Kei te raru anō hoki tō korokoro? Me kōrero tātou mō ngā Mate Kōkoro!

Kei te ahua uaua koe ki te horomi i a koe e kai ana? Kei te ahua wera rānei tō uma, kei te ahua rānei kei te mau tetahi mea i roto i tō korokoro? Ehara ēnei i te mea noa iho. He tohu pea ēnei o tētahi raruraru ki tō korokoro, arā, ki tō paipa kai. I tēnei rā, ka kōrero tātou mō ēnei mate korokoro. Kaua e manukanuka, he mea nui kia mōhio koe ki tēnei.

He aha te 'esophagus'? Me pēhea te puta o ngā mate o te esophagus?

Ki te kī māmā noa, ko te korokoro he ngongo i hangaia ki ngā uaua e kawe ana i te kai mai i te waha ki te puku. He rite ki te paipa wai, engari he uaua ake. Ina kore e mahi tika tēnei paipa kai, ina rānei he raruraru, ka kiia e mātou ko te mate korokoro. Ko te uaua ki te horomi kai, e kiia nei e ngā tākuta ko (Dysphagia) , tētahi o ngā mea matua ka pā mai i ēnei mate.

Ko te mate tino noa o ēnei mate ko te mate reflux gastroesophageal (GERD). Koinei te wā ka hoki ake te waikawa o te puku ki roto i te esophagus, ka puta te riri me te mumura o te arai ngawari o te esophagus.

He aha ngā momo mate matua e pā ana ki te korokoro?

He maha ngā momo mate ka pā ki te korokoro. Me titiro tātou ki ētahi o aua mate.

• GERD (Mate Reflux Gastroesophageal): Koinei taku i kōrero ai i mua ake nei, te mate tino noa. Kei te pito o raro o te korokoro, he uaua rite ki te takirere e kiia nei ko te Lower Esophageal Sphincter . Ina kore e kati tika tēnei uaua, ka hoki mai te waikawa o te puku me te kai. Whakaarohia he rite ki tētahi pounamu kāore he taupoki piri, ā, ka puta mai ngā mea o roto.

• Ākarahia: Koinei te wā kāore e tuwhera tika te uaua o te sphincter o raro o te esophagus i kōrerotia e au i mua ake nei, kāore rānei e wātea. Ka ārai tēnei i te kai kia uru ki te puku. E whakapono ana ētahi tohunga he mate pūnaha ārai mate pea tēnei. Ko te tikanga o tēnei ka whakaekea e te pūnaha ārai mate o tō tātou tinana ō tātou ake pūtau. Heoi, kāore anō kia kitea te tino take. Tērā pea nā te kino o ngā io e whakahaere ana i ngā uaua o te esophagus tēnei.

• Te Esophagus a Barrett: He āhua kino ake tēnei. Ina kore e rongoatia te GERD mō te wā roa , ka tīmata te āhua o te arai o raro o te esophagus ki te āhua o te arai o te puku. Ka tīmata ngā pūtau o reira ki te āhua o ngā pūtau o roto i ngā whekau. Ka puta ēnei huringa i te wāhi e tūtaki ai te esophagus me te puku. Ka whakanui ake tēnei āhua i te mōrearea o te mate pukupuku esophagus .

• Te Eosinophilic Esophagitis: Kei roto i ō tātou toto tētahi momo toto mā e kiia nei ko ngā eosinophil . Ina nui rawa te kohikohinga o ēnei pūtau ki roto i te esophagus, ka pupuhi, ka mumura rānei te arai o te esophagus. E kiia ana tēnei e ngā tākuta heE kiia ana hoki ko te esophagitis , ka kitea nuitia tēnei mate i roto i te hunga he maha ngā mate pāwera.

• Matepukupuku korokoro: E rua ngā momo matua o te matepukupuku korokoro: te matepukupuku pūtau kōpiko me te Adenocarcinoma . Ko te kai hikareti, te rongoā irahiko, me te mate HPV e hono ana ki te pikinga ake o te mōrearea o te matepukupuku pūtau kōpiko . Ko te kai hikareti me te reflux waikawa e hono ana ki te pikinga ake o te mōrearea o te adenocarcinoma .

• Te Diverticulum Essophageal: He pupū iti tēnei e puta mai ana i tētahi wāhi ngoikore o te esophagus. Ko te hunga whai achalasia ka nui ake te tūponotanga ka pāngia rātou e tēnei momo diverticula.

• Ngā Āninitanga o te Esophagus: He kōpeketanga ohorere, koretake tēnei o ngā uaua o te esophagus . He tino mamae, he onge hoki tēnei āhuatanga. Ka ārai tēnei i te hekenga o te kai ki roto i te puku.

• Ngā Āraitanga o te Esophagus: Koinei te wā ka kuiti rawa te esophagus, ka uaua ai te haere o te kai me te wai ki te puku.

• Ngā Hernia Hiatal: Koinei te wā e pana ake ai te wāhanga o runga o te puku mā roto i tētahi kōhao i te diaphragm ki roto i te uma. Ka taea hoki e tēnei āhuatanga te whakanui ake i te reflux waikawa.

He aha ngā āhuatanga mōrearea mō te whakawhanaketanga o ngā mate korokoro?

Ka piki ake te mōrearea o te whakawhanaketanga o ngā mate o tēnei wāhanga o te tinana i ētahi mea. Me titiro tātou ki ēnei mea:

• Te whakamahinga o te waipiro.
• Te taumaha rawa nā te momona, nā te haputanga rānei.
• Ko ētahi rongoā , hei tauira, ko ētahi paturopi , rongoā pōuri, me ngā rongoā mamae .
• Mena kua whiwhi koe i te rongoā irahiko ki tō kaki, ki tō uma rānei .
• Te momi hikareti , me te hongi i te auahi ina momi hikareti ētahi atu (paoa tuarua).

Kei a koe anō ēnei tohu?

Ka rerekē pea ngā tohu i runga i te momo mate korokoro. Tērā pea ka pāngia koe e ēnei āhuatanga:

• Te mamae o te puku, te mamae o te uma, te mamae rānei o te tuara.
• Te maremare tonu, te korokoro mamae rānei.
• Te uaua ki te horomi kai , te ahua rānei kei te piri te kai ki te korokoro.
• Te ngaunga o te uma - he ahua wera i roto i te uma.
• Te pāorooro , te wheezing rānei i te wā e manawa ana.
• Te koretake o te kai - Ko te tikanga tēnei he mamae te puku.
• Te ruaki, te ruaki rānei i te kai, i te waikawa rānei o te puku ki roto i te korokoro.
• Te hiroki noa iho, kāore he take.

He mea nui: Ki te mau tonu tētahi, ētahi rānei o ēnei tohu ki a koe, me rapu tohutohu hauora. Ko te wawe o te kitenga i te mate, ko te māmā ake o te rongoā.

Me pēhea te tautuhi tika i ēnei mate?

Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, ā, ka tirotirohia e ia tō tinana. Tērā pea ka pāngia koe e tō korokoro i a koe e horomi ana.

Hei tautuhi i ngā mate o te ihu, ka mahia ngā whakamātautau e whai ake nei:

• Endoscopy o Runga: Ko te whakaurunga o tētahi ngongo roa, angiangi (scope) mā roto i tō waha hei tirotiro i te wāhanga o runga o tō pūnaha nakunaku. I roto i tēnei tikanga, ka tangohia pea e tō tākuta he tauira kiko (biopsies) hei tirotiro mō te mumura, ngā pūtau matepukupuku, ētahi atu mate rānei.
• Hiri-X o te pūnaha nakunaku (Horomanga Pāriuma): I roto i tēnei, ka inumia he wai e kīia nei ko te pāriuma , ā, ka tangohia he whakaahua hihi-X i a ia e neke ana i roto i te korokoro me te pūnaha nakunaku.
• Manometri Esophageal: Ka ine tēnei whakamātautau i te pai o te mahi a ngā uaua o tō esophagus me te sphincter esophageal o raro ina horomia e koe he wai.
• Whakamātautau pH o te korokoro: Ka ine tēnei i te nui o te waikawa puku (taumata pH) i roto i te korokoro.

He aha ngā maimoatanga mō tēnei?

He rerekē ngā tikanga maimoatanga i runga i te āhua o te mate. Anei ētahi o aua tikanga:

• Ka hoatu ngā rongoā pēnei i ngā antacids , ngā aukati papu proton (PPIs), me ngā aukati histamine receptor (H2) hei whakaiti i te waikawa o te puku.
• Ka whakamahia he tikanga e kīia ana ko te endoscopic dilation hei whakawhānui i te esophagus kua whaiti, hei whakangāwari rānei i te uaua kua kōpiri.
• Ka werohia te paitini botulinum (Botox®) hei aukati i te kōpiripiri koretake o ngā uaua i roto i te sphincter esophageal, hei whakangāwari rānei i ngā uaua e kōpiri ana.
• Ka mahia he pokanga e kiia nei ko te esophagectomy hei tango i tētahi wāhanga, i te katoa rānei o te esophagus kua mate.
• Hei rongoā i ngā āhuatanga pēnei i te GERD , te hiatal hernia rānei, ka mahia te pokanga laparoscopic antireflux (Nissen Fundoplication) hei whakapakari i te sphincter esophageal o raro.
• Ko ngā āhuatanga pēnei i te achalasia me te spasms o te esophageal ka rongoatia ki te Heller Myotomy me te Peroral Endoscopic Myotomy (POEM) .

Me aha tātou hei karo i ngā mate korokoro? (Ārai)

(GERD) , arā, ko te reflux waikawa, ka arahi pea ki ētahi atu mate korokoro kino mena kāore e rongoatia tika. Nō reira, (GERD)Ā, ka taea e koe te mahi i ēnei mea hei ārai, hei whakaiti rānei i ngā raruraru o tō korokoro:

• Kaua e kai i te pō. Taria kia toru hāora i muri i te kai i mua i te takoto.
• Whakaititia ngā kai raukikī, hinuhinu, kai tōmato, kai citrus rānei, tae atu ki te kawheine me ngā inu warowaihā.
• Kai mārire i te wā e kai ana. Kati te kai i mua i te moe mō ētahi haora.
• Whakaitihia tō inu waipiro. Ki te kaipaipa koe, rapua he āwhina hei whakamutu.
• I te wā e moe ana, kia teitei ake te pane o te moenga , kia moe rānei me tōu pane kia teitei ake me te whakamahi i tētahi urunga.
• Kia kaha te tinana , kia mau tonu hoki te taumaha hauora.

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

Ki te kore e rongoatia tika, ka taea e ētahi mate pūkahukahu, pērā i te GERD me te achalasia, te whakanui ake i te mōrearea o te mate pukupuku pūkahukahu .

I ētahi wā ka piki ake te kai i te trachea ki roto i ngā pukahukahu i te ruakitanga. Ka kiia tēnei ko te aspiration . Ka taea e tēnei te arahi ki te niumōnia me ngā mate pukahukahu. Ka taea hoki e te uaua ki te horomi te whakanui ake i te mōrearea o te kore kai me te matewai .

He aha te heke mai mō te hunga e pāngia ana e ēnei mate? (Tirohanga)

Ka taea e te nuinga o te hunga whai mate pūkahukahu te whakahaere i ō rātou tohu mā te whakamahi i ngā rongoā ka taea te hoko kore-tohu, i ngā rongoā rānei kua tohua e te tākuta. Heoi, ko ētahi mate, pērā i te mate pukupuku pūkahukahu, te achalasia rānei, me mahi pokanga. Haunga te maimoatanga, ka taea hoki e koe te whakahaere i ō tohu mā te huri i tō kai me tō momo noho .

Ngā pātai nui hei pātai atu ki tō tākuta

He mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• He aha te momo mate kūkū kei a au?
• He aha ahau i pāngia ai e tēnei mate korokoro?
• He aha te rongoā pai rawa atu mō tēnei momo mate korokoro?
• He aha ngā mōrearea me ngā pānga taha o te maimoatanga?
• Kei te tūpono ahau ki te pāngia e ētahi atu mate tuku iho?
• He aha ngā huringa kai, āhua noho rānei me mahi e au hei tiaki i tōku hauora?
• Me āwangawanga ahau mō ngā raruraru?

Karere Whakamutunga mō te Tango ki te Kāinga

Ka pāngia te ngākau e te mamae me te kore whakamarie i ngā mate o te korokoro. Ko te mate tino noa ko te GERD, e puta ai te mamae o te puku. Ki te kore e rongoatia, ka taea e te GERD me ētahi atu mate o te korokoro te arahi ki te mate pukupuku korokoro.Nō reira, ki te pā mai ngā tohu, rapua tonutia he tohutohu hauora. He maha ngā wā ka taea te whakahaere i ngā tohu mā te rongoā. Ko ngā mate kino pēnei i te mate pukupuku me te achalasia me pokanga pea. Ka taea e tō tākuta te āwhina i a koe ki te whakaiti i te mōrearea o ēnei mamae me ngā raruraru nui mā te hanga i ngā huringa tika ki tō kai me tō momo noho . He mea tino nui te tiaki i tēnei kia noho hauora tonu!

` Esophagus, GERD, reflux waikawa, uaua ki te horomi, mumura o te uma, mate pukupuku esophagus, pūnaha nakunaku