Loaʻa iā ʻoe ke ʻeha puʻuwai ma hope o ka ʻai ʻana? ʻAʻole maopopo iaʻu inā he GERD (Gastroesophageal Reflux Disease)!

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i loaʻa i nā poʻe he nui, akā ʻaʻole nānā nui kekahi i ia mea, akā he mea ia e pono ai ka nānā iki ʻana. Ua loaʻa anei iā ʻoe kahi ʻeha wela i loko o kou umauma ma hope o ka ʻai ʻana, kahi ʻono ʻawaʻawa i loko o kou puʻu, a i ʻole i ka wā e ʻai ai ʻoe? Manaʻo kekahi poʻe he mea maʻamau kēia, akā inā hana pinepine ia a hoʻopilikia i kāu mau hana o kēlā me kēia lā, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo 'GERD (Gastroesophageal Reflux Disease).' E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku, i hiki iā ʻoe ke hoʻomaopopo maikaʻi i kēia.

He aha ka maʻalahi o ka GERD (Gastroesophageal Reflux Disease)?

I ka ʻōlelo maʻalahi, ʻo GERD ka wā e kahe hou ai ka waikawa i loko o ko kākou ʻōpū, ʻo ia hoʻi ka wai e kōkua ai i ka ʻeli ʻana i ka meaʻai, ʻo ia hoʻi, i loko o ka esophagus (paipu meaʻai), i ka puʻu. I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻĀ, hana pū kēlā iaʻu, me he mea lā e hoʻi hou mai ana i loko o ko kākou puʻu ke ʻai mākou." ʻAe, ʻo ia ka mea a mākou e kapa aku nei he GER (Gastroesophageal Reflux) a i ʻole "reflux" wale nō. Ua loaʻa paha iā mākou kēia ʻike mai ka wā kamaliʻi mai. Eia nō naʻe, inā pinepine kēia ʻano GER, inā loaʻa iā ʻoe nā hōʻailona e like me ka heartburn a me ka regurgitation ma mua o ʻelua manawa i ka pule, a inā paha e hoʻopilikia iā ʻoe i nā pilikia ʻē aʻe, no ka laʻana, ka paʻakikī i ka moni ʻana, ka ʻū mau, ka pohō kaumaha, a i ʻole ka hōʻino ʻana i ka esophagus, a laila kapa mākou i kēia ʻano ʻo GERD (Gastroesophageal Reflux Disease). ʻO ia hoʻi, ʻo 'GERD' kahi ʻano e pono ai ka mālama a me ka mālama ʻana ma mua o ka ʻeha ʻāʻī. E noʻonoʻo, aia kahi ʻiʻo e like me ka puka ma waena o ko mākou ʻōpū a me ka esophagus. Kapa mākou i kēia 'LES (Lower Esophageal Sphincter)' a i ʻole ka sphincter esophageal haʻahaʻa. Wehe kēia puka i ka wā e moni ai kākou i ka meaʻai, a pani hou ia i ka wā e komo ai ka meaʻai i loko o ka ʻōpū. Pale kēia i ka meaʻai a me ka waikawa i loko o ka ʻōpū mai ka hoʻi ʻana mai i luna i loko o ka esophagus. Akā inā ʻaʻole pani pono kēia `LES`, a inā paha e wehe pinepine ʻia, a laila piʻi aʻe nā mea o loko o ka ʻōpū.

No ke aha e kū mai ai ʻo GERD? He aha nā kumu nui?

ʻAʻole hoʻokahi wale nō kumu o GERD, nui nā kumu e hiki ke kōkua i ia. E nānā kākou i nā kumu nui e kōkua ai i ia.

• Ka nāwaliwali o ka sphincter esophageal haʻahaʻa ( LES ): E like me kaʻu i ʻōlelo ai ma mua, hoʻomaka ka pilikia ke hana pono ʻole kēia ʻiʻo. Hiki i kekahi mau meaʻai, nā mea inu (e like me ke kofe , ke kī, ke kokoleka , ka waiʻona), ka puhipaka , a me kekahi mau lāʻau lapaʻau ke hoʻomaha i kēia ʻiʻo.
• Hiatal Hernia : ʻO kēia ka wā e piʻi ai ka ʻaoʻao o luna o ka ʻōpū i luna i loko o ka umauma. Hoʻonui kēia i ka pilikia o ka reflux acid.
• Momona(Kaumaha Loa/Momona): I ka piʻi ʻana o ke kaumaha o ke kino, piʻi aʻe ke kaomi i loko o ka lua ʻōpū. Hiki i kēia kaomi ke hoʻokuke i nā mea o loko o ka ʻōpū i luna.
• Hāpai keiki : Hiki i nā loli hormonal i ka wā hāpai ke hana i nā hōʻailona o GERD , hiki ke hoʻoulu i ke kaomi i loko o ka ʻōpū i ka wā e ulu ana ka pēpē. Hoʻomaha pinepine kēia ma hope o ka hānau ʻana o ka pēpē.
• Nā ʻano ʻai: ʻO ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi, ka moe ʻana ma hope o ka ʻai ʻana, a me ka ʻai ʻana kokoke i ka wā moe hiki ke hoʻonui i ka GERD.
• ʻO kekahi mau meaʻai a me nā mea inu: ʻO nā meaʻai momona kiʻekiʻe, nā meaʻai ʻala , nā tōmato, nā hua citrus (e like me nā ʻalani a me nā lime), ka mint, ke kokoleka, ke kofe, a me nā mea inu kalapona hiki ke hoʻonui i nā hōʻailona GERD i kekahi poʻe. Eia nō naʻe, ʻokoʻa kēia mai kēlā kanaka a kēia kanaka .
• Puhipaka: Hoʻonāwaliwali ka puhipaka i ka ʻiʻo LES a hōʻemi i ka hana ʻana o ka lawai, kahi e kōkua ai i ka hoʻopau ʻana i nā waikawa i loko o ka esophagus.
• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau hānō, nā lāʻau koko kiʻekiʻe, nā mea hoʻomaha ʻeha, nā lāʻau hiamoe, a me kekahi mau lāʻau antidepressant ke hoʻonui i nā hōʻailona GERD. Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau a manaʻo ʻoe ke kumu o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.

He aha nā hōʻailona o GERD?

Hiki ke ʻokoʻa iki nā hōʻailona o GERD mai kēlā kanaka a kēia kanaka. E nānā kākou i kekahi o nā hōʻailona maʻamau .

Nā hōʻailona maʻamau i nā pākeke

• ʻĀʻī: ʻO kēia ka hōʻailona nui i ʻike ʻia e ka hapa nui o ka poʻe. He ʻano wela ia e pālahalaha ana mai waenakonu o ka umauma a i ka ʻāʻī ma hope o ka ʻai ʻana, a i ʻole i ka wā e moe ana a kūlou paha. He mea nui e hoʻomanaʻo ʻaʻole kēia he pilikia puʻuwai , akā inā ʻeha koke kou umauma, he mea nui e ʻimi i ke kōkua lapaʻau.
• Regurgitation: ʻO ka hoʻi ʻana o ka meaʻai a i ʻole ka wai ʻawaʻawa mai ka ʻōpū i loko o ka puʻu a i ʻole ka waha.
• Paʻakikī i ka moni ʻana (Dysphagia): Hiki ke manaʻo e like me ka ʻū ʻana a i ʻole ka ʻeha i ka moni ʻana i ka meaʻai.
• Manaʻo Globus: He manaʻo o kahi puʻu ma ka puʻu , akā loaʻa wale ia me ka ʻole o ka meaʻai a me ka wai.

Loaʻa paha i kekahi poʻe kēia mau hōʻailona (nā hōʻailona atypical)

ʻOiai ʻaʻole maʻamau kēia mau mea, hiki ke hana ʻia e GERD:

• ʻŪhū maloʻo mau: He ʻūhū e ʻoi aku ka ʻino i ka pō a ʻaʻohe kumu ʻē aʻe.
• Laryngitis: Lilo ka ʻāʻī i ʻeha a loli ke leo.
• Asthma: Hiki i ka GERD ke hana i ka hānō hou a i ʻole e hoʻonui i ka hānō e kū nei.
• Ka luaʻi pinepine.
• Hanu ʻino.
• ʻEha ʻana o nā niho: ʻO ke komo ʻana o nā waikawa o ka ʻōpū i loko o ka waha hiki ke hōʻino i nā niho.
• Nā haunaele hiamoe: ʻO ka ʻeha o ka umauma a me ke kuʻi ʻana i ka pō e paʻakikī ai ka hiamoe maikaʻi.

He mea nui: Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka ʻeha e pālahalaha ana i kou ʻauwae a lima paha, hiki ke loaʻa iā ia ma muli o GERD, akā he mea nui e nānā i kahi maʻi ʻoi aku ka koʻikoʻi, e like me ka hāʻule ʻana o ka puʻuwai. No laila e ʻike koke i ke kauka.

He aha inā loaʻa i nā keiki ʻōpio a me nā pēpē ka GERD?

He mea maʻamau no nā pēpē ke loaʻa ka waiū i loko o ko lākou puʻu (GER). Akā inā lilo ia i GERD, e ʻike paha ʻoe i nā hōʻailona e like me kēia:

• Ka luaʻi pinepine ʻana a i ʻole ka regurgitation o ka nui o ka waiū.
• Uē lākou ke hāʻawi ʻia ka meaʻai iā lākou, ʻaʻole makemake e ʻai, a huhū.
• ʻAʻole e piʻi pono ke kaumaha o ke kino, a i kekahi manawa e emi ana ke kaumaha.
• Nā pilikia hanu e like me ke kuʻi ʻana a me ka wheezing.
• I ka wā e hānai ana a ma hope paha o ka hānai ʻana, kūlou lākou i ko lākou kino e like me ke kakaka.
• Uē mau wau me ke kumu ʻole.

Inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ke kipa ʻana i kahi pediatrician.

Pehea e ʻike ai nā kauka i ka GERD? (Diagnosis)

I ka hapanui o nā hihia, hiki i ke kauka ke koho inā he GERD kou ma ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana iā ʻoe.

• Ke nīnau nei e pili ana i nā hōʻailona: E nīnau ke kauka iā ʻoe e pili ana i nā hōʻailona āu i loaʻa ai, pehea ka lōʻihi o ko lākou noho ʻana, a i ka wā hea lākou i ʻoi loa ai ka ʻino.
• Nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau: I kekahi manawa e kuhikuhi paha kāu kauka i kekahi mau loli i ka meaʻai a hāʻawi iā ʻoe i kahi lāʻau lapaʻau GERD maʻalahi no kahi manawa pōkole e ʻike ai inā hoʻomaikaʻi kāu mau hōʻailona.
• Nā hoʻokolohua hou aʻe: Inā koʻikoʻi nā hōʻailona, ​​​​inā ʻaʻole hana ka lāʻau lapaʻau, a inā paha he mau pilikia ʻē aʻe, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me:
• ʻO ka Endoscopy Kiʻekiʻe: ʻO kēia ke komo ʻana i kahi ʻōmole liʻiliʻi, lahilahi, i lako me ke kāmela ma kou waha e nānā i kou esophagus, ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi. Hiki i kēia ke kōkua i ka nānā ʻana i ka hōʻino ʻia o kou esophagus a i ʻole nā ​​​​pilikia ʻē aʻe. Inā pono, hiki ke lawe ʻia kahi laʻana liʻiliʻi o ka ʻiʻo (he biopsy).
• Hoʻāʻo ʻia ka waikawa Ambulatory (pH): Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole lahilahi loa ma ka ihu i loko o ka esophagus a waiho ʻia ma kahi no 24 mau hola, e ana ana i ka pinepine a me ka lōʻihi o ke kahe ʻana o ka waikawa i loko o ka esophagus.
• Manometry Esophageal: Ke ana kēia i ke kaomi a me ka hana o ka LES a me nā ʻiʻo esophageal. He mea nui kēia no ka poʻe paʻakikī i ka moni ʻana.
• Hoʻāʻo ale ʻia ʻo Barium `(Ale ʻia ʻo Barium / Esophagram)`:I loko o kēia, inu ʻoe i kahi wai i kapa ʻia ʻo barium a lawe i nā kiʻi X-ray. Hiki i kēia ke hōʻike i ke ʻano o ka esophagus a me nā mea keakea. Eia naʻe, ʻaʻole hoʻohana nui ʻia e ʻike i ka GERD.

He aha nā lāʻau lapaʻau no GERD? He aha kā mākou e hana ai?

ʻEkolu mau ʻano nui no ka mālama ʻana iā GERD: nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i kekahi mau hihia koʻikoʻi, ke ʻoki kino.

1. Nā hoʻololi ʻana i ke ʻano o ka nohona (ʻo kēia nā hana mua a koʻikoʻi loa!)

ʻO ka hana ʻana i kēia mau mea ma mua a i ʻole me ka lāʻau lapaʻau e hiki ke kōkua nui i ka kaohi ʻana i nā hōʻailona GERD.

• Kaohi kaumaha: Inā ʻoe he momona loa, ʻo ka hoʻāʻo ʻana e hoʻemi i kahi kaumaha iki hiki ke hana i kahi ʻokoʻa nui.
• Ke pale ʻana i nā meaʻai hoʻonāukiuki: E ʻike i nā meaʻai āu e manaʻo nei e hoʻonui i kāu mau hōʻailona GERD (e like me nā meaʻai ʻala, nā meaʻai momona, kokoleka, kofe, nā hua citrus) a hōʻemi iā lākou i ka hiki. ʻAʻole i hoʻopilikia ʻia nā meaʻai a pau e nā meaʻai like, no laila pono ʻoe e ʻike i nā mea e hoʻopilikia iā ʻoe.
• Ke hoʻololi nei i nā ʻano ʻai:
• Ma kahi o ka ʻai nui ʻana i hoʻokahi pāʻina, e ʻai i kekahi mau pāʻina liʻiliʻi.
• Ma hope o ka ʻai ʻana, mai moe i lalo no 2-3 mau hola, e noho wale.
• E hoʻopau i ka ʻaina ahiahi ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana.
• Ke hiamoe ʻana me ke poʻo o ka moena i hoʻokiʻekiʻe ʻia: E hoʻokiʻekiʻe i ke poʻo o ka moena ma kahi o 6-8 ʻīniha. ʻOi aku ka maikaʻi o kēia ma ke kau ʻana i kahi mea e like me ka ʻāpana lāʻau ma lalo o nā wāwae o ka moena e hoʻokiʻekiʻe i ke poʻo o ka moena, ma mua o ka hoʻohana ʻana i nā uluna he nui.
• E pale i ka puhipaka: Inā ʻoe e puhipaka, ʻaʻole wale ka haʻalele ʻana he mea maikaʻi ia no GERD, akā no kou kino holoʻokoʻa.
• E pale i nā lole paʻa: E pale i ke komo ʻana i nā lole paʻa e ʻūmiʻi i kou ʻōpū.

2. Nā lāʻau lapaʻau i lawe ʻia ma ke aʻo ʻana a ke kauka

Inā ʻaʻole lawa nā hoʻololi ʻana i ke ʻano o ka nohona wale nō, hiki i kāu kauka ke kuhikuhi i kēia mau lāʻau lapaʻau. Mai hoʻomau i ka hoʻohana ʻana i kēia mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.

• Nā Antacids: Hāʻawi kēia i ka hōʻoluʻolu wikiwiki. Hoʻopau lākou i ka waikawa i loko o ka ʻōpū. Eia naʻe, ʻaʻole maikaʻi ka hoʻohana pinepine ʻana i kēia mau mea, no ka mea hiki iā lākou ke hana i nā hopena ʻaoʻao. (Laʻana: `Digene`, `Gelusil`).
• Nā Mea Pale i ka H2 Receptor: Hoʻemi kēia i ka hana ʻana o ka waikawa i loko o ka ʻōpū. No kēia māhele nā ​​​​lāʻau lapaʻau e like me Famotidine lāua ʻo Cimetidine.
• Nā Mea Hoʻōki i ka Pump Proton (PPI): ʻO kēia nā lāʻau hoʻēmi waikawa ikaika loa i loaʻa. ʻO nā laʻana e komo pū me Omeprazole, Esomeprazole, Lansoprazole, a me Pantoprazole. Hana kēia mau lāʻau ma ke kāohi ʻana i ka hana ʻakika i kahi nui. Eia nō naʻe, hiki iā lākou ke hana i kekahi mau hopena ʻaoʻao ke hoʻohana ʻia no ka manawa lōʻihi, no laila pono e hoʻohana wale ʻia ma lalo o ka nānā ʻana o ke kauka.

3. ʻO ke ʻoki kino i kekahi mau hihia

Hiki ke hoʻomalu pinepine ʻia ka GERD me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole holo pono kekahi o kēia mau mea, inā hoʻoulu nā lāʻau lapaʻau i nā hopena ʻino, a inā ua hoʻoulu ʻo GERD i nā pilikia koʻikoʻi (e like me ka esophagus ʻo Barrett), hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino.

• Fundoplication: ʻO kēia ke ʻoki maʻamau. Ma kēia, lawe ʻia ka ʻaoʻao o luna o ka ʻōpū a kāʻei ʻia a puni ka ʻaoʻao haʻahaʻa o ka esophagus e hoʻoikaika i ka LES. I kēia manawa hiki ke hana ʻia kēia ma ke ʻano laparoscopic (ma o nā ʻoki liʻiliʻi).
• Aia kekahi mau ʻano hana hou ʻē aʻe.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama pono ʻia ʻo GERD? (Nā pilikia)

ʻAʻole maikaʻi ka manaʻo wale ʻana he ʻeha puʻuwai wale nō ka GERD. Inā ʻaʻole mālama pono ʻia, i ka hala ʻana o ka manawa, hiki mai nā pilikia e like me:

• Esophagitis: Hiki i ka uhi o ka esophagus ke lilo i pehu a huhū ma muli o ka reflux acid pinepine. Hiki i kēia ke hōʻeha, ke kahe koko, a me ka paʻakikī i ka moni ʻana.
• ʻO ke koʻikoʻi o ka Esophageal: ʻO ka mumū lōʻihi e hiki ke hana i ka ʻili o ka esophagus, e paʻakikī ai ka hele ʻana o ka meaʻai.
• ʻO ka esophagus a Barrett: Ma kēia kūlana, loli nā pūnaewele ma ka ʻaoʻao haʻahaʻa o ka esophagus e like me nā pūnaewele i loko o ka ʻōpū. Ua manaʻo ʻia kēia he kūlana precancerous e hoʻonui ai i ka pilikia o ka maʻi kanesa . ʻO ka poʻe me kēia kūlana e piʻi aʻe ka pilikia o ka loaʻa ʻana o ka maʻi kanesa esophageal.
• Ka maʻi ʻaʻai esophageal: Hiki i ka poʻe me ka esophagus Barrett ke loaʻa i kēia maʻi ʻaʻai i ka hala ʻana o ka manawa. ʻAʻole nā ​​​​kānaka āpau me GERD e loaʻa iā ia, a he mea kakaikahi ia, akā aia kahi pilikia.
• Nā maʻi o ka ʻōnaehana hanu: Inā komo nā waikawa e piʻi mai ana i loko o ke ala hanu, hiki ke loaʻa nā kūlana e like me ke kuʻi pinepine ʻana, ka hanu ʻana, a me ka niumonia.

ʻO ia ke kumu he mea nui e ʻimi i ke kōkua lapaʻau me ka nānā ʻole ʻana i nā hōʻailona o GERD.

ʻO ka mea hope loa, nā mea e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)

He ʻano hoʻonāukiuki iki ka GERD i hiki ke lilo i mea koʻikoʻi inā ʻaʻole mālama ʻia. Akā ʻo ka nūhou maikaʻi, hiki ke kāohi nui ʻia .

E hoʻomanaʻo:

* Inā loaʻa iā ʻoe nā hōʻailona pinepine e like me ka ʻeha o ka umauma a i ʻole ka ʻāʻī ʻeha, mai hoʻowahāwahā iā lākou. E ʻike i ke kauka no ka ʻōlelo aʻo.

* Hiki i nā hoʻololi maʻalahi o ke ʻano o ka nohona (ka kaohi ʻana i ka ʻai, ka pohō kaumaha, ka hoʻololi ʻana i ke kūlana hiamoe) ke hāʻawi i ka hōʻoluʻolu nui.

* E hoʻohana pono i ka lāʻau i kuhikuhi ʻia e kāu kauka a no ka manawa i kuhikuhi ʻia. Mai hoʻōki a hoʻomaka paha i ka lāʻau lapaʻau ma kāu iho.

* Inā ʻoe e puhipaka ana, e hoʻāʻo e hoʻōki.

* Inā loaʻa i nā keiki ʻōpio nā hōʻailona o GERD, e ʻike koke i ke kauka lapaʻau.

Hiki ke paʻakikī ke noho me GERD, akā me ka mālama pono ʻana, hiki iā ʻoe ke ola i kahi ola maʻamau a ʻoluʻolu hoʻi. E wehe e pili ana i kou mau hopohopo a me nā pilikia me kāu kauka. Ke makemake nei iā ʻoe i ke olakino maikaʻi! GERD, Gastroesophageal Reflux Disease, Heartburn, Acid Reflux, Sinhala Medical Article