He aha ngā pūngāwerewere pancreatic? Ngā tohu, ngā take, me te rongoā

Ko ngā pūngāwerewere pancreatic he putea kapi i te wai e whānau ana i roto i te pancreas, i runga rānei i tō pancreas, te kōpū kei muri i tō puku e āwhina ana ki te whakahaere i te kai me te huka toto. Ko te nuinga o ngā pūngāwerewere pancreatic he pai (kāore i te mate pukupuku) ā, kāore e puta he tohu, ā, ko te tikanga he maha ngā tāngata kei a rātou me te kore rawa e mōhio.

He maha atu ngā pūngāwerewere nei i te mea ka whakaaro koe, e pā ana ki te 2-3% o ngā pakeke. Ko te rongo pai, ko te nuinga o rātou kāore he kino, ā, kāore e hiahiatia he rongoā. Heoi, ko te mārama ki te aha rātou me te wā hei awangawanga ka taea te āwhina i a koe ki te whakatau i ngā whakatau e pā ana ki tō hauora.

He aha ngā tohu o ngā pūngāwerewere pancreatic?

Ko te nuinga o ngā pūngāwerewere pancreatic kāore e puta he tohu, koia te take i kitea ai rātou i te wā o ngā whakamātautau whakaahua mō ētahi atu āhuatanga. Ki te puta mai ngā tohu, ko te nuinga ka hono atu ki te rāhi o te pūngāwerewere, ki tōna wāhi rānei.

Ko ēnei ngā tohu ka pā atu ki a koe ki te nui haere te pūngāwerewere pancreatic kia puta ai ngā raruraru:

• Te mamae o te puku e mau tonu ana, inā te nuinga i tō puku runga, i tō tua rānei
• Te ruaki, te ruaki rānei e kore e rite ki ētahi atu take
• Te ngawari ki te makona i te kai
• Te pupuhi o te puku, te ngawari ki te makona rānei
• Ngā huringa i ngā nekehanga o te whekau

Kaore e tino kitea, ka pēhi pea ngā pūngāwerewere nui ki ngā kōpū tata atu, ki ngā ngongo bile rānei, e puta ai te jaundice (te kōwhai o te kiri me ngā kanohi) me ngā raruraru o te whakahaere kai. Ki te pā atu ki a koe te mamae o te puku e mau tonu ana, ki tetahi atu whakakotahitanga rānei o ēnei tohu, he mea tika kia kōrero ki tō kaiwhakarato hauora.

He aha ngā momo pūngāwerewere pancreatic?

He maha ngā momo pūngāwerewere pancreatic rerekē, ā, ko te mārama ki te momo kei a koe ka āwhina i te whakatau i te huarahi pai hei aroturuki, hei rongoā rānei. Ka taea e tō tākuta te tautuhi i te momo mā te whakaahua, me ētahi atu whakamātautau pea.

Ko ēnei ngā momo tino noa:

• Pseudocysts: Ka whānau ēnei i muri i te pancreatitis (te mumura o te pancreas) ā, kei roto ngā pūngāwerewere kai, kāore i te wai pūngāwerewere pono
• Ngā pūngāwerewere serous: Ngā pūngāwerewere kapi i te wai pai, kāore e tino mate pukupuku
• Ngā pūngāwerewere mucinous: Ka whakaputa ēnei i te wai māori, māori, ā, he iti te tūponotanga o te mate pukupuku i te wā
• Ngā neoplasms mucinous papillary intraductal (IPMNs): Ngā pūngāwerewere e whānau ana i ngā ngongo pancreatic ā, e hiahiatia ana te aroturuki tata

He rerekē ngā āhuatanga me ngā taumata tūponotanga o ia momo. Ko ngā pūngāwerewere serous he pai tonu, engari ko ngā pūngāwerewere mucinous me ngā IPMNs pea ka hiahia kia aroturukihia atu, no te mea he iti te tūponotanga o te whānautanga hei mate pukupuku i roto i ngā tau maha.

He aha ngā take o ngā pūngāwerewere pancreatic?

Ka taea te whānautanga o ngā pūngāwerewere pancreatic mō ngā take maha, ā, i etahi wā kāore i te mārama te take pono. Ko te mārama ki ngā take pea ka taea te āwhina i a koe me tō tākuta ki te whakatau i te huarahi aroturuki pai.

Ko ēnei ngā take tino noa:

• Pancreatitis: Te mumura o te pancreas, te nuinga mai i ngā kohatu gallstones, i te inu waipiro nui rānei, ka taea te arahi ki te hanganga pseudocyst
• Ngā take ira: Ka riro i ētahi tāngata te hiahia ki te whānau i ētahi momo pūngāwerewere pancreatic
• Ngā huringa e pā ana ki te tau: I te pakeke haere, ka taea te whānautanga o ngā pūngāwerewere iti i roto i te pancreas
• Ngā ngongo pancreatic kua ārai: Ki te kore e pai te rere, ka taea te kohikohi o te wai, te hanganga pūngāwerewere rānei

I te nuinga o ngā wā, ka puta mai ngā pūngāwerewere pancreatic me te kore he whakaohooho, he āhuatanga taketake rānei e taea te tautuhi. Kāore tēnei e whakaatu ana he he tetahi mea ki tō hauora whānui. I etahi wā, ka whānau noa ēnei pūngāwerewere hei wāhanga o te pakeketanga noa, o ngā huringa iti rānei i roto i te kōpū pancreatic.

Nō hea te kite i te tākuta mō ngā pūngāwerewere pancreatic?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te pā atu ki a koe te mamae o te puku e mau tonu ana, inā te nuinga ki te haere tahi me ētahi atu tohu. Ka taea e te aromatawai wawe te āwhina i te whakatau mehemea e hiahiatia ana ngā whakamātautau atu.

Rapua te tiaki hauora ki te kite koe:

• Te mamae o te puku e mau tonu ana e roa atu i ngā rā torutoru
• Te ruaki me te ruaki e āwangawanga ana i te kai, i te inu rānei
• Te kōwhai o tō kiri, o ō kanohi rānei (jaundice)
• Te ngaro o te taumaha kaore i te whakamārama
• Ngā huringa i te tae, i te āhua rānei o tō paru

Ki te kua whakatauhia kētia koe ki ngā pūngāwerewere pancreatic, whai i te kaupapa aroturuki a tō tākuta. Ko te nuinga o ngā pūngāwerewere e hiahia ana ki te whakaahua waatea hei whakarite kia mau tonu rātou, kāore hoki e tipu haere, kāore hoki e huri i ngā huarahi e awangawanga ana.

He aha ngā take tūponotanga mō ngā pūngāwerewere pancreatic?

He maha ngā take ka taea te whakapiki i tō tūponotanga ki te whānautanga o ngā pūngāwerewere pancreatic, ahakoa ko te whai i ngā take tūponotanga kāore e whakaatu ana ka whānau pono koe. Ko te mārama ki ēnei take ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau e pā ana ki te whakamātautau, ki te aroturuki rānei.

Ko ēnei ngā take tūponotanga noa:

• Te tau: Ka noa ake ngā pūngāwerewere i te pakeke haere, inā te nuinga i muri i te 40 tau
• Te ira tangata: He iti te tūponotanga o ngā wāhine ki te whānau i ētahi momo pūngāwerewere pancreatic
• Te hītori whānau: Ko te whai whānau e whai ana i ngā pūngāwerewere pancreatic, i te mate pukupuku pancreatic rānei ka taea te whakapiki i tō tūponotanga
• Pancreatitis o mua: Ko te hītori o te mumura o te pancreas ka whakapiki i te tūponotanga pseudocyst
• Ngā mate ira: Ngā āhuatanga ira e kore e tino kitea penei i te mate von Hippel-Lindau

Ko te whai i tetahi take tūponotanga, i te maha atu rānei kāore e whakaatu ana kua whakaritea koe ki te whānautanga o ngā pūngāwerewere pancreatic. He maha ngā tāngata e whai ana i ngā take tūponotanga kāore e whānau pūngāwerewere, ā, ko ētahi atu kāore he take tūponotanga e kitea ana ka whānau.

He aha ngā raruraru pea o ngā pūngāwerewere pancreatic?

Ahakoa ko te nuinga o ngā pūngāwerewere pancreatic e noho pai ana i roto i tō oranga, he mea nui te mārama ki ngā raruraru pea kia taea ai te mohio ki te wā hei rapu i te tiaki hauora. Ko te rongo pai, ko ngā raruraru kino he iti te noa.

Ko ēnei ngā raruraru pea:

• Te mate: Ka taea e ngā pūngāwerewere te mate i etahi wā, e puta ai te kirika, te mamae nui haere, te kore pai rānei
• Te pakaru: Ka taea e ngā pūngāwerewere nui te pakaru i etahi wā, e puta ai te mamae o te puku nui, ohorere
• Te ārai: Ka taea e ngā pūngāwerewere e tipu haere ana te pēhi ki ngā kōpū tata atu, ki ngā ngongo bile rānei
• Te huringa kino: He iti te tūponotanga o ētahi momo pūngāwerewere ki te riro hei mate pukupuku i te wā

Ko te tūponotanga o ngā raruraru he rerekē rawa te nui i runga i te momo, te rāhi, me ngā āhuatanga o tō pūngāwerewere motuhake. Ka aromatawaihia ēnei take e tō tākuta hei whakatau i ngā wā aroturuki tika, mehemea he aha ngā mahi aukati e tūtohutia ana.

Me pēhea te aukati i ngā pūngāwerewere pancreatic?

Aroha mai, kāore he huarahi kua whakamāramahia hei aukati i te nuinga o ngā pūngāwerewere pancreatic, no te mea ka whānau noa rātou i runga i ngā take ira, i ngā tukanga pakeketanga noa rānei. Heoi, ka taea e koe te mahi i ngā mahi hei pupuri i te hauora whānui o te pancreas.

Hei tautoko i tō hauora pancreatic:

• Whakaitihia te inu waipiro hei whakaiti i te tūponotanga pancreatitis
• Pupurihia he taumaha hauora mā te kai tōtika me te whakakori tinana auau
• Kaua e whakakī, no te mea ka whakapiki te whakakī i te tūponotanga o te mate pancreatic
• Whakahaerehia te mate huka pai ki te whai koe
• Whakaorangia te mate kohatu gallstone kia tere ai te aukati i te pancreatitis

Ahakoa kāore ēnei mahi e taea te whakamana kaore koe e whānau pūngāwerewere pancreatic, ka tautoko rātou i te hauora whānui o te pancreas, ā, ka taea te whakaiti i tō tūponotanga ki te whānautanga o ngā momo pūngāwerewere e hangai ana i muri i te pancreatitis.

Me pēhea te tautuhi i ngā pūngāwerewere pancreatic?

Ko te nuinga o ngā pūngāwerewere pancreatic ka kitea i ngā whakamātautau whakaahua i mahia mō ētahi atu take, no te mea ko te nuinga kāore e puta he tohu. Kia kitea te pūngāwerewere, ka whakamahi tō tākuta i ngā whakamātautau atu hei tautuhi i ōna āhuatanga, mehemea e hiahiatia ana te aroturuki.

Ko te tukanga tautuhi e whakauru ana ki te nuinga:

• Te kara CT, te MRI rānei: Ka whakaatu ēnei whakamātautau whakaahua taipitopito i te rāhi o te pūngāwerewere, te wāhi, me te hanganga o roto
• Te ultrasound endoscopic (EUS): Ka whakarato he tirohanga tata te tirohanga motuhake, ā, ka taea te tātaritanga wai pūngāwerewere ki te hiahiatia
• Ngā whakamātautau toto: Ka taea e ētahi tohu i roto i tō toto te whakarato i ngā tohu e pā ana ki te momo pūngāwerewere
• Te tātaritanga wai pūngāwerewere: Ki te tātaritanga te wai, ka taea e te tātaritanga taiwhanga te āwhina i te tautuhi i te momo pūngāwerewere

Ka tīpako tō tākuta i ngā whakamātautau tino tika i runga i tō āhuatanga motuhake. Kāore te katoa e hiahia ana ki ēnei whakamātautau katoa. Ko te whāinga ko te kohikohi i ngā mōhiohio nui hei whakatau mehemea e hiahiatia ana te aroturuki i te pūngāwerewere, me te auau o te whakaahua whai muri.

He aha te rongoā mō ngā pūngāwerewere pancreatic?

Ko te rongoā mō ngā pūngāwerewere pancreatic e whakawhirinaki ana ki te momo, te rāhi, ngā tohu, me ngā āhuatanga tūponotanga o tō pūngāwerewere motuhake. Ko te nuinga o ngā pūngāwerewere pancreatic e hiahia ana ki te aroturuki anake, kāore i te rongoā mahi.

Ko ēnei ngā whiringa rongoā:

• Te tatari atawhai: Te whakaahua auau hei aroturuki i ngā pūngāwerewere iti tūponotanga
• Ngā tukanga whakaheke: Mō ngā pseudocysts tohu, ngā pūngāwerewere kua pangia rānei
• Te tango pokanga: Mō ngā pūngāwerewere e whai ana i ngā āhuatanga e awangawanga ana, i te tūponotanga mate pukupuku teitei rānei
• Te whakaheke endoscopic: Te whiringa iti-whakauru mō ētahi momo pūngāwerewere

Ko te nuinga o ngā tāngata e whai ana i ngā pūngāwerewere pancreatic kāore rawa e hiahia ana ki te pokanga, ki ngā tukanga whakauru rānei. Ka hanga e tō rōpū hauora te mahere aroturuki whaiaro i runga i ngā āhuatanga motuhake o tō pūngāwerewere me tō āhuatanga hauora whānui.

Me pēhea te whakahaere i ngā pūngāwerewere pancreatic i te kāinga?

Ki te whai koe i ngā pūngāwerewere pancreatic e kore e hiahia ana ki te rongoā tere, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō hauora whānui, hei aroturuki rānei mō ētahi huringa. Ko te matua ko te pupuri i te kōrero pai me tō rōpū hauora.

Ko ēnei ngā rautaki whakahaere kāinga:

• Pupurihia he puka tohu hei aroturuki i tetahi mamae o te puku, i ngā huringa o te whakahaere kai rānei
• Whai i ō huihuinga whakaahua e whakaritea ana
• Pupurihia he kai hauora e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa
• Noho makuku, whakaitihia te inu waipiro
• Tangohia ngā rongoā kua tohua e rite ana ki ngā tohutohu

Tātai atu ki tō tinana, whakamōhio atu ki tō tākuta tetahi tohu hou, te kino haere rānei. Ahakoa ko te nuinga o ngā pūngāwerewere pancreatic e noho pumau ana, ko te noho mataara ka āwhina i te whakarite kia kitea wawe ngā huringa.

Me pēhea te whakarite mō tō huihuinga tākuta?

Ko te whakarite mō tō huihuinga e pā ana ki ngā pūngāwerewere pancreatic ka taea te āwhina i a koe ki te whiwhi i te nuinga o tō haerenga, hei whakarite hoki kei a tō tākuta ngā mōhiohio katoa e hiahiatia ana hei whakarato i te tiaki pai. Ko te whakarite pai ka ārahi ki ngā kōrero hua ake.

I mua i tō huihuinga:

• Tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou, me te aha e pai ake ai rātou, te kino ake rānei
• Rārangihia ngā rongoā, ngā taapiri, me ngā huaora katoa e tangohia ana e koe
• Kohikohia ngā ripoata whakaahua o mua, ngā hua whakamātautau rānei
• Whakaritea ngā pātai e pā ana ki tō momo pūngāwerewere motuhake me te mahere aroturuki
• Kawea mai tetahi mema whānau, tetahi hoa rānei ki te hiahia koe ki te tautoko i te wā o te huihuinga

Kaua e whakaroa ki te ui pātai e pā ana ki tetahi mea kaore koe e mārama. E hiahia ana tō rōpū hauora kia mōhio koe, kia pai hoki te noho i tō mahere tiaki. Ko te mārama ki tō āhuatanga ka āwhina i a koe ki te whai wāhi mahi i ō whakatau hauora.

He aha te mea nui e pā ana ki ngā pūngāwerewere pancreatic?

Ko te mea nui rawa hei mahara e pā ana ki ngā pūngāwerewere pancreatic, ko te nuinga o rātou he pai, kāore hoki e puta he raruraru. Ko te whai pūngāwerewere pancreatic kāore e whakaatu ana kei a koe te mate pukupuku, ka whānau rānei koe i te mate pukupuku i te wā kei te heke mai.

Ko te nuinga o ngā pūngāwerewere pancreatic ka kitea i te wā, ā, e hiahiatia ana te aroturuki waatea anake me ngā whakamātautau whakaahua. Ka whakatau tō rōpū hauora i te kaupapa whai muri e tika ana i runga i ngā āhuatanga motuhake o tō pūngāwerewere. Ko te whai i ngā aratohu aroturuki e tūtohuhia ana ka āwhina i te whakarite kia kitea wawe ngā huringa.

Me te tirotiro hauora tika, ko te nuinga o ngā tāngata e whai ana i ngā pūngāwerewere pancreatic e noho ana i ngā oranga noa, hauora. Ko te matua ko te pupuri i te kōrero whakatuwhera ki ō kaiwhakarato hauora, me te whai i tō mahere aroturuki e tūtohutia ana.

Ngā pātai e ui pinepinetia ana e pā ana ki ngā pūngāwerewere pancreatic

Ka taea te huri o ngā pūngāwerewere pancreatic hei mate pukupuku?

Ko te nuinga o ngā pūngāwerewere pancreatic kāore e riro hei mate pukupuku. Ko ngā pūngāwerewere serous kāore e tino huri hei mate pukupuku, ā, ko ngā pūngāwerewere mucinous me ngā IPMNs he iti te tūponotanga o te huringa kino i roto i ngā tau maha. Ka aromatawaihia e tō tākuta tō momo pūngāwerewere motuhake, ā, ka tūtohu i te aroturuki tika hei kite wawe i ngā huringa e awangawanga ana.

E hiahia ana ahau ki te pokanga mō taku pūngāwerewere pancreatic?

Ko te nuinga o ngā tāngata e whai ana i ngā pūngāwerewere pancreatic kāore e hiahia ana ki te pokanga. Ko te pokanga e tūtohuhia ana te nuinga mō ngā pūngāwerewere e puta mai ana ngā tohu nui, e whakaatu ana i ngā āhuatanga e awangawanga ana i te whakaahua, i te tūponotanga teitei rānei ki te riro hei mate pukupuku. Ka kōrero tō tākuta i ngā whiringa pokanga ki te hiahiatia ana mō tō āhuatanga motuhake.

Me pehea te auau o te whakaahua whai muri?

Ko ngā kaupapa whakaahua whai muri e rerekē ana i runga i tō momo pūngāwerewere, te rāhi, me ngā āhuatanga. Ko ngā pūngāwerewere iti tūponotanga pea ka aroturukihia ia 1-2 tau, ā, ko ngā pūngāwerewere nui tūponotanga pea ka hiahia kia whakaahuahia atu. Ka hanga e tō tākuta te mahere aroturuki whaiaro i runga i ngā aratohu hauora o nāianei me ō take tūponotanga motuhake.

Ka taea e ahau te aukati i te tipu o taku pūngāwerewere pancreatic?

Kāore he huarahi kua whakamāramahia hei aukati i te tipu o ngā pūngāwerewere pancreatic, no te mea ko ngā tauira tipu e whakawhirinaki ana ki ngā āhuatanga o roto o te pūngāwerewere. Heoi, ko te pupuri i te hauora whānui o te pancreas mā te kai tōtika, te whakaiti i te waipiro, me te kore e whakakī ka tautoko i tō oranga whānui, ā, ka taea te āwhina i te whakaiti i te mumura ka pā pea ki te whānautanga pūngāwerewere.

Me huri e ahau taku kai ki te whai ahau i ngā pūngāwerewere pancreatic?

Ko te nuinga o ngā tāngata e whai ana i ngā pūngāwerewere pancreatic kāore e hiahia ana ki ngā herenga kai motuhake. Heoi, ko te pupuri i te kai hauora, tōtika ka tautoko i te hauora whānui o te pancreas. Ki te hono atu ō pūngāwerewere ki te pancreatitis, pea ka tūtohu tō tākuta ki te whakaiti i te waipiro me te whai i te kai iti ngako. Kōrerohia ngā huringa kai ki tō kaiwhakarato hauora i mua i te mahi i ngā whakarerekētanga nui.