He aha te GERD? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te GERD te kupu poto mō te mate urupare o te pūkahukahu me te whekau, he āhuatanga e rere ai te waikawa o te kopu ki runga anō ki tō whekau. Ko tēnei rerenga whakamuri o te waikawa ka whakaheke i te papanga o tō whekau, ā, ka puta ai te āwangawanga ka mōhio koe hei ngakau wera.

Whakaarohia tō whekau hei pūkaha e kawe ai i te kai i tō waha ki tō kopu. I raro iho i tēnei pūkaha kei te noho he mowhiti o te uaua e kiia nei ko te sphincter whekau iti, ā, koia tēnei te mahi pēnei i te tatau kotahi-ara. Ki te kore tēnei tatau e kati tika, kāore rānei e tuwhera pinepine, ka mawhiti te waikawa o te kopu ki runga, ā, ka puta ai ngā raruraru.

He aha te GERD?

Ko te GERD tētahi āhuatanga kai pūmau e pā ana ki te mano tini o te iwi puta noa te ao. Kāore i rite ki te ngakau wera tūpono e puta ana i muri i te kai nui, ko te GERD e whakaatu ana i te urupare waikawa pinepine e puta ana kia rua neke atu rānei i te wiki.

Ko te rerekētanga matua i waenganui i te ngakau wera noa me te GERD kei te auau me te kaha. Ahakoa ko te nuinga o te iwi e pā ana ki te ngakau wera i etahi wā, ko te tikanga o te GERD ko ō tohu e whakawakia ana tō oranga o ia rā, kāore rānei e pakaru tō whekau i te roa.

Ka whakaputa waikawa tō kopu hei awhina i te whakahaere kai, he mea noa tēnei. Heoi, ko tēnei waikawa e tika ana kia noho ki roto i tō kopu, kāore e haere ki runga ki tō whekau, kaore hoki he papanga tiaki kei a tō kopu.

He aha ngā tōmhanga o te GERD?

Ka rerekē ngā tōmhanga o te GERD mai i te tangata ki te tangata, engari ko te nuinga o te iwi e pā ana ki te whakakotahitanga o ngā tohu kai me ngā tohu manawa. Kia haere tātou i ngā tōmhanga tino noa ka kitea e koe.

Ko ngā tōmhanga tino nui ko:

• Ngakau wera - he āwangawanga wera i roto i tō uma e kaha ake ana i te nuinga i muri i te kai, i te takoto rānei
• Te whakahoki - te āwangawanga o te waikawa, o te kai rānei e hoki mai ana ki tō korokoro, ki tō waha rānei
• Te mamae uma e rite ana ki te mamae o te ngakau, engari e hono ana ki te kai
• Te uaua ki te horomi, ki te āwangawanga rānei kei te mau te kai i roto i tō korokoro
• He reka kawa, he kawa rānei i tō waha, ina koa i te ata

Ko ētahi atu tangata e pā ana ki ngā mea e kiia ana e ngā tākuta he tōmhanga pēnei. Ka uru pea ēnei ki te mare mare, te reo ngākau, te whakakore i te korokoro, ā, aha atu ngā tohu pēnei i te mate huango. Ka puta ēnei nā te mea ka tae te waikawa ki tō korokoro, ā, ka whakaheke i ō taura reo me ō ara manawa.

Ko ngā tōmhanga o te pō e tika ana kia aro atu, nā te mea ka pā nui ki te kounga o tō moe. Ka oho pea koe me te reka kawa, ngā wero mare, ngā āwangawanga whakakī rānei. Ko ēnei tōmhanga o te pō e whakaatu pinepine ana ko te urupare waikawa he kaha ake.

He aha ngā take o te GERD?

Ka whanake te GERD ina kore te sphincter whekau iti e mahi tika. Ko tēnei uaua e mau ana i te nuinga i muri i te haere o te kai ki tō kopu, engari he maha ngā take ka ngoikore, kāore rānei e whakamahi tika.

Ko ngā take tino nui ko:

• Te hernia hiatal - ina pēnei tetahi wāhanga o tō kopu e pēnei ana i tō diaphram
• Te momona - ko te taumaha atu ka whakapā atu ki tō puku, ā, ka pehia ngā mea o te kopu ki runga
• Te hapu - ngā huringa homoni me te pehanga tinana mai i te pēpi e tipu ana
• Ētahi rongoā pēnei i ngā kaihoroi kaupapa kōhatu, ngā antihistamines, ngā kaiwhakaora mamae rānei
• Te whakakī - ka ngoikore te sphincter whekau iti, ā, ka nui ake te whakaputa waikawa
• Ngā kai nui, te takoto rānei i muri tonu i te kai

Ka taea hoki e ētahi kai me ngā inu te whakaoho i ngā tōmhanga GERD mā te whakahaere i te uaua sphincter, mā te whakanui rānei i te whakaputa waikawa. Ko ngā mea whakaoho noa ko ngā kai piripiri, ngā hua citrus, ngā tamati, te tiakarete, te caffeine, te waipiro, me ngā kai momona, ngā kai kohuatia rānei.

Ko ētahi tangata e whanake ana i te GERD nā te whakahaere kopu whakaroa, he āhuatanga e kiia nei ko te gastroparesis. Ki te noho te kai i roto i tō kopu i te roa atu i te noa, ka nui ake te tūpono o te urupare waikawa.

Nōhea te haere ki te taakuta mō te GERD?

Me haere koe ki te taakuta ki te pā ana koe ki te ngakau wera neke atu i te rua i te wiki, ki te kore rānei ngā rongoā kore-whakahaunga e homai te whakaora. Ko ēnei tohu e whakaatu ana kua ahu whakamua te ngakau wera tūpono ki te GERD.

Rapua te tiaki hauora tonu ki te pā ana koe ki te mamae uma nui, ina koa ki te haere tahi me te poto o te manawa, te mamae o te kauae, te mamae o te ringa rānei. Ahakoa ko ēnei tohu e hono ana ki te GERD, ka taea hoki e rātou te whakaatu i ngā raruraru ngakau nui e hiahia ana ki te aromatawai tonu.

Ko ētahi atu tohu whakatūpato e hiahia ana ki te tiaki hauora tere ko te uaua ki te horomi, te ruaki tonu me te ruaki, te ngaro o te taumaha kaore i te ngana, te toto rānei i roto i tō ruaki, i tō paru rānei. Ka taea e ēnei tohu te whakaatu i ngā raruraru, i ētahi atu āhuatanga nui rānei.

Kaua e tatari ki te rapu awhina ki te whakawakia e ngā tōmhanga GERD tō moe, tō mahi, ngā mahi o ia rā rānei. Ko te maimoatanga wawe ka taea te aukati i ngā raruraru, ā, ka pai ake te kounga o tō oranga.

He aha ngā take morearea mō te GERD?

He maha ngā take ka taea te whakanui ake i tō tūpono ki te whanake i te GERD. Ko te mārama ki ēnei take morearea ka taea te awhina i a koe ki te whakatau whakamārama mō te aukati me te maimoatanga.

Ko ngā take morearea tinana me te oranga ko:

• Te taumaha rawa atu, te momona rānei
• Te hapu
• Te whakakī, te whakakī rānei i te paowa tuarua
• Te kai i ngā kai nui, te kai rānei i te pō
• Te takoto i muri tonu i te kai
• Te inu waipiro, kōpi, inu kakā rānei i ia rā

Ko ngā āhuatanga hauora e whakanui ana i te morearea GERD ko te mate huka, te mate huango, ngā mate peptic, me ngā mate hononga pēnei i te scleroderma. Ka taea e ēnei āhuatanga te pā ki te mahi o tō pūnaha kai, te whakanui rānei i te pehanga o te puku.

Ko te tau e tākaro ana hoki, i te mea ka noho te GERD hei mea noa i te pakeke o te iwi. Ka puta tēnei nā te mea ka ngoikore pea te sphincter whekau iti i te roa, ā, ka taea e ētahi atu huringa e pā ana ki te pakeketanga te pā ki te whakahaere kai.

Ko te hītori whānau e pā ana hoki. Ki te pā ana ō mātua, ō teina rānei ki te GERD, ka nui ake pea tō tūpono ki te whanake i a koe, ahakoa ko ngā take oranga e tākaro ana i te nuinga atu i te ira.

He aha ngā raruraru pea o te GERD?

Ina kore te GERD e maimoatia, ko te whakaatu tonu ki te waikawa o te kopu ka taea te pakaru i tō whekau, ā, ka puta ai ngā raruraru nui. Kia kōrero tātou mō te mea ka puta, me te take e nui ai te maimoatanga wawe.

Ko ngā raruraru tino nui ko:

• Te esophagitis - te mumura me te whakaheke i te papanga o te whekau
• Te ngoikore o te whekau - te whakaiti i te whekau nā te hanganga o te kiri
• Te whekau o Barrett - ngā huringa i te papanga o te whekau e whakanui ana i te morearea o te mate pukupuku
• Ngā raruraru manawa pēnei i te mare mare, te mate huango, te mate pneumonia rānei mai i te waikawa e tae ana ki ngā pūkahukahu
• Ngā raruraru niho mai i te waikawa e kai ana i te enamel niho

Ko te whekau o Barrett e tika ana kia aro atu, nā te mea he āhuatanga precancerous. Ko te papanga noa o tō whekau e huri ana kia rite ki te papanga o tō whekau. Ahakoa ko te nuinga o te iwi e pā ana ki te whekau o Barrett kaore e whanake i te mate pukupuku, he mea nui te tirotiro tonu.

Ka taea e te ngoikore o te whekau te whakaiti i te horomi, ā, ka hiahia pea ki ngā tukanga hauora hei whakarahi i te whekau. Ko tēnei raruraru e whanake ana i muri i ngā tau o te GERD kore-maimoatia, koia te take e nui ai te maimoatanga wawe.

Ko te rongo pai ko ēnei raruraru ka taea te aukati mā te whakahaere tika i te GERD. Ko te nuinga o te iwi e whiwhi ana i te maimoatanga tika kaore e whanake i ngā raruraru nui.

Me pēhea te aukati i te GERD?

Ka taea te aukati, te whakapai ake rānei i te maha o ngā keehi o te GERD mā ngā huringa oranga. Ko ēnei whakarerekētanga e aro ana ki te whakaiti i te whakaputa waikawa me te aukati i te waikawa kei te haere ki runga ki tō whekau.

Ka taea e ngā huringa kai te whakarereke nui:

• Kai iti ake, kai pinepine atu i te kai nui
• Kaua e kai i roto i ngā haora 3 o te moe
• Whakaitihia ngā kai whakaoho pēnei i ngā kai piripiri, citrus, tamati, tiakarete, me te caffeine
• Whakaitihia te inu waipiro
• Kōwhiria ngā pūmua ngawari, kaua hoki ngā kai momona, ngā kai kohuatia rānei
• Kia makona ki te wai, kaua ki ngā inu kakā

Ko ngā whakarerekētanga tinana me te oranga e awhina ana hoki ki te aukati i ngā tōmhanga GERD. Ko te pupuri i te taumaha hauora ka whakaiti i te pehanga o te puku e taea te pehi i ngā mea o te kopu ki runga.

Ko te tu moe e pā ana hoki. Ko te whakanui i te ulu o tō moenga ki te 6 ki te 8 inihi ka taea te awhina i te kaha o te āhuatanga kia noho te waikawa o te kopu ki reira.

Ko te whakahaere i te ahotea mā ngā tikanga whakahaere, te whakakori tinana, te tohutohu rānei ka taea te awhina, i te mea ka taea e te ahotea te whakaiti i ngā tōmhanga GERD i ētahi tangata.

Me pēhea te whakatau i te GERD?

Ko te whakatau i te GERD e tīmata ana i te nuinga mā tō taakuta e ui ki ō tōmhanga me tō hītori hauora. Ki te noa ō tōmhanga, ā, ka whakautu ki te maimoatanga tuatahi, ka taea e tō taakuta te whakatau i te GERD kaore he whakamātautau atu.

Ina hiahiatia he whakamātautau atu, ka tūtohu pea tō taakuta i te endoscopy o runga. I roto i tēnei tukanga, he pūkaha angiangi, ngawari me te kamera e whakauruhia ana mā tō waha hei tirotiro i tō whekau me tō kopu. Ka taea e tēnei te awhina i tō taakuta ki te kite i ngā pakaru, i te mumura rānei.

Ko te whakamātautau waikawa e whakauru ana i te whakauru i te taputapu iti ki tō whekau hei ine i ngā taumata waikawa i roto i ngā haora 24 ki te 48. Ka awhina tēnei whakamātautau ki te whakatau i te auau me te roa o te waikawa o te kopu e tomo ana ki tō whekau i ngā mahi o ia rā.

Ko ētahi atu whakamātautau pea ko te horomi barium, kei reira koe e inu ana i te wai kōhatu e puta ana i ngā X-rays, ā, ka taea e ngā tākuta te kite i te āhua me te mahi o tō pūnaha kai o runga.

He aha te maimoatanga mō te GERD?

Ko te maimoatanga GERD e whai ana i te huarahi taahiraa-i-te-taahiraa, e tīmata ana i ngā huringa oranga, ā, ka haere tonu ki ngā rongoā ki te hiahiatia. Ko te nuinga o te iwi e kite ana i te whakaora mā te whakakotahitanga tika o ngā maimoatanga.

Ko ngā whakarerekētanga oranga te turanga o te maimoatanga GERD:

• Ngā huringa kai hei karo i ngā kai whakaoho
• Te ngaro o te taumaha ki te momona koe
• Te kai i ngā kai iti
• Te whakanui i te ulu o tō moenga
• Te karo i ngā kai o te pō
• Te mutu i te whakakī

Ka taea e ngā rongoā kore-whakahaunga te homai whakaora mō ngā tōmhanga ngawari ki te noa. Ko ngā antacids e whakaiti ana i te waikawa o te kopu tere, engari he whakaora wā poto. Ko ngā kaihoroi pūkaha H2 pēnei i te famotidine e whakaiti ana i te whakaputa waikawa, ā, e roa atu i ngā antacids.

Ko ngā kaihoroi pūkaha proton (PPIs) te rongoā tino whai hua mō te GERD. Ko ēnei rongoā e whakaiti nui ana i te whakaputa waikawa, ā, ka tukua ai te papanga whekau pakaru kia ora.

Mō te GERD nui kaore e whakautu ki te rongoā, he whiringa pokanga kei reira. Ko te fundoplication he tukanga kei reira te taote e takai ana i te tihi o tō kopu ki te whekau iti hei whakapakari i te arai ki te urupare.

Me pēhea te whakahaere i te GERD i te kāinga?

Ko te whakahaere kāinga o te GERD e aro ana ki te hanga i tētahi taiao e whakaiti ana i te urupare waikawa, me te tautoko i tō hauora kai katoa. Ko ēnei rautaki e pai ana te mahi ina whakakotahitia tonu i te roa.

Ko te mahere kai me te wā ka taea te pā nui ki ō tōmhanga. Whakamātauria te kai i tō kai nui i te awatea ina tu tika koe mō ngā haora maha i muri mai. Pupuri i tētahi pukapuka kai hei whakatau i ō kai whakaoho, i te mea ka rerekē ēnei mai i te tangata ki te tangata.

Hangaia tētahi mahi moe e tautoko ana i te whakahaere kai pai. Mutu te kai kia 3 haora i mua i te moe, ā, whakaarohia te kai i tētahi kai iti o ngā kai kore-waikawa ki te hiakai koe i muri mai. Pupurihia ngā antacids i te taha o tō moenga mō ngā tōmhanga o te pō.

Ko ngā tikanga whakahaere ahotea pēnei i te manawa hohonu, te whakaaroaro, te yoga ngawari rānei ka taea te awhina i te whakaiti i ngā tōmhanga GERD. Ko te ahotea kaore e tino whakaoho i te GERD, engari ka taea te whakaiti i ngā tōmhanga, ā, ka nui ake te pā ki te urupare waikawa.

Kia makona i te rā katoa, engari kaua e inu nui o ngā wai me ngā kai, i te mea ka taea e tēnei te whakanui i te rahinga o te kopu, ā, ka whakanui i te urupare.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō tō hui GERD e awhina ana i te whakarite kia whiwhi koe i te whakatau tino tika me te mahere maimoatanga whai hua. Kei te hiahia tō taakuta ki ngā korero motuhake mō ō tōmhanga me te āhua o te pā ki tō oranga o ia rā.

Pupuri i tētahi pukapuka tōmhanga mō te wiki i mua i tō hui. Tuhia te wā e puta ai ngā tōmhanga, ngā mea i kai koe, ō mahi, me te kaha o ngā tōmhanga i runga i te pānga 1 ki te 10. Ka awhina ēnei korero i tō taakuta ki te mārama i ngā tauira me ngā mea whakaoho.

Hangaia tētahi rārangi o ngā rongoā me ngā taapiri katoa e inu ana koe, tae atu ki ngā rongoā kore-whakahaunga. Ko ētahi rongoā ka taea te whakaiti i ngā tōmhanga GERD, ko ētahi atu pea ka hono atu ki ngā maimoatanga GERD ka taea e tō taakuta te whakahau.

Whakaritea ngā pātai mō tō āhuatanga motuhake. Ka ui pea koe mō ngā herenga kai, te wā e tatari ai koe ki te whakapai ake o ngā tōmhanga, ngā tohu whakatūpato e hiahia ana ki te aro nui, te roa rānei e hiahia ana koe ki te inu rongoā.

Kawe mai i tētahi hītori hauora katoa, tae atu ki ngā korero mō ētahi atu raruraru kai, pokanga, āhuatanga pūmau rānei. Ko te hītori whānau o te GERD, i ētahi atu mate kai rānei he korero tika hoki hei whakaatu.

He aha te mea nui mō te GERD?

Ko te GERD he āhuatanga e taea te whakahaere e whakautu pai ana ki te maimoatanga ina whakahaerea tika. Ko te mea nui ko te mohio kua kore koe e noho ki te ngakau wera pinepine, ā, te rapu i te tiaki tika i te wawe.

Ko te nuinga o te iwi e pā ana ki te GERD ka taea te whiwhi i te whakaora nui o ngā tōmhanga mā te whakakotahitanga o ngā huringa oranga me ngā rongoā. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o ō tūpono ki te aukati i ngā raruraru, ki te pupuri rānei i te kounga pai o te oranga.

Kia mahara ko te maimoatanga GERD he whakapau kaha roa i te whakatika tere. Ko te mahi tata atu ki tō kaiwhakarato hauora e awhina ana i te whakarite kia kite koe i te whakakotahitanga tika o ngā maimoatanga mō tō āhuatanga motuhake.

Kaua e whakaroa ki te rapu i te tiaki hauora ki te kaha ake ō tōmhanga, ki te kore rānei e pai ake mā ngā maimoatanga tuatahi. Ko te GERD he āhuatanga noa me ngā whiringa maimoatanga whai hua e wātea ana.

Ngā pātai e ui pinepinetia ana mō te GERD

Ka taea te ngaro ake te GERD i a ia ano?

Ko te GERD kaore e mutu rawa kaore he maimoatanga, ina koa ki te maha atu ō tōmhanga mō ngā marama maha. Heoi, ka taea te whakapai ake i ngā keehi ngawari mā ngā huringa oranga anake. Ko ngā take take o te GERD, pēnei i te ngoikore o te sphincter whekau iti, e hiahia ana ki te whakahaere tonu i te nuinga atu i te whakaora tūturu.

He haumaru te inu i ngā rongoā GERD mo te roa?

Ko te nuinga o ngā rongoā GERD he haumaru mō te whakamahinga roa ina inuhia e ia rite ki te whakahau a tō taakuta. Ko ngā kaihoroi pūkaha proton, ko ngā rongoā GERD tino whakahaua, kua whakamahia haumaru e te mano tini o te iwi mō ngā tau. Ka tirotirohia koe e tō taakuta mō ētahi pānga taha, ā, ka whakaritea tō maimoatanga kia rite ki te hiahia.

Ka taea e te ahotea te whakaiti i ngā tōmhanga GERD?

Ae, ka taea e te ahotea te whakaiti i ngā tōmhanga GERD ahakoa kaore e tino whakaoho i te āhuatanga. Ka taea e te ahotea te whakanui i te whakaputa waikawa o te kopu, te whakaiti i te whakahaere kai, ā, ka nui ake te pā ki te urupare waikawa. Ko te whakahaere i te ahotea mā ngā tikanga whakahaere, te whakakori tinana, te tohutohu rānei ka taea te awhina i te whakapai ake i ō tōmhanga GERD.

Ka awhina te ngaro o te taumaha i ō tōmhanga GERD?

Ka taea e te ngaro o te taumaha te whakapai ake i ngā tōmhanga GERD, ina koa ki te momona koe. Ko te taumaha atu ka whakapā atu ki tō puku, e taea te pehi i ngā mea o te kopu ki runga ki tō whekau. Ahakoa te ngaro iti o te taumaha o te 10 ki te 15 pauna ka taea te whakarereke i te auau me te kaha o ngā tōmhanga.

He rongoā taiao kei reira e awhina ana ki te GERD?

Ko ētahi atu huarahi taiao pea ka awhina i te whakahaere i ngā tōmhanga GERD me te maimoatanga hauora. Ka uru ēnei ki te ngau i te kōmu i muri i ngā kai hei whakanui i te whakaputa saliva, te inu ti chamomile, me te whakamahi i te karika mō te ruaki. Heoi, ko ngā rongoā taiao kaua e whakakapi i ngā maimoatanga hauora kua whakamātautauhia, me kōrero koe ki tō taakuta mō ētahi taapiri i mua i te whakamātautau i a rātou.