Loaʻa iā ʻoe ke ʻeha puʻuwai a me ka ʻeha umauma? E aʻo kākou e pili ana i ka reflux acid a me GERD!

Ma hope o kāu ʻai ʻana, ke manaʻo nei ʻoe i kekahi manawa i kahi ʻano wela i loko o kou umauma, kahi manaʻo ʻawaʻawa i loko o kou puʻu, a i ʻole ka ʻōpū paʻa, e like me ka heartburn? He mau hōʻailona maʻamau kēia o ka reflux acid i ʻike ʻia e ka poʻe he nui. ʻOiai he mea maʻamau ka loaʻa ʻana o kēia i kekahi manawa, he mea ia e hopohopo ai inā hana pinepine ʻia.

He aha ka Acid Reflux? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka reflux acid ka wā e kahe ai nā mea o loko o ko kākou ʻōpū, ʻoiai ka waikawa gastric , i luna, ʻo ia hoʻi, hoʻi i loko o ka puʻu. ʻO ka maʻamau, hele ka meaʻai a kākou e ʻai ai i loko o ka ʻōpū a laila i lalo. Akā i kēia hihia, ʻo ka mea ʻē aʻe ka mea e hana ʻia.

E noʻonoʻo e pili ana i ia mea, he ikaika loa kēia waikawa i loko o ko kākou ʻōpū. Hana ʻia ia no ka hoʻoheheʻe ʻana i ka meaʻai. No laila, ke komo kekahi mea e like me kēia i loko o ka esophagus - ka paipu meaʻai - hiki iā ia ke hōʻino i nā ʻiʻo palupalu i loko o ka esophagus a hoʻoulu i ka mumū. Nui ka poʻe e ʻike i kēia i kēlā me kēia manawa. Kapa kekahi iā ia he "indigestion" , kapa kekahi iā ia he "heartburn" , ʻo ia hoʻi kahi ʻano wela i ʻike ʻia ma waenakonu o ka umauma, kokoke i ka sternum.

ʻAʻole kēia pilikia reflux acid i kekahi manawa he maʻi koʻikoʻi. Akā no kekahi poʻe, hana mau ia i nā manawa a pau. Me kēlā ʻano reflux acid mau, he mea paʻakikī ke ola i kahi ola maʻamau, a hiki nō hoʻi iā ia ke hōʻino i ko kākou esophagus.

No laila he aha ka GERD?

ʻO GERD ka inoa pōkole no ka maʻi Gastroesophageal Reflux . Ma kekahi mau ʻāina, ua kākau ʻia hoʻi ʻo GORD (Gastro-oesophageal Reflux Disease) . Eia naʻe ke kākau ʻia, pili ia i kahi kūlana e loaʻa ai ka reflux acid i loko o ko kākou esophagus no ka manawa lōʻihi (chronic acid reflux) . Inā piʻi mai ka waikawa e like me kēia ma ka liʻiliʻi ʻelua i ka pule, no kekahi mau pule, a laila manaʻo nā kauka he kūlana GERD ia.

Hiki ke piʻi aʻe ka waikawa no kekahi mau kumu manawa pōkole. Eia kekahi laʻana, ke moe ʻana ma hope o ka ʻai nui ʻana. Akā, ʻaʻole ʻo GERD kahi mea manawa pōkole. He pilikia mau loa ia, he pilikia mīkini . ʻO ia hoʻi, ʻaʻole hana pono nā ʻano hana e pale ai i ka waikawa mai ka piʻi ʻana i loko o ka esophagus.

Pehea ka maʻamau o kēia mau kūlana?

ʻO nā kūlana ʻelua i kapa ʻia ʻo ka maʻi reflux gastroesophageal (GERD) a me GERD he mea maʻamau loa ia. Ma kahi ʻāina e like me ʻAmelika, ua manaʻo ʻia he 20% o nā pākeke a me 10% o nā keiki i loaʻa iā GERD. Hiki ke ʻike ʻia kēia kūlana ma ko mākou ʻāina i kahi nui a liʻiliʻi paha.

He aha nā hōʻailona o kēia? E nānā inā loaʻa iā ʻoe kēia pū kekahi!

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

• Backwash/Regurgitation: Ma hope o ka ʻai ʻana, manaʻo paha ʻoe e like me ka piʻi ʻana mai o ka waikawa o ka ʻōpū, nā ʻāpana meaʻai, a me nā wai i loko o kou puʻu. Ua kapa ʻia kēia he regurgitation . I kekahi manawa hiki ke hele pū ʻia me kahi ʻono ʻawaʻawa .
• He manaʻo wela: No ka mea, he mea ikaika ka waikawa, hoʻoulu ia i kahi manaʻo wela i loko o ka esophagus. Inā ʻike ʻia kēia ma ka umauma, ua kapa ʻia ʻo ia he heartburn . Inā ʻike ʻia ma ka ʻōpū, ua kapa ʻia ʻo ia he acid indigestion .
• ʻEha umauma ʻaʻole puʻuwai: Loaʻa i kekahi poʻe ka ʻeha umauma ʻaʻole like me ke kuni. Ua like nā aʻalolo e ʻike ana i ka ʻeha ma ka esophagus me nā aʻalolo e ʻike ana i ka ʻeha ma ka puʻuwai, no laila hiki ke kuhihewa ʻia i kekahi manawa he hōʻeha puʻuwai.
• Nausea: Hiki i ka reflux waikawa ke hoʻoulu i ka nausea a me ka nalowale o ka makemake. ʻOiai ma hope o ka hala ʻana o ka manawa lōʻihi, hiki nō i ka ʻōpū ke manaʻo piha.
• ʻEha ka ʻāʻī: Inā komo ka waikawa i loko o kou ʻāʻī, hiki iā ia ke hana i ka ʻeha o ka ʻāʻī, kahi manaʻo o kahi mea i paʻa i loko o kou ʻāʻī, a me ka paʻakikī i ka moni ʻana. ʻO ka hapa pinepine, komo ka waikawa i loko o kou ʻāʻī 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 ka ʻū ʻana, ka hanu ʻana, a me ka paʻakikī o ka hanu ʻana . ʻO kēia no ka mea hiki i nā ʻāpana waikawa ke hoʻohaiki i nā alaloa inā komo lākou i loko o lākou.

I ka manawa hea e ʻike nui ʻia ai kēia mau hōʻailona?

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

Loaʻa pū kekahi i nā pēpē liʻiliʻi ʻo GERD?

He mea maʻamau loa i nā pēpē hānau hou ke luaʻi i ka waiū. Hiki ke hele mai kahi liʻiliʻi o ka waikawa me ka waiū, akā ʻaʻole ia e hoʻopilikia nui i ka pēpē. Eia nō naʻe, he maʻi koʻikoʻi ʻo GERD. Hiki iā ia ke hoʻoulu i ka ʻoluʻolu ʻole a me nā pilikia me ka hānai ʻana.

ʻOi aku ka nui o ka loaʻa ʻana o GERD i nā pēpē i hānau mua ʻia a i ʻole me kahi maʻi e pili ana i ka esophagus. He manaʻo maikaʻi e ʻike i kahi pediatrician inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona:

• Inā ʻoe e uē mau ana me ke kumu ʻole .
• Inā pilikia ʻoe i ka hiamoe ʻana .
• Inā ʻaʻole ʻoe makemake e inu i ka waiū .
• Inā ʻoe e luaʻi iki mau ana.
• Inā ʻoe e hana i kahi leo wheezing i ka wā e hanu ana a inā paha he palahalaha kou leo .
• Inā he ʻala ʻino kou e puka mai ana mai kou waha mai .

No ke aha e piʻi mai ai kēia waikawa? He aha nā kumu?

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

He ʻiʻo poepoe kēia LES. Wehe ia i ka wā e moni ai kākou i ka meaʻai, a laila pani hou e mālama i nā mea o loko o ka ʻōpū ma kahi. Wehe iki nō hoʻi ia i ka wā e puʻu ai kākou, e like me ka wā e hiccup ai kākou, e hoʻokuʻu i ka ea e puka i waho.

Piʻi mai ka waikawa ke nāwaliwali a palupalu paha ka LES. Hiki i kekahi mau mea manawa pōkole ke hoʻomaha i ka LES. Eia kekahi laʻana, e moe ana ma hope o ka ʻai nui. Akā inā loaʻa iā ʻoe ʻo GERD, e hoʻomaha mau ana kāu LES.

ʻO nā kumu maʻamau o ka nāwaliwali o LES:

• Hiatal Hernia: ʻO kēia ka wā e piʻi ai ka ʻaoʻao o luna o ka ʻōpū ma o ka lua i loko o ka diaphragm kahi e iho ai ka esophagus. A laila hiki ke paʻa me ka esophagus, e hōʻiliʻili ai ka waikawa. Eia kekahi, no ka mea aia ka LES ma luna o ka ʻōpū, ʻoi aku ka liʻiliʻi o ke kākoʻo ʻiʻo. ʻOi aku ka maʻamau o kēia ʻano me ka makahiki a hiki ke hoʻonui mālie.
• Hāpai keiki: He mea maʻamau ka reflux acid no ka manawa pōkole i ka wā hāpai. Hiki i ke kaomi o ka pēpē e ulu ana i loko o ka ʻōpū ke kīkoʻo a hoʻonāwaliwali i nā ʻiʻo e kākoʻo ana i ka LES. Eia kekahi, ʻo nā hormones i hoʻokuʻu ʻia i ka wā hāpai, e like me ka relaxin ( ka mea e hoʻomaha ai i nā ʻiʻo e hana i kahi no ka pēpē), estrogen, a me ka progesterone, hiki ke hoʻomaha i ka LES.
• Momona: Hiki i ka momona ke hoʻonui i ke kaomi intra-abdominal, hiki ke hoʻopilikia i ka LES, e like me ka hāpai ʻana. Hiki i ka momona ke lōʻihi ma mua o ka hāpai ʻana, a hiki i nā ʻiʻo ke lilo i nāwaliwali mau loa. He kumu nui kēia o nā hernia hiatal. ʻOiai ʻo ka ʻiʻo momona e hūnā i ka estrogen, piʻi pū nā pae estrogen i nā poʻe momona.
• Puhipaka: Hoʻomaha nā mea i loko o ka paka i ka LES. Hiki ke loaʻa kēia hopena inā ʻoe e puhipaka a hanu paha i ka uahi ke puhipaka kekahi poʻe (uahi lua). Hoʻoulu ka puhipaka i ka ʻūhū, a i kou wā e ʻūhū ai, wehe ka LES. ʻO ka puhipaka mau a me ka ʻūhū hiki ke hoʻonāwaliwali i nā ʻiʻo o ka paia o ka ʻōpū a hana i kahi hernia hiatal. ʻAʻole wale ia, hoʻolohi pū ka puhipaka i ka ʻai ʻana a hoʻoulu i ka ʻōpū e hana i ka waikawa hou aku .

ʻO nā kumu ʻē aʻe o GERD e komo pū ana:

• ʻO kekahi mau kīnā hānau: No ka laʻana, nā kūlana e pili ana i ka esophagus e like me ka esophageal atresia .
• Nā maʻi pili pili: Hiki i nā maʻi e like me ka scleroderma ke hoʻopili i nā ʻiʻo o ka esophagus.
• ʻO ke ʻoki kino ma mua: Ua hōʻino paha ke ʻoki kino ma ka umauma a i ʻole ka ʻōpū o luna i ka esophagus.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau ke hoʻomaha i ka LES.
• Benzodiazepines (nā lāʻau hoʻomaha)
• Nā mea pale i ke kahawai calcium ( nā lāʻau lapaʻau no ke koko kiʻekiʻe)
• Nā antidepressants Tricyclic (nā lāʻau lapaʻau no ke kaumaha a me ka ʻeha)
• Nā NSAID (nā lāʻau anti-inflammatory nonsteroidal) - nā lāʻau hōʻeha ʻeha e like me ka aspirin a me ka ibuprofen
• ʻO Theophylline (kahi lāʻau lapaʻau hānō maʻamau)
• ʻO ka lāʻau lapaʻau hormone (HT) no ka menopause

Ke hoʻopilikia nei anei ka meaʻai a me ka mea inu i kēia?

ʻAʻole paha e hoʻoulu ka meaʻai a me ka mea inu wale nō i ka reflux acid, akā hiki iā lākou ke hoʻonui i ka ʻino. 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.

Hoʻonui nā meaʻai momona i ka waikawa o ka ʻōpū a lōʻihi ka manawa e hoʻoheheʻe ai. No laila, ʻoi aku ka nui o ka manawa o ka reflux acid. Inā ʻoe e ʻai i kahi meaʻai kaumaha no ka ʻaina ahiahi, ʻaʻole paha e hoʻoheheʻe ʻia ma mua o kou hiamoe ʻana.

He aha nā pilikia e hiki ke kū mai inā hoʻomau kēia?

He ikaika loa ka waikawa i loko o ko kākou ʻōpū. Ua hoʻolālā ʻia ia e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai. He ʻili mānoanoa ko loko o ko kākou ʻōpū e pale aku ai mai kēia waikawa. Akā, ʻaʻohe o kēia palekana i ko kākou mau kino ʻē aʻe.

Hoʻopilikia nui ka reflux waikawa i ka esophagus. Akā i kekahi manawa hiki i kēia waikawa ke piʻi i luna i loko o ka ʻōpū hanu a i ʻole nā ​​​​ea hanu. ʻOiai inā piʻi iki ka waikawa, hiki iā ia ke hōʻeha i ka ʻoluʻolu ʻole, akā inā piʻi mau ia, hiki iā ia ke hōʻino i kēia mau kino.

Nā pilikia e hiki mai ana:

• ʻEsophagitis: He mumū kēia o ka uhi o ka esophagus. Hiki i ka esophagitis lōʻihi ke hoʻoulu i ka ʻeha mau a me nā ʻōpū ma ka esophagus. I ka hala ʻana o ka manawa, hiki iā ia ke alakaʻi i ka scarring a i ʻole ka metaplasia ʻōpū, kahi kūlana precancerous e hiki ai ke alakaʻi i ka maʻi kanesa.
• ʻO ka esophagus a Barrett: ʻO kēia ka inoa i hāʻawi ʻia i kahi kūlana i kapa ʻia ʻo ka metaplasia ʻōpū i loko o ka esophagus. ʻO kēia ka manawa e loli ai ka uhi o ka esophagus a lilo i mea like me ka uhi o nā ʻōpū. Hoʻokumu ʻia kēia e ka lōʻihi o 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 ka esophagus e pale aku iā ia mai ka mumū lōʻihi a me ka hōʻino. 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 a me ka ʻai ʻana.
• ʻO ka reflux waikawa i loko o ka puʻu a me ka larynx (Laryngopharyngeal reflux - LPR):Hoʻomohala pū kekahi poʻe me GERD i ka LPR, ʻo ia ka wā 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 hiamoe. Hiki i kēia ke hoʻoulu i kou puʻu e pehu, e lilo kou leo ​​i leo haʻalulu, a ulu nā kaula leo . Hiki ke omo ʻia nā ʻāpana waikawa i loko o kou mau ala ea.
• Asthma: Hiki i ka hanu ʻakika ke hoʻonui i ka hānō i ka poʻe i loaʻa mua i ka hānō, a i ka poʻe ʻaʻohe maʻi hanu mua, hiki ke ulu aʻe nā hōʻailona e like me ka hānō. Hiki i nā ʻāpana ʻakika liʻiliʻi ke hoʻopili i nā ʻōmole bronchial, e hoʻohāiki ai, e hoʻoulu ai i ka ʻūlū a me ka paʻakikī o ka hanu ʻana.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ʻo GERD? He aha nā hoʻokolohua lapaʻau?

E nānā kahi gastroenterologist i kou esophagus e hoʻoholo ai inā he GERD kou. Aia kekahi mau hoʻokolohua e hiki ke hana ʻia e hoʻoholo ai i kēia:

• ʻEsophagram: He hoʻāʻo X-ray kēia. Nānā ʻia ka esophagus me ka hoʻohana ʻana i nā X-ray (fluoroscopy) e neʻe ana i kou moni ʻana. Hāʻawi ʻia ʻoe i kahi wai ʻōniʻoniʻo i kapa ʻia ʻo barium e inu.
• ʻO ka endoscopy luna: Pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela ma kou waha e nānā i loko o kou esophagus. E hāʻawi ʻia ʻoe i ka hoʻomaha māmā a hoʻomoe ʻia.
• Hoʻāʻo pH esophageal: Ke ana kēia i ka nui o ka waikawa i loko o ka esophagus. I ka wā o ka endoscopy, kau ke kauka i kahi sensor uea ʻole liʻiliʻi (mea loaʻa uea ʻole) i loko o ka esophagus.
• Manometry Esophageal: Ke ana kēia i ka hana o nā ʻiʻo ma ka esophagus. Hana ʻia kēia me ka hoʻohana ʻana i nā mea ʻike kaomi i kau ʻia i loko o kahi paipu nasogastric. Hiki i kēia ke hoʻoholo inā e hana pono ana ka LES a i ʻole nā ​​ʻiʻo ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia?

Hiki i kekahi poʻe ke hōʻemi i ko lākou reflux acid ma o ka hoʻololi ʻana i ke ʻano o ka nohona, e like me ka hoʻololi ʻana i kā lākou ʻano ʻai, ka hōʻemi ʻana i ka waiʻona a me ka puhipaka, a me ka hoʻemi ʻana i ke kaumaha. Paipai pū nā kauka i nā kānaka e hahai i kēia mau ʻano hana.

Akā inā loaʻa iā ʻoe ka reflux acid mau a i ʻole GERD, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka waikawa o ka ʻōpū. A laila, inā piʻi mai ka waikawa, e emi iki ka pōʻino. Loaʻa maʻalahi kēia mau lāʻau lapaʻau a he kūpono loa ia no GERD.

Lāʻau lapaʻau

Nā lāʻau lapaʻau ma luna o ke kūʻai aku (OTC) i loaʻa mai nā hale kūʻai lāʻau lapaʻau me ke kauoha ʻole ʻia:

• Nā Antacids: Hoʻopau nā antacids, e like me Tums® lāua ʻo Rolaids®, i ka waikawa o ka ʻōpū. ʻO ke ʻano kēia, inā piʻi aʻe ka waikawa, ʻaʻole ia e hōʻino nui i ka esophagus. He maikaʻi kēia no ka reflux acid i kekahi manawa, akā hiki iā lākou ke hana i nā hopena ʻaoʻao inā lawe mau ʻia, no laila ʻaʻole lākou he hopena maikaʻi no ka wā lōʻihi.
• Nā ʻAlginate:He kō kūlohelohe ka Alginate i unuhi ʻia mai ka limu. Lana ia ma luna o ka waikawa, e hana ana i kahi pale kino ma waena o ka waikawa a me ka esophagus. Aia nā lāʻau lapaʻau i loaʻa wale ka alginate, a me nā lāʻau lapaʻau e hoʻohui pū i ka alginate me nā antacids.

Nā lāʻau lapaʻau i kuhikuhi ʻia:

• Nā mea hoʻopilikia i ka mea loaʻa histamine (nā mea pale H2): Hoʻemi nā mea pale H2 i ka hana ʻana o ka waikawa ʻōpū. ʻO kēia no ka mea ke pale nei lākou i ka kemika (histamine) e haʻi aku i ke kino e hana i ka waikawa. Hiki ke lawe pinepine ʻia kēia mau mea ma mua o nā antacids, akā ʻaʻole lākou e hana mau i ka wā lōʻihi. Hiki i ke kino ke maʻa iā lākou.
• Nā mea hoʻopaʻa i ka pamu proton (PPI): ʻO nā PPI kahi ʻano lāʻau lapaʻau e ālai pono ana i ka waikawa a paipai i ka ho'ōla ʻana o nā ʻiʻo. Hiki i kāu kauka ke ʻōlelo mua i kēia mau mea inā koʻikoʻi kāu GERD a inā he mau hōʻailona o ka hōʻino ʻana i nā ʻiʻo i loko o kou esophagus. He 90% ka maikaʻi o lākou i ka hōʻemi ʻana i ka reflux acid.
• Baclofen: He mea hoʻomaha ʻiʻo ʻo Baclofen. Hāʻawi pinepine ʻia ia e hōʻemi i nā spasms ʻiʻo. Hiki iā ia ke hōʻemi i ka nui o nā manawa e hoʻomaha ai ka LES, hiki ke hōʻemi i ka nui o ka waikawa e piʻi mai ana. ʻAʻole ia he lāʻau lapaʻau laina mua no ka reflux acid, akā he ʻāpana paha ia o kāu hoʻolālā lapaʻau.

ʻAʻohe ala e hoʻōki loa ai a hoʻōla paha i ka reflux acid?

ʻOiai hiki i nā lāʻau lapaʻau ke hōʻemi i nā hōʻailona a me nā hopena o GERD, ʻaʻole hiki iā lākou ke hoʻōki loa iā ia. ʻOiai inā e lawe ana kekahi me GERD koʻikoʻi i ka lāʻau lapaʻau, hiki nō iā ʻoe ke loaʻa nā pilikia, ʻoiai inā ʻaʻole ʻoe e ʻike.

I ia mau hihia, pono kahi hopena mau loa e pale aku i ka piʻi ʻana o ka waikawa. ʻO ke ʻano maʻamau kēia o ke ʻoki ʻana e hoʻopaʻa i ka LES . ʻAʻole kēia he mau ʻoki nui, he mau kaʻina hana outpatient, a ua holomua loa.

ʻoki kino

Nā ʻoki kino no GERD:

• ʻO Nissen fundoplication: ʻO kēia ke ʻoki maʻamau no GERD. Inā hiki, hana ʻia ia ma ke ʻano laparoscopically . ʻO ke ʻano kēia, hana ʻia ia ma o nā ʻoki liʻiliʻi, ʻo ia hoʻi, ʻoi aku ka pōkole o ka manawa hoʻōla. Lawe ke kauka lapaʻau i ka ʻaoʻao o luna o ka ʻōpū, kāʻei iā ia a puni ka ʻaoʻao haʻahaʻa o ka esophagus, a humuhumu iā ia. Hana ʻia kēia ʻoki no ka poʻe me nā hernia hiatal.
• Mea hana LINX: He hana hou kēia. Hoʻokomo ʻia kahi mea i kapa ʻia ʻo LINX ma ke ʻoki kino. He apo liʻiliʻi o nā magnet ka mea hana LINX. Kōkua ia i ka pani ʻana i ka pilina ma waena o ka ʻōpū a me ka esophagus.

He aha kāu e hana ai e kāohi i ka reflux acid ma ka home?

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

• E ʻai i nā meaʻai liʻiliʻi:Hoʻopiha ka ʻōpū i nā meaʻai nui a kau i ke kaomi ma luna o ka LES. Hoʻoheheʻe koke ʻia nā meaʻai liʻiliʻi a ʻaʻole hoʻopuka i ka nui o ka waikawa i loko o ka ʻōpū.
• E ʻai i ka ʻaina ahiahi i kakahiaka nui: ʻOi aku ka maikaʻi o ka ʻai ʻana i kekahi mau hola ma mua o kou moe ʻana a hiamoe i ka pō, no ka mea, kōkua ka umekaumaha i ka mālama ʻana i ka waikawa i lalo.
• Moe ma kou ʻaoʻao hema: Ke hiamoe ʻoe ma kēia ʻano, noho kāu LES ma luna o nā mea o loko o kou ʻōpū, e like me ka ʻeke ea. ʻO ka hiamoe ʻana ma kou ʻaoʻao a i ʻole ka ʻaoʻao ʻākau hiki ke hana i ka hiolo ʻana o ka valve.
• E hōʻemi i ke kaomi ma kou ʻōpū: E ʻaʻahu i nā lole palupalu. Inā momona ʻoe, e hoʻāʻo e hoʻemi i ke kaumaha. E kōkua kēia i ka wā pōkole a me ka wā lōʻihi.
• Hoʻōki i ka puhipaka a me ka inu ʻona: Hoʻonāwaliwali ka paka a me ka waiʻona i ka LES. Hoʻonui pū lāua i ka waikawa o ka ʻōpū, kahi e hoʻonui ai i ka manawa ʻai.
• Nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai aku: E mālama i nā lāʻau lapaʻau e like me nā antacids a me nā alginates . E hoʻohana i kēia mau mea inā ʻike ʻoe e ʻai ana ʻoe i kahi meaʻai kaumaha a ʻakika.

He aha kāu e hana ai inā piʻi koke mai ka waikawa?

E ho'āʻo e hana i kēia mau mea i kēlā manawa pono'ī:

• E kū i luna: aia ka umekaumaha ma kou ʻaoʻao.
• E inu i hoʻokahi a ʻelua paha wai: Mai inu nui, akā, hiki i kekahi mau ʻāpana wai liʻiliʻi ke kōkua i ka hoʻohemo ʻana i ka waikawa.
• E wehe i ke kāʻei: E wehe i ke pihi o ke kāʻei, a i ʻole e hoʻololi i nā lole inā hiki iā ʻoe.
• E lawe i kahi antacid: Inā ʻaʻohe āu mea kokoke, hiki i kahi mea e like me Pepto Bismol® ke kōkua.

Āhea wau e ʻike ai i ke kauka e pili ana i kēia?

Inā loaʻa pinepine iā ʻoe ka ʻeha puʻuwai, e ʻike pono i ke kauka . He mea nui e hoʻomaopopo pehea e hoʻopilikia ai i kou kino. ʻAʻole wale ka GERD he mea ʻoluʻolu ʻole - hiki ke lilo i mea ʻino. A, aia nā lāʻau lapaʻau maikaʻi no ia.

He nui ka poʻe e ʻike i ka ʻāʻī i kēlā me kēia manawa. ʻO ka ʻāʻī, ka ʻeha o ka ʻōpū, a me ka reflux acid hiki ke hoʻolilo iā ia i mea paʻakikī ke hele i ka lā. Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ke alapine o kēia mau hōʻailona.

Akā inā loaʻa pinepine kou ʻeha puʻuwai a ke hoʻopilikia nei ia i kou ola, loaʻa paha iā ʻoe ʻo GERD. He mea kūpono ke kamaʻilio ʻana me ke kauka e pili ana i kāu mau hōʻailona. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo inā hiki ke kōkua ka lāʻau lapaʻau.

E hoʻomanaʻo i ka mea nui loa (Leka Lawe-Home)

ʻO ka reflux waikawa a me ka GERD nā maʻi e hoʻopilikia i nā poʻe he nui. ʻOiai he mea maʻamau ka loaʻa ʻana iā lākou i kekahi manawa, he mea nui e makaʻala iā lākou inā he pilikia maʻamau lākou.

• E ʻike i kāu mau hōʻailona. E makaʻala i nā mea e like me ka ʻono ʻawaʻawa i ka puʻu, ka ʻeha o ka umauma, a me ka paʻakikī i ke ale ʻana.
• Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona ke hana i kahi ʻokoʻa nui. E noʻonoʻo i kāu mea e ʻai ai, i ka wā e ʻai ai ʻoe, a pehea ʻoe e hiamoe ai.
• E noho mamao aku mai ka puhi paka a me ka waiʻona.Ke hoʻonui nei kēia mau mea i kēia pilikia.
• Inā ʻaʻole hiki iā ʻoe ke kāohi iā ia me nā lāʻau lapaʻau home, e ʻimi pono i ke aʻo lapaʻau . He maʻi hiki ke mālama ʻia ʻo GERD. Eia nō naʻe, inā waiho ʻole ʻia, hiki iā ia ke alakaʻi i nā pilikia.
• Mai hopohopo. Hiki ke mālama maikaʻi ʻia kēia kūlana me ka ʻōlelo aʻoaʻo kūpono a me ka lāʻau lapaʻau. E kamaʻilio ākea me kāu kauka.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻAkika reflux, GERD, ʻeha puʻuwai, mumū o ka ʻōpū, indigestion, esophagitis, lāʻau lapaʻau