Rāhui Kai

Ko te mate pāheketanga he āhuatanga e neke tere ai te kai,inā te kai huka nui, i tō puku ki tō whekau iti i muri i tō kai. I etahi wā ka kiia ko te whakahekea tere o te puku, ka tō te mate pāheketanga i te nuinga o te wā hei hua o te pokanga i tō puku, i tō whekau rānei.

Ka horapa te nuinga o te hunga e pangia ana e te mate pāheketanga ki ngā tohu me ngā tohu, pēnei i ngā mamae o te kopu me te ruaki, i te 10 ki te 30 meneti i muri i te kai. Kei ētahi atu ngā tohu i te 1 ki te 3 haora i muri i te kai. Ā, kei ētahi atu anō ngā tohu i te tīmatanga me te mutunga.

I te nuinga, ka taea e koe te āwhina i te aukatinga i te mate pāheketanga mā te whakarereke i tō kai i muri i te pokanga. Ka uru pea ngā whakarerekētanga ki te kai i ngā kai iti me te whakaiti i ngā kai huka nui. I roto i ngā take nui ake o te mate pāheketanga, pea ka hiahia koe ki ngā rongoā, ki te pokanga rānei.

Ko ngā tohu me ngā pūāhua o te mate pāhekeheke ka puta i roto i ngā meneti i muri i te kai, ina koa i muri i te kai e whai hua nui ana i te huka tepu (sucrose) te huka hua (fructose). Kei roto i ēnei:

• Te ahua pupū, kīhai rānei i te tino makona i muri i te kai
• Te ruaki
• Te ruaki
• Te mamae o te kopu
• Te korere
• Te whero
• Te māuiui, te ngenge
• Te tere o te ngākau

Ka tīmata te mate pāhekeheke i muri i te 1 ki te 3 haora i muri i te kai i te kai huka nui. Ka roa te wā kia puta mai ngā tohu me ngā pūāhua, no te mea i muri i te kai ka tukuna e tō tinana te nui o te insulin hei tango i ngā huka e tomo ana ki tō whekau iti. Ko te hua ko te iti o te huka toto.

Ko ngā tohu me ngā pūāhua o te mate pāhekeheke o muri mai ka uru ki:

• Te werawera
• Te whero
• Te māuiui, te ngenge
• Te ngoikore
• Te tere o te ngākau

Kei ētahi tāngata ngā tohu me ngā pūāhua o mua me o muri. Ā, ka taea te whanake i te mate pāhekeheke i muri i ngā tau i te pokanga.

Whakapaa atu ki tō kaiwhakarato hauora mena ka pēnei tetahi o ngā mea e whai ake nei ki a koe.

• Ka whānau mai ngā tohu me ngā tohu e āhei ana te mate pāpaku, ahakoa kāohore koe i whiwhi pokanga.
• Kāohore e whakahaeretia ō tohu e ngā huringa kai.
• Kei te ngaro nui koe i te taumaha nā te mate pāpaku. Ka āhei pea tō tākuta ki te tuku atu koe ki tētahi kaiwhakaako kai rehitatia hei āwhina i a koe ki te hanga i tētahi mahere kai.

I roto i te mate pāpūtanga, ka neke te kai me ngā wai o te puku mai i tō puku ki tō whekau iti i te āhua kore mana, i te tere rawa. Ko te nuinga o te wā ka hono tenei ki ngā huringa i roto i tō puku e hono ana ki te pokanga, tae atu ki tetahi pokanga puku, pokanga nui rānei o te whekau, pēnei i te tango i te whekau (esophagectomy). Engari i etahi wā, ka puta mai te mate pāpūtanga kahore he hītori pokanga, kāore rānei he take tino mārama.

Ko te pokanga e whakarereke ana i to kopu ka taea te whakapiki ake i to tupono o te mate pāpūtanga. Ko ēnei pokanga te nuinga o te wā ka mahia hei whakaora i te momona, engari he wāhanga anō hoki o te maimoatanga mō te mate pukupuku kopu, te mate pukupuku ngongo, me ētahi atu āhuatanga. Kei roto i ēnei pokanga:

• Taero pokanga —inā te pokanga arai kopu (pokanga Roux-en-Y) rānei, te tango whenua kopu rānei — e mahia ana hei whakaora i te momona nui rawa.
• Tango kopu, i tangohia ai tētahi wāhanga, te katoa rānei o tō kopu.
• Tango ngongo, i tangohia ai tētahi wāhanga, te katoa rānei o te tūtuki i waenganui i te waha me te kopu.
• Fundoplication, he tukanga e whakamahia ana hei whakaora i te mate reflux gastroesophageal (GERD) me te hernia hiatal
• Vagotomy, he momo pokanga hei whakaora i ngā mate kopu.
• Pyloroplasty, e mahia ana hei whānui ake i te waahanga ki te kopu (pylorus), kia taea ai te pāhuru o te kai.

Kaore he uauatanga

Kaore he uauatanga

Ka whakamahia e tō kaiwhakarato hauora ētahi o ngā tikanga e whai ake nei hei whakatau mena kei a koe te mate pāpūtanga.

• Hītori hauora me te aromatawai. I te nuinga o ngā wā ka taea e tō tākua te whakatau i te mate pāpūtanga mā te tango i te hītori hauora, inā koa ki te mea kua paa atu koe i te pokanga kopu, me te aromatawai i ō tohu me ō tohu.
• Whakamātautau huka toto. Nō te mea ka hono tahi te huka toto iti ki te mate pāpūtanga i etahi wā, ka tono pea tō tākua i te whakamātautau (whakamātautau tūturu huka waha) hei ine i te taumata huka toto i te wā tūturu o ō tohu hei awhina i te whakau i te whakatau.
• Whakamātautau whakapokea o te kopu. Ka tāpirihia he mea pāpātanga ki te kai hei ine i te tere o te neke o te kai i roto i tō kopu.

Ka pāngia pea te mate pāheketanga tere i roto i ngā marama e toru. I te wā nei, he tino tūmanako ka ngāwari ake ngā tohu mā te whakatikatika kai. Ki te kore, ka taea e tō kaiwhakarato hauora te tūtohutia te rongoā rānei te pokanga.

Ki te kore ngā whakatikatika kai e whakapai ake i ngā tohu, ka taea e tō kaiwhakarato hauora te tāruatia te octreotide (Sandostatin). Ko tēnei rongoā whakamutu-korere, e tukuna ana mā te whakaurunga ki raro i tō kiri, ka taea te whakaheke i te ringa o te kai ki te whekau. Ko ngā pānga pea ko te ruaki, te korere, me ngā paru momona (steatorrhea).

Kōrero atu ki tō tākuta mō te huarahi tika ki te whakahaere i te rongoā māu anō.

Ki te kore ngā whakawhānga māori e āwhina, ka tūtohu pea te pokanga. Kei runga i tō āhuatanga, ko ngā mahi pokanga hei whakaora i te mate pāheketanga tere ka uru pea te hanga hou i te pylorus, te pokanga rānei hei whakahuri i te pokanga whakaheke-puku.

Ko ēnei etahi rautaki kai hei āwhina i a koe ki te pupuri i te kai pai me te whakaiti i ō tohu.

Hurihia tō kai. Kai atu he pūmua, tae atu ki te mīti, te manu, te pata pīnati kōkō, me te ika, me ngā kāhawai uaua penei i te oatmeal me ētahi atu kai witi katoa he nui te muka. Tāpirihia ngā kai huka nui, pēnei i te keke, te huka tepu, te siropu, ngā wai reka me ngā wai hua.

Ka pāngia pea ō tohu e te huka tūturu i roto i ngā hua waiū (lactose). Whakamātauria ngā rahinga iti i te tīmatanga, kātahi rānei ka whakakore i ēnei mēnā kei te whakaaro koe kei te pāngia koe e rātou. Ka hiahia pea koe ki te kite i tētahi kaiwhakaako kai rehitatia mō ētahi atu tohutohu mō te mea hei kai.

• Kai iti ake. Whakamātauria te kai i te 5, 6 kai iti i te rā, kaua e toru ngā kai nui.

• Kai noa, ngākautia rawa tō kai, noho tika hoki mō te 30 ki te 60 meneti i muri i tō kai. Ka whiwhi pea koe i ngā mamae, te ruaki, te rongoa rānei mēnā ka nui rawa te kai i te wā kotahi.

• Inumia te nuinga o ō wai i waenganui i ngā kai. I te tīmatanga, kaua e inu i tetahi mea mō te 30 ki te 60 meneti i mua i ngā kai, i muri hoki i ngā kai.

• Inumia te 6 ki te 8 kapu (1.4 ki te 1.9 rita) o ngā wai i te rā. I te tīmatanga, whakaitihia te wai me ngā kai ki te 1/2 kapu (118 milliliters). Piki ake te wai me ngā kai i te wā e manawanui ana koe.

• Hurihia tō kai. Kai atu he pūmua, tae atu ki te mīti, te manu, te pata pīnati kōkō, me te ika, me ngā kāhawai uaua penei i te oatmeal me ētahi atu kai witi katoa he nui te muka. Tāpirihia ngā kai huka nui, pēnei i te keke, te huka tepu, te siropu, ngā wai reka me ngā wai hua.

  Ka pāngia pea ō tohu e te huka tūturu i roto i ngā hua waiū (lactose). Whakamātauria ngā rahinga iti i te tīmatanga, kātahi rānei ka whakakore i ēnei mēnā kei te whakaaro koe kei te pāngia koe e rātou. Ka hiahia pea koe ki te kite i tētahi kaiwhakaako kai rehitatia mō ētahi atu tohutohu mō te mea hei kai.

• Piki ake te kai muka. Ka taea e te huka guar me te pectin i roto i te kai, i ngā taapiri rānei te whakaroa i te tango o ngā kāhawai i roto i te whekau iti.

• Tirohia tō tākuta mō te inu waipiro.