Ke ʻū nei ʻoe i ka moni ʻana i ka meaʻai? E aʻo kākou e pili ana i ka dysmotility esophageal!

Ua manaʻo paha ʻoe ua like ʻoe me he puʻu laiki a i ʻole kekahi mea i paʻa i kou puʻu i ka wā e ʻai ana? A i ʻole he paʻakikī iā ʻoe ke ale i ka meaʻai, me he mea lā ua paʻa kekahi mea i waenakonu o kou umauma? I kekahi manawa he mau mea wale nō kēia, akā inā loaʻa mau kēia ʻano ʻoluʻolu ʻole iā ʻoe, hiki ke kumu o kahi hana pono ʻole i loko o ko kākou esophagus, ʻo ia hoʻi, ka paipu meaʻai (Esophageal Dysmotility) . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻae?

He aha ka Dysmotility Esophageal?

I ka ʻōlelo maʻalahi, pili ka dysmotility esophageal i nā kūlana like ʻole kahi e hiki ʻole ai i ko kākou esophagus, ka ʻōmole e lawe ana i ka meaʻai mai ka waha a i ka ʻōpū, ke hoʻoneʻe pono i ka meaʻai a me nā wai i lalo. E noʻonoʻo iā ia e like me ke alanui hoʻokahi ala. Pono ka meaʻai a me ka mea inu e hele mai ka puʻu a i ka ʻōpū.

ʻO kēia ka mea maʻamau e hana ʻia:

1. ʻO ka mea mua, wehe ʻia kahi ʻiʻo ma ka piko o kou esophagus (kapa mākou iā ia ʻo ka Upper Esophageal Sphincter ) e hoʻokuʻu i ka meaʻai a me ka wai mai kou puʻu. Ua like ia me ka puka e wehe ana.

2. ʻO ka mea aʻe, ʻūmiʻi nā ʻiʻo o ka esophagus a hoʻomaha i ke ʻano mele, e kaomi ana i ka meaʻai i lalo. Neʻe kēia i lalo e like me ka nalu.

3. ʻO ka mea hope loa, ma ka ʻaoʻao haʻahaʻa o ka esophagus, kahi e komo ai ka meaʻai i loko o ka ʻōpū, e wehe ʻia kekahi ʻiʻo ʻē aʻe (kapa mākou i kēia ʻo ka Lower Esophageal Sphincter) a ʻae i ka meaʻai a me ka wai e komo i loko o ka ʻōpū.

I kēia manawa, ma kekahi wahi o kēia kaʻina hana, inā ʻaʻole hana pono kēia mau ʻiʻo, ʻo ia ka manawa e hoʻomaka ai ka meaʻai e paʻa a lilo i mea paʻakikī ke ale. ʻO ia ka mea a mākou e kapa nei he esophageal dysmotility.

He aha nā hōʻailona o kēia maʻi?

Ke loaʻa iā ʻoe nā maʻi neʻe esophageal, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Paʻakikī ke ale ʻana (Dysphagia): ʻO kēia ka hōʻailona nui. He manaʻo ia ua paʻa ka meaʻai i loko o ka puʻu a i ʻole ka umauma. Hiki i kekahi poʻe ke paʻakikī i ka ale ʻana ʻaʻole wale i nā meaʻai paʻa akā i nā wai hoʻi.
• ʻEha ka umauma ma hope o ka ʻai ʻana: Hiki i kēia ʻeha ke manaʻo ʻia i kekahi manawa e like me ka hāʻule puʻuwai, ʻo ia ke kumu he mea nui e ʻike pono i ke ʻano o ia mea.
• ʻĀʻī: Hiki ke loaʻa kēia ʻano wela ke piʻi aʻe ka waikawa o ka ʻōpū i loko o ka esophagus. Eia nō naʻe, he hōʻailona nō hoʻi ia o ka maʻi reflux gastroesophageal (GERD).

Eia kekahi, hiki i kekahi poʻe ke ʻike i nā mea e like me ka hoʻi ʻana mai o ka meaʻai i loko o ka puʻu, ka pohō kaumaha, a me ke kuʻi ʻana.

He aha nā kumu o ka hana ʻino o ka erectile?

Aia kekahi mau kumu e hiki ai ke kumu i kēia ʻano. ʻO kekahi he mau kumu mua e hoʻopilikia wale i ka esophagus, aʻo kekahi he mau kūlana lua e hoʻopilikia i ke kino holoʻokoʻa.

Nā kumu mua (e pili ana i ka esophagus wale nō)

ʻO nā kumu mua i ʻike pinepine ʻia:

• ʻAkalasia:ʻO ka mea e hana ʻia ana, ʻo kou sphincter esophageal haʻahaʻa (LES), ke apo o nā ʻiʻo ma ka hopena o kou esophagus kahi e komo ai i loko o kou ʻōpū, ʻaʻole e hoʻomaha pono. E noʻonoʻo e like me ka puka ma lalo o kou esophagus ʻaʻole e wehe pono. ʻO kēia ke kumu o ka meaʻai a me ka wai e hoʻihoʻi i loko o kou esophagus.
• ʻO ka Eosinophilic Esophagitis: Ma kēia, hōʻiliʻili kahi ʻano koko keʻokeʻo kūikawā i kapa ʻia ʻo eosinophils i loko o nā paia o ka esophagus, e hana ana i kahi hopena maʻi, e hoʻoulu ai i loko o ka esophagus e pehu a ololi, e paʻakikī ai ka meaʻai e iho i lalo.
• ʻO ka Spasm Esophageal: Ma kēia, ʻūlū nā ʻiʻo o ka esophagus me ka makemake ʻole, wikiwiki loa, a i ʻole me ke kūlike ʻole. E like me kahi ʻāpana ʻiʻo i loko o ka esophagus, ʻūlū mau ia, me ke kauoha ʻole. A laila hoʻāʻo ka meaʻai e piʻi hou i luna ma kahi o ka iho ʻana i lalo.

Nā kumu lua (i hoʻokumu ʻia e nā maʻi e pili ana i ke kino holoʻokoʻa)

I kekahi manawa, hiki i nā kūlana olakino ʻē aʻe ke hoʻopilikia i ka hana erectile.

• ʻO ka maʻi Chagas: He maʻi mau kēia i hoʻokumu ʻia e ka nahu ʻana o kahi holoholona e like me ka pepeke triatomine (kissing). Hiki i kēia maʻi ke hoʻopilikia i ka esophagus, e pilikia ai ke ale ʻana.
• ʻO ka Sclerosis Esophageal: He maʻi autoimmune ka Sclerosis. ʻO ia hoʻi, hoʻouka ka ʻōnaehana pale o ke kino i kona mau hunaola ponoʻī. Ma kēia, hōʻiliʻili nā ʻiʻo mānoanoa ma ke kino. Ke hōʻiliʻili kēia ʻano ʻiʻo mānoanoa i loko o ka esophagus, lilo ia i mea paʻakikī no ka meaʻai ke hoʻoili i lalo.

Ma waho aʻe o kēia, hiki i kahi puʻupuʻu kanesa i loko o ka esophagus ke hana i ka pale ʻana o ka esophagus a me ka paʻakikī i ka moni ʻana.

He aha nā pilikia o kēia maʻi?

ʻO kekahi o nā pilikia nui e hiki ke kū mai ma muli o nā maʻi neʻe ʻana o ka esophageal ʻo ia ka pneumonia aspiration a me nā maʻi ʻē aʻe o ka māmā. E noʻonoʻo, he aha ka mea e hana ai inā hele hewa ka meaʻai i loko o ka esophagus, ʻo ia hoʻi, i loko o kou windpipe (trachea), a mai laila aku i loko o kou māmā? ʻO ia ka manawa e hiki ai ke ulu nā maʻi koʻikoʻi e like me ka pneumonia. Eia kekahi, hiki ke hana ʻia nā mea e like me ka nele i nā meaʻai a me ka pohō kaumaha.

Pehea e ʻike ai nā kauka i kēia maʻi?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻike mua i ke kauka. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, inā pono, e kuhikuhi lākou iā ʻoe i kahi gastroenterologist .

Ua hoʻomaʻamaʻa kūikawā ʻia kēia mau loea e ʻike a mālama i nā maʻi o ka ʻōnaehana hoʻoheheʻe, me ka esophagus. Hiki iā lākou ke hana i nā hoʻokolohua like ʻole e ʻike ai pehea e neʻe ai ka meaʻai a me ka mea inu ma kou esophagus. ʻO kekahi o lākou:

• Barium Swallow / Esophagram: Ma kēia hoʻokolohua, hāʻawi ʻia ʻoe i kahi wai kūikawā i kapa ʻia ʻo barium e inu, a lawe ʻia kahi X-ray i kona hele ʻana i lalo o kou esophagus. Hiki iā ʻoe ke ʻike i ke ʻano o kou esophagus a inā he mea paʻa.
• Hoʻāʻo EndoFLIP:Ke ana kēia hoʻāʻo i ka nui o loko o ka scrotum a pehea e hana ai nā ʻiʻo i loko o ka scrotum.
• Manometry Esophageal: E like me ka endoflip, he hoʻāʻo kēia e ana i ka maikaʻi o ka ʻaelike ʻana o nā ʻiʻo i loko o ka esophagus, hoʻomaha, a me ka hoʻokuke ʻana i ka meaʻai i lalo.
• ʻO ka Endoscopy Kiʻekiʻe: ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi a palupalu (endoscope) me kahi kāmela liʻiliʻi a me ke kukui ma o ka waha e nānā i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi. ʻAe kēia i ke kauka e nānā pololei i loko o ka esophagus no kekahi mau ʻeha, pehu, a i ʻole ka haiki ʻana. Inā pono, hiki ke lawe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.

Pehea e mālama ʻia ai nā maʻi neʻe esophageal?

Aia ka lāʻau lapaʻau i ke kumu o kou kūlana. Inā ma muli o ke kumu mua, hiki ke mālama ʻia ʻoe me hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau:

• Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e hoʻomaha ai i nā ʻiʻo o ka esophagus a hōʻemi paha i ka pehu ʻana.
• Nā ʻano hana ʻoki ʻole: No ka laʻana , ka hoʻonui ʻana i ka esophageal . I loko o kēia, i ka wā o ka endoscopy, hoʻohana ʻia kahi mea hana kūikawā e hoʻonui i nā wahi i haiki ʻia o ka esophagus. ʻOi aku ka maʻalahi o ke ale ʻana i ka meaʻai.
• Nā ʻoki kino liʻiliʻi loa: No ka laʻana, hana nā ʻoki kino e like me Heller Myotomy a i ʻole Peroral Endoscopic Myotomy (POEM) ma ka hoʻomaha ʻana i nā ʻiʻo o ka esophagus, e maʻalahi ai ka hele ʻana o ka meaʻai i lalo o ka esophagus.

Inā ma muli o ke kumu lua, ʻo ka mea nui e hana ai, ʻo ia ka mālama ʻana i ka maʻi kumu.

He aha kā mākou e manaʻo ai mai kēia kūlana?

I ka hapanui o nā hihia, hiki ke mālama pono ʻia ka achalasia, kahi kūlana e hoʻopilikia wale ana i ka esophagus. Hiki i nā lāʻau lapaʻau, nā ʻano hana ʻoki ʻole, a me ke ʻoki ʻana ke maʻalahi i ka hele ʻana o ka meaʻai a me ka mea inu mai ka esophagus a i ka ʻōpū.

Akā, hoʻokahi mea e hoʻomanaʻo ai, ʻaʻole like ke ʻano o kēlā me kēia kanaka. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka e hoʻomaopopo i kou ʻano a me ka mea e manaʻo ai.

Pehea e hiki ai iaʻu ke mālama iaʻu iho? Pono anei au e hoʻololi i kaʻu mau ʻano ʻai?

ʻAe, ʻo ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i ke ʻano o kāu ʻai ʻana e hiki ke kōkua i ka hōʻoluʻolu ʻana i kekahi o kēia mau pilikia.

• ʻAi Noʻonoʻo: E ʻai mālie a nau pono i kāu meaʻai. E kali iki ma hope o ke ale ʻana i hoʻokahi waha ma mua o ka lawe ʻana i kekahi. Mai nānā i ke TV a hoʻohana paha i kāu kelepona i ka wā e ʻai ana. E makaʻala i kāu meaʻai.
• E noho pololei i ka wā e ʻai ana: Mai ʻai ʻoe i kou wā e moe ana ma kahi moe a i ʻole e hilinaʻi ana ma ka sofa. E ʻai ʻoe i kou wā e noho pololei ana ma kahi noho. E kōkua kēia i ka umekaumaha e hoʻoneʻe i ka meaʻai i lalo.
• E inu mālie i ka wai:E inu i hoʻokahi a ʻelua paha wai i kēlā me kēia mau ʻōlelo ʻai. E hoʻomaʻū kēia i ka meaʻai a e maʻalahi ai ke ale. Kōkua nō hoʻi ia iā ʻoe e ʻai mālie.

He aha nā meaʻai e pono ʻole iaʻu e ʻai?

Ma keʻano laulā, ʻoi aku ka maikaʻi o ka hōʻemi ʻana a pale ʻana paha i nā meaʻai e like me kēia:

• Nā meaʻai paʻakikī ke nau a lōʻihi ka manawa e ʻeli ai: Eia kekahi laʻana, nā mea kanu paʻakikī, nā ʻiʻo ʻeleʻele a momona.
• Nā meaʻai e hiki ke paʻa i loko o ka esophagus: No ka laʻana, paʻakikī paha i kekahi poʻe ke ale i nā berena palupalu i hana ʻia me ka palaoa, ka laiki keʻokeʻo (ʻoi aku ka pipili), a me ka pasta. I ka ʻai ʻana iā lākou, e wāwahi iā lākou i mau ʻāpana liʻiliʻi, e nau maikaʻi iā lākou, a e ʻai me ka wai.

He mau alakaʻi laulā wale nō kēia. Pono ʻoe e hoʻokolohua iki e ʻike i nā meaʻai paʻakikī a me nā mea maʻalahi iā ʻoe. Hiki iā ʻoe ke ʻimi i ka ʻōlelo aʻo a kahi meaʻai meaʻai inā pono.

Āhea wau e ʻike hou ai i ke kauka?

Inā ʻaʻole e hoʻomaikaʻi kāu mau ʻōuli ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau, a inā paha e ʻoi aku ka ʻino, e ʻike hou i kāu kauka.

Aia paha kekahi mau manawa ʻaʻole ʻoe makemake e ʻai ma muli o ka neʻe maikaʻi ʻole o kou esophagus. Hiki paha iā ʻoe ke makaʻu, "E paʻakikī loa anei ka ʻai aʻe?" I kekahi manawa, e like me ka meaʻai i paʻa i loko o kou esophagus, hiki paha iā ʻoe ke manaʻo, "ʻAʻohe hopena no kēia? Pono anei au e ola penei?"

Akā e hoʻomanaʻo, aia nā lāʻau lapaʻau e hiki ke kōkua i kēia mau kūlana. Inā pilikia ʻoe i ka ale ʻana a i ʻole ka ʻeha o ka umauma ma hope o ka ʻai ʻana, e kamaʻilio me kāu kauka e pili ana i ia mea. Inā hōʻike nā hoʻokolohua he ʻano maʻi neʻe esophageal kou, e kuhikuhi kāu kauka i ka lāʻau lapaʻau kūpono loa nāu.

ʻO ka mea hope loa, leka lawe i ka home:

• ʻO ka paʻakikī i ke ale ʻana i ka meaʻai a me ka ʻeha o ka umauma ma hope o ka ʻai ʻana , ʻaʻole ia he mau mea e lawe māmā ʻia.
• He mau hōʻailona paha kēia o ka dysmotility esophageal .
• Hiki i kekahi mau kumu no kēia, no laila he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei.
• Mai hopohopo, aia nā lāʻau lapaʻau no kēia mau kūlana. E kamaʻilio me kāu kauka a hoʻomohala i kahi hoʻolālā lapaʻau e kūpono loa iā ʻoe.
• Hiki iā ʻoe ke loaʻa ka hōʻoluʻolu ma ka hana ʻana i nā hoʻololi liʻiliʻi i kāu meaʻai.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka. E noho olakino!

ʻEsophagus , Paʻakikī i ka moni ʻana, Dysmotility Esophageal, ʻEha umauma, ʻōnaehana hoʻoheheʻe, Achalasia, Endoscopy