He aha ngā Kīkī? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko ngā kīkī he whakawhāiti tūturu, kore-whakahaeretia o tō manawa – te uaua e āwhina ana i a koe ki te manawa. Ko te nuinga o te iwi ka pāngia e ēnei whakawhāiti iti whakamataku i tētahi wā, ā, he mea ngāwari noa iho rātou.

Ko tō manawa he rite ki te uaua ā-kāpeti e noho ana i raro i ō manawa. Ka whakakīia ka whakahekehia wawe, ka hangaia te tangi ‘kī’ i te wā e rere ana te hau ki ō manawa, ka kati ngā aho reo.

He aha ngā tōmhanga o ngā kīkī?

Ko te tōmhanga matua ko taua tangi ‘kī’ e mohiotia ana e puta mai i ia torutoru hēkona. Ka kite koe i te wiri iti i roto i tō uma, i tō korokoro rānei i ia wā e puta mai ai.

Ko te nuinga o ngā kīkī ka whai i te tauira noa, ka puta mai i ia torutoru hēkona ki ia torutoru meneti. Ka rongo pea koe i te iti o te āhua i roto i tō uma, tata ki te whakawhāiti iti o te uaua. Ka whakaahua pea etahi i te āhua o te ‘hopu’ o tō manawa mō tētahi wā poto.

Ko te tangi anō e puta mai ana i te hau e pā ana ki ō aho reo kua kati. Ka hangaia tēnei tangi koi, e mohiotia ana e te katoa ko te kīkī.

He aha ngā momo kīkī?

Ka whakarōpū ngā tākuta i ngā kīkī i runga i te roa o te roa. Ko te nuinga o ngā kīkī e pāngia ana e koe ka uru ki te kātene tuatahi, ka ora ake anō.

Ngā kīkī pakari ka roa i raro i te 48 haora. Ko ēnei ngā kīkī noa e whiwhi ana te nuinga o te iwi i muri i te kai tere rawa atu, i te inu wai whakakī rānei. He mea ngāwari noa iho rātou, ka ngaro haere kahore he maimoatanga.

Ngā kīkī mau tonu ka haere tonu mō te 48 haora neke atu, engari i raro i te marama kotahi. He iti ake te noa o ēnei, ā, ka tohu pea i tētahi take kei muri e hiahia ana ki te tiaki hauora.

Ngā kīkī kore-whakaora ka roa atu i te marama kotahi. He mea onge ēnei, ā, he mea nui te arotake hauora hei kimi me te whakaora i te take kei muri.

He aha ngā take o ngā kīkī?

Ka puta mai ngā kīkī ina pā tetahi mea ki tō manawa, ki ngā uaua rānei e whakahaere ana i a ia. Ko ngā take tino noa ko te kai, te inu, te whakarerekētanga ohorere rānei i roto i tō kopu.

Ko ēnei ngā take o ia rā e pā ana ki ngā kīkī:

• Te kai tere rawa atu, te kai nui rawa atu rānei i te wā kotahi
• Te inu wai whakakī, te wai waina rānei
• Te kai kai wera rawa atu, te kai makariri rawa atu rānei
• Te horomia o te hau i te wā e ngau ana i te kamu, i te kai rānei
• Te ohorere ohorere, te ahotea, te whakarerekētanga o ngā kare-a-roto rānei
• Te whakarerekētanga ohorere o te pāmahana i roto i tō kopu

Ko ēnei take noa e tino pā ana ki ngā kīkī poto e ora ana i roto i ngā meneti ki ngā haora. Kei te whakautu noa tō tinana ki te āwangawanga wā poto.

Heoi, ko ngā kīkī mau tonu, roa rānei ka taea te whai take nui ake kei muri. He iti ake te noa o ēnei āhuatanga hauora, engari he mea nui kia mōhiotia:

• Te mate reflux gastroesophageal (GERD)
• Te kino o ngā uaua, te āwangawanga rānei e pā ana ki te manawa
• Ngā mate pūnaha io matua
• Ngā mate whakaheke i te rere o te tinana pēnei i te mate huka, te mate whatukuhu rānei
• Ētahi rongoā, mahi hauora rānei
• Ngā mate pūngāwerewere, te tipu rānei e pā ana ki te rohe manawa

Mēnā ka roa atu ō kīkī i te 48 haora, ka hiahia tō tākuta ki te tirotiro i ēnei wāhi. Ko te nuinga o te wā, ahakoa ngā kīkī mau tonu, he take whakaora.

Nōhea te haere ki te tākuta mō ngā kīkī?

Me whakapiri atu koe ki tō tākuta mēnā ka roa atu ō kīkī i te 48 haora. Ka āwhina tēnei wā ki te wehewehe i waenga i ngā kīkī noa, wā poto, me ngā kīkī e tohu ana pea i tētahi āhuatanga kei muri.

Rapua te tiaki hauora i mua atu mēnā ka puta mai ō kīkī me ētahi atu tōmhanga awangawanga. Ka uru pea ēnei ki te mamae o te kopu, te uaua ki te horomia, te ruaki, te poto o te manawa rānei.

Whakapa atu hoki ki tō kaiwhakarato hauora mēnā ka āwangawanga ngā kīkī ki ō mahi o ia rā. Ka kite etahi i te uaua o te kai, te moe, te arotahi rānei ki te mahi i ngā kīkī mau tonu.

Waea atu mō te tiaki ā-mate tere mēnā ka puta mai ngā kīkī me te mamae uma, te uaua ki te manawa, te tohu rānei o te pēhanga. Ahakoa he mea onge tēnei whakakotahitanga, he mea nui kia whakakorehia ngā āhuatanga kino.

He aha ngā take morearea mō ngā kīkī?

Ka taea e te tangata te whiwhi kīkī, engari ko ētahi take ka tino pā atu ki a koe. Ko te tau me ngā tikanga ora te tino mahi.

Ko ngā tāne te tino whanake i ngā kīkī roa atu i ngā wāhine, ahakoa kāhore ngā tākuta i tino mōhio he aha. Ko te hunga e inu ana i te wai waina, e kai ana i te kai tōtika rawa atu rānei, ka kite pea i ngā kīkī maha atu.

Ko te whai i ētahi āhuatanga hauora ka piki ake tō morearea. Ka uru atu ēnei ki te reflux waikawa, te mate huka, te mate whatukuhu, te pokanga o mua rānei i te taha uma, te kopu rānei.

Ka taea hoki e te ahotea me te manukanuka te whakaoho i ngā kīkī i ētahi tangata. Mēnā ka kite koe i te tino puta mai o ō kīkī i ngā wā ahotea, koinei pea te huarahi e whakautu ana tō tinana ki te pehanga o ngā kare-a-roto.

He aha ngā raruraru pea o ngā kīkī?

Ko te nuinga o ngā kīkī kāhore he raruraru, ka ora ake kahore he raruraru. Heoi, ko ngā kīkī mau tonu e roa ana mō ngā rā, ngā wiki rānei ka tīmata te pānga ki tō kounga ora.

Ka uaua pea te kai, te inu noa i ngā kīkī roa. Ka āhei tenei ki te ngaro o te taumaha, te maroke, te raruraru kai rānei mēnā ka haere tonu ngā kīkī mō te wā roa.

Ko te whakararuraru moe tētahi atu take noa me ngā kīkī mau tonu. Ka uaua pea te moe, te moe rānei i te po i ngā whakawhāiti uaua tonu.

Ka kite etahi i te ngenge, te uaua ki te arotahi, te whakarerekētanga o ngā āhua rānei i te wā e whakahaere ana i ngā kīkī roa. Ka taea e te whakararuraru tonu ki ngā tauira manawa noa te whakamauiui tinana me te ngākau.

I roto i ngā take onge rawa atu, ka āhei ngā kīkī kino ki te whakaputa i ngā āhuatanga o te ngakau, te manawa rānei. Koinei te take e tino nui ai ngā tākuta ki ngā kīkī mau tonu, ka mahi ki te kimi i ngā maimoatanga whai hua.

Me pēhea te aukati i ngā kīkī?

Ka taea e koe te whakaiti i ō tūponotanga ki te whiwhi kīkī mā te karo i ngā take noa. Ka taea e ngā whakarerekētanga ngāwari ki te kai me te inu te whakarerekē nui.

Whakamātauria te kai i ngā kai iti ake, te kai māori atu rānei i te nui o ngā wahi tere. Ngauetia pai ō kai, kia kaua e kōrero i te wā e kai ana koe hei whakaiti i te nui o te hau e horomia ana e koe.

Whakamāramahia ngā inu whakakī, ngā kai wera rawa atu, ngā inu makariri rawa atu rānei. Ina inu koe i ēnei mea, inu māori, iti ake hoki te nui.

Ko te whakahaere i te ahotea mā ngā tikanga whakamamahana pea ka āwhina mēnā ka kite koe i te whakaoho o te ahotea i ō kīkī. Ka taea e ngā mahi manawa hohonu, te whakaaroaro, te mahi tinana noa rānei te whai hua.

Mēnā kei a koe te reflux waikawa, te GERD rānei, ko te whakaora tika i ēnei āhuatanga ka taea te whakaiti i ngā kīkī. Mahi tahi me tō tākuta hei whakahaere i ngā take kai kei muri.

Me pēhea te whakatau i ngā kīkī?

Mō ngā kīkī noa e roa ana i raro i te 48 haora, kāhore he whakamātautau motuhake e hiahiatia ana. Ka taea e tō tākuta te whakatau i ngā kīkī i runga i tō whakaahuatanga me te tirotiro tinana.

Mēnā ka mau tonu ngā kīkī mō te rua rā neke atu, ka ui tō tākuta i ngā pātai taipitopito mō te wā i tīmata ai rātou, te take pea i whakaoho ai rātou, me ētahi atu tōmhanga e pā ana ki a koe.

Mō ngā kīkī roa, ka tūtohu pea tō tākuta i ētahi whakamātautau hei kimi i ngā take kei muri. Ka uru pea ēnei ki ngā whakamātautau toto hei tirotiro i ngā raruraru whakaheke, ngā rangahau whakaahua pēnei i ngā X-rays, ngā CT scans rānei, ngā whakamātautau rānei hei aromatawai i tō pūnaha kai.

I ētahi wā, ka tuku pea tō tākuta ki tētahi tohunga. Ka taea tēnei he gastroenterologist mō ngā take kai, he neurologist mō ngā raruraru uaua, ētahi atu tohunga rānei i runga i tō āhuatanga motuhake.

He aha te maimoatanga mō ngā kīkī?

Ko te nuinga o ngā kīkī ka ngaro haere ake anō kahore he maimoatanga e hiahiatia ana. Heoi, he maha ngā huarahi ka tūtohu pea tō tākuta mēnā ka mau tonu ngā kīkī, ka raru rānei.

Mō ngā kīkī mau tonu, ka tīmata ngā tākuta i ngā rongoā e taea te āwhina i te whakamahana i te manawa, te whakaiti rānei i te āwangawanga uaua. Ka uru pea ēnei ki ngā whakamahana uaua, ngā rongoā anti-mate, ngā rongoā rānei e pā ana ki te mahi uaua.

Mēnā kāhore ngā rongoā e mahi, ka whakamātauria pea e tō tākuta ētahi atu huarahi. Ka uru pea ēnei ki ngā poraka uaua, kei hea te rongoā e werohia ana i te taha o ngā uaua e whakahaere ana i te manawa, ngā mahi pokanga rānei i roto i ngā take onge rawa atu.

Ko te maimoatanga motuhake e whakawhirinaki ana ki te take o ō kīkī. Mēnā ko te āhuatanga kei muri pēnei i te reflux waikawa te take, ko te whakaora i taua āhuatanga ka whakatau i ngā kīkī.

Ka mahi tahi tō tākuta me koe hei kimi i te maimoatanga tino whai hua me ngā pānga iti rawa atu. Ko te nuinga o te iwi me ngā kīkī mau tonu ka kite i te whakaora me te tiaki hauora tika.

Me pēhea te whakaora i ngā kīkī i te kāinga?

He maha ngā rongoā kāinga e taea te āwhina i te mutu o ngā kīkī noa, ahakoa he iti te mōhiohio pūtaiao mō te nuinga o rātou. Ka mahi ēnei tikanga mā te whakakore i te whakautu kīkī, te whakaoho rānei i ngā uaua e pā ana.

Ko ēnei ngā tikanga rongonui e kite ana te nuinga o te iwi he whai hua:

• Pupuri i tō manawa mō te 10-20 hēkona, ka manawa māori atu
• Inu i te karapu wai makariri tere
• Horomia te tīpune huka
• Manawa ki roto i te putea pepa mō te wā poto
• Tā hāere ngā turi ki tō uma, ka piko ki mua
• Kōkō i te wai makariri

He mea noa te haumaru o ēnei rongoā hei whakamātautau mō ngā kīkī tūpono. Ko te mea nui ko te kimi i te mea e pai ana mōu, i te mea ka mahi rerekē ngā tikanga mō ngā iwi rerekē.

Kia mahara ko ngā rongoā kāinga anake te mea tika mō ngā kīkī tūpono, wā poto. Mēnā ka mau tonu ō kīkī mō te rā kotahi, rua rānei, kua tae ki te wā ki te korero ki tō kaiwhakarato hauora.

Me pēhea te whakarite mō tō whakatau tākuta?

I mua i tō whakatau, tuhituhia te wā i tīmata ai ō kīkī me te maha o te putanga. Tātaihia ngā tauira kua kitea e koe, pēnei i te tino puta mai i muri i te kai i ētahi kai, i ngā wā ahotea rānei.

Hangaia tētahi rārangi o ngā rongoā me ngā tāpiringa katoa e inu ana koe, tae atu ki ngā taonga-a-te-kāinga. Ka taea e ētahi rongoā te whakauru ki ngā kīkī mau tonu, no reira ka āwhina tēnei mōhiohio i tō tākuta.

Whakarite kia whakaahuahia ētahi atu tōmhanga kua pāngia e koe me ngā kīkī. Ka uru pea ēnei ki te ruaki, te mate ngakau, te uaua ki te horomia, te whakarerekētanga rānei i tō hiahia kai, tō taumaha rānei.

Whakaarohia ngā whakarerekētanga hou i roto i tō hauora, kai, tikanga ora rānei e tika ana. Ka uru pea ēnei ki ngā rongoā hou, ngā mahi hauora, ngā ahotea nui o te ora rānei.

Tuhituhia ō pātai i mua i te wā kia kaua e wareware ki te ui i a rātou i te whakatau. Ka āwhina tēnei i a koe ki te whakamahi pai i tō wā me te tākuta.

He aha te mea nui mō ngā kīkī?

Ko te nuinga o ngā kīkī he mea ngāwari noa, wā poto, ka ora ake anō i roto i ngā meneti ki ngā haora. He wāhanga noa o te ora e pā ana te katoa i tētahi wā.

Ko te mea nui kia mahara ko te ture 48-haora. Mēnā ka roa atu ngā kīkī i te rua rā, i te puta mai rānei me ētahi atu tōmhanga awangawanga, he mea tika te tirotiro ki tō tākuta.

Ahakoa ka taea e ngā kīkī mau tonu te whakamataku, te whakararuraru rānei, he maimoatanga whai hua kei te wātea. Ko te nuinga o te iwi e rapu ana i te tiaki hauora mō ngā kīkī roa ka kite i te whakaora me te maimoatanga tika.

Kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora mēnā kei te pānga ngā kīkī ki tō oranga o ia rā. E tika ana kia pai tō āhua, kia mahi noa, ā, kei reira ngā tohunga hauora hei āwhina i a koe ki te whakatutuki i taua mea.

Ngā pātai e ui pinepinetia ana mō ngā kīkī

Ka taea te kino o ngā kīkī?

Kāhore ngā kīkī noa he mea kino, kāhore hoki he morearea hauora. Heoi, ko ngā kīkī e roa ana i te 48 haora neke atu ka tohu pea i ētahi wā ki ngā āhuatanga hauora kei muri e hiahia ana ki te aro. He onge rawa atu, ka āhei ngā kīkī roa rawa atu ki te āwangawanga ki te kai, te moe, te manawa rānei, koinei te take e nui ai te arotake hauora mō ngā take roa.

He aha te tino puta mai o ngā kīkī i muri i te kai?

Ka taea e te kai te whakaoho i ngā kīkī i ngā huarahi maha. Ina kai tere koe, ka horomia e koe te hau nui ake, ka taea te āwangawanga i tō manawa. Ka taea hoki e ngā kai nui te whakawhāiti i tō kopu, te whakapēhi rānei i te manawa. Ka taea hoki e ngā kai wera rawa atu, makariri rawa atu rānei, ngā kai tōtika, ngā inu whakakī rānei te whakaoho i ngā uaua e whakahaere ana i tō manawa, te āhei rānei ki ngā kīkī.

Kei te mahi ngā rongoā kīkī?

Ko te nuinga o ngā rongoā kīkī tawhito e mahi ana mā te whakakore i ngā tohu uaua e whakaoho ana i ngā kīkī, te whakaoho rānei i te uaua vagus. Ahakoa he iti te mōhiohio pūtaiao, ko ngā tikanga pēnei i te pupuri i tō manawa, te inu wai, te kai huka rānei ka taea te whai hua mō ētahi tangata. Ko te mea nui ko ēnei rongoā e āwhina ana ki te whakahoki i te tauira noa o te manawa.

Ka taea e ngā pepe e whiwhi kīkī, ā, he mea noa?

Ae, ka tino whiwhi ngā pepe i ngā kīkī, ā, he mea noa. Ka tīmata ngā kīkī pepe i roto i te kopu i te wā hapu. Ko te nuinga o ngā kīkī pepe e whakaohohia ana e te kai tere rawa atu, te horomia o te hau, te kopu kī rānei. Ka ora ake anō rātou, kāhore hoki e whakaputa i te mamae ki te pepe, ahakoa ka āwangawanga pea ki ngā mātua hou.

Nōhea te manukanuka ki ngā kīkī a tō tamaiti?

Ka whai ngā kīkī tamariki i ngā ture whānui pēnei i ngā kīkī pakeke. Whakapiri atu ki tō tākuta tamariki mēnā ka roa atu ō kīkī a tō tamaiti i te 48 haora, ka āwangawanga ki te kai, ki te moe rānei, ka puta mai rānei me ētahi atu tōmhanga pēnei i te kirika, te ruaki, te uaua ki te manawa rānei. Ko te nuinga o ngā kīkī tamariki he mea ngāwari noa iho, ka ora wawe ake me ngā rongoā ngāwari, ake anō rānei.