Kaka Kowhai: Ngā Raruraru Bili, Kai, me te Huaketo?

He aha te Kaka Mātāmua te Parauri? He Akoranga Pūtaiao Tere

I mua i tō tātou kōrero ki te take o te kaka kowhai, he pai ki te mārama ki te take e parauri ai te kaka. Kei roto te whakautu i roto i tētahi tukanga kūnatu whakamīharo e pā ana ki tētahi matū ko te bili.

E hangaia ana te bili e tō ate, he wai kowhai-whero, hei āwhina ki te kūnatu ngā ngāhinu. Kei roto te bili i tō gallbladder ā, ka tukuna ki roto i te whekau iti ka kai koe. Kei roto i te bili ngā pigment, ko te mea nui ko tētahi kowhai e kīia nei ko te bilirubin, e hangaia ana ka pakaru ngā toto whero tawhito [pūtake: MedlinePlus].

Ka tere haere te bili nei i roto i tō ara kūnatu, ka mahi ngā enzymes me ngā huakita, ka whakarerekehia te tae o ngā pigment mai i te kowhai-whero ki te tae parauri e mōhiotia ana. Nā reira, he tohu te kaka parauri kei te pai te mahi o tō pūnaha kūnatu—ko tō ate, tō gallbladder, me tō pancreas. Ko tētahi raruraru ki tēnei tukanga ka taea te whakarereke i te tae whakamutunga.

Ngā Take Noa o te Kaka Kowhai: Mai i te Kai ki te Mate

Tāpiri atu, ka whakatōtō tātou i ngā take ka taea te take o tērā kowhai kowhai. Ka tīmata tātou ki ngā take noa me te pai, ā, ka ahu atu ki ngā āhuatanga e hiahiatia ana te āwhina hauora.

1. Tō Kai

Ko te mea e kai ana koe he pānga tika, ā, he tere hoki ki te tae o tō kaka. Ki te kotahi tō wheako o te kaka kowhai, whakaarohia ngā kai whakamutunga o tō kai.

• Beta-Carotene: Ko ngā kai nui i roto i tēnei pigment kowhai-whero, pērā i te kāroti, te rīwai reka, me te paukena takurua, ka taea te hoatu he tae kowhai, kowhaiwhero rānei ki tō kaka.
• Tūmeriki me te Kāri: Kei roto i ēnei mea kakara tētahi pigment kowhai kaha ko te kurkumin e taea te puta mā roto i tō pūnaha kūnatu.
• Ngā Tae Kai Kowhai: Ko ngā tae hanga i roto i ngā kai tukatuka, inu, me ngā paramanawa ka taea hoki te whakarereke i te tae mo te wā poto.
• Ngā Kai Nui i te Ngāhinu: Ko te kai i te nui o ngā kai ngāhinu ka taea te whakahāweawe i tō pūnaha kūnatu, ka puta mai te ngāhinu kāore i kūnatu i roto i tō kaka, ka taea te titiro kowhai.

I ēnei take, ka hoki te tae ki te noa i roto i te kotahi, e rua rānei ngā rā i muri i te putanga o te kai i tō pūnaha.

2. Te Whakaarohia me te Whakawehi

Kua rongo koe i te "pūrerehua" i tō puku ka māharahara koe? Ko te hononga o te whekau-roro tērā e mahi ana. Ko te nui o te whakaarohia me te whakawehi ka taea te tere haere i tō pūnaha kūnatu katoa, he āhuatanga e kīia nei ko te nui ake o te nekehanga o te whekau.

Ka penei ana, ka tere haere te kai me te bili i roto i tō whekau kia kore ai te bili e pakaru katoa, ā, kia kore ai e parauri. Ka taea tēnei te hua ki te pōhīhi kowhai, ki te kaka kowhai ngohengohe rānei. Ki te haere koe i tētahi wā tino taumaha, koinei pea te whakautu ngāwari [pūtake: International Foundation for Gastrointestinal Disorders].

3. Te Whakapōkōnga me te Steatorrhea (Te Nui o te Ngāhinu i roto i te Kaka)

Anei ka tīmata ai te kaka kowhai hei tohu hauora nui ake. Ki te kore noa iho e kowhai te kaka, engari ka ahua ngāhinu, ka kino te haunga, ā, ka kaha te whakapakapaka, ka raru pea koe ki te steatorrhea.

Ko te steatorrhea te kupu hauora mō te nui rawa o te ngāhinu i roto i te kaka. He tohu tino nui tēnei o te whakapōkōnga, arā, kāore tō tinana e whakapōkōnga tika ana i ngā matūkai, otirā ko ngā ngāhinu, mai i te kai e kai ana koe. Ko te kaka kowhai ngāhinu te tohu matua. Ehara tēnei i te mate engari he tohu nui o ngā āhuatanga maha e pā ana ki raro.

4. Te Celiac Disease

Ko te Celiac disease he mate autoimmune e whakaputa ai te kai kōtata—he pūmua i roto i te witi, te parei, me te rai—he urupare aukati e kino ai te kūnatu o te whekau iti. Ka whakaiti tēnei kino i te kaha o te tinana ki te whakapōkōnga matūkai, tae atu ki te ngāhinu, ka taea ai te steatorrhea [pūtake: National Institute of Diabetes and Digestive and Kidney Diseases]. Ko te tae kaka o te celiac disease te nuinga ka mārama, kowhai, me te kino te haunga. Ko etahi atu tohu ko te pupuhi, te mamae o te puku, te mate taimaha, me te ngenge.

5. Ngā Raruraru o te Pancreas

E hangaia ana e tō pancreas ngā enzymes nui hei āwhina ki te pakaru ngā ngāhinu, ngā pūmua, me ngā warowaihā i roto i tō whekau iti. Ki te kore e pai te mahi o te pancreas, kāore pea koe e nui ana ēnei enzymes hei kūnatu tika ngā ngāhinu.

Ko ngā āhuatanga ka taea te hua ki te kaka o ngā raruraru pancreas ko: * Te Pancreatitis Roa: Te mumura roa o te pancreas ka taea te kino tuturu. * Te Mate Pukupuku o te Pancreas: Ka taea e tētahi pukupuku te aukati i te ngongo pancreas, kāore ai ngā enzymes e tae ki te whekau. * Te Mate Cystic Fibrosis: He mate ira e hua ai te mimiti matotoru e aukati ai ngā ngongo i roto i te pancreas.

I ēnei take katoa, ka hua te ngāhinu kāore i kūnatu, te kaka kowhai ngāhinu o te steatorrhea.

6. Ngā Raruraru o te Ate me te Gallbladder

Nō te mea ka hangaia e te ate te bili, ā, ka penapena te gallbladder, ka taea e tētahi raruraru ki ēnei whekau te raruraru i te tukanga e hoatu ai te tae parauri ki te kaka. Ko te iti o te hanga bili, ko te aukati rānei e kore ai te bili e tae ki te whekau, ka taea te hua ki te kaka mārama, ki te kaka kowhai rānei.

Ko ngā take noa o te tae kaka o ngā raruraru ate me te kaka o ngā raruraru gallbladder ko: * Cirrhosis me te Hepatitis: Ka taea e ngā mate ate te whakaiti i te hanga bili. * Ngā Kōhatu Gallbladder, ngā Pukupuku rānei: Ka taea e ēnei te hanga he aukati i ngā ngongo bili, ngā ngongo iti e kawe ana te bili mai i te ate me te gallbladder ki te whekau. * I muri i te Tangohanga Gallbladder: I muri i te pokaiwhao gallbladder, kāore he wāhi mā te tinana ki te penapena i te bili. Ka mimiti haere tonu engari i ētahi wā iti ake te kaha ki roto i te whekau, ka taea te pā ki te kūnatu me te tae o te kaka.

7. Ngā Huaketo (Giardiasis)

I ētahi wā, ko te take he manuhiri kāore i hiahiatia. Ko te Giardiasis he mate whekau i hua ai tētahi parataita iti rawa ko te Giardia lamblia. Ka taea e koe te tiki mā te inu i te wai poke, mā te hononga tangata ki te tangata.

Ko tētahi o ngā tohu giardiasis tino nui ko te tere, te pahū, te kino te haunga, me te wai pōhīhi kowhai. Ko etahi atu tohu ko te mamae o te puku, te pupuhi, te ruaki, me te hau. Ka pā te parataita ki te kaha o tō whekau ki te whakapōkōnga i te ngāhinu, ka hua te tae kowhai e mōhiotia ana [pūtake: Centers for Disease Control and Prevention].

8. Gilbert's Syndrome

Ko te Gilbert's syndrome he mate ate ira noa, ā, he māmā hoki, kei reira te ate kāore e tika te tukatuka i te bilirubin. Ka hua tēnei i te nui o te bilirubin i roto i te toto (hyperbilirubinemia). Ahakoa he maha ngā wā kāore he tohu, i ngā wā o te whakaarohia, te mate, me te nohopuku rānei, ka taea te hua ki te kōwhai māmā (te kōwhai o te kiri me ngā karu) ā, i ētahi wā ka hua ki te kaka mārama, ki te kaka kowhai rānei [pūtake: Cleveland Clinic].

Kaka Kowhai i ngā Rōpū Age Rerekē

Kaka Kowhai i ngā Kohungahunga

Mō ngā mātua hou, he take tēnei o te manawawhiti. Engari ki te tae o te kaka, he rongo pai: ko te kaka kowhai i ngā kohungahunga ehara i te mea noa anake engari koia te paerewa, otirā mō ngā pēpi e ngote ana.

Ko te kaka o te pēpi e ngote ana te nuinga ka kowhai te mātāwaka, me te ngohengohe. He tino hauora tēnei. Ko ngā pēpi e whāngia ana ki te miraka hanga ka taea te kaka kia pouri ake, kia parauri mārama ake, ā, he rite ki te paraoa pokepoke te hanganga. Nā reira, ki te kite koe i te kaka kowhai i ngā kohungahunga, he tohu tēnei o tētahi pēpi hauora, kua kai pai.

I ngā Kaumatua

Ko ngā take o te kaka kowhai, he rite ki ngā pakeke katoa. Heoi, ka nui ake te tupono ki ngā āhuatanga maha pēnei i te mate ate, ngā raruraru gallbladder, me te mate pukupuku pancreas ka nui haere te tau. Nā reira, ko ngā kaumatua e kite ana i te whakarerekētanga tonu o te tae kaka, otirā ka honoa ki etahi atu tohu, me kaha ki te kimi tohutohu hauora.

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Ētahi atu Tae Kaka

Ahakoa e aro ana tātou ki te kowhai, he pai ki te mōhio ki te tikanga o ētahi atu tae:

• Kākāriki: He maha ngā wā ka puta mai i te tere tere o te haerenga (pērā i te pōhīhi) me te kai nui i ngā huawhenua kākāriki.
• Pango: Ka taea te hua mai i te rongoā rino, i te bismuth subsalicylate (Pepto-Bismol), engari ka taea hoki te tohu he toto i te wāhanga teitei o te GI.
• Whero: Ka taea te hua mai i ngā kai whero (pīti, kākano kāroti) engari he tohu nui tēnei o te toto i te wāhanga raro o te whekau, i te kōpiko rānei.
• Mā, Te tae Kiriata rānei: He tohu tēnei o te aukati i te ngongo bili, he tohu pea he raruraru ate, gallbladder rānei. Ko tēnei momo kaka mārama e hiahiatia ai he waea tere ki tō tākuta.

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A, no te Hāere ki te Tākuta

Nā, pēhea koe ka mōhio ai ka raru koe? Ahakoa he kotahi noa te wā o te kaka kowhai i muri i te kai putea kāroti, kāore pea he raruraru, engari kaua e warewarehia ngā whakarerekētanga tonu.

Me whakarite he hui ki tō tākuta mehemea ka roa tō kaka kowhai i ngā rā e rua, mehemea rānei he raru tonu.

He mea nui ki te kimi āwhina hauora tere mehemea ka honoa tō kaka kowhai ki ētahi o ēnei tohu "whero":

• Te kirikiri, te makariri, te ruaki rānei
• Te mamae nui, te kino haere rānei o te puku me te kōpiko
• Te toto, te puputu rānei i roto i tō kaka
• Te kōwhai (te kōwhai o tō kiri, o ngā karu rānei)
• Te mate taimaha kāore i mōhiotia, nui rānei
• Te mimi pouri
• Te tino ngenge, te hiakai, te raruraru rānei
• Ngā tohu o te matewai, pērā i te kore mimi, te nui o te matewai, te waha maroke rānei

Ko ēnei tohu, me te whakarerekētanga o te tae kaka, ka taea te tohu ki tētahi āhuatanga nui ake e hiahiatia ana he tātaritanga tika me te rongoā.

Whakautu: Whakarongo ki Tō Tinana

He maha ngā ara o tō tinana ki te kōrero ki a koe, ā, ko tō kaka te tētahi o āna karere tino tika. Ko te putanga tere o te kaka kowhai ka taea te hua mai i tētahi mea ngāwari pērā i te whakaarohia, i te kai o inanahi rā rānei. Heoi, ka taea hoki te tohu nui o te whakapōkōnga, o ngā raruraru ki tō pancreas, ate, me te gallbladder.

Ko te kī, ko te aro ki te horopaki. Kia mahara ki te roa o te whakarerekētanga me ētahi atu tohu e wheako ana koe. Ko te kaka kowhai ngāhinu, e whakapakapaka ana, ā, kino te haunga, he tohu nui ake i te kotahi noa te whakarerekētanga o te tae.

Ki te raru koe ki te tae o tō kaka, mehemea rānei kei te wheako koe i ētahi o ngā tohu raru kua whakarārangitia i runga ake nei, kaua e whakaroa. Whakapā atu ki tētahi tohunga hauora mō tētahi tātaritanga tika. Ka taea e rātou te whakahaere i ngā whakamātau e hiahiatia ana kia kitea ai te take o te kaka kowhai i tō take motuhake, ā, ka hoatu ki a koe te rongoā me te rangimārie e tika ana koe.