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.
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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 hoʻomanaʻo, ʻaʻole loaʻa i nā kānaka a pau me LPR ka ʻeha puʻuwai. ʻO ia ke kumu i kapa ʻia ai ʻo 'Silent Reflux.' Hiki i kekahi poʻe ke loaʻa iā GERD a me LPR. Akā, loaʻa i kekahi poʻe nā hōʻailona e pili ana i ka LPR.
E hoʻomaopopo iki kākou i kēia ʻokoʻa.
| ʻAno | GERD (gastritis maʻamau) | LPR (Lysine Gastritis) |
|---|---|---|
| Wahi i hoʻopilikia ʻia | ʻO ka mea nui ma ka ʻaoʻao haʻahaʻa o ka esophagus. | Piʻi i luna ma o ka pharynx, ʻo ia hoʻi, i loko o ka puʻu a me ka larynx (pahu leo). |
| ʻO ka hōʻailona nui | ʻEha ka puʻuwai, ʻeha ka ʻōpū, reflux waikawa. | Ka leo haʻalulu, ka wehe pinepine ʻana o ka puʻu, ka manaʻo o kekahi mea i paʻa i ka puʻu, ka ʻū mau. |
| Manaʻo pinepine | I ka wā e moe ana a i ʻole ma hope o ka ʻai nui ʻana. | Hiki ke ʻike ʻia i ka lā a pau, ʻoiai ke kamaʻilio ʻana a i ʻole ke ala ʻana i ke kakahiaka. |
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Check Availability →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.
| He aha e hana ai | Wehewehena |
|---|---|
| Nā ʻAi | Ma kahi o 3 mau pāʻina nui, e ʻai i 5 a i ʻole 6 mau pāʻina liʻiliʻi. Mai ʻai nui i ka manawa hoʻokahi. |
| Ma mua o ka moe ʻana | E ʻai i ka ʻaina ahiahi ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana. Mai moe i lalo ma hope o ka ʻai ʻana. |
| Kūlana hiamoe | E hiamoe ma kou ʻaoʻao hema. Eia kekahi, e hoʻohana i kahi uluna keu e hoʻokiʻekiʻe iki i kou poʻo. |
| Nā meaʻai e pale aku ai | E hōʻalo i nā meaʻai ʻaila, ʻala, a me nā mea ʻakika nui (ʻalani, tōmato), kokoleka, kofe, mint, nā mea inu kalapona (soda). |
| Nā ʻano maikaʻi ʻole | E hoʻōki loa i ka puhipaka a me ka inu ʻona. Hoʻonui kēia i ka ʻino o nā kūlana LPR. |
| Kaumaha o ke kino | Inā momona ʻoe, he mea nui loa ia e hoʻemi i ke kaumaha. E kamaʻilio me kāu kauka e pili ana i kēia. |
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.
ʻO ka mea nui loa, mai hoʻohana i kekahi o kēia mau lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka.
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.
Leka Lawe-Home
- ʻO ka LPR kahi kūlana i kapa ʻia ʻo "silent reflux," kahi e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu a me ka pahu leo.
- He ʻokoʻa nā hōʻailona mai nā hōʻailona o ka gastritis maʻamau, e hoʻopilikia nui ana i ka leo a me ka ʻāʻī (e.g., ka ʻū mau, ka leo palahalaha, ka mucus i loko o ka ʻāʻī).
- ʻAʻole nā kānaka a pau me LPR e loaʻa i ka ʻeha o ka umauma.
- ʻO ka mea nui o ka mālama ʻana, ʻo ia ka hoʻololi ʻana i ka ʻai a me ke ʻano o ka nohona.He mea nui e hōʻole loa i ka puhipaka a me ka hoʻohana ʻana i ka waiʻona.
- Inā loaʻa iā ʻoe kēia mau hōʻailona no ka manawa lōʻihi, e ʻimi pono i ke aʻo lapaʻau. Me ka ʻike kūpono a me ka mālama ʻana, hiki ke mālama pono ʻia ka LPR.
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