Loaʻa pinepine anei iā ʻoe ka ʻāʻī puʻuwai? E kamaʻilio kākou e pili ana i kēia (Heartburn)!

Ua ʻike anei ʻoe i kahi ʻano wela i waenakonu o kou umauma? Me he mea lā he ʻano wela i loko o kou umauma? Ua kapa ʻia e ka poʻe he "heartburn," akā ʻaʻole ia he pilikia puʻuwai. Hoʻokumu ʻia ia e ka waikawa i loko o kou ʻōpū e piʻi ana i loko o kāu paipu meaʻai (esophagus). Holo pololei kēia paipu meaʻai ma kou umauma, kokoke i kou puʻuwai. ʻO ia ke kumu i kekahi manawa hiki ke kuhihewa ʻia he pilikia puʻuwai. No kekahi poʻe, he hanana pinepine ia, akā no kekahi poʻe, he pilikia mau ia. Inā hana pinepine ia, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo GERD (Gastroesophageal Reflux Disease). E kamaʻilio hou kākou e pili ana i kēia, ʻeā?

He aha maoli ka ʻōpū puʻuwai?

I ka ʻōlelo maʻalahi, ʻo ka ʻeha puʻuwai ke kahe hou ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus. He uhi mucous mānoanoa ko ko mākou ʻōpū e pale aku iā ia mai kēia mau waikawa. Eia naʻe, ʻaʻohe o ko mākou esophagus ia ʻano pale. No laila, ke hiki aku ka waikawa o ka ʻōpū i ka esophagus, puhi ia i nā ʻiʻo palupalu ma laila, e hoʻoulu ai i ka mumū.

Ua ʻike ka nui o ka poʻe i ka ʻeha puʻuwai i kekahi manawa o ko lākou ola. I kekahi manawa hiki ke hana ma hope o ka ʻai ʻana i kahi mea ʻala a ʻaila paha, a i ʻole ke kaomi nui ʻia ma ka ʻōpū, e like me ka wā hāpai. Akā inā pinepine kēia ʻeha puʻuwai i kēlā me kēia lā, he hōʻailona paha ia o kahi maʻi mau i kapa ʻia ʻo `GERD (Gastroesophageal Reflux Disease). Ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia he 20% o ka poʻe i loaʻa i ka `GERD`.

ʻO wai ka mea i loaʻa nui i kēia maʻi umauma?

ʻO kaʻoiaʻiʻo, hiki i kekahi ke loaʻa i kēia, akā no kekahi poʻe, ʻoi aku ka kiʻekiʻe o ka pilikia.

• No ka poʻe momona: ʻO ia hoʻi, ʻo ka poʻe me ka helu helu kino (BMI) ma mua o 30.
• No ka poʻe momona loa: Inā ʻoi aku ka waiwai `BMI` ma mua o 25.
• ʻO ka poʻe e puhipaka ana a me ka poʻe i pā i ka uahi lua, ʻoi aku ka nui o ka loaʻa ʻana i ia mea.

Pehea ka manaʻo o ka maʻi umauma?

ʻO ka ʻeha o ka umauma, ʻo ia hoʻi, he ʻano wela e puka mai ana mai loko mai o kou umauma, e like me ka reflux acid. Aia kou esophagus ma waenakonu o kou umauma. No laila hoʻomaka kēia ʻeha ma laila. Akā i kekahi manawa hiki i kēia ʻeha ke pālahalaha ma kou umauma, a hiki i kou puʻu. Hiki ke ʻano mai kahi ʻano wela iki a hiki i ka ʻeha nui.

I ka manawa hea ʻoe e ʻeha nui ai?

Ua ʻike paha ʻoe i kēia pū kekahi. I kekahi manawa ʻoi aku ka nui o ka ʻeha o ka umauma.

• Ke moe ʻoe i lalo, ʻoiai inā moe koke ʻoe ma hope o ka ʻai ʻana.
• I ke kūlou ʻana i mua.
• Ke ʻai ʻoe i ka ʻaina ahiahi i ka wā lohi loa.
• Ke ʻai ʻoe i ka meaʻai ʻaila, ʻawaʻawa, a mea ʻala paha.

Pehea ka lōʻihi e hiki ai i ka ʻāʻī ʻeha ke mau?

Hiki i kēia ke mau mai kekahi mau minuke a i kekahi mau hola.ʻO ka maʻamau, e emi ana kēia mumū ke puka ka meaʻai hope loa āu i ʻai ai mai kou ʻōpū. ʻO kēia no ka mea ʻaʻohe mea e hoʻi hou mai i loko o ka ʻōpū. Ma muli o kāu mea i ʻai ai, hiki ke hala i ʻelua a ʻelima mau hola e hoʻoheheʻe ai. Hiki ke lōʻihi ka manawa e hoʻoheheʻe ai i nā meaʻai momona a ʻaila.

He aha nā hōʻailona ʻē aʻe e hele mai me ka mumū o ka umauma?

I kekahi manawa hiki ke paʻakikī ke ʻike inā he angina kou a i ʻole kekahi ʻano ʻeha umauma ʻē aʻe. Inā ʻaʻole ʻoe maopopo i ka ʻeha āu e ʻike nei, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. He mea nui hoʻi e ʻimi i nā hōʻailona ʻē aʻe e hele pū me ka ʻeha. Hiki i kēia mau hōʻailona ʻē aʻe ke kōkua iā ʻoe e hoʻokaʻawale ma waena o ka hōʻeha puʻuwai a me kekahi maʻi umauma ʻē aʻe.

Hiki ke hele pū ʻia ka ʻāʻī puʻuwai i hoʻokumu ʻia e ka reflux acid me nā hōʻailona penei:

• Ka mimi pinepine ʻana.
• He ʻono ʻawaʻawa i loko o ka waha.
• Ka luaʻi.
• Ke komo ʻana o ka meaʻai i loko o ka puʻu.

Hiki i kekahi poʻe ke hōʻike i nā hōʻailona atypical e like me:

• ʻŌpū piha, pehu.
• ʻŪhū.
• ʻŪhū mau.
• Hoʻonui ʻia ka hānō.
• ʻeha ka ʻāʻī.
• Ka mumū ʻana o ka larynx ('Laryngitis').
• Ka paʻakikī i ke ale ʻana a i ʻole ka manaʻo o kahi mea i paʻa i ka puʻu.
• ʻEha umauma ʻaʻole ma muli o ka maʻi puʻuwai, e like me `(Angina)`.

No ke aha lā e loaʻa ai kēia maʻi umauma iā kākou?

ʻO ka maʻamau e pili ana me kahi kūlana e like me GERD, loaʻa ka ʻeha puʻuwai i ka wā e kahe hou ai nā wai o ka ʻōpū, ʻo ia hoʻi ka waikawa a me nā enzymes, i loko o ka esophagus. E like me kaʻu i ʻōlelo ai ma mua, he uhi pale ko ka ʻōpū, akā ʻaʻole ka esophagus. Ma kahi e pili ai ko mākou esophagus i ka ʻōpū, aia kahi valve i kapa ʻia ʻo Lower Esophageal Sphincter (LES). ʻO kāna hana ke kāohi i nā mea o loko o ka ʻōpū mai ka hoʻi ʻana mai i luna. Akā i kekahi manawa, inā nāwaliwali kēia valve a ʻaʻole paha e pani pono, hiki i nā mea o loko o ka ʻōpū ke hoʻomaka e piʻi i luna.

Aia kekahi mau kumu e nāwaliwali ai a hoʻomaha loa paha ka Lower Esophageal Sphincter:

• Ka hanu ʻana i ka uahi cigarette (puhi paka).
• Kaomi keu i loko o ka ʻōpū ma muli o nā kumu e like me ke kaumaha o ke kino, ke komo ʻana i nā lole paʻa, a me ka hāpai ʻana.
• He kūlana i kapa ʻia ʻo 'Hiatal Hernia'. ʻO kēia ka wā e piʻi ai kekahi ʻāpana o ka ʻōpū i luna ma o ka diaphragm.
• ʻO ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi hiki ke hoʻolōʻihi i ka ʻōpū a hoʻopaʻa i ka meaʻai i loko o ka ʻōpū no ka manawa lōʻihi.
• ʻO ka ʻōpū a me ke kinoea. Ke piʻi nei nā pehu kinoea i luna o ke ala GI.
• Ka moe koke ʻana ma hope o ka ʻai ʻana.
• ʻO kekahi mau meaʻai: nā mea e like me ke kofe, kokoleka, lime, mint, ka mea ʻono tōmato.
• ʻO kekahi mau lāʻau lapaʻau: e like me nā pila hoʻomalu hānau a me kekahi mau lāʻau lapaʻau no ke koko kiʻekiʻe.

I ka manawa pinepine, ua hui pū ʻia ma mua o hoʻokahi o kēia mau kumu e hoʻoulu ai i ka reflux acid a me ka heartburn.

No ke aha e ʻike koke mai ai kahi maʻi umauma me ka ʻole o nā hōʻailona mua?

Inā ʻaʻole ʻoe i loaʻa i kahi ʻeha nui o ka umauma ma mua a hoʻomaka koke ia, a ʻaʻole ʻoe i hana i kekahi mau hoʻololi nui i kāu meaʻai a i ʻole ke ʻano o ka nohona i hala koke aku nei, hiki ke loaʻa ma muli o nā kumu ʻē aʻe. He mau mea kēia e ulu mālie ana i ka hala ʻana o ka manawa.

• Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, nāwaliwali ko kākou mau ʻiʻo. ʻO kekahi o kēlā mau ʻiʻo ka sphincter esophageal haʻahaʻa.
• Piʻi kaumaha: Piʻi mālie ke kaumaha o ka hapa nui o ka poʻe. Eia nō naʻe, hiki ke ʻike koke ʻia nā hōʻailona o ka piʻi kaumaha (e like me ka pehu ʻana), ke hala kekahi paepae.
• Nā lāʻau lapaʻau: Inā ua hoʻomaka koke ʻoe i kahi lāʻau lapaʻau hou a hoʻololi paha i nā lāʻau lapaʻau, e nīnau i kāu kauka inā ʻo ia lāʻau lapaʻau ke kumu o ka hoʻonui ʻia ʻana o ka reflux acid.

Loaʻa mau anei ka puʻuwai mai ka reflux waikawa i ʻōlelo ʻia ma luna?

ʻO ka hapa pinepine, ʻo ka ʻōpū puʻuwai he pilikia ia me ka esophagus. ʻO ke kumu nui ka reflux acid. Eia nō naʻe, aia kekahi mau kūlana ʻē aʻe e hiki ai ke hoʻoulu i ka ʻōpū puʻuwai. Eia kekahi laʻana:

• ʻEha ʻōpū: ʻO nā ʻeha ʻōpū he mau ʻeha ʻeha i hana ʻia e ka ʻino ʻana o ka uhi o ke ala ʻai. ʻOi aku ka liʻiliʻi o nā ʻeha ʻōpū ma mua o nā ʻeha i loko o ka ʻōpū a i ʻole nā ​​​​​​naʻau. Ke hana ʻia lākou, hoʻoulu pinepine ʻia lākou e ka reflux acid. Eia naʻe, ʻaʻole ʻo ka reflux acid wale nō ke kumu. ʻO ka hoʻohana nui ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAID) e like me ka aspirin a me ka ibuprofen hiki ke hana i nā ʻeha.
• ʻEsophagitis: Inā pehu nui ka esophagus, hiki iā ʻoe ke manaʻo i kahi ʻeha wela. ʻO GERD, nā virus, nā maʻi fungal, a me kekahi mau lāʻau lapaʻau ke kumu o kēia. ʻO ka eosinophilic esophagitis, kahi maʻi allergic o ka esophagus, hiki ke hana i ka ʻeha o ka umauma.
• ʻO ka heartburn hana/reflux hypersensitivity: He mau maʻi kēia o ka pilina ʻōpū-lolo. ʻO ia hoʻi, aia kahi pilikia me ke ʻano o kāu ʻōnaehana nerve e hoʻouna ai i nā hōʻailona mai kāu ʻōnaehana hoʻoheheʻe i kou lolo. Ua like ka heartburn hana me ka heartburn maʻamau. Eia naʻe, ʻaʻole hōʻike nā hoʻokolohua i kekahi reflux acid, ka wela, a i ʻole ka huhū. Hoʻokumu ʻia ka reflux hypersensitivity e nā mea ʻaʻole acidic e komo ana i kou puʻu. Hiki i ka visceral hypersensitivity ke kōkua i kēia mumū.

He maʻi koʻikoʻi anei kēia maʻi umauma?

ʻOiai hiki ke ʻoluʻolu ʻole ka ʻeha puʻuwai i kekahi manawa, ʻaʻole ia e hōʻeha nui. ʻO ka ʻoiaʻiʻo, he mea maʻamau ka piʻi ʻana o kekahi waikawa i loko o kou puʻu, a ʻaʻole ʻike ka hapa nui o ka poʻe. Inā ʻike ʻoe, hiki paha no ka mea ke loaʻa nei i kou esophagus ka nui o ka waikawa ma mua o ka hiki ke hoʻomanawanui. Inā hana pinepine ia, ua like ia me kahi ʻeha liʻiliʻi e ho'ōla koke. Akā inā hana mau ia, ʻaʻole lawa ka manawa o ka uhi o kou esophagus e ho'ōla ai.

Ke hoʻomau nei ka hōʻeha ʻana o ka uhi o ka esophagus, hiki iā ia ke alakaʻi i nā pilikia lōʻihi, e like me:

• ʻO ke koʻikoʻi o ka esophagus: Ke hoʻomau ka mumū ʻana o nā ʻiʻo o ka esophagus, hoʻomaka ka hana ʻana o nā ʻiʻo ʻeha i ka hala ʻana o ka manawa. Ua like ka esophagus me kahi paipu lōʻihi. Hiki i kēia mumū a me ke koʻikoʻi ke hoʻohāiki i ka esophagus (he koʻikoʻi). Hiki i kēia ke pilikia i ka ale ʻana a paʻa ka meaʻai i loko o ka esophagus.
• ʻO ka metaplasia ʻōpū: I kekahi manawa, ma kahi o ka ʻeha, loli ke ʻiʻo e like me ka uhi o nā ʻōpū . Ua kapa ʻia kēia he metaplasia ʻōpū no ka mea ua loli ke ʻiʻo e like me ka uhi o nā ʻōpū. Ke hana ʻia kēia ma ka esophagus, ua kapa ʻia hoʻi ʻo Barrett's Esophagus. Ua manaʻo ʻia kēia he kūlana precancerous.
• ʻAʻai ʻōpū: Loaʻa ka maʻi ʻōpū i kahi pakeneka liʻiliʻi wale nō o ka poʻe. Eia nō naʻe, aia kahi ala maopopo mai ka mumū mau (esophagitis) a i nā loli cell (Barrett's Esophagus) a i ke kanesa. Hoʻonui ka pilikia ma muli o ke koʻikoʻi o kou mumū a me ka lōʻihi o ka mālama ʻole ʻia.

ʻO ka reflux waikawa, ka mea e hoʻoulu ai i ka ʻāʻī, hiki ke hōʻike i nā pilikia ʻē aʻe i loko o kāu ʻōnaehana hoʻoheheʻe. No ka laʻana, nui paha ka waikawa i loko o kou ʻōpū. Hiki i kēia ke alakaʻi i nā pilikia e like me ka gastritis a me nā ʻōpū ʻōpū. Hiki i ka reflux waikawa ke hoʻonui i kou hānō a i ʻole nā ​​​​maʻi hanu mau ʻē aʻe. Inā komo kēia waikawa i loko o kou puʻu, hiki iā ia ke hana i ka pehu, nā ʻeha, a me nā ulu ʻana.

Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe kahi maʻi sinus?

He manaʻo kou eha o ka puʻuwai. Hiki i ka hapa nui o nā kauka ke ʻike iā ia ke wehewehe ʻoe i ke kauka. Inā he manawa pōkole ia a ʻaʻole koʻikoʻi loa, ʻaʻole paha ʻoe e pono i nā hoʻokolohua nui. Eia nō naʻe, inā manaʻo lākou he maʻi mau kou, hiki iā lākou ke hana i nā hoʻokolohua e ʻike ai inā he pōʻino i kou esophagus. I kēlā manawa, hiki ke kuhikuhi ʻia ʻoe i kahi gastroenterologist.

Eia kekahi mau hoʻokolohua i hana ʻia e nānā i kou esophagus:

• Endoscopy (`Endoscopy Kiʻekiʻe` / `Kaʻina Hana EGD`):He hoʻāʻo ka Endoscopy e nānā i loko o kou kino. Pili kēia i ka hoʻouna ʻana i kahi ʻōmole lōʻihi me kahi kāmela liʻiliʻi (endoscope) ma o kou kino. Nānā kahi endoscopy luna i kou ʻōnaehana digestive luna, mai kou esophagus ma o kou ʻōpū a hiki i ka piko o kou ʻōpū liʻiliʻi. Hoʻokomo ʻia kēia ʻōmole ma o kou puʻu (hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻopau ai). Hiki iā ia ke nānā i nā maʻi e like me ka esophagitis, hernias, a me ka esophagus Barrett.
• Hoʻāʻo pH Esophageal: Pili kēia i ke kau ʻana i kahi capsule liʻiliʻi, uea ʻole i loko o kou esophagus. Ana ia i ka pH, a i ʻole ka acidity, o kou esophagus i ka hala ʻana o ka manawa. Hiki ke hana ʻia kēia i ka wā o kahi endoscopy luna a i ʻole ma o kahi paipu nasogastric. Hoʻouna ʻia ka ʻikepili i kahi mea hoʻokipa āu e ʻaʻahu ai a puni kou pūhaka. E noi ʻia ʻoe e hoʻopaʻa i kāu mau hōʻailona a hoʻohālikelike iā lākou me ka ʻikepili. Ma hope o kekahi manawa, e wehe ke kauka i ka capsule a kālailai i ka ʻikepili.

He aha nā lāʻau lapaʻau no ka maʻi niumonia?

Hiki iā ʻoe ke hoʻomaha mai ka ʻeha puʻuwai i kekahi manawa me nā lāʻau lapaʻau home, nā lāʻau lapaʻau over-the-counter (OTC), a me nā hoʻololi ʻana i ke ʻano o ka nohona. Eia nō naʻe, no ka ʻeha puʻuwai pinepine, pono paha ʻoe e lawe i nā lāʻau lapaʻau i kuhikuhi ʻia. Hana kēia mau lāʻau lapaʻau ma ka hoʻemi ʻana i ka nui o ka waikawa e piʻi mai ana mai ka ʻōpū i loko o ka esophagus. Eia nō naʻe, ʻo ka pilikia nui me ka Lower Esophageal Sphincter kahi mea a kēia mau lāʻau lapaʻau i hoʻoponopono ʻole ai. Inā ʻaʻole holo pono nā lāʻau lapaʻau, pono paha ʻoe i nā lāʻau lapaʻau ʻē aʻe.

ʻElua ʻano lāʻau lapaʻau no ka mumū o ka umauma:

• Nā Antacids: Hoʻopau nā Antacids (e like me Tums® a me Rolaids®) i ka waikawa i loko o kou ʻōpū. ʻO ke ʻano kēia, inā paha e komo ka waikawa i loko o kou puʻu, ʻaʻole ia e hōʻeha i kou esophagus. I kekahi manawa hiki iā lākou ke loaʻa nā mea ʻē aʻe e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona. No ka laʻana, hiki i ka Simethicone ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha o ka ʻōpū, a hiki i ka Magnesium ke kōkua i ka hōʻoluʻolu ʻana i ka constipation. He maikaʻi nā Antacids no ka heartburn i kekahi manawa. Eia nō naʻe, hiki iā lākou ke loaʻa nā hopena ʻaoʻao inā lawe mau ʻia.
• ʻAlginates: He kō kūlohelohe nā Alginates i loaʻa i loko o ka limu. Lana lākou ma luna o ka waikawa a hana i kahi pale kino ma waena o ka waikawa a me ka esophagus, e kōkua ana i ka pale ʻana iā ia mai ka hoʻi ʻana i luna i loko o ka puʻu. Inā ʻaʻole hiki iā ʻoe ke lawe i nā antacids ma muli o kekahi kūlana ʻē aʻe, hiki iā ʻoe ke lawe wale i nā alginates. ʻOkoʻa, aia nā lāʻau lapaʻau e loaʻa ana nā alginates me nā antacids e hoʻonui i ko lākou hopena.
• Nā mea kū'ē i ka mea loaʻa histamine (nā mea pale H2):Hana kēia mau lāʻau lapaʻau ma ke kāohi ʻana i nā histamine kemika e hōʻailona ana i ke kino e hana i ka waikawa. Loaʻa kekahi mau mea pale H2 ma ke kūʻai aku ma luna o ke kauka, aʻo kekahi he kauka wale nō. ʻOiai hiki ke lawe pinepine ʻia ma mua o nā antacids, ʻaʻole lākou e hana mau i ka wā lōʻihi. Inā maʻa kou kino iā lākou, hiki iā lākou ke lilo i mea emi ka maikaʻi.
• Nā Mea Hoʻopale Pump Proton (PPI): He ʻano lāʻau pale waikawa ikaika kēia. Kōkua pū lākou i ka ho'ōla ʻana o nā ʻiʻo. Inā koʻikoʻi kou ʻāʻī, a inā he mau hōʻailona o ka hōʻino ʻia o nā ʻiʻo i loko o kou esophagus, hiki i kāu kauka ke kuhikuhi i kēia mau mea ma ke ʻano he lāʻau lapaʻau mua. He 90% ka maikaʻi o lākou i ka hōʻemi ʻana i ka reflux acid. Inā loaʻa iā ʻoe nā ʻeha esophageal, ʻo lākou wale nō ka lāʻau e kōkua iā lākou e ho'ōla.

Nā lāʻau ʻē aʻe no ka sinusitis:

• Inā loaʻa kahi maʻi, lawe i nā lāʻau antibiotic a i ʻole antivirals.
• E mālama i ka mumū ponoʻī me nā `(Topical Steroids)` a i ʻole `(Dupilumab)`.
• Nā neuromodulators haʻahaʻa haʻahaʻa a me nā hoʻoponopono kōkua no ka maʻi pneumonia ikaika.
• Inā ʻo ka hernia hiatal ke kumu o kou ʻeha umauma, pono ke ʻoki ʻana e hoʻoponopono iā ia (ʻoki hoʻoponopono hernia).

No GERD i pane ʻole i ka lāʻau lapaʻau - a i ʻole ma ke ʻano he koho ʻē aʻe i ka lāʻau lapaʻau lōʻihi - hiki i kāu kauka ke kuhikuhi i kahi kaʻina hana e like me kēia:

• Nissen Fundoplication: He hana ʻoki liʻiliʻi kēia e hoʻopaʻa ai i ka hakahaka ma waena o ka ʻōpū a me ka esophagus. He mea kūpono loa ia i ka mālama ʻana i ka GERD a me kāna mau hōʻailona.
• ʻO ka `Transoral Incisionless Fundoplication`: ʻO kēia ke ʻano hana like i ʻōlelo ʻia ma luna me ke ʻoki ʻole ʻana, akā ma o ka `endoscope`.
• `Hana LINX`: He ʻoki kino liʻiliʻi kēia. Ma kēia, ua kau ʻia kahi `Hana LINX`, he apo magnetic liʻiliʻi, ma ka hui ʻana ma waena o ka ʻōpū a me ka esophagus. Kōkua kēia i ka pale ʻana i ka waikawa mai ka piʻi ʻana i loko o ka puʻu.

E ho'ōla anei ka mālama ʻana i ka maʻi umauma?

He maʻi hiki ke mālama ʻia ka ʻāʻī. ʻO ka mea maikaʻi loa, hiki iā ʻoe ke hoʻokele iā ia ma ka hana ʻana i kekahi mau hoʻololi liʻiliʻi i kāu meaʻai a me kou nohona, a me ka mālama ʻana i nā antacids no ka hoʻohana ʻana i kekahi manawa. Inā pono ʻoe, hiki i nā lāʻau lapaʻau lōʻihi ke lilo i mea maikaʻi loa i ka kaohi ʻana i ka reflux acid. Hiki ke paʻakikī iki ka hoʻokele ʻana i nā maʻi hana. Eia nō naʻe, me ka hoʻoikaika mau a me ka hui pū ʻana o nā lāʻau lapaʻau, hiki iā lākou ke hoʻomaikaʻi i ka hala ʻana o ka manawa.

He aha nā hoʻololi o ke ʻano o ka nohona e hiki ai iā mākou ke hana e kāohi i ka mumū?

No ke kōkua ʻana i ka pale ʻana i ka reflux acid, e hoʻāʻo i kēia mau mea:

• E ʻai i kekahi mau meaʻai liʻiliʻi i ka lā. Ke emi kāu mea e ʻeli ai i ka manawa hoʻokahi, e emi ana hoʻi ka nui o ka waikawa e hana ai kou ʻōpū.
• E hoʻokuʻu i kou kāʻei. Hiki i ke kaomi ʻōpū ke kōkua i ka reflux acid. Hiki i ka hōʻemi kaumaha ke kōkua.
• Mai moe ma hope o ka ʻai ʻana i ka ʻai piha. E kali ma ka liʻiliʻi he ʻekolu a ʻelima mau hola ma mua o ka moe ʻana.
• E hiamoe ma kou ʻaoʻao hema. Hoʻokomo kēia i kou Lower Esophageal Sphincter ma luna o nā mea o loko o kou ʻōpū, e like me ka ʻeke ea. Ke hiamoe ʻoe ma kou ʻaoʻao a i ʻole ka ʻaoʻao ʻākau, e komo ana kēlā valve i loko o nā mea o loko.
• E pale i nā meaʻai hoʻonāukiuki. E makaʻala i nā meaʻai e hoʻonui ai i ka ʻeha o kou umauma.
• E hoʻōki i ka puhipaka. ʻO ka ʻeha o ka umauma kekahi o nā kumu e hoʻōki ai i ka puhipaka. Hiki i kāu kauka ke kōkua iā ʻoe me kēia.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i ke kauka ma nā hihia aʻe:

• Inā loaʻa iā ʻoe ka ʻeha o ka umauma ma ka liʻiliʻi hoʻokahi manawa i ka pule.
• Inā loaʻa iā ʻoe nā hōʻailona atypical.
• Inā pilikia ʻoe i ka ale ʻana a ʻaʻole hiki iā ʻoe ke loaʻa nā calorie lawa.
• Inā ʻoe ma luna o 60 mau makahiki.
• Inā loaʻa iā ʻoe ka ʻeha o ka umauma e like me ka "Angina" (paʻa, ʻūmiʻi).
• Inā ʻaʻole hāʻawi kāu lāʻau i ka hōʻoluʻolu.

ʻO ka mea hope loa, pono wau e ʻōlelo ...

He mea maʻamau ka ʻeha ʻāʻī i kekahi manawa. Hiki i ka hapa nui o ka poʻe ke hoʻokele iā lākou me kekahi mau hoʻololi maʻalahi. Eia nō naʻe, inā loaʻa mau iā ʻoe, pono paha ʻoe i ke kōkua lapaʻau. Mai hoʻowahāwahā i ka ʻeha ʻāʻī mau loa. ʻO ka manaʻo ʻana i ka ʻeha i kou ʻāʻī, ʻo ia hoʻi ke hōʻino ʻia nei. Hiki i kēia ke hana i ka pōʻino maoli i ka hala ʻana o ka manawa. Eia kekahi, hiki i ka ʻeha ʻāʻī mau loa ke hōʻailona he mau pilikia ʻē aʻe e pono ai ka mālama ʻana. No laila, e kamaʻilio me ke kauka e pili ana i ka ʻeha ʻāʻī mau loa.

ʻĀʻī puʻuwai, GERD, Reflux ʻakika, ʻōpū, ʻōpū, pehu umauma