Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻala wela i waenakonu o kou umauma ma hope o ka ʻai ʻana i kahi meaʻai kaumaha? A i ʻole ke manaʻo nei ʻoe i kahi ʻono ʻawaʻawa i loko o kou puʻu ma hope o kekahi manawa? He nui ka poʻe ma Sri Lanka e kapa nei i kēia he "gastritis". Akā, ʻaʻole kēia he gastritis mau. He mea ʻokoʻa kēia, a he ʻano paha ia e pono ai kākou e makaʻala. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka Acid Reflux a me GERD, he ʻano koʻikoʻi ia.
I ka ʻōlelo maʻalahi, he aha ka Acid Reflux?
He mea maʻalahi loa ia. Loaʻa i loko o ko kākou ʻōpū nā ʻano waikawa he nui e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai. ʻO ka maʻamau, pono e iho kēia meaʻai a me ka waikawa mai ka ʻōpū mai, ʻo ia hoʻi, i nā ʻōpū. ʻO ia ke ala kūpono. Eia naʻe, ke kahe hou kēia waikawa ʻōpū i luna, ʻo ia hoʻi, ma ke ala e ale ai kākou i ka meaʻai (ka esophagus) a i ka puʻu, kapa mākou ia he Acid Reflux.
E noʻonoʻo i ka ikaika o ka waikawa i loko o kou ʻōpū. Loaʻa i nā paia o kou ʻōpū kahi uhi kūikawā e hiki ke kū i kēlā waikawa. Akā, ʻaʻole i loaʻa i ko kākou puʻu a me ko kākou esophagus kēlā uhi kūikawā. No laila, i ka wā e piʻi mai ai kēlā waikawa ikaika, puhi ia i nā ʻiʻo palupalu ma ia mau wahi a hoʻoulu i ka mumū. ʻO kēia ka mea a mākou e kapa nei he "heartburn." He mea maʻamau paha ke manaʻo i kēia ʻano i kēlā me kēia manawa. Akā, ʻaʻole kēia he maʻi.
No laila he aha ka GERD?
ʻO GERD kahi pōkole no ka Gastroesophageal Reflux Disease . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi ka maʻi reflux gastroesophageal. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ia e hoʻomaopopo.
ʻAʻole pilikia ka reflux acid i kēlā me kēia manawa. Akā inā hoʻomau kēia ʻano, ʻo ia hoʻi inā ʻike ʻoe i kēia ʻano wela i loko o kou umauma a me kou puʻu no ʻelua manawa i ka pule, kapa mākou iā ia he GERD. He ʻano maʻi kēia.
I ka ʻōlelo maʻalahi, ʻo GERD kahi maʻi i kapa ʻia ʻo chronic acid reflux. ʻO ka mea e hana ʻia ma ʻaneʻi, aia kahi nāwaliwali i ke ʻano hana e pale ai i nā mea o loko o ka ʻōpū mai ka piʻi ʻana mai.
He aha nā hōʻailona o ka Acid Reflux a me GERD?
Loaʻa paha i nā kānaka he nui kekahi a ʻoi aku paha o kēia mau hōʻailona i ka manawa like. E nānā kākou i nā mea nui.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Regurgitation | He manaʻo o ka meaʻai, ka wai, a i ʻole ka waikawa e piʻi mai ana mai ka ʻōpū a i loko o ka puʻu ma hope koke iho o ka ʻai ʻana. He ʻono ʻawaʻawa i loko o ka waha. |
| Manaʻo o ke kuni ʻana | ʻO ka ʻāʻī ka hōʻailona nui. Hiki i kekahi poʻe ke ʻike iā ia me he mea lā e wela ana ma ka ʻaoʻao o luna o ka ʻōpū (ʻakika indigestion). |
| ʻEha umauma ʻaʻole ia he maʻi puʻuwai | No kekahi poʻe, ʻaʻole paha kēia e like me ka ʻeha wela, akā, e like me ka ʻūmiʻi ʻana o ka umauma. Makaʻu kekahi poʻe no ka mea, ua like kēia ʻeha me ka ʻeha o ka hāʻule puʻuwai. |
| Ka luaʻi a me ka anorexia | Hiki ke piʻi aʻe ka waikawa o ka ʻōpū, e hoʻoulu ai i ka nausea a me ka nalowale o ka makemake. ʻOiai ma hope o ka manawa lōʻihi, hiki nō iā ʻoe ke manaʻo piha. |
| ʻEha ka ʻāʻī a me ka paʻakikī i ka moni ʻana | Inā komo ka waikawa i loko o kou puʻu, hiki iā ia ke hōʻeha i ka puʻu. Hiki iā ia ke manaʻo e like me kahi mea i paʻa i loko o kou puʻu, e like me kahi puʻupuʻu. Hiki nō hoʻi ke paʻakikī ke ale. Hana pinepine kēia i ka pō. |
| Nā hōʻailona like me ka hānō | Hiki iā GERD ke hana i nā hōʻailona like me ka hānō, e like me ke kuʻi mau ʻana, ka wheezing, a me ka wheezing. |
I ka manawa hea e hoʻonui ai kēia mau 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 i nā pēpē liʻiliʻi ka GERD?
ʻAe. He mea maʻamau no nā pēpē ke kuha iki ma hope o ka inu ʻana i ka waiū. ʻAʻole ia he pilikia nui. Akā, ʻoi aku ka koʻikoʻi o ka GERD. Hiki iā ia ke hoʻoulu i ka ʻoluʻolu ʻole a me ka hōʻole ʻana e ʻai. ʻOi aku ka nui o ka loaʻa ʻana o ka GERD i nā pēpē i hānau mua ʻia a i ʻole me kekahi pilikia i loko o ka esophagus.
ʻO nā hōʻailona o GERD i kahi pēpē ʻōpiopio e hiki ke komo pū me:
- Uē mau me ke kumu ʻole, hoʻomaha 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 lā e loaʻa ai iā kākou ka reflux acid e like me kēia?
ʻO ke kumu nui o kēia, ʻo ia ka nāwaliwali o kahi ʻiʻo e hana ana e like me ka valve ma ka hopena o ko kākou esophagus (paipu meaʻai), kahi e pili ai i ka ʻōpū. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo ka Lower Esophageal Sphincter (LES) .
Ua like kēia LES me ka puka. Ke ale kākou i ka meaʻai, wehe ʻia kēia puka, a ke komo ka meaʻai i loko o ka ʻōpū, pani hou ia. Ke pani ʻia, ʻaʻole hiki i nā mea o loko o ka ʻōpū ke piʻi hou mai. Akā inā nāwaliwali kēia puka LES no kekahi kumu, inā ʻaʻole ia e pani pono, a laila e liki ka waikawa i loko o ka ʻōpū.
| ʻO nā kumu nui o ka nāwaliwali o LES | |
|---|---|
| ʻO ka Hernia Hiatal | ʻO kēia ka manawa e piʻi ai ka ʻaoʻao o luna o ka ʻōpū i luna i loko o ka umauma. ʻOi aku ka maʻamau o kēia i ko kākou ʻelemakule ʻana. Hoʻololi kēia i ke kaomi ma luna o ka LES a hoʻonāwaliwali iā ia. |
| Hāpai keiki | I ka wā hāpai, hiki i ke kaomi o ka ʻōpū e ulu ana a me nā loli hormonal ke hoʻomaha i ka LES. Hoʻopau pinepine kēia ʻano ma hope o ka hānau ʻana o ke pēpē. |
| Momona | I kou piʻi ʻana o ke kaumaha, piʻi aʻe ka momona o kou ʻōpū, kahi e hoʻonui ai i ke kaomi i loko o kou ʻōpū. Hoʻokuke kēia kaomi i ka LES i luna, e ʻoi aku ka maʻalahi o ka piʻi ʻana o ka waikawa. |
| Puhipaka | Hoʻomaha nā kemika i loko o ka paka i ka LES. Hoʻolohi pū ka puhipaka i ka ʻai ʻana a hoʻonui i ka hana ʻakika o ka ʻōpū. |
Ma waho aʻe o kēia mau kumu nui, hiki i kekahi mau lāʻau lapaʻau (e like me kekahi mau lāʻau koko kiʻekiʻe, nā lāʻau ʻeha), kekahi mau meaʻai (kokoleka, kofe, mint, nā meaʻai momona), a me ka waiʻona ke hoʻopilikia i kēia.
He aha ka mea e hana ai inā e hoʻokuʻu mākou i kēia me he mumū wale nō? (Nā pilikia)
ʻO kēia kahi e pono ai mākou e nānā nui. Inā ʻaʻole mākou e mālama iā ia me he "ʻeha liʻiliʻi wale nō," hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi i ka wā lōʻihi.
- Esophagitis: Hiki i ka uhi o ka esophagus ke lilo i pehu a ʻeha ma muli o ka hoʻomau ʻana o ka reflux acid . Hiki i kēia ke hoʻoulu i ka ʻeha mau a me ka paʻakikī i ka moni ʻana.
- ʻO ka esophagus a Barrett: He kūlana koʻikoʻi kēia. Ma muli o ka lōʻihi o ka hoʻopili ʻana i ka waikawa, hoʻomaka nā cell ma ka ʻaoʻao haʻahaʻa o ka esophagus e loli. He kūlana precancerous kēia i hiki ke ulu i ka maʻi kanesa .
- ʻO ke koʻikoʻi o ka esophagus: Ke hoʻomau nei ka ho'ōla ʻana o ka ʻeha, hiki ke hana ʻia nā ʻiʻo ʻeha i loko o ka esophagus, e hoʻohaiki ana i ka ʻāpana. Hiki i kēia ke paʻakikī loa ke ale i ka meaʻai.
- Nā pilikia puʻu a me ka hanu: Inā hiki ka waikawa i ka puʻu a komo i loko o ke ala hanu, hiki iā ia ke hana i nā kūlana e like me ke kuʻi mau ʻana, ka leo haʻalulu, a me ka hānō, a i ʻole e hoʻonui i ka hānō e kū nei.
Pehea e ʻike ai ke kauka i ka GERD?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua e hōʻoia i ka maʻi a hoʻoholo i kona koʻikoʻi.
- ʻO ka endoscopy luna: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela ma ka hopena ma o ka waha a ua nānā ʻia ka ʻaoʻao o loko o ka esophagus a me ka ʻōpū. Hiki i kēia ke ʻike maopopo inā he mau ʻeha a i ʻole nā loli.
- hoʻāʻo pH: Ke ana kēia i ka lōʻihi a me ka nui o ka waikawa i loko o ka esophagus.
- Manometry Esophageal: Ke ana kēia hoʻāʻo i ke kaomi a me ka hana o nā ʻiʻo ma ka LES a me ka esophagus.
He aha nā lāʻau lapaʻau no kēia?
Hiki ke hoʻokaʻawale ʻia nā lāʻau lapaʻau no GERD i ʻekolu mau māhele nui. Hoʻohana pinepine ʻia kekahi a ʻoi aku paha o kēia mau ʻano hana.
1. Nā loli i ke ʻano o ka nohona a me nā ʻano ʻai
ʻOiai ma mua o ka hoʻohana ʻana i ka lāʻau lapaʻau, hiki ke hoʻomalu ʻia kēia maʻi i kahi nui ma ka hana ʻana i nā hoʻololi liʻiliʻi i ko mākou nohona.
- Ka lilo ʻana o ke kaumaha: Inā momona ʻoe, he mea pono ka lilo ʻana o ke kaumaha.
- Kaohi ʻana i ka ʻai: Ma kahi o ka ʻai ʻana i hoʻokahi pāʻina nui i ka manawa hoʻokahi, e ʻai i kekahi mau pāʻina liʻiliʻi i ka lā a pau.
- E hōʻalo i nā meaʻai ʻala a me nā mea ʻaila:E hōʻemi i kāu ʻai ʻana i nā meaʻai ʻala, nā ʻaila, nā meaʻai palai, kokoleka, kofe, a me ka mint.
- Ke moe ʻana ma hope o ka ʻai ʻana: Mai moe i lalo no ka liʻiliʻi he 2-3 mau hola ma hope o ka ʻai ʻana i ka pō.
- Kūlana hiamoe: I ka hiamoe ʻana, e hiamoe me kou poʻo i hoʻokiʻekiʻe iki ʻia. E aho inā hiki iā ʻoe ke hoʻokiʻekiʻe iki i ka moena ma ke kau ʻana i ʻelua ʻāpana lāʻau ma nā wāwae ma ke poʻo o ka moena.
- Puhi paka a me ka waiʻona: He mea nui loa e hoʻōki loa i kēia mau mea ʻelua.
2. Nā lāʻau lapaʻau (nā ʻano lāʻau lapaʻau)
Inā ʻaʻole lawa nā loli o ke ʻano o ka nohona e kāohi ai i kāu mau hōʻailona, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.
- Nā Antacids: Hana kēia ma ka hoʻemi koke ʻana i ka acidity o ka waikawa o ka ʻōpū. He maikaʻi lākou no ka heartburn i kekahi manawa, akā ʻaʻole lākou he hopena lōʻihi.
- Nā mea pale H2: Hoʻemi kēia i ka hana ʻana o ka waikawa o ka ʻōpū.
- Nā mea hoʻopaʻa i ka pamu proton (PPI): ʻO kēia nā lāʻau hoʻemi waikawa ikaika loa i loaʻa. Hoʻōki nui lākou i ka hana ʻakika a kōkua i ka ho'ōla ʻana i nā ʻeha ma ka esophagus.
ʻO ka mea nui loa: Pono e hoʻohana ʻia kekahi o kēia mau lāʻau lapaʻau ma lalo o ke aʻo a kāu kauka. ʻO ka lawe ʻana iā lākou ma ka hale kūʻai lāʻau lapaʻau e like me kou makemake e hoʻonui wale i ke kūlana a hoʻoulu i nā pilikia kūloko.
3. ʻoki kino
No ka poʻe me ka GERD koʻikoʻi loa ʻaʻole i pane i ka lāʻau lapaʻau, a i ʻole ka poʻe me ke ʻano e like me ka hernia hiatal, hiki ke ʻōlelo ʻia ke ʻoki kino. Pili kēia i ka hoʻoikaika ʻana i ka LES nāwaliwali.
He aha kāu e hana ai inā loaʻa koke iā ʻoe ka ʻeha o ka umauma?
- E kū pololei: Inā ʻoe e moe ana i lalo, e ala a noho a kū pololei paha. E kōkua ka umekaumaha i ka waikawa e iho i lalo.
- E inu i kahi wai: ʻAʻole nui, akā hiki i kekahi mau sips o ka wai ke kōkua i ka holoi ʻana i ka waikawa a iho i lalo.
- E wehe i kou mau lole: Inā ʻoe e ʻaʻahu ana i nā lole paʻa a i ʻole ke kāʻei, e wehe iā ia.
- He antacid: Inā loaʻa iā ʻoe kahi antacid i kauoha ʻia e ke kauka, e hoʻohana.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka ʻeha puʻuwai i kekahi manawa, inā ʻike ʻoe i kēia mau hōʻailona ma mua o ʻelua manawa i ka pule, he maʻi ia (GERD).
- Mai hoʻowahāwahā wale iā ia, me ka manaʻo he "gastritis." Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike pono i ke kauka a loaʻa i kahi hōʻailona pololei.
- Hiki ke kāohi nui ʻia kēia maʻi me nā loli maʻalahi i ke ʻano o ka nohona a me nā hana ʻai.
- Inā ʻaʻole mālama pono ʻia ʻo GERD, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi e like me ke kanesa esophageal.
- Mai lawe i nā lāʻau hoʻemi waikawa no ka manawa lōʻihi me ka ʻole o ke kūkākūkā ʻana me ke kauka.
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