Heartburn, Acid Reflux, a me GERD i ka wā o ka hāpai ʻana

Anter

• He aha ke kumu o ka ulu ʻana o ka puʻuwai i ka wā hāpai?
• Hoʻokumu paha ka hāpai i ka ʻehaʻeha?
• Hiki iaʻu ke hana i nā loli nohona e kōkua ai e kāpae?
• He aha nā lāʻau e palekana e lawe i ka wā hāpai?
• Āhea wau e kamaʻilio ai me kaʻu 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.

Hōʻike Overview

Kapa ʻia ka puʻuwai puʻuwai, ʻoiai ʻaʻohe mea e pili ai ka puʻuwai kuni i kou umauma me ka puʻuwai. Hōʻoluʻolu ʻole a hoʻonāukiuki hoʻi, hoʻonāukiuki ia i nā wahine he nui, ʻoiai i ka wā hāpai.

ʻO ka nīnau mua āu e pili ai pehea e hoʻopau ai. E noʻonoʻo paha ʻoe inā palekana ka mālama ʻana i kāu pēpē. E aʻo i ke kumu o ka huhū o ka naʻau i ka wā hāpai a me nā mea hiki iā ʻoe ke hana e pili ana.

He aha ke kumu o ka ulu ʻana o ka puʻuwai i ka wā hāpai?

I ka wā o ka digestion maʻamau, hele ka meaʻai i ka esophagus (ka paipu ma waena o kou waha a me kou ʻōpū), ma o ka mākia muscular i kapa ʻia ʻo ka sphincter esophageal haʻahaʻa (LES), a i loko o ka ʻōpū. ʻO ka LES kahi ʻāpana o ka puka pā ma waena o kou esophagus a me kou ʻōpū. Wehe ʻia e ʻae i ka meaʻai ma loko a pani ʻia e hōʻoki i nā ʻōpū o ka ʻōpū mai ka hoʻi ʻana i luna.

Ke loaʻa iā ʻoe ka puʻuwai puʻuwai, a i ʻole reflux waikawa, hoʻomaha lawa ka LES e ʻae ai i ka waikawa ʻōpū e ala aʻe i ka esophagus. Hiki i kēia ke hōʻeha i ka ʻeha a me ke ahi i ka wahi o ka umauma.

I ka wā hāpai, hiki i nā loli hormonone ke ʻae i nā mākala i ka esophagus, me LES, e hoʻomaha pinepine ai. ʻO ka hopena ʻoi aku ka nui o nā acid i hope i ke kai, ʻoiai ke moe ʻoe i lalo a ma hope paha o kou ʻai ʻana i kahi pāʻina nui.

Eia hou, i ka ulu ʻana o kāu ʻōpū i ka lua a me ke kolu o ka trimesters a hoʻonui ʻia kou kōpū e hoʻokipa i kēlā ulu ulu ʻana, kaomi nui ʻia kou ʻōpū. Hiki i kēia ke hopena i ka meaʻai a me ka waikawa e hoʻoneʻe ʻia i luna i kāu esophagus.

ʻO Heartburn kahi hanana maʻamau no ka hapanui o ka poʻe i hoʻokahi manawa ai kekahi manawa, akā ʻaʻole ia he manaʻo he hāpai ʻoe. Eia nō naʻe, inā ʻoe e ʻike i nā ʻōuli ʻē aʻe, e like me ka wā i hala a i ʻole kausea, he mau hōʻailona paha kēia e pono ai ʻoe e lawe i kahi hōʻike hāpai keiki.

Hoʻokumu paha ka hāpai i ka ʻehaʻeha?

Hoʻonui ka hāpai i kou makaʻu o ka puʻuwai a i ʻole reflux waikawa. I ka wā o ka trimester mua, kaomi nāʻiʻo i kāu esophagus i ka meaʻai me ka lohi i loko o ka ʻōpū a ʻoi aku ka lōʻihi o kou ʻōpū e hakahaka. Hāʻawi kēia i kou kino i ka manawa hou e komo i nā meaʻai no ka fetus, akā hiki i ka hopena ke hopena i ka puʻuwai puʻuwai.

I ke kolu o ka trimester, hiki i ka ulu ʻana o kāu pēpē ke pahu i kou ʻōpū mai kona kūlana maʻamau, a hiki i ka ʻehaʻeha o ka puʻuwai.

Eia nō naʻe, ʻokoʻa kēlā me kēia wahine. ʻO ka hāpai ʻana ʻaʻole ia he kumu no ka ʻeha o kou puʻuwai. Aia ia i nā kumu he nui, e like me kāu physiology, meaʻai, nā ʻano maʻamau o kēlā me kēia lā, a me kou hāpai ʻana.

Hiki iaʻu ke hana i nā loli nohona e kōkua ai e kāpae?

ʻO ka hōʻoluʻolu ʻana i ka puʻuwai puʻuwai i ka wā o ka hāpai hāpai ʻana e pili ana i kekahi hoʻokolokolo a me nā hemahema. ʻO nā ʻano nohona e hiki ai ke hōʻemi i ka puʻuwai ka pinepine o nā hana palekana no ka makuahine a me ka pēpē. Hiki i nā ʻōlelo aʻoaʻo aʻe ke kōkua i ka hōʻoluʻolu i kou puʻuwai puʻuwai.

• E ʻai pinepine i nā meaʻai liʻiliʻi a hōʻole i ka inu ʻana i ka wā e ʻai ana. Inu wai ma waena o nā meaʻai ma kahi.
• ʻAi mālie a me ka nau pono i nā nahu.
• Pale i ka ʻai ʻana i kekahi mau hola ma mua o ka hiamoe.
• Hōʻalo i nā meaʻai a me nā mea inu e hoʻonāukiuki i kou puʻuwai puʻuwai. ʻO nā lawehala maʻamau e komo pū me ke kokoleka, nā meaʻai momona, nā meaʻai nīoi, nā meaʻai waikawa e like me nā hua citrus a me nā mea kumumea, nā mea inu kalapona, a me ka caffeine.
• E kū pololei no hoʻokahi hola ma hope o ka pāʻina ʻana. ʻO kahi hele mālie e hoʻoulu ai hoʻi i ka digestion.
• E komo i nā lole ʻoluʻolu ma mua o ka lole paʻa paʻa.
• Mālama i kahi kaupaona olakino.
• E hoʻohana i nā uluna a i ʻole nā ​​wedges e hoʻokiʻekiʻe i kou kino kiʻekiʻe ke hiamoe.
• E hiamoe ma kou ʻaoʻao hema. ʻO ka moe ʻana ma kou ʻaoʻao ʻākau e hoʻonoho i kou ʻōpū kiʻekiʻe ma mua o kou esophagus, i alakaʻi ʻia ai i ka ʻāʻī puʻuwai.
• E nau i kahi ʻāpana gula kō ʻole ma hope o ka pāʻina ʻana. Hiki i ka lawehala hoʻonui ke hoʻonele i kekahi waikawa e hoʻi mai i ka esophagus.
• ʻAi i ka yogurt a inu paha i ke aniani o ka waiū e kinai ai i nā ʻōuli ke hoʻomaka lākou.
• E inu i kahi meli i ke kī chamomile a i ʻole aniani o ka waiū mahana.

ʻO nā koho lapaʻau ʻē aʻe e pili ana i ka acupuncture a me nā hana hoʻomaha, e like me ka hoʻomaha ʻana o nā mākala holomua, yoga, a i ʻole nā ​​kiʻi alakaʻi. E hōʻoia mau me kāu kauka ma mua o ka hoʻāʻo ʻana i nā lāʻau hou.

He aha nā lāʻau e palekana e lawe i ka wā hāpai?

Hiki i nā antacids over-the-counter e like me Tums, Rolaids, a me Maalox ke kōkua iā ʻoe e kūpale me nā ʻōuli o ka ʻāʻī puʻuwai i kekahi manawa. ʻO kēlā mau mea i hana ʻia i ka calcium carbonate a i ʻole magnesium he koho maikaʻi loa. Eia naʻe, ʻoi aku paha ka maikaʻi o ka hōʻalo ʻana i ka magnesium i ka manawa hope o ka hāpai hāpai ʻana. Hiki i ka magnesium ke hoʻopilikia i nā kuʻina i ka wā o ka hana.

Paipai ka hapa nui o nā kauka e hōʻalo i nā antacids i loaʻa nā pae kiʻekiʻe o ka sodium. Hiki i kēia mau antacids ke alakaʻi i kahi buildup o ka wai i nā aʻa. Pono ʻoe e hōʻalo i nā antacids e papa inoa ana i ka alumini ma ka lepili, e like me ka "aluminium hydroxide" a i ʻole "alumini kalapona". Hiki i kēia mau antacids ke alakaʻi i ka constipation.

ʻO ka mea hope loa, e noho kaʻawale i nā lāʻau e like me Alka-Seltzer i loaʻa ka aspirin.

E noi i kāu kauka no ke koho maikaʻi loa. Inā ʻoe e ʻike iho iā ʻoe iho i nā ʻōmole o antacids, ua holomua paha kou puʻuwai i gastroesophageal acid reflux maʻi (GERD). I kēlā hihia, pono ʻoe i kahi lāʻau ʻoi aku ka ikaika.

Āhea wau e kamaʻilio ai me kaʻu kauka?

Inā loaʻa iā ʻoe ka puʻuwai puʻuwai e ala pinepine ai iā ʻoe i ka pō, hoʻi i ka wā e pau ai kāu antacid, a i ʻole hana i nā ʻōuli ʻē aʻe (e like me ka paʻakikī ʻana i ka ale ʻana, kahe ʻana, ka pohō kaumaha, a i ʻole nā ​​noho ʻeleʻele), he pilikia koʻikoʻi paha kāu e koi ai hoʻolohe. E kuhi paha kāu kauka iā ʻoe me GERD. ʻO ke kumu o kēia e mālama ʻia kou puʻuwai puʻuwai e pale ai iā ʻoe mai nā pilikia e like me ka hōʻino ʻana i ka esophagus.

Kauoha paha kāu kauka i kekahi mau lāʻau hoʻoliʻiliʻi acid e hōʻemi i kāu mau ʻōuli. hōʻike i nā lāʻau i kapa ʻia ʻo H2 blockers, ka mea e kōkua i ka pale ʻana i ka hana ʻana o ka waikawa, ke pale ʻia. ʻO kekahi ʻano lāʻau lapaʻau, i kapa ʻia he proton pump inhibitors, hoʻohana ʻia no nā poʻe me ka puʻuwai puʻuwai e pane ʻole i nā ʻano lāʻau ʻē aʻe.

Inā pili ʻoe i nā hopena o nā lāʻau, e kamaʻilio me kāu kauka. Hiki i nā kauka ke kōkua iā ʻoe e kaohi i kāu mau ʻōuli ke mālama nei i kāu keiki i hānau ʻole ʻia.