Mataupu
Gastroparesie
Gastroparesis o se faʻatupuina o le manava faʻasoesa manaʻomia, masani masani faaumiumi, faamatalaina e le telegese o le gaogao o le manava, i le leai o se masini faʻalavelave. Tele taimi masani, gastroparesis mafai mafua ai afaina itu afaina, aemaise i tagata i le maʻisuka. E ui lava o le tumama o meaʻai e masani ona lava e faʻaititia ai faʻailoga, o isi mataupu e manaʻomia ni vailaʻau tumau poʻo ni taotoga foi.
Gastroparesis, o le a lea?
Faʻauiga o gastroparesis
Gastroparesis o se aoga digestive faʻaletonu, masani masani, faʻaalia e le telegese o le gaogao o le manava, i le leai o se masini faʻalavelave.
Gastroparesis o se faʻafitauli i le faʻatonutonuina o gastric maso gaioiga. E tupu pe a le faʻataʻitaʻia lelei e neura ninii nei gaioiga. O lenei pea neula e fesoʻotaʻi, faʻatasi ai ma isi mea, o le faiʻai i le tele o meaʻai na te faʻasoaina ma lafoina feau talafeagai mo le faʻagaioiga lelei o maso o le manava. Nai lo le tosoina pe a ma le lua itula i le iʻuga o le digestive tract, o le meaai ona tuʻu i totonu o le manava mo se taimi umi.
Ituaiga o gastroparesis
Gastroparesis mafai ona faʻavasegaina i vaega nei:
- Idiopathic gastroparesis, o lona uiga e aunoa ma se faʻailoa mafuaʻaga;
- Gastroparesis e ala i le aafia o neura;
- Gastroparesis e le faʻaleagaina o le myogenic (maso faʻamaʻi);
- Gastroparesis e mafua mai i seisi amio masani.
Mafuaʻaga o gastroparesis
I le sili atu ma le tasi vaetolu o mataupu, gastroparesis e idiopathic, o lona uiga e aunoa ma se faʻamaonia mafuaʻaga.
Mo isi mataupu uma, e tulaʻi mai i le tele o mafuaʻaga, lisiina iinei mai le sili ona masani i le sili ona le masani:
- Ituaiga 1 pe 2 maʻi suka;
- Togafitiga o le digestive: vagotomy (vaega o taʻotoga o neura i totonu o le manava) poʻo ni vaega o gastrectomy (toʻesea o le manava);
- Vaʻaia vailaʻau: anticholinergics, opioids, antidepressants aofia ai tricyclics, phenothiazines, L-Dopa, anticalcics, alumina hydroxide;
- Faamaʻi pipisi (Epstein-Barr siama, siama varicella, zonatosis, trypanosoma cruzi);
- Faamai Neurological: tele sclerosis, stroke, Parkinson faamaʻi;
- Faʻamaʻi tino: scleroderma, polymyositis, amyloidosis;
- Faʻasolosolo muscular dystrophies;
- Zollinger-Ellison syndrome (o se faʻamaʻi e iloga i le manava ogaoga ma papala duodenal);
- Gastrointestinal lesions mafua mai i togafitiga faʻasolosolo;
- Ischemia o le digestive poʻo le faʻaititia o le toto toto i le manava;
- Anorexia nervosa;
- Hypothyroidism poʻo le faʻaiuga o le maualalo o gaosiga o homone e le thyroid gland;
- Faʻafitauli ogaoga fatugaʻo.
Faʻamaoniga o gastroparesis
A masalomia gastroparesis, o le scintigraphy mafai ai ona fua le saoasaoa o le meaai 'ai: o se laʻititi radioactive vailaʻau, o lona radiation mafai ona mataʻituina e faʻataʻitaʻiga faʻataʻitaʻi, ona faʻaumatia ma se taumafataga mama ma mafai ai ona mulimuli i le tau. lea e pasi ai le taumafataga i le digestive system. O le octanoic acid manava suʻega faʻailogaina ma le fale o manu, leai-radioactive isotope o le karaponi (13C) o se auala i scintigraphy.
O isi metotia fuafuaina mo le suʻesuʻega o le faʻamamaina o le gastric aofia ai:
- Ultrasound lea e iloiloina suiga i le vaega pito i luga o le manava ufiufi o se gaioiga o le taimi pe a maeʻa le taumafataga ma fesoasoani foi e faʻamautinoa pe i ai isi faʻaletino le faʻaletonu e ono taitai atu ai i le faʻailoga mafuaʻaga i gastroparesis;
- Le scanner poʻo le maneta resonance imaging (MRI) lea toe fausia le gastric tusi i le taimi.
O le faʻailoga o se suʻesuʻega o le faʻamamaina o le manava, avanoa na o nofoaga faʻapitoa, e faʻatonuina lava pe a tupu ni faʻailoga ogaoga e aʻafia ai le soifua maloloina o le tagata gasegase.
- Gastroscopy o se endoscopy - faʻaofiina o se tamai paipa fetuʻutuʻuna fetaui ma se mea puʻeata ma se moli - faʻatagaina e vaʻaia ai totonu puipui o le manava, le esophagus ma le duodenum;
- O le manometry o le Peptic e aofia ai le faʻaofiina o se paʻu uumi ma manifinifi lea e fua ai le mamafa o musele ma faʻasologa mai le digestive tract i le manava.
O se kapisi fesoʻotaʻi, o le SmartPill ™ gaioiga o loʻo tofotofoina nei e faʻamaumauina eseesega i le mamafa, pH ma le vevela i le digestive tract. E mafai ona avea ma sui i le suʻesuʻega o tagata mamaʻi i fafo atu o nofoaga faʻapitoa.
Tagata na aʻafia ile gastroparesis
Gastroparesis aafia ai tusa 4% o le faitau aofai o tagata ma foliga mai e faʻaaliali fafine tolu i le fa taimi sili atu nai lo tamaloloa.
Tagata e maua ile maʻisuka e tele lava ina faʻaosoina gastroparesis.
Vaega e fiafia i le gastroparesis
O le iai o gastroparesis e sili ona taatele ile maʻisuka o loʻo iai:
- Nefofoa (o se faʻafitauli e tupu i fatugaʻo);
- Retinopathy (faʻaleagaina o toto toto i le retina);
- Neuropathy (faʻaleagaina o afi ma neura lagona).
Faʻailoga o gastroparesis
Faʻaluʻu umi
Gastroparesis e masani ona faʻaalia e se lagona o le manava atoa mai le muamua u, e fesoʻotaʻi ma le lagona o le faʻaumiumi faʻalu, vave satiety ma niniva.
Paʻu o le tino
Paʻu manava aafia ai sili atu ma le 90% o tagata mamaʻi ma gastroparesis. O nei tiga e masani ona fai i aso uma, o nisi taimi e tumau, ma e tupu ile po ile toeititi lua vaetolu o mataupu.
Weight Maliu
I maʻisuka, o le puaʻi e sili atu i le faʻatamala pe oʻo foi i le toesea. Gastroparesis e tele taimi e mafua ai le le malamalama lelei i le tulaga lautele o le tagata maʻi, e pei o le paʻu o le mamafa ma faigata i le paleniina o le maualuga o le kulukose i le toto - po o le suka suka - e ui lava i togafitiga.
Pesoara
Gastroparesis mafai i nisi taimi mafua ai se compact conglomerate o undigested po o se vaega faʻalumaina meaai, ua taʻua o le bezoar, e fausia ai e le mafai ona ulufafo o le manava.
Isi faailoga
- Leai se manao;
- Fufulu;
- Faapito;
- Musika vaivai;
- Afu le po;
- Manava tiga;
- Talotalo;
- Regurgitation;
- Faʻamaligiina;
- Faʻamama ole Gastroesophageal;
- Maʻi tiga o le manava
Togafitiga mo gastroparesis
O le tuʻu mama-dietetic fautuaga o le filifiliga sili lea i le togafitiga o gastroparesis:
- Faʻavaeina o meaʻai ma le faʻaaogaina o meaʻai laʻititi ae tele taimi;
- Faʻapaʻu o lipids, alava;
- Aveʻesea o vailaʻau e faʻatelegese ai le lafoaʻi o le manava;
- Normalization o le suka suka;
- Togafitiga o le papala.
Prokinetics, lea e faʻaosofia ai le manava o le gastrointestinal, fai ma sui o le autu togafitiga togafitiga i gastroparesis.
I le tulaga o le faifai pea togafitiga le faʻaletonu, isi tali mafai ona mafaufauina:
- Gastric eletise faaosofia (ESG): o lenei totoina masini faatupuina malamalama eletise osooso faaosofia le vagus neura faataamilo i le digestive auala ina ia faatelevaveina gastric gaogao;
- Faiga faato e fafagaina ai;
- Taotoga, i le tulaga o vaega poʻo subtotal gastrectomy, tumau tulaga ese.
Puipuia gastroparesis
Afai e foliga faigata le puipuia o le amataina o gastroparesis, ni nai fesoasoani mafai Peitai faʻatapulaʻa ona auga:
- Taumafa mama meaʻai māmā;
- Sili fiafia i meaai vaivai pe suavai;
- Afi lelei;
- Tuʻufaʻatasia meaʻai paleni i le tulaga o mea inu ma meaʻai.