ʻIke Reflux a me Coughing

Anter

• Hōʻike Overview
• GERD a me ka hoʻomau mau ʻana
• ʻO ka hoʻāʻo ʻana no GERD i ka poʻe me ka puʻu mau
• GERD i nā keiki
• Nā kumu weliweli
• Hoʻololi ka nohona
• Nā lāʻau a me ke kahakaha
• Outlook

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

I ʻApelila 2020, ua noi ʻia e hoʻopau i nā ʻano o ke kuhikuhi a me ka over-the-counter (OTC) ranitidine (Zantac) mai ka mākeke U.S. Ua hana ʻia kēia ʻōlelo aʻoaʻo no ka mea ʻaʻole i ʻāpono nā pae o NDMA, kahi carcinogen paha (kemikō e hoʻomaka ana i ka maʻi ʻaʻai), i loaʻa i kekahi mau huahana ranitidine. Inā kuhikuhi ʻoe iā ranitidine, e kamaʻilio me kāu kauka e pili ana i nā koho koho palekana ma mua o ka hoʻokū ʻana i ka lāʻau. Inā lawe ʻoe i ka OTC ranitidine, e hoʻōki i ka lawe ʻana i ka lāʻau a kamaʻilio pū me kāu kauka no nā koho ʻē aʻe. Ma kahi o ka lawe ʻana i nā huahana ranitidine i hoʻohana ʻole ʻia i kahi pūnaewele hoʻihoʻi i ka lāʻau, hoʻolei iā lākou e like me nā ʻōlelo a ka huahana a i ʻole ma ka mālama ʻana iā FDA.

Hōʻike Overview

ʻOiai ka hapanui o ka poʻe e ʻike i ka reflux waikawa i kekahi manawa, hiki i kekahi poʻe ke hoʻomohala i kahi ʻano koʻikoʻi o nā pilikia waikawa. ʻIke ʻia kēia ʻo gastroesophageal reflux maʻi (GERD). ʻO ka poʻe me GERD ʻike i ka reflux hoʻomau, hoʻomau e kū ma kahi o ʻelua mau manawa o ka pule.

Nui nā poʻe me GERD i nā hōʻailona o kēlā me kēia lā e hiki ai ke alakaʻi i nā pilikia olakino koʻikoʻi i ka manawa. ʻO ka ʻōuli maʻamau o ka reflux acid ka heartburn, kahi ʻā ʻana i ke ahi ma ka umauma o lalo a me ka ʻōpū waena. ʻIke paha kekahi mau mākua iā GERD me ka ʻole o ka puʻuwai puʻuwai a me nā hōʻailona hou aʻe. Hiki i kēia ke komo i ka belching, wheezing, paʻakikī i ka ale ʻana, a i ʻole ka uha mau.

GERD a me ka hoʻomau mau ʻana

ʻO GERD kekahi o nā kumu maʻamau o ka u mau mau. I ka ʻoiaʻiʻo, nā kānaka noiʻi ma ke kuhi ʻana he kuleana ʻo GERD ma mua o 25 pākēneka o nā hihia āpau o ka huehue mau. ʻO ka hapa nui o ka poʻe me ka ʻūhū i hoʻokomo ʻia ʻo GERD ʻaʻohe o lākou mau ʻōuli maʻamau o ka maʻi e like me ka puʻuwai. Hiki ke hoʻoulu ʻia ka maʻi kūmau ma o ka reflux acid a i ʻole ka reflux o nā ʻōpū nonacidic ʻōpū.

ʻO kekahi mau hōʻailona inā paha he kumu kūmau mau nā GERD e hoʻopili ʻia:

• ka hū ʻana i ka hapanui i ka pō a ma hope paha o ka pāʻina ʻana
• ʻeha e kū ana i kou wā e moe ana i lalo
• ke kūmau mau ʻana e kū ana ke hiki ʻole nā ​​kumu maʻamau, e like me ka puhī ʻana a i ʻole ka lawe ʻana i nā lāʻau (me nā mea kāohi ACE) kahi hopena ka ʻūhā.
• ka puʻe ʻana me ka ʻole o ka hānō a i ʻole ka drip postnasal, a i ʻole ke maʻamau ka X-ray

ʻO ka hoʻāʻo ʻana no GERD i ka poʻe me ka puʻu mau

Hiki i ka GERD ke paʻakū e kālailai i ka poʻe i loaʻa i ka maʻi kūpilikiʻi akāʻaʻole nā ​​hōʻailona puʻuwai ʻO kēia no ka mea ʻo nā kūlana maʻamau e like me ka drip postnasal a me ka hānō e ʻoi aku paha ka hopena i kahi maʻi kūmau. ʻO ka endoscopy luna, a i ʻole EGD, ka hoʻāʻo e hoʻohana pinepine ʻia i ka loiloi piha o nā ʻōuli.

ʻO ka probe pH he 24 mau hola, ka mea e kiaʻi ai i ka ph esophageal, he hōʻike pono hoʻi ia no ka poʻe me ka ʻū mau. ʻO kahi hōʻike ʻē aʻe, i ʻike ʻia ʻo MII-pH, hiki ke ʻike i ka reflux nonacid pū kekahi. ʻO ka barium ale, i ka manawa ʻo ka hoʻāʻo maʻamau no GERD, ʻaʻole i paipai hou ʻia.

Aia kekahi mau ala ʻē aʻe e ʻike ai inā pili ka maʻa i ka GERD. E hoʻāʻo paha kāu kauka e kau iā ʻoe ma nā proton pump inhibitors (PPI), kahi ʻano o ka lāʻau no GERD, no kahi manawa e ʻike ai inā hoʻoholo ʻia nā ʻōuli. Aia nā PPI i nā lāʻau lapaʻau inoa e like me Nexium, Prevacid, a me Prilosec, a me nā mea ʻē aʻe. Inā hoʻonā kou mau ʻōuli me ka PPI therapy, malia paha he GERD kāu.

Loaʻa nā lāʻau PPI ma luna o ka pākuʻi, ʻoiai ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe kekahi hōʻailona ʻaʻole e hele. Aia paha he kumu ʻē aʻe e hiki ai iā lākou, a hiki i ke kauka ke kuhikuhi i nā koho lapaʻau maikaʻi loa nāu.

GERD i nā keiki

Nui nā kamaliʻi ʻike i kekahi mau ʻōuli o ka reflux acid, e like me ke kuha ʻana a i ʻole ka luaʻi, i ko lākou makahiki mua o ke ola. Hiki i kēia mau ʻōuli ke hana i nā pēpē i hauʻoli a olakino hoʻi. Eia nō naʻe, hiki i nā pēpē ke ʻike i ka reflux waikawa ma hope o 1 mau makahiki ke loaʻa iā GERD. ʻO ka puʻu pinepine kekahi o nā ʻōuli nui i nā keiki me GERD. Hoʻohui ʻia nā hōʻailona hou aʻe:

• puʻuwai puʻuwai
• luaʻi hou
• laryngitis (leo uʻi)
• hānō
• ʻūhā
• pulumonia

Nā pēpē a me nā keiki ʻōpio me GERD:

• hōʻole e ʻai
• hana colicky
• e lilo i mea ukiuki
• ʻike i ka ulu maikaʻi ʻole
• piʻo i ko lākou kua i ka wā a i ʻole ma hope koke paha o ka hānai ʻana

Nā kumu weliweli

ʻOi aku ʻoe i ka makaʻu nui no ka hoʻomohala ʻana iā GERD inā ʻoe puhipaka, momona a hāpai paha. Hoʻonawaliwali a hoʻomaha paha kēia mau ʻano i ka sphincter esophageal lalo, kahi hui o nā mākala ma ka hope o ka esophagus. Ke hoʻonāwaliwali ka sphincter esophageal haʻahaʻa, ʻae ia i nā mea o ka ʻōpū e piʻi i loko o ka esophagus.

Hiki i kekahi mau meaʻai a me nā mea inu ke hōʻino iā GERD. Pākuʻi ʻia lākou:

• mea inu ʻona
• nā mea inu
• kokoleka
• hua hua citrus
• nā meaʻai palai a momona
• kālika
• nā mea mint a me nā mea ʻono mint (ʻoiai ka peppermint a me ka spearmint)
• ʻakaʻakai
• mea ʻai nīoi
• nā meaʻai a Tomato me pizza, salsa, a me ka meaʻai spaghetti

Hoʻololi ka nohona

ʻO ka hoʻololi ʻana i ka nohona e lawa pinepine e hōʻemi a hōʻoki paha i ka uha mau a me nā ʻōuli ʻē aʻe o GERD. Aia kēia mau hoʻololi:

• e hōʻalo nei i nā meaʻai e hōʻino ai i nā ʻōuli
• e hōʻalo nei i ka moe ʻana ma lalo o 2.5 mau hola ma hope o ka ʻai ʻana
• ʻai pinepine, ʻai liʻiliʻi
• ka nalowale ʻana o ke kaumaha
• haʻalele i ka puhipaka
• ke hāpai nei i ke poʻo o ka moena ma waena o 6 a me 8 ʻīniha (ʻaʻole holo pono nā ʻāpana keu)
• e ʻaʻahu ana i nā kapa komo lino e hoʻōla i ke kaomi a puni ka ʻōpū

Nā lāʻau a me ke kahakaha

ʻO nā lāʻau lapaʻau, ʻo ia hoʻi nā PPI, ka mea maʻamau i ka mālama ʻana i nā ʻōuli o GERD. ʻO nā mea ʻē aʻe e kōkua pū paha i ka:

• antacids e like me Alka-Seltzer, Mylanta, Rolaids, a i ʻole Tums
• nā ʻāpana huhū e like me Gaviscon, ka mea e hōʻemi i ka waikawa ʻōpū ma o ka lawe ʻana i kahi antacid me kahi agena huʻa
• Nā poloka H2 e like me Pepcid, kahi e hoʻemi ai i ka hana ʻana i ka waikawa

Pono ʻoe e launa i kāu kauka inā ʻaʻole nā ​​lāʻau lapaʻau, nā loli nohona, a me nā loliʻai e hōʻoluʻolu i kāu mau ʻōuli. I kēlā manawa, pono ʻoe e kūkākūkā me nā koho lapaʻau ʻē aʻe me lākou. Hiki i ke ʻoki kino ke lilo i lāʻau lapaʻau maikaʻi no ka poʻe e pane maikaʻi ʻole i nā loli nohona a i ʻole nā ​​lāʻau.

ʻO ke kīʻaha maʻamau a maikaʻi loa hoʻi no ke kōkua wā lōʻihi mai GERD i kapa ʻia he fundoplication. He mea hōʻemi minimally ia a hoʻohui i ka ʻaoʻao luna o ka ʻōpū i ka esophagus. E hoʻēmi kēia i ka reflux. Hoʻi ka hapa nui o nā mea maʻi i kā lākou hana maʻamau i loko o ʻelua mau pule, ma hope o kahi pōkole, hoʻokahi a ʻekolu lā noho ka haukapila. ʻO ke kumukūʻai maʻamau ma waena o $ 12,000 a me $ 20,000. E uhi ʻia paha e kāu ʻinikua.

Outlook

Inā ʻeha ʻoe i ka uaki mau, e kamaʻilio me kāu kauka e pili ana i kāu makaʻu no GERD.Inā kuhi ʻia ʻoe me GERD, e mālama pono i kāu kaʻina lāʻau a mālama i nā koho a kāu kauka i hoʻonohonoho ʻia.