Nā hōʻailona hou opaʻakikīʻO ka moni ʻana a i ʻole ka manaʻo e like me ka meaʻai e paʻa ana i loko o kou puʻu he mea hopohopo paha. ʻO ka moni ʻana he hana pinepine ia a ka poʻe e hana ai me ka noʻonoʻo ʻole. Makemake ʻoe e ʻike i ke kumu a pehea e hoʻoponopono ai. E noʻonoʻo paha ʻoe inā he hōʻailona o ka maʻi kanesa ka paʻakikī i ka moni ʻana.
ʻOiai ʻo ka maʻi ʻaʻai kekahi kumu o ka dysphagia, ʻaʻole ia ke kumu nui loa. ʻO ka hapa nui, ʻo ka dysphagia he ʻano maʻi ʻaʻole ia he maʻi ʻaʻai e like me ka maʻi reflux gastroesophageal (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 makaʻala ai.
ʻO ka huaʻōlelo lapaʻau no ka dysphagia ʻo dysphagia. Hiki ke ʻike ʻia a wehewehe ʻia kēia ma nā ʻano like ʻole. Hiki ke puka mai nā hōʻailona o ka dysphagia mai ka waha a i ʻole ka esophagus (ka ʻōmole meaʻai mai ka waha a i ka ʻōpū).
Hiki i nā maʻi me nā kumu esophageal o ka dysphagia ke wehewehe i nā hōʻailona ʻokoʻa iki. Hiki iā lākou ke ʻike:
ʻAʻole i hoʻokumu ʻia ka hapa nui o nā kumu o ka dysphagia e ka maʻi kanesa a hiki ke hoʻokumu ʻia e nā kumu ʻē aʻe. ʻO ka hana o ka moni ʻana he hana paʻakikī e pono ai nā mea he nui e hana pono ai. Hiki ke hana ʻia ka Dysphagia inā hoʻopilikia ʻia kekahi o nā kaʻina hana moni maʻamau.
Hoʻomaka ka ale ʻana ma ka waha, kahi e hui pū ai ka nau ʻana i ka lawai me ka meaʻai a hoʻomaka e wāwahi iā ia a hoʻomākaukau iā ia no ka ʻai ʻana. A laila kōkua ke alelo i ka hoʻokuke ʻana i ka bolus (kahi ʻāpana meaʻai liʻiliʻi a poepoe) ma ke kua o ka puʻu a i loko o ka esophagus.
I kona neʻe ʻana, pani ʻia ka epiglottis e mālama i ka meaʻai i loko o ka esophagus ma mua o ka trachea (windpipe), kahi e alakaʻi ai i nā māmā. Kōkua nā ʻiʻo o ka esophagus i ka hoʻokuke ʻana i ka meaʻai i loko o ka ʻōpū.
ʻO nā kūlana e hoʻopilikia nei i kekahi ʻāpana o ke kaʻina hana ale ʻana hiki ke hana i nā hōʻailona o ka dysphagia. ʻO kekahi o kēia mau kūlana:
ʻOiai ʻaʻole paha ke kumu nui loa, hiki i ka paʻakikī ke ale ke alakaʻi i ka maʻi kanesa. Inā hoʻomau ka dysphagia, ʻoi aku ka ʻino i ka hala ʻana o ka manawa, a ʻoi aku ka pinepine o ka hana ʻana, hiki ke kānalua ʻia ke kanesa. Eia kekahi, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe.
Hiki i nā ʻano maʻi kanesa he nui ke hōʻike me nā hōʻailona o ka paʻakikī i ka moni ʻana. ʻO nā maʻi kanesa maʻamau ka poʻe e hoʻopilikia pololei i nā ʻano moni ʻana, e like me ke kanesa poʻo a me ka ʻāʻī a i ʻole ke kanesa esophageal. Hiki i nā ʻano maʻi kanesa ʻē aʻe ke komo pū me:
ʻO kahi maʻi a i ʻole ke kūlana e hoʻopilikia ai i kekahi ʻano ale ʻana hiki ke hana i ka dysphagia. Hiki i kēia mau ʻano maʻi ke komo pū me nā kūlana neurological e hiki ke hoʻopilikia i ka hoʻomanaʻo a i ʻole ke kumu o ka nāwaliwali o nā ʻiʻo. Hiki iā lākou ke komo pū me nā kūlana kahi e pono ai nā lāʻau lapaʻau e mālama ai i ke kūlana e hiki ai ke hana i ka dysphagia ma ke ʻano he hopena ʻaoʻao.
Inā pilikia ʻoe i ka moni ʻana, makemake paha ʻoe e kūkākūkā i kou mau hopohopo me kāu mea mālama ola. He mea nui e hoʻomaopopo i ka wā e ʻike ʻia ai nā hōʻailona a inā he mau hōʻailona ʻē aʻe.
Pono hoʻi ʻoe e mākaukau e nīnau i kāu kauka. E kākau i lalo a lawe pū me ʻoe i ʻole ʻoe e poina e nīnau iā lākou.
Ke loaʻa iā ʻoe ka dysphagia, hiki ke lilo i hōʻailona hopohopo. Hopohopo paha kekahi poʻe ua hoʻokumu ʻia e ka maʻi kanesa. ʻOiai hiki, ʻaʻole ʻo ka maʻi kanesa ke kumu nui loa. ʻO nā kūlana ʻē aʻe, e like me ka maʻi, ka maʻi reflux gastroesophageal, a i ʻole nā lāʻau lapaʻau, hiki ke hana i ka paʻakikī i ka ale ʻana.
Inā hoʻomau ʻoe i ka pilikia o ka ale ʻana, e kamaʻilio me kāu kauka a loiloi i ke kumu o kāu mau hōʻailona.
Wilkinson JM, Cody Pilley DC, Wilfat RP. Dysphagia: loiloi a me ka hoʻokele like. He kauka ʻohana wau. 2021;103(2):97-106.
ʻO Noel KV, Sutradar R, Zhao H, et al. ʻO ke kaumaha o nā hōʻailona i hōʻike ʻia e ka mea maʻi ma ke ʻano he wānana o nā kipa ʻana i ka ʻoihana pilikia a me ka hoʻokipa ʻole ʻia no ka maʻi poʻo a me ka ʻāʻī: he noiʻi longitudinal 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 He kahu maʻi oncology makua i hōʻoia ʻia ʻo Julie a he mea kākau mālama ola kino kūʻokoʻa me ka makemake nui e hoʻonaʻauao i nā mea maʻi a me ke kaiāulu mālama ola.
Ka manawa hoʻouna: Sep-22-2023