Ke pilikia nei i ka moni ʻana? He ʻAkalasia paha ia? E kamaʻilio kākou e pili ana i kēia!

Ua manaʻo paha ʻoe ua paʻa kāu meaʻai a mea inu paha i loko o kou esophagus? A i ʻole ua ʻeha kou umauma a hoʻi hou mai ka meaʻai i loko o kou puʻu? Hiki i kēia mau mea ke hoʻonāukiuki loa i kou ola o kēlā me kēia lā. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hana i nā hōʻailona like, akā ʻaʻole maʻamau loa. ʻO ia ke ʻano i kapa ʻia ʻo 'Achalasia' (ʻo ia hoʻi ʻo 'Cardiospasm').

He aha ka ʻAkalasia? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo 'Achalasia' kahi maʻi kakaikahi kahi e hana pono ʻole ai ko kākou esophagus, ka ʻōmole e lawe ana i ka meaʻai mai ko kākou waha a i ko kākou ʻōpū. Ua ʻike anei ʻoe ʻaʻole wale ko kākou esophagus he ʻōmole? He ʻōmole ia i hana ʻia me nā ʻiʻo. Ke moni kākou i kahi mea, ʻūlū kēia mau ʻiʻo (e like me ka nalu) a hoʻokuke i ka meaʻai i lalo. Kāhea mākou i kēia kaʻina hana '(Peristalsis)'.

I kēia manawa, e noʻonoʻo ʻoe ma ka lalo loa o ka esophagus, kahi e komo ai ka meaʻai i loko o ka ʻōpū, aia ke apo o nā ʻiʻo e like me ka puka. Ua kapa ʻia kēia ʻo "Lower Esophageal Sphincter" a i ʻole "LES." ʻO ka maʻamau, ke kokoke ka meaʻai i kēia "LES", wehe ia (hoʻomaha) a ʻae i ka meaʻai e hele i loko o ka ʻōpū. A laila pani hou ia, e kāohi ana i nā mea o loko o ka ʻōpū mai ka hoʻi ʻana mai i luna i loko o ka esophagus.

Eia nō naʻe, i loko o kekahi me 'Achalasia', ua hoʻopilikia ʻia kēia kaʻina hana.

1. ʻAʻole e hana pono ana ka neʻe ʻana e like me ka peristalsis i loko o ke ala ʻai, a i ʻole ua nāwaliwali loa.

2. ʻAʻole e wehe pono ʻia kēlā puka i kapa ʻia ʻo `LES` ke hiki mai ka meaʻai. Ua paʻa.

No laila he aha ka mea e hana ʻia? ʻO nā mea āu e ʻai ai a inu ai e paʻa i loko o kou esophagus, ʻaʻole e hele i loko o kou ʻōpū. Hoʻopilikia kēia i ka ale ʻana, ʻeha ka umauma, a hoʻi hou mai ka meaʻai i loko o kou puʻu. I ka hala ʻana o ka manawa, hiki i ke kino ke emi ke kaumaha a loaʻa nā hemahema meaʻai no ka mea ʻaʻole lawa ka meaʻai.

ʻAʻole maʻamau ka maʻi ʻo 'Achalasia'. Ma kahi ʻāina e like me ʻAmelika, hoʻopilikia ia ma kahi o hoʻokahi i loko o hoʻokahi haneli tausani kānaka. Hoʻopilikia pinepine ia i ka poʻe ʻelemakule, ma waena o 25 a me 60 mau makahiki. Eia nō naʻe, i kekahi manawa hiki i nā keiki ʻōpio ke loaʻa i kēia maʻi.

He aha nā hōʻailona o ka ʻAkalasia? Pehea e ʻike ʻia ai?

ʻAʻole ʻike koke ʻia nā hōʻailona o ka ʻAkalasia. I ka hapa nui o ka manawa, ulu mālie lākou. ʻAʻole paha ʻoe e ʻike i ka ʻokoʻa no nā mahina a i ʻole nā ​​makahiki. ʻO nā hōʻailona nui e ʻike ʻia:

• Paʻakikī ke ale ʻana (Dysphagia): ʻO kēia ka hōʻailona nui. He mea paʻakikī paha ke ale mua i nā meaʻai paʻa, a laila nā wai.
• Regurgitation: ʻAʻole like kēia me ka luaʻi ʻana, akā hoʻi hou mai ka meaʻai i ʻeli ʻole ʻia i loko o ka puʻu. Hiki ke hana ʻia kēia i ka pō i ka wā e hiamoe ana.
• ʻEha umauma: ʻO ka ʻeha koke, i kekahi manawa koʻikoʻi, hiki i ka ʻeha ma ka umauma ke koʻikoʻi loa a hiki ke manaʻo ʻia he hāʻule puʻuwai.
• Ka paʻakikī e hele i ka lua.
• ʻĀʻī: Akā he ʻokoʻa paha kēia mai ka mumū o ka gastritis maʻamau.
• ʻŪhū.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Hiki ke pohō kaumaha i ka hala ʻana o ka manawa no ka mea ʻaʻole i komo pono ka meaʻai e ke kino.

E hoʻomanaʻo, e ʻoi aku ka ʻino o kēia mau hōʻailona i ka hala ʻana o ka manawa, no laila he mea nui e ʻimi i ke aʻo lapaʻau inā ʻike ʻoe i kahi loli iki loa.

He aha ke kumu o ka ʻAkalasia?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike ka poʻe loea i ke kumu pololei o ka achalasia. Eia nō naʻe, aia kekahi manaʻo nui. ʻO ia hoʻi, he maʻi autoimmune ia, ʻo ia hoʻi, hoʻouka kā mākou ʻōnaehana pale ponoʻī i nā cell o ko mākou kino ponoʻī. Wahi a kēia manaʻo, hana ʻia kekahi mea e like me kēia:

1. Hoʻāla ʻia kā mākou ʻōnaehana pale e kahi mea e like me ka maʻi.

2. Eia nō naʻe, ma ke kuhihewa, hoʻomaka kēia ʻōnaehana pale e hoʻouka i nā hunaola aʻalolo e kaohi ana i ka hana ʻiʻo i loko o ko kākou esophagus.

3. Ke luku mālie ʻia nei kēia mau hunaola aʻalolo.

4. A laila ʻaʻole e hana pono ka neʻe ʻana (peristalsis) e hoʻokuke ana i ka meaʻai i lalo o ka esophagus a me ka wehe ʻana o ka LES.

ʻO kēia ka manaʻo i ʻae ʻia i kēia manawa, akā ke hana ʻia nei nā noiʻi hou aku.

He aha nā pilikia e hiki mai ana o 'Achalasia'?

Me ka achalasia, ua paʻa ka meaʻai i loko o ka esophagus, hiki ke hoʻihoʻi i luna i loko o ka puʻu a i kekahi manawa i loko o ka windpipe. Inā hana ʻia kēia, hiki iā ia ke hana i nā pilikia like ʻole. Eia kekahi laʻana:

• ʻO ka niumonia aspiration: ʻO ke ʻano o ka niumonia i hoʻokumu ʻia e ke komo ʻana o ka meaʻai i loko o nā māmā.
• Bronchiectasis: Ka hōʻino ʻana i nā ala ea i loko o nā māmā.
• Nā maʻi puʻupaʻa.
• ʻO ka hoʻonui ʻia o ka maʻi ʻaʻai esophageal: Hoʻonui kēia pilikia ma muli o ka paʻa ʻana o ka meaʻai i loko o ka esophagus no ka manawa lōʻihi a me ka mumū.
• ʻAʻole pono ka meaʻai: ʻO kēia ma muli o ka nele o ka meaʻai i loko o ke kino.

ʻO ia ke kumu he mea nui e ʻike koke a mālama i ka Achalasia.

Pehea e ʻike ai nā kauka i ka ʻAchalasia?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ke ʻike ʻoe i ke kauka, e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona, ​​pehea ka lōʻihi o ko lākou noho ʻana, a pēlā aku. A laila e hana lākou i kahi hoʻokolokolo kino. ʻEkolu mau hoʻokolohua nui e hoʻohana ʻia e hōʻoia i ka hōʻailona o ka achalasia:

1. Esophagram (Barium Swallow): Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi wai i kapa ʻia ʻo barium e inu. A laila lawe ʻia kahi X-ray e ʻike i ke ʻano o ka neʻe ʻana o ka meaʻai i lalo o ka esophagus. Inā loaʻa iā ʻoe ka achalasia, ua pehu ka esophagus a ʻaʻole e wehe pono ka LES.

2. Hoʻāʻo manometry esophageal:Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi ma o ka ihu i loko o ka esophagus a ke ana ʻia ke ʻano o ka ʻūlū ʻana o nā ʻiʻo o ka esophagus a me ke kaomi o ka `LES`. Ma ka `Achalasia`, kiʻekiʻe ke kaomi o ka `LES`, a hiki ke ʻike ʻia ʻaʻohe neʻe ʻana o ka esophagus (peristalsis). ʻO kēia ka hoʻāʻo maikaʻi loa e ʻike ai i ka `Achalasia`.

3. ʻO ka endoscopy luna: Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o ka waha i loko o ka esophagus a me ka ʻōpū e nānā i loko. Hiki i kēia ke kōkua i ka nānā ʻana i nā pilikia ʻē aʻe i loko o ka esophagus (e like me ke kanesa). I kekahi manawa hiki ke lawe ʻia kahi biopsy, ʻo ia hoʻi kahi ʻāpana liʻiliʻi o ka ʻiʻo, no ka hoʻokolokolo ʻana.

He aha nā lāʻau lapaʻau no ka ʻAkalasia?

ʻO ka pahuhopu nui o ka mālama ʻana i ka achalasia, ʻo ia ka hoʻomaha ʻana i ka ʻiʻo LES ma lalo o ka esophagus, e ʻae ana i ka meaʻai e hele i loko o ka ʻōpū. ʻAʻole hiki i kēia mau lāʻau ke ho'ōla loa i ka achalasia , akā hiki iā lākou ke kāohi i nā hōʻailona a hoʻomaʻalahi i ke ola. E noʻonoʻo kāu kauka i kāu mau hōʻailona, ​​​​ka makahiki, a me kāu mau makemake e hoʻoholo i ke koho lapaʻau maikaʻi loa.

Lapaʻau ʻoki ʻole

• Hoʻonui ʻana i ka baluna: Ma kēia, ua hoʻokomo ʻia kahi baluna kūikawā ma o ka esophagus, e like me ka endoscopy, i kahi i loaʻa ai ka LES, a ua hoʻopiha ʻia ka baluna. A laila, ua kīkoʻo a hoʻomaha iki ke apo ʻiʻo paʻa. Hana kēia i ala no ka meaʻai e hele ai. Hana ʻia kēia ma lalo o ka anesthesia māmā. Pono paha e hana hou ʻia kēia lāʻau i nā manawa he nui.
• Lāʻau lapaʻau: Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻomaha i ka LES.
• ʻO ka inikini Botox® (botulinum toxin): Hoʻokomo ʻia ʻo Botox i loko o ka LES ma o kahi endoscopy. Hoʻopaʻa kēia i ka ʻiʻo no kekahi manawa a hoʻomaha. Eia nō naʻe, he mau mahina wale nō ka hopena a pono e hana hou ʻia.
• Nā papa lāʻau e like me `Nifedipine` (`Procardia XL®`, `Adalat CC®`) a i ʻole `Isosorbide` (`Imdur®`, `Monoket®`). Pono e lawe ʻia kēia mau mea ma mua o ka ʻai ʻana a hoʻomaha i ka `LES`. Eia naʻe, ʻaʻole hana kēia mau mea no nā mea āpau a hiki ke loaʻa nā hopena ʻaoʻao.

Lapaʻau ʻoki kino

Aia kekahi mau hana ʻoki kino e hiki ke hana ʻia e hoʻomaha ai i ka LES. Hana pinepine ʻia kēia mau mea me ka ʻole o kahi ʻoki nui, ma o nā ʻoki liʻiliʻi (`Laparoscopic` / `Minamally invasive`).

• ʻO ka myotomy Heller Laparoscopic: ʻO kēia ke ʻano hana maʻamau. Ma kēia, ua hoʻokomo ʻia kahi mea hana, e like me ka endoscope, ma o nā ʻoki liʻiliʻi i loko o ka ʻōpū a ʻoki ʻia nā olonā ʻiʻo o ka LES (ʻo ka myotomy ke ʻoki i ka ʻiʻo). Hoʻomaha kēia i ka LES. I ka manawa pinepine, hana ʻia kekahi kaʻina hana i kapa ʻia he fundoplication, ʻo ia hoʻi ke kāʻei ʻana i ka ʻaoʻao o luna o ka ʻōpū a puni ka esophagus e hōʻemi i ka reflux o ka waikawa ʻōpū i loko o ka esophagus (GERD).
• ʻO ka myotomy endoscopic peroral (POEM): He hana hou kēia. Ma kēia, hoʻokomo ʻia kahi endoscope ma o ka waha, hele ma lalo o ka uhi o ka esophagus, a ʻokiʻoki i ka ʻiʻo o ka LES. ʻAʻole pono kēia i kahi ʻoki waho.

He mea kākaʻikahi loa, inā koʻikoʻi loa nā hōʻailona a ʻaʻole i holo pono nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana e wehe i ka esophagus holoʻokoʻa (kahi esophagectomy).

Nā pilikia o ka mālama ʻana

He kūleʻa loa nā ʻoki Laparoscopic Heller myotomy a me POEM. Eia nō naʻe, hiki ke loaʻa kekahi mau pilikia:

• Ke hoʻi hou mai nei nā hōʻailona o ka 'Achalasia'.
• GERD (maʻi reflux Gastroesophageal) (ʻoi aku hoʻi inā ʻaʻole i hana ʻia ka fundoplication ma hope o ka Heller myotomy).
• He mea kākaʻikahi loa, ka puka ʻana o ka esophagus i ka wā o ke ʻoki ʻana.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ʻo 'Achalasia'?

Hiki i nā hōʻailona o ka achalasia ke hoʻi hou mai ma hope o ka mālama ʻana. No laila, he mea nui loa ka nānā ʻana i ke olakino lōʻihi ('follow-up'). E nānā mau kāu kauka iā ʻoe:

• Hana ʻia nā hoʻokolohua e hōʻoia i ka hele pono ʻana o ka meaʻai a me nā wai ma o ka esophagus i loko o ka ʻōpū.
• E nānā i nā hōʻailona o GERD.
• E nānā i nā hōʻailona mua o ke kanesa esophageal (ʻoi aku ke kiʻekiʻe o kēia pilikia me ka achalasia).

Inā ʻaʻole mālama ʻia, hiki i ka achalasia ke alakaʻi i nā hemahema meaʻai a hiki ke hoʻoweliweli i ke ola. Eia nō naʻe, me ka mālama kūpono, hiki i ke kanaka me ka ʻole o ka achalasia ke ola i kahi ola maʻamau.

Pehea wau e mālama ai iaʻu iho?

I ke ola ʻana me kahi maʻi i kapa ʻia ʻo 'Achalasia', aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i ka hoʻouna ʻana i ka meaʻai a me ka mea inu ma o ka esophagus me ka maʻalahi a me ka mālama ʻana i nā hōʻailona:

• E ʻokiʻoki i ka meaʻai i mau ʻāpana liʻiliʻi a nau maikaʻi.
• E inu i ka wai nui i ka wā e ʻai ana. E hoʻomaʻū kēia i ka meaʻai a kōkua iā ia e iho maʻalahi.
• E ʻai me ka noho pololei. E kōkua kēia i ka umekaumaha e hoʻoneʻe i ka meaʻai i lalo.
• E pale i ka ʻai ʻana i nā meaʻai paʻa i ʻekolu a ʻehā hola ma mua o ka hiamoe ʻana. E hāʻawi kēia i kou ʻōpū i ka manawa e hoʻoheheʻe ai i ka meaʻai ma mua o kou hiamoe ʻana.
• E mālama i kahi uluna keu ma lalo o kou poʻo i kou hiamoe ʻana. ʻO ka hoʻokiʻekiʻe ʻana i kou poʻo e kōkua i ka hōʻemi ʻana i ka manawa kūpono o ka meaʻai mai ka esophagus e hele i loko o ka windpipe.

He aha nā meaʻai e pono e hōʻalo ʻia inā loaʻa iā ʻoe ka 'Achalasia'?

Ma muli o ka paʻakikī o ka achalasia i ka hele ʻana o ka meaʻai ma o ka esophagus, hiki i kekahi mau meaʻai ke hoʻonui i nā hōʻailona. E makaʻala loa i nā meaʻai e like me kēia:

• Nā meaʻai e hiki ke ālai i ka esophagus: No ka laʻana, nā ʻāpala i ʻili ʻole ʻia, nā hua waina, nā mea kanu maka, nā ʻiʻo fibrous a maloʻo paha.
• Nā meaʻai e hiki ke mānoanoa a hōʻiliʻili i loko o ka esophagus: Eia kekahi laʻana, ka berena (ʻoi aku ka berena keʻokeʻo), ka laiki keʻokeʻo, ka ʻuala, nā ʻuala palai, a me ka pasta.
• Nā meaʻai e hoʻonāukiuki ai i ka ʻāʻī: Eia kekahi laʻana, nā meaʻai ʻala, nā mea inu kalapona, a me nā mea inu ʻona.

ʻAʻole like ka hopena o kēia mau meaʻai i nā kānaka a pau. Pono ʻoe e noʻonoʻo ponoʻī ma o ka ʻike ʻana i nā meaʻai paʻakikī iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli hou i kou kino, ʻoiai nā hōʻailona hou o Achalasia, e like me ka paʻakikī i ka moni ʻana , e ʻike koke i ke kauka.

He maʻi laha ʻole ʻo Achalasia kahi e ulu mālie ai nā hōʻailona i ka hala ʻana o ka manawa. Hiki i nā hōʻailona ke ʻano like ʻole mai ka ʻeha puʻuwai a i ka hiccups a hiki i ka paʻakikī o ke ale ʻana. No laila, ʻaʻole paha ʻoe e manaʻo koke ua pili kēia mau hōʻailona a pau i hoʻokahi maʻi.

Eia nō naʻe, he mea nui e kamaʻilio me ke kauka e pili ana i nā hōʻailona e hoʻomau nei, ʻoiai inā like lākou me he mea lā ʻaʻole pili. Nui nā lāʻau lapaʻau no ka achalasia. Hiki i kāu kauka ke wehewehe i kēlā me kēia lāʻau lapaʻau iā ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa iā ʻoe. Mai hopohopo, inā ʻike ʻia a mālama ʻia ʻoe i ka wā mua, hiki iā ʻoe ke hoʻokele maikaʻi i ke kūlana.

Hōʻuluʻulu Manaʻo (Leka Lawe-Home)

ʻO ka ʻAkalasia kahi maʻi i hana pono ʻole ai nā ʻiʻo ma ka ʻaoʻao haʻahaʻa o ka esophagus, e pale ana i ka hele ʻana o ka meaʻai i loko o ka ʻōpū. ʻO nā hōʻailona e pili ana i ka paʻakikī o ka moni ʻana, ka ʻeha o ka umauma, a me ke komo ʻana o ka meaʻai i loko o ka puʻu. Aia nā hoʻokolohua kūikawā e ʻike ai i kēia. ʻO nā lāʻau lapaʻau e pili ana i ka hoʻonui ʻana o ka balloon o nā ʻiʻo, nā lāʻau lapaʻau, a me ke ʻoki ʻana. ʻOiai ʻaʻohe lāʻau lapaʻau piha, hiki ke hoʻomalu maikaʻi ʻia nā hōʻailona a hiki iā ʻoe ke ola i kahi ola maʻamau. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​mai kānalua e ʻimi i ke aʻo lapaʻau. Aia kou olakino ma kou mau lima!

ʻAkalasia , Cardiospasm, Paʻakikī i ke ale ʻana, Esophagus, LES, Dysphagia, Esophageal Manometry