He maha tonu ngā wā ka pāngia koe e te mamae o te puku, ka piki ake te waikawa o te puku ki roto i tō korokoro? (Te Acid Reflux me te GERD)

Kua pāngia koe e te werawera i roto i tō uma, e te ahua rānei kei te piki ake tetahi mea mai i tō puku ki roto i tō korokoro i muri i te kai? He maha ngā tāngata kua pāngia e tēnei i te iti rawa kotahi, e rua rānei ngā wā. I tēnei rā ka kōrero tātou mō tēnei 'waikawa reflux', arā, i roto i ngā kupu hauora , te waikawa reflux me te GERD (mate reflux gastroesophageal) . Nā te mea he raruraru tēnei e pāngia ana e te tini tāngata, he mea nui kia mōhio ki tēnei.

He aha rawa te waikawa reflux, e hoa?

Ki te kī ngāwari, kotahi anake te ara e tika ana kia haere ai te kai, te inu, me ngā wai waikawa i roto i tō puku, arā, ki raro. Engari i ētahi wā, ina hoki mai te waikawa o te puku, arā, ngā matū waikawa, ki runga i tō korokoro , ka kiia tēnei he Acid Reflux.

Whakaarohia, he aha ka puta ina tae tēnei waikawa ki te wāhi kāore i tika? Koinei te raruraru. Ka taea e tēnei waikawa te tahu, te whara, me te pupuhi i ngā kiko ngawari o roto i tō korokoro. He wāhanga rite ki te ngongo tēnei korokoro e rere ana mai i tō puku mā roto i tō uma ki tō korokoro. Nō reira, ki te pakaru, he maha ngā raruraru ka pā mai ki a tātou.

Ka pāngia tātou katoa e te reflux waikawa i ētahi wā. Ka rite ki te koretake o te kai, ki te mamae rānei o te puku ina kore te kai e nakunaku. He mea whakararuraru tēnei reflux waikawa i ētahi wā, engari ehara i te mate. Heoi, mō ētahi tāngata, ka pā tonu mai. Ka taea e te reflux waikawa tonu te whakararuraru i tō oranga noa, ā, ka kino pea ngā kiko o te esophagus .

He aha rā te GERD? He nui ake tōna kino i tērā?

Ko te GERD he whakarāpopototanga mō te Gastroesophageal Reflux Disease.Ko te ingoa poto mōna. I ētahi whenua ka karangatia hoki ko GORD, arā, ko te Gastro-oesophageal Reflux Disease. Heoi, ko te GERD he mate e piki tonu ai te waikawa ki roto i tō korokoro, he mate reflux waikawa mau tonu . Mena ka piki ake tēnei waikawa ki roto i tō korokoro neke atu i te rua ngā wā i te wiki, mō ētahi wiki, ka kiia he mate mau tonu, arā, ko te GERD.

Ka pāngia pea tātou e te reflux waikawa mō ngā take rangitahi, pērā i te kai nui rawa i te rā kotahi. Engari he rerekē te GERD, nā te raruraru ā-tinana tonu. Arā, kāore e mahi tika ana ngā tikanga e ārai ana i te waikawa kia piki ake ki roto i tō korokoro.

He pēhea te noa o ēnei āhuatanga e rua?

He tino noa te mate reflux gastroesophageal (GER) me te mate reflux gastroesophageal (GERD) i ētahi wā, kāore he uaua. I te Hononga o Amerika anake, e kiia ana he tata ki te 20% o ngā pakeke me te tata ki te 10% o ngā tamariki he GERD. Ka kitea anō hoki tēnei mate i roto i te tini o te tangata i Sri Lanka.

He aha ngā tohu o te Acid Reflux me te GERD?

He maha ngā tohu o te reflux waikawa me te GERD. Tirohia mēnā kei a koe ētahi o ēnei:

• Te ruaki/te ruaki: I muri i te kai, tera pea ka rite ki te pikinga ake o te waikawa o te puku, o ngā matūkai, o ngā wai rānei ki roto i tō korokoro. He rite ki te ruaki , engari kāore e puta katoa mai. I ētahi wā, tera pea ka pā mai he reka kawa rerekē ki roto i tō waha.
• Te Ngaungau: He matū kaha te waikawa. Nō reira , e ahua ana kei te wera ngā kiko o te korokoro. Mena kei roto i te uma tēnei, ka kiia he ngaungau . Mena kei te tata atu ki te puku, ka kiia e ētahi he mate waikawa .
• Te mamae o te uma kāore i te ngākauMamae o te uma : Kāore ētahi tāngata e rongo i te mamae o te korokoro hei mumura. Ka whakaohohia e tēnei mamae ngā io e rongo ana i te mamae o te ngākau , nō reira ka rite ki te mamae o te uma, he rite ki te mate ngākau.
• Whakapairuaki : Ka taea e te reflux waikawa te whakapairuaki me te ngaro o tō hiahia kai. Ahakoa i muri i tētahi wā, tera pea ka rongo koe kei te noho tonu te kai i roto i tō puku, me te mea he nui ake ngā mea hei nakunaku.
• Korokoro mamae: Ki te uru te waikawa ki roto i tō korokoro, ka mamae pea, ka whara hoki tō korokoro. Tērā pea ka rite koe ki te mea kua mau tetahi mea i roto i tō korokoro, ka uaua rānei ki te horomi . He maha ngā wā ka puta te waikawa i te pō i a koe e moe ana.
• Ngā tohu o te mate huango: Ka taea e te GERD te whakararu i ngā tohu o te mate huango i roto i te hunga whai mate huango, ā, ahakoa i roto i te hunga kāore he mate huango, ka taea e ia te whakaputa i ngā tohu o te mate huango pērā i te maremare tonu , te wheezing, me te uaua ki te manawa. Mēnā ka uru ngā matūriki waikawa ki ngā ara manawa, ka taea te whakawhāiti.

Tērā pea ka kino haere ngā tohu:

Ka kino haere pea ngā tohu o te GERD i ēnei wā:

• I te pō, i te takoto rānei.
• I muri i te kai nui, i te kai momona rānei.
• Ina piko koe ki mua.
• I muri i te momi hikareti, i te inu waipiro rānei.

Ka pāngia hoki ngā pēpi nohinohi e te GERD?

Ae, ka pāngia pea ngā pēpi nohinohi e te GERD. He mea noa te ruaki pakupaku o ngā pēpi i muri i te inu. Ahakoa he waikawa kei roto i ngā mea i ruakihia, kāore e ranea hei whakararuraru nui i te pēpi. Engari he mate kino rawa atu te GERD. Ka pāngia te pēpi e te mamae me ngā raruraru, tae atu ki te whāngai.

Ko ngā pēpi i whānau wawe mai, i whānau mai rānei i tētahi mate e pā ana ki te korokoro, ka nui ake te tūponotanga ka pāngia rātou e te GERD. Mēnā ka kite te tākuta tamariki kei te uaua tō pēpi ki te kai, ki te moe rānei, me tirotiro pea rātou mēnā kei te raru koe i te GERD.

Ngā tohu o te GERD i roto i ngā pēpi (me ngā tamariki nohinohi):

• Te tangi pinepine, te kore okiokinga (Te nui rawa o te ngangau).
• Te uaua ki te moe.
• Te whakakore i te kai.
• Te ruaki i ngā rahinga iti.
• Te whewhe, te pāorooro rānei i te wā e manawa ana.
• Manawa kino.

He aha ngā take o te rerenga waikawa?

Kia uru atu ai te waikawa ki roto i tō korokoro, me tika mā roto i te takirere kei raro i tō korokoro e ārai ana i ngā mea kia piki ake anō. Ko te ingoa o tēnei takirere ko te Lower Esophageal Sphincter (LES) .

He uaua porohita tō LES. Ka tuwhera ina horomia e koe tetahi mea, kātahi ka kati anō kia kore ai e puta ake ngā mea o roto i tō puku. Ka tuwhera paku anō hoki ina tupa, ina hīkī rānei koe kia puta ai ngā mirumiru hau.

Ka puta te mate waikawa ina ngoikore, ina wetekina rānei tō LES kia puta ake ai te waikawa . Ko ētahi mea rangitahi, pērā i te takoto i muri i te kai nui, ka taea te whakangāwari i te LES. Engari ki te mea he GERD tōu, ka wetekina tonutia tō LES.

Me pēhea te ngoikore o te LES?

He maha ngā take e ngoikore ai te LES mō te wā poto, mō te wā roa rānei. I ētahi wā, ka taea e te reflux waikawa te whanake hei GERD mau tonu ina honoa, ina roa rānei te noho o ētahi o ēnei take. Anei ētahi take noa o te reflux waikawa me te GERD:

• Hernia Hiatal: Ahakoa te ahua uaua o tēnei, me kī māmā noa iho. He uaua kei reira e kiia nei ko te diaphragm e wehe ana i tō uma me tō puku. Ka honoa tō korokoro ki tō puku mā roto i tēnei diaphragm. I roto i te hernia hiatal, ka pana ake te wāhanga o runga o tō puku mā roto i te whakatuwheratanga o tō korokoro ki roto i tō uma . Kātahi ka mau ki roto i tō korokoro, ka puta te waikawa ki reira. Waihoki, ka neke ake te takirere LES i kōrerotia e tātou i mua ake nei mā roto i te diaphragm, nō reira he iti ake te tautoko uaua. Ka nui ake te kitea o tēnei mate i a koe e pakeke haere ana, ka āta whanake haere, ā, ka kaha ake te kino i roto i te wā.
• Hapūtanga: He mea tino noa te pāngia e te reflux waikawa rangitahi i te wā e hapū ana. Mā te pikinga o te pēhanga me te ātea i roto i te puku ka totoro, ka whakawhāiti, ka ngoikore hoki ngā uaua e tautoko ana i te LES i roto i te korokoro. Ka taea hoki e ngā homoni hapūtanga te whakangāwari i te LES. I tēnei wā, ka tukuna he homoni e kiia nei ko te relaxin i roto i te nui. Ka whakangāwari tēnei i ngā uaua kia wātea ai te wāhi mō te pēpi. Ka piki ake hoki ngā taumata o te estrogen me te progesterone , ka taea ai te whakangāwari i te LES.
• Te momonatanga:Ka whakanuia hoki e te momona te pēhanga me te ātea i roto i te puku, pērā i te haputanga, ka pā pea tēnei ki te LES. Engari nā te mea he roa ake te momona i te haputanga, ka ngoikore tonu te uaua. He tino take anō hoki tēnei o ngā hernia hiatal. Waihoki, nā te mea ka tukuna te estrogen e te kiko ngako, ka piki ake anō hoki ngā taumata estrogen i te pikinga o te ngako o te tinana.
• Te Momi hikareti: Ka whakangāwari te LES i te paoa hikareti, ahakoa ka momi koe, ka hongi rānei i te paoa tuarua. Ka puta te maremare i te momi hikareti, ka huaki te LES. Mā te momi hikareti tonu me te maremare ka ngoikore ngā uaua o te diaphragm, ka puta he hernia hiatal. Ka whakaroa hoki te momi hikareti i tō nakunaku, ā, ka whakanui ake i te hanga waikawa o te puku.

He aha ngā raruraru pea o te reflux waikawa pumau (GERD)?

He matū tino kaha te waikawa o te puku. He mea hanga hei wawahi i te kai e kainga ana e koe. He arai pakari tō puku hei tiaki i a ia mai i tēnei waikawa. Engari kāore i te tiakina e ō whekau kē atu. Ko te nuinga o te wā ka pā te waikawa ki tō korokoro. Engari i ētahi wā ka piki ake ki roto i tō puku manawa, ki roto rānei i ō ara manawa. Ka taea e te iti o te waikawa te whakararuraru mō te wā poto. Engari ka taea e te nui rawa o te waikawa te kino i ēnei whekau.

Ngā raruraru pea:

• Esophagitis: He mumura tēnei o te arai o te esophagus, arā, te pupuhi me te mamae. Mēnā ka mau tonu te esophagitis, ka arahi pea ki ngā raruraru pērā i te mamae tonu me ngā mate pukupuku i roto i te esophagus. I roto i te wā, ka arahi pea ki ngā huringa kiko pērā i te whara, te metaplasia rānei o te puku , he āhuatanga i mua i te mate pukupuku.
• Te korokoro o Barrett:Koinei te ingoa mō te āhua o te metaplasia whēkau i roto i te esophagus, i whakahuatia ake nei. Ko te tikanga o tēnei ka huri te arai o te esophagus, ka rite ki te arai o te whekau. Ka puta tēnei ina roa te pānga ki te waikawa me te mumura. He take mōrearea tēnei mō te mate pukupuku esophagus.
• Te whakawhāiti i te korokoro: Ka puta he kiko koha i roto i tō korokoro hei tiaki i a ia mai i te mumura me te whara tonu. Ka taea e tēnei kiko koha te whakawhāiti i te korokoro. Ka kiia tēnei he whakawhāiti. Ka uaua pea te horomi , ka uaua ai te kai, te inu rānei, ā, ka puta ai ētahi atu raruraru.
• Laryngopharyngeal Reflux (LPR): Ka pāngia ētahi tāngata whai GERD e te mate e kiia nei ko te LPR. Koinei te wā ka piki ake te waikawa ki roto i te korokoro. Ka taea e te waikawa te piki puku ki roto i tō korokoro i a koe e moe ana. Ka pupuhi pea tō korokoro, ka pāorooro tō reo, ka puta hoki ngā taura reo. Ka taea hoki te mimiti i ngā matūriki waikawa ki roto i ō ara manawa.
• Huakita: Ki te uru te waikawa ki te ara manawa, ka kino ake te āhua o te tangata kua pāngia e te huakita, ā, ahakoa te tangata kāore anō kia pāngia e te mate manawa o mua, ka pāngia pea e ngā tohumate rite ki te huakita. Ka taea e ngā matūriki waikawa iti te whakararuraru i ngā ngongo pūkahukahu, ka whakawhāiti hoki. Ka taea e tēnei te maremare me te uaua ki te manawa.

He aha ngā maimoatanga hauora mō te GERD?

Ka taea e ētahi tāngata te whakaiti i te waikawa pūkahukahu mā te whakarerekē i ō rātou momo noho, pērā i te whakarerekē i ā rātou kai, te whakaiti i te waipiro me te momi hikareti, me te whakaiti i tō taumaha. Ka akiakihia koe e ngā tākuta kia whai i ēnei mahi. Engari ki te mea he pūkahukahu tonu tōu, he GERD rānei, ka tūtohu pea ngā tākuta i ngā rongoā hei whakaiti i te waikawa o te puku. Mā tēnei ka āwhina i te whakaiti i te nui o te waikawa e puta ake ana, engari ka iti ake te kino.

Ngā rongoā

Pokanga

Mō te GERD kino, mō ngā take rānei kāore e taea te whakahaere mā te rongoā, ka tūtohutia pea te pokanga hei whakau i te uaua LES, pērā i te Nissen fundoplication .

Ngā mea hei āwhina i te whakahaere i te reflux waikawa i te kāinga

Whakamātauria ēnei mea hei whakahaere i te reflux waikawa i te kāinga:

• Te kai i ngā kai iti: Ka whakakīia tō puku e ngā kai nui, ka pēhi hoki i te LES.
• Te kai wawe i te tina: Kainga te tina i te iti rawa 2-3 haora i mua i te moe.
• Te moe ki te taha maui: Ka whakanohohia e tēnei te LES ki runga ake i ngā ihirangi o te puku.
• Whakaitihia te pēhanga o te puku: Mauria he kākahu koretake, ā, whakaitihia te taumaha mēnā e tika ana.
• Kati te momi hikareti me te waipiro: Ka ngoikore te LES me te whakanui ake i te waikawa.