ʻO ka puʻuwai pinepine? He maʻi reflux gastroesophageal (GERD) paha ia!

I koʻu wā ma ke kulanui, he hoaaloha pili koʻu i kapa ʻia ʻo Chamari. Hoʻopiʻi pinepine ʻo Chamari i ka ʻeha o ka ʻōpū a me ka ʻāʻī ma hope o ka ʻai ʻana, ʻoiai ma hope o ka ʻai ʻana i kahi meaʻai ʻala maikaʻi a Sri Lanka a i ʻole ma hope o ka ʻaina ahiahi. Manaʻo ʻo ia he ʻōpū palupalu wale nō ia. Akā i ka hala ʻana o ka manawa, ua lilo ka ʻāʻī i mea koʻikoʻi loa a hiki ke hoʻopilikia i kona hiamoe i ka pō.

"E Kauka Priya, he ʻano wela koʻu i loko o koʻu umauma i kēlā me kēia pō. He wai ʻawaʻawa koʻu i loko o koʻu waha. ʻAʻole hiki iaʻu ke hoʻomaikaʻi me ka lāʻau lapaʻau maʻamau," i nīnau mai ai ʻo Chamari iaʻu i kekahi lā.

Ua wehewehe mālie au iā Chamari: "E Chamari, ʻo ka mea āu i hoʻowahāwahā nei, me ka manaʻo he maʻi ʻōpū maʻamau wale nō ia, he maʻi i kapa ʻia ʻo GERD (Gastroesophageal Reflux Disease) . He maʻi kēia e hoʻi hou ai ka waikawa o ka ʻōpū i loko o ka puʻu. He maʻi maʻamau loa kēia i waena o ka poʻe ʻōpio i kēia mau lā. Akā, mai hopohopo, hiki ke hoʻomalu piha ʻia me nā hoʻololi liʻiliʻi o ke ʻano o ka nohona a me ka mālama pono ʻana i ke olakino."

🚨 Nā hae ʻulaʻula e pono ai ke kōkua koke ʻia e ke kauka

ʻOiai ʻaʻole ia he mea hoʻoweliweli i ke ola o ka reflux acid, pono ʻoe e ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona koʻikoʻi:

• Paʻakikī nui ke ale ʻana i ka meaʻai a i ʻole ka lawai a i ʻole ka ʻeha i ka wā e ale ai (Dysphagia/Odynophagia).
• Ka pohō kaumaha wikiwiki me ke kumu ʻole (Pohō kaumaha i wehewehe ʻole ʻia).
• Ka luaʻi pinepine ʻana a i ʻole ka luaʻi ʻana i ke koko.
• ʻEleʻele (tarry) nā ʻōpala (he hōʻailona o ke kahe koko ʻana i loko o ka ʻōpū a i ʻole ka esophagus).

No ke aha i loaʻa ai ʻo GERD? He maʻalahi nā kumu

Ma ka hui ʻana o ko kākou esophagus a me ka ʻōpū he ʻiʻo apo i kapa ʻia ʻo LES (Lower Esophageal Sphincter) . Hana ia e like me ka "valve" e wehe wale ana i hoʻokahi ʻaoʻao.

Ke ʻai kākou, wehe ʻia kēia kiwikā e ʻae i ka meaʻai e komo i loko o ka ʻōpū, a laila pani paʻa i ka hala ʻana o ka meaʻai, e pale ana i nā waikawa ikaika i loko o ka ʻōpū mai ke kahe hou ʻana i luna i loko o ka puʻu.

Akā inā no kekahi kumu e nāwaliwali ai kēia valve LES a ʻaʻole paha e pani i ka manawa kūpono, hiki i ka waikawa o ka ʻōpū ke komo maʻalahi i loko o ka esophagus. Ua kapa ʻia kēia he acid reflux .

Aia kekahi mau kumu nui e nāwaliwali ai kēia valve:
1. Hiatal Hernia: Puka ka ʻaoʻao o luna o ka ʻōpū i loko o ka umauma ma o kahi lua i loko o ka diaphragm, e hana hewa ai ka valve.
2. Ka momona a me ka hāpai ʻana: ʻOi aku ka pinepine o ka wehe ʻana o ka valve ma muli o ka piʻi ʻana o ke kaomi i loko o ka ʻōpū.
3. Nā ʻano ʻai kūpono ʻole: ʻAi koke ʻana i kahi ʻai nui a moe koke i lalo ma hope o ka ʻai ʻana.
4. ʻAi ʻona, puhi paka a me nā lāʻau lapaʻau:Hoʻomaha ka puhipaka i ka valve LES, a hiki i nā mea ʻeha ʻeha ke kūʻai ʻia ma ke kauka e like me ka ibuprofen ke hōʻino i nā paia o ka ʻōpū.

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Nā hoʻokolohua lapaʻau e ʻike ai i ka maʻi reflux acid

Paipai nā kauka i nā hoʻokolohua aʻe e hōʻoia pololei i ke kūlana:

• ʻO ka Endoscopy Kiʻekiʻe: Hoʻokomo ʻia kahi paipu me kahi kāmela liʻiliʻi ma o ka waha e nānā i nā paia o ka esophagus no ka mumū, nā ʻeha, a i ʻole nā ​​​​hōʻailona o ka maʻi kanesa.
• Ka Nānā ʻana i ka pH Ambulatory: He hoʻāʻo i hana ʻia me ka hoʻohana ʻana i kahi mea liʻiliʻi e ana i ka nui o ka waikawa e kahe ana i loko o ka puʻu ma luna o 24 mau hola.
• ʻEsophagram (barium x-ray): Hoʻohana kēia hoʻāʻo i kahi hoʻāʻo ale barium e lawe i nā x-ray o ka esophagus e ʻike ai i ka hāʻule ʻana a i ʻole nā ​​hernias.

Pehea e kaohi ai i ka maʻi reflux acid?

I mea e ola mau ai mai kēia maʻi, pono e hana ʻia nā hoʻololi ʻana o ke ʻano o ka nohona a me ka mālama ʻana i nā lāʻau lapaʻau me ke kaulike: