Ka Puʻuwai Puʻuwai a me Acid

Anter

• Hōʻike Overview
• He aha ka reflux acid?
• Pehea e mālama ai i kahi ʻāʻī ʻeha
• Nā ʻano ʻai
• Nā Lapaʻau
• Nā hopena o ka reflux acid ma ka puʻu
• Outlook

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

ʻO ka reflux waikawa, ʻo ia hoʻi ʻo heartburn, ka hōʻailona hōʻailona o ka maʻi reflux gastroesophageal (GERD). ʻO GERD kahi kūlana kahi e hemo ai ka mākala ma ka hope o ka esophagus a ʻaʻole pili pono paha, e ʻae ana i ka waikawa (a me nā mea ʻai) mai ka ʻōpū e piʻi i luna i ka esophagus.

Ma mua o 60 miliona mau ʻAmelika e ʻike i ka reflux acid ma ka liʻiliʻi i hoʻokahi manawa i ka mahina.

A ʻo ke kumu o ka wela o ka naʻau ʻā, ʻo ka waikawa mai ka reflux hiki ke hōʻino pū i ka esophagus. ʻO ka puʻu ʻeha kahi hōʻailona o GERD i kumu ʻia e kēia ʻino.

He aha ka reflux acid?

ʻO ka reflux waikawa ke kahe hope o nā ʻōpū o ka ʻōpū, e like me ka acid acid, i loko o ka esophagus. Hoʻokumu ʻia ka reflux ʻakika i kahi ʻāpana e ka nāwaliwali o ka sphincter esophageal lalo (LES), kahi hui o ka ʻāpana i kū i ke kumu o kou esophagus.

ʻO ka LES he kiwikā e hāmama e ʻae i ka meaʻai a inu i lalo i kou ʻōpū no ka digestion a pani ʻia e mālama i nā mea mai ka hoʻohuli ʻana i kāna kahe i luna. ʻAʻole hiki i kahi LES nāwaliwali ke pani paʻa mau. ʻAe kēia i nā ʻōpū o ka ʻōpū e kolo i hope i kāu esophagus, e hōʻino loa i kou puʻu a hoʻā i ka ʻā ʻana o ke ahi.

Pehea e mālama ai i kahi ʻāʻī ʻeha

No ka mālama ʻana i kahi ʻāʻī ʻeha e pili pū me ka reflux acid, ʻoi aku ka maikaʻi o ka mālama ʻana i ke kumu kumu: GERD. Hana nā over-the-counter (OTC) a me nā lāʻau i kuhikuhi ʻia e ka hoʻopau ʻana, hōʻemi ʻana, a me ka hoʻohaʻahaʻa ʻana i nā waikawa ʻōpū. ʻO ke kaʻina hana neʻe e hoʻemi ana i ka puʻuwai a me ka ʻāʻī ʻeha.

Nā ʻano ʻai

Hiki i nā loli i kāu ʻanoʻai ke kōkua i ka hōʻoluʻolu i kahi ʻāʻīʻeha i hoʻokumu ʻia e ka reflux acid. Hoʻokolohua me nā ʻano ʻokoʻa ke ʻai ʻoe e loaʻa nā mea e hōʻoluʻolu i kou puʻu. ʻO ka poʻe i loaʻa ka pilikia i ka ale ʻana e ʻike paha he ʻoi aku ka paʻakikī a me ka ʻeha o ka ʻai ʻana i nā meaʻai palaha a me ka inu ʻana i nā wai ma mua o nā meaʻai palupalu a i ʻole nā ​​mea paʻa i ʻoki ʻia i mau ʻāpana liʻiliʻi.

E ʻike i nā meaʻai a me nā mea inu e hoʻonāukiuki i ka ʻehaʻeha puʻuwai. No ka mea ʻokoʻa nā mea hoʻonāukiuki o kēlā me kēia, hiki iā ʻoe ke hoʻāʻo e mālama i kahi puke pai e hoʻopaʻa i nā mea āu e ʻai ai a inu ai a ke ʻike ʻoe i nā ʻōuli. Hiki i kēia ke kōkua iā ʻoe e hōʻemi i nā kumu. Ke ʻike ʻoe i kāu mau mea hoʻonāukiuki, hiki iā ʻoe ke hoʻomaka e hoʻololi i kāu papaʻai.

ʻAi i nā meaʻai liʻiliʻi a pinepine a pale i nā meaʻai ʻakika, ʻona, a i ʻole momona loa. ʻOi aku ka hopena o kēia mau mea i nā hōʻailona e like me ka puʻuwai puʻuwai a me ka ʻāʻī ʻeha.

Pono ʻoe e hōʻalo i nā mea inu e hiki ai ke hoʻonāukiuki i kou puʻuwai puʻuwai a hoʻonāukiuki hoʻi i kāu uhi ʻana o ka esophageal. Hoʻololi kēia mau mea i kēlā me kēia kanaka, akā hoʻokomo pinepine i:

• nā mea inu kope (kope, tī, mea inu ʻona, kokoleka wela)
• mea inu ʻona
• wai citrus a me Tomato
• soda a i ʻole ka wai

E hoʻāʻo e moe ʻole i loko o kekahi mau hola o ka ʻai ʻana e pale aku ai i nā hōʻailona GERD. E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i nā mea kanu lāʻau a i ʻole nā ​​lāʻau ʻē aʻe e hōʻoluʻolu i kahi ʻāʻī ʻeha. ʻOiai ʻoluʻolu ʻole ka ʻeha, he mea nui ia e mālama pono i kāu mau hōʻailona.

Nā Lapaʻau

E makemake paha ʻoe e noʻonoʻo i nā lāʻau inā ʻaʻole kōkua ʻia kāu reflux waikawa e ka hoʻololi ʻana i kāu ʻano ʻai. ʻO nā lāʻau GERD e kōkua i ka hōʻemi a hoʻopau ʻana paha i nā waikawa o ka ʻōpū e komo pū me nā antacids, nā H2 receptor blockers, a me nā proton pump inhibitors (PPI).

ʻAnakini he lāʻau lapaʻau OTC. Hana lākou e hoʻopau i ka waikawa ʻōpū a hoʻomaha i nā ʻōuli o GERD me nā paʻakai a me ka hydroxide a i ʻole nā ​​ions bicarbonate. Nā mea pono e nānā ai no nā:

• kalipuna kalapona (loaʻa i loko o Tums a me Rolaids)
• sodium bicarbonate (baking soda, i loaʻa ma Alka-Seltzer)
• magnesium hydroxide (loaʻa ma Maalox)
• ʻO nā kinikini aluminika hydroxide (hoʻohana mau ʻia me ka magnesium hydroxide)

H2 mea pale hana nā lāʻau i ke kāohi ʻana i nā pūnaewele i loko o kou ʻōpū mai ka hana ʻana i nā waikawa he nui. Loaʻa nā OTC a me nā kuhikuhi H2 blockers. ʻO kekahi o nā koho OTC me:

• cimetidine (Tagamet a i ʻole Tagamet HB)
• famotidine (Pepcid AC a i ʻole Pepcid Oral Tabs)
• nizatidine (Axid AR)

PPI ʻo nā lāʻau ka lāʻau ikaika loa no ka hōʻemi ʻana i ka hana ʻana o ka ʻōpū o ka ʻōpū. I ka hapanui o nā hihia, pono i kāu kauka e kuhikuhi iā lākou (ʻo kahi i koe ʻo Prilosec OTC, kahi mana nāwaliwali o Prilosec). ʻO nā lāʻau PPI no GERD me:

• omeprazole (Prilosec)
• lansoprazole (Prevacid)
• rabeprazole (Aciphex)
• pantoprazole (Protonix)
• esomeprazole (Nexium)

Nā hopena o ka reflux acid ma ka puʻu

Inā ʻoe e hoʻohana i nā lāʻau a i ʻole nā ​​hoʻolālā nohona (a i ʻole ʻelua), nui ia e hoʻokele i kāu mau hōʻailona GERD. Hiki i ka reflux waikawa unmanaged ke kōkua i ka ʻeha o ka puʻu a hiki ke alakaʻi i nā pilikia. Hiki i nā pilikia o ka reflux acid ma ka puʻu ke:

• Esophagitis: ʻO ka huhū o nā aʻa i uhi i ka ʻāʻī ma muli o ka mana o ka ʻōpū a me nā waikawa esophageal.
• Mū hoʻomau: Manaʻo kekahi poʻe me GERD i ka pono e hoʻomaʻemaʻe pinepine i ko lākou ʻāʻī, e hana ana i ka ʻeha a me ka hauna.
• Dysphagia: He paʻakikī kēia e ale i ka wā e hana ai nā ʻili makaʻu i ka uhi ʻana o ka esophageal mai GERD. ʻO ka hoʻopili ʻana o ka esophagus (ke ʻano paʻa o ke esophageal) hiki ke alakaʻi i ka ʻeha o ka ʻāʻī a me ka disphagia.

Ma waho aʻe o ka ʻāʻī ʻeha, reflux waikawa a koʻikoʻi hoʻi e hele i ka wā ʻole i alakaʻi ʻia hiki ke alakaʻi ʻia i kahi kūlana laha ʻole akā koʻikoʻi i kapa ʻia ʻo Barrett's esophagus. Kū kēia i ka wā e loli ai ka uhi o kāu esophagus i kāna ʻano e like me ka uhi o kou ʻōpū.

Ma nā wahi āpau mai 1.6 a 6.8 pakeneka o nā mākua ma ʻAmelika Hui Pū ʻIa e hoʻomōhala i ka esophagus o Barrett. Ua hoʻonui iki ka makaʻu o ka poʻe me ka esophagus o Barrett i ka ulu ʻana o ka maʻi ʻaʻai esophageal.

ʻO nā ʻōuli o ko Barrett esophagus e hoʻopili pū paha:

• ʻeha puʻuwai (e ʻā ana i ka umauma, ʻeha ka ʻāʻī)
• luna ʻeha o ka ʻōpū o luna
• pāhola
• ʻūhā
• ʻeha ka umauma

Outlook

ʻAʻole ʻoe hoʻokahi inā e ʻeha nei ʻoe i nā ʻōuli o GERD. E kamaʻilio me kāu kauka inā manaʻo ʻoe ʻo kou ʻeha ʻeha ma muli o ka reflux acid. ʻO ka mālama ʻana i ka reflux acid me nā lāʻau lapaʻau a me nā hoʻolālā nohona hiki ke hōʻemi i kāu mau hōʻailona a kōkua i ka pale ʻana i nā pilikia e hiki mai ana.