14 mau ala e pale aku ai i ka Heartburn a me ka Acid Reflux
Anter
- He aha ka acid reflux a he aha nā hōʻailona?
- 1. Mai ʻai nui
- 2. Lilo Kaumaha
- 3. E hāhai i kahi papaʻai low-carb
- 4. E kaupalena i kāu inu ʻona ʻana
- 5. Mai inu i ka nui kope
- 6. Puʻupuʻu gum
- 7. Hōʻalo i ka ʻaka maka
- 8. E kaupalena i kāu lawe ʻana i nā inu inu kalepona
- 9. Mai inu i ka wai Citrus nui loa
- 10. E noʻonoʻo e ʻai i ka kokoleka liʻiliʻi
- 11. Hōʻalo i ka Mint, Inā Pono
- 12. E hoʻokiʻekiʻe i ke poʻo o kāu wahi moe
- 13. Mai ʻai i loko o ʻekolu mau hola o ka hele ʻana i kahi moe
- 14. Mai hiamoe ma kou ʻaoʻao ʻākau
- Ka Laina Lalo
ʻO nā miliona o ka poʻe e ʻike i ka reflux acid a me ka puʻuwai.
ʻO ka lapaʻau e hoʻohana pinepine ʻia e pili ana i nā lāʻau kalepa, e like me ka omeprazole. Eia nō naʻe, pono paha ka hoʻololi ʻana i ka nohona.
Ke hoʻololi wale nei i kāu ʻano papaʻai a i ʻole ke ala āu e hiamoe ai hoʻoliʻiliʻi paha i kāu mau ʻōuli o ka puʻuwai puʻuwai a me ka reflux acid, e hoʻomaikaʻi ana i kou ola.
He aha ka acid reflux a he aha nā hōʻailona?
ʻO ka reflux waikawa ke pahu ʻia ka waikawa ʻōpū i loko o ka esophagus, ʻo ia ka paipu e hāpai i ka meaʻai a inu mai ka waha a i ka ʻōpū.
Kū maʻamau a palekana ʻole kekahi reflux, maʻamau ʻole i loaʻa nā ʻōuli. Akā ke hana pinepine ia, puhi ia i loko o ka esophagus.
Kuhi ʻia he 14-20% o nā mākua a pau ma ka US he reflux i kekahi ʻano a i ʻole kekahi ().
ʻO ka ʻōuli maʻamau o ka reflux waikawa ka mea i ʻike ʻia ma ke ʻano he puʻuwai puʻuwai, kahi ʻeha, ʻā ke ʻā ʻana i ka umauma a i ʻole ka puʻu.
Kuhi nā kānaka noiʻi aia ma kahi o 7% o ko ʻAmelika e ʻike i ka ulu ulu o ka lā i kēlā me kēia lā (2).
ʻO nā mea ʻike pinepine i ka ulu ʻana o ka naʻau, 20-40% ʻike ʻia me ka maʻi reflux gastroesophageal (GERD), ʻo ia ke ʻano koʻikoʻi o ka reflux acid. ʻO GERD ka maʻi digestive maʻamau i ka US ().
Ma waho o ka puʻuwai puʻuwai, nā ʻōuli maʻamau o ka reflux i loko o kahi ʻono acidic ma ka hope o ka waha a paʻakikī i ka ale ʻana. ʻO nā ʻōuli ʻē aʻe e laʻa me ka puʻu, hānō, ka holo ʻana o ka niho a me ka mumū i nā sinus ().
No laila eia he 14 mau ala kūlohelohe e hōʻemi ai i kāu reflux acid a me ka puʻuwai puʻuwai, i kākoʻo ʻia e ka noiʻi ʻepekema.
1. Mai ʻai nui
Ma kahi o ka esophagus e hāmama ai i loko o ka ʻōpū, aia kahi mākala e like me ke apo i kapa ʻia ʻo ka sphincter esophageal haʻahaʻa.
Hana ia ma ke ʻano he kiwikā a manaʻo ʻia e pale i nā mea ʻakika o ka ʻōpū mai ka piʻi ʻana i loko o ka esophagus. Wehe kūlohelohe ia ke moni ʻoe, kāʻei a luaʻi paha. Inā ʻole, pono paʻa paʻa.
I ka poʻe me ka reflux waikawa, hoʻonāwaliwali ʻia a ʻāpono ʻole paha kēia mākala. Hiki ke hana i ka reflux waikawa ke nui ke kaomi ma ka ʻiʻo, e ʻomi ana ka waikawa ma o ka wehe.
Kupaianaha, ʻo ka hapa nui o nā hōʻailona reflux e hana ma hope o ka pāʻina ʻana. Me he mea lā paha e hoʻomāhuahua nā meaʻai nui i nā hōʻailona reflux (,).
ʻO kahi ʻanuʻu e kōkua i ka hōʻemi ʻana i ka reflux acid ʻo ka hōʻalo ʻana i ka ʻai ʻana i nā pāʻina nui.
Hōʻuluʻulu Manaʻo:Hōʻalo i ka ʻai ʻana i nā pāʻina nui. Hoʻonui ka reflux waikawa ma hope o ka ʻai ʻana, a ʻo nā pāʻina nui aku ka mea e ʻoi aku ka maikaʻi o ka pilikia.
2. Lilo Kaumaha
ʻO ka diaphragm kahi mākala ma luna o kou ʻōpū.
I ka poʻe olakino, hoʻoikaika maoli ka diaphragm i ka sphincter esophageal haʻahaʻa.
E like me ka mea i ʻōlelo ʻia ma mua, pale kēia mākala i ka nui o nā waikawa ʻōpū mai ka liu ʻana i loko o ka esophagus.
Eia nō naʻe, inā ʻoi aku ka nui o ka momona o ka ʻōpū, hiki i ke kaomi o kou ʻōpū ke kiʻekiʻe loa i mea e hoʻokuʻi ʻia ai ka sphincter esophageal haʻahaʻa i luna, mai ke kākoʻo o ka diaphragm. ʻIke ʻia kēia ʻano hiatus hernia.
ʻO Hiatus hernia ke kumu nui o ka poʻe obese a me nā wahine hāpai i ka hoʻonui ʻia o ka reflux a me ka puʻuwai (,).
Hōʻike kekahi mau noiʻi nānā i ka nui o nā paona ma ka wahi o ka ʻōpū e hoʻonui i ka makaʻu o ka reflux a me GERD ().
Kākoʻo nā noiʻi i mālama ʻia i kēia, e hōʻike ana i ka lilo ʻana o ke kaumaha i mea e hōʻoluʻolu ai i nā hōʻailona reflux ().
ʻO ka lilo o ke kaupaona kekahi o kāu mau makamua inā ʻoe e noho me ka reflux acid.
Hōʻuluʻulu Manaʻo:ʻO ke kaomi nui i loko o ka ʻōpū kekahi o nā kumu no ka reflux acid. ʻO ka lilo ʻana o ka momona o ka ʻōpū e hoʻomaha paha i kekahi o kāu mau ʻōuli.
3. E hāhai i kahi papaʻai low-carb
Hōʻike ka ulu ulu i nā papaʻai low-carb i nā hōʻailona acid reflux.
Manaʻo nā ʻepekema hiki i nā carbs undigested ke kumu o ka ulu ʻana o ka maʻi a me ke kiʻekiʻe kiʻekiʻe ma loko o ka ʻōpū. Kuhi paha kekahi i kēia kekahi o nā kumu maʻamau o ka reflux acid.
Hōʻike nā noiʻi i ka ulu ʻana o ka maʻi bacteria ma muli o ka hōʻino ʻia ʻana o ka momona a me ka omo.
Loaʻa ka nui o nā carbs undigested i loko o kāu ʻōnaehana digestive e hoʻomehana ai a momona. Hoʻomaʻamaʻa hoʻi ia iā ʻoe e kāʻei pinepine i ke kāʻei (,,,).
Ke kākoʻo nei i kēia manaʻo, hōʻike kekahi mau haʻawina liʻiliʻi e hoʻomaikaʻi ana nā papaʻai low-carb i nā hōʻailona reflux (,,).
Hoʻohui ʻia, hiki i kahi lāʻau antibiotic ke hoʻoliʻiliʻi nui i ka reflux acid, malia paha ma ka hōʻemi ʻana i nā helu o nā bacteria e hana ana i ke kinoea (,).
I hoʻokahi noiʻi, ua hāʻawi nā mea noiʻi i nā mea komo me ka GERD prebiotic fiber supplement i hāpai i ka ulu ʻana o nā koʻohune hana kinoea. Ua ʻoi aku ka ʻino o nā ʻōuli o ka poʻe komo ma muli o ka hopena ().
Hōʻuluʻulu Manaʻo:Hoʻokumu ʻia ka reflux waikawa e ka wīwī maikaʻi ʻole o ka momona a me ka ulu ʻana o ka maʻi i loko o ka ʻōpū liʻiliʻi. Me he mea lā he lapaʻau maikaʻi nā papaʻai low-carb, akā pono ʻia nā noiʻi hou ʻana.
4. E kaupalena i kāu inu ʻona ʻana
Hiki paha i ka inu lama ʻana ke hoʻonui i ka nui o ka reflux acid a me ka puʻuwai.
Hoʻonui ia i nā ʻōuli ma ka hoʻonui ʻana i ka waikawa ʻōpū, hoʻomaha i ka sphincter esophageal haʻahaʻa a hoʻopōʻino i ka hiki i ka esophagus ke hoʻomaʻemaʻe iā ia iho i ka waikawa (,).
Ua hōʻike ʻia nā noiʻi e hiki i ka lawe ʻana i ka waiʻona kaulike ke kumu o nā hōʻailona reflux i nā kānaka olakino.
Hōʻike pū kekahi nā noiʻi i hoʻopaʻa ʻia i ka inu ʻana i ka waina a pia paha e hoʻonui i nā hōʻailona reflux, ke hoʻohālikelike ʻia me ka inu ʻana i ka wai maʻamau (,)
Hōʻuluʻulu Manaʻo:Hiki i ka ʻai ʻana o ka waiʻona nui ke hoʻopōʻino i nā ʻōuli reflux acid. Inā ʻike ʻoe i ka puʻuwai puʻuwai, ke kaupalena ʻana i kāu inu ʻona hiki ke kōkua i ka hōʻoluʻolu i kekahi o kou ʻeha.
5. Mai inu i ka nui kope
Hōʻike nā noiʻi e hoʻonāwaliwali ka manawa kofe i ka sphincter esophageal haʻahaʻa, e hoʻonui ana i ka makaʻi o ka reflux acid ().
Kuhi kekahi mau hōʻike i ka caffeine ma ke ʻano he lawehala. E like me ke kope, hoʻonāwaliwali ka caffeine i ka sphincter esophageal haʻahaʻa ().
Hoʻohui ʻia, ua hōʻike ʻia ka inu ʻana i ke kofe decaffeinated e hōʻemi i ka reflux i ka hoʻohālikelike ʻia me ka kope maʻamau (,).
Eia nō naʻe, ʻaʻole hiki i kekahi o nā noiʻi i hāʻawi i ka poʻe caffeine i loko o ka wai ke ʻike i nā hopena o ka caffeine ma ka reflux, ʻoiai ʻo ke kofe ponoʻī i hoʻomāhuahua i nā hōʻailona.
Kuhi kēia mau hopena i nā mea ʻokoʻa ʻē aʻe ma mua o ka caffeine i kahi hopena i loko o nā hopena kope ma ka reflux acid. Pili pū ka hana a me ka hoʻomākaukau ʻana o ke kope ().
Eia nō naʻe, ʻoiai he mau noiʻi e hōʻike ana e hoʻoweliweli paha ke kofe i ka reflux acid, ʻaʻole paʻa loa ka hōʻike.
Hoʻokahi loiloi i loaʻa ʻole nā hopena maikaʻi ʻole ke hoʻopau nā poʻe maʻi acid reflux i ke kope ma hope o ka ʻai ʻana, ke hoʻohālikelike ʻia me ka nui o ka wai mehana. Eia nō naʻe, hoʻonui ka kofe i ka lōʻihi o nā hanana reflux ma waena o nā pāʻina ().
Hoʻohui ʻia, kahi anamanaʻo o nā noiʻi nānā i loaʻa ʻole nā hopena koʻikoʻi o ka lawe ʻana i ke kofe i nā ʻōuli i hōʻike pono ʻia o GERD.
Eia naʻe, i ka wā e hoʻokolokolo ʻia ai nā ʻōuli o ka reflux waikawa me kahi pahu paʻi liʻiliʻi, ua hoʻopili ʻia ka ʻai kope me ka nui o ka pōʻino acid i loko o ka esophagus ().
Pili paha ka ʻai ʻana o ka kofe i ka reflux acid i kēlā me kēia. Inā hāʻawi ke kope iā ʻoe i ka puʻuwai puʻuwai, e pale wale iā ia a i ʻole ka palena ʻana i kāu lawe ʻana.
Hōʻuluʻulu Manaʻo:Hōʻike nā hōʻike e hana ka kofe i ka reflux acid a me ka puʻuwai ʻinoʻino. Inā makemake ʻoe e hoʻonui ka kofe i kāu mau hōʻailona, pono ʻoe e noʻonoʻo e kaupalena i kāu lawe ʻana.
6. Puʻupuʻu gum
Hōʻike kekahi mau noiʻi i ka chewing gum e hoʻemi ana i ka acidity i loko o ka esophagus (,,).
ʻO ke kāpili i loaʻa i ka bicarbonate ke ʻano pono ().
Hōʻike kēia mau hopena i ka chewing gum - a me ka hoʻonui e pili ana i ka hana lawaiʻa - hiki ke kōkua i ka hoʻomaʻemaʻe i ka esophagus o ka waikawa.
Eia naʻe, ʻaʻole paha ia e hōʻemi i ka reflux iho.
Hōʻuluʻulu Manaʻo:Hoʻonui ka nau ʻana i ka nau i ka hoʻokumu ʻana o ka lawala a kōkua i ka hoʻomaʻemaʻe ʻana i ka esophagus o ka ʻōpū ʻōpū.
7. Hōʻalo i ka ʻaka maka
ʻO kahi noiʻi i ka poʻe me ka reflux waikawa i hōʻike ʻia i ka ʻai ʻana i kahi pāʻina i piha i ka ʻakaʻakai i hoʻonui nui ʻia i ka puʻuwai puʻuwai, ka reflux acid a me ke kāʻei i hoʻohālikelike ʻia me kahi pāʻina like ʻole i paʻa ʻole ka ʻaka.
ʻOi aku paha ka palu pinepine ʻana e hana ʻia ana ka nui o ke kinoea ma muli o ke kiʻekiʻe o nā fiber fermentable i nā ʻakaʻaka (,).
Hoʻonāukiuki paha nā ʻaka maka i ka uhi o ka esophagus, e hoʻomāhuahua ana i ka puʻuwai puʻuwai.
ʻO nā kumu āpau, inā ʻoe e makemake e ʻai i ka ʻakaʻakai i mea e hōʻino ai kāu mau ʻōuli, pono ʻoe e hōʻalo.
Hōʻuluʻulu Manaʻo:ʻIke kekahi poʻe i ka ʻeha o ka puʻuwai a me nā hōʻailona reflux ʻē aʻe ma hope o ka ʻai ʻana i ka ʻaka maka.
8. E kaupalena i kāu lawe ʻana i nā inu inu kalepona
Kūkā ʻia nā mea maʻi me GERD i kekahi manawa e kaupalena i kā lākou lawe ʻana i nā mea inu kalapona.
Ua ʻike ʻia kahi noiʻi ninaninau e pili ana nā mea inu kalepona me ka hoʻonui ʻia o nā hōʻailona acid reflux ().
Eia kekahi, hōʻike ʻia nā noiʻi ʻana i ka inu ʻana i ka wai kalapona a i ʻole cola nāwaliwali no ka sphincter esophageal haʻahaʻa, i hoʻohālikelike ʻia me ka inu ʻana i ka wai maʻamau (,).
ʻO ke kumu nui ke kinoea carbon dioxide i loko o nā mea inu kalapona, kahi e ʻūmi pinepine ai ka poʻe - kahi hopena e hiki ai ke hoʻonui i ka nui o ka waiwa e pakele ai i ka esophagus ().
Hōʻuluʻulu Manaʻo:Hoʻonui ka mea inu kalapona i ka manawa pinepine o ke kāʻei, kahi e hāpai ai i ka reflux acid. Inā hoʻonāukiuki lākou i kāu mau ʻōuli, hoʻāʻo e inu i ka liʻiliʻi a hōʻalo paha iā lākou.
9. Mai inu i ka wai Citrus nui loa
I loko o kahi noiʻi o 400 mau mea maʻi GERD, ua hōʻike ʻo 72% i ka wai ʻalani a i ʻole ka huaʻalani i hoʻonāukiuki i ko lākou waikawa reflux ().
ʻO ka acidity o nā hua citrus ʻaʻole ia he kumu wale nō e hāʻawi i kēia mau hopena. ʻIke ʻia ka wai ʻalani me kahi pH kūlike ʻole e hōʻeha i nā ʻōuli ().
Ma muli o ka hoʻonāwaliwali ʻole o ka wai citrus i ka sphincter haʻahaʻa o ka esophageal, malia paha ua hoʻonāukiuki kekahi o kāna mau mea i ka uhi o ka esophagus ().
ʻOiai ʻaʻole paha ka wai citrus e kumu i ka reflux acid, hiki iā ia ke hōʻeha i kou puʻuwai puʻuwai no kekahi manawa.
Hōʻuluʻulu Manaʻo:ʻO ka hapa nui o nā mea maʻi me ka reflux waikawa e hōʻike nei i ka inu ʻana i ka wai citrus e ʻoi aku ka maikaʻi o kā lākou hōʻailona. Manaʻo nā kānaka noiʻi i ka wai citrus hoʻonāukiuki i ka uhi o ka esophagus.
10. E noʻonoʻo e ʻai i ka kokoleka liʻiliʻi
Kūkā ʻia nā mea maʻi GERD i kekahi manawa e hōʻalo a hōʻemi paha i kā lākou ʻai ʻana i ka kokoleka. Eia nō naʻe, nāwaliwali nā hōʻike no kēia ʻōlelo aʻoaʻo.
Ua hōʻike ʻia kahi haʻawina liʻiliʻi a kāohi ʻole ʻia i ka ʻai ʻana i 4 auneke (120 ml) o ke kōkopa syrup nāwaliwali ka sphincter esophageal haʻahaʻa ().
Ua ʻike ʻia kahi noiʻi i kāohi ʻia i ka inu ʻana i kahi mea inu kokoleka i hoʻonui i ka nui o ka waikawa i loko o ka esophagus, ke hoʻohālikelike ʻia me kahi placebo ().
Eia nō naʻe, pono ʻia kahi noiʻi hou ma mua o ka hiki ke hoʻoholo ʻia e pili ana i nā hopena o ke kokoleka ma nā hōʻailona reflux.
Hōʻuluʻulu Manaʻo:Aia kekahi mau palena palena palena ʻole e hōʻike ana i ke kokoleka e hōʻino ai i nā hōʻailona reflux. Hōʻike paha kekahi mau haʻawina e noʻonoʻo paha, akā nui ka noiʻi e pono ai.
11. Hōʻalo i ka Mint, Inā Pono
ʻO ka Peppermint a me ka spearmint nā mea kanu maʻamau i hoʻohana ʻia e hoʻāʻo ai i nā meaʻai, ke kanakē, ka nau ʻana i ka nau, ka wahī a me ka nīpī niho.
ʻO lākou kekahi o nā mea i makemake nui ʻia i nā tī tī.
Hoʻokahi o ka hoʻopaʻa naʻau ʻana o nā mea maʻi me GERD i loaʻa ʻole kahi hōʻike no ka hopena o ka spearmint ma ka sphincter esophageal haʻahaʻa.
Eia naʻe, ua hōʻike ʻia ka noiʻi ʻana i nā mahele kiʻekiʻe o ka spearmint e hoʻomāhuahua ai i nā hōʻailona reflux acid, malia paha e ka hoʻonāukiuki ʻana i ka ʻaoʻao o ka esophagus ().
Inā ʻoe e manaʻo e like me ka mint e hōʻeha ai i kou puʻuwai, a laila e ʻalo iā ia.
Hōʻuluʻulu Manaʻo:Hōʻike kekahi mau noiʻi e hiki i ka mint ke hoʻonāukiuki i ka puʻuwai puʻuwai a me nā hōʻailona reflux ʻē aʻe, akā palena ʻia ka hōʻike.
12. E hoʻokiʻekiʻe i ke poʻo o kāu wahi moe
ʻIke kekahi poʻe i nā hōʻailona reflux i ka pō ().
Hoʻopilikia paha kēia i ko lākou hiamoe hiamoe a paʻakikī iā lākou e hiamoe.
Ua hōʻike ʻia kahi noiʻi ua hōʻike nā poʻe maʻi i hoʻāla i ke poʻo o ko lākou wahi moe i ka hapa nui o nā ʻāpana reflux a me nā ʻōuli, ke hoʻohālikelike ʻia me ka poʻe i hiamoe me ka ʻole o kahi kiʻekiʻe ().
Hoʻohui ʻia, ua hoʻopau ʻia kahi ʻimi noiʻi o nā noiʻi i kāohi ʻia i ka hoʻokiʻekiʻe ʻana i ke poʻo o kahi moe kahi papa hana kūpono e hōʻemi i nā hōʻailona acid reflux a me ka puʻuwai i ka pō ().
Hōʻuluʻulu Manaʻo:ʻO ka hoʻokiʻekiʻe ʻana i ke poʻo o kou wahi moe e hōʻemi paha i kāu mau hōʻailona reflux i ka pō.
13. Mai ʻai i loko o ʻekolu mau hola o ka hele ʻana i kahi moe
Kūkā ʻia ka poʻe me ka reflux waikawa e hōʻalo i ka ʻai ʻana i loko o nā hola ʻekolu ma mua o ko lākou hiamoe ʻana.
ʻOiai he mea kūpono kēia ʻōlelo aʻoaʻo, aia ka palena o nā hōʻike e kākoʻo iā ia.
Ua hōʻike ʻia kahi noiʻi ma nā maʻi GERD i ka loaʻa ʻana o ka pāʻina ahiahi i ka hopena o ka hopena o ka acid acid, hoʻohālikelike ʻia me ka ʻai ʻana ma mua o ka hola 7 o ke ahiahi. ().
Eia nō naʻe, ua ʻike ʻia kahi noiʻi nūhou e pili ana ka ʻai ʻana kokoke i ka manawa moe a pili pū me nā hōʻailona reflux ʻoi aku ka nui ke hiamoe nā poʻe ().
Pono nā noiʻi hou aʻe ma mua o ka hiki ke hoʻoholo paʻa e pili ana i ka hopena o ke ahiahi ahiahi ma GERD. Pili paha ia i kēlā me kēia.
Hōʻuluʻulu Manaʻo:Hōʻike nā noiʻi nūhou i ka ʻai ʻana kokoke i ka manawa hiamoe e hōʻino ai paha i nā hōʻailona acid reflux i ka pō. Eia naʻe, pili ʻole ka ʻike a pono hou nā noiʻi.
14. Mai hiamoe ma kou ʻaoʻao ʻākau
Hōʻike kekahi mau noiʻi e hiamoe ana ma kou ʻaoʻao ʻākau a hōʻino paha i nā hōʻailona reflux i ka pō (,,).
ʻAʻole maopopo loa ke kumu, akā wehewehe ʻia paha e ka anatomy.
Komo ka esophagus i ka ʻaoʻao ʻākau o ka ʻōpū. ʻO ka hopena, noho ka sphincter esophageal haʻahaʻa ma luna o ka pae o ka ʻōpū o ka ʻōpū ke hiamoe ʻoe ma kou ʻaoʻao hema ().
Ke moe ʻoe ma kou ʻaoʻao ʻākau, uhi ka ʻakika ʻōpū i ka sphincter haʻahaʻa o ka esophageal. Hoʻonui kēia i ka makaʻu o ke kahe ʻana o ka waikawa ma waena o ia a hana i ka reflux.
ʻIke loa, ʻaʻole kūpono paha kēia ʻōlelo aʻoaʻo, no ka mea, ʻo ka hapa nui o ka poʻe e loli i ko lākou kūlana ʻoiai lākou e hiamoe ana.
Akā ke hoʻomaha nei ma kou ʻaoʻao hema e hōʻoluʻolu paha ʻoe i kou hiamoe ʻana.
Hōʻuluʻulu Manaʻo:Inā ʻike ʻoe i ka reflux waikawa i ka pō, pale i ka hiamoe ʻana ma ka ʻaoʻao ʻākau o kou kino.
Ka Laina Lalo
Wahi a kekahi poʻe ʻepekema he kumu nui nā papaʻai i kumu o ka reflux acid.
ʻOiai he ʻoiaʻiʻo paha kēia, pono hou ʻia kahi noiʻi e hōʻoia i kēia mau koi.
Eia nō naʻe, hōʻike nā noiʻi e hiki i nā loliʻai maʻalahi a me nā loli nohona ke maʻalahi i ka puʻuwai a me nā ʻōuli reflux waikawa.