Ke ʻike pinepine nei ʻoe i ka ʻeha o ka ʻōpū, ka ʻeha o ka ʻōpū o luna, e like me ka gastritis? He pilikia kēia i loaʻa i nā poʻe he nui o ko mākou ʻāina. ʻOiai ke kapa pinepine nei mākou i kēia "gastritis", i kekahi manawa he mea ia e pono ai ka nānā hou aku. ʻO ia ke kūlana a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ka Peptic Ulcer Disease (PUD). I ka ʻōlelo maʻalahi, ʻo ia ka wā e hana ai nā ʻeha ma ka paia o loko o kā mākou ʻōnaehana digestive.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻeha peptic?
E noʻonoʻo, i loko o ko kākou ʻōpū, ʻo ia hoʻi, i loko o ka ʻōpū, ua hana ʻia nā waikawa ikaika loa a me nā enzymes e hoʻoheheʻe i ka meaʻai a kākou e ʻai ai. ʻO kekahi o nā mea nui, ʻo ia ka pepsin. Ua loaʻa pū ka huaʻōlelo "peptic" mai kēia pepsin. Hana pū kēia mau waikawa a me ka pepsin e wāwahi i ka meaʻai a kākou e ʻai ai a kōkua iā kākou e hoʻoheheʻe iā ia. He ikaika loa kēia mau mea a inā hāʻule lākou ma ka ʻili maʻamau, hiki iā lākou ke hōʻeha.
A laila e noʻonoʻo paha ʻoe, "Inā he mau mea ʻino loa, no ke aha lā i hōʻino ʻole ʻia ai ko kākou mau paia ʻōpū?" ʻO ke kumu, ua uhi ʻia ka paia o loko o ko kākou ʻōpū a me ka duodenum me kahi uhi mucous mānoanoa, e like me ka pale pale. ʻO kēia ka pale e pale ai i nā paia o ka ʻōpū mai kēlā mau waikawa ʻino.
Eia nō naʻe, i ka maʻi ʻōpū peptic (PUD), lilo kēia pale pale, ka membrane mucous, i nāwaliwali no kekahi kumu. A laila, hiki i ka waikawa ʻino a me ka pepsin ke hōʻino pololei i ka paia o ka ʻōpū. I ka hala ʻana o ka manawa, hoʻomaka kēlā mau wahi e lilo i ʻeha. ʻO ia ka mea a mākou e kapa nei he ulcers a i ʻole nā ʻōpū ʻōpū.
Ma hea e hiki ai ke loaʻa kēia mau ʻeha?
Loaʻa kēia mau ʻeha ma nā ʻāpana ʻelua o kā mākou ʻōnaehana hoʻoheheʻe.
1. Nā ʻōpū ʻeha Duodenal: ʻO ka duodenum ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi. Hele ka meaʻai ma aneʻi ma hope o ka ʻōpū. Kokoke i ka 80% o nā ʻōpū ʻeha peptic e kū mai ana ma kēia wahi.
2. Nā ʻōpū ʻeha / ʻōpū ʻeha: He mau ʻōpū kēia e hana ʻia ana ma nā paia o ka ʻōpū. Loaʻa kēia ʻano ma kahi o 20% o nā hihia .
Ma waho aʻe o kēia mau wahi nui ʻelua, he mea kākaʻikahi loa, hiki ke loaʻa kēlā mau ʻeha ma nā wahi ʻē aʻe.
- Nā ʻōpū ʻōpū: ʻO ka esophagus ka ʻōmole e lawe ana i ka meaʻai mai ko mākou puʻu a i ko mākou ʻōpū. Ke loaʻa iā mākou ka reflux acid (GERD) no ka manawa lōʻihi, hiki i ka waikawa o ka ʻōpū ke piʻi aʻe a hōʻino i nā paia o kēia ʻōmole.
- Nā ʻeha maʻi jejunal: Hiki ke ulu aʻe kēia mau ʻeha ma hope o kekahi mau ʻoki ʻōpū (e like me ka gastrojejunostomy).
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi? (Nā hōʻailona)
ʻO ka mea kupanaha, ma kahi o 7 o 10 mau kānaka me nā maʻi ʻōpū peptic ʻaʻole hōʻike i kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ʻo ia nā hōʻailona maʻamau.
ʻO ka hōʻailona nui ka ʻeha wela a ʻā paha, ʻoi aku hoʻi ma ka ʻaoʻao o luna, waena o ka ʻōpū (ʻeha epigastric). Wehewehe kekahi poʻe i kēia ʻeha me he manaʻo lā e ʻeli ana kekahi mea i loko o ka ʻōpū a i ʻole he manaʻo wela.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha ʻōpū a mumū paha | ʻEha ma ka ʻaoʻao o luna, waena o ka ʻōpū. Hiki ke hoʻonui a emi paha ma hope o ka ʻai ʻana. I kekahi manawa ʻoi aku ka ʻino o ka ʻeha ma ka ʻōpū ʻole. |
| Pehu ʻana | Manaʻo piha ʻoiai ma hope o ka ʻai iki ʻana. Manaʻo pehu. |
| ʻUha pinepine | Ka hele pinepine ʻana i ka lua ma mua o ka maʻamau. |
| ʻĀʻī puʻuwai | He ʻano wela ma waenakonu o ka umauma ma muli o ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka puʻu. |
| Ka nalowale o ka makemake a me ka nausea | Ka nalowale ʻana o ka makemake e ʻai, ka manaʻo e luaʻi, a i ʻole ka luaʻi ʻana. |
| ʻEha e hiki mai ana i ka pō | Hiki i kekahi poʻe ke loaʻa i ka ʻeha o ka ʻōpū e hoʻāla iā lākou i ka pō. |
No ke aha e ulu ai nā ʻōpū ʻōpū e like me kēia? ʻElua kumu nui!
E like me kā mākou i kūkākūkā ai ma mua, loaʻa nā ʻōpū ʻeha i ka wā e nāwaliwali ai ka uhi pale o ka ʻōpū. ʻElua mau kumu nui e nāwaliwali ai kēia uhi pale. ʻO kēia mau kumu ʻelua ke kuleana no ka ʻoi aku ma mua o 90% o nā ʻōpū ʻeha.
1. Ka maʻi bacteria Helicobacter pylori
- He aha ka H. pylori?
He ʻano bacteria kūikawā kēia e hiki ke noho i loko o ko kākou ʻōpū a me nā ʻōpū. ʻOi aku ma mua o ka hapalua o ka heluna kanaka o ka honua i loaʻa kēia bacteria i loko o ko lākou ʻōpū. Akā ʻaʻohe hōʻailona o ka hapa nui o ka poʻe. Akā i kekahi poʻe, ulu nui kēia bacteria a hoʻomaka e hōʻino i ka uhi pale o ka ʻōpū. I ka hala ʻana o ka manawa, hiki i kēia ke hana i nā ʻōpū ʻōpū.
2. Ka hoʻohana ʻana i nā lāʻau anti-inflammatory non-steroidal (NSAIDs)
- He aha kēia mau NSAID?
He ʻano lāʻau hoʻopau ʻeha kēia a mākou e hoʻohana pinepine ai. Eia kekahi laʻana, nā lāʻau lapaʻau e like me Aspirin, Ibuprofen (e.g. Brufen), a me Diclofenac Sodium (e.g. Voltaren) . Hoʻohana mākou i kēia mau mea no nā mea e like me ka ʻeha o nā hono, ka ʻeha o ke kua, a me ke poʻo.
- Pehea e hoʻoulu ai kēia i nā ʻeha ʻōpū?
Ke lawe ʻia kēia mau lāʻau no ka manawa lōʻihi a i ʻole ma nā nui kiʻekiʻe, ua hoʻopilikia ʻia ke kaulike o nā kemika e kōkua ana i ke kūkulu ʻana i ka uhi pale o ka ʻōpū. ʻO ka hopena, ua lahilahi ka uhi pale, e maʻalahi ai i nā waikawa ke hōʻino i ka paia.
E noʻonoʻo ʻoe he ʻāʻī kou ma kou kuli. Ke lawe mau nei ʻoe i nā lāʻau ʻeha mai ka hale kūʻai lāʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka. Ma hope o kekahi manawa, hoʻomaka ʻoe e loaʻa i nā ʻōpū ʻeha. ʻO ka mea e hana nei ma ʻaneʻi, ʻo ia ka hoʻonāwaliwali ʻana o nā lāʻau ʻeha i ka papa pale o kou ʻōpū, e hana ana i kahi ʻōpū ʻeha.
Nā kumu ʻē aʻe i emi iki ka maʻamau
Ma waho aʻe o nā kumu nui ʻelua i luna, hiki ke ulu aʻe nā maʻi ʻeha peptic ma muli o nā kumu ʻē aʻe, kakaʻikahi loa.
- ʻO kekahi mau maʻi ʻē aʻe
- Kemotherapy no ka maʻi kanesa
- Hoʻōla radiation
- Nā kūlana e like me ka maʻi o Crohn
- Nā maʻi laha ʻole e like me ka Zollinger-Ellison syndrome
- Ke kaumaha kino koʻikoʻi (e laʻa, ma hope o ke ʻoki kino nui, nā kuni nui)
He mea weliweli paha kēia inā waiho wale ʻia? (Nā pilikia)
ʻAe. ʻAʻole hiki ke lawe māmā ʻia nā maʻi ʻōpū peptic. Inā ʻaʻole mālama pono ʻia, hiki iā lākou ke alakaʻi i nā pilikia weliweli.
1. Ke kahe ʻana o ke koko ma ka ʻōpū: Inā hohonu ka ʻeha a haki kekahi kīʻaha koko ma laila, e hoʻomaka ke kahe ʻana o ke koko i loko o ka ʻōpū.
2. Ka ʻōpū o ka ʻōpū:ʻOi aku ka weliweli o kēia. Hele ka ʻeha ma ka paia o ka ʻōpū a i ʻole ka naʻau, e hana ana i kahi lua. A laila, kahe ka waikawa o ka ʻōpū, ka meaʻai, a me nā mea ʻē aʻe, i loko o ka lua o ka ʻōpū, e hana ana i kahi maʻi koʻikoʻi (peritonitis). He pilikia koʻikoʻi loa kēia e pono ai ke ʻoki kino.
| Pilikia! Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka haukapila! | |
|---|---|
| Nā noho ʻeleʻele | Inā pipili a ʻeleʻele kou ʻōpala, e like me ke kēpau, malia paha no ka mea he koko i loko o ka ʻōpū a ua ʻeli ʻia kēlā koko. |
| Ke luaʻi ʻana i ke koko | Inā he ʻulaʻula ka luaʻi a he koko hou a ʻeleʻele paha a ua like ke ʻano me ka ʻōpala kofe, he hōʻailona ia o ke kahe ʻana o ke koko. |
| ʻEha koke ka ʻōpū nui | Inā loaʻa iā ʻoe ka ʻeha nui a ʻoi i loko o kou ʻōpū e paʻakikī ai ke hana i kekahi mea a i ʻole ka hanu ʻana, he hōʻailona paha ia o kahi perforation i loko o kou ʻōpū. |
| Nā hiʻohiʻona ʻē aʻe | ʻO nā hōʻailona o ke kahe koko nui e komo pū ana me ka maeʻele, ka hou nui, ka paʻakikī o ka hanu ʻana, a me ka nalowale o ka ʻike. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai noho ma ka home. E hele i ka haukapila kokoke loa i ka Emergency Department (ETU) i ka hikiwawe loa.
Pehea e ʻike pono ai ke kauka i kēia maʻi?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, inā manaʻo ke kauka he maʻi ʻōpū peptic kēia, e kauoha ʻo ia i kekahi mau hoʻokolohua.
1. Nā hoʻāʻo ʻana iā H. pylori: Aia nā ala maʻalahi e nānā ai i ke alo o kēia bacteria.
- Hoʻāʻo Hanu Urea: Hāʻawi ʻia ʻoe i kahi wai kūikawā e inu, a hoʻāʻo ʻia kou hanu ma hope o kahi manawa pōkole.
- Hoʻāʻo Antigen Noho: Lawe ʻia kahi hāpana noho e nānā i ke alo o kēia bacteria.
2. Endoscopy (Endoscopy Luna):
ʻO kēia ke ala maikaʻi loa e hōʻoia ai inā he ʻōpū ʻeha kou. Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma kou waha i loko o kou ʻōpū a me ka esophagus, kahi e hiki ai iā ʻoe ke ʻike i nā mea o loko ma kahi pale. E hāʻawi ʻia iā ʻoe nā lāʻau ʻeha e hoʻopau i ka ʻeha i kou hana ʻana i kēia.
- Nā Pōmaikaʻi: Hiki iā ʻoe ke ʻike pololei inā he mau ʻōpū, kahi o lākou, a pehea ko lākou nui. Hiki iā ʻoe ke lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) koke e nānā no H. pylori.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, he maʻi nā ʻōpū peptic i hiki ke ho'ōla loa ʻia me ka lāʻau lapaʻau . Aia ka lāʻau lapaʻau i ke kumu o kou mau ʻōpū.
- Ka mālama ʻana i ka maʻi H. pylori:
Inā loaʻa iā ʻoe ka maʻi H. pylori, e kuhikuhi kāu kauka iā ʻoe i ka hui pū ʻana o ʻelua a ʻekolu mau lāʻau antibiotic a me kahi mea hoʻopaʻa proton pump (PPI) no 1-2 mau pule. He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau no ka manawa piha.
- Inā ma muli o ka hoʻohana ʻana i ka NSAID:
Inā loaʻa kou mau ʻeha i nā mea hoʻomaha ʻeha, ʻo ka mea mua e hana ai, ʻo ia ke hoʻōki i ka lawe ʻana iā lākou. A laila, pono paha ʻoe e lawe i ka lāʻau PPI no hoʻokahi a ʻelua paha mahina e hōʻemi i ka waikawa o ka ʻōpū a kōkua i ka ho'ōla ʻana o nā ʻeha.
- Nā lāʻau lapaʻau ʻē aʻe:
- Nā Mea Pale H2: He ʻano lāʻau lapaʻau kēia e hōʻemi ana i ka hana ʻana o ka waikawa i loko o ka ʻōpū.
- Nā mea hana cytoprotective: Hana kēia i kahi uhi pale ma ka paia o ka ʻōpū a kōkua i ka ho'ōla ʻana o ka ʻeha.
ʻO ka maʻamau, ʻelua mahina ka lōʻihi o ka ho'ōla piha ʻana o nā ʻōpū. Ma hope o ka mālama ʻana, e hoʻāʻo hou paha kāu kauka e ʻike inā ua ho'ōla ʻia nā ʻōpū a ua hoʻopau ʻia ka bacteria H. pylori.
Pehea lā e pakele ai i kēia kūlana?
He mea nui loa ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o kahi maʻi ʻōpū ma mua o ka ʻeha ʻana mai ia mea. ʻElua mau mea nui hiki iā ʻoe ke hana e hana ai i kēlā.
1. Ka ʻike e pili ana i ka maʻi H. pylori:
Inā loaʻa iā ʻoe nā pilikia ʻōpū pinepine, e ʻike i ke kauka a e hoʻāʻo ʻia no H. pylori. Inā loaʻa iā ʻoe, e kiʻi i ka lāʻau kūpono e ho'ōla ai.
2. E makaʻala me nā lāʻau hoʻomaha ʻeha (NSAID):
- E hoʻohana wale nō i ka wā e pono ai. Mai lawe i kēlā mau lāʻau lapaʻau ikaika no ka ʻeha iki.
- Mai lawe i kēia lāʻau lapaʻau no ka manawa lōʻihi me ka ʻole o ke kūkākūkā ʻana me ke kauka.
- Inā ua loaʻa iā ʻoe nā ʻōpū ma mua, pono paha ʻoe e hoʻōki loa i ka lawe ʻana i kēia mau lāʻau lapaʻau. A i ʻole, e aʻo aku paha kāu kauka iā ʻoe e lawe pū me kekahi lāʻau lapaʻau ʻē aʻe e pale ana i kou ʻōpū.
Leka Lawe-Home
- ʻAʻole ʻo ka mumū a me ka ʻeha o ka ʻōpū he gastritis mau. Hiki ke hana ʻia e ka ʻōpū ʻōpū (Peptic Ulcer).
- ʻO nā kumu nui ʻelua no kēia, ʻo ia ka bacteria H. pylori a me ka hoʻohana mau ʻana i nā lāʻau ʻeha NSAID (e.g. Brufen, Aspirin).
- ʻOiai inā ʻaʻohe hōʻailona, loaʻa paha i kekahi poʻe nā ʻōpū ʻōpū. No laila e pale i ka lawe ʻana i nā mea hoʻomaha ʻeha ma o lākou iho.
- Inā he ʻeleʻele kou mau ʻōpala, luaʻi koko, a ʻeha nui paha kou ʻōpū, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) .
- Hiki ke ho'ōla loa ʻia kēia maʻi me ka lāʻau lapaʻau. No laila, inā loaʻa iā ʻoe nā hōʻailona, e ʻike i ke kauka a loaʻa i ka lāʻau kūpono.
- ʻOi aku ka maikaʻi o ka pale ʻana i nā mea ʻaila, nā mea ʻala, ka puhipaka, a me ka waiʻona no ka mea hiki iā lākou ke hoʻonui i nā hōʻailona.
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