ʻEha anei kou puʻu i kou moni ʻana? Ke wela nei kou umauma? He Esophagitis paha ia!

Ua manaʻo paha ʻoe i kahi ʻeha ʻē a i ʻole ka paʻa ʻana i kou puʻu i ka wā e ʻai ai a inu paha i kahi mea? A i ʻole kahi ʻeha wela e puka mai ana mai waenakonu o kou umauma? ʻO ka hapa nui o ka manawa, ʻaʻole mākou e manaʻo he mau mea maʻamau kēia. Akā, he ʻano maʻamau paha kēia i ʻike ʻia ma ke ʻano lapaʻau ʻo Esophagitis. ʻOiai paha he mea ʻē ke kani ʻana o ka inoa, he pilikia kēia i loaʻa i nā poʻe he nui o ko mākou ʻāina. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Esophagitis?

I ka ʻōlelo maʻalahi, ʻo ka Esophagitis kahi mumū o kā mākou paipu meaʻai (gullet). I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia paipu meaʻai. ʻO ia hoʻi, ka paipu e lawe ana i ka meaʻai mai ka puʻu a i ka ʻōpū i ka wā e moni ai mākou. Ua like ia me ka paipu wai. Kapa mākou iā ia he Esophagitis i ka wā e pehu ai nā membrane palupalu i loko o kēia paipu, ʻulaʻula, a ʻeha no kekahi kumu. E noʻonoʻo inā he ʻoki kou ma kou ʻili, e ʻulaʻula, pehu, a ʻeha, ʻeā? ʻO ia ka mea e hana nei i loko o ka paipu meaʻai.

ʻO ke kumu nui o kēia mumū ʻo ia ke kahe hou ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus. Eia kekahi, hiki i kekahi mau lāʻau lapaʻau, nā maʻi, a me nā allergies ke hana iā ia.

He aha nā hōʻailona o kekahi kanaka me ka esophagitis?

Hiki ke ʻokoʻa iki kēia mau hōʻailona mai kēlā kanaka a kēia kanaka, a hiki ke ʻokoʻa hoʻi ko lākou ikaika ma muli o ke koʻikoʻi o ke kūlana.

E aʻo kākou e pili ana i nā ʻano nui o ka esophagitis.

Hiki ke hoʻokaʻawale ʻia kēia ʻano i kekahi mau ʻano nui ma muli o ke kumu. E nānā kākou i ke ʻano o lākou.

1. ʻO ka Reflux Esophagitis i hoʻokumu ʻia e ka waikawa o ka ʻōpū

ʻO kēia ke ʻano maʻamau . Loaʻa i loko o ko kākou ʻōpū kahi waikawa ikaika loa e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai. ʻO ka maʻamau, he apo ʻiʻo (sphincter) ma waena o ka ʻōpū a me ka esophagus e pale aku i kēia waikawa mai ka piʻi ʻana. Ua like ia me ka puka. Akā i ka wā ʻaʻole pani pono ʻia kēia puka, piʻi aʻe ka waikawa i loko o ka ʻōpū a paʻi i ka esophagus. ʻAʻole hiki i ka esophagus ke kū i kēia waikawa ikaika. No laila, inā hoʻomau kēia, e ʻeha ka esophagus a pehu. Kāhea pū mākou i kēia ʻo GERD (Gastroesophageal Reflux Disease) . Hiki ke loaʻa kēia ʻano i ka poʻe e luaʻi pinepine ana.

2. ʻO ka Esophagitis i hoʻoulu ʻia e ka lāʻau lapaʻau i hoʻokumu ʻia e ka lāʻau lapaʻau

I kekahi manawa ua kapa ʻia kēia ʻo "Pill Esophagitis." Hiki i kekahi o nā lāʻau lapaʻau a mākou e lawe ai, ʻoiai inā ʻaʻole mākou e inu i ka wai lawa, ke paʻa i loko o ka esophagus a hoʻomaka e heheʻe. A laila hiki i nā kemika i loko o nā pila ke hōʻino a hōʻeha i ka uhi o ka esophagus.

ʻO nā mea e like me nā lāʻau ʻeha (NSAID), kekahi mau lāʻau antibiotic, a me nā lāʻau lapaʻau e hoʻoikaika i nā iwi (Bisphosphonates) hiki ke hana i kēia.

3. ʻO ka Esophagitis maʻi i hoʻokumu ʻia e ka maʻi

He mea kākaʻikahi loa kēia i ke kanaka olakino. Eia nō naʻe, ʻoi aku ka nui o ka poʻe me nā ʻōnaehana pale kino nāwaliwali e loaʻa i nā maʻi e like me kēia. Eia kekahi laʻana:

• Nā kānaka e noho ana me ka maʻi HIV/AIDS
• Nā kānaka me ka maʻi diabetes
• Nā kānaka e mālama ʻia ana i ka maʻi kanesa (Chemotherapy)
• ʻO ka poʻe e lawe ana i nā lāʻau immunosuppressive ma hope o ke kāpili ʻana i nā kino

Hiki i kēia poʻe ke hoʻomohala i nā maʻi fungal (e.g., Candida albicans) a me nā maʻi viral (e.g., herpes) i loko o ka esophagus.

4. ʻO ka Eosinophilic Esophagitis i hoʻokumu ʻia e kahi allergy

He ʻano paʻakikī kēia. ʻO ka mea e hana ʻia ma ʻaneʻi, lilo ka ʻōnaehana pale o ke kino i mea hana nui, a hōʻiliʻili ka nui o nā hunaola koko keʻokeʻo i kapa ʻia ʻo eosinophils i loko o ka esophagus. Ke hōʻiliʻili kēia mau hunaola, loaʻa ka mumū mau ma laila. ʻIke pinepine ʻia kēia i nā poʻe i loaʻa i nā maʻi allergies i nā meaʻai like ʻole a i ʻole nā ​​mea i ke kaiapuni.

5. Ma muli o nā maʻi autoimmune ʻē aʻe

I kekahi manawa, hiki ke hoʻoulu ʻia ka esophagitis e nā maʻi autoimmune, kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ke kino i kāna mau cell ponoʻī. No ka laʻana, ʻoi aku ka nui o kēia kūlana e kū mai i nā poʻe me nā maʻi e like me ka Inflammatory Bowel Disease (IBD).

6. Ma muli o ka radiation therapy

I ka wā e hana ʻia ai ka radiation therapy no nā maʻi ʻaʻai ma nā wahi e like me ka umauma a me ka ʻāʻī, hiki i nā hopena o ka radiation ke hoʻoulu i ka mumū o ka esophagus. He manawa pōkole kēia, akā i kekahi poʻe hiki ke lōʻihi.

Hiki i ka Esophagitis ke lilo i mea koʻikoʻi?

ʻAe. Inā ʻaʻole mālama pono ʻia, hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻana iā lākou.

• Nā ʻōpū: Inā hoʻomau ka mumū, hiki i nā ʻeha, i kapa ʻia he ʻōpū, ke hana ʻia i loko o ka paipu meaʻai. Hiki i kēia ke kahe ke koko. He mea kākaʻikahi loa, hiki i kēia mau ʻōpū ke hele hohonu a hana i kahi lua i loko o ka paipu meaʻai (gastrointestinal perforation). Inā hana ʻia kēia, hiki i ka maʻi ke laha i ka umauma a i ʻole ke kahe koko a hiki ke hoʻoweliweli i ke ola.
• ʻO ke koʻikoʻi o ka esophagus: Hoʻokumu ʻia nā ʻiʻo ʻeha i loko o ka esophagus ma muli o ka mumū lōʻihi. Hoʻohaiki mālie kēia ʻeha i ka esophagus. He mea paʻakikī loa kēia e ale i ka meaʻai. Hiki i kēia ke alakaʻi i ka maloʻo ʻana o ka wai, ka pohō kaumaha, a me ka ʻai ʻole.
• ʻO ka esophagus a Barrett: ʻO kēia ka pilikia weliweli loa. Ma muli o ka hoʻomau ʻana o ka ʻakika, hoʻomaka nā cell ma ka ʻaoʻao haʻahaʻa o ka esophagus e loli. ʻO ia hoʻi, hoʻomaka nā cell e like me nā cell i loko o ka ʻōpū. He kūlana pre-cancerous kēia.ʻO ke ʻano kēia, ʻoi aku ka nui o ka pilikia o ka poʻe me kēia maʻi i ka loaʻa ʻana o ka maʻi ʻaʻai esophageal i ka wā e hiki mai ana.

Pehea e ʻike ai ke kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. I ka manawa pinepine, hiki iā ʻoe ke kuhi inā he esophagitis kou mai nā kikoʻī āu e hāʻawi ai.

• I ka manawa pinepine, e kuhikuhi mua ke kauka i kahi lāʻau lapaʻau e hōʻemi ana i ka waikawa o ka ʻōpū a ʻike inā hōʻemi kēlā i nā hōʻailona. Inā emi nā hōʻailona, ​​​​hiki ke hōʻoia ʻia he reflux esophagitis ia.
• Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona me ka lāʻau lapaʻau, pono ka hoʻāʻo hou ʻana. ʻO ka hoʻāʻo nui no kēia he Upper Endoscopy . Maanei, ua hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela ma o ka waha a nānā i ka esophagus, ka ʻōpū, a me ka hapa mua o ka ʻōpū liʻiliʻi. ʻAe kēia i ka nānā pono ʻana i loko, e like me ka mumū a me nā ʻōpū. Inā pono, hiki ke lawe ʻia kahi ʻāpana ʻiʻo no ka hoʻāʻo ʻana (`(Biopsy)`).
• I kekahi manawa, hiki ke ʻōlelo ʻia kahi hoʻāʻo pH esophageal, kahi e ana ai i ka nui o ka waikawa i loko o ka esophagus.

Nā hoʻololi lapaʻau a me ke ʻano o ka nohona

Hoʻokumu ʻia ka lāʻau lapaʻau ma ke kumu o ka esophagitis a pili pinepine i ka hui pū ʻana o nā lāʻau lapaʻau a me nā loli o ke ʻano o ka nohona.

ʻEhia ka lōʻihi e ho'ōla ai?

Aia kēia i ke kumu a me ke ʻano o kāu pane ʻana i ka lāʻau lapaʻau. Ke hoʻomaka ʻoe i ka lāʻau lapaʻau kūpono, e hoʻomaka koke ke kaʻina hana ho'ōla. Hiki ke hala ma kahi o 3-6 mau pule e ho'ōla piha ai. Eia nō naʻe, inā he maʻi mau loa ke ʻano, e like me GERD, pono ʻoe e lawe i ka lāʻau lapaʻau a hana i nā hoʻololi nohona no ka wā lōʻihi.