Le reflux gastroesophageal pili i ka piʻi ʻana o kekahi o nā ʻike o ka ʻōpū i loko o kaʻākala (ke kaula e hoʻopili ana i ka waha i ka ʻōpū). Hoʻopuka ka ʻōpū i nā wai ʻōpū, nā mea acidic loa e kōkua i ka digestion o ka meaʻai. Eia naʻe, ʻaʻole i hoʻolālā ʻia ka uhi o ka esophagus e pale aku i ka acidity o nā mea o ka ʻōpū. No laila ʻo Reflux ke kumu o ka wela o ka esophagus, nā hopena i ka wela a me ka ukiuki. Ma hope o ka manawa, hiki ke hōʻino i ka esophagus. E hoʻomaopopo he kūlana maʻamau a haʻahaʻa ʻole kahi pae haʻahaʻa o ka reflux, a kapa ʻia kēia ma ke ʻano he reflux physiological (normal).

Nā kumu

I ka hapanui o ka poʻe i loaʻa iā ia, reflux ke kumu o ka hana maikaʻi ʻole ʻana o ka sphincter ʻōlalo haʻahaʻa. ʻO kēia sphincter kahi apo o ka mākala ma ke kihi o ka esophagus a me ka ʻōpū. ʻO ka maʻamau, paʻa ia, pale i ka ʻike o ka ʻōpū mai ka neʻe ʻana a i ka esophagus, e wehe wale ana e ʻae i nā meaʻai i komo i loko a pēlā e hana ai ma ke ʻano he kiwikā pale.

I ka hanana o reflux, wehe ka sphincter i nā manawa kūpono ʻole a hoʻokuʻu i ka wai inu ʻōpū o ka ʻōpū. ʻO ka poʻe i ʻeha i ka reflux pinepine ka regurgitation acid ma hope o ka pāʻina a i ka pō. ʻO kēia hanana regurgitation ka mea maʻamau i nā pēpē, no ka mea makua ʻole kā lākou sphincter.

Hiki ke hoʻopili ʻia i ka maʻi reflux Gastroesophageal hernia hiatal. I kēia hihia, ʻo ka ʻaoʻao luna o ka ʻōpū (aia ma ka hui o ka esophagus) "piʻi" me ka esophagus i loko o ka iwi ʻaoʻao ma o ka wehe ʻana o ka diaphragm (ka hiatal orifice). 

Eia nō naʻe, ʻaʻohe like ka hiatus hernia a me ka maʻi reflux gastroesophageal, a ʻaʻole pili pinepine ka hiatus hernia me ka reflux.

ʻO ke kuhikuhina

Ma Kanada, ua manaʻo ʻia he 10 a 30% o ka heluna kanaka e hoʻopilikia ʻia e nā hanana o kēlā me kēia manawa reflux ʻōlohelohe⁷. A ʻo 4% o ka poʻe Kanada e loaʻa i ka reflux i kēlā me kēia lā no 30% i hoʻokahi manawa i ka pule (13).

Hōʻike kahi noiʻi ʻAmelika he 44% o ka poʻe i loaʻa i ka maʻi reflux gastroesophageal ma ka liʻiliʻi hoʻokahi manawa i ka mahina ().

Kūleʻa pinepine ka Regurgitation i nā pēpē, akā ʻaʻole ia ma muli o ka maʻi reflux gastroesophageal. Kuhi ka poʻe loea heʻoiaʻiʻo ka 25% o nā pēpē reflux⁸. Hiki i kona palena i ka makahiki o 4 mau makahiki⁹.

Evolution

I ka hapanui o nā mākua e pili ana, mau nā ʻōuli o ka reflux. Hāʻawi pinepine nā mālama ʻana i ka piha, akā ka manawa pōkole, hoʻomaha o nā ʻōuli. ʻAʻole lākou e hoʻōla i ka maʻi.

I nā pēpē, hele pinepine ka reflux ma waena o 6 a me 12 mau mahina ke hele a makua ke keiki.

Nā pilikia

ʻO ka hoʻolōʻihi lōʻihi ʻana o ka esophagus i nā mea gastric acidic hiki ke kumu:

• Hoʻonā (ʻoesofagite), me nā leona ʻoi aku a ʻoi paha o ka ʻāhinahina i kuleana ʻiaulcer (a i ʻole nā ​​ʻeha) ma ka paia o ka esophagus, i kau ʻia ma nā pae he 4, e like me ko lākou helu, ko lākou hohonu, a me ko lākou nui;
• hiki i kēia mumū a i ʻole ulcer ke kumu ʻo ka hemorrhage ;
• ka hoʻopili ʻana o ke anawaena o ka esophagus (stenosis peptic), ʻo ia ka mea e hoʻopilikia ai i ka ale ʻana a me ka ʻeha i ka ale ʻana.
• un ʻO ko Barrett esophagus. ʻO ia ke pani o nā hunaola i ka paia o ka esophagus e nā hunaola e ulu maʻamau i ka ʻōpū. ʻO kēia pani hou ma muli o ka "hoʻouka" hou ʻana o ka waikawa ʻōpū i ka esophagus. ʻAʻole hele pū ʻia me nā ʻōuli kikoʻī, akā hiki ke ʻike ʻia e endoscopy no ka mea ʻo ke kala hina-ʻalani ākea o nā mea i loko o ka esophagus e lawe i kahi kala salmon-pink ʻono. Hāʻawi ka esophagus a Barrett iā ʻoe i ka makaʻu no ka ulcer a, ʻo ka mea nui, ʻo ka maʻi ʻaʻai o ka esophagus.

ʻO ka maʻi reflux Gastroesophageal hiki ke alakaʻi i nā pilikia mai kahi mamao¹⁰ :

• ʻūhā mau 
• he leo hauli
• kahi laryngospasme
• Ka maʻi ʻaʻai o ka esophagus a i ʻole ka larynx i ka hihia o reflux uncontrolled a unmonitored

Āhea e kūkākūkā ai?

I kēlā me kēia kūlana i lalo, pono ia ʻike i ke kauka.

• ʻO ke ahi wela a me ka regurgitation acid i nā manawa he nui i ka pule.
• Hoʻopilikia nā ʻōuli o reflux i ka hiamoe.
• Hoʻi wikiwiki nā ʻōuli ke hōʻoki ʻoe i ka lawe ʻana i nā lāʻau antacid.
• Ua hala nā ʻōuli ma kahi o hoʻokahi makahiki a ʻaʻole i loiloi ʻia e ke kauka.
• Aia kekahi mau hōʻailona hoʻoweliweli (ʻike i ka ʻāpana ʻāʻī o ka puʻuwai).