ʻeha puʻuwai

ʻO ka puhi naʻau he ʻeha kuni ia ma kou umauma, ma hope pono o kou iwi umauma. Hoʻonui pinepine ka ʻeha ma hope o ka ʻai ʻana, i ke ahiahi, a i ka moe ʻana paha a i ʻole ke kūlou ʻana. He mea maʻamau ka puhi naʻau i manawa pinepine ʻole a ʻaʻohe kumu e hopohopo ai. Hiki i ka hapanui o nā kānaka ke hoʻokele i ka ʻoluʻolu ʻole o ka puhi naʻau ma o lākou iho me nā hoʻololi ʻano ola a me nā lāʻau lapaʻau ʻole i kauoha ʻia. ʻO ka puhi naʻau i pinepine aʻe a i ʻole e hoʻopilikia i kāu hana i kēlā me kēia lā paha he hōʻailona ia o kahi kūlana koʻikoʻi e pono ai ka mālama lapaʻau.

Nā hōʻailona o ka puʻuwai kuni e komo pū ana:

• ʻO ka ʻeha kuni ma ka umauma e hana pinepine ana ma hope o ka ʻai ʻana a hiki ke hana i ka pō
• ʻO ka ʻeha e ʻoi aku ka ʻino i ka wā e moe ana a i ʻole ke kūlou
• ʻO ka ʻono ʻawaʻawa a i ʻole ka waikawa i loko o ka waha

Hiki i ka ʻeha umauma ke hōʻailona o ka maʻi naʻau. E ʻimi koke i ke kōkua inā loaʻa iā ʻoe ka ʻeha umauma nui a i ʻole ka puʻe ʻana, ʻoi aku hoʻi ke hui pū ʻia me ka ʻeha i ka lima a i ʻole ka ihu a i ʻole ka pilikia o ka hanu.

E hana i kahi kūkā me kāu mea mālama ola inā:

• Hana pinepine ka heartburn ma mua o ʻelua manawa i ka hebedoma
• Ke mau nei nā hōʻailona ʻoiai ke hoʻohana nei i nā lāʻau lapaʻau kūʻai
• Loaʻa iā ʻoe ka pilikia o ka ʻai ʻana
• Loaʻa iā ʻoe ka ʻōpū luhi a i ʻole ka luaʻi
• Ua emi kou kaumaha ma muli o ka nele o ka makemake a i ʻole ka pilikia o ka ʻai ʻana

Hōʻike mai ka puʻuwai kuni i ka wā e hoʻi hou ai ka waikawa o ka ʻōpū i loko o ka paipu e lawe ai i ka meaʻai mai kou waha a i kou ʻōpū (esophagus).

Ma ke ʻano maʻamau, i ka wā e ʻai ʻia ai ka meaʻai, e hoʻomaha kahi hui o nā ʻiʻo a puni ka lalo o ka esophagus (lower esophageal sphincter) e ʻae ai i ka meaʻai a me ka wai e kahe i lalo i loko o ka ʻōpū. A laila, e hoʻopaʻa hou ʻia ka ʻiʻo.

Inā ʻaʻole hana pono ka lower esophageal sphincter, hiki i ka waikawa o ka ʻōpū ke kahe hou i luna i loko o ka esophagus (acid reflux) a hoʻokumu i ka puʻuwai kuni. Hiki ke ʻoi aku ka ʻino o ka waikawa backup i ka wā e kūlou ai ʻoe a moe paha.

Hiki i kekahi mau meaʻai a me nā mea inu ke hoʻoulu i ka puʻuwai kuni i kekahi poʻe, me kēia mau mea:

• ʻAi ʻawaʻawa
• ʻAikā
• Huahana citrus
• Huahana tōmato, e like me ke ketchup
• ʻAi momona a i ʻole ʻai palai
• Pepa mīna
• Kokoleka
• Waiʻona, nā mea inu kalapona, kofe a i ʻole nā mea inu caffeinated ʻē aʻe
• ʻAi nui a momona paha

ʻO ka nui o ke kaumaha a i ʻole ka hapai keiki pū kekahi e hoʻonui i kou pilikia o ka loaʻa ʻana o ka puʻuwai kuni.

ʻO ka puʻuwai kuni e kū pinepine ana a ke pale aku i kāu hana maʻamau, ua manaʻo ʻia he maʻi reflux gastroesophageal (GERD). Hiki i ka mālama ʻana i ka maʻi reflux gastroesophageal (GERD) ke koi i nā lāʻau lapaʻau i kauoha ʻia a, i kekahi manawa, i ka ʻoki kino a i ʻole nā ​​kaʻina hana ʻē aʻe. Hiki i ka GERD ke hōʻino nui i kou esophagus a i ʻole e alakaʻi i nā loli ma mua o ke kanesa i loko o ka esophagus i kapa ʻia ʻo Barrett's esophagus.

No ka hoʻoholo inā ʻo kou puʻuwai kuni he hōʻailona ia o ka maʻi gastroesophageal reflux (GERD), hiki i kāu kauka ke kuhikuhi aku i kēia mau mea:

ʻO ka endoscopy o ka ʻōpū o luna e pili ana i ka hoʻokomo ʻana i kahi pahū māmā, māmā i kapa ʻia ʻo ka endoscope i lalo i kou puʻu a komo i loko o kou esophagus. Hāʻawi kahi kāmela liʻiliʻi ma ka hopena o ka endoscope i kāu kauka e nānā i kou esophagus, ʻōpū a me ka hoʻomaka ʻana o kou ʻōpū liʻiliʻi, i kapa ʻia ʻo ka duodenum.

• X-ray, e nānā i ke ʻano a me ke kūlana o kou esophagus a me kou ʻōpū.
• Endoscopy, e nānā i kou esophagus me kahi kāmela liʻiliʻi e nānā i nā mea kūpono ʻole. Hiki ke lawe ʻia kahi ʻāpana o ka pūnaewele (biopsy) no ka loiloi.
• Nā hoʻokolohua probe waikawa ambulatory, e ʻike i ka wā, a pehea ka lōʻihi, e hoʻi hope mai ka waikawa ʻōpū i loko o kou esophagus. Hoʻopili kahi mea nānā waikawa i waiho ʻia i loko o kou esophagus i kahi kamepiula liʻiliʻi āu e kau ai a puni kou pūhaka a i ʻole ma kahi kāʻei ma luna o kou poʻohiwi.
• Hoʻokolohua motility esophageal, e ana i ka neʻe ʻana a me ke kaomi i loko o kou esophagus.

Hiki i nā lāʻau lapaʻau he nui ʻole ke kōkua i ka hoʻomaha ʻana i ka puʻuwai. ʻO nā koho e komo pū ana:

Inā ʻaʻole hana nā lāʻau lapaʻau ʻole a i ʻole e hilinaʻi pinepine ʻoe iā lākou, e ʻike i kāu mea mālama ola. Pono paha ʻoe i ka lāʻau lapaʻau kuhikuhi a me ka hoʻokolohua hou aku.

• Antacids, ka mea e kōkua ai i ka hoʻoneʻe ʻana i ka waikawa o ka ʻōpū. Hiki i nā antacids ke hāʻawi koke i ka hoʻomaha. Akā, ʻaʻole hiki iā lākou ke hoʻōla i ka esophagus i hōʻino ʻia e ka waikawa o ka ʻōpū.
• H2 blockers, ka mea hiki ke hoʻemi i ka waikawa o ka ʻōpū. ʻAʻole hana koke nā H2 blockers e like me nā antacids, akā hiki iā lākou ke hāʻawi i ka hoʻomaha lōʻihi. ʻO nā laʻana e komo pū ana ʻo cimetidine (Tagamet HB) a me famotidine (Pepcid AC).
• Proton pump inhibitors, ka mea hiki ke hoʻemi i ka waikawa o ka ʻōpū. ʻO nā laʻana e komo pū ana ʻo esomeprazole (Nexium 24HR), lansoprazole (Prevacid 24HR) a me omeprazole (Prilosec OTC).

Hiki i nā loli o ke ola ke kōkua i ka ho'olu'olu 'ana i ka pu'uwai kuni:

• E mālama i ka kaumaha olakino. Ke kaumaha nui nei nā paona keu ma kou'ōpū, e'omi ana i kou'ōpū a me ka ho'āla'ana i ka waikawa i loko o kou esophagus.
• E pale i nā lole pili pono, ka mea e kaumaha ai ma kou'ōpū a me ka sphincter esophageal ha'aha'a.
• E pale i nā mea'ai e ho'āla ai i kou pu'uwai kuni.
• E pale i ka moe'ana ma hope o ka 'aina. E kali i 2 a 3 mau hola.
• E pale i nā 'aina ahiahi.
• E ho'oki'eki'e i ke po'o o kou moe inā loa'a pinepine iā'oe ka pu'uwai kuni i ka pō a i'ole'oe e ho'ā'o ana e hiamoe. Inā hiki'ole kēlā, e ho'okomo i kahi'āpana ma waena o kou moena a me ka pahu puna e ho'oki'eki'e ai i kou kino mai ka pūhaka i luna. 'A'ole ma'amau ka ho'oki'eki'e'ana i kou po'o me nā uluna'ē a'e.
• E pale i ka pu'ukū a me ka wai'ona. Ke emi nei ka hana pono'ana o ka sphincter esophageal ha'aha'a ma muli o ka pu'ukū a me ka inu wai'ona.
• E pale i nā 'aina nui. E'ai ma kahi o nā'ai li'ili'i he nui i ka lā a pau.