保健 - 第43期 - page 28

gUEilI
Liu
Ghang Shan
Diabetes has
always
been asso-
ciated with various major organ dys-
function
but as
these are
now being
tackled
more effectively, the
focus
is
now directed
to
the less understood gut
disorders
due to
diabetes.
ln
fact,
dia-
betes can afiect just any
part of
the
gut.
ln
general,
the
mechanisms
are:
the
derangement
of
the autonomic nervous
system; degenerative changes
of
the
smaller
blood
vessels supplying
the gut;
water and electrolyte
imbalance
(inappropriate sodium
or
potassium
blood levels); low resistance
to
infec-
tion etc. The effect
is
poor
stomach
motility and delayed emptying.
The
pa-
tient
may have
nausea,
heartburn, ab-
dominal pain or distension, dianhoea
or even constipation. Treatment should
be directed
at
the cause
-
make sure
that the diabetes
is
well controlled; cor-
rect
any water and
electrolyte
imbalance; relieve the symptoms
as
far
as
feasible, e.9., persistent constipation
and
dianhoea
should be controlled but
could
be
so
resistant to
ordinary
medi-
cation that some authorities have even
advocated
the
judicious
use
of alpha-
adrenergic antagonists but these
are
highly investigational and may
have
unexpected side-effects. The readers
are, therefore, recommended
not to
fol-
low blindly but, rather, consult your doc-
tor for advice.
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28
I...,18,19,20,21,22,23,24,25,26,27 29,30,31,32,33,34,35,36,37,38,...82
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