He aha te Ngā Whakawhāiti i te Pūkahukahu? Tohutohu, Take, me te Maimoatanga

Ko ngā whakawhāiti pūkahukahu he whakawhāiti ngāwari, mamae o ngā uaua i roto i tō pūkahukahu – te pūkaha e kawe ana i te kai i tō waha ki tō kopu. Whakaarohia he kōtiti uaua, engari kei roto i te ara e haere ana tō kai i raro.

Ka tino wehi pea enei whakawhāiti ina puta, engari kāore rātou e kino ki tō hauora whānui. Ka whakawhāititia te tikanga o tō pūkahukahu i roto i te nekehanga rite ki te ngaru hei pehi i te kai ki raro, engari me ngā whakawhāiti, ka koretake enei whakawhāiti, ka kaha.

He aha ngā tohu o ngā whakawhāiti pūkahukahu?

Ko te tohu matua ka kite koe ko te mamae o te uma e tino kaha ana. Ka tino whakaarohia tenei mamae hei raruraru ngakau, na te mea ka rite ki te tukinga ngakau.

Koinei ngā tohu e puta ana me ngā whakawhāiti pūkahukahu:

• Te mamae o te uma, kaha, ka roa mai i ngā meneti ki ngā haora
• Te mamae e rite ana ki te pehi, ki te wawahi rānei i tō uma
• Te uaua ki te horomia te kai, te wai rānei
• Te whakaaro kei te mau te kai i tō korokoro, i tō uma rānei
• Te mamae ka horapa ki tō kaki, ihu, ringa, i te tua rānei
• Te whakahoki mai o te kai, o te wai rānei

Ka tino kaha te mamae o te uma, ka tere haere te tokomaha ki te rūma mō te urupare, e whakaaro ana kei te tukinga ngakau rātou. He mea tika tenei mahi, ā, ko te mea tika tēnei ki te mahi ina pā te mamae o te uma.

Ka kite etahi i te mea e rite ana ki te ngakau, ki te tahunga rānei. Ka puta mai pea te mamae ka haere atu, ka uaua ki te hono atu ki ētahi whakaohooho motuhake i te tīmatanga.

He aha ngā momo whakawhāiti pūkahukahu?

E rua ngā momo matua o ngā whakawhāiti pūkahukahu, ia momo he tauira iti te rerekē o ngā whakawhāiti uaua. Ko te mārama ki te momo kei a koe ka āwhina i tō tākuta ki te whiriwhiri i te huarahi maimoatanga pai.

Ko te momo tuatahi ko te whakawhāiti pūkahukahu whānuitia. Me tenei momo, ka whakawhāititia ngā wāhanga maha o tō pūkahukahu i te wā kotahi, kāore i roto i te raupapa rite. Ka hanga tēnei i te tauira koretake e tino mamae ana.

Ko te momo tuarua ko te pūkahukahu nati, e kiia ana hoki ko te pūkahukahu hamerā. I konei, ka puta ngā whakawhāiti i te raupapa tika, engari he kaha ake i te tikanga. Ka taea e te pehanga te rua ki te toru teitei atu i te mea noa.

Ka taea e ngā momo e rua te whakaohooho i ngā tohu rite, ahakoa ko te pūkahukahu nati te tino mamae. Ka taea e tō tākuta te whakamārama i te rerekētanga mā te whakamahi i ngā whakamātautau motuhake e ine ana i te pehanga me te whakawhāiti o ngā uaua pūkahukahu.

He aha ngā take o ngā whakawhāiti pūkahukahu?

Kāore i te marama tonu te take tika o ngā whakawhāiti pūkahukahu, engari ka taea e ngā take maha te whakaohooho, te whakauru rānei ki a rātou. Ka tino pāngia, ka whakautu pea ō uaua pūkahukahu nā ngā āhuatanga maha.

Ko ngā whakaohooho me ngā take whakauru noa:

• Kai me ngā inu wera rawa atu, makariri rawa atu rānei
• Te mate reflux gastroesophageal (GERD)
• Te ahotea me te manukanuka
• Etahi rongoā, ina koa etahi rongoā toto
• Ngā mate io e pā ana ki te pūkahukahu
• Ngā āhuatanga autoimmune

I etahi wā, ka whanaketia ngā whakawhāiti hei raruraru tuarua. Hei tauira, ki te pāngia koe e te reflux waikawa roa, ka taea e te whakaohooho tonu te whakapakari i ō uaua pūkahukahu ki te whakawhāiti.

I etahi wā, ina koa ngā mea onge, ka taea te hono atu o ngā whakawhāiti pūkahukahu ki ngā āhuatanga neurological uaua ake, ki ngā mate hononga kōpū rānei. Heoi, kāore te nuinga o te hunga e pāngia ana e ngā whakawhāiti pūkahukahu e pāngia ana e tetahi mate kino.

Nōhea te haere ki te tākuta mō ngā whakawhāiti pūkahukahu?

Me rapu awhina hauora tonu koe ki te pāngia koe e te mamae o te uma, ina koa ki te mea ko tō tuatahi tēnei. He pai tonu te haumaru ina pā te mamae o te uma.

Karangahia te 111, haere rānei ki te rūma mō te urupare ina pā te mamae o te uma me te poto o te manawa, te werawera, te ruaki, te mamae rānei e horapa ana ki tō ringa, ki tō ihu rānei. Ka taea e ēnei te tohu o te tukinga ngakau, kāore i ngā whakawhāiti pūkahukahu.

Whakaritea he whakatau me tō tākuta ki te pāngia koe e ngā whakawhāiti o te mamae o te uma, te uaua rānei ki te horomia. Ahakoa kāore te mamae i te kaha, ka taea e ngā tohu auau te pā kino ki tō kounga ora, me aromatawai.

Me kite hoki koe i tō tākuta ki te ngaro atu koe i te taumaha, ki te karo rānei i ētahi kai nā te raruraru horomia. Ka taea e ēnei huringa te tohu kei te hiahia tō āhuatanga ki te whakahaere kaha ake.

He aha ngā take morearea mō ngā whakawhāiti pūkahukahu?

Ka taea e ētahi take te whakapakari i a koe ki te whanake i ngā whakawhāiti pūkahukahu. Ko te tau tetahi take – he maha ake enei whakawhāiti i roto i te hunga neke atu i te 60, ahakoa ka taea te puta i tetahi tau.

Koinei ngā take morearea matua hei matawai:

• Te mate reflux gastroesophageal (GERD)
• Teitei o te ahotea, o te manukanuka rānei
• Etahi āhuatanga autoimmune
• Te tango i ētahi rongoā penei i ngā kaihoroi kaupapa kāratiuma
• Te pānga o ētahi atu mate pūkahukahu
• Te kai i ngā kai wera rawa atu, makariri rānei

Ki te pāngia koe e te GERD, ka taea e te whakahaere pai te whakaiti i tō morearea ki te whanake i ngā whakawhāiti pūkahukahu. Ka taea e te whakaohooho waikawa roa te whakaohooho i ngā uaua pūkahukahu ka whakapakari i a rātou ki ngā whakawhāiti koretake.

He mea whakamīharo, ka kite etahi i te tino pāngia ki ngā āhuatanga pāmahana i roto i te kai me ngā inu. Ki te kite koe i ngā whakawhāiti i muri i te kai kōpi wera rawa atu, inu makariri rānei, koinei pea te whakaohooho whaiaro mōu.

He aha ngā raruraru pea o ngā whakawhāiti pūkahukahu?

Kāore te nuinga o te hunga e pāngia ana e ngā whakawhāiti pūkahukahu e whanake ana i ngā raruraru kino, engari he take pea hei matawai. Ko te rongo pai ko ēnei raruraru e taea te whakahaere me te tiaki tika.

Ko te raruraru tino noa ko te whanaketanga o ngā wehi kai, o te manukanuka kai rānei. Ina mamae, ina uaua te horomia, ka tīmata etahi ki te karo i ētahi kai, ki te kai iti rānei, ka arahi pea ki ngā raruraru kai.

Ka taea te ngaro o te taumaha ki te tino uaua te kai. Ka tino puta pea tēnei ki te kore e whakahaerea te āhuatanga mō te wā roa, ki te tino kaha rānei ngā whakawhāiti.

I etahi wā onge, ka arahi pea ngā whakawhāiti kino roa ki ngā huringa i te hanganga pūkahukahu i te wā. Ka taea e ngā whakawhāiti koretake tonu te pā ki te mahi noa o te pūkahukahu.

Ka whanaketia hoki e etahi te manukanuka tuarua, te whakaeke manukanuka rānei, ina koa ki te pāngia rātou e ngā whakawhāiti wehi e rite ana ki ngā tukinga ngakau. He pono tēnei pānga hinengaro, ā, ka taea te whakaora me te tautoko tika.

Me pēhea te aukati i ngā whakawhāiti pūkahukahu?

Ahakoa kāore e taea e koe te aukati i ngā whakawhāiti pūkahukahu katoa, he maha ngā rautaki ka taea te whakaiti i to rātou auau me te kaha. Ka kite te tokomaha kua tino rerekē te whakatau me te karo i ō whakaohooho whaiaro.

Tīmata mā te aro ki te mea e kai ana koe, e inu ana rānei. He maha te whakaiti i te kai me ngā inu wera rawa atu, makariri rānei. He pai ake te manawanui o ngā whiringa pāmahana rūma, makuku rānei.

Ka taea hoki te awhina i te whakahaere i te ahotea mā ngā tikanga whakamahinga, te whakakori auau, te tohutohu rānei. Na te mea ka taea e te ahotea me te manukanuka te whakaohooho i ngā whakawhāiti, he pai te kimi i ngā huarahi hauora hei whakahaere i ngā pehanga o te ora.

Ki te pāngia koe e te GERD, ka taea te aukati i te whakaohooho e arahi ana ki ngā whakawhāiti mā te mahi tahi me tō tākuta ki te whakahaere i te reflux waikawa. Ka uru pea tenei ki ngā huringa kai, ngā rongoā, ētahi atu maimoatanga rānei.

Ka taea hoki te awhina i te kai iti ake, te maha atu o ngā kai, i te nui. Ko te ngau pai o te kai me te kai ngāwari ka hoatu ki tō pūkahukahu te wā ki te mahi tika, kāore e nui rawa.

Me pēhea te whakamārama i ngā whakawhāiti pūkahukahu?

Ko te whakamārama i ngā whakawhāiti pūkahukahu e tīmata ana me tō tākuta e ui ana i ngā pātai taipitopito mō ō tohu. Ka hiahia rātou ki te mohio ki te wā e puta mai ana te mamae, te āhua o te mamae, me te mea he aha te whakaohooho.

Ko te mahi tuatahi ko te whakakore i ngā raruraru ngakau, ina koa ki te pāngia koe e te mamae o te uma. Ka tono pea tō tākuta i te electrocardiogram (EKG) me ētahi atu whakamātautau ngakau hei whakarite kei te mahi tika tō ngakau.

Ina whakakorea ngā raruraru ngakau, ka tono pea tō tākuta i ngā whakamātautau motuhake mō tō pūkahukahu. Ko te manometry pūkahukahu te whakamātautau tino tika – ka ine i te pehanga me te whakawhāiti o ngā whakawhāiti uaua i roto i tō pūkahukahu.

Ka taea hoki e koe te whakamātautau horomia barium, kei reira koe e inu ana i te wai parauri, ka tangohia ngā X-rays. Ka whakaatu mai tēnei whakamātautau i te pai o te neke o tō pūkahukahu i te kai ki raro, ka whakaatu i ngā raruraru hanganga.

Ka tono pea te endoscopy o runga. Ka uru atu tēnei ki te pūkaha angiangi, ngawari me te kamera e tukuna ana ki raro i tō korokoro ki te titiro tika ki tō pūkahukahu me te whakakore i ētahi atu āhuatanga.

He aha te maimoatanga mō ngā whakawhāiti pūkahukahu?

Ko te maimoatanga mō ngā whakawhāiti pūkahukahu e aro ana ki te whakaiti i te auau me te kaha o ngā tohu me te whakapai ake i tō kounga ora. Ko te huarahi e whakamahi ana i te whakakotahitanga o ngā rongoā, ngā huringa ora, me ngā tukanga i etahi wā.

Ko ngā rongoā te raina tuatahi o te maimoatanga. Ka taea e ngā kaihoroi kaupapa kāratiuma, penei i te nifedipine, te whakamahinga i ngā uaua pūkahukahu me te whakaiti i te auau whakawhāiti. Ka taea hoki te whai hua o ngā nitrates, e rite ana ki te hunga e whakamahia ana mō ngā āhuatanga ngakau.

Mō ētahi, ka taea te awhina i ngā rongoā antispasmodic, ahakoa ngā rongoā iti o ētahi antidepressants. Ka mahi ēnei rongoā mā te pānga ki ngā tohu io e whakahaere ana i ngā whakawhāiti uaua.

Ki te kore ngā rongoā e tino whai hua, ka tono pea tō tākuta i ngā whakaurunga botulinum toxin. Ka whakauruhia ngā nui iti o te Botox ki ngā uaua pūkahukahu i te wa o te tukanga endoscopy hei awhina i a rātou ki te whakamahinga.

I ngā take kino kaore e whakautu ki ētahi atu maimoatanga, ka whakaarohia pea ngā whiringa pokanga penei i te laparoscopic Heller myotomy. Ka uru atu tēnei ki te tapahi i ētahi o ngā uaua hei whakaiti i to rātou kaha ki te whakawhāiti kaha.

Me pēhea te whakahaere i ngā whakawhāiti pūkahukahu i te kāinga?

He maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i ō tohu me te whakaiti i te āhei o ngā whakawhāiti. Ka pai ake te mahi o ēnei rautaki tiaki whaiaro ina whakakotahitia me te maimoatanga hauora.

Tīmata mā ngā huringa kai. Kai iti ake, te maha atu o ngā kai, i te nui. Ngau pai tō kai me te kai ngāwari ki te hoatu ki tō pūkahukahu te wā ki te mahi tika.

Tūpato ki ngā kai, inu rānei e whakaohooho ana i ō whakawhāiti. Ko ngā whakaohooho noa ko ngā mea wera rawa atu, makariri rānei, kai kawa, citrus, me ētahi inu kāpata.

Ka tino awhina ngā tikanga whakahaere ahotea. Ka taea e ngā whakakorikori manawa hohonu, te whakaaroaro, te yoga ngawari rānei te awhina i a koe ki te noho māha, ka taea te whakaiti i te auau whakawhāiti.

Noho pai te wai, engari inu wai i te pāmahana rūma ki te taea. Ka kite etahi kua taea te awhina i te inu wai mahana (kāore i te wera) te whakamahinga i ngā uaua pūkahukahu i ngā whakawhāiti ngawari.

Ki te pāngia koe e te whakawhāiti, ngana ki te noho māha me te mahi i te manawa hohonu, ngāwari. I etahi wā ka taea te huri i ngā tūnga, te inu rānei i etahi inu wai mahana te awhina i te whakawhāiti kia tere ake te haere.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite pai mō tō haerenga ki te tākuta ka taea te whakarite kia whiwhi koe i te whakamārama tika me te mahere maimoatanga whai hua. Tīmata mā te pupuri i te tāpiri tohu mō te wiki kotahi i mua i tō whakatau.

Tuhia te wā e puta mai ana ō tohu, te mea e kai ana koe, e inu ana rānei, tō taumata ahotea, me te āhua o te mamae. Tūhia te roa o ia wāhanga, me te mea, ki te mea he aha, i awhina i te whakatau.

Hangaia he rārangi o ngā rongoā katoa e tangohia ana e koe inaianei, tae atu ki ngā rongoā-ā-te-kāinga me ngā taapiri. Ka taea e ētahi rongoā te whakauru ki ngā whakawhāiti pūkahukahu, no reira he mea nui tēnei mōhiohio.

Whakaritea he rārangi o ngā pātai hei ui ki tō tākuta. Ka hiahia pea koe ki te mohio mō ngā whiringa maimoatanga, ngā huringa ora ka taea te awhina, ngā tohu whakatūpato rānei hei matawai.

Ki te pāngia koe e ngā whakamātautau ngakau o mua, ētahi atu aromatawai hauora rānei e pā ana ki te mamae o te uma, kawe mai i aua rēkōta. Ka taea e tēnei te awhina i tō tākuta ki te karo i te whakahoki i ngā whakamātautau koretake.

He aha te mea nui mō ngā whakawhāiti pūkahukahu?

Ka taea e ngā whakawhāiti pūkahukahu te wehi me te mamae, engari kāore rātou e kino, ā, ka taea te whakahaere pai me te huarahi tika. Ko te mea nui ko te whiwhi i te aromatawai hauora tika hei whakamārama i te whakamārama me te whakakore i ētahi atu āhuatanga.

Ka taea e te nuinga o te hunga e pāngia ana e ngā whakawhāiti pūkahukahu te kite i te whakaora nui mā te whakakotahitanga o ngā rongoā, ngā huringa ora, me te whakahaere ahotea. Ahakoa pea he roa te āhuatanga, kāore e tino pā kino ki tō ora o ia rā.

Kia mahara me aromatawai tonu te mamae o te uma, ina koa ki te mea he tohu hou mōu. Kia mohio koe kei te whakahaere koe i ngā whakawhāiti pūkahukahu, ka taea e koe me tō tākuta te mahi tahi ki te whakawhanake i te mahere whakahaere whai hua.

Ko te mea nui ko te noho hono atu ki tō rōpū tiaki hauora, ā, kaua e tuku i te wehi ki ngā tohu kia aukati koe i te kai pai, i te koa rānei i tō oranga. Me te whakahaere tika, ka ora te nuinga o te hunga e pāngia ana e ngā whakawhāiti pūkahukahu i te ora noa, hauora.

Ngā pātai e ui pinepinetia ana mō ngā whakawhāiti pūkahukahu

P1: Ka taea te whakaora katoa i ngā whakawhāiti pūkahukahu?

Ahakoa kāore he rongoā tino mō ngā whakawhāiti pūkahukahu, ka taea te whakahaere pai i te āhuatanga i te nuinga o te hunga. Ka kite te tokomaha i te whakaiti nui o ngā tohu me te maimoatanga tika, ā, ka taea e etahi te roa o ngā wā kaore he whakawhāiti. Ko te whāinga o te maimoatanga ko te whakahaere i ngā tohu me te whakapai ake i tō kounga ora.

P2: E hono ana ngā whakawhāiti pūkahukahu ki ngā raruraru ngakau?

Kāore ngā whakawhāiti pūkahukahu e hono tika ana ki ngā raruraru ngakau, ahakoa ka rite te mamae o te uma ki te tukinga ngakau. Koia te take me aromatawai te mamae o te uma e tetahi tohunga hauora. Kei te tata te pūkahukahu me te ngakau ki tō uma, koia te take ka rite te mamae.

P3: Ka taea e te ahotea te whakaohooho i ngā whakawhāiti pūkahukahu?

Ae, ka taea e te ahotea me te manukanuka te whakaohooho i ngā whakawhāiti pūkahukahu i te tokomaha. Kei te hono tata tō pūnaha kai ki tō pūnaha io, ā, ka taea e te ahotea hinengaro te pānga ki te mahi o ō uaua pūkahukahu. Koia te take he wāhanga nui ngā tikanga whakahaere ahotea i te maimoatanga.

P4: He haumaru te whakakori me ngā whakawhāiti pūkahukahu?

He haumaru te whakakori, ā, ka taea te whai hua mō te hunga e pāngia ana e ngā whakawhāiti pūkahukahu, na te mea ka awhina i te whakahaere ahotea me te hauora whānui. Heoi, me karo koe i te kai nui i mua i te whakakori, me noho pai te wai. Ki te pāngia koe e ngā whakawhāiti i te wā e whakakori ana, mutu, okioki. Kōrero tonu ki tō tākuta mō ō mahere whakakori.

P5: Me huri rānei taku kai mō ake tonu atu?

He maha te awhina o ngā huringa kai mō te whakahaere i ngā whakawhāiti pūkahukahu, engari kāore e tino whakawāiti. Ka taea e te nuinga o te hunga te whakatau i ō rātou whakaohooho motuhake me te karo i aua mea anake me te haere tonu ki te kai whānuitia. Ka taea e te mahi tahi me tō tākuta, rānei kai kai te awhina i a koe ki te whakawhanake i te mahere kai mau tonu e whakaiti ana i ngā tohu me te pupuri i te kai pai.