Puʻuwai puʻuwai

ʻO ka puʻuwai ʻeha ka naʻau ʻehaʻeha ma lalo a ma hope paha o ka umauma. ʻO ka hapanui o ka manawa, hele mai ia mai ka esophagus. Piʻi pinepine ka ʻeha i kou umauma mai kou ʻōpū. E pāhola paha i kou ʻāʻī a i ʻole kou ʻāʻī.

ʻAneʻane loaʻa ka puʻuwai puʻuwai i kēlā me kēia manawa. Inā loaʻa pinepine ʻoe i ka puʻuwai puʻuwai, loaʻa paha iā ʻoe ka maʻi reflux gastroesophageal (GERD).

ʻO ka maʻamau ke komo ka meaʻai a wai paha i loko o kou ʻōpū, pani kahi pūnana o ka mākala ma ka hope o kou esophagus mai ka esophagus. Kapa ʻia kēia bana ka sphincter esophageal haʻahaʻa (LES). Inā ʻaʻole paʻa paʻa kēia pūʻulu, hiki i ka ʻai a i ʻole ka waikawa ʻōpū ke hoʻi i hope (reflux) i loko o ka esophagus. Hiki i nā ʻōpū o ka ʻōpū ke hoʻonāukiuki i ka esophagus a hana i ka ʻōpū a me nā ʻōuli ʻē aʻe.

ʻOi aku paha ka maʻi maʻi inā loaʻa ʻoe i kahi hernia hernia. ʻO kahi hernia hiatal kahi ʻano e kū ana i ka wā i piʻi ai ka ʻaoʻao luna o ka ʻōpū i loko o ka lua o ka umauma. Hoʻonawaliwali kēia i ka LES i mea maʻalahi no ka hoʻi ʻana o ka waikawa mai ka ʻōpū i ka esophagus.

Hiki i ka hāpai ʻana a me nā lāʻau he nui ke lawe mai i ka puʻuwai puʻuwai a i ʻole e hōʻino loa ia.

ʻO nā lāʻau e hiki ai ke hōʻeha i ka puʻuwai pū me:

• Anticholinergics (hoʻohana ʻia no ka maʻi kai)
• Nā beta-blockers no ke koko kiʻekiʻe a i ʻole nā ​​maʻi puʻuwai
• Nā poloka ʻauana kalipuna no ke koko kiʻekiʻe
• ʻO nā lāʻau like Dopamine no ka maʻi Parkinson
• ʻO Progestin no ka hoʻokahe ʻana o ka menstrual a me ka kaohi hānau
• Nā sedatives no ka hopohopo a i ʻole nā ​​pilikia hiamoe (insomnia)
• Theophylline (no ka hānō a i ʻole nā ​​maʻi lolo)
• Nā lāʻau antidepressants Tricyclic

E kamaʻilio me kāu mea mālama ola inā manaʻo ʻoe hiki i kekahi o kāu lāʻau ke hoʻonāukiuki i ka puʻuwai. Mai hoʻololi a hoʻopau paha i ka lawe ʻana i ka lāʻau me ke kamaʻilio mua ʻole ʻana i kāu mea hāʻawi.

Pono ʻoe e mālama i ka puʻuwai puʻuwai no ka mea hiki i ka reflux ke hōʻino i ka uhi o kāu esophagus. Hiki i kēia ke kumu i nā pilikia koʻikoʻi i ka manawa. Hiki ke kōkua i ka hoʻololi ʻana i kāu ʻano maʻamau i ka pale ʻana i ka puʻuwai puʻuwai a me nā ʻōuli ʻē aʻe o GERD.

ʻO nā ʻōlelo aʻoaʻo aʻe e kōkua iā ʻoe e hōʻalo i ka ʻeha puʻuwai a me nā ʻōuli GERD ʻē aʻe. E kamaʻilio i kāu mea hāʻawi inā hoʻomau ʻia ʻoe e ka maʻi puʻuwai ma hope o ka hoʻāʻo ʻana i kēia mau ʻanuʻu.

ʻO ka mea mua, pale i nā meaʻai a me nā mea inu e hiki ke hoʻoulu i ka reflux, e like me:

• ʻAlekohola
• Kāpena
• Mea inu kalepona
• Kokoleka
• Nā huaʻai citrus a me nā wai momona
• Peppermint a me ka palaoa
• Nā meaʻai ʻono a momona paha, nā huahana waiū momona piha
• ʻO Tomato a me nā mea kōmato

A laila, e hoʻāʻo e hoʻololi i kāu ʻano ʻai:

• Hōʻalo i ke kūlou a me ka hoʻoikaika kino ma hope pono o ka ʻai ʻana.
• Hōʻalo i ka ʻai ʻana ma waena o 3 a 4 mau hola o ka hiamoe. ʻO ka moe ʻana i lalo me kahi ʻōpū piha ke kumu o ka kaomi ʻana o ka ʻōpū i ka sphincter esophageal lalo (LES). ʻAe kēia e hana i ka reflux.
• ʻAi i nā meaʻai liʻiliʻi.

E hoʻololi i nā ʻano nohona ʻē aʻe e pono ai:

• Hōʻalo i nā kāʻei paʻa paʻa a i ʻole nā ​​lole i paʻa i ka puhaka. Hiki i kēia mau mea ke ʻomi i ka ʻōpū, a e hoʻoikaika paha i ka meaʻai e reflux.
• Lilo i ke kaupaona inā ʻoi nui ʻoe. Hoʻonui ka momona i ka ʻōpū. Hiki i kēia kaomi ke pahu i ka ʻōpū i loko o ka esophagus. I kekahi mau hihia, hele aku nā hōʻailona GERD ma hope o ka lilo ʻana o kekahi kanaka kaupaona he 10 a 15 mau paona (4.5 a 6.75 kilokilo).
• E hiamoe me kou poʻo e hāpai ʻia ma kahi o 6 ʻīniha (15 kenimika). ʻO ka hiamoe ʻana me ke poʻo i ʻoi aku ma mua o ka ʻōpū e kōkua i ka pale ʻana i ka meaʻai i hoʻoweliweli ʻia i ke kua ʻana i loko o ka esophagus. E kau i nā puke, nā pōhaku lepo, a i ʻole nā ​​palaka ma lalo o nā wāwae ma ke poʻo o kou wahi moe. Hiki iā ʻoe ke hoʻohana i kahi uluna ʻano-wedge ma lalo o kou moena. ʻAʻole maikaʻi ka hiamoe ʻana i nā uluna keu no ka hōʻoluʻolu ʻana i ka puʻuwai puʻuwai no ka mea hiki iā ʻoe ke heʻe i nā uluna i ka pō.
• E hōʻoki i ka puhi ʻana a me ka hoʻohana ʻana i ka paka. ʻO nā kemika i ka uahi paka a i ʻole nā ​​huahana paka paha nāwaliwali ka LES.
• E hōʻemi i ke koʻikoʻi. E hoʻāʻo i ka yoga, tai chi, a i ʻole ka noʻonoʻo ʻana e kōkua ai i ka hoʻomaha.

Inā ʻaʻohe ou ʻoluʻolu piha, e hoʻāʻo i nā lāʻau lapaʻau over-the-counter:

• ʻO Antacids, e like me Maalox, Mylanta, a Tums paha e kōkua i ka pale ʻana i ka waikawa ʻōpū.
• ʻO nā mea pale H2, e like me Pepcid AC, Tagamet HB, Axid AR, a me Zantac, e hoʻēmi i ka hana ʻana o ka acid acid.
• ʻO nā mea kūpale Proton pump, e like me Prilosec OTC, Prevacid 24 HR, a me Nexium 24 HR kū kokoke i nā hana a pau o ka ʻōpū.

E mālama i ka lāʻau lapaʻau koʻikoʻi inā:

• Luai ʻoe i nā mea koko a ʻano like paha me nā papa kope.
• ʻEleʻele kāu kūleʻa (e like me ka tar) a maroon paha.
• He manaʻo wela kou a me ka ʻūlū ʻana, kaomi ʻana, a i ʻole kaomi ʻana i kou umauma. I kekahi manawa ʻo ka poʻe i manaʻo he ʻeha ko lākou naʻau e loaʻa nei i ka puʻuwai puʻuwai.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa pinepine ʻoe i ka puʻuwai puʻuwai a i ʻole ʻaʻole e hele ma hope o kekahi mau pule o ka mālama pilikino.
• Lilo i ke kaupaona āu e makemake ʻole ai e lilo.
• Loaʻa iā ʻoe ka pilikia e ale (pili ka meaʻai i ka iho ʻana).
• Loaʻa ʻoe i ka huehue a i ʻole wheezing ʻaʻole e hele.
• Eʻoi aku ka maikaʻi o kāu mau ʻōuli me nā antacids, nā mea pale H2, a i ʻole nā ​​mālama ʻē aʻe.
• Manaʻo ʻoe ʻo kekahi o kāu mau lāʻau ke kumu i ka ulu ʻana o ka puʻuwai. Mai hoʻololi a hoʻopau paha i ka lawe ʻana i kāu lāʻau iā ʻoe iho.

Maʻalahi ka hōʻoia ʻana ʻo Heartburn mai kāu mau ʻōuli i ka hapanui o nā hihia. I kekahi manawa, hiki ke huikau ka puʻuwai puʻuwai me kekahi pilikia ʻōpū i kapa ʻia ʻo dyspepsia. Inā maopopo ʻole ka hōʻailona, ​​hiki iā ʻoe ke hoʻouna ʻia i kahi kauka i kapa ʻia he gastroenterologist no ka hoʻāʻo hou ʻana.

ʻO ka mea mua, e hana kahi mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kou puʻuwai puʻuwai, e like me:

• I ka manawa hea i hoʻomaka ai?
• Pehea ka lōʻihi o kēlā me kēia māhele?
• ʻO kēia ka manawa mua i loaʻa iā ʻoe ka ʻāʻī puʻuwai?
• He aha kāu e ʻai maʻamau ai i kēlā me kēia pāʻina? Ma mua o kou haha ​​ʻana i ka puʻuwai puʻuwai, ua ʻai anei ʻoe i kahi meaʻai ʻono a momona paha?
• Ke inu nei ʻoe i ke kofe he nui, nā mea inu ʻē aʻe me ka caffeine, a i ʻole ka waiʻona? Puhi paha ʻoe?
• Ke komo nei ʻoe i ka lole paʻa i ka umauma a i ʻole ka ʻōpū?
• Loaʻa iā ʻoe ka ʻeha ma ka umauma, ka iwi ā, ka lima, a i ʻole ma kahi ʻē?
• He aha nā lāʻau e lawe nei ʻoe?
• Ua luaʻi ʻoe i ke koko a i ʻole nā ​​mea ʻeleʻele?
• He koko paha kāu i loko o kāu mau pā noho?
• He noho ʻeleʻele a me ka noho lōʻihi ʻoe?
• Aia kekahi mau hōʻailona ʻē aʻe me kou puʻuwai puʻuwai?

E ʻōlelo paha kāu mea hāʻawi i hoʻokahi a ʻoi paha o nā hōʻike aʻe:

• ʻO ka motika Esophageal e ana i ka kaomi o kāu LES
• ʻO Esophagogastroduodenoscopy (endoscopy luna) e nānā i ka uhi o loko o kou esophagus a me kou ʻōpū
• ʻO ka moʻo GI kiʻekiʻe (hana pinepine ʻia no ka ale ʻana i nā pilikia)

Inā ʻaʻole maikaʻi aʻe kāu mau ʻōuli me ka mālama ʻana i ka home, pono ʻoe e ʻai i ka lāʻau e hōʻemi ai i ka waikawa i ʻoi aku ka ikaika ma mua o nā lāʻau i loaʻa i ka counter. ʻO kēlā me kēia hōʻailona o ke kahe ʻana e pono ai ka hoʻāʻo hou ʻana a me ka mālama ʻana.

Pyrosis; GERD (maʻi reflux gastroesophageal); ʻElepagitis

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

• ʻŌnaehana Digestive
• Hānnia hernia - x-ray
• Hānnia hernia
• ʻO ka maʻi reflux Gastroesophageal

ʻO Devault KR. Nā ʻōuli o ka maʻi esophageal. 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 13.

Mayer EA. Nā maʻi gastrointestinal e holo nei: maʻi hanu huhū, dyspepsia, ʻeha o ka umauma o ke kumu esophageal i manaʻo ʻia, a me ka ʻeha puʻuwai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 137.