Kei te hiahia tonu koe ki te horoi i tō korokoro? Kei te ahua kei te pupuhi tō korokoro? He rerekē te tangi o tō reo, he pāorooro rānei? Ko te nuinga o tātou e whakahē ana i ēnei mea he makariri noa iho, he mate pāwera rānei. Engari tera pea he mea rerekē i tō whakaaro. Koinei te mea e kiia nei e tātou ko te LPR, ko te "Silent Reflux" rānei i roto i ngā kupu hauora. Me kōrero noa tātou mō tēnei i tēnei rā.
He aha rawa tēnei LPR?
He momo motuhake te LPR o te gastritis. Ko te reflux waikawa te wā e hoki ake ai te waikawa o te puku me ngā wai nakunaku ki roto i te korokoro. Ka kitea tēnei i te uma, i te wāhanga o raro o te esophagus. Ka kiia tēnei he heartburn.
Engari i roto i te LPR, ka piki ake ēnei waikawa puku, ka tae ki tō tātou arai, ki te pouaka reo, me te korokoro. Nā te mea ka piki ake i tua atu i te esophagus, he rerekē rawa ngā tohu i te gastritis noa. Koia te take he tokomaha te hunga kāore e mōhio he momo gastritis. Engari ko te mamae o te puku me te mamae o te puku, ka pā te LPR ki ngā wāhanga o tō reo, korokoro, me te ihu. Ka kiia hoki ko te "Silent Reflux" nā te mea kāore e whakaatu i ngā tohu gastritis noa.
He aha te rerekētanga i waenga i te LPR me te GERD?
Kua rongo pea koe i te kupu GERD. Ko te tikanga o te GERD ko te Gastroesophageal Reflux Disease. E pā ana tēnei ki te āhua o te gastritis pumau. Ahakoa e puta ake ana te waikawa o te puku i roto i ngā āhuatanga e rua, he iti noa ngā rerekētanga i waenganui i ngā mea e rua.
Kia maumahara, ehara i te katoa e pāngia ana e te LPR ka pāngia e te mamae o te uma. Koia i huaina ai ko te 'Silent Reflux'. Ka pāngia pea ētahi tāngata e te GERD me te LPR. Engari ko ētahi tāngata he tohumate e pā ana ki te LPR anake.
Kia mārama ake tātou ki tēnei rerekētanga.
| Āhuatanga | GERD (mate kakā noa) | LPR (Rīhi Kapiti) |
|---|---|---|
| Te rohe e pāngia ana | I te nuinga o te wā i te wāhanga o raro o te korokoro. | Ka piki ake mā te korokoro me te arai (pouaka reo). |
| Tohu matua | Te ngaungau, te mamae o te puku, te rerenga waikawa. | Te pāorooro o te reo, te horoi pinepine o te korokoro, te rongo kei te mau tetahi mea i te korokoro, te maremare roa. |
| He maha ngā wā ka kitea | He maha ngā wā ina takoto ana, i muri rānei i te kai taumaha. | Ka taea te rongo i te roanga o te rā, inā koa i te wā e kōrero ana, i te wā rānei e ara ake ai i te ata. |
He aha ngā tohu o te LPR?
Nā te mea he rerekē ngā tohu o te LPR, ka taea te pohehe i ētahi wā he mate huango, he mate pāwera, he makariri kino rānei. Ko ngā tohu matua ko:
- Te pāorooro , te whakaiti rānei i te reo.
- He kare ā-roto e mau ana i te korokoro me te mea he mea pōro .
- Te hiahia tonu ki te horoi i tō korokoro .
- Te maremare mau tonu mō te wā roa.
- Te nui rawa o te hūpē i roto i te korokoro me te ihu.
- Te uaua ki te horomi i te kai.
- Te korokoro mamae tonu.
- Te ngaronga o te reo, te laryngitis rānei.
- He tangi whiowhio te wheezing i te wā e manawa ana.
- Te maturuturunga iho o te ihu.
- Ngā mate urutā auau o te ara manawa o runga pērā i te makariri me te rewharewha.
- Te tīmatanga hou o te mate huango, te kino haere rānei o te mate huango o nāianei .
He aha i puta ai tēnei LPR? Me titiro tātou ki ētahi take.
Whakaarohia e rua ngā kēti nui i te ara mai i tō tātou puku ki tō tātou korokoro. Koinei ngā mowhiti uaua i te tihi me te raro o tō tātou korokoro. He rite ki ngā takirere. Ka karangatia ēnei e tātou ko '(ngā uaua o te korokoro)'.
1. Te Sphincter Esofagus o Raro (LES): Kei waenganui i te esophagus me te puku tēnei. Ko tana mahi matua he ārai i te waikawa o te puku kei hoki ake ki roto i te esophagus.
2. Te Pūnaha o te Esofagus o Runga (UES):Kei waenganui i te korokoro me te korokoro tēnei. Ka ārai i ngā mea katoa kua uru ki te korokoro kei uru ki te korokoro.
Kia puta ai te LPR, kaua e kati tika ēnei takirere e rua. Ka puta te gastritis noa ina ngoikore te sphincter esophageal o raro (LES). Heoi, kia puta ai te LPR, kaua hoki e kati tika te sphincter esophageal o runga (UES) ka wetekina. Koinei te wā ka turuturu te waikawa o te puku ki roto i te esophagus.
Nā te aha rā i ngoikore ai ēnei kēti?
He maha ngā take mō tēnei. Ko ētahi he rangitahi, ko ētahi ka whanake haere i roto i te wā.
1. Ngā mea e ngoikore ai te uaua o raro o te esophageal (LES)
- Ngā rongoā motuhake: Ngā rongoā motuhake pēnei i ngā aukati hongere konupūmā mō te toto toto tiketike, ngā benzodiazepines hei whakamarie i te hinengaro, me ngā rongoā anti-inflammatory kore-steroidal (NSAID).
- Ko ētahi kai me ngā inu: kawhe, tiakarete, waipiro, miniti, kāriki, me te riki.
- Ngā tikanga noho:
- Te takoto mō te iti rawa i te 3 hāora i muri i te kai.
- Te kai nui i te wā kotahi.
- Te mau i ngā kākahu piripono, i ngā whitiki rānei e whakawhāiti ana i te puku.
- Ētahi atu āhuatanga:
- Hernia hiatal: He putanga mai o tētahi wāhanga o te puku ki roto i te uma.
- Te hapūtanga: Nā ngā huringa homoni me te pikinga o te pēhanga ki te puku.
- Momona: Te pikinga o te pēhanga i roto i te puku.
- Te Momi hikareti: Ka whakangāwari ngā matū i roto i te tupeka i tēnei mowhiti uaua.
2. Ngā mea e ngoikore ai te kuaha o runga (UES)
Kia tomo mai ngā waikawa mā te tomokanga o raro, kia piki ake, me ārai kia kore e tae atu ki te korokoro mā tēnei tomokanga o runga. Engari ka taea hoki e ēnei mea te whakangāwari i te korokoro.
- Te takoto: Ina takoto tātou i te pō, ka paku whakangā ēnei kuaha e rua.
- Te pupuhi: Ina pupuhi koe, ka tuwhera ēnei takirere e rua, ka taea ai te uru o te waikawa iti ki roto i tō korokoro me ngā mirumiru hau.
- Te piko whakamua, te whakakorikori tinana, te waiata: Ka taea e ēnei mahi te whakanui ake i te pēhanga i roto i te puku, me te pēhanga hoki ki te puku o runga.
- Te momi hikareti me te inu waipiro: Ka huaki ngā tatau e rua i ēnei mea e rua.
He aha ngā raruraru ka pā mai i te LPR?
Ki te kore te LPR e rongoatia tika, ka puta pea ētahi raruraru i roto i te wā.
- Te nui rawa o te hūpē me ngā mate urutā maha: Ka whakararuraru te waikawa puku e rere ana ki roto i te korokoro i te tukanga noa o te tango i te hūpē mai i te korokoro me te ihu. Ina nui te hūpē, ka kohikohi ngā iroriki, ka hua ake he mate urutā maha.
- Ngā raruraru reo me te korokoro mau tonu: Mā te pupuhi roa o te korokoro me ngā taura reo ka uaua te kōrero me te horomi. I roto i te wā, ka puta pea ngā puku iti (ngā whara o te taura reo) ki ngā taura reo.
- Ngā raruraru o te pūnaha manawa:Ko ngā waikawa e uru ana ki te korokoro, i ētahi wā kāore i te mōhiotia, ka taea te haere ki roto i ngā pukahukahu me ō tātou manawa, inā koa i te wā e moe ana i te pō. Ka taea e tēnei te arahi ki ngā mate pukahukahu me ētahi atu raruraru manawa.
Me pēhea ahau e tino mōhio ai mēnā ko te LPR tēnei?
Mena kei a koe ngā tohu i kōrerotia i mua ake nei, ina koa kāore e kitea te pūtake, he pai ake te toro atu ki tētahi tohunga taringa, ihu, me te korokoro (Taonga ENT). Ka whakarongo te tākuta ki ō tohu, ka tirotiro hoki i tō korokoro.
He maha ngā whakamātautau matua e mahia ana mō tēnei:
- Te Whakamātautau i te Rerenga o te Roro Ngāwari: He tikanga e tukuna ai he kāmera iti e piri ana ki tētahi ngongo angiangi, ngāwari mā roto i te ihu, ki roto i te korokoro hei tirotiro i te roto o te roro me te korokoro. He whakamātautau māmā tēnei ka taea te mahi i te tari o te tākuta.
- Endoscopy o Runga: Ko te whakauru i tētahi ngongo me te kāmera mā roto i tō waha hei tirotiro i tō korokoro me tō puku. Ka āwhina tēnei ki te whakatau i te pūtake o tō LPR.
- Whakamātautau pH o te korokoro: He whakamātautau e ine ana i ngā taumata waikawa i roto i tō korokoro me te korokoro mō te wā 24-hāora.
- Manometri Esophageal: He whakamātautau e ine ana i te mahi me te kaha o ngā uaua i roto i te esophagus.
He aha ngā maimoatanga mō te LPR?
Ko te arotahi matua o te rongoā i te LPR ko te whakarerekē i tō tātou momo noho me ā tātou tikanga kai.
Te whakarerekētanga o te āhua noho me ngā tikanga kai
He maha ngā mea ka taea e koe te mahi hei whakahaere i te LPR. Koinei ngā mea tino nui.
| Me aha? | Whakaahuatanga |
|---|---|
| Ngā kai | Kaua e kai nui e toru, engari me kai iti e rima, e ono rānei. Kaua e kai nui rawa i te wā kotahi. |
| I mua i te moenga | Kai i te tina i te iti rawa i te toru hāora i mua i te moe. Kaua e takoto i muri i te kai. |
| Tūnga moe | Moe ki tō taha maui. Whakamahia hoki he urunga tāpiri hei pupuri i tō mahunga kia paku teitei ake. |
| Ngā kai hei karo | Āta karohia ngā kai hinuhinu, kai raukikī, kai waikawa nui (karaka, tōmato), tiakarete, kawhe, miniti, inu warowaihā (houra). |
| Ngā tikanga kino | Kati rawa te kai hikareti me te inu waipiro. Ka kino rawa atu ēnei āhuatanga LPR. |
| Taumaha tinana | Mena he momona koe, he mea tino nui kia whakaitihia tō taumaha. Kōrero ki tō tākuta mō tēnei. |
Te rongoā rongoā
I a koe e whakarerekē ana i tō momo noho, ka tohua pea e tō tākuta ētahi rongoā hei āwhina i te whakaora i te kino o tō korokoro me tō arai.
- Ngā Ārai Papu Pūwero (PPI): Mā te whakaiti i te hanga waikawa i roto i te puku ka mahi ēnei. Me whakamahi pea ēnei mō ētahi marama.
- Ngā Ārai H2: He momo rongoā anō ēnei hei whakaiti i te hanga waikawa.
- Ngā Alginate: Ka hangaia e ēnei rongoā he paparanga tiaki i runga i te arai o te puku, hei ārai i te putanga mai o ngā waikawa.
Ko te mea nui, kaua e whakamahia tetahi o ēnei rongoā me te kore he tohutohu a tō tākuta.
Pokanga
Kāore e hiahiatia he pokanga mō te LPR. Ka whakaarohia anake te pokanga mēnā he take motuhake, pērā i te hernia hiatal, mēnā rānei kua kore e angitu ētahi atu maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te LPR he āhuatanga e kiia ana ko te "reflux silent," ka piki ake te waikawa o te puku ki roto i te korokoro me te pouaka reo.
- He rerekē ngā tohu i ērā o te gastritis noa, ka pā te nuinga ki te reo me te korokoro (hei tauira, te maremare roa, te reo pāorooro, te hupe i roto i te korokoro).
- Ehara i te mea ko te hunga katoa e pāngia ana e te LPR ka pāngia e te mamae o te uma.
- Ko te mea nui o te maimoatanga ko te whakarerekē i te kai me te momo noho.He mea nui kia tino karohia te kai hikareti me te inu waipiro.
- Mena kei te pāngia koe e ēnei tohu mō te wā roa, me rapu tohutohu hauora. Mā te tātaritanga me te maimoatanga tika, ka taea te whakahaere angitu i te LPR.
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