Yu na pɔsin we gɛt dayabitis? So, sɔntɛnde yu kin fil ful ivin afta yu dɔn it smɔl it? Ɔ bɔku tɛm yu kin fil nɔys, yu at kin bɔn, ɛn sɔntɛnde yu kin vɔmit? Wit ɔl dɛn tin ya, yu kin de tray tranga wan fɔ kɔntrol di shuga we yu gɛt na yu blɔd. Bɔku pipul dɛn kin tink se dɛn tin ya na jɔs nɔmal bɛlɛ prɔblɛm. Bɔt dis kin bi wan kɔmplikeshɔn fɔ dayabitis insɛf. Na dat wi go tok abaut tide.
Wetin na Dayabitik Gastroparesis?
Fɔ tɔk am simpul wan, dis na we di mɔsul dɛn na yu bɛlɛ (bɛlɛ) nɔ de wok fayn. Nɔmal wan, we wi de it, di mɔsul dɛn na di bɛlɛ kin kɔntrakt ɛn push di it insay di smɔl intestinal. bכt insay gastroparesis, dis prכsεs de apin sכmtεm sכmtεm, כ sכmtεm i kin stכp כltogεda. So di it kin de na di bɛlɛ fɔ lɔng lɔng tɛm.
Yu kin si dis sik pan ɔl tu di tayp 1 ɛn tayp 2 dayabitis. Bɔt i kin apin mɔ pan pipul dɛm wae dɔn gɛt shuga fɔ pas 10 ia ɛn wae gɛt ɔda prɔblɛm dɛm wae kin kam wit shuga (fɔ ɛgzampul, na dɛn nerve damej).
Wetin mek dis de apin to wi?
Di men rizin fɔ dis na bikɔs di blɔd shuga kin kɔntinyu fɔ bɔku fɔ lɔng tɛm we dɛn nɔ kin kɔntrol am . Dayabitis we wi nɔ ebul fɔ kɔntrol kin pwɛl di nerv dɛn na wi bɔdi.
Imajin se wan masta "kכntrola" de we de kכntro di wok we wi bכdi de du. Dat na di Vagus nerve . we dis Vagus nεv dכn pwεl bikoz fכ di hכy shuga lεvεl, di bεlε nכ de gεt di signal fכ εmpti di it fayn fayn wan. i kin pwεl di mכsul dεm na di bεlε εn di spεshal sεl dεm (pacemaker cells) we de εp fכ push di it tru. we ɔl dɛn rizin ya kam togɛda, it kin stɔp na di bɛlɛ ɛn gastroparesis kin apin.
Wetin na di men sayn dɛm fɔ dis?
Luk fɔ si if yu gɛt dɛn sik ya. Bɔt mɛmba se, nɔr tink se yu gɛt dis sik jɔs bikɔs yu gɛt wan ɔ tu pan dɛn sayn ya. Yu fɔ rili go to dɔktɔ fɔ dat.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| At bɔn/Riflɔks | di it we gɛt asid na di bɛlɛ kin kam bak ɔp insay di trot. |
| Vɔmit | Diskɔmfɔt we kin fil lɛk fɔ vɔmit ɔltɛm. |
| Fɔ vɔmit | If i bad, yu kin vɔmit di it we yu nɔ digest we yu it sɔm awa bifo dat. Fɔ sɔm pipul dɛn, dis kin apin ɛvride. |
| I nɔ izi fɔ kɔntrol di shuga lɛvɛl | Bikɔs i nɔ pɔsibul fɔ no ustɛm it go insay di intestinal, di shuga kin go ɔp ɛn dɔŋ wantɛm wantɛm. |
| Fɔ fil ful ivin afta yu dɔn it smɔl | Bikɔs di bɛlɛ dɔn kip it bifo, yu kin fil ful ivin afta yu it smɔl. |
| Di bɛlɛ we de blo | Fɔ fil se yu dɔn blo, lɛk se yu bɛlɛ ful-ɔp wit briz. |
| Lɔs fɔ apɛtit ɛn fɔ lɔs/gɛt wet | Yu nɔ de fil fɔ it bikɔs yu bɛlɛ kin ful-ɔp ɔltɛm. Dis kin mek yu nɔ gɛt bɔku bɔku bɔdi. |
Wetin na di tin dɛn we dis kin mek pɔsin denja?
If dɛn nɔ trit di gastroparesis fayn, sɔm prɔblɛm dɛn kin apin.
- Fɔd we de pwɛl: We it de na di bɛlɛ fɔ lɔng tɛm, i kin pwɛl ɛn mek baktri dɛn gro.
- di fכmeshכn we di bεzoar de fכm: di it we dεn nכ dכg kin kכmכt εn fכm wan sכlid mas insay di bεlε. Dɛn kɔl dis wan bezoar . dis kin blok di bεlε εn stכp di it fכ pas insay di intestines kכmplit wan.
- I nɔ kin izi fɔ kɔntrol dayabitis: Dis na di big prɔblɛm. Yu kin tek insulin bifo yu it. Bɔt di it kin go insay di insay ɛn di shuga kin go insay di blɔd afta sɔm awa. Dɔn di shuga lɛvɛl kin go ɔp ɛn dɔŋ wantɛm wantɛm. Dis na tin we rili at fɔ kɔntrol.
- Di wata we yu nɔ gɛt na yu bɔdi bikɔs yu de vɔmit: If yu de vɔmit bɔku tɛm, yu bɔdi kin lɔs wata ɛn nɔ gɛt wata na yu bɔdi. Dis na tin we de mek pɔsin denja.
If yu de vɔmit bad bad wan ɛn yu bɛlɛ de at bad bad wan, go na di Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ kin sɔprayz dis afta i dɔn lisin to yu sik dɛn ɛn du ɛgzam fɔ yu bɔdi. Dɔn dɛn kin du sɔm tɛst dɛn fɔ no if dɛn no di sik, lɛk:
- Ɔpa Ɛndoskopi: Dɛn kin put wan tin tiub we gɛt kamɛra we dɛn tay dɔŋ di trot fɔ chɛk di insay pat na di bɛlɛ. Dis kin ɛp fɔ chɛk fɔ ɛni ɔda tin we de blok na di bɛlɛ.
- Barium X-ray: Afta dɛn dɔn drink wan wata we dɛn kɔl barium, dɛn kin tek X-ray fɔ chɛk aw di bɛlɛ de ɛmti kwik kwik wan.
- Scintigraphy: Dis na di men tɛst. Yu kin it smɔl it (bɔku tɛm na eg) we dɛn miks wit redioaktiv tin, dɔn yu kin skan yu bɛlɛ ɛvri awa fɔ lɛk 4 awa fɔ si ɔmɔs pan di it dɔn ɛmti na yu bɛlɛ.
- כda tεst dεm: pan tap dat, spεshal tεst dεm de lεk gastric manometry εn wayales mכtiliti kapsul. Yu dɔktɔ go disayd us tɛst we fayn fɔ yu.
Tritmɛnt ɛn manejmɛnt
Pan ɔl we dɛn nɔ kin ebul fɔ mɛn di gastroparesis ɔltogɛda, dɛn kin ebul fɔ kɔntrol di sayn dɛm ɛn liv nɔmal layf.
1. Fɔs ɛn fɔs: kɔntrol di shuga we yu gɛt na yu blɔd!
Dis na di fɔs ɛn impɔtant tin fɔ du fɔ tritmɛnt. If yu kɔntrol di shuga we yu gɛt na yu blɔd, dat kin ɛp fɔ mek di nerv dɛn nɔ pwɛl. Tɔk to yu dɔktɔ bɔt if yu nid fɔ ajɔst yu insulin doz ɔ tɛm. I impɔtant bak fɔ chɛk yu blɔd shuga ɔltɛm.
2. Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ kin gi yu sɔm mɛrɛsin fɔ ɛp fɔ mek yu nɔ gɛt di sik.
- Mεdisin dεm we de εp di bεlε fכ ɛmti (e.g. Metoclopramide, Domperidone).
- Mεdisin dεm fכ nכs εn vכmit (e.g. Ondansetron, Prochlorperazine).
- Sɔntɛnde dɛn kin gi di antibayɔtik εrythromycin bak fɔ shɔt tɛm fɔ mek di bɛlɛ wok fayn.
Wonin: Nɔ ɛva yuz dɛn mɛrɛsin ya if yu nɔ go to dɔktɔ. Sɔm mɛrɛsin dɛn kin gɛt sayd ɛfɛkt. So, du wetin yu dɔktɔ tɛl yu ɔltɛm.
3. Tritmɛnt fɔ siriɔs kes dɛm
Insay kes dɛm we rili siriɔs we dɛn nɔ kin ebul fɔ kɔntrol wit ɔda tritmɛnt dɛm, dɛn kin nid spɛshal tritmɛnt we dɛn kin yuz.
- Gastrik ilɛktrik stimulashɔn:Wan smɔl tin we dɛn kin ɔpreshɔn pan di bɛlɛ kin sɛn ilɛktrik signal fɔ kɔntrol di nɔys ɛn vɔmit.
- di tכb fכ it: dεn kin כpεrayshכn insay wan tכb (jejunostomy tiub) tru di skin na di bכdi fכ dayrekt it insay di sכmכl intestin, baypas di bεlε. Dɛn kin jɔs du dis pan di kes dɛm we rili bad.
Aw fɔ chenj di tin dɛn we yu de it
Ivin impɔtant pas mɛrɛsin na fɔ chenj di we aw yu de it. If yu fala dɛn advays ya, dat go ɛp yu fɔ gɛt bɔku fridɔm.
| Tin dɛn fɔ du (Do’s) . | Nɔto fɔ du dat |
|---|---|
| Bifo yu it tri it dɛn ɛvride, it 5-6 smɔl smɔl it dɛn . | Nɔ it tin dɛn we gɛt bɔku ɔyl ɛn fat (fried it, ɔyl kɔri). |
| Prioritiz likwid ɛn it dɛn we dɛn dɔn pure (e.g., apul sos instead ɔf apul, sup). | Ridyus it dɛn we gɛt bɔku fayv (brawn rays, ɔts, sɔm vɛjitebul, frut). Dɛn tin ya kin tek lɔng tɛm fɔ digest. |
| It vegjetabul ɛn frut dɛn we dɛn dɔn bɔy fayn fayn wan . | Nɔ drink wata ɔ ɔda tin dɛn we yu de it. Drink 30 minit bifo ɔ afta yu it. |
| Sidɔm fɔ sɔm tɛm afta yu dɔn it. Nɔ ledɔm we yu de it . | Nɔ drink tin dɛn we gɛt kabon (soda) ɛn rɔm ɔltogɛda. |
| Du sɔm ɛksɛsayz, lɛk fɔ waka layt, afta yu dɔn it. | Nɔ smok . I de mek di bɛlɛ nɔ wok mɔ ɛn mɔ. |
Mɛsej we dɛn kin kɛr go na os
- Dayabitik Gastroparesis na wan kɔmɔn prɔblɛm we kin kam wit dayabitis we dɛn nɔ kin kɔntrol fayn.
- Di men sayn dɛm na fɔ nɔs, fɔ vɔmit, fɔ fil ful ivin afta yu it smɔl, ɛn i nɔ kin izi fɔ kɔntrol di blɔd shuga.
- Di impɔtant tin fɔ mɛn dis sik na fɔ kip yu blɔd shuga lɛvɛl fayn fayn wan.
- Fɔ chenj di tin dɛn we yu de it rili impɔtant. If yu it smɔl smɔl it dɛn, we nɔ gɛt bɔku fat ɛn fayv, dat kin mek yu fil fayn.
- If yu gɛt dɛn kayn sik ya, nɔ disayd fɔ yusɛf ɛn yu go mɔs go to yu dɔktɔ fɔ advays.
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