Aloha! Ke kali nei paha ʻoe i kahi malihini hou i kēia mau lā, ʻeā? He nani loa kēia huakaʻi, akā hiki nō hoʻi ke lawe mai i kekahi mau pilikia liʻiliʻi. ʻO kahi pilikia maʻamau i loaʻa i nā makuahine he nui i ka wā hāpai, ʻo ia ka ʻōpū. Ua kapa pū kekahi poʻe i kēia ʻo 'gastric distress'. No laila, inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole a makemake ʻoe e ʻike hou aʻe e pili ana i ia mea, i kēia lā e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo "Heartburn". Mai hopohopo, aia nā mea hiki iā ʻoe ke hana e pili ana i ia mea.
He aha maoli kēia ʻeha umauma?
ʻO ka mea mua, ʻaʻohe pili o ka huaʻōlelo "Heartburn" me ko kākou puʻuwai, ʻeā? ʻOiai aia ka huaʻōlelo "heart" ma ka inoa, ʻaʻole ia he maʻi puʻuwai. No laila he aha ia?
I ka ʻōlelo maʻalahi, ʻo ka ʻeha puʻuwai he ʻano wela ia ma waenakonu o ko kākou puʻu a me ka umauma. I kekahi manawa, aia paha kahi ʻono ʻawaʻawa i loko o ko kākou waha. Hana ʻia kēia no ka mea ʻo ka meaʻai a kākou e ʻai ai a me nā wai hoʻoheheʻe i loko o ko kākou ʻōpū (aia nā waikawa ikaika) e piʻi hou mai ana, ʻo ia hoʻi, i luna o ka esophagus . Ua ʻike ʻoe, ua like ka esophagus me kahi paipu. Ma o ia mea e hele ai nā mea a kākou e ʻai ai mai ka puʻu a i ka ʻōpū.
No laila, kapa nā kauka i kēia ʻo reflux of stomach contents (GER) a i ʻole ka maʻi reflux gastroesophageal (GERD) . He mea maʻamau paha kēia ke hana i kekahi manawa. Eia nō naʻe, inā hana pinepine ia a hoʻoluhi nui iā ʻoe a pale iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā, ua kapa ʻia ʻo ia he maʻi reflux gastroesophageal (GERD) .
No ke aha he mea maʻamau ka palupalu o ka umauma i ka wā hāpai?
ʻO kahi nīnau a ka poʻe he nui e noʻonoʻo nei a nīnau nei, "No ke aha e hoʻonui nei kēia ʻano wela i loko o ka umauma i ka wā e kokoke ana au e hānau keiki?" Aia kekahi mau kumu nui no kēia. E nānā kākou he aha lākou?
1. Nā loli hormonal:
I ka wā hāpai, hele kou kino i nā loli hormonal nui . ʻO ka mea kūikawā, ua hoʻokuʻu nui ʻia kahi hormone i kapa ʻia ʻo `(Progesterone)`. Hoʻomaha iki kēia hormone i nā ʻiʻo laumania i loko o ko mākou kino. Eia kekahi, aia kahi apo ʻiʻo e like me ka valve (i kapa ʻia ʻo `Lower Esophageal Sphincter`) ma luna o ka ʻōpū, kahi e pili ai i ka esophagus. Hana kēia e like me ka puka; ke komo ka meaʻai i loko o ka ʻōpū, pono e pani ʻia kēia puka, e pale ana i nā mea o loko o ka ʻōpū mai ka hoʻi ʻana mai i luna. Akā ma muli o ka mana o kēlā mau hormones, hoʻomaha pū kēia apo ʻiʻo. A laila ʻaʻole ia e pani pono, a hoʻāʻo ka meaʻai waikawa a me nā wai i loko o ka ʻōpū e hoʻi i luna i ka esophagus. ʻO ia ka manawa āu e manaʻo ai i ka heartburn.
2. Kaomi ma ka ʻōpū ma muli o ka ulu ʻana o ka uterus:
I ka ulu ʻana o ke pēpē i loko o kou ʻōpū, e hoʻonui pū ʻia kou ʻōpū.Hoʻokomo ka ʻōpū e ulu ana i ke kaomi ma luna o ka ʻōpū a me nā ʻāpana ʻē aʻe o ka ʻōpū. E noʻonoʻo e like me ka hoʻāʻo ʻana e hoʻokuke i nā mea o loko o ka ʻōpū i luna i ka wā ʻaʻohe lawa o kahi. Ke hoʻokuke ʻia ka ʻōpū i luna e like me kēia, ʻoi aku ka nui o ka neʻe ʻana o nā mea o loko o ka ʻōpū i luna a i lalo o ka esophagus. He mea maʻamau kēia i nā mahina ʻekolu hope o ka hāpai ʻana (ʻo ke kolu o ka trimester).
No laila, no kēia mau kumu, pono nā makuahine hāpai he nui e kū i ka ʻoluʻolu ʻole o ka ʻāʻī. Akā, no ka mea he mea kēia e hana ʻia i nā makuahine he nui, ʻoi aku ka maikaʻi o ka hopohopo ʻole, ʻeā? Aia kekahi mau mea hiki iā kākou ke hana e kāohi i kēia.
No laila pehea ʻoe e hoʻopau ai i kēia ʻeha umauma? A i ʻole e hōʻemi iā ia?
ʻAe, e nānā kākou i kāu mea e hiki ai ke hana e kāohi i kēia mumū umauma hoʻonāukiuki, a i ʻole e hōʻemi i ka ʻoluʻolu ʻole e hana ai. He mau mea maʻalahi loa kēia, akā me ka mālama iki ʻana, e ʻike ʻoe i kahi ʻokoʻa nui.
1. E makaʻala i ka meaʻai a me ka mea inu.
He mea nui loa ka mālama ʻana i kāu ʻai, ʻaʻole iki wale nō, i kēia manawa. Aia kekahi mau meaʻai e hiki ke hoʻonui i kēia mumū o ka umauma.
- E noho mamao aku mai kēia mau meaʻai a me nā mea inu:
- Nā huaʻai a me nā mea kanu ʻawaʻawa: Nā mea e like me nā ʻalani, nā tangerine, nā lemona, nā paina, a me nā tōmato. He kiʻekiʻe maoli kēia i ka ʻakika.
- Mea ʻala: Chili, pepa, curry ʻala, achar. Makemake ko mākou poʻe e ʻai i ka meaʻai ʻala, akā i kēia mau lā ʻoi aku ka maikaʻi no ke kino inā ʻoe e hoʻēmi iki.
- Nā meaʻai ʻaila, palai: ʻOi aku ka meaʻai i palai hohonu ʻia (e like me nā cutlets, rolls, patties), a me nā meaʻai kiʻekiʻe i ka momona (e like me kekahi mau ʻano laiki palai, kutti palai, parathas). He paʻakikī kēia e ʻeli a noho i loko o ka ʻōpū no ka manawa lōʻihi, e hoʻonui ana i ka mumū.
- Nā mea inu a me nā meaʻai i loaʻa ka caffeine: E hōʻemi i kāu inu kī, a poina i ke kofe no kekahi manawa i kēia mau lā. Loaʻa pū ka caffeine i nā mea inu kokoleka a me ke kokoleka.
- Nā mea inu kalapona: Nā mea inu ʻawaʻawa e like me ka soda a me nā mea ʻono hana. Hoʻokumu kēia i ke kinoea i loko o ka ʻōpū, kahi e hoʻonui ai i ka waikawa o ka ʻōpū me ke kinoea.
- No kekahi poʻe, hiki i nā mea e like me ke kālika, ka ʻonika, ka pepa, a me ka mint ke hoʻonui i ka mumū.
E hoʻomanaʻo, ʻaʻole like ka hopena o kēia mau mea a pau i nā kānaka a pau. Inā ʻike ʻoe e loaʻa ana iā ʻoe ka mumū hou aʻe ma hope o ka ʻai ʻana i kahi meaʻai, e hoʻāʻo e hōʻoki i kēlā meaʻai no kekahi manawa. Ua like ia me kahi hoʻokolohua liʻiliʻi.
2. Pono anei kākou e hoʻololi i ke ʻano o kā kākou ʻai ʻana?
E like me kāu mea e ʻai ai, hiki i ke ʻano o kāu ʻai ʻana ke hoʻopilikia i kēia mumū o ka umauma.
- E ʻai i nā meaʻai liʻiliʻi i ka lā a pau: Ma kahi o ka ʻai ʻana i kahi meaʻai nui i ka manawa hoʻokahi, e ʻai i 5 a i ʻole 6 mau meaʻai liʻiliʻi i ka lā a pau. ʻAʻole kēia e kau i ke kaumaha nui ma kou ʻōpū a e maʻalahi ai ka ʻeli ʻana.
- Nau maikaʻi i kāu meaʻai a ʻai mālie: Nau maikaʻi i kāu meaʻai a ʻai mālie, ma mua o ka moni koke ʻana. E kōkua kēia i ka ʻeli maikaʻi ʻana i ka meaʻai a e maʻalahi ai i kou ʻōpū.
- Pehea e inu ai i ka wai:E hōʻemi i ka nui o ka wai āu e inu ai i ka wā ʻai. Akā, e inu i ka wai ma waena o nā ʻai, ma kahi o hoʻokahi hola ma mua a ma hope paha o ka ʻai ʻana. ʻO ka inu ʻana i ka nui o ka wai me nā ʻai e hoʻoheheʻe i nā waikawa o ka ʻōpū, hiki ke hoʻopilikia i ka ʻai ʻana, a hiki ke hoʻonui i ka manawa e piha ai kou ʻōpū a piʻi aʻe.
3. E noʻonoʻo i kēia mau mea ma mua o ka hiamoe ʻana
ʻO ke ʻano o kou hiamoe ʻana i ka pō a me kāu mea e hana ai ma mua o ka moe ʻana e hoʻopilikia pū i kēia mumū o ka umauma.
- E ʻai i ka ʻaina ahiahi ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana: Mai moe ma hope o ka ʻai ʻana i ka ʻaina ahiahi a ma hope koke iho o kou māʻona ʻana. Inā ʻoe e hana pēlā, nui ka manawa e hoʻi hou mai ai ka meaʻai i loko o kou ʻōpū. Inā hiki, ʻoi aku ka maikaʻi o ka ʻai ʻana i ka ʻaina ahiahi ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana. Eia kekahi, e ʻai i kahi meaʻai māmā i ka pō.
- E pale loa i ka puhipaka a me ka waiʻona: ʻAʻole wale kēia he mea ʻino i ka wā hāpai, akā i nā manawa a pau. Hoʻonui ka puhipaka a me ka waiʻona i ka hana ʻana o ka waikawa o ka ʻōpū a hoʻomaha i kēlā apo ʻiʻo (sphincter) a mākou i kamaʻilio ai. No laila he mea nui loa e noho mamao loa mai kēia mau mea no ʻoe a me ke pēpē.
- Mai moe no kekahi manawa ma hope o ka ʻai ʻana: E hele wāwae pōkole a noho pololei paha ma hope o ka ʻaina awakea a i ʻole ka ʻaina ahiahi. Mai moe no hoʻokahi hola ma ka liʻiliʻi.
4. E makaʻala i kou kūlana hiamoe.
- E hiamoe me kou poʻo i hoʻokiʻekiʻe ʻia: Inā hiki iā ʻoe ke hiamoe me kou poʻo a me kou mau poʻohiwi i ʻoi iki aʻe ma mua o kou ʻōpū, e kōkua ia i ka hōʻemi ʻana i ka nui o ka waikawa o ka ʻōpū e piʻi mai ana ma muli o ke koʻikoʻi. Hiki iā ʻoe ke hana i kēia ma ka hoʻohana ʻana i kahi uluna keu, a i ʻole ma ka hoʻokiʻekiʻe ʻana i ke poʻo o ka moena i kekahi mau ʻīniha (ma ke kau ʻana i kahi mea e like me ka poloka lāʻau ma lalo o nā wāwae o ka moena).
5. Mai poina e ʻimi i ke aʻo lapaʻau.
Inā loaʻa iā ʻoe ka nui o ka pilikia me ka ʻeha o ka umauma ma hope o ka hana ʻana i kēia mau mea a pau, e ʻike pono i kāu kauka a haʻi iā ia e pili ana i ia mea . Aia nā lāʻau lapaʻau palekana e hiki ke hoʻohana ʻia i ka wā hāpai e hōʻemi i ka ʻeha o ka umauma. Eia naʻe, mai lawe i kekahi lāʻau lapaʻau mai kahi hale kūʻai lāʻau a i ʻole kekahi mea ʻē aʻe me ka ʻole o ke kūkākūkā ʻana me ke kauka . ʻAʻole kūpono kekahi mau lāʻau lapaʻau i ka wā hāpai. No laila, e hoʻohana wale i ka lāʻau lapaʻau a kāu kauka i ʻōlelo ai, a e hoʻohana pono e like me kāna i ʻōlelo ai iā ʻoe.
Hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e like me "(antacids)" no kēia. Hoʻopau kēia i ka waikawa o ka ʻōpū. Eia kekahi, i kekahi manawa hiki iā lākou ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka hana ʻakika.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, no laila, hiki iā mākou ke hoʻomanaʻo iā ʻoe i kekahi o nā mea nui a mākou i kamaʻilio ai?
- He mea maʻamau ka ʻeha o ka umauma i ka wā hāpai no nā makuahine he nui . ʻAʻole ia he maʻi koʻikoʻi, no laila mai hopohopo.
- He mea nui loa ia e makaʻala i kāu mea e ʻai ai . E hōʻemi i nā mea ʻala, ʻaila, a me nā mea ʻawaʻawa. E ʻai i nā mea liʻiliʻi ma mua o nā meaʻai nui.
- Mai moe i lalo no 2-3 hola ma hope o ka ʻai ʻana. Ke hele ʻoe e hiamoe i ka pō, e hiamoe me kou poʻo e hoʻokiʻekiʻe iki ʻia.
- Inā ʻaʻole kōkua kēia mau mea, e ʻike pono i ke kauka . Mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- Hoʻomaha pinepine kēia ʻeha ma hope o ka hānau ʻana o ke pēpē .
No laila, inā ʻoe e mālama i kēia mau mea liʻiliʻi, e hiki iā ʻoe ke hoʻolilo i kēia hāpai ʻana me ka ʻoluʻolu a me ka hauʻoli. Makemake au iā ʻoe a me kāu pēpē i ke ola olakino a hauʻoli!
Hāpai keiki, Mumū o ka umauma, ʻĀʻī puʻuwai, Mākuahine Hāpai, ʻŌpū, GERD, Kaohi ʻAi, Nā Pilikia o ka Hāpai Keiki, Reflux ʻAkika, ʻEsophagus











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