Whakaarohia kua moe pai koe i te pō, ā, ka rongo koe i te werawera i roto i tō uma. Kei te rongo rānei koe i te reka kawa o te kai e puta mai ana i roto i tō korokoro. Koinei te mea e whakaarohia ana e te tini o tātou he 'gastritis', engari he mate pea tēnei e kiia nei ko te Acid Reflux. Ahakoa he mea noa te pēnei i ētahi wā, ki te puta tonu, he mate hauora pea. Me kōrero tātou mō tēnei i tēnei rā.
He aha te whakarapopototanga o te waikawa me te GERD?
Ina uru te kai ki roto i te puku, me heke katoa ki raro, kaua e piki anō. Engari i ētahi wā ka hoki ake ngā waikawa kino o roto i tō puku ki runga, ki roto i tō korokoro, ki roto i tō korokoro. Koinei te mea e kīia nei ko te Acid Reflux.
He matū tino kaha tēnei waikawa e whakamahia ana hei nakunaku i te kai. Nō reira, ina tae ki te wāhi kāore e tika ana, arā, ki te korokoro, ka tahuna ngā kiko ngawari, ā, ka puta he ahua wera. Koinei te mea e pā ana ki a tātou, arā, te mamae o te puku.
Ehara tēnei i te raruraru mēnā ka puta i ētahi wā. Engari mō ētahi tāngata, ka puta i ngā wā katoa, neke atu i te rua i te wiki, mō te wā roa. Ko tēnei mate pūmau o te waikawa kawa ka kiia e tātou i roto i te rongoā ko te GERD (Gastroesophageal Reflux Disease). Ki te kī noa, he mate pūmau te GERD. Ka taea e tēnei te whakararu i te ora, ā, ka kino pea tō korokoro.
He aha ngā tohu o te Acid Reflux me te GERD?
I tēnei āhuatanga, ka pāngia pea koe e ngā momo tohu. Me titiro tātou ki ngā tohu matua ka pāngia pea koe.
| Tohu | He whakamārama māmā |
|---|---|
| Regurgitation | He kare ā-roto o te kai, te wai, te waikawa rānei e hoki mai ana ki roto i te korokoro i muri tata i te kai. Tērā pea he reka kawa i roto i te waha. |
| Ngau mamae | He kare wera e puta mai ana i waenganui o te uma. E kīia ana tēnei e ētahi he mate puku waikawa. |
| Te mamae o te uma ehara i te mate ngakau | Tērā pea ka pāngia ētahi e te mamae o te uma, engari kāore he mumura. Ko ētahi e mataku ana ki tēnei mea nā te mea he rite ki te mamae o te mate manawa. |
| Whakapairuaki me te kore kai pai | Ka taea e te reflux waikawa o te puku te whakapouri, te ahua o te ruaki, me te ngaro o te hiahia kai. |
| Ngā mate korokoro | Ina uru te waikawa ki te korokoro, ka mamae te korokoro, ka pā te reo, ka ahua kei te mau tetahi mea i te korokoro, me te uaua ki te horomi. |
| Ngā raruraru manawa pēnei i te mate huango | I ētahi wā, ka uru ēnei matūriki waikawa ki te ara manawa, ka puta te maremare pumau, te wheezing, me te uaua ki te manawa. |
Ngā āhuatanga ka kino ake pea ngā tohu
- Ina takoto koe ki raro ki te moe i te pō.
- I muri i te kai i tētahi kai nui me te nui o te hinu me te tiri.
- Ina piko whakamua koe.
- I te wā e momi hikareti ana, e inu waipiro ana rānei.
Ka pāngia hoki ngā pēpi nohinohi e te GERD?
Āe. He mea noa te ruaki miraka a ngā pēpi. Engari mō ētahi pēpi, ka nui ake te kino. Ko te GERD tēnā i roto i ngā pēpi. Ko ngā pēpi i whānau wawetia me ngā pēpi i whānau mai me ētahi āhuatanga i roto i ō rātou korokoro he nui ake te mōrearea.
Tirohia mēnā kei tō pēpi ēnei tohu:
- Te tangi tonu me te manukanuka, kāore he take.
- Te uaua ki te moe.
- Te kore e inu miraka.
- Te ruaki pinepine.
- Te whewhe, te pāorooro rānei o te reo i te wā e manawa ana.
- Manawa kino.
He aha tātou ka pāngia ai e te Waikawa Reflux?
He māmā noa iho, he uaua kei reira e mahi ana pērā i te takirere i waenganui i tō tātou korokoro me te puku. Ka kiia tēnei ko te Lower Esophageal Sphincter (LES) . He rite ki te taupoki o te pounamu wai. Ina horomia e tātou, ka huaki ka tukuna te kai kia uru ki roto i te puku, kātahi ka kati pūmau anō. Mā tēnei ka ārai i te pikinga ake o ngā mea o roto o te puku.
Ka puta te rerenga waikawa ina ngoikore, ina tino mārō rānei te LES , ka taea ai te rere anō o te waikawa o te puku. He maha ngā take mō tēnei.
- Hernia Hiatal: Koinei te wā e pana ake ai te taha whakarunga o tō puku ki roto i tō uma. Ka ngoikore te LES, ā, ka ngāwari ake te piki ake o te waikawa. Ka nui haere te kitea o tēnei āhuatanga i a koe e pakeke haere ana.
- Hapūtanga: I te wā e hapū ana, ka whakangāwari te LES nā te pēhanga mai i te puku e tipu haere ana me ngā huringa homoni. Koinei te take e pāngia ai te nuinga o ngā whaea e te mamae o te uma i tēnei wā. Ka memeha haere tēnei i muri i te whānautanga o te pēpi.
- Momona: I te pikinga o te taumaha o te tinana, inā koa i te puku, ka piki ake te pēhanga ki te puku, ā, ka ngoikore te LES.
- Te Momi hikareti: Ka whakangāwari ngā matū i roto i te tupeka i te LES, ā, ka pāngia hoki te maremare i puta mai i te momi hikareti.
- Ētahi kai me ngā inu: Mā te kai nui rawa i ngā mea pēnei i te tiakarete, te kawhe, te waipiro, te miniti, te kāriki, me te riki ka taea te whakangāwari i te LES. Waihoki, mā ngā kai momona, parai ka nui ake te mōrearea o te reflux nā te mea ka roa ake te noho ki roto i te puku, ka nui ake hoki te hanga waikawa o te puku.
- Ētahi rongoā: Ka pāngia hoki te LES e ētahi rongoā, pērā i ngā rongoā mō te toto toto tiketike, te pouri, me ngā rongoā whakamamae mamae (NSAID). Kōrero ki tō tākuta mō ngā rongoā e tangohia ana e koe.
He aha te mea ka tupu mēnā ka warewarehia te GERD?
Ehara i te mea ngāwari te mamae tonu o te uma. I te wā roa, ka arahi pea ki ngā raruraru nui.
He matū tino kaha te waikawa o te puku. Ahakoa ka taea e te arai o tō puku te tu atu i tēnei waikawa, kāore tō korokoro e whai ārai. Nō reira, ina piki tonu te waikawa, ka puta pea ēnei āhuatanga:
- Te mumura o te arai o te korokoro: Te mumura o te arai o te korokoro. Ka pā mai pea te mamae tonu, te uaua ki te horomi, me ngā mate puku.
- Te Esophagus a Barrett: Ka puta he panoni ki te arai o te esophagus mēnā ka roa te pānga o te waikawa. E kiia ana tēnei he mate pukupuku kei mua i te mate pukupuku ka piki ake te mōrearea o te mate pukupuku.
- Te Koretake o te Esophagus: Mā te kino tonu ka puta he kiko koha i roto i te esophagus, ka uaua ai te horomi i te kai me te inu.
- Ngā raruraru o te pūnaha manawa: Ki te uru te waikawa ki roto i te korokoro, ka uru ki te ara manawa, ka kino ake te mate huango, ka puta rānei ngā tohu hou rite ki te mate huango.
Me pēhea te mōhio o te tākuta mēnā he GERD tēnei?
I muri i te whakarongo ki ō tohu, ka tukuna pea koe e tō tākuta mō ētahi whakamātautau, ki te tika.
- Endoscopy o Runga: Ko te whakaurunga o tētahi ngongo angiangi me tētahi kāmera mā roto i tō waha, me te tirotiro i te roto o tō korokoro me tō puku.
- Esophagram (Barium Swallow X-ray): Ka horomia he wai e kīia nei ko te barium, ā, ka whakamahia he X-ray hei tirotiro i tōna nekehanga iho i te esophagus.
- Whakamātautau pH o te korokoro: He whakamātautau e ine ana i te nui o te waikawa i roto i te korokoro.
- Manometri Esophageal: He whakamātautau e ine ana i te pai o te mahi a ngā uaua i roto i te esophagus me te LES.
He aha ngā maimoatanga mō te GERD?
He maha ngā huarahi hei whakahaere i te GERD. Ko ngā maimoatanga ko ngā whakarerekētanga o te momo noho, ngā rongoā, ā, i ētahi wā ko te pokanga.
1. Ngā panonitanga o te āhua noho me ngā tikanga kai
He maha ngā wā, ka taea e ēnei huringa ngāwari te whakarato i te whakamarie nui:
- Kaua e kai nui i te wā kotahi, engari me kai iti i ngā wāhanga maha i te rā.
- Kai i te tina i te iti rawa 2-3 hāora i mua i te moe.
- Āta karohia te hinu, te tiri, ngā kai raukikī, ngā kai parai, te tiakarete, te kawhe, te waipiro, me te momi hikareti.
- Ki te taumaha rawa koe, ngana ki te whakaiti i tō taumaha.
- Kaua e mau i ngā kākahu piri ki tō puku.
- Kia paku teitei ake tō mahunga i a koe e moe ana.
2. Ngā rongoā (ngā rongoā)
Mena kāore e ranea ngā huringa āhua noho anake, ka tohua pea e tō tākuta he rongoā.
| Momo rongoā | Te āhua o tana mahi |
|---|---|
| Ngā rongoā ārai waikawa | Ka tere te whakaiti i te waikawa o te puku. He pai ēnei hei whakaora i te mamae mō te wā poto. |
| Ngā Ārai H2 | Ka whakaitihia e rātou te hanga waikawa o te puku. Ka roa ake te mahi a ēnei i ngā rongoā antacid. |
| Ngā Ārai Papu Pūtorino (PPI) | Koinei ngā rongoā tino kaha hei aukati i te hanga waikawa, hei āwhina hoki ki te whakaora i ngā kino o te korokoro. |
3. Pokanga
Mena he nui te mate GERD e pāngia ana e koe, kāore e taea te whakahaere mā te rongoā me ngā huringa āhua noho, ka tūtohu pea tō tākuta kia pokangahia. Ko te tikanga o tēnei ko te whakapakari i te uaua LES kua ngoikore. Ko te Nissen Fundoplication te pokanga tino noa.
He aha ngā mea ka taea e koe te mahi hei whakaora tere i te wa e pāngia ana koe e te reflux waikawa?
Mena kei te mamae tō uma i tēnei wā, ngana ki te mahi i ēnei mea:
- Ki te takoto koe, tū tika.
- Inuhia he wai. Kaua e nui rawa te inu, he torutoru noa iho ngā inu ka nui.
- Ki te mea he piri rawa ngā kākahu e mau ana koe ki tō puku, wetekina kia paku.
- Mena kei a koe he rongoā antacid, me tango.
Ko te mea nui, ki te mea kei te pāngia tonutia koe e ēnei tohu, me toro atu koe ki te tākuta, kaua e rongoā i a koe anō. He mea nui kia mōhio pū koe mēnā he GERD tēnei, he mate hauora rānei, ā, me rapu rongoā.
Karere Tangohia ki te Kāinga
- Ahakoa he mea noa te mamae o te uma i ētahi wā, ki te roa atu i te rua i te wiki te roa, he mate pea e kiia nei ko te GERD.
- Ka taea te whakahaere i ngā tohu GERD mā te whakarerekē i te momo noho pērā i te kai, te whakaiti taumaha, me te whakamutu i te momi hikareti.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te uma, te kai e mau ana i roto i tō korokoro, me te maremare tonu.
- Ki te kore e rongoatia tika te GERD, ka pā he kino roa ki te korokoro.
- Mena ka pāngia koe e ēnei tohu i ngā wā katoa, he mea nui kia toro atu koe ki tētahi tākuta whai tohu hei whiwhi tohutohu me te maimoatanga tika, kaua e mahi i a koe anō hei rongoā.
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