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He aha tēnei whakawhāititanga o ngā uaua o te nono?
He kupu ngāwari, ina horomia e koe te kai, te inu rānei, he wāhanga rite ki te ngongo e kawe ana i taua mea mai i tō waha ki tō puku. Ka kiia e mātou ko te esophagus . He uaua ngā pakitara o tēnei esophagus. Ina horomia e koe tetahi mea, ka whakawhāiti ēnei uaua, ka whakangāwari i runga i te tikanga auau mai i runga ki raro, ka panaia te kai, te inu rānei ki roto i te puku. Pērā i te ngaru. Ka kiia e mātou tēnei tukanga ko "(Peristalsis)" . Heoi, i roto i te tangata he "(Esophageal Spasms)", he raruraru iti kei te ara e whakawhāiti ai ēnei uaua i roto i te esophagus. Ka whakawhāiti ohorere, ka kaha rānei ngā uaua, ka whakawhāiti rānei i roto i te tikanga koretake, pōrearea hoki. Kātahi ka uaua te heke tika o te kai, te inu rānei. I ētahi wā ka hoki ake ngā mea kua horomia ki roto i te korokoro. Waihoki, ka mamae te uma i tēnei.He momo rerekē tēnei?
Āe, e rua ngā momo matua: 1. Te Pāwera o te Esophagus Distal: Koinei te wā e kume ana ngā uaua o te taha raro o te esophagus i roto i te āhua pōrearea, kore taunga. Koia te take he maha ake te ruaki . 2. Te Esophagus Hypercontractile: I ētahi wā ka kiia tēnei ko te Nutcracker Esophagus, ko te Jackhammer Esophagus rānei. Koinei te wā e kume ana ngā uaua o te esophagus me te tino kaha, me te tere . Ka taea e tēnei te whakararu i te uma, inā koa i te wā e horomia ana. Tērā pea ka rongo ētahi tāngata me te mea kei te pēhia ō rātou uma.
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Check Availability →He pēhea te noa o tēnei āhuatanga?
Ko te tikanga, ehara tēnei āhuatanga e kiia nei ko te (Esophageal Spasms) i te mea noa . Hei tauira, e ai ki ngā tākuta, ko te momo e kiia nei ko te Distal Esophageal Spasm ka pā ki te kotahi i roto i te kotahi rau mano tāngata ia tau. Nō reira kaua e manukanuka noa iho.He aha ngā tohu o tēnei?
Ko ngā tohu matua e rua, ko te mea tino kitea o tēnei mate, ko te uaua ki te horomi (dysphagia) me te mamae o te uma kāore e pā ki te ngākau. Heoi, kāore e pāngia te katoa e ēnei tohu. I ētahi wā, ko te mamae o te uma i puta mai i tēnei uaua e ngenge ana , ka rite ki te mamae o te mate ngākau .He mea nui: Ki te pāngia koe e te mamae nui o te uma, kāore i te mārama te take, ā, ka roa ake i te rima meneti, me rapu tonu i te awhina hauora. He mea tino nui kia mōhiotia mēnā he mate manawa.He tino ngawari ēnei tohu mō ētahi tāngata, ā, he kino ake mō ētahi atu. I ētahi wā ka tīmata i ngā wā motuhake, pērā i muri i te kai. Heoi, i ētahi wā ka puta ohorere mai, kāore he take. Kia tīmata ēnei mamae, ka roa pea mai i ētahi meneti ki te neke atu i te haora.
He aha te āhua o te mamae o te uma?
Mena he mamae tō esophageal, ka penei pea te mamae o tō uma:- Tērā pea ka rongo koe i te kōpiri, te whakawhāiti, te pēhanga, te taumaha rānei i waenganui o tō uma, i muri tonu i te wheua uma (sternum).
- Tērā pea ka pāngia ētahi e te mamae o te uma , arā, he kare e mura ana i roto i te uma .
- Tērā pea te mamae kei te taha matau, kei te taha maui, kei waenganui rānei o te uma i te taha matau, kātahi ka horapa ki te kaki, ki te ringa maui, ki te tuara rānei .
He aha te āhua o te uaua ki te horomi (Dysphagia)?
I roto i tēnei āhuatanga mamae, ka pā pea ēnei ki a koe:- Me te mea kei te mau tetahi mea i roto i tō korokoro .
- He kare ā-roto me te mea kei te ngana te kai ki te hoki ake ki te korokoro .
He aha tēnei e tupu nei? He aha ngā take?
Kāore anō kia tino mōhiotia e ngā tākuta te take . Heoi, e whakapono ana ētahi he ngoikore ngā io i roto i ngā io e whakahaere ana i ngā uaua o te esophagus. I ētahi wā, ka hono pea ēnei io ngoikore ki te nui rawa o te waikawa i roto i te esophagus. He maha ngā tāngata e pāngia ana e te spasms esophageal he mate roa e kiia nei ko te mate reflux gastroesophageal (GERD) . Nā tēnei mate ka hoki te waikawa o te puku ki roto i te esophagus. E whakaarohia ana ka taea e tēnei waikawa te kino i ngā io i roto i te esophagus. Kua kitea e ngā rangahau tata nei ko te hunga kua neke atu i te toru marama e tango ana i ngā opioids ka nui ake te tūponotanga ki te whakawhanake i ngā spasms esophageal. Heoi, me nui ake ngā rangahau hei whakatau i te take me ngā āhuatanga mōrearea.He aha ngā mea e whakaoho ana i tēnei āhuatanga?
Ka kitea e ētahi tāngata ko ngā tohu o te pupuhi o te korokoro ka puta, ka kino rānei i ētahi āhuatanga. Hei tauira:- I muri i te kai i te kai, i te inu rānei tino wera, tino makariri rānei.
- I mua atu, i te wā e pāngia ana, i muri rānei i tētahi wā o te ahotea nui, o te manukanuka rānei .
- I te wā e whakakorikori ana .
Me pēhea te kite a ngā tākuta i tēnei?
Ka tirohia koe e tō tākuta i te tuatahi, ā, ka whakarongo pai ki ō tohumate. Mena ka mamae tō uma,Tērā pea ka tonoa koe kia whakamātauria he whakamātautau pēnei i te electrocardiogram (EKG) hei tirotiro i te mate manawa. Kia whakakorea e koe te mate manawa, ka tonoa koe kia whakamātauria hei whakakore i ētahi atu āhuatanga noa e puta ai ō tohu. Kei roto i ēnei ko:Ngā whakamātautau e mahia whānuitia ana
- Endoscopy o Runga: Ko tā te tākuta he whakauru i tētahi ngongo angiangi (e kiia ana he endoscope) ki roto i tō korokoro. He rama iti kei tēnei ngongo me te kāmera i tētahi pito. Mā tēnei ka taea e te tākuta te kite i roto i tō korokoro. Ka āwhina tēnei ki te tirotiro i ngā huringa hanganga e pā ana ki te mamae o tō uma, ki te uaua rānei ki te horomi.
- Te horomitanga o te Barium (Esophagram, Barium Swallow rānei): I tēnei whakamātautau, ka inu koe i tētahi wai kei roto he matū e kiia nei ko te barium. Kātahi ka tangohia e te tākuta he whakaahua X-ray o te barium e neke ana i raro i tō korokoro. Ka āwhina tēnei ki te whakakore i ētahi atu take, pērā i te whaiti o te korokoro (stricture).
Ngā whakamātautau motuhake hei kite i ngā uaua e pupuhi ana
- Manometri Esophageal: Koinei te whakamātautau paerewa koura mō te tautuhi i ngā pupuhi o te esophageal. Ka ine i ngā ngaru pēhanga e puta ana i roto i te esophagus ina horomia e koe. Mena he maha ngā whakahekenga uaua rerekē i te taha raro o te esophagus i te wā kotahi, he tohu tēnei mō tēnei mate.
- Te Pūtirotiro Whakaahua Lumen Mahi (FLIP): He whakamātautau hou tēnei e taea ai te whakarato mōhiohio e pā ana ki te nekehanga o te nono me te urupare a te pakitara nono ki ngā huringa pēhanga.
He aha atu ngā āhuatanga he rite ngā tohu?
He uaua te tautuhi i ngā ānini o te korokoro, nā te mea he maha atu ngā āhuatanga ka puta ai ngā tohu matua o te mamae o te uma me te uaua ki te horomi . Kia mōhio koe kāore tō raruraru i puta mai i te mate ngākau, ka whakakorehia e tō tākuta ētahi atu āhuatanga nakunaku noa ka puta ai ngā tohu rite. Kei roto i ēnei ko:- ( GERD ) (Ka pā tahi pea tēnei me ( Ngā Ānini o te Esophagus)).
- Ngā uauatanga o te esophagus.
- Te hernia hiatal.
He aha ngā maimoatanga mō tēnei?
Ko te whāinga matua o te maimoatanga mō ngā pupuhi o te esophagus ko te whakangāwari i ngā uaua o te esophagus me te whakaiti i ō tohu.Heoi, ki te kore he tohu o ēnei mamae uaua, kāore pea koe e hiahia ki te rongoā. Tērā pea ka tūtohu tō tākuta i tētahi, i ētahi rānei o ngā rongoā e whai ake nei:- Ngā rongoā kāinga: Kua whakaatuhia e ngā rangahau ka taea e te hinu pepa te āwhina i te whakangāwari i ngā uaua o te nono. Mā te inu i ētahi pata hinu pepa ki te wai ka taea te whakaora i ngā tohu iti. Waihoki, mā te tautuhi i ngā mea e pā ana ki a koe ka āwhina i te ārai i ngā mamae o muri mai.
- Rongoā:
- Mā te tango i ngā aukati hongere konupūmā (he momo rongoā e whakamahia ana hei rongoā i te toto toto tiketike) i mua i te kai ka āwhina i te tini o te tangata ki te horomi ngāwari ake.
- Ka āwhina ngā nitrates ki te whakaiti i te mamae o te uma .
- Ka taea e ngā rongoā ārai pouri tricyclic te aro ki ngā io kua pakaru i roto i te taringa, ā, ka whakaiti i te mamae.
- Werohanga paitini Botulinum ( Botox® ): Ka taea e ngā werohanga Botox® te whakararuraru i ngā uaua o te nono mō te wā poto, ā, ka mutu te whakapiko. Tērā pea ka tūtohu tō tākuta i tēnei mēnā kāore ētahi atu maimoatanga i āwhina. Ko ngā hua o tēnei maimoatanga e ono marama te roa.
- Pokanga : Mena he kino rawa ō tohu, ā, kāore ētahi atu maimoatanga i āwhina, ka tūtohu pea tō tākuta i tētahi pokanga e kiia nei ko te myotomy . I roto i te myotomy, ka tapahia e tō tākuta te uaua i raro i tō korokoro. Ka whakakorea rawatia te uaua e tēnei tapahi. Ka mutu ngā whakahekenga rerekē. Nā te mea kāore e whakamahia ana te uaua i roto i tō korokoro, ka taea e te kaha ā-papa te neke haere o te kai me te inu ki raro i tō korokoro.
Ka taea te ārai i tēnei?
Engari, kāore e taea te ārai katoa i tēnei mate. Heoi, ka taea e koe te āwhina mā te tautuhi me te karo i ngā mea e kino ake ai ō tohu (hei tauira, ētahi kai me ētahi inu).Ka āwhina tēnei ki te ārai i te tīmatanga, i te kino rānei o ngā mamae o te uaua.He āhuatanga morearea tēnei?
Ka pāngia pea koe e te mamae o te uma me te uaua ki te horomi i ngā wā e pāngia ana e te whewhe korokoro. Heoi, kāore ngā tākuta e whakaaro ana he tūraru nui tēnei ki tō hauora . Mēnā he uaua ki te horomi, ka rite koe ki te kōkō, engari kāore ngā whewhe korokoro e tūraru ana i te ora . I te nuinga o te wā, kāore e ārai i a koe ki te whiwhi i te kai e hiahiatia ana e koe. Kāore ngā whewhe korokoro e whakanui ake i tō tūponotanga ki te mate pukupuku korokoro, ki ētahi atu tūraru kino rānei e pā ana ki te korokoro.He aha ngā mea ka puta i muri i te maimoatanga? (Tirohanga)
He rerekē te matapae mō ngā Pāwera o te Esophagus i runga i te kaha o ō tohu. He iti noa ngā tohu o te nuinga o te tangata. Ka taea e te maimoatanga te whakapai ake i ngā tohu o ngā Pāwera o te Esophagus. Ka aroturukihia koe e tō tākuta i ia wā kia mōhio ai kei te whai hua ngā rongoā e tangohia ana e koe. Mena ka pokangahia koe, ka whakaritea he wā tirotiro whai muri kia mōhio ai kei te ora pai koe.Āhea koe me tino kite i te tākuta?
Ka puta pea ngā tohumate e rite ana ki ērā o te mate manawa i ngā pupuhi o te korokoro. Ka mate pea te tangata i te mate manawa mēnā kāore e rongoatia tonutia. Nō reira, ki te pāngia koe e tētahi o ēnei tohumate , waea atu ki te 911, rapua rānei he awhina hauora tonu:- Mena he taumaha, he kikī te āhua o tō uma , ā, ka roa ake i te rima meneti.
- Mena kei te mamae koe i tētahi atu wāhi o te uma, hei tauira i te pakihiwi, te ringa, te kaki rānei .
- Mena he uaua ki te manawa (dyspnea) .
- Mena ka pāngia koe e te tere o te ngakau, e te koretake rānei o te pā o te ngakau (ngā palpitations o te ngakau) .
- Ki te mea kei te pōuri koe, kei te ngoikore rānei (me te mea kei te tata koe te hemo) .
- Ki te mea he werawera makariri tōu.
- Mena kei te whakapairuaki koe, kei te ruaki rānei .
He aha ngā pātai me pātai atu koe ki te tākuta?
Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:- He aha te tino take o ēnei mamae uaua?
- Me pēhea taku tautuhi i te mea e whakaoho ana i aku tohu?
- He aha te momo maimoatanga e taunaki ana koe māku?
- He aha ngā pānga taha ka puta mai i aua maimoatanga?
- Kia pēhea te roa e hiahiatia ana te maimoatanga me te aroturuki?
Nō reira, ki te mamae tō uma , ki te uaua rānei te horomi, ki ētahi atu tohu rānei o te pupuhi o te korokoro , me toro atu ki te tākuta hei matapaki i ngā kōwhiringa maimoatanga. Me rapu tonu i te awhina hauora mēnā ka mamae tō uma kāore i te mārama.
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