Pehea e pale aku ai i ka Acid Reflux a me ka Heartburn

Anter

• Nā Kūlana Pilikino no ka Acid Reflux a me ka Heartburn
• Nā Hoʻololi nohona
• Laau Lapaʻau
• Kahi leka e pili ana i nā Inhibitors Pump Proton
• ʻOki kino
• Lawe ʻia

Hana ka reflux waikawa ke hoʻi hope kāu ʻōpū ʻōpū i loko o kou esophagus. ʻO kou esophagus ka puʻupuʻu muscular e hoʻopili i kou puʻu a me kou ʻōpū. ʻO ka hōʻailona maʻamau o ka reflux waikawa kahi ʻā ʻana o ke ahi i loko o kou umauma, i ʻike ʻia ʻo heartburn. Hiki i nā ʻōuli ʻē aʻe ke hoʻopili i kahi ʻono momona a regurgitated paha i ka hope o kou waha.

ʻIke ʻia ka reflux waikawa ʻo gastroesophageal reflux (GER). Inā ʻike ʻoe ma mua o ʻelua mau manawa o ka pule, loaʻa paha iā ʻoe ka maʻi reflux gastroesophageal (GERD). Hoʻohui ʻia i ka puʻuwai puʻuwai pinepine, nā ʻōuli o GERD e komo pū me ka paʻakikī i ka ale ʻana, ka ʻū ʻana a me ke kani ʻana, a me ka ʻeha o ka umauma

ʻIke ka hapa nui o ka poʻe i ka reflux acid a me ka puʻuwai mai kēlā manawa a kēia manawa. ʻO GERD kahi kūlana koʻikoʻi i hoʻopilikia ʻia ma kahi o 20 pākēneka o ko ʻAmelika. Hōʻike ka noiʻi ma ka puke pai e piʻi ana nā helu o GERD.

E aʻo e pili ana i nā hana i hiki ai iā ʻoe ke hana e pale aku i ka reflux acid a me ka puʻuwai. Hiki ke kōkua i nā loli olakino, lāʻau, a ʻoki paha iā ʻoe e ʻike i ke kōkua.

Nā Kūlana Pilikino no ka Acid Reflux a me ka Heartburn

Hiki i kekahi ke ʻike i ka reflux acid waikawa a me ka puʻuwai. ʻO kahi laʻana, ʻike paha ʻoe i kēia mau ʻōuli ma hope o ka ʻai wikiwiki ʻana. Hoʻomaopopo paha ʻoe iā lākou ma hope o ka ʻai ʻana i nā meaʻai nīoi a i ʻole nā ​​mea momona momona kiʻekiʻe.

E hoʻomohala paha ʻoe iā GERD inā ʻoe:

• kaumaha a momona paha
• hāpai keiki
• he maʻi kō
• uahi

ʻO nā maʻi ʻai, e like me anorexia a me bulimia nervosa, hiki ke hāʻawi pū i kekahi mau hihia o GERD. "ʻO ka poʻe e hoʻowalewale ana i ka luaʻi, a i ʻole ma mua, hiki ke hoʻonui i ka makaʻu o ka puʻuwai puʻuwai," wahi a Jacqueline L. Wolf, MD, he loea pili no ka lāʻau lapaʻau ma ke Kula Lapaʻau ʻo Harvard.

Nā Hoʻololi nohona

Hiki ke pale ʻia nā hihia kūpono a ʻoluʻolu paha o ka acid reflux ma o ka lawe ʻana i kekahi mau loli nohona. O kahi laʻana:

• Hōʻalo i ka moe ʻana i lalo no ʻekolu mau hola ma hope o ka pāʻina ʻana.
• Eʻai pinepine i nā meaʻai liʻiliʻi ma ka lā holoʻokoʻa.
• E ʻaahu i nā lole keu e pale i ke kaomi o kou ʻōpū.
• Lilo i ka nui o ke kaupaona.
• E haʻalele i ka puhi pua ʻana.
• E hoʻokiʻekiʻe i ke poʻo o kou wahi moe ʻeono a ʻewalu ʻīniha ma ke kau ʻana i nā palaka lāʻau ma lalo o kou mau pou moe. ʻO nā ala ala moe kahi koho ʻē aʻe no ka hana ʻana i kēia.

Hiki i kekahi ʻano ʻano meaʻai ke hana i ka reflux acid a me ka puʻuwai. E nānā pono i kou ʻano ma hope o ka ʻai ʻana i nā meaʻai like ʻole. Pākuʻi ʻia paha kāu mau mea hoʻonāukiuki:

• nā meaʻai momona a palai paha
• ʻalekohola
• kope
• nā mea inu kalapona, e like me ka soda
• kokoleka
• kālika
• ʻakaʻakai
• hua hua citrus
• Pepelu
• ʻūlapa ihe
• kīʻaha kōmato

Inā ʻoe e ʻike i ka reflux waikawa a i ʻole ka puʻuwai ma hope o ka ʻai ʻana i kekahi mau meaʻai, e hana i nā kaʻina e hōʻalo iā lākou.

Laau Lapaʻau

Hiki i nā poʻe he nui ke hoʻonā i kā lākou mau hōʻailona ma o nā loli nohona. Koi paha ka poʻe ʻē aʻe i nā lāʻau e pale a mālama ai i ka reflux acid a me ka puʻuwai. Hiki i kāu kauka ke koi aku i nā lāʻau i kūʻai aku ʻia a lāʻau paha, e like me:

• antacids, e like me ka calcium carbonate (Tums)
• Nā poloka H2-receptor, e like me famotidine (Pepcid AC) a i ʻole cimetidine (Tagamet HB)
• nā pale mucosal, e like me sucralfate (Carafate)
• nā mea kūpale proton pump, e like me rabeprazole (Aciphex), dexlansoprazole (Dexilant), a me esomeprazole (Nexium)

Kahi leka e pili ana i nā Inhibitors Pump Proton

ʻO nā mea kūpale Proton pump ka lapaʻau maikaʻi loa no ka reflux acid paʻa. Manaʻo lākou he palekana loa. Hoʻoemi lākou i ka hana o kou kino i nā gastric acid. ʻAʻole like me kekahi mau lāʻau ʻē aʻe, pono ʻoe e lawe iā lākou i hoʻokahi manawa wale nō i ka lā e pale ai i nā ʻōuli.

Aia kekahi mau downsides i ka hoʻohana ʻana i nā mea kūpale proton pump ma kahi manawa lōʻihi. I ka hala ʻana o ka manawa, hiki iā lākou ke hoʻopau i ka wikamina B-12 i kou kino. ʻOiai ʻo ka acid acid kekahi o nā pale o kou kino i ka maʻi, hiki i nā mea hōʻoki proton pump ke hāpai i kou makaʻu o ka maʻi a me nā haʻi iwi. Ma nā kikoʻī, hiki iā lākou ke hāpai i kāu makaʻu o ka ʻūhā, iwi kuamoʻo, a me nā haʻi lima. Hiki iā lākou ke uku, kūʻai pinepine ma mua o $ 100 i kēlā me kēia mahina.

ʻOki kino

Pono wale nō ke kaha ʻana ma nā hanana kakaikahi o ka reflux acid a me ka puʻuwai. ʻO ka ʻoki maʻamau i hoʻohana ʻia e mālama i ka reflux acid kahi hana i ʻike ʻia ʻo Nissen fundoplication. I kēia kaʻina hana, hāpai ka mea lapaʻau i kahi ʻāpana o kou ʻōpū a hoʻopaʻa iā ia a puni ka huina kahi e hui ai kou ʻōpū a me kou esophagus. Kōkua kēia i ka hoʻonui i ke kaomi i kāu sphincter esophageal haʻahaʻa (LES).

Hana ʻia kēia hana me kahi laparoscope. Pono ʻoe e noho i ka haukapila no hoʻokahi i ʻekolu mau lā ma hope o ka hana ʻia ʻana. Kūleʻa ka paʻakikī a maikaʻi loa nā hopena. Eia nō naʻe, hiki i ke kīpoki ke alakaʻi i ka hoʻonui ʻana i ka bloating a me ka pāpū a i ʻole ka pilikia e ale.

Lawe ʻia

Inā ʻoe e ʻike i ka reflux acid mau a i ʻole ka puʻuwai puʻuwai, e ʻōlelo i kāu kauka. Paipai paha lākou i nā loli nohona e pale aku ai i kāu mau ʻōuli. ʻO kahi laʻana, ʻōlelo paha lākou iā ʻoe e ʻai i nā meaʻai liʻiliʻi, e kū pololei i hope o ka ʻai ʻana, a ʻoki paha i kekahi mau meaʻai mai kāu papaʻai. Paipai paha lākou iā ʻoe e lilo i ka kaumaha a i ʻole haʻalele i ka puhi baka.

Inā hōʻoluʻolu ʻole ka nohona i kāu mau ʻōuli, hiki i kāu kauka ke koi aku i nā lāʻau i kūʻai ʻia a kūʻai ʻia paha. I nā hihia kakaʻikahi, pono ʻoe i ke ʻoki. Kākaʻikahi nā pilikia mai ke ʻoki kino.