E noʻonoʻo ua hiamoe maikaʻi ʻoe i ka pō a ke manaʻo nei ʻoe i kahi ʻano wela i loko o kou umauma. A i ʻole ke manaʻo nei ʻoe e piʻi mai ana ka meaʻai i kou puʻu me kahi ʻono ʻawaʻawa. ʻO kēia ka mea a mākou e manaʻo nei he nui he 'gastritis', akā hiki ke lilo i maʻi i kapa ʻia ʻo Acid Reflux. ʻOiai he mea maʻamau ke manaʻo i kēia ʻano i kekahi manawa, inā hana mau ia, hiki ke lilo i maʻi olakino. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka Acid Reflux a me GERD?
Ke komo ka meaʻai a kākou e ʻai ai i loko o ko kākou ʻōpū, pono ia e iho i lalo loa, ʻaʻole i luna hou. Akā i kekahi manawa, e kahe hou ana nā waikawa ʻino i loko o kou ʻōpū i luna, i loko o kou esophagus, i loko o kou puʻu. ʻO kēia ka mea a kākou e kapa nei he Acid Reflux.
He mea ikaika loa kēia waikawa i hoʻohana ʻia no ka hoʻoheheʻe ʻana i ka meaʻai. No laila, ke hiki i kahi kūpono ʻole, ʻo ia hoʻi ma ka esophagus, puhi ia i nā ʻiʻo palupalu a hoʻoulu i kahi ʻano wela. ʻO kēia ka mea a mākou e manaʻo ai he heartburn.
ʻAʻole kēia he pilikia inā hana pinepine ia. Akā no kekahi poʻe, hana mau ia, ʻoi aku ma mua o ʻelua manawa i ka pule, no ka manawa lōʻihi. ʻO kēia kūlana reflux waikawa mau loa ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo GERD (Gastroesophageal Reflux Disease). I ka ʻōlelo maʻalahi, he maʻi reflux waikawa hou ʻo GERD. Hiki i kēia ke hoʻoweliweli i ke ola a hiki ke hōʻino i kou esophagus.
He aha nā hōʻailona o ka Acid Reflux a me GERD?
I kēia kūlana, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. E nānā kākou i nā hōʻailona nui āu e ʻike ai.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Regurgitation | He manaʻo o ka meaʻai, ka wai, a i ʻole ka waikawa e hoʻi mai ana i loko o ka puʻu ma hope koke iho o ka ʻai ʻana. Aia paha he ʻono ʻawaʻawa i loko o ka waha. |
| ʻĀʻī puʻuwai | He ʻano wela e puka mai ana mai loko mai o waenakonu o ka umauma. Ua kapa pū kekahi poʻe i kēia he ʻakika indigestion. |
| ʻEha umauma ʻaʻole ia he maʻi puʻuwai | Hiki i kekahi poʻe ke ʻeha i ka umauma me ka ʻole o ka mumū. Makaʻu kekahi poʻe i kēia no ka mea ua like ia me ka ʻeha o ka hāʻule puʻuwai. |
| Ka luaʻi a me ka anorexia | Hiki i ka reflux waikawa o ka ʻōpū ke hoʻoulu i ka nausea, kahi manaʻo o ka maʻi, a me ka nalowale o ka makemake. |
| Nā maʻi ʻāʻī | Ke komo ka waikawa i loko o ka puʻu, hiki iā ia ke hana i ka ʻāʻī ʻeha, ka leo palahalaha, ka manaʻo o kahi mea i paʻa i ka puʻu, a me ka paʻakikī i ke ale ʻana. |
| Nā pilikia hanu e like me ka hānō | I kekahi manawa hiki i kēia mau ʻāpana waikawa ke komo i loko o ke ala hanu a hoʻoulu i ka ʻū mau, ka wheezing, a me ka paʻakikī o ka hanu ʻana. |
Nā kūlana kahi e ʻoi aku ai ka ʻino o nā hōʻailona
- Ke moe ʻoe i lalo e hiamoe i ka pō.
- Ma hope o ka ʻai ʻana i kahi pāʻina nui me ka nui o ka ʻaila a me ka chili.
- Ke kūlou ʻoe i mua.
- I ka puhipaka a i ʻole ka inu ʻana i ka waiʻona.
Loaʻa pū kekahi i nā pēpē liʻiliʻi ʻo GERD?
ʻAe. He mea maʻamau no nā pēpē ke kuha i ka waiū. Akā no kekahi mau pēpē, hiki ke ʻoi aku ka koʻikoʻi. Ua kapa ʻia kēlā ʻo GERD i nā pēpē. ʻOi aku ka pilikia o nā pēpē i hānau mua ʻia a me nā pēpē i hānau ʻia me kekahi mau kūlana i loko o ko lākou esophagus.
E nānā inā loaʻa i kāu pēpē kēia mau hōʻailona:
- Uē mau a me ka hoʻomaha ʻole me ke kumu ʻole.
- Paʻakikī hiamoe.
- Ka hōʻole ʻana e inu i ka waiū.
- Ka luaʻi pinepine ʻana.
- Ke kani ʻana o ka leo a i ʻole ka hāhā ʻana o ka leo i ka wā e hanu ana.
- Hanu ʻino.
No ke aha mākou e loaʻa ai i ka Acid Reflux?
I ka ʻōlelo maʻalahi, aia kahi ʻiʻo e hana ana e like me ka valve ma waena o ko kākou esophagus a me ka ʻōpū. Kāhea mākou i kēia ʻo Lower Esophageal Sphincter (LES) . Ua like ia me ke poʻi ma luna o kahi ʻōmole wai. Ke moni mākou, wehe ia a hoʻokuʻu i ka meaʻai e komo i loko o ka ʻōpū, a laila pani paʻa hou ia. Pale kēia i nā mea o loko o ka ʻōpū mai ka hoʻi hou ʻana mai.
Hiki mai ka reflux waikawa ke nāwaliwali a palupalu loa paha ka LES , e ʻae ana i ka waikawa o ka ʻōpū e kahe hou i luna. Nui nā kumu no kēia.
- Hiatal Hernia: ʻO kēia ka wā e piʻi ai ka ʻaoʻao o luna o kou ʻōpū i luna i loko o kou umauma. Hoʻonāwaliwali kēia i ka LES a ʻae i ka waikawa e piʻi maʻalahi. E lilo ana kēia ʻano i mea maʻamau i kou wā ʻelemakule.
- Hāpai: I ka wā hāpai, hoʻomaha ka LES ma muli o ke kaomi mai ka ulu ʻana o ka ʻōpū a me nā loli hormonal. ʻO ia ke kumu e loaʻa ai i nā makuahine he nui ka ʻeha puʻuwai i kēia manawa. Hoʻomaha pinepine kēia ma hope o ka hānau ʻana o ke pēpē.
- Momona: I ka piʻi ʻana o ke kaumaha o ke kino, ʻoiai ma ka ʻōpū, piʻi ke kaomi ma ka ʻōpū a hiki i ka LES ke hoʻonāwaliwali.
- Puhipaka: Hoʻomaha nā kemika i loko o ka paka i ka LES, a hoʻopilikia pū ka ʻū i hoʻokumu ʻia e ka puhipaka.
- ʻO kekahi mau meaʻai a me nā mea inu: ʻO ka ʻai nui ʻana i nā mea e like me ke kokoleka, ke kofe, ka waiʻona, ka mint, ke kālika, a me nā ʻakaʻakai hiki ke hoʻomaha i ka LES. Eia kekahi, ʻo nā meaʻai momona a palai e hoʻonui i ka pilikia o ka reflux no ka mea e noho lōʻihi lākou i loko o ka ʻōpū a hoʻonui i ka hana ʻakika o ka ʻōpū.
- Kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, e like me nā mea no ke koko kiʻekiʻe, ke kaumaha, a me nā lāʻau hoʻomaha ʻeha (NSAID), hiki ke hoʻopilikia i ka LES. E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei.
He aha ka mea e hana inā hoʻowahāwahā ʻia ʻo GERD?
ʻAʻole ia he mea e lawe māmā ʻia ai ka ʻeha pinepine o ka umauma. I ka wā lōʻihi, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
He mea ikaika loa ka waikawa o ka ʻōpū. ʻOiai hiki i ka uhi o kou ʻōpū ke kū i kēia waikawa, ʻaʻole i loaʻa i kou esophagus kēlā pale. No laila, ke piʻi mau ka waikawa, hiki i nā mea e like me kēia ke hana:
- ʻEsophagitis: Ka mumū o ka uhi o ka esophagus. Hiki i kēia ke hoʻoulu i ka ʻeha mau, ka paʻakikī i ka moni ʻana, a me nā ʻōpū.
- ʻO ka ʻEsophagus a Barrett: ʻO ka lōʻihi o ka hoʻopili ʻana i ka waikawa ke kumu o nā loli i loko o ka uhi o ka esophagus. Ua manaʻo ʻia kēia he kūlana precancerous e hiki ke hoʻonui i ka pilikia o ka maʻi kanesa.
- ʻO ke koʻikoʻi o ka Esophageal: ʻO ka hoʻomau ʻana o ka hōʻino e hiki ai ke hana i ka ʻiʻo ʻili i loko o ka esophagus, e paʻakikī ai ke ale i ka meaʻai a me ka mea inu.
- Nā pilikia o ka ʻōnaehana hanu: Inā komo ka waikawa i loko o ka puʻu a komo i loko o ke ala hanu, hiki iā ia ke hoʻonui i ka hānō a i ʻole e hana i nā hōʻailona hou e like me ka hānō.
Pehea e ʻike maopopo ai ke kauka inā he GERD kēia?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi iā ʻoe no kekahi mau hoʻokolohua, inā pono.
- ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela ma kou waha a me ka nānā ʻana i loko o kou esophagus a me ka ʻōpū.
- ʻEsophagram (Barium Swallow X-ray): Moni ʻia kahi wai i kapa ʻia ʻo barium a hoʻohana ʻia kahi X-ray e nānā i ke ʻano o kona neʻe ʻana i lalo o ka esophagus.
- Hoʻāʻo pH esophageal: He hoʻāʻo e ana i ka nui o ka waikawa i loko o ka esophagus.
- Manometry Esophageal: He hoʻāʻo e ana i ka maikaʻi o ka hana ʻana o nā ʻiʻo ma ka esophagus a me LES.
He aha nā lāʻau lapaʻau no GERD?
Aia kekahi mau ala e mālama ai i ka GERD. Loaʻa nā lāʻau lapaʻau mai nā hoʻololi ʻana i ke ʻano o ka nohona, nā lāʻau lapaʻau, a i kekahi manawa ke ʻoki kino.
1. Nā loli i ke ʻano o ka nohona a me nā ʻano ʻai
I ka manawa pinepine, hiki i kēia mau hoʻololi maʻalahi ke hāʻawi i ka hōʻoluʻolu nui:
- Mai ʻai nui i ka manawa hoʻokahi, e ʻai liʻiliʻi i nā manawa he nui i ka lā.
- E ʻai i ka ʻaina ahiahi ma ka liʻiliʻi he 2-3 mau hola ma mua o ka hiamoe ʻana.
- E pale i ka ʻaila, ka chili, nā meaʻai ʻala, nā meaʻai palai, kokoleka, kofe, ka waiʻona, a me ka puhipaka.
- Inā ʻoe he momona loa, e hoʻāʻo e hoʻemi i ke kaumaha.
- Mai ʻaʻahu i nā lole paʻa ma kou ʻōpū.
- E hoʻokiʻekiʻe iki i kou poʻo i ka wā e hiamoe ana.
2. Nā lāʻau lapaʻau (nā lāʻau lapaʻau)
Inā ʻaʻole lawa nā hoʻololi ʻana i ke ʻano o ka nohona, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.
| ʻAno lāʻau lapaʻau | Pehea e hana ai |
|---|---|
| Nā lāʻau hoʻēmi ʻakika | Hoʻemi koke lākou i ka ʻakika o ka waikawa o ka ʻōpū. He mea maikaʻi kēia no ka hōʻoluʻolu manawa pōkole. |
| Nā mea pale H2 | Hoʻemi lākou i ka hana ʻana o ka waikawa o ka ʻōpū. Hana lōʻihi kēia ma mua o nā antacids. |
| Nā mea pale o ka pamu proton (PPI) | ʻO kēia nā lāʻau lapaʻau ikaika loa e hoʻōki i ka hana ʻakika a kōkua pū i ka ho'ōla ʻana i ka hōʻino ʻia o ka esophagus. |
3. ʻoki kino
Inā loaʻa iā ʻoe ka GERD koʻikoʻi hiki ʻole ke kāohi ʻia me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Pili kēia i ka hoʻoikaika ʻana i ka ʻiʻo LES nāwaliwali. ʻO ka Nissen Fundoplication ka ʻoki kino maʻamau.
He aha kāu e hana ai no ka hōʻoluʻolu wikiwiki i ka wā e loaʻa ai iā ʻoe ka reflux acid?
Inā ʻoe e ʻeha nei i ka umauma i kēia manawa, e hoʻāʻo i kēia mau mea:
- Inā ʻoe e moe ana i lalo, e kū pololei.
- E inu i ka wai. Mai inu nui, he mau sips wale nō ua lawa.
- Inā paʻa nā lole āu e ʻaʻahu nei a puni kou ʻōpū, e hoʻokuʻu iki iā lākou.
- Inā loaʻa iā ʻoe kahi antacid, e lawe.
ʻO ka mea nui loa, inā ʻike pinepine ʻoe i kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka ma kahi o ka mālama ponoʻī. He mea nui loa ia e ʻike pono inā he GERD kēia a i ʻole kekahi maʻi ʻē aʻe a e ʻimi i ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka ʻāʻī puʻuwai i kekahi manawa, inā mau ia ma mua o ʻelua manawa i ka pule, hiki ke lilo ia i maʻi i kapa ʻia ʻo GERD.
- Hiki ke hoʻomalu nui ʻia nā hōʻailona GERD ma o nā loli o ke ʻano o ka nohona e like me ka ʻai ʻana, ka pohō kaumaha, a me ka hoʻōki ʻana i ka puhipaka.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻa ʻana o ka meaʻai i kou puʻu, a me ka ʻū mau.
- Inā ʻaʻole mālama pono ʻia ʻo GERD, hiki iā ia ke hōʻeha i ka esophagus i ka wā lōʻihi.
- Inā ʻike pinepine ʻoe i kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka kūpono no ka ʻōlelo aʻo kūpono a me ka mālama ʻana, ma mua o ke komo ʻana i ka mālama ponoʻī.
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