I ētahi wā ka rongo koe i te werawera i waenganui o tō uma i muri i te kai nui? He kawa rānei tō korokoro i muri i tētahi wā? He tokomaha ngā tāngata o Sri Lanka e kī ana i tēnei he "gastritis". Engari ehara i te mea he gastritis tonu tēnei. He rerekē tēnei, ā, he āhuatanga pea me mōhio tātou. I tēnei rā ka kōrero tātou mō te Reflux Waikawa me te GERD, he āhuatanga kino tēnei.
He aha te whakarapopototanga o te waikawa?
He tino māmā noa iho. He maha ngā momo waikawa kei roto i tō tātou puku hei āwhina i te nakunaku kai. I te nuinga o te wā, me heke iho tēnei kai me te waikawa mai i te puku, arā, ki ngā whekau. Koinei te huarahi tika. Heoi, ina hoki ake te waikawa o te puku, arā, i te ngongo e horomia ai e tātou te kai (te korokoro) ki te korokoro, ka kiia e tātou ko te Acid Reflux.
Whakaarohia te kaha o te waikawa i roto i tō puku. He paninga motuhake kei ngā pakitara o tō puku e taea ai te tu atu ki taua waikawa. Engari kāore i te rite taua paninga ki tō tātou korokoro me tō tātou korokoro. Nō reira, ina puta mai taua waikawa kaha, ka tahuna ngā kiko ngawari o aua wāhi, ā, ka puta te mumura. Koinei te mea e kiia nei e tātou ko te "ngāwhara." He mea noa te pēnei i ētahi wā. Engari ehara tēnei i te mate.
Nā, he aha te GERD?
Ko te GERD he whakarāpopototanga mō te Gastroesophageal Reflux Disease . I te reo Sinhala, ko tōna tikanga he gastroesophageal reflux disease. Ahakoa he ahua uaua te ingoa, he tino ngāwari ki te mārama.
Kāore he raruraru o te reflux waikawa i ētahi wā. Engari ki te mau tonu tēnei āhuatanga, arā , ki te pāngia koe e te werawera i roto i tō uma me tō korokoro mō te neke atu i te rua ngā wā i te wiki, ka kiia tēnei he GERD. He āhuatanga hauora tēnei.
He whakarāpopototanga noa iho, ko te GERD he mate e kiia nei ko te reflux waikawa mau tonu. Ko te mea e tupu ana i konei ko te ngoikore o te tikanga e aukati ana i te putanga ake o ngā ihirangi o te puku.
He aha ngā tohu o te Acid Reflux me te GERD?
Tērā pea ka pāngia te tini o te tangata e tētahi, e ētahi rānei o ēnei tohu i te wā kotahi. Me titiro tātou ki ngā mea matua.
| Tohu | He whakamārama māmā |
|---|---|
| Regurgitation | He kare ā-roto o te kai, te wai, te waikawa rānei e hoki mai ana i te puku ki te korokoro i muri tata i te kai. He reka kawa i te waha. |
| Te ahua o te wera | Ko te ngaungau te tohu matua. Tērā pea ka pāngia ētahi e te ngaungau i te taha whakarunga o te puku (te waikawa o te puku). |
| Te mamae o te uma ehara i te mate ngakau | Ki ētahi tāngata, kāore pea tēnei e rite ki te werawera, engari he rite ki te kōpiripiri o te uma. E mataku ana ētahi tāngata nā te mea he rite tēnei mamae ki te mamae o te mate manawa. |
| Whakapairuaki me te kore kai pai | Ka ara ake te waikawa o te puku, ka whakapairuaki, ka ngaro hoki te hiahia kai. Ahakoa te roa o te kai, ka kī tonu pea koe. |
| Te korokoro mamae me te uaua ki te horomi | Ki te uru te waikawa ki roto i tō korokoro, ka mamae pea tō korokoro. Tērā pea ka rite ki te mea kei te mau tetahi mea i roto i tō korokoro, pērā i te puku. Tērā pea ka uaua hoki ki te horomi. He maha ngā wā ka puta tēnei i te pō. |
| Ngā tohumate rite ki te mate huango | Ka taea e te GERD te whakaputa i ngā tohu rite ki te huango, pērā i te maremare tonu, te wheezing, me te wheezing. |
Āhea ka piki ake ēnei tohu?
- Ina takoto koe ki raro ki te moe i te pō.
- I muri i te kai i tētahi kai nui me te nui rawa o te hinu me te tiri.
- Ina piko whakamua koe.
- I te wā e momi hikareti ana, e inu waipiro ana rānei.
Ka pāngia ngā pēpi nohinohi e te GERD?
Āe. He mea noa te tuwha a ngā pēpi i muri i te inu miraka. Ehara i te mea nui. Engari he mate kino ake te GERD. Ka pāngia e te mamae me te kore e kai. Ko ngā pēpi i whānau wawe mai, i te kore rānei e pai ki te kai, ka nui ake te tūponotanga ka pāngia rātou e te GERD.
Ko ngā tohu o te GERD i roto i tētahi pēpi nohinohi ko:
- Te tangi tonu me te kore take, te koretake o te manawa.
- 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 reflux waikawa pēnei?
Ko te take matua mō tēnei ko te ngoikore o te uaua e mahi ana pērā i te takirere i te pito o tō tātou korokoro (paipa kai), te wāhi e hono ai ki te puku. I roto i ngā kupu hauora, ka kiia tēnei ko te Lower Esophageal Sphincter (LES) .
He rite tēnei LES ki tētahi tatau. Ina horomia e tātou te kai, ka tuwhera tēnei tatau, ā, ina tomo te kai ki roto i te puku, ka kati anō. Ina kati, kāore e taea e ngā mea o roto o te puku te hoki ake. Engari ki te ngoikore tēnei tatau LES mō tētahi take, ki te kore e kati tika, ka turuturu te waikawa o roto i te puku.
| Ngā take matua o te ngoikore o te LES | |
|---|---|
| Hernia Hiatal | Koinei te wā e pana ake ai te taha whakarunga o te puku ki roto i te uma. Ka nui ake te kitea o tēnei i a tātou e pakeke haere ana. Ka huri tēnei i te pēhanga ki runga i te LES, ā, ka ngoikore. |
| Te haputanga | I te wā e hapu ana, ka taea e te pēhanga o te puku e tipu haere ana me ngā huringa homoni te whakangāwari i te LES. He maha ngā wā ka memeha haere tēnei āhuatanga i muri i te whānautanga o te pēpi. |
| Momonatanga | I a koe e taumaha ana, ka piki ake te ngako o tō puku, ka piki ake te pēhanga i roto i tō puku. Ka panaia e tēnei pēhanga te LES ki runga, ka nui ake te tūponotanga ka puta ake te waikawa. |
| Te momi hikareti | Ka whakangāwari ngā matū o te tupeka i te LES. Ka whakaroa hoki te kai hikareti i te nakunaku, ā, ka whakanui ake i te hanga waikawa o te puku. |
Haunga ēnei take matua, ka pāngia hoki tēnei e ētahi rongoā (hei tauira, ētahi rongoā toto toto tiketike, rongoā whakamamae), ētahi kai (tiakarete, kawhe, miniti, kai momona), me te waipiro .
Ka aha mēnā ka whakakorehia tēnei hei mumura noa iho? (Ngā raruraru)
Koinei te wāhi e tika ana kia aro nui tātou. Ki te kore tātou e whakaaro he "mate puku iti noa iho", ka arahi pea ki ngā raruraru nui i te wā roa.
- Esophagitis: Ka mumura, ka mamae hoki te arai o te esophagus nā te haere tonu o te reflux waikawa . Ka mamae tonu pea tēnei, ā, ka uaua hoki te horomi.
- Te korokoro o Barrett: He mate kino rawa atu tēnei. Nā te roa o te pānga ki te waikawa, ka tīmata te huri o ngā pūtau i te wāhanga o raro o te korokoro. He mate pukupuku tēnei ka taea te whanake hei mate pukupuku .
- Te whakawhāiti i te korokoro: I te haere tonu o te whakaora i te whara, ka puta he kiko koha i roto i te korokoro, ka whakawhāiti i te rohe. Ka tino uaua pea te horomi i te kai.
- Ngā raruraru korokoro me te manawa: Ki te tae te waikawa ki te korokoro, ka uru ki te ara manawa, ka pā mai ngā āhuatanga pēnei i te maremare tonu, te reo pāorooro, me te mate huango, ka kino ake rānei te mate huango o nāianei.
Me pēhea te tātaritanga a te tākuta i te GERD?
I muri i te whakarongo ki ō tohumate, ka tūtohu pea tō tākuta i ētahi whakamātautau hei whakaū i te mate me te whakatau i tōna kaha.
- Endoscopy o runga: I roto i tēnei, ka whakauruhia he ngongo angiangi me te kāmera i te pito mā te waha, ā, ka tirohia te roto o te korokoro me te puku. Mā tēnei ka kitea mārama mēnā he whara, he huringa rānei.
- Whakamātautau pH: Mā tēnei ka ine i te roa me te nui o te waikawa kei roto i te korokoro.
- Manometri esophageal: Ka ine tēnei whakamātautau i te pēhanga me te mahi a ngā uaua i roto i te LES me te esophagus.
He aha ngā maimoatanga mō tēnei?
E toru ngā wāhanga matua o ngā maimoatanga mō te GERD. He maha ngā wā ka whakamahia ngātahitia tētahi, ētahi rānei o ēnei tikanga.
1. Ngā panonitanga o te āhua noho me ngā tikanga kai
Ahakoa i mua i te whakamahi i ngā rongoā, ka taea te whakahaere i tēnei āhuatanga ki te taumata nui mā te hanga i ngā huringa iti ki tō tātou āhua noho.
- Te whakaiti taumaha: Ki te taumaha rawa koe, he mea nui te whakaiti i tō taumaha.
- Te whakahaere i te kai: Engari i te kai kotahi i te wā kotahi, kaihia he kai iti kia maha puta noa i te rā.
- Āta karohia ngā kai kakara, ngā kai hinuhinu:Whakaitihia te kai i ngā kai raukikī, ngā hinu, ngā kai parai, te tiakarete, te kawhe, me te miniti.
- Te takoto i muri i te kai: Kaua e takoto mō te iti rawa 2-3 hāora i muri i te kai i te pō.
- Tūnga moe: I a koe e moe ana, moe me tō māhunga kia paku teitei ake. He pai ake mēnā ka taea e koe te whakaara ake i te moenga mā te whakatakoto i ngā poro rakau e rua ki ngā waewae i te pito o te moenga.
- Te kai hikareti me te waipiro: He mea tino nui kia mutu rawatia ēnei e rua.
2. Ngā rongoā (ngā momo rongoā)
Mena kāore e ranea ngā huringa āhua noho anake hei whakahaere i ō tohumate, ka tohua pea e tō tākuta he rongoā.
- Ngā rongoā ārai waikawa: Mā te whakaiti tere i te waikawa o te puku ka mahi ēnei. He pai mō te mamae o te puku i ētahi wā, engari ehara i te rongoā mō te wā roa.
- Ngā aukati H2: Ka whakaitihia e ēnei te hanga waikawa o te puku.
- Ngā aukati papu pūwero (PPI): Koinei ngā rongoā whakaiti waikawa tino kaha e wātea ana. Ka aukati i te hanga waikawa, ā, ka āwhina i te whakaora i ngā mate pukupuku i roto i te korokoro.
Ko te mea nui: Me whakamahi noa i ēnei rongoā i raro i te tohutohu a tō tākuta. Mā te tango i ēnei i te whare rongoā e pai ai koe ka kino ake te āhua, ka puta hoki ngā raruraru ā-roto.
3. Pokanga
Mō te hunga he tino kino te GERD kāore e pai ki te rongoā, mō te hunga rānei he mate pēnei i te hernia hiatal, ka tūtohutia pea te pokanga. Ko te tikanga o tēnei ko te whakapakari i te LES ngoikore.
Me aha koe mēnā ka pāngia koe e te mamae ohorere o te uma?
- Tū tika: Ki te takoto koe, whakatika ka noho, tū tika rānei. Mā te kaha ā-papa ka āwhina i te waikawa kia heke.
- Inu wai: Kaua e nui, engari he torutoru noa ngā mimiti wai ka āwhina i te horoi i te waikawa ka heke iho.
- Wetekina ō kākahu: Ki te mea he kākahu piripono, he whitiki rānei tōu, wetekina.
- He rongoā ārai waikawa: Ki te mea he rongoā ārai waikawa tāu kua tohua mai e te tākuta, whakamahia.
Karere Tangohia ki te Kāinga
- Ahakoa he mea noa te mamae o te uma i ētahi wā, ki te nui atu i te rua ngā tohumate ka pā ki a koe i te wiki, he mate hauora tēnā (GERD).
- Kaua e wareware noa iho, me te whakaaro he "gastritis" noa iho. Mena kei a koe ēnei tohu, me toro atu ki te tākuta kia kitea ai he mate tika.
- Ka taea te whakahaere i tēnei mate mā te whakarerekē i ngā momo noho me ngā tikanga kai.
- Ki te kore e rongoatia tika te GERD, ka arahi pea ki ngā raruraru nui pērā i te mate pukupuku korokoro.
- Kaua e tango i ngā rongoā whakaiti waikawa mō te roa e hiahia ana koe me te kore kōrero ki tētahi tākuta.
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