He aha te Ngakau Pūāhua? Tohutohu, Take, me te Maimoatanga

Ko te ngakau pūāhua te ahua wera e mohiotia ana e koe i roto i tou uma, i te nuinga o te wā i muri i te kai. Ka puta mai tenei ina hoki te waikawa o te kopu ki runga ki tou esophagus, te tūtuki e kawe ana i te kai i tō waha ki tō kopu.

Ko tenei āhuatanga kore e pai ana ki te miriona o te tangata, ā, ka rere ke mai i te mamae iti ki te mamae nui e whakaroa ana i tō oranga o ia rā. Ko te rongo pai, he tino maimoatanga te ngakau pūāhua, ā, ko te mārama ki te aha e whakaohooho ana i a ia ka āhei te awhina i a koe ki te whakahaere pai.

He aha te ngakau pūāhua?

Ka puta te ngakau pūāhua ina puta te waikawa o te kopu ki runga ki tō esophagus. Kāore i hangaia tō esophagus hei whakahaere i te waikawa pēnei i tō kopu, no reira ka hangaia e ia te ahua wera e kitea ana e koe.

Whakaarohia tō kopu he tatau kotahi-ara e kiia nei ko te sphincter esophageal iti. Ki te kore tenei mowhiti uaua e kati tika, ka taea te pupuhi o te waikawa ki runga. Ko tenei tukanga e kiia nei ko te reflux waikawa, ā, ko te ahua wera e hanga ana e ia ko te mea e kiia nei ko te ngakau pūāhua.

Ahakoa tō ingoa, kāore te ngakau pūāhua e pā ana ki tō ngakau. Ko te ahua wera anake te puta i te rohe o te uma, ka taea pea te rite ki te kore e pai o te ngakau.

He aha ngā tohu o te ngakau pūāhua?

Ko te tohu tino marama o te ngakau pūāhua ko te ahua wera i roto i tō uma e tīmata ana i muri i tō wheua. Ka kaha ake tenei āhuatanga ina takoto koe, ina piko, ina kai i ētahi kai.

Ko ēnei ngā tohu noa e pā ana ki a koe:

• Te mamae wera i roto i tō uma ka neke pea ki runga ki tō kaki me tō korokoro
• He reka kawa, he kawa ranei i roto i tō waha mai i te waikawa e hoki ana
• Te uaua ki te horomia, he āhua ranei kei te mau te kai
• Te mare mare tonu, ina koa i te pō
• Te reo ngākau, te korokoro mamae ranei i te ata
• Te āhua kei te hiahia koe ki te whakakore i tō korokoro

Ka pāngia hoki ētahi tangata e ngā tohu kaore e tino kitea e ka miharo pea koe. Ka uru atu ēnei ki te mamae uma e rerekē ana i te wera noa, te hikaka roa, te raruraru niho ranei mai i te waikawa e pā ana ki ō niho.

I roto i ngā take onge, ka taea e te ngakau pūāhua te whakaohooho i ngā tohu nui ake pēnei i te mamae uma nui e rite ana ki te ngakau mate, te mare mare roa e arahi ana ki ngā raruraru manawa, te uaua ki te horomia e kaha ake ana. Ko ēnei tohu e hiahia ana ki te tiaki hauora tonu.

He aha ngā take o te ngakau pūāhua?

Ka puta te ngakau pūāhua ina kore te uaua kei raro i tō esophagus e mahi tika. Ko tenei uaua, e kiia nei ko te sphincter esophageal iti, he mea noa te mahi pēnei i te hiri kaha i waenga i tō esophagus me tō kopu.

He maha ngā take ka puta ai tenei uaua ki te okioki ina tika te kati, te aukati ranei i te kati katoa. Tirohia tātou ki te aha e whakaohooho ana i te ngakau pūāhua:

• Te kai i ngā kai nui e whakapēhi ana i tō kopu
• Te takoto i te wa poto i muri i te kai, i roto i ngā haora 2-3
• Te kai i ngā kai kawa, ngako, waikawa ranei pēnei i te tamati me te citrus
• Te inu waipiro, kōpi, inu kakā ranei
• Te whakakī, e whakawaiwai ana i te sphincter esophageal
• Te taumaha nui, e whakapēhi ana i te kopu
• Te kakahu kakahu pūmau i tō hope

Ka taea hoki e ētahi āhuatanga hauora te whakaohooho i te ngakau pūāhua. Kei roto i ēnei ko te hernia hiatal, te wahi o tō kopu e pēhi ana i runga i tō diaphragm, me te gastroparesis, he āhuatanga e whakaiti ana i te whakamahinga o te kopu.

Ko te hapu te take noa o te ngakau pūāhua, ina koa i ngā marama whakamutunga ina whakapēhi te pēpi e tipu ana i tō kopu. Ka taea hoki e ētahi rongoā, tae atu ki ētahi rongoā toto teitei, ngā rongoā mamae, me ngā rongoā moe, te whakawaiwai i te sphincter esophageal.

Nō hea te kite i te taote mō te ngakau pūāhua?

Ka taea te whakahaere i te nuinga o te ngakau pūāhua i te kāinga me ngā huringa oranga me ngā rongoā kore-tuku. Heoi, me kite koe i te taote ki te kaha ake, ki te nui ake ranei tō ngakau pūāhua.

Rapua te awhina hauora ki te pāngia koe e te ngakau pūāhua neke atu i te rua i te wiki, ki te kore ngā rongoā kore-tuku e homai te whakaora, ki te āwangawanga ranei ō tohu i ō mahi o ia rā. Ka taea ēnei te tohu o te mate reflux gastroesophageal (GERD), he āhuatanga nui ake.

Whiwhi awhina hauora tonu ki te mamae uma koe me te poto o te manawa, te werawera, te mamae ranei e horapa ana ki tō ringa, ki tō kauae ranei. Ka taea e ēnei tohu te tohu i te ngakau mate, ehara i te ngakau pūāhua.

Me kite hoki koe i te taote tonu ki te uaua ki te horomia koe, te ruaki tonu, te ngaro o te taumaha kaore i te marama, te ruaki toto ranei, te mea e rite ana ki te oneone kōpi. Ka taea e ēnei tohu te tohu i ngā raruraru e hiahia ana ki te maimoatanga ngaio.

He aha ngā take morearea mō te ngakau pūāhua?

He maha ngā tangata e pā ana ki te ngakau pūāhua na runga i ngā take maha ka taea e rātou te whakahaere, te kore ranei e whakahaere. Ko te mārama ki ō take morearea ka āhei te awhina i a koe ki te tango i ngā mahi aukati.

Ko ēnei ngā take matua e whakapiki ana i tō tūponotanga ki te whanake i te ngakau pūāhua:

• Te taumaha nui, te momona ranei, e whakapēhi ana i tō kopu
• Te hapu, ina koa i te tuarua me te tuatoru o ngā marama
• Te whakakī, te whakakī ranei i te paowa tuarua
• Te pakeke neke atu i te 40, ina ngoikore pea te sphincter esophageal
• Te hernia hiatal, te rerekētanga hanganga ranei
• Te tango i ētahi rongoā pēnei i te aspirin, ibuprofen, rongoā toto teitei ranei
• Te mate huka, ka pā pea ki te whakamahinga o te kopu

He wa poto, he whakahaere ranei ētahi take morearea, engari ko ētahi atu, pēnei i te pakeke, te whakawhānautanga ira ranei, kei tua atu i tō mana whakahaere. Ko te rongo pai, ahakoa he maha ō take morearea, ka taea e ngā huringa oranga te whakaiti nui i ō tohu.

Kāore te ahotea e whakaohooho tika ana i te ngakau pūāhua, engari ka taea te whakaiti i ngā tohu mā te pānga ki te mahi o tō pūnaha kai. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te whakakori tinana, te tohutohu ranei ka taea te wahi nui o te aukati ngakau pūāhua.

He aha ngā raruraru pea o te ngakau pūāhua?

Kāore te ngakau pūāhua i te nuinga o te wā e whakaohooho ana i ngā raruraru nui, engari ka taea e te ngakau pūāhua roa, kore-maimoatanga te arahi ki ngā raruraru i te wa roa. Ka whanake haeretia ēnei raruraru, ā, ka tino pāngia ki te pāngia koe e ngā tohu nui, maha.

Ko ēnei ngā raruraru noa:

• Te esophagitis, te mumura me te āwangawanga o te papanga o tō esophagus
• Ngā strictures, te whakaiti ranei o te esophagus mai i te kiri
• Te esophagus o Barrett, te wahi e whakakapihia ana te papanga noa e ngā pūtau kaore i te noa
• Te mare mare roa, te tohu o te mate huango ranei mai i te waikawa e tae ana ki ō ara manawa
• Te ngākau o ngā niho mai i te waikawa e tae ana ki tō waha
• Te moe kore e pai e arahi ana ki te ngenge me te kounga o te ora iti

I roto i ngā take onge, ka taea e te GERD roa, kore-maimoatanga te whakapiki i te tūponotanga o te mate pukupuku esophageal, ina koa ki ngā tangata he esophagus o Barrett. Heoi, he onge tenei whanaketanga, ā, ka roa pea ngā tau maha kia whanake.

Ko te rongo pai, he nui te aukati i ēnei raruraru me te maimoatanga tika me te whakahaere. Ka taea e te whai tonu ki tō kaiwhakarato hauora te awhina i te tirotiro i tō āhuatanga me te aukati i ngā raruraru nui kia kaua e whanake.

Me pēhea te aukati i te ngakau pūāhua?

Ka taea e koe te whakaiti nui i ō wāhanga ngakau pūāhua mā te hanga i ngā huringa whakaaro ki ō tikanga kai me tō oranga. Ko te aukati te mahi pai i te maimoatanga i ngā tohu i muri i te tīmatanga.

Ko ngā rautaki aukati tino whai hua e aro ana ki te whakaiti i te pēhi i tō kopu me te karo i ngā whakaohooho:

• Kai iti ake, maha atu ngā kai i te wahi nui
• Kaua e takoto mo te 2-3 haora i muri i te kai
• Whakanuia te ulu o tō moenga mā te 6-8 inihi mā te whakamahi i ngā poraka, he poraka ranei
• Whakahaerehia te taumaha hauora kia whakaitihia ai te pēhi o te kopu
• Tātaihia, karohia hoki ō kai whakaohooho
• Whakamutu i te whakakī me te whakaiti i te inu waipiro
• Kakahu kakahu ngawari i tō hope

Tūturuhia he tātai kai hei tātai i ngā tauira i waenga i te mea e kai ana koe me te wa e pāngia ana koe e ngā tohu. Ko ngā kai whakaohooho noa ko ngā kai kawa, ngā kai tamati, ngā hua citrus, te tiakarete, te mint, me ngā kai ngako, ngako ranei, engari ka rerekē ngā whakaohooho mai i te tangata ki te tangata.

Ko te wā o ō kai me ō mahi ka taea te whakarereke nui. Whakamātauria te mutu i te kai mo te toru haora i mua i te moe, kaua hoki e mahi whakakori nui i muri tonu i ngā kai.

Me pēhea te whakatau i te ngakau pūāhua?

Ko te nuinga o te ngakau pūāhua ka taea te whakatau i runga i ō tohu me tō hītori hauora. Ka ui tō taote ki te wa e pāngia ana koe e ngā tohu, te aha e whakaohooho ana i a rātou, me te āhua o te pānga ki tō oranga o ia rā.

Mō te ngakau pūāhua i te wa poto, ka taea e tō taote te kōrero ki te whakamātau i ngā huringa oranga me ngā rongoā kore-tuku tuatahi. Ki te kore ēnei e awhina, ki te maha ranei ō tohu, ka taea te kōrero mō te whakamātau atu.

Ko ngā whakamātau whakatau mō te ngakau pūāhua tonu ka uru atu ki:

• Te endoscopy o runga ki te titiro tika ki tō esophagus me te papanga o tō kopu
• Te X-ray horomia barium hei tirotiro i te pai o tō horomanga me te tirotiro i ngā raruraru hanganga
• Te tirotiro pH esophageal hei ine i ngā taumata waikawa i roto i tō esophagus i te 24 haora
• Te manometry esophageal hei whakamātau i te pai o te mahi o ō uaua esophageal

Ka āhei ēnei whakamātau ki tō taote te whakatau mena he GERD koe, te whakakore i ētahi atu āhuatanga, me te tirotiro i ngā raruraru. Ko te nuinga o ngā tangata he ngakau pūāhua kaore e hiahia ki ēnei whakamātau motuhake, ki te kore rawa ō tohu e kaha ana, e kore ranei e whakautu ki te maimoatanga tuatahi.

He aha te maimoatanga mō te ngakau pūāhua?

Ko te maimoatanga mō te ngakau pūāhua te tīmatanga me te huarahi ngawari, ka haere tonu ki ngā kōwhiringa kaha ki te hiahiatia. Ko te whāinga ko te whakaiti i te whakaputa waikawa, te whakakore i te waikawa kei reira, te awhina ranei i tō kopu kia tere ake te whakamahinga.

Ko ngā kōwhiringa kore-tuku ko ngā antacids mō te whakaora tere, ngā kai aukati H2 pēnei i te famotidine mō te tiaki roa ake, me ngā kai aukati pupuhi proton pēnei i te omeprazole mō te whakaiti nui ake o te waikawa. Ka rerekē te mahi o ēnei rongoā, ā, ka taea te whakamahi kotahi, te whakauru ranei.

Mō te ngakau pūāhua nui ake, maha atu ranei, ka taea e tō taote te tuhi i ngā putanga kaha ake o ēnei rongoā, te kōrero ranei mō ētahi atu maimoatanga:

• Ngā kai aukati waikawa kaha mō te whakahaere pai ake o ngā tohu
• Ngā kai whakaohooho prokinetic hei awhina i tō kopu kia tere ake te whakamahinga
• Ngā parepare huānga e rere ana i runga i ngā mea o te kopu hei aukati i te reflux
• Baclofen hei whakapakari i te sphincter esophageal iti

I roto i ngā take onge kaore ngā rongoā e mahi, ka taea te whakaaro ki ngā kōwhiringa pokanga. Kei roto i ēnei ko te fundoplication, te wahi e tāia ana te wahi o runga o tō kopu i te taha o te esophagus, te mahi hou ranei pēnei i te whakanui sphincter magnetic.

Ko te nuinga o ngā tangata e kite ana i te whakaora nui me te whakakotahitanga o ngā huringa oranga me te rongoā tika. Ka taea e tō taote te awhina i a koe ki te kimi i te toenga tika o ngā maimoatanga mō tō āhuatanga motuhake.

Me pēhea te whakahaere i te ngakau pūāhua i te kāinga?

Ko te whakahaere kāinga o te ngakau pūāhua e aro ana ki te whakaora tere me te aukati roa. Ko te whai i tētahi mahere mō ngā mea e rua ka āhei te awhina i a koe ki te pai ake te whakawhirinaki me te māha.

Mō te whakaora tere ina puta te ngakau pūāhua, whakamātauria te noho tika, te hikoi ranei, ka taea te awhina i te kaha o te āhuatanga ki te pupuri i te waikawa i roto i tō kopu. Ko te ngau i te gum ka taea te whakapiki i te whakaputa saliva, e awhina ana i te whakakore i te waikawa.

Ko ēnei ngā rongoā kāinga me ngā rautaki whakahaere whai hua:

• Puritia ngā antacids hei whakaora tere i ngā tohu
• Whakamātauria te karaihe miraka, kai ranei i tetahi wahi taro hei whakamarumaru i te waikawa o te kopu
• Moe me tō ulu o runga e whakanuia ana i runga i ngā urunga atu ranei i te poraka
• Whakamahia ngā tikanga whakaiti ahotea pēnei i te manawa hohonu, te whakaaroaro ranei
• Noho makuku ki te wai, engari kaua e inu nui i te wā e kai ana
• Whakaarohia ngā tii tipu pēnei i te chamomile, te kānga ranei i waenga i ngā kai

Hangaia he taiao ngākau pūāhua-hoa i te kāinga mā te pupuri i ngā kai whakaohooho i waho o te ringa ngāwari me te whakarite i ngā kōwhiringa haumaru ake. Whakamahia ngā wahi iti ake, kai hoki i te ngāwari kia homai ai ki tō kopu te wā ki te tukatuka tika i te kai.

Tātaihia ō tohu me ō whakaohooho i roto i te puka, te taupānga waea ranei. Ka taea e ēnei korero te awhina i a koe ki te tātai i ngā tauira, ā, he mea nui ki te kōrero koe mō tō āhuatanga ki te kaiwhakarato hauora.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i ngā korero me ngā kōrero maimoatanga tino whai hua. Ka hiahia tō taote ki te mārama ki ō tohu, ō tauira, me te āhua o te pānga ki tō oranga.

I mua i tō haerenga, tuhia te wa e puta ai tō ngakau pūāhua, te aha e whakaohooho ana i a ia, me te aha e homai ana te whakaora. Tūtohuhia te maha o ngā tohu e puta ana me te kaha o rātou i te pānga 1 ki te 10.

Kawe mai ēnei korero nui ki tō hui:

• He rārangi o ngā rongoā me ngā tāpiringa katoa e tangohia ana e koe, tae atu ki ngā rāpoi
• Ngā kōrero mō ō tikanga kai me te wā kai
• Tetahi hītori whānau o ngā raruraru kai, GERD ranei
• Ngā pūrongo mō ngā kōwhiringa maimoatanga me ngā huringa oranga
• Ngā kōrero mō te āhua o te pānga o ngā tohu ki tō moe me ō mahi o ia rā

Kia rite ki te kōrero mō tō hītori hauora, tae atu ki ētahi atu āhuatanga hauora kei a koe. Ka taea e ētahi āhuatanga pēnei i te mate huka, ngā mate hononga kōpū, ngā pokanga kopu o mua ranei te pānga ki tō pūnaha kai.

Kaua e whakaroa ki te uiui i ngā mea kaore koe e mārama. Ka hiahia tō taote ki te awhina i a koe ki te whakahaere pai i ō tohu, ā, he mea nui te kōrero mārama mō te kimi i te huarahi maimoatanga tika.

He aha te mea nui mō te ngakau pūāhua?

Ko te ngakau pūāhua he āhuatanga noa, whakahaere, e whakautu pai ana ki te whakakotahitanga tika o ngā huringa oranga me te maimoatanga. Ahakoa kaore e pai, ka whakaroa ranei, he maha ngā kōwhiringa whai hua kei a koe mō te whakahaere i ō tohu.

Ko te mahi nui ko te mohio ki ō whakaohooho me ō tauira. Kia mārama koe ki te aha e whakaohooho ana i tō ngakau pūāhua, ka taea e koe te hanga i ngā huringa e homai ana te whakaora nui kaore e hiahia ana ki ngā rongoā kaha.

Mahara ko te ngakau pūāhua i te wa poto he mea noa, engari ko ngā tohu maha e hiahia ana ki te tiaki hauora. Ko te maimoatanga wawe ka taea te aukati i ngā raruraru me te whakapai ake i tō kounga o te ora.

Me te manawanui me te huarahi tika, ka taea e te nuinga o ngā tangata te whakahaere pai i tō rātou ngakau pūāhua me te pai ki ō rātou mahi me ō kai tino pai i te iti.

Ngā pūrongo e ui ana mō te ngakau pūāhua

Ka taea te tohu o te ngakau mate te ngakau pūāhua?

Ka taea te rite o te ngakau pūāhua me te ngakau mate, na te mea e rua e whakaohooho ana i te kore e pai o te uma, engari he rerekē rawa ngā āhuatanga. Ko te ngakau pūāhua te nuinga o te wā e whakaohooho ana i te ahua wera e kaha ake ana ina takoto, ina kai ranei, i te wa e whakaahuatia ana te mamae o te ngakau mate he pēhi, he pēhi ranei.

Ko ngā tohu o te ngakau mate te nuinga o te wā ko te poto o te manawa, te werawera, te ruaki, me te mamae ka horapa pea ki tō ringa, ki tō kaki, ki tō kauae ranei. Ki te kore koe e tino mohio mena he ngakau pūāhua tō mamae uma, he mea nui ake ranei, ina koa ki te he take morearea mō te mate ngakau koe, rapua te awhina hauora tonu.

He haumaru te tango i ngā antacids i ia rā?

Ko te tango i ngā antacids i te wa poto he mea noa te haumaru mō te nuinga o ngā tangata, engari ko te whakamahinga o ia rā ka tohu pea kei te hiahia koe ki tētahi huarahi maimoatanga rerekē. Ka taea e ētahi antacids te whakaroa i ētahi atu rongoā, te whakaohooho ranei i ngā pānga taha pēnei i te ruaki, te kōpū ranei me te whakamahinga tonu.

Ki te kite koe i a koe e mau ana ki ngā antacids i ia rā, kōrero atu ki tō taote mō ētahi atu kōwhiringa maimoatanga. Ka taea e ngā rongoā rongoā, ngā huringa oranga ranei te homai i te whakaora pai ake i te wa roa kaore e hiahiatia te whakamahinga tonu o te antacid.

Ka awhina pono te inu miraka i te ngakau pūāhua?

Ka taea e te miraka te homai i te whakaora tere mā te hipoki i tō esophagus me te whakakore i te waikawa o te kopu, engari ko tenei pānga he poto noa iho. Ko te pūmua me te ngako i roto i te miraka ka taea te whakaohooho i te whakaputa waikawa atu, ka taea pea te whakaiti i te ngakau pūāhua i muri mai.

Ahakoa he iti te nui o te miraka iti-ngako ka āhei te awhina i te wa poto, ehara i te otinga whakawhirinaki mo te wa roa. Ko te wai, te tii tipu, ngā antacids kore-tuku ranei te nuinga o te whai hua mō te whakaora ngakau pūāhua.

Ka taea e te ahotea te whakaohooho i te ngakau pūāhua?

Kāore te ahotea e whakaohooho tika ana i te ngakau pūāhua, engari ka taea te whakaiti i ngā tohu i ngā huarahi maha. Ka taea e te ahotea te whakapiki i te whakaputa waikawa o te kopu, te whakaiti i te kai, te whakaiti ranei i tō ngakau ki te mamae, tae atu ki te ahua wera o te ngakau pūāhua.

Ka taea hoki e te ahotea te arahi ki ngā āhuatanga e whakaohooho ana i te ngakau pūāhua, pēnei i te kai tere, te whiriwhiri i ngā kai kore hauora, te whakakī, te inu atu ranei o te waipiro. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te whakakori tinana, te tohutohu ranei ka taea te wahi nui o te whakahaere ngakau pūāhua.

Ka awhina te ngaro o te taumaha i taku ngakau pūāhua?

Ae, ko te ngaro o te taumaha nui ka taea te whakapai ake i ngā tohu ngakau pūāhua mō te maha o ngā tangata. Ko te taumaha atu, ina koa i tō waenganui, e whakapēhi ana i tō kopu, ka taea te pēhi i te waikawa ki runga ki tō esophagus.

Ahakoa te ngaro iti o te taumaha o te 10-15 pauna ka taea te whakarereke i te auau me te kaha o te ngakau pūāhua. Whakakotahitia te ngaro o te taumaha me ētahi atu huringa oranga pēnei i te kai iti ake me te karo i ngā kai whakaohooho mō ngā hua pai rawa atu.