Ke pilikia nei hoʻi kou esophagus? E kamaʻilio kākou e pili ana i nā maʻi Esophageal!

Ke manaʻo nei ʻoe i kekahi manawa he pilikia kou ale ʻana i ka wā e ʻai ai ʻoe? A i ʻole loaʻa iā ʻoe kahi ʻano wela i loko o kou umauma a i ʻole kahi manaʻo e like me kahi mea i paʻa i loko o kou puʻu? ʻAʻole kēia he mau mea wale nō. He mau hōʻailona paha kēia o kahi pilikia me kou esophagus, ʻo ia hoʻi, kāu paipu meaʻai. I kēia lā, e kamaʻilio mākou e pili ana i kēia mau maʻi esophageal. Mai hopohopo, he mea nui loa ka makaʻala i kēia.

He aha ke 'esophagus'? Pehea e hiki mai ai nā maʻi o ka esophagus?

I ka ʻōlelo maʻalahi, ʻo ka esophagus kahi paipu i hana ʻia me nā ʻiʻo e lawe ana i ka meaʻai mai ko mākou waha a i ko mākou ʻōpū. Ua like ia me ka paipu wai, akā ʻoi aku ka paʻakikī. Ke hana pono ʻole kēia paipu meaʻai, a i ʻole i ka wā e loaʻa ai kekahi mau pilikia, kapa mākou ia he maʻi esophageal. ʻO ka paʻakikī i ka ale ʻana i ka meaʻai, a i ʻole ka mea a nā kauka e kapa ai (Dysphagia) , ʻo ia kekahi o nā mea nui e hiki ke hana ma muli o kēia mau maʻi.

ʻO ka maʻi reflux gastroesophageal (GERD) ka mea maʻamau o kēia mau kūlana. ʻO kēia ka wā e holo hou ai ka waikawa o ka ʻōpū, a i ʻole ka waikawa, i loko o ka esophagus, e hoʻoulu ai i ka huhū a me ka mumū o ka uhi palupalu o ka esophagus.

He aha nā ʻano maʻi nui e kū mai ana ma ka ʻāʻī?

Aia kekahi mau ʻano maʻi e hiki ke loaʻa i loko o ka puʻu. E nānā kākou i kekahi o lākou.

• GERD (Gastroesophageal Reflux Disease): ʻO kēia kaʻu i ʻōlelo ai ma mua, ʻo ia ka maʻi maʻamau. Ma ka ʻaoʻao haʻahaʻa o ka esophagus, aia kahi ʻiʻo e like me ka valve i kapa ʻia ʻo Lower Esophageal Sphincter . Ke pani pono ʻole kēia ʻiʻo, piʻi hou mai ka waikawa o ka ʻōpū a me ka meaʻai. E noʻonoʻo iā ia e like me kahi ʻōmole ʻaʻohe poʻi paʻa a puka mai nā mea o loko.

• ʻAkalasia: ʻO kēia ka wā e wehe pono ʻole ai ka ʻiʻo sphincter esophageal haʻahaʻa aʻu i ʻōlelo ai ma mua, a i ʻole e hoʻomaha ʻole. Pale kēia i ka meaʻai mai ke komo ʻana i loko o ka ʻōpū. Manaʻo kekahi poʻe loea he maʻi autoimmune paha kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale o ko mākou kino ponoʻī i kā mākou mau cell ponoʻī. Eia naʻe, ʻaʻole i loaʻa ke kumu pololei. Hiki paha kēia ma muli o ka hōʻino ʻia o nā aʻalolo e kaohi ana i nā ʻiʻo o ka esophagus.

• ʻO ka Esophagus a Barrett: He ʻano koʻikoʻi iki kēia. Ke waiho ʻole ʻia ʻo GERD no ka manawa lōʻihi , hoʻomaka ka uhi o ka esophagus haʻahaʻa e like me ka uhi o ka ʻōpū. Hoʻomaka nā pūnaewele ma laila e like me nā pūnaewele i loko o nā ʻōpū. Hana ʻia kēia mau loli ma kahi e hui ai ka esophagus a me ka ʻōpū. Hoʻonui kēia ʻano i ka pilikia o ka maʻi ʻaʻai esophageal .

• ʻEosinophilic Esophagitis: Loaʻa iā mākou kahi ʻano koko keʻokeʻo i kapa ʻia ʻo eosinophils i loko o ko mākou koko. Ke hōʻiliʻili nui kēia mau cell i loko o ka esophagus, hiki i ka uhi o ka esophagus ke pehu, a i ʻole ka mumū. Kāhea nā kauka i kēiaUa kapa ʻia hoʻi he esophagitis , ʻike pinepine ʻia kēia ʻano i nā poʻe me nā maʻi allergies he nui.

• Ka Maʻi ʻAʻai ʻEsophageal: ʻElua ʻano nui o ke kanesa ʻesophageal: Squamous cell carcinoma a me Adenocarcinoma . ʻO ka puhipaka, ka radiation therapy, a me ka maʻi HPV e pili pū ana me ka piʻi ʻana o ka pilikia o ka squamous cell carcinoma . ʻO ka puhipaka a me ka reflux acid e pili pū ana me ka piʻi ʻana o ka pilikia o ka adenocarcinoma .

• ʻO ka Diverticulum Esophageal: He ʻeke liʻiliʻi kēia e like me ka puka ʻana mai kahi nāwaliwali ma ka esophagus. ʻOi aku ka nui o ka poʻe me ka achalasia e loaʻa i kēia ʻano diverticula.

• ʻO nā Spasms Esophageal: He ʻūmiʻi koke kēia o nā ʻiʻo i loko o ka esophagus . He ʻano ʻeha loa kēia a kakaikahi hoʻi. Pale kēia i ka neʻe ʻana o ka meaʻai i lalo i loko o ka ʻōpū.

• Nā Koʻikoʻi Esophageal: ʻO kēia ka wā e haiki loa ai ka esophagus, e paʻakikī ai ka meaʻai a me nā wai e hele i loko o ka ʻōpū.

• ʻO Hiatal Hernias: ʻO kēia ka wā e piʻi ai ka ʻaoʻao o luna o ka ʻōpū i luna ma o kahi lua i loko o ka diaphragm a i loko o ka lua o ka umauma. Hiki i kēia kūlana ke hoʻonui i ka reflux acid.

He aha nā kumu pilikia no ka hoʻomohala ʻana i nā maʻi ʻāʻī?

Hoʻonui kekahi mau mea i ka pilikia o ka loaʻa ʻana o nā maʻi o kēia ʻāpana o ke kino. E nānā kākou i ko lākou ʻano:

• Ka hoʻohana ʻana i ka waiʻona.
• ʻO ke kaumaha nui ma muli o ka momona a i ʻole ka hāpai ʻana.
• ʻO kekahi mau lāʻau lapaʻau , no ka laʻana, kekahi mau antibiotics , antidepressants, a me nā mea hoʻomaha ʻeha .
• Inā ua loaʻa iā ʻoe ka radiation therapy ma kou ʻāʻī a i ʻole ka umauma .
• Ka puhipaka ʻana , a me ka hanu ʻana i ka uahi i ka wā e puhipaka ai kekahi poʻe (uahi lua).

Loaʻa iā ʻoe kēia mau hōʻailona?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke ʻano o ka maʻi ʻāʻī. Hiki iā ʻoe ke ʻike i nā mea e like me:

• ʻEha ka ʻōpū, ʻeha ka umauma, a ʻeha paha ke kua.
• ʻO ke kuni mau a i ʻole ka ʻeha o ka puʻu.
• Ka paʻakikī i ka moni ʻana i ka meaʻai a i ʻole ka manaʻo e paʻa ana ka meaʻai i loko o ka puʻu.
• ʻŌhūhū - he ʻano wela i loko o ka umauma.
• Ka leo hū a i ʻole ka hanu ʻana i ka wā e hanu ana.
• ʻAʻai ʻole - ʻO ke ʻano kēia o ka ʻeha o ka ʻōpū.
• Ka luaʻi ʻana a i ʻole ka luaʻi ʻana i ka meaʻai a i ʻole ka waikawa o ka ʻōpū i loko o ka puʻu.
• Ka wiwi ʻana me ke kumu ʻole.

He mea nui: Inā hoʻomau ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻimi pono i ke kōkua lapaʻau. ʻO ka wikiwiki o ka ʻike ʻia ʻana o ka maʻi, ʻo ka maʻalahi hoʻi ka mālama ʻana.

Pehea e ʻike pono ai i kēia mau maʻi?

E nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Hiki paha iā lākou ke hoʻopā i kou puʻu i kou moni ʻana.

Hana ʻia nā hoʻokolohua ma lalo nei no ka ʻike ʻana i nā maʻi o ka larynx:

• ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole lōʻihi a lahilahi (scope) ma kou waha e nānā i ka ʻaoʻao o luna o kāu ʻōnaehana hoʻoheheʻe. I loko o kēia kaʻina hana, hiki i kāu kauka ke lawe i nā laʻana ʻiʻo (biopsies) e nānā i ka mumū, nā hunaola kanesa, a i ʻole nā ​​maʻi ʻē aʻe.
• X-ray o ka ʻōnaehana hoʻoheheʻe (Barium Swallow): Ma kēia, inu ʻia kahi wai i kapa ʻia ʻo barium a lawe ʻia nā kiʻi X-ray i kona neʻe ʻana ma o ka esophagus a me ka ʻōnaehana hoʻoheheʻe.
• Manometry Esophageal: Ke ana kēia hoʻāʻo i ka maikaʻi o ka hana ʻana o nā ʻiʻo i loko o kou esophagus a me ka sphincter esophageal haʻahaʻa i ka wā e moni ai ʻoe i kahi wai.
• Hoʻāʻo pH Esophageal: Ke ana kēia i ka nui o ka waikawa ʻōpū (pae pH) i loko o ka esophagus.

He aha nā lāʻau lapaʻau no kēia?

ʻOkoʻa nā ʻano lapaʻau ma muli o ke kūlana. Eia kekahi o lākou:

• Hāʻawi ʻia nā lāʻau lapaʻau e like me nā antacids , nā mea hoʻopaʻa proton pump (PPIs), a me nā mea pale histamine receptor (H2) e hōʻemi i ka waikawa o ka ʻōpū.
• Hoʻohana ʻia ke kaʻina hana i kapa ʻia ʻo endoscopic dilation e hoʻonui i kahi esophagus i haiki a hoʻomaha paha i kahi ʻiʻo i ʻūlū ʻia.
• Hoʻokomo ʻia ka toxin botulinum (Botox®) e hoʻōki i nā ʻūmiʻi kūpono ʻole o nā ʻiʻo i loko o ka sphincter esophageal a i ʻole e hoʻomaha i nā ʻiʻo e ʻūmiʻi ana.
• Hana ʻia kahi ʻoki kino i kapa ʻia ʻo esophagectomy e wehe i kahi ʻāpana a i ʻole ka esophagus maʻi āpau.
• No ka mālama ʻana i nā kūlana e like me GERD a i ʻole hiatal hernia , hana ʻia ke ʻoki laparoscopic antireflux (Nissen Fundoplication) e hoʻoikaika i ka sphincter esophageal haʻahaʻa.
• Hoʻōla ʻia nā kūlana e like me ka achalasia a me nā spasms esophageal me Heller Myotomy a me Peroral Endoscopic Myotomy (POEM) .

He aha kā mākou e hana ai e palekana ai mai nā maʻi ʻāʻī? (Ka pale ʻana)

(GERD) , ʻo ia hoʻi ka reflux acid, hiki ke alakaʻi i nā maʻi esophageal koʻikoʻi ʻē aʻe inā ʻaʻole mālama pono ʻia. No laila, (GERD)A hiki iā ʻoe ke hana i kēia mau mea e pale ai a hōʻemi paha i nā pilikia me kāu esophagus:

• E pale i ka ʻai ʻana i ka pō. E kali ma ka liʻiliʻi he ʻekolu hola ma hope o ka ʻai ʻana ma mua o ka moe ʻana.
• E hōʻemi i nā meaʻai ʻala, ʻaila, nā meaʻai i hana ʻia me ka ʻōmato a i ʻole ka citrus, a me ka caffeine a me nā mea inu carbonated.
• E ʻai i kekahi mau meaʻai liʻiliʻi i ka lā. E ʻai mālie i ka wā e ʻai ai. E hoʻōki i ka ʻai ʻana i kekahi mau hola ma mua o ka hiamoe ʻana.
• E hōʻemi i kou inu ʻana i ka waiʻona. Inā ʻoe e puhipaka, e kiʻi i ke kōkua e haʻalele.
• I ka wā e hiamoe ai, e hoʻokiʻekiʻe i ke poʻo o ka moena a hiamoe paha me kou poʻo i hoʻokiʻekiʻe ʻia me ka uluna.
• E hoʻomau i ka hana kino a mālama i ke kaumaha olakino.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā ʻaʻole i mālama pono ʻia, hiki i kekahi mau maʻi esophageal, e like me GERD a me achalasia, ke hoʻonui i ka pilikia o ka maʻi ʻaʻai esophageal .

Hiki i ka regurgitation ke hoʻoulu i ka meaʻai e hele i luna o ka trachea a i loko o nā māmā. Ua kapa ʻia kēia he aspiration . Hiki i kēia ke alakaʻi i ka pneumonia a me nā maʻi māmā. Hiki i ka paʻakikī ke ale i ka meaʻai ke hoʻonui i ka pilikia o ka nele i ka ʻai a me ka dehydration .

He aha ka wā e hiki mai ana no ka poʻe me kēia mau maʻi? (Outlook)

Hiki i ka hapa nui o ka poʻe me nā maʻi esophageal ke hoʻokele i kā lākou mau hōʻailona me nā lāʻau lapaʻau ma luna o ke kauka a i ʻole nā ​​​​lāʻau lapaʻau i kuhikuhi ʻia. Eia nō naʻe, pono paha kekahi mau maʻi, e like me ke kanesa esophageal a i ʻole achalasia, i ke ʻoki kino. Me ka mālama ʻana, hiki iā ʻoe ke hoʻokele i kāu mau hōʻailona ma ka hana ʻana i nā hoʻololi i kāu meaʻai a me ke ʻano o ka nohona .

Nā nīnau koʻikoʻi e nīnau aku i kāu kauka

He mea maikaʻi ke nīnau i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka gonorrhea i loaʻa iaʻu?
• No ke aha i loaʻa ai iaʻu kēia maʻi ʻāʻī?
• He aha ka lāʻau lapaʻau maikaʻi loa no kēia ʻano maʻi ʻāʻī?
• He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Aia anei iaʻu ka pilikia o ka loaʻa ʻana o nā maʻi STD ʻē aʻe?
• He aha nā hoʻololi i ka meaʻai a i ʻole ke ʻano o ka nohona e pono ai iaʻu e hana e pale ai i koʻu olakino?
• Pono anei au e hopohopo e pili ana i nā pilikia?

Leka Hoʻihoʻi Hope Loa

Hiki i nā maʻi o ka esophagus ke hoʻoulu i ka ʻoluʻolu ʻole a me ka ʻeha. ʻO ke kūlana maʻamau ka GERD, ka mea e hoʻoulu ai i ka ʻāʻī. Inā ʻaʻole mālama ʻia, hiki iā GERD a me kekahi mau maʻi ʻē aʻe o ka esophagus ke alakaʻi i ka maʻi ʻaʻai esophageal.No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau. I ka manawa pinepine, hiki ke hoʻomalu ʻia nā hōʻailona me ka lāʻau lapaʻau. ʻO nā kūlana koʻikoʻi e like me ke kanesa a me ka achalasia e pono ai ke ʻoki kino. Hiki i kāu kauka ke kōkua iā ʻoe e hōʻemi i ka pilikia o kēia mau pilikia a me nā pilikia koʻikoʻi ma ka hana ʻana i nā hoʻololi kūpono i kāu meaʻai a me kou nohona . He mea nui loa ka mālama ʻana i kēia no ka noho olakino!

ʻEsophagus , GERD, reflux acid, paʻakikī i ka moni ʻana, mumū o ka umauma, maʻi ʻaʻai esophageal, ʻōnaehana hoʻoheheʻe