Yu gɛt prɔblɛm bak fɔ digest it? Yu bɛlɛ de fil ful? Lɛ wi lan bɔt gastroparesis

Sɔntɛnde, yu kin fil ful ivin afta yu dɔn it smɔl it? Yu kin fil ebi ebi, yu nɔ kin fil fayn na yu bɛlɛ ivin sɔm awa afta yu dɔn it? Ɔ yu kin vɔmit it we yu nɔ digest? Ivin if yu tink se dɛn tin ya na jɔs nɔmal tin, yu kin gɛt wan sik we bɔku pipul dɛn nɔ no bɔt, bɔt i kin mek yu vɛks smɔl. Tide wi de tɔk bɔt dis sik we dɛn kɔl gastroparesis.

Fɔ tɔk am simpul wan, wetin na gastroparesis?

Dis na smɔl kɔmplikɛt nem, bɔt i rili simpul fɔ ɔndastand. Gastroparesis na we di it we yu de it de tek lɔng pas aw i nɔmal fɔ muf frɔm yu bɛlɛ to yu insay. Fɔ tɔk am simpul wan, di we aw yu bɛlɛ nɔ de wok fayn. Tink bɔt am lɛk se trafik jam na rod. We it de na yu bɛlɛ fɔ lɔng tɛm, di prɔblɛm we wi bin dɔn tɔk bɔt kin bigin fɔ apin. Wan ɔda nem we dɔktɔ dɛn kin kɔl dis na "delayed gastric emptying." I jɔs min se di ɛmti we yu de ɛmti it frɔm yu bɛlɛ de delay.

Wetin na di sayn dɛm fɔ dis sik?

Nɔto ɔlman wae gɛt gastroparesis gɛt di sem sayn dɛm. Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt sɔm tin dɛn de we kin apin we pipul dɛn kin gɛt dis sik. Si if dɛn tin ya tan lɛk se yu sabi yu.

Wetin mek dis de apin? Wetin na di rizin dɛn?

Bɔrku tɛm, i nɔr kin izi fɔ dɔktɔ dɛm fɔ no wan patikyula tin wae kin mek pɔrsin gɛt dis sik, bɔt sɔm tɛm, dɛn kin no sɔm tin dɛm wae kin mek pɔrsin gɛt dis sik.

• Dayabitis: Dayabitis na di men ɛn kɔmɔn tin we kin mek pɔsin gɛt gastroparesis. We dɛn nɔ de kɔntrol di blɔd shuga fɔ lɔng tɛm, i kin pwɛl di nerv dɛn na di bɔdi. We di vagus nerve we de kɔntrol wi dijestiv sistɛm dɔn pwɛl, di bɛlɛ nɔ kin wok fayn.
• Ɔpreshɔn: Sɔm ɔpreshɔn dɛn we dɛn kin du na di bɛlɛ kin pwɛl di vagus nerve we wi bin dɔn tɔk bɔt.
• Vayral infεkshכn: Dis kכndyushכn kin apin bak afta sכm bεlε vayral infεkshכn (gastroenteritis).
• Sɔm mɛrɛsin dɛm: Dɛn kin mɛn pen (especially narcotics) ɛn sɔm mɛrɛsin dɛm wae de mek pɔrsin nɔr gɛt pwɛl hat kin slo bak fɔ mek pɔrsin nɔr de it fayn.
• Ɔda mɛdikal kɔndishɔn dɛm: I kin kam bak bikɔs ɔf di tayroyd ɔmon we nɔ de (hypothyroidism), Pakinsin sik, nervɔs sistɛm sik lɛk multiple sclerosis, ɛn sik dɛm we nɔ kin bɔku lɛk amyloidosis ɛn scleroderma.

Us prɔblɛm dɛn dis kin mek?

If dɛn nɔ trit di gastroparesis fayn, i kin mek yu gɛt mɔ prɔblɛm.

• di baktri dεm we de gro: We di it de na di bεlε fכ lכng tεm, i kin bigin fכ fεmεnt εn mek di bad bad baktri dεm gro.
• Di wata we nɔ de na yu bɔdi: If yu de vɔmit bɔku tɛm, yu kin lɔs wata ɛn sɔl na yu bɔdi, ɛn dis kin mek yu nɔ gɛt wata na yu bɔdi. Dis kin mek pɔsin denja.
• Malnutrishɔn:Di bɔdi nɔ kin ebul fɔ tek di it fayn fayn wan, ɛn dis kin mek i nɔ gɛt bɛtɛ tin fɔ it.
• Intestinal obstruction: Sɔntɛnde, di it we yu nɔ digest na di bɛlɛ kin gɛda togɛda ɛn at lɛk ston, we kin mek di intestinal blok. Dɛn kɔl dis wan bezoar .
• Di kwaliti fɔ layf we de dɔŋ: I kin rili at fɔ du ɛvride wok wit dɛn sik ya.

Aw dɔktɔ kin fɛn dis?

We yu go to dɔktɔ, i go tek tɛm lisin to yu sayn dɛn ɛn chɛk yu. Dɔn, i kin ɔda fɔ mek dɛn du bɔku tɛst fɔ no if pɔsin gɛt di sik.

• Gastric scintigraphy: Dis na di tɛst we impɔtant pas ɔl. Insay dis tɛst, yu kin it smɔl it (lɛk eg) we dɛn miks wit wan tin we gɛt redioaktiv. Dɔn, dɛn kin yuz skan fɔ wach aw yu bɛlɛ kin ɛmti kwik kwik wan. If pas 10% pan di it stil de na yu bɛlɛ afta 4 awa, dɛn kin kɔnfyus se yu gɛt gastroparesis.
• Blɔd tɛst: Dɛn tin ya kin ɛp fɔ chɛk fɔ si if pɔsin nɔ gɛt bɛtɛ wata, if i nɔ gɛt bɛtɛ tin fɔ it, ɔ if i gɛt prɔblɛm wit di shuga.
• Ɔpa ɛndoskopi: Yu dɔktɔ go put wan smɔl tiub we gɛt kamɛra tru yu mɔt fɔ chɛk di insay pat na yu bɛlɛ. Dis kin ɛp fɔ chɛk fɔ ɔda tin dɛn (lɛk ɔlsa).
• Barium X-ray: Dɛn kin swɛla wan wata we gɛt barium ɛn tek X-ray pikchɔ dɛn. Dis kin gi yu aidia bɔt di shep ɛn di wok we di bɛlɛ de du.

כda spεshal tεst dεm de bak lεk `Gastric manometry` εn `Electrogastrography`. Yu dɔktɔ go disayd us tɛst yu nid.

Wetin na di tritmɛnt dɛm fɔ dis?

Gastroparesis na wan kכndyushכn we kin de fכ lכng tεm (krכnik). Bɔt nɔ wɔri. Dɛn kin ebul fɔ kɔntrol am ɛn kɔntrol am.

Di chenj dɛn we de apin na di we aw pipul dɛn de it

Di bɛst ɛn impɔtant we fɔ kɔntrol dis sik na fɔ chenj di we aw yu de it.

• Smɔl it insted ɔf big it: Insted fɔ it 3 big it insay wan de, it smɔl it 5-6 tɛm insay di de. Dis we ya, yu bɛlɛ nɔ go ɔva lod wan tɛm.
• It dɛn we gɛt wata ɛn we dɛn miks fayn fayn wan: Bifo yu it apul, it tin dɛn lɛk apul, vegjetabul sup, brot we nɔ gɛt bɔku fat, ɛn frut jus.
• Ridyus Fat ɛn Fayba: I bɛtɛ fɔ lɛ yu nɔ it it dɛn we gɛt ɔyl, fat (fried it) ɛn it dɛn we gɛt fayv (vɛjitebul, ɔl gren) bikɔs dɛn kin tek lɔng tɛm fɔ digest.
• Fɔ avɔyd fɔ gɛt kɔnstipɛshɔn afta yu dɔn it: Nɔ ledɔm fɔ at le 2 awa afta yu dɔn it. We yu tinap ɔ waka, graviti de ɛp di it fɔ muf dɔŋ.

Di mɛrɛsin dɛn we dɛn kin yuz

Yu dɔktɔ kin gi yu bɔku mɛrɛsin fɔ kɔntrol yu sik dɛn. Nɔ ɛva tek dɛn mɛrɛsin ya if yu nɔ gɛt dɔktɔ in advays.

• Drug dεm we de mek di bεlε wok: Drug dεm lεk `Metoclopramide` εn `Erythromycin` de mek di bεlε mכsul dεm kכntrikshכn εn εp fכ muv it tru di intestines kwik kwik wan.
• Antiemetics: Antiemetics lɛk Ondansetron ɛn Prochlorperazine kin ɛp fɔ kɔntrol di nɔys ɛn vɔmit.

Ɔda tritmɛnt dɛn

Sɔntɛnde, di dɔktɔ kin yuz ɔda tritmɛnt dɛn.

• di tכb fכ it: If di kכndyushכn tu bad fכ tek it bay mכt, dεn kin put tכb tru di bכdi dairekt insay di sכmכl intestin fכ gi likid nyutrishכn.
• Botulinum toxin (Botulinum toxin or Botox) injεkshכn: dεn kin yuz dis injεkshכn fכ rilaks di valv (pylorus) usay it de pas frכm di bεlε to di intestines.
• ilektrikal stimulashכn: εlektrod dεm de atak di bεlε wכl εn dεn de yuz ilektrikal signal fכ mek di bεlε kכntrakt.
• Ɔpreshɔn: Dɛn nɔ kin yuz dis ɔltɛm ɛn na if no ɔda tritmɛnt nɔ dɔn wok fayn.

If yu gɛt dayabitis, fɔ kɔntrol di shuga na yu blɔd rili impɔtant fɔ mek yu ebul fɔ kɔntrol dis sik.