He maha ngā wā ka pāngia koe e te mamae o te puku? Me kōrero tātou mō te korokoro!

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)`.

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 (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.

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.

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.

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.

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.