Waiāhua

Ko te whekau iti me te rōpū he wāhanga o te pūnaha kai, e tukatuka ana i ngā kai e kai ana koe. Ka tangohia e ngā whekau ngā matūkai i ngā kai. Ko te mea kaore i tangohia e ngā whekau ka haere tonu i te pūnaha kai ka puta ki waho o te tinana hei paru.

Te korere — te puta mai o te paru he ngawha, he wai, ā, pea ka nui ake te maha — he raruraru noa. I etahi wā, koia anake te tohu o tētahi āhuatanga. I ētahi atu wā, ka hono pea ki ētahi atu tohu, pēnei i te ruaki, te ruaki, te mamae o te kopu, te ngaro o te taumaha.

He pai, ko te korere te nuinga o te wā he poto, kāore e roa atu i te torutoru rā. Engari ki te roa atu te korere i te torutoru rā, he tohu tēnā mō tētahi atu raruraru — pēnei i ngā pānga o te rongoā, ngā huringa kai, te mate puku ngākau (IBS), te mate kino atu rānei, tae atu ki te mate pāngia tonu, te mate celiac, te mate mumura o te whekau (IBD).

Ngā tohu e hono ana ki ngā wīwī ngawari, wai, e kiia ana hoki ko te ruaki, ka uru pea ki roto: Te mamae o te kopu, te mamae rānei. Te pupū. Te mōrearea. Te ruaki. Te kirika. Te toto i roto i te wīwī. Te māku i roto i te wīwī. Te hiahia nui ki te pehi. Ki te pakeke koe, tirohia tō tākuta mēnā: Kāore tou ruaki e pai ake, kāore rānei e mutu i muri i ngā rā e rua. Ka maroke koe. He mamae nui tō kopu, tō tūāpapa rānei. He toto, he pango rānei ō wīwī. He kirika nui atu i te 101 tikeri Fahrenheit (38 tikeri Celsius) tōu. Ki ngā tamariki, ina koa ngā tamariki iti, ka tere te maroke o te tinana i te ruaki. Waea atu ki tō tākuta mēnā kāore te ruaki o tō tamaiti e pai ake i roto i ngā hāora 24, ki te: Ka maroke te tinana o tō tamaiti. He kirika nui atu i te 101 tikeri Fahrenheit (38 tikeri Celsius) tō tamaiti. He toto, he pango rānei ngā wīwī o tō tamaiti.

Ki te pūkenga koe, tirohia tō tākuta mena:

• Kaore tou ruaki e pai ake, ka mutu rānei i muri i ngā rā rua.
• Ka maroke koe.
• Kei a koe te mamae o te kopu, te tūturu rānei, e nui rawa ana.
• He toto, he pango rānei ōu paru.
• Kei a koe te kirika e pā ana ki te 101 nga nekehanga Fahrenheit (38 nga nekehanga Celsius). I ngā tamariki, ina koa ngā tamariki iti, ka tere te maroke o te ruaki. Karangatia tō tākuta ki te kore e pai ake te ruaki o tō tamaiti i roto i ngā hāora 24, ki te:
• Ka maroke tō tamaiti.
• Kei a tō tamaiti te kirika e pā ana ki te 101 nga nekehanga Fahrenheit (38 nga nekehanga Celsius).
• He toto, he pango rānei ngā paru o tō tamaiti.

He maha ngā mate me ngā āhuatanga ka taea te whakaeke i te ruaki, tae atu ki:

• Ngā huaketo. Ko ngā huaketo ka taea te whakaeke i te ruaki ko te huaketo Norwalk, e mohiotia ana hoki ko te norovirus, ngā adenovirus o te kopu, te astrovirus, te cytomegalovirus me ngā huaketo ka whakaeke i te hepatitis. He take noa te rotavirus mō te ruaki ohorere o ngā tamariki. Kua honoa ano te huaketo e whakaeke ana i te mate huaketo korona 2019 (COVID-19) ki ngā tohu o te puku, tae atu ki te ruaki, te ruaki me te korere.
• Ngā pūkahukahu me ngā paraeito. Ko te whakamahinga ki ētahi pūkahukahu, pēnei i te Escherichia coli, i ngā paraeito rānei mā te kai kī, te wai rānei kī, ka āhei te arahi ki te ruaki. I te haere ki ngā whenua e whanake ana, ko te ruaki e whakaeketia ana e ngā pūkahukahu, i ngā paraeito rānei, e kiia ana he ruaki haere. Ko te Clostridioides difficile, e mohiotia ana hoki ko te C. diff, tētahi atu pūkahukahu e whakaeke ana i te ruaki, ā, ka puta pea i muri i te whakamahinga rongoā, i te noho rānei i te hōhipera.
• Ngā rongoā. He maha ngā rongoā, pēnei i ngā rongoā whakamate pūkahukahu, ka taea te whakaeke i te ruaki. Ka whakakore i ngā mate mā te whakamate i ngā pūkahukahu e whakaeke ana i te mate, engari ka whakamate hoki i ngā pūkahukahu pai e whai hua ana ki te tinana. Ka raru tēnei i te taurite o ngā pūkahukahu i roto i te kopu, ka arahi ki te ruaki, ki te mate rānei pēnei i te C. diff. Ko ētahi atu rongoā e whakaeke ana i te ruaki ko ngā rongoā whakamate mate pūngao me ngā rongoā whakaiti i te waikawa me te magnesium.
• Te kore e manawanui ki te lactose. Ko te lactose he huka e kitea ana i roto i te miraka me ētahi atu hua miraka. Ko te hunga e raruraru ana ki te whakahaere i te lactose, ka maha tonu te ruaki i muri i te kai i ngā hua miraka. Ka taea te piki ake o te kore e manawanui ki te lactose i te wā e pakeke haere ana, nā te mea ka iti haere ngā taumata o te enzyme e āwhina ana ki te whakahaere i te lactose i te wā e pakeke haere ana te tangata.
• Te fructose. Ko te fructose he huka e kitea ana i roto i ngā hua me te honi. Ka taapirihia pea hei mea reka ki ētahi inu. Ka taea e te fructose te arahi ki te ruaki i ngā tāngata e raruraru ana ki te whakahaere i te mea.
• Ngā mea reka whakakapi. Ko te sorbitol, te erythritol me te mannitol—ngā huka kore e ngongo e whakamahia ana hei mea reka whakakapi i roto i te ngau me ētahi atu hua kore huka—ka taea te whakaeke i te ruaki i ētahi atu tāngata hauora.
• Te pokanga. Ka taea e ngā pokanga tango wahi kopu, i te repe rānei te whakaeke i te ruaki.
• Ētahi atu mate puku. He maha ngā take o te ruaki roa, pēnei i te IBS, te mate Crohn, te mate colitis ulcerative, te mate celiac, te mate colitis microscopic me te nui o ngā pūkahukahu iti i roto i te kopu (SIBO).

Ko ētahi o ngā take tūponotanga whānui mō te wai rere kei roto i: Te whakaū ki ngā huaketo, ngā pūtau ranei, ngā paraeiti rānei. Koinei te take tūponotanga nui mō te tīmatanga ohorere o te wai rere. Kai. Ko ētahi kai, kai inu rānei, tae atu ki te kōpi, te tii, ngā hua waiū, kai ranei e whakamahia ana ngā whakamāoritia, ka taea te whakaeke i te wai rere ki ētahi tāngata. Rongoā. Ko ētahi rongoā, pēnei i ngā antibiotika, ngā laxatives, ngā tāpiringa māheni, ngā rongoā pouri, ngā NSAID, te chemotherapy me te immunotherapy, ka taea te whakaeke i te wai rere.

Ka taea e te wai rere te whakaeke i te maroke, ka mate pea mena kaore e rongoa. He tino kino te maroke mo nga tamariki, mo nga kaumatua, mo te hunga e ngoikore ana o ratou punaha mate.

Ki te whai koe i nga tohu o te maroke kino, rapua te awhina hauora.

Koinei etahi:

• Te matewai nui.
• Te maroke o te waha, te kiri ranei.
• Te iti, te kore ranei o te mimi.
• Te ngoikore, te wiri, te mahunga ranei.
• Te ngenge.
• Te mimi pouri.

Koinei etahi:

• Kaore he kakahu makuku i roto i nga haora e toru neke atu ranei.
• Te waha me te arero maroke.
• Te kirika e neke atu ana i te 102 nga nekehanga Fahrenheit (39 nga nekehanga Celsius).
• Te tangi kaore he roimata.
• Te moe, te kore whakautu, te riri ranei.
• Te ahua o te kopu, nga kanohi, nga paparinga ranei.

Horomia ō ringa hei ārai i te hora o te mate huango. Hei whakarite i te horomi pai o ngā ringa:

• Horomia ngā wā katoa. Horomia ō ringa i mua i muri i te whakarite kai. Ā, horomia ō ringa i muri i te pā atu ki te mīti kāore i tunua, te whakamahi i te wharepaku, te whakarere i ngā pēpi, te taikaka, te kōhū, te pupuhi i tō ihu.
• Whakamahia te hopi mō te iti rawa o ngā 20 hēkona. I muri i te whakatakoto i te hopi ki ō ringa, whakuruhia ō ringa mō te iti rawa o ngā 20 hēkona. He rite tēnei ki te roa o te waiata i te "Happy Birthday" kia rua.
• Whakamahia te kai horoi ringa ina kore e taea te horomi. Whakamahia he kai horoi ringa wāhine i te wā ka kore e taea e koe te haere ki te puna wai. Whakatakotohia te kai horoi ringa kia rite ki te whakamahinga o te kiri kiri, kia u tonu te upoko me te muri o ngā ringa e rua. Whakamahia he hua kei roto i te iti rawa o te 60% o te waipiro. Ka taea e koe te āwhina i te tiaki i tō tamaiti mai i te rotavirus, te take tino nui o te mate huango huaketo i ngā tamariki, me tetahi o ngā rongoā e rua kua whakaaetia. Pātai atu ki te taote a tō pēpi mō te whakakakahu i tō pēpi. Te mate huango te tikanga ka pā ki ngā tāngata e haere ana ki ngā whenua he kino te horoi me te kai poke. Hei whakaiti i tō tūponotanga:
• Titiro ki te mea e kai ana koe. Kai i ngā kai wera, pai te tunu. Kaua e kai i ngā hua me ngā huawhenua mā, ki te kore e taea e koe te kukume i a koe ake. Kaua e kai i ngā mīti mā, kāore rānei i tunua, me ngā kai waiu.
• Titiro ki te mea e inu ana koe. Inu wai i roto i ngā ipu, wai soda, pia, waina rānei i whakatakotohia i roto i tōna ipu taketake. Kaua e inu wai tap, kaua hoki e whakamahi i ngā kēte huka. Whakamahia te wai i roto i ngā ipu ahakoa mō te horoi i ō niho. Pupuritia tō waha kia kati i te wā e kaukau ana koe. He pūngao pea ngā inu i hangaia ki te wai kohua, pēnei i te kōpi me te tii. Kia mahara ko te waipiro me te caffeine ka kaha ake te mate huango me te kino ake o te ngau.
• Pātai atu ki tō rōpū hauora mō ngā rongoā mate huaketo. Ki te haere koe ki tetahi whenua e whanake ana mō te wā roa, pātai atu ki tētahi mema o tō rōpū hauora mō te whiwhi i ngā rongoā mate huaketo i mua i tō haerenga, ina koa ki te ngoikore tō pūnaha mate.
• Tirohia ngā whakatūpato haere. Kei te pupuri te Pokapū Whakahaere me te Awhina Mate i te paetukutuku hauora mō ngā kaihaere kei reira ngā whakatūpato mate e whakaponotia ana mō ngā whenua maha. Ki te whakaaro koe ki te haere ki waho atu o te United States, tirohia i reira mō ngā whakatūpato me ngā tohutohu mō te whakaiti i tō tūponotanga. Titiro ki te mea e inu ana koe. Inu wai i roto i ngā ipu, wai soda, pia, waina rānei i whakatakotohia i roto i tōna ipu taketake. Kaua e inu wai tap, kaua hoki e whakamahi i ngā kēte huka. Whakamahia te wai i roto i ngā ipu ahakoa mō te horoi i ō niho. Pupuritia tō waha kia kati i te wā e kaukau ana koe. He pūngao pea ngā inu i hangaia ki te wai kohua, pēnei i te kōpi me te tii. Kia mahara ko te waipiro me te caffeine ka kaha ake te mate huango me te kino ake o te ngau.

Tino pea te kaiāwhina hauora o te tangata e ui atu ki te hītori hauora, arotake i ngā rongoā e inu ana, ā, mahi i te whakamātautau tinana. Āta whakarite pea te tohunga hauora i ngā whakamātautau hei whakatau i te take o tō ruaki. Ko ētahi whakamātautau pea:

• Ngā whakamātautau toto. Ka taea e te tatau toto katoa, te ine i ngā waikawa, me ngā whakamātautau mahi whatukuhu te tohu i te kino o tō ruaki.
• Whakamātautau paru. Pea ka whakamātautauhia tō paru ki te kite mena he huakita, he parae rānei te take o tō ruaki.
• Whakamātautau manawa hau hairokeni. Ka taea e tēnei momo whakamātautau te āwhina ki te whakatau mena kei a koe te kore e manawanui ki te lactose. I muri i te inu i te wai e nui ana te lactose, ka inehia tō manawa mō te hairokeni i ngā wā whakarite. Ko te manawa atu i te nui o te hairokeni e tohu ana kaore koe i te tino ngākau nui ki te lactose.
• Sigmoidoscopy ngawari, colonoscopy rānei. Ma te whakamahi i te pūpoi poto, mārama e whakauruhia ana ki te tūturu, ka taea e te tohunga hauora te kite i roto i te kōroke. He taputapu anō te taputapu e taea ai e te taote te tango i te tauira iti o te kiko, e kiia nei ko te biopsy, mai i te kōroke. Ka whakarato te sigmoidoscopy ngawari i te tirohanga o te kōroke raro, ā, ka taea e te colonoscopy te kite i te kōroke katoa.
• Whakamātautau puku o runga. Ka whakamahi te tohunga hauora i te pūpoi roa, angiangi, he kāmera kei te pito hei tirotiro i te kopu me te whekau iti o runga. Pea ka tangohia e rātou he tauira kiko hei tirotiro i roto i te taiwhanga.

Ko te nuinga o ngā keehi o te korere ngāwari ka mōhio ake rātou i roto i ngā rā torutoru kahore he rongoā. Ki te mea kua whakamātau koe i ngā huringa oranga me ngā rongoā kāinga mō te korere kahore he angitu, ka tūtohu pea tō kaimahi hauora i ngā rongoā, i ētahi atu rongoā rānei. Ngā rongoā Antibiotika, rānei antiparasitic Ka āwhina pea ngā rongoā antibiotika, antiparasitic rānei ki te whakaora i te korere e puta mai ana i ētahi pūtau, i ētahi kararehe rānei. Ko te nuinga o ngā take pūtau o te korere kaore e hiahiatia te rongoā i te nuinga o te iwi. Ki te mea he huaketo te take o tō korere, kaore ngā antibiotika e āwhina. Rongoā hei whakakapi i ngā wai Ka āwhina pea tō kaimahi hauora ki a koe ki te whakakapi i ngā wai me ngā tote kua ngaro i a koe i te wā e korere ana koe. Mō te nuinga o ngā tāngata pakeke, ko te tikanga ko te inu wai me ngā electrolytes, wai rānei, wai rānei. Ki te mea ka raru tō puku, ka ruaki rānei koe i te inu wai, ka hoatu pea e tō kaimahi hauora ngā wai IV ki a koe. He huarahi pai te wai hei whakakapi i ngā wai, engari kāore i roto i ngā tote me ngā electrolytes—ngā kohuke pēnei i te konutai me te pōtāhium—e hiahiatia ana e tō tinana hei mahi. Ka taea e koe te awhina i te pupuri i ō taumata electrolyte mā te inu wai hua mō te pōtāhium, mā te kai hupa rānei mō te konutai. Engari ko ētahi wai hua, pēnei i te wai aporo, ka kaha ake pea te korere. Mō ngā tamariki, ui atu ki tō tākuta mō te whakamahi i te otinga whakakapi wai waha, pēnei i te Pedialyte, hei ārai i te mate wai, i te whakakapi rānei i ngā wai kua ngaro. Te whakarite i ngā rongoā e inu ana koe Ki te mea ka whakatau tō kaimahi hauora kua puta mai tō korere i te antibiotika, ka hoatu pea ki a koe he rongoā iti ake, he rongoā rerekē rānei. Te whakaora i ngā āhuatanga taketake Ki te mea ko tō korere e puta mai ana i tētahi āhuatanga nui ake, pēnei i te mate pūkahukahu mumura, ka mahi tō kaimahi hauora ki te whakahaere i taua āhuatanga. Ka tuku pea koe ki tētahi tohunga, pēnei i tētahi gastroenterologist, ka taea te awhina i te whakatakoto i tētahi mahere rongoā mōu. Tono tono whakarite He raru kei te korero i raro nei, me tuku anō te puka. Mai i te Kura Mayo ki tō pouakaroto Rēhita kore utu me noho tonu ki te whakahou i ngā whakahoutanga rangahau, ngā tohu hauora, ngā kaupapa hauora o nāianei, me te mātauranga mō te whakahaere hauora. Pāwhiri konei mō te tirohanga īmēra. Wāhitau Īmēra 1 He hapa Kei te hiahiatia te mara īmēra He hapa Tāpirihia he wāhitau īmēra tika Ako atu mō te whakamahinga raraunga a te Kura Mayo. Hei whakarato i ngā korero tino tika me te whai hua ki a koe, me te mārama ki tehea korero e whai hua ana, ka taea e mātou te whakakotahi i ō korero īmēra me ngā korero whakamahinga paetukutuku me ētahi atu korero kei a mātou mōu. Ki te mea he turoro koe o te Kura Mayo, ka taea tenei te whakauru i ngā korero hauora tiaki. Ki te whakakotahi mātou i ēnei korero me ō korero hauora tiaki, ka whakahaere mātou i aua korero katoa hei korero hauora tiaki, ā, ka whakamahi noa, ka whakapuaki rānei i aua korero i te ahua i whakaritea i roto i tā mātou panui mō ngā tikanga tūmataiti. Ka taea e koe te whakakore i ngā korero īmēra i tetahi wā mā te pāwhiri i te hononga whakakore i roto i te īmēra. Ohauru! Mauruuru mō te ohauru! Ka tīmata wawe koe ki te whiwhi i ngā korero hauora hou a te Kura Mayo i tonoa e koe ki tō pouakaroto. Kaore he aha te he i tō ohauru Tēnā, whakamātauria anō i roto i ngā meneti torutoru Whakamātauria anō

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