Ina horomia e koe tētahi kai, kua whakaaro koe me pēhea te tae atu ki tō puku? Kāore rānei, i ētahi wā ka rongo koe i te wera o tō uma i muri i te kai i tētahi kai kakara, ā, ka whakaaro koe, "Āe, he aha tēnei?"? Kua pā ki a tātou katoa ēnei wheako. I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o tō tātou tinana e whai wāhi ana ki tēnei katoa. Ko te esophagus tēnā, ko te ingoa Pākehā rānei, ko (Esophagus).
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He aha te kīanga māmā noa iho, he aha te korokoro?
Ko te korokoro, kia tika, ko tā tātou paipa kai. Arā, he ngongo uaua e kawe ana i te kai me ngā wai mai i tō korokoro ki tō puku. He wāhanga tino nui o tā tātou pūnaha nakunaku. Ina horomia e tātou te kai, kāore e haere tika ki roto i te puku. Ko te korokoro te piriti e kawe ana i te kai ki te puku i runga i te tikanga tika, haumaru hoki.
Whakaarohia kei te horomia e koe tētahi waha kī tonu i te raihi. Tuatahi, ka haere mai i tō waha ki tō korokoro. I reira, ka kati tētahi pakupaku o te uaua, e kiia nei ko te epiglottis. E mōhio ana koe he aha? Hei ārai i tō kai kia kore e haere tika, ki roto i tō pūhā (trachea). He wāhanga iti anō hoki o tō korokoro e kiia nei ko te uvula e ārai ana i te mea e inuhia ana e koe kia kore e haere ki roto i tō ihu. Ka puta katoa ēnei mea me te kore koe e mōhio. He mea whakamiharo?
He pēhea te mahi a te korokoro? He tikanga tino whakamiharo!
He tukanga tino rerekē tēnei. I te tihi me te raro o te korokoro, e rua ngā mowhiti uaua e mahi ana pērā i ngā tatau e rua. Ka kiia ēnei he "sphincters".
1. Te Pūnaha o te Esophagus o Runga: Koinei te wāhi ka tīmata ai te esophagus. Ina horomia e koe te kai, ka whiwhi tēnei takirere i tētahi tohu e mea ana, "Anei te kai." I taua wā, ka tuwhera. Kia tomo te kai ki roto, ka kati anō. I ētahi wā, ka kati pūmau.
2. Te Pūngao: Kia uru te kai ki te korokoro, kāore e taka noa iho. Ka kōpiripiri ) ngā uaua o ngā pakitara o te korokoro pērā i te ngaru, ka panaia te kai ki raro. Koinei te mea e kīia nei e tātou ko te "pūngao." Mā tēnei tukanga ka nekehia te kai ki roto i te puku ahakoa kei te tū koe, kei te takoto rānei.
3. Te Pūnaha o te Esophagus o Raro (LES): Kia heke rawa te kai, ka puta he kōhao anō i mua i te urunga ki te puku. Ko te pūnaha o raro tēnā. Pērā i te pūnaha o runga, ka tuwhera anō tēnei kōhao ina uru mai te kai, ā, ka tukuna te kai kia haere ki roto i te puku. Kātahi ka kati pūmau anō.
He mea tino nui kia kati tika tēnei kuaha o raro. Nā te mea, ka ārai tēnei kuaha i te waikawa o te puku me ngā wai nakunaku kia kore e hoki ake, arā, ki te korokoro. Ko te take matua o te raruraru o te "gastritis" te "ngāwhā" rānei e pāngia ana e te tini o te tangata ko te kore e mahi tika tēnei kuaha o raro.
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Check Availability →Te korokoro me te trachea - kia mōhio tātou ki te rerekētanga tuturu i waenganui i ngā mea e rua
He tokomaha te hunga e whakapoauau ana i ngā mea e rua. Ko te korokoro me te ararewha he ngongo e rua e tata ana tetahi ki tetahi i roto i te kaki, engari he rerekē rawa ā rāua mahi.
| Āhuatanga | te korokoro | Te rere o te roro |
|---|---|---|
| Pūnaha | Wāhanga o te pūnaha nakunaku | Wāhanga o te pūnaha manawa |
| Mahi matua | Te kawe i te kai me te inu mai i te korokoro ki te puku | Te tango i te hau (te manawa) ki roto, ki waho hoki i ngā pukahukahu |
| Tauwāhi | Kei muri i te trachea, kei mua hoki i te tuaiwi | Kei mua i te esophagus |
He aha ngā mate me ngā āhuatanga e pāngia ai te korokoro?
Ka taea hoki e ā tātou kai te whakaputa i ngā momo mate. Kua rongo pea koe i ētahi o ēnei.
Te mumura o te uma me te mate GERD
Koinei te raruraru tino noa. Kāore te uaua o raro o te esophagus (LES) i kōrerotia e au i mua ake nei e kati tika ana, ā, ka taea e te waikawa o te puku te rere ki roto i te esophagus, koinei te mea e kiia nei e tātou ko te "Acid Reflux". Koinei te take o te mamae o te puku.
Ki te haere tonu tēnei 'Acid Reflux', ā, ka puta pinepine, ka kiia ko te Gastroesophageal Reflux Disease (GERD) . He mate kino tēnei. Haunga te mamae o te uma, ka puta pea ngā tohu pēnei i te reka kawa i te waha, te maremare, te mamae o te uma, te reo pāorooro, me te uaua ki te horomi. Ki te kore e rongoatia tika te GERD, ka pā kino pea ki te esophagus i roto i te wā.
Ētahi atu āhuatanga hauora
Haunga te GERD, he maha atu anō ngā raruraru ka pā mai.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Ākarahia | He mate onge tēnei. Ko te mea e tupu ana i konei, kāore te pūwero o raro o te esophagus (LES) e tuwhera i te wā e tika ana. Nō reira, kāore e taea e te kai te uru ki roto i te puku. |
| Te Diverticulum Essophageal | He pēke iti e puta mai ana i tētahi wāhi ngoikore o te pakitara o te korokoro. Mēnā ka nui tēnei pēke, ka piri pea te kai, ā, ka kore e taea te horomi. |
| Ngā Varices Esofagus | Te pupuhi o ngā uaua toto i roto i te korokoro. Mēnā ka pakū, ka totohu hoki ēnei, ka mate pea. |
| Te mate pāwera o te korokoro | Te mumura o te arai o te korokoro. Tērā pea ka puta mai i te reflux waikawa, i ngā mate pāwera, i ētahi rongoā rānei. |
| Te korokoro o Barrett | Ka puta ngā huringa i roto i ngā pūtau o raro o te korokoro e te GERD mō te wā roa, ka nui ake te mōrearea o te mate pukupuku korokoro. |
He tino onge te puta o te mate pukupuku korokoro. E rua ngā momo matua: te adenocarcinoma me te squamous cell carcinoma.
Me pēhea koe e mōhio ai mēnā kei a koe ēnei raruraru? He aha ngā tohu?
Mena he raruraru tōu ki tō korokoro, tera pea ka pāngia koe e ngā momo tohu. Mena kei a koe tētahi, neke atu rānei o ēnei, he mea nui kia aro atu koe.
- Te mamae o te ngākau:He rite ki te werawera i waenganui o te uma, i muri i ngā wheua.
- Te uaua ki te horomi (Dysphagia): He ahua o te kōkō, te mamae rānei i te wā e horomi ana te kai.
- Te ruaki: Te hokinga mai o te kai kāore anō kia nakunaku ki roto i te waha.
- Mamae o te uma: He kare ā-roto e kikī ana, e mamae ana rānei i te uma, ahakoa kāore e rite ki te mate manawa.
- Maremare pumau: He maremare ka kino haere, inā koa i te pō.
- Te pāorooro, te mamae rānei o te korokoro.
- Te manawa kino (Halitosis).
- Te hiroki noa iho, kāore he take.
- Te ruaki, te ruaki toto rānei.
Mena kei a koe ētahi o ēnei tohu, inā koa te uaua ki te horomi, te piri o te kai, te ruaki toto, te tino heke rānei o te taumaha, me toro atu ki tō tākuta tonu . He tohu pea ēnei mō tētahi mea kino atu i te gastritis noa iho.
Me pēhea te tātaritanga a te tākuta i ēnei āhuatanga?
Ina haere koe ki te tākuta, ka pātai ia mō ō tohumate, ā, ki te tika, ka tūtohu ia i ētahi whakamātautau. Kaua e manukanuka, koinei ngā mea hei āwhina i a koe ki te kimi i te āhua o te mate.
- Endoscopy o Runga: Ko te whakaurunga o tētahi ngongo angiangi, ngāwari me tētahi kāmera mā roto i te waha hei tirotiro i te korokoro, te puku, me te wāhanga tuatahi o te whekau iti. Mā tēnei ka taea te titiro mārama ki roto mō ngā whara, mumura, ngā huringa rānei.
- Biopsy: I te wā o te endoscopy, ka tangohia he wahi kiko iti mai i te wāhi whakapae ka tukuna ki te taiwhanga hei whakamātautau. Ka āwhina tēnei ki te whakatau mēnā he pūtau matepukupuku kei reira.
- Te Horomia o te Pāriuma: I tēnei whakamātautau , ka hoatu he wai kōhatu hei inu māu. Kātahi ka tangohia he maha ngā whakaahua o te hihi-X. Mā te wai pāriuma ka taea e te hihi-X te whakaatu mārama i te āhua o te korokoro me te neke o te kai i roto.
- Whakamātautau pH o te korokoro: Ka whakauruhia he ngongo tino angiangi mā te ihu ki roto i te korokoro, ā, ka waiho kia noho mō te 24 hāora hei ine i te auau me te roa o te putanga mai o te waikawa o te puku. Mā tēnei ka āwhina ki te whakatau tika i te kaha o te GERD.
Me pēhea te rongoā?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō āhua. I ētahi wā, ka nui te rerekētanga o te kai me te āhua noho. Me rongoā ētahi tāngata, ko ētahi pea me pokanga.
Ngā momo rongoā
- Ngā rongoā antacid: Ka whakakorea e ēnei te waikawa o te puku mō te wā poto. Ka whakamahia hei whakaora tere i te mamae o te puku.
- Ngā Ārai i te Kaiwhakawhiwhi H-2:Ka whakaitihia e ēnei te hanga waikawa o te puku.
- Ngā Ārai Papu Porotene (PPI): He pai ake te aukati i te hanga waikawa i ngā ārai H-2, ā, ka āwhina anō hoki ki te whakaora i ngā kino o te korokoro i puta mai i te waikawa.
- Ētahi atu rongoā: Ka whakaitihia e ngā rongoā pēnei i a Baclofen te whakatuwheratanga ā-ringa o te sphincter esophageal o raro (LES).
Ngā tikanga motuhake me ngā pokanga
- Te Whakawhanui i te Esophagus: Mena ka whaiti te esophagus (stricture) nā te mumura roa, ka whakamahia he taputapu pēnei i te poihau hei whakawhānui i te wāhi whaiti.
- Pokanga Ārai-Reflux Laparoscopic: Ko te tango i te wāhanga o runga o te puku ka takai ki te wāhanga o raro o te esophagus, ka hanga he takirere hou. Mā tēnei ka whakapakari i te sphincter esophageal o raro (LES) ka aukati i te putanga mai o te waikawa.
- Te whakaurunga o te taputapu LINX: Ka whakauruhia he taputapu rite ki te mowhiti aukume ki te taha o raro o te korokoro. Mā tēnei ka ārai i te putanga mai o te waikawa, engari ka ngāwari ake te heke o te kai.
- Te tango i te korokoro: I ngā wā tino kino, pērā i te mate pukupuku, me tango pea te korokoro mā te pokanga.
Karere Tangohia ki te Kāinga
- He wāhanga tino nui te korokoro o tā tātou pūnaha nakunaku. He mea nui tōna mahi tika mō te oranga hauora.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te uma i te nuinga o te wā, te reka kawa o te waha, te uaua rānei ki te horomi i te mea noa. He tohu tōmua pea ēnei o tētahi mate hauora.
- Ahakoa ngā mea ngāwari pēnei i te whakaiti i te kai i ngā kai raukikī, hinuhinu, kawhe, me te tiakarete, me te kore e takoto mō te 2-3 hāora i muri i te kai i te pō, ka taea tonu te whakarato i te tino whakamarie.
- Ki te mea he āwangawanga āu mō ō tohumate, kaua e wehi ki te kōrero ki tō tākuta . He mea nui ake te whiwhi i te tātaritanga tika me te maimoatanga tika i te rongoā-ā-koe anō.
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