Gastroparesis

Gastroparesis o se tuutuuga e faʻaititia ai le mafai o le manava e faʻateʻa ana mea i totonu. E le aofia ai le poloka (poloka).

O le mafuaʻaga tonu o gastroparesis e leʻo iloaina. E mafai ona mafua mai i le faʻalavelaveina o neula faailo i le manava. O le tulaga o se masani faʻafaigata o le maʻisuka. E mafai foi ona mulimuli i ni taotoga.

Tulaga lamatia mo gastroparesis aofia:

• Maʻi suka
• Gastrectomy (taotoga e aveese ai le vaega o le manava)
• Faʻamaʻi tino
• Faʻaogaina o vailaʻau e poloka ni neura faailo (anticholinergic vailaʻau)

Faʻailoga e ono aofia ai:

• Tetee i le manava
• Hypoglycemia (i tagata e maua ile maʻi suka)
• Faanoi
• E leʻi atoa le manava ua maeʻa le taumafataga
• Paʻu pauna e aunoa ma le taumafai
• Talosaga
• Tiga o le manava

O suʻega e te manaʻomia e aofia ai:

• Esophagogastroduodenoscopy (EGD)
• Suavai gaogao suʻesuʻega (faʻaaogaina o igoa isotope)
• Luga GI faasologa

O tagata e maua ile maʻi suka e tatau lava ona taofiofia le maualuga ole suka ile toto. Sili pulea o le toto suka tulaga e ono faʻaleleia atili faʻailoga o gastroparesis. O le 'ai laʻititi ma le tele o taimi o meaʻai ma meaʻai vaivai e mafai foi ona fesoasoani e faʻamama ai nisi o faʻailoga.

O vailaʻau e ono fesoasoani e aofia ai:

• Fualaʻau ole Cholinergic, e faʻatinoina ile acetylcholine nerve receptor
• Erythromycin
• Metoclopramide, o se vailaʻau e fesoasoani e sasaa le manava
• Serotonin antagonist vailaʻau, lea e faʻatinoina i luga ole taliaina o le serotonin

Isi togafitiga ono aofia ai:

• Botulinum toxin (Botox) tui i totonu o le puta o le manava (pylorus)
• O taotoga faʻagaioiga e fausia ai se avanoa i le va o le manava ma laʻau laiti e faʻatagaina ai meaai e fealualuaʻi e ala i le digestive tract e sili atu ona faigofie (gastroenterostomy)

Tele togafitiga e foliga mai e maua ai naʻo le le tumau penefiti.

O le faifai pea ma le puaʻi e ono mafua ai:

• Faʻamaligiina
• Paleni eletise
• Paleni meaai

Tagata e maua ile maʻi suka atonu e i ai ni faʻafitauli faigata mai le le lelei o le taofiofia ole suka ile toto.

O suiga i lau taumafataga e ono fesoasoani e taofi ai faʻailoga. Valaʻau lau fomaʻi pe a fai e faʻaauau pea ni faʻailoga pe a iai ni faʻailoga fou.

Gastroparesis diabeticorum; Tolo lafoai gastric; Maʻi suka - gastroparesis; Maʻi suka ole suka ole suka - gastroparesis

• Polokalama Digestive
• Manava

Bircher G, Woodrow G. Gastroenterology ma taumafa i faʻamaʻi masani o fatugaʻo. I le: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Faʻamatalaga auʻiliʻi. 6th ed. Filatelefia, PA: Elsevier; 2019: chap 86

Koch KL. Gastric neuromuscular function ma neuromuscular faʻafitauli. I totonu: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger ma Fordtran's Gastrointestinal ma le Maʻi o le ate. 10 ed. Filatelefaia, PA: Elsevier Saunders; 2016: mata 49.