Ke manaʻo nei ʻoe i kēia i kekahi manawa? ʻAʻole hiki iā ʻoe ke loaʻa kahi kumu maoli no ka ʻoluʻolu ʻole āu e manaʻo nei, a ke noʻonoʻo nei ʻoe inā he noʻonoʻo wale nō ia. He mea maoli wale nō ke manaʻo pēlā, ʻoiai ke loaʻa iā ʻoe nā pilikia o ka ʻōpū, ka luhi nui, a i ʻole nā ʻeha poʻo mau ʻaʻole hiki i ke kauka ke kuhikuhi. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka moʻolelo o kekahi mea i loaʻa i kahi ʻike like a ua ʻeha no nā makahiki. He mea maʻa mau paha kēia moʻolelo iā ʻoe.
E kapa kākou i ke ʻano o kēia moʻolelo ʻo 'Trudy'. Ua ʻike ʻo ia ʻaʻole pane kona kino i kekahi mau meaʻai, ʻo ia hoʻi, nā mea ʻai ʻole, i kona mau makahiki 30. Akā, ua ʻike ʻia nā hōʻailona mai ka wā hānau. I kona wā pēpē, ua nui mau kona ʻōpū a he ʻōpū kona. Ua manaʻo kona makuahine no ka mea ua hānau mua ʻia ʻo ia (preemie). ʻOiai ua emi iki nā pilikia o ka ʻōpū i kona wā he 6 mahina paha, ua hoʻomaka kahi pilikia ʻē aʻe ma hope o kēlā.
ʻO ia nā hōʻailona i like me nā maʻi allergies mau. I koʻu wā ʻōpiopio, ua lilo ke ʻano i mea koʻikoʻi loa a i kekahi manawa ʻaʻole hiki iaʻu ke wehe i koʻu mau maka i ke kakahiaka, a e loaʻa iaʻu ka ʻeha nui o ka sinus a me ke poʻo.
Ka luhi i wehewehe ʻole ʻia a me ka ʻeha o ka umauma
ʻO ka mea i hoʻopilikia nui iā ia, ʻo ia ka luhi nui āna i manaʻo ai. ʻOiai ua ʻike ʻo ia i nā kauka he nui, ʻaʻohe mea i hiki ke hoʻomaopopo i ke kumu o kona luhi. I ka hopena, ua hoʻomaka ʻo Trudy e manaʻoʻiʻo he pilikia wale nō ia i loko o kona manaʻo. No laila, ua hoʻowahāwahā ʻo ia i kēia mau hōʻailona a hana ikaika, e hana ana ma ke ʻano he alakaʻi haumāna ma ke kula, ma nā hui uniona ʻē aʻe, a hana pū i kahi hana 20 hola o ka pule. Akā i kona hoʻi ʻana i ka home, ua luhi loa ʻo ia e ala aʻe mai kahi moe.
I kona mau makahiki he 20, ua ʻoi aku ka ʻino o kēia mau pilikia a pau, a ua hoʻomaka ʻo ia e loaʻa i ka ʻeha mau o ka umauma a me ka ʻōpū, me ka reflux acid . Ma kahi o ʻeono makahiki i hala aku nei, i kona mau makahiki he 30, ua lilo nā mea a pau i mea hiki ʻole ke hoʻomanawanui. I kekahi lā, ua loaʻa iā ia ka ʻeha nui o ka umauma. Ua like ia me ka ʻeha ʻia o kona puʻuwai. Ua mae kona lima hema, a ua paʻakikī iā ia ke hanu.
ʻO ka mea nui loa: Inā loaʻa iā ʻoe ka ʻeha o ka umauma, ke kani ʻana o kou mau lima, a i ʻole ka paʻakikī o ka hanu ʻana, mai hoʻowahāwahā iā ia. He hōʻailona paha ia o ka hōʻeha puʻuwai. No laila e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Ua hele ʻo Trudy i ka lumi pilikia i kēlā manawa. Ua ʻōlelo ke kauka ma laila he ʻeha puʻuwai wale nō ia. I kekahi lā aʻe, i kona hele ʻana e ʻike i kahi loea gastrointestinal, ua ʻōlelo like ʻo ia. ʻOiai ua hauʻoli ʻo ia i ka ʻike ʻana ʻaʻole ia he pilikia puʻuwai, ʻaʻole i kōkua nā lāʻau lapaʻau i hāʻawi ʻia iā ia.
ʻO ka pilina ma waena o GERD a me ka intolerance meaʻai
I kekahi mau makahiki ma hope mai, ma hope o ka neʻe ʻana o Trudy i kahi ʻē aʻe, ua loaʻa iā ia kahi loea hou nāna i ʻike i ke kumu maoli o kēia mau mea āpau. ʻO ka pilikia, ʻo ia kona hoʻomanawanui ʻole i kekahi mau meaʻai. ʻO ia hoʻi, he nui nā meaʻai āna i hoʻomanawanui ʻole ai . Ma hope o ka ʻike ʻana i kēia, ua loli kona ola.
I ka ʻōlelo maʻalahi, ʻo ka hoʻomanawanui ʻole i ka meaʻai ka wā hiki ʻole i kā mākou ʻōnaehana hoʻoheheʻe ke hoʻoheheʻe pono i kahi meaʻai. ʻOiai ʻaʻole kēia he mea hoʻoweliweli i ke ola e like me kahi maʻi allergy koʻikoʻi, ke ʻai mākou i kēia mau meaʻai no ka manawa lōʻihi, hiki iā ia ke hana i nā pilikia i loko o ke kino.
Ua ʻike ke kauka o Trudy ʻo kāna hoʻomau ʻana i ka ʻai ʻana i kēia mau meaʻai maikaʻi ʻole ke kumu o ka mumū i loko o kona kino, kahi i alakaʻi ai i kahi maʻi i kapa ʻia ʻo GERD (Gastroesophageal Reflux Disease) . ʻO GERD kahi maʻi e kahe ana ka waikawa o ka ʻōpū i luna o ka esophagus i loko o ka puʻu. ʻO GERD ke kumu o kona ʻeha nui o ka umauma. ʻO ka mea kupanaha, ʻo GERD kekahi ke kumu o kona mau pilikia sinus.
| Nā meaʻai i ʻike ʻia he kūpono ʻole no Trudy | ʻO nā maʻi nui i hoʻokumu ʻia e kēia mau mea |
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Lapaʻau a me ka hōʻoluʻolu i loaʻa
I ka lohe ʻana o Trudy i kēia, ua hauʻoli loa ʻo ia a hiki iā ia ke uē, no ka mea, ua loaʻa iā ia ke kumu maoli no nā mea āna i ʻeha ai no nā makahiki. Akā i ka manawa like, ua makaʻu loa ʻo ia i ka papaʻai hou a ke kauka i kuhikuhi ai. Ua manaʻo ʻo ia he mea paʻakikī loa ia.
Akā, ua lawe ʻo ia i ka pilikia. Ma muli o ka ʻōlelo aʻo a kāna kauka, ua hoʻōki ʻo ia i ka ʻai ʻana i nā meaʻai a pau i kūpono ʻole iā ia. I ka manawa like, ua hoʻomaka ʻo ia e lawe i nā probiotics , nā lāʻau antifungal, a me kekahi mau huaora.
He mea kupaianaha nā hopena. I loko o ʻekolu makahiki, ua loli loa ke ola o Trudy. I ka pau ʻana o kona kino i ke kaua ʻana iā ia iho, ua loaʻa hou iā ia ka ikaika āna i nalowale ai. I kēia manawa ua lawa kona ikaika e pāʻani ai me kāna mau kaikamahine ʻehā, kōkua iā lākou me kā lākou hana kula, a heluhelu i nā moʻolelo iā lākou i ka pō.
"I kēia manawa, hiki iaʻu ke ola me ka ʻole o ka ʻeha o ka ʻōpū a i ʻole ka ʻeha sinus. Ke pau kēlā ʻeha, manaʻo wau e lana ana au. He mea kupaianaha ia."
Hiki iā kākou ke aʻo nui mai kēia moʻolelo. Inā loaʻa iā ʻoe nā hōʻailona i wehewehe ʻole ʻia e like me kēia, mai hoʻowahāwahā iā lākou.
Nā mea hiki iā ʻoe ke hana
- E mālama i kahi Puke Pai Meaʻai: E kākau i lalo i kāu meaʻai a me nā hōʻailona āu e ʻike ai. I ka hala ʻana o ka manawa, e hiki iā ʻoe ke ʻike inā hoʻonui kekahi mau meaʻai i kou mau hōʻailona. He mea kōkua nui kēia i kāu kauka.
- E hoʻolohe i kou kino: Mai hoʻowahāwahā i ka luhi mau, ka ʻeha ʻōpū, a me ke poʻo e like me ka mea maʻamau. Hiki iā lākou ke kino e hoʻāʻo nei e haʻi iā ʻoe i kekahi mea.
- E kiʻi i ka ʻōlelo aʻoaʻo lapaʻau kūpono: E ʻike i ke kauka e hoʻolohe pono ana i kāu mau hōʻailona a hoʻāʻo e hoʻomaopopo iā lākou. Inā pono, e ʻimi i ka ʻōlelo aʻoaʻo mai kahi gastroenterologist.
Leka Lawe-Home
- Pili paha nā pilikia ʻōpū hoʻomau a wehewehe ʻole ʻia, ka luhi nui, ka ʻeha poʻo, a me nā pilikia sinus.
- ʻO ka ʻai ʻana i nā meaʻai kūpono ʻole iā ʻoe (food intolerances) hiki ke hoʻoulu a hoʻonui paha i nā maʻi e like me GERD.
- Mai hoʻowahāwahā i ka ʻeha o ka umauma. Pono e manaʻo ʻia he pilikia ia a pono e hōʻike koke ʻia i ka ʻOihana Pilikia o ka haukapila (ETU).
- He mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei. No ka hana ʻana i kēia, e kamaʻilio maopopo me kāu kauka e pili ana i kāu mau hōʻailona.
- Me nā hoʻololi i ka meaʻai a me ke ʻano o ka nohona i hana ʻia e like me ke aʻo ʻana a ke kauka, hiki ke ho'ōla loa ʻia nā maʻi i loaʻa no nā makahiki he nui.
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