Ke ʻike ʻana i nā ʻōuli o GERD
Anter
- Nā ʻōuli o GERD i nā mākua
- Ua loaʻa iaʻu kahi ʻeha wela i loko o koʻu umauma
- ʻIke kekahi poʻe hiki iā lākou ke hōʻoluʻolu mai ka puʻuwai na:
- Loaʻa iaʻu kahi ʻono maikaʻi ʻole i kuʻu waha
- ʻOi aku ka maikaʻi ke moe au i lalo
- ʻAʻohe oʻu puʻuwai puʻuwai, akā ua ʻike kuʻu niho niho i kahi pilikia me koʻu mau niho
- Hiki i kēia mau hana ke pale aku i kou mau niho mai reflux:
- He aha nā hōʻailona GERD i nā pēpē?
- Kuha nui kaʻu pēpē
- Kuʻu pēpē pinepine i ka ʻūlū a me nā gags ʻoiai e ʻai ana
- ʻAno ʻoluʻolu ʻole kaʻu pēpē ma hope o ka ʻai ʻana
- Pilikia kaʻu pēpē i ka hiamoe ʻana
- Ke hōʻole nei kaʻu pēpē i ka meaʻai, a ke alakaʻi nei i nā hopohopo kaumaha
- Nā ʻōlelo aʻoaʻo no ka GERD i nā pēpē:
- He aha nā hōʻailona GERD no nā keiki nui?
- Āhea ʻoe e loaʻa ai i ke kōkua mai ke kauka?
- He aha ka hana a kāu kauka?
- Nā ala e pale ai i ka hoʻonāukiuki ʻana i nā ʻōuli GERD
- He aha nā pilikia e hiki ai iā GERD ke kumu?
- Pehea ʻo GERD e hana ai
- ʻO ka lawe lawe ʻana
Āhea ʻo GERD?
ʻO ka maʻi reflux Gastroesophageal (GERD) kahi ʻano e holoi i nā mea o kou ʻōpū i loko o kou esophagus, ka puʻu, a me kou waha.
ʻO GERD kahi reflux acid mau me nā ʻōuli i ʻike ʻia ma mua o ʻelua mau manawa o ka pule a i ʻole he mau pule a mau mahina paha.
E nānā mākou i nā hōʻailona GERD e ʻike ai nā mākua, nā pēpē, a me nā keiki, a he aha kāu e hana ai e pili ana.
Nā ʻōuli o GERD i nā mākua
Ua loaʻa iaʻu kahi ʻeha wela i loko o koʻu umauma
ʻO ka hōʻailona maʻamau o GERD kahi wela i waena o kou umauma a i ka piko o kou ʻōpū. ʻO ka ʻeha o ka umauma mai GERD, i kapa ʻia hoʻi he puʻuwai puʻuwai, hiki ke lilo i mea ikaika i ka manaʻo o ka poʻe i kekahi manawa inā he puʻuwai kuʻi kā lākou.
Akā ʻokoʻa ka ʻeha mai kahi puʻuwai puʻuwai, ʻeha mau ka umauma o GERD ma lalo o kou ʻili, a e like paha me kou ʻōpū e piʻi ai i kou ʻāʻī ma kahi o kou lima hema. E ʻike i nā ʻokoʻa ʻē aʻe ma waena o GERD a me nā puʻuwai puʻuwai.
ʻIke kekahi poʻe hiki iā lākou ke hōʻoluʻolu mai ka puʻuwai na:
- nā kāʻei wehe a me nā kāʻei
- ʻaki i nā antacid over-the-counter
- noho i luna e hoʻemi i ke kaomi ma ka hope o ka esophagus
- ke hoʻāʻo nei i nā lāʻau kūlohelohe e like me ka vīneka cider winika, licorice, a me ka luʻi
Loaʻa iaʻu kahi ʻono maikaʻi ʻole i kuʻu waha
Hiki iā ʻoe ke ʻono ʻawaʻawa a ʻono hoʻi i kou waha. ʻO ia no ka mea ua piʻi aʻe paha ka ʻai a i ʻole ka waikawa ʻōpū i kou esophagus a i loko o ka hope o kou puʻu.
Hiki nō paha iā ʻoe ke loaʻa kahi reflux laryngopharyngeal ma kahi o, a i ka manawa like me, GERD. I kēia hihia, pili nā ʻōuli i kou ʻāʻī, larynx a me ka leo, a me nā paukū ihu.
ʻOi aku ka maikaʻi ke moe au i lalo
He paʻakikī paha ke ale a hiki paha iā ʻoe ke kaʻe a huʻu paha ma hope o ka ʻai ʻana, keu hoʻi i ka pō a i kou wā e moe ai. ʻO kekahi poʻe me GERD pū kekahi me ka nausea.
ʻAʻohe oʻu puʻuwai puʻuwai, akā ua ʻike kuʻu niho niho i kahi pilikia me koʻu mau niho
ʻAʻole ʻike nā poʻe āpau me GERD i nā ʻōuli digestive. No kekahi poʻe, he hōʻino paha ka hōʻailona mua i kāu enamel niho. Inā hoʻi mai ka waikawa ʻōpū i loko o kou waha i lawa pinepine, hiki iā ia ke hoʻopau i ka papa o kou mau niho.
Inā ʻōlelo kou kauka niho ua erosion kāu enamel, aia kekahi mau mea hiki iā ʻoe ke hana e mālama i ka maikaʻi ʻole.
Hiki i kēia mau hana ke pale aku i kou mau niho mai reflux:
- ʻo ka nau ʻana i nā antacids over-the-counter e hoʻokau i kou waikawa
- holoi i kou waha me ka wai a me ka soda ma hope o kāu reflux acid
- e hoʻohana ana i kahi holoi fluoride e "remineralize" i nā kaha i kou mau niho
- ke hoʻololi nei i kahi toothpaste nonabrasive
- ka nau ʻana i ka nau me ka xylitol e hoʻonui ai i ke kahe o kou kuha
- ke komo nei i kahi pale kiaʻi niho i ka pō
He aha nā hōʻailona GERD i nā pēpē?
Kuha nui kaʻu pēpē
Wahi a nā kauka ma ka Mayo Clinic, hiki i nā pēpē olakino ke reflux maʻamau i nā manawa he nui i kēlā me kēia lā, a ʻoi aku ka nui o ka mea i ka manawa o 18 mau makahiki. Hoʻololi i ka nui, ka pinepine, a i ka ikaika o ka pīpī ʻana o kāu pēpē i hiki ke hōʻike i kahi pilikia, keu hoʻi i ko lākou wā i ʻoi aku ai ma mua o 24 mau mahina.
Kuʻu pēpē pinepine i ka ʻūlū a me nā gags ʻoiai e ʻai ana
Ke hoʻi mai nā mea o loko o ka ʻōpū, hiki i kāu pēpē ke mikohukū, ʻāʻā, a i ʻole gag. Inā hele ka reflux i loko o ka puka makani, hiki iā ia ke alakaʻi i ka pilikia i ka hanu ʻana a i ʻole nā maʻi maʻi māmā hou.
ʻAno ʻoluʻolu ʻole kaʻu pēpē ma hope o ka ʻai ʻana
Hōʻike paha nā pēpē me GERD i nā hōʻailona o ka hōʻoluʻolu ke ʻai nei lākou a ma hope pono paha. Paʻa paha lākou i ko lākou kua. He colic paha kā lākou - nā wā o ka uwē e ʻoi aku ana ma mua o ʻekolu mau hola i ka lā.
Pilikia kaʻu pēpē i ka hiamoe ʻana
Ke moe palahalaha nā pēpē, hiki i ka backflow o nā wai ke hōʻoluʻolu ʻole. Ala paha lākou i ka pilikia i loko o ka pō. Aia nā ʻanuʻu hiki iā ʻoe ke lawe e hōʻemi i kēia mau hiamoe hiamoe, e like me ka hoʻāla ʻana i ke poʻo o ko lākou moena moe a me ka hoʻololi ʻana i kā lākou kaʻina manawa.
Ke hōʻole nei kaʻu pēpē i ka meaʻai, a ke alakaʻi nei i nā hopohopo kaumaha
Ke ʻoluʻolu ʻole ka ʻai ʻana, hoʻohuli paha nā pēpē i ka meaʻai a me ka waiū. E ʻike paha ʻoe a ʻo kāu kauka paha ʻaʻole e loaʻa ana kāu pēpē i ke kaupaona i ka wikiwiki a i ʻole ke nalo nei i ka kaumaha.
Nui nā mea hiki iā ʻoe ke hana e kōkua i kāu pēpē me kēia mau ʻōuli.
Nā ʻōlelo aʻoaʻo no ka GERD i nā pēpē:
- hānai pinepine ʻana i nā mea liʻiliʻi
- ka hoʻololi ʻana i nā mana haʻina a i ʻole nā ʻano
- ke kāpae ʻana i kekahi huahana holoholona, e like me ka pipi, nā hua, a me ka waiū, mai kāu papaʻai ponoʻī inā hānai ʻoe
- ke hoʻololi nei i ka nui o ka nipple e wehe ana ma ka ʻōmole
- ke kanu pinepine nei i kāu pēpē
- e mālama pono i kāu pēpē no ka hapalua hola ma hope o ka ʻai ʻana
Inā ʻaʻole kōkua kēia mau hoʻolālā, e nīnau i kāu kauka e pili ana i ka hoʻāʻo ʻana i kahi lāʻau hōʻemi waikawa i ʻae ʻia no kekahi wā pōkole.
He aha nā hōʻailona GERD no nā keiki nui?
ʻO nā hōʻailona GERD no nā keiki nui a me nā ʻōpio e like me nā pēpē a me nā mākua. Loaʻa paha i nā keiki ka ʻeha o ka ʻōpū a i ʻole hōʻoluʻolu ma hope o ka ʻai ʻana. He paʻakikī paha iā lākou ke ale, a ʻike paha lākou i ka nausea a i ka luaʻi paha ma hope o kā lākou ʻai ʻana.
Hiki i kekahi mau keiki me GERD ke kāʻei i ka nui a i ʻole ke kani kani. Hiki i nā keiki makua a me nā ʻōpio ke loaʻa pū ka puʻuwai a i ʻole ka pilikia i ka hanu ʻana ma hope o kā lākou ʻai ʻana. Inā hoʻomaka nā keiki e hoʻopili i nā meaʻai me ka ʻoluʻolu, pale paha lākou i ka ʻai ʻana.
Āhea ʻoe e loaʻa ai i ke kōkua mai ke kauka?
Paipai ka American College of Gastroenterology e ʻike ʻoe i ke kauka inā ʻoe e hoʻohana i nā lāʻau i loaʻa ʻole e kōkua me nā hōʻailona GERD ma mua o ʻelua mau manawa o ka pule.E hele pū ʻoe e ʻike i kāu kauka inā hoʻomaka ʻoe i ka luaʻi i ka nui o ka nui, keu hoʻi ke hoʻolei ʻoe i ka wai he ʻōmaʻomaʻo, melemele, a he koko paha, a he mau ʻāpana ʻeleʻele liʻiliʻi i loko e like me nā papa kope.
He aha ka hana a kāu kauka?
Kauoha paha kāu kauka:
- Nā poloka H2 a i ʻole nā mea kūpale proton pump e hoʻohaʻahaʻa i ka nui o ka waikawa i kou ʻōpū
- prokinetics e kōkua i kou ʻōpū e waiho wale me ka wikiwiki ma hope o kāu ʻai ʻana
Inā ʻaʻole holo pono kēlā mau hana, he koho paha ke ʻoki. Hoʻohālikelike nā mālama ʻana no nā keiki me nā ʻōuli GERD.
Nā ala e pale ai i ka hoʻonāukiuki ʻana i nā ʻōuli GERD
E mālama i nā hōʻailona GERD i kahi liʻiliʻi, hiki iā ʻoe ke hana i nā loli maʻalahi. Makemake ʻoe e hoʻāʻo:
- e ʻai ana i nā meaʻai liʻiliʻi
- ka palena ʻana i ka citrus, caffeine, kokoleka, a me nā meaʻai momona
- hoʻohui i nā meaʻai e hoʻomaikaʻi ai i ka digestion
- inu wai ma kahi o nā mea inu carbonated a me ka waiʻona
- e hōʻalo nei i nā pāʻina pō a me nā lole paʻa
- e kū pono ana no 2 mau hola ma hope o ka ʻai ʻana
- ke hoʻokiʻekiʻe nei i ke poʻo o kou wahi moe 6 a 8 ʻīniha me ka hoʻohana ʻana i nā risers, nā palaka, a i nā ʻūlū
He aha nā pilikia e hiki ai iā GERD ke kumu?
Ikaika ka ʻakika i hana ʻia e kou ʻōpū. Inā hōʻike nui ʻia kāu esophagus iā ia, hiki iā ʻoe ke hoʻomohala i ka esophagitis, kahi hoʻonāukiuki o ka pale o kāu esophagus.
Hiki iā ʻoe ke loaʻa i ka laryngitis reflux, kahi maʻi o ka leo e hoʻonāukiuki ai ʻoe a waiho iā ʻoe me ka manaʻo he puʻupuʻu kāu i kou ʻāʻī.
Hiki ke ulu i nā hunaola maʻamau i loko o kāu esophagus, kahi ʻano i kapa ʻia ʻo Barrett's esophagus, ka mea hiki, i nā manawa kakaikahi, ke alakaʻi i ka maʻi ʻaʻai.
A hiki ke wili ʻia kāu esophagus, e hana ana i nā koʻikoʻi esophageal e kaupalena nei i kou hiki ke ʻai a inu i ke ʻano āu i maʻa ai.
Pehea ʻo GERD e hana ai
Ma ka lalo o ka esophagus, ua wehe ʻia kahi apo muscular i kapa ʻia ka sphincter esophageal lalo (LES) e waiho i ka meaʻai i loko o kou ʻōpū.Inā loaʻa iā GERD, ʻaʻole pani kāu LES āpau ma hope o ka hala ʻana o ka meaʻai. Noho paʻa ka mākala, ʻo ia hoʻi hiki i ka meaʻai a me ka wai ke holo i loko o kou puʻu.
Hiki i nā helu pilikia ke hoʻonui i kou manawa e loaʻa ai iā GERD. Inā kaumaha nui a hāpai paha ʻoe, a inā he hiatal hernia ʻoe, ʻo ke kaomi keu ma kāu wahi o kou ʻōpū i hiki ʻole i ka LES ke hana pololei. Hiki i kekahi mau lāʻau ke kumu i ka reflux acid.
ua hōʻike ʻia hiki i ka puhihihi ʻana ke alakaʻi i ka GERD a me ka hoʻokū ʻana i ka puhipaka ʻana hiki ke hoʻemi nui i ka reflux.
ʻO ka lawe lawe ʻana
Hiki i nā ʻōuli o GERD ke hōʻoluʻolu ʻole no nā makahiki āpau. Inā waiho ʻole ʻia, hiki iā lākou ke alakaʻi i ka hōʻino wā lōʻihi i nā ʻāpana o kāu ʻōnaehana digestive. ʻO ka nūhou hiki iā ʻoe ke hoʻokele i nā ʻōuli ma ka hoʻololi ʻana i kekahi mau ʻano maʻamau.
Inā ʻaʻole kēia mau hoʻololi e hōʻoluʻolu piha i kāu a i ʻole nā hōʻailona o kāu keiki, hiki i kāu kauka ke kuhikuhi i ka lāʻau e hōʻemi ai i ka reflux acid a i ʻole ke hoʻoponopono ʻana i ke apo o ka mākala e ʻae ana i ka hoʻi i loko o kāu esophagus.