Ke manaʻo nei ʻoe i kekahi manawa ua piha koke kou waha i ka lawai, me he mea lā ua paʻa kekahi mea i loko o kou puʻu, a he ʻono ʻawaʻawa? He mea kēia e hoʻoluhi ai i nā poʻe he nui. I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he wai brash . He hōʻailona maoli kēia i ʻike pinepine ʻia me GERD (Gastroesophageal Reflux Disease), he ʻano koʻikoʻi o ka gastritis. No ka mea, ʻaʻole ʻike maopopo ka poʻe he nui i kēia, e kamaʻilio wale kākou e pili ana i kēia lā.
He aha maoli ka Water Brush?
I ka ʻōlelo maʻalahi, ʻo ka phlegm wai ka wā e hana nui ai kou mau kelepa salivary a hana i ka nui o ka saliva i loko o kou waha. Hana ʻia kēia i ka wā e koʻikoʻi ai ka gastritis, ʻo ia hoʻi ke kahe hou ʻana o ka waikawa o ka ʻōpū i luna o ka esophagus i loko o kou puʻu a me ka waha.
E noʻonoʻo, i ka wā e piʻi mai ai ka waikawa o ka ʻōpū, hoʻāʻo ko mākou kino e hoʻopau iā ia ma ka hoʻonui ʻana i ka hana ʻana o ka lawai. ʻO ia ke kumu e kahe koke ai ka lawai i loko o ka waha. Hiki i kekahi poʻe ke hana a hiki i ʻelua punetēpuni (10 milliliters) o ka lawai i kēlā me kēia minuke. Ke hui pū ʻia kēia lawai me ka waikawa o ka ʻōpū, hāʻawi ia i ka waha i kahi ʻono ʻawaʻawa, ʻano ʻē a me kahi manaʻo o kahi mea i paʻa i ka puʻu.
He nui ka poʻe e huikau nei i kēia ʻano maʻi kahe wai me ka regurgitation. Akā he ʻelua mau mea like ʻole kēia. ʻO Regurgitation ka regurgitation o ka meaʻai i ʻeli hapa ʻia mai ka ʻōpū a hoʻi i loko o ka puʻu. ʻO ka diarrhea wai ka hana ʻana o ka lawai keu.
Nā hōʻailona ʻē aʻe e hiki ke hele pū me ka puhi ʻana o ka wai
ʻO ka maʻi kahe wai kekahi hōʻailona o GERD. Hiki paha iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe i helu ʻia ma lalo nei.
| Hōʻailona | Wehewehena |
|---|---|
| ʻĀʻī puʻuwai | ʻEha ʻā ma waenakonu o ka umauma i hoʻokumu ʻia e ka waikawa o ka ʻōpū. |
| Regurgitation | Piʻi aʻe ana ka waikawa o ka ʻōpū a me ka meaʻai i ʻeli hapa ʻia i loko o ka puʻu. |
| Ka paʻakikī i ka ale ʻana i ka meaʻai | Manaʻo e like me ka meaʻai i paʻa i loko o ka puʻu. |
| ʻEha umauma ʻaʻole ia he maʻi puʻuwai | ʻEha ma ka ʻāpana o ka esophagus e kokoke ana i ka puʻuwai. |
| Ka luaʻi a me ka nalowale o ka makemake | Manaʻo e luaʻi a emi ka makemake e ʻai. |
No ke aha mākou e loaʻa ai i ka ʻōpū wai?
ʻO ke kumu nui o kēia, ʻo ia ka GERD. Ma waena o ko kākou esophagus a me ka ʻōpū, aia kahi valve i kapa ʻia ʻo Lower Esophageal Sphincter (LES) . Ua like ia me ka puka. Ke ʻai kākou, wehe ʻia kēia puka e ʻae i ka meaʻai e komo i loko o ka ʻōpū, a laila pani hou ʻia a paʻa e pale i ka piʻi ʻana o ka waikawa o ka ʻōpū.
Akā inā lilo kēia valve i kapa ʻia ʻo LES i nāwaliwali, ʻeha, a ʻaʻole paha e pani pono, hoʻomaka nā waikawa ʻino i loko o ka ʻōpū e kahe i luna. Ke pā kēia waikawa i ka esophagus, manaʻo mākou i kahi ʻano wela i loko o ko mākou umauma. ʻO kēia kaʻina hana ke kumu o ka ʻoluʻolu ʻole e like me ka heartburn.
Ke noiʻi nei nā loea i kēia. Manaʻo lākou ʻo ka waikawa e komo ana i loko o ka esophagus e hōʻailona i nā kelepa salivary e hana i ka saliva hou aku. He ʻano pale paha kēia o ke kino.
Pehea e mālama ʻia ai kēia?
ʻO ke ʻano o ka mālama ʻana no ka maʻi kahe wai e like me ka GERD. I ka hapanui o nā hihia, hiki ke hoʻomalu ʻia ke kūlana me nā loli liʻiliʻi i ko kākou nohona a me nā ʻano ʻai, a inā pono, me ka lāʻau lapaʻau i lawe ʻia e like me ke kuhikuhi a ke kauka.
Nā hoʻololi nohona e pono ai ʻoe e hana
| He aha e hana ai | Wehewehena |
|---|---|
| Ke pale ʻana i ka puhipaka | Hoʻonāwaliwali ka puhipaka i ka valve LES. |
| Ka mālama ʻana i ke kaumaha olakino | ʻO ke kaumaha nui hiki ke kau i ke kaomi ma ka ʻōpū a hoʻonui i ka reflux acid. |
| Ka hōʻemi ʻana i ka inu ʻona | Hiki i ka waiʻona ke hoʻonui i nā hōʻailona GERD. |
| Ke hoʻomākaukau ʻana i nā meaʻai | Ma kahi o 3 mau pāʻina nui, ʻoi aku ka maikaʻi o ka ʻai ʻana i kekahi mau pāʻina liʻiliʻi i ka lā. |
| ʻAi mālie | E hāʻawi i kou ʻōnaehana hoʻoheheʻe i ka manawa e hoʻoheheʻe pono ai i ka meaʻai. |
| ʻAi ʻana ma mua o ka moe ʻana i ka pō | E ʻai i ka ʻaina ahiahi ma ka liʻiliʻi he 3 mau hola ma mua o ka hiamoe ʻana. Mai moe i lalo ma hope o ka ʻai ʻana. |
Nā lāʻau lapaʻau (ma ke ʻōlelo aʻo lapaʻau wale nō)
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi a hōʻemi paha i ka waikawa o ka ʻōpū.
He mea nui loa: Pono e hoʻohana ʻia kekahi o kēia mau lāʻau lapaʻau ma lalo o ke aʻo a kāu kauka. Mai lawe i kekahi lāʻau lapaʻau ma ka hale kūʻai lāʻau lapaʻau ma kāu iho. ʻO ke kauka wale nō ke hoʻoholo i ka lāʻau lapaʻau kūpono a me ka nui kūpono nou.
| ʻAno lāʻau lapaʻau | Hana |
|---|---|
| Nā lāʻau hoʻēmi ʻakika | Hāʻawi kēia i ka hōʻoluʻolu wikiwiki (i loko o 30 mau minuke). |
| Nā mea pale H2 | ʻOiai ʻo ka hopena o kēia mau mea ma kahi o hoʻokahi hola, ʻo ka mau o ka hōʻoluʻolu he 10 mau hola. |
| Nā mea pale o ka pamu proton (PPI) | Hāʻawi kēia i ka hōʻoluʻolu lōʻihi mai nā hōʻailona GERD a hiki ke hala i 1-4 mau lā e hoʻomaka ai ka hopena. |
He aha nā meaʻai maikaʻi ʻole e pale aku ai i kēia maʻi?
ʻAʻohe papa inoa kikoʻī o nā meaʻai maikaʻi ʻole no ka maʻi diarrhea wai a i ʻole GERD. Eia nō naʻe, ʻo nā meaʻai e hoʻomaha ai i ka valve LES a i ʻole e lōʻihi ka manawa e ʻeli ai hiki ke hoʻonui i nā hōʻailona. Inā ʻoe e ʻike nei i ka ʻoluʻolu ʻole, e hoʻāʻo e hōʻemi i nā meaʻai ma lalo nei.
- Nā meaʻai ʻaila, momona, a me nā mea ʻala
- Nā mea inu caffeine (e.g. kokoleka, kofe)
- Nā mea inu kalapona (e.g. soda)
- Nā hua citrus e like me nā lemona a me nā ʻalani
- ʻAkaʻakai a me ke kālika
- Mīnika
Akā e hoʻomanaʻo, ʻaʻole e maʻi āpau nā meaʻai i kēia mau meaʻai. ʻOi aku ka maikaʻi o ke akahele iki a ʻike i nā meaʻai e hoʻoluhi ai iā ʻoe.
He aha kāu e hana ai no ka hoʻomaha koke inā pilikia koke ʻoe?
Inā loaʻa koke iā ʻoe kēia mau hōʻailona a ʻoluʻolu ʻole ʻoe, e hoʻāʻo i kēia mau mea:
- E kū pololei: Ke kū ʻoe i luna, kōkua ka umekaumaha i ka waikawa e neʻe i luna i loko o ka ʻōpū.
- E wehe i nā lole paʻa: E pale i ke komo ʻana i nā lole paʻa (nā kāʻei, nā lole paʻa) i ka wā e hiamoe ana . Hiki i ke kaomi ke hoʻonui i ka nui o ka waikawa e piʻi mai ana.
- E lawe i kahi antacid e like me ke kauoha a kāu kauka: Inā ua ʻōlelo mua kāu kauka iā ia, hiki iā ʻoe ke loaʻa ka hoʻomaha koke mai kahi antacid.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona (puʻuwai ʻeha, maka waimaka) no nā pule ʻelua a ʻoi aku, e ʻike pono i ke kauka. ʻOiai ʻaʻole weliweli nā maka waimaka, inā ʻaʻole mālama ʻia ke kūlana GERD ma lalo, hiki iā ia ke hōʻino i kou esophagus i ka hala ʻana o ka manawa.
ʻOiai ʻo ka ʻeha puʻuwai, ka ʻeha umauma, a me ka regurgitation he mau hōʻailona ʻoluʻolu ʻole o GERD, hiki ke mālama maikaʻi ʻia me nā loli o ke ʻano o ka nohona a me nā lāʻau lapaʻau. No laila, mai hopohopo. E kamaʻilio me kāu kauka e pili ana i ka hoʻolālā lapaʻau maikaʻi loa nāu.
Leka Lawe-Home
- ʻO nā maka waimaka kahi hōʻailona o ka GERD (acute gastroesophageal reflux disease).
- ʻO ke kumu nui o kēia, ʻo ia ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus.
- Hiki ke hoʻomalu nui ʻia kēia kūlana ma o ka hana ʻana i nā loli maʻalahi i ke ʻano o ka nohona a me nā ʻano ʻai.
- Inā mau nā hōʻailona no nā pule ʻelua a ʻoi aku, e ʻike pono i ke kauka.
- Mai hoʻohana i nā lāʻau lapaʻau e like me kou manaʻo me ka ʻole o ke aʻo ʻana mai ke kauka.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka Paʻakikī i ke Ale ʻana / Dysphagia?
He mea maʻamau ka paʻakikī o ka ʻai ʻana i ka wā e ʻeha ai kou puʻu. Akā, ʻo ka 'Dysphagia' ka wā e paʻa ai ka laiki, ka berena, a i ʻole ka wai āu e ʻai nei i waenakonu o kou puʻu/umauma ma kahi o ka iho ʻana i lalo o kou puʻu. ʻO kēia ke kumu e nau nui ai ʻoe i kāu meaʻai, a hoʻomaka ʻoe e ʻū/ʻū i ka wā e ʻai ana. He hōʻailona weliweli loa kēia o kahi maʻi kanesa weliweli a i ʻole ka maʻi neurological i loko o ka ʻōpū/puʻu.
💬 He aha nā kumu nui o ka paʻa ʻana o ka meaʻai/mea inu i ka puʻu a i ʻole ka umauma (Dysphagia)?
ʻO nā kumu nui 4 a me nā mea weliweli loa o kēia: 1) 'Esophageal Cancer / Tumor' - Ka maʻi ʻaʻai e hana ana i loko o ka esophagus (ka paipu e alakaʻi ana i ka ʻōpū) a ālai i ka paipu! (ʻO ka mea mua, lilo ia i mea paʻakikī ke ale i ka meaʻai, a laila lilo ia i mea paʻakikī ke ale i ka wai). 2) ʻO ke kinoea/Gastritis (GERD) ke kumu o ka ʻeha ʻana o ka esophagus (ma muli o ka reflux acid) a ke kumu o ka ʻūlū/ālai ʻana o ka paipu (Strictures). 3) Ka nāwaliwali/nalowale o ke ale ʻana i nā ʻiʻo ma muli o ka hahau ʻana a i ʻole ka maʻi Parkinson.
💬 No ke aha e pono ai i ka mea e moni maʻalahi e like me ko lākou hanu ʻana, e ʻike koke i ke kauka/e hele i ka haukapila ke paʻakikī iā lākou ke moni i ka meaʻai (Dysphagia)?
ʻAʻole kēia he maʻi e pono ai ka mālama ʻana ma ka home (he mea pono ka endoscopy). ʻO ka pōʻino nui loa! Me ka paʻakikī o ka moni ʻana, 1) 'ʻO ka pohō kaumaha i wehewehe ʻole ʻia me ke kumu ʻole', 2) ʻEha hiki ʻole ke hoʻomanawanui i ka puʻu/umauma (Odynophagia) i ka wā e ʻai ana, 3) Aspiration pneumonia (ka makemake ʻana i ka meaʻai i loko o nā māmā i ka wā e moni ai), he maʻi kanesa/make 100% ia! Pono ʻoe e lawe koke ʻia i ka haukapila!
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo