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He aha ka Hiatal Hernia?
I ka ʻōlelo maʻalahi, ʻo ka hernia hiatal ka wā e paʻi ai ka ʻaoʻao o luna o kou ʻōpū ma kahi lua liʻiliʻi ma ka diaphragm, ka ʻiʻo e hoʻokaʻawale i kou umauma mai kou ʻōpū. E noʻonoʻo iā ia e like me ka paia. He lua liʻiliʻi kēia paia (esophageal hiatus) kahi e pili ai kou esophagus i kou ʻōpū. I kekahi manawa, ke nui iki kēia lua, e paʻi kekahi hapa o kou ʻōpū. ʻO ia ka mea a mākou e kapa nei he hernia hiatal. ʻO ke ʻano o ka huaʻōlelo hernia , ʻo ia hoʻi, e paʻi ana kahi ʻōkana a i ʻole ka ʻiʻo ma kahi nāwaliwali i loko o ka pale ʻiʻo a puni ia, ma mua o kahi maʻamau. He mea maʻamau nā Hernias, a he nui ka poʻe e ʻike i kēia hernia hiatal. Hoʻomohala mālie kēia i nā makahiki he nui. ʻAʻole ia he mea e loli koke.He aha nā ʻano o ka hiatal hernia?
ʻElua ʻano nui o nā hernia hiatal: ka hernia hiatal paheʻe a me ka hernia hiatal paraesophageal . Loaʻa i ka hapa nui o ka poʻe kēia ʻano paheʻe.- ʻAno 1: Hernia Hiatal Paheʻe
- ʻAno 2: Paraesophageal Hiatal Hernia - Kāhea ʻia hoʻi ʻo Rolling Hiatal Hernia.
- ʻAno 3: Hernia i hui pū ʻia
- ʻAno 4: Hernia paʻakikī
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Check Availability →Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo Hiatal Hernia?
ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo, ʻoiai ke ʻelemakule ʻoe. Ma kahi ʻāina e like me ʻAmelika, hoʻopilikia ia ma kahi o 20% o ka heluna kanaka. Ua ʻōlelo ʻia i ka hiki ʻana i 50 makahiki, e loaʻa i 50% kēia maʻi, i ka hiki ʻana i 60 makahiki, 60%, a i ka hiki ʻana i 70 makahiki, e loaʻa i 70% kēia maʻi. He mea maʻamau nō hoʻi kēia maʻi ma Sri Lanka.He aha nā hōʻailona o ka hiatal hernia?
I ke ʻano o ka hernia hiatal paheʻe, kahi i loaʻa i ka nui o ka poʻe, ʻaʻole paha ʻoe e ʻike i ka hernia. ʻAʻole ia e ʻike ʻia he puʻupuʻu ma waho e like me nā ʻano hernia ʻē aʻe.ʻAʻole hōʻike ka nui o ka poʻe me ka hernia hiatal i kekahi mau hōʻailona. Eia nō naʻe, ʻo ka hapa nui o ka poʻe i loaʻa nā hōʻailona he mau hōʻailona e pili ana i ka maʻi reflux acid lōʻihi (Gastroesophageal Reflux Disease - GERD ) .ʻo lākou:
- ʻĀhaʻi puʻuwai : He ʻano wela i loko o ka umauma, ʻoi aku hoʻi ma hope o ka ʻai ʻana.
- ʻEha umauma ʻaʻole puʻuwai : ʻEha umauma e hana hou ʻia ana , e like me ka angina , akā ʻaʻole pili i ka puʻuwai .
- ʻAʻai ʻole: He manaʻo o ka piha ma hope o ka ʻai ʻana i kahi meaʻai liʻiliʻi, me ka ʻeha ma ka ʻōpū.
- ʻŌhū a me ka luaʻi ʻana: ʻO ke luaʻi ʻana o ka meaʻai, ka ea, a me ka waikawa i loko o ka puʻu.
- Ka paʻakikī i ka ale ʻana a i ʻole kahi puʻu i loko o kou puʻu.
- ʻEha ka ʻāʻī a me ka leo palahalaha: Hiki i ka waikawa i loko o ka ʻāʻī ke hoʻoulu i ka ʻeha o ka ʻāʻī a hoʻololi i ka leo.
- Nausea: Hiki ke hana ʻia ka Nausea e ke kaomi o ka ʻōpū, ka reflux acid, a i ʻole nā mea ʻelua.
- Pōkole o ka hanu:Inā hoʻopili ka hernia i nā māmā, he mea paʻakikī paha ke hanu.
- Kaomi a ʻeha paha ma ka ʻōpū o luna a i ʻole ka umauma o lalo.
He aha ke ʻano o ka ʻeha o ka hiatal hernia?
ʻO ka hernia hiatal kahi e hui ai kou ʻōpū a me kou umauma. No laila, inā loaʻa iā ʻoe ka ʻeha mai kahi hernia, hiki ke manaʻo ʻia e like me ka ʻeha o ka umauma a i ʻole ka ʻeha o ka ʻōpū. Hiki ke loaʻa ka ʻeha ke hana ʻoe i kekahi mau mea a i ʻole ke kūlana ʻoe e kaomi ana a ʻūmiʻi paha ka hernia. No ka laʻana, inā loaʻa iā ʻoe kahi hernia nui, hiki iā ʻoe ke ʻeha ke kūlou ʻoe i mua, ʻū, a hāpai paha i kahi mea. Hiki i ka ʻeha ke hōʻailona he hewa kekahi mea. Akā i ka hapa nui o ka manawa, ʻo ka ʻeha mai kahi hernia hiatal ʻaʻole ia mai ka hernia ponoʻī, akā mai ka reflux acid. Hoʻonāukiuki ka waikawa i kou esophagus. No ka mea, holo kēia esophagus mai waenakonu o kou umauma a i kou puʻu, hiki i ka ʻeha ke manaʻo e like me ka mea e pālahalaha ana i luna, i lalo, a i ʻole ma kou umauma holoʻokoʻa. Manaʻo ka hapa nui o ka poʻe e like me ka ʻeha wela. Manaʻo paha kekahi poʻe e like me ka hōʻeha puʻuwai. Inā he kānalua kāu, a inā ʻike ʻoe i ka ʻeha o ka umauma, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā.Pehea e komo ai ka waikawa i loko o ka puʻu ma muli o ka hernia?
E noʻonoʻo, kahi e pili ai ko kākou esophagus i ko kākou ʻōpū (gastroesophageal junction). ʻO ia kahi e hele ai ka diaphragm, a ʻo nā ʻiʻo e kōkua maʻamau i ka pale ʻana i ka waikawa mai ka piʻi ʻana i loko o ka puʻu e ʻūlū. Ke ʻūlū kēia mau ʻiʻo a ʻaʻole hiki ke pani pono i ka esophagus, hoʻomaka ka waikawa i loko o ka ʻōpū e hoʻi hou i luna i loko o ka esophagus. Eia kekahi, ma muli o ka hernia, ua paʻa kekahi o ka waikawa ma ka ʻaoʻao o luna o ka ʻōpū, a ʻaʻole ia e iho maʻalahi. ʻO kēia wale nō ka mea e hana ʻia.He aha nā kumu o ka hiatal hernia?
Hiki ke ulu ka hernia ke loaʻa kahi nāwaliwali i loko o nā ʻiʻo e hoʻokaʻawale ana i nā ʻāpana like ʻole o ko kākou kino. ʻO ia wahi nāwaliwali kahi e puka mai ai ka hernia. Hiki mai kahi hernia hiatal, e like me ka mea i ʻōlelo ʻia ma mua, ke nui loa ka lua i loko o ka diaphragm i kapa ʻia ʻo ka esophageal hiatus. I kekahi manawa hiki ke loaʻa kēia nāwaliwali ma muli o kahi ulia kūikawā, ʻoki kino, a i ʻole kahi kīnā hānau. Akā ʻo ka hapa pinepine, ua hana ʻia ia e nā makahiki o ke kaumaha a me ke kaumaha i kēlā me kēia lā i hōʻiliʻili ʻia i ka hala ʻana o ka manawa. ʻO nā mea āpau e hana ai i ke kaomi keu i loko o kou lua ʻōpū hiki ke kau i ke kaomi ma luna o ka diaphragm i ka hala ʻana o ka manawa. Eia kekahi o nā kumu nui e hiki ai ke hana i kahi hernia hiatal:- ʻO ke kunu lōʻihi a i ʻole ke kihe ʻana: E noʻonoʻo e pili ana i ia mea, loaʻa i kekahi poʻe ka kuni mau. Ke kuni a kihe mau ʻoe, piʻi aʻe ke kaomi i loko o kou ʻōpū.
- Paʻa ʻōpū: Ua ʻike ka poʻe e ʻeha nei i ka paʻa ʻōpū i kēia.
- Momona: Inā ʻoi aku ka nui o ka helu o ke kino (BMI) ma mua o 30.
- Ka luaʻi pinepine ʻana.
- Hoʻoikaika kino nui a hāpai kaumaha paha: Ke hāpai nei i nā mea kaumaha, e like me ka hale hoʻoikaika kino.
- Hāpai a me ka hānau keiki ʻana: Piʻi pū ke kaomi o ka ʻōpū i kēia mau manawa.
He maʻi koʻikoʻi anei kēia Hiatal Hernia?
ʻO ka hapa nui o ka manawa, ʻaʻole. ʻAʻole koʻikoʻi ka hapa nui o nā hernia hiatal. ʻAʻole hōʻike ka hapa nui i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike he hernia kou. Eia nō naʻe, hiki i kahi hernia nui ke lilo i mea koʻikoʻi i ka hala ʻana o ka manawa. Inā nui ia, e loaʻa pinepine iā ʻoe nā hōʻailona.He aha nā pilikia e hiki mai ana?
ʻO ka pilikia maʻamau i hoʻokumu ʻia e ka hernia hiatal ʻo ia ka reflux acid mau loa. Inā he koʻikoʻi kēia a ʻaʻole i kāohi pono ʻia me ka lāʻau lapaʻau, hiki iā ia ke hōʻino i kou esophagus. ʻO nā pilikia mai ka reflux acid mau loa:- ʻEsophagitis: ʻO ka reflux waikawa i loko o ka esophagus ke kumu o ka pehu ʻana o ka uhi o ka esophagus a lilo i mumū. Hiki i kēia ke hana i ka ʻeha, ka paʻakikī i ka moni ʻana, nā ʻōpū, a me ke kahe ʻana o ke koko.
- ʻO ke koʻikoʻi o ka esophagus: ʻO ka hoʻomau ʻana o ka ʻeha hiki ke hana i nā ʻiʻo ʻeha i loko o ka esophagus. Hiki i kēia ʻeha ke hoʻopilikia i nā ʻiʻo e hana ana i ka wā e moni ai, e hoʻohāiki ai i ka esophagus.
- ʻO ka esophagus o Barrett: ʻO ka hōʻeha mau ʻana i kekahi manawa hiki ke hana i nā loli i ka uhi o ka esophagus (kahi kūlana i kapa ʻia ʻo "Barrett's esophagus." ʻOiai ʻaʻole kēia he mea ʻino, ua manaʻo ʻia he kūlana precancerous .
- Ka pale ʻana o ka ʻōpū: Hiki i kou ʻōpū a i ʻole kekahi ʻōpena ke paʻa, ʻū ʻia, a wili ʻia paha i loko o ka puka, e ālai ana i kāu ʻōnaehana hoʻoheheʻe.
- ʻO Gastritis: ʻO ka reflux acid i loko o ka ʻāpana herniated o ka ʻōpū e hiki ke hoʻoulu i ka pehu ʻana, ka ʻōpū o ka ʻōpū, a me ke kahe ʻana o loko.
- Ischemia: Inā ua ʻūmiʻi nui ʻia ka hernia, hiki ke ʻoki ʻia ke kahe koko i laila. Hiki i kēia ke hana i ka pehu ʻana, ka ʻeha, a me ka make ʻana o nā ʻiʻo. He pilikia kēia.
Pehea e ʻike ʻia ai ka hiatal hernia?
Hoʻomaopopo nā kauka i kahi hernia hiatal ma ka nānā ʻana i nā kiʻi o kou esophagus a me kou ʻōpū. I kekahi manawa ʻike ʻia ia ma ke ʻano ulia pōpilikia i ka wā e ʻimi ana i kahi mea ʻē aʻe. Eia nō naʻe, makemake paha ke kauka e ʻimi iā ia inā loaʻa iā ʻoe nā hōʻailona o ka reflux acid. ʻO ka mea mua, e hana lākou i kahi hoʻāʻo pH esophageal e nānā i ka waikawa i loko o kou esophagus.Inā he waikawa kēlā, e hana ʻia nā hoʻokolohua kiʻi e ʻike ai i ke kumu. ʻO nā hoʻokolohua e hiki ai ke ʻike i kahi hernia hiatal:- X-ray o ka umauma: Lawe kēia i nā kiʻi ʻeleʻele a keʻokeʻo o loko o kou umauma, kahi i loaʻa ai ka trachea.
- ʻEsophagram / Barium Swallow: Ua like kēia me ke wikiō o kou esophagus. Hiki iā ʻoe ke ʻike i loko o kou esophagus i ka manawa maoli i kou moni ʻana. Ma mua o kēia, e hāʻawi ʻia ʻoe i kahi wai i kapa ʻia ʻo barium e inu.
- ʻO ka endoscopy luna: Hoʻokomo ʻia kahi ʻōmole lōʻihi me kahi kāmela liʻiliʻi i hoʻopili ʻia ma o ka waha e nānā i loko o ka esophagus a me ka ʻōpū. Hiki iā ʻoe ke ʻike i loko o ka esophagus ma kahi pale ola. Inā pono, hiki ke lawe ʻia nā ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.
- Manometry Esophageal: Hoʻokomo ʻia kahi catheter i loko o ka esophagus e ana i ke kaomi i loko o nā ʻiʻo o ka esophagus.
E nalo aku anei kēia hernia ma kāna iho?
ʻAʻole. ʻAʻole e hoʻomaikaʻi wale ʻia nā hernias. Hoʻomaikaʻi pinepine lākou i ka hala ʻana o ka manawa. Eia naʻe, ʻaʻole ia he manaʻo ʻaʻole e hoʻopilikia kāu hernia iā ʻoe. Inā ʻaʻohe ou hōʻailona mai kāu hernia hiatal, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau. Akā inā loaʻa iā ʻoe nā hōʻailona, hiki iā lākou ke hoʻomau a ʻoi aku ka ʻino. Hiki ke mālama ʻia ka reflux acid liʻiliʻi me ka lāʻau lapaʻau. Akā ʻo nā hihia koʻikoʻi e pono ai ka hoʻoponopono ʻoki kino.He aha nā lāʻau lapaʻau e hana ʻia no ka hiatal hernia?
E nānā pono kāu kauka i ke ʻano o kou hernia, ka nui o kou hernia, a me kāu mau hōʻailona e hoʻoholo ai i ke koho lapaʻau lōʻihi maikaʻi loa nāu. ʻO nā koho i loaʻa:- E kali a nānā: Inā ʻaʻole e hoʻopilikia ana kāu hernia iā ʻoe, ʻaʻole paha e pono ka lāʻau lapaʻau. Akā e nānā pono kāu kauka iā ia, no ka mea, hiki ke nui aʻe i ka hala ʻana o ka manawa.
- E hoʻohana i nā lāʻau lapaʻau: ʻAʻole hiki i nā lāʻau lapaʻau ke pale loa i ka waikawa mai ka piʻi ʻana i loko o ka puʻu. Akā hiki iā lākou ke hōʻemi i ka nui o ka waikawa i loko o ka ʻōpū. A laila, inā piʻi ia i loko o ka puʻu, e hōʻemi ia i ka pōʻino a hōʻemi i ka ʻeha.
- ʻOki kino: Hiki i kahi ʻoki kino liʻiliʻi ke hoʻoponopono i kāu hernia hiatal. He koho ke ʻoki kino no nā mea āpau, akā ʻaʻole pono nā mea āpau. Pono paha kekahi poʻe ma mua o ka manawa, aʻo kekahi poʻe e pono ma hope.
Nā lāʻau lapaʻau
Inā loaʻa iā ʻoe ka ʻeha puʻuwai i kekahi manawa, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me nā antacids i kūʻai ʻia ma luna o ke kauka (e like me Digene, Gelusil). Eia nō naʻe, inā hoʻomau ia, hiki i kāu kauka ke kuhikuhi i kahi lāʻau lapaʻau lōʻihi i kēlā me kēia lā. ʻO ka maʻamau, hoʻokomo pū kēia me nā mea hoʻopaʻa proton pump (PPIs).(e.g. Omeprazole, Esomeprazole, Pantoprazole) i kuhikuhi ʻia. Hiki i kēia mau mea ke kōkua i ka pale ʻana i ka hōʻino ʻana o ka waikawa i ka esophagus a ho'ōla i nā wahi i hōʻino ʻia. Eia naʻe, ʻaʻole hiki i kēia mau lāʻau lapaʻau ke pale i ka meaʻai mai ka hoʻi ʻana mai i loko o ka puʻu (regurgitation) a i ʻole ke pale i ka hernia mai ka nui ʻana.ʻoki kino
Hoʻomaopopo nā kauka i ke ʻoki ʻana i ka hernia i nā hihia e like me kēia:- Inā ʻaʻole hiki ke pale ʻia nā hōʻailona a i ʻole nā pilikia i hoʻokumu ʻia e kou hernia me ka lāʻau lapaʻau.
- Inā hoʻoulu nā lāʻau lapaʻau i nā hopena ʻaoʻao e hoʻopilikia i kou olakino a i ʻole ke ʻano o ke ola.
- Inā nui kou hernia e hoʻoulu i nā pilikia nui i ka wā e hiki mai ana.
- Ua hoʻihoʻi ʻia kou ʻōpū a me ka esophagus haʻahaʻa i ko lākou kūlana kūpono ma lalo o ka diaphragm.
- Ua pani ʻia ka lua ma ka diaphragm kahi i loaʻa ai ka hernia.
- Hoʻopaʻa ʻia ka pilina ma waena o ka ʻōpū a me ka esophagus.
Pehea ka ho'ōla hou ʻana ma hope o ke ʻoki kino?
Ma muli o kou kūlana a me ke ʻano o ke ʻoki ʻana, pono paha ʻoe e noho i ka haukapila no hoʻokahi a ʻelua paha lā. ʻOi aku ka wikiwiki a me ka maʻalahi o ka hoʻōla ʻana mai ka laparoscopic a i ʻole ke ʻoki robotic . ʻO kēia no ka mea hana ʻia ia ma o nā ʻoki liʻiliʻi, ma mua o nā ʻoki nui e like me ke ʻoki hāmama. Eia nō naʻe, i kekahi manawa pono ke ʻoki hāmama. ʻOiai ma hope o kou hoʻi ʻana i ka home, pono ʻoe e hoʻōla no ʻelua a ʻeono pule hou aʻe. I loko o kēia manawa, ʻaʻole paha ʻoe e hiki ke ʻai maʻamau ma muli o nā hōʻailona manawa pōkole a me nā hopena ʻaoʻao i ka wā e hoʻōla ai kāu ʻoki. E kuhikuhi kāu kauka i kahi papaʻai palena loa. E hoʻomaka ʻoe me nā wai, e neʻe mālie ana i nā meaʻai palupalu, a ma hope i nā meaʻai paʻa. He mea maʻamau ka emi ʻana o ke kaumaha ma hope o ke ʻoki hernia hiatal - ma kahi o 10-15 paona (4.5-6.8 kilokani).Pehea ka holomua o ke ʻoki ʻana o ka hiatal hernia?
Ua 90% ka holomua o ke ʻoki ʻana o ka hernia hiatal.Hiki i ka hapa nui o ka poʻe ke hoʻōki i ka lawe ʻana i kā lākou mau lāʻau lapaʻau ma hope o ke ʻoki ʻana a ola i kahi ola maʻamau me ka ʻole o ka pilikia o ka reflux acid. Ma hope o ka hoʻōla ʻana, pono ʻoe e ʻike i kāu kauka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i ka hernia i hoʻoponopono ʻia a e hōʻoia i ka hana pono ʻana o nā mea āpau. Inā loaʻa kekahi mau pilikia hou a inā hoʻi mai nā pilikia kahiko, e nānā kāu kauka i kēlā mau mea. Ua hōʻike ʻia nā haʻawina lōʻihi e pili ana i ka 50% o nā hernia hiatal e hoʻi hou ma hope o kekahi manawa (ʻo ka maʻamau he mau makahiki) ma hope o ke ʻoki ʻana. Hiki paha kēia no ka mea ʻaʻole i hana pono ʻia kekahi ʻāpana o ke ʻoki ʻana, a no ka mea ua hana mau nā mea i hoʻokumu i ka hernia mua a ua hoʻokumu i kahi mea hou. Eia naʻe, ʻaʻole nā hernias āpau e hoʻi hou mai e loaʻa nā hōʻailona like. Eia naʻe, inā hana lākou, hiki i kahi ʻoki hou ke hoʻoponopono mau iā lākou.He aha kaʻu e hana ai ma ka home no koʻu hernia hiatal?
Inā ʻoe e noho ana me kahi hernia hiatal e hoʻoulu ai i nā hōʻailona manawa ʻole, hiki iā ʻoe ke hoʻāʻo e ʻimi i ka hōʻoluʻolu ma ka home me nā lāʻau lapaʻau ma luna o ke kauka a me nā hoʻololi ʻana i ke ʻano o ka nohona. ʻO nā antacids - e like me Tums®, Rolaids®, Pepto-Bismol® (loaʻa nā lāʻau like ma Sri Lanka, e nīnau i kāu kauka a kauka lāʻau paha) - hiki ke kōkua i ka kaohi ʻana i ka heartburn i kekahi manawa, akā ʻaʻole lākou i ʻōlelo ʻia no ka hoʻohana mau ʻana. Hiki iā ʻoe ke hōʻemi i ka alapine a me ke koʻikoʻi o ka heartburn me kekahi mau hoʻololi ʻana i ke ʻano o ka nohona. Eia kekahi laʻana:- E mālama i kahi helu helu kino olakino (BMI) nou: Inā ʻo ka momona ke kumu o nā pilikia waikawa, hiki i ka pohō kaumaha ke kōkua.
- E ʻai i nā meaʻai liʻiliʻi: Ma kahi o ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi, e ʻai i nā meaʻai liʻiliʻi. E hōʻemi kēia i ke kaomi ma kou ʻōpū.
- E hōʻemi i nā meaʻai ʻaila: ʻO nā meaʻai kiʻekiʻe i ka ʻaila a me ka momona e hoʻoulu ai i ka ʻōpū e hana i ka waikawa a me nā enzymes.
- E ʻai i ka ʻaina ahiahi i kakahiaka nui: Mai moe i lalo no kekahi mau hola ma hope o ka ʻai ʻana. A laila e kōkua ka umekaumaha iā ʻoe.
- E hoʻololi i kou kūlana hiamoe: ʻO ka hiamoe ʻana me kou poʻo i hoʻokiʻekiʻe iki ʻia i ka pō a me ka hiamoe ʻana ma kou ʻaoʻao hema e hiki ke kōkua i ka pale ʻana i ka waikawa mai ka piʻi ʻana i loko o kou puʻu. Aia nā uluna kino i hana kūikawā ʻia no kēia.
- E hoʻōki i ka puhipaka: Hoʻonāwaliwali ka puhipaka i kou sphincter esophageal haʻahaʻa. Hiki iā ia ke hana i kahi ʻū mau, kahi e kau ai i ke kaomi ma luna o nā ʻiʻo a puni ka hernia hiatal.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
ʻAʻohe mea e makaʻu ai i ka hernia hiatal. Nui ka poʻe i loaʻa iā ia a ʻaʻole hōʻike i kekahi mau hōʻailona.Eia nō naʻe, inā hoʻomau ʻoe i ka loaʻa ʻana o nā hōʻailona e like me ka ʻeha o ka umauma, ka meaʻai e piʻi mai ana i loko o kou puʻu, a i ʻole ka paʻakikī i ka moni ʻana, pono ʻoe e ʻimi i ke aʻo lapaʻau. No ka mea, he mea nui e ʻike pono inā he hiatal hernia a i ʻole kekahi mea ʻē aʻe ke kumu a loaʻa ka lāʻau e pono ai.Hiki ke mālama maikaʻi ʻia kēia kūlana me nā loli o ke ʻano o ka nohona a i kekahi manawa nā lāʻau lapaʻau. ʻOiai inā pono ke ʻoki ʻana, ua hana ʻia i kēia manawa me nā ʻenehana holomua loa a loaʻa nā hopena holomua. No laila, mai hopohopo. E kamaʻilio me kāu kauka a loaʻa ka hopena maikaʻi loa nāu. Hiatal hernia, heartburn, acid reflux, GERD, ʻōpū, esophagus, ʻoki hernia
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