Gastrointestinal Disorders Functional Gastrointestinal Disorders: Mea e Manaomia ona E Iloa

O tagata ta'ito'atasi o lo'o iai fa'afitauli o mea'ai e le mafai ona fa'ailoaina e ono o'o i fa'afitauli fa'aletonu ole ga'o. E mafai ona fesoasoani le malamalama i ituaiga i le atinaʻeina o fuafuaga lelei togafitiga?

Fa'aletonu Gastrointestinal Fa'atino

Fa'aletonu o le manava galue, po'o FGD, o fa'aletonu o le faiga o mea'ai lea e le mafai ona fa'amatalaina ai fa'ailoga pe a iai ni fa'aletonu o le tino po'o le tino. O fa'afitauli o le manava ga'o e leai ni fa'ailoga e iloagofie ma e fa'amauina e fa'atatau i fa'ailoga. (Christopher J. Black, et al., 2020)

Roma Tulaga

O FGD na fa'aogaina fa'amaoniga o le fa'ate'aina, o lona uiga e na'o le fa'ama'i e mafai ona maua pe a fa'ate'aina fa'ama'i fa'aletino/fa'ailoa. Ae ui i lea, i le 1988, na feiloai ai se vaega o tagata suʻesuʻe ma tausi soifua maloloina e faʻataʻitaʻiina ni taʻiala mo le suʻesuʻeina o ituaiga eseese o FGDs. O ta'iala e ta'ua o le Roma Criteria. (Max J. Schmulson, Douglas A. Drossman. 2017)

FGDs

O se lisi atoatoa e pei ona faamatalaina e le Roma III taiala (Ami D. Sperber et al., 2021)

Fa'aletonu ole Esophage Fa'atino

• Fa'agaioiina le fatu
• O le tiga o le fatafata e talitonuina e mafua mai ile esophage
• Dysphagia galue
• Globus

Fa'aletonu Gastroduodenal galue

• Le fa'ailoaina tele o le sasa
• Dyspepsia fa'atino - e aofia ai ma'i tigaina pe a'a'ai ma fa'ama'i tiga epigastric.
• Faituu idiopathic tumau
• Aerofagia
• Su'i galue
• Fa'ama'i fa'asu'ati
• Rumination syndrome i tagata matutua

Fa'aletonu Gaogao

• Fa'ama'i itaita'i - IBS
• Fa'agaoioia galuega
• Fa'atino manava manava
• Le fa'ailoaina o galuega fa'aletonu ole manava

Ma'i tiga o le manava galue

• tiga o le manava galue - FAP

O le gaivi ma le Sphincter o Oddi Disorders

• Fa'aletonu gallbladder
• Fa'agaioiga biliary Sphincter o le faaletonu Oddi
• Ole sphincter ole pancreatic ole ma'i ole Oddi

Fa'afitauli Fa'aletonu o le Anorectal

• Fa'atino fecal incontinence
• Fa'agaoioiga Fa'atiga tiga - e aofia ai le proctalgia tumau, ma'i Levator ani, tiga o le anorectal galue e le o ta'ua, ma le fugax proctalgia.
• Fa'afitauli Fa'aletonu o le Fa'aleaga - e aofia ai le fa'a'ese'ese o le fe'au ma le le lava o le fa'a'ave'esea.

Fa'afitauli GI Fa'atino Tamaiti

Pepe/tamaiti (Jeffrey S. Hyams et al., 2016)

• Colic pepe
• Fa'agaoioia galuega
• Fa'atino manava manava
• Fa'ama'i fa'asu'ati
• Fanau faʻafouina
• Fa'ama'i fa'ama'i o pepe
• Dyschezia pepe

Fa'afitauli GI Fa'atino a Tamaiti:

Tamaiti/talavou

• Su'i ma Aerophagia - ma'i fa'ata'amilomilo fa'asu'i, fa'ama'i fa'ama'i o talavou, ma le aerophagia.
• Fa'aletonu GI Fa'atatau ile Ma'i o le manava e aofia ai:

1. dyspepsia galue
2. IBS
3. Migrain manava
4. Le tiga o le manava galue o tamaiti
5. Ma'i tiga o le manava galue o tamaiti

• Fa'amama - fa'atino galuega
• Incontinence – le taofiofia fecal incontinence

faʻautaga maʻi

E ui ina fa'ataga e le fa'atonuga a Roma le su'esu'eina o FGD e fa'atatau i fa'ailoga, e mafai lava e le tausi soifua maloloina ona fa'ata'ita'iina su'esu'ega fa'ata'ita'i masani e fa'ata'ita'i ai isi fa'ama'i pe su'e fo'i ni fa'afitauli fa'avae e mafua ai fa'ailoga.

faiga

E ui lava e leai ni faʻailoga vaaia o faʻamaʻi poʻo ni faʻafitauli faʻavae e mafai ona iloa e mafua ai faʻamaoniga, e le o lona uiga e le o mafai ona togafitia ma mafai ona pulea. Mo tagata taʻitoʻatasi e masalomia atonu latou te maua pe na maua i se faʻafitauli o le manava galue, e taua le galulue faʻatasi ma se tausi soifua maloloina i se fuafuaga o togafitiga galue. O togafitiga e mafai ona aofia ai: (Asma Fikree, Peter Byrne. 2021)

• Faaletino togafitiga
• Fetuunaiga tau taumafa ma mea taumafa
• Faʻamalosia o aʻafiaga
• Fomaʻi
• vailaau
• Biofeedback

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'A'ai Sa'o E Lagonaina Lelei

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mau faasino

Black, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Faʻafitauli o le gastrointestinal: alualu i luma i le malamalama ma le puleaina. Lancet (Londone, Egelani), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Le Mea Fou i Roma IV. Journal of neurogastroenterology and motility, 23 (2), 151-163. doi.org/10.5056/jnm16214

Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Fa'asalalauina i le Lalolagi Atoa ma Avega o Fa'aletonu Gastrointestinal Fa'atino, Fa'ai'uga a le Roma Foundation Global Study. Gastroenterology, 160(1), 99–114.e3. doi.org/10.1053/j.gastro.2020.04.014

Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Fa'afitauli Fa'atino: Tamaiti ma Talavou. Gastroenterology, S0016-5085(16)00181-5. Fa'agasolo fa'asalalauga i luga ole laiga. doi.org/10.1053/j.gastro.2016.02.015

Fikree, A., & Byrne, P. (2021). Puleaina o fa'afitauli o le gastrointestinal functional. Fomaʻi falemaʻi (Lonetona, Egelani), 21(1), 44–52. doi.org/10.7861/clinmed.2020-0980