Ke manaʻo nei ʻoe i kekahi manawa ua paʻa kekahi mea i loko o kou puʻu a i ʻole kou umauma i kou moni ʻana i ka meaʻai a inu wai paha? Ke paʻakikī nei iā ʻoe ke moni i ka meaʻai, a i ʻole ke ʻeha nei ʻoe i ka moni ʻana? He pilikia kēia i ʻike ʻia e ka poʻe he nui. ʻO ke kumu o kēia, ʻo ia paha ka haiki iki o kou esophagus, ʻo ia hoʻi, kāu paipu meaʻai. ʻAʻole kēia he mea e pono e hoʻowahāwahā ʻia. I kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau maʻalahi a maikaʻi hoʻi no kēia pilikia.
He aha ka hoʻonui ʻana o ka esophageal?
I ka ʻōlelo maʻalahi, he hana lapaʻau kēia e hoʻolōʻihi/hoʻonui i kou esophagus, ka ʻōmole e lawe ana i ka meaʻai mai kou waha a i kou ʻōpū. E noʻonoʻo i kahi ʻōmole e lawe ana i ka wai, a i ka wā e ālai ʻia ai i kekahi wahi, lilo ia i mea paʻakikī loa no ka wai ke hele ma waena, ʻeā? Pēlā nō ia me kahi esophagus i haiki. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ka hoʻonui mālie ʻana i ka wahi i ālai ʻia, e maʻalahi ai ka meaʻai ke hele ma waena i ka ʻōpū me ka ʻole o ke ālai ʻia.
ʻOiai ke kapa nei kekahi poʻe i kēia he 'ʻoki ʻana o ka ʻōpū', ʻaʻole pololei loa ia. ʻO kēia no ka mea ʻo ka mea e hoʻonui ʻia nei ʻaʻole ia ka puʻu, akā ʻo ka ʻāpana o ka esophagus ma lalo iho.
He aha nā hōʻailona e pono ai kēia lāʻau?
Inā loaʻa iā ʻoe kēia mau hōʻailona, hiki i kāu kauka ke haʻi iā ʻoe e pili ana i kēia lāʻau lapaʻau:
- Paʻakikī ke ale ʻana: Manaʻo e like me ka paʻa ʻana o ka meaʻai.
- Manaʻo o kahi mea i paʻa i ka puʻu a i ʻole ka umauma: He manaʻo mau e like me ka mea i paʻa kahi puʻu meaʻai.
- ʻEha i ka moni ʻana: Ke ʻeha nei i kēlā me kēia manawa āu e moni ai i ka meaʻai a mea inu paha.
- Regurgitation: ʻO ka hoʻi ʻana o ka meaʻai mai ka ʻōpū i loko o ka puʻu a i ʻole ka waha.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou me he mea lā he mea maʻamau. E kamaʻilio me ke kauka e pili ana i ia mea.
He aha nā kūlana i mālama ʻia me ka Esophageal Dilation?
Hoʻohana nui ʻia kēia lāʻau lapaʻau e mālama i kekahi mau kūlana e hoʻohaiki ana i ka esophagus. E nānā kākou i ke ʻano o lākou.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā ʻOki ʻana o ka Esophageal | ʻO kēia ke kumu maʻamau. ʻO ka ʻōpala ma ka esophagus ma muli o ka gastritis lōʻihi (acid reflux) ke kumu e wili ai kēlā ʻāpana. |
| ʻAkalasia | I kēia kūlana, ʻaʻole e wehe pono ka sphincter ma ka ʻaoʻao haʻahaʻa o ka esophagus, e pale ana i ka meaʻai mai ke komo ʻana i loko o ka ʻōpū a e hoʻopaʻa ai. |
| Nā Apo ʻEsophageal | He mau apo kēia o nā ʻiʻo ʻeha e hana ʻia ana i loko o ka esophagus. ʻO kēia mau mea kekahi e hoʻohaiki ai i ka esophagus. |
| ʻO ka ʻōpū eosinophilic | He ʻano like kēia me ka maʻi allergy. Hōʻiliʻili kekahi ʻano o ke koko keʻokeʻo i loko o ke kino i loko o ka esophagus a hoʻoulu i ka pehu ʻana. Hiki i kēia ke kumu i ka paʻa ʻana o ka esophagus. |
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
ʻOiai ʻaʻole kēia he hana ʻoki kino nui, pono iki kahi hoʻomākaukau.
- E kamaʻilio me kāu kauka: E nīnau kāu kauka e pili ana i kāu mōʻaukala olakino piha. He mea nui loa e haʻi pololei e pili ana i nā lāʻau lapaʻau, nā huaora, nā Ayurvedic a i ʻole nā mea hoʻohui ʻē aʻe āu e lawe nei .
- E noho me ka ʻōpū ʻole: E haʻi pololei kāu kauka iā ʻoe i ka nui o nā hola ma mua o ka lāʻau lapaʻau e pono ai ʻoe e pale i ka ʻai ʻana a i ʻole ka inu ʻana. He mea nui ka ʻōpū ʻole no ka palekana o ka lāʻau lapaʻau. No laila e hahai pono i kēlā mau kuhikuhi.
Pehea e hana ʻia ai ka lāʻau lapaʻau?
He hana maʻalahi kēia e lawe ana ma kahi o 15 mau minuke e hoʻopau ai. ʻAʻohe pono e hopohopo.
1. Mālie: ʻO ka mea mua, e mālie kou puʻu a me ka ʻāpana a puni kou ʻōpū hanu i ʻole ʻoe e ʻike i kekahi ʻeha. Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha iki e hoʻomālielie iā ʻoe.
2. Hoʻokomo ʻana o ka endoscope: ʻO ka mea aʻe, e hoʻokomo kahi gastroenterologist i kahi ʻōmole liʻiliʻi i lako me ke kāmela (endoscope) ma kou waha a nānā i kou esophagus.
3. Ka hoʻonui ʻana i ka esophagus: ʻO kēia kahi e hana ʻia ai ka hana maoli. Hiki i ke kauka ke hoʻohana i kekahi o nā ʻano ʻelua.
- Hoʻonui ʻana o ka Balloon:Hoʻokomo ʻia kahi mea liʻiliʻi e like me ka pōpō i loko o ka wahi i paʻa ʻia a hoʻopiha ʻia me ka ea a i ʻole ka wai, e hoʻonui mālie ana i ka wahi. ʻO kēia ke ʻano i hoʻohana pinepine ʻia.
- ʻO Bougie Dilation: I kekahi manawa, inā he nui nā ālai ʻana, hana ʻia kēia me ka hoʻohana ʻana i kahi ʻano o nā ʻōmole palaka lahilahi (bougies) e hoʻonui mālie i ka nui.
4. Hoʻopau ʻana: Ke hoʻonui ʻia ka esophagus i ka nui i makemake ʻia, e wehe pono ʻia ka hāmeʻa. A laila e nānā ʻia ʻoe no kekahi manawa a, i ka hapanui o nā hihia, e ʻae ʻia e hoʻi i ka home i ka lā hoʻokahi.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui o kēia , ʻo ia ka hāʻawi ʻana i ka hōʻoluʻolu wikiwiki mai nā pilikia ale. Hiki i kekahi poʻe ke hana i hoʻokahi manawa. Pono paha kekahi e hana hou ma hope o kekahi manawa. Akā i ka hapa nui o nā hihia, hiki iā ʻoe ke hele i nā mahina, a i ʻole nā makahiki, me ka ʻole o nā pilikia. He lāʻau palekana loa kēia a haʻahaʻa ka pilikia. Hiki i kēia ʻano hana ke ho'ōla pono ma mua o 90% o nā hihia o nā strictures esophageal .
Nā Pōʻino
E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia kakaikahi loa e hiki ke loaʻa.
- Ke kahe koko nui
- Ka puka ʻana o ka esophagus
- Nā hopena i nā lāʻau lapaʻau i hoʻohana ʻia no ka anesthesia
Akā e hoʻomanaʻo, he mea laha ʻole kēia mau mea a ua mākaukau loa kāu hui lapaʻau e hoʻoponopono i ia ʻano hanana.
ʻEhia ka lōʻihi e ho'ōla ai? A he aha kaʻu e hana ai ma hope?
Hiki i ka hapa nui o ka poʻe ke hoʻi hou i kā lākou hana maʻamau i ka lā ma hope o ka mālama ʻana. Eia nō naʻe, hiki iā ʻoe ke ʻike i kahi ʻeha puʻu, ʻeha, a ʻoluʻolu ʻole paha i kou umauma no ʻelua a ʻekolu paha lā. He mea maʻamau kēia, no laila mai hopohopo.
No kēlā mau lā liʻiliʻi, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka ʻai ʻana i nā meaʻai wai a palupalu paha e like me ka yogurt, ka pudding, ka jelly, ka sopa, a me ka ʻuala i kuʻi ʻia. ʻOi aku ka maikaʻi o ka noho mamao ʻana mai nā meaʻai paʻakikī a ʻala e like me nā crackers no kekahi mau lā. E aʻo hou aku kāu kauka iā ʻoe e pili ana i kēia.
| E ʻimi koke i ke kōkua lapaʻau! | |
|---|---|
| Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU). | |
| ʻAno pilikia | Wehewehena |
| Koko i loko o ka ʻōpala | ʻEleʻele, ʻālohilohi a i ʻole ke koko ʻulaʻula. |
| ʻEha nui o ka umauma | ʻEha i ʻoi aku ma mua o ka maʻamau a hiki ʻole ke hoʻomanawanui ma hope o ka lāʻau lapaʻau. |
| kuni | He kuni o 39.4°C (103°F) a ʻoi aku paha. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana a i ʻole ka manaʻo o ka hanu ʻana. |
| Ke luaʻi ʻana i ke koko | Ka luaʻi ʻana me ke koko ʻulaʻula a i ʻole kekahi mea e like me ke koko kope. |
Leka Lawe-Home
- Mai hoʻowahāwahā i nā mea e like me ka paʻakikī i ka moni ʻana a me ka ʻeha o ka puʻu e like me ka mea maʻamau. He mau hōʻailona paha kēia o ka haiki ʻana o ka esophagus.
- ʻO ka Esophageal Dilation kahi lāʻau maʻalahi, palekana, a maikaʻi loa hoʻi e hoʻonui ai i ka esophagus.
- He 15 mau minuke wale nō kēia lapaʻau ʻana, a i ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
- He mea maʻamau ka ʻeha iki o ka puʻu ma hope o ka mālama ʻana. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui o ka umauma, ka luaʻi ʻana i ke koko, a i ʻole ke kuni nui, e ʻimi koke i ke kōkua lapaʻau .
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai makaʻu e kamaʻilio me kāu kauka a nīnau inā kūpono kēia lāʻau lapaʻau iā ʻoe.
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