Loaʻa iā ʻoe ka ʻeha ʻōpū pinepine? He maʻi ʻōpū paha kēia (Peptic Ulcer Disease)! E kamaʻilio kākou e pili ana i kēia.

Ke manaʻo pinepine nei ʻoe i kahi ʻeha wela i loko o kou ʻōpū, kahi ʻeha ʻoluʻolu ʻole i loko o kou ʻōpū? Hoʻopoina ka hapa nui o mākou he mea maʻamau kēia, me ka manaʻo paha he "gastritis" ia. Eia naʻe, i kekahi manawa hiki i kēia ʻeha ke lilo i mea koʻikoʻi iki. ʻO ia ke ʻano o nā ʻōpū ʻōpū, a i ʻole e like me ka kapa ʻana o nā kauka, ʻo 'Peptic Ulcer Disease (PUD). No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia me nā kikoʻī hou aku, me he mea lā e haʻi ana mākou i kahi hoaaloha. No ka mea, ʻo ka ʻike ʻana i kēia he mea nui loa ia nou.

He aha ka maʻi ʻūlū peptic? I ka pōkole...

I ka ʻōlelo maʻalahi, ʻo ka maʻi ʻōpū peptic he ʻeha hāmama e hana ʻia ma ka uhi o kā mākou ʻōnaehana hoʻoheheʻe, ka ʻāpana o ke ala hoʻoheheʻe kahi a mākou e ʻeli ai i ka meaʻai a me ka mea inu. ʻO ke ʻano o ka huaʻōlelo "peptic" ʻo ia hoʻi "pili i ka ʻeli ʻana." Loaʻa ia mai ka huaʻōlelo "pepsin," ʻo ia kahi enzyme digestive nui i hana ʻia i loko o ko mākou ʻōpū.

E noʻonoʻo, i loko o ko kākou ʻōpū, loaʻa iā kākou ka waikawa ʻōpū a me kēia enzyme i kapa ʻia ʻo pepsin. ʻO kēia mau mea ʻelua ka mea e kōkua iā kākou e wāwahi i ka meaʻai a kākou e ʻai ai a hoʻoheheʻe iā ia. He ʻakika loa kēia wai, ʻo ia hoʻi, he mea ʻawaʻawa ia. I kekahi manawa, hele kēia wai i loko o ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi (duodenum).

I kēia manawa, e nānā, ua uhi ʻia ko kākou ʻōnaehana hoʻoheheʻe holoʻokoʻa me kahi membrane mucous pale, e like me ka pale e pale ana i nā paia mai nā mea ʻino i loko. He ikaika loa kēia membrane pale i loko o ka ʻōpū a me ka hapa mua o ka ʻōpū liʻiliʻi. Eia nō naʻe, i loko o ke kanaka me ka maʻi ʻōpū peptic, ua nāwaliwali kēia ʻōnaehana pale . A laila hiki i kēlā mau wai hoʻoheheʻe ʻino ke ʻai i nā paia.

ʻO ka ʻōpū he ʻino hohonu e komo ai i loko o nā papa ʻekolu o ka uhi o ka ʻōpū. ʻO ka hapa pinepine, loaʻa kēia mau ʻōpū i loko o ka ʻōpū a i ʻole ka hapa mua o ka ʻōpū liʻiliʻi (duodenum), no ka mea, ʻo ia kahi e hana nui ai nā wai ʻai. Akā, kākaʻikahi, hiki ke loaʻa ma nā wahi ʻē aʻe.

Ma hea e hiki ai kēia mau ʻeha? Aia kekahi mau ʻano?

ʻAe, ʻike nui ʻia kēia mau ʻeha i loko o ko mākou ʻōpū a me ka hapa mua o ka ʻōpū liʻiliʻi (duodenum).

• ʻO nā ʻeha Duodenal: ʻO kēia nā mea maʻamau, e helu ana ma kahi o 80%.
• ʻEha ʻōpū: ʻIke ʻia kēia mau mea ma kahi o 20% o nā hihia.

Eia nō naʻe, i nā hihia kakaikahi loa, hiki i ka waikawa o ka ʻōpū ke kahe i loko o nā wahi ʻē aʻe, e hana ana i nā ʻeha. Eia kekahi laʻana:

• ʻEha ʻōpū: Loaʻa i kekahi poʻe ka reflux waikawa mau loa, ʻo ia ka wā e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu. Inā hoʻomau kēia, hiki i ka uhi o ka esophagus ke mae mālie, e hana ana i kahi ʻeha. ʻO kēia no ka mea ʻaʻole i kūpaʻa ka uhi o ka esophagus i ka waikawa e like me ka uhi o ka ʻōpū.
• ʻO ka maʻi ʻōpū:ʻO ka jejunum ka ʻāpana waena o ko kākou ʻōpū liʻiliʻi. Hiki i kekahi mau ʻoki kino (e laʻa, gastrojejunostomy - kahi ʻoki kino e hoʻopili pololei i ka ʻōpū i ka jejunum) ke hana i nā ʻeha i kēia ʻāpana.

Pehea ka maʻamau o kēia ʻano?

Ma ka honua holoʻokoʻa, ma waena o 5% a me 10% o nā kānaka e loaʻa i ka maʻi ʻōpū peptic (PUD) i kekahi manawa o ko lākou ola. ʻOiai hiki ke loaʻa i kēlā me kēia makahiki, ʻoi aku ka maʻamau i ka poʻe waena a me nā kāne.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

ʻO ka mea kupanaha, ma kahi o 70% o ka poʻe me kēia maʻi ʻaʻole hōʻike i kekahi mau hōʻailona . Eia nō naʻe, ʻo nā mea maʻamau a ka poʻe i loaʻa nā hōʻailona e ʻōlelo ai:

• ʻEha ʻeha Epigastric: I ka pololei, he ʻeha ia e hele mai ana mai waenakonu o ka ʻōpū , ma lalo o ka umauma.
• Dyspepsia: He hōʻiliʻili o nā ʻeha ʻōpū e kū mai ana ma hope o ka ʻai ʻana. Hoʻokomo pū kēia i ka ʻeha ma ka ʻōpū o luna, kahi ʻano wela , kahi manaʻo o ka piha ma hope o ka ʻai ʻana, a me kahi manaʻo mau o ka piha.

Ua like kēia ʻano wela me ka manaʻo o ka waikawa o ka ʻōpū a me nā enzymes e ʻai ana i ka ʻili o ka ʻōpū. Ua wehewehe kekahi poʻe iā ia me he "me he mea lā e ʻeli ana i loko o ka ʻōpū." Hiki paha iā ʻoe ke kuhikuhi pono i kahi o ka ʻeha.

ʻOiai he paʻakikī ke ʻike pololei inā aia ka ʻōpū ma ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi, aia kekahi mau hōʻailona:

• Inā loaʻa iā ʻoe kahi ʻōpū ʻōpū , hiki ke ʻoi aku ka ʻeha ma hope koke iho o ka ʻai ʻana (i loko o 30 mau minuke), no ka mea, ʻo ia ka manawa e hoʻokuʻu ʻia ai ka nui o ka wai ʻōpū.
• I ke ʻano o ka ʻōpū duodenal , hiki ke emi ka ʻeha ma hope o ka ʻai ʻana. Eia nō naʻe, ma hope o ʻelua a ʻekolu mau hola, hiki ke hoʻonui hou ʻia ka ʻeha i ka wā e hele ai ka meaʻai a me nā wai ʻai i loko o ka ʻōpū liʻiliʻi. Kuhi hewa kekahi poʻe i kēia no ka pōloli, no ka mea, ʻo ka ʻai ʻana e hāʻawi i ka hōʻoluʻolu. ʻO ke ala ʻana i ka pō ma muli o ka ʻeha he mea maʻamau nō hoʻi i ka poʻe me kēia mau ʻōpū liʻiliʻi.

Ma waho aʻe o kēia, hiki iā ʻoe ke ʻike i nā ʻano hana ʻē aʻe e like me:

• ʻŌpū pehu
• ʻO ka burping pinepine a i ʻole ka belching
• Ka nalowale o ka makemake
• Ka luaʻi a me ka luaʻi

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia? He aha nā pilikia?

Hoʻomohala kekahi poʻe i nā hōʻailona ma hope o ka loaʻa ʻana o nā pilikia ʻē aʻe i ke ʻano. Hana ʻia kēia inā waiho ʻole ʻia no ka manawa lōʻihi. A i ʻole, hiki i nā ʻeha ke hoʻomaka e kahe ke koko , a i ʻole hiki i ka paia ke lilo i mea hohonu a hana i lua .

Inā loaʻa iā ʻoe ke kahe koko ma ka ʻōpū o luna, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Koko i loko o ka ʻeke ( ʻeleʻele, ʻeleʻele, ʻulaʻula )
• Luaʻi lepo kope
• Pōʻino a nāwaliwali paha
• Ka ʻili keʻokeʻo (pallor)
• Ka wikiwiki o ka puʻuwai

Inā loaʻa kahi lua i loko o ke ala ʻai (gastrointestinal perforation), nā hōʻailona e like me:

• ʻEha ʻōpū koke, koʻikoʻi, ʻoi
• ʻO ka pehu ʻana o ka ʻōpū a me ka ʻeha hiki ʻole ke hoʻomanawanui
• Kuni a me nā anu

Inā ʻaʻole mālama ʻia no ka manawa lōʻihi, hiki i nā ʻeha ke ho'ōla a laila hoʻi hou mai. I kekahi poʻe, hiki ke hoʻonui ʻia ka ʻeha a me ka pehu ʻana i loko o ke ala ʻai, e alakaʻi ana i ka pale ʻana o ka ʻōpū . Hiki i kēia ke alakaʻi i nā hōʻailona e like me:

• Ka pehu ʻana, ka pehu ʻana, a me ka ʻeha
• Ka luaʻi a me ka luaʻi
• Ka nalowale o ka makemake a me ka pohō kaumaha
• Ka hoʻomanawanui ʻole a me ka paʻa ʻana

No ke aha e loaʻa ai iā kākou kēia mau ʻōpū ʻōpū? He aha nā kumu nui?

Ua hoʻolālā ʻia ka uhi pale o ko kākou ʻōpū ʻai e kū i nā waikawa ʻino a me nā enzymes a e hoʻoponopono iā ia iho inā hōʻino ʻia. He ʻoiaʻiʻo loa kēia ma ka ʻōpū a me ka hapa mua o ka ʻōpū liʻiliʻi. Eia nō naʻe, loaʻa nā ʻeha ke hoʻopilikia kekahi mea i kēia mau pale kūlohelohe.

I mea e hōʻemi ʻia ai kēia pale a no ka hohonu o ka ʻōpū e komo i loko o ka mucosa, pono e kū mai kahi kūlana lōʻihi a mau paha . Ua ʻike nā kānaka ʻepekema i ʻelua mau kumu nui e kuleana ai no ka hapa nui o kēia mau PUD:

1. H. pylori (Helicobacter pylori) Maʻi bacteria: Noho kēia bacteria i loko o ka ʻōpū a/a i ʻole ka ʻōpū liʻiliʻi o ka hapalua o ka heluna kanaka o ka honua. No ka hapa nui o ka poʻe, ʻaʻole ia e hoʻopilikia. Eia nō naʻe, inā nui loa ka bacteria, hiki iā ia ke hoʻopilikia i ke kaulike o nā microorganism ʻē aʻe ma laila a hoʻoulu i kahi pane mumū . Hoʻonāwaliwali kēia mumū lōʻihi i ka paia a hōʻemi i kona hiki ke hoʻoponopono iā ia iho. I kekahi manawa, hiki i ka bacteria ke hoʻouka pololei i ka paia.

2. Hoʻohana nui ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): ʻO kēia nā lāʻau hoʻomaha ʻeha a mākou e kūʻai ai mai ka hale kūʻai lāʻau me ke kauoha ʻole ʻia, e like me ka aspirin a me ka ibuprofen. No ka mea, ua lawe ʻia lākou me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau, nui ka poʻe e lawe pinepine iā lākou ma mua o ka mea e pono ai. Hoʻopilikia kēia i ke kaulike kemika i loko o ko mākou ʻōpū a me ka ʻōpū liʻiliʻi. Hana nā NSAID ma ka hōʻemi ʻana i ka hana ʻana o nā kemika i kapa ʻia ʻo prostaglandins, kahi e hoʻoponopono ai i ka pōʻino i ka uhi o ke ala ʻai.

Ma waho aʻe o kēia mau kumu nui ʻelua, aia kekahi mau kumu ʻē aʻe i maʻamau ʻole:

• Nā maʻi ʻē aʻe
• Hoʻemi ʻia ke kahe koko (`Ischemia`)
• Ke kaumaha kino koʻikoʻi (pinepine mai kahi maʻi a ulia paha e hoʻoweliweli ana i ke ola)
• ʻO ka chemotherapy a i ʻole ka radiation therapy
• ʻO ka maʻi Zollinger-Ellison - kahi kūlana kahi e hana ai ka ʻōpū i ka nui o ka waikawa
• ʻO ka maʻi o Crohn - kahi maʻi mumū o ka ʻōnaehana digestive
• Ka maʻi ʻōpū

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

Inā loaʻa iā ʻoe ka maʻi H. pylori a i ʻole he mea hoʻohana pinepine ʻoe i nā NSAID, ʻoi aku ka nui o kou loaʻa ʻana i kēia mau ʻōpū ʻōpū. He kiʻekiʻe loa ka pilikia inā loaʻa iā ʻoe kēia mau mea pilikia ʻelua.

Eia kekahi, ʻo ka puhipaka, ka inu ʻona, a me kekahi mau lāʻau lapaʻau ʻē aʻe āu e lawe ai hiki ke kōkua i kēia. ʻOiai ʻaʻole ikaika kēia mau mea wale nō e hoʻoulu ai i nā ʻōpū, i ka wā e hui pū ʻia me ka maʻi H. pylori a i ʻole ka hoʻohana ʻana i ka NSAID, hoʻonui lākou i ka hiki ke loaʻa nā ʻōpū.

Pehea e ʻike ai nā kauka i kēia?

Inā kānalua kāu kauka i kahi ʻōpū ʻōpū ma muli o kāu mau hōʻailona a me nā kumu pilikia, e nānā mua lākou i kou esophagus no nā ʻōpū. E hoʻāʻo pū lākou no ka maʻi H. pylori.

No nā kānaka he nui, ʻo ka endoscopy esophageal luna (hoʻāʻo EGD) ka hōʻoia hope loa. Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma ka hopena ma o ka waha a me ka nānā ʻana i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi. I kēia manawa, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (he biopsy) mai ka ʻōpū e nānā i ke alo o H. pylori.

He mea pono loa ka Endoscopy no ka mea, ʻaʻole ia e ʻae wale iā ʻoe e ʻike i nā kiʻi, akā hiki nō hoʻi iā ʻoe ke hoʻokomo i nā mea hana ma o ka ʻōmole inā pono a hana i ka lāʻau lapaʻau. No ka laʻana, inā e kahe ana ke koko o kahi ʻeha, hiki iā ʻoe ke mālama koke iā ia e hoʻōki.

Nā hoʻokolohua ʻē aʻe:

• Hiki ke hana ʻia kahi `CT scan (Computed Tomography scan)` a i ʻole ka `GI series X-ray exam` no ka ʻike ʻana i nā ʻeha nui aʻe.
• Hiki ke hana i kahi "hoʻāʻo hanu urea" a i ʻole kahi "hoʻāʻo ʻōpala" e ʻike ai i ka maʻi "H. pylori".

He aha nā lāʻau lapaʻau?

ʻO ka lāʻau lapaʻau nui no nā ʻōpū ʻeha he hui pū ʻana o nā lāʻau lapaʻau e hōʻemi i ka waikawa o ka ʻōpū, pale i ka uhi, a kōkua iā ia e ho'ōla . Inā loaʻa iā ʻoe kahi maʻi, pono paha ʻoe i nā antibiotics . ʻO ka mea nui loa, ʻo ia ka ʻimi a me ka mālama ʻana i ke kumu o ka ʻōpū.

I ka hapa nui o ka manawa, hiki ke ho'ōla ʻia nā ʻeha me ka lāʻau lapaʻau wale nō. Eia nō naʻe, inā he mau pilikia, e like me ka ʻeha kahe koko a i ʻole ka ʻeha puka, pono paha ka mālama hou ʻana. Hiki ke mālama ʻia ka nui o kēia mau pilikia me nā kaʻina hana lapaʻau maʻalahi, e like me ka endoscopy.

Nā lāʻau lapaʻau

• Nā lāʻau antibiotic: Inā loaʻa iā ʻoe kahi maʻi me H. pylori a i ʻole kekahi bacteria ʻē aʻe, e kuhikuhi kāu kauka i ka hui pū ʻana o nā antibiotics e pepehi i nā bacteria. (Laʻana: Amoxicillin, Clarithromycin, Metronidazole)
• Nā mea hoʻomalu cyto: Hana kēia mau lāʻau lapaʻau ma ka uhi ʻana a me ka pale ʻana i ka ʻōpū a hiki i ka wā e ho'ōla ai. (Ex: 'Sucralfate', 'Misoprostol', 'Bismuth subsalicylate')
• Nā mea pale i ka histamine receptor (nā mea pale H2): Hoʻemi kēia mau lāʻau i ka waikawa ma ke kāohi ʻana i ka kemika e hōʻailona ana i ka ʻōpū e hana i ka waikawa. (Ex: `Famotidine`, `Cimetidine`)
• Nā mea hoʻopaʻa i ka pamu proton (PPI): Hoʻemi kēia mau lāʻau i ka waikawa o ka ʻōpū a kōkua i ka uhi o ka ʻōpū e ho'ōla ma ka pale ʻana iā ia. (Ex: Omeprazole, Pantoprazole, Esomeprazole)
• Nā lāʻau ʻeha ʻē aʻe ma kahi o nā NSAID: Inā ʻoe e lawe mau i nā NSAID, makemake paha ʻoe e kamaʻilio me kāu kauka e pili ana i kahi koho ʻē aʻe. ʻO ka Acetaminophen (paracetamol) he non-NSAID a ʻaʻohe hopena like ma ka ʻōpū.

Nā kaʻina hana lapaʻau

Inā he ʻeha paʻakikī kou a kahe ke koko, pono kāu kauka e mālama pololei iā ia. Hiki ke hana pinepine ʻia kēia i ka wā o ka endoscopy. Hoʻōki ʻia ke kahe ʻana o ke koko ma ke kau ʻana i ka ʻeha a i ʻole ka hoʻokomo ʻana i ka lāʻau lapaʻau. Inā he lua, e humuhumu ʻia a pani ʻia.

I kekahi manawa, inā ua ālai kahi ʻōpū i ka esophagus, pono paha nā hana e wehe hou ai. Hiki i kēia ke pili i ka omo ʻana i nā mea o loko o ka ʻōpū a i ʻole, i kekahi manawa, ke ʻoki kino.

He aha kā mākou e hana ai e pale aku iā mākou iho mai kēia kūlana? (Ka pale ʻana)

ʻO nā mea nui e hiki ai iā ʻoe ke hana e pale iā ʻoe iho mai ka maʻi ʻōpū peptic:

1. E hoʻāʻo ʻia no ka maʻi H. pylori a mālama ʻia: He nui ka poʻe i loaʻa i ka maʻi H. pylori akā ʻaʻole ʻike. Hiki iā ʻoe ke ʻike inā loaʻa iā ʻoe ma ka hana ʻana i kahi hoʻāʻo hanu urea maʻalahi. Inā loaʻa, e mālama ʻia ma mua o ka hiki ʻana mai o nā pilikia. ʻOiai inā ua mālama ʻia ʻoe ma mua, he manaʻo maikaʻi e hoʻāʻo hou ʻia, no ka mea hiki ke hoʻi hou mai i kekahi manawa.

2. E hoʻohana i nā NSAID e like me ke kuhikuhi ʻana: Inā maʻa ʻoe i ka lawe ʻana i nā NSAID no nā ʻehaʻeha liʻiliʻi i kēlā me kēia lā, e makaʻala ʻaʻole e lawe ʻoi aku ma mua o ka nui i ʻōlelo ʻia. Inā he moʻolelo kou no nā ʻōpū ʻeha, ʻoi aku ka maikaʻi o ka pale ʻana i ka hoʻohana ʻana iā lākou. Inā pono, e lawe pū me kekahi lāʻau lapaʻau ʻē aʻe e pale ana i ka ʻōpū.

E ola anei kēia mau ʻeha me ka ʻole o ka lāʻau lapaʻau?

Inā wehe ʻia ke kumu o ka ʻōpū, hiki ke ho'ōla ʻia ka ʻōpū. Eia nō naʻe, pono ka hoʻokolokolo lapaʻau e hoʻoholo i ke kumu. Inā he maʻi H. pylori a i ʻole kekahi maʻi ʻē aʻe ke kumu, pono ka lāʻau lapaʻau e hoʻopau iā ia.

Inā he NSAID wale nō ke kumu, hiki i ka ʻōpū ke ho'ōla iā ia iho inā ʻoe e ho'ōki i ka lawe ʻana iā lākou. Eia nō naʻe, pono ʻoe e ʻike i ke kauka e hōʻoia i kēia. Loaʻa paha iā ʻoe kahi maʻi H. pylori, a hiki i nā NSAID ke hoʻonui i kahi maʻi i hana ʻole ʻia ma mua.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?

Hoʻōla ka hapa nui o nā ʻōpū ʻōpū i loko o kekahi mau pule . Pono ka hapa nui o ka poʻe e lawe i ka lāʻau no ʻelua mahina. He kūpono loa kēia lāʻau. Eia nō naʻe, pono paha i ka poʻe me nā maʻi lōʻihi e like me Zollinger-Ellison syndrome ke lawe i ka lāʻau no ke koena o ko lākou ola.

Ma hope o ka lāʻau lapaʻau, e hana ke kauka i nā hoʻokolohua hahai e hōʻoia i ka ho'ōla piha ʻana o ka ʻōpū a ua hala ka maʻi. He bacteria paʻakikī ʻo H. pylori a hiki ke hoʻi hou mai i kekahi manawa. Eia kekahi, inā hoʻomau nā kūlana i hoʻoulu ai i ka ʻōpū, hiki i ka ʻōpū ke hoʻi hou mai.

He mea kākaʻikahi loa, loaʻa paha i kekahi poʻe nā ʻōpū ʻōpū mau loa ʻaʻole e ho'ōla ʻia me ka lāʻau lapaʻau. Hiki i kēia ke hana i nā pilikia e like me ka ʻeha lōʻihi a me ka ʻeha nui. I ia mau hihia, pono paha ke ʻoki ʻana (e laʻa, e wehe i nā ʻiʻo ʻeha (pyloroplasty), a i ʻole e ʻoki i kahi aʻalolo e kaohi ana i ka hana ʻana o ka waikawa ʻōpū (vagotomy)).

Pono ʻoe e hoʻololi i kāu meaʻai a me kou nohona?

ʻAʻole hiki i ka meaʻai a me ka mea inu ke hoʻoulu i nā ʻōpū palapū, akā inā loaʻa iā ʻoe nā ʻōpū palapū, hiki i kekahi mau meaʻai a me nā mea inu (ʻoi aku ka ʻala a me nā meaʻai ʻawaʻawa) ke hoʻonui iā lākou . Inā loaʻa iā ʻoe nā hōʻailona a i ʻole ua loaʻa mua iā ʻoe nā ʻōpū palapū, pono ʻoe e pale loa i ka waiʻona a me ka puhipaka .

E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (ʻoi aku hoʻi nā NSAID). Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka wā e lawe pū ʻia ai.

ʻAʻole hiki ke ho'ōla ʻia kēia ma ka hoʻohana ʻana i nā antacids ma ka home?

Hana nā antacids ma ka hoʻopau ʻana i ka waikawa a me ka hōʻemi ʻana i nā hōʻailona e like me ka heartburn, ka heartburn, a me ka indigestion. Hiki iā lākou ke hoʻomaikaʻi i kahi ulcer no kekahi manawa, akā ʻaʻole lākou e ho'ōla i ka ulcer . Inā ua loaʻa iā ʻoe nā ulcers o ka ʻōpū ma mua, hiki i nā antacids ke kōkua i ka pale ʻana iā lākou mai ka hoʻi hou ʻana mai.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

Inā kānalua ʻoe he ʻōpū ʻōpū kou, e ʻike pono i ke kauka . ʻOiai hiki i nā lāʻau lapaʻau maʻamau ke hoʻomalu i kou mau hōʻailona no kekahi manawa, ʻaʻole lākou e ho'ōla i ka ʻōpū. Pono e ʻike ʻia a mālama ʻia ke kumu kumu.

ʻO kahi ʻōpū i mālama ʻole ʻia, ʻoiai inā ʻaʻohe ou hōʻailona koʻikoʻi, hiki ke alakaʻi i nā pilikia koʻikoʻi. ʻO ka maʻi me H. pylori, ʻo ia ke kumu nui o nā ʻōpū ʻōpū, hiki ke alakaʻi i nā pilikia ʻē aʻe (e like me ka pilikia o ka loaʻa ʻana o ka maʻi ʻōpū).

Inā ʻike ʻoe i nā hōʻailona o nā pilikia koʻikoʻi e like me kēia, e hele koke i kahi lumi pilikia:

• He ʻeha mau a nui.
• Nā hōʻailona o ke koko i loko o ka ʻōpala (nā ʻōpala ʻeleʻele) a i ʻole ka luaʻi ʻana i ke koko.
• Nā hōʻailona o ke kahe koko nui (ke keʻokeʻo, ka nāwaliwali).

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

He maʻi koʻikoʻi ka maʻi ʻōpū peptic e hoʻopilikia ana i kāu ʻōnaehana hoʻoheheʻe. Hana ʻia ia ke nāwaliwali kāu ʻōnaehana pale kūlohelohe. He lōʻihi ka manawa e ulu ai kēia maʻi a pono pinepine ka lāʻau lapaʻau e ho'ōla.

He maʻi maʻamau a hiki ke mālama ʻia nā ʻōpū ʻeha. Eia nō naʻe, he mea nui e ʻimi i ka lāʻau lapaʻau ʻoiai inā ʻaʻohe ou hōʻailona koʻikoʻi.Inā ʻaʻole mālama ʻia, hiki i nā ʻeha ke lilo i mea hohonu a koʻikoʻi. No laila, mai hoʻokaʻulua i ke kamaʻilio ʻana me ke kauka e pili ana i kāu mau hōʻailona. He waiwai kou olakino!

ʻO nā ʻōpū ʻeha, nā ʻōpū peptic, ka mumū o ka ʻōpū, H. pylori, NSAID, gastritis, indigestion