He ʻeha mau kou puʻu? He leo palahalaha kou? He LPR (Laryngopharyngeal Reflux) paha kēia!

Ke loaʻa nei iā ʻoe kahi pono mau e hoʻomaʻemaʻe i kou puʻu? Ke manaʻo nei anei ʻoe he puʻupuʻu i loko o kou puʻu? Ke kani iki nei kou leo ​​​​​​he ʻokoʻa a he ʻōhū paha? Hoʻowahāwahā ka hapa nui o mākou i kēia mau mea me he anu maʻamau a i ʻole he allergy. Akā he mea ʻokoʻa paha ia ma mua o kou manaʻo. ʻO kēia ka mea a mākou e kapa nei ʻo LPR, a i ʻole "Silent Reflux" ma nā ʻōlelo lapaʻau. E kamaʻilio kākou e pili ana i kēia lā.

He aha maoli kēia LPR?

I ka ʻōlelo maʻalahi, he ʻano kūikawā ʻo LPR o ka gastritis. ʻO ka reflux acid ka wā e kahe hou ai ka waikawa o ka ʻōpū a me nā wai ʻai i loko o ka puʻu. ʻIke pinepine ʻia kēia ma ka umauma, ma ka ʻaoʻao haʻahaʻa o ka esophagus. Kāhea mākou iā ia he heartburn.

Akā i loko o ka LPR, piʻi aʻe kēia mau waikawa ʻōpū a hiki i ko kākou larynx, ka pahu leo, a me ka pharynx. No ka mea, piʻi aʻe ia ma mua o ka esophagus, ʻokoʻa loa nā hōʻailona mai ka gastritis maʻamau. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he ʻano gastritis ia. Ma kahi o ka heartburn a me ka ʻeha o ka ʻōpū, hoʻopilikia nui ka LPR i nā ʻāpana o kou leo, ka puʻu, a me ka ihu. Ua kapa ʻia hoʻi ʻo "Silent Reflux" no ka mea, ʻaʻole ia e hōʻike i nā hōʻailona gastritis maʻamau.

He aha ka ʻokoʻa ma waena o LPR a me GERD?

Ua lohe paha ʻoe i ka huaʻōlelo GERD. ʻO GERD ke kū nei no ka Gastroesophageal Reflux Disease. Pili ia i kahi kūlana o ka gastritis mau loa. ʻOiai ʻo nā kūlana ʻelua e pili ana i ka piʻi ʻana o ka waikawa o ka ʻōpū, aia kekahi mau ʻokoʻa iki ma waena o nā mea ʻelua.

E hoʻomaopopo iki kākou i kēia ʻokoʻa.

He aha nā hōʻailona o ka LPR?

Ma muli o ke ʻano ʻokoʻa o nā hōʻailona o ka LPR, hiki ke kuhihewa ʻia i kekahi manawa no ka hānō, nā maʻi ʻaleka, a i ʻole ke anu nui. ʻO nā hōʻailona nui:

• Ka leo haʻalulu a i ʻole ka hoʻohaʻahaʻa ʻana o ka leo.
• ʻO ka manaʻo e like me kahi mea e like me ka pōpō e paʻa ana i ka puʻu.
• Ka pono mau e hoʻomaʻemaʻe i kou puʻu .
• ʻŪhū mau loa e mau ana no ka manawa lōʻihi.
• Ka nui o ka huʻa ma ka puʻu a me ka ihu.
• Ka paʻakikī i ka ale ʻana i ka meaʻai.
• ʻEha mau ka ʻāʻī .
• Ka nalowale ʻana o ka leo a i ʻole ka laryngitis.
• He leo hūʻū ka wheezing i ka wā e hanu ana.
• Ka kulu ʻana ma hope o ka ihu.
• Nā maʻi pinepine o ka ʻōpū hanu luna e like me ke anu a me ka maʻi flū.
• Ke hoʻomaka hou ʻana o ka hānō a i ʻole ka ʻino ʻana o ka hānō e kū nei .

No ke aha e hana ʻia ai kēia LPR? E nānā kākou i kekahi mau kumu.

E noʻonoʻo he ʻelua mau puka koʻikoʻi ma ke alanui mai ko kākou ʻōpū a i ko kākou puʻu. ʻO kēia nā apo ʻiʻo ma luna a ma lalo o ko kākou esophagus. Ua like lākou me nā valves. Kāhea mākou i kēia mau '(esophageal sphincters)'.

1. ʻO ka Sphincter Esophageal Haʻahaʻa (LES): Aia kēia ma waena o ka esophagus a me ka ʻōpū. ʻO kāna hana nui ka pale ʻana i ka waikawa o ka ʻōpū mai ke kahe ʻana i luna i loko o ka esophagus.

2. ʻO ka Sphincter Esophageal Luna (UES):Aia kēia ma waena o ka esophagus a me ka puʻu. Pale ia i nā mea a pau i komo i loko o ka esophagus mai ke komo ʻana i loko o ka puʻu.

I mea e hiki ai ke LPR, ʻaʻole pono e pani pono kēia mau kiwikā ʻelua. Hana ʻia ka gastritis maʻamau i ka wā e nāwaliwali ai ka sphincter esophageal haʻahaʻa (LES). Eia nō naʻe, i mea e hiki ai ke LPR, ʻaʻole pono e pani pono ka sphincter esophageal luna (UES) a lilo i mea wehe. ʻO kēia ka manawa e hiki ai i ka waikawa o ka ʻōpū ke lele i luna i loko o ka esophagus.

No ke aha lā i nāwaliwali ai kēia mau ʻīpuka?

Nui nā kumu no kēia. He manawa pōkole kekahi, aʻo kekahi e ulu aʻe ana i ka hala ʻana o ka manawa.

1. Nā mea e hoʻonāwaliwali ai i ka sphincter esophageal haʻahaʻa (LES)

• Kekahi mau lāʻau lapaʻau: Kekahi mau lāʻau lapaʻau e like me nā mea pale o ke kahawai calcium no ke koko kiʻekiʻe, benzodiazepines no ka mālie o ka noʻonoʻo, a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs).
• ʻO kekahi mau meaʻai a me nā mea inu: kofe, kokoleka, waiʻona, mint, kālika, a me nā ʻakaʻakai.
• Nā ʻano nohona:
• E moe ana i lalo no 3 mau hola ma hope o ka ʻai ʻana.
• Ka ʻai nui ʻana i ka manawa hoʻokahi.
• Ke komo ʻana i nā lole paʻa a i ʻole nā ​​kāʻei e ʻūlū ai i ka ʻōpū.
• Nā kūlana ʻē aʻe:
• Hiatal hernia: Puka kahi ʻāpana o ka ʻōpū i loko o ka umauma.
• Hāpai keiki: Ma muli o nā loli hormonal a me ka hoʻonui ʻia o ke kaomi ma ka ʻōpū.
• Momona: Hoʻonui ʻia ke kaomi i loko o ka ʻōpū.
• Puhipaka: Hoʻomaha nā kemika i loko o ka paka i kēia apo ʻiʻo.

2. Nā mea e hoʻonāwaliwali ai i ka puka luna (UES)

Ma hope o ke komo ʻana o nā waikawa ma o ka puka komo haʻahaʻa a piʻi i luna, pono e pale ʻia lākou mai ka hiki ʻana i ka puʻu ma o kēia puka komo luna. Akā hiki i kēia mau mea ke hoʻonāwaliwali iā ia.

• Ke moe nei: Ke moe mākou i ka pō, e hoʻomaha iki kēia mau ʻīpuka ʻelua.
• ʻUhu: Ke ʻuhu ʻoe, wehe ʻia kēia mau kiwikā ʻelua, e ʻae ana i kahi liʻiliʻi o ka waikawa e komo i kou puʻu me nā pehu ea.
• Kūlou i mua, hoʻoikaika kino, hīmeni: Hiki i kēia mau hana ke hoʻonui i ke kaomi i loko o ka ʻōpū a kau i ke kaomi ma ka ʻaoʻao o luna o ka ʻōpū.
• Ka puhipaka a me ka hoʻohana ʻana i ka waiʻona: Wehe kēia mau mea ʻelua i nā puka ʻelua.

He aha nā pilikia e hiki ke loaʻa mai ka LPR?

Inā ʻaʻole mālama pono ʻia ʻo LPR, hiki ke loaʻa kekahi mau pilikia i ka hala ʻana o ka manawa.

• ʻO ka mucus nui a me nā maʻi pinepine: ʻO ka reflux ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu e hoʻopilikia i ke kaʻina hana maʻamau o ka hoʻomaʻemaʻe ʻana i ka mucus mai ka puʻu a me ka ihu. Ke hōʻiliʻili ka mucus, hiki i nā germs ke hōʻiliʻili, e alakaʻi ana i nā maʻi pinepine.
• Nā pilikia leo a me ka puʻu mau: ʻO kēia pehu lōʻihi o ka puʻu a me nā kaula leo e hiki ai ke paʻakikī ke ʻōlelo a me ke ale. I ka hala ʻana o ka manawa, hiki ke ulu aʻe nā puʻupuʻu liʻiliʻi (nā ʻeha o ke kaula leo) ma nā kaula leo.
• Nā pilikia o ka ʻōnaehana hanu:Hiki i nā waikawa e komo i ka puʻu, i kekahi manawa me ka ʻike ʻole, ke hele i loko o nā māmā me ko mākou hanu ʻana, ʻoiai i ka wā hiamoe i ka pō. Hiki i kēia ke alakaʻi i nā maʻi māmā a me nā pilikia hanu ʻē aʻe.

Pehea e maopopo ai iaʻu inā he LPR kēia?

Inā loaʻa iā ʻoe nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻoiai inā ʻaʻole hiki iā ʻoe ke loaʻa ke kumu, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi loea pepeiao, ihu, a me ka ʻāʻī (ENT Surgeon). E hoʻolohe ke kauka i kāu mau hōʻailona a nānā i kou ʻāʻī.

Aia kekahi mau hoʻokolohua nui i hana ʻia no kēia:

• Laryngoscopy Maʻalahi: He kaʻina hana e hoʻokomo ʻia ai kahi kāmela liʻiliʻi i hoʻopaʻa ʻia i kahi ʻōmole lahilahi a maʻalahi hoʻi ma o ka ihu a i loko o ka puʻu e nānā i loko o ka larynx a me ka puʻu. He hoʻāʻo maʻalahi kēia e hiki ke hana maʻamau ʻia ma ke keʻena o ke kauka.
• ʻO ka Endoscopy Kiʻekiʻe: Pili kēia i ke komo ʻana i kahi ʻōmole me kahi kāmela ma kou waha e nānā i kou esophagus a me ka ʻōpū. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o kāu LPR.
• Hoʻāʻo pH esophageal: He hoʻāʻo e ana i nā pae waikawa i loko o kou puʻu a me ka esophagus ma luna o 24 mau hola.
• Manometry Esophageal: He hoʻāʻo e ana i ka hana a me ka ikaika o nā ʻiʻo i loko o ka esophagus.

He aha nā lāʻau lapaʻau no ka LPR?

ʻO ke kumu nui o ka mālama ʻana iā LPR ʻo ia ka hoʻololi ʻana i ko mākou nohona a me nā ʻano ʻai.

Ke hoʻololi nei i ke ʻano o ka nohona a me nā ʻano ʻai

Nui nā mea hiki iā ʻoe ke hana iā ʻoe iho e kāohi i ka LPR. ʻO kēia nā mea nui loa.

Lāʻau lapaʻau

ʻOiai ʻoe e hoʻololi i kou nohona, hiki i kāu kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e kōkua i ka ho'ōla ʻana i ka hōʻino ʻia o kou puʻu a me ka larynx.

• Nā mea pale o ka pamu proton (PPI): Hana kēia ma ka hōʻemi ʻana i ka hana ʻana o ka waikawa i loko o ka ʻōpū. Pono paha e hoʻohana ʻia kēia mau mea no kekahi mau mahina.
• Nā Mea Pale H2: ʻO kēia kekahi ʻano lāʻau lapaʻau e hōʻemi ana i ka hana ʻakika.
• Alginates: Hoʻokumu kēia mau lāʻau lapaʻau i kahi papa pale ma luna o ka ʻōpū o ka ʻōpū, e pale ana i nā waikawa mai ka piʻi ʻana.

ʻoki kino

ʻAʻole pono pinepine ke ʻoki kino no ka LPR. Manaʻo ʻia ke ʻoki kino inā he kumu kikoʻī, e like me ka hiatal hernia, a inā ʻaʻole i holo pono nā lāʻau ʻē aʻe.