He tangata mate huka koe? Nō reira, kei te kī tonu koe i ētahi wā ahakoa he iti noa te kai i muri i te kai? He maha rānei ōu whakapairuaki, ōu mamae ngākau, ā, i ētahi wā ka ruaki koe? Nā ēnei āhuatanga katoa, tera pea kei te uaua koe ki te whakahaere i ō taumata huka toto. He tokomaha te hunga e whakaaro ana he raruraru puku noa iho ēnei. Engari he raruraru pea tēnei nō te mate huka tonu. Koinei tā tātou e kōrero ai i tēnei rā.
He aha te mate huka gastroparesis?
I te whakarapopototanga, koinei te wā kāore e mahi tika ana ngā uaua o tō puku (puku). I te nuinga o te wā, ina kai tātou, ka kōpiri ngā uaua o te puku ka pana i te kai ki roto i te whekau iti. Engari i roto i te gastroparesis, ka tino puhoi te mahi a tēnei tukanga, ka mutu rānei i ētahi wā. Nō reira ka noho te kai ki roto i te puku mō ngā hāora.
Ka kitea tēnei āhuatanga i roto i te mate huka momo 1 me te mate huka momo 2. Heoi, ko te nuinga o te wā ka pā ki te hunga kua pāngia e te mate huka mō ngā tau neke atu i te 10, ā, he maha atu anō hoki ngā raruraru o te mate huka (hei tauira, te pakaru o ngā io).
He aha tēnei e pā ana ki a tātou?
Ko te take matua mō tēnei, he roa te noho tiketike o te huka toto me te kore e whakahaeretia . Ka taea e te mate huka kore e whakahaeretia te kino ki ngā io o te tinana.
Whakaarohia kei reira tētahi "kaiwhakahaere" matua e whakahaere ana i te mahi a tō tātou puku. Ko te io Vagus tēnā. Ina pakaru tēnei io Vagus nā te nui o te huka, kāore te puku e whiwhi i te tohu kia tika te tango i te kai. Ka taea hoki e ia te kino i ngā uaua o te puku me ngā pūtau motuhake (ngā pūtau pacemaker) e āwhina ana ki te pana i te kai. Ina huihuia ēnei take katoa, ka mau te kai ki roto i te puku, ā, ka puta te gastroparesis.
He aha ngā tohu matua o tēnei?
Tirohia mēnā kei a koe ēnei tohu. Engari kia maumahara, kaua e whakaaro kei a koe tēnei mate nā te mea kotahi, e rua rānei o ēnei tohu kei a koe. Me toro atu koe ki te tākuta mō tēnā.
| Tohu | He whakamārama māmā |
|---|---|
| Ngau mamae/Reflux | Ka hoki ake te kai waikawa i roto i te puku ki roto i te korokoro. |
| Whakapairuaki | Te mamae e rite ana ki te ruaki i ngā wā katoa. |
| Ruaki | I ngā wā tino kino, ka ruakina pea ngā kai kāore anō kia nakunaku i kainga i ngā hāora i mua atu. Mō ētahi, ka tupu pea tēnei i ia rā. |
| He uaua ki te whakahaere i ngā taumata huka | Nā te mea kāore e taea te kī tika i te wā e uru ai te kai ki roto i ngā whekau, ka piki, ka heke rānei ngā taumata huka i ngā wā ohorere. |
| Kei te kī tonu ahakoa i muri i te kai iti | Nā te mea kua rongoatia e te puku he kai i mua, ka kī tonu koe ahakoa he iti te kai. |
| Te pupuhi o te puku | Te ahua pupuhi, me te mea kua kī te puku i te hau. |
| Te ngaronga o te hiahia kai me te hekenga/te pikinga o te taumaha | Kāore koe e hiahia ki te kai nā te mea e kī tonu ana tō puku. Ka taea e tēnei te whakaiti i tō taumaha. |
He aha ngā āhuatanga ka mōrearea ai tēnei?
Mena kāore te gastroparesis e rongoatia tika, ka puta pea ētahi raruraru.
- Te pirau o te kai: Ki te roa rawa te noho o te kai i roto i te puku, ka pirau, ā, ka tipu te huakita.
- Te hanganga o te bezoar: Ka taea e te kai kāore i nakunaku te kohikohi ka hanga he puranga totoka i roto i te puku. Ka kiia tēnei he bezoar . Ka taea e tēnei te aukati i te puku me te aukati rawa i te kai kei uru ki roto i ngā whekau.
- Te uauatanga ki te whakahaere i te mate huka: Koinei te raruraru nui rawa atu. Ka tangohia e koe te insulin i mua i te kai. Engari ka uru te kai ki roto i ngā whekau, ā, i muri i ētahi haora ka uru te huka ki roto i te toto. Kātahi ka piki, ka heke ohorere te taumata huka. He tino uaua ki te whakahaere.
- Te matewai nā te ruaki: Ki te ruaki pinepine koe, ka ngaro pea te wai i roto i tō tinana, ā, ka matewai hoki. He āhuatanga morearea tēnei.
Ki te tino ruaki koe, ā, ka mamae nui tō puku, haere tonu ki te Tari Whawhati Tata (ETU) .
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Tērā pea ka whakapae tō tākuta i tēnei i muri i te whakarongo ki ō tohu me te whakahaere i tētahi whakamātautau tinana. Kātahi ka whakahaerehia e rātou ētahi whakamātautau hei whakaū i te mate, pēnei i:
- Endoscopy o Runga: Ka whakauruhia he ngongo angiangi me te kāmera e piri ana ki raro i te korokoro hei tirotiro i te roto o te puku. Mā tēnei ka āwhina ki te tirotiro i ētahi atu aukati i roto i te puku.
- Hiko-X o te Barium: I muri i te inu i tētahi wai e kīia nei ko te barium, ka tangohia he hihi-X hei tirotiro i te tere o te whakawātea o te puku.
- Scintigraphy: Koinei te whakamātautau matua. Ka kai koe i tētahi kai iti (he hua manu te nuinga) kua konatunatua ki tētahi matū irahiko, kātahi ka matawai i tō puku i ia hāora mō te 4 hāora pea kia kite ai koe i te nui o te kai kua tangohia mai i tō puku.
- Ētahi atu whakamātautau: Hei tāpiri, kei reira ngā whakamātautau motuhake pēnei i te manometry puku me te wireless motility capsule. Mā tō tākuta e whakatau ko tēhea whakamātautau te mea tika māu.
Te maimoatanga me te whakahaere
Ahakoa kāore e taea te rongoā katoa i te gastroparesis, ka taea te whakahaere i ngā tohumate, ā, ka taea te noho i te oranga noa.
1. Tuatahi, ko te mea nui: whakahaere i ō taumata huka toto!
Koinei te taahiraa tuatahi, te taahiraa nui rawa atu hoki o te maimoatanga. Mā te whakahaere i ō taumata huka toto ka āwhina i te whakaiti i te kino o ngā io. Kōrero ki tō tākuta mō te hiahia kia whakarerekētia te horopeta, te wā rānei o tō insulin. He mea nui anō hoki kia tirohia tonutia ō taumata huka toto.
2. Ngā rongoā
Tērā pea ka tohua e tō tākuta ētahi rongoā hei āwhina i te whakamamae i ō tohumate.
- Ngā rongoā hei āwhina i te puku kia takoto kau (hei tauira, Metoclopramide, Domperidone).
- Ngā rongoā mō te whakapairuaki me te ruaki (hei tauira, Ondansetron, Prochlorperazine).
- I ētahi wā ka hoatu hoki te paturopi erythromycin mō te wā poto hei whakapai ake i te mahi a te puku.
Whakatūpato: Kaua rawa e whakamahia ēnei rongoā me te kore e kōrero ki te tākuta. Tērā pea ka pāngia ētahi rongoā e ngā pānga taha. Nō reira, me whai tonu i ngā tohutohu a tō tākuta.
3. Te maimoatanga mō ngā mate kino
I ngā wā tino kino e kore e taea te whakahaere mā ētahi atu maimoatanga, me whakamahi pea i ngā tikanga maimoatanga motuhake.
- Te whakaoho hiko o te puku:Ka tukuna ngā tohu hiko e tētahi taputapu iti e piri ana ki te puku mā te pokanga hei whakahaere i te whakapairuaki me te ruaki.
- Ngongo whāngai: Ka pokangahia he ngongo (ngongo jejunostomy) mā te kiri o te puku hei tuku i te kai ki roto i te whekau iti, me te karo i te puku. Ka mahia anake tēnei i ngā wā tino kino.
Me pēhea te whakarerekē i tō kai
He mea nui ake i te rongoā te whakarerekē i ō tikanga kai. Mā te whai i ēnei tohutohu ka āwhina i a koe kia tino ora.
| Ngā mea hei mahi (Me mahi) | Ngā mea kāore e tika ana |
|---|---|
| Kaua e kai i ngā kai iti kia toru i te rā, engari me kai kia rima ki te ono ngā kai iti . | Āta karohia ngā kai he nui te hinu me te ngako (ngā kai parai, ngā kari hinuhinu). |
| Whakanuia ngā wai me ngā kai kua paraitia (hei tauira, te ranu āporo hei utu mō te aporo, ngā hupa). | Whakaitihia ngā kai he nui te muka (raihi parauri, ōti, ētahi huawhenua, hua). Ka roa ake te nakunaku o ēnei. |
| Kai i ngā huawhenua me ngā hua kua kohuatia pai . | Kaua e inu wai, inu rānei i te wā e kai ana. Inuhia 30 meneti i mua, i muri rānei i te kai. |
| Noho mō tētahi wā i muri i te kai. Kaua e takoto i a koe e kai ana . | Āta karohia rawatia ngā inu warowaihā (houdra) me te waipiro. |
| Me mahi ētahi mahi whakakori tinana, pērā i te hikoi māmā, i muri i te kai. | Āta karohia te kai hikareti . Ka whakaitihia anō hoki te mahi a te puku. |
Karere Tangohia ki te Kāinga
- Ko te Diabetic Gastroparesis tētahi raruraru noa o te mate huka kāore i te pai te whakahaere.
- Ko ngā tohu matua ko te whakapairuaki, te ruaki, te mākona ahakoa he iti te kai, me te uaua ki te whakahaere i ngā taumata huka toto.
- Ko te mahi tino nui ki te whakahaere i tēnei āhuatanga ko te pupuri i te taumata o te huka toto kia pai.
- He mea tino nui te whakarerekē i tō kai. Mā te kai i ngā kai iti, iti te ngako me te muka, ka tino whakaora.
- Mena kei a koe ēnei tohu, kaua e whakatau i a koe anō, engari me toro atu ki tō tākuta mō ētahi tohutohu.
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