Loaʻa pinepine iā ʻoe ka ʻeha puʻuwai a i ʻole ka indigestion? A i ʻole he paʻakikī iā ʻoe ke ale, ʻeha mau o ka ʻōpū, a i ʻole ka nausea? Inā loaʻa iā ʻoe kēia mau hōʻailona, hiki i kāu kauka ke paipai i kahi "Upper GI Series"
ʻĀ, hopohopo iki paha ʻoe no ka mea ʻaʻole ʻoe i ʻike i ke ʻano o ia mea. Akā, ʻaʻohe pono e hopohopo. He hoʻāʻo maʻalahi loa kēia a ʻeha ʻole. E kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia Upper GI Series?
He hoʻāʻo X-ray kūikawā maoli kēia. Lawe ka X-ray a mākou i ʻike pinepine ai i hoʻokahi kiʻi paʻa. Akā he ʻokoʻa iki kēia. Hoʻohana ia i kahi ʻenehana i kapa ʻia ʻo fluoroscopy . E noʻonoʻo iā ia e like me ke kiʻi o ka X-ray maʻamau, akā ua like ka fluoroscopy me ke wikiō. Hiki iā ʻoe ke ʻike pehea e hana ai nā ʻōpū i loko o kou kino, ʻo ia hoʻi, pehea lākou e neʻe ai, i ka manawa maoli, ʻo ia hoʻi, i ka manawa like.
I kēia manawa, e nānā kākou i ke ʻano o ka "Upper GI" ma kēia inoa. ʻO "GI" ke kū nei no "Gastrointestinal tract". I ka ʻōlelo maʻalahi, ʻo kā mākou ʻōnaehana hoʻoheheʻe . ʻO "Upper GI" ke ʻano o ka ʻāpana o luna o kēia ʻōnaehana hoʻoheheʻe. Hoʻokomo nui ia i:
- ʻEsophagus: ʻO ka ʻōmole e hele ai ka meaʻai i ka wā a mākou e moni ai.
- ʻŌpū: Kahi e mālama ʻia ai a hoʻoheheʻe ʻia ai ka meaʻai.
- Duodenum: ʻO ka hapa mua o ka ʻōpū liʻiliʻi kahi e hele ai ka meaʻai ma hope o ka ʻōpū.
ʻO ke ʻano o ka huaʻōlelo "series" i kēia hoʻāʻo ʻana, ua lawe ʻia kekahi mau kiʻi X-ray, e like me ke wikiō. No laila ua hui pū ʻia kēia mau mea a pau a kapa ʻia ʻo "Upper GI Series."
No ke aha e ʻōlelo ai ke kauka i kēia hoʻokolohua?
Inā loaʻa iā ʻoe nā hōʻailona e pili ana i kāu ʻōnaehana hoʻoheheʻe luna, hiki i kāu kauka ke ʻōlelo i kēia hoʻāʻo e kōkua i ka hoʻoholo ʻana i ke kumu. Nānā ia i loko o kou esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi, e ʻike inā he mau loli i ko lākou ʻiʻo, nā mea ʻē aʻe i ko lākou ʻano, a e ʻike inā e hana pono ana lākou. Hoʻohana pinepine ʻia kēia hoʻāʻo ma ke ʻano he hana mua i ka ʻike ʻana i ke kumu.
| Nā hōʻailona paha āu e loaʻa ai | He wehewehe maʻalahi |
|---|---|
| Nā pilikia ale ʻana | Ka manaʻo o ka ʻūʻū a i ʻole ka ʻeha i ka wā e moni ai i ka meaʻai a mea inu paha. |
| ʻĀʻī puʻuwai | ʻO ka ʻā ʻana o ka puʻuwai he ʻano wela ia ma waenakonu o ka umauma i hoʻokumu ʻia e ka waikawa o ka ʻōpū e piʻi ana i ka esophagus. Wahi a kekahi poʻe hiki ia i ka puʻu. |
| ʻEha ʻōpū | ʻO ka ʻeha mau a i ʻole ka ʻeha pinepine ʻole, ʻoiai ma ka ʻōpū luna. |
| Ka luaʻi a me ka luaʻi | ʻO ka nausea a me ka luaʻi mau ʻana me ke kumu ʻole. |
| ʻAʻai ʻole | Manaʻo piha ma hope o ka ʻai ʻana, me ka manaʻo ʻaʻole e ʻeli pono ana kou ʻōpū. |
He aha nā maʻi e hiki ke ʻike ʻia e kēia hoʻāʻo?
Hiki i kēia hoʻāʻo ke hāʻawi i ka ʻike e pili ana i nā mea he nui. Hiki i ke kauka ke nānā i kou mau ʻōpū o loko a hoʻoholo inā he pilikia.
ʻO ka mea nui, ʻoiai inā hōʻike kēia hoʻāʻo he pilikia, pono paha nā hoʻāʻo hou aʻe e hōʻoia pololei i ke ʻano o ia mea. He ʻanuʻu koʻikoʻi kēia i ka huakaʻi hōʻoia.
E nānā kākou i nā pilikia nui e hiki ke ʻike ʻia mai ka papa ma lalo nei.
| ʻAno pilikia | Nā laʻana a me ka wehewehe maʻalahi |
|---|---|
| 1. Nā Hoʻololi ʻAʻa | |
| Ka mumū a i ʻole ka maʻi | Ka pehu ʻana a i ʻole ka ʻulaʻula o nā paia o loko o ka ʻōpū (Gastritis) a i ʻole ka esophagus (Esophagitis). |
| Maʻi ʻUlu Peptic | Nā ʻōpū ma ka paia o loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. |
| Ka pōʻino o ka reflux waikawa | Ka hōʻino ʻana i nā ʻiʻo o ka esophagus i hana ʻia e ka hoʻopili lōʻihi ʻana i ka waikawa o ka ʻōpū. |
| 2. Nā pilikia kūkulu | |
| ʻO ka Hernia Hiatal | ʻĀpana o ka ʻōpū e puka ana i loko o ka umauma. |
| Nā ʻOki ʻana o ka Esophageal | Ke ālai ʻia nei ke ala ʻana o ka meaʻai ma muli o ka haiki ʻana o ka esophagus. |
| Nā Polyps a i ʻole nā Tumors | Nā ulu ʻano ʻē ma nā paia o loko o nā ʻōpū (hiki paha kēia a ʻaʻole paha he maʻi kanesa. Pono nā hoʻokolohua ʻē aʻe e hōʻoia i kēia). |
| 3. Nā pilikia hana | |
| Ka paʻakikī i ka moni ʻana (Dysphagia) | Ua hoʻopilikia ʻia ke kaʻina hana moni ʻana ma muli o ka hana pono ʻole ʻana o nā ʻiʻo o ka esophagus. |
| Ka lohi o ka hoʻokahe ʻana o ka ʻōpū (Gastroparesis) | ʻO ka hoʻonāwaliwali ʻana o nā ʻiʻo o ka ʻōpū ke kumu o ka lohi ʻana o ke kaʻina hana o ka hoʻouna ʻana i ka meaʻai i nā ʻōpū. |
| Nā ālai ʻana | He mea keakea ma kekahi wahi o ke ala meaʻai. |
He aha ka ʻokoʻa ma waena o kahi Upper GI Series a me kahi Endoscopy?
Ua lohe paha ʻoe i kahi endoscopy . ʻOiai ke nānā nei nā mea ʻelua i ka ʻaoʻao o luna o ka ʻōnaehana hoʻoheheʻe, ʻokoʻa loa kēia mau hoʻāʻo ʻelua.
- ʻO ka Upper GI Series: He hoʻāʻo ʻaʻole invasive kēia. ʻO ke ʻano kēia, ʻaʻohe mea hana i hoʻokomo ʻia i loko o ke kino. Hoʻokele ʻia nā kukuna X mai waho e kiʻi i nā kiʻi o loko.
- Endoscopy: He hoʻāʻo invasive kēia. Maanei, hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o ka waha a hoʻohana ʻia e nānā pololei i loko o ka esophagus, ka ʻōpū, a me ka ʻōpū liʻiliʻi. Hoʻomaʻamaʻa pinepine ʻia ʻoe no kēia. ʻO ka pōmaikaʻi o ka endoscopy, inā he wahi kānalua, hiki ke lawe ʻia kahi ʻāpana o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana.
I ka ʻōlelo maʻalahi, ua like ka Upper GI Series me ka nānā ʻana i kahi hale mai waho. Ua like ka Endoscopy me ke komo ʻana i loko o ka hale a nānā mai kēlā lumi a i kēia lumi. No laila, e hana mua nā kauka i ka Upper GI Series a, inā ʻike ʻia he pilikia, e paipai i kahi Endoscopy e hōʻoia iā ia.
No ke aha i kapa ʻia ai kēia wai ʻo 'Barium' e inu?
I nā kiʻi X-ray, ʻike maopopo ʻia nā mea paʻa e like me ko kākou mau iwi i ke keʻokeʻo. Akā, ʻaʻole ʻike maopopo ʻia nā ʻōpū i hana ʻia me nā ʻiʻo palupalu e like me ka esophagus a me ka ʻōpū.
No ka loaʻa ʻana o nā kiʻi maopopo o kēia mau ʻōkana, hoʻohana ʻia kahi mea i kapa ʻia ʻo barium . Ua kapa ʻia kēia he mea hoʻohālikelike . E noʻonoʻo ʻoe e kala ana i kahi mea i ke keʻokeʻo e hoʻokaʻawale maikaʻi ai i kahi kiʻi ʻeleʻele a keʻokeʻo. Hana like ʻo Barium.
Ke inu ʻoe i kēia wai barium, uhi ia i nā paia o loko o kou esophagus, ʻōpū, a me ka ʻōpū liʻiliʻi. A laila, ke lawe ʻoe i kahi X-ray, ʻike maopopo ʻia nā wahi i uhi ʻia ai ka barium i ke keʻokeʻo. A laila, hiki iā ʻoe ke ʻike maʻalahi i ke ʻano o kēlā mau ʻōpū, nā ʻeha, a i ʻole nā puʻupuʻu e kū nei.
He mānoanoa iki kēia wai barium a he ʻono ʻōpae kona, akā, ʻaʻole ia he mea ʻono loa ke inu ʻia no ka mea, ua hoʻāla pinepine ʻia me ka mea ʻono.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
Pono e hakahaka loa kou ʻōpū ma mua o kēia hoʻāʻo. A i ʻole, ʻaʻole e maopopo nā kiʻi ma muli o ka meaʻai. No laila e hōʻoia e hahai i kēia mau ʻanuʻu.
- ʻAi a me ka Mea Inu: Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ka hoʻāʻo.ʻAʻole maikaʻi ke inu iki i ka wai.
- Nā lāʻau lapaʻau: E kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe mau ai. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā lāʻau lapaʻau no ka gastritis) i ka lā ma mua o ka hoʻāʻo ʻana.
- Hāpai keiki: He mea nui loa kēia. Inā hāpai ʻoe a i ʻole he kānalua paha ʻoe ua hāpai ʻoe, pono ʻoe e haʻi aku i kāu kauka a me nā limahana e hana ana i ka X-ray . ʻAʻole hana ʻia kēia hoʻāʻo ma nā wahine hāpai no ka mea hiki i ka radiation X-ray ke hōʻino i ka pēpē i loko o ka ʻōpū.
- Nā kūlana olakino ʻē aʻe: Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, ka maʻi diabetes, a i ʻole nā kūlana olakino koʻikoʻi ʻē aʻe, e hoʻomaopopo i kāu kauka ma mua.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
ʻOiai ua hopohopo iki wau e pili ana i ka hoʻokolohua, he hana ʻeha ʻole ia.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lole haukapila e ʻaʻahu ai.
2. A laila e lawe ʻia ʻoe i ka lumi X-ray. Aia kahi moena kūikawā e hiki ke hoʻokiʻekiʻe ʻia i mua a i mua, hāpai ʻia a hoʻohaʻahaʻa ʻia.
3. E hoʻokū ʻia ʻoe a moe paha ma luna o kahi moe a e hoʻopaʻa ʻia i kahi moe me nā kaula.
4. A laila e hāʻawi ʻia ʻoe i kahi hopena barium e inu ai. Pono paha ʻoe e inu i kahi hopena mānoanoa a me kahi hopena lahilahi.
5. ʻOiai ʻoe e inu ana i ka barium, hoʻā ke kauka radiology i ka mīkini X-ray a nānā i ke kahe ʻana o ke wai i lalo o kou esophagus ma kahi pale.
6. E hoʻohuli ʻia a hoʻokiʻekiʻe ʻia ka moena āu e moe nei e hōʻoia i ka hohola like ʻia ʻana o ka barium. I kekahi manawa e noi ʻia ʻoe e huli i nā kūlana like ʻole. I kekahi manawa e kaomi mālie ʻia kou ʻōpū.
7. Hiki i kēia kaʻina holoʻokoʻa ke lawe ma waena o 30 mau minuke a 2 mau hola, ma muli o ka wikiwiki o ka hele ʻana o ka barium ma kou kino.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? Aia kekahi mau pilikia?
Hiki iā ʻoe ke ʻai a inu maʻamau ma hope o ka hoʻāʻo ʻana, akā hiki iā ʻoe ke manaʻo i kekahi mau ʻoluʻolu liʻiliʻi.
- Waihoʻoluʻu o ka noho: ʻOiai ʻaʻole i komo ke kino i ka barium, ua hoʻokuʻu ʻia i loko o ka noho. No laila , he keʻokeʻo a he māmā paha kou noho no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo ʻana. He mea maʻamau kēia, mai hopohopo.
- Paʻa ʻōpū: Hiki i ka Barium ke hoʻoulu i ka paʻa ʻōpū i kekahi poʻe. No ka pale ʻana i kēia , inu i ka wai he nui . He mea nui loa e inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. Inā ʻaʻole ʻoe e hele i ka ʻōpala ma hope o ʻelua a ʻekolu paha lā, e kamaʻilio me kāu kauka.
- Ka Hōʻike ʻana i ka Pāhawewe: He pāhawewe nā kukuna X. Eia nō naʻe, haʻahaʻa loa ka nui o ka pāhawewe i hoʻohana ʻia ma kēia hoʻāʻo a ua manaʻo ʻia he palekana. Eia nō naʻe, ʻaʻole kūpono kēia nui liʻiliʻi no nā wahine hāpai.
- ʻAleʻaleʻa:He mea kākaʻikahi loa ka maʻi ʻaleka i ka barium. Inā loaʻa ia, aia nā pono ma ka haukapila e mālama ai.
ʻAʻole kēia hoʻāʻo e hoʻopilikia nui i ke kanaka olakino. Eia naʻe, ʻaʻole kūpono no ka poʻe me ka maʻi puʻupaʻa, ka paʻa paʻa nui, a i ʻole nā wahine hāpai.
Leka Lawe-Home
- He hoʻāʻo X-ray maʻalahi a ʻeha ʻole ka Upper GI Series e nānā ana i ka ʻaoʻao o luna o kāu ʻōnaehana hoʻoheheʻe (esophagus, ʻōpū).
- Ua like kēia me kahi wikiō e neʻe ana ma kahi o ke kiʻi paʻa.
- Hāʻawi ʻia kahi wai kūikawā i kapa ʻia ʻo barium e inu i hiki ke ʻike maopopo ʻia nā kiʻi o loko.
- Kōkua kēia i ka ʻike ʻana i ke kumu o nā mea e like me ka ʻeha o ka umauma, ka paʻakikī i ka moni ʻana, a me ka ʻeha o ka ʻōpū no ka manawa lōʻihi.
- Mai ʻai a inu paha i kekahi mea i ka pō ma mua o ka hoʻāʻo. E hōʻoia e haʻi i kāu kauka inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe.
- E inu i ka wai nui ma hope o ka hoʻāʻo ʻana e pale ai i ka paʻa ʻana.
- ʻO kēia ka hana mua i ka ʻike ʻana i kahi maʻi. Ma muli o nā hualoaʻa, e wehewehe kāu kauka i ka mea e hana ai ma hope.
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