Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha wela i loko o kou umauma a me kahi ʻono ʻawaʻawa i loko o kou puʻu ke ʻai ʻoe i kahi mea ʻala i ka pō? A i ʻole ke manaʻo nei ʻoe e ʻeha ana kou puʻu ke ala ʻoe i ke kakahiaka, a loli kou leo? He nui o mākou e kapa nei i kēia he "gastritis." ʻAʻole hewa loa kēlā, akā hiki ke ʻokoʻa iki kēia ʻano. Ma ke ʻano lapaʻau, kapa mākou i kēia GERD, ʻo ia hoʻi (Gastroesophageal Reflux Disease). I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā i hana ʻia mai ka limu e kōkua ana i kēia ʻano GERD, akā ʻaʻole ʻike ka poʻe he nui ma ko mākou ʻāina. ʻO ia hoʻi nā alginates.
I ka ʻōlelo maʻalahi, he aha ka GERD?
He mea maʻalahi loa kēia e hoʻomaopopo. E noʻonoʻo, aia i loko o ko kākou ʻōpū kahi waikawa ikaika e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai a kākou e ʻai ai. Pono kēia waikawa e noho wale i loko o ka ʻōpū. Ua hoʻolālā ʻia ka ʻōpū e kū i kēia waikawa. Akā, ʻo ka paipu e hele ai ka meaʻai a kākou e ʻai ai, ʻo ia hoʻi ka esophagus, ʻaʻole hiki ke kū i kēia waikawa.
ʻO ka maʻamau, aia kahi apo ʻiʻo ma waena o ka ʻōpū a me ka esophagus, e like me ka puka. Ke moni mākou i ka meaʻai, wehe ʻia kēia puka a laila pani paʻa. Hoʻōki kēia i ka waikawa i loko o ka ʻōpū mai ka piʻi ʻana. Eia naʻe, i kekahi me GERD, ʻaʻole paha e pani pono kēia puka. A laila piʻi mai ka waikawa i loko o ka ʻōpū, ʻo ia hoʻi, i loko o ka esophagus. ʻO ia ka manawa e loaʻa ai iā mākou nā hōʻailona e like me ka heartburn , ka ʻeha ma waena o ka umauma, a me ka ʻono ʻawaʻawa i ka puʻu. Ke piʻi mai ka waikawa e like me kēia no ka manawa lōʻihi, hiki ke hōʻino ʻia nā paia o ka esophagus.
Ua kapa ka poʻe he nui i ka "gastritis" ʻo ia ka mumū o ka ʻōpū. Eia nō naʻe, he maʻi ʻo GERD i hoʻokumu ʻia e ka waikawa o ka ʻōpū e kahe ana i luna. ʻOiai ua like nā hōʻailona o nā mea ʻelua, ʻokoʻa paha nā kumu a me nā lāʻau lapaʻau.
No laila he aha kēia mau alginates? Pehea lākou e hana ai?
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. He hui kūlohelohe nā Alginates i loaʻa i ka limu. Akā, mai ʻai wale i ka limu! Ua hoʻomaʻemaʻe ʻia a hoʻomaʻemaʻe ʻia lākou e hana i nā lāʻau lapaʻau.
He mea kupaianaha ke ʻano o ka hana ʻana o nā alginates. Ke lawe mākou i kēia lāʻau lapaʻau, komo ia i loko o ka ʻōpū a hui pū me ka waikawa ma laila, e hana ana i kahi papa e like me ka gel, a i ʻole ka huʻa, e lana ana ma luna. E noʻonoʻo iā ia e like me kahi papa o ka ʻaila e lana ana ma luna o kahi ʻōmole piha i ka wai. Kāhea mākou i kēia papa gel he "raft."
He māmā loa kēia "waʻa", no laila e lana ana ia ma luna o nā mea ʻē aʻe o ka ʻōpū. Akā, ua lawa kona ikaika e pale aku i ka waikawa o ka ʻōpū mai ka piʻi ʻana i loko o ka esophagus. I ka ʻōlelo maʻalahi, hana ia i kahi pale kino . ʻO ia hoʻi, hana ia i kahi ʻano uhi ma waena o ka ʻōpū a me ka esophagus. Pale kēia i ka waikawa mai ka piʻi ʻana.
He aha nā pōmaikaʻi a me nā pilikia o nā alginates?
E like me nā lāʻau lapaʻau āpau, hiki i nā alginates ke loaʻa nā pono a me kekahi mau pilikia. E nānā kākou iā lākou.
| Nā Pōmaikaʻi | Nā Pōʻino a me nā Pōʻino |
|---|---|
| Hana wikiwiki: Hoʻomaka koke ka lāʻau lapaʻau ma hope o ka lawe ʻana. Hiki iā ʻoe ke lawe me ka ʻai a ma hope paha. | ʻAʻole paha e hana no nā mea āpau: ʻAʻole paha e hāʻawi kēia i kahi hōʻoluʻolu mai nā hōʻailona o kekahi poʻe. |
| Palekana: Ua manaʻo ʻia kēia mau mea he palekana no nā wahine hāpai, nā makuahine hānai, a me nā keiki (akā e ʻoluʻolu e nīnau i kāu kauka ma mua o ka lawe ʻana iā lākou ). | Nā hopena ʻaoʻao: I kekahi manawa, hiki ke loaʻa nā hopena ʻaoʻao e like me ka pehu ʻana a i ʻole ka paʻa ʻana o ka ʻōpū. |
| ʻO ka maʻalahi o ka loaʻa ʻana: Hiki ke kūʻai ʻia kēia mau mea ma luna o ke kūʻai aku ma kahi hale kūʻai lāʻau lapaʻau me ka ʻole o ke kauoha a ke kauka. | Nā pilina me nā lāʻau lapaʻau ʻē aʻe: Inā ʻoe e lawe nei i nā lāʻau lapaʻau no nā kūlana ʻē aʻe, hiki i kēia ke hoʻopilikia i ka pono o kēlā mau lāʻau lapaʻau. |
Nā kūlana kūikawā kahi e pono ʻole ai ke hoʻohana ʻia kēia lāʻau lapaʻau
ʻOiai he kūpono loa nā alginates no nā hōʻailona GERD, ʻaʻole lākou e hana no nā kūlana āpau. E hoʻomanaʻo i kēia mau mea, ʻoi aku hoʻi.
- Inā ua hōʻino ʻia ka esophagus: Ke loaʻa iā ʻoe ʻo GERD no ka manawa lōʻihi, hiki i nā paia o ka esophagus ke puhi ʻia a hōʻino ʻia e ka waikawa. Kāhea mākou i kēia (esophageal erosions) a i ʻole (ulcers). ʻAʻole hiki ke mālama ʻia kēia ʻano kūlana me nā alginates. Pono ia i nā lāʻau lapaʻau ikaika ʻē aʻe i kuhikuhi ʻia e ke kauka.
- ʻO ka esophagus a Barrett: He ʻano paʻakikī kēia i hiki ke hana ʻia e GERD. Pili ia i nā loli i loko o nā pūnaewele o ka esophagus. ʻAʻole kūpono hoʻi nā Alginates no kēia ʻano.
- Maʻi puʻupaʻa: He mea nui loa kēia. Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka lawe ʻana i nā alginates. Loaʻa i kekahi mau alginates ka sodium. ʻAʻole kūpono no nā maʻi puʻupaʻa ke ʻai nui i ka sodium.
He aha ka ʻokoʻa ma waena o nā alginates a me nā antacids a mākou i ʻike ai?
Hoʻohana ka poʻe he nui i nā antacids no ka ʻeha puʻuwai. Eia kekahi laʻana, nā mea e like me Digene lāua ʻo Gelusil. No laila, ua like anei nā alginates? ʻAʻole. Hana kēia mau mea ʻelua ma nā ʻano ʻelua ʻokoʻa loa.
| ʻAno | Nā ʻAlginate | Nā lāʻau hoʻēmi ʻakika |
|---|---|---|
| Pehea e hana ai | Hoʻokumu ia i kahi pale kino (raft) ma luna o ka waikawa o ka ʻōpū, e pale ana i ka waikawa mai ka piʻi ʻana. | Hoʻopau ia i ka waikawa i loko o ka ʻōpū ma ke ʻano kemika . ʻO ia hoʻi, hoʻemi ia i ka ikaika o ka waikawa. |
| Pahuhopu nui | Ke kāohi nei i ka reflux waikawa. | Hoʻemi ʻana i ka ikaika o ka waikawa i loko o ka ʻōpū. |
| Nā Laʻana | Loaʻa nui ia i nā huahana e like me Gaviscon Advance. | Nā wai a me nā papa e like me Digene lāua ʻo Gelusil. |
Akā, pono e ʻōlelo ʻia kēia. Aia kekahi mau lāʻau lapaʻau i hana ʻia ma ka hoʻohui ʻana i nā alginates a me nā antacids. Loaʻa i kekahi mau huahana, e like me Gaviscon, kēia mau hui ʻelua. Hāʻawi kēia i nā pono ʻelua.
Pehea ka maikaʻi o kēia lāʻau lapaʻau? Ke hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe
Ua ʻike ʻia e ka noiʻi ʻana he ala ʻoi aku ka maikaʻi o nā alginates e kaohi ai i nā hōʻailona GERD maʻamau ma mua o nā antacids .
Eia nō naʻe, aia kekahi mau lāʻau lapaʻau ʻē aʻe a nā kauka e kuhikuhi pinepine ai no GERD. Ua lohe paha ʻoe i kēia mau inoa: Omeprazole, Esomeprazole, Pantoprazole. No kēia mau mea kahi hui i kapa ʻia ʻo PPIs (Proton Pump Inhibitors) . Eia kekahi, no nā lāʻau lapaʻau e like me Famotidine kahi hui i kapa ʻia ʻo H2RAs (Histamine-2 Receptor Antagonists) . Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana ʻana o ka waikawa i loko o ka ʻōpū.
Wahi a ka noiʻi, ʻoi aku ka liʻiliʻi o ka hopena o nā alginates ma mua o nā PPI a me nā H2RA. Akā ʻo ka pōmaikaʻi o nā alginates, hana koke lākou ma hope o ka lawe ʻana iā lākou a ʻoi aku ka palekana.
No laila, hiki i kāu kauka ke loiloi i kou kūlana a hāʻawi paha iā ʻoe i kahi alginate e lawe i ka mea e pono ai, me kahi PPI.
Nā mea e noʻonoʻo ai ma mua o koʻu lawe ʻana i kēia lāʻau lapaʻau
I kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i nā alginates, e hoʻomanaʻo i kēia mau mea inā ʻoe e noʻonoʻo ana e hoʻohana i kēia lāʻau lapaʻau.
1. E ʻike mua i kāu kauka: ʻOiai loaʻa kēia ma luna o ke kūʻai aku, he mea nui e ʻike pono inā he GERD maoli kou ʻeha puʻuwai a i ʻole kekahi mea ʻē aʻe. Hiki i kāu kauka ke haʻi iā ʻoe inā e hana ia me kāu mōʻaukala olakino a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei.
2. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei: Inā ʻoe e lawe nei i ka lāʻau no ka maʻi diabetes, ke koko, ka maʻi puʻuwai, a i ʻole kekahi mea ʻē aʻe, e haʻi i kāu kauka e pili ana.
3. E hoʻohana pono: Loaʻa kēia mau mea i ke ʻano wai, nau, a me ka pauka. E lawe iā lākou e like me ka ʻōlelo a kāu kauka iā ʻoe, ma ka nui, a i ka manawa kikoʻī. Lawe pinepine ʻia lākou ma hope o ka ʻai ʻana.
ʻAʻole paha ʻoe i manaʻo e hiki i kahi hui i loaʻa i loko o ka limu ke hoʻoponopono i kāu pilikia ʻeha puʻuwai. He koho palekana, pono, a wikiwiki hoʻi nā Alginates no nā poʻe he nui e ʻeha nei i nā hōʻailona GERD. Akā e hoʻomanaʻo, he mea naʻauao mau ke ʻimi i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka lāʻau lapaʻau ponoʻī.
Leka Lawe-Home
- He lāʻau lapaʻau i hana ʻia mai ka limu ʻo Alginates a hoʻohana ʻia e mālama i nā hōʻailona GERD.
- Hoʻokumu kēia i kahi papa gel pale (raft) e lana ana ma luna o ka waikawa o ka ʻōpū, e pale ana i ka waikawa mai ka hiki ʻana i ka puʻu.
- ʻAʻole kēia e hoʻopau i ka waikawa e like me nā antacids. Hana ia ma ke ʻano he pale kino.
- Hana wikiwiki kēia a palekana hoʻi, ʻoiai no nā makuahine hāpai. Akā e lawe mau i ka ʻōlelo aʻoaʻo lapaʻau.
- ʻO ka poʻe me nā maʻi puʻupaʻa a me ka poʻe e lawe ana i nā lāʻau lapaʻau ʻē aʻe, pono lākou e hoʻomaopopo i kā lākou kauka ma mua o ka lawe ʻana i kēia.
- E ʻae i kāu kauka e nānā pono i ke kumu o kou ʻeha umauma a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
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