ʻO Gastroparesis kahi maʻi digestive pono, maʻamau mau, ʻano e ka lohi o ka hakahaka o ka ʻōpū, i ka loaʻa ʻole o ka ālai mechanical. ʻO ka manawa mau, gastroparesis hiki i nā hopena hopena weliweli, keu hoʻi i ka poʻe me ka maʻi kō. ʻOiai ʻo ka hoʻomaʻemaʻe pono o ka papaʻai e lawa pinepine e hōʻemi i nā ʻōuli, e koi ana kekahi mau hihia i ka lāʻau lōʻihi a i ʻole ke ʻoki ʻana.

Ka wehewehe ʻana o gastroparesis

ʻO Gastroparesis kahi maʻi digestive pono, maʻamau mau, ʻano e ka lohi o ka hakahaka o ka ʻōpū, i ka loaʻa ʻole o ka ālai mechanical.

He pilikia ʻo Gastroparesis i ka hoʻoponopono ʻana i ka hana ʻōpū gastric. Kūpono ia ke hana maikaʻi ʻole nā ​​ʻalalā puʻupuʻu i kēia mau hana. Hoʻohui kēia paʻa o nā aʻalolo, i waena o nā mea ʻē aʻe, ka lolo i ka hapa nui o ka digestive tract a hoʻouna i nā leka e pono ai no ka hana pono ʻana o nā mākala o ka ʻōpū. Ma kahi o ka huki ʻia ʻana ma hope o ʻelua mau hola i ka hopena o ka digestive tract, stagnates ka meaʻai i ka ʻōpū no ka mea ʻoi aku ka lōʻihi.

Nā ʻano o gastroparesis

Hiki ke hoʻokaʻawale ʻia ʻo Gastroparesis i nā ʻano aʻe:

• Idiopathic gastroparesis, ʻo ia me ka ʻole o kahi kumu i ʻike ʻia.
• Gastroparesis e ke komo neurological;
• ʻO Gastroparesis e ka hōʻino myogenic (maʻi maʻi muscle);
• Gastroparesis ma muli o kekahi etiology.

Nā kumu o gastroparesis

I ka ʻoi aku o ka hapakolu o nā hihia, he idiopathic ka gastroparesis, ʻo ia hoʻi me ka ʻole o kahi kumu i ʻike ʻia.

No nā hihia ʻē aʻe āpau, kū mai ia mai nā kumu he nui, i helu ʻia ma aneʻi mai ka pinepine pinepine a i ka liʻiliʻi pinepine.

• ʻAno 1 a i ʻole 2 diabetes;
• Nā ʻōnaehana Digestive: vagotomy (ʻāpana ʻoki lāʻau o nā nerus vagus i loko o ka ʻōpū) a i ʻole gastrectomy hapa (hemo hapa o ka ʻōpū);
• Nā lāʻau lapaʻau lawe: anticholinergics, opioids, antidepressants me tricyclics, phenothiazines, L-Dopa, anticalcics, alumina hydroxide;
• Nā maʻi maʻi (Epstein-Barr virus, varicella virus, zonatosis, trypanosoma cruzi);
• Nā maʻi Neurological: sclerosis maha, hahau, maʻi ʻo Parkinson;
• Nā maʻi ʻōnaehana: scleroderma, polymyositis, amyloidosis;
• Dystrophies muscular holomua;
• ʻO Zollinger-Ellison Syndrome (kahi maʻi i hōʻike ʻia e ka ʻōpū nui a me nā maʻi maʻi duodenal);
• Nā leona Gastrointestinal i hoʻokumu ʻia e radiation radiation;
• Digestive ischemia a i ʻole hoʻemi ʻia ka hāʻawi ʻana o ke koko i ka ʻōpū;
• Anorexia nervosa;
• Hypothyroidism a i ʻole ka hopena o ka hana haʻahaʻa o nā hormones e ka thyroid gland;
• Ka hōʻeha kīnā ʻole.

ʻIke o gastroparesis

Ke kānalua ʻia ʻo gastroparesis, hiki i ka scintigraphy ke hiki ke ana i ka wikiwiki o ka ʻai ʻana o ka meaʻai: kahi mea radioactive liʻiliʻi, nona ka pāhawewe e hiki ke nānā ʻia e nā kiʻi olakino, a laila hoʻopau ʻia me kahi papa ʻaina māmā a hiki ke hahai i ka helu. kahi e hele ai ka pāʻai i loko o ka ʻōnaehana digestive. ʻO ka hoʻokolohua hanu acid octanoic i hōʻailona ʻia me kahi isotope non-radioactive o carbon (13C) kahi ʻokoʻa i ka scintigraphy.

ʻO nā ʻano hana ʻē aʻe i noi ʻia no ke aʻo ʻana i ka ninini gastric me:

• ʻO ka ultrasound e nānā i nā loli i ka ʻili o ka ʻōpū o ka ʻōpū ma ke ʻano he manawa o ka manawa ma hope o ka pāʻina ʻana a kōkua pū kekahi e ʻike inā aia kekahi mau ʻano kino ʻē aʻe i hiki ke alakaʻi ʻia i nā ʻōuli i pili i ka gastroparesis;
• ʻO ka scanner a i ʻole ke kiʻi resonance ʻume mākenēki (MRI) e hana hou i ka nui o ka gastric i ka manawa.

ʻO ka hōʻailona o ka ʻimi ʻana i ka ninini ʻōpū, loaʻa wale i nā kikowaena kūikawā, i kuhikuhi wale ʻia inā loaʻa nā ʻōuli koʻikoʻi e pili ana i ka nohona olakino o ka mea maʻi.

• ʻO Gastroscopy kahi endoscopy - ka hoʻokomo ʻana o kahi paipu liʻiliʻi liʻiliʻi i hoʻopaʻa ʻia me ke kāmela a me ke kukui - e ʻae ana e ʻike i ka paia o ka ʻōpū, ka esophagus a me ka duodenum;
• Hoʻokomo ʻia ka manometry peptic i ka hoʻokomo ʻana i ka paipu lōʻihi a lahilahi e ana i ka puʻupuʻu o nā mākala a me nā huikau mai ka aʻa digestive i ka ʻōpū.

ʻO kahi capsule i hoʻopili ʻia, ke hoʻāʻo ʻia nei ka neʻe ʻo SmartPill ™ i kēia manawa e hoʻopaʻa i nā ʻokoʻa o ke kaomi, pH a me ka mahana i ka aʻa digestive. Hiki iā ia ke lilo i kahi koho ʻē aʻe i ka ʻimi noiʻi o nā mea maʻi ma waho o nā kikowaena loea.

ʻO ka poʻe i hoʻopilikia ʻia e gastroparesis

Hoʻopili ʻo Gastroparesis ma kahi o 4% o ka heluna kanaka a me he mea lā e hōʻike i nā wahine ʻekolu a ʻehā mau manawa i ʻoi aku i nā kāne.

ʻO ka poʻe me ka maʻi diabetes e hoʻonāuki i ka gastroparesis.

Nā mea makemake i gastroparesis

ʻO ke alo o gastroparesis ka mea maʻamau i nā diabetic e hōʻike nei:

• Nefropathy (kahi pilikia e kū i nā puʻupaʻa);
• Retinopathy (hōʻino i nā kīʻaha koko i ka retina);
• Neuropathy (hōʻino i ka ʻenekini a me nā ʻāʻī sensory).

Hoʻolālā lōʻihi

Hōʻike pinepine ʻia ʻo Gastroparesis e kahi manaʻo o ka ʻōpū piha mai nā nahu mua, e pili ana me ka manaʻo o ka hoʻolōʻihi lōʻihi, ka māʻona a me ka nausea.

ʻO kaʻehaʻeha

Hoʻopili kaʻeha o ka'ōpū ma mua o 90% o nā maʻi me gastroparesis. ʻO kēia mau ʻeha i kēlā me kēia lā, paʻa i kekahi manawa, a hana ʻia i ka pō ma kahi o ʻelua hapakolu o nā hihia.

Weight Loss

I ka poʻe diabetic, ʻoi aku ka pinepine o ka luaʻi a i ʻole ke hele pū kekahi. ʻO ka Gastroparesis pinepine ka hopena i kahi hōʻino ʻole i wehewehe ʻole ʻia i ke kūlana maʻamau o ka mea maʻi, e like me ka pohō kaumaha a me ka paʻakikī i ke kaulike ʻana i ke kiʻekiʻe o ka glucose i ke koko - a i ʻole ke kō kō - me ka hoʻomaʻamaʻa ʻia.

ʻO Bézoard

Hiki i ka Gastroparesis ke hana i kekahi manawa i kahi meaʻai paʻa a i ʻole hoʻohele hapa ʻia i ka meaʻai, i kapa ʻia he bezoar, e hana i hiki ʻole ke puka i waho o ka ʻōpū.

ʻO nā hōʻailona ʻē aʻe

• Kaʻai ʻole;
• ʻO ka puʻu;
• Puʻupuʻu;
• Nāwaliwali Muscular;
• Hoʻoulu ka pō;
• ʻEha mau ʻōpū;
• ʻO ka luaʻi;
• Regurgitation;
• Make wai;
• ʻO reflux Gastroesophageal;
• ʻO ka maʻi huhū huhū.

ʻO nā ʻōlelo aʻoaʻo hygieno-dietetic ka koho i makemake ʻia i ka mālama ʻana i gastroparesis:

• Fragmentation o ka papaʻai me ka ʻai ʻana o nā meaʻai liʻiliʻi akā ʻoi aku ka pinepine;
• Ka hoʻoliʻiliʻi o nā lipid, nā olonā;
• Ka hemo ʻana o nā lāʻau e hoʻōmi i ka ninini ʻōpū ʻana;
• Normalization o ke kō kō;
• Lapaʻau o ka paʻa paʻa.

ʻO Prokinetics, kahi e hoʻonāukiuki ai i ka motus gastrointestinal, e hōʻike i ke koho therapeutic nui i gastroparesis.

I ka hanana o ka hoʻomau ʻole ʻana o ka mālama ʻana, e noʻonoʻo ʻia nā hopena ʻē aʻe:

• Hoʻoulu uila Gastric (ESG): hana kēia mea hoʻopili i nā impulses uila uila e hoʻoulu ai i nā aʻa puʻupaʻa e pili ana i ka wahi digestive i mea e hōʻeleu ai i ka haʻalele ʻana o ka gastric;
• Nā hana hanai ʻimi hoʻopunipuni;
• ʻO ke kahakaha, ma ke ʻano o ka gastrectomy hapa a subtotal paha, koe keu.

Inā he paʻakikī ke pale aku i ka hoʻomaka ʻana o gastroparesis, hiki i kekahi mau ʻōlelo aʻoaʻo ke kaohi i kāna mau ʻōuli.

• E ʻai pinepine i nā meaʻai māmā;
• Makemake i nā meaʻai palupalu a wai paha;
• Maikaʻi pono;
• Hoʻohui i nā mea hoʻopihaʻai pono i ke ʻano o nā mea inu me ka papaʻai.