He aha ka Hernia Hiatal? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

Hana ʻia ka hernia hiatal ke piʻi aʻe kekahi ʻāpana o kou ʻōpū ma o kahi puka ma kou diaphragm i kapa ʻia ʻo ka hiatus. E noʻonoʻo i kou diaphragm ma ke ʻano he ʻiʻo ikaika e hoʻokaʻawale i kou umauma mai kou ʻōpū a kōkua iā ʻoe e hanu.

He mea maʻamau loa kēia kūlana, ʻoi aku hoʻi i ko mākou mau makahiki. He nui nā kānaka i loaʻa nā hernia hiatal liʻiliʻi me ka ʻike ʻole. ʻOiai paha he weliweli ke inoa, hiki ke mālama ʻia ka hapa nui o nā hernia hiatal a ʻaʻole ia e hoʻoulu i nā pilikia koʻikoʻi.

He aha nā ʻano o ka hernia hiatal?

Aia ʻelua ʻano nui o nā hernia hiatal, a ʻo ka hoʻomaopopo ʻana i ka ʻokoʻa e kōkua iā ʻoe e ʻike i ka mea e manaʻo ai. Hoʻopili ka ʻano āu i loaʻa ai i kāu mau hōʻailona a me nā koho lapaʻau.

ʻO ka hernia hiatal paheʻe ka ʻano maʻamau loa, e hana ana i kahi 95% o nā hihia a pau. Me kēia ʻano, ʻo ka hui ʻana o kou esophagus me kou ʻōpū e paheʻe i luna a i lalo ma o ka puka hiatus. Ua kapa ʻia ʻo ia ʻo "paheʻe" no ka mea hiki ke neʻe i mua a i hope.

ʻOi aku ka liʻiliʻi o ka hernia hiatal paraesophageal akā ʻoi aku ka hopohopo. Maanei, kekahi ʻāpana o kou ʻōpū e piʻi aʻe ma ka ʻaoʻao o kou esophagus ʻoiai ke noho nei ka hui ʻana. Hiki i kēia ʻano ke alakaʻi i nā pilikia no ka mea hiki ke hopu ʻia a huli ʻia ka ʻāpana ʻōpū.

Aia nō hoʻi nā ʻano hui e hoʻohui ana i nā hiʻohiʻona o nā mea ʻelua, ʻoiai he mea liʻiliʻi loa kēia mau mea. Hiki i kāu kauka ke hoʻoholo i ke ʻano āu i loaʻa ai ma o nā hoʻokolohua kiʻi inā pono.

He aha nā hōʻailona o ka hernia hiatal?

ʻAʻole ʻike ka nui o nā kānaka me nā hernia hiatal liʻiliʻi i kekahi hōʻailona. Ke loaʻa nā hōʻailona, pili pinepine lākou i ka reflux acid no ka mea hiki i ka hernia ke hoʻopilikia i ka hana maikaʻi ʻana o kāu sphincter esophageal haʻahaʻa e mālama i ka acid ʻōpū ma kahi kūpono.

Eia nā hōʻailona maʻamau loa āu e ʻike ai:

• Heartburn e ʻoi aku ka ʻino ke moe ʻoe a kūlou paha
• Acid regurgitation a i ʻole ka ʻono ʻawaʻawa i kou waha
• Paʻakikī i ka ʻai ʻana, ʻoi aku hoʻi me nā ʻāpana nui o ka ʻai
• ʻEha umauma e like paha me ke kaomi a i ʻole ka puhi ʻana
• Manaʻo piha koke ke ʻai
• Burping ma mua o ka maʻamau
• Nausea, ʻoi aku hoʻi ma hope o ka ʻai ʻana

ʻIke kekahi poʻe i nā hōʻailona liʻiliʻi e like me ka maʻi ʻōhū mau, ka leo ʻole, a i ʻole ka huhū ʻana o ka ʻāʻī. Hana kēia no ka mea hiki i ka acid ʻōpū ke hiki i kou ʻāʻī a hoʻonāukiuki i nā pūnaewele ma laila.

I nā hihia liʻiliʻi, hiki i nā hernia nui ke hoʻoulu i nā hōʻailona ʻoi aku ka koʻikoʻi e like me ka ʻeha umauma nui, ka pilikia i ka hanu, a i ʻole ka luaʻi. Pono kēia mau hōʻailona i ka mālama ʻana o nā kauka koke no ka mea hiki iā lākou ke hōʻailona i nā pilikia.

He aha nā kumu o ka hernia hiatal?

Hoʻomohala ʻia nā hernia hiatal ke nāwaliwali a i ʻole ka hoʻolōʻihi ʻia o ka ʻiʻo i kahi o ka hiatus. ʻAe kēia nāwaliwali i kekahi ʻāpana o kou ʻōpū e piʻi i loko o ka puka e lawa wale no kou esophagus.

Hiki i kekahi mau mea ke hoʻopili i kēia nāwaliwali i ka manawa:

• Ka makahiki, ʻoiai e nāwaliwali a palupalu loa nā ʻiʻo diaphragm
• Ka piʻi ʻana o ke kaomi i kou ʻōpū mai ka momona, ka hāpai keiki, a i ʻole ka hāpai kaumaha pinepine
• Ka ʻōhū mau a i ʻole ka luaʻi e hoʻokau i ka pilikia mau i ka wahi
• Ka hōʻeha i ka wahi mai ka hōʻeha a i ʻole ka ʻoki kino
• Ua hānau ʻia me ka puka hiatus nui ma mua o ka maʻamau
• Ka hoʻoikaika pinepine i ka wā o ka neʻe ʻana o ka ʻōpū

I kekahi manawa ʻaʻole maopopo ke kumu pololei, a hoʻomohala mālie ʻia ka hernia i nā makahiki he nui. He mea nui e ʻike ʻaʻole pinepine nā hernia hiatal i hana ʻia e kekahi mea āu i hana hewa ai.

I nā hihia liʻiliʻi, hiki i ka hōʻeha nui i ka umauma a i ʻole ka ʻōpū ke hoʻoulu i ka hernia hiatal ʻoi aku ka nui. Hoʻomohala koke kēia ʻano a pono pinepine i ka mālama ʻana o nā kauka koke.

He aha nā mea pilikia no ka hernia hiatal?

ʻAʻole hoʻoulu ka hapa nui o nā hernia hiatal i nā pilikia koʻikoʻi, ʻoi aku hoʻi ka ʻano paheʻe liʻiliʻi. Eia naʻe, hiki i ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona e nānā ai a i ka wā e ʻimi ai i ka mālama ʻana o nā kauka.

ʻO ka pilikia maʻamau loa ka maʻi reflux gastroesophageal (GERD), kahi e hoʻomohala ai ke kahe mau ʻana o ka acid ʻōpū i kou esophagus. I ka manawa, hiki i kēia hōʻike acid ke hoʻonāukiuki a hōʻino i ka laina o kou esophagus.

Hiki i nā pilikia pili i ka GERD ke komo pū:

• Esophagitis, ʻo ia ka mumū o ka laina esophagus
• Barrett's esophagus, kahi e loli ai ka laina esophagus ma muli o ka hōʻike acid
• Esophageal stricture, a i ʻole ka hoʻonui ʻana e paʻakikī ai ka ʻai ʻana
• Nā pilikia hanu mau mai ka acid e hiki ana i nā māmā

Hiki i nā hernia paraesophageal ke alakaʻi i nā pilikia ʻoi aku ka koʻikoʻi. I nā hihia liʻiliʻi, hiki ke hopu ʻia a huli ʻia ka ʻāpana o ka ʻōpū i piʻi aʻe, e ʻoki ana i kona lako koko.

ʻO nā hōʻailona o kēia mau pilikia koʻikoʻi e komo pū ana ka ʻeha ʻōpū nui, mau, ka hiki ʻole ke luaʻi ʻoiai ka nausea, a me ka wikiwiki o ka naʻau. Pono kēia mau hōʻailona i ka mālama ʻana o nā kauka koke.

Me ka mālama kūpono a me ka mālama hoʻomau mau, hiki i ka hapa nui o nā kānaka me nā hernia hiatal ke pale aku i kēia mau pilikia mai ka hoʻomohala ʻana.

Pehea ka hōʻoia ʻana o ka hernia hiatal?

Hoʻomaka pinepine ka hōʻoia ʻana o ka hernia hiatal me kāu kauka e nīnau ana e pili ana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau. Makemake lākou e ʻike e pili ana i kāu mau ʻano heartburn, nā ʻano ʻai, a me kekahi mōʻaukala ʻohana o nā pilikia digestive.

I ka wā o ka hoʻokolohua kino, e hoʻolohe kāu kauka i kou umauma a e ʻike i kou ʻōpū. Eia naʻe, ʻaʻole hiki ke ʻike ʻia nā hernia hiatal ma o ka hoʻokolohua kino wale nō, no laila pono pinepine nā hoʻokolohua kiʻi.

ʻO nā hoʻokolohua hōʻoia maʻamau loa e komo pū ana:

• Barium swallow X-ray, kahi āu e inu ai i ka wai lepo e hōʻike ʻia ma nā X-rays
• Upper endoscopy, me ka hoʻohana ʻana i ka tube lahilahi, flexible me kahi kamera e nānā i loko
• CT scan o kou umauma a me kou ʻōpū no nā kiʻi kikoʻī
• Esophageal manometry e ana i ka hana maikaʻi ʻana o nā ʻiʻo esophagus

ʻO ka barium swallow pinepine ka hoʻokolohua mua no ka mea he mea maʻalahi a hōʻike i ka neʻe ʻana o kou esophagus a me kou ʻōpū ke ʻai ʻoe. Hiki i kāu kauka ke ʻike inā kekahi ʻāpana o kou ʻōpū e piʻi aʻe i loko o kou umauma.

Hiki ke ʻōlelo ʻia kahi upper endoscopy inā loaʻa iā ʻoe nā hōʻailona hopohopo a i ʻole inā pono i kāu kauka ka nānā kokoke aku i ka laina o kou esophagus. ʻAe kēia hoʻokolohua iā lākou e nānā no nā pilikia e like me ka mumū a i ʻole Barrett's esophagus.

I kekahi manawa, ʻike ʻia nā hernia hiatal ma ka manawa like i nā hoʻokolohua no nā kūlana ʻē aʻe, ʻoi aku hoʻi nā X-rays umauma a i ʻole nā CT scan i hana ʻia no nā kumu pili ʻole.

He aha ka lapaʻau no ka hernia hiatal?

Hoʻokomo ka lapaʻau no ka hernia hiatal i ka mālama ʻana i kāu mau hōʻailona a pale aku i nā pilikia. Hiki i ka nui o nā kānaka ke kaohi i kā lākou mau hōʻailona maikaʻi me nā loli ola a me nā lāʻau lapaʻau, me ka ʻole o ka ʻoki kino.

E hoʻomaka paha kāu kauka me nā lapaʻau mālama, ʻoi aku hoʻi inā he māmā a waena paha kāu mau hōʻailona. ʻO ka pahuhopu ke hoʻemi i ka reflux acid a hoʻoluʻolu iā ʻoe i nā hana o kēlā me kēia lā.

Hoʻokomo pinepine nā koho lāʻau lapaʻau:

• Antacids no ka hoʻomaha koke ʻana o nā hōʻailona heartburn
• H2 receptor blockers e hoʻemi i ka hana acid
• Proton pump inhibitors no ka hoʻoemi acid ikaika a lōʻihi hoʻi
• Prokinetic agents e kōkua i kou ʻōpū e hakahaka koke

E hoʻomaka paha kāu kauka me nā koho ma luna o ka papa kuhikuhi a neʻe i nā lāʻau lapaʻau inā pono. E hilinaʻi ka ʻano a me ka ikaika o ka lāʻau lapaʻau i ka nui o kou mau hōʻailona a me ka maikaʻi o kou pane i ka lapaʻau.

Manaʻo pinepine ʻia ka ʻoki kino wale nō ke hāʻawi ʻole nā lāʻau lapaʻau a me nā loli ola i ka hoʻomaha kūpono, a i ʻole inā loaʻa iā ʻoe kahi hernia paraesophageal nui e pilikia ana i nā pilikia. ʻO ka hana ʻoki kino maʻamau loa i kapa ʻia ʻo fundoplication, kahi e kāʻei ai ke kauka i kekahi ʻāpana o kou ʻōpū a puni ka esophagus haʻahaʻa e hoʻoikaika i ka pale ʻana i ka reflux acid.

Manaʻo pinepine ʻia ka ʻoki kino laparoscopic liʻiliʻi no ka mea e komo pū ana me nā ʻoki liʻiliʻi a me ka hoʻōla wikiwiki ma mua o ka ʻoki kino ākea maʻamau.

Pehea e mālama ai i ka hernia hiatal ma ka home?

He kuleana nui ka mālama home i ka kaohi ʻana i nā hōʻailona hernia hiatal a hoʻomaikaʻi i kou ola. Hiki i nā loli maʻalahi i kāu mau ʻano ʻai a me ka hana o kēlā me kēia lā ke hoʻolilo i kahi ʻokoʻa nui i kou manaʻo.

ʻO ka ʻai ʻana i nā ʻai liʻiliʻi, pinepine ma mua o ʻekolu nui, hiki ke kōkua i ka hoʻemi ʻana i ke kaomi ma kou ʻōpū a hoʻemi i ka reflux. E ho'āʻo e ʻai i kāu ʻai hope loa ma kahi o ʻekolu hola ma mua o ka moe ʻana e hāʻawi i kou ʻōpū i ka manawa e hakahaka ai.

ʻO nā meaʻai a me nā mea inu e hoʻoulu pinepine i nā hōʻailona e komo pū ana:

• Nā meaʻai ʻawaʻawa, ʻawaʻawa, a i ʻole nā meaʻai tomato
• Nā hua citrus a me nā wai
• Chocolate a me ka peppermint
• Nā mea inu caffeinated a me ka waiʻona
• Nā meaʻai momona a i ʻole nā meaʻai palai
• Nā mea inu carbonated

Hiki i ka mālama ʻana i kahi puke meaʻai ke kōkua iā ʻoe e ʻike i kāu mau mea hoʻoulu pilikino. ʻOkoʻa ka ʻae ʻana o kēlā me kēia, no laila he mea maikaʻi paha ka mea e hoʻonāukiuki ai i kekahi kanaka no kekahi.

ʻO ka hoʻokiʻekiʻe ʻana i ke poʻo o kou moe ma 6 a 8 iniha hiki ke kōkua i ka pale ʻana i ka reflux i ka pō. Hiki iā ʻoe ke hoʻohana i nā mea hoʻokiʻekiʻe moe a i ʻole kahi uluna wedge e hoʻokō i kēia kihi. Hiki i ka moe ʻana ma kou ʻaoʻao hema ke kōkua hoʻi e hoʻemi i nā hōʻailona.

ʻO ka mālama ʻana i kahi kaumaha olakino e hoʻemi i ke kaomi ʻōpū e hiki ke hoʻopilikia i nā hōʻailona hernia. Hiki i ka lilo ʻana o kahi kaumaha liʻiliʻi ke hāʻawi i ka hoʻomaha ʻike ʻia no nā kānaka he nui.

ʻO ka pale ʻana i nā lole paʻa a puni kou pūhaka a me ka moe ʻole koke ma hope o ka ʻai ʻana he mau hoʻolālā maʻalahi akā maikaʻi.

Pehea e pale aku ai i ka hernia hiatal?

ʻOiai ʻaʻole hiki iā ʻoe ke pale mau i nā hernia hiatal, ʻoi aku hoʻi nā mea e pili ana i ka makahiki, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia a pale aku i nā hernia i loaʻa mai ka hoʻopilikia ʻana.

ʻO ka mālama ʻana i kahi kaumaha olakino kekahi o nā hana pale nui loa. Hoʻonui ka kaumaha nui i ke kaomi ʻōpū, kahi e hiki ke hoʻopili i ka hoʻomohala ʻana o ka hernia a hoʻopilikia i nā mea i loaʻa.

Eia nā hana pale nui:

• ʻAi i kahi meaʻai kaulike waiwai i ka fiber e pale aku i ka constipation a me ka hoʻoikaika
• Hoʻomaʻamaʻa mau e mālama i ka ikaika kumu a me ke kaumaha olakino
• Hoʻohana i nā ʻano hāpai kūpono a pale aku i ka hāpai kaumaha inā hiki
• Mai puhi paka, ʻoiai e nāwaliwali ana i nā pūnaewele a hoʻoulu i ka ʻōhū mau
• Mālama i nā kūlana mau e hoʻoulu i ka ʻōhū pinepine
• Pale aku i nā hana e hoʻonui nui ai i ke kaomi ʻōpū

Inā ʻoi aku kou pilikia ma muli o ka makahiki a i ʻole ka mōʻaukala ʻohana, ʻoi aku ka nui o ka noʻonoʻo ʻana i kēia mau hana pale.

No nā kānaka i loaʻa mua ka hernia hiatal, hiki i ka hahai ʻana i kēia mau kumumanaʻo like ke kōkua i ka pale ʻana i nā hōʻailona mai ka hoʻopilikia ʻana a hoʻemi i ka pilikia o nā pilikia.

Pehea ʻoe e hoʻomākaukau ai no kāu koho kauka?

Hiki i ka hoʻomākaukau ʻana no kāu koho ke kōkua iā ʻoe e kiʻi i ka mea nui loa mai kāu kipa a hōʻoia i loaʻa i kāu kauka nā ʻike āpau e pono ai e kōkua maikaʻi iā ʻoe.

Ma mua o kāu koho, e kākau i kāu mau hōʻailona, ​​​​e komo pū ana i ka wā e hana ai, ka mea e hoʻoulu ai iā lākou, a me ka mea e hāʻawi ai i ka hoʻomaha. E hoʻomaopopo pehea e hoʻopilikia ai kāu mau hōʻailona i kāu mau hana o kēlā me kēia lā, ka moe, a me nā ʻano ʻai.

E lawe mai i kahi papa inoa piha o nā lāʻau āpau āu e lawe nei, e komo pū ana i nā lāʻau ma luna o ka papa kuhikuhi, nā mea hoʻohui, a me nā lāʻau lapaʻau. Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hōʻailona digestive a i ʻole ka launa pū ʻana me nā lapaʻau āu e ʻōlelo ai kāu kauka.

E mākaukau e kūkākūkā:

• Kāu mōʻaukala ʻohana o nā pilikia digestive a i ʻole nā hernia
• Kekahi mau ʻoki kino ma mua, ʻoi aku hoʻi nā hana ʻōpū a i ʻole ka umauma
• Kāu meaʻai maʻamau a me nā ʻano ʻai
• Inā puhi paka ʻoe a inu paha i ka waiʻona mau
• Kekahi mau loli kaumaha hou
• Nā kūlana lapaʻau ʻē aʻe āu i loaʻa ai

E kākau i nā nīnau āu e makemake ai e nīnau ma mua o kou poina ʻana iā lākou i ka wā o ka koho. E noʻonoʻo e nīnau e pili ana i nā koho lapaʻau, nā hoʻololi ola, a me ka wā e ʻimi ai i ka mālama hoʻomau.

Inā ua ho'āʻo ʻoe i kekahi mau lāʻau lapaʻau home a i ʻole nā lāʻau lapaʻau ma luna o ka papa kuhikuhi, e haʻi aku i kāu kauka i ka mea i hana a me ka mea ʻaʻole. Kōkua kēia ʻike i ka alakaʻi ʻana i nā hoʻoholo lapaʻau.

He aha ka mea nui e lawe aku ai e pili ana i ka hernia hiatal?

ʻO nā hernia hiatal nā kūlana maʻamau, hiki ke mālama ʻia ʻaʻole pono e hoʻopilikia nui i kou ola. ʻOiai paha ke manaʻo mua ʻia ka hōʻoia ʻana, hiki i ka hapa nui o nā kānaka ke kaohi i kā lākou mau hōʻailona maikaʻi me ka hui kūpono o nā loli ola a me ka lapaʻau lapaʻau.

ʻO ka mea nui loa e hoʻomanaʻo ai ʻo nā hernia hiatal liʻiliʻi pinepine e hoʻoulu i nā hōʻailona liʻiliʻi a maʻamau ʻole e alakaʻi i nā pilikia koʻikoʻi. Hiki ke mālama maikaʻi ʻia nā hernia nui me ka mālama kūpono o nā kauka a me ka nānā ʻana i nā mea hoʻoulu hōʻailona.

ʻO ka hana pū ʻana me kāu mea hoʻolako mālama ola e hoʻomohala i kahi hoʻolālā mālama pilikino he mea nui i kou holomua. Hiki i kēia ke komo pū me nā hoʻololi meaʻai, nā lāʻau lapaʻau, ka mālama kaumaha, a me ka nānā mau e hōʻoia i ka noho paʻa o kou kūlana.

Mai kānalua e hoʻopili aku i kāu kauka inā loli a ʻoi aku ka ʻino o kāu mau hōʻailona. Me ka mālama proactive a me ke kākoʻo kūpono, hiki iā ʻoe ke hoʻomau i ka leʻaleʻa i kāu mau hana punahele a mālama i kahi ola maikaʻi ʻoiai loaʻa iā ʻoe kahi hernia hiatal.

Nā nīnau pinepine e pili ana i ka hernia hiatal

Hiki i ka hernia hiatal ke hele aku ma kona iho?

ʻAʻole pinepine nā hernia hiatal liʻiliʻi e hele loa ma kona iho, akā hoʻomaikaʻi pinepine nā hōʻailona me nā loli ola a me ka mālama kūpono. ʻO ka hernia iho ke hōʻike nei i kahi loli ʻano kahi i neʻe ai kekahi ʻāpana o kou ʻōpū ma o ka puka diaphragm. Eia naʻe, ʻike ka nui o nā kānaka i ka hoʻomaha nui ʻana a i ʻole ka nalowale ʻana o kā lākou mau hōʻailona me ke ala lapaʻau kūpono, e lilo ai ka hernia i mea liʻiliʻi i ke ola o kēlā me kēia lā.

He mea palekana anei ka hoʻomaʻamaʻa me ka hernia hiatal?

ʻAe, he mea palekana a maikaʻi hoʻi ka hoʻomaʻamaʻa no nā kānaka me nā hernia hiatal, akā makemake ʻoe e koho pono i nā hana. ʻO nā hana hoʻomaʻamaʻa haʻahaʻa e like me ka hele wāwae, ka ʻauʻau, a me ka yoga māmā he mau koho maikaʻi loa. Pale aku i nā hana e hoʻonui nui ai i ke kaomi ʻōpū, e like me ka hāpai kaumaha nui, nā hana hoʻomaʻamaʻa kumu ikaika, a i ʻole nā hana e pono ai ʻoe e paʻa i kou hanu a hoʻoikaika. E hoʻolohe mau i kou kino a e hoʻōki inā ʻike ʻoe i ka hoʻonui ʻana o nā hōʻailona i ka wā a ma hope paha o ka hoʻomaʻamaʻa.

He aha nā meaʻai e pono iaʻu e pale loa aku ai me ka hernia hiatal?

ʻOiai ʻokoʻa nā meaʻai hoʻoulu mai ke kanaka a i ke kanaka, ʻo nā mea maʻamau e kaupalena a pale aku paha e komo pū ana nā meaʻai ʻawaʻawa, nā hua citrus, nā tamato, ka chocolate, ka peppermint, ka caffeine, ka waiʻona, a me nā meaʻai momona a i ʻole nā meaʻai palai. Eia naʻe, ʻaʻole pono ʻoe e kāpae loa i kēia mau meaʻai no ka manawa mau. E mālama i kahi puke meaʻai e ʻike i kāu mau mea hoʻoulu pilikino, a e hana pū me kāu kauka a i ʻole kahi dietitian e hana i kahi hoʻolālā ʻai kaulike e hoʻemi i nā hōʻailona ʻoiai e ʻae ana iā ʻoe e leʻaleʻa i nā ʻano meaʻai.

Pehea ka lōʻihi o ka hoʻōla ʻana o ka ʻoki kino hernia hiatal?

ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻano o ka ʻoki kino a me kāu kaʻina hoʻōla pilikino. Me ka ʻoki kino laparoscopic liʻiliʻi, hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana māmā i loko o hoʻokahi pule a me nā hana maʻamau i loko o 2-4 mau pule. Hoʻomaʻamaʻa piha, e komo pū ana ka hiki ke hāpai i nā mea kaumaha a hoʻi i nā hana ma mua, maʻamau he 6-8 mau pule. E hāʻawi kāu kauka i nā kuhikuhi kikoʻī ma muli o kāu hana a me ka holomua i nā koho hoʻomau.

Hiki i ke kaumaha ke hoʻopilikia i nā hōʻailona hernia hiatal?

ʻAe, hiki i ke kaumaha ke hoʻopilikia i nā hōʻailona hernia hiatal ma kekahi mau ala. Hoʻoulu pinepine ka kaumaha i nā loli i nā ʻano ʻai, ka hoʻonui ʻana i ka hana acid ʻōpū, a me ka ʻiʻo ʻiʻo e hiki ke hoʻopilikia i ka ʻai ʻana. ʻAi nui nā kānaka i ka wikiwiki a i ʻole koho i nā meaʻai ʻaʻole olakino ke kaumaha, kahi e hiki ai ke hoʻoulu i nā hōʻailona reflux. ʻO ka mālama ʻana i ke kaumaha ma o nā ʻano hoʻomaha, ka hoʻomaʻamaʻa mau, ka moe lawa, a me nā hoʻolālā hoʻemi kaumaha hiki ke lilo i ʻāpana nui o ka mālama maikaʻi ʻana i kāu mau hōʻailona hernia hiatal.