Ka Āta Mamae Ngā Puku Te Tae Rerekē? Ngā Mea Kia Mōhio Ai Koe Mō Tēnei Huinga Ngaru

Āe, i etahi wā ka āta mamae ngā puku i te mate korere, ahakoa ehara tēnei i te tohu tino kitea e ngā tāngata. Ina puta mai ngā āta mamae ki ngā wāhi motuhake o tō pūnaha nakunaku, ka whakararu tēnei i te kaha o tō tinana ki te pakapaka me te ngongo i te kai, ka hua ai te takere mākū, te wai rānei.

He aha te āta mamae o te puku?

Ko te āta mamae o te puku he pakitara tuwhera ka puta ki roto i te raina o tō pūnaha nakunaku. Whakaarohia he pakitara mamae tēnei ki roto i te apa tiaki e noho nei te puku me ngā whekau kia kore ai e pā ki te waikawa nakunaku. Ka tino mamae ēnei pakitara ā, ka pā ki te mahi o tō pūnaha nakunaku i ia rā.

Ko te nuinga o ngā āta mamae o te puku ka puta ki ngā wāhi matua e rua o tō pūnaha nakunaku. Ko te tuatahi, ko tō puku, ka karangatia ēnei pakitara hei āta mamae puku (gastric ulcers). Ko te tuarua, ā, ko te wāhi tino noa, ko te tīmatanga o tō whekau iti, i muri tonu i tō puku, ka karangatia ēnei hei āta mamae o te whekau (duodenal ulcers). E rua ēnei momo kei raro i te ingoa whānui o ngā āta mamae puku (peptic ulcers).

Ka iti ake te kitea, ka puta anō hoki ngā āta mamae ki tō korokoro (esophagus) ā, ki tua atu anō hoki ki roto i tō whekau iti. Ka hua ake tēnei wāhi i ngā tohu ka rerekē mai i tērā wāhi, i runga anō i te wāhi o te pakitara ā, ki tō pā ki te nakunaku. Ka nui te pānga o te wāhi o te āta mamae ki te whakatau mehemea ka puta mai te mate korere hei tohu mō koe.

Me pēhea te āta mamae o te puku e puta ai te mate korere?

Ka taea e ngā āta mamae te whakaara i te mate korere mā ngā tikanga rerekē i roto i tō pūnaha nakunaku. Kāore i te tino mārama tonu te hononga, engari mā te mārama ki ēnei ara, ka āwhina ki a koe kia mārama ki ngā mahi o roto o tō tinana.

Ina pakia e te āta mamae te raina o tō whekau iti (duodenum), ka pā ki te tikanga o te paki a tō tinana i te kai. Ka nui te mahi a tō whekau iti ki te pakapaka ngā ngako me ngā matūkai mā te whakamahi i ngā kaimāro me te ngāwha. Ki te mamae, kua pakia rānei te wāhi nei e te āta mamae, kāore e tika te nakunaku o te kai, ka hua ai te takere ngoikore i te mea ka tere haere te para kai kāore i nakunaku mā roto i tō pūnaha.

Ka pā anō hoki ngā āta mamae ki ngā uaua o tō pūnaha nakunaku e whakahaere ana i te tere o te kai. Ina riri ngā uaua nei nā te mumura, ka taea e rātou te pakanga, te pakanga tere rānei. Ka taea e tēnei tikanga whakararuraru te pana i te kai mā roto i ngā whekau tere atu i te noa, ka iti iho te wā mō tō tinana ki te ngongo i te wai me ngā matūkai, ka hua ai te mate korere.

I ētahi wā, ka whakaara te puta mai o te āta mamae i ngā whakarereketanga o te whakaputa waikawa puku. Ka taea e tō tinana te whakaputa i te nui rawa, i te iti rawa rānei o te waikawa hei whakautu ki te pakitara. Ka taea e ēnei ngoikoretanga waikawa te whakarereke i te taiao o roto i ngā whekau, ka pā ki ngā kitakita whai hua e noho ana i reira ā, ka āwhina ki te pouri o te nakunaku, tae atu ki te mate korere.

Ko te whakaheke toto mai i te āta mamae, he ara anō tēnei ki te mate korere, engari he āhuatanga nui ake tēnei. Ina whakaheke toto te āta mamae ki roto i tō pūnaha nakunaku, ko te toto ake nei hei mea whakapouri i te mea ka puta mā roto i ngā whekau. Ka taea e tēnei whakapouri te tere ake i te nekehanga o ngā whekau ā, ka hua ai te takere pango, te pango tarē, ā, i ētahi wā ko te mate korere kua uru atu te toto.

He aha atu ngā tohu ka puta mai tahi me te mate korere?

Ki te mea he āta mamae puku tō, he iti noa iho te puta noa mai o te mate korere. Ka tukua mai e tō tinana ngā tohu maha e kī ana kei te hiahia āwhina tētahi mea i roto i tō pūnaha nakunaku. Ko te mōhio ki te katoa o ngā tohu ka āwhina ki te hanga i tētahi whakaahua mārama ake mō koe me tō kaiwhakarato hauora.

Anei ngā tohu tino noa e pā mai ana ki te āta mamae o te puku, ka āwhina ki a koe ki te mārama ki ngā kōrero a tō tinana:

• Te mamae rahanga, te ngau rānei i te wāhanga o runga o tō puku, i waenganui i ngā kai, i te pō rānei ka kau te puku

• Te māuiui e puta mai ana, e haere ana hoki, i ētahi wā ka kino haere i muri i te kai i ētahi kai motuhake

• Te ngongo o te tino kikī mamae, te pupū rānei, ahakoa i muri i te kai i ngā kai iti

• Te mamae o te ngakau (heartburn) te hokinga mai rānei o te waikawa (acid reflux) te ahua nei ka roa ā, kāore e tino whakautu ki ngā rongoā wātea

• Te ngaro o te hiahia kai, te ngaro taumaha rānei nā te mea kua mamae te kai

• Te ruaki, ina koa ka tino mamae, ka kite rānei koe i te toto i roto i te mea ka ruaki ake

Ka rerekē te kaha o ēnei tohu mai i te ngāwari me te whakahaere, ki te tino kino. Ko te tikanga o ēnei tohu ka āwhina ki te tautohu i te āta mamae puku, ina koa ka kite koe ka pai ake te mamae i muri i te kai, te tango rongoā waikawa puku rānei, kia hoki mai ai anō i muri i ētahi haora.

Tā, kia titiro tātou ki ētahi tohu ka puta mai he iti noa, engari me rapu āwhina hauora tonu nā te mea ka tohu pea ēnei i ngā raruraru nui atu:

• Ngā takere pouri, tarē nei te ahua rite ki te oneone kawhe, e tohu ana i te whakaheke toto i te wāhanga runga o tō pūnaha nakunaku

• Te toto whero mārama i roto i tō takere, te ruaki rānei, e tohu ana i te toto kaha ake, te toto nui ake rānei

• Te mamae puku tūmārire, nui, kino e tino rerekē ana i te mamae noa, ka tohu pea kua pakia te āta mamae, kua puta he poka rānei

• Te ngongo ngoikore, te wawana, te kaha rānei o te manawa, ina koa ka kite koe i ngā tohu o te whakaheke toto

• Te ruaki tonu e kore ai koe e kaha ki te pupuri kai, wai rānei

Ko ēnei tohu whakatūpato me rangahau tonu nā te mea ka tohu pea ēnei i ngā raruraru nui e hiahia ana kia rongoā wawe. Ki te puta mai tēnei ki a koe, he mea nui kia kimi āwhina hauora tonu, kaua e tatari kia kite mehemea ka pai ake.

He aha ngā take ka puta ai ngā āta mamae o te puku?

Mā te mārama ki te take ka puta ai ngā āta mamae, ka āwhina ki a koe ki te tautohu i ō ake ngā mate raru ā, ā, ka āwhina pea ki te aukati i ngā raruraru a muri. Kua tino mārama ake te take taketake i roto i ngā tau tekau kua pahure ake, ā, kua tawhiti atu i ngā whakapono tawhito mō te raruraru me ngā kai kawa hei take matua.

Ko te mate huakita Helicobacter pylori, ka karangatia hoki ko H. pylori, te take matua o ngā āta mamae puku puta noa i te ao. Ka ora tēnei huakita kaha i roto i te taiao waikawa o tō puku mā te kuhu ki roto ki te apa ngāwewe tiaki. Ina whai pānga, ka ngoikore te tiaki a tō puku ā, ka puta te waikawa ki te pakitara o raro, ka hanga hei āta mamae.

Ko te roa o te whakamahi i ngā rongoā whakaiti mamae kore-steroidal (NSAIDs), e karangatia nei ko NSAIDs, te take nui tuarua o ngā āta mamae. Ka taea e ngā rongoā pēnei i te ibuprofen, naproxen, me te aspirin te pā ki te kaha o tō puku ki te whakaputa i tana apa ngāwewe tiaki. Kaore he tiaki, ka ngāwari te pakitara o tō puku ki te waikawa, ina koa ka whakamahi koe i ēnei rongoā i ia wā, i te rahi rānei.

Anei ētahi atu mea ka āwhina ki te puta o ngā āta mamae, ka mahi tahi, ka mahi anō rānei ki ngā take matua:

• Te hikareti, nā te mea ka nui ake te whakaputa waikawa puku ā, ka iti ake te rere toto ki te raina o tō puku, ka uaua ake te whakaora

• Te nui o te kai waipiro e tino whakapouri ai, e kōkiri ai hoki i te raina o tō puku

• Te raruraru tinana nui mai i te mate nui, te pokanga, te wera rānei, ka taea te whakaara i te āta mamae o te raruraru ki ngā tūroro tino mate

• Ētahi momo mate pērā i te mate Zollinger-Ellison, tētahi mate onge e puta ai te nui o te waikawa puku

• Te rongoā irirangi o mua ki tō puku, ka taea te pakitara o te pūnaha nakunaku te pakitara i te wā

He mea nui kia mōhio, ahakoa kāore te raruraru me ngā kai kawa e tika te take o te āta mamae, ka taea e ēnei te mamae ake te āta mamae, te whakaroa rānei i te whakaora. Ka nui te pānga o tō āhua hinengaro me ō whiringa kai ki te oranga me te whakaora, ahakoa ehara ēnei i te take taketake o te raru.

He aha ngā rongoā ka āwhina ki te whakaora i ngā āta mamae ā, ki te whakamutu i te mate korere?

Ko te rongo pai, ko te nuinga o ngā āta mamae ka whakautu pai ki te rongoā, ā, ka pai ake hoki ngā tohu tae atu ki te mate korere i te mea ka ora te āta mamae. Ko ngā tikanga rongoā ka puta i te take o tō āta mamae, engari ka whāiti katoa ki te whakaiti i te pānga o te waikawa ā, ka whakaora i te raina o tō pūnaha nakunaku.

Ki te mea he mate H. pylori, ka tohua e tō tākuta he rongoā whakakotahi hei whakaweto i te huakita. Ka noa te rua o ngā momo rongoā patu huakita ā, ko tētahi rongoā whakaiti waikawa puku, ka tangohia tahi mō te rua wiki. He mea nui te whakaoti i te kaupapa katoa nā te mea ka hoatu ki a koe te tino tūpono kia oti te mate huakita ā, kia kore ai e hoki mai te āta mamae.

Ko ngā rongoā whakaiti waikawa te pokapū o te rongoā āta mamae ahakoa te take. Ko ngā rongoā proton pump inhibitors (PPIs) he rongoā kaha e tino whakaiti ana i te whakaputa waikawa puku. Ka mahi ēnei mā te aukati i te tikanga e whakamahi ai ngā pūtau o tō puku ki te whakaputa waikawa, ka hoatu ki tō āta mamae te wā ki te whakaora i roto i te taiao iti te kino.

Ko tētahi momo rongoā e karangatia nei ko H2 blockers ka whakaiti anō hoki i te waikawa puku, ahakoa kāore e kaha pera i ngā PPIs. Ka taea e tō tākuta te whiriwhiri i ēnei ki te ngoikore ngā tohu, ki te kore rānei e pai ngā PPIs mō koe. Ka taea e rua ngā momo rongoā te pai ake i ō tohu, tae atu ki te mate korere, i roto i ētahi rā ki ētahi wiki.

Ki te mea nā ngā NSAIDs te take o tō āta mamae, ka tūtohu pea tō tākuta kia mutu te whakamahi, ki te taea rānei, ā, kia huri ki ētahi atu rongoā whakaiti mamae. I ētahi wā ka hiahia koe ki te whakamahi tonu i ngā NSAIDs mō ētahi atu mate, ka taea e tō tākuta te tohutohu i ngā rongoā tiaki hei tango tahi ki a rātou hei tiaki i te raina o tō puku.

Anei ētahi atu āwhina tautoko ka āwhina i tō mahi whakaora ā, ka āwhina hoki ki te whakahaere i ngā tohu:

• Te karo i ngā kai me ngā inu e āta kino ake ana i ō tohu, tae atu ki te waipiro, te kawhe, me ngā kai kawa rawa, waikawa rawa rānei

• Te kai i ngā kai iti ake, auau ake rānei, kaua i ngā kai nui e nui ake ana te mahi nakunaku

• Te mutu hikareti ki te mea kei te hikareti koe, nā te mea ka tino whakaheke te paoa i te whakaora āta mamae

• Te whakahaere raruraru mā te whakangāwari, te moe tika, me ngā mahi tautoko, ka āwhina ki tō tinana kia pai ake te whakaora

• Te tango i ngā probiotics, e kitea ana e ētahi tāngata he āwhina ki te whakahoki i te taurite nakunaku, engari me whai kupu koe ki tō tākuta i te tuatahi

Ko te nuinga o ngā āta mamae ka ora i roto i ngā wiki e whā ki te waru o te rongoā, ahakoa ka roa ake ētahi i runga i te rahi me te take. Ka hiahia pea tō tākuta ki te whai tonu kia tino pai te ora o tō āta mamae, ina koa ki te mea he mate H. pylori koe. Ka whakarite te whakamātautau whai tonu kia oti te huakita, ā, kia tū tonu te ora o tō āta mamae.

Ka taea e ngā āta mamae te puta mai he raruraru roa ake?

Ahakoa ka ora te nuinga o ngā āta mamae kaore he raruraru i te wā e tika ana te rongoā, he pai ki te mārama he aha ngā raruraru ka puta ki te kore e rongoā te āta mamae, kāore rānei e whakautu ki te rongoā tuatahi. Kāore ēnei mōhiohio hei whakararuraru i a koe engari hei whakanui i te take nui o te rongoā tika me te whai tonu.

Ko te whakaheke toto te tino raruraru noa o ngā āta mamae puku. Ka taea e te āta mamae te kōkiri ki roto ki tētahi oko toto i roto i tō puku, i te pakitara whekau rānei, ka puta te whakaheke toto mai i te āta puhoi me te mau tonu, ki te tūmārire me te kaha. Kaore pea te whakaheke toto mau tonu e kitea wawe engari ka puta te mate kohure (anemia) i te wā, ka āta ngenge hoki koe.

Ko te pakitara (perforation) he raruraru nui ake engari he iti iho te kitea, ka hanga nei te āta mamae i tētahi poka mā roto i te pakitara o tō puku, whekau rānei. Ka taea e tēnei te whakaheke i ngā mea nakunaku ki roto ki tō pokai puku, ka puta te mamae nui, tūmārire, ā, ka hiahia pokanga ohorere. Waimarie, ka puta tēnei i te wāhanga iti noa o ngā take āta mamae.

Ka taea e ētahi āta mamae te puta mai he arai, nā te pupū me te kaokao mai i ngā āta mamae hoki ka whakapāpāpiti te ara i waenganui i tō puku me tō whekau iti. Ka taea e tēnei te uaua ki te kai kia puta mārama, ka puta mai te ruaki tonu, te ngongo kikī wawe, me te ngaro taumaha. Ka taea e te rongoā te whakaiti i te mumura, ā, i ētahi wā ka pokanga hei whakawātea i te wāhi kua whakapāpāpiti.

He onge noa atu, ko te mate H. pylori roa me te mumura tonu ka taea te piki ake i tō tūponotanga ki te mate pukupuku puku i roto i ngā tau maha. Ko tētahi take tēnei mō te take nui o te rongoā mate H. pylori ahakoa te ngoikore o ngā tohu. Ka iti tonu te tūponotanga katoa, engari ko te whakaweto i te huakita ka whakaiti hoki i tēnei tūponotanga.

Ka aha koe hei te wā o te whakaora?

Ko te ora mai i te āta mamae he tikanga āta whakapakari i roto i ngā wiki. Mā te mārama ki ngā mea ka puta ka āwhina ki a koe kia manawanui ki tō tinana i te wā e whakaora ana ia, ā, kia mōhio ai koe ki ngā tohu e pai ana te rongoā.

I ngā rā tuatahi o te rongoā, ka kite pea koe i ētahi pai ake i ngā tohu pērā i te mamae me te māuiui, ahakoa ka roa ake te tino whakaora. Ka pai ake hoki te mate korere i te mea ka iti ake te whakapouri o tō pūnaha nakunaku. Ka tino pai ake ētahi tāngata i roto i te wiki kotahi, ko ētahi ka hiahia atu he wā.

He mea noa kia rerekē ngā tohu i te wā o te whakaora, ka pai ake ētahi rā i ētahi. Kāore tēnei e kī ana kāore e pai ana te rongoā. Ka whakarerekē tō pūnaha nakunaku ki ngā rongoā ā, ka tīmata ki te whakaora i te pakitara, ka taea te puta mai o ngā piki me ngā heke poto i roto i tō ngongo.

Ka kite pea koe i ngā whakarereketanga i roto i ō tikanga whakaputa, i te mea ka ahu whakamua te whakaora. Ki te mea kua mate korere koe, ka āta kite koe ka kaha ake ā, ka noa haere āu takere. Ka pa ki ētahi tāngata te mate kōpiri poto nā te rongoā whakaiti waikawa, ka pai ake nei i te wā ka whakarerekē tō tinana.

He mea nui kia hono tonu ki tō kaiwhakarato hauora i te wā katoa o te whakaora. Ka āwhina rātou ki a koe kia mārama mehemea he whakaora noa tēnei, mehemea rānei me whakarerekē tō mahere rongoā kia pai ake ai. Kaua e whakaroa ki te whakapā atu ki te mea he āwangawanga koe, mehemea rānei ka kino haere ngā tohu kaua e pai ake.

Ka taea e te nuinga o tāngata te hoki ki ā rātou mahi noa i te wā o te rongoā āta mamae, ahakoa ka hiahia koe ki te whakarerekē poto i runga i ō tohu. Whakarongo ki tō tinana ā, kia ata haere, ina koa ki ngā wiki tuatahi ka tīmata tonu te whakaora. Ko te okiokinga tika ka tautoko i ngā mahi whakaora a tō tinana.

Putanga Kōrero

Ko te paenga ki te āta mamae me ōna tohu pērā i te mate korere ka tino raruraru ā, ka mamae, engari mā te mārama ki te hononga i waenganui i ēnei ka āwhina ki a koe kia mārama ki ngā mahi o roto o tō tinana. He tino rongoā te āta mamae, ā, ko te nuinga o tāngata ka ora katoa me te rongoā tika ā, me te wā.

Ki te mea kei te mate korere tonu koe me te mamae puku, te ētahi atu tohu nakunaku rānei, ko te whakapā ki tō kaiwhakarato hauora he mahi whaitake ā, he mea nui hoki. Ka āwhina rātou ki te whakatau mehemea he āta mamae te take, he mate kē atu rānei, ā, ka ārahi koe ki te rongoā whai hua. Kāore koe e hiahia kia mārama anō koe, kia mamae rānei koe i ngā tohu mā te tatari kia pai ake.

Kia mahara, he tino kaha tō pūnaha nakunaku ā, he kaha hoki ki te whakaora ina whakawhiwhia ki te tautoko tika. Mā te rongoā tika, te whakarerekētanga o ngā tikanga ora, me te manawanui, ka taea e koe te tūmanako kia pai ake ā, kia hoki mai ki te nakunaku noa, pai hoki. He tino kaha tō tinana ki te whakaora i a ia anō ina oti te take taketake te whakatau.