Hoʻopau i ka paʻakikī (Dysphagia) Ma muli o ka Acid Reflux

Anter

• Reflux a me disphagia
• He aha nā hōʻailona o ka dysphagia?
• Pehea e mālama ai i ka reflux?
• Laau Lapaʻau
• Hoʻololi ka nohona
• ʻOki kino
• He aha ka manaʻo lōʻihi?

He aha ka disphagia?

ʻO Dysphagia ke loaʻa iā ʻoe ka paʻakikī e ale. Hiki iā ʻoe ke ʻike i kēia inā loaʻa ʻoe i ka maʻi reflux gastroesophageal (GERD). Kū paha ʻo Dysphagia i kekahi manawa a i ʻole i kahi manawa maʻamau. Pili ka pinepine i ka paʻakikī o kāu reflux a me kāu mālama ʻana.

Reflux a me disphagia

ʻO ka reflux mau o nā ʻōpū ʻōpū i loko o kāu esophagus hiki ke hoʻonāukiuki i kou puʻu. I nā hihia koʻikoʻi, hiki iā ia ke kumu i ka disphagia. Hiki ke ulu i kaʻiʻo scar i kāu esophagus. Hiki i ka ʻili makaʻu ke hōʻemi i kou esophagus. ʻIke ʻia kēia ma ke ʻano he esophageal strikure.

I kekahi mau hihia, hiki i ka dysphagia ke hopena pololei o ka hōʻino esophageal. Hiki i ka pale o ka esophagus ke loli e like me ke kiko o ke aho o kāu mau ʻōpū. ʻO kēia kahi kūlana i kapa ʻia ʻo Barrett's esophagus.

He aha nā hōʻailona o ka dysphagia?

Hōʻokoʻa nā ʻōuli o dysphagia i kēlā me kēia kanaka. ʻIke paha ʻoe i nā pilikia e ale i nā meaʻai paʻa, akā ʻaʻohe pilikia me nā wai. ʻIke kekahi poʻe i ka ʻaoʻao ʻē a paʻakikī i ka ale ʻana i nā wai, akā hiki ke hoʻokele i nā paʻa me ka pilikia ʻole. Pilikia kekahi poʻe i ka ale ʻana i kekahi mea, a ʻo kā lākou lawā iho nō hoʻi.

Loaʻa paha iā ʻoe nā hōʻailona hou aʻe, e like me:

• ʻeha ke ale ʻana
• eha ka 'ā'ī
• ʻākeʻa
• ʻūhā
• gurgling a regurgitating ʻai a ʻōpū acid paha
• ke manaʻo nei ua paʻa ka meaʻai ma hope o kou umauma
• ke ahi wela ma hope o kou umauma (kahi hōʻailona maʻamau o ka puʻuwai puʻuwai)
• hulahula

Hiki ke hana i nā ʻōuli ke hoʻopau ʻoe i nā meaʻai i nā mea maʻamau no ka reflux acid, e like me:

• nā huahana hoʻokumu Tomato
• nā hua citrus a me nā wai momona
• nā meaʻai momona a palai paha
• ʻalekohola
• nā mea inu
• kokoleka
• Pepelu

Pehea e mālama ai i ka reflux?

Laau Lapaʻau

ʻO ka lāʻau lapaʻau kekahi o nā lāʻau mua no ka dysphagia e pili ana i ka reflux. ʻO nā mea pale lāʻau Proton pump (PPI) nā lāʻau e hōʻemi i nā waikawa o ka ʻōpū a hōʻoluʻolu i nā ʻōuli o GERD. Hiki iā lākou ke kōkua i ka hoʻōla i ka erosion o ka esophagus i hoʻokumu ʻia e reflux.

ʻO nā lāʻau PPI pū kekahi:

• ʻemomeprazole
• lansoprazole
• omeprazole (Prilosec)
• pantoprazole
• rabeprazole

Lawe pinepine ʻia nā mea kūpale Proton pump i kēlā me kēia lā. ʻO nā lāʻau GERD ʻē aʻe, e like me nā mea pale H2, hiki ke hōʻemi i nā ʻōuli. Eia nō naʻe, ʻaʻole hiki iā lākou ke hōʻola maoli i ka hōʻino o kāu esophagus.

Hoʻololi ka nohona

Hiki i nā loli nohona ke kōkua i ka hōʻoluʻolu ʻana i ka ʻai ʻana a me ka ale ʻana. He mea nui ka hoʻopau ʻana i nā mea inu ʻona a me nā huahana nikotine mai kou ola. Hiki i ka puhihihi a me ka waiʻona ke hoʻonāukiuki i kāu esophagus i hoʻopilikia ʻia a hiki iā lākou ke hoʻonui i ka likurood. E noi i kāu kauka no kahi mea i hāʻawi ʻia no ka lāʻau a i ʻole kahi hui kākoʻo inā ʻoe e kōkua i ka haʻalele ʻana i ka inu a puhipaka paha.

E ʻai pinepine i nā meaʻai liʻiliʻi ma kahi o ʻekolu mau pāʻina nui i kēlā me kēia lā. Koi ʻia ka disphagia kūpilikiʻi e koi iā ʻoe e hāhai i kahi papa palu a wai paha. Hōʻalo i nā meaʻai palaha, e like me ka jam a me ka waiū pī, a e ʻike pono e ʻokiʻoki i kāu mau meaʻai i nā ʻāpana liʻiliʻi e maʻalahi ai ka ale ʻana.

Kūkākūkā i nā pono kūpono me kāu kauka. Hiki i nā pilikia ke ale ke hoʻopōloli i kou hiki ke mālama i kou kaupaona a i ʻole e kiʻi i nā huaora a me nā minelala e pono ai ke olakino.

ʻOki kino

Pono paha ke ʻoki kino no nā mea maʻi e pili ana i ka reflux koʻikoʻi e pane ʻole i nā lāʻau a me nā loli nohona. ʻO kekahi o nā kaʻina hana e hoʻohana ai e mālama iā GERD, ka esophagus o Barrett, a me nā ʻikia esophageal hiki ke hōʻemi a hoʻopau paha i nā ʻāpana o ka disphagia. ʻO kēia mau kaʻina hana:

• Fundoplication: i kēia kaʻina hana, hoʻopuni ka ʻaoʻao luna o ka ʻōpū i ka sphincter esophageal haʻahaʻa (LES) e hana ma ke ʻano he ʻōnaehana kākoʻo. ʻO ka LES, kahi mākala ma ke kumu o ka esophagus, e lilo i mea ikaika a liʻiliʻi hoʻi e wehe i hiki ʻole i nā waikawa ke hoʻoheheʻe i loko o ka puʻu.
• Nā hana endoscopic: Hoʻoikaika kēia i ka LES a pale i ka reflux acid. Hoʻokumu ka ʻōnaehana Stretta i kaʻiʻo makaʻu i ka LES ma o kahi o nā kuni liʻiliʻi. Hoʻoikaika ka NDO Plicator a me nā hana EndoCinch i ka LES me nā humuhumu.
• Hoʻonui ʻia ʻo Esophageal: He lāʻau lapaʻau maʻamau kēia no ka dysphagia. I kēia kaʻina hana, hoʻopili kahi baluna liʻiliʻi i kahi endoscope i ka esophagus e mālama i nā koʻikoʻi.
• Wehe hapa o ka esophagus: Hōʻalo kēia hana i nā ʻāpana o ka esophagus i hōʻino nui ʻia a i ʻole nā ​​wahi i lilo i maʻi maʻi maʻi ma muli o ka esophagus o Barrett, a hoʻopili ʻia me ka ʻokiʻoki i ka esophagus i koe i ka ʻōpū.

He aha ka manaʻo lōʻihi?

Hiki i ka Dysphagia ke makaʻu, akā ʻaʻole ia he kūlana mau. E hoʻomaopopo i kāu kauka i nā pilikia ale a me nā ʻōuli ʻē aʻe o GERD āu e ʻike nei. Hiki ke mālama ʻia i ka ale ʻana me ka GERD me ka lāʻau lapaʻau e hoʻoliʻiliʻi ai ka waikawa ʻōpū.