Puʻupuʻu Puʻupuʻu
Anter
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
ʻO nā puʻu hāhā he ʻeha hāmama i kou puʻu. Hiki ke hana i nā ʻeha i loko o kāu esophagus - ka paipu e hoʻopili i kou puʻu i kou ʻōpū - a ma kāu mau kaula leo. Hiki iā ʻoe ke loaʻa kahi ulcer ke loaʻa kahi ʻeha a maʻi paha i haki i ka uhi o kou ʻāʻī, a i ka wā e haki ai kahi membrane mucous a ʻaʻole ola.
Hiki i nā maʻi puʻu ke lilo i ʻulaʻula a pehu. Hiki iā lākou ke paʻakikī iā ʻoe e ʻai a kamaʻilio.
Nā Kumu
Hiki ke kumu ʻia nā maʻi maʻi puʻupuʻu e:
- chemotherapy a me ka hoʻomaʻemaʻe radiation no ka maʻi ʻaʻai
- maʻi me ka hū, koʻohune, a i ʻole ka virus
- ʻo ka maʻi ʻaʻai oropharyngeal, ʻo ia ka maʻi ʻaʻai i ka ʻāpana o kou puʻu i kūpono ma hope o kou waha
- herpangina, he maʻi viral i nā keiki e hana i nā ʻeha ma ko lākou waha a me ka hope o ko lākou puʻu
- ʻO Behçet Syndrome, kahi ʻano e hoʻoulu ai i kou ʻili, ka uhi ʻana o kou waha, a me nā ʻāpana ʻē aʻe o ke kino
Nā hualoaʻa ʻa ʻEsophageal ka hopena mai:
- ʻO ka maʻi reflux gastroesophageal (GERD), i hōʻike ʻia e ka backflow o ka acid mai kou ʻōpū a i loko o kāu esophagus i kēlā me kēia manawa.
- kahi maʻi o kāu esophagus i hoʻokumu ʻia e nā virus e like me herpes simplex (HSV), maʻi pale kanaka (HIV), kanaka papilloma virus (HPV), a i ʻole cytomegalovirus (CMV)
- nā mea hoʻonāukiuki e like me ka waiʻona a me kekahi mau lāʻau
- ʻo ka chemotherapy a i ʻole nā mālama radiation no ka maʻi ʻaʻai
- luaʻi nui
Hiki ke kumu ʻia nā ulcer vocal (i kapa ʻia hoʻi nā granulomas) e:
- huhū mai ke kamaʻilio nui ʻana a i ʻole ke mele ʻana
- ʻōpū gastric
- hana hou i nā maʻi hanu luna
- kau ʻia kahi ʻōpala endotracheal i kou puʻu e kōkua iā ʻoe e hanu i ka wā o ke kaha
Nā ʻōuli
Loaʻa paha iā ʻoe kēia mau ʻōuli me nā puʻupuʻu puʻu. Inā pēlā, e ʻike i kāu kauka.
- ʻeha nā waha
- pilikia i ka ale ʻana
- keʻokeʻo a ʻulaʻula paha i kou puʻu
- fiva
- ʻeha ma kou waha a me kou puʻu
- puʻupuʻu i kou ʻāʻī
- hanu maikaʻi ʻole
- pilikia e hoʻoneʻe i kou ā
- puʻuwai puʻuwai
- ʻeha ka umauma
Lapaʻau
ʻO ka lāʻau hea i kuhikuhi ʻia e kāu kauka e pili ana i ka mea ke kumu o ka puʻu o ka puʻu. Loaʻa i kāu mālama ʻana:
- nā lāʻau antibiotic a i ʻole nā antifungals i kauoha ʻia e kāu kauka e mālama i kahi maʻi bacteri a i ʻole hū
- nā mea hōʻeha ʻeha e like me acetaminophen (Tylenol) e hoʻomaha ai i ka hōʻoluʻolu mai nā maʻi maʻi
- holoi ʻia i ka lāʻau e kōkua me ka ʻeha a me ka hoʻōla
No ka mālama ʻana i kahi ulcer esophageal, pono ʻoe e lawe:
- antacids, H2 receptor blockers, a i ʻole proton pump pump (ma luna o ka counter a i ʻole kuhikuhi ʻia) e hoʻopau i ka waikawa ʻōpū a hoʻoliʻiliʻi paha i ka nui o ka waikawa a kou ʻōpū e hana ai.
- nā lāʻau antibiotic a i ʻole nā lāʻau antiviral e mālama i kahi maʻi
Mālama ʻia nā ulia uʻi leo e:
- ke hoʻomaha nei i kou leo
- ke kāohi nei i ka leo vocal
- mālama iā GERD
- ke kiʻi ʻoki ʻana inā kōkua ʻole nā lapaʻau ʻē aʻe
I mea e hōʻoluʻolu ai i ka ʻeha mai nā ʻeha puʻu, hiki iā ʻoe ke hoʻāʻo i kēia mau ʻano home.
- Hōʻalo i nā meaʻai nīoi, wela, a me nā mea ʻakika. Hiki i kēia mau meaʻai ke hoʻonāukiuki hou aku i nā ʻeha.
- Hōʻalo i nā lāʻau i hiki ke hoʻonāukiuki i kou puʻu, e like me ka aspirin (Bufferin), ibuprofen (Advil, Motrin IB), a me ka alendronic acid (Fosamax).
- Inu i nā wai anuanu a omo paha i kahi mea anuanu, e like me nā ʻāpana hau a i ʻole kahi popsicle, e hōʻoluʻolu i nā ʻeha.
- Inu wai keu, keu hoʻi ka wai, i ka lā holoʻokoʻa.
- E noi i kāu kauka inā pono ʻoe e hoʻohana i kahi holoi numbing a i ʻole lāʻau e hōʻoluʻolu ai i ka ʻeha o ka puʻu.
- Pākuʻi me ka wai paʻakai mahana a i ʻole ka hui ʻana o ka paʻakai, ka wai, a me ka soda kope.
- Mai puhi i ka paka a hoʻohana i ka ʻalekohola. Hiki i kēia mau mea ke hoʻonui i ka huhū.
Kāohi
ʻAʻole hiki iā ʻoe ke pale i kekahi mau kumu o nā ʻāʻī puʻu, e like me ka mālama ʻana i ka maʻi ʻaʻai. Hiki ke pale ʻia nā kumu ʻē aʻe.
E hoʻemi i kou makaʻi no ka maʻi: Mālama i ka hoʻomaʻemaʻe maikaʻi ma ka holoi ʻana i kou mau lima i ka lā holoʻokoʻa - keu hoʻi ma mua o kou ʻai ʻana a ma hope o kou hoʻohana ʻana i ka lua. E noho mamao aku i nā mea ʻike maʻi. Eia kekahi, e hoʻāʻo e hoʻomau i kēia lā me kāu lāʻau āpau.
E hoʻoikaika a ʻai i ke olakino: E pale aku ai iā GERD, pili i ke kaupaona olakino. Hiki i ke kaona keu ke kaomi ma luna o kou ʻōpū a hoʻoikaika i ka waikawa i loko o kāu esophagus. E ʻai i nā meaʻai liʻiliʻi ma kahi o ʻekolu nui i kēlā me kēia lā. Hōʻalo i nā meaʻai e hoʻoulu ai i ka reflux acid, e like me ka spicy, acidic, fatty, a me nā meaʻai palai. E hoʻokiʻekiʻe i ke poʻo o kou wahi moe ke hiamoe ʻoe e waiho i ka waikawa i lalo i kou ʻōpū.
Hoʻololi i nā lāʻau inā pono: E noi i kāu kauka inā hiki i kekahi o nā lāʻau āu e lawe ai ke hana i nā maʻi puʻu o ka ʻāʻī. Inā pēlā, ʻike inā hiki iā ʻoe ke hoʻoponopono i ka lāʻau, hoʻoponopono pehea ʻoe e lawe ai, a i ʻole hoʻololi i kahi lāʻau ʻē aʻe.
Mai puhi: Hoʻonui ia i kou makaʻu no ka maʻi ʻaʻai, ka mea hiki ke kōkua i nā puʻupuʻu puʻu. Hoʻonāukiuki hoʻi ka puhihihi i kou puʻu a hoʻonāwaliwali hoʻi i ka kiwikā e mālama ʻole ai i ka waikawa i loko o kāu esophagus
I ka manawa e ʻike ai i kāu kauka
E ʻike i kāu kauka inā ʻaʻole hele ka maʻi lū o ka ʻāʻī i kekahi mau lā, a i ʻole he mau hōʻailona ʻē aʻe kāu, e like me:
- ale ʻeha
- hūwī
- fiva, haʻalulu
- puʻuwai puʻuwai
- hoemi urination (he hoailona o ka dehydration)
Kāhea iā 911 a i ʻole e kiʻi koke i ka lāʻau no kēia mau ʻōuli koʻikoʻi.
- pilikia i ka hanu ʻana a i ʻole ka ale ʻana
- uha a luaʻi paha i ke koko
- ʻeha ka umauma
- wela wela - ma luna o 104˚F (40˚C)
Outlook
Pili kāu kuana i ke ʻano o ke kumu o ka puʻu ʻana o ka puʻu a me ka mālama ʻana.
- Pono e hoʻōla i nā maʻi maʻi ʻo Esophageal i loko o kekahi mau pule. ʻO ka lawe ʻana i nā lāʻau e hōʻemi i ka waikawa ʻōpū hiki ke wikiwiki i ka hoʻōla.
- ʻO nā maʻi puʻu i hoʻōla ʻia e chemotherapy e hoʻōla i ka manawa e pau ai ka lāʻau maʻi maʻi ʻōpala.
- Pono e hoʻomaikaʻi i nā ulia Vocal cord me ka hoʻomaha ma hope o kekahi mau pule.
- Hele pinepine nā maʻi ʻino i loko o hoʻokahi pule a ʻelua paha. Hiki i nā lāʻau Antibiotics a me nā lāʻau antifungal ke kōkua i kahi maʻi bacteria a i ʻole hū e hoʻomaʻemaʻe wikiwiki.