Kākaʻikahi ka luaʻi ʻana i ke koko. ʻOiai hiki ke hoʻopili ʻia kēia hōʻailona i nā kumu liʻiliʻi, pili pinepine ʻia me nā pathologies koʻikoʻi. He pilikia olakino kēia e koi ai i ke kūkākūkā olakino.

ʻO ka luaʻi ke koko ka regurgitation o ka ʻōpū i hui ʻia me ke koko a i ʻole ke koko wale nō. Hiki i kona kala ke ʻulaʻula ʻulaʻula, a me ka ʻeleʻele ʻeleʻele a i ʻole brownish (ʻo ia ke koko i ʻeli mua ʻia). Hiki i nā Clots ke lilo i ʻāpana o nā ʻike regurgitated.

ʻO ka luaʻi ke koko he pilikia olakino ia, keu hoʻi inā pili kēia ʻōuli

• ʻūpā;
• ke anu anu;
• ʻeleʻele;
• hanu paʻakikī;
• ʻeha nui i ka ʻōpū;
• aiʻole inā he mea nui ka nui o ke koko luaʻi.

I kēia mau hihia, pono e hele i ka lumi pilikia a kāhea paha i nā lawelawe kūikawā. Hoʻomaopopo i ka luaʻi ʻana i ke koko o ka digestive kumu i kapa ʻia hematemesis.

ʻO ke kanalua ʻana i ke koko he hōʻailona ia o kahi kūlana olakino liʻiliʻi, e like me:

• ale ana i ke koko;
• kahi waimaka i loko o ka esophagus, ʻo ia iho i kumu ʻia e ka maʻi kūmau mau;
• ihu;
• a i ʻole ka ukiuki o ka esophagus.

Akā i nā manawa he nui, ʻo ka luaʻi o ke koko kahi hōʻailona o kahi ʻano pesky. Pākuʻi ʻia kēia mau mea:

• gastric ulcer (ʻōpū ʻōpū);
• pehu o ka ʻōpū (gastritis);
• pehu o ka pancreas (pancreatitis);
• ʻo ka hepatitis ʻona, ʻo ia hoʻi ka hōʻino ʻia o ke akepaʻa i ke ʻona ʻona mau loa;
• cirrhosis o ke akepaʻa;
• ʻōpū ʻōpū;
• ʻona ʻona ʻawahia;
• rupture o nā ʻekope esophageal;
• nā maʻi kōkuʻu koko;
• kahi kīnā a haki paha i nā kīʻaha koko o ka gastrointestinal tract;
• aiʻole kahi tumo o ka waha, ʻāʻī, esophagus a i ʻole ka ʻōpū.

Inā mālama ʻole ʻia me ka wikiwiki, hiki i ka luaʻi ʻana o ke koko ke hana i nā pilikia. E ʻōlelo mākou e laʻana:

• paupauaho;
• anemia, ʻo ia hoʻi kahi hemahema i nā hunaola ʻulaʻula;
• nā pilikia hanu;
• anuanu o ke kino;
• ʻūpā;
• nā haunaele ʻike maka;
• he waimaka i nā kīʻaha koko liʻiliʻi i ka puʻu;
• aiʻole ke kulu i ke kahe koko, a i ʻole ke koma.

E hoʻokumu i kāna kuhi, hiki i ke kauka ke hana i kahi hoʻokolohua kiʻi e nānā i loko o ke kino, e hana i kahi endoscopy (hoʻolauna o kahi endoscope) eso-gastro-duodenal e kuhikuhi i kahi o ke kahe.

ʻO ka mālama e kuhikuhi ʻia e lanakila i ka luaʻi o ke koko kaukaʻi ʻia i ke kumu:

• lawe i nā lāʻau kikoʻī (antiulcer, antihistamines, proton pump inhibitors, a me nā mea ʻē aʻe) e hōʻemi i ka maʻi kōpū gastric;
• hoʻonohonoho balloon i ka endoscopy, e kaohi i ke kahe o ka mīkini ma ka hanana o nā kīʻaha koko ruptured i ka gastrointestinal tract;
• a i ʻole lawe i nā anticoagulants.