He aha te Gastroparesis? Tohutohu, Take, me te Maimoatanga

Ko te gastroparesis tētahi āhuatanga e kore ai e mahi tika ngā uaua o tō kopu, ā, ka puhoi ake te neke o te kai i roto i tō pūnaha whakakōkō atu i te noa. Whakaarohia he rite te rere o tō kopu ki te whakararuraru, he rite ki te kanikani kua ngaro tōna pāhekoheko.

Ka pā tēnei mate pūnaha whakakōkō ki te pehea te whakamahinga o tō kopu i te kai ki roto i tō whekau iti. Ki te kore ngā whakawhāiti uaua e tika ana e pēhi ana i te kai, ka ngākau nui, kāore rānei ka kore te mahi o tō kopu. Ahakoa ka rongo pea tenei he wehi, ka taea e te mārama ki te gastroparesis te awhina i a koe ki te whakahaere tika me te huarahi tika.

He aha ngā tohu o te gastroparesis?

Ka tupu haere pea ngā tohu o te gastroparesis, ā, ka rerekē pea i te tangata ki te tangata. Ka kite pea koe i te ngākau nui i te wa e kai ana, ahakoa he torutoru noa ngā wahi o te kai.

Ko ēnei ngā tohu tino noa ka pā ki a koe:

• Te ruaki me te ruaki, ina koa te kai kaore i kōkōhia i muri i te kai
• Te ngākau nui i te wa e kai ana (te ngākau nui i te tīmatanga)
• Te pupuhi me te mamae o te kopu
• Te ngakau me te reflux waikawa
• Te ngaro o te hiahia kai
• Te ngaro o te taumaha kaore i whakaarohia
• Te rereketanga o te huka toto (ina koa mēnā kei a koe te mate huka)

Ka rongo pea etahi i ngā tohu kaore i te noa, penei i ngā uaua kopu, kāore rānei i te mau te kai i roto i o ratou uma. Ka haere mai pea ēnei tohu, ka mutu, ka uaua pea te kite i te gastroparesis i te tīmatanga.

Ka rereke pea te kaha o ngā tohu, ka pai ake pea etahi rā atu i ētahi. He mea noa tenei āhuatanga kore whakarite ki te gastroparesis, ahakoa ka rongo pea he pouri i te wa e ngana ana koe ki te whakarite i ō mahi o ia rā.

He aha ngā take o te gastroparesis?

Ka puta te gastroparesis ina pakaru, kāore rānei e mahi tika te pūtau vagus, e whakahaere ana i ngā uaua o tō kopu. Ko tēnei pūtau te kaiārahi mō tō oroketere whakakōkō, ā, ki te kore e mahi pai, ka taea te kore o te pūnaha katoa.

Ko ēnei ngā take tino noa:

• Te mate huka (ina koa te mate huka roa, kaore i te whakahaere tika)
• Te pokanga o mua o te kopu, kāore rānei o te kopu
• Ngā mate huaketo e pā ana ki te pūnaha whakakōkō
• Ētahi rongoā (ina koa ētahi rongoā pouri me ngā rongoā mamae)
• Ngā āhuatanga neurological penei i te mate Parkinson
• Ngā mate autoimmune
• Ngā mate thyroid

I roto i te nuinga o ngā take, kaore e taea e ngā tākuta te kimi i tētahi take motuhake, e kiia ana ko te gastroparesis idiopathic. Kāore tēnei e kī he koretake tetahi mea, kāore rānei i roto i tō hinengaro. Ko te tikanga noa, kāore i te mohiotia te take, e puta ana ki ngā āhuatanga hauora maha.

Ko ētahi take onge ko ngā mate hononga kiko penei i te scleroderma, ngā mate kai, me ētahi āhuatanga ira. Ahakoa he iti ake te noa o ēnei, ka whakaarohia e tō tākuta mēnā kāore ō tohu e rite ki te tauira noa.

He aha ngā momo gastroparesis?

Ka whakarōpūhia te gastroparesis i runga i te take, e āwhina ana i ngā tākuta ki te whiriwhiri i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ko ēnei ngā momo matua:

• Gastroparesis huka - i puta mai i te huka toto teitei roa e whakarawe ana i ngā pūtau
• Gastroparesis idiopathic - kāore e kitea te take
• Gastroparesis muri-pokanga - ka puta i muri i te pokanga kopu, kāore rānei o te kopu
• Gastroparesis i puta mai i te rongoā - i puta mai i ētahi rongoā

Ko te gastroparesis huka te momo tino noa, e pā ana ki te toru o ngā tāngata e mate ana i te mate huka momo 1 me ētahi e mate ana i te mate huka momo 2. Ko te rongo pai, ka taea e te whakahaere pai o te huka toto te awhina i te whakapai ake i ngā tohu i te wa roa.

Ko te gastroparesis idiopathic, ahakoa he pouri na te kore o te take mārama, ka whakautu pai ki ngā huringa kai me ngā rongoā. Ka mahi tahi tō tākuta ki a koe ki te kimi i te huinga tika o ngā maimoatanga ahakoa te momo kei a koe.

Nōhea te haere ki te tākuta mō te gastroparesis?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā kei te pāngia koe e te ruaki roa, te ruaki, kāore rānei e ngākau nui i muri i te kai i ngā iti o te kai. Ko ēnei tohu, ina koa ki te roa atu i ngā rā torutoru, me whakarongo ki te tiaki hauora.

Rapua te tiaki hauora tonu mēnā kei a koe:

• Te ruaki nui e ārai ana i a koe ki te pupuri i te kai, kāore rānei i ngā wai
• Ngā tohu o te maroke (te mokemoke, te waha maroke, te iti o te mimi)
• Te mamae nui o te kopu
• Te toto i roto i tō ruaki
• Te ngaro o te taumaha tere, kaore i whakaarohia
• Te uaua ki te whakahaere i ngā taumata huka toto (mēnā kei a koe te mate huka)

Kaua e tatari mēnā kei te uaua ki a koe te pupuri i te kai tika, kāore rānei e pā nui ana ō tohu ki tō oranga o ia rā. Ka taea e te taumata whakamātautau me te maimoatanga te ārai i ngā raruraru me te whakapai ake i tō kounga o te oranga.

Mēnā kei a koe te mate huka, ā, ka kite koe i ēnei tohu whakakōkō, he mea nui kia kōrero atu ki tō tākuta. Ko te whakahaere i te gastroparesis me te mate huka e hiahia ana ki te whakahaere tika kia mau tonu tō huka toto.

He aha ngā take morearea mō te gastroparesis?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te gastroparesis, ahakoa ko te whai i ngā take morearea kāore e kī ka whanake koe i te āhuatanga.

Ko ēnei ngā take morearea matua:

• Te whai i te mate huka, ina koa mo ngā tau maha
• Ko te wahine (ka pā atu te gastroparesis ki ngā wāhine atu i ngā tāne)
• Te whai i te pokanga o mua o te kopu, kāore rānei o te kopu
• Te tango i ētahi rongoā mo te wa roa
• Te whai i ngā āhuatanga autoimmune
• Ngā mate huaketo o mua e pā ana ki te pūnaha whakakōkō

Ka taea hoki e te tau te whai wāhi, na te mea ka noa ake te gastroparesis i roto i ngā pakeke o te tau waenga. Heoi, ka puta pea i tetahi tau, tae atu ki ngā tamariki me ngā kaumatua.

Ko ētahi take morearea onge ko te whai i ngā mate kai, te whakamahi i te rongoā radiation ki te kopu, kāore rānei i ētahi āhuatanga ira. Ahakoa he iti ake te noa o ēnei, he mea nui tonu mō tō tākuta te whakaaro ki te aromatawai i ō tohu.

He aha ngā raruraru pea o te gastroparesis?

Ahakoa ka taea te whakahaere i te gastroparesis, ka taea te arahi ki ngā raruraru mēnā kāore i te maimoatia, kāore rānei i te whakahaere pai. Ka taea e te mārama ki ēnei take pea te awhina i a koe ki te mahi tahi me tō rōpū hauora ki te ārai i a rātou.

Ko ēnei ngā raruraru noa:

• Te kore kai pai mai i te kore pai o te tango kai
• Te maroke mai i te ruaki maha
• Te rereketanga o te huka toto (he tino raruraru mō te hunga e mate ana i te mate huka)
• Te hanganga o ngā bezoars (ngā kohinga pakeke o te kai kaore i kōkōhia)
• Te mate reflux gastroesophageal (GERD)
• Te ngaro o te taumaha kaore i whakaarohia

He tino awangawanga ngā bezoars na te mea ka taea te aukati i tō kopu, e hiahia ana ki te whakauru hauora ki te tango. Ka hangai rātou ina piri tahi ngā pūhui kai kaore i kōkōhia, he mea tino pea ina kore e whakamahinga tika tō kopu.

Ko ngā raruraru onge engari he nui te kino ko ngā koretake o te electrolyte nui mai i te ruaki roa me te mate huha aspiration mēnā ka manawahia ngā mea o te kopu ki roto i ngā pūkahukahu. Ka whakakīia ēnei raruraru i te hiranga o te whakahaere hauora tika.

Ko te rongo pai, ka taea te ārai, kāore rānei te whakaiti i te nuinga o ngā raruraru me te maimoatanga tika me ngā whakarerekētanga kai. Ka tirotiro tata atu tō rōpū hauora ki a koe ki te hopu i ngā take pea i te tīmatanga.

Me pēhea te ārai i te gastroparesis?

Ahakoa kaore e taea e koe te ārai i ngā take katoa o te gastroparesis, ina koa ngā momo idiopathic, ka taea e koe te mahi ki te whakaiti i tō morearea me te ārai i te kino o te āhuatanga.

Mēnā kei a koe te mate huka, ko te pupuri i te whakahaere pai o te huka toto tō taputapu ārai kaha. Ka taea e ngā taumata huka toto teitei te whakarawe i te pūtau vagus i te wa roa, no reira ko te pupuri i ō taumata glucose i roto i ngā āhuatanga e tiaki ana i tō pūnaha whakakōkō.

Ko ēnei ētahi atu mahi ārai:

• Te tango i ngā rongoā penei i te whakahaua me te kōrero ki tō tākuta mō ngā pānga
• Te whakahaere i ngā āhuatanga taketake penei i ngā mate thyroid, kāore rānei i ngā mate autoimmune
• Te kai i te kai tōtika e whai hua ana i ngā matūkai
• Te pupuri i te makuku
• Te karo i te inu nui o te waipiro
• Te whai i ngā tohutohu muri-pokanga tika mēnā kua pokangahia tō kopu

Ka taea e ngā tirotiro noa ki tō kaiwhakarato hauora te awhina i te hopu i ngā tohu o te gastroparesis i te tīmatanga, ina koa mēnā kei a koe ngā take morearea. Kaua e whakaroa ki te pūrongo i ngā tohu whakakōkō, ahakoa he iti noa pea.

Mēnā kei te noho koe me te gastroparesis, ko te whai i tō mahere maimoatanga tonu ka taea te ārai i ngā raruraru me te awhina i te pupuri i tō kounga o te oranga.

Me pēhea te whakamātautau i te gastroparesis?

Ko te whakamātautau i te gastroparesis e hiahia ana ki ētahi whakamātautau ki te ine i te pai o te whakamahinga o tō kopu me te whakakore i ētahi atu āhuatanga. Ka tīmata tō tākuta me te kōrero taipitopito mō ō tohu me tō hītori hauora.

Ko ēnei ngā whakamātautau whakamātautau tino noa:

• Te ako whakamahinga o te kopu - ka kai koe i te kai e whai hua ana i te iti o te mea pāpāho, ā, ka whai te whakaahua i te tere o te wehe atu i tō kopu
• Te endoscopy o runga - he iti, he pūtau ngawari me te kāmera e tirotiro ana i te papanga o tō kopu
• Te ako piira mohio - ka horomia e koe he taputapu hiko iti e ine ana i te pehanga me te pH i te wa e neke ana i roto i tō pūnaha whakakōkō
• Ngā whakamātautau toto ki te tirotiro i te mate huka, ngā raruraru thyroid, me ngā koretake matūkai
• Ngā whakamātautau manawa e taea ai te kite i te nui o te huaketo

Ko te ako whakamahinga o te kopu te mea tino pai mō te whakamātautau. Ka kai koe i te kai whakarite (he hua manu kōkō me te taro), ā, ka tango ngā kaiwhakamahi pikitia o tō kopu i ngā wā whakarite kia kite i te nui o te kai e toe ana.

Ka taea hoki e tō tākuta te mahi i ngā whakamātautau ki te whakakore i ngā aukatinga, kāore rānei i ngā raruraru hanganga. Ka taea e ēnei te whakauru i ngā CT scans, kāore rānei i ngā ako horomia barium, kei hea koe e inu ana i te otinga whakaatu e puta ana i ngā X-rays.

Ka roa pea te tukanga whakamātautau, engari he mea nui kia tino tika. Ko te whiwhi i te whakamātautau tika e whakarite ana ka whiwhi koe i te maimoatanga tino tika mō tō āhuatanga motuhake.

He aha te maimoatanga mō te gastroparesis?

Ko te maimoatanga mō te gastroparesis e aro ana ki te whakahaere i ngā tohu, te whakapai ake i te whakamahinga o te kopu, me te pupuri i te kai tika. Ka hanga e tō tākuta he mahere whaiaro i runga i te kaha o tō āhuatanga me tō take taketake.

Ko ngā whakarerekētanga kai te raina tuatahi o te maimoatanga:

• Te kai i ngā wahi iti ake, te maha atu o ngā kai i te rā
• Te whiriwhiri i ngā kai iti-wae, iti-ngako e ngāwari ana te kōkō
• Te inu i te nui o ngā wai, ina koa me ngā kai
• Te karo i ngā inu pāmahana me ngā kai nui-ngako
• Te kai i ngā kai pureed, kāore rānei i ngā wai i ngā wa e pupuhi ana

Ka taea e ngā rongoā te awhina i te whakaohooho i ngā whakawhāiti kopu me te whakaiti i te ruaki. Ko ngā whiringa noa ko te metoclopramide, te domperidone (kei hea e wātea ana), me ngā rongoā anti-nausea penei i te ondansetron.

Mō ngā take nui, ka hiahiatia pea ngā maimoatanga matatau ake. Ka whakauruhia ēnei ki te whakaohooho hiko o te kopu (he pacemaker mō tō kopu), ngā whakaurunga botulinum toxin, kāore rānei i ngā mahi pokanga ki te awhina i te kai ki te neke atu i te ngāwari.

Mēnā kei a koe te mate huka, he mea nui te whakapai ake i tō whakahaere huka toto mō te angitu o te maimoatanga. Ka taea e tō tākuta te whakarerekē i ō rongoā mate huka, kāore rānei i tō mahinga insulin kia pai ake te mahi me tō gastroparesis.

Me pēhea te whakahaere i te gastroparesis i te kāinga?

Ko te whakahaere i te gastroparesis i te kāinga e hiahia ana ki te mahi i ngā whiringa whakaaro mō te aha, te wa, me te pehea o te kai. Ka taea e ngā huringa iti i tō mahi o ia rā te whakarereke nui ki te pehea o tō rongo.

Tīmatahia ma te kai i ngā wahi iti ake i te maha atu i te rā. Ki te kore e toru ngā kai nui, whakamātauria ē ono iti ake. Ka iti ake te kaha ki tō kopu, ā, ka ngāwari ake te neke o te kai.

Aro atu ki ngā kai e ngāwari ana te kōkō:

• Ngā huawhenua kua tunua pai (karohia ngā kōwhiringa mata, kāore rānei te nui o te muka)
• Ngā pūmua ngawari penei i te moa, te ika, kāore rānei te tofu
• Raihi ma, pasta, me ngā witi pai
• Ngā hupa me ngā hupa
• Ngā smoothies me ngā karaihe pūmua
• Te aporo me ētahi atu hua pureed

Pupuri i te makuku ma te inu wai i te rā, engari karohia te inu nui i ngā kai na te mea ka taea e tenei te ngākau nui atu i a koe. Ko ngā inu pāmahana rūma, kāore rānei te wera he pai ake te manawanui atu i ngā inu makariri.

Pupuri i te tātai kai ki te kimi i ngā kai e whakaohooho ana i ō tohu. He rerekē ngā kai whakaohooho mō te tangata, no reira ko te mea e mahi ana mō ētahi atu kāore pea e mahi mōu.

Ko te mahi tinana ngawari penei i te hikoi i muri i ngā kai ka taea te awhina i te whakaohooho i te kōkō. Heoi, karohia te takoto tonu i muri i te kai, na te mea ka taea e tenei te kino ake i ngā tohu.

Me pēhea te whakarite mō tō hui tākuta?

Ko te haere ki tō hui whakarite e whakarite ana ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Tīmatahia ma te tuhituhi i ō tohu katoa, tae atu ki te wa e puta mai ana me te mea e whakaohooho ana i a rātou.

Kawe mai i te rārangi katoa o ō rongoā, tae atu ki ngā rongoā-ā-te-kaute me ngā taapiri. Ka taea e ētahi rongoā te kino ake i ngā tohu gastroparesis, no reira me mohio tō tākuta ki te katoa o ō rongoā.

Pupuri i te tātai kai me te tohu mo te iti rawa i te wiki i mua i tō hui. Tuhia te mea e kai ana koe, te wa e kai ana koe, me ētahi tohu e whai ana. He tino nui tēnei mōhiohio mō te whakamātautau me te mahere maimoatanga.

Whakaritea ngā pūrongo ki te ui ki tō tākuta:

• He aha ngā whakamātautau e hiahia ana ahau ki te whakau i te whakamātautau?
• He aha te take o taku gastroparesis?
• He aha ngā whiringa maimoatanga e wātea ana?
• Me pēhea te pānga o tēnei ki taku oranga o ia rā?
• Me kite ahau i te kaiwhakaako kai?
• He kai kei te hiahia ahau ki te karo katoa?

Mēnā kei a koe te mate huka, kawe mai i ō rārangi huka toto ki te whakaatu me pēhea te pānga o te gastroparesis ki tō whakahaere glucose. Ka āwhina tenei i tō tākuta ki te whakahaere i ō maimoatanga mate huka me te gastroparesis.

Kaua e wareware ki te whakahua i tetahi hītori whānau o ngā raruraru whakakōkō, kāore rānei i ngā āhuatanga autoimmune, na te mea ka hono pea ēnei ki te gastroparesis.

He aha te mea nui mō te gastroparesis?

Ko te gastroparesis he āhuatanga ka taea te whakahaere e pā ana ki te pehea te whakamahinga o tō kopu i te kai, engari me te huarahi tika, ka taea e koe te pupuri i te kounga pai o te oranga. Ahakoa ka hiahia pea ki ētahi whakarerekētanga ki ō tikanga kai me tō oranga, ka taea e te nuinga o ngā tāngata te whakahaere i ō rātou tohu.

Ko te mea nui rawa atu kia mahara ko te gastroparesis e pā ana ki te tangata katoa. Ko te mea e mahi ana mō tētahi kāore pea e mahi mō tētahi atu, no reira kia manawanui i a koe me tō rōpū hauora e kimi ana i te huinga tika o ngā maimoatanga mōu.

Ka taea e te whakamātautau me te maimoatanga te ārai i ngā raruraru me te awhina i a koe ki te pai ake i te wa poto. Mēnā kei te pāngia koe e ngā tohu penei i te ruaki roa, te ngākau nui i te tīmatanga, kāore rānei i te ruaki kaore i te mārama, kaua e whakaroa ki te kōrero ki tō tākuta.

Kia mahara ko te whakahaere i te gastroparesis he mahi rōpū e whakauru ana i a koe, tō tākuta, me te kaiwhakaako kai, kāore rānei i ētahi tohunga. Me te tiaki hauora tika, ngā whakarerekētanga kai, me ētahi wā rongoā, ka taea e te nuinga o ngā tāngata e mate ana i te gastroparesis te noho ora, te mahi ora.

Ngā pūrongo e ui pinepinetia ana mō te gastroparesis

Ka taea te ngaro ake te gastroparesis?

Ko ētahi take o te gastroparesis, ina koa ngā take i puta mai i ngā rongoā, kāore rānei i ngā mate huaketo, ka pai ake pea i te wa roa. Heoi, ko ngā āhuatanga roa penei i te gastroparesis huka e hiahia ana ki te whakahaere tonu atu i te whakakore katoa. Me te maimoatanga tika, ka pai ake pea ngā tohu ahakoa kāore i te ngaro katoa te āhuatanga.

He āhuatanga nui te gastroparesis?

Ka taea te nui te gastroparesis mēnā kāore i te maimoatia, ka taea te arahi ki te kore kai, te maroke, me ngā raruraru huka toto. Heoi, me te tiaki hauora tika me ngā whakarerekētanga oranga, ka taea e te nuinga o ngā tāngata te whakahaere i ō rātou tohu me te pupuri i te kounga pai o te oranga. Ko te matua ko te mahi tata atu ki tō rōpū hauora ki te ārai i ngā raruraru.

He aha ngā kai me karo e ahau me te gastroparesis?

I te nuinga, me whakaiti e koe ngā kai nui-muka (penei i ngā huawhenua mata me ngā witi katoa), ngā kai nui-ngako (e puhoi ana te kōkō), me ngā inu pāmahana. Ka taea hoki e ngā kai e uaua ana te kōkō, penei i ngā nati, ngā purapura, me ngā mīti pakeke, te whakaohooho i ngā raruraru. Heoi, ka rerekē ngā kai whakaohooho i te tangata, no reira ko te pupuri i te tātai kai e āwhina ana ki te kimi i ō ngawari motuhake.

Ka taea e te ahotea te kino ake i te gastroparesis?

Ae, ka taea e te ahotea te kino ake i ngā tohu gastroparesis ma te pānga ki te mahi noa o tō pūnaha whakakōkō. Ka taea e ngā tikanga whakahaere ahotea penei i te manawa hohonu, te whakaaroaro, kāore rānei i te mahi tinana ngawari te awhina i te whakapai ake i ō tohu. Ka kite te nuinga o ngā tāngata ko te whakahaere i te ahotea he wāhanga nui o tō rātou mahere maimoatanga gastroparesis katoa.

Ka hiahia ahau ki te pokanga mō te gastroparesis?

Ko te nuinga o ngā tāngata e mate ana i te gastroparesis kāore e hiahia ki te pokanga, ā, ka taea te whakahaere i tō rātou āhuatanga me ngā whakarerekētanga kai me ngā rongoā. Ko te pokanga e whakaritea ana mō ngā take nui kāore i te whakautu ki ētahi atu maimoatanga. Ka taea e ngā whiringa te whakauru i te whakaohooho hiko o te kopu, kāore rānei i ngā mahi ki te awhina i te kai ki te neke atu i te ngāwari, engari e whakaarohia ana ēnei ina kore i te whai hua ētahi atu huarahi.