"ʻO ka maʻi momona" i kēlā me kēia makahiki e pepehi ai i 1 miliona mau kānaka. Loaʻa pinepine nā make me ka mālama ʻole ʻana ma muli o ka mālama ʻole ʻana o ka mea maʻi. ʻO ka hōʻeha o ka puʻuwai ma kahi o ka maʻi ma ka hōʻailona he hōʻailona koʻikoʻi e hōʻike ana i ka holomua o ka papa.
Hiki ke hōʻeha ʻia ka ʻōpū ma waena o nā maʻi me ka hōʻeha o ka gastrointestinal tract.
Hōʻike ka helu ma kahi o 75% o nā maʻi maʻi maʻi i ka huehue o ke kūpū. I ka manawa like, ʻaʻole ʻoi loa ka ʻeha o ka ʻōpū pū pū me nā hōʻailona nui o ka maʻi maʻi: polyuria, mau makewai ʻole, ka huhū a me ka hiamoe.
ʻO ka maʻi maʻi a me ka hoʻowalewale papahele
ʻO ka holomua o ka maʻi e hiki ke alakaʻi i nā loli koʻikoʻi i ka ʻili o ke gastrointestinal, e like me nā meaʻala o ka meaʻai, nā ʻōpū, ka ʻōpū a me nā maʻi ʻē aʻe.
Ma ka maʻi maʻi, hiki ke loaʻa kahi pilikia hanu: mai ka esophagus a i ka wī. No laila, ʻokoʻa ka hōʻailona me kēlā mau lipi. ʻO nā hōʻailona maʻamau o ka digestive huhū:
- ʻO ke Dysphagia kahi kaʻina paʻakikī hoʻokau e hele a ma muli o ka nāwī o ka lua waha, ka esophagus, ka ʻano o nā haole o nā ʻāina ʻē, etc.
- Reflux - ke hoʻolei nei i nā mea o loko o ka ʻōpū i ka ʻaoʻao.
- Pahuʻi a iʻa ʻia paha ka maʻi, ka maʻi a me ka luaʻi.
- Nā maʻi hōʻeha.
Hoʻopili nā maʻi Diabetes i kahi nui o nā kino, me ka gastrointestinal tract. Inā ʻaʻole mālama ka mea maʻi i ke kō koko koko pololei, hiki i kēia ke alakaʻi i nā hoʻopiʻi koʻikoʻi hou o ka kūnaehana.
Eia nō kekahi, nui nā maʻi o ka digestive tract e pili pū me ka hana ʻole o ka pūnaehana.
ʻO ka hōʻeha i nā neurons i loko o ka ʻōpū e hiki ke lilo i mea iʻike ʻia i ka ʻalā, i loko o ka ʻōpū, a me ka neʻe ʻana.
ʻO ka maʻi o ka esophagus a me ka'ōpū i ka maʻi diabetes
Hoʻomaʻamaʻa pinepine nā mea maʻi me ka maʻi palaualelo, ʻoi aku ka ʻai ʻana i nā mea momona momona, hiki ke hoʻomohala i ka gastroparesis maʻi. Hoʻololi kēia palekana i nā mea i loko o ka ʻōpū. Ma muli o kēia, hiki i ka maʻi maʻi maʻi ʻeha ʻeha ʻeha, kīwī, nā hōʻailona o ka ʻāʻī a i ʻole ka luaʻi. Eia kekahi, hoʻonāukiuki i loko o ka ʻōpū e hiki ke alakaʻi i ka reflux. Inā loaʻa kēlā mau hōʻailona, pono ʻoe e hele i ke kauka no kahi koho. I ka ʻoiaʻiʻo, ʻaʻohe ʻona kūpono o kēia maʻi, no ka mea ʻaʻole hiki i ka endoscopy kiʻekiʻe ke hoʻoholo a loiloi i ka hoʻokuʻu ʻana o ka ʻōpū mai nā meaʻai i ʻoka. Hana ʻia ka maʻi inā loaʻa ka hoʻopiʻi e pili ana ka maʻi.
No ka loaʻaʻana o ka maʻi gastroparesis maʻi, hōʻike ʻia kahi hōʻike no ka loiloi ʻana i ka maʻi e noʻonoʻo nui ʻia. I ka hōʻike noiʻi ʻana, ʻai ka meaʻai e ʻai ai ka mea maʻi i ka isotope technetium. A laila, me ke hoʻohana ʻana i ka scintigraphy, hiki i ke loea kūikawā ke hoʻoholo i ka helu o ka hoʻokuʻu ʻana o ka ʻōpū mai kāna mau mea. ʻO ka kumu, ʻo kēlā hoʻokolohua e hāʻawi i nā hopena kūpono loa, akā ma kekahi mau hihia, i ka wā e lawe ai i nā lāʻau lapaʻau e hoʻopilikia ai i ka hoʻolimalima a i ka wikiwiki ʻana paha o ka ʻōpū, aia nā hopena hewa o ka loiloi.
I mea e aʻo ai i kahi maʻi maʻi maʻi e aʻo pehea e hana ai i ka gastroparesis, pono pono ia e pili pono i kekahi mau meaʻai meaʻai:
- Pono ʻoe e ʻai i loko o nā ʻāpana liʻiliʻi, akā maʻamau. A i ʻole, loaʻa ke kōleʻa i ka hopena nui aʻe.
- Hoʻopau i nā meaʻai momona i ke momona a kiʻekiʻe i ke aihue.
- E noʻonoʻo i ka ʻai ʻana i nā kīʻaha wai (nā mea ʻai, borscht).
- Hoʻopau i nā hana maikaʻiʻole - nā uahi a me ka waiʻona.
- Hoʻopili i nā hana hoʻoikaika kino (hele, pāʻani).
Inā ulu ʻole nā hōʻailona, pono ʻoe e hele i ka hydreral hydration a i ʻole kahi kahiki nasogastric. Ma ka mālamaʻana i ka gastroparesis maʻi maʻi, hiki ke hoʻohana ʻia nā lāʻau like ʻole, no ka laʻana, ʻo Raglan, Cisapride, Motilium, Erythromycin. Lawe i nā lāʻau lapaʻau wale nō ma hope o ke koho ʻana i kahi mea lapaʻau a gastroenterologist, ʻoiai ʻo ka lāʻau lapaʻau ponoʻī hiki ke alakaʻi i nā hopena hiki ʻole.
ʻO ka maʻi ʻeha maʻi peptic a me nā maʻi ma ka maʻi diabetes
I loko o ke ao nei, 10% o nā kānaka a pau (a me a ʻole o ka maʻi maʻi) ua pā mai i ka ulia peptic. Hiki i ka acid Hydrochloric ke hoʻonāukiuki i nā wahi i hoʻopili ʻia ai ka ʻōpū a i ʻole esophagus, e hoʻoiho ai i nā hāmeʻe o ka digestive, heartburn, a me ka ʻeha pūpū.
I ka maʻi maʻamau, pinepine ka nui o ka nui o nā huakini e noho ana i loko o ka ʻōpū a me ka duodenum i hoʻoholo pinepine ʻia. ʻO ia ʻo Helicobacter pylori ka mea e hōʻeha ai i ka hapa nui o nā ʻōpū. ʻO ka mea maoli, ʻo ka maʻi diabetes i nā ʻelemakule a i nā poʻe'ōpiopio wale nō ʻaʻole ia i hāʻawi i ka hoʻomohala ʻana o ka maʻi peptic.
ʻAʻohe ʻokoʻa na ka maʻi maʻi ʻana i nā maʻi maʻi maʻi a me nā poʻe olakino. ʻO nā manawa pinepine, ua kuhikuhi ʻia nā lāʻau e hōʻemi ana i ka mea huna o ka wai - nā mea pale i kālai ʻia, ʻoi aku ka lāʻau antibiotic - Metronidazole, Clarithromycin, etc.
22% o nā mea maʻi me ka maʻi maʻi kīwaha. ʻO ka maʻi Diabetic o kahi maʻiʻeha o kahi maʻi i loaʻa no ke kumu ʻike ʻole ʻole. ʻO kekahi mea i kona ulu ʻana, ʻo ka hoʻomohala ʻana o ka maʻi diabetes, ka hele pū ʻana me ka neuropathy autonomic, nā pilikia o ka ʻōpū, a i ʻole nā huhū ʻehaʻeha (ʻeha mea maʻamau).
Ke mālama nei i ka maʻi maʻi diabetes, ke kauka ke kauka i nā lāʻau lapaʻau e like me diphenoxylate, loperamide a i Imodium, e hoʻopau ana i ka pilikia o nā kīwī palu.
Eia kekahi, hoʻonoho ʻia nā antispasmodics i kekahi manawa e hōʻemi i ka pinepine o nā neʻe o ka bowel.
ʻO nā pilikia o ka pōpoki liʻiliʻi a me ka nui
Ke hele nei ka maʻi diabetes ma ka pākuhi liʻiliʻi, nā hopena ʻalapona e hōʻeha i ka ʻeha o ka ʻōpū, keʻelima, a i ʻole ke luku ʻia. Inā e lūlū ʻia ka ʻai no ka manawa lōʻihi a i ʻole, e hoʻokuʻu koke ʻia mai ka ʻōpū, loaʻa paha i ke ʻano o ka hoʻomohala ʻana i ke ʻano o ka ulu ʻana o ka microflora. ʻO kēia ʻanoʻano e hoʻoulu ai i ka ʻeha o ka ʻōpū a me nā kīwaha.
Maʻa ka hoʻoweliweli ʻana o ia ʻano ke ʻano he mea paʻakikī loa; Ma hope o ka hoʻomohala ʻana, ke kauka nei ke kauka i ka cisapride a i ʻole ka metoclopramide, ka mea e hoʻomaikaʻi ana i ka hoʻoilina o nā meaʻai, a me nā maʻi o ka haʻahaʻa e hoʻemi ai i ka nānā ʻana o nā huakini i ka ʻōpū.
Inā ʻaʻole ʻoe e mālama i kēia ʻeha i ka manawa, hiki iā ia ke alakaʻi i ka ʻehaʻeha i kona ʻōpū a me nā wāwae i ka wā lōʻihi. He mea paʻakikī ka maʻi ka maʻi. Me ka hoʻomohala ʻana o ka maʻi tigā, ua hoʻohana ʻia nā lāʻau antidepressant.
Hiki i ka neuropathy haʻahaʻa ke hoʻopilikia i ka ʻōpū, i alakaʻi i ka constipation pinepine. E hōʻoluʻolu i kēia ʻano, pono ia e hoʻokō i nā kaʻina me kahi enema a i ʻole colonoscopy. Eia kekahi, hiki i ke kauka ke kuhikuhi i nā laxatives, kahi i hāʻawi malū me ka lawe ʻana i ka ʻaihue. Eia kekahi, me kēia neʻe ʻano, pono ke kākoʻo i kahi papa kūpono.
Eia kekahi, ʻo ka hōʻeha ma ka ʻōpū e hiki ai ke pili me nā ʻano like ʻole o ka pancreas a me nā ʻōpio (hemochromatosis, hepatosis momona). Eia kekahi, ʻo ka heleʻana o nā pōhaku i ka gallbladder a i ʻole paha e hōʻeha i ka ʻeha o ka ʻōpū, nausea, luaʻi, kaʻaila a me nā hōʻailona he nui. Loaʻa koke kēia mau lela i ka wikiwiki, no laila e nīnau pono ke ahonui i ke kauka.
Inā loaʻa i ka ʻeha ka maʻi maʻi me ka maʻi maʻi maʻi maʻi, e hōʻike paha kēia i ka holomua o nā maʻi a me nā hoʻopiʻi like ʻole. No laila, pono ka hoʻomanawanui e hoʻomaʻemaʻe i ka ʻike o nā kumu o ka ʻeha o ka ʻōpū, a laila e hāhai i nā ʻōlelo a pau a ke kauka a kāohi i ka pae o ke kō. ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i nā hōʻailona maʻi maʻi maʻi.
