He uaua anō hoki ki a koe te horomi kai? Kāore pea koe i te mōhio ki tēnei mea e kiia nei ko te "pūkoro esophageal"! Me kōrero tāua mō tēnei!

Kua rongo koe i te mea kei te mau tetahi mea i roto i tō korokoro ina kai, ina inu rānei koe i tetahi mea, he uaua rānei ki te horomi? I ētahi wā kāore tātou e aro nui ki tēnei mea, engari ki te mau tonu, he mea me tirotirohia. Ko tētahi take o te uaua ki te horomi ko te āhua ka kōrerohia e tātou e kīia nei ko te "Esophageal Web". Kaua e manukanuka, ehara tēnei i te mea morearea, engari he mea tino nui kia mōhio koe.

He aha tēnei tukutuku korokoro?

Ki te kī māmā noa iho, ko tō korokoro, te ngongo e haere ai te kai ki te puku ina horomia e tātou, he kiriuhi angiangi kei roto i te taha whakarunga e kiia nei ko te "Whatunga Kokoro." Hei whakamārama, he kiriuhi angiangi pērā i te tukutuku pungawerewere.

He maha ngā tāngata e pāngia ana e tēnei momo kiriuhi, engari kāore rātou e mōhio. Nā te mea kāore e puta he tohumate . Heoi, i ētahi wā kino, ka āraia katoatia, ka āraia rānei e tēnei kiriuhi tō korokoro. Koinā te wā ka uaua ai te horomi .

Kotahi anake te kiriuhi pēnei o te nuinga o te tangata. Heoi, tera pea ka nui atu i te kotahi te mate. Ahakoa i muri i te maimoatanga, he onge tonu te tūponotanga ka hoki mai anō tēnei mate, engari he tino onge.

Ko tēnei mate, e kiia nei ko te "Esophageal Web," ka kitea nuitia i roto i te hunga he nui te mate toto ngoikore-rino, kāore i rongoatia. Ka pā anō hoki ki te hunga he mate e kiia nei ko te "Plummer-Vinson syndrome." E toru ngā tohu matua o tēnei mate: te mate toto ngoikore-rino, te uaua ki te horomi (e kiia ana hoki ko te "dysphagia," e kīia ana e ngā tākuta), me te kupenga, te kiriuhi rānei.

He pēhea te noa o tēnei āhuatanga?

He uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate. Nā te mea, e ai ki te kōrero i mua ake nei, i te nuinga o te wā kāore he tohu. Ka kitea tēnei e ngā tākuta i ngā wā e whakamātautauhia ana mō tētahi atu take.

Heoi, kua kitea kei waenganui i te 5% me te 15% o te hunga e toro atu ana ki te tākuta nā te uaua ki te horomi (dysphagia) kei a rātou tēnei "(Esophageal Web)".

He aha te rerekētanga i waenga i te kupenga korokoro me te mowhiti korokoro?

Ko tētahi atu āhuatanga e rite ana ki tēnei `(Esophageal Web)` ko `(Esophageal Ring)`. Tērā pea kua rongo koe i ngā `(Schatzki rings)`. Ka whakawhāitihia tō esophagus e ēnei mea e rua, ā, ka uaua ki te horomi. Engari ko te rerekētanga matua i waenganui i ngā mea e rua ko te wāhi e hangaia ai.

• (Whare Kōpuku): Ka hangaia ēnei i te wāhanga o runga o te kōpuku.
• (Mōwhiti Kōrokoro): Ka hangaia ēnei ki te wāhanga o raro o te kōrokoro.

He momo whāititanga o te korokoro te whatu me te mowhiti. Ka whānau mai ētahi tāngata me ngā whatu me ngā mowhiti korokoro. Heoi, he maha ngā wā ka puta ake ēnei i muri mai i te ao hei hua o ētahi atu āhuatanga. I te nuinga o te wā, ehara i te raruraru. Heoi, ki te mamae koe i te wā e horomia ana, ka taea e te maimoatanga te āwhina.

He aha ngā tohu?

E ai ki te kōrero i mua ake nei, ko te nuinga o te hunga he tukutuku korokoro tō rātou kāore he tohu . Ki te kore he tohu, kāore pea koe e hiahia ki te rongoā.

Engari ki te puta ngā tohu, ko te tohu matua ko te uaua ki te horomi i te kai me te wai . I ētahi wā ka mau te kai ki roto i te korokoro. Ina tupu tēnei, ka mamae pea koe, ka rongo rānei koe i te ahua kei te mau tetahi mea ki roto i tō korokoro. Whakaarohia, i a koe e tata ana ki te kai i tētahi pereti raihi reka, ka rongo koe i te ahua kei te mau tetahi wahi kai ki roto i tō korokoro, ā, ahakoa te inu wai, kāore e ngaro. He wheako pērā pea tēnā.

Mena kei a koe tēnei kiriuhi e hono ana ki te "mate Plummer-Vinson," ka pāngia pea koe e ngā tohu pēnei i te mamae o te arero me te ngatata o ngā kokonga o tō waha .

He aha ngā take mō tēnei?

Kāore anō kia tino mōhiotia e ngā tohunga te pūtake o ngā tukutuku korokoro. Mena i whānau mai koe me tēnei mate, tera pea nā te huringa o te hanganga o tō korokoro i te wā o te kōpū. Mena ka pāngia koe e tēnei mate ā muri ake nei, tera pea he pānga taha o tētahi atu mate hauora.

Ko wai kei te mōrearea nui ake? (Ngā Take Mōrearea o te Whatunga Kōpuku)

Ko tēnei āhuatanga e kiia nei ko te "Esophageal Web" ka kitea nuitia i roto i te hunga whai i ēnei āhuatanga hauora:

• Ngā mate ārai mate o te repe tairoiti (hei tauira, `(Te tairoiti o Hashimoto)`, `(Te mate o Graves)`)
• Ngā mate kiri pupuhi (hei tauira, pemphigus)
• Te mate celiac (he mate pāwera tēnei ki te pūmua gluten)
• Te reflux waikawa roa, he āhuatanga e puta ana ina kaha rawa te gastritis (GERD - Gastroesophageal Reflux Disease)
• Te mate tākai me te mate manaaki (ka kitea whānuitia tēnei i muri i te whakawhitinga okana)
• Te mate toto ngoikore-rino
• Psoriasis
• te rumatiki

Ehara i te mea ka pāngia te hunga katoa e pāngia ana e ēnei mate e te pukupuku korokoro, engari he paku teitei ake te mōrearea.

Me pēhea koe e mōhio ai ki tēnei?

Ka whakamahia e ngā tākuta ēnei whakamātautau hei tātaritanga i te whatukuhu korokoro:

• Te Whakamātautau Horomia o te Esophagus (te Whakamātautau Horomia o te Barium rānei): He whakamātautau hihi-X tēnei. Ka hoatu he wai e kīia nei ko te barium hei inu māu, ā, ka tangohia he hihi-X ataata i a koe e horomia ana. Mā tēnei ka taea e te tākuta te kite mēnā he tukutuku esophagus, he whaiti rānei i roto i tō esophagus.
• Te Endoscopy o Runga:I tēnei, ka whakaurua e te tākuta he ngongo angiangi, ngāwari (endoscope) mā roto i tō waha, ā, ka tirohia te roto o tō korokoro. He kāmera kei te pito o tēnei ngongo, kia mārama ai te tākuta mēnā he "whatunga korokoro".

Me pēhea te rongoā?

I te nuinga o te wā, ka ngaro pea te kupenga ina rongoatia te mate taketake e take ana . Ka whakamahia e ngā tākuta he huinga o ngā rongoā, ngā maimoatanga i te tari, me te pokanga. Ka whakaritea he mahere maimoatanga kia rite ki ō hiahia.

Ngā rongoā

Hei tauira, ki te mea he mate toto kore rino tōu, me hoatu pea he pire rino, he rongoā rānei kei roto he rino . Ki te mea he GERD (waikawa reflux) tōu, me hoatu pea he rongoā ki a koe pērā i ngā aukati H2, ngā aukati papu proton (PPI rānei).

Ka taea e ēnei maimoatanga te whakarerekē i te hanganga o tō korokoro me te whakamamae i ngā tohu.

Ngā maimoatanga i te whare hauora

Mena kāore e whai hua te rongoā anake, ka tūtohu pea tō tākuta i tētahi tikanga e kiia nei ko te whakawhanui i te esophagus . Ka mahia tēnei i te wā o te endoscopy o runga. Ka whakamahia e te tākuta he poihau pokanga, he raupapa whakawhanui pokanga rānei hei totoro i te wāhanga whaiti o te esophagus. Mā tēnei ka tangohia te kiriuhi, ka uaua ai te horomi.

Pokanga

Ko te nuinga o te hunga he tukutuku korokoro tō rātou , kāore e hiahiatia he pokanga . Heoi, ki te mea he kino rawa te take o ngā tukutuku korokoro, ka taea te whakamahi i tētahi tikanga e kīia nei ko te electrocauterization hei tango i te kiko e pāngia ana. Ko te whakamahi i te wera hei tapahi i te tukutuku.

He aha ngā mea ka puta i muri i te maimoatanga? (Tirohanga)

Mā te rongoā, ka taea te manawanui ki tēnei mate. Mō te tini o te tangata, ka memeha haere ngā tohu i muri i te whakawhanuitanga o te korokoro. Heoi, e ai ki te kōrero i mua ake nei, i roto i ngā take kino, ka pā anō pea te mate ki ētahi tāngata, ā, me whiwhi anō pea i te rongoā whakawhanuitanga. Heoi, he tino onge tēnei.

Ka taea te ārai i tēnei mea kei tupu?

Kāore he huarahi tika hei ārai i te whanaketanga o ngā kupenga korokoro. Heoi, mā te whakahaere i ngā āhuatanga e pā ana, pērā i te anemia kore-rino me te reflux waikawa (GERD), ka āwhina i te whakaiti i te mōrearea o te whanaketanga o ēnei.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ētahi tohu e uaua ai te horomi, kōrero ki tō tākuta. Kātahi ka taea e rātou te whakatau i te take me te taunaki i te maimoatanga tika māu. Kaua e warewarehia he raruraru iti noa iho, he māmā ake hoki te rongoā mena ka kitea wawetia.

He aha ngā pātai ka taea e koe te pātai atu ki te tākuta?

Mena kua tohua he whatu korokoro tōu, me pātai atu pea koe ki tō tākuta i ēnei pātai:

• Me whai maimoatanga ahau?
• He aha te momo maimoatanga e taunaki ana koe?
• He mate hauora anō kei ahau e pā ana ki tēnei `(Esophageal Web)`?
• Me haere tonu taku tango rongoā?
• He aha taku e taea ai hei whakaiti i aku tohumate?

Kia maumahara, kāore e tika kia mamae, kia uaua rānei te horomi. Ki te pērā, he tohu pea kei te hē tetahi mea.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Kaua rawa te horomitanga kai e mamae, e kore hoki e whakamarie. Ki te pēnei tō āhua, kua tae ki te wā kia tirohia koe. Ko tēnei mate e kiia nei ko te tukutuku esophageal, ehara i te mea morearea . Heoi, ki te pāngia koe e ngā tohu, he pai ake te kōrero ki te tākuta. Ka taea e ia te tātaritanga i te take matua, me te hoatu ki a koe te mahere maimoatanga tika. Nō reira, tiakina tō tinana, nā te mea ko te hauora te mea nui rawa atu!

` Whare korokoro, uaua ki te horomi, esophagitis, mate Plummer-Vinson, korenga rino, endoscopy, rangahau barium