Mate Kīwai Ruia
Tirohanga whānui
Ko te mate mimi hurihuri e tohuhia ana e ngā wāhanga o te ruaki nui kāhore he take e kitea ana. Ka taea e ngā wāhanga te roa atu i ngā haora, i ngā rā rānei, ā, ka whakawhitiwhiti ki ngā wā kāhore he tohu. He rite ngā wāhanga, ā, ko te tikanga ka tīmata i te wā kotahi o te rā, ka roa te wā kotahi, ā, ka puta mai me ngā tohu me te kaha kotahi.
Ka puta te mate mimi hurihuri i ngā rōpū tau katoa, ahakoa ka tīmata pinepine i ngā tamariki tata ki te 3 ki te 7 tau te pakeke. Ahakoa he maha ake i ngā tamariki, kei te piki haere te maha o ngā keehi e whakatauhia ana i ngā pakeke.
He uaua te whakatau i te mate, nā te mea he tohu te ruaki mō te maha o ngā mate. Ko te maimoatanga e whakauru pinepine ana i ngā huringa noho ora hei āwhina i te aukati i ngā kaupapa ka taea te whakaoho i ngā wāhanga ruaki. Ka taea e ngā rongoā, tae atu ki ngā rongoā anti-nausea me ngā maimoatanga migraine, te whakaiti i ngā tohu.
Ngā tohu
Ko ngā tohu o te mate ruaki hurihuri e tīmata ana te nuinga i te ata. Ko ngā tohu me ngā āhuatanga e whai ake nei:
- Ētahi atu wāhanga e toru, neke atu rānei o te ruaki e puta mai ana i te wā kotahi, ā, e roa ana te wā kotahi
- Ngā wā rerekē o te hauora noa i waenganui i ngā wāhanga, kāhore he māuiui
- Te māuiui nui me te werawera i mua i te tīmatanga o te wāhanga
Ko ētahi atu tohu me ngā āhuatanga i te wā o te ruaki e whai ake nei:
- Te mamae o te kopu
- Te ruaki
- Te wiri
- Te mārō ki te mārama
- Te mamae o te mahunga
- Te ngau, te kōkō
Āhea te kite i te tākuta
Kī atu ki tō tākuta ki te kite koe i te toto i roto i tō whakaūkūkū, i te whakaūkūkū rānei o tō tamaiti.
Ka taea e te ruaki tonu te whakaeke i te mate wai nui ka mate ai. Kī atu ki tō tākuta ki te whakaatu mai koe, i tō tamaiti rānei, i ngā tohu o te mate wai, pēnei i:
- Te hiainu nui rawa atu, te waha maroke rānei
- Te iti o te mimi
- Te kiri maroke
- Nga kanohi, i nga paparinga ranei i te totohu
- Kaore he roimata i te tangi
- Te ngenge me te kore kaha
Ngā take
Toko te take o te mate mimi hurihuri kaore i te mohiotia. Ko etahi take pea ko nga ira, nga raruraru o te puku, nga raruraru o te pūnaha io, me nga koretake o te homoni. Ka taea te whakaohooho i nga wa o te ruaki e:
- Te huaketo, te mate pāwera, te raru o te sinuses
- Te ahotea o te ngakau, te koa, ina koa ki nga tamariki
- Te awangawanga, te whakaeke o te manukanuka, ina koa ki nga pakeke
- Kai me nga inu motuhake, penei i te waipiro, te caffeine, te tiakarete, te tiihi
- Te nui o te kai, te kai i mua i te moe, te nohopuku
- Te rangi wera
- Te ngenge tinana
- Te nui o te whakakori tinana
- Te menstruation
- Te mate moana
Ko te tautuhi i nga mea whakaohooho mo nga wa o te ruaki ka awhina pea ki te whakahaere i te mate mimi hurihuri.
Ngā āhuatanga tūpono
E kore e marama te hononga i waenganui o te migraines me te mate mimi hurihuri. Engari he maha nga tamariki e pangia ana e te mate mimi hurihuri he hitori whānau o te migraines, kei te pangia rātou e te migraines ina pakeke. I roto i te hunga pakeke, ka hono ano te mate mimi hurihuri ki te hitori whaiaro, ki te hitori whānau rānei o te migraines.
Kua hono ano te whakamahinga roa o te mariuana (Cannabis sativa) ki te mate mimi hurihuri, na te mea ka whakamahi etahi i te mariuana hei whakaora i to ratou ruaki. Heoi, ka taea e te whakamahinga roa o te mariuana te arahi ki tetahi ahuatanga e kiia nei ko te cannabis hyperemesis syndrome, e arahi ana ki te ruaki tonu kahore he waa waenganui noa. Ko te nuinga o te hunga e pangia ana e tenei mate ka whakaatu i te whāinga kaukau, i te kaukau ranei.
Ka taea te whakapohehe i te cannabis hyperemesis syndrome me te mate mimi hurihuri. Hei whakakore i te cannabis hyperemesis syndrome, me mutu te whakamahinga mariuana mo te kotahi ki te rua wiki hei tirotiro mena ka iti haere te ruaki. Ki te kore, ka haere tonu to taakuta ki te whakamatautau mo te mate mimi hurihuri.
Ngā raruraru
Ka taea e te mate ruaki hurihuri te whakaeke i enei raruraru:
- Te maroke. Ko te ruaki nui te take o te ngaro o te wai i roto i te tinana. Ko nga keehi kino o te maroke pea ka hiahiatia te rongoa i te hohipera.
- Te whara ki te ipu kai. Ka taea e te waikawa o te puku e puta mai ana me te ruaki te whakangaro i te ipu e hono ana i te waha me te puku (esophagus). I etahi wa ka mamae te esophagus kia toto.
- Te pirau o nga niho. Ka taea e te waikawa i roto i te ruaki te whakangaro i te enamel niho.
Te ārai
He tokomaha te hunga e mōhio ana ki ngā mea e whakaohooho ana i ō rātou wāhanga ruaki hurihuri. Ko te karo i aua whakaohooho ka taea te whakaiti i te tūāhua o ngā wāhanga. Ahakoa pea ka pai koe i waenganui i ngā wāhanga, he mea tino nui kia inu rongoā rite tonu ki te whakahau a tō tākuta. Ki te puta mai ngā wāhanga neke atu i te kotahi i te marama, kāore rānei e hiahiatia te whakauru atu ki te whare hauora, ka taea e tō tākuta te tūtohutia te rongoā aukati, pēnei i te amitriptyline, propranolol (Inderal), cyproheptadine me te topiramate. Ka āwhina hoki ngā huringa oranga, tae atu ki:
- Te whiwhi moe tika
- Mō ngā tamariki, te whakaiti i te hiranga o ngā huihuinga e tū mai ana, nā te mea ko te koa ka waiho hei whakaohooho
- Te karo i ngā kai whakaohooho, pēnei i te waiū kawa, te caffeine, te tīhi me te chocolate
- Te kai i ngā kai iti me ngā kai ngawari ngako i ngā wā katoa
Te tātaritanga
Ka taea te uaua te tirotiro i te mate pukupuku a-āhua. Kāore he whakamātautau motuhake hei whakaū i te tirotiro, ā, ko te ruaki he tohu o ngā mate maha me whakawā i mua. Ka tīmata te tākuta mā te pātai mō te hītori hauora o tō tamaiti, o koe rānei, me te whakahaere i te whakamātautau tinana. Ka hiahia hoki te tākuta ki te mōhio mō te tauira o ngā tohu e pā ana ki a koe, ki tō tamaiti rānei. I muri i tērā, ka kī mai pea te tākuta:
- Ngā rangahau whakaahua — pērā i te endoscopy, te ultrasound, te CT scan rānei — hei tirotiro mō ngā aukati i te pūnaha kai, ngā tohu rānei o ētahi atu mate pūnaha kai
- Ngā whakamātautau neke hei aroturuki i te nekenekehanga o te kai i roto i te pūnaha kai, hei tirotiro hoki mō ngā mate pūnaha kai
- Ngā whakamātautau taiwhanga hei tirotiro mō ngā raru repe, me ētahi atu mate metabolic
Te rongoā
Kāore he rongoā mō te mate ruaki hurihuri, ahakoa he tokomaha ngā tamariki ka mutu te ruaki i te wā ka pakeke. Mō te hunga e pā ana ki te mate ruaki hurihuri, ka āta whakahaerehia te rongoā kia ārai ai i ngā tohu me ngā pūāhua.
Āta whakaritea pea koe, rānei tō tamaiti ki te tango i ētahi rongoā:
Ka taea e ngā momo rongoā anō e whakamahia ana mō ngā mate pūngāwerewere te āwhina i te whakamutu, te ārai rānei i ngā mate ruaki hurihuri. Ka tūtohutia pea ēnei rongoā mō te hunga e maha ana, e roa ana hoki ngā mate, te hunga rānei he whānau kei a rātou te mate pūngāwerewere.
Ka hiahiatia pea te wai horoi (IV) hei ārai i te maroke. Ka whakaritea te rongoā kia rite ki te kaha me te roa o ngā tohu, me te whai rānei i ngā raruraru.
- Ngā rongoā whakangāwari i te ruaki
- Ngā rongoā whakaora i te mamae
- Ngā rongoā e whakaiti ana i te waikawa o te puku
- Ngā rongoā whakaohooho
- Ngā rongoā ārai i te hopu
Te tiaki whaiaro
Ka taea e ngā huringa oranga te āwhina i te whakahaere i ngā tohu me ngā tohu o te mate mimi hurihuri. Ko te nuinga o te hunga e pangia ana e te mate mimi hurihuri me whiwhi i te moe tika. Kia tīmata te ruaki, ka āwhina pea te takoto ki te moenga me te moe i roto i te ruma pouri, māhorahora.
Ina mutu te wāhanga ruaki, he mea tino nui te inu wai, pēnei i te otinga waipiro waha (Pedialyte) tetahi inu hākinakina (Gatorade, Powerade, ētahi atu) kāhore i whakahekehia ki te 1 hauna wai mō ia hauna inu hākinakina.
Ka tino pai pea etahi ki te tīmata kai i te kai noa i muri i te mutunga o te ruaki. Engari ki te kore koe, ki te kore rānei tō tamaiti e hiahia ki te kai tonu, ka taea e koe te tīmata ki ngā wai mā, ka tāpiri atu i te kai kaha.
Ki te puta mai ngā wāhanga ruaki i te ahotea, i te koa rānei, ngana i te wā kaore he tohu ki te kimi huarahi hei whakaiti i te ahotea me te noho mārie. Ko te kai i ngā kai iti me ngā kai iti ngako i ia rā, kaua ki te toru kai nui, ka āwhina pea.
Te whakarite mō tō whakaritenga
'He pāngia koe pea te titiro atu ki tō tākuta matua, ki te tākuta tamariki rānei o tō tamaiti. Engari, āta whakaaturia atu pea koe ki te tohunga mate pūnaha kai (gastroenterologist). Ki te mea kei waenganui te tamaiti rānei o koutou i te wā o te ruaki nui, ka taea e te tākuta te tūtohutia te tiaki hauora tonu. \n\nKoinei etahi korero hei āwhina i a koe ki te whakarite mo tō whakatau, ā, kia mōhio ai koe ki ngā mea e tatari ana koe i te tākuta.\n\nKo etahi patai whanui hei ui ki te tākuta:\n\nKaua e whakaroa ki te ui i ētahi atu patai ka puta mai ki a koe i te wā o tō whakatau.\n\nKia rite ki te whakautu i ngā patai ka ui mai tō tākuta:\n\nKa hiahia pea te tākuta ki te kite i a koe, ki tō tamaiti rānei, inaianei tonu ki te pēnei te ruaki nui. Engari ki te kua mutu te ruaki, kia maha te moe, inu wai atu, ā, whai i te kai ngāwari ki te whakahaere. He whakaaro pai hoki kia kaua e inu i ngā inu kēne rānei i ngā kai kei roto te kēne, i te mea ka taea e ēnei te whakaoho i ngā tohu.\n\n* Kia tuhia tetahi tohu katoa, tae atu ki te maha o te ruaki me ētahi kaiwhakaoho noa ka kitea e koe, pēnei i te kai, i te mahi rānei.\n* Tuhia ngā korero hauora matua, tae atu ki ētahi atu āhuatanga kua whakatauhia.\n* Tuhia ngā korero whaiaro matua, tae atu ki ngā tikanga kai me ētahi ahotea nui, me ētahi huringa hou – pai me te kino – i te oranga o tō tamaiti, o koutou rānei.\n* Mau mai he rārangi o ngā rongoā katoa, ngā huaora, ngā taapiri rānei e inu ana koe, e inu ana rānei tō tamaiti.\n* Tuhia ngā patai hei ui ki te tākuta.\n\n* He aha te take tino pea o ēnei tohu?\n* He hiahiatia ngā whakamātautau?\n* Kei te whakaaro koe he tūāwhiti tēnei āhuatanga, he roa rānei?\n* He aha ngā maimoatanga e tūtohu ana koe?\n* He rongoā hei āwhina?\n* He take kai hei āwhina?\n\n* Nō hea koe, nō hea rānei tō tamaiti i tīmata te wheako i ngā tohu?\n* E hia te maha o te ruaki nui, me te hia te maha o te ruaki o koutou, o tō tamaiti rānei?\n* E hia te roa o ngā wāhanga?\n* Kei te mamae rānei te kopu o koutou, o tō tamaiti rānei?\n* Kua kitea e koe etahi tohu whakatūpato kei te haere mai te wāhanga, pēnei i te ngaro o te hiahia kai, te ngenge rawa rānei, tetahi kaiwhakaoho noa rānei, pēnei i ngā kare-a-roto kaha, te mate rānei, te menestrual rānei?\n* Kua whakatauhia koe, kua whakatauhia rānei tō tamaiti ki ētahi atu raruraru hauora, tae atu ki ngā āhuatanga hauora hinengaro?\n* He aha ngā maimoatanga, tae atu ki ngā rongoā kore-whakahaunga me ngā rongoā kāinga, e tangohia ana e koe, e tangohia ana rānei e tō tamaiti mō ētahi atu āhuatanga?\n* He aha te mea e pai ake ai ngā tohu, e poto ake rānei te roa o te wāhanga?\n* Kei te mate pōtae nui koe, kei te mate rānei tō tamaiti?\n* Kei te whānau o koutou tetahi i mate i te mate ruaki huringa, i te mate pōtae rānei?\n* Kei te whakamahi koe, kei te whakamahi rānei tō tamaiti i te cannabis i tētahi āhua? Ki te pēnei, e hia te maha?'
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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