Kei te pā mai he werawera i waenganui o tō uma ina kai koe? Kei te pā mai he reka kawa i roto i tō korokoro i ētahi wā? He uaua rānei ki te horomi kai? He tohu ēnei e pā ana ki te tini o te tangata, engari e kiia ana he "gastritis". Heoi, he tohu pea ēnei mō tētahi raruraru i roto i tō tātou paipa kai, arā, te esophagus. Nō reira, i tēnei rā, me kōrero tātou mō ngā Mate Esophagus.
Hei whakarāpopototanga, he aha ēnei mate o te korokoro?
Āe, me mārama tātou ki te tikanga o te korokoro. Ka kiia hoki ko te "paipa kai". He kupu ngāwari noa iho, koinei te ngongo i hangaia mai i ngā uaua e kawe ana i te kai mai i te waha ki te puku. Ina horomia e tātou te kai, ko tēnei ngongo te mea e pana ana i te kai ki raro ki roto i te puku.
Nō reira, ko ngā Mate Puku o te Esophagus he momo mate me ngā āhuatanga e pā ana ki te mahi a tēnei esophagus, e whakararuraru ana hoki i tana mahi. Ka taea e tēnei te whakaputa i ngā raruraru maha pērā i te uaua ki te horomi kai (dysphagia) me te heartburn. I roto i ēnei, ko te mate tino noa kua rongohia e tātou ko te GERD (Gastroesophageal Reflux Disease) . Me kōrero tātou mō tēnā i muri mai.
He aha ngā mate matua ka pā ki te puku?
He maha ngā momo mate e pā ana ki te korokoro. Ko ētahi he noa, ko ētahi he iti ake te kitea. He mea nui kia mārama koe ki ēnei. Me titiro tātou ki a rātou i roto i te huarahi e māmā ai te mārama.
| Āhua | Hei whakarāpopototanga, koinei te mea ka tupu. |
|---|---|
| GERD (Mate Reflux Gastroesophageal) | Koinei te mate tino noa. Ko te mea e tupu ana i konei, ko te kore e kati tika te takirere (sphincter) i waenganui i te esophagus me te puku. Nō reira, ka hoki ake te waikawa o te puku me ngā matūriki kai, arā, i te esophagus ki roto i te korokoro. Ko te ngau o te ngākau te tohu matua o tēnei. |
| Ākarahia | Ko te mea e tupu ana i konei, kāore te takirere kua whakahuatia ake nei (te sphincter esophageal o raro) e tuwhera tika. Ko te tikanga, kāore e wātea. Nō reira, kāore e taea e te kai te uru ki te puku, ka mau ki roto i te esophagus. Ahakoa kāore i te mōhiotia te take tuturu o tēnei, e whakaarohia ana nā te kino o ngā io e whakahaere ana i ngā uaua o te esophagus. |
| Te korokoro o Barrett | Mō te hunga whai GERD kāore anō kia rongoatia mō te wā roa, ka tīmata te huri o ngā pūtau i te wāhanga o raro o te korokoro nā te pikinga tonu o te waikawa. Ka rite ake rātou ki ngā pūtau i roto i te puku, i ngā whekau rānei. He āhuatanga morearea tēnei, nā te mea ka piki ake te mōrearea o te mate pukupuku korokoro. |
| Te mate korokoro eosinophilic | Ko te mea e tupu ana i roto i tēnei, ka kohia he momo toto mā e kiia nei ko ngā eosinophil ki roto i ngā ara manawa. He momo pūtau ēnei e piki haere ana i roto i ngā mate pāwera. Ina kohia ēnei pūtau, ka pupuhi te roto o ngā ara manawa (mumura). He mea noa tēnei āhuatanga i waenga i te hunga he maha ngā mate pāwera. |
| Matepukupuku korokoro | E rua ngā momo matua: te mate pukupuku pūtau-pūtau me te Adenocarcinoma . Ko te momi hikareti, te inu waipiro nui, te GERD roa, me ētahi mate huaketo (HPV) ka piki ake te mōrearea ki te whakawhanake i ēnei mate pukupuku. |
| Te diverticulum o te korokoro | Koinei te mea e kiia nei he putea iti e puta mai ana i tētahi wāhi ngoikore o te pakitara o te korokoro. Ina kai koe, ka piri pea ngā wahi kai ririki ki roto i tēnei putea. |
| Ngā pupuhi o te korokoro | Ka kiia tēnei he kōpiritanga ohorere, rerekē, mamae hoki o ngā uaua o te korokoro. He āhuatanga onge tēnei. Nā tēnei ka uaua te haere o te kai ki roto i te puku. |
| Ngā uauatanga o te korokoro | Ka tino whaiti rawa te korokoro. Ka puta pea tēnei nā te whara e puta ana i te wā e ora ana te korokoro i muri i te kino roa mai i te reflux waikawa (GERD). Nā tēnei ka tino uaua te haere o te kai me te inu. |
| Ngā hernia hiatal | He kōhao iti kei roto i te diaphragm, te uaua e wehe ana i te uma me te puku, te wāhi e puta ai te taha whakarunga o te puku ki roto i te uma. Ka nui ake te kaha o te waikawa ki te puta anō. |
He aha ngā mea e whakanui ake ai i te mōrearea o te whakawhanaketanga o ēnei mate?
Āe, kua mōhio tātou inaianei ki ngā momo mate. Nā te aha i puta ai ēnei mate? He maha ngā āhuatanga e whakanui ake ai i te tūponotanga o te whakawhanaketanga o ēnei mate.
- Te nui rawa o te inu waipiro: Ka taea e te waipiro te kino i te arai o te korokoro.
- Te taumaha rawa o te tinana: Nā te pikinga o te pēhanga ki te puku i te wā momona, i te wā e hapu ana rānei, he nui ake te tūponotanga ka puta ngā mea o roto o te puku.
- Ngā rongoā: Ka pāngia te korokoro e ētahi rongoā whakamamae mamae, rongoā pōuri, me ētahi rongoā paturopi.
- Te Momi hikareti: Mā te momi hikareti me te pānga ki te auahi tuarua ka ngoikore ngā takirere o te korokoro me te whakanui ake i te mōrearea o te mate pukupuku.
- Whakaora irahiko: Mena kua whiwhi koe i te rongoā irahiko mō tētahi āhuatanga pēnei i te mate pukupuku i te kaki, i te uma rānei, ka pāngia pea koe.
Kei a koe anō ēnei tohu?
He rerekē ngā tohu o ngā mate korokoro i runga i te mate taketake. Engari he tohu noa iho ēnei ka kitea. Tirohia mēnā kei a koe tētahi, neke atu rānei o ēnei.
Kia maumahara, ehara i te mea he mate kino te katoa e pāngia ana e ēnei tohu, engari he mea whakaaro nui kia mōhio ki ēnei, ā, kia rapu tohutohu hauora.
| Tohu | Whakaahuatanga |
|---|---|
| Ngau mamae | He mura te ngenge i waenganui o te uma. Koinei te tohu matua o te GERD. |
| Te uaua ki te horomi | He ahua pupuhi i roto i te korokoro i te wā e horomia ana te kai. Me te mea nei kāore he wahi kai i horomia. |
| Regurgitation | Te waikawa o te puku, te kai rānei kāore anō kia nakunaku e hoki ake ana ki roto i te korokoro, ki te waha rānei. |
| Mamae o te uma, te puku, te tuara rānei | Ka pā mai pea tēnei mamae ina koa i muri i te kai. |
| Te maremare roa, te korokoro mamae rānei | He maremare tonu, kāore he makariri, he ahua pūngāwerewere i te korokoro, me te reo pārū. |
| Te whakahekenga taumaha | Mena kei te whakaitihia tō taumaha, kāore he take, kāore rānei he kaha, he mea tēnei hei āwangawanga māu. |
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te tākuta me ēnei tohu, ka pātai atu ia ki a koe mō ō tohu i te tuatahi. Kātahi ka tirotirohia koe e ia. I ētahi wā ka pā atu pea ia ki tō korokoro i a koe e horomi ana.
Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau hei kimi i te āhua o te mate. Kaua e manukanuka, he whakamātautau noa iho ēnei.
- Te tirotiro i te pito o runga o te puku: Ko te whakaurunga o tētahi kāmera iti ki te pito o tētahi ngongo angiangi, ngāwari mā roto i tō waha hei tirotiro i te korokoro, te puku, me te wāhanga tuatahi o tō whekau iti. Tērā pea ka tangohia he wahi kiko iti (biopsy) mai i tētahi wāhi whakapae hei tirotiro mō ngā pūtau matepukupuku, ētahi atu mate rānei.
- Horomia te barium: I konei ka hoatu he wai e kiia nei ko te barium hei inu māu. Ka puta he mā i runga i ngā hihi-X. I a koe e inu ana, ka tangohia he raupapa pikitia hihi-X. Mā tēnei ka taea e koe te kite mārama i te nekehanga o te wai i roto i tō korokoro, me te mea kua āraia, kua whaiti rānei i tētahi wāhi.
- Te tirotiro i te esophagus:Ka ine tēnei i te pai o te mahi a ngā uaua o tō korokoro me te takirere (sphincter) ina horomia e koe he wai.
- Whakamātautau pH o te korokoro: Mā tēnei ka ine i te nui o te waikawa (pH) i roto i te korokoro. He mea tino nui tēnei hei whakaū i te aroaro o te GERD.
He aha ngā maimoatanga mō tēnei?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō āhua. Kāore e rite te maimoatanga mō te katoa.
Ngā rongoā
He maha ngā wā, ka tūtohutia tuatahitia kia huri te āhua noho me te whakamahi anō hoki i ngā rongoā.
- Ngā rongoā antacid, ngā aukati papu proton (PPI), ngā aukati H2: Ka mahi ēnei rongoā mā te whakaiti i te nui o te waikawa e hangaia ana i roto i te puku. Ka whakaitihia te kino me te mumura e pā ana ki te esophagus e te waikawa, ahakoa ka puta ake.
- Ngā werohanga paitini botulinum (Botox®): I ētahi wā ka whakamahia tēnei werohanga hei whakamutu i ngā uaua e pupuhi ana i roto i te korokoro, hei whakangāwari rānei i te takirere.
Ētahi atu maimoatanga me ngā pokanga
I ngā wā kāore e taea e te rongoā anake te whakahaere i te āhua, i ngā wā kino rawa atu rānei, ka hiahiatia pea ētahi atu tikanga maimoatanga.
- Whakawhanuitanga Endoscopic: He tikanga e whakauruhia ai he ngongo, ā, ka whakawhanuitia te korokoro whaiti mā te pupuhi i te ngongo ki tētahi mea rite ki te poihau, he rite ki te endoscopy.
- Te tango pokanga i te korokoro: Te tango pokanga i tētahi wāhanga mate, i te korokoro katoa rānei. He tikanga tēnei mō te mate pukupuku.
- Pokanga ārai-reflux laparoscopic (Nissen fundoplication): He pokanga tēnei e mahia ana mō ngā āhuatanga GERD, hernia hiatal rānei. I roto i tēnei, ka takaihia te wāhanga o runga o te puku ki te wāhanga o raro o te esophagus, hei whakapakari i te takirere.
- Te myotomy Heller me te POEM (Peroral endoscopic myotomy): He maimoatanga ēnei mō ngā āhuatanga pēnei i te Achalasia. Ko te tikanga o tēnei ko te tapahi i te uaua i te sphincter esophageal o raro, te whakangāwari, me te tuku i te kai kia tere haere ki roto i te puku.
Ngā raruraru ka puta pea mēnā kāore e rongoatia
Ki te kore ēnei mate e rongoatia tika, i ētahi wā ka kino haere te raruraru.
- Ki te kore e rongoatia tika ngā āhuatanga pēnei i te GERD me te Achalasia, ka piki ake te mōrearea o te whakawhanake i te mate pukupuku korokoro i roto i te wā.
- Nā te ruakitanga, ka taea e ngā matūriki kai te piki ake i te puku o te manawa ki roto i ngā pukahukahu. Ka kiia tēnei ko te mimiti. Ka taea e tēnei te mate pukupuku pērā i te niumōnia .
- Ki te mau tonu ngā uauatanga o te horomi, ka heke pea te kai, ka arahi atu ki te kore kai pai me te matewai .
Ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea
Ko te mea pai ko te whakaiti i te tūponotanga o te whakawhanaketanga o tēnei mate. Ka tino āwhina ēnei mea i a koe, inā koa ki te whakahaere i ngā mate pēnei i te GERD.
- Hurihia ō tikanga kai:Kaua e kai i tētahi kai nui i te wā kotahi, engari me kai i ētahi kai iti i te roanga o te rā. Kai i tāu kai matua i te iti rawa i te 3 hāora i mua i te moe. Kaua e kai kai i muri i te mutunga o te kai.
- Āraia ētahi kai me ētahi inu: Ko ngā kai he nui te ngako, he mea kakara, he ranu tōmato, he hua citrus (karaka, tāne), he tiakarete, he kawhe, me ngā inu warowaihā (houra) ka kino ake ngā tohu. Whakaitihia.
- Tūnga moe: I a koe e moe ana, kia teitei ake te pane o te moenga kia 6-8 inihi te teitei. Ka taea tēnei mā te whakatakoto i tētahi mea pērā i te poro rakau ki raro i ngā waewae o te moenga. Kāore e nui te hua o te hiki noa i tō pane me ngā urunga e rua, e toru rānei.
- Whakarērea ngā whanonga kino: Ki te kai paipa koe, tonoa he āwhina kia mutu. Whakawhāitihia tō inu waipiro.
- Kia mau ki te taumaha hauora: Whakahaerehia tō taumaha. Whakakorikori tinana i ia wā.
Karere Tangohia ki te Kāinga
- Kaua e whakahawea ki ngā tohu pēnei i te mamae o te uma, te uaua ki te horomi, me te korokoro kawa, pērā i te mea noa. He tohu pea ēnei o te mate korokoro.
- I roto i ēnei mate, ko te GERD te mea tino noa, ā, ko te tino take o tēnei mate ko te āhua noho kino me ngā tikanga kai kino.
- Ka taea te whakahaere i te nuinga o ēnei tohu mā te whakarerekē i te āhua noho me ngā tikanga kai.
- Ki te mea kei te mau tonu ēnei tohu i a koe, kaua e mahi i tāu e pai ai, engari me toro atu ki tētahi tākuta whai tohu kia tika ai te tātaritanga me te maimoatanga.
- Ki te kore e rongoatia, ka taea e ētahi mate te whanake hei mate kino ake, pērā i te mate pukupuku. Nō reira, he mea nui kia tere te mahi.
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