Reflux Gastroesophageal - hoʻokuʻu

ʻO ka maʻi reflux Gastroesophageal (GERD) kahi ʻano kahi e hemo hope ai ka ʻōpū mai ka ʻōpū i loko o ka esophagus (ka paipu mai ka waha a ka ʻōpū). Hōʻike kēia ʻatikala iā ʻoe i kāu mea e pono ai e hoʻokele i kāu kūlana.

Loaʻa iā ʻoe ka maʻi reflux gastroesophageal (GERD). ʻO kēia kahi ʻano e hele ai ka meaʻai a wai paha i hope mai ka ʻōpū i ka esophagus (ka paipu mai ka waha a ka ʻōpū).

Ua loaʻa paha iā ʻoe nā hoʻokolohua e kōkua i ke kuhi ʻana i kāu GERD a i ʻole nā ​​pilikia i loaʻa iā ʻoe mai ia mea.

Hiki iā ʻoe ke hoʻololi i nā ʻano nohona e kōkua i ka mālama ʻana i kāu mau ʻōuli. Hōʻalo i nā meaʻai e hoʻopilikia ai iā ʻoe.

• MAI inu rama.
• Hōʻalo i nā mea inu a me nā meaʻai i loaʻa ka caffeine, e like me ka soda, kope, tī, a me ka kokoleka.
• Hōʻalo i ka kope decaffeinated. Hoʻonui ia i ka pae o ka waikawa i kou ʻōpū.
• Hōʻalo i nā hua a me nā mea kanu-ʻakika nui, e like me nā hua citrus, paina, ʻōmato, a i ʻole nā ​​kīʻaha kōmato (pizza, chili, a me spaghetti) inā ʻike ʻoe he kumu ʻeha ka naʻau
• Hōʻalo i nā mea me ka spearmint a i ʻole ka peppermint.

ʻO nā ʻōlelo aʻoaʻo ʻē aʻe e hoʻomaikaʻi ai i kāu mau ʻōuli ʻo:

• ʻAi i nā meaʻai liʻiliʻi, a ʻai pinepine pinepine.
• Lilo kaupaona, inā pono ʻoe.
• Inā puhi ʻoe a nau ʻoe i ka paka, hoʻāʻo e haʻalele. Hiki i kāu mea mālama ola ke kōkua.
• ʻO ka hoʻoikaika kino, akā ʻaʻole pololei ma hope o ka ʻai ʻana.
• E hoʻemi i kou koʻikoʻi a kiaʻi no nā manawa kaumaha, koʻikoʻi. Hiki i ke koʻikoʻi ke hoʻopilikia i kāu pilikia reflux.
• Kulou ma nā kuli, ʻaʻole kou pūhaka, e ʻohi i nā mea.
• Hōʻalo i ka ʻaʻahu ʻana i nā lole e hoʻokau i kou pūhaka a i ʻole kou ʻōpū.
• Mai moe i lalo no 3 a 4 mau hola ma hope o ka ʻai ʻana.

Hōʻalo i nā lāʻau e like me aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn). E lawe i ka acetaminophen (Tylenol) e hoʻomaha i ka ʻeha. E lawe i kāu lāʻau lapaʻau me ka nui o ka wai. Ke hoʻomaka ʻoe i kahi lāʻau hou, e hoʻomanaʻo e nīnau inā e hōʻeha loa ia i kou puʻuwai.

E hoʻāʻo i kēia mau ʻōlelo aʻoaʻo ma mua o ka hiamoe:

• Mai hōʻalo i nā meaʻai a ʻai paha i kahi pāʻina nui no ka pāʻina awakea no ka pau ʻana o nā mea ʻai i hala.
• Hōʻalo i nā mea pōʻai māmā.
• Mai moe pono ma hope o kāu ʻai ʻana. Noho pololei no 3 a 4 mau hola ma mua o kou hiamoe ʻana.
• E hoʻokiʻekiʻe i kou wahi moe 4 a 6 ʻīniha (10 a 15 mau kenimika) ma ke poʻo o kou wahi moe, me ka hoʻohana ʻana i nā palaka. Hiki nō hoʻi iā ʻoe ke hoʻohana i kahi kākoʻo kākae e hāpai i ka hapa kiʻekiʻe o kou kino ke moe ʻoe. (ʻAʻole hiki ke kōkua i nā uluna keu e hoʻāla i kou poʻo wale nō.)

Hiki i nā Antacids ke kōkua i ka neoneo i kou waikawa ʻōpū. ʻAʻole lākou e kōkua i ka mālama ʻana i ka huhū i kāu esophagus. ʻO nā hopena ʻē aʻe o nā antacids me ka diarrhea a i ʻole ka constipation.

Hiki i nā lāʻau ʻē aʻe ke kūʻai aku loa ke mālama i ka GERD. Hana mālie kā lākou hana ma mua o nā antacids akā hāʻawi iā ʻoe i ka hoʻomaha lōʻihi. Hiki i kāu mea hāʻawi ke haʻi iā ʻoe pehea e lawe ai i kēia mau lāʻau. ʻElua ʻano ʻokoʻa o kēia mau lāʻau.

• H2 antagonists: famotidine (Pepcid), cimetidine (Tagamet), ranitidine (Zantac), a me nizatidine (Axid)
• Nā mea kūpale Proton pump (PPI): omeprazole (Prilosec a i ʻole Zegarid), esomeprazole (Nexium), lansoprazole (Prevacid), dexlansoprazole (Dexilant), rabeprazole (AcipHex), a me pantoprazole (Protonix)

E kipa hou aku ʻoe me kāu mea hoʻolako e nānā i kāu esophagus. Pono paha ʻoe e nānā i nā niho. Hiki iā GERD ke hoʻonāukiuki i ka enamel ma kou mau niho.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Nā pilikia a ʻeha paha me ka ale ʻana
• Kāpena
• ʻO kahi manaʻo piha ma hope o ka ʻai ʻana i kahi ʻāpana meaʻai liʻiliʻi
• ʻO ke kaupaona hiki ʻole ke wehewehe ʻia
• ʻO ka luaʻi
• Loaʻa ka ʻai ʻole
• ʻEha ʻeha
• Kahe ʻana o ke kahe, ke koko i kāu mau noho, a i ʻole nā ​​papa ʻeleʻele, noho mālie hoʻi
• Hoarseness

Peptic esophagitis - hoʻokuʻu; Reflux esophagitis - hoʻokuʻu; GERD - hoʻokuʻu; Puʻuwai - kūmau - hoʻokuʻu

• ʻO ka maʻi reflux Gastroesophageal

Abdul-Hussein M, Castell DO. ʻO ka maʻi reflux Gastroesophageal (GERD). I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019; 208-211.

ʻO Falk GW, Katzka DA. Nā maʻi o ka esophagus. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 138.

Katz PO, Gerson LB, Vela MF. Nā ʻōkuhi no ka ʻike a me ka mālama ʻana i ka maʻi reflux gastroesophageal. ʻO Am J Gastroenterol. 2013; 108 (3): 308-328. PMID: 23419381 www.ncbi.nlm.nih.gov/pubmed/23419381.

Richter JE, Friedenberg FK. ʻO ka maʻi reflux Gastroesophageal. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 44.

• ʻOki kino Anti-reflux
• ʻOki kino Anti-reflux - keiki
• EGD - esophagogastroduodenoscopy
• ʻO ka maʻi reflux Gastroesophageal

• ʻOihana anti-reflux - keiki - hoʻokuʻu
• ʻOki kino Anti-reflux - hoʻokuʻu
• Heartburn - he aha e nīnau aku ai i kāu kauka
• Lawe i nā antacids

• GERD