Loaʻa iā ʻoe kahi ʻano wela i waenakonu o kou umauma ke ʻai ʻoe? Manaʻo paha ʻoe i kekahi manawa i kahi ʻono ʻawaʻawa i loko o kou puʻu? A i ʻole he paʻakikī iā ʻoe ke ale i ka meaʻai? He mau hōʻailona kēia i loaʻa i nā poʻe he nui, akā hoʻokuʻu wale lākou iā lākou iho he "gastritis". Eia naʻe, hiki i kēia mau mea ke lilo i mau hōʻailona o kahi pilikia i loko o kā mākou paipu meaʻai, ʻo ia hoʻi, ka esophagus. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā maʻi Esophageal.
I ka ʻōlelo maʻalahi, he aha kēia mau maʻi esophageal?
ʻAe, e hoʻomaopopo mua kākou i ke ʻano o ka esophagus. Kāhea pū mākou iā ia ʻo "paipu meaʻai." I ka ʻōlelo maʻalahi, ʻo kēia ka paipu i hana ʻia me nā ʻiʻo e lawe ana i ka meaʻai mai ko mākou waha a i ko mākou ʻōpū (ʻōpū). Ke moni mākou i ka meaʻai, ʻo kēia paipu ka mea e hoʻokuke i ka meaʻai i lalo i loko o ko mākou ʻōpū.
No laila, ʻo nā maʻi Esophageal he mau maʻi like ʻole a me nā kūlana e hoʻopilikia ai i ka hana o kēia esophagus a hoʻopilikia i kāna hana. Hiki i kēia ke hana i nā pilikia he nui e like me ka paʻakikī i ka ale ʻana i ka meaʻai (dysphagia) a me ka heartburn. I waena o kēia mau mea, ʻo ka maʻi maʻamau a mākou i lohe ai ʻo GERD (Gastroesophageal Reflux Disease) . E kamaʻilio kākou e pili ana i kēlā ma hope.
He aha nā maʻi nui e hiki ke loaʻa i loko o ka esophagus?
Aia kekahi mau ʻano maʻi e hoʻopilikia ai i ka ʻāʻī. He mea maʻamau kekahi, ʻaʻole nui ka maʻamau o kekahi. He mea nui loa iā ʻoe ke loaʻa kahi ʻike iki o kēia mau mea. E nānā kākou iā lākou ma ke ʻano maʻalahi e hoʻomaopopo.
| Kūlana | I ka ʻōlelo maʻalahi, ʻo kēia ka mea e hana ʻia. |
|---|---|
| GERD (Maʻi Reflux Gastroesophageal) | ʻO kēia ke kūlana maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e pani pono ka valve (sphincter) ma waena o ka esophagus a me ka ʻōpū. ʻO ka hopena, kahe hou ka waikawa o ka ʻōpū a me nā ʻāpana meaʻai i luna, ʻo ia hoʻi, ma ke esophagus a i loko o ka puʻu. ʻO ka ʻāʻī ka hōʻailona nui o kēia. |
| ʻAkalasia | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole e wehe pono ka valve i ʻōlelo ʻia ma luna (ka sphincter esophageal haʻahaʻa). ʻO ia hoʻi, ʻaʻole ia e hoʻomaha. No laila, ʻaʻole hiki i ka meaʻai ke komo i loko o ka ʻōpū, paʻa ia i loko o ka esophagus. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei o kēia, ua manaʻo ʻia he hōʻino ʻia nā aʻalolo e kāohi ana i nā ʻiʻo ma ka esophagus. |
| ʻO ka ʻōpū o Barrett | I nā poʻe me GERD i mālama ʻole ʻia no ka manawa lōʻihi, hoʻomaka nā pūnaewele ma ka ʻaoʻao haʻahaʻa o ka esophagus e loli ma muli o ka waikawa mau e piʻi mai ana. Lilo lākou i mea like me nā pūnaewele i loko o ka ʻōpū a i ʻole nā naʻau. He kūlana weliweli kēia, no ka mea, hoʻonui ia i ka pilikia o ka maʻi ʻaʻai esophageal. |
| ʻO ka esophagitis eosinophilic | ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ka hōʻiliʻili ʻana o kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo eosinophils i loko o nā alaloa hanu. He ʻano kēia o nā alaloa hanu e hoʻonui pinepine ʻia i nā maʻi ʻaleka. Ke hōʻiliʻili kēia mau alaloa hanu, pehu ka ʻaoʻao o loko o nā alaloa hanu (ka mumū). He mea maʻamau kēia ʻano ma waena o ka poʻe me nā maʻi ʻaleka like ʻole. |
| Ka maʻi ʻaʻai ʻōpū | ʻElua ʻano nui: Squamous cell carcinoma a me Adenocarcinoma . ʻO ka puhipaka, ka hoʻohana ʻana i ka waiʻona nui, GERD lōʻihi, a me kekahi mau maʻi viral (HPV) e hoʻonui i ka pilikia o ka loaʻa ʻana o kēia mau maʻi kanesa. |
| ʻO ka diverticulum esophageal | ʻO kēia ka mea i kapa ʻia he ʻeke liʻiliʻi e puka mai ana mai kahi nāwaliwali ma ka paia o ka esophagus. Ke ʻai ʻoe, hiki i nā ʻāpana liʻiliʻi o ka meaʻai ke paʻa i loko o kēia ʻeke. |
| Nā ʻūmiʻi esophageal | Ua kapa ʻia kēia he ʻūmiʻi koke, ʻano ʻē, a ʻeha hoʻi o nā ʻiʻo o ka esophagus. He kūlana kakaikahi kēia. Hoʻolilo kēia i mea paʻakikī no ka meaʻai ke hele i loko o ka ʻōpū. |
| Nā ʻūmiʻi esophageal | Lilo ka esophagus i mea haiki loa. Hiki ke hana ʻia kēia ma muli o ka ʻeha e kū mai ana i ka wā e ho'ōla ai ka esophagus ma hope o ka hōʻino lōʻihi mai ka reflux acid (GERD). ʻO kēia ka mea e paʻakikī loa ai ka hele ʻana o ka meaʻai a me ka mea inu. |
| Nā hernia hiatal | He lua liʻiliʻi ma ka diaphragm, ka ʻiʻo e hoʻokaʻawale i ko kākou umauma a me ka ʻōpū, kahi e puka ai ka ʻaoʻao o luna o ka ʻōpū i loko o ka umauma. Hoʻonui nui kēia i ke ʻano o ka reflux acid. |
He aha nā mea e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ia mau maʻi?
ʻAe, i kēia manawa ua ʻike mākou i nā ʻano maʻi. No ke aha lākou e kū mai ai? Aia kekahi mau kumu e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kēia mau maʻi.
- Ka inu nui ʻana i ka waiʻona: Hiki i ka waiʻona ke hōʻino i ka uhi o ka esophagus.
- Ke kaumaha o ke kino: Ma muli o ke kaomi nui ma ka ʻōpū i ka wā momona a i ʻole ka hāpai ʻana, ʻoi aku ka nui o ka manawa e puka mai ai nā mea o loko o ka ʻōpū.
- ʻO kekahi mau lāʻau lapaʻau: Hiki i kekahi mau mea ʻeha, antidepressants, a me kekahi mau antibiotics ke hoʻopilikia i ka esophagus.
- Puhipaka: ʻO ka puhipaka a me ka ʻike ʻana i ka uahi lua e hoʻonāwaliwali i nā valves i loko o ka esophagus a hoʻonui i ka pilikia o ka maʻi kanesa.
- Lapaʻau radiation: Inā ua loaʻa iā ʻoe ka radiation therapy no kahi kūlana e like me ke kanesa ma ka ʻāʻī a i ʻole ka umauma, hiki ke hoʻopilikia ʻia.
Loaʻa iā ʻoe kēia mau hōʻailona?
ʻOkoʻa nā hōʻailona o nā maʻi ʻāʻī ma muli o ke kūlana kumu. Akā aia kekahi mau hōʻailona maʻamau hiki iā ʻoe ke ʻike. E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.
E hoʻomanaʻo, ʻaʻole i loaʻa i nā kānaka a pau me kēia mau hōʻailona kahi maʻi koʻikoʻi, akā he mea naʻauao ke ʻike i kēia mau mea a e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.
| Hōʻailona | Wehewehena |
|---|---|
| ʻĀʻī puʻuwai | Ke kuni ʻana o ka umauma. ʻO kēia ka hōʻailona nui o GERD. |
| Paʻakikī ke ale ʻana | Manaʻo o kahi puʻu ma ka puʻu i ka wā e moni ai i ka meaʻai. Me he mea lā ʻaʻole i moni ʻia kahi ʻāpana meaʻai. |
| Regurgitation | Ka waikawa o ka ʻōpū a i ʻole nā ʻāpana meaʻai i hoʻoheheʻe ʻole ʻia e hoʻi mai ana i loko o ka puʻu a i ʻole ka waha. |
| ʻEha umauma, ʻōpū, a i ʻole ke kua | Hiki ke ʻike ʻia kēia ʻeha ma hope loa o ka ʻai ʻana. |
| ʻŪlū lōʻihi a ʻeha paha ka puʻu | He ʻū mau me ke anu ʻole, he manaʻo o kahi puʻu ma ka puʻu, a me ka leo ʻoʻoleʻa. |
| Ka emi ʻana o ke kaumaha | Inā ʻoe e pohō ana i ke kaumaha me ke kumu ʻole a i ʻole me ka hoʻoikaika ʻole, he mea ia e hopohopo ai. |
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona me ka kikoʻī. A laila e nānā ʻo ia iā ʻoe. I kekahi manawa e hoʻopā paha ʻo ia i kou puʻu i kou wā e moni ai.
Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe e ʻike pono ai i ke ʻano o ka maʻi. Mai hopohopo, he mau hoʻokolohua maʻamau kēia.
- ʻO ka endoscopy luna: Pili kēia i ke kau ʻana i kahi kāmela liʻiliʻi ma ka hopena o kahi ʻōmole lahilahi a palupalu ma kou waha e nānā i ka esophagus, ka ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi. Hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai kahi wahi kānalua e nānā i nā hunaola kanesa a i ʻole nā maʻi ʻē aʻe.
- Barium ale: Maanei e hāʻawi ʻia ʻoe i kahi wai i kapa ʻia ʻo barium e inu. ʻIke ʻia kēia wai keʻokeʻo ma nā kukuna X. I kou inu ʻana, lawe ʻia kekahi mau kiʻi X-ray. Hiki iā ʻoe ke ʻike maopopo pehea e neʻe ai ka wai ma kou esophagus a inā ua ālai ʻia a ua haiki paha ma kekahi wahi.
- Manometry o ka esophagus:Ana kēia i ka maikaʻi o ka hana ʻana o nā ʻiʻo i loko o kou esophagus a me ka valve (sphincter) i ka wā e moni ai ʻoe i kahi wai.
- Hoʻāʻo pH esophageal: Ke ana kēia i ka nui o ka waikawa (pH) i loko o ka esophagus. He mea nui loa kēia e hōʻoia i ke alo o GERD.
He aha nā lāʻau lapaʻau no kēia?
Aia nā koho lapaʻau i kou kūlana. ʻAʻole hāʻawi ʻia nā lāʻau lapaʻau like i nā kānaka a pau.
Nā lāʻau lapaʻau
I ka manawa pinepine, ua ʻōlelo mua ʻia nā loli o ke ʻano o ka nohona me nā lāʻau lapaʻau.
- Nā Antacids, nā mea hoʻopaʻa i ka pamu Proton (PPI), nā mea pale H2: Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka nui o ka waikawa i hana ʻia i loko o ka ʻōpū. Hoʻemi kēia i ka pōʻino a me ka mumū a ka waikawa e hana ai i ka esophagus, ʻoiai inā e piʻi mai ia.
- Nā inikini Botulinum toxin (Botox®): Hoʻohana ʻia kēia inikini i kekahi manawa e hoʻōki i nā spasms uaua i loko o ka esophagus a i ʻole e hoʻomaha i ka valve.
Nā lāʻau lapaʻau a me nā ʻoki kino ʻē aʻe
I nā hihia kahi ʻaʻole hiki i ka lāʻau lapaʻau wale nō ke kaohi i ke kūlana, a i ʻole i nā hihia koʻikoʻi aʻe, pono paha nā ʻano lapaʻau ʻē aʻe.
- Dilation Endoscopic: Ke kaʻina hana e hoʻokomo ʻia ai kahi paipu a hoʻonui ʻia ka esophagus i haiki ʻia ma ka hoʻopiha ʻana me kahi mea e like me ka balloon, e like me ka endoscopy.
- Esophagectomy: Wehe ʻoki ʻana i kahi ʻāpana maʻi a i ʻole ka esophagus holoʻokoʻa. Hana pinepine ʻia kēia i nā hihia o ka maʻi ʻaʻai.
- ʻO ke ʻoki kino Laparoscopic antireflux (Nissen fundoplication): He ʻoki kino kēia i hana ʻia no nā kūlana GERD a i ʻole hiatal hernia. Ma kēia, ua ʻōwili ʻia ka ʻaoʻao o luna o ka ʻōpū a puni ka ʻaoʻao haʻahaʻa o ka esophagus, e hoʻoikaika ana i ka valve.
- ʻO Heller myotomy a me POEM (Peroral endoscopic myotomy): He mau lāʻau lapaʻau kēia no nā kūlana e like me Achalasia. ʻOki lākou i ka ʻiʻo ma ka sphincter esophageal haʻahaʻa, e hoʻomaha ana a ʻae i ka meaʻai e hele maʻalahi i loko o ka ʻōpū.
Nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia
Inā ʻaʻole mālama pono ʻia kēia mau maʻi, i kekahi manawa hiki i ka pilikia ke lilo i mea nui aʻe.
- Inā ʻaʻole mālama pono ʻia nā kūlana e like me GERD a me Achalasia, piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai esophageal i ka hala ʻana o ka manawa.
- Ma muli o ka luaʻi ʻana, hiki i nā ʻāpana meaʻai ke hele i luna o ka ʻōpū hanu a i loko o nā māmā. Ua kapa ʻia kēia he aspiration. Hiki i kēia ke hana i nā maʻi māmā e like me ka pneumonia .
- Ke hoʻomau nei nā pilikia i ka moni ʻana, hiki ke emi iho ka ʻai ʻana, e alakaʻi ai i ka ʻai ʻole a me ka make wai .
Nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hōʻemi i ka pilikia o ka loaʻa ʻana o kēia maʻi. E kōkua nui kēia mau mea iā ʻoe, ʻoiai hoʻi i ka kaohi ʻana i nā maʻi e like me GERD.
- E hoʻololi i kāu mau ʻano ʻai:Ma kahi o ka ʻai ʻana i kahi pāʻina nui i ka manawa hoʻokahi, e ʻai i kekahi mau pāʻina liʻiliʻi i ka lā a pau. E ʻai i kāu pāʻina nui ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana. Mai ʻai māmā ma hope o kou pau ʻana i ka ʻai ʻana.
- E pale i kekahi mau meaʻai a me nā mea inu: ʻO nā meaʻai i kiʻekiʻe i ka momona, ka mea ʻala, ka mea ʻono tōmato, nā hua citrus (ʻalani, tangerine), kokoleka, kofe, a me nā mea inu kalapona (soda) hiki ke hoʻonui i nā hōʻailona. E hōʻemi iā lākou.
- Kūlana hiamoe: I ka wā e hiamoe ana, e hoʻokiʻekiʻe i ke poʻo o ka moena ma kahi o 6-8 ʻīniha. Hiki ke hana ʻia kēia ma ke kau ʻana i kahi mea e like me ka ʻāpana lāʻau ma lalo o nā wāwae o ka moena. ʻAʻole nui ka hana ʻana i ka hāpai wale ʻana i kou poʻo me ʻelua a ʻekolu mau uluna.
- E haʻalele i nā ʻano maikaʻi ʻole: Inā ʻoe e puhipaka, e noi i ke kōkua e haʻalele. E hōʻemi i kāu inu ʻana i ka waiʻona.
- E mālama i ke kaumaha olakino: E kāohi i ke kaumaha o kou kino. E hoʻoikaika kino mau.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī i ka moni ʻana, a me ka ʻāʻī ʻawaʻawa e like me ka mea maʻamau. He mau hōʻailona paha kēia o ka maʻi ʻāʻī.
- Ma waena o kēia mau maʻi, ʻo GERD ka mea maʻamau, a ʻo ke kumu nui o ia mea ʻo ko mākou nohona maikaʻi ʻole a me nā ʻano ʻai maikaʻi ʻole.
- Hiki ke hoʻomalu ʻia ka nui o kēia mau hōʻailona me nā loli maʻalahi i ke ʻano o ka nohona a me nā hana ʻai.
- Inā hoʻomau ʻoe i nā hōʻailona e like me kēia, mai hana wale i nā mea āu e makemake ai, akā e ʻike pono i ke kauka kūpono no ka hōʻoia kūpono a me ka mālama ʻana.
- Inā ʻaʻole mālama ʻia, hiki i kekahi mau maʻi ke holomua i nā maʻi koʻikoʻi, e like me ke kanesa. No laila, he mea nui e hana koke.
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