Ke manaʻo nei ʻoe i kekahi manawa he ʻeha a paʻa paha kou umauma i kou ale ʻana i kahi meaʻai liʻiliʻi a i ʻole e inu iki i ka wai? Manaʻo ia ua paʻa ka meaʻai i loko o kou puʻu, a i ʻole e ʻūlū ana kekahi i kou umauma. ʻO kēia ke ʻano a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo
esophageal spasms . ʻOiai he mea weliweli iki kēia, hiki iā ia ke wehewehe i nā mea he nui ke ʻike mākou i nā mea hou aʻe e pili ana i ia mea.
He aha kēia ʻūmiʻi ʻana o nā ʻiʻo o ka anus?
I ka ʻōlelo maʻalahi, ke ale ʻoe i ka meaʻai a i ʻole ka mea inu, aia kahi ʻāpana e like me ka paipu e lawe ana mai kou waha a i kou ʻōpū. Kapa mākou ia
he esophagus . Hana ʻia nā paia o kēia esophagus me nā ʻiʻo. Ke ale ʻoe i kahi mea, ʻūlū kēia mau ʻiʻo a hoʻomaha ma ke ʻano maʻamau mai luna a lalo, e hoʻokuke ana i ka meaʻai a mea inu paha i loko o ka ʻōpū. E like me ka nalu. Kapa mākou i kēia kaʻina hana
"(Peristalsis)" . Eia naʻe, i loko o ke kanaka me "(Esophageal Spasms)", aia kahi pilikia iki me ke ʻano o ka ʻūlū ʻana o kēia mau ʻiʻo i loko o ka esophagus. ʻŪlū koke a ikaika paha nā ʻiʻo, a i ʻole ʻūlū lākou i ke ʻano maʻamau ʻole a haunaele. A laila paʻakikī ka meaʻai a mea inu paha e iho pono. I kekahi manawa hiki i nā mea i ale ʻia ke hoʻi hou mai i luna i loko o ka puʻu. Eia kekahi, hiki i kēia ke hōʻeha i ka umauma.
Aia kekahi mau ʻano like ʻole o kēia?
ʻAe, ʻelua ʻano nui: 1.
Distal Esophageal Spasm: ʻO kēia ka wā e ʻūlū ai nā ʻiʻo ma ka ʻaoʻao haʻahaʻa o ka esophagus ma ke ʻano haunaele a kūlike ʻole. ʻO ia ke kumu i ʻoi aku ka maʻamau o
ka regurgitation . 2.
Hypercontractile Esophagus: I kekahi manawa ua kapa ʻia kēia ʻo Nutcracker Esophagus a i ʻole Jackhammer Esophagus. ʻO kēia ka wā
e ʻūlū ikaika ai nā ʻiʻo o ka esophagus me ka wikiwiki . Hiki i kēia ke hōʻeha nui i ka umauma, ʻoiai i ka moni ʻana. Manaʻo paha kekahi poʻe e like me ke ʻūlū nei i ko lākou umauma.
Pehea ka maʻamau o kēia ʻano?
ʻOiaʻiʻo,
ʻaʻole maʻamau kēia ʻano i kapa ʻia ʻo `(Esophageal Spasms)`. Wahi a nā kauka, no ka laʻana, ʻo ke ʻano i kapa ʻia ʻo `Distal Esophageal Spasm` e kū mai ana ma kahi o hoʻokahi i loko o hoʻokahi haneli tausani kānaka i kēlā me kēia makahiki. No laila, mai hopohopo no ia mea me ke kumu ʻole.
He aha nā hōʻailona o kēia?
ʻO nā hōʻailona nui ʻelua a ʻoi loa o kēia ʻano, ʻo ia
ka paʻakikī i ka moni ʻana (dysphagia) a me
ka ʻeha umauma ʻaʻole puʻuwai . Eia naʻe, ʻaʻole e ʻike nā kānaka a pau i kēia mau hōʻailona. I kekahi mau hihia,
hiki i ka ʻeha umauma i hoʻokumu ʻia e kēia ʻūmiʻi ʻiʻo ke like me ka ʻeha o ka hōʻeha puʻuwai .
Mea nui: Inā loaʻa iā ʻoe ka ʻeha umauma koʻikoʻi a wehewehe ʻole ʻia e mau ana ma mua o ʻelima mau minuke, e ʻoluʻolu e ʻimi koke i ke kōkua lapaʻau. He mea nui loa ia e hoʻoholo inā he hōʻeha puʻuwai a ʻaʻole paha.
Hiki i kēia mau hōʻailona ke akahai loa no kekahi poʻe, a ʻoi aku ka koʻikoʻi no kekahi. I kekahi manawa hiki iā lākou ke hoʻomaka i nā manawa kikoʻī, e like me ka ʻai ʻana. Eia nō naʻe, i kekahi manawa hiki iā lākou ke hele koke mai me ke kumu ʻole. Ke hoʻomaka kēia mau ʻūlū, hiki iā lākou ke mau mai kekahi mau minuke a ʻoi aku ma mua o hoʻokahi hola.
He aha ke ʻano o ka ʻeha o ka umauma?
Inā loaʻa iā ʻoe nā spasms esophageal, hiki i kou ʻeha umauma ke like me kēia:
- Hiki paha iā ʻoe ke manaʻo i kahi ʻūmiʻi, ʻūmiʻi, kaomi, a kaumaha paha i waenakonu o kou umauma, ma hope pono o ka iwi umauma (sternum).
- Manaʻo paha kekahi poʻe e like me ka ʻā ʻana o ka umauma , ʻo ia hoʻi ka ʻeha o ka umauma .
- Aia paha ka ʻeha ma ka ʻaoʻao ʻākau, ʻaoʻao hema, a i ʻole ma waenakonu o ka umauma, a laila e laha i ka ʻāʻī, ka lima hema, a i ʻole ke kua .
He aha ke ʻano o ka paʻakikī i ke ale ʻana (Dysphagia)?
Me kēia ʻano pilikia, hiki iā ʻoe ke loaʻa nā hōʻailona:
- Me he mea lā ua paʻa kekahi mea i loko o kou puʻu .
- He manaʻo e like me ka hoʻāʻo ʻana o ka meaʻai e hoʻi hou mai i luna o ka puʻu .
No ke aha lā kēia e hana nei? He aha nā kumu?
ʻAʻole maopopo i nā kauka ke kumu o ia mea. Eia nō naʻe, manaʻo kekahi poʻe ua hana ʻia e
nā aʻalolo hewa i loko o nā aʻalolo e kāohi ana i nā ʻiʻo o ka esophagus. I kekahi mau hihia, pili paha kēia mau aʻalolo hewa i ka nui o ka waikawa i loko o ka esophagus. He nui ka poʻe i loaʻa i nā spasms esophageal i loaʻa
i kahi maʻi lōʻihi i kapa ʻia ʻo ka maʻi reflux gastroesophageal (GERD) . Hoʻoulu kēia ʻano i ka waikawa o ka ʻōpū e kahe hou i luna i loko o ka esophagus. Manaʻo ʻia hiki i kēia waikawa ke hōʻino i nā aʻalolo i loko o ka esophagus. Ua ʻike ʻia nā noiʻi hou nei he ʻoi aku ka nui o ka poʻe
i lawe i nā opioids no ʻekolu mahina a ʻoi aku ka nui o ka loaʻa ʻana o nā spasms esophageal. Eia nō naʻe, pono ka noiʻi hou aku e hoʻoholo i ke kumu pololei a me nā mea pilikia.
He aha nā mea hoʻoulu no kēia kūlana?
Ua ʻike kekahi poʻe ua hoʻoulu ʻia a hoʻonui ʻia paha nā hōʻailona o nā spasms esophageal e kekahi mau mea. Eia kekahi laʻana:
- Ma hope o ka ʻai ʻana i ka meaʻai a mea inu paha he wela loa a anu loa paha .
- Ma mua, i ka wā, a ma hope paha o kahi manawa o ke kaumaha nui a me ka hopohopo paha .
- ʻOiai e hoʻoikaika kino ana .
Eia nō naʻe, hiki ke hana ʻia kēia mau ʻaelike i kēlā me kēia manawa.
Pehea e ʻike ai nā kauka i kēia?
E nānā mua kāu kauka iā ʻoe a hoʻolohe pono i kāu mau hōʻailona. Inā loaʻa iā ʻoe ka ʻeha o ka umauma,
E noi ʻia paha ʻoe e hana i nā hoʻokolohua e like me ka electrocardiogram (EKG) e nānā i ka maʻi puʻuwai. Ke kāpae ʻoe i ka maʻi puʻuwai, e noi ʻia ʻoe e hana i nā hoʻokolohua e kāpae i nā kūlana maʻamau ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona. Hiki i kēia mau mea ke komo pū me: Nā hoʻokolohua i hana pinepine ʻia
- ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke kauka e hoʻokomo i kahi ʻōmole lahilahi (i kapa ʻia he endoscope) i loko o kou esophagus. Loaʻa i kēia ʻōmole kahi kukui liʻiliʻi a me ke kāmela ma kekahi ʻaoʻao. Hiki i kēia i ke kauka ke ʻike i loko o kou esophagus. Hiki i kēia ke kōkua i ka nānā ʻana i nā loli kūkulu e hiki ai ke hoʻoulu i ka ʻeha o kou umauma a i ʻole ka paʻakikī i ka moni ʻana.
- ʻO ke ale ʻana o Barium (ʻEsophagram a i ʻole ʻAle ʻana o Barium): Ma kēia hoʻāʻo, inu ʻoe i kahi wai i loaʻa kahi mea i kapa ʻia ʻo barium. A laila lawe ke kauka i nā kiʻi X-ray o ka barium e neʻe ana i lalo o kou esophagus. Hiki i kēia ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe, e like me ka haiki ʻana o ka esophagus (ʻo ia hoʻi, ʻo ka stricture).
Nā hoʻokolohua kūikawā e ʻike ai i nā spasms muscle
- Manometry Esophageal: ʻO kēia ka hoʻāʻo maʻamau gula no ka ʻike ʻana i nā spasms esophageal. Ana ia i nā nalu kaomi e kū mai ana i loko o ka esophagus ke moni ʻoe. Inā he nui kou mau ʻūmiʻi ʻiʻo maʻamau ʻole ma ka ʻaoʻao haʻahaʻa o ka esophagus i ka manawa like, he hōʻailona ia o kēia maʻi.
- ʻO ka Functional Lumen Imaging Probe (FLIP): He hoʻāʻo hou kēia e hiki ke hāʻawi i ka ʻike e pili ana i ka neʻe ʻana o ka anus a pehea e pane ai ka paia anus i nā loli o ke kaomi.
He aha nā kūlana ʻē aʻe i loaʻa nā hōʻailona like?
Hiki ke paʻakikī iki ka ʻike ʻana i nā Spasms Esophageal, no ka mea, aia kekahi mau kūlana ʻē aʻe e hiki ai ke hana i nā hōʻailona nui o ka ʻeha umauma a me ka paʻakikī i ka moni ʻana . Ma hope o ka hōʻoia ʻana ʻaʻole i hoʻokumu ʻia kāu pilikia e kahi maʻi puʻuwai, e kāpae kāu kauka i nā kūlana ʻai maʻamau ʻē aʻe e hiki ai ke hana i nā hōʻailona like. Hiki i kēia mau mea ke komo pū me:- `( GERD )` (Hiki ke hana pū kēia me `( Esophageal Spasms )`).
- Nā ʻūmiʻi o ka esophagus.
- ʻO ka hernia hiatal.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka pahuhopu nui o ka mālama ʻana no nā spasms esophageal ʻo ia ka hoʻomaha ʻana i nā ʻiʻo i loko o ka esophagus a hoʻemi i kāu mau hōʻailona.Eia nō naʻe, inā ʻaʻohe ou hōʻailona mai kēia mau ʻūmiʻi ʻiʻo, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau:- Nā lāʻau lapaʻau home: Ua hōʻike ʻia e ka noiʻi hiki i ka ʻaila peppermint ke kōkua i ka hoʻomaha ʻana i nā ʻiʻo i loko o ka anus. ʻO ka inu ʻana i kekahi mau kulu o ka ʻaila peppermint i loko o ka wai e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona liʻiliʻi. Eia kekahi, ʻo ka ʻike ʻana i kāu mau mea hoʻonāukiuki hiki ke kōkua i ka pale ʻana i nā ʻūlū e hiki mai ana.
- Lāʻau lapaʻau:
- ʻO ka lawe ʻana i nā mea pale o ke kahawai calcium (kahi ʻano lāʻau lapaʻau i hoʻohana ʻia e mālama i ke koko kiʻekiʻe) ma mua o ka ʻai ʻana e kōkua i nā poʻe he nui e ale maʻalahi.
- Kōkua nā nitrates i ka hōʻemi ʻana i ka ʻeha o ka umauma .
- Hiki i nā antidepressants Tricyclic ke hoʻopā i nā aʻalolo i hōʻino ʻia i loko o ka pepeiao a hoʻemi i ka ʻeha.
- Nā inikini Botulinum toxin ( Botox ®): Hiki i nā inikini Botox® ke hoʻopōʻino i nā ʻiʻo i loko o ka anus no kekahi manawa a hoʻōki iā lākou mai ka ʻaelike ʻana. Hiki i kāu kauka ke ʻōlelo aku i kēia inā ʻaʻole i kōkua nā lāʻau ʻē aʻe. ʻO ka hopena o kēia lāʻau maʻamau e mau ana ma kahi o ʻeono mahina.
- ʻOki kino : Inā koʻikoʻi kou mau hōʻailona a ʻaʻole i kōkua nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki kino i kapa ʻia he myotomy . I loko o ka myotomy, hana kāu kauka i kahi ʻoki ma ka ʻiʻo ma lalo o kou esophagus. Hoʻopau loa kēia ʻoki i ka ʻiʻo. Hoʻōki kēia i nā ʻūmiʻi kūpono ʻole. No ka mea, ʻaʻole hoʻohana hou ʻia ka ʻiʻo i loko o kou esophagus, ʻae ka umekaumaha i ka meaʻai a me ka mea inu e neʻe i lalo o kou esophagus.
He nui ka poʻe me nā spasms esophageal a me GERD e loaʻa ka hōʻoluʻolu mai nā hōʻailona ʻelua ke lawe lākou i nā lāʻau i kapa ʻia ʻo proton pump inhibitors (PPIs) . Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana ʻana o ka waikawa ʻōpū. Hoʻopau pinepine nā spasms esophageal i hoʻokumu ʻia e nā opioids ma hope o kou hoʻōki ʻana i ka lawe ʻana i nā lāʻau lapaʻau. Hiki ke pale ʻia kēia?
ʻO ka mea pōʻino, ʻaʻole hiki ke pale loa i kēia maʻi mai ka hanana ʻana. Eia nō naʻe, hiki iā ʻoe ke kōkua ma ka ʻike ʻana a me ka pale ʻana i nā mea e hoʻonui ai i kou mau hōʻailona (no ka laʻana, kekahi mau meaʻai a me nā mea inu).Hiki i kēia ke kōkua i ka pale ʻana i ka hoʻomaka ʻana a i ʻole ka hoʻonui ʻana o nā spasms uaua. He kūlana weliweli anei kēia?
Hiki i nā Spasms Esophageal ke hoʻoulu i ka ʻeha o ka umauma a me ka paʻakikī i ke ale ʻana. Eia nō naʻe, ʻaʻole manaʻo nā kauka he hoʻoweliweli koʻikoʻi kēia ʻano i kou olakino . ʻO ka paʻakikī i ke ale ʻana hiki iā ʻoe ke manaʻo e like me ʻoe e ʻū ana, akā ʻaʻole hoʻoweliweli ke ola i nā Spasms Esophageal. ʻAʻole lākou e pale iā ʻoe mai ka loaʻa ʻana o ka meaʻai āu e pono ai. ʻAʻole hoʻonui nā Spasms Esophageal i kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai esophageal a i ʻole nā kūlana koʻikoʻi ʻē aʻe e hoʻopilikia i ka esophagus. He aha ka mea e hana ʻia ma hope o ka mālama ʻana? (Outlook)
ʻOkoʻa ka wānana no nā Spasms Esophageal ma muli o ke koʻikoʻi o kāu mau hōʻailona. Loaʻa i ka hapa nui o ka poʻe nā hōʻailona liʻiliʻi wale nō. Hiki i ka lāʻau lapaʻau ke hoʻomaikaʻi nui i nā hōʻailona o nā Spasms Esophageal. E nānā mau kāu kauka iā ʻoe e hōʻoia i ka hana ʻana o nā lāʻau lapaʻau āu e lawe ai. Inā loaʻa iā ʻoe ke ʻoki kino, e hoʻonohonoho ʻia nā manawa hoʻopaʻa e hōʻoia i kou hoʻōla maikaʻi ʻana. I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
Hiki i nā Spasms Esophageal ke hana i nā hōʻailona like me nā hōʻailona o ka hōʻeha puʻuwai. Hiki i ka hōʻeha puʻuwai ke hoʻoweliweli i ke ola inā ʻaʻole mālama koke ʻia. No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona , e kelepona i ka 911 a i ʻole e ʻimi koke i ke kōkua lapaʻau:- Inā he manaʻo kaumaha a paʻa kou i loko o kou umauma e mau ana no nā minuke ʻelima.
- Inā loaʻa iā ʻoe ka ʻeha ma kahi ʻē aʻe o ka umauma, no ka laʻana ma ka poʻohiwi, ka lima, a i ʻole ka ʻāʻī .
- Inā pilikia ʻoe i ka hanu ʻana (dyspnea) .
- Inā loaʻa iā ʻoe kahi puʻuwai wikiwiki a kūpono ʻole paha (heart palpitations) .
- Inā manaʻo ʻoe ua poniuniu, ua nāwaliwali, a ua like me ʻoe e kokoke ana e hemo .
- Inā he hou anu kou .
- Inā loaʻa iā ʻoe ka nausea a i ʻole ka luaʻi ʻana .
ʻO ka ʻeha o ka umauma a me ka paʻakikī i ke ale ʻana he mau hōʻailona pinepine ia o kahi pilikia maʻamau. Eia nō naʻe, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi, e like me ke kanesa. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona no nā pule ʻelua a ʻoi aku, e ʻike mau i ke kauka no ka nānā ʻana. He aha nā nīnau āu e nīnau ai i ke kauka?
Hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me kēia:- He aha ke kumu kūpono loa o kēia mau ʻehaʻeha o nā ʻiʻo?
- Pehea e ʻike ai i ka mea e hoʻoulu ai i koʻu mau hōʻailona?
- He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
- He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēlā mau lāʻau lapaʻau?
- Pehea ka lōʻihi e pono ai iaʻu ka mālama ʻana a me ka nānā ʻana?
Inā ʻaʻole mālama ʻia, hiki i nā ʻūpā esophageal waena a koʻikoʻi ke loaʻa ka hopena maikaʻi ʻole i kou ʻano ola. ʻOiai nā mea āu e hauʻoli ai, e like me ka ʻai ʻana, hiki ke paʻakikī ke hana ma muli o kēia mau hōʻailona. Hiki i ka ʻeha lōʻihi ke hoʻokaʻawale iā ʻoe mai nā mea āu e hauʻoli ai, a i ʻole e hoʻokaumaha iā ʻoe. No laila, inā ʻoe e ʻeha ana i ka umauma , ka paʻakikī i ka moni ʻana, a i ʻole nā hōʻailona ʻē aʻe o nā spasms esophageal , e ʻike i ke kauka e kūkākūkā i nā koho lapaʻau. E ʻimi koke i ke kōkua lapaʻau inā ʻoe e ʻeha ana i ka umauma i wehewehe ʻole ʻia.
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai
ʻAe, ua kamaʻilio nui mākou e pili ana i ka `(Esophageal Spasms)`. E hoʻomanaʻo, ʻaʻole kēia he maʻi maʻamau loa. Eia nō naʻe, inā manaʻo pinepine ʻoe i kahi mea e like me ka poloka i ka wā e moni ai i ka meaʻai, e like me ka ʻeha o ka umauma, mai hoʻowahāwahā iā ia. ʻOiai ʻo ka ʻeha o ka umauma hiki ke like me nā hōʻailona o ka hōʻeha puʻuwai, no laila e makaʻala e pili ana i ia mea. Aia nā lāʻau lapaʻau maikaʻi no kēia. E kōkua kāu kauka iā ʻoe e ʻike i ke kumu pololei o kāu mau hōʻailona a koho i ka lāʻau lapaʻau kūpono loa. Mai hopohopo, me ka lāʻau lapaʻau kūpono, hiki ke hoʻomalu maikaʻi ʻia kēia maʻi. He mea nui loa ia e mālama i kou ola maikaʻi.
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