He paʻakikī ke ale? Ua paʻa anei i loko o kou puʻu? He ʻAkalasia paha kēia!

Ke ʻai ʻoe, manaʻo paha ʻoe ʻaʻole e iho ka wai āu e inu ai i lalo o kou puʻu? Manaʻo ia ua paʻa kekahi mea i loko o kou puʻu... Malia paha e hoʻi hou mai ana ka meaʻai i loko o kou puʻu. ʻAʻole kēia he mea wale nō, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo Achalasia . ʻOiai manaʻo ka poʻe he nui he mea maʻamau kēia, he mea nui loa ia e makaʻala i kēia. No laila e kamaʻilio kākou e pili ana i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Achalasia?

E noʻonoʻo, i ka wā e ʻai ai kākou, pono e hele ka meaʻai mai ko kākou waha a i ko kākou ʻōpū, ʻeā? Hana ʻia kēia huakaʻi ma kahi ʻōmole i kapa ʻia ʻo ka esophagus. I mea e hana pono ai kēia kaʻina hana, pono e hana ʻia ʻelua mau mea.

1. Pono ka esophagus e ʻūmiʻi a kaomi i ka meaʻai i lalo, e like me ke ʻomi ʻana i kahi ʻōmole toothpaste.

2. Pono e wehe ʻia kahi kiwikā liʻiliʻi (ʻaoʻao ʻiʻo) ma ka hopena o ka esophagus, kahi e komo ai ka meaʻai i loko o ka ʻōpū.

I kēia manawa, inā loaʻa iā ʻoe ka achalasia, ʻaʻole hana pono kēia mau kaʻina hana ʻelua. ʻAʻole hiki i ka esophagus ke hoʻokuke i ka meaʻai i lalo, a ʻaʻole wehe pono kēlā valve. He aha ka mea e hana ai? Paʻa ka meaʻai ma ka ʻaoʻao haʻahaʻa o ka esophagus. Ua like ia me kahi paipu i paʻa i loko o kahi poho holoi. I ka hopena, hoʻomaka kēia meaʻai i paʻa e hoʻi hou i luna i loko o ka puʻu.

He maʻi laha ʻole kēia. Hoʻopilikia ia i hoʻokahi i loko o hoʻokahi miliona kānaka. Akā, ʻaʻole ia e hiki koke mai, ulu mālie ia i nā makahiki. Noho kekahi poʻe no nā makahiki me ka ʻike ʻole i nā hōʻailona. ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia, me ka mālama kūpono , hiki iā ʻoe ke ola i kahi ola maʻamau.

He aha nā kumu o ka maʻi ʻAkalasia?

ʻAʻole i ʻike ʻia ke kumu kikoʻī o kēia, akā aia kekahi mau mea a nā kauka e manaʻo nei he hiki.

• Nā kumu hoʻoilina: ʻO ke ʻano kēia hiki ke hoʻoilina ʻia.
• Nā pilikia Autoimmune: ʻO kēia ka manawa e hoʻouka ai ka ʻōnaehana pale, ka mea e pale ai i ko mākou kino, i kā mākou mau hunaola nerve ponoʻī.
• ʻO kahi maʻi viral: Manaʻo ʻia kekahi mau maʻi viral e hōʻino i nā aʻalolo i loko o ka esophagus.
• Neurodegenerative: Ka luku mālie ʻana o nā aʻalolo e kaohi ana i nā ʻiʻo o ka esophagus.

Hiki i kēia maʻi ke hoʻopilikia i kekahi. Hoʻopilikia like ia i nā kāne a me nā wahine. Akā, ʻoi aku ka maʻamau i nā poʻe ma waena o 25 a me 60 mau makahiki. Hiki iā ia ke hoʻopilikia i nā keiki. ʻIke ʻia hoʻi i nā poʻe me Down syndrome.

Aia kekahi mau ʻano o ka Achalasia?

ʻAe, ua māhele ʻia ʻo Achalasia i ʻekolu ʻano nui. Ma muli o ke ʻano āu i loaʻa ai, ʻokoʻa paha nā hōʻailona a me nā lāʻau lapaʻau.

He aha nā hōʻailona nui o kēia?

ʻO ka hōʻailona nui a maʻamau o ka achalasia ka paʻakikī i ka ale ʻana i nā wai a me nā mea paʻa . Hiki i ka meaʻai ke paʻa i loko o ka puʻu, e hoʻonui ai a hoʻonui ʻia paha ka esophagus.

Eia kekahi, hiki ke ʻike ʻia kēia mau ʻano:

• ʻEha ka umauma ma hope o ka ʻai ʻana.
• Piʻi hou mai ana ka meaʻai i loko o ka puʻu.
• ʻŌpū ʻōpū a me ka ʻōpū ʻole.
• Ka pohō kaumaha me ke kumu ʻole.
• ʻŪhū i ka pō.
• Ka luaʻi ʻana.
• Hiki i ka meaʻai a i ʻole nā ​​​​wai e komo ana i loko o nā māmā ke hana i ka niumonia.
• Ke ʻū ana.
• Hiccups a i ʻole ka paʻakikī i ka hele ʻana i loko o ka ʻōpū.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ma muli o ke ʻano like o nā hōʻailona o ka achalasia me nā maʻi ʻōpū ʻē aʻe, e like me GERD (Gastroesophageal Reflux Disease), hiki i kāu kauka ke mālama mua i kēlā. Eia nō naʻe, inā ʻaʻole i hoʻomaikaʻi kēia mau mea, hiki ke hana ʻia kēia mau hoʻokolohua e nānā no ka achalasia.

• Manometry: ʻO kēia ka hoʻāʻo maikaʻi loa e hōʻoia i ke kūlana. Maanei, hoʻokomo ʻia kahi ʻōmole lahilahi ma kou ihu i loko o kou ʻōpū a ana ke kauka i ka ikaika o nā ʻiʻo i loko o kou esophagus a me ka hana o ka valve ma lalo ke moni ʻoe i kahi wai.
• ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi ʻōmole me kahi kāmela, i kapa ʻia he endoscope, ma kou waha a nānā ʻia ka ʻaoʻao o loko o kou esophagus a me ka ʻōpū. Hoʻohana ʻia ia e nānā i nā mea ʻē aʻe a me ka haiki ʻana, a hiki ke lawe ʻia kahi biopsy inā pono.
• Barium Swallow: Ua kapa ʻia kēia he Esophagogram. Maanei, hāʻawi ʻia ʻoe i kahi wai kūikawā i kapa ʻia ʻo barium e inu a lawe ʻia kahi X-ray. Hoʻomaopopo kēia wai i ka esophagus ma ka X-ray. ʻOi aku ka maʻalahi o ka ʻike ʻana inā he mau haiki i loko.
• Hoʻāʻo pH: Ana kēia i ka acidity i loko o kou esophagus. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau maʻi ʻē aʻe kou, e like me GERD.

He aha nā lāʻau lapaʻau?

ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka wehe ʻana a me ka hoʻonui ʻana i nā ʻiʻo paʻa ma ka ʻaoʻao haʻahaʻa o ka esophagus, e ʻae ana i ka meaʻai a me nā wai e hele maʻalahi i loko o ka ʻōpū. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu ma muli o kou makahiki, nā hōʻailona, ​​a me nā kūlana olakino ʻē aʻe.

ʻoki kino

ʻO ke ʻoki ʻana ka lāʻau lapaʻau kūpono loa no ka achalasia. Loaʻa i ka hapa nui o ka poʻe ka ho'ōla lōʻihi ma hope o ke ʻoki ʻana.

• ʻO Heller Myotomy: ʻO kēia ke ʻoki maʻamau. Hana pinepine ʻia ia ma ke ʻano laparoscopically, ʻo ia hoʻi, hana ʻia ia ma o kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a me ke kōkua o kahi kāmela. Maanei, ʻoki ke kauka a wehe i ka papa ʻiʻo paʻa ma lalo o ka esophagus.
• ʻO Peroral Endoscopic Myotomy (POEM): He hana ʻoki hou kēia. ʻAʻohe ʻoki ʻia ma waho. Hoʻokomo ʻia ka endoscope ma o ka waha, hana ʻia kahi ʻoki liʻiliʻi ma ka uhi o ka esophagus, a ʻoki ʻia ka ʻiʻo paʻa.

Ua holomua kēia mau ʻoki ʻana ʻelua, akā hiki i kekahi poʻe ke loaʻa i ka reflux acid ma hope.

Nā lāʻau lapaʻau ʻoki ʻole

ʻAʻole pono nā kānaka a pau i ke ʻoki kino. Hiki i kēia mau ʻano hana ke kōkua, akā, ʻaʻole lākou he hopena mau loa e like me ke ʻoki kino. Pono paha ʻoe e hana ia i nā manawa he nui.

• Nā inikini Botox: I ka wā o ka endoscopy, hāʻawi ʻia kahi inikini Botox (botulinum toxin) i nā ʻiʻo paʻa. Hoʻomaha kēia i nā ʻiʻo no kekahi manawa.
• Hoʻonui ʻana i ka Pneumatic:Me ka hoʻohana ʻana i ka endoscope, ua hoʻokomo ʻia kahi pōpō i loko o ka ʻāpana haiki o ka esophagus a hoʻopiha ʻia e hohola a hoʻonui i nā ʻiʻo.
• Nā lāʻau lapaʻau: Hiki i nā lāʻau lapaʻau e like me nā nitrates a me nā mea pale calcium ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo paʻa. Eia nō naʻe, hiki i kēia mau mea ke hana i nā hopena ʻaoʻao, no laila e hoʻohana wale ʻia e like me ke kuhikuhi a kāu kauka.

Hiki i kēia mau mea ke kōkua i ka wā e noho ana me Achalasia

ʻAʻohe papaʻai kikoʻī no kēia maʻi. Akā e maopopo iā ʻoe nā meaʻai e maʻalahi ke ʻai a me nā mea paʻakikī. He manaʻo maikaʻi nō hoʻi e kākau e pili ana i ia mea i loko o kahi puke. He mea nui loa ia e makaʻala i ke ʻano a me ka manawa āu e ʻai ai.

• E nau maikaʻi i ka meaʻai a ʻai i nā ʻāpana liʻiliʻi .
• E ʻai me ka noho pololei . E kōkua kēia i ka iho ʻana o ka meaʻai me ka maʻalahi me ke kōkua o ke koʻikoʻi.
• Mai ʻai i ka meaʻai paʻa kokoke i ka wā moe .
• Hiki i nā meaʻai a me nā mea inu wela loa a anu loa paha ke hoʻoulu i nā ʻiʻo spasms i kekahi poʻe.
• E inu iki i ka wai i ka wā e ʻai ana.
• Wahi a kekahi poʻe, ʻo ka inu ʻana i nā mea inu kalapona e kōkua i ka hoʻohaʻahaʻa ʻana i ka meaʻai.

Inā koʻikoʻi kou kūlana, he manaʻo maikaʻi paha ke hoʻololi i ka ʻai wai no kekahi manawa. Akā inā hana ʻoe, e kamaʻilio me kāu kauka e hōʻoia i ka loaʻa ʻana o ka meaʻai āu e pono ai. Inā ʻoe e emi nui ana ke kaumaha, e haʻi aku i kāu kauka, no ka mea, he hōʻailona paha ia o ka nele i ka ʻai.