu kauka. Hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana. Eia kekahi, e hoʻohālikelike ke kauka iā lākou me nā mea e like me kou makahiki a me nā hōʻailona e hiki ai i kahi hopena.
ʻO ka maʻamau, penei nā pae olakino:
| Pūʻulu makahiki | Ka pae gastrin maʻamau (pg/mL) |
|---|---|
| Nā mākua | 0 - 180 pg/mL (hiki ke piʻi iki me ka makahiki) |
| Nā keiki | 0 - 125 pg/mL |
ʻO *pg/mL ke kū nei no nā picograms no ka milliliter o ke koko, ʻo ia ka helu o nā picograms i loko o ka milliliter o ke koko. He anakahi kēia o ke ana.*
He aha inā ʻoi aku ka nui o ka gastrin ma mua o ka maʻamau?
Aia kekahi mau kumu no ka hoʻonui ʻia o ka gastrin.
- ʻO ka maʻi Zollinger-Ellison (ZE): He ʻano laha ʻole kēia. Hoʻokumu ʻia e kahi puʻupuʻu e hana ana i ka gastrin ma kekahi wahi o ka ʻōnaehana hoʻoheheʻe. Ua kapa ʻia kēia mau puʻupuʻu he gastrinomas. Hoʻomohala pinepine lākou ma ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum) a i ʻole ma ka pancreas. Eia kekahi, hoʻopuka kēia mau puʻupuʻu i ka gastrin, ka mea e hoʻoulu ai i ka nui o ka waikawa o ka ʻōpū. ʻO kēia ke kumu o ka maʻi diarrhea a me nā ʻōpū ulcers.
- Nā kumu maʻamau ʻē aʻe: Akā ʻo nā kumu ʻelua maʻamau o ke kiʻekiʻe o ka gastrin, ʻo ia nā lāʻau hoʻemi waikawa a mākou e lawe ai no ka reflux/heartburn a me kahi maʻi i kapa ʻia ʻo chronic atrophic gastritis. Hoʻopōʻino kēia mau kumu ʻelua i ka uhi o ka ʻōpū a hōʻemi i ka hana ʻakika. Hoʻemi kēia i ka acidity (pH) o ka ʻōpū a lilo i alkaline. I ka pane ʻana, manaʻo ka lolo, "ʻAe, ke hana nei mākou i ka waikawa hou aku, pono mākou e hana hou aku." No laila hoʻāʻo ia e hana i ka waikawa hou aku ma ka hana ʻana i ka nui o ka hormone gastrin. ʻO ia ke kumu e piʻi ai nā pae gastrin.
- Ma hope o ke ʻoki kino:E like me ka mea i ʻōlelo ʻia ma mua, inā kiʻekiʻe nā pae gastrin ma hope o ka wehe ʻia ʻana o kahi gastrinoma ma ke ʻoki ʻana a hoʻāʻo hou ʻia, ʻo ia hoʻi ua hiki mai ka puʻupuʻu. Inā ʻaʻole e emi nā pae ma hope o ke ʻoki ʻana, ʻo ia hoʻi paha ʻaʻole i holomua ke ʻoki ʻana.
He aha inā haʻahaʻa nā pae o ka gastrin ma mua o ka maʻamau?
He kūlana kākaʻikahi loa kēia. ʻAʻole ia he kumu hopohopo no ka haʻahaʻa o ka gastrin. Eia nō naʻe, inā pēlā, ʻaʻole hiki i ka ʻōpū ke omo pono i nā meaʻai mai ka meaʻai. Hiki nō hoʻi ke piʻi iki ka pilikia o nā maʻi ʻōpū.
ʻO ka mea maʻamau, ʻaʻohe mea e hopohopo ai inā aia ka pae o ka gastrin i ka pae maʻamau a haʻahaʻa paha.
Leka Lawe-Home
- ʻO kahi hoʻāʻo gastrin kahi hoʻāʻo koko maʻalahi e ana i ke kiʻekiʻe o ka gastrin, kahi hormone e kaohi ai i ka hana ʻana o ka waikawa o ka ʻōpū.
- Hiki i ke kauka ke ʻōlelo aku i kēia hoʻāʻo inā loaʻa iā ʻoe ka ʻeha ʻōpū pinepine, ka maʻi pākī, a i ʻole nā ʻōpū ʻōpū i ho'ōla ʻole ʻia.
- Pono ʻoe e hoʻokē ʻai no 12 mau hola ma mua o ka hoʻāʻo. He mea nui hoʻi e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei.
- Hiki i nā kumu like ʻole ke hoʻonui i nā pae gastrin, mai kekahi mau lāʻau lapaʻau āu e lawe ai i nā maʻi kanesa kakaʻikahi.
- ʻOiai ka hopena o kāu hōʻike hoʻāʻo, hiki i kāu kauka ke hāʻawi i ka hōʻailona pololei loa ma ka hoʻohālikelike ʻana me kāu mau hōʻailona a me ka mōʻaukala olakino.
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