He aha te Mate Pūkahukahu o te Puku? Tohutohu, Take, me te Maimoatanga

Ko te mate pūkahukahu o te puku (IBD) tētahi rōpū o ngā āhuatanga roa e pā ana ki te pūkahukahu o tō pūnaha kai. Ko ngā momo matua e rua ko te mate a Crohn me te mate pākawa o te kōroke, ā, e rua nei e pā ana ki tō oranga o ia rā, engari ka taea te whakahaere me te tiaki tika.

Whakaarohia te IBD hei whakaeke he i te pūnaha ārai mate o tō tinana ki ngā kiko hauora i roto i ō whekau, e pā ana ki te pūkahukahu tonu. Kāo tēnei mea i puta mai i a koe, kāore hoki e taea te aukati, ā, me ngā whiringa maimoatanga o nāianei, he tokomaha ngā tāngata e ora ana i te ora katoa, i te ora mahi.

He aha te Mate Pūkahukahu o te Puku?

Ko te IBD tētahi āhuatanga whakaeke-a-tinana kei reira te pūnaha tiaki o tō tinana e whakaeke ana i tō pūnaha kai ake. Ka hanga tēnei i te pūkahukahu roa e pā ana ki ngā wāhanga rerekē o ō whekau, e arahi ana ki ngā tohu e haere mai ana, e haere atu ana i roto i ngā mura.

Kāore i rite ki te mate puku ngāwari (IBS), e pā ana ki te mahi o te puku, ko te IBD kei roto te pakaru o ngā kiko me te pūkahukahu e taea te kite i ngā whakamātautau hauora. Ko te tikanga ka whanake tēnei āhuatanga i ō tau tekau mā rima, tekau mā rua rānei, ahakoa ka puta mai i tetahi tau.

He āhuatanga ora tonu te IBD, engari ehara tēnei i te tikanga o te mamae tonu. He tokomaha ngā tāngata e wheako ana i ngā wā roa o te whakaora kei reira ngā tohu iti rānei, kāore rānei. Ko te matua ko te mahi tahi me tō rōpū hauora ki te kimi i te huarahi maimoatanga tika mō tō āhuatanga motuhake.

He aha ngā Momo o te Mate Pūkahukahu o te Puku?

Ko ngā momo matua e rua o te IBD e pā ana ki ngā wāhanga rerekē o tō pūnaha kai i ngā huarahi motuhake. Ko te mārama ki te momo kei a koe e āwhina ana i tō mahere maimoatanga.

Te mate a Crohn ka pā ki tetahi wāhanga o tō pūnaha kai mai i te waha ki te tūā, ahakoa ko te nuinga o te wā ka pā ki te whekau iti me te kōroke. Ko te pūkahukahu kei roto i ngā wahi, e hanga ana i te "āhua hopu" kei reira ngā kiko hauora kei waenganui i ngā wāhanga pūkahukahu.

Te mate pākawa o te kōroke e pā ana ki tō kōroke (te whekau nui) me te tūā. Ko te pūkahukahu e tīmata ana i tō tūā, ka horapa tonu ki runga, e hanga ana i te āhua rite o te pakaru.

He momo iti ake te ingoa ko te mate pākawa kore-whakatau, kei reira ngā tākua e kore e taea te wehewehe i waenga i te mate a Crohn me te mate pākawa o te kōroke. Ka puta tēnei i te 10% o ngā keehi IBD, ā, ka mārama ake pea i te wā.

He aha ngā Tohutohu o te Mate Pūkahukahu o te Puku?

Ka rereke haere ngā tohu IBD mai i te tangata ki te tangata, ā, ka haere mai, ka haere atu pea i te kore e whakaarohia. I ngā wā mahi e kiia nei ko ngā mura, ka wheako pea koe i te maha o ngā tohu kore-āta pai e pā ana ki tō kounga ora.

Ko ngā tohu tino noa ka kite pea koe:

• Te korere tonu, te nuinga o te wā he toto, he wai rānei
• Te mamae o te puku me te kopuku, ina koa i tō puku raro
• Te hiahia nui ki te haere ki te wharepaku
• Te whakaaro kua kore koe i te whakamahana i ō whekau
• Te ngaro o te taumaha e kore e whakaarohia nā te ngoikore o te tango kai
• Te ngenge e kore e pai ake me te okioki
• Te kirika iti i ngā wā mura

He tāngata anō e wheako ana i ngā tohu i waho o tō pūnaha kai, e kiia ana e ngā tākua he whakaaturanga-waho. Ka uru pea ēnei ki te mamae o ngā hononga, ngā raruraru kiri, te pūkahukahu o te kanohi, te raruraru ate rānei.

He mea nui kia mōhio ko te kaha o te tohu kāore i te rite tonu ki te nui o te pūkahukahu kei reira. Ka pai pea koe i te wā kei te mate tonu koe, koia te take he mea nui te aro turuki tonu me tō tākua.

He aha ngā Take o te Mate Pūkahukahu o te Puku?

Ko te take tika o te IBD kāore ano kia mōhiotia, engari e whakapono ana ngā kairangahau ko te hua o te hononga uaua i waenga i ō ira, pūnaha ārai mate, me te taiao. Kāore tēnei i te mea he he i mahia e koe, kāore hoki e taea te aukati.

He tino nui te wāhi o tō hanganga ira, i te mea ko te IBD e ahu whakatipu ana i roto i ngā whānau. Ki te pēnei koe i te whānau tata e pā ana ki te IBD, ka nui ake tō tūponotanga, ahakoa ko te nuinga o ngā tāngata e pā ana ki te hītori whānau kāore e whanake i te āhuatanga.

Ko ngā take taiao e āwhina ana pea:

• Ngā mate pukupuku e whakaohooho ana i te mahi morearea o te pūnaha ārai mate
• Te whakamahinga o ngā rongoā mate pukupuku, ina koa i ngā tamariki iti
• Te kai o te Hauauru e nui ana ngā kai tukatuka, iti ana te muka
• Te whakakā (inā koa te piki ake o te tūponotanga o te mate a Crohn)
• Te ahotea, ahakoa koinei pea te whakaohooho atu i te take
• Ngā rongoā pēnei i ngā NSAIDs

Ko te whakaaro e puta mai ana e kī ana i ngā tāngata e pā ana ki te ngoikoretanga ira, ko ngā whakaohooho taiao e whakaohooho ana i te pūnaha ārai mate ki te whakautu nui atu ki ngā huakita puku noa. Ka hanga tēnei i te pūkahukahu tonu e waiho ana hei whakaohooho ake.

He mea nui, kāore te IBD i puta mai i te ahotea, ngā kai pikipiki, ngā whiringa ora kino rānei, ahakoa ngā whakaaro he.

Nōhea te Tūhono ki tētahi Tākua mō te Mate Pūkahukahu o te Puku?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te wheako koe i ngā tohu puku tonu e āwangawanga ana ki tō oranga o ia rā. Ko te taumata whakamātautau me te maimoatanga wawe ka taea te aukati i ngā raruraru, ka whakapai ake i tō tirohanga roa.

Rapua te awhina hauora ki te pēnei koe:

• Te korere e roa atu ana i ngā rā torutoru
• Te toto i roto i ō paru
• Te mamae nui o te puku
• Te ngaro o te taumaha e kore e whakaarohia
• Te ngenge tonu
• Te kirika me ngā tohu puku

Ki te pēnei koe i te IBD, whakapiri atu tonu ki tō tākua mō ngā tohu nui penei i te kirika teitei, te maroke nui, te mamae nui o te puku, ngā tohu rānei o te aukati o te whekau. Ka taea e ēnei te tohu i ngā raruraru nui e hiahia ana ki te tiaki tere.

Kaua e tatari kia kino rawa ngā tohu. Ko te whakauru wawe e ārahi ana ki ngā hua pai ake, ka āwhina pea i te aukati i te āhuatanga ki te haere ki ngā wā kaha ake.

He aha ngā Tūponotanga mō te Mate Pūkahukahu o te Puku?

He maha ngā take e taea ai te piki ake o tō tūponotanga ki te whanake i te IBD, ahakoa ko te whai i ngā tūponotanga kāore e whakamana ka whanake koe i te āhuatanga. Ko te mārama ki ēnei e āwhina ana i a koe me tō tākua ki te aromatawai i tō tūponotanga katoa.

Ko ngā tūponotanga tino nui:

• Te hītori whānau: Ko te whai i te mātua, te teina, te tamaiti rānei e pā ana ki te IBD e piki ake ai tō tūponotanga.
• Te tau: Ko te nuinga o ngā tāngata e whanake ana i te IBD i mua i te 30 tau, me tetahi piki iti ake i te 60 tau.
• Te iwi: Ko ngā tāngata o te iwi Hūrai Ashkenazi he nui ake ngā reiti, ahakoa ko te IBD e pā ana ki ngā iwi katoa.
• Te wāhi whenua: He maha ake i ngā whenua whanake me ngā takiwa taone.
• Te whakakā: E rua te tūponotanga o te mate a Crohn, engari ka tiaki pea i te mate pākawa o te kōroke.

Ko ngā tūponotanga iti ake ko ētahi rongoā, ina koa ngā NSAIDs me ngā rongoā mate pukupuku, ina koa ka whakamahia pinepinetia rānei i ngā tamariki iti. Ka taea hoki e ētahi mate pukupuku te whakaohooho i te IBD i ngā tāngata e pā ana.

He mea tika te kī he tokomaha ngā tāngata e whai ana i ngā tūponotanga maha kāore e whanake i te IBD, i te wā e mahi ana ētahi atu kāore he tūponotanga e kitea ana. Ka whakaatu tēnei i te uaua o te whanaketanga o te āhuatanga.

He aha ngā Raruraru pea o te Mate Pūkahukahu o te Puku?

Ahakoa ngā raruraru IBD e rangona ana he wehi, ko te nuinga o ngā tāngata e whai ana i te tiaki hauora tika kāore e wheako i ngā raruraru nui. Heoi, he mea nui kia mārama ki ngā raruraru pea kia taea ai e koe te mahi tahi me tō tākua ki te aukati i a rātou.

Ko ngā raruraru whekau pea:

• Ngā ārai: Ko te kiko toka e whakaiti ana i te whekau, e āwangawanga ana pea ki ngā aukati.
• Ngā pū: Ngā hononga kore-tika i waenga i ngā wāhanga rerekē o te whekau, ngā okana atu rānei.
• Ngā pupū: Ngā putea pūkahukahu e hiahia ana pea ki te whakaheke.
• Te whākā: He rua, he nui te kino o te rua i roto i te pakitara whekau.
• Te toto nui: Ahakoa ko te nuinga o te toto tūā he iti, ko ngā keehi nui pea e hiahia ana ki te whakauru.

Ko ngā raruraru roa ka uru ki te piki ake o te tūponotanga o te mate kōroke, ina koa me te colitis whānui e roa atu ana i te waru tau. Koia te take he mea nui te tirotiro colonoscopy mo ngā turoro IBD roa.

Ko ngā raruraru kai e whanake ana pea nā te ngoikore o te tango, ngā herenga kai rānei. Ka uru pea ēnei ki te mate toto, ngā ngoikoretanga huaora, ngā raruraru o te mātotorutanga wheua rānei. Ka taea e tō rōpū hauora te awhina i te aro turuki me te whakahaere i ēnei take i mua.

Ko te rongo pai ko ngā maimoatanga hou e whakaiti nui ana i ngā tūponotanga raruraru. Ko te aro turuki tonu me te pupuri ki ngā mahere maimoatanga e āwhina ana ki te hopu i ngā raruraru pea i te wā e taea ana te whakaora.

Me pēhea te Taumata o te Mate Pūkahukahu o te Puku?

Ko te taumata whakamātautau e whakaatu ana i te whakahaere i ngā tohu IBD me te pupuri i tō kounga ora. Ahakoa kāore e taea e koe te whakaora i te IBD me te kore e whakahaerehia e te hauora, he maha ngā rautaki e taea te whakakotahi i ō maimoatanga kua tohua.

Ka taea e ngā whakarerekētanga kai te whakahaere i ngā tohu, ahakoa kāore he kai IBD kotahi-rahi-mo-katoa. He tokomaha ngā tāngata e pai ana ki te pupuri i te puka kai ki te kimi i ngā whakaohooho whaiaro me te mahi tahi me te kaiwhakaako kai kua mōhio ki te IBD.

Ko ngā rautaki kai awhina e whakauru ana pea:

• Te kai i ngā kai iti ake, te maha atu o ngā kai ki te whakaiti i te taimaha o te puku
• Te pupuri i te wai, ina koa i ngā wā mura
• Te whakaiti i ngā kai nui-muka i te wā o te pūkahukahu mahi
• Te karo i ngā kai whakaohooho whaiaro e mohiotia ana
• Te tango i ngā taapiri huaora me ngā kohuke e tūtohutia ana
• Te whakaaro ki ngā probiotics, ahakoa he whakakotahitanga ngā mōhiotanga

He mea nui te whakahaere ahotea, i te mea ka taea e te ahotea te whakaohooho i ngā mura ahakoa kāore i te take o te IBD. Ko te mahi tinana tonu, te moe tika, te whakaaroaro, te tohutohu rānei ka taea te awhina i te whakahaere i ngā taumata ahotea.

Pupuri i ngā tohu, ngā rongoā, me ngā whakaohooho pea i roto i te puka rānei i te taupānga waea. Ka āwhina ēnei mōhiohio i a koe me tō tākua ki te whakatau i ngā whakatau e pā ana ki tō tiaki, ka āwhina pea ki te kimi i ngā āhua ka ngaro pea koe.

Me pēhea te Whakarite mō tō Hui Tākua?

Ko te whakarite mō ō hui IBD e āwhina ana i te whakarite ka whiwhi koe i te painga nui mai i tō wā me tō kaiwhakarato hauora. Ko te whakarite pai e ārahi ana ki ngā kōrero hua ake me te whakahaere pai ake o te tiaki.

I mua i tō hui, kohikohia ngā mōhiohio e pā ana ki ō tohu o nāianei, tae atu ki o rātou auau, kaha, me ngā āhua kua kite koe. Tuhia ngā tauira motuhake kaua ko ngā whakaahuatanga whānui pēnei i te "Kei te kino ahau."

Kawe mai i te rārangi katoa o:

• Ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā horopeta me te wā
• Ngā taapiri, ngā huaora, me ngā rongoā kore-tohu
• Ngā tohu hou me o rātou pānga ki ngā mahi o ia rā
• Ngā pātai, ngā awangawanga rānei e hiahia ana koe ki te kōrero
• Ngā pānga taha kua wheakohia e koe mai i ngā maimoatanga

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, whānau rānei ki te āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te hui. Ka taea hoki e rātou te tuku tautoko ngākau me te āwhina i te tautoko i ō hiahia.

Kaua e whakaroa ki te pātai mō tetahi mea kaore koe e mārama. E hiahia ana tō rōpū hauora ki te āwhina i a koe kia mōhio me te whakawhirinaki ki tō mahere maimoatanga.

Me pēhea te Aukati i te Mate Pūkahukahu o te Puku?

Heoi, kāore he huarahi kua whakamāramahia ki te aukati i te IBD i te mea kāore ano kia tino mārama ngā take tika. Heoi, ko ētahi whiringa ora pea ka whakaiti i tō tūponotanga, ka āwhina pea ki te aukati i ngā mura ki te pēnei koe i te āhuatanga.

Ahakoa kāore e taea e koe te whakarereke i ngā take ira, pea ka taea e koe te whakauru ki ngā whakaohooho taiao. Ko ētahi take tiaki pea ko te pupuri i te kai hauora e whai hua ana i ngā hua me ngā huawhenua, te karo i te whakamahinga koretake o ngā rongoā mate pukupuku, te kore whakakā.

Ki te pēnei koe i te IBD, ka taea e koe te mahi i ngā mahi hei aukati i ngā mura me ngā raruraru:

• Tangohia ngā rongoā kia rite ki te tohu, ahakoa kei te pai koe.
• Haere ki ngā hui hauora me ngā tirotiro katoa kua whakaritea.
• Pupuri i ngā whakakakahu kia rite ki te tūtohu a tō tākua.
• Pupuri i te kai pai me te whakahaere i ngā taumata ahotea.
• Karohia ngā NSAIDs ki te kore e whakaaetia motuhake e tō tākua.
• Kaua e whakakā, i te mea ka kino ake ngā hua IBD.

Ko te taumata whakamātautau me te maimoatanga wawe o te IBD ka taea te aukati i ngā raruraru maha. Ki te pēnei koe i te hītori whānau o te IBD, kōrerohia tō tūponotanga me tō tākua, kia tupato hoki ki ngā tohu wawe.

He aha te Tango Matua e pā ana ki te Mate Pūkahukahu o te Puku?

Ko te IBD he āhuatanga roa e hiahia ana ki te tiaki hauora tonu, engari ehara i te mea e whakatau ana i tō oranga. Me te maimoatanga tika me te whakahaere whaiaro, he tokomaha ngā tāngata e pā ana ki te IBD e ora ana i te ora katoa, i te ora mahi me ngā herenga iti.

Ko te mea nui rawa kia mahara ko te IBD he tino taea te whakaora i tēnei wā. Ahakoa kāore e taea e tātou te whakaora i tēnei wā, he maha ngā maimoatanga whai hua e taea ai te whakahaere i te pūkahukahu, te whakaora i ngā kiko pakaru, me te aukati i ngā raruraru.

Ko tō hononga me tō rōpū hauora he mea nui mō te angitu roa. Pupuri i te whakauru ki tō tiaki, kōrero whakatūwhera e pā ana ki ngā tohu me ngā awangawanga, kaua hoki e whakaroa ki te rapu awhina ina hiahia koe.

Kia mahara ko te whai i te IBD kāore e whakawehi i a koe, kāore hoki e pakaru. He āhuatanga hauora pēnei i te mate huka, te toto teitei rānei e hiahia ana ki te whakahaere. Me te huarahi tika, ka taea e koe te pupuri i tō kounga ora me te whai i ō whāinga ahakoa he IBD kei a koe.

Ngā Pātai Nui e Pā ana ki te Mate Pūkahukahu o te Puku

Ka taea te whakaora i te IBD?

I tēnei wā, kāore he rongoā mō te IBD, engari ka taea te whakahaere tika me te maimoatanga tika. He tokomaha ngā tāngata e whiwhi ana i te whakaora roa kei reira ngā tohu iti rānei, kāore rānei. Mō te mate pākawa o te kōroke, ko te tango pokanga o te kōroke ka taea te whakakore i te mate, ahakoa koinei anake te whakaarohia ina kore ngā maimoatanga atu i mahi.

He rite te IBD ki te IBS?

Kāore, he rerekē katoa ngā āhuatanga IBD me IBS. Ko te IBD kei roto te pūkahukahu me te pakaru o ngā kiko e taea te kite i ngā whakamātautau, i te wā ko te IBS he mate mahi e pā ana ki te mahi o te puku me te kore e pakaru. He nui ake te kino o te IBD, e hiahia ana ki ngā huarahi maimoatanga rerekē atu i te IBS.

Me hiahia ahau ki te pokanga mō taku IBD?

Kāore te katoa e pā ana ki te IBD e hiahia ana ki te pokanga. He tokomaha ngā tāngata e whakahaere ana i tō rātou āhuatanga me ngā rongoā anake. Heoi, ko te 70% pea o ngā tāngata e pā ana ki te mate a Crohn me te 30% o ngā tāngata e pā ana ki te mate pākawa o te kōroke pea ka hiahia ki te pokanga, te nuinga o te wā ki te whakahaere i ngā raruraru, ngā rongoā rānei kāore i te tino whai hua.

Ka taea e au te whānau tamariki ki te pēnei ahau i te IBD?

Ae, ko te nuinga o ngā tāngata e pā ana ki te IBD ka taea te whānau i ngā haputanga hauora me ngā tamariki. He pai ki te whakarite i ngā haputanga i ngā wā whakaora me te mahi tata me tō gastroenterologist me tō tohunga whānau. He rongoā IBD haumaru i te wā hapu, i te wā pea e hiahia ana ki te whakarerekē.

He aha ngā kai me karo e au me te IBD?

Kāore he kai IBD whānui i te mea ka rereke haere ngā kai whakaohooho i waenga i ngā tāngata. Ko ngā whakaohooho noa ko ngā kai nui-muka i ngā wā mura, ngā hua waiu, ngā kai pikipiki, te waiū rānei. Ko te huarahi pai ko te pupuri i te puka kai ki te kimi i ō whakaohooho whaiaro me te mahi tahi me te kaiwhakaako kai e mōhio ana ki te IBD.