ʻO Gastroparesis

ʻO Gastroparesis kahi kūlana e hōʻemi ana i ka hiki i ka ʻōpū ke waiho i kāna mau ʻike. ʻAʻole pili ia i kahi paʻa (ālai).

ʻAʻole ʻike ʻia ke kumu kūpono o gastroparesis. Hoʻokumu ʻia ia e ka hoʻohaunaele o nā hōʻailona nerve i ka ʻōpū. ʻO ke ʻano kahi pilikia maʻamau o ka maʻi kō. Hiki iā ia ke hāhai i kekahi mau ʻōkuhi.

ʻO nā kumu pilikia no gastroparesis me:

• Diabetes
• Gastrectomy (ʻoki e wehe i kahi o ka ʻōpū)
• Sclerosis ʻōnaehana
• Hoʻohana o ka lāʻau e ālai i kekahi neʻe nea (lāʻau anticholinergic)

Pākuʻi ʻia paha nā ʻōuli:

• Kuhi ʻōpū
• Hypoglycemia (i ka poʻe me ka maʻi diabetes)
• Nusea
• ʻO ka piha o ka ʻōpū ma mua o ka ʻai ʻana
• Ka hoʻemi kaumaha me ka hoʻāʻo ʻole
• ʻO ka luaʻi
• Abdominal eha

Nā hoʻokolohua āu e pono ai e hoʻopili:

• ʻO Esophagogastroduodenoscopy (EGD)
• Ke aʻo nei i ka ʻōlohelohe Gastric (e hoʻohana nei i ka lepili isotope)
• Papa moʻo GI luna

Pono nā kānaka me ka maʻi kō e kāohi mau i ko lākou mau kō kō. ʻOi aku ka maikaʻi o ke kaohi kō kō e hoʻomaikaʻi ai i nā ʻōuli o gastroparesis. ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi a pinepine pinepine a me nā meaʻai palupalu e kōkua pū paha ia e hōʻoluʻolu i kekahi mau ʻōuli.

Nā lāʻau i hiki ke kōkua pū i:

• ʻO nā lāʻau Cholinergic, ka mea e hana ai ma nā ʻaleka acetylcholine nerve
• ʻErythromycin
• ʻO Metoclopramide, kahi lāʻau e kōkua i ka hakahaka o ka ʻōpū
• ʻO nā lāʻau antagonist Serotonin, ka mea e hana ma nā mea loaʻa serotonin

Hiki i nā mālama ʻē aʻe ke:

• Botulinum toxin (Botox) injected i loko o ka mākeke o ka ʻōpū (pylorus)
• ʻO ke kaʻina hana e hana i kahi wehe ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi e ʻae i ka meaʻai e neʻe me ka maʻalahi (gastroenterostomy)

Hoʻolako ʻia nā ʻano lapaʻau he nui i kahi pōmaikaʻi pōkole wale nō.

ʻO ka nausea a me ka luaʻi e hiki ke kumu:

• Make wai
• Nā kaulike uila ʻole
• Kaʻai pono ʻole

Loaʻa i nā poʻe me ka maʻi diabetes nā pilikia koʻikoʻi mai ke kaohi kō kō ʻana o ke kō.

Hiki i nā loli i kāu papaʻai ke kōkua i ka mālama ʻana i nā ʻōuli. Kāhea i kāu kahu mālama ola inā hoʻomau mau nā ʻōuli a i ʻole he hōʻailona hou kāu.

ʻO Gastroparesis diabeticorum; Hoʻoneʻe ka waiho ʻana o ka ʻōpū; Diabetes - gastroparesis; ʻO ka neuropathy diabetic - gastroparesis

• ʻŌnaehana Digestive
• ʻŌpū

ʻO Bircher G, Woodrow G. Gastroenterology a me ka meaʻai i nā maʻi maʻi maʻi mau. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 86.

Koch KL. ʻO ka hana neuromuscular gastric a me nā maʻi neuromuscular. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 49.