Nā Kuhi Gastrointestinal (GI) ʻike pinepine ʻole ʻia
Anter
- 1. Ka lawa ʻole o ka exocrine pancreatic (EPI)
- 2. ʻO ka maʻi maʻi ʻōpū (IBD)
- 3. ʻO ka maʻi huhū huhū (IBS)
- 4. ʻO Diverticulitis
- 5. ʻO colitis ischemic
- Nā kūlana GI ʻē aʻe
- Lawe aku
No ke aha e paʻakikī ai ke kuhi ʻana i nā kūlana GI
ʻO Bloating, gas, diarrhea, a me ka ʻeha o ka ʻōpū nā ʻōuli e hiki ke hoʻopili ʻia i nā ʻano gastrointestinal (GI). Hiki nō paha ke loaʻa ma mua o hoʻokahi ka pilikia me nā ʻōuli ʻōwili.
ʻO ia ke kumu e hōʻoia ai i nā maʻi GI ke ʻano he hana painstaking. E lawe paha i kahi o nā hoʻokolohua diagnostics e hoʻopau i kekahi mau maʻi a ʻike i nā hōʻike o nā poʻe ʻē aʻe.
ʻOiai makemake paha ʻoe i kahi hōʻailona wikiwiki, he mea kūpono ke kali no ka pololei. ʻOiai like nā ʻōuli, ʻokoʻa nā maʻi GI āpau. Hiki i ke kuhi hewa ke alakaʻi i kahi lāʻau lohi a hewa ʻole paha. A me ka ʻole o ka mālama kūpono ʻana, hiki i kekahi mau maʻi GI ke loaʻa i nā pilikia hoʻoweliweli ola.
Hiki iā ʻoe ke kōkua i ke kaʻina hana me ka haʻi ʻana i kāu kauka e pili ana i kāu mau hōʻailona āpau, ka mōʻaukala pilikino pilikino, a me ka mōʻaukala olakino ʻohana. Mai haʻalele i kekahi mea i waho. ʻO nā mea e like me ka nele i ka makemake a me ka pohō kaumaha he mau hōʻailona nui.
Ke loaʻa kāu kuhi, hiki i kāu kauka ke wehewehe i kāu koho lapaʻau āpau i hiki ai iā ʻoe ke hele i ke ala i kahi e ʻoi aku ai ka maikaʻi. Hiki iā ia ke lilo i manaʻo maikaʻi e kiʻi i kahi manaʻo ʻelua inā manaʻo ʻoe ua nānā ʻole ʻia kekahi o kāu kuhi.
E hoʻomau i ka heluhelu ʻana e aʻo ai e pili ana i kekahi mau kūlana GI me nā ʻōuli ʻōwili e hiki ai ke hoʻopilikia i ka ʻike.
1. Ka lawa ʻole o ka exocrine pancreatic (EPI)
ʻO ka EPI ke hana ʻole kāu pancreas i nā enzymes āu e pono ai e wāwahi i ka meaʻai. EPI a me kekahi mau maʻi GI ʻē aʻe e kaʻana like i nā ʻōuli e like me:
- ʻoluʻolu o ka ʻōpū
- bloating, manaʻo piha mau
- ʻenekini
- pāhoehoe
Ke hoʻohālikelike ʻia i ka heluna lehulehu, makaʻu ʻoe i ka EPI kiʻekiʻe inā loaʻa iā ʻoe:
- pancreatitis mau
- cystic fibrosis
- diabetes
- maʻi ʻaʻai pancreatic
- kaʻina resection pancreas
Hiki nō hoʻi ke loaʻa iā EPI a me kahi kūlana GI e like me:
- maʻi maʻi ʻōpū (IBD)
- maʻi celiac
- maʻi hanu huhū (IBS)
He mea nui ka loaʻa pololei ʻana o kēia kuhi. Hoʻopilikia ʻo EPI i ka hiki ke komo i nā mea pono nui. ʻO ka lohi a me ka mālama ʻana hiki ke alakaʻi ʻia i ka makemake maikaʻi ʻole a me ka pohō kaumaha. Me ka ʻole o ka mālama ʻana, hiki i ka EPI ke alakaʻi i ka hōʻino kino. ʻO nā hōʻailona o ka hōʻino kino:
- luhi
- ʻano haʻahaʻa
- nāwaliwali o nā mākala
- nāwaliwali o nā ʻōnaehana pale, e hana ana i ka maʻi pinepine a i ʻole ka maʻi
ʻAʻohe mea kikoʻī e hōʻoia ai iā EPI. Hoʻopili pinepine ka diagnostics i kahi moʻo o nā hoʻokolohua, me kahi hoʻokolohua hana pancreatic.
2. ʻO ka maʻi maʻi ʻōpū (IBD)
ʻO ka maʻi o Crohn a me ka colitis ulcerative nā maʻi maʻi pūpū mau loa. Hoʻohui like lākou ma mua o ka United States a me kekahi mau miliona a puni ka honua.
ʻO kekahi o nā ʻōuli he:
- abdominal eha
- pāhohonu mau loa
- luhi
- kahe koko, nā noho koko
- Kaumaha emi
Hoʻopili ka ulcerative colitis i ka papa o loko o ka ʻōpū nui a me ka pololei. Hoʻolālā ia i ka hopena o nā kāne ma mua o nā wahine.
Hoʻopili ka maʻi o Crohn i ka palapala GI holoʻokoʻa mai ka waha a i ka anus a pili i nā papa āpau o ka paia ʻōpū. Hoʻopili ia i nā wahine ʻoi aku ka nui ma mua o nā kāne.
Hiki ke paʻakikī ke kaʻina hana diagnostic no IBD ʻoiai like nā ʻōuli o ka maʻi o Crohn a me ka colitis ulcerative. Hoʻohui, hoʻopili lākou me nā ʻōuli o nā maʻi GI ʻē aʻe. Akā ʻo ka hele ʻana i ka hōʻailona pololei he mea nui ia i ke koho ʻana i ka lāʻau kūpono a me ka hōʻalo ʻana i nā pilikia koʻikoʻi.
3. ʻO ka maʻi huhū huhū (IBS)
Hoʻopili ka IBS ma kahi o 10 a 15 pakeneka o ka heluna o ka honua. Inā loaʻa iā ʻoe ka IBS, maʻalahi ka nui o kou kino i ke kinoea i loko o ka ʻōnaehana a me nā kolone aelike pinepine. Hiki i nā ʻōuli ke hoʻohui pū:
- ʻeha o ka ʻōpū, cramping, a me ka hōʻoluʻolu ʻole
- hoʻololi diarrhea, paʻa paʻa, a me nā hoʻololi i kāu ʻōpū
- kinoea a me ka momona
- nausea
ʻOi aku ka maʻamau o ka IBS i nā wahine ma mua o nā kāne a hoʻomaka maʻamau i nā mākua i ko lākou 20s a me 30s.
Hoʻokumu nui ʻia ka hōʻailona ma nā ʻōuli. E kauoha paha kāu kauka i kahi o nā hoʻokolohua e kāpae iā IBS a me kekahi mau maʻi GI ʻē aʻe, keu hoʻi inā ʻoe.
- nā hōʻailona hou aʻe e like me nā noho koko, ke kuni, ka pohō kaumaha
- nā hoʻokolohua labo ʻole a i ʻole nā hopena o ke kino
- moʻolelo o ka ʻohana o ka IBD a i ʻole ka maʻi ʻaʻai kala
4. ʻO Diverticulitis
ʻO Diverticulosis kahi kūlana e hana ai nā ʻeke liʻiliʻi i nā wahi nāwaliwali i ka ʻōpū nui o lalo. He mea kakaikahi ka diverticulosis ma mua o ka makahiki 30, akā maʻa mau ma hope o ka makahiki 60. ʻAʻohe maʻamau nā hōʻailona, no laila ʻaʻole ʻoe e ʻike he loaʻa kāu.
ʻO ka pilikia o ka diverticulosis ka diverticulitis. Hana ʻia kēia ke paʻa ka bacteria i loko o nā ʻeke, e hopena ai i ka maʻi a me ka pehu. Hiki i nā ʻōuli ke hoʻohui pū:
- kahe ana ke koko
- anuanu, wela
- cramping
- palupalu ma ka ʻōpū o lalo
- keakea o ke kolona
Hiki i nā ʻōuli ke like me ko ka IBS.
He mea nui ka ʻike pololei ma muli o ka waimaka o ka paia o ka ʻōpū, hiki ke kī ʻia nā huahana ʻōpala i loko o ka lua o ka ʻōpū. Hiki i kēia ke alakaʻi i ka maʻi o ka ʻōpū ʻeha, abscesses, a me nā wahi ʻōpū.
5. ʻO colitis ischemic
ʻO ka colitis Ischemic ke hoʻopili a hoʻopaʻa ʻia nā aʻa e hōʻemi i ke kahe o ke koko i ka ʻōpū nui. Ke hoʻonele ia i kāu ʻōnaehana digestive o oxygen, loaʻa paha iā ʻoe:
- ʻōpū o ka ʻōpū, palupalu, a ʻeha paha
- pāhoehoe
- nausea
- hoʻokahe kahe
Kūlike nā ʻōuli me ka IBD, akā ʻeha ka ʻeha o ka ʻōpū ma ka ʻaoʻao hema. Hiki i ka colitis Ischemic ke hana i kēlā me kēia makahiki akā ʻoi aku paha ma hope o ka makahiki 60.
Hiki ke mālama ʻia ka colitis Ischemic me ka hydration a i kekahi manawa hoʻoholo i kāna iho. I kekahi mau hihia, hiki iā ia ke hōʻino i kou kolona, e hana ana i ke kahakaha kūpono.
Nā kūlana GI ʻē aʻe
Inā loaʻa iā ʻoe kahi pilikia GI i hōʻike ʻole ʻia, e kōkua kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino i kāu kauka e hoʻoholo i nā kaupae aʻe. ʻO kekahi mau kūlana GI ʻē aʻe me nā ʻōuli ʻōwili pū:
- maʻi kīnā
- maʻi celiac
- polyps kolonā
- nā maʻi endocrine e like me ka maʻi o Addison a i ʻole nā tumors carcinoid
- ka manaʻo nui o ka meaʻai a me nā maʻi āpau
- maʻi reflux gastroesophageal (GERD)
- gastroparesis
- pancreatitis
- maʻi maʻi parasitic
- ʻōpū o ka ʻōpū a me nā colorectal
- ulcer
- maʻi viral
Lawe aku
Inā ʻoe e ʻike nei i nā hōʻailona GI e like me nā mea i helu ʻia ma luna, e hoʻopaʻa i kou manawa me kāu kauka. E nānā pono e hele ma luna o kāu mau hōʻailona āpau a me ka lōʻihi o kou loaʻa ʻana iā lākou. E mākaukau e kamaʻilio e pili ana i kāu mōʻaukala olakino a me nā maʻi āpau āu e loaʻa ai.
ʻO nā kikoʻī o kāu mau hōʻailona a me kā lākou mau mea hiki ke kūpono he ʻike koʻikoʻi no kāu kauka e hōʻoia i kou ʻano a mālama pono iā ʻoe.