Ale ʻeha
ʻO ka ale ʻeha ka ʻeha a hōʻoluʻolu ʻole paha i ka ale ʻana. Hiki paha iā ʻoe ke kiʻekiʻe i ka ʻāʻī a i lalo i lalo o ka umauma. ʻO ka pinepine, ʻeha ka ʻeha e like me ke ʻano ikaika o ka ʻomi ʻana a i ʻole ke kuni ʻana. ʻO ka ale ʻana i ka ʻeha kahi hōʻailona o kahi maʻi koʻikoʻi.
Hoʻopili ka ale ʻana i nā aʻa a me nā mākala i ka waha, ka ʻāʻī, a me ka paipu meaʻai (esophagus). ʻO ka ʻāpana o ka ale ʻana he manawaleʻa ia. ʻO kēia ke ʻike ʻoe i ka kaohi ʻana i ka hana. Eia nō naʻe, hana manawaleʻa ka hapa nui o ka ale ʻana.
ʻO nā pilikia i kēlā me kēia manawa i ke kaʻina hana ale (e like me ka nau ʻana, neʻe ʻana i ka meaʻai i ka hope o ka waha, a i ʻole ka neʻe ʻana i ka ʻōpū) hiki ke hopena i ka ale ʻeha.
Hiki i nā pilikia ke ale i nā ʻōuli e like me:
- ʻEha ʻeha
- Ka manaʻo o ka meaʻai i paʻa i ka ʻāʻī
- Kaumaha a i ʻole kaomi i ka ʻāʻī a i ʻole ka umauma luna i ka wā e ʻai ana
ʻO nā pilikia e ale ʻia ana ma muli o nā maʻi, e like me:
- Cytomegalovirus
- Gum maʻi (gingivitis)
- ʻO ka maʻi herpes simplex
- Kanaka maʻi pale maʻi (HIV)
- Pharyngitis (ʻeha puʻu)
- ʻUshpala
Pilikia paha ka ale ʻana i nā pilikia ma muli o ka pilikia me ka esophagus, e like me:
- Achalasia
- Nā ʻūhū ʻEsopage
- ʻO ka maʻi reflux Gastroesophageal
- ʻO ka hoʻowahāwahā o ka esophagus
- Nutcracker esophagus
- Ulcer i loko o ka esophagus, ʻo ia hoʻi ma muli o tetracyclines (antibiotic), aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen, naproxyn
Nā kumu ʻē aʻe o ka ale ʻana i nā pilikia e komo pū me:
- Ulcer o ka waha a ʻo ka puʻu paha
- Kekahi mea i paʻa i ka ʻāʻī (ʻo kahi laʻana, iʻa a i ʻole nā iwi moa)
- ʻO ka maʻi niho a holo ʻole paha
ʻO kekahi mau ʻōlelo aʻoaʻo e kōkua aku ai iā ʻoe e hōʻoluʻolu i ka ale ʻana i ka ʻeha ma ka home.
- E ʻai lohi a mama pono i kāu meaʻai.
- ʻAi i nā meaʻai i hoʻomaʻemaʻe ʻia a i ʻole nā wai inā paʻakikī e ale i nā meaʻai paʻa.
- Hōʻalo i nā meaʻai anuanu a wela loa inā e hōʻino lākou i kāu mau ʻōuli.
Inā ʻakaʻaka kekahi, e hana koke i ka maneuver Heimlich.
Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe kahi ʻeha ʻeha a:
- ʻO ke koko i loko o kāu pahu, a i ʻole kou mau noho, ʻike ʻeleʻele a lōʻihi paha
- Ka pōkole o ka hanu a i ʻole ka māmā ʻana
- Kaumaha emi
E haʻi i kāu mea hoʻolako e pili ana i nā ʻōuli ʻē aʻe e kū me ka ale ʻeha, me:
- Abdominal eha
- ʻO Chills
- Cough
- Fiva
- Puʻuwai puʻuwai
- Nausea a i ʻole ka luaʻi
- ʻOno ono i ka waha
- ʻUhihi
E nānā kāu mea hāʻawi iā ʻoe a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:
- He ʻeha kou i ka ale ʻana i nā mea paʻa, nā wai, a i ʻole ʻelua paha?
- Mau anei ka ʻeha a hele mai paha ia?
- Ke hele nei a ʻeha ka ʻeha?
- Loaʻa iā ʻoe ka paʻakikī e ale?
- He ʻeha ʻeha kou?
- ʻIke paha he puʻupuʻu i kou puʻu?
- Ua hanu a ale paha ʻoe i nā mea hoʻonāukiuki?
- He aha nā hōʻailona ʻē aʻe āu?
- He aha nā pilikia olakino ʻē aʻe āu?
- He aha nā lāʻau e lawe ai?
E hana ʻia paha kēia mau hoʻāʻo:
- Hoʻopau me ka biopsy
- E ale ʻo Barium a me ka moʻo GI kiʻekiʻe
- Pākuʻi x-ray
- Nānā PH Esophageal (ana i ka acid i ka esophagus)
- ʻO ka manometry esophageal (ana i ke kaomi i ka esophagus)
- ʻO Esophagogastroduodenoscopy (EGD)
- Hoʻāʻo ʻana i ka maʻi HIV
- Kālā x-ray
- Moʻomeheu Kaha
Kanu ʻia - ʻeha a ʻā paha; ʻO Odynophagia; Manaʻo ahi ke ale ana
- Anatomia kuʻi
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.
Nussenbaum B, Bradford CR. Pharyngitis i nā mākua. I: Flint PW, Haughey BH, Lund V, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 9.
Pandolfino JE, Kahrilas PJ. ʻO ka hana neuromuscular Esophageal a me nā maʻi motility. 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 43.
ʻO Wilcox CM. Nā hopena Gastrointestinal o ka maʻi me ka maʻi pale maʻi kanaka. 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 34.