Hōʻike Bernstein

ʻO ka hoʻāʻo Bernstein kahi ala e hana kope i nā hōʻailona o ka puʻuwai puʻuwai. Hana pinepine ʻia ia me nā hoʻokolohua ʻē aʻe e ana i ka hana esophageal.

Hana ʻia ka hoʻāʻo ma kahi keʻena hoʻokolohua gastroenterology. Hoʻoholo ʻia kahi paipu nasogastric (NG) ma kekahi ʻaoʻao o kou ihu a i loko o kou esophagus. E hoʻouna ʻia ka waikawa māmā i ka paipu, a ukali ʻia e ka wai paʻakai (saline). Hiki ke hana hou i kēia hana i nā manawa he nui.

E noi ʻia ʻoe e haʻi i ka pūʻulu mālama olakino e pili ana i nā ʻeha a me nā hōʻoluʻolu ʻole āu i loaʻa i ka wā o ka hoʻāʻo.

E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 8 mau hola ma mua o ka hoʻāʻo.

Loaʻa paha iā ʻoe kahi manaʻo gagging a me kekahi ʻoluʻolu ʻole ke kau ʻia ka paipu. Hiki i ka waikawa ke kumu i nā ʻōuli o ka ʻāʻī puʻuwai. ʻEha paha kou ʻāʻī ma hope o ka hoʻāʻo.

Hoʻāʻo ka hoʻāʻo e hana kope i nā ʻōuli o ka gastroesophageal reflux (ʻōpū ʻōpū e hoʻi hou i ka esophagus). Hana ʻia e ʻike inā loaʻa iā ʻoe ke ʻano.

E maikaʻi nā hopena hōʻike.

Hōʻike kahi hōʻike maikaʻi i kāu mau ʻōuli i kumu ʻia e ka esophageal reflux o ka waikawa mai ka ʻōpū.

Aia ka makaʻu o ka gagging a i ʻole ka luaʻi.

Hōʻike perfusion ʻakika

• ʻŌpū a me ka ʻōpū o ka ʻōpū

ʻO Bremner RM, Mittal SK. Nā hōʻailona esophageal a me ke koho ʻana o nā hōʻoia diagnostic. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 5.

Kavitt RT, Vaezi MF. Nā maʻi o ka esophagus. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 69.

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 Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 43.