Nā ʻ Tipslelo Aʻo Ma hope o ka ʻAina e hoʻomāmā ai i ka ʻeha puʻuwai

Anter

• Hōʻike Overview
• No ke aha e hana ai ʻo Heartburn ma hope o ka ʻai ʻana?
• Ka Māmā ʻana i ka Puʻuwai Ma hope o ka ʻai ʻana
• Kakali e moe i lalo
• Lole Lole
• Mai kiʻi aku i kahi Cigarette, ʻAlekohola, a i ʻole Caffeine
• E hāpai aʻe i ke poʻo o kou wahi moe
• ʻAnuʻu Hou

I ʻApelila 2020, ua noi ʻia e hoʻopau i nā ʻano o ke kuhikuhi a me ka over-the-counter (OTC) ranitidine (Zantac) mai ka mākeke U.S. Ua hana ʻia kēia ʻōlelo aʻoaʻo no ka mea ʻaʻole i ʻāpono nā pae o NDMA, kahi carcinogen paha (kemikō e hoʻomaka ana i ka maʻi ʻaʻai), i loaʻa i kekahi mau huahana ranitidine. Inā kuhikuhi ʻoe iā ranitidine, e kamaʻilio me kāu kauka e pili ana i nā koho koho palekana ma mua o ka hoʻokū ʻana i ka lāʻau. Inā lawe ʻoe i ka OTC ranitidine, e hoʻōki i ka lawe ʻana i ka lāʻau a kamaʻilio pū me kāu kauka no nā koho ʻē aʻe. Ma kahi o ka lawe ʻana i nā huahana ranitidine i hoʻohana ʻole ʻia i kahi pūnaewele hoʻihoʻi i ka lāʻau, hoʻolei iā lākou e like me nā ʻōlelo a ka huahana a i ʻole ma ka mālama ʻana iā FDA.

Hōʻike Overview

ʻAʻole ia he mea maʻamau ke ʻike i ka ʻūʻī ʻana o ka puʻuwai, keu hoʻi ma hope o ka ʻai ʻana i nā meaʻai nīoi a i ʻole ka pāʻina nui. Wahi a ka Cleveland Clinic, ma kahi o 1 i loko o 10 mau mākua e ʻike i ka ʻōpū puʻuwai ma ka liʻiliʻi i hoʻokahi manawa i ka pule. Hoʻokahi i ka 3 ʻike i kēlā me kēia mahina.

Eia nō naʻe, inā ʻoe e ʻike nei i ka puʻuwai puʻuwai ma mua o ʻelua mau manawa o ka pule, a laila loaʻa iā ʻoe kahi maʻi ʻoi aku ka koʻikoʻi i kapa ʻia ʻo gastroesophageal reflux maʻi (GERD). ʻO GERD kahi maʻi digestive e hiki ai i ka ʻōpū o ka ʻōpū ke hoʻi i loko o ka puʻu. ʻO ka puʻuwai puʻuwai pinepine ka hōʻailona maʻamau o GERD, ʻo ia ke kumu e hele pū ai ka sensation me kahi ʻawaʻawa a ʻawaʻawa paha i ka puʻu a me ka waha.

No ke aha e hana ai ʻo Heartburn ma hope o ka ʻai ʻana?

Ke moni ʻoe i ka meaʻai, hele ia i kou ʻāʻī a ma o kou esophagus a hiki i kou ʻōpū. ʻO ka hana o ka ale ʻana ke kumu o ka mākala e kaohi ai i ka wehe ma waena o kou esophagus a me kou ʻōpū, i ʻike ʻia ʻo ka sphincter esophageal, e wehe, e ʻae i ka meaʻai a me ka wai e neʻe i kou ʻōpū. Inā ʻole, paʻa paʻa ka mākala.

Inā ʻaʻole paʻa pono kēia mākala ma hope o kou moni ʻana, hoʻi paha nā mea ʻakika o kou ʻōpū i loko o kou esophagus. Kapa ʻia kēia ʻo "reflux." I kekahi manawa, hōʻea ka ʻōpū o ka ʻōpū i ka ʻaoʻao haʻahaʻa o ka esophagus, a laila hopena ka ʻūʻā.

Ka Māmā ʻana i ka Puʻuwai Ma hope o ka ʻai ʻana

Pono ka ʻai ʻana, akā ʻaʻole pono ka loaʻa ʻana o ka puʻuwai puʻuwai i hopena hopena. Aia kekahi mau kaʻina e hiki ai iā ʻoe ke lawe e hōʻoluʻolu i ka ʻuhane o ka puʻuwai ma hope o ka pāʻina ʻana. E hoʻāʻo i nā ʻano lāʻau e hiki mai ana e hoʻomaha i kāu mau ʻōuli.

Kakali e moe i lalo

Hoʻowalewale ʻia paha ʻoe e hāʻule i luna o ka moena ma hope o ka pāʻina nui a i ʻole e hele pololei i kahi moe ma hope o kahi ahiahi ahiahi. Eia nō naʻe, hiki i ka hana ʻana pēlā ke alakaʻi i ka hoʻomaka a i ʻole ke ʻino ʻana o ka ʻeha puʻuwai. Inā ʻoe e luhi ma hope o ka pāʻina ʻana, e hoʻomau i ka hana ma ka neʻe ʻana ma kahi o 30 mau minuke. E hoʻāʻo e holoi i nā pā a hele paha no ka holoholo ahiahi.

He mea maikaʻi nō hoʻi e hoʻopau i kāu papaʻai ma ka liʻiliʻi i ʻelua mau hola ma mua o ka moe ʻana, a hōʻalo i ka ʻai ʻana i nā meaʻai māmā ma mua o ka hiamoe.

Lole Lole

Hiki i nā kāʻei paʻa paʻa a me nā lole constricting āpau ke hoʻokau i kou ʻōpū, kahi e alakaʻi ai i ka ʻāʻī puʻuwai. E hoʻokuʻu i kahi kapa paʻa ma hope o ka pāʻina ʻana a i ʻole hoʻololi i kahi mea ʻoluʻolu hou aʻe e pale i ka ʻehaʻeha puʻuwai

Mai kiʻi aku i kahi Cigarette, ʻAlekohola, a i ʻole Caffeine

Hoʻowalewale ʻia paha nā poʻe puhipaka e loaʻa kahi puhipaka ma hope o ka ʻaina awakea, akā hiki ke uku ʻia kēia hoʻoholo ʻana ma nā ʻano ʻoi aku ma mua o hoʻokahi. Ma waena o nā pilikia olakino he nui i hiki i ka puhihihi ʻana, hoʻoulu ia i ka puʻuwai puʻuwai ma o ka hoʻomaha ʻana i ka mākala e pale mau i ka waikawa ʻōpū mai hoʻi hou i ka ʻāʻī.

ʻO ka cafe a me ka wai ʻona pū kekahi me ka hopena maikaʻi ʻole i ka hana o ka sphincter esophageal.

E hāpai aʻe i ke poʻo o kou wahi moe

E hoʻāʻo e hoʻokiʻekiʻe i ke poʻo o kou wahi moe ma kahi o 4 a 6 paha ʻīniha mai ka honua aku e pale aku ai i ka puʻuwai puʻuwai a me ka reflux. Ke hāpai ʻia ke kiʻekiʻe o ke kino, hana ka umekaumaha i mea e hoʻi ʻole ai ka ʻōpū i loko o ka esophagus. He mea nui e hoʻomaopopo he pono ʻoe e hoʻāla i ka moena iho, ʻaʻole wale kou poʻo. ʻO ke kuʻi ʻana iā ʻoe iho me nā uluna keu e hoʻokau i kou kino i kahi kūlou, kahi e hoʻonui ai i ke kaomi i kou ʻōpū a hoʻonui i ka naʻau a me nā hōʻailona reflux.

Hiki iā ʻoe ke hoʻāla i kou wahi moe ma ke kau ʻana iā 4 a 6 mau ʻīniha i nā palaka lāʻau ma lalo o nā pou moe ʻelua ma ke poʻo o kou wahi moe. Hiki ke hoʻokomo ʻia i kēia mau palaka ma waena o kou moena a me ka puna wai e hoʻokiʻekiʻe ai i kou kino mai ka pūhaka a luna. Hiki paha iā ʻoe ke ʻike i nā palaka kiʻekiʻe ma nā hale kūʻai lako lāʻau a me kekahi mau hale kūʻai lāʻau lapaʻau.

ʻO ka hiamoe ʻana ma kahi uluna ʻano wedge kūikawā kekahi ala kūpono. Hāpai iki kahi uluna ʻūlū i ke poʻo, nā poʻohiwi, a me ke kino e pale i ka reflux a me ka puʻuwai puʻuwai. Hiki iā ʻoe ke hoʻohana i kahi uluna wedge ʻoiai e hiamoe ana ma kou ʻaoʻao a ma kou kua paha me ka ʻole o ka hoʻoluhi i ke poʻo a i ʻole ka ʻāʻī. ʻO ka hapa nui o nā uluna ma ka mākeke e hoʻokiʻekiʻe ʻia ma waena o 30 a 45 mau kekelē, a i ʻole 6 a 8 paha ʻīniha ma ka luna.

ʻAnuʻu Hou

ʻO nā papaʻai kiʻekiʻe i loko o ka momona e hoʻomau pū paha i nā ʻōuli, no laila nā papaʻai momona momona. I nā manawa he nui, ʻo nā loli nohona i ʻōlelo ʻia ma aneʻi nā mea āu e pono ai e hōʻalo a hōʻoluʻolu paha i ka puʻuwai a me nā ʻōuli ʻē aʻe o GERD. Eia nō naʻe, inā mau kou mau ʻōuli a i ʻole pinepine pinepine, e ʻike i kāu kauka no ka hoʻāʻo ʻana a me ka mālama ʻana.

Hiki i kāu kauka ke koi aku i kahi lāʻau i kūʻai aku ʻia, e like me ka papapa ʻaʻai a i ʻole ka antacid wai. ʻO kekahi o nā lāʻau lapaʻau maʻamau e hoʻohana ai e hōʻoluʻolu i ka puʻuwai pū kekahi:

• ʻO Alka-Seltzer (calcium carbonate antacid)
• Maalox a i ʻole Mylanta (aluminika a me ka magnesium antacid)
• Rolaids (calcium a me ka magnesium antacid)

ʻO nā hihia ʻoi aku ka nui i koi ʻia i ka lāʻau lapaʻau ikaika, e like me nā mea pale H2 a me nā mea pale proton pump (PPI), e kaohi a hoʻopau ai paha i ka waikawa ʻōpū. Hāʻawi ka H2 blockers i ka hoʻomaha manawa pōkole a maikaʻi no nā hōʻailona GERD he nui, me ka puʻuwai puʻuwai. Pākuʻi ʻia kēia mau mea:

• cimetidine (Tagamet)
• famotidine (Pepcid AC)
• nizatidine (Axid AR)

Aia nā PPI i ka omeprazole (Prilosec) a me ka lansoprazole (Prevacid). ʻOi aku ka maikaʻi o kēia mau lāʻau lapaʻau ma mua o ka H2 blockers a hiki ke hoʻokuʻu maʻamau i ka puʻuwai ʻeha a me nā hōʻailona GERD ʻē aʻe.

Hiki ke kōkua i nā lāʻau kūlohelohe, e like me nā probiotics, ke aʻa aʻa a me ka elm paheʻe.

ʻO ka mālama ʻana i kahi kaupaona olakino, lawe ʻana i nā lāʻau, a me ka mālama ʻana i nā ʻano ma hope o ka pāʻina ʻana he mea lawa ia e hoʻoliʻiliʻi i ke ahi o ka puʻuwai. Eia nō naʻe, inā mau ka ʻū ʻana o ka puʻuwai a me nā ʻōuli GERD ʻē aʻe, e hoʻonohonoho i kahi manawa me kāu kauka. Hiki i kāu kauka ke hana i nā hoʻokolohua like ʻole e loiloi i ke koʻikoʻi o kou ʻano a e hoʻoholo i ke ʻano ʻoi loa o ka lāʻau.