Ka pāngia hoki koe e te mamae o te uma i muri i te kai? Kāore au i te mōhio mēnā he GERD (Gastroesophageal Reflux Disease)!

He aha te tikanga māmā o te GERD (Gastroesophageal Reflux Disease)?

He aha te take e puta ai te GERD? He aha ngā tino take?

• Te ngoikore o te uaua o raro o te esophageal ( LES ): E ai ki taku kōrero i mua ake nei, ka tīmata te raruraru ina kore e mahi tika tēnei uaua. Ka taea e ētahi kai, inu (pēnei i te kawhe , te tī, te tiakarete , te waipiro), te momi hikareti , me ētahi rongoā te whakangāwari i tēnei uaua.
• Te Hernia Hiatal: Koinei te wā e pana ake ai te taha whakarunga o te puku ki roto i te uma. Ka piki ake te mōrearea o te reflux waikawa.
• Momonatanga(Taumaha rawa/Momona): I te pikinga o te taumaha o te tinana, ka piki ake te pēhanga i roto i te kōhao puku. Ka taea e tēnei pēhanga te pana i ngā mea o roto o te puku ki runga.
• Te Hapūtanga : Ka puta pea ngā tohu o te GERD i ngā huringa homoni i te wā e hapū ana, ka puta ai te pēhanga i roto i te puku i te tipu o te pēpi. Ka memeha haere tēnei i muri i te whānautanga o te pēpi.
• Ngā tikanga kai: Ko te kai i te kai nui i te wā kotahi, te takoto i muri i te kai, me te kai tata ki te wā moe ka taea hoki te whakanui ake i te GERD.
• Ētahi kai me ngā inu: Ka taea e ngā kai momona, kakara , tōmato, hua citrus (pērā i te karaka me te raima), miniti, tiakarete, kawhe, me ngā inu warowaihā te whakanui ake i ngā tohumate GERD i roto i ētahi tāngata. Heoi, he rerekē tēnei i ia tangata, i ia tangata .
• Te Momi hikareti: Ka ngoikore te uaua LES i te momi hikareti, ka whakaiti hoki i te hanga huware, ka āwhina i te whakakore i ngā waikawa i roto i te korokoro.
• Ētahi rongoā: Ka taea hoki e ētahi rongoā mate huango, rongoā toto toto tiketike, rongoā mamae, pire moe, me ētahi rongoā ārai pouri te whakanui ake i ngā tohumate GERD. Mena kei te tango koe i ētahi rongoā, ā, ki tō whakaaro kei te puta ēnei tohumate, he pai ake te kōrero ki tō tākuta.

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He aha ngā tohu o te GERD?

Ngā tohu tino kitea i roto i ngā pakeke

• Te ngaungau: Koinei te tohu matua e pāngia ana e te nuinga o te tangata. He ahua wera e horapa ana mai i waenganui o te uma ki te korokoro i muri i te kai, i te takoto rānei, i te piko rānei. He mea nui kia mahara ehara tēnei i te raruraru ngākau , engari ki te pāngia koe e te mamae ohorere o te uma, he mea nui kia rapu tohutohu hauora.
• Te ruaki: Ko te hokinga mai o te kai, o te wai kawa rānei mai i te puku ki roto i te korokoro, ki te waha rānei.
• Te uaua ki te horomi (Dysphagia): Ka rite ki te kōkō, ki te mamae rānei i te horomitanga o te kai.
• Te kare ā-roto: He kare ā-roto kei te korokoro e pupuhi ana , engari ka puta noa me te kore kai, te wai rānei.

Tērā pea ka pāngia ētahi tāngata e ēnei tohu (ngā tohu rerekē)

• Maremare maroke tonu: He maremare ka kino haere i te pō, ā, kāore he take kē atu.
• Te mate korokoro: Ka mamae te korokoro, ka rerekē te reo.
• Huango: Ka taea e te GERD te whakaputa i te huango hou, te kino rānei i te huango o nāianei.
• Whakapairuaki pinepine.
• Manawa kino.
• Te horo o ngā niho: Ka taea e ngā waikawa o te puku e uru ana ki te waha te kino i ngā niho.
• Pōrearea o te moe: Mā te mamae o te uma me te maremare i te pō ka uaua ai te moe pai.

He mea nui: Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma, te uaua ki te manawa, te mamae rānei e horapa ana ki tō kauae, ki tō ringa rānei, tera pea nā te GERD, engari he mea nui kia tirohia mēnā he mate kino ake, pēnei i te mate ngakau. Nō reira, me toro atu ki te tākuta tonu.

He aha mēnā he GERD ngā tamariki nohinohi me ngā pēpi?

• Te ruaki pinepine, te ruaki rānei i te nui o te waiū.
• Ka tangi rātou ina hoatu he kai ki a rātou, kāore e hiahia ki te kai, ā, ka riri.
• Kāore te taumaha o te tinana e piki tika ana, ā, i ētahi wā e heke ana.
• Ngā raruraru manawa pērā i te maremare me te wheezing.
• I te wā e whāngai ana, i muri rānei i te whāngai, ka piko ō rātou tinana pērā i te kopere.
• E tangi tonu ana ahau, kāore he take.

Me pēhea te tātaritanga a ngā tākuta i te GERD? (Tauātanga)

• Te pātai mō ngā tohu: Ka pātai atu te tākuta ki a koe mō ngā tohu kei a koe, te roa o te wā e pāngia ana, me te wā e tino kino ana.
• Ngā huringa āhua noho me ngā rongoā: I ētahi wā ka tūtohu pea tō tākuta i ētahi huringa kai, ka hoatu hoki he rongoā GERD māmā ki a koe mō te wā poto hei tirotiro mēnā ka pai ake ō tohu.
• Ngā whakamātautau anō: Mena he kino ngā tohu, mena kāore te rongoā e mahi, mena rānei e whakapaetia ana he raruraru kē atu, ka tono pea te tākuta i ngā whakamātautau pēnei i:
• Te Endoscopy o Runga: Ko te whakaurunga o tētahi ngongo iti, angiangi, kei roto i te kāmera mā roto i tō waha hei tirotiro i tō korokoro, tō puku, me te wāhanga tuatahi o tō whekau iti. Ka āwhina tēnei ki te tirotiro mēnā he kino ki tō korokoro, he raruraru rānei. Mēnā e tika ana, ka taea te tango i tētahi tauira iti o te kiko (he koiora).
• Whakamātautau ine waikawa haereere (pH): I tēnei whakamātautau, ka whakaurua he ngongo tino angiangi mā te ihu ki roto i te korokoro, ka waiho kia noho ki tōna wāhi mō te 24 hāora, hei ine i te auau me te roa o te rere o te waikawa ki roto i te korokoro.
• Manometri korokoro: Ka ine tēnei i te pēhanga me te mahi a te LES me ngā uaua korokoro. He mea nui tēnei mō te hunga e uaua ana ki te horomi.
• Whakamātautau horomi Barium (Horomanga Barium / Esophagram):I roto i tēnei, ka inu koe i tētahi wai e kīia nei ko te barium, ka tango pikitia X-ray. Ka taea e tēnei te whakaatu i te āhua o te korokoro me ngā ārai katoa. Heoi, kāore e whakamahia nuitia ana hei tātaritanga i te GERD i ēnei rā.

He aha ngā maimoatanga mō te GERD? Me aha tātou?

1. Ngā huringa āhua noho (koinei ngā mahi tuatahi, me ngā mahi tino nui!)

• Te whakahaere i te taumaha: Ki te mea he taumaha rawa koe, he nui te painga o te whakaiti i tō taumaha ahakoa he iti noa iho.
• Te karo i ngā kai whakaohooho: Tāutuhia ngā kai e whakaaro ana koe ka whakararu i ō tohumate GERD (pēnei i ngā kai werawera, ngā kai momona, te tiakarete, te kawhe, ngā hua citrus) me te whakaiti i aua kai i te mea ka taea. Kāore e pāngia te katoa e ngā kai ōrite, nō reira me tāutuhia e koe ngā kai e pā ana ki a koe.
• Te whakarerekē i ngā tikanga kai:
• Kaua e kai nui i te kai kotahi, engari me kai i ētahi kai iti.
• I muri i te kai, kaua e takoto mō te iti rawa 2-3 hāora, me noho tonu.
• Whakaotia te tina i te iti rawa i te 3 hāora i mua i te moe.
• Te moe me te upoko o te moenga e teitei ake ana: Whakaarahia te upoko o te moenga kia 6-8 inihi te teitei. He pai ake tēnei mā te whakatakoto i tētahi mea pērā i te poro rakau i raro i ngā waewae o te moenga hei whakateitei ake i te upoko o te moenga, kaua e whakamahi i te maha o ngā urunga.
• Kaua e kai paipa: Ki te kai paipa koe, ehara i te mea he pai te whakamutu i te kai paipa mō te GERD anake, engari mō tō tinana katoa hoki.
• Āta karohia ngā kākahu piri: Āta karohia te mau i ngā kākahu piri e pēhi ana i tō puku.

2. Ngā rongoā i tangohia i runga i te tohutohu a te taote

• Ngā rongoā ārai waikawa: Ka tere te whakaora i te waikawa o te puku. Heoi, kāore i te pai te whakamahi pinepine i ēnei, nā te mea ka pāngia pea e ngā pānga taha. (Tauira: Digene, Gelusil).
• Ngā Ārai i te H2 Receptor: Ka whakaitihia e ēnei te hanga waikawa i roto i te puku. Kei roto i tēnei kāwai ngā rongoā pēnei i a Famotidine me Cimetidine.
• Ngā Ārai Papu Porotene (PPI): Koinei ngā rongoā whakaiti waikawa tino kaha e wātea ana. Hei tauira, ko Omeprazole, Esomeprazole, Lansoprazole, me Pantoprazole. Ka mahi ēnei rongoā mā te aukati i te hanga waikawa ki te nuinga o te wā. Heoi, ka pāngia pea ētahi pānga taha ina whakamahia mō te wā roa, nō reira me whakamahi noa i raro i te tirotiro a te taote.

3. Te pokanga i ētahi wā

• Fundoplication: Koinei te pokanga tino noa. I roto i tēnei, ka tangohia te wāhanga o runga o te puku ka takai ki te wāhanga o raro o te esophagus hei whakapakari i te LES. Ka taea tēnei te mahi mā te laparoscopy (mā roto i ngā tapahi iti).
• He maha atu anō ngā tikanga hou.

He aha ngā raruraru ka puta mai mēnā kāore te GERD e rongoatia tika? (Ngā raruraru)

• Te mate pūkahukahu: Ka mumura, ka riri te arai o te pūkahukahu nā te rerenga waikawa tonu. Ka mamae pea, ka toto, ka uaua hoki te horomi.
• Te whakawhāiti i te esophagus: Ka taea e te mumura roa te whakararu i te esophagus, ka uaua ai te haere o te kai.
• Te korokoro o Barrett: I tēnei āhua, ka huri ngā pūtau i te wāhanga o raro o te korokoro kia rite ki ngā pūtau i roto i te puku. E kiia ana tēnei he āhua o mua i te matepukupuku e whakanui ana i te mōrearea o te matepukupuku . Ko te hunga whai āhua nei he nui ake te mōrearea ki te whakawhanake i te matepukupuku korokoro.
• Matepukupuku korokoro: Ka pāngia pea te hunga whai matepukupuku korokoro a Barrett e tēnei matepukupuku i roto i te wā. Ehara i te katoa e pāngia ana e te GERD ka pāngia, ā, he mea onge noa iho , engari he tūponotanga kei reira.
• Ngā mate o te pūnaha manawa: Ki te uru ngā waikawa e piki ake ana ki te ara manawa, ka puta pea ngā āhuatanga pēnei i te maremare pinepine, te wheezing, me te niumōnia.

Hei whakamutunga, ngā mea hei maumahara māu (Karere hei tango ki te kāinga)

Kia maumahara:

* Ki te pāngia koe e ngā tohumate pēnei i te mamae o te uma, te mamae rānei o te korokoro, kaua e warewarehia. Tirohia he tākuta mō ētahi tohutohu.

* Mā ngā whakarerekētanga ngāwari o te āhua noho (te whakahaere i te kai, te whakaiti taumaha, te whakarerekē i te tūnga moe) ka tino whakaora i te mamae.

* Whakamahia te rongoā i tohua e tō tākuta kia rite ki te roanga o te wā kua tohua. Kaua e mutu, e tīmata rānei i te rongoā ko koe anake.

* Ki te mea he kai paipa koe, ngana ki te mutu.

* Mena ka puta ngā tohu o te GERD ki ngā tamariki nohinohi, me toro atu ki tētahi tākuta tamariki tonu.