He aha te Mate Puku Whakaheke? Tohutohu, Take, me te Maimoatanga

Ko te mate puku whakaheke (IBS) tetahi ahuatanga o te puku e tino kitea ana, e pā ana ki te mahi o tō puku, e whakaputa ana i ngā tohu penei i te mamae o te kopu, te pupuhi, me ngā huringa o ō tikanga kaukau. Ahakoa ka rongo koe i te nui o te mamae ina puta mai ngā tohu, kāo te IBS e whakarawe i ō whekau, kāore hoki e āhei ki te mate kino.

Ehara koe i te kotahi anake mena kei te whakahaere koe i tēnei ahuatanga. Ko te IBS e pā ana ki te 15% o te iwi o te ao, ā, ko tētahi o ngā mate puku tino kitea. Ko te rongo pai, mā te whakamahi tika, ka taea e te nuinga o te iwi te whakahaere pai i ō rātou tohu, me te noho marie.

He aha te Mate Puku Whakaheke?

Ko te IBS he mate mahi, ko te tikanga he ahua noa tō puku, engari kāore e mahi i te huarahi e tika ana. Whakaarohia tetahi waka e pai ana te ahua i waho, engari he raruraru te miihini. Ko ō whekau he hauora te hanganga, engari kāore ngā uaua me ngā io e whakahaere ana i te kai e hono pai ana.

Ko tēnei kore hononga e āhei ai tō whekau ki te tino mahi, ki te kore rānei e mahi. Ki te tino mahi, ka kite pea koe i te ruaki me te mamae. Ki te kore e mahi, ka waiho te kōpū kōpū hei take matua.

He mate roa tēnei, ko te tikanga ka haere mai, ka haere atu i te wā, kāore i te mea kotahi. Heoi, kāore te roa e kore e tumanako. He tokomaha te iwi e ako ana ki te whakahaere pai i ō rātou tohu, no reira kaore te IBS e pā ki tō rātou oranga o ia rā.

He aha ngā tohu o te Mate Puku Whakaheke?

Ka rereke ngā tohu o te IBS i te tangata ki te tangata, engari ko te nuinga ka noho ki tō puku, ka puta mai rānei i ngā tauira, i ngā whakaeke rānei. Ko ngā tohu matua ka kite pea koe ko te mamae o te kopu, ngā huringa o ngā nekehanga o te whekau, me te pupuhi.

Koinei ngā tohu tino kitea e ngā tāngata:

• Te mamae o te kopu, te mamae rānei, i te nuinga i raro i te puku
• Te pupuhi me te rongo kei te pupuhi tō kopu
• Te hau me te nui o te pupuhi
• Te ruaki, te kōpū kōpū rānei, te whakawhiti rānei i ngā mea e rua
• Te waiū i roto i tō paru
• Te rongo kaore i tino whakapau i ō whekau
• Te hiahia nui ki te haere ki te kaukau

He tokomaha hoki te iwi e kite ana kei te kino ake ō rātou tohu i ngā wā whakawātea, i muri rānei i te kai i ētahi kai. Ka pai ake te mamae i muri i te haere ki te kaukau, ko tētahi o ngā tohu matua hei awhina i ngā tākua ki te whakatau i te IBS.

Ka kite etahi i ētahi atu tohu kaore i te hono tika ki te kai, penei i te ngenge, te raruraru moe, te manukanuka rānei ki ō rātou tohu. He whakautu tino mārama tēnei ki te whakahaere i tētahi ahuatanga kaore e taea te whakatau.

He aha ngā momo o te Mate Puku Whakaheke?

Ko te nuinga o ngā tākua e wehewehe ana i te IBS ki ngā momo rerekē i runga i ō tauira nekehanga whekau tino noa. Ka awhina tēnei wehewehenga i tō kaiwhakarato hauora ki te whiriwhiri i te huarahi maimoatanga tino pai mō tō āhuatanga motuhake.

Ko ngā momo matua ko:

• IBS me te kōpū kōpū (IBS-C): Ko ō paru he pakeke, he ngākau, he uaua rānei ki te paheke
• IBS me te ruaki (IBS-D): Ko ō paru he ngawari, he wai, he maha rānei
• IBS me ngā tikanga whekau whakauru (IBS-M): Ka whakawhiti koe i waenganui i te kōpū kōpū me te ruaki
• IBS kaore i wehewehea (IBS-U): Kāore ō tohu e rite ki ētahi atu kāwai

Ka rereke pea tō momo IBS i te wā, ā, he mea noa tēnā. Ka kite etahi i te whakawhiti o ō rātou tohu me te ahotea, ngā huringa kai, i ngā tauira wa rānei. Ka taea e tō tākua te whakarereke i tō mahere maimoatanga i te whakawhānui o ō tohu.

He aha ngā take o te Mate Puku Whakaheke?

Kāore i tino mōhiotia te take pono o te IBS, engari kua kitea e ngā kairangahau etahi take pea e mahi tahi ana ki te whakaoho i te ahuatanga. Kāore i te kotahi te take, engari ko te IBS te hua o te whakakotahitanga o ngā āhuatanga tinana me ngā āhuatanga taiao.

Koinei ngā take matua e āhei ana ki te whakawhanake i te IBS:

• Ngā uaua uaua koretake i roto i ō whekau he kaha rawa, he ngoikore rānei
• Ngā raruraru ki te pūnaha io e whakahaere ana i tō ara kai
• Te mumura i roto i ō whekau, ahakoa he iti te taumata
• Ngā huringa i ngā huakita o te puku (tō microbiome)
• Ngā koretake kai, i ngā ngawari rānei
• Ngā huringa homoni, i roto i ngā wāhine
• Ngā take ira e rere ana i roto i ngā whānau
• Te gastroenteritis kino, te poihana kai rānei i mua

He mea nui hoki te ahotea me te hauora hinengaro, ahakoa he rite tonu ki ngā whakaoho i ngā take take. He hono tata tō puku me tō roro mā te mea e kiia ana e ngā kāre e te "gut-brain axis", no reira ka pā tika te ahotea hinengaro ki te mahi o tō pūnaha kai.

I etahi wā, ka puta te IBS i muri i tetahi gastroenteritis kino (mate puku) te poihana kai rānei. Koinei te IBS i muri i te mate, ā, ka puta mai i te wa e whakaroa ana te mate tuatahi i te toenga noa i roto i tō puku.

Nō hea te kite i te tākua mō te Mate Puku Whakaheke?

Me whakaaro koe ki te kite i tetahi kaiwhakarato hauora mena kei te pā ngā tohu o te puku ki tō oranga o ia rā, ki te manukanuka rānei koe. Ahakoa kaore e pai ngā tohu o te IBS, he tohu whakatūpato e hiahia ana ki te tiaki hauora tere hei whakakore i ngā ahuatanga nui ake.

Whakatau rātou ki tetahi tākua mena kei te kite koe i ēnei mea:

• Te mamae o te kopu e kore e mutu e āhei ana ki ō mahi
• Ngā huringa nui i ō tikanga whekau e roa atu ana i ngā wiki torutoru
• Te pupuhi, te hau rānei e kore e pai ake me ngā huringa kai
• Ngā tohu e whakaoho ana i a koe i te pō
• Te uaua ki te whakahaere i ngā tohu mā ōu ake

Rapua te tiaki hauora tere mena ka kite koe i ētahi o ēnei tohu whakatūpato nui ake:

• Te toto i roto i tō paru, i ngā paru pango, i ngā paru tarry rānei
• Te ngaro o te taumaha kaore i te hiahiatia
• Te mamae o te kopu kino, te kino haere rānei
• Te ruaki tonu
• Te kirika me ngā tohu o te puku
• Ngā tohu i tīmata i muri i te 50 tau

Ka taea e ēnei tohu te tohu i ngā ahuatanga kaore i te IBS e hiahia ana ki ngā huarahi maimoatanga rerekē. Ko te whakamatautau wawe ka awhina i a koe ki te whiwhi i te whakatau tika, me te tīmata ki te pai ake i mua.

He aha ngā take morearea mō te Mate Puku Whakaheke?

Ka taea e etahi take te whakapiki ake i tō tūponotanga ki te whakawhanake i te IBS, ahakoa ko te whai i ngā take morearea kāore e tikanga ka whiwhi koe i te ahuatanga. Ko te mārama ki ēnei take ka awhina i a koe me tō tākua ki te tautuhi i ngā whakaoho pea, me te whakawhanake i ngā rautaki aukati.

Ko ngā take morearea tino noa ko:

• Ko te wahine (e rua te tupono o ngā wāhine ki te whai IBS)
• Ko te i raro i te 50 tau (ka tīmata ngā tohu i ngā tau rangatahi, i te tīmatanga o te pakeketanga rānei)
• Te whai i ngā mema whānau me te IBS
• Te hītori o te manukanuka, te pouri, i ētahi atu ahuatanga hauora hinengaro rānei
• Te mate puku kino, te poihana kai rānei i mua
• Ngā taumata teitei o te ahotea tonu
• Te inu i ngā rongoā mate huakita maha

Ka kite ngā wāhine i te whakawhiti o ō rātou tohu IBS me tō rātou huringa marama, e tohu ana kei te mahi ngā huringa homoni. Ka kino pea ngā tohu i mua, i te wā rānei o ngā wā, nā ngā huringa i ngā taumata estrogen me progesterone.

Ko te whai i te hītori o te mamae, i ngā wheako tamariki kino rānei e āhei ana ki te whakapiki ake i te morearea IBS, pea na te hononga kaha i waenganui i te ahotea hinengaro me te mahi o te puku. Heoi, kāore tēnei e tikanga kei roto i tō upoko ō tohu – he tino pono ngā tohu tinana.

He aha ngā raruraru pea o te Mate Puku Whakaheke?

Ahakoa kāore te IBS e whakarawe i ō whekau, kāore hoki e āhei ki ngā mate kino penei i te mate pukupuku, ka taea tonu e ia te pā ki tō kounga oranga i ngā huarahi nui. Ko te mārama ki ngā raruraru pea ka awhina i a koe ki te tango i ngā kaupae hei aukati i a rātou, me te rapu tautoko ina hiahiatia.

Ko ngā raruraru tino kitea e ngā tāngata ko:

• Ngā koretake kai mai i te karo i ētahi kai
• Te wehe atu i te iwi na te koretake o ngā tohu
• Te kore e haere ki te mahi, ki te kura rānei i ngā wā whakaeke
• Te manukanuka, te pouri rānei e pā ana ki te whakahaere i ngā tohu
• Te raruraru moe mai i ngā tohu o te pō
• Te ahotea whanaungatanga mai i ngā herenga oranga

Ka whanake etahi i te mea e kiia nei ko te "wehi kai", ka tino whakaitihia e rātou tō rātou kai hei karo i te whakaoho i ngā tohu. Ahakoa ka awhina ngā huringa kai, ka āhei ngā whakaiti nui ki ngā raruraru kai, ka uaua hoki te kai pāpori.

Ka taea hoki e te āhua koretake o te IBS te whakaputa i te manukanuka mo te tawhiti atu i te kaukau, i te whai tohu rānei i te tūmatanui. Ka taea e tēnei manukanuka te whakaiti ake i ngā tohu, te hanga i te huringa e hiahiatia ana kia pakaru me ngā tautoko tika me ngā rautaki whakahaere.

Me pēhea te aukati i te Mate Puku Whakaheke?

Ahakoa kāore e taea e koe te aukati katoa i te IBS, ina koa mena he take morearea ira koe, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga ki te whakawhanake i ngā tohu, ki te whakaiti rānei i ngā tohu o nāianei. Ko te aukati e aro ana ki te pupuri i te hauora puku pai, me te whakahaere pai i te ahotea.

Koinei ngā rautaki e āhei ana te awhina i te aukati i te IBS, i te whakaiti rānei i ngā whakaeke:

• Kai i ngā kai noa, ngā kai rite, me te karo i te ngaro o ngā kai
• Noho pai te wai me te wai i te rā katoa
• Whakauruhia ngā kai nui-waipū i roto i tō kai
• Whakamahia ngā tikanga whakahaere ahotea penei i te whakaaroaro, i te manawa hohonu rānei
• Whiwhi mahi tinana noa, ahakoa te hikoi māori
• Whakaitihia ngā kai nui-ngako, caffeine, i ngā mea reka hanga rānei
• Karo i te whakakā, te inu nui rānei o te waipiro
• Whiwhi moe nui i runga i te wā rite

Mena kua whiwhi koe i te gastroenteritis kino, i te poihana kai rānei, ko te whai i ngā tohutohu whakaora a tō tākua ka awhina pea ki te aukati i te IBS i muri i te mate. Kei roto i ēnei te noho pai te wai, te hoki haere māori ki ngā kai noa, me te tango i ngā probiotics mena ka tūtohutia.

Ko te hanga i ngā tikanga whakahaere hauora mō te ahotea he mea nui rawa, na te mea ko te ahotea hinengaro te whakaoho nui mō te tokomaha o te iwi. Ka āhei pea tenei ki te mahi tinana noa, te kōrero ki ngā hoa, te mahi whakaaroaro, te mahi rānei me te kaitohutohu.

Me pēhea te whakatau i te Mate Puku Whakaheke?

Ko te whakatau i te IBS e aro ana ki te whakahaere i ō tohu, me te whakapai ake i tō kounga oranga i te rongoa i te ahuatanga. Ko te rongo pai, ka taea e te nuinga o te iwi te kite i te whakaora nui me te whakakotahitanga tika o ngā huringa oranga, ngā whakarerekētanga kai, me ētahi rongoā.

Ko te maimoatanga e tīmata ana i ngā huarahi whakahaere:

• Ngā huringa kai, penei i te whai i te kai iti-FODMAP
• Ngā tikanga whakahaere ahotea me ngā mahi whakangāwari
• Te mahi tinana noa e tika ana mō tō taumata hauora
• Te moe tika me te wā moe rite
• Ngā probiotics hei tautoko i ngā huakita puku hauora

Mena kāore ngā huringa oranga e nui, ka tūtohu pea tō tākua i ngā rongoā i runga i ō tohu matua. Mō te IBS me te kōpū kōpū, ka āhei pea te awhina i ngā taapiri waipū, i ngā rongoā rongoā rānei e whakapiki ana i ngā nekehanga o te whekau. Mō te IBS me te ruaki, ka pai pea ngā rongoā antidiarrheal, i ngā sequestrants waikawa bile rānei.

Ka pai etahi ki ngā rongoā e whakaaro ana ki te hononga o te puku me te roro, penei i ētahi rongoā pouri i ngā taumata iti. Ka taea e ēnei te awhina i te mamae, me te whakatika i te mahi o te whekau, ahakoa kaore koe e pouri.

Ko ngā rongoā hou kua whakaaetia mō te IBS ko ngā rongoā e pā ana ki ngā kaiwhiwhi serotonin i te puku, i ngā āhuatanga motuhake rānei o te mahi o te whekau. Ka taea e tō tākua te kōrero mena ka tika ēnei mō tō āhuatanga.

Me pēhea te whakahaere i te Mate Puku Whakaheke i te kāinga?

Ko te whakahaere kāinga te turanga o te maimoatanga IBS, ā, ka kite te tokomaha o te iwi ka taea e rātou te whakahaere pai i ō rātou tohu me ngā rautaki tiaki-whaiaro. Ko te matua ko te kimi i te mea e mahi ana mō tō tauira tohu motuhake me tō oranga.

Ko ngā rautaki whakahaere kai ko:

• Te pupuri i te puka kai hei tautuhi i ngā kai whakaoho whaiaro
• Te kai i ngā kai iti ake, te maha atu rānei o ngā kai i te wāhi nui o ngā kai
• Te ngau pai i te kai me te kai i te tere marie
• Te whakaiti i ngā kai e whakaputa ana i te hau penei i ngā piini, te kāpeti, me ngā inu karapōne
• Te whakamātau i ngā kai whakakore i raro i te aratohu a te kaiwhakarato hauora
• Te noho pai te wai, engari te karo i te inu nui me ngā kai

Ko ngā tikanga whakahaere ahotea e kitea ana e te tokomaha o te iwi he awhina ko ngā mahi manawa hohonu, te whakangāwari uaua, te yoga, te whakaaroaro, te tuhi rānei noa. Ahakoa 10-15 meneti o te mahi whakaiti ahotea i ia rā ka taea te whakaputa i te rerekētanga.

Ko te hanga i te mahinga o ia rā rite ka taea hoki te awhina i te whakahaere i tō pūnaha kai. Kei roto i ēnei te kai i ngā kai i ngā wā rite, te moe, te ara rānei i runga i te wā, me te whakarite i te wā mō ngā nekehanga o te whekau kaore e tere.

Ko te maimoatanga wera, penei i te papa wera i runga i tō kopu, ka taea te hoatu i te whakamarie i ngā wā mamae. Ka taea hoki e te mirimiri kopu ngawari i ngā nekehanga porowhita te awhina i te pupuhi me te hau.

Me pēhea te whakarite mō tō whakatau tākua?

Ko te whakarite mō tō whakatau ka awhina i te whakarite ka whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora, ka awhina hoki i a rātou ki te mārama ki tō āhuatanga. Ka taea e te whakarite pai te arahi ki te whakatau tika ake, me ngā tūtohu maimoatanga pai ake.

I mua i tō whakatau, kohikohia ēnei korero:

• Te puka tohu taipitopito mo te rua wiki, te tohu i te wā, ngā whakaoho, me te kaha
• Rārangi o ngā rongoā, ngā taapiri, me ngā rongoā-kore-utu e tangohia ana e koe
• Te hītori whānau o ngā ahuatanga puku, i ētahi atu take hauora tika rānei
• Ngā kaupapa ahotea hou, i ngā huringa o tō oranga rānei
• Ngā pātai e hiahia ana koe ki te ui mō te whakatau, ngā kōwhiringa maimoatanga, i ngā huringa oranga rānei

I te wā o te whakatau, kia tino mōhio ki ō tohu. Ki te kore e kī "He raruraru puku taku," whakaahua tika te wāhi e rongo ai koe i te mamae, te ahua, te wā e puta ai, me te mea e pai ake ai, e kino ake rānei.

Kaua e whakama i te kōrero taipitopito mō ngā nekehanga o te whekau. E hiahia ana tō tākua ki ēnei korero hei awhina i a koe, ā, he tino mārama rātou ki te kōrero mō ngā tohu puku. Whakauruhia ngā kōrero mō te auau, te āhua, te tae, me ētahi atu huringa kua kite koe.

Mau mai he rārangi o ngā kai, i ngā āhuatanga rānei e āhei ana ki te whakaoho i ō tohu, me tetahi mea e hoatu ana te whakaora. Ka awhina ēnei korero i tō tākua ki te mārama ki tō tauira motuhake, me te tūtohu i ngā maimoatanga e whai take ana.

He aha te tango matua mō te Mate Puku Whakaheke?

Ko te IBS he ahuatanga e taea te whakahaere e pā ana ki te miriona o te iwi, ā, ka taea e koe te noho ora, te mahi ora i te wā e whakahaere ana i a ia. Ahakoa ka whakararuraru, kaore e taea te whakatau i ngā tohu, ka kite te nuinga o te iwi i te whakaora nui mā te whakakotahitanga o ngā huringa kai, te whakahaere ahotea, me ētahi rongoā.

Ko te mea nui hei mahara ko te IBS kāore e whakarawe i tō pūnaha kai, kāore hoki e whakapiki ake i tō morearea ki ngā mate kino. He mate mahi tēnei e taea te whakahaere pai me te huarahi tika me te tautoko.

Ko te mahi tata atu ki tō kaiwhakarato hauora hei whakawhanake i te mahere maimoatanga whaiaro e hoatu ana ki a koe te tupono pai ki te whakahaere i ō tohu. Kia manawanui ki te tukanga, na te mea ka roa te wā ki te tautuhi i ō whakaoho motuhake, me te kimi i ngā rautaki whakahaere tino pai.

Kaua e whakaroa ki te rapu tautoko mai i ētahi atu e mārama ana ki te mea kei te haere koe, ahakoa mā ngā rōpū tautoko, ngā hapori ipurangi, i te tohutohu rānei. He ngāwari ake te whakahaere i tetahi mate roa ina kore koe e noho kotahi i roto i te tukanga.

Ngā pātai tino ui mō te Mate Puku Whakaheke

Ka taea te huri o te IBS ki tetahi mea nui ake penei i te mate pukupuku, i te mate whekau mumura rānei?

Kāo, kāore te IBS e whakapiki ake i tō morearea ki te whakawhanake i te mate pukupuku o te kōpū, te mate whekau mumura, i ētahi atu ahuatanga puku nui rānei. Ko te IBS he mate mahi kāore e whakarawe i te mumura, i te kino rānei ki tō kiko whekau. Heoi, he mea nui te kite i tō tākua mena ka rereke nui ō tohu, mena ka whanake koe i ngā tohu whakatūpato penei i te toto i roto i te paru, i te ngaro o te taumaha kaore i te hiahiatia rānei.

He haumaru te tango i ngā probiotics mō te IBS, ā, he awhina tonu rātou?

Ko te nuinga o ngā probiotics he haumaru mō te nuinga o te iwi, ā, ka taea te awhina mō ētahi tangata me te IBS. Ka whakaatu te rangahau kei te āhei etahi momo huakita pai ki te whakaiti i te pupuhi, te hau, me te whakapai ake i te whakahaere tohu whānui. Heoi, kāore ngā probiotics katoa e mahi i te huarahi kotahi, ā, ko te mea e awhina ana i tetahi kaore pea e awhina i tetahi atu. He pai te kōrero ki ngā momo probiotics motuhake me ngā taumata me tō kaiwhakarato hauora.

Ka taea e te ahotea anake te whakaoho i te IBS, te whakaiti rānei i ngā tohu?

Ko te nuinga kāore te ahotea e whakaoho ana i te IBS māna anake, engari he whakaoho nui tēnei e taea te whakaiti i ngā tohu i ngā tāngata kua whai i te ahuatanga. He kaha te hononga o te puku me te roro, no reira ka pā tika te ahotea hinengaro ki te mahi o te puku. Ko te whakahaere i te ahotea mā ngā tikanga whakangāwari, te mahi tinana, i te tohutohu rānei ka taea te whakapai ake i ngā tohu IBS, engari ko te whakahaere i te ahotea anake kāore i te nui mō te whakahaere tohu katoa.

E hia te roa o te kite i te whakapai ake me te maimoatanga IBS?

Ko te raupapa mō te whakapai ake e rereke ana i te tangata ki te tangata, e whakawhirinaki ana ki ngā maimoatanga e whakamahia ana e koe. Ka taea e ngā huringa kai te whakaatu i ngā hua i roto i ngā wiki torutoru, ka taea e ngā rongoā te roa atu i ngā wiki ki ngā marama hei whakatutuki i te whai hua katoa. Ko te nuinga o ngā tāngata e kite ana i te whakapai ake nui i roto i ngā marama 2-3 o te tīmatanga i te mahere maimoatanga whānui.

He kai kei reira e kino ana mō te IBS, te rerekē rānei mō te katoa?

Ahakoa ka rereke ngā kai whakaoho i waenganui i ngā tangata, he kai e tino whakaputa ana i ngā raruraru mō te tokomaha o te iwi me te IBS. Kei roto i ēnei ngā kai nui-FODMAP penei i ētahi hua, huawhenua, hua waiū, me ngā mea reka hanga. Heoi, he tino motuhake te manawanui, no reira ko te kai e raruraru ana i tetahi ka pai pea mō tetahi atu. Koinei te take e nui ai te pupuri i te puka kai, me te mahi rānei me te kaiwhakaako kai hei tautuhi i ō whakaoho whaiaro.