Kua rongo koe i te mea kei roto i tō korokoro, i tō uma rānei i a koe e kai ana, e inu wai ana, e horomi ana rānei i tētahi pire? Kei te whakaaro koe kāore e taea e koe te horomi kai me te ngāwari pērā i mua? Tērā pea kei te karohia e koe ngā kai pēnei i ngā kai matotoru me te mīti. Ki te pēnei anō hoki tō whakaaro, kaua e whakakorea he mea noa. I tēnei rā ka kōrero tātou mō tētahi āhuatanga hauora e puta ai tēnei. Ko te whaiti o te korokoro, e kiia ana i roto i te rongoā ko te Esophageal Stricture .
He aha te Stricture Esophageal?
Āe, kia mārama tātou ki tēnei. Kei a tātou tētahi wāhanga rite ki te ngongo e kawe ana i te kai mai i tō tātou waha ki tō tātou puku (puku). Ka kiia tēnei ko te esophagus . He rite ki te paipa wai. Ko te 'Stricture' he tikanga mō tētahi ngongo, ara, paipa rānei i roto i tō tātou tinana ka whaiti, ka ārai rānei. Nō reira, ko te Esophageal Stricture te wā ka whaiti rawa taua ngongo mō tētahi take.
Whakaarohia te puehu me te waikura e puea ake ana i roto i te paipa wai, ka āta whakawhāiti haere i te paipa. Ka pērā anō te mea ka pā ki tō tātou korokoro. Ina whakawhāiti, ka whakaitihia te wāhi mō te kai me te inu kia ngawari te heke. Koia te take e uaua ai tātou ki te horomi.
Ka puta tēnei aukati mai i roto i te korokoro, mai i waho rānei. Ka mumura, ka whara rānei te arai ngawari o te korokoro (e kiia nei ko te 'mucosa') ka matotoru. Ina tupu tēnei, kāore e totoro te arai ina horomia. I ētahi wā, ka āraia te korokoro e tētahi mea pērā i te pukupuku i roto i tētahi atu okana huri noa i te korokoro, ahakoa he pēhanga mai i waho. I te nuinga o te wā, ka tino puhoi te puta o tēnei tukanga, i roto i te wā.
He kino tēnei āhuatanga?
Tērā pea kei te whakaaro koe mēnā he mea morearea tēnei. Inaa, hei tākuta, kāore mātou e aro noa ki tēnei mate. Nā te mea ka pā tika ki tō kaha ki te horomi kai, ā, ki te kore e rongoatia, ka kino haere i roto i te wā.
Ko te mea pai rawa atu, i te nuinga o te wā, ka taea te whakaora katoa i tēnei mate mā te whakamahi i ngā wawaotanga hauora māmā noa iho. Heoi, i roto i te ōrau iti rawa, arā, he tino onge, ko te take o tēnei aukati he mate pukupuku pea. He mate kino rawa atu tēnā. Koia mātou e kī ana, ki te uaua koe ki te horomi, kaua e warewarehia , me toro atu ki tō tākuta i te wā e taea ai.
He aha ngā tohu o tēnei? Kei te pēhea ōu kare ā-roto?
Ko te tohu tuatahi, ko te tohu tino kitea, ko te uaua ki te horomi.. Tērā pea ka taea e koe te whakahaere i tēnei mā te kai i ngā kai iti i te tīmatanga, te ngaungau pai, me te horomi. Tērā pea ka karohia e koe ngā kai raukikī, ngā kai matotoru (hei tauira, te raihi parai, te mīti). Engari i te mea ka piki haere te aukati o tō korokoro, kāore ēnei mea e āwhina. Tērā pea ka rongo koe he puku kei roto i tō korokoro, kāore rānei e mahi tika ana ngā uaua o tō korokoro.
Whakaarohia, he wahi heihei i pai ai koe ki te kai i mua, inaianei kua kikī tō korokoro. Nō reira kua whakaitihia e koe te kai heihei. E whakaaro ana koe nā te "gastritis" te take. Engari tera pea he take kē atu te tino take.
Haunga tēnei tohu matua, tera pea ka puta mai ētahi atu tohu.
| Tohu | He whakamārama ngāwari noa iho |
|---|---|
| Te mamae o te uma kāore i te ngākau | E mamae ana tōku uma, engari ehara i te mea he mate ngākau. He mate kei roto i tōku korokoro. |
| Te maremare, te kōkō rānei i te wā e horomia ai te kai | Tērā pea ka maremare ohorere koe, ka kōkō rānei i a koe e horomi ana i te kai. Tērā pea nā te mea kāore te kai e mimiti tika ana. |
| Regurgitation | Ka hoki ake te kai i horomia ki roto i te korokoro. Kāore e rite ki te ruaki, engari e ahua ana kei te piki ake. |
| Te whakahekenga taumaha koretake | Nā te mea ka iti ake tāu kai, ka tīmata te heke o tō taumaha tinana, kāore koe e mōhio. |
He aha ngā take matua mō tēnei?
He maha ngā take e whaiti ai te korokoro. Me wehe kia toru ngā wāhanga matua.
1. Te mate korokoro mau tonu
Koinei te tino take . Ka puta ina mumura te pakitara o roto o te korokoro mō te wā roa. Pērā i te patunga i runga i tō tātou kiri ka waiho he koha i a ia e ora ana, waihoki, ina whara tonu te korokoro, ka puta he kiko koha (e mōhiotia ana ko te fibrosis). Kāore tēnei kiko koha e totoro pērā i te kiko noa, engari ka matotoru. Koinei te take ka whaiti te korokoro.
Ko te tino take o tēnei ko te reflux waikawa mau tonu . He tokomaha o tātou e kī ana i tēnei ko te "gastritis". I te kī poto, ko te wā tēnei e piki ake ai te waikawa i roto i te puku ka tomo ki te esophagus. Ina tupu pinepine tēnei, ka wera te waikawa, ka whara hoki te arai ngawari o te esophagus. I roto i te wā, ka noho ēnei whara hei koha, ka ārai i te esophagus. Koinei te take o te neke atu i te 75% o ngā take.
Hei tāpiritanga, he maha atu anō ngā take:
- Pire Esophagitis: Ko ētahi rongoā whakamamae mamae, inā koa ko ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal) me te acetaminophen (paracetamol), ka mau ki roto i te esophagus ka pakaru tōna pakitara ina whakamahia i ngā wā katoa, inā koa ka horomia me te iti o te wai.
- Te Mate Korokoro Pirau: I roto i te hunga he ngoikore te pūnaha ārai mate (pērā i ngā tūroro HIV me ngā tūroro mate pukupuku), ka taea e ētahi huaketo (HPV, HSV-1) me ngā harore (Candida albicans) te whakamumura i te korokoro.
- Te Eosinophilic Esophagitis: He mate onge tēnei e puta mai ana i tētahi raruraru o te pūnaha ārai mate. Ka nui rawa te urupare a te tinana ki ētahi mate pāwera, ka puta ai te mumura mau tonu o te esophagus. Ka tīmata pea tēnei i te tamarikitanga.
2. Whara, whara rānei ki te korokoro
Ka puta anō hoki ngā koha me ngā aukati i runga i tētahi whara ki te pakitara o roto o te korokoro. Ka puta anō hoki ēnei hei pānga taha o ngā aituā, o ngā maimoatanga hauora rānei.
- Te Horomanga Waikawa: Mā te inu i tētahi wai waikawa pērā i te waikawa, mā te hē, mā te hiahia rānei ki te whakamomori, ka pāngia pea e ngā wera nui me te whara o te korokoro.
- Whara Wera: Mā te horomitanga o tētahi mea tino wera (hei tauira, te tī wera, te parāoa wera) ka taea te tahu i te korokoro.
- Te rongoā matepukupuku:Ina whiwhihia te rongoā irahiko mō te mate pukupuku i te kaki, i te uma rānei, ka puta te mumura o te korokoro (mucositis) me te aukati i muri mai (RIES) hei pānga taha.
- Rongoā: I te wā e whānui ana te korokoro, mā te werohanga o ngā steroids ki te wāhi kua āraia ka taea te whakaiti i te mumura me te ārai i te hokinga mai anō.
- Endoscopic Stricturoplasty: I roto i tēnei, ka tukuna he taputapu motuhake, he rite ki te maripi, mā roto i te endoscope, ka tapahia te kiko whara e ārai ana i ētahi wāhi, ka whānui ake te rohe.
- Te whakatō i te uaua toto: Ka whakatakotoria he ngongo iti, he rite ki te mata (he 'stent') ki te wāhi kua āraia kia noho tuwhera tonu. He rite tēnei ki te stent mō te uaua toto kua āraia.
- Pokanga: He tino onge te mahi i tēnei. Mēnā he mate pukupuku, he ārai nui hoki kāore e pai ki ētahi atu maimoatanga, me pokanga pea hei tango i te wāhanga kua pakaru o te korokoro ('Esophagectomy').
- Mena he uaua ki a koe te horomi i te kai.
- Mena he maha ngā wā ka pāngia koe e te mamae o te uma, e te kare rānei o te waikawa e piki ake ana ki roto i tō korokoro.
- Mena ka ngaro tō taumaha, kāore he take e kitea ana.
- Ki te mau rawa tetahi wahi kai ki roto i te korokoro.
- Ki te kore e taea e koe te horomi i te kai mārō.
- Mena ka uru te kai ki roto i te ara iahiko ina horomia, ā, ka uaua ki te manawa.
- Mena ka pāngia koe e te mamae nui o te uma.
- Ehara i te mea noa te uaua ki te horomi. He tohu noa iho. Nō reira kaua e warewaretia.
- Ko te tino take o te mamae o te uma ko te gastritis roa, te reflux waikawa rānei. Mēnā he maha tonu ō mamae o te uma, me rongoā.
- Mā te tautuhi me te rongoā wawe i tēnei mate ka tino ora ai koe. Nō reira, ki te pā mai ngā tohu, kaua e wehi ki te toro atu ki te tākuta.
- He maha ngā aukati ka taea te whakaora mā te tikanga ngāwari e kiia nei ko te whakawhanui.
- Ki te pāngia koe e te kōkō ohorere, e te mamae nui rānei o te uma, haere tonu ki te Tari Whawhati Tata (ETU) .
He mea tino nui: Ki te horomia e tetahi tētahi matū paitini pēnei, waea atu ki te National Poisons Information Centre i te Colombo National Hospital . Me kawe hoki te tūroro ki te Emergency Treatment Unit (ETU) o te hōhipera i te wā e taea ai.
3. Matepukupuku
Ahakoa te āhua whakamataku o tēnei, he mea nui kia mōhio koe. Ka taea hoki e te mate pukupuku korokoro te whakararu i tēnei momo kōroke. Heoi, he rerekē ki ētahi atu take, ka tere te puta mai o ngā tohu o te kōroke nā te mate pukupuku. Mena ka uaua te horomi i te tangata kua kai pai mō ētahi wiki, he mea nui kia āwangawanga koe. He maha ngā momo mate pukupuku korokoro (Adenocarcinoma, Squamous cell carcinoma).
Me pēhea te tautuhi i te mate?
Mena kei a koe ēnei tohu, tera pea ka tukuna koe e tō tākuta ki tētahi tohunga puku. Ka whakarongo pai ia ki ō tohu, ā, ka tūtohu i ētahi whakamātautau hei whakaū i te mate.
| Whakamātautau | He aha te mea e tupu ana? |
|---|---|
| Whakamātautau Horomia Barium | He whakamātautau hihi-X tēnei. Ka hoatu he wai mā, he rite ki te barium, hei inu māu. I a koe e horomia ana, ka tangohia he hihi-X ataata hei tirotiro i te nekehanga o te wai ki raro i tō korokoro. Mā tēnei ka kitea mārama mēnā he aukati, he whaiti rānei kei hea. |
| Te Endoscopy o Runga / Te Whakamātautau EGD | Koinei te whakamātautau tino noa, tino tika hoki hei tātaritanga i te mate. Ka hoatu he rongoā whakamoe ki a koe, ā, ka whakaurua he ngongo angiangi, ngāwari (he `endoscope`) me te kāmera iti e piri ana mā roto i tō waha hei tirotiro i tō korokoro, tō puku, me te wāhanga tuatahi o tō whekau iti. Mā tēnei ka taea e te tākuta te kite i te roto o tō korokoro i runga i te mata. Ka taea te kite i te wāhi i aukatia ai, tōna take, me te āhua o te mumura. Mena e tika ana, ka taea te tango i tētahi wahi kiko iti mai i tētahi wāhi whakapae ka tukuna ki te taiwhanga hei tirotiro (he `biopsy`). |
Me pēhea te rongoā?
Ko te whāinga matua o te rongoā i tēnei he whakawhānui anō i te korokoro kua purua kia taea ai e koe te horomi kai me te kore he uauatanga.
Te maimoatanga matua: Te whakanui i te korokoro
Koinei te maimoatanga tino noa. He māmā noa iho, ko te whakawhānui haere i te aukati. He rite ki te endoscopy, ka whakauruhia he taputapu motuhake (pēnei i te karu tirotiro, i te rango rānei) ki roto i te korokoro hei whakawhānui haere i te aukati. Kāore tēnei e mahia katoatia i te wā kotahi, engari he maha ngā wā i te wiki. I te mea ka whānui haere te whaiti, ka heke haere te uaua ki te horomi. He tino whai hua tēnei maimoatanga mō ngā aukati ngāwari.
Ētahi atu maimoatanga
Mō ētahi aukati uaua, mō ngā take rānei kāore e pai ki te maimoatanga whakawhānui i te ihu, me whakamahi pea ētahi atu tikanga maimoatanga.
Āhea koe me toro atu ki te tākuta?
He mea nui kia mōhio koe ki ēnei tohu, nā te mea ka tere te kitea, ka māmā ake te rongoā.
| Āhea te rapu tohutohu hauora | |
|---|---|
| Ngā āhuatanga noa e tika ana kia toro atu koe ki te tākuta: | |
| Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera! | |
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