He aha te Diverticulitis? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ka puta te diverticulitis ina mumura, kā te pāngia ngā putea iti kei te pakitara o tō kōroke. He mea noa enei putea, e kiia ana ko ngā diverticula, i te wā e pakeke haere ana tātou, engari kāore rātou e tino whakaeke kia tae rawa ki te whakakī.

Whakaarohia he rite ki ngā pūngāwerewere iti e taea te hanga i te taha o te pakitara o tō whekau i te roanga o te wā. Ina mau te kai, te huakita rānei i roto i enei putea, ka pupū, ka mamae hoki, ā, ka ara te diverticulitis.

He aha ngā tohu o te diverticulitis?

Ko te tohu tino kitea ko te mamae nui, ohorere kei raro i te taha maui o tō puku, kāore e ngaro. He maha ngā wā e tino koi ana te mamae, te kōkōtā rānei, ā, ka kaha ake pea ina neke atu koe, ina māre rānei.

Ka kite pea koe i ētahi atu tohu e tohu ana i te mumura o tō pūnaha kai:

• Te kirika me te wiri i te whawhai o tō tinana ki te mate
• Te ruaki me te ruaki e whakapakeke ana i te kai
• Ngā huringa i ngā tikanga o te whekau pēnei i te kōpuku, te ruaki rānei
• Te pupū me te hau e tino kaha atu ana i te noa
• Te ngawari ina pa ki tō puku raro
• Te ngaro o te hiahia kai ahakoa ngā kai e pai ana koe

I etahi wa, ka kite etahi i nga tohu nui ake. Kei roto i enei te mamae o te puku e horapa ana puta noa i to kopu, te ruaki tonu e kore ai e taea te pupuri i nga wai, te tohu ranei o te mate kino penei i te kirika teitei me te tere o te ngakau.

Ko te whakakotahitanga o enei tohu, ina koa te mamae i te taha maui me te kirika, ka awhina i nga taote ki te mohio wawe ki te diverticulitis.

He aha ngā take o te diverticulitis?

Ka puta te diverticulitis ina mau ngā huakita, te kai rānei i roto i aua putea iti kei te taha o te pakitara o tō kōroke. Ina mau, ka taea e enei mea te whakaeke me te pāngia, he rite ki te whakaeke o tetahi wahi rakau ki tō maihao.

He maha ngā take ka nui ake te tūponotanga o tēnei:

• Te iti o te kai muka e whakapakeke ana i te paru, ā, ka uaua ake te haere
• Te kore o te mahi tinana e whakaheke ana i te ngākau
• Ētahi rongoā pēnei i ngā steroids, ngā rongoā mamae rānei e pā ana ki te hauora o te whekau
• Te whakakā, e whakaiti ana i te rere o te toto ki te pūnaha kai
• Te momona e whakapēhi ana i te kōroke

He mea nui te pakeketanga. Ina pakeke haere tātou, ka ngoikore haere ngā pakitara o tō kōroke, ā, ka ngāwari ake te hanga i enei putea, ka waiho hei raruraru.

I etahi wā, ka taea e ngā take ira te whakapakari i ētahi tangata ki te whanake i te mate diverticular, ahakoa ehara tēnei i te mea ka taea e koe te whakatau, te aukati rānei.

He aha ngā momo diverticulitis?

Ko te tikanga ka whakarōpūhia e ngā tākuta te diverticulitis hei mea ngāwari, hei mea uaua rānei, i runga i te kaha o te mumura. Ko te diverticulitis ngāwari te tikanga kei te mau tonu te pānga i roto i te pakitara o te kōroke, kāore i horapa.

Ko te nuinga o ngā take kei roto i te kāwai ngāwari, kei reira ngā tohu e kore e pai, engari ka taea te whakahaere me te maimoatanga tika. Ka mamae pea koe, ka kirika, engari ka pai te whakautu o te pānga ki ngā rongoā me ngā huringa kai.

Ko te diverticulitis uaua e pā ana ki ngā raruraru nui ake pēnei i ngā abscesses, ngā ārai, ngā pakaru rānei i te pakitara o te kōroke. Me whakamahi te maimoatanga nui ake mō tēnei momo, ā, i etahi wā, te pokanga hei aukati i ngā raruraru kino.

He rerekētanga ano i waenganui i te diverticulitis koi me te roa. Ka puta mai ngā take koi ohorere, kaha, i te wā e pā ana ngā take roa ki ngā tohu ngawari tonu e mau tonu ana i te roanga o te wā.

Nōhea te haere ki te taote mō te diverticulitis?

Me whakapiri atu koe ki tō taote tonu ina mamae tonu tō puku, neke atu i ngā haora torutoru, ina koa ki te whai kirika. Ko ēnei tohu e rua ngātahi te tohu i te mea e hiahia ana ki te tiaki hauora.

Kaua e tatari ki te kite koe i ngā tohu nui e tohu ana i ngā raruraru:

• Te mamae nui o te puku e kaha ake ana
• Te kirika teitei i runga ake i te 101°F (38.3°C) me te wiri
• Te ruaki tonu e kore ai e taea te pupuri i ngā wai
• Ngā tohu o te ngaro wai pēnei i te māuiui, te mimi pouri rānei
• Te toto i tō paru, te toto rānei i te tara
• Te kore e taea te pupuhi hau, te haere ki te wharepaku rānei

Mēnā he hītori tōu mō te diverticulitis, ka mohio pea koe ki te tauira tohu e mohiotia ana. Ahakoa, me arotakehia e te kaiwhakarato hauora ia take hei whakarite i te maimoatanga tika.

He mea onge, he kino hoki ngā āhuatanga ohorere. Karangahia te 111 mēnā ka mamae nui tō puku me ngā tohu o te ohorere pēnei i te tere o te ngakau, te whakapohehe, te ngaro ngākau rānei.

He aha ngā take morearea mō te diverticulitis?

Ko te pakeketanga te take morearea nui rawa atu, ko te nuinga o ngā take kei roto i ngā tāngata neke atu i te 50. Ina pakeke haere tō kōroke, ka ngoikore haere ngā pakitara, ka ngāwari ake te whanake i aua putea raruraru.

He mea nui tōu oranga ki te whakatau i tō taumata morearea:

• Te kai iti te muka, ina koa ngā hua me ngā huawhenua
• Te noho noa me te iti o te mahi tinana
• Te whakakā, e pā ana ki te rere o te toto ki tō pūnaha kai
• Te nui o te inu waipiro e taea te whakaeke i te kōroke
• Te momona, ina koa i te waenganui

Ka taea hoki e ētahi rongoā te whakanui ake i tō morearea. Ko te whakamahinga tonu o ngā steroids, ngā rongoā mamae opioid, ngā rongoā anti-mumura kore-steroid rānei ka pā ki te hauora o tō kōroke i te roanga o te wā.

He whānau kei a rātou ngā take ira e whakapakari ana i a rātou, ahakoa he iti ake tēnei. Mēnā he whānau tata kua pāngia e te mate diverticular, ka nui ake pea tō morearea.

He mea whakahihiri, i whakaarohia i mua ko te ahotea me ētahi kai te take o te diverticulitis, engari ka whakaatu ngā rangahau kāore enei hononga e rite ki te whakaaro i mua.

He aha ngā raruraru pea o te diverticulitis?

Ko te nuinga o ngā tāngata e whai diverticulitis ana ka ora tonu me te maimoatanga tika, engari i etahi wā ka puta mai ngā raruraru. Ka puta ēnei ina horapa te pānga atu i te waahi taketake, ina rānei ka whakaeke i ngā hanganga o tō kōroke.

Ko ngā raruraru noa ake:

• Ngā abscesses, he putea o te pū kei te taha o te waahi pāngia
• Te ārai o te whekau ina ārai te pupū i te haere o te paru
• Ngā fistulas, ngā hononga rerekē i waenganui i te kōroke me ētahi atu whekau
• Te peritonitis, he pānga kino e horapa ana ki te papanga o te puku

He mea onge, he kino hoki ngā raruraru e wehi ana. Kei roto i ēnei te pakaru, kei reira te pakitara o te kōroke he rua, te toto nui rānei e hiahia ana ki te whakaora wawe.

Ko ngā tāngata e whai take maha ana o te diverticulitis he nui ake te morearea o ngā raruraru. Koia te take i tūtohu ai ngā tākuta i ngā rautaki aukati i muri i tō take tuatahi.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te whakahaere pai me te whakaora wawe, ā, ka ora tonu te nuinga o ngā tāngata.

Me pēhea te aukati i te diverticulitis?

Ka taea e koe te whakaiti nui i tō morearea o te diverticulitis mā te mahi i ētahi huringa oranga ngāwari. Ko te taahiraa tino nui ko te kai i te kai nui te muka e pupuri ana i tō pūnaha kai e neke ana.

Arotakehia te whakauru i ēnei kai nui te muka ki ō kai o ia rā:

• Ngā witi katoa pēnei i te raihi parauri, te quinoa, te oatmeal rānei
• Ngā hua hou me te kiri, pēnei i ngā āporo me ngā pea
• Ngā huawhenua, ina koa ngā rau kakariki me ngā momo cruciferous
• Ngā legumes pēnei i ngā pi, ngā lenti, ngā chickpeas rānei
• Ngā nati me ngā purapura i te wā tika

Ko te mahi tinana auau e awhina ana i tō pūnaha kai kia hauora, ā, e whakaiti ana i te pēhi i tō kōroke. Ahakoa te haere i te 30 meneti i ia rā ka taea te whakarereke.

Ko te pupuri i te wai e tautoko ana i te muka ki te mahi pai. Whakatauhia te inu i te 8 karapu wai i ia rā, nui atu mēnā kei te whakanui koe i tō kai muka.

Mēnā kei te whakakā koe, ko te mutu ka whakapai ake i te rere o te toto ki tō pūnaha kai, ā, ka whakaiti i te mumura puta noa i tō tinana. Ka taea e tō taote te awhina i a koe ki te kimi i te kaupapa mutu whakakā tika.

Me pēhea te whakatau i te diverticulitis?

Ka tīmata tō taote mā te uiui mō ō tohu, mā te tirotiro ngawari hoki i tō puku hei tirotiro i te ngawari, te pupū rānei. Ko tēnei whakamātautau tinana he maha ngā wā e whakarato ana i ngā tohu nui mō te mea kei roto.

Ka awhina ngā whakamātautau toto ki te whakau mēnā he pānga tōu, ā, ka whakaatu me pēhea te whakautu o tō tinana ki a ia. Ko te teitei o ngā pūtau toto ma te tikanga e tohu ana kei te whawhai tō pūnaha mate ki te pānga.

Ko te CT scan o tō puku te tikanga ko te whakamātautau whakaahua tino awhina mō te diverticulitis. Ka whakaatu tēnei pikitia taipitopito ki tō taote te waahi o te mumura, me te mea kua whanaketia ngā raruraru.

I etahi wā ka tono pea tō taote i ētahi atu whakamātautau i runga i tō āhuatanga motuhake. Ka taea e ēnei te whakauru i te whakaahua ultrasound, ngā X-rays motuhake rānei hei whiwhi i te pikitia mārama ake o te mea kei te puta.

I etahi wā kaore te whakatau i te mārama, ka tūtohu pea tō taote i te colonoscopy, engari ko te tikanga ka mahia tēnei i muri i te mutu o te pānga koi hei aukati i te whakahaere i te mumura.

He aha te maimoatanga mō te diverticulitis?

Ko te maimoatanga mō te diverticulitis e whakawhirinaki ana ki te kaha o ō tohu, me te mea kua whanaketia ngā raruraru. Ko te nuinga o ngā take ka taea te whakahaere pai me ngā rongoā me ngā huringa kai.

Mō te diverticulitis ngāwari, ka tūtohu pea tō taote:

• Ngā rongoā waha hei whawhai ki te pānga, ko te tikanga ka tangohia mō ngā rā 7-10
• Ngā rongoā mamae hei awhina i te whakahaere i te kore pai
• Te kai wai wā poto hei tuku i te wā ki tō kōroke kia ora
• Te okioki me te karo i ngā mahi kaha kia pai ake ngā tohu

Mēnā he nui ake tō take, ka hiahia pea koe ki te noho i te hōhipera mō ngā rongoā IV me te tirotiro nui ake. Ka whakarite tēnei kei te horapa te pānga, ā, ka taea e ngā tākuta te mataara mō ngā raruraru.

Ka hiahiatia te pokanga i etahi wā ina puta mai ngā raruraru, ina rānei he maha ngā take nui. Ko ngā tikanga pokanga hou he iti te whakauru, he tino whai hua.

Ka tīmata te nuinga o ngā tāngata ki te pai ake i roto i ngā rā torutoru i te tīmatanga o te maimoatanga, ahakoa ka roa ngā wiki maha te ora tonu. Ka arataki tō taote i a koe ki te hoki ki ngā mahi me ngā kai noa.

Me pēhea te whakahaere i te diverticulitis i te kāinga?

I te wā o te diverticulitis, me whai wā tō pūnaha kai ki te marino, ki te ora. Tīmatahia ki te kai wai mārama mō te rā tuatahi, rua rānei, tae atu ki te wai, ngā wai mārama, ngā tii tipu rānei.

Ina pai ake ō tohu, ka taea e koe te tāpiri i ngā kai iti te muka ki tō kai:

• Raihi ma, pāstā, me ngā paraoa whakamaoritia
• Ngā huawhenua tunua kāore he kiri, he purapura rānei
• Ngā pūmua ngawari pēnei i te moa, te ika, ngā hua rānei
• Ngā hua waiū mēnā kāore e raru tō kopu

Ka taea e te rongoā wera te whakawātea i te mamae o te puku. Whakamātauhia he papa wera i te taumata iti, he kaukau mahana rānei hei awhina i te whakamahinga o ngā uaua.

Pupurihia te wai mā te inu wai i te rā katoa, ahakoa kāore koe e hiahia ki te kai nui. Ka taea e te ngaro wai te whakaiti i ō tohu, te whakaheke i te ora.

Whiwhi i te nui o te okioki, ā, karohia te kawe i ngā mea taimaha, te mahi tinana kaha rānei kia homai e tō taote te rama matomato. E hiahia ana tō tinana ki te kaha hei whawhai ki te pānga, hei whakatika i a ia.

Tangohia ō rongoā i whakaritea tika i te aronga, ahakoa ka tīmata koe ki te pai ake i mua i te mutunga o te akoranga katoa.

Me pēhea te whakarite mō tō hui taote?

I mua i tō hui, tuhia katoa ō tohu me te wā i tīmata ai. Whakauruhia ngā kōrero mō te momo mamae e pā ana ki a koe, me te mea e pai ake ana, e kino ake ana rānei.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tangohia ana e koe inaianei, tae atu ki ngā rongoā-a-te-kāinga me ngā taapiri. Ka taea e ētahi rongoā te pā ki tō pūnaha kai, te mahi tahi rānei me ngā maimoatanga.

Whakaritea te kōrero mō ō tikanga kai hou me ngā huringa i ō nekehanga whekau. Ka awhina tēnei kōrero i tō taote ki te mohio ki te mea pea i whakaeke i ō tohu.

Tuhia ngā pātai katoa e hiahia ana koe ki te ui, pēnei i te roa o te ora noa, ngā huringa kai rānei me mahi e koe. Ko te tuhi i a rātou e whakarite ana kāore koe e wareware i ngā kaupapa nui i te wā o tō haerenga.

Mēnā ka taea, kawe mai tētahi mema whānau, tētahi hoa rānei hei awhina i a koe ki te mahara ki ngā tohutohu a te taote, ina koa mēnā kei te mamae nui koe, kei te kore pai rānei.

He aha te mea nui mō te diverticulitis?

He āhuatanga taea te whakahaere te diverticulitis e pai ana te whakautu ki te maimoatanga tika ina kitea wawe. Ko te mea nui ko te mohio ki ngā tohu, te rapu hoki i te tiaki hauora wawe, kāore i te ngana ki te whakakī i te kāinga.

Me ngā rongoā tika me ngā huringa kai, ka ora tonu te nuinga o ngā tāngata i roto i ngā wiki torutoru. Ko te wheako he maha ngā wā he karangatanga kia whakauruhia ngā tikanga oranga hauora ka taea te aukati i ngā take a muri ake nei.

Ko te aukati tō rautaki pai ki te haere whakamua. Ko te kai nui te muka, te mahi tinana auau, te pupuri i te wai rānei ka taea te whakaiti nui i tō morearea o te whanake i te diverticulitis anō.

Kia mahara ko te whai i tetahi take kāore e tikanga kei te tūpono koe ki te whai raruraru anō. He maha ngā tāngata kāore e kite anō i te diverticulitis i muri i te mahi i ngā whakarerekētanga oranga ngāwari, te whai i ngā tohutohu a tō taote rānei.

Ngā pātai e ui pinepinetia ana mō te diverticulitis

Ka taea e au te kai nati me ngā purapura mēnā he diverticulitis tōu?

Ae, ka taea e koe te kai nati me ngā purapura. Kua whakakorengia e ngā rangahau te whakapono tawhito ko ēnei kai te take o te diverticulitis. Ko te tikanga, he puna pai o te muka ngā nati me ngā purapura e taea te awhina i te aukati i ngā take a muri ake nei. Whakamātauhia te whakauru i a rātou i te wā tika mēnā kāore koe i kai tonu i a rātou.

E hia te roa te ora mai i te diverticulitis?

Ka tīmata te nuinga o ngā tāngata ki te pai ake i roto i ngā rā 2-3 i te tīmatanga o te maimoatanga, engari ka roa te ora tonu mō ngā wiki 2-6. Me hoki mai ō taumata kaha me tō hiahia kai ki te noa i roto i te wiki, rua wiki rānei. Whai i ngā aratohu a tō taote mō te hoki haere i ngā mahi me ngā kai noa.

Me pokanga ahau mō te diverticulitis?

Ko te pokanga anake e hiahiatia ana i etahi wā, ko te tikanga ina puta mai ngā raruraru, ina rānei he maha ngā take nui. Ko te 90% o ngā tāngata e whai diverticulitis ana ka ora tonu me ngā rongoā me ngā huringa kai. Ka tūtohu anake tō taote i te pokanga mēnā he mea tino hiahiatia mō tō hauora.

Ka taea e te ahotea te whakaeke i te diverticulitis?

Kāore te ahotea e whakaeke tika i te diverticulitis, engari ka taea te pā ki tō pūnaha kai, te whakaiti rānei i ngā tohu. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te mahi tinana auau, te moe pai rānei e tautoko ana i te hauora o te pūnaha kai, ā, ka taea te awhina i te aukati i ngā mura.

He rite te diverticulitis ki te diverticulosis?

Kāore, he rerekē ngā āhuatanga. Ko te tikanga o te diverticulosis kei a koe ngā putea iti kei te pakitara o tō kōroke, engari kāore i te mumura, kāore rānei i te pāngia. Ko te nuinga o ngā tāngata e whai diverticulosis ana kāore e kite i ngā tohu. Ka puta te diverticulitis ina mumura, ina pāngia rānei enei putea, ka whakaeke i te mamae me ētahi atu tohu e hiahia ana ki te maimoatanga hauora.