He mamae tonu te uma? Tērā pea he mate reflux gastroesophageal (GERD)!

I a au i te whare wānanga, he hoa piri tōku ko Chamari tōna ingoa. He maha ngā amuamu a Chamari mō te mamae o te puku me te mamae o te uma i muri i te kai, inā koa i muri i te kai i tētahi kai reka o Sri Lanka, i muri rānei i te tina. I mahara ia he koretake noa iho. Engari i te roanga o te wā, ka tino kaha te mamae o te uma, ā, ka whakararuraru i tana moe i te pō.

"E Tākuta Priya, he mura tonu te uma i ia pō. He wai kawa kei roto i tōku waha. Kāore e taea te whakapai ake ahakoa te rongoā noa," te pātai a Chamari i tētahi rā.

I whakamārama mārire atu ahau ki a Chamari: "E Chamari, ko tāu i wareware noa ai, i whakaaro ai he mate puku noa iho, he mate e kiia nei ko te GERD (Gastroesophageal Reflux Disease) . He mate tēnei e hoki ake ai te waikawa o te puku ki roto i te korokoro. He mate tino noa tēnei i waenga i te hunga rangatahi i ēnei rā. Engari kaua e manukanuka, ka taea te whakahaere katoa mā te whakarerekē i te āhua noho me te maimoatanga hauora tika."

🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu

Ahakoa kāore te waikawa reflux e tino mōrearea ki te ora, me toro atu koe ki te tākuta tonu mēnā ka pāngia koe e tētahi o ngā tohu kino e whai ake nei:

• He uaua rawa te horomi i te kai, i te huware rānei, he mamae rānei i te wā e horomi ana (Dysphagia/Odynophagia).
• Te whakahekenga taumaha tere, kāore he take (Te whakahekenga taumaha kāore i te mārama).
• Te ruaki pinepine, te ruaki toto rānei.
• He tūtae mangu (he tohu toto i roto i te puku, i te korokoro rānei).

He aha te take e puta ai te GERD? He māmā noa iho ngā take

Kei te hononga o te korokoro me te puku he uaua porowhita te āhua, e kiia nei ko te LES (Lower Esophageal Sphincter) . He rite tana mahi ki te "takirere" e tuwhera ana i te taha kotahi.

Ina kai tātou, ka tuwhera tēnei takirere kia taea ai te kai te tomo ki te puku, kātahi ka kati pūmau ina pahemo te kai, ka ārai i ngā waikawa kaha o te puku kei hoki ake ki te korokoro.

Engari, ki te ngoikore te takirere LES, ki te kore rānei e kati i te wā tika, ka ngawari te turuturu o te waikawa o te puku ki roto i te korokoro. Ka kiia tēnei ko te reflux waikawa .

He maha ngā take matua e ngoikore ai tēnei takirere:
1. Hiatal Hernia: Ka puta te wāhanga o runga o te puku ki roto i te uma mā roto i tētahi kōhao i te diaphragm, ka kore ai e mahi tika te takirere.
2. Te momona me te hapūtanga: Ka nui ake te tuwhera o te takirere nā te pikinga o te pēhanga i roto i te puku.
3. Ngā tikanga kai hē: Te kai nui i te wā tonu, ā, te takoto tonu i muri i te kai.
4. Te waipiro, te momi hikareti me ngā raau taero:Ka whakangāwari te takirere LES i te kai hikareti, ā, ka taea hoki e ngā rongoā whakamamae mamae te hoko kore utu pērā i te ibuprofen te kino i ngā pakitara o te puku.

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Ngā whakamātautau hauora hei tautuhi i te mate reflux waikawa

Hei tautuhi tika i te mate, ka tūtohu ngā tākuta i ngā whakamātautau e whai ake nei:

• Endoscopy o Runga: Ka whakauruhia he ngongo me te kāmera iti mā te waha hei tirotiro i ngā pakitara o te korokoro mō te mumura, ngā whara, ngā tohu rānei o te mate pukupuku.
• Aroturukitanga pH ā-Waewae: He whakamātautau e mahia ana mā te whakamahi i tētahi taputapu iti e ine ana i te nui o te waikawa e rere ana ki roto i te korokoro mō te wā 24-hāora.
• Esophagram (x-ray barium): Ka whakamahia e tēnei whakamātautau he whakamātautau horomi barium hei tango i ngā hihi-x o te esophagus hei kite i te whaiti, i te hernia rānei.

Me pēhea te whakahaere i te mate reflux waikawa?

Hei ora tonu i tēnei mate, me taurite ngā huringa āhua noho me te maimoatanga rongoā: