Pehea e mālama ai i ka ʻeha puʻuwai i hala ʻole

Anter

• Nā kumu kūpono o ka hoʻomau mau ʻana o ka puʻuwai
• GERD
• Hoʻomaʻo no GERD
• Hānnia hernia
• Hoʻomaʻo no ka hernia hiatal
• ʻO ko Barrett esophagus
• Nā ʻōuli
• Hoʻomaʻamaʻa no ka esophagus o Barrett
• Maʻi ʻaʻai Esophageal
• Lapaʻau no ka maʻi ʻaʻai esophageal
• ʻO ka lawe lawe ʻana

Hoʻokumu ʻia ka puʻuwai e ka ʻōpū o ka ʻōpū e hoʻi ana i loko o ka esophagus (ka paipu e hoʻopili ana i kou waha i kou ʻōpū). Kāhea ʻia hoʻi ka reflux acid, manaʻo ia e like me ka ʻeha e ʻaʻā ma hope pono o ka umauma.

ʻO ka maʻamau pinepine ʻole ka puʻuwai puʻuwai i kumu no ka hopohopo. Hiki ke mālama ʻia me nā loli nohona a me nā lāʻau lapaʻau (OTC), e like me:

• antacids, e like me Tums a i ʻole Maalox
• Nā poloka receptor H2, e like me Pepcid a i ʻole Tagamet
• nā mea kūpale proton pump, e like me Prilosec, Nexium, a i ʻole Prevacid

Eia nō naʻe, inā ʻoi aku ka pinepine o ka ulu ʻana o ka puʻuwai, ʻaʻole e hele, a kū ʻole paha i ka pane ʻana i nā lāʻau OTC, he hōʻailona paha ia o kahi kūlana ʻoi aku ke koʻikoʻi e pono e haʻi ʻia e kāu kauka.

E hoʻomau i ka heluhelu ʻana e aʻo i nā mea e hoʻonāukiuki ai i ka puʻuwai puʻuwai mau a pehea e mālama ai i kēia mau ʻano.

Nā kumu kūpono o ka hoʻomau mau ʻana o ka puʻuwai

ʻO ka puʻuwai puʻuwai paʻa mau kahi hōʻailona o:

• maʻi reflux gastroesophageal (GERD)
• hernia hiatal
• ʻO ko Barrett esophagus
• maʻi ʻaʻai esophageal

GERD

Hana ʻia ʻo GERD ke hoʻopōʻino ka reflux acid i ka esophagus. ʻO nā hōʻailona me:

• ʻeha puʻuwai pinepine
• paʻakikī i ka ale ʻana
• nausea a luaʻi paha
• anemia
• ʻūhā maloʻo mau
• me he mea lā ua paʻa ka meaʻai i kou umauma

Hoʻomaʻo no GERD

E hoʻomaka paha kāu kauka i kāu lāʻau lapaʻau me ka OTC antacids a i ʻole ʻo OTC a i ʻole nā ​​kuhikuhi blocker H2 a me nā mea pale proton pump.

Inā maikaʻi ʻole nā ​​lāʻau, hiki i kāu kauka ke koi aku i ke kahakaha, e like me:

• laparoscopic Nissen fundoplication
• ʻume mākenēki sphincter augmentation (LINX)
• transoport incisionless fundoplication (TIF)

Hānnia hernia

ʻO ka hernia hiatal ka hopena o nā nāwaliwali nāwaliwali e hoʻopuni ana i ka sphincter esophageal e ʻae ana i kahi o ka ʻōpū e piʻi aʻe ma o ka diaphragm. ʻO nā hōʻailona me:

• ʻūʻā puʻuwai mau
• pilikia i ka ale ʻana
• pokole o ka hanu
• luaʻi koko

Hoʻomaʻo no ka hernia hiatal

I mea e hōʻoluʻolu ai i nā ʻōuli o ka puʻuwai puʻuwai, hiki i kāu kauka ke koi aku i nā antacids, nā mea pale lāʻau proton pump, a i ʻole nā ​​mea hoʻopaʻa H2. Inā ʻaʻole e hōʻemi ka lāʻau i ka puʻuwai puʻuwai, e ʻōlelo paha kāu kauka i ke ʻoki ʻana, e like me:

• hoʻoponopono hamama
• hoʻoponopono laparoscopic
• waihona kālā endoluminal

ʻO ko Barrett esophagus

Me ka esophagus o Barrett, ua hoʻololi ʻia nā mea e uhi ana i ka esophagus e nā mea like me ke kiko e hoʻopili ana i nā ʻōpū. ʻO ka huaʻōlelo lapaʻau no kēia ka metaplasia.

Nā ʻōuli

ʻAʻole loaʻa i ka esophagus a Barrett nā ʻōuli. He pilikia ʻo GERD no nā poʻe he nui i loaʻa i ko Barrett esophagus. ʻO ka puʻuwai puʻuwai paʻa mau kahi hōʻailona o GERD.

Wahi a ka National Institute of Diabetes and Digestive and Kidney Diseases, aia kahi ʻoi aku ka likelika o ka poʻe me ka esophagus o Barrett e ulu nei i kahi ʻano maʻi maʻi kanesa i kapa ʻia ʻo esophageal adenocarcinoma.

Hoʻomaʻamaʻa no ka esophagus o Barrett

E paipai paha kāu kauka i nā mea kūpale pump proton pump ikaika. Pili pū paha nā ʻōlelo ʻē aʻe i:

• endoscopy nānā hou
• endoscopic ablative therapies, e like me photodynamic therapy a me ka radiofrequency ablation
• resoscope mucosal hope loa
• ʻoki kino (esophagectomy)

Maʻi ʻaʻai Esophageal

Me ka puʻuwai puʻuwai, nā ʻōuli o ka maʻi ʻaʻai esophageal pū kekahi:

• ka luaʻi
• lilo kaumaha maopopo ʻole
• ʻūhā
• hulahula
• ʻākeʻake pinepine ʻana i ka meaʻai

Lapaʻau no ka maʻi ʻaʻai esophageal

ʻO nā ʻōlelo aʻoaʻo a kāu kauka no ka mālama ʻana e lawe i nā helu he nui, e like me ke ʻano a me ke kahua o kāu maʻi ʻaʻai. Hiki i nā koho lapaʻau ke hoʻopili ʻia:

• chemotherapy
• lāʻau pāhawewe
• immunotherapy, e like me pembrolizumab (Keytruda)
• hoʻomālama mākaukau, e like me ka HER2 i hoʻolālā ʻia a i ʻole anti-angiogenesis therapy
• ʻoki kino, e like me endoscopy (me ka dilation a stent hoʻonohonoho), electrocoagulation, a i ʻole cryotherapy

ʻO ka lawe lawe ʻana

Inā he ʻeha kou naʻau ʻaʻole e hele a pane ʻole i nā lāʻau OTC, e ʻike i kāu kauka no kahi hōʻailona. ʻO ka puʻuwai kahi hōʻailona o kahi kūlana koʻikoʻi.