Hiatal Hernia
Anter
Hōʻuluʻulu Manaʻo
ʻO kahi hernia hiatal kahi kūlana kahi e piʻi ai ka ʻaoʻao luna o kou ʻōpū ma kahi hāmama i kāu diaphragm. ʻO kou diaphragm ka mākala lahilahi e hoʻokaʻawale i kou umauma mai kou ʻōpū. Kōkua kāu diaphragm i ka mālama ʻana i ka waikawa mai ka piʻi ʻana i kāu esophagus. Ke loaʻa iā ʻoe kahi hernia hiatal, ʻoi aku ka maʻalahi o ka piʻi ʻana o ka waikawa. ʻO kēia kahe ʻana o ka waikawa mai kou ʻōpū i kāu esophagus i kapa ʻia ʻo GERD (gastroesophageal reflux disease). Hoʻokumu paha ʻo GERD i nā ʻōuli e like me
- Puʻuwai puʻuwai
- Pilikia i ka ale ʻana
- He ʻūhā maloʻo
- Hanu ʻino
- ʻO Nusea a me / a i ʻole ka luaʻi
- Nā pilikia hanu
- ʻO ke kau ʻana o kou mau niho
ʻO ka pinepine, ʻaʻole ʻike ʻia ke kumu o ka hiatal hernia. Pili paha ia i ka nāwaliwali o nā mākala e pili ana. I kekahi manawa he ʻeha a he kīnā hānau paha ke kumu. Piʻi kou makaʻu i ka loaʻa ʻana o kahi hernia hiatal i kou mau makahiki; maʻa mau lākou i ka poʻe ma mua o 50 mau makahiki. ʻO ʻoe kekahi i ka makaʻu kiʻekiʻe inā loaʻa ʻoe i ka momona a i ʻole ka uahi.
ʻIke pinepine ka poʻe he hernia hiatal kā lākou e hōʻoia nei i ka GERD, ka puʻuwai puʻuwai, ka ʻeha o ka umauma, a me ka ʻeha o ka ʻōpū. ʻO nā hōʻike paha he x-ray umauma, kahi kukuna x me kahi ale barium, a i ʻole endoscopy luna.
ʻAʻole pono ʻoe i ka lāʻau lapaʻau inā ʻaʻole kāu hiatal hernia e hoʻokumu i nā hōʻailona a i ʻole nā pilikia. Inā loaʻa iā ʻoe nā hōʻailona, kōkua kekahi mau loli nohona. Hoʻopili pū lākou i ka ʻai ʻana i nā meaʻai liʻiliʻi, ka hōʻalo ʻana i kekahi mau meaʻai, ʻaʻole puhipaka a inu ʻole paha i ka waiʻona, a me ka lilo ʻana o ka paona Hiki i kāu kauka olakino ke koi aku i nā antacids a i ʻole nā lāʻau ʻē aʻe. Inā ʻaʻole kōkua kēia mau mea, pono paha ʻoe i ke ʻoki kino.
NIH: National Institute of Diabetes a me nā Digestive a me nā maʻi kīwī