Kei te mamae tō korokoro, tō uma rānei? He uaua ki te horomi? Me ako tātou mō tēnei (Esophagitis)!

Kei te mamae tō korokoro i ētahi wā, kei te wera rānei tō uma ina horomia e koe te kai? Kei te pēhia rānei te kai ki roto i tō korokoro? Kaua e wareware noa ki ēnei mea. Nā te mea he tohu pea ēnei o tētahi mate e kiia nei ko te Esophagitis, ka kōrerohia e tātou i tēnei rā. Nō reira, me kōrero taipitopito tātou mō tēnei mea, me te mea kei te kōrero tātou ki tētahi hoa.

He aha te Esophagitis? He māmā noa iho...

Ko te Esophagitis te mumura, te pupuhi rānei o te arai o te esophagus, te ngongo e kawe ana i te kai mai i tō korokoro ki tō puku. Whakaarohia he motu i tō kiri e puta ai te whero, te pupuhi, me te mamae. Koinei te mea e tupu ana i roto i tō esophagus. Tērā pea ka pāngia koe e te mamae o te korokoro, te werawera, te mura rānei.

E mōhio ana koe he aha i puta ai tēnei pupuhi? He pūnaha tō tō tātou tinana e kiia nei ko te pūnaha ārai mate . Koinei te mea e tiaki ana i a tātou mai i ngā mate me ngā huakita. Nō reira, ina pāngia tātou e te mate pāwera, e te mate pāwera, ina pakaru rānei te korokoro i tētahi ara, ka whakahohehia tēnei pūnaha ārai mate, ka ngana ki te whakaora. Koinei te wā e puta ai tēnei pupuhi me te mumura. I ētahi wā, ka uru te waikawa puku mai i te puku ki roto i te korokoro, ā, ko ētahi rongoā e tangohia ana e tātou ka taea te kino i tēnei korokoro (Esophagitis).

He pēhea te noa o tēnei mate (Esophagitis)?

Ko te tino take o te (Esophagitis) ko te reflux waikawa , koinei te āhua e rangona pinepinetia ana e tātou e kīia nei ko te `(GERD - Gastroesophageal Reflux Disease)`. He raruraru tēnei e pāngia ana e te tini tāngata. Heoi, he onge noa iho ētahi atu momo (Esophagitis). Hei tauira, ko ngā mate o te esophagus ka kitea noa i roto i te hunga ngoikore te pūnaha ārai mate.

He aha ngā tohu ka pā mai mēnā he mate puku tō tātou?

Mena ka pāngia koe e te esophagitis, ka pāngia pea koe e ngā āhuatanga e whai ake nei:

• Ka mamae tōku korokoro , pērā i te wā e mātao ana ahau.
• Te mamae o te uma - Koinei te mamae nui rawa atu e kōrerotia ana e te tini o te tangata.
• He uaua ki te horomi kai - me te mea kua purua tō korokoro.
• Mamae o te uma - I ētahi wā ka pohehetia tēnei hei mamae o te mate manawa, nō reira he mea nui kia tino mōhio.

Ka paku kaha te mamae nei, i ētahi wā ka iti ake te kaha. Ka taea hoki te noho pūmau, ka haere mai, ka haere atu rānei.

I runga anō i te kaha me te take o te mate, ka pāngia pea koe e ngā tohu pēnei i :

• Te whakapūngao waikawa .
• Te ruakitanga o te kai .
• Te āhua nei kua mau te kai i roto i te korokoro .
• Te koretake o te kai .
• Tērā pea ka uaua ki ngā tamariki nohinohi te kai .
• Whakapairuaki me te ruaki .
• I ētahi wā ka puta te toto me te ruaki .
• Tērā pea ka puta he mate waha .

He mea nui: Mena kei a koe tētahi, ētahi rānei o ēnei tohu, inā koa te uaua ki te horomi, te mamae rānei o te uma, he pai ake te rapu tohutohu hauora.

He aha ngā take o te esophagitis?

E ai ki tā tātou i kōrero ai i mua ake nei, ka pupuhi te kiko o tō korokoro ina whawhai ana tō pūnaha ārai mate ki tētahi mate, ina pāngia koe e te mate pāwera, ina pā mai rānei tētahi mea kino ki tō korokoro.

Ko ngā tino take o te esophagitis ko:

• Te whakapūngao waikawa .
• Ko ētahi o ngā rongoā ka tangohia e mātou.
• Ngā mate pāwera huakita .
• Mate pāwera .
• Te rongoā irahiko mō ngā mea pēnei i te mate pukupuku.
• Ngā mate pūnaha ārai mate .

He rerekē ngā momo o te esophagitis i runga i te pūtake.

He aha ngā momo rerekē o te esophagitis?

Kia titiro tātou ki ētahi o ngā momo matua o te esophagitis.

1. Te reflux esophagitis (nā te reflux waikawa i puta)

Koinei te momo tino noa . Pēnei te āhua: Ka piki ake te waikawa me te wai nakunaku mai i tō puku ki roto i tō paipa kai. Ka kino te arai ngawari o tō paipa kai (kirikiri) ka pupuhi. Ka tupu pea tēnei mēnā he maha tonu ōu mate waikawa, he ruaki pinepine rānei.

Tērā pea nā:

• `(GERD - Mate reflux gastroesophageal)`
• `(Te rerenga o te au o te ngako)` - Ko te tikanga ka rere te au o te ngako mai i te puku ki roto i te paipa kai.
• Ngā mate kai pēnei i te `(Bulimia nervosa)`.

2. Te esophagitis i puta mai i te rongoā

I ētahi wā ka kiia tēnei ko te "pill esophagitis." Ko ētahi rongoā e whakamahia whānuitia ana, ki te tangohia me te kore wai, ka piri ki roto i te esophagus, ka rewa, ka kino hoki te arai o te esophagus.

He maha ngā momo rongoā ka taea te whai pānga penei:

• Ngā rongoā mamae, hei tauira, ngā rongoā anti-inflammatory kore-steroidal (NSAID).
• `(Paracetamol)` (Paracetamol).
• Ētahi momo `(Paturopi)`.
• Papa `(Pōhaitauma kōraira)`.
• Ko ngā Bisphosphonates he momo rongoā e whakamahia ana hei rongoā i ngā mate wheua.
• Ngā rongoā chemotherapy.

Kia maumahara: Koia te mea nui kia inu i tētahi karāhe wai i te wā e tango ana i ō pire.

3. I puta mai i te mate urutā (Infectious esophagitis)

He onge noa iho ngā mate o te korokoro. Heoi, ki te ngoikore tō pūnaha ārai mate,, ko te tikanga, ki te iti te ātete o te tinana ki te mate, he nui te tūponotanga o ēnei momo mate. I te nuinga o te wā, ka horapa ēnei mate ki te ara nakunaku mai i tētahi atu wāhi.

Ko ngā mate harore te mea tino kitea, ā, whai muri ko ngā mate huaketo .

Ka taea e ētahi mate te whakaputa i te esophagitis:

• Ko te harore `(Candida albicans)` (koinei te mea e hua ai te `(mate rewena)`).
• `(Huaroro Matepukupuku - CMV)`.
• Te huaketo herpes simplex ā-waha 1 (HSV-1).
• `(Te huaketo papilloma tangata ā-waha - HPV)`.

He maha ngā take e ngoikore ai te pūnaha ārai mate:

• Tūnga `(HIV/AIDS)`.
• Ko ētahi ngoikoretanga ira ārai mate (Ngā mate ārai mate tuatahi - PIDD)
• Ngā rongoā ārai mate (hei tauira, ngā rongoā i hoatu ki te hunga kua whakawhitia ōkana).
• Mate huka.
• Ko ētahi momo mate pukupuku, hei tauira, `(Leukemia)`, `(Lymphoma)`.
• He maimoatanga te chemotherapy mō te mate pukupuku.

4. (Te esophagitis eosinophilic)

He rerekē tēnei. Nā te kaha rawa o te pūnaha ārai mate . Kei roto i ō tātou tinana tētahi momo toto mā e kiia nei ko ngā "Eosinophils". Ina pāngia tātou e te mate pāwera, e te mate rānei, ka nui rawa te kohikohinga o ēnei pūtau "Eosinophils" ki roto i te korokoro, ā, ka pupuhi tonu i reira, ahakoa kua pahemo te riri. He mate onge tēnei, ā, he nui ake te tūponotanga ka pā ki te hunga he maha ngā mate pāwera .

5. Te mate pāwera ā-tinana

Haunga te esophagitis eosinophilic, ka taea hoki e ētahi atu mate pūnaha ārai mate te whakaputa i te esophagitis hei pānga taha. Hei tauira:

• `(Mate kōpuku vs mate manaaki)` (he āhuatanga ka puta i muri i te whakawhitinga okana).
• Te mate puku mumura (IBD) (he mate mumura o te ara nakunaku).
• `(Te mate a Behçet)`.

6. Nā te maimoatanga irahiko (Radiation esophagitis)

Ki te whiwhi koe i te rongoā irahiko e aro ana ki tō korokoro, ki tō uma, ki tō korokoro rānei, ka pupuhi pea te arai o tō korokoro (radiation mucositis). He tauhohenga rangitahi noa iho tēnei. Heoi, i ētahi wā onge, ka pāngia ētahi tāngata e te mate roa (esophagitis) hei hua o te rongoā irahiko.

He mate kino te Esophagitis? He aha ngā mea ka puta mēnā ka kore e arohia?

He mate ka taea te rongoā i te Esophagitis. Heoi, ki te kore e rongoatia te Esophagitis kino, ka puta pea ngā raruraru nui . Kia titiro tātou he aha ēnei.

• Ngā mate pukupuku i roto i te korokoro:He patunga tuwhera ēnei i roto i te paipa kai. Ka mamae pea, ka toto hoki. He onge te tupu haere tonu o te patunga kāore e ora, ā, ka puta he kōhao i roto i te paipa kai (te pakaru o te puku). Ki te tupu tēnei, ka taea e ngā iroriki mai i te paipa kai te uru ki roto i te uma, ki te toto rānei, ka puta he mate kino (septicemia).
• Te whakawhāiti i te korokoro: Ina pupuhi te kiko o te korokoro mō te wā roa, ka puta he whara. Ka taea e tēnei kiko whara te whakawhāiti i te korokoro, ka uaua ai te horomi i te kai. Ki te kino rawa atu tēnei, ka arahi pea ki te matewai, te ngaronga taumaha, me te kore kai pai.
• Te metaplasia o te puku: He huringa tēnei i roto i ngā pūtau o te korokoro. Ina puta tēnei momo huringa i roto i te korokoro, ka kiia hoki ko te "korokoro a Barrett". Hei urutau ki te mumura tonu, ka huri te kiko e hangai ana ki te korokoro kia rite ki te kiko e hangai ana ki ngā whekau. Ka taea hoki e tēnei huringa te waiho hei tohu mō te mate pukupuku korokoro.

Nō reira, ki te pā mai ngā tohu o te (Esophagitis), kaua e warewaretia. He mea nui kia tere tonu te toro atu ki te tākuta, kia whiwhi ai i te maimoatanga tika.

Me pēhea te tautuhi a ngā tākuta i te esophagitis?

He maha ngā wā, ka whakapae pea te tākuta kei te pāngia koe e te mate esophagitis i runga i ō tohumate. Tērā pea ka tohua e tō tākuta ētahi rongoā aukati waikawa hei tirotiro mēnā he āwhina. Mēnā ka āwhina, tera pea ka kitea koe he mate reflux esophagitis.

Ki te kore e mahi, me whai whakamātautau anō pea. Me whai tirotiro i te taha whakarunga o te puku, e whakamahi ana i te kāmera hei tirotiro i roto i tō korokoro. Me whai whakamātautau pH korokoro rānei, e ine ana i te nui o te waikawa i roto i tō korokoro.

Ka taea te whakaora katoa i te esophagitis?

Ae, ka taea. Hei whakaora (Esophagitis), me mutu ngā mea e whakapataritari ana i tō esophagus, arā, e pupuhi ana, ā, me tuku he wā ki te whakaora ā-taiao. I runga i te take, me huri pea tō momo noho, me whakamahi rānei i ngā rongoā. Ka taea e ngā rongoā te āwhina i te tiaki i tō esophagus me te āwhina i a ia kia tere ake te ora.

He aha ngā maimoatanga mō te Esophagitis?

Ko te tikanga, ko te rongoā me ngā huringa āhua noho te tikanga maimoatanga.

Ngā momo rongoā:

• Ngā rongoā whakaiti waikawa: Ka taea e ngā rongoā pēnei i te `(Antacids)`, `(H2 blockers)` (hei tauira, Famotidine), me te `(Proton-pump inhibitors - PPIs)` (hei tauira, Omeprazole, Esomeprazole) te āwhina ki te whakahaere i te reflux waikawa. Ka taea te hoko i ētahi o ēnei i te whare rongoā `(OTC - Over-the-counter)`, ko ētahi me tono tākuta.
• Ngā rongoā ārai-mumura:Mō te hunga e pāngia ana e te eosinophilic esophagitis, ka tūtohu ngā tākuta i ētahi wā kia tangohia he rongoā steroid wai. Ka hipokina e tēnei wai te roto o te esophagus, ā, ka whakaiti i te pupuhi. He iti ake hoki ngā pānga taha i te tango pire.
• Rongoā ārai harore mō ngā mate harore: Mō ngā mate harore pērā i te (Candida).
• Rongoā ārai huaketo mō ngā mate huaketo: Mō ngā mate huaketo pēnei i te herpes.
• Ngā paturopi monoclonal: He pūmua hanga horihori ēnei. Ka mahi tahi rātou me tō tātou pūnaha ārai mate hei āwhina i te aukati i te mumura. Ko Dupilumab tētahi o aua rongoā. Kua whakaaetia e te US Food and Drug Administration (FDA) hei rongoā i te eosinophilic esophagitis.

Ngā huringa āhua noho:

• Ngā huringa kai: Tāutuhia, karohia hoki ngā kai e whakaoho ai te reflux waikawa, te mate pāwera rānei (hei tauira, ngā kai raukikī, ngā kai ngako, te tiakarete, te kawhe, ngā hua citrus).
• Ngā Whakaaro mō te Rongoā: Mena kei te tango koe i ngā rongoā ka pā mai te mate esophagitis, kōrero ki tō tākuta mō te huri ki tētahi atu rongoā, te tango rānei i tētahi momo wai. Mena kei te tango koe i tētahi pire, kia tino inumia me te karāhe nui o te wai, kaua hoki e takoto i muri i te tango.
• Ngā tikanga o te pō: Hei whakaiti i te waikawa pūkahukahu, me iti ake te kai i te pō. Ina koa, me whakaoti tō kai i te iti rawa i te toru hāora i mua i te wā moe. Mā tēnei ka whai wā tō kai ki te nakunaku i mua i tō takotoranga.
• Ngā tikanga hauora pai: Ki te kai paipa koe, kati. Āta karohia te waipiro. Ka āwhina nui ēnei ki te tiaki i tō korokoro.

Ka ora ake te mate korokoro i a ia anō?

Ki te tino mōhio koe kua mutu te pūtake o tō esophagitis, tera pea ka ea i roto i ētahi wiki. Heoi, he mea whakaaro nui kia toro atu ki te tākuta kia tika ai te tātaritanga. Ka taea e tō tākuta te whakatau i te pūtake tuturu o tō esophagitis me te tohutohu i a koe mō te huarahi maimoatanga pai rawa atu mō taua mate.

Kia pēhea te roa ka roa te esophagitis?

Kei te ngāwari o te whakahaere i te pūtake o te mate. I ētahi wā ka roa tonu, me whakamātau pea koe i ngā rongoā rerekē kia kitea rā anō te maimoatanga tika. Kia tīmata te maimoatanga, ka tere te tīmatanga o te whakaoranga. Heoi, e toru ki te ono wiki pea te roa hei whakaora katoa. Mena he mate roa te take (hei tauira, GERD, mate pūnaha ārai mate), me haere tonu pea te tango rongoā hei whakahaere i te mate.

Mēnā he mate pūkahukahu tōu, me pēhea te tiaki i a koe kia ora rā anō?

I te wā whakaora, me tūpato ki ēnei mea:

• Āta karohia ngā mea e whakapataritari ana i tō pūnaha nakunaku, pērā i ngā kai kawa me ngā kai raukikī, te waipiro, me te kai hikareti.
• Kia ora rā anō te paipa kai, kaua e pēhi rawa.Ngāna ki te kai i ngā kai ngohengohe (hei tauira, te parāoa, te hupa, ngā huawhenua kua maoa pai).
• I te wā e kai ana, whatiwhatihia kia iti, ngaungauhia kia pai, kātahi ka horomia.
• Inumia he nui te wai. Mēnā rānei, inuhia ngā tī otaota e pai ana mō te nakunaku, pērā i te tī pakiaka marshmallow me te tī elm pahekeheke. Ka āwhina hoki ēnei ki te pupuri i te makuku o te tinana.

Āhea koe me toro atu ki te tākuta mō te esophagitis?

Mena kei a koe ngā tohu o te esophagitis, engari kāore anō kia kitea te pūtake, ki te kore rānei e āwhina tō maimoatanga o nāianei, me toro atu koe ki te tākuta. I ētahi wā, neke atu i te kotahi ngā pūtake o te esophagitis. Me rongoā pea ia o ēnei.

He rite tonu te (Esophagitis) me te (GERD)?

He pātai tēnei e pātaihia ana e te tini. Ko te GERD te tino take o te esophagitis. Heoi, ehara i te mea koinei anake te take . Waihoki, ehara i te katoa e pāngia ana e te GERD ka pāngia e te esophagitis. Kia mumura ai te esophagus, me noho tonu ki te waikawa mō te wā roa.

Ka rere tō korokoro i tō korokoro ki tō puku, mā roto i tō uma. I te nuinga o te wā, ki te kore e mamae, kāore tātou e tino whakaaro nui ki tēnā, tika? Engari ina mamae, kāore pea koe e mōhio tonu he mamae kei roto i tō korokoro. Tērā pea he mamae kei roto i tō uma, he mamae rānei kei roto i tō korokoro. Nō reira, i roto i tēnei tuhinga, ka whai wāhi koe ki te ako i ngā mea ka kino ai tō korokoro, me pēhea hoki te karo i aua mea.

He tokomaha te hunga e pāngia ana e te mate esophagitis nā te waikawa reflux. Neke atu i te 20% o te taupori e pāngia ana e tēnei raruraru. Heoi, ko te whakamahi nui i ngā rongoā mamae kāore e hokona ana i runga i te kaute pērā i ngā NSAID tētahi atu take noa. Kāore i te tino kitea ngā mate pūnaha ārai mate me ngā mate e pā ana ki te ngoikore o te pūnaha ārai mate. I ētahi wā, he huinga o ēnei take. Ki te whakaaro koe he mate esophagitis tōu, tirohia he tākuta kia whiwhi ai i tētahi tātaritanga.

Ngā mea tino nui hei maumahara i roto i te poto

Āe, anei ngā mea hei maumahara māu i roto i ngā mea kua kōrerohia e tātou:

• Ko te esophagitis he pupuhi, he mumura rānei o roto o tō paipa kai (esophagus).
• I te nuinga o te wā, ka puta tēnei i te mate e kiia nei ko te mate reflux gastroesophageal (GERD).
• Waihoki, ko ētahi rongoā, ngā mate kitakita, ngā mate pāwera, me ngā maimoatanga irahiko ka hua ake ai tēnei.
• Ki te uaua koe ki te horomi, ki te mamae ōu uma, ki te mamae rānei o tō uma, kaua e wareware noa. Tirohia he tākuta.
• He mate ka taea te rongoā i te esophagitis, ā, me whai rongoā pea, me ētahi huringa āhua noho hoki.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Kia ora tonu!

`te mate pūkahukahu, te mate pūkahukahu, te mamae o te korokoro, te mumura o te uma, te GERD, te uaua ki te horomi, te reflux, te ngau o te uma