Nā Hōʻailona Hōʻaiho ʻAi Pilikino

Anter

• He aha ka reflux acid?
• ʻO nā hōʻailona hōʻailona acid
• He aha ke kumu o ka Aclu Reflux?
• He aha nā mea pilikia no ka reflux acid?
• I ka manawa hea e pono ai kahi endoscopy luna?
• ʻAla Reflux ʻAikika
• I ka manawa hea e kāhea ai i kāu kauka

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.

He aha ka reflux acid?

ʻIke paha ʻoe i kahi ahi, ke kaniʻuhū ma ka hope o kou waha ma hope o ka ʻai ʻana i kahi meaʻai nui a i nā meaʻai nīoi paha? ʻO ka mea āu e manaʻo nei he waikawa ʻōpū a he bile paha e kahe hou ana i kāu esophagus. Hoʻopili pinepine ʻia kēia me ka puʻuwai puʻuwai, kahi e ʻike ʻia e ka wela a i ʻole ke kūpikipiki ʻana i ka umauma ma hope o ka umauma.

Wahi a ka American College of Gastroenterology, ʻoi aku ma mua o 60 miliona mau ʻAmelika i ʻike i ka reflux waikawa ma ka liʻiliʻi i hoʻokahi manawa i kēlā me kēia mahina, a ʻoi aku paha ma mua o 15 miliona mau ʻAmelika i ʻike ʻia i kēlā me kēia lā. ʻOiai hiki ke hana i kēlā me kēia, me nā pēpē a me nā keiki, ʻo ka reflux waikawa ka mea maʻamau i nā wahine hāpai, nā poʻe momona, a me nā ʻelemakule makua.

ʻOiai maʻamau ka ʻike ʻana i ka reflux waikawa i kekahi manawa, ʻo ka poʻe i ʻike ma mua o ʻelua mau manawa i kēlā me kēia pule e loaʻa paha kahi pilikia koʻikoʻi i ʻike ʻia ʻo gastroesophageal reflux maʻi (GERD). ʻO GERD kahi ʻano mau o ka reflux acid i hiki ke hoʻonāukiuki i ka pale o kāu esophagus, e hoʻonāukiuki ana iā ia. Hiki i kēia mumū ke alakaʻi i ka esophagitis, kahi ʻano e paʻakikī a ʻeha paha ke ale. ʻO ka huhū mau ʻana o ka esophageal ka hopena i ke kahe ʻana o ke kahe, ka liʻiliʻi o ka esophagus, a i ʻole kahi kūlana precancerous i kapa ʻia ʻo Barrett's esophagus.

ʻO nā hōʻailona hōʻailona acid

Hiki i nā ʻōuli o ka reflux waikawa i nā ʻōpio a me nā mākua ke hoʻopili pū i:

• kahi wela i loko o ka umauma e ʻoi aku ka maikaʻi ke kūlou ʻana a i ʻole ke moe ʻana i lalo a maʻamau ma hope o ka pāʻina ʻana
• kanu pinepine ʻana
• nausea
• ʻoluʻolu o ka ʻōpū
• ʻono ʻawaʻawa i ka waha
• he puʻu maloo

ʻO nā ʻōuli o ka reflux waikawa i loko o nā pēpē a me nā keiki liʻiliʻi hiki ke hoʻopili ʻia:

• pākū pulu
• hiccups
• kuha pinepine ʻana a i ʻole ka luaʻi, keu hoʻi ma hope o ka ʻai
• ʻūpī a ʻūpā paha ma muli o ke kākoʻo ʻakika i loko o ka windpipe a me nā akemāmā
• kuha ʻana ma hope o ka makahiki 1, ʻo ia ka makahiki e ku ai ka kuha ʻana
• huhū a uē paha ma hope o ka ʻai
• hōʻole ʻana e ʻai a ʻai wale paha i nā meaʻai liʻiliʻi
• paʻakikī i ka loaʻa ʻana o ka paona

He aha ke kumu o ka Aclu Reflux?

ʻO ka reflux waikawa ka hopena o kahi pilikia i kū i ka wā o ka digestive. Ke ale ʻoe, hoʻomaha pinepine ka sphincter esophageal haʻahaʻa (LES) e hoʻokuʻu i ka meaʻai a me ka wai e hele mai kāu esophagus i kou ʻōpū. ʻO ka LES he kāʻei puni o nā mākala ma waena o kou esophagus a me kou ʻōpū. Ma hope o ka ʻai a me ka wai e komo i loko o ka ʻōpū, hoʻopaʻa ka LES a pani i ka wehe. Inā hoʻomaha iki kēia mau mākala a hoʻonāwaliwali paha i ka manawa, hiki i ka waikawa ʻōpū ke hoʻi i loko o kāu esophagus. ʻO kēia ke kumu o ka reflux acid a me ka puʻuwai. Manaʻo ʻia he erosive inā hōʻike kahi endoscopy luna i nā haki i ka uhi ʻana o ka esophageal. Manaʻo ʻia he nonerosive inā he maʻamau ka uhi ʻana.

He aha nā mea pilikia no ka reflux acid?

ʻOiai hiki ke hana i kēlā me kēia, me nā pēpē a me nā keiki, ʻo ka reflux waikawa ka mea maʻamau i nā wahine hāpai, nā poʻe momona, a me nā ʻelemakule makua.

I ka manawa hea e pono ai kahi endoscopy luna?

Pono ʻoe i kahi endoscopy luna i hiki i kāu kauka ke hōʻoia ʻaʻohe kumu kumu koʻikoʻi o kāu mau ʻōuli.

Pono ʻoe i kēia kaʻina hana inā loaʻa iā ʻoe:

• paʻakikī a ʻeha paha me ka ale ʻana
• Ke kahe ʻana o GI
• anemia, a i ʻole helu helu koko haʻahaʻa
• Kaumaha emi
• luaʻi hou

Inā he kāne ʻoe ma mua o 50 mau makahiki a loaʻa iā ʻoe ka reflux i ka pō, keu keu, a puhi paha ʻoe, pono paha ʻoe i kahi endoscopy luna e hoʻoholo i ke kumu o kāu mau hōʻailona.

ʻAla Reflux ʻAikika

ʻO ke ʻano o ka mālama ʻana no ka reflux acid a kāu kauka e ʻōlelo ai e pili ana i kāu mau ʻōuli a me kou mōʻaukala olakino. ʻO nā mālama maʻamau e:

• histamine-2 receptor blockers e hoʻēmi i ka hana ʻana o ka ʻōpū o ka ʻōpū, e like me famotidine (Pepcid)
• proton pump inhibitors e hōʻemi i ka hana ʻana o ka ʻōpū o ka ʻōpū, e like me esomeprazole (Nexium) a me omeprazole (Prilosec)
• nā lāʻau e hoʻoikaika ai i ka LES, e like me baclofen (Kemstro)
• nā hana ʻoki e hoʻoikaika a hoʻoikaika i ka LES

Hiki ke kōkua i ka hoʻololi ʻana i ka nohona maʻalahi i ka reflux acid. Pākuʻi ʻia kēia mau mea:

• ke hāpai nei i ke poʻo o ka moena a i ʻole ka hoʻohana ʻana i ka uluna wedge
• e pale ana i ka moe ʻana i ʻelua mau hola ma hope o ka ʻai ʻana
• e hōʻalo nei i ka ʻai ʻana no ʻelua hola ma mua o ka hiamoe
• ka hōʻalo ʻana i ke kapa komo paʻa
• ka palena ʻana i kāu inu ʻana i ka ʻalekohola
• haʻalele i ka puhipaka
• ke kaupaona ʻana inā ʻoi aku kou kaumaha

E hōʻalo hoʻi ʻoe i nā meaʻai a me nā mea inu e hoʻoulu ai i ka reflux acid, me:

• hua hua citrus
• kokoleka
• nā meaʻai momona a palai
• caffeine
• Pepelu
• nā mea inu carbonated
• nā meaʻai a me nā mea ʻai i hoʻokumu ʻia i loko o ka kōmato

Ke loaʻa nei kāu pēpē i ka reflux acid, e ʻōlelo paha ke kauka:

• ke kanu nei i kāu pēpē i kekahi mau manawa i ka wā o ka hānai ʻana
• ke hāʻawi nei i nā meaʻai liʻiliʻi, ʻoi aku ka pinepine
• ke kū pono ʻana i kāu pēpē ma ka liʻiliʻi he 30 mau minuke ma hope o ka ʻai ʻana
• e hoʻonui nei i 1 punetēpō o ka palaoa laiki i 2 auneke o ka waiū pēpē (inā e hoʻohana ana i kahi ʻōmole) e mānoanoa ai ka waiū
• ke hoʻololi nei i kāu papaʻai inā hānai umauma ʻoe
• ke hoʻololi nei i ke ʻano o ke kumuhana inā ʻaʻole kōkua nā manaʻo ma luna

I ka manawa hea e kāhea ai i kāu kauka

Hiki i ka reflux waikawa untreated a i ʻole GERD ke alakaʻi i nā pilikia ma mua o ka manawa. Kāhea koke i kāu kauka inā ʻike ʻoe a i ʻole ʻo kāu keiki i kekahi o nā ʻōuli i lalo:

• ka paʻakikī hoʻomau ʻana i ka ale ʻana a i ʻole ke ʻehaʻeha ʻana, ka mea hiki ke hōʻike i ka hōʻino nui i ka esophagus
• pilikia hanu, hiki ke hōʻike i kahi pilikia puʻuwai a i ʻole lung
• koko a ʻeleʻele paha, noho pālau, hiki ke hōʻike i ke kahe ʻana o ka esophagus a i ʻole ka ʻōpū
• ʻeha mau i ka ʻōpū, hiki ke hōʻike i ke kahe ʻana a i ʻole kahi ulcer i loko o ka ʻōpū a i ʻole nā ​​ʻōpū
• ka pohō hikiwawe a me ka kaohi ʻole ʻia, hiki ke hōʻike i kahi hemahema o ka meaʻai
• nāwaliwali, lōkahi, a huikau, ka mea hiki ke hōʻike i ka haʻalulu

ʻO ka ʻeha o ka umauma kahi hōʻailona maʻamau o GERD, akā koi ʻia paha i ka lāʻau lapaʻau e like me ka mea hiki ke hōʻike i ka hoʻomaka ʻana o kahi puʻuwai puʻuwai. Hoʻopili ka poʻe i kekahi manawa i ka manaʻo o ka puʻuwai puʻuwai me ka puʻuwai puʻuwai.

ʻO nā ʻōuli e hōʻike hou aku i ka ʻāʻī puʻuwai e komo pū paha:

• puhi i hoʻomaka i ka ʻōpū o luna a neʻe i loko o ka umauma luna
• puhi i ke ahi ma hope o ka ʻai ʻana a ʻoi aku ka maikaʻi i ka wā e moe ana i lalo a i ʻole ke kūlou ʻana
• ke ahi e hiki ke hoʻomaha ʻia e nā antacids
• ʻono ʻawaʻawa i ka waha, keu hoʻi i ka wā e moe ana i lalo
• regurgitation liʻiliʻi e hoʻi i hope i ka puʻu

ʻO ka poʻe ma luna o 50 mau makahiki i ka hoʻonui i ka makaʻu no ka puʻuwai puʻuwai a me nā pilikia puʻuwai ʻē aʻe. ʻOi aku ka kiʻekiʻe o ka makaʻu ma waena o ka poʻe me ke koko kiʻekiʻe, kiʻekiʻe cholesterol, a me ka maʻi kō. ʻO ka momona a me ka puhipaka kekahi mau kumu pilikia hou aʻe.

Kāhea koke iā 911 inā manaʻoʻiʻo ʻoe iā ʻoe a i ʻole kekahi mea āu e ʻike nei e ʻike nei i kahi puʻuwai puʻuwai a i ʻole kahi maʻi olakino hoʻoweliweli ʻē aʻe.