He uaua ki te horomi kai? Kua mau ki roto i tō korokoro? Me kōrero tātou mō te Dysphagia!

Kua pā mai tēnei wheako ki a tātou katoa i tētahi wā. Ina kai wawe tātou, ina inu rānei i tētahi mea, ka pēhia ō tātou korokoro, ka pā te reo, ā, ka rite ki te mea kei te kōkō tātou. Ka mea tātou, "I hē tā tātou haere." I te nuinga o te wā, ka ngaro i muri i tā tātou inu wai. Ki te puta tēnei i ētahi wā, kāore he take e manukanuka ai. Engari ki te uaua ki te horomi i te kai me te inu i ia wā, ko te tikanga he mea kei te aukati i te huarahi e haere ai te kai mai i tō waha ki tō puku. I roto i te rongoā, ka kiia tēnei mate ko te dysphagia .

Ehara tēnei i te mea he raruraru noa iho. I ētahi wā he tohu pea tēnei mō tētahi mate kino. Hei tauira, he mea noa tēnei āhuatanga i roto i te hunga kua pāngia e te whiu. Ki te kore e rongoatia, ka uru pea te kai, te inu rānei ki roto i ō ara manawa, arā, ō pūkahukahu. I roto i te rongoā, ka kiia tēnei he wawata . Ka taea e tēnei te arahi ki ngā mate kino pērā i te mate pūkahukahu me te niumōnia. Nō reira, he mea tino nui kia mōhio koe ki tēnei.

He momo dysphagia kei reira?

He māmā noa iho, āe. Ka taea te wehewehe i ēnei uauatanga horomi kia toru ngā momo matua, i runga i te wāhi e puta ai. Whakaarohia he haerenga mai i te waha ki te puku. E toru ngā tūnga matua o tēnei haerenga: te waha (te kōhao waha), te korokoro (te pharynx), me te ngongo e kawe ana i te kai ki te puku, te esophagus. Mena he raruraru i tētahi o ēnei tūnga, ka poto ake te haerenga, ko te tikanga ka uaua te horomi.

He aha ngā pūtake o te dysphagia?

Ka taea tēnei te take e tetahi āhuatanga hauora e pā ana ki ngā io, ki ngā uaua rānei e āwhina ana i te tukanga horomi.

Ngā mate o te pūnaha io me te roro

Ko te roro me te pūnaha io te kaiwhakahaere o ngā nekehanga o tō tātou tinana. Ka uaua pea te horomi i ngā mate e pā ana ki tēnei pūnaha.

• Te whiu: Ka taea e te aukati i te rere o te toto ki te roro te kino i ngā wāhanga e whakahaere ana i te tukanga horomi.
• Te mate a Parkinson: Te ngoikore haere o ngā wāhanga o te roro e pā ana ki te taunga nekehanga.
• Te Mate Pūkahukahu Maha (MS): He mate pūnaha ārai mate e pakaru ai ngā pukupuku io.
• Amyotrophic Lateral Sclerosis (ALS): He mate e ngoikore ai ngā io e whakahaere ana i ngā uaua.
• Te Mate Pōuri: He āhuatanga e pā ana ki te mahara me te taunga o ngā nekehanga.
• Ngā pukupuku roro: He pukupuku ēnei, he pai rānei. Ka taea e rātou te whakararuraru i ngā tohu io.
• Te pararutiki roro: He mate ka puta mai i te whānautanga, ā, ka pā ki te taunga o ngā uaua.

Ngā mate uaua

Ka taea hoki te pā mai o te dysphagia e ngā mate e pā ana ki ngā uaua o te korokoro me te esophagus e āwhina ana ki te horomi.

• Ākarahia: He mate onge tēnei e kore ai e wātea ngā uaua o te pito o raro o te korokoro, ā, ka kore ai e uru te kai ki roto i te puku.
• Scleroderma: He mate pūnaha ārai mate e whakapakeke ai ngā kiko o te korokoro, e uaua ai te pana i te kai ki raro.
• Te ngoikore o te uaua: He rōpū mate tuku iho e hua ai te ngoikore haere o te uaua.
• Myasthenia gravis: He mate pūnaha ārai mate e whakararuraru ana i ngā tohu mai i ngā io ki ngā uaua.

Te whaiti o te esophagus, te aukati, me ngā raruraru hanganga

• Matepukupuku: Ka taea e ngā pukupuku matepukupuku i te māhunga, i te kaki, i te korokoro rānei te aukati i te ara kai.
• GERD (Acid Reflux): Ka taea e te rere tonu o te waikawa o te puku ki runga i te korokoro te kino i ngā kiko, ka puta he kiripaka me te whaiti. Ka kiia tēnei he strictures esophageal .
• Te esophagitis eosinophilic: Ka kohia he momo toto ma (eosinophils) ki roto i te esophagus, ka uaua ai te horomi.
• Te diverticulum o te korokoro:Ka puta he wāhi iti, he rite ki te pēke, ki tētahi wāhi ngoikore o te pakitara o te korokoro. Ka piri pea ngā matūriki kai ki tēnei wāhi, ka puta he āhua kei te piri tetahi mea ki te korokoro.

Me pēhea te mohio ki tēnei āhuatanga?

Ina kite koe i tētahi tākuta, ka āta whakarongo ia ki ō tohumate, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi ka tūtohu pea rātou i ētahi whakamātautau motuhake hei tautuhi i te pūtake.

• Te horomitanga o te korokoro (Te whakamātautau horomitanga o te korokoro, te whakamātautau horomitanga rānei o te korokoro): I tēnei whakamātautau, ka inu koe i tētahi wai e kīia nei ko te korokoro. He mā te āhua o tēnei wai i runga i te hihi-X, kia taea ai e koe te mātaki i te mahi a te korokoro pērā i te ataata i a koe e horomi ana.
• Te tirotiro i te pito o runga (EGD): I tēnei tikanga, ka whakauruhia e tō tākuta he ngongo iti kei roto he kāmera ki raro i tō korokoro hei tirotiro i tō korokoro, tō korokoro, me tō puku. Ka āwhina tēnei ki te tirotiro i ngā pukupuku me ngā aukati.
• UTU (Aromatawai Endoscopic Fiberoptic o te Horomia): He whakamātautau e mahia ana e te Tohunga Kōrero-Reo (SLP). Ka whakauruhia he kāmera iti mā roto i tō ihu hei tirotiro mēnā ka uru mai he kai, he inu rānei tae ki roto i tō ara manawa ina horomia e koe.
• Manometri esophageal: Ka whakauruhia he ngongo mā roto i tō ihu ki roto i tō puku, ka ine i te pēhanga, te whakaheke rānei, o ngā uaua i roto i tō esophagus ina inu wai koe.

Me pēhea te rongoā?

Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tō dysphagia me tōna kaha.

• Ngā Rongoā: Tērā pea ka tohua he paturopi mō te mate, ā, tērā pea ka tohua he rongoā whakahaere waikawa mō ngā āhuatanga pēnei i te GERD.
• Ngā Huringa Āhua Noho: Tērā pea ka kī atu tō tākuta, tō kaiwhakaora reo rānei kia hurihia tō kai. Tērā pea ka tohutohu atu rātou kia kai koe i ngā kai ngawari, kua pakaru pai, kia ngaungau pai i ō kai, ā, kia kai mārire.
• Ētahi atu maimoatanga hauora: Mena kua whaiti te korokoro, tera pea ngā huarahi hei whakawhānui ake. Ka whakamahia hoki ngā werohanga Botox® hei rongoā i ētahi raruraru uaua.
• Ngongo whāngai: I ngā wā tino kino, arā, ina kore e taea te kai me te inu, ā, he nui ake te mōrearea o te kōroke, ka whakamahia tēnei tikanga hei whakarato kai.
• Ngā mahi whakaora: Ka taea e te kaiwhakaora reo me te reo (SLP) te whakaako i a koe ki ngā mahi whakapakari i ō uaua horomi. Ka taea hoki e rātou te whakaako i a koe ki te kai haumaru, ki te pupuri i tō mahunga, me te huarahi tika ki te tango i te kai mēnā ka piri.

He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?

Ko ngā mōrearea matua ko:

• Te matewai: Te korenga o te wai i roto i te tinana nā te kore e taea te inu i te nui o te wai.
• Te kore kai tōtika: Te kore kai e tika ana.
• Te kōroke: Ka taea hoki te whakamomori.
• Pīniumia Āputa: He niumōnia kino i puta mai i te manawa o te kai, o te inu rānei ki roto i ngā pukahukahu. I ētahi wā, inā koa i roto i te hunga kua pāngia e te whiu, ka taea te manawa i te kai ki roto i ngā pukahukahu me te kore e maremare (manawa puku). He tino morearea tēnei.

Āhea koe me toro atu ki te tākuta?

Ki te kite koe kei te uaua koe ki te horomi i ngā wā maha, kaua i te kotahi, i ngā wā e rua rānei, me toro atu ki tō tākuta tonu. He mea nui kia kitea te pūtake me te rongoā i tēnei.

Ahakoa he mea whakararuraru ngā mea pēnei i te maremare me te wheezing, he whakatūpato ēnei nō tō tinana. Nō reira kaua e warewarehia aua tohu.