Nā hōʻailona hou opilikiaʻO ka ʻai ʻana a i ʻole ka manaʻo e pili ana ka meaʻai i loko o kou puʻu he mea hopohopo.ʻO ka ʻai ʻana he hana maʻamau a me ka noʻonoʻo ʻole.Makemake ʻoe e ʻike i ke kumu a pehea e hoʻoponopono ai.Hiki paha iā ʻoe ke noʻonoʻo inā he hōʻailona ka paʻakikī o ka ʻai ʻana i ke kanesa.
ʻOiai ʻo ka maʻi kanesa kekahi kumu o ka dysphagia, ʻaʻole ia ke kumu nui loa.ʻO ka pinepine, ʻo ka dysphagia he maʻi maʻi ʻole e like me ka gastroesophageal reflux disease (GERD) (chronic acid reflux) a i ʻole ka waha maloʻo.
E nānā kēia ʻatikala i nā kumu o ka dysphagia, a me nā hōʻailona e nānā ai.
ʻO ka ʻōlelo lapaʻau no ka dysphagia he dysphagia.Hiki ke ʻike a wehewehe ʻia kēia ma nā ʻano like ʻole.Hiki mai nā hōʻailona o ka dysphagia mai ka waha a i ʻole ka esophagus (ka paipu meaʻai mai ka waha a i ka ʻōpū).
Hiki i nā maʻi me nā kumu esophageal o dysphagia ke wehewehe i nā hōʻailona ʻokoʻa.Hiki iā lākou ke ʻike:
ʻO ka hapa nui o nā kumu o ka dysphagia ʻaʻole i kumu ʻia e ka maʻi kanesa a hiki ke kumu ʻia e nā kumu ʻē aʻe.He hana paʻakikī ka ʻai ʻana i nā mea he nui e pono ai.Hiki ke loa'a ka dysphagia inā ho'opau kekahi o nā ka'ina ale ma'amau.
Hoʻomaka ka ʻai ʻana ma ka waha, kahi e hui ai ka nau ʻana i ke kohu me ka meaʻai a hoʻomaka e wāwahi a hoʻomākaukau no ka ʻai ʻana.A laila kōkua ke alelo i ka pahu ʻana i ka bolus (kahi ʻāpana meaʻai liʻiliʻi a poepoe) ma ke kua o ka ʻāʻī a i loko o ka esophagus.
I kona neʻe ʻana, pani ka epiglottis e mālama i ka meaʻai i loko o ka esophagus ma mua o ka trachea (windpipe), kahi e alakaʻi ai i ka māmā.ʻO nā ʻiʻo o ka esophagus ke kōkua i ka ʻai ʻana i loko o ka ʻōpū.
ʻO nā kūlana e hoʻopilikia ai i kekahi ʻāpana o ka ʻai ʻana e hiki ke hōʻailona i ka dysphagia.Aia kekahi o kēia mau kūlana:
ʻOiai ʻaʻole ʻo ia ke kumu nui loa, ʻo ka paʻakikī o ka ʻai ʻana hiki ke alakaʻi i ka maʻi kanesa.Inā hoʻomau ka dysphagia, ʻoi aku ka nui o ka manawa, a loaʻa pinepine, hiki ke kānalua ʻia ke kanesa.Eia kekahi, hiki mai nā hōʻailona ʻē aʻe.
Hiki i nā ʻano maʻi maʻi he nui ke hōʻike mai me nā hōʻailona o ka paʻakikī o ka ʻai ʻana.ʻO nā maʻi maʻi maʻamau ka mea e pili pono ana i nā hale ʻai, e like me ka maʻi maʻi poʻo a me ka ʻāʻī a i ʻole ka maʻi kanesa esophageal.ʻO nā ʻano maʻi maʻi ʻē aʻe e komo pū ana:
ʻO kahi maʻi a i ʻole maʻi e pili ana i kekahi mīkini ʻai hiki ke kumu i ka dysphagia.Hiki i kēia mau ʻano maʻi ke komo i nā kūlana neurological e hoʻopilikia i ka hoʻomanaʻo a i ʻole ka nāwaliwali o ka ʻiʻo.Hiki iā lākou ke hoʻokomo i nā kūlana kahi e pono ai nā lāʻau lapaʻau e mālama i ke ʻano ke kumu o ka dysphagia ma ke ʻano he hopena ʻaoʻao.
Inā pilikia ʻoe i ka ʻai ʻana, makemake paha ʻoe e kūkākūkā me kāu mea mālama ola.He mea nui e ʻike i ka wā e ʻike ʻia ai nā hōʻailona a inā he mau hōʻailona ʻē aʻe.
Pono ʻoe e mākaukau e nīnau i kāu kauka i nā nīnau.E kākau i lalo a lawe pū me ʻoe i poina ʻole ke nīnau iā lākou.
Ke loaʻa iā ʻoe ka dysphagia, hiki ke lilo i kahi hōʻailona hopohopo.Manaʻo paha kekahi poʻe no ka maʻi kanesa.ʻOiai hiki, ʻaʻole ʻo ka maʻi maʻi ke kumu nui loa.ʻO nā kūlana ʻē aʻe, e like me ka maʻi, ka maʻi gastroesophageal reflux, a i ʻole nā lāʻau lapaʻau, hiki ke hoʻopilikia i ka ʻai ʻana.
Inā pilikia ʻoe i ka ʻai ʻana, e kamaʻilio me kāu kauka a loiloi i ke kumu o kāu mau hōʻailona.
Wilkinson JM, Cody Pilley DC, Wilfat RP.Dysphagia: ka loiloi a me ka hoʻokele hui.He kauka ʻohana au.2021;103(2):97-106.
Noel KV, Sutradar R, Zhao H, a me al.ʻO ka kaumaha hōʻailona hōʻike i hōʻike ʻia e ka mea maʻi ma ke ʻano he wānana no nā kipa ʻoihana pilikia a me ka hoʻokipa ʻole ʻia no ka maʻi maʻi poʻo a me ka ʻāʻī: kahi noiʻi e pili ana i ka heluna kanaka.JCO.2021;39(6):675-684.Helu: 10.1200/JCO.20.01845
ʻO Julie Scott, MSN, ANP-BC, AOCNP ʻO Julie he kauka lapaʻau oncology makua a me ka mea kākau mālama ola manuahi me ka makemake no ka hoʻonaʻauao ʻana i nā mea maʻi a me ke kaiāulu olakino.
Ka manawa hoʻouna: Sep-22-2023