Yu kin fil ful afta yu it smɔl it? Ɔ yu kin fil bad bad wan afta yu dɔn it fɔ lɔng tɛm? If yu de nauses ɔltɛm, fil ful, ɛn gɛt prɔblɛm fɔ it, yu fɔ rili no bɔt dis sik we wi de tɔk bɔt tide we dɛn kɔl gastroparesis. Dis kin tan lɛk se na siriɔs wɔd, bɔt lɛ wi tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na gastroparesis?
di wכd gastroparesis min "bεlε we nכ de wok fayn" כ "bεlε paralayz." Fɔ tɔk di kɔrɛkt tin, na wan sik we de afɛkt di nɛf ɛn mɔsul dɛn na yu bɛlɛ. Nɔmal wan, we wi de it, di mɔsul dɛn na di bɛlɛ kin kɔntrakt, we min se dɛn kin muv lɛk wev, dɛn kin miks ɛn krɔs di it ɛn push am sloslo insay di smɔl intestinal. dis prכsεs dεn kכl am pεristalsis.
Bɔt pan pɔsin we gɛt Gastroparesis, di mɔsul ɛn nerv dɛn na di bɛlɛ nɔ de wok fayn. So i kin tek lɔng tɛm fɔ mek it kɔmɔt na di bɛlɛ to di smɔl intestinal, ɛn sɔntɛnde i nɔ kin tek am atɔl. Lɛk motoka we stɔp na trafik, di it kin stɔp na di bɛlɛ. Dis na de tin wae kin mek ɔl dɛn kayn sik wae nɔr kin fayn wae wi bin dɔn tɔk bɔt.
If dis sik kɔntinyu, ɔda prɔblɛm dɛn kin kam. If yu nɔ want fɔ it igen i kin mek yu nɔ gɛt bɛtɛ tin fɔ it , ɛn i kin at fɔ kɔntrol di shuga we yu gɛt na yu blɔd . Sɔntɛnde, di it dɛn we nɔ digest kin gɛda na di bɛlɛ, ɛn mek wan sɔlid mas. Dɛn kɔl dis ``Bezoar'' insay mɛrɛsin.
Difrɛn kayn dis sik de?
Yɛs, dɔktɔ dɛn kin put dis sik na difrɛn say dɛn akɔdin to di tin we kin mek i gɛt am.
- Gastroparesis we gɛt fɔ du wit dayabitis: Dis na di nem we dɛn kin gi dis sik we i kin apin as sayd ɛfɛkt fɔ dayabitis.
- post-surgical gastroparesis: Dis kayn gastroparesis de apin as komplikashכn fכ כpεrayshכn pan di bεlε.
- Idiopathic Gastroparesis: I sɔprayz fɔ no se bɔku tɛm, dɛn nɔ kin fɛn ɛni patikyula kɔz fɔ dis sik. Bitwin wan kwata ɛn af pan di sik pipul dɛn kin fɔdɔm insay dis kategori.
Fɔ dɛn wan ya, di tin we kin mek pɔsin gɛt sik we dɛn kɔl dayabitis , we kin mek lɛk wan pat pan tri pan di wan dɛn we gɛt gastroparesis.
Wetin na di sayn dɛm fɔ pɔrsin wae gɛt gastroparesis?
Dɛn sayn ya nɔr kin bi di sem fɔ ɔlman, sɔm kin nɔr kin tranga, ɔda wan kin so tranga dat e kin mek i nɔr kin izi fɔ dɛn fɔ du tin wae dɛn kin du ɛvride. Lɛ wi tek wan luk pan di men sayn dɛm.
| Di sayn we de sho se di sik de | Simpul ɛksplen |
|---|---|
| Di we aw pɔsin nɔ de it fayn | Fɔ fil se yu gɛt ebi ɛn nɔ fil fayn na yu bɛlɛ afta yu dɔn it. |
| Fɔ blo | Di bɛlɛ kin fil big ɛn tayt, lɛk se i ful-ɔp wit gas. |
| Fɔ fil ful kwik kwik wan | As yu it smɔl it so, yu kin fil ful, dɔn yu nɔ ebul fɔ it igen. Da filin de fɔ ful-ɔp kin las fɔ lɔng lɔng tɛm. |
| Di pen we de na di ɔp pat na di bɛlɛ | Pen ɔ bɔn na di ɔp pat na di bɛlɛ, dɔŋ di chɛst. |
| Nɔs ɛn vɔmit | A kin fil nɔs ɔltɛm, ɛn sɔntɛnde a kin vɔmit it we a nɔ digest. |
| Fil fɔ it | A kin lɔs ɔl di tin dɛn we a kin want fɔ it. |
| Di wan we kam to di ston ɛn di chɛst de pen | fכ fil lεk bכdi asid de kam כp insay di trot (acid reflux). |
| Di chenj dɛn we de apin na di blɔd shuga | Bikɔs di tɛm we di it kin tek fɔ rich na di intestinal kin ambɔg, di shuga we de insay di blɔd kin ambɔg. Di shuga lɛvɛl kin go ɔp ɔ dɔŋ wantɛm wantɛm. |
Di tin we impɔtant pas ɔl na dat if yu gɛt dɛn sik ya, nɔ jɔs tink se, "Dis kin bi gastritis," ɛn fɔ tru, go to dɔktɔ fɔ advays.
Wetin na di men tin dɛm wae kin mek pɔrsin gɛt gastroparesis?
As wi bin dɔn tɔk, bɔku tɛm, dɛn nɔ kin no di tin we kin mek i apin. Bɔt sɔm tin dɛn de we kin mek i apin. Ɔl dɛn tin ya kin apin bikɔs di nerv dɛn we de kɔntrol di bɛlɛ mɔsul dɛn dɔn pwɛl .
Shuga
Dis na di men rizin. We dɛn nɔ ebul fɔ kɔntrol di blɔd shuga ɛn i bɔku fɔ lɔng tɛm, i kin pwɛl di dilik nerv dɛn na di bɔdi. Wi kin kɔl dis ``Dayabetik Nyuropati``. Dis damej kin afɛkt di nerves dɛn na di bɛlɛ bak. afta dat di signal to di bכdi mכsul dεm fכ "kכntrakt" nכ de go fayn.
Ɔpreshɔn
We dɛn de du ɔpreshɔn pan di bɛlɛ, chɛst, ɔ di say dɛn we de rawnd am, di vagus nerve, we na wan men nerve we de kɔntrol di wok we di bɛlɛ de du, kin pwɛl . Dis damej kin mek yu gɛt gastroparesis. fכ egzampl, yu kin si dis kכndyushכn afta כpεrayshכn lεk `(Gastrectomy)` (dεn pul pat pan di bεlε) כ `(Cholecystectomy)` (dεn pul di gal blad).
Infεkshכn dεm
Dis kכndyushכn kin apin bak afta sכm vayrus dεm (lεk `Norovirus`, `Rotavirus`) כ baktriyal infεkshכn. Pan ɔl we i nɔ klia klia wan aw dis kin apin, dɛn kin tink se i kin bi bikɔs di infɛkshɔn insɛf ɔ wi imyun sistɛm kin mistek pwɛl di nerv dɛn we wi de fɛt di infekshɔn.
Sɔm Drug dɛn
Sɔm mɛrɛsin dɛn we yu kin tek kin mek yu bɛlɛ nɔ wok fayn bak fɔ sɔm tɛm. Yu fɔ tek tɛm mɔ wit dɛn mɛrɛsin ya if yu dɔn ɔlrɛdi gɛt gastroparesis.
- Strɔng pen kil - `(Opioid)`
- Tobacco - `(Nikotin)`
- Sɔm antidipreshan dɛm - `(Tricyclic antidipreshan)`
- Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn - `(Calcium channel blockers)`
- Sɔm mɛrɛsin fɔ dayabitis - `(GLP-1 antagonists)`
Ɔda kayn mɛrɛsin de lɛk dis, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek.
Wetin na di sayd ɛfɛkt dɛm we dis kin gɛt?
Gastroparesis nɔto jɔs wan bɛlɛ we de at. I kin mek yu gɛt siriɔs prɔblɛm dɛn if dɛn nɔ de manej am fayn.
- We yu de lɔs yu wet ɛn yu nɔ gɛt bɛtɛ tin fɔ it: If yu nɔs bɔku tɛm, yu de vɔmit, ɛn yu nɔ go want fɔ it, dat kin mek yu nɔ gɛt bɛtɛ wet, yu nɔ gɛt wata na yu bɔdi, ɛn yu nɔ go it fayn .
- We yu nɔ ebul fɔ kɔntrol di blɔd shuga:Dis na big prɔblɛm, mɔ fɔ di wan dɛn we gɛt dayabitis. Bikɔs di tɛm we i kin tek fɔ mek it kɔmɔt na di bɛlɛ kin ambɔg, di we aw di shuga kin go insay di blɔd kin ambɔg. di blɔd shuga kin tu smɔl wantɛm wantɛm (`Hypoglycemia`) ɔ tu ay (`Hyperglycemia`). Dis na tin we rili at fɔ kɔntrol.
- di fכmeshכn fכ bezoar: As wi bin dכn tכk, di it patikyula dεm we dεn nכ daygεst kin kכlekt insay di bεlε εn fכm sכlid lכmp dεm we lεk ston. If dεn tin ya big, dεn kin blok di pasεj fכ it kכmכt na di bεlε. Dis na imejensi.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
We yu go to dɔktɔ, i go aks yu fɔs bɔt yu sik dɛn, ɛni ɔda mɛrɛsin we yu gɛt (lɛk dayabitis), ɛn ɛni ɔpreshɔn we yu dɔn du. Dɔn, i go du sɔm tɛst dɛn fɔ si if yu bɛlɛ dɔn blok bak.
1. Mek shɔ se no tin nɔ de we de ambɔg am:
- Ɔpa Ɛndoskopi: Dɛn kin put smɔl kamɛra tru di mɔt fɔ luk insay di bɛlɛ fɔ chɛk fɔ si if di tɔŋ de, ɔlsa, ɔ ɔda tin dɛn we de ambɔg am.
- Ɔda skan: Tɛst lɛk CT skan ɔ MRI kin luk insay di bɛlɛ.
2. Fɔ mɛzhɔ di we aw di bɛlɛ de wok:
- we dεn kכnfכm se nכ tin de we de ambɔg am, dεn kin du spεshal tεst fכ si aw di bεlε de ɛmti kwik kwik wan.
- Gastric emptying scintigraphy (GES): Dis na di men tɛst fɔ dis. Insay dis tɛst, yu kin it smɔl it (bɔku tɛm na eg) we dɛn miks wit wan tin we gɛt redioaktiv. Dɔn, fɔ sɔm awa, dɛn kin tek skan fɔ si aw lɔng i kin tek fɔ mek di it kɔmɔt na di bɛlɛ.
- Breath Test: Yu kin gɛt aidia bɔt aw yu bɛlɛ de wok bay we yu gi am it we gɛt spɛshal kabon mɔlyul ɛn mɛzhɔ di gas we yu de pul.
Afta dɛn tɛst ya, di dɔktɔ kin tɛl yu fɔ tru if yu gɛt gastroparesis ɔ yu nɔ gɛt am.
Wetin na di tritmɛnt dɛm fɔ gastroparesis?
Di nerve damej wae de mek dis sik nɔr kin ebul fɔ rivεs. Dis min se i nɔ kin izi fɔ mek i wɛl ɔltogɛda. Bɔt bɔku tritmɛnt dɛn de we go ɛp fɔ kɔntrol di sik dɛn ɛn liv nɔmal layf .
Di men gol dɛm fɔ tritmɛnt na:
- Fɔ mek di mɔsul dɛn na di bɛlɛ, mek di it ɛmti kwik kwik wan.
- Mek shɔ se yu bɔdi gɛt di it ɛn wata we i nid.
- Fɔ kɔntrol di sayn dɛm lɛk nɔs ɛn pen.
- If ɛni rizin de fɔ dis (lɛk dayabitis), i impɔtant fɔ kɔntrol am fayn fayn wan.
Di mɛrɛsin dɛn we dɛn kin yuz
- Prokinɛtiks: 1.1.Dis na di men kayn mɛrɛsin we de ɛp di bɛlɛ mɔsul dɛn fɔ kɔntrakt. `Metoclopramide` na wan mɛrɛsin we dɛn dɔn gri fɔ fɔ dis. Bɔt bikɔs ɔf sɔm sayd ɛfɛkt dɛn, dɛn fɔ yuz am jɔs lɛk aw di dɔktɔ tɛl am.
- Antiemetics: Dɛn tin ya kin ɛp fɔ kɔntrol di nɔys ɛn vɔmit .
- Ɔda mɛrɛsin dɛn: Dɛn kin put mɛrɛsin dɛn bak fɔ mek yu chɛst inflamɛns, pen, ɛn fɔ kɔntrol dayabitis insay di tritmɛnt plan.
Di chenj dɛn we de apin na di it we dɛn de it
Dis na wan impɔtant pat pan di tritmɛnt.
- Insted fo it tri it fo de, it 5-6 smol smol it.
- Fɔ ridyus di it dɛn we gɛt bɔku fat ɛn fayv (e.g. it dɛn we dɛn dɔn frɛsh, bɔku bɔku vɛjitebul, frut dɛn we dɛn kin pul) bikɔs dɛn tin ya kin tek lɔng tɛm fɔ digest.
- Fɔ pe mɔ atɛnshɔn to it dɛn we gɛt wata ɔ we dɛn miks fayn fayn wan (sup, pɔrit, jus).
Ɔpreshɔn
Dɛn fɔ jɔs tek ɔpreshɔn as las tin if ɔl di ɔda tritmɛnt dɛn nɔ wok.
- Payloroplasti: Na ɔpreshɔn fɔ mek di mɔsul ring (pylorus) we di it de pas frɔm di bɛlɛ, big smɔl. dis kin bi naw witout insishכn yuz εndoskop (di `G-POEM` mεtכd).
- Gastric Bypass: na ɔpreshɔn we de baypas di pat pan di bɛlɛ we nɔ de wok fayn ɛn mek nyu rod fɔ mek it pas dairekt insay di smɔl intestinal.
Wetin yu fɔ tek tɛm wit we yu de liv wit dis sik?
Gastroparesis na wan sik wae de kam wae yu de liv yu layf. Bɔt, i pɔsibul fɔ liv wit am fayn fayn wan. I impɔtant fɔ mek smɔl chenj dɛn na di we aw yu de liv yu layf.
- No us it dɛn fayn fɔ yu ɛn us it dɛn bad fɔ yu. If yu kip yu it dayari, dat kin ɛp fɔ du dis.
- Tek shɔt waka afta yu dɔn it. We yu waka sloslo, dat kin ɛp fɔ mek yu bɛlɛ wok fayn.
- Nɔ drink rɔm, smok, ɛn ɔda drɔgs kpatakpata. Dɛn tin ya kin mek di bɛlɛ nɔ wok fayn mɔ ɛn mɔ.
- Yu fɔ de tɔk to yu dɔktɔ ɔltɛm. Tɛl am if ɛni chenj de pan yu sik ɔ if yu gɛt prɔblɛm wit yu mɛrɛsin.
Gastroparesis kin bi wan chalenj kondishɔn, bɔt wit di rayt tritmɛnt ɛn chenj na yu layf, yu kin ebul fɔ manej am fayn ɛn liv nɔmal layf.
Mɛsej we dɛn kin kɛr go na os
- Gastroparesis na wan kכndyushכn we di digεsshכn fכ it kin rili slo biכs di nεv dεm εn mכsul dεm na di bεlε nכ de wok fayn.
- Di men sayn dɛm na fɔ fil ful ivin afta yu it smɔl it, nɔs, blo, ɛn vɔmit.
- Dayabitis na di men tin we dɛn kin no se kin mek pɔsin gɛt dis sik, bɔt bɔku tɛm, dɛn nɔ kin ebul fɔ no ɛni kɔz.
- Di tritmɛnt dɛn na fɔ tek mɛrɛsin, chenj di it we dɛn de it, ɛn sɔntɛnde ɔpreshɔn.
- If yu gɛt sayn dɛn lɛk dis, nɔ disayd fɔ yusɛf , bɔt fɔ rili go to yu dɔktɔ fɔ mek dɛn no di sik ɛn tritmɛnt kɔrɛkt wan.
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