ʻO Aclu Reflux a me kou puʻu

Anter

• He aha ka reflux acid?
• Pehea e hoʻopōʻino ai ʻo GERD i ka esophagus
• Nā pilikia o ka GERD i mālama ʻole ʻia a me ka esophagitis
• Pehea e hōʻino ai ka reflux acid a me GERD i ka puʻu
• Kāohi ʻana i nā pohō o ka wā e hiki mai ana

Acid reflux a pehea e hiki ai ke hoʻololi i kou puʻu

Hiki i kekahi ke hōʻeha i ka puʻuwai a i ʻole ka reflux waikawa. Eia nō naʻe, inā ʻike ʻoe i ʻelua a ʻoi mau manawa i ka hebedoma i ka hapa nui o nā hebedoma, hiki paha iā ʻoe ke makaʻu i nā pilikia e hoʻopilikia i ke olakino o kou puʻu.

E aʻo e pili ana i nā pilikia o ka puʻuwai puʻuwai maʻamau a pehea e hiki ai iā ʻoe ke pale i kou puʻu mai ka hōʻino.

He aha ka reflux acid?

I ka wā o ka digestion maʻamau, iho ka meaʻai i ka esophagus (ka paipu ma hope o kou ʻāʻī) ma o kahi mākala a i ʻole kiwikā i ʻike ʻia ʻo ka sphincter esophageal haʻahaʻa (LES), a i loko o ka ʻōpū.

Ke ʻike ʻoe i ka puʻuwai a i ʻole reflux waikawa, hoʻomaha ka LES, a wehe paha, ke pono ʻole. ʻAe kēia i ka ʻakika mai ka ʻōpū e piʻi aʻe i luna i ka esophagus.

ʻOiai ʻo ka hapanui o nā mea e ʻike i ka puʻuwai puʻuwai i hoʻokahi manawa, hiki ke ʻike ʻia ka poʻe i loaʻa nā hihia ʻoi loa me ka maʻi reflux gastroesophageal (GERD). I kēia mau hihia, he mea nui ka mālama ʻana i ke ʻano e hōʻemi ai i nā ʻōuli hōʻeha a ʻoluʻolu ʻole a palekana i ka esophagus a me ka ʻāʻī.

Pehea e hoʻopōʻino ai ʻo GERD i ka esophagus

ʻO kēlā huhū ʻāʻī āu e ʻike nei me ka puʻuwai puʻuwai he waikawa ʻōpū ia e hōʻino ana i ka uhi o ka esophagus. I ka hala ʻana o ka manawa, hōʻike pinepine ʻia o ka waikawa ʻōpū i ka uhi o ka esophagus hiki ke hana i kahi ʻano i kapa ʻia ʻo esophagitis.

ʻO ka esophagitis kahi pehu o ka esophagus e hana maʻalahi ai i nā ʻeha e like me ka erosions, ulcer, a me nāʻiʻo scar. Pākuʻi ʻia paha nā ʻōuli o ka esophagitis me ka ʻeha, paʻakikī i ka ale ʻana, a me ka regurgitation waikawa hou aku.

Hiki i ke kauka ke kuhikuhi i kēia ʻano me ka hoʻohuihui o nā hoʻokolohua, me kahi endoscopy luna a me kahi biopsy.

E hoʻomaka koke paha kāu kauka i ka lāʻau lapaʻau inā ua ʻike ʻia ʻoe me ka esophagitis, ma ke ʻano he esophagus inflamed hiki ke alakaʻi i nā pilikia olakino hou aʻe.

Nā pilikia o ka GERD i mālama ʻole ʻia a me ka esophagitis

Inā ʻaʻole lawe ʻia ka GERD a me nā hōʻailona esophagitis ma lalo o ka kaohi, hoʻomau ka hoʻomau ʻana o kou waikawa ʻōpū i mea hōʻino hou i kou esophagus. Ma hope o ka hala ʻana o ka manawa, hiki i nā pōʻino hou ke alakaʻi i nā pilikia aʻe:

• Pahu o ka esophagus: Kēia i kapa ʻia ka esophageal strikure a i kumu ʻia e nā ʻaʻa ʻili ma muli o GERD a i ʻole nā ​​tumors. ʻIke paha ʻoe i ka paʻakikī i ka ale ʻana a i ʻole ka meaʻai i paʻa i kou puʻu.
• Nā apo esophageal: He mau apo kēia a i ʻole nā ​​pelu o nā ʻaʻa ʻokoʻa i hana ʻia i ka uhi o lalo o ka esophagus. Hiki i kēia mau paʻa o ke kinona ke hoʻopili i ka esophagus a hoʻopilikia i ka ale ʻana.
• ʻO ka esophagus o Barrett: He kūlana kēia e hōʻino ʻia nā hunaola i ka uhi ʻana o ka esophagus mai ka waikawa ʻōpū a hoʻololi e lilo i ʻano like me nā hunaola e uhi ana i ka ʻōpū liʻiliʻi. He kūlana laha ʻole kēia a ʻaʻole ʻoe e ʻike i kekahi ʻōuli, akā hiki ke hoʻonui i kou makaʻu i ka ulu ʻana i ka maʻi ʻaʻai esophageal.

Hiki ke pale aku i kēia mau pilikia ʻekolu me ka lapaʻau kūpono no ka puʻuwai pinepine ʻana a i ʻole GERD.

Pehea e hōʻino ai ka reflux acid a me GERD i ka puʻu

Ma waho aʻe o ka hōʻino ʻana i ka esophagus o lalo, hiki i ka puʻuwai puʻuwai pinepine a i ʻole GERD ke hōʻino paha i ka ʻāʻī o luna. Hiki i kēia ke hana inā hele mai ka ʻōpū ʻōpū a hiki i ka hope o ka ʻāʻī a i ʻole ke ala ihu. Kāhea pinepine ʻia kēia ʻano he reflux laryngopharyngeal (LPR).

Kāhea ʻia ʻo LPR i kekahi manawa "reflux hāmau," no ka mea ʻaʻole hōʻike mau i nā ʻōuli i ʻike maka ʻia e ka poʻe. He mea nui i nā kānaka me GERD e nānā ʻia no ka LPR e hōʻalo i nā ʻāʻī āpau a me nā leo e hōʻino ʻia. Pākuʻi ʻia paha nā ʻōuli o LPR i kēia mau mea:

• hulahula
• ka hoʻomaʻemaʻe o ka puʻu mau
• manaʻo o kahi "puʻupuʻu" i ka puʻu
• ka maʻi kūlohelohe a i ʻole ka uha e hoʻāla iā ʻoe mai kou hiamoe ʻana
• paukū ʻokaʻī
• "Rawness" i ka puʻu
• nā pilikia leo (ʻo ia hoʻi i nā mea mele a i ʻole ʻoihana leo)

Kāohi ʻana i nā pohō o ka wā e hiki mai ana

He mea ʻole inā loaʻa pinepine ʻoe i ka puʻuwai puʻuwai, GERD, LPR, a i ʻole ka hui pū ʻana o kēia mau mea, he mea nui e kaohi i kāu mau hōʻailona e hōʻalo i nā pilikia olakino hou. E kamaʻilio i kāu kauka a hoʻāʻo i kēia:

• E ʻai pinepine i nā pāʻina liʻiliʻi a lawe i kou manawa ka nau.
• Hōʻalo i ka ʻai nui.
• Hoʻonui i ka hoʻoikaika kino inā nui ke kaumaha.
• E hoʻonui i ka fiber i kāu papaʻai.
• Hoʻonui i nā huaʻai a me nā mea kanu i kāu papaʻai.
• E kū pololei no hoʻokahi hola ma hope o ka pāʻina ʻana.
• Pale i ka ʻai ʻana 2 a i 3 mau hola ma mua o ka hiamoe.
• Hōʻalo i nā meaʻai e hoʻomaka ai e like me nā momona momona a me nā kō nui, nā wai ʻona, nā caffeine, a me nā kokoleka.
• Mālama i kahi kaupaona olakino.
• Uoki ka puhipaka.
• E hoʻokiʻekiʻe i ke poʻo o kahi moe ʻeono ʻīniha.