Kinoea - ʻōlohelohe
ʻO Ke Kinoea he ea i loko o ka ʻōpū i hele ʻia i loko o ke ākea. ʻO ke ea e neʻe ana mai ka digestive tract ma o ka waha i kapa ʻia he belching.
Kapa ʻia ka Gas i flatus a i ʻole flatulence.
Hoʻokumu maʻamau ka ʻōpala i loko o nā ʻōpū ke ʻeli ke kino i ka meaʻai.
Hiki i ke kinoea ke hoʻonāukiuki iā ʻoe. Hiki iā ia ke hana i nā ʻeha crampy a i ʻole colicky i loko o kou ʻōpū.
Hiki ke kumu o ka Gas i kekahi mau meaʻai āu e ʻai ai. Loaʻa paha kāu kākika inā ʻoe:
- ʻAi i nā meaʻai paʻakikī e hōʻola, e like me ka fiber. I kekahi manawa, hoʻohui i ka nui o ka fiber i kāu papaʻai hiki ke hana i ke kinoea kūlohelohe. Hoʻololi paha kou kino a hooki i ka hana ʻana i ke kōkō ma ka manawa.
- ʻAi a inu paha i kahi mea hiki ʻole i kou kino ke hoʻomanawanui. ʻO kahi laʻana, loaʻa i kekahi poʻe ka hoʻomanawanui ʻole i ka lactose a ʻaʻole hiki ke ʻai a inu paha i nā huahana waiū.
ʻO nā kumu maʻamau o ke kinoea kekahi:
- Nā Antibiotics
- Maʻi maʻi huhū huhū
- Ka hiki ʻole ke omo pono i nā meaʻai (malabsorption)
- Ka hiki ʻole ke ʻeli pono i nā meaola (maldigestion)
- E ale ana i ke ea i ka wā e ʻai ana
- ʻŪlū namu
- Paka paka
- Ke inu nei i nā mea inu carbonated
Hiki i nā ʻōlelo aʻoaʻo aʻe ke kōkua iā ʻoe e pale aku i ka ʻaila.
- E hoʻomoʻa pono i kāu meaʻai.
- Mai ʻai i ka pīni a i ʻole kāpeti.
- Hōʻalo i nā mea ʻai kiʻekiʻe i nā huehue momona maikaʻi ʻole. Kapa ʻia kēia mau mea ʻo FODMAP a hoʻokomo ʻia i ka fructose (kō kō).
- Hōʻalo i ka lactose.
- Mai inu i nā mea inu kalapona.
- Mai mū ka nauwu.
- E ʻai lohi.
- Hoʻomaha ʻoiai ʻoe e ʻai ai.
- Hele wāwae no 10 a 15 mau minuke ma hope o ka ʻai ʻana.
Kāhea aku i kāu kahu mālama ola inā loaʻa iā ʻoe:
- Kinoea a me nā ʻōuli ʻē aʻe e like me ka ʻeha o ka ʻōpū, ʻeha o ka pololei, ʻeha puʻuwai, nausea, luaʻi, pākī, paʻa paʻa, kuni, a me ka pohō kaumaha.
- ʻO nā pahu ʻaila, ʻaʻala a ʻaʻala, a i ʻole noho koko
E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:
- He aha nā meaʻai e ʻai mau ai ʻoe?
- Ua loli paha kāu papaʻai?
- Ua hoʻonui ʻoe i ka fiber i kāu papaʻai?
- Pehea ka wikiwiki o kou ʻai ʻana, a me ka nau ʻana a me ka moni ʻana?
- E ʻōlelo paha ʻoe he akahai a koʻikoʻi paha kāu kākālina?
- Pili paha kāu kinoea i ka ʻai ʻana i nā huahana waiū a i ʻole nā meaʻai kikoʻī?
- He aha ka mea e hoʻomaikaʻi ai kāu gas?
- He aha nā lāʻau e lawe ai?
- Loaʻa iā ʻoe kekahi mau ʻōuli ʻē aʻe, e like me ka ʻeha o ka ʻōpū, diarrhea, satiety mua (piha mua ma hope o ka ʻai ʻana), bloating, a me ka pohō kaumaha?
- Hoʻomaʻamaʻa paha ʻoe i ka kāpena ʻono a ʻono a ʻai paha i nā kanakē ʻono? (Hoʻopili pinepine kēia i nā kō i hiki ʻole ke alakaʻi ʻia i ka hana ʻana o ke kinoea.)
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Scanner CT ʻōpū
- ʻO ke ultrasound ʻōpū
- Barium enema x-ray
- E ʻai ʻo Barium i ke kukuna
- ʻO ka hana koko e like me CBC a i ʻole ka hoʻokae koko
- ʻO Sigmoidoscopy
- Endoscopy luna (EGD)
- Hōʻike hanu
Flatulence; Flatus
- Gas ʻōpala
ʻO Azpiroz F. Ke kinoea ʻōpū. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 17.
Halelu JE, Halelu ME. Physiology o nā maʻi gastrointestinal. I: Hall JE, Hall ME, nā ʻaoʻao. ʻO Guyton a me Hall Textbook of Medical Physiology. 14th ed. Piladelapia, PA: Elsevier; 2021: chap 67.
ʻO McQuaid KR. Hele i ka mea maʻi me ka maʻi gastrointestinal. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 123.