ʻAno 2 Diabetes a me nā pilikia GI: ka hoʻomaopopo ʻana i ka loulou

Anter

• Hōʻike Overview
• ʻO ka maʻi reflux Gastroesophageal (GERD) / heartburn
• Hoʻopilikia i ka ale ʻana (disphagia)
• ʻO Gastroparesis
• Enteropathy ʻōpū
• Maʻi maʻi ʻaʻai momona
• ʻO Pancreatitis
• Ka wā e ʻike ai i ke kauka
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO ka maʻi diabetes Type 2 kahi maʻi o ke kō kō. ʻOi aku ke kūpaʻa o kou kino i nā hopena o ka hormone insulin, ka mea e neʻe maʻamau i ka glucose (ke kō) mai kou kahawai a i loko o kāu mau hunaola.

ʻO ka piʻi ʻana o ke kō i ke kō e hoʻopōʻino i nā mea a me nā aʻa i loko o kou kino, me nā mea i loko o kāu palapala GI.

Hiki i ka 75 pākēneka o ka poʻe me ka maʻi kō i kekahi ʻano o ka pilikia GI. ʻO nā ʻōuli maʻamau ka:

• puʻuwai puʻuwai
• pāhoehoe
• kōpaʻa

Hoʻokumu ʻia ka hapa nui o kēia mau pilikia GI e nā ʻino nerve mai ke kō kiʻekiʻe o ke kō (neuropathy diabetic).

Ke hōʻino ʻia nā aʻalolo, ʻaʻole hiki i ka esophagus a me ka ʻōpū ke ʻaelike e like me ka mea e pahu ai i ka meaʻai ma o ka GI tract. ʻO kekahi mau lāʻau e mālama pono i ka maʻi kō, hiki pū ke kumu i nā pilikia GI.

Eia kekahi o nā pilikia GI e pili ana i ka maʻi diabetes a pehea e mālama ai iā lākou.

ʻO ka maʻi reflux Gastroesophageal (GERD) / heartburn

Ke ʻai ʻoe, hele ka meaʻai i kāu esophagus i loko o kou ʻōpū, kahi e haki ai nā waikawa. Mālama kahi pūpū o nā mākala ma lalo o kou esophagus i nā waikawa i loko o kou ʻōpū.

I ka maʻi reflux gastroesophageal (GERD), hoʻonāwaliwali kēia mau mākala a ʻae i ka waikawa e piʻi aʻe i kāu esophagus. Hoʻokumu ʻo Reflux i ka ʻehaʻeha i loko o kou umauma i ʻike ʻia ma ke ʻano he heartburn.

ʻO ka poʻe me ka maʻi diabetes e loaʻa paha ka GERD a me ka puʻuwai puʻuwai.

ʻO ka nui loa ke kumu o ka GERD ʻoi aku ka maʻamau i ka poʻe me ka maʻi diabetes type 2. ʻO kekahi kumu kūpono ke hōʻino ʻia i ka maʻi ʻaʻa i ke aʻa e kōkua hakahaka i kou ʻōpū.

Hiki i kāu kauka ke hōʻoia no ka reflux ma ke kauoha ʻana i kahi endoscopy. Hoʻopili kēia kaʻina hana i ka hoʻohana ʻana o kahi pae maʻalahi me kahi kāmela ma hoʻokahi wēlau (endoscope) e nānā ai i kou esophagus a me kou ʻōpū.

Pono paha ʻoe i kahi hōʻike pH e nānā ai i kāu mau pae acid.

ʻO ka mālama ʻana i nā pae kō kō a me ka lawe ʻana i nā lāʻau e like me nā antacids a i ʻole nā ​​mea hōʻoki proton pump (PPI) hiki ke kōkua i ka hoʻomaha ʻana i nā hōʻailona GERD a me ka puʻuwai.

Hoʻopilikia i ka ale ʻana (disphagia)

Hoʻokumu ʻo Dysphagia iā ʻoe e pilikia i ka ale ʻana a me ka manaʻo e like me ka meaʻai i paʻa i kou puʻu. ʻO kāna mau ʻōuli ʻē aʻe:

• hulahula
• eha ka 'ā'ī
• ʻeha ka umauma

ʻO Endoscopy kahi hōʻike no ka disphagia.

ʻO kekahi he manometry, kahi hana e hoʻokomo ʻia ai kahi puʻupuʻu maʻalahi i loko o kou puʻu a me nā puʻuwai kaomi e ana i ka hana o kou nāʻiʻo e ale.

I kahi barium e ale (esophagram), moni ʻoe i kahi wai i loaʻa barium. Pākuʻi ka wai i kāu kahawai GI a kōkua i kāu kauka e ʻike maopopo i nā pilikia ma kahi X-ray.

ʻO nā PPI a me nā lāʻau ʻē aʻe e mālama iā GERD hiki ke kōkua pū me ka disphagia. ʻAi i nā meaʻai liʻiliʻi ma kahi o nā mea nui a ʻokiʻoki i kāu meaʻai i nā ʻāpana liʻiliʻi e maʻalahi ai ka ale ʻana.

ʻO Gastroparesis

ʻO Gastroparesis ke kīloi o kou ʻōpū i ka meaʻai me ka lohi i kāu ʻōpū. Hoʻoneʻe ka ʻōpū ʻōpū i nā ʻōuli e like me:

• piha
• nausea
• ka luaʻi
• ʻōhūhū
• ʻeha ka ʻōpū

Ma kahi o ka hapakolu o ka poʻe me ka maʻi diabetes type 2, he gastroparesis. Hoʻokumu ʻia ia e ka hōʻino ʻana i nā aʻalolo e kōkua i kou ʻaelike ʻōpū e pahu i ka meaʻai i loko o kou ʻōpū.

E ʻike inā he gastroparesis kāu, hiki i kāu kauka ke kauoha i kahi endoscopy luna a i ʻole ka papa GI kiʻekiʻe.

ʻO kahi ākea lahilahi me ke kukui a me ka pahu paʻi kiʻi ma ka hopena e hāʻawi i kāu kauka i kahi ʻike i loko o kou esophagus, ʻōpū, a me ka ʻāpana mua o kou ʻōpū e nānā no nā palaka a me nā pilikia ʻē aʻe.

Hiki i ka Gastric scintigraphy ke hōʻoia i ke kuhi. Ma hope o kāu ʻai ʻana, hōʻike ʻia kahi nānā kiʻi ʻana i ka neʻe ʻana o ka meaʻai ma o kāu ala GI.

He mea nui ka mālama ʻana i ka gastroparesis no ka mea hiki ke hoʻoikaika i ka mālama ʻana i kou maʻi diabetes.

Hiki i kāu kauka a i ʻole kahi mea dieta paha ke ʻōlelo aku iā ʻoe e ʻai i nā meaʻai momona liʻiliʻi momona a puni ka lā a inu i nā wai keu e kōkua maʻalahi ai i kou ʻōpū.

Hōʻalo i nā meaʻai momona a kiʻekiʻe me ka fiber, i hiki ai ke hoʻolohi i ka ʻōpū o ka ʻōpū.

ʻO nā lāʻau e like me metoclopramide (Reglan) a me domperidone (Motilium) hiki ke kōkua me nā ʻōuli o gastroparesis. Eia naʻe, hele mai lākou me nā pilikia.

Hiki iā Reglan ke hana i nā hopena ʻoluʻolu ʻole e like me tardive dyskinesia, e pili ana i nā neʻe ʻole e kaohi ʻia o ka maka a me ke alelo, ʻoiai ʻaʻole maʻamau.

Heʻuʻuku nā hopena o Motilium, akā loaʻa wale ia ma ʻAmelika Hui Pū ʻIa ma ke ʻano he lāʻau noiʻi. Mālama pū ka lāʻau erythromycin antibiotic i ka gastroparesis.

Enteropathy ʻōpū

Enteropathy pili i kekahi maʻi o nā ʻōpū. Hōʻike ʻia ia ma ke ʻano he mau ʻōuli e like me ka diarrhea, constipation, a me nā pilikia e kaohi ana i ka neʻe ʻana o ka ʻōpū (incecence fecal).

ʻO ka maʻi diabetes a me nā lāʻau e like me metformin (Glucophage) e mālama iā ia ke kumu i kēia mau ʻōuli.

E kāpae mua kāu kauka i nā kumu kūpono ʻē aʻe o kāu mau ʻōuli, e like me ka maʻi a i ʻole ka maʻi celiac. Inā loaʻa i kāu lāʻau hōʻailona kahi lāʻau diabetes, hiki i kāu kauka ke hoʻololi iā ʻoe i kahi lāʻau ʻokoʻa.

Hoʻohui ʻia kahi loli i ka papaʻai. Ke hoʻololi nei i kahi papaʻai i haʻahaʻa i ka momona a me ka fiber, a ʻo ka ʻai ʻana i nā meaʻai liʻiliʻi, hiki ke kōkua i nā ʻōuli.

ʻO nā lāʻau kūpale anti-diarrheal e like me Imodium hiki ke kōkua i ka hōʻoluʻolu i ka maʻi pākī. ʻOiai loaʻa ʻoe i ka palahī, inu i nā hopena electrolyte e hōʻalo ai i ka make wai ʻole.

Eia kekahi, hiki i nā laxatives ke kōkua i ka mālama ʻana i ka paʻa paʻa.

E noʻonoʻo pono e kamaʻilio me kāu kauka ma mua o ka hoʻololi ʻana i kāu regimen lapaʻau.

Maʻi maʻi ʻaʻai momona

Hoʻonui ka maʻi diabetes i kou makaʻu i ka hoʻomohala ʻana i nā maʻi akepaʻa momona ʻole.

ʻO kēia ke kūkulu ʻia ka momona i loko o kou ake, a ʻaʻole ia ma muli o ka inu ʻona. Ma kahi o 60 pākēneka o nā kānaka me ka maʻi diabetes type 2 i loaʻa i kēia ʻano. ʻO ka nui ke kumu pilikia no ka maʻi diabetes a me ka maʻi momona.

Kauoha nā kauka i nā hoʻāʻo e like me ultrasound, ka biopsy o ke ake, a me nā hoʻāʻo ʻana i ke koko e ʻike ai i ka maʻi momona o ke ake momona. Pono paha ʻoe e loaʻa i nā hoʻokolohua koko maʻamau e nānā i kāu hana ate inā ʻike ʻia ʻoe.

ʻAʻole hiki i ka maʻi maʻi akepaʻa ke kumu i nā ʻōuli, akā hiki ke hoʻonui i kou makaʻu i ka scarring ate (cirrhosis) a me ka maʻi ʻaʻai ate. Ua pili pū kekahi i kahi kiʻekiʻe o ka maʻi puʻuwai.

Mālama maikaʻi i kāu maʻi kōkō e kōkua ai i ka pale ʻana i ka hōʻino hou ʻana i kou ake a hoʻēmi i kou makaʻi i kēia mau pilikia.

ʻO Pancreatitis

ʻO kāu pancreas ka mea hana i ka insulin, ʻo ia ka hōmona e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kō kō ma hope o kāu ʻai ʻana.

ʻO Pancreatitis ka mumū o ka pancreas. ʻO kāna mau hōʻailona me:

• ʻeha ma ka ʻōpū luna
• ʻeha ma hope o kāu ʻai ʻana
• fiva
• nausea
• ka luaʻi

ʻO ka poʻe i loaʻa i ka maʻi maʻamau ʻo 2 paha ka nui o ka makaʻu o ka pancreatitis ke hoʻohālikelike ʻia me ka poʻe ʻaʻohe diabetes. Hiki i ka pancreatitis koʻikoʻi ke hana i nā pilikia e like me:

• maʻi maʻi
• hakuʻala ʻole
• nā pilikia hanu

Hoʻohana ʻia nā hoʻokolohua e hōʻike i ka pancreatitis:

• hoʻāʻo koko
• ultrasound
• MRI
• CT scan

Hoʻopili ka hoʻomaʻamaʻa i ka hoʻokēʻai ʻana no kekahi mau lā ʻelua e hāʻawi i kāu manawa pancreas e hoʻōla. Pono ʻoe e noho i ka haukapila no ka mālama ʻana.

Ka wā e ʻike ai i ke kauka

E ʻike i ke kauka inā loaʻa iā ʻoe nā maʻi GI e hoʻopilikia ai, e like me:

• pāhoehoe
• kōpaʻa
• kahi manaʻo o ka piha ma hope koke iho o kāu ʻai ʻana
• ʻeha ka ʻōpū
• hoʻopilikia i ka ale ʻana, a i ʻole ka manaʻo e like me kahi puʻupuʻu i kou puʻu
• pilikia i ka kaohi ʻana i kou neʻe ʻana o kou ʻōpū
• puʻuwai puʻuwai
• Kaumaha emi

ʻO ka lawe lawe ʻana

ʻOi aku ka pilikia o nā pilikia GI i ka poʻe me ka maʻi diabetes type 2 ma mua o ka poʻe me kēia maʻi ʻole.

ʻO nā ʻōuli e like me ka reflux acid, diarrhea, a me ka constipation hiki ke hopena maikaʻi ʻole i kou ola, keu hoʻi inā hoʻomau lākou i ka wā lōʻihi.

I mea e pale aku ai i nā pilikia GI a me nā pilikia ʻē aʻe, e hāhai i ka hoʻolālā maʻi diabetes i kau ʻia e kāu kauka. ʻO ke mālama ʻana i ke kō kō maikaʻi e kōkua iā ʻoe e hōʻalo i kēia mau ʻōuli.

Inā kou lāʻau lapaʻau diabetes ke kumu o kāu mau ʻōuli, mai hōʻoki i ka lawe ʻana iā ʻoe iho. E ʻike i kāu kauka no ka ʻōlelo aʻo e pili ana i ka hoʻololi ʻana i kahi lāʻau hou.

Eia kekahi, e kamaʻilio me kāu kauka e pili ana i ka hoʻokumu ʻana i ka papa ʻaina kūpono no kāu pono papaʻai a i ʻole ke kiʻi ʻana i kahi referral i kahi nutristist.