He aha te Kolitis Ischemic? Tohutohu, Take, me te Maimoatanga

Ka puta te kolitis ischemic ina iti haere te rere o te toto ki tetahi wahanga o to whekau nui (colon). Ka taea e tenei kore o te rere o te toto te pakaru i te kiko o te whekau, ka arahi ki te mumura, ā, i etahi wā ki ētahi atu raruraru nui atu.

Whakaarohia te rite ki ētahi atu wāhanga o tō tinana e hiahia ana ki te rere o te toto pumau kia ora ai. Ki te kore e ranea te toto whai-hākari-oxygen ki tō whekau, ka taea te mumura me te mamae. Ko te rongo pai, ko te nuinga o ngā take he ngawari, ā, ka pai ake me te tiaki tika.

He aha ngā tohu o te kolitis ischemic?

Ko te tohu tino noa ko te mamae o te kopu ohorere, i te taha maui, ka whai mai te ruaki toto i roto i te 24 haora. Ka taea e enei tohu te ahua ohorere, engari ko te mohiotanga wawe ka awhina i a koe ki te whiwhi i te maimoatanga tika.

Koinei ngā tohu matua ka pā atu ki a koe:

• Te mamae, te kopu rānei, i te taha maui
• Te ruaki toto, te paru parauri rānei
• Te hiahia nui ki te haere ki te wharepaku
• Te ruaki, ā, i etahi wā te ruaki
• Te kirika ngawari (i raro iho i te 100°F)
• Te ahua ngoikore rānei

Ka kite te nuinga o te iwi i enei tohu e whanake ana i te tere, i roto i ngā haora. Ka taea e te mamae te ahua o te kopu nui e haere mai ana, e haere atu ana, rite tonu ki ētahi atu raruraru o te pūnaha kai, engari he kaha ake te nuinga.

I roto i ngā take onge, ka pā atu ki a koe ngā tohu nui ake penei i te kirika nui, te mamae o te kopu nui, te tohu rānei o te mate wai. Ka taea e ēnei te tohu i ngā raruraru e hiahia ana ki te tiaki hauora tonu.

He aha ngā momo o te kolitis ischemic?

Ka whakarōpūtia e ngā tākuta te kolitis ischemic ki ngā momo e rua, i runga i te kaha o te āhuatanga. Ko te mārama ki enei momo ka āwhina i te whakamārama i te mea e tumanakohia ana i te wā o te maimoatanga me te ora.

Ko te kolitis ischemic kore-gangrenous te momo tino noa, e pā ana ki te 80-85% o ngā take. I roto i tēnei ahua, kua pakaru te kiko o te whekau, engari kei te ora tonu, ā, ka taea te ora me te maimoatanga tika. Ko te nuinga o te iwi me tēnei momo ka ora katoa i roto i ngā rā ki ngā wiki.

He tino nui ake te kolitis ischemic gangrenous, engari he onge. I konei, ko te kore o te rere o te toto ka whakamate i te kiko o te whekau. Ko tēnei momo e hiahia ana ki te pokanga, ā, ka arahi ki ngā raruraru nui ki te kore e tukatukahia i te tere.

Ka taea e tō tākuta te kī i te momo kei a koe mā ngā whakamātautau me te āhua o tō whakautu ki te maimoatanga tuatahi. Ko te nuinga o te iwi kei a rātou te ahua ngawari, kore-gangrenous e ora pai ana me te tiaki māori.

He aha ngā take o te kolitis ischemic?

Ka puta te kolitis ischemic ina he mea e whakaiti ana i te rere o te toto ki tō whekau. I roto i te nuinga o ngā take, kaore e taea e ngā tākuta te tohu i tētahi take motuhake, ina koa i ngā tāngata pakeke ka puta mai pea i te whakakotahitanga o ngā take.

Ko ngā take tino noa ko:

• Te toto iti mai i te mate wai, te ngaro o te toto, te pakaru rānei
• Ngā toto toto e aukati ana i ngā oko e arahina ana ki te whekau
• Te koretake nui me te whakamātautau
• Ētahi rongoā penei i ētahi rongoā ngakau, te maimoatanga mate pūtake rānei
• Te pokanga e pā ana ki te rere o te toto ki te kopu
• Te whakakino tinana, ina koa te oma tawhiti
• Ngā raau taero ture kore penei i te cocaine, te methamphetamine rānei

I etahi wā ka whanake te āhuatanga ina whakawhānuihia e tō tinana te rere o te toto atu i te whekau i te wā o te ahotea, te mate, te tukanga hauora rānei. Ko te huarahi tenei o tō tinana ki te tiaki i ngā whekau nui, engari ka taea te whakaiti i te toto ki te whekau.

I roto i ngā take onge, ko ngā āhuatanga o raro penei i ngā mate oko toto, ngā mate mumura, ngā raruraru toto toto rānei ka taea te whakapiki ake i tō tūponotanga. Heoi, ko te nuinga o ngā take ka puta mai kaore he mate o raro.

Nōhea te haere ki te tākuta mō te kolitis ischemic?

Me rapu wawe koe i te tiaki hauora mena ka whanake koe i te mamae o te kopu ohorere me te ruaki toto. Ahakoa he take ke enei tohu, me whakamātautau wawe kia kore ai e puta mai ngā āhuatanga nui.

Waea atu ki tō tākuta inaianei mena ka pā atu ki a koe te mamae o te kopu ohorere, nui rawa atu ki te haere tahi me te paru toto, te paru parauri rānei. Ahakoa kaore te mamae i te nui, ko te whakakotahitanga o te mamae o te kopu me te toto i roto i tō paru he mea tika kia whakamātautauhia e te hauora.

Haere atu ki te ruma ohorere inaianei mena kei a koe ngā tohu o ngā raruraru nui penei i te kirika nui neke atu i te 101°F, te mate wai nui, te mamae o te kopu rānei e kino haere ana. Ka taea e ēnei te tohu kei te nui ake te āhuatanga, ā, e hiahia ana ki te maimoatanga wawe.

Kaua e tatari kia pai ake ngā tohu. Ko te tautuhi wawe me te maimoatanga ka taea te aukati i ngā raruraru, ā, ka āwhina i a koe ki te pai ake i te tere.

He aha ngā take tūponotanga mō te kolitis ischemic?

Ko te tau te take tūponotanga nui rawa atu, ko te nuinga o ngā take kei ngā tāngata neke atu i te 60. I te pakeke haere, ka iti haere te ngawari o ā tatou oko toto, ā, he nui ake te tūponotanga o ngā āhuatanga e pā ana ki te rere o te toto.

He maha ngā āhuatanga hauora ka taea te whakapiki ake i tō tūponotanga:

• Te mate ngakau, te kore rere tika o te ngakau rānei
• Te mate huka e pā ana ki ngā oko toto
• Te toto teitei, te kolesterol teitei rānei
• Ngā toto toto o mua, ngā raruraru toto toto rānei
• Te mate whatukuhu e hiahia ana ki te dialysis
• Ngā āhuatanga autoimmune penei i te lupus
• Te hītori o te pokanga kopu

He wāhi anō ngā take oranga. Ko te whakakino i ngā oko toto puta noa i tō tinana, tae atu ki ngā mea e whakarato ana i tō whekau. Ko te kore mahi tinana, ina koa ki te whakakotahitia ki ētahi atu take tūponotanga, ka taea te whakapiki ake i ō tūponotanga.

Ka taea e ētahi rongoā te whakapiki ake i tō tūponotanga, ina koa ētahi rongoā toto teitei, ngā rongoā mate pūtake, ngā maimoatanga homonal rānei. Mena kei a koe ētahi o ēnei, kaua e mutu te tango i ēnei me te kore e kōrero ki tō tākuta.

Ko te whai i tētahi take tūponotanga, neke atu rānei, kaore e tikanga ka whanake koe i te kolitis ischemic. Ko te nuinga o te iwi me ngā take tūponotanga maha kaore e pā atu ki a rātou, ā, ko ētahi atu me ngā take tūponotanga torutoru ka pā atu.

He aha ngā raruraru pea o te kolitis ischemic?

Ko te nuinga o te iwi me te kolitis ischemic ka ora katoa kaore he raruraru roa. Heoi, he mea nui te mārama ki ngā raruraru pea kia mohio koe ki ngā tohu hei titiro i te wā o tō ora.

Ko ngā raruraru tino noa ko:

• Te whakaiti (stricture) o te whekau ka taea te arahi ki ngā raruraru pūnaha kai tonu
• Te mumura roa e kore e ora katoa
• Te pakaru (pū) i te pakitara o te whekau, he nui te kino engari he onge
• Te toto tonu e hiahia ana ki te maimoatanga atu
• Te hiahia ki te pokanga hei tango i ngā wāhanga kua pakaru o te whekau

He onge ngā raruraru nui, e puta ana i raro iho i te 20% o ngā take. Ina puta mai, he nui ake te tūponotanga i ngā tāngata i whai i te momo gangrenous, i ngā tāngata me ngā raruraru hauora maha rānei.

Ko ngā tohu ka whanake pea ngā raruraru ko te mamae kino ake i muri i te pai ake o te tuatahi, te toto tonu, te kirika, ngā tohu hou rānei penei i te koretake nui. Ka tirotirohia koe e tō tākuta kia kite wawe i ngā raruraru.

Me te maimoatanga tika me te tiaki whai muri, ko te nuinga o te iwi ka karo i ngā raruraru nui katoa. Ahakoa ka puta mai ngā raruraru, ka taea te whakahaere pai i te nuinga o ngā wā me te tiaki hauora tika.

Me pēhea te aukati i te kolitis ischemic?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te kolitis ischemic, ka taea e koe te tango i ngā kaupae hei whakaiti i tō tūponotanga mā te pupuri i te hauora pai me te whakahaere i ngā āhuatanga e pā ana ki tō rere o te toto.

Ko te pupuri i te wai pai tetahi o ngā mea nui rawa atu ka taea e koe te mahi. Ka taea e te mate wai te whakaiti i tō toto, te whakaiti rānei i te rere o te toto ki tō whekau, ina koa i te wā o te mate, te whakakino, te rangi wera rānei.

Ko te whakahaere i ngā āhuatanga hauora o raro ka āwhina i te tiaki i ō oko toto. Ko te tikanga tenei ko te pupuri i tō toto, te huka, te kolesterol rānei i raro i te mana pai me te awhina a tō tākuta. Ko te tango i ngā rongoā kua tohua me te haere ki ngā tirotiro auau he mea tino nui.

Mena ka whakakino koe i te kaha, ina koa te oma tawhiti, kia tino makona koe ki te wai, ā, whakarongo ki tō tinana. Ahakoa he tiaki te whakakino i te nuinga o te wā, ka taea e te mahi kaha te arahi i te kolitis ischemic i roto i ngā tāngata e pā ana.

Kōrero atu ki tō tākuta mō ētahi rongoā e tango ana koe ka pā pea ki te rere o te toto. I etahi wā ka taea te whakamahi i ngā rongoā atu mena kei te nui ake tō tūponotanga, engari kaua rawa e mutu te tango i ngā rongoā kua tohua me te kore e ārahihia e te hauora.

Me pēhea te tautuhi i te kolitis ischemic?

Ka tautuhi ngā tākuta i te kolitis ischemic mā te whakakotahi i ō tohu, te hītori hauora, me ngā whakamātautau motuhake. Ko te tukanga e tīmata ana i te ruma ohorere, i te tari rānei o tō tākuta ina pūrongo koe i te mamae o te kopu me te ruaki toto.

Ka ui tuatahi tō tākuta mō ō tohu, te wā i tīmata ai, me ētahi rongoā e tango ana koe. Ka tirotirohia e rātou tō kopu hei tirotiro i te ngawari, ā, hei whakarongo ki ngā oro whekau noa.

Ka āwhina ngā whakamātautau toto ki te whakakore i ētahi atu āhuatanga, ki te tirotiro rānei i ngā tohu o te mate, te mate toto rānei mai i te toto.

Ko te CT scan o tō kopu te whakamātautau whakaahua tuatahi. Ka taea te whakaatu i te māngere o te pakitara o te whekau, te whakakore rānei i ētahi atu āhuatanga nui penei i te aukati whekau, te pakaru rānei. He tere, he ngawari te scan, ahakoa ka hiahia pea koe ki te inu i te mea whakaatu.

Ko te colonoscopy te whakamātautau tino whakamutunga. I te wā o tēnei tukanga, ka whakamahi tō tākuta i te pūpoi ngawari me te kamera hei titiro tika ki te raina o tō whekau. Ka taea te kite i ngā wāhi mumura, toto, te kiko kua pakaru rānei e whakau ana i te tautuhi.

I etahi wā, ka tono pea tō tākuta i ngā whakamātautau atu penei i ngā scan motuhake hei titiro ki te rere o te toto, ki te whakakore rānei i ētahi atu āhuatanga. Ko ngā whakamātautau motuhake e hiahia ana koe e whakawhirinaki ana ki ō tohu me te tino tika o te tautuhi mai i te whakamātautau tuatahi.

He aha te maimoatanga mō te kolitis ischemic?

Ko te maimoatanga mō te kolitis ischemic e aro ana ki te tautoko i te ora taiao o tō tinana me te aukati i ngā raruraru. Ko te nuinga o te iwi ka pai ake me te maimoatanga māori kaore e hiahia ki te pokanga.

Ko te taahiraa tuatahi ko te okioki whekau, ko te tikanga tenei ka whiwhi pea koe i ngā wai mā te IV i te wā e karo ana i te kai mō te rā, rua rānei. Ka hoatu tenei ki tō whekau te wā hei ora me te kore e pēhi i te kai.

Ka tirotirohia koe e tō rōpū hauora i te hohipera, ka tirotirohia ō tohu ora, ngā tau toto, me ngā tohu. Ka āwhina te rongoā mamae ki te pupuri i a koe i te ngāwari, ā, ka āwhina ngā wai IV ki te aukati i te mate wai me te tautoko i tō rere o te toto.

Ka tohua pea ngā rongoā mate huaketo mena he awangawanga mō te mate, ahakoa kaore e hiahiatia i ngā take katoa. Ka whakatau tō tākuta i tēnei i runga i tō āhuatanga motuhake me ngā hua whakamātautau.

Mena kei a koe te momo gangrenous nui ake, mena ka puta mai ngā raruraru rānei, ka hiahiatia pea te pokanga. Ka uru pea tenei ki te tango i te wāhanga kua pakaru o te whekau, engari e hiahiatia ana tenei i raro iho i te 20% o ngā take.

Ko te nuinga o te iwi ka tīmata te pai ake i roto i ngā rā 2-3, ā, ka taea te hoki haere ki te kai. Ko te ora e toru wiki te roa mō ngā take ngawari, ahakoa he roa ake te hiahia o ētahi i runga i te nui o te pakaru.

Me pēhea te whakahaere i te maimoatanga kāinga i te wā o te ora mai i te kolitis ischemic?

Kia rite koe ki te haere ki te kāinga, ko te whai i ngā tohutohu a tō tākuta ka āwhina i te whakarite i te ora tika me te aukati i ngā raruraru. Ko te nuinga o te iwi ka taea te whakahaere i tō rātou ora i te kāinga me ētahi tūpato nui.

Tīmatahia me ngā wai mā, ā, haere haere ki ngā kai ngawari, ngāwari ki te kai i te wā e tūtohutia ana e tō tākuta. Kaua e kai i ngā kai nui-waikōura, ngā kai kawa, me ētahi atu mea ka taea te whakakino i tō whekau e ora ana mō ngā wiki tuatahi.

Kia makona koe ki te inu i te wai i te rā katoa. Ko tō whekau e hiahia ana ki te wai tika kia ora tika ai, ā, ka taea e te mate wai te whakaiti i tō āhuatanga, te whakaiti rānei i te ora.

Tangohia ngā rongoā kua tohua penei i te tohutohu, tae atu ki ngā kai whakaora mamae, ngā rongoā mate huaketo rānei. Kaua e mutu ngā rongoā mate huaketo wawe ahakoa kei te pai ake koe, i te mea ka arahi pea tenei ki te maimoatanga kore katoa.

Tirohia ngā tohu whakatūpato e hiahia ana ki te tiaki hauora tonu: te mamae o te kopu kino ake, te kirika neke atu i te 100.4°F, te toto nui ake, te kore rānei e taea te pupuri i ngā wai. Ka taea e ēnei te tohu i ngā raruraru e hiahia ana ki te maimoatanga wawe.

Kaua e mahi kaha mō ngā wiki maha i te wā e ora ana tō whekau. Ko te hikoi māori te nuinga o te wā, ā, ka taea te āwhina ki te ora, engari tirohia ki tō tākuta mō te wā e tika ana te hoki ki ngā mahi noa.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āwhina i tō tākuta ki te whakarite i te tautuhi tika me te whakawhanake i te mahere maimoatanga pai. Kohikohia ngā korero nui i mua i to haere kia pai ai tō toro.

Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai, te kaha o rātou, me te mea e pai ake ai rātou, e kino ake rānei. Tātarihia ngā huringa i roto i ō mahi whekau, tae atu ki te tae, te āhua, te auau rānei.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā kua tohua, ngā rongoā-kaute-i-rū, ngā taapiri, me ngā huaora. Tāpirihia ngā horopeta me te roa o tō tango i ia mea.

Whakaritea he whakarapopototanga o tō hītori hauora, tae atu ki ētahi atu raruraru kopu, ngā pokanga, ngā āhuatanga ngakau, ngā raruraru toto toto rānei. Ka āwhina tēnei korero papamuri i tō tākuta ki te mārama ki ō take tūponotanga.

Tuhia ngā pātai e hiahia ana koe ki te ui, penei i ngā whakamātautau pea e hiahia ana koe, te roa o te ora, ngā mahi rānei me karo. Ko te tuhi i ēnei ka whakarite kia kaua e wareware i ngā awangawanga nui i te wā o te hui.

Mena ka taea, kawe mai i tētahi mema whānau, hoa rānei ka taea te āwhina ki te maumahara i ngā korero me te whakarato i te tautoko. Ka taea e ngā hui hauora te ahotea, ā, he āwhina te whai i tētahi ki a koe.

He aha te mea nui mō te kolitis ischemic?

Ko te kolitis ischemic he āhuatanga ka pakaru te rere o te toto i tō whekau, engari he pai te tirohanga i te nuinga o te wā me te maimoatanga tika. Ko te nuinga o te iwi ka ora katoa i roto i ngā wiki torutoru kaore he raruraru roa.

Ko te mea nui rawa atu hei maumahara ko te mamae o te kopu ohorere me te ruaki toto e hiahia ana ki te tiaki hauora tonu. Ko te tautuhi wawe me te maimoatanga ka aukati i ngā raruraru, ā, ka āwhina i a koe ki te pai ake i te tere.

Ahakoa he āhuatanga nui te ahua o te āhuatanga, ko te nuinga o ngā take he ngawari, ā, ka ora pai me te tiaki tautoko. He onge te hiahia ki te pokanga, ā, ko te nuinga o te iwi ka hoki ki ō rātou mahi noa i roto i ngā wiki torutoru.

Aro atu ki te pupuri i te hauora pai kia whakaiti ai i tō tūponotanga, kia makona ki te wai, kia whakahaere rānei i ētahi atu āhuatanga mate roa kei a koe. Mena ka whanake koe i te kolitis ischemic, ko te whai i te mahere maimoatanga a tō tākuta ka hoatu ki a koe te tūponotanga pai rawa atu mō te ora katoa.

Ngā pātai e ui pinepinetia ana mō te kolitis ischemic

Q1: Ka hoki mai te kolitis ischemic i muri i toku ora?

Ko te nuinga o te iwi e ora ana i te kolitis ischemic kaore e pā atu ano. He onge te hokinga mai, e puta ana i raro iho i te 10% o ngā take. Heoi, mena kei a koe ngā take tūponotanga tonu penei i te mate ngakau, te tango rānei i ētahi rongoā, ka kōrero pea tō tākuta i ngā huarahi hei whakaiti i ō tūponotanga kia kaua e puta mai ano.

Q2: E hia te roa o te ora katoa mai i te kolitis ischemic?

Ka rerekē te wā ora i runga i te kaha o tō take. Ko te nuinga o te iwi me te kolitis ischemic ngawari ka pai ake i roto i ngā rā 2-3, ā, ka ora katoa i roto i te 1-2 wiki. Ka roa pea ngā take nui ake i ngā wiki ki ngā marama, ina koa mena ka puta mai ngā raruraru, te hiahia rānei ki te pokanga.

Q3: Ka taea e au te whakakino noa i muri i te ora mai i te kolitis ischemic?

Ka taea e koe te hoki ki te whakakino noa ina tukuna koe e tō tākuta, i roto i ngā wiki torutoru o te ora. Tīmatahia haere haere, kia makona ki te wai, ina koa i ngā mahi kaha. Mena he kaiwhakaoma tawhiti koe, te mahi rānei i te whakakino kaha rawa, kōrero atu ki tō tākuta mō ngā tūpato i te mea ka arahi pea enei mahi i te kolitis ischemic i roto i ngā tāngata e pā ana.

Q4: He kai kei te karo i muri i te kolitis ischemic?

I te wā o te ora, me karo koe i ngā kai nui-waikōura, kawa, ngāwari rānei ki te kai. Kia ora katoa koe, ka taea te hoki ki te kai noa. Ka kite etahi i te nui o ngā kai nui-waikōura, i ngā mea i arahi i mua ki te mamae o te pūnaha kai, me kai iti, engari ko te nuinga o ngā herenga kai he mea wawe.

Q5: Me manukanuka pea ahau mō te mate pukupuku whekau i muri i te kolitis ischemic?

Kaore te kolitis ischemic e whakapiki ake i tō tūponotanga ki te whanake i te mate pukupuku whekau. Heoi, ka tūtohu pea tō tākuta i ngā colonoscopies whai muri kia whakarite kia ora pai tō whekau, ki te tirotiro rānei mō ētahi atu āhuatanga i runga i ngā aratohu noa mō tō roopu tau. Koinei te tiaki ārai noa, ehara i te mea he nui ake te tūponotanga o te mate pukupuku.