Ke ʻike pinepine nei ʻoe i ka ʻeha puʻuwai a me ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o kou puʻu? (Acid Reflux & GERD)

Ua loaʻa anei iā ʻoe kahi ʻano wela i loko o kou umauma a i ʻole kahi manaʻo e like me kahi mea mai kou ʻōpū e piʻi mai ana i loko o kou puʻu ma hope o ka ʻai ʻana? Ua ʻike ka hapa nui o ka poʻe i kēia ma ka liʻiliʻi hoʻokahi a ʻelua paha. I kēia lā e kamaʻilio mākou e pili ana i kēia 'acid reflux' a i ʻole, ma nā ʻōlelo lapaʻau , acid reflux a me GERD (gastroesophageal reflux disease) . ʻOiai he pilikia kēia i loaʻa i ka poʻe he nui, he mea nui loa ia e makaʻala i ia mea.

He aha maoli ka reflux acid, e kuʻu hoaaloha?

I ka ʻōlelo maʻalahi, ʻo ka meaʻai, ka mea inu, a me nā wai waikawa i loko o kou ʻōpū e hele wale i hoʻokahi ala, ʻo ia hoʻi i lalo. Akā i kekahi manawa, ke kahe hou kēia waikawa ʻōpū, ʻo ia hoʻi, nā mea waikawa, i luna o kou esophagus i loko o kou puʻu , kapa mākou ia he Acid Reflux.

E noʻonoʻo, he aha ka mea e hana ai ke hiki kēia waikawa i kahi i kūpono ʻole ai? ʻO ia ka pilikia. Hiki i kēia waikawa ke puhi, hōʻeha, a pehu i nā ʻiʻo palupalu i loko o kou esophagus. He ʻāpana like kēia esophagus me ka paipu e holo ana mai kou ʻōpū ma o kou umauma a i kou puʻu. No laila, inā hōʻino ʻia, hiki iā mākou ke loaʻa i nā pilikia he nui.

Loaʻa iā kākou āpau ka reflux acid i kēlā me kēia manawa. Hiki ke like me ka indigestion a i ʻole ka heartburn ke ʻole ka ʻai ʻana. He mea ʻoluʻolu ʻole kēia reflux acid i kekahi manawa, akā ʻaʻole ia he maʻi. Eia nō naʻe, no kekahi poʻe, hana mau ia i nā manawa a pau. Hiki i ka hoʻomau ʻana o ka reflux acid ke hoʻopilikia i kou ola maʻamau a hiki ke hōʻino i nā ʻiʻo o ka esophagus .

No laila he aha ka GERD? He ʻoi aku ka koʻikoʻi ma mua o kēlā?

ʻO GERD ke kū nei no ka maʻi reflux gastroesophageal.ʻO ka inoa pōkole no ia mea. Ma kekahi mau ʻāina ua kapa ʻia ʻo GORD, ʻo ia hoʻi ka Gastro-oesophageal Reflux Disease. Eia nō naʻe, ʻo GERD kahi kūlana kahi e piʻi mau ai ka waikawa i loko o kou esophagus, ʻo ia hoʻi kahi kūlana reflux waikawa mau . Inā piʻi aʻe kēia waikawa i loko o kou puʻu ma mua o ʻelua manawa i ka pule, no kekahi mau pule, ua manaʻo ʻia he kūlana mau, ʻo ia hoʻi ʻo GERD.

Hiki iā mākou ke loaʻa i ka reflux acid no nā kumu manawa pōkole, e like me ka ʻai nui ʻana i hoʻokahi lā. Akā he mea ʻē aʻe ka GERD, i hoʻokumu ʻia e kahi pilikia mechanical mau. ʻO ia hoʻi, ʻaʻole hana pono nā ʻano hana e pale ai i ka waikawa mai ka piʻi ʻana i loko o kou esophagus.

Pehea ka maʻamau o kēia mau kūlana ʻelua?

He mea maʻamau loa nā maʻi reflux gastroesophageal (GER) ʻaʻohe pilikia a me ka maʻi reflux gastroesophageal (GERD). Ma ʻAmelika Hui Pū ʻIa wale nō, ua manaʻo ʻia he 20% o nā pākeke a me 10% o nā keiki i loaʻa iā GERD. ʻIke ʻia kēia ʻano ma waena o nā poʻe he nui ma Sri Lanka.

He aha nā hōʻailona o ka Acid Reflux a me GERD?

Aia kekahi mau hōʻailona o ka reflux acid a me GERD. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Backwash/Regurgitation: Ma hope o kou pau ʻana i ka ʻai ʻana, manaʻo paha ʻoe e like me ka piʻi ʻana mai o ka waikawa o ka ʻōpū, nā ʻāpana meaʻai, a i ʻole nā ​​​​wai i loko o kou puʻu. Ua like ia me ka luaʻi ʻana , akā ʻaʻole ia e puka piha. I kekahi manawa, loaʻa paha iā ʻoe kahi ʻono ʻawaʻawa ʻē i loko o kou waha.
• ʻĀʻī: He mea ikaika ka waikawa. No laila, ua like ia me ke kuni ʻana i nā ʻiʻo o ka esophagus. Inā aia kēia ma ka umauma, kapa mākou ia he ʻāʻī . Inā kokoke i ka ʻōpū, kapa kekahi he ʻai ʻakika .
• ʻEha umauma ʻaʻole puʻuwaiʻEha umauma : ʻAʻole ʻike kekahi poʻe i ka ʻeha ma ka esophagus e like me ka mumū. Hoʻoulu kēia ʻeha i nā aʻalolo like e ʻike ai i ka ʻeha ma ka puʻuwai , no laila hiki ke manaʻo e like me ka ʻeha umauma, e like me ka hōʻeha puʻuwai.
• Nausea : Hiki i ka reflux waikawa a i ʻole reflux ke hoʻoluhi iā ʻoe a nalowale kou makemake. ʻOiai ma hope o kekahi manawa, manaʻo paha ʻoe he meaʻai nō i loko o kou ʻōpū, me he mea lā he nui aku nā mea e ʻeli ai.
• ʻEha ka ʻāʻī : Inā komo ka waikawa i loko o kou ʻāʻī, hiki iā ia ke hōʻeha a hōʻeha i kou ʻāʻī. Manaʻo paha ʻoe ua paʻa kekahi mea i loko o kou ʻāʻī, a paʻakikī paha iā ʻoe ke ale . Piʻi pinepine ka waikawa i ka pō i kou hiamoe ʻana.
• Nā hōʻailona o ka hānō: Hiki i ka GERD ke hoʻonui i nā hōʻailona o ka hānō i ka poʻe me ka hānō, a i ka poʻe me ka ʻole o ka hānō, hiki iā ia ke hana i nā hōʻailona o ka hānō e like me ke kuʻi mau ʻana , ka wheezing, a me ka paʻakikī o ka hanu ʻana. Inā komo nā ʻāpana waikawa i loko o nā alaloa, hiki iā lākou ke haiki.

Hiki ke lilo nā hōʻailona i mea koʻikoʻi:

Hiki i nā hōʻailona GERD ke lilo i mea ʻino i nā manawa e like me kēia:

• I ka pō a i ʻole e moe ana.
• Ma hope o ka ʻai ʻana i kahi meaʻai nui a i ʻole kahi meaʻai momona.
• Ke kūlou ʻoe i mua.
• Ma hope o ka puhipaka a inu ʻana paha i ka waiʻona.

Loaʻa pū kekahi i nā pēpē liʻiliʻi ʻo GERD?

ʻAe, hiki i nā pēpē liʻiliʻi ke loaʻa iā GERD. He mea maʻamau no nā pēpē ke luaʻi iki ma hope o ko lākou inu ʻana. ʻOiai aia kekahi waikawa i loko o nā mea i luaʻi ʻia, ʻaʻole lawa ia e hoʻoulu ai i nā pilikia nui no ka pēpē. Akā he maʻi koʻikoʻi ʻo GERD. Hiki iā ia ke hoʻoulu i ka ʻoluʻolu ʻole a me nā pilikia no ka pēpē, me ka hānai ʻana.

ʻOi aku ka nui o ka loaʻa ʻana o GERD i nā pēpē i hānau mua ʻole ʻia a i ʻole me kahi maʻi e pili ana i ka esophagus. Inā ʻike kekahi kauka pediatric e pilikia ana kāu pēpē i ka ʻai ʻana a i ʻole ka hiamoe ʻana, makemake paha lākou e nānā no GERD.

Nā hōʻailona GERD i nā pēpē (a i ʻole nā ​​​​keiki ʻōpio):

• Uē pinepine, hoʻomaha ʻole (Nui ka hoʻoluhi).
• Paʻakikī hiamoe.
• Ka hōʻole ʻana i ka meaʻai.
• Ka luaʻi ʻana i nā liʻiliʻi.
• ʻŌhūhū a i ʻole ka leo hū i ka wā e hanu ana.
• Hanu ʻino.

He aha nā kumu o ka reflux acid?

I mea e komo ai ka waikawa i loko o kou esophagus, pono ia e hele ma o ka valve ma lalo o kou esophagus e pale mau ana i nā mea mai ka piʻi hou ʻana. Ua kapa ʻia kēia valve ʻo Lower Esophageal Sphincter (LES) .

He ʻiʻo poepoe kou LES. Wehe ia ke ale ʻoe i kekahi mea, a laila pani hou e pale i nā mea o loko o kou ʻōpū mai ka piʻi ʻana. Wehe iki nō hoʻi ia ke puʻu a ʻūlū paha ʻoe e hoʻokuʻu i nā pehu ea e puka aku.

Hiki mai ka reflux waikawa ke nāwaliwali a palupalu paha kou LES e ʻae i ka waikawa e piʻi aʻe . ʻO kekahi mau mea no ka manawa pōkole, e like me ka moe ʻana ma hope o ka ʻai ʻana i kahi ʻai nui, hiki ke hoʻomaha i ka LES. Akā inā loaʻa iā ʻoe ʻo GERD, palupalu mau kou LES.

Pehea e hoʻonāwaliwali ai ka LES?

Nui nā kumu e nāwaliwali ai ka LES no kekahi manawa a mau loa paha. I kekahi manawa, hiki i ka reflux acid i kekahi manawa ke lilo i GERD mau loa ke hui pū kekahi o kēia mau kumu a hoʻomau paha no ka manawa lōʻihi. Eia kekahi mau kumu maʻamau o ka reflux acid a me GERD:

• Hiatal Hernia: He mea paʻakikī paha kēia, akā e ʻae mai iaʻu e ʻōlelo maʻalahi. Aia kahi ʻiʻo i kapa ʻia ʻo ka diaphragm e hoʻokaʻawale i kou umauma a me kou ʻōpū. Hoʻopili ʻia kou esophagus i kou ʻōpū ma o kēia diaphragm. I loko o kahi hernia hiatal, ʻo ka ʻaoʻao o luna o kou ʻōpū e piʻi i luna ma o ka puka i loko o kou esophagus a i loko o kou umauma . A laila hiki ke paʻa me kou esophagus, e hoʻoulu ai i ka waikawa e kūkulu ma laila. Eia kekahi, ʻo ka valve LES a mākou i kamaʻilio ai ma mua e neʻe pū i luna ma o ka diaphragm, no laila he emi ke kākoʻo ʻiʻo. ʻOi aku ka maʻamau o kēia kūlana i kou wā ʻelemakule, ulu mālie, a hiki ke lilo i mea ʻoi aku ka koʻikoʻi i ka hala ʻana o ka manawa.
• Hāpai keiki: He mea maʻamau loa ka loaʻa ʻana o ka reflux acid no ka manawa pōkole i ka wā hāpai. ʻO ka piʻi ʻana o ke kaomi a me ka hakahaka i loko o ka ʻōpū e hiki ai i nā ʻiʻo e kākoʻo ana i ka LES i loko o ka esophagus ke kīkoʻo, hoʻopaʻa, a hoʻonāwaliwali. Hiki i nā hormones hāpai ke hoʻomaha i ka LES. I loko o kēia manawa, hoʻokuʻu ʻia kahi hormone i kapa ʻia ʻo relaxin i nā nui he nui. Hoʻomaha kēia i nā ʻiʻo e hana i kahi no ka pēpē. Piʻi pū nā pae estrogen a me progesterone , hiki ke hoʻomaha i ka LES.
• Ka momona nui:Hoʻonui pū ka momona i ke kaomi a me ka hakahaka i loko o ka ʻōpū, e like me ka hāpai ʻana, hiki ke hoʻopilikia i ka LES. Akā no ka mea ʻoi aku ka lōʻihi o ka momona ma mua o ka hāpai ʻana, hiki i ka ʻiʻo ke hoʻonāwaliwali mau loa. He kumu nui kēia no nā hernia hiatal. Eia kekahi, no ka mea ua hoʻokuʻu ʻia ka estrogen e ka ʻiʻo momona, piʻi pū nā pae estrogen i ka piʻi ʻana o ka momona o ke kino.
• Puhipaka: Hoʻomaha ka uahi paka i ka LES, inā ʻoe e puhipaka iā ʻoe iho a i ʻole e hanu i ka uahi lua. Hoʻoulu pū ka puhipaka i ka ʻūhū, ka mea e wehe ai i ka LES. ʻO ka hoʻomau ʻana i ka puhipaka a me ke ʻūhū hiki ke hoʻonāwaliwali i nā ʻiʻo o ka diaphragm, e alakaʻi ana i ka hernia hiatal. Hoʻolohi pū ka puhipaka i kāu ʻai ʻana a hoʻonui i ka hana ʻakika o ka ʻōpū.

He aha nā pilikia e hiki mai ana o ka reflux acid mau loa (GERD)?

He mea ikaika loa ka waikawa o ka ʻōpū. Ua hana ʻia ia e wāwahi i ka meaʻai āu e ʻai ai. He ʻili ikaika ko kou ʻōpū e pale aku iā ia mai kēia waikawa. Akā, ʻaʻohe o kēia pale i kou mau kino ʻē aʻe. Hoʻopilikia nui ka reflux waikawa i kou esophagus. Akā i kekahi manawa hiki iā ia ke piʻi i luna i loko o kou ʻōpū hanu a i ʻole nā ​​ala ea. Hiki i kahi waikawa liʻiliʻi ke hoʻoulu i kahi ʻoluʻolu ʻole no kekahi manawa. Akā, hiki i ka nui o ka waikawa ke hōʻino i kēia mau kino.

Nā pilikia e hiki mai ana:

• ʻEsophagitis: ʻO kēia ka mumū o ka uhi o ka esophagus, ʻo ia hoʻi ka pehu a me ka ʻeha. Inā hoʻomau ka esophagitis, hiki iā ia ke alakaʻi i nā pilikia e like me ka ʻeha mau a me nā ʻōpū ma ka esophagus. I ka hala ʻana o ka manawa, hiki iā ia ke alakaʻi i nā loli o nā ʻiʻo e like me ka scarring a i ʻole ka metaplasia ʻōpū , he kūlana precancerous.
• ʻO ka ʻōpū o Barrett:ʻO kēia ka inoa no ke kūlana o ka metaplasia ʻōpū i loko o ka esophagus, i ʻōlelo ʻia ma luna. ʻO ke ʻano o kēia, ua loli ka uhi o ka esophagus a lilo i mea like me ka uhi o ka ʻōpū. Hana ʻia kēia ke lōʻihi ka hoʻopili ʻana i ka waikawa a me ka mumū. He mea pilikia kēia no ka maʻi ʻaʻai esophageal.
• ʻO ke koʻikoʻi o ka esophagus: Hiki ke hana ʻia nā ʻiʻo ʻeha i loko o kou esophagus e pale aku iā ia mai ka mumū a me ka ʻeha e hoʻomau nei. Hiki i kēia ʻiʻo ʻeha ke hoʻohāiki i ka esophagus. Ua kapa ʻia kēia he koʻikoʻi. Hiki i kēia ke paʻakikī i ka ale ʻana , hiki ke paʻakikī i ka ʻai ʻana a i ʻole ka inu ʻana, a hiki ke hana i nā pilikia ʻē aʻe.
• ʻO ka Laryngopharyngeal Reflux (LPR): Loaʻa i kekahi poʻe me GERD kahi maʻi i kapa ʻia ʻo LPR. ʻO kēia ka manawa e piʻi ai ka waikawa i loko o ka puʻu. Hiki i ka waikawa ke piʻi malū i loko o kou puʻu i kou wā e hiamoe ana. Hiki iā ia ke hoʻoulu i kou puʻu e pehu, e hoʻohaʻahaʻa kou leo, a ulu nā kaula leo. Hiki ke omo ʻia nā ʻāpana waikawa i loko o kou mau ala ea.
• Asthma: Inā komo ka waikawa i loko o ke ala hanu, hiki iā ia ke hoʻonui i ke kūlana o kekahi mea i loaʻa mua i ka hānō, a ʻoiai kekahi mea i loaʻa ʻole i kahi maʻi hanu ma mua, hiki ke loaʻa nā hōʻailona e like me ka hānō. Hiki i nā ʻāpana waikawa liʻiliʻi ke hoʻonāukiuki i nā ʻōmole bronchial a hoʻopākī iā lākou. Hiki i kēia ke kumu i ka ʻū ʻana a me ka paʻakikī o ka hanu ʻana.

He aha nā lāʻau lapaʻau no GERD?

Hiki i kekahi poʻe ke hōʻemi i ka reflux acid ma o ka hoʻoponopono ʻana i ke ʻano o ka nohona, e like me ka hoʻololi ʻana i kā lākou ʻai, ka hōʻemi ʻana i ka waiʻona a me ka puhipaka, a me ka hōʻemi ʻana i ke kaumaha. Paipai nā kauka iā ʻoe e hahai i kēia mau ʻanuʻu. Akā inā loaʻa iā ʻoe ka reflux acid mau loa a i ʻole GERD, hiki i nā kauka ke ʻōlelo i nā lāʻau lapaʻau e hōʻemi i ka waikawa o ka ʻōpū. E kōkua kēia i ka hōʻemi ʻana i ka nui o ka waikawa e piʻi mai ana, akā e emi iki ka ʻino.

Nā lāʻau lapaʻau

ʻoki kino

No ka GERD koʻikoʻi a i ʻole nā ​​​​hihia i kāohi ʻole ʻia me ka lāʻau lapaʻau, hiki ke ʻōlelo ʻia ke hana ʻoki e hoʻopaʻa i ka ʻiʻo LES, e like me ka Nissen fundoplication .

Nā mea e kōkua ai i ka mālama ʻana i ka reflux acid ma ka home

E hoʻāʻo i kēia mau mea e kāohi ai i ka reflux acid ma ka home:

• ʻAi ʻana i nā meaʻai liʻiliʻi: Hoʻopiha nā meaʻai nui i kou ʻōpū a kau i ke kaomi ma ka LES.
• ʻAi ʻana i ka ʻaina ahiahi i kakahiaka nui: E ʻai i ka ʻaina ahiahi ma ka liʻiliʻi he 2-3 mau hola ma mua o ka hiamoe ʻana.
• Hiamoe ma ka ʻaoʻao hema: Hoʻokomo kēia i ka LES ma luna o nā mea o loko o ka ʻōpū.
• E hoʻēmi i ke kaomi ʻōpū: E ʻaʻahu i nā lole ākea a hoʻemi i ke kaumaha inā pono.
• E haʻalele i ka puhipaka a me ka waiʻona: Hoʻonāwaliwali kēia i ka LES a hoʻonui i ka acidity.