He paʻakikī nō hoʻi iā ʻoe ke ale i ka meaʻai? Malia paha no ka 'Schatzki Ring'!

Ke ʻai ʻoe, ʻoiai hoʻi kahi mea maloʻo e like me ka berena a i ʻole kahi ʻāpana ʻiʻo i nau pono ʻole ʻia, ke manaʻo koke nei ʻoe ua paʻa kou puʻu? A i ʻole ke manaʻo nei ʻoe i ka ʻeha ma waenakonu o kou umauma? I kekahi manawa ke manaʻo nei kēia mau mea ʻaʻole ʻoe makemake e ʻai, ʻeā? Inā loaʻa iā ʻoe kēia ʻano ʻeha, ʻo ke kumu paha he pilikia liʻiliʻi i loko o kou esophagus, ʻo ia hoʻi, kāu paipu meaʻai. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, i kapa ʻia ʻo 'Schatzki Ring'.

He aha kēia 'Apo Schatzki'? E hoʻomaopopo maʻalahi kākou, ʻeā?

E noʻonoʻo i ka lalo o kāu paipu meaʻai (kapa ʻia e nā kauka ʻo ia ka esophagus), kahi e komo ai ka meaʻai i kou ʻōpū, aia kahi apo liʻiliʻi o nā ʻiʻo keu. Ua like ia me kahi kaula laholio i loko o kāu paipu meaʻai. ʻO kēlā apo ʻiʻo keu i kapa ʻia ʻo Schatzki Ring . Ua kapa ʻia ia ma muli o ka radiologist nāna i ʻike mua, ʻo Richard Schatzki.

I kēia manawa, he aha ka mea e hana ʻia ma muli o kēia apo? Lilo ka esophagus i mea haiki iki, ʻo ia hoʻi, lilo ia i mea haiki. A laila, ke moni ʻoe i ka meaʻai, lilo ia i mea emi iki no kēlā mau ʻāpana meaʻai e hele maʻalahi i loko o ka ʻōpū. I kekahi manawa, inā lilo kēia i mea haiki loa a hiki i nā ʻāpana meaʻai ke paʻa ma laila a ʻaʻole hoʻi e hele i loko o ka ʻōpū. ʻO kēia ka mea a mākou e kapa nei he paʻakikī ke ale (dysphagia) .

Eia naʻe, ʻaʻole nā ​​kānaka a pau me ke apo Schatzki e loaʻa i nā hōʻailona nui. ʻIke kekahi poʻe ua loaʻa iā lākou ma ka ulia pōpilikia ke hana ʻia kahi hoʻāʻo no kekahi pilikia ʻē aʻe. Inā ʻaʻohe ou pilikia nui i ka moni ʻana, ʻaʻole paha ʻoe e pono i ka lāʻau lapaʻau.

He aha nā hōʻailona o kahi 'Schatzki Ring'? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi

ʻO ka hōʻailona nui ka paʻakikī o ka ale ʻana (dysphagia) a mākou i kūkākūkā ai ma mua. Eia nō naʻe, aia paha kekahi mau hōʻailona ʻē aʻe:

• ʻO ka hopena o ka meaʻai: Ma hope koke iho o kou hoʻomaka ʻana e ʻai, hiki i kahi ʻāpana meaʻai ke paʻa i loko o ke apo Schatzki ke hoʻāʻo ʻoe e ale. Hiki i kēia ke paʻakikī ke ale i kahi kulu wai. I kekahi manawa, hiki iā ʻoe ke loaʻa i kahi ʻeha ʻoi a i ʻole ka wela i ka wā e ale ai (odynophagia) . Hiki iā ʻoe ke hoʻāʻo e wehe i ka ʻāpana meaʻai i paʻa mai kou puʻu, a hiki iā ʻoe ke luaʻi.
• ʻEha umauma ʻaʻole puʻuwai: Hiki i kēia ke manaʻo e like me kahi mea i paʻa i ka umauma. Hopohopo paha kekahi poʻe he hōʻeha puʻuwai ia. Eia naʻe, ʻaʻole kēia he pilikia puʻuwai.

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau hōʻailona ma hope o ka ʻai ʻana i nā mea e like me ka berena pala a i ʻole ka ʻiʻo i moʻa ʻole ʻia. ʻAʻole hiki koke mai kēia mau hōʻailona, ​​akā ulu mālie. ʻOiai hiki ke hoʻomaka kēia ʻano ma kekahi makahiki, ʻike pinepine ʻia ma hope o 25 mau makahiki. E noʻonoʻo i ke ʻano ʻoluʻolu ʻole ke hele ʻoe i kahi pāʻina me nā hoaaloha a paʻakikī koke ke ale i kahi ʻāpana ʻiʻo.

No ke aha i hoʻokumu ʻia ai kēia 'Schatzki Ring'? He aha nā kumu?

ʻAʻole maopopo ke kumu kikoʻī o kēia. He maʻi hānau ʻia paha ia, ʻo ia hoʻi, ua hānau ʻia ʻoe me ia.

Akā, manaʻoʻiʻo nā kānaka noiʻi he kuleana ko nā kumu ʻē aʻe. No ka laʻana, ʻo ka waika o ka ʻōpū e kahe ana i luna i loko o ka esophagus ke kumu nui. Manaʻo nā loea i ka wā e hōʻeha pinepine ai ka waika o ka ʻōpū a i ʻole kekahi mau lāʻau lapaʻau i ka ʻaoʻao haʻahaʻa o ka esophagus, ulu aʻe nā ʻiʻo keu ma ia wahi i ka wā e ho'ōla ai ka ʻeha. E noʻonoʻo iā ia e like me kahi ʻeha e hana ana ma ko kākou ʻili ke loaʻa iā kākou kahi ʻoki.

Aia kekahi mau kūlana ʻē aʻe e hiki ke kōkua i ka hoʻokumu ʻia ʻana o kēia `(apo Schatzki):

• ʻO ka maʻi reflux Gastroesophageal (GERD): He ʻano ʻoi aku ka koʻikoʻi o ka gastritis, kahi i kamaʻāina ai ka hapa nui o kākou. ʻO GERD kahi kūlana e kahe mau ai ka waikawa o ka ʻōpū i luna i loko o ka esophagus. Hiki i kēia waikawa ke hōʻino i ka uhi o ka esophagus.
• ʻO ka hernia hiatal: Manaʻo kekahi poʻe he like ka hernia hiatal a me ke apo Schatzki. Eia naʻe, ʻaʻole like lāua. Eia naʻe, aia kahi pilina ma waena o nā mea ʻelua. He nui ka poʻe me ke apo Schatzki i loaʻa i ka hernia hiatal. ʻO kēia ka manawa e hoʻokuke ai ka ʻaoʻao o luna o ka ʻōpū i luna ma o kahi lua liʻiliʻi ma ka diaphragm. ʻAe kēia i nā mea o loko o ka ʻōpū, e like me ka waikawa, e piʻi maʻalahi i loko o ka esophagus. Hiki i kēia ke hōʻino i ka esophagus.

Pehea e ʻike ai nā kauka i kahi Schatzki Ring?

Inā pilikia ʻoe i ka moni ʻana, e hāʻawi mua kāu kauka iā ʻoe i kahi hoʻokolokolo kino . E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​ʻoiai nā meaʻai e hoʻonui ai i kou pilikia. Inā he mau hopohopo kāna, hiki ke kuhikuhi ʻia ʻoe i kahi gastroenterologist .

Hiki i kēlā loea ke hana i kēia mau hoʻokolohua:

• Endoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole lōʻihi a palupalu (i kapa ʻia he endoscope) me kahi kāmela liʻiliʻi a me ke kukui i hoʻopili ʻia ma o ka waha a me ka nānā ʻana i loko o ka esophagus. ʻAe kēia i ka ʻike pololei ʻia ʻana o ke apo Schatzki.
• ʻO Barium esophagram: I kekahi manawa ua kapa ʻia kēia he hoʻāʻo ale barium . Ma kēia hoʻāʻo, ale ʻoe i kahi papa a wai paha i hana ʻia me kahi hopena i kapa ʻia ʻo barium. A laila, hoʻohana ke kauka i kahi X-ray fluoroscopic (nā kiʻi X-ray e neʻe ana) e nānā i ka meaʻai e hele ana ma kou esophagus i kou ale ʻana. Hiki i kēia ke hāʻawi i kahi manaʻo o ka nui o ke apo, a i ʻole pehea ka haiki o kou esophagus.

ʻO ka mea nui, i ka wā e nui ai kēia apo o nā ʻiʻo, e emi ana ka hakahaka i loko o kou esophagus. ʻO ia ka manawa e paʻakikī ai ka meaʻai ke komo i loko o kou ʻōpū.

Pehea e mālama ʻia ai ka Schatzki Ring?

E hana paha kāu gastroenterologist i kahi esophagogastroduodenoscopy (EGD) me ka hoʻonui ʻana i ka esophageal . Mai hopohopo, he hana lōʻihi kēia, akā he maʻalahi ke kaʻina hana.

ʻO ka mea e hana ʻia ma kēia, ʻo ia ka hoʻohana ʻana i ka "endoscope", ʻo ia hoʻi, ka ʻōmole me ke kāmela, e hoʻouna ʻia ana kahi pōpō liʻiliʻi a i ʻole dilator i loko o ka esophagus. A laila, ma kahi o ke "apo Schatzki", ua hoʻopiha ʻia kēia pōpō a mea hana paha, a ua hoʻonui ʻia ka wahi i haiki ʻia. Ua like ia me ka hana ʻana i kahi ʻōmole i haiki ʻia i ʻoi aku ka nui. Huki kēia i waho i kēlā apo keu o ka ʻiʻo.

Hiki i nā lāʻau lapaʻau ke hana i nā hopena ʻaoʻao?

Aia paha kekahi mau hopena ʻaoʻao liʻiliʻi ma hope o ke kaʻina hana hoʻolaha esophageal (EGD), akā ʻaʻole ia he mea koʻikoʻi.

• He kahe koko iki
• ʻO ka ʻōpū ʻeha, e like me ka gastritis
• ʻeha ka ʻāʻī

Akā, he mea kākaʻikahi loa , i ka wā e hana ʻia ai kēia hoʻonui ʻana i ka esophagus, hiki i ka paia esophageal ke haehae iki ʻia (haehae i kahi lua). He kūlana koʻikoʻi kēia. No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka mālama ʻana , pono ʻoe e hoʻomaopopo koke i kāu kauka :

• Inā ʻoe i loko o kahi kūlana kahi hiki ʻole iā ʻoe ke ale
• Inā pilikia ʻoe i ka hanu ʻana
• Inā loaʻa iā ʻoe ka ʻeha nui o ka umauma
• Inā ʻoe e luaʻi i ke koko

Inā hana ʻia kekahi mea e like me kēia, mai hoʻokaʻulua iki, ʻeā?

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi 'Schatzki Ring'?

ʻO ka maʻamau, ma hope o ka hoʻonui ʻana o ka esophageal, e pau nui ka paʻa ʻana o ka meaʻai ma muli o ke apo Schatzki. E hiki iā ʻoe ke ale hou i ka meaʻai me ka maʻalahi.

Eia nō naʻe, hiki nō i kēia apo ke "hoʻi mai". Inā hana ʻia kēlā, pono paha ʻoe e ʻike hou i kāu kauka a hana paha i kahi papa hana ʻē aʻe. No laila he mea nui e makaʻala i nā hōʻailona.

Pehea e hiki ai iaʻu ke mālama iaʻu iho? He aha kaʻu e hana ai?

Inā pilikia ʻoe i ka moni ʻana ma muli o ke apo Schatzki, hiki iā ʻoe ke loaʻa nā pilikia hou aʻe, ʻoiai ke ʻai ʻana i nā mea e like me ka berena maloʻo a i ʻole nā ​​ʻāpana ʻiʻo nui. Hiki i kāu kauka ke aʻo iā ʻoe e kālele i nā meaʻai palupalu no kekahi manawa ma mua a ma hope o ka mālama ʻana.

• Nā mea kanu i moʻa maikaʻi ʻia a me ka laiki
• Nā ʻano sopa
• Nā hua palupalu e like me ka maiʻa a me ka papayas
• Yogurt, waiū momona

He maʻalahi kēia mau mea ke ale. I ka ʻai ʻana , e nau maikaʻi i kāu meaʻai, e ale mālie, me ka liʻiliʻi.He mea nui hoʻi e hoʻomaʻamaʻa iā ia. Mai hele wikiwiki e ʻai i waho.

Āhea wau e ʻike hou ai i ke kauka?

Inā manaʻo ʻoe e hoʻi hou mai ana kāu mau hōʻailona, ​​e like me ke ʻū ʻana a i ʻole ka ʻeha o ka umauma, e ʻike pono i kāu gastroenterologist. Makemake paha ʻo ia e hana i nā hoʻokolohua hou aʻe e ʻike ai inā ua hoʻi hou mai ke apo Schatzki.

ʻAʻole anei e ʻoi aku ka maikaʻi o kēia 'Schatzki Ring' ma kāna iho?

ʻAʻole, ʻaʻole kēia he kūlana e hoʻomaikaʻi wale ʻia. No ka hoʻopau ʻana i kahi `(Apo Schatzki)`, pono ʻoe e mālama ʻia. ʻOiai me ia ʻano mālama ʻana, e like me kā mākou i ʻōlelo ai ma mua, hiki i kēia kūlana ke hoʻi hou mai. A laila e pono hou ka mālama ʻana.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻO ka ʻai pinepine ka manawa e hoʻomaha ai mākou, e hauʻoli i kahi pāʻina ʻono, a malia paha e hoʻolilo i ka manawa me ka ʻohana. Akā inā he "apo Schatzki" kou i loko o kou esophagus, hiki ke nalowale kēlā leʻaleʻa ke paʻakikī iā ʻoe ke ale i ka meaʻai, a hiki i ka ʻai ʻana ke lilo i mea ʻeha.

ʻO ka mea maikaʻi loa e hana ai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ia ke ʻimi i ke kōkua lapaʻau me ka hoʻowahāwahā ʻole iā lākou.

Hiki i ka lāʻau lapaʻau ke hōʻemi nui i nā hōʻailona o ke apo Schatzki. Inā hōʻoia nā hoʻokolohua ua loaʻa iā ʻoe kēia maʻi, e kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa nāu. E wehewehe ʻo ia i kāu mau koho a me nā mea āu e manaʻo ai mai ka lāʻau lapaʻau. Mai hopohopo, aia nā lāʻau lapaʻau kūpono no kēia!

ʻO ke apo Schatzki, dysphagia, paʻakikī ke ale ʻana, esophagus, GERD, hiatal hernia, endoscopy, esophageal dilation