He uaua ki te horomi? Kua mau ki roto i tō korokoro? Tērā pea he Achalasia tēnei!

I a koe e kai ana, ka rongo koe i te wai e inu ana koe kāore e heke ki roto i tō korokoro? Me te mea kei te mau tetahi mea i roto i tō korokoro... Tērā pea kei te hoki mai te kai ki roto i tō korokoro. Ehara tēnei i te mea noa iho, engari he tohu pea nō te mate e kiia nei ko te Achalasia . Ahakoa he tokomaha te hunga e whakaaro ana he mea noa tēnei, he mea nui kia mōhio ki tēnei. Nō reira, me kōrero tātou mō tēnei i tēnei rā.

He aha te Achalasia?

Whakaarohia, ina kai tātou, me haere te kai mai i te waha ki te puku, tika? Ka puta tēnei haerenga i roto i tētahi ngongo e kiia nei ko te esophagus. Kia tika ai te mahi o tēnei tukanga, e rua ngā mea me tupu.

1. Me whakawhāiti te korokoro me te pana i te kai ki raro, pērā i te pēhi i te ngongo paraihe niho.

2. Me whakatuwhera he takirere iti (he pūwero uaua) kei te pito o te korokoro, te wāhi e uru ai te kai ki te puku.

Nā, ki te mea he achalasia tōu, kāore ēnei tukanga e rua e mahi tika. Kāore e taea e te korokoro te pana i te kai ki raro, ā, kāore taua takirere e tuwhera tika. Ka ahatia? Ka mau te kai ki te wāhanga o raro o te korokoro. He rite ki te waikeri kua purua i roto i te totohu. Ā tōna wā, ka tīmata te hoki ake o tēnei kai kua mau ki roto i te korokoro.

He tino onge tēnei mate . Tata ki te kotahi i roto i te miriona tāngata e pāngia ana. Engari kāore e puta ohorere mai, ka tipu haere mārire i roto i ngā tau. Ko ētahi tāngata ka ora mō ngā tau me te kore e kite i ngā tohu. Ahakoa kāore e taea te whakaora katoa, mā te maimoatanga tika , ka taea e koe te noho noa.

He aha ngā take o te Achalasia?

Kāore anō kia kitea te tino take o tēnei, engari he iti noa ngā mea e whakaarohia ana e ngā tākuta koinei pea te take.

• Ngā take ira: Ko te tikanga ka taea te tuku iho.
• Ngā raruraru ārai mate: Koinei te wā e whakaeke ai te pūnaha ārai mate, e tiaki ana i tō tātou tinana, i ō tātou ake pūtau io.
• He mate huaketo: E whakaarohia ana ka pakaru ētahi mate huaketo i ngā io i roto i te korokoro.
• Neurodegenerative: Te whakangaromanga āta haere o ngā io e whakahaere ana i ngā uaua o te korokoro.

Ka pāngia te tangata katoa e tēnei mate. He ōrite te pānga ki ngā tāne me ngā wāhine. Engari he mea tino noa i waenga i te hunga i waenga i te 25 me te 60 tau te pakeke. Ka pāngia hoki ngā tamariki. Ka kitea anō hoki i roto i te hunga whai Down syndrome.

He momo Achalasia kei reira?

Ae, e toru ngā momo matua o te Achalasia. Ka rerekē pea ngā tohu me ngā maimoatanga i runga i te momo e pāngia ana koe.

He aha ngā tohu matua o tēnei?

Ko te tohu matua me te tohu tino kitea o te achalasia ko te uaua ki te horomi i ngā wai me ngā mea totoka . Ka mau pea te kai ki roto i te korokoro, ka pupuhi, ka nui rānei te korokoro.

Hei tāpiritanga, ka kitea anō hoki ēnei āhuatanga:

• Te mamae o te uma i muri i te kai.
• Ka hoki ake te kai ki roto i te korokoro.
• Te ngaunga me te koretake o te kai.
• Te ngaronga taumaha me te kore take.
• Maremare i te pō.
• Te ruaki.
• Ka pā te niumōnia ki te kai, ki te wai rānei e uru ana ki roto i ngā pukahukahu.
• Te kōroke.
• Te hīkoi, te uaua rānei ki te tuku tūtae.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Nā te mea he tino ōrite ngā tohu o te achalasia ki ētahi atu mate puku, pērā i te GERD (Gastroesophageal Reflux Disease), ka rongoā pea tō tākuta i tēnei i te tuatahi. Heoi, ki te kore ēnei e pai ake, ka mahia pea ēnei whakamātautau hei tirotiro mō te achalasia.

• Manometri: Koinei te whakamātautau pai rawa atu hei whakaū i te āhua. I konei, ka whakaurua he ngongo angiangi mā roto i tō ihu ki roto i tō puku, ā, ka ine te tākuta i te kaha o ngā uaua i roto i tō korokoro me te mahi a te takirere kei raro ina horomia e koe he wai.
• Endoscopy o Runga: Ka whakauruhia he ngongo me te kāmera, e kiia nei ko te endoscope, mā roto i tō waha, ā, ka tirotirohia te roto o tō korokoro me tō puku. Ka whakamahia hei tirotiro i ngā āhuatanga rerekē me te whaiti, ā, ka taea te tango i te koiora mēnā e tika ana.
• Te Horomia o te Barium: Ka kiia hoki tēnei he Esophagogram. I konei, ka hoatu he wai motuhake e kiia nei ko te barium hei inu māu, ā, ka tangohia he hihi-X. Mā tēnei wai ka kitea mārama te korokoro i runga i te hihi-X. Mā tēnei ka māmā ake te kite mēnā he whaiti kei roto.
• Whakamātautau pH: Mā tēnei ka ine i te waikawa o tō korokoro. Ka āwhina tēnei ki te whakatau mēnā he mate kē atu tōu, pērā i te GERD.

He aha ngā maimoatanga?

Ko te whāinga matua o te maimoatanga he wetewete me te whakawhānui i ngā uaua piri i te wāhanga o raro o te korokoro, kia māmā ake ai te uru o te kai me te wai ki roto i te puku. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu i runga i tō tau, ō tohumate, me ētahi atu āhuatanga hauora.

Pokanga

Ko te pokanga te rongoā tino whai hua mō te achalasia. He roa te ora o te nuinga o te tangata i muri i te pokanga.

• Heller Myotomy: Koinei te pokanga tino noa. He maha ngā wā ka mahia mā te laparoscopy, arā, mā roto i ētahi tapahi iti i roto i te puku me te āwhina o te kāmera. I konei, ka tapahia e te tākuta te paparanga uaua piri i te raro o te korokoro.
• Te Myotomy Endoscopic Peroral (POEM): He tikanga pokanga hou tēnei. Kāore he tapahi i waho. Ka whakaurua te endoscope mā te waha, ka tapahia he tapahi iti ki te arai o te korokoro, ā, ka tapahia te uaua piri.

He angitu ēnei pokanga e rua, engari ka pāngia pea ētahi tāngata e te reflux waikawa i muri mai.

Ngā maimoatanga kore-pokanga

Kāore e hiahiatia ana te pokanga mō te katoa. Ka taea e ēnei tikanga te āwhina, engari ehara i te otinga pumau pērā i te pokanga. Me mahi pea koe i ēnei i ngā wā maha.

• Werohanga Botox: I te wā o te endoscopy, ka werohia he Botox (paitini botulinum) ki ngā uaua kua piri. Mā tēnei ka whakangāwari i ngā uaua mō te wā poto.
• Whakawhanuitanga Hauātea:Mā te whakamahi i te endoscope, ka tukuna he poihau ki te wāhi whaiti o te esophagus, ā, mā te pupuhi, ka totoro, ka whānui hoki ngā uaua.
• Ngā Rongoā: Ka taea e ngā rongoā pēnei i te nitrates me ngā aukati hongere konupūmā te āwhina i te whakangāwari i ngā uaua piri. Heoi, ka pā mai pea ngā pānga taha ki ēnei, nō reira me whakamahi noa i runga i ngā tohutohu a tō tākuta.

Ka taea e ēnei mea te āwhina i te wā e noho tahi ana me te Achalasia

Kāore he kai motuhake mō tēnei mate. Engari ka mārama koe ki ngā kai e ngāwari ana te kai, me ngā kai e uaua ana. He mea pai hoki kia tuhia ki roto i tētahi pukapuka. He mea nui kia tūpato ki te āhua me te wā e kai ai koe.

• Ngaungauhia te kai kia pai, ā, kainga kia iti .
• Kai tika me te noho . Mā tēnei ka ngāwari ake te heke o te kai mā te kaha o te kaha ā-papa.
• Kaua e kai i ngā kai mārō tata ki te wā moe .
• Ka taea e ngā kai me ngā inu tino wera, tino makariri rānei te whakapouri i ngā uaua o ētahi tāngata.
• Inumia he wai anō i a koe e kai ana.
• E ai ki ētahi, mā te inu i ngā inu warowaihā ka āwhina i te pēhi i te kai ki raro.

Mena he kino rawa tō āhua, he mea pai pea kia huri ki te kai wai mō tētahi wā. Engari ki te pērā, kōrero ki tō tākuta kia mōhio ai koe kei te whiwhi koe i te kai e hiahiatia ana e koe. Mena kei te tino heke tō taumaha, kōrero atu ki tō tākuta, he tohu pea tēnei nō te kore kai pai.