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

Ko ngā mate pūngāwerewere pūtake he ōngākau e tupu ana i roto i tō pūtake pūngāwerewere, he hanganga iti engari kaha kei raro i tō roro. Ko te nuinga o ēnei mate pūngāwerewere he pai, ā, ko te tikanga, ehara i te mate pukupuku, kāore hoki e horapa ki ētahi atu wāhanga o tō tinana.

Ko tō pūtake pūngāwerewere te mahi rite ki te pokapū whakahaere homoni o tō tinana, e whakaputa ana i ngā matū e whakahaere ana i ngā mea katoa mai i te tipu tae atu ki te whānau. Ka puta mai tētahi mate pūngāwerewere i konei, ka taea e ia te pēhi i ngā kōpū e karapotia ana, te whakaroa rānei i tō mahi homoni noa, ka arahi ki ngā tohu maha ka kore pea e hono atu i te tīmatanga.

He aha ngā tohu o ngā mate pūngāwerewere pūtake?

Ko ngā tohu o te mate pūngāwerewere pūtake e whakahaeretia ana e te rahi o te mate pūngāwerewere me te pānga rānei ki ō taumata homoni. He tokomaha ngā tāngata e noho ana me ngā mate pūngāwerewere iti kaore e mohio ana kei a rātou, ā, ko ētahi atu ka kite i ngā huringa mārama i o rātou oranga o ia rā.

Ka nui haere ngā mate pūngāwerewere kia pēhi ki ngā hanganga e tata ana, ka kite pea koe i ngā mea e kiia ana e ngā tākuta he tohu 'mass effect'. Ka puta ēnei na te mea ka pehia e te mate pūngāwerewere e tupu ana ngā wāhi nui e karapotia ana tō pūtake pūngāwerewere.

• Ngā mamae o te mahunga e mau tonu ana, he rerekē i ngā mamae o te mahunga noa
• Ngā raruraru tirohanga, inā te ngaro o te tirohanga taha, te kite rānei rua
• Te ruaki me te ruaki ka puta mai i te koretake
• Te wiriwiri, te raru rānei o te taurite
• Te ngenge kaore e pai ake me te okioki

Ka puta mai ngā tohu e pā ana ki te homoni ina nui rawa te whakaputa a ngā mate pūngāwerewere i ētahi homoni, te aukati rānei i tō pūtake pūngāwerewere ki te hanga i te nui. Ka taea e ēnei tohu te ngāwari, ka whanake haere i roto i ngā marama, ngā tau rānei.

Mēnā ka whakaputa tō mate pūngāwerewere i te homoni tipu nui, ka kite pea koe i ō ringa, waewae, i ngā āhuatanga o tō mata e nui haere ana. Ko tēnei āhuatanga, e kiia ana ko te acromegaly, ka taea hoki te arahi ki te mamae o ngā hononga, te apnea moe, me ngā huringa i tō reo.

Ko ngā mate pukupuku e hanga ana i te nui o te prolactin ka taea te whakaiti i ngā wā o te marama mō ngā wāhine, te whakangote waiū u i te wā e kore e tika ana, me te heke o te hiahia mo te moe i ngā tāne me ngā wāhine. Ka pā pea ngā tāne ki te ngoikore o te whakaohooho, ki te pupuhi rānei o te u.

Ina hanga e ngā mate pukupuku te nui o te homoni whakaohooho-cortisol, ka puta pea te mate e kiia nei ko te mate a Cushing. Ka āhei tenei ki te nui haere o te taumaha i te taha o waenganui, ngā tohu totika kikorangi, te toto teitei, me ngā huringa ngākau penei i te pouri, te manukanuka rānei.

Ka iti te puta, ka hanga e ētahi mate pukupuku te nui o te homoni whakaohooho-thyroid, e puta ai ngā tohu rite ki te hyperthyroidism penei i te tere o te ngākau, te ngaro o te taumaha, te manukanuka, me te uaua ki te moe.

He aha ngā momo mate pukupuku pituitary?

Ka wehea ngā mate pukupuku pituitary ki ētahi huarahi matua e rua: i runga i tō rātou rāhi, ā, i runga rānei i te mea ka hanga homoni rātou. Ko te mārama ki ēnei wāhanga ka āhei i tō tākuta te whakatau i te huarahi ārai pai mō tō āhuatanga motuhake.

I runga i te rāhi, ka wehea e ngā tākuta ēnei mate pukupuku hei microadenomas, hei macroadenomas rānei. Ko ngā microadenomas he iti iho i te 10 millimita, ā, ka kore pea e puta ngā tohu e kitea ana. Ko ngā macroadenomas he nui atu i te 10 millimita, ā, he tino āhei ki te puta ngā raruraru homoni me ngā tohu pehanga.

Ko ngā mate pukupuku mahi ka hanga homoni, engari ko ngā mate pukupuku kore-mahi kaore e hanga homoni nui, engari ka taea tonu te puta he raruraru mā te nui haere o te tipu kia pēhi ki ngā hanganga o te taha.

Ko ngā prolactinomas te momo mate pukupuku pituitary mahi tino noa, e whakaatu ana i te 40% o ngā mate pukupuku pituitary katoa. Ka hanga ēnei mate pukupuku te nui o te prolactin, te homoni e whakahaere ana i te hanga waiū u.

Ko ngā mate pukupuku e tukuna ana te homoni tipu ka puta te gigantism ki ngā tamariki, te acromegaly rānei ki ngā pakeke. He iti ake te noa o ēnei mate pukupuku, engari ka taea te puta he nui ngā huringa tinana ki te kore e ārai.

Ko ngā mate pūngāwerewere e tukuna ana te hormone adrenocorticotropic nui rawa atu, ā, ka ara ake te mate a Cushing. Ko ēnei pūngāwerewere he iti noa te nuinga, engari ka tino pā ki te pūnaha whakautu ahotea o tō tinana.

Ko te kore noa iho, ka tūtaki pea koe ki ngā mate pūngāwerewere e tukuna ana te hormone TSH e pā ana ki te hyperthyroidism, te rānei ngā mate pūngāwerewere e tukuna ana te gonadotropin e pā ana ki ngā hormone whakaputa uri. Ko ēnei momo he iti iho i te 5% o ngā mate pūngāwerewere katoa o te pituitary.

He aha ngā take o ngā mate pūngāwerewere pituitary?

Ko te take tika o te nuinga o ngā mate pūngāwerewere pituitary kāhore ano i te mōhiotia, ā, ka raru pea tēnei ina rapu koe i ngā whakautu. Heoi, kua kitea e ngā kairangahau etahi take pea e āhei ana te whakaputa i ō rātou whanaketanga.

Ko te nuinga o ngā mate pūngāwerewere pituitary ka puta mai anake na ngā huringa ira tōtika i roto i ngā pūtau pituitary. Ko ēnei huringa ka whakaeke i ngā pūtau ki te tipu me te wehe atu i te noa, ā, ka puta mai he mate pūngāwerewere.

I roto i ngā take onge, ko ngā mate pūngāwerewere pituitary ka waiho hei wāhanga o ngā mate ira tūturu. Ko te Multiple Endocrine Neoplasia momo 1 (MEN1) te mea tino noa o ēnei āhuatanga, ā, e pā ana ki te 1 i roto i ngā tangata 30,000.

Ko te mate a McCune-Albright tētahi atu āhuatanga ira onge e āhei ana te whakauru i ngā mate pūngāwerewere pituitary, me ngā āhuatanga koiwi me ngā huringa tae kiri. Ko tēnei mate e pā ana ki te iti iho i te 1 i roto i ngā tangata 100,000.

Ko te Carney complex he āhuatanga ira tūturu tino onge e āhei ana te whakaputa i ngā momo mate pūngāwerewere maha, tae atu ki ngā adenomas pituitary. He torutoru rau noa ngā take kua pūrongotia puta noa te ao.

Ko ētahi rangahau e kī ana pea ka piki ake te tūponotanga o te whanaketanga o ngā mate pūngāwerewere pituitary, engari kāhore tēnei hononga i whakamāramahia. Kāhore ngā take taiao me ngā whiringa oranga e tino pā ana ki te whanaketanga o te mate pūngāwerewere.

Nōhea te haere ki te taote mō ngā mate pūngāwerewere pituitary?

Mēnā ka mau tonu ngā tohu e āhei ana te tohu i te mate pukupuku pūtake, me whakapiri atu koe ki tō kaiwhakarato hauora. Ko te kite wawe te nuinga o te wā ka ārahi ki ngā hua rongoā pai ake, ā, ka taea te aukati i ngā raruraru.

Rapua te tiaki hauora mena ka puta mai he mate pōtae nui, mau tonu, he rerekē te ahua mai i ngā mate pōtae i pā mai ki a koe i mua. He mea nui tēnei, ina koa ki te haere tahi ngā mate pōtae me ngā huringa tirohanga, me te ruaki.

Ko ngā raruraru tirohanga e hiahia ana ki te aromatawai wawe, ina koa ki te kite koe kei te tūtaki koe ki ngā mea kei ō taha, kei te raruraru rānei koe ki te tirohanga taha. Ka taea e ēnei huringa te tohu kei te pēhi te mate pukupuku ki ō ngā pūtau tirohanga.

Me kite ngā wāhine ki tō rātou tākuta mō ngā wā o te marama kaore e taea te whakamārama e ētahi atu take, ina koa ki te haere tahi me te whakaputa waiū u me te kore hiahia ki te moe.

Me rapu ngā tāne i te aromatawai mō te ngoikore o te mahi taane kaore i whakamāramatia, te ngoikore o te hiahia ki te moe, te nui o te u, ina koa ki te whanake haere ēnei tohu i te roa o te wā.

Whakapiri atu ki tō tākuta mena ka kite koe i ngā huringa haere māmā i tō ahua tinana, pēnei i te nui ake o ō ringa, o ō waewae, o ngā āhuatanga o tō mata, ki te piki atu rānei te taumaha kaore i whakamāramatia i tō puku.

He aha ngā take morearea mō ngā mate pukupuku pūtake?

Ko te nuinga o ngā mate pukupuku pūtake ka whanake mai kaore he take morearea mārama, nā reira ka uaua te kī taurangi, te aukati rānei. Heoi, ko te mārama ki ngā take morearea pea ka āhei te āwhina i a koe ki te noho mohio ki tō hauora.

He wāhi te tau i te whanaketanga o te mate pukupuku pūtake, me te nuinga o ngā mate pukupuku e puta ana i ngā tāngata kei waenganui i te 30 me te 50 tau te pakeke. Heoi, ka taea e ēnei mate pukupuku te whanake i tetahi tau, tae atu ki ngā tamariki me ngā kaumātua.

Ka pā te ira tangata ki te āhei o ētahi momo mate pukupuku. Ko ngā wāhine te nuinga o te wā ka whanake i ngā prolactinoma, ina koa i ō rātou tau whānau, i te wā e pāngia ana ngā mate pukupuku e whakaputa ana i te homoni tipu i ngā tāne me ngā wāhine rite tonu.

He nui te piki o tō tūponotanga ki te whai i te hītori whānau o ētahi mate pūngāwerewere. Ki te maha ngā mema o te whānau kua pangia e ngā mate pūngāwerewere endocrine, he pai pea te tohutohu ira ki te aromatawai i tō tūponotanga.

Ka piki pea te iti o tō tūponotanga ki te whanake i ngā mate pūngāwerewere pituitary i muri mai o te ora, ki te whakamahia te whakahiato i te rohe o te matenga me te kaki, ina koa i te tamarikitanga. Kei roto i ēnei te rongoā whakahiato mō ētahi atu mate pukupuku, te maha rānei o ngā whakaahua hauora.

Ko te nuinga o te hunga e whanake ana i ngā mate pūngāwerewere pituitary kāhore he take tūponotanga e taea te tautuhi, ko te tikanga he maha ngā mate pūngāwerewere e puta ana i te mutunga kore. Ka raru pea tēnei, engari ko te tikanga hoki kāhore pea koe e taea te mahi i tetahi mea hei ārai i te whanaketanga o te mate pūngāwerewere.

He aha ngā raruraru pea o ngā mate pūngāwerewere pituitary?

Ahakoa he maha ngā mate pūngāwerewere pituitary e puta ai ngā tohu e taea te whakahaere, ka taea e ētahi te arahi ki ngā raruraru kino ki te kore e tukatuka. Ko te mārama ki ēnei raruraru pea ka āwhina ki te whakamārama he aha te nui o te tātaritanga me te tukatuka tere.

Ka taea e ngā mate pūngāwerewere nui te pehi i ō ngā uaua tirohanga, ka puta pea te ngaro o te tirohanga pumau ki te kore e tukatuka tere. Ko te tikanga ka tīmata tēnei hei ngaro o te tirohanga taha, engari ka taea te haere ki te matapo katoa i ngā take kino.

Ka taea e ngā koretake o te homoni mai i ngā mate pūngāwerewere mahi te arahi ki ngā raruraru hauora roa e pā ana ki ngā pūnaha tinana maha. Ko ēnei raruraru e whanake ana i te iti, ā, pea kāhore e kitea tonu.

• Nga raruraru o te ngakau mai i te nui o te homoni tipu, te cortisol ranei
• Te huka toto mai i nga koretake o te homoni e pa ana ki te whakahaere i te huka toto
• Te osteoporosis mai i te nui o te cortisol roa, te kore ranei o te homoni tipu
• Te apnea moe mai i nga ahuatanga nui o te mata, te arero ranei
• Te toto teitei mai i nga koretake o te homoni maha

Ko te apoplexy pūtake he raruraru onge engari he kino, kei reira te toto rāpoi, te pupuhi rāpoi rānei i roto i te mate pukupuku. Ko tenei urupare hauora he mate kino, e arahi ana ki te mamae o te upoko, ki ngā raruraru tirohanga, ā, ki ngā ngoikore o te homoni e raru ai te ora.

Ka taea te whanake o te hypopituitarism ina pakaru ngā mate pukupuku i ngā kōeke pūtake noa, ā, ka arahi ki ngā ngoikore o ngā homoni maha. Ko tēnei āhuatanga e hiahia ana ki te rongoā whakakapinga homoni ora katoa, me te tirotiro hauora ata.

Ko ētahi wā, ko ngā mate pukupuku nui rawa atu ka arahi ki te pēhanga nui i roto i tō angaanga, ā, ka arahi ki te mamae o te upoko, ki te whakapohehe, ā, ki te pehanga o te roro e raru ai te ora. Ko tēnei āhuatanga e hiahia ana ki te whakauru hauora tonu.

Me pēhea te whakamātautau i ngā mate pukupuku pūtake?

Ko te whakamātautau i ngā mate pukupuku pūtake e whakauru ana i ngā mahi maha, mā te tīmatanga ki tō hītori hauora me ō tohu. Ka ui tō tākuta ki ngā pātai taipitopito mō ō tohu, te wā i tīmata ai rātou, me te āhua o te huringa i te wā.

He mea nui ngā whakamātautau toto mō te ine i ngā taumata homoni me te whakatau he nui rawa te homoni e whakaputahia ana e tō mate pukupuku. Ka hiahiatia pea te whakahoki ano i ēnei whakamātautau i ngā wā rerekē o te rā, no te mea ka rereke ngā homoni.

Ka tono pea tō tākuta i ngā whakamātautau whakaohooho homoni, whakakore rānei, kia mārama ake te ahua o te mahi a tō pūtake. Ko ēnei whakamātautau e whakauru ana i te tango rongoā, katahi ka ine i tō whakautu homoni.

Ka whakarato ngā tātaritanga MRI i ngā whakaahua taipitopito o tō pūtake, ā, ka taea te kite i ngā mate pukupuku iti rawa atu i te torutoru millimita. Ko tēnei whakamātautau e whakamahi ana i ngā mara hiko, kāore i te whakamahi i te radiation, no reira he haumaru mō te nuinga o te iwi.

Ko te whakamātautau tirohanga e āwhina ana ki te whakatau mēnā kei te pā te mate pukupuku ki ō ngā uaua tirohanga. Kei roto i tēnei te tirotiro i tō tirohanga taha me tō mārama tirohanga, ka taea te whakakite i ngā raruraru ahakoa i mua i tō kite i ngā tohu.

I ētahi wā, ka tūtohutia pea e tō tākuta te whakamātautau ira, inā koa kei a koe te hītori whānau o ngā mate pukupuku endocrine, kei te iti rawa te tau o tō mate pukupuku.

He aha te rongoā mō ngā mate pūngāwerewere pūtake?

Ko te rongoā mō ngā mate pūngāwerewere pūtake e whakahaeretia ana e ngā take maha, tae atu ki te rāhi o te mate pūngāwerewere, te momo, me te mea kei te puta mai rātou he tohu. He maha ngā mate pūngāwerewere iti, kāore hoki e mahi, me te tirotiro noa atu i te rongoā wawe.

Ko te rongoā te whiringa rongoā tuatahi mō ngā prolactinoma me ētahi atu mate pūngāwerewere e whakaputa ana i te homoni. Ka taea e ēnei rongoā te whakaiti i ngā mate pūngāwerewere me te whakatika i ngā taumata homoni, he maha ngā whakaora nui mai i ngā tohu.

He tino whai hua ngā agonist dopamine penei i te cabergoline, i te bromocriptine rānei mō ngā prolactinoma, me te nuinga o ngā turoro e kite ana i te whakapai i roto i ngā wiki. Ko ēnei rongoā e mahi ana mā te whakapohehe i te dopamine, e whakakore ana i te whakaputanga prolactin.

Ka taea e ngā analogs somatostatin te awhina i te whakahaere i ngā mate pūngāwerewere e whakaputa ana i te homoni tipu mā te aukati i te tuku homoni. Ko ēnei rongoā ka hoatu hei werohanga o ia marama, ka taea te whakaiti i te rahi o te mate pūngāwerewere me ngā taumata homoni.

Ka hiahiatia te pokanga ina kore e whai hua ngā rongoā, te nui rawa rānei o ngā mate pūngāwerewere hei whakaputa i ngā raruraru tirohanga, i ētahi atu tohu kino rānei. Ko te nuinga o ngā pokanga pūtake ka mahia mā te ihu, ka kore ai e hiahiatia te whakatuwhera i te angaanga.

Ko te pokanga transsphenoidal te huarahi pai rawa atu, kei reira ngā tākuta e tae atu ana ki te pūtake mā ōu ara ihu me te wheua sphenoid. Ko tēnei tikanga te tikanga ka poto ake te whakaora me ngā raruraru iti atu i te pokanga roro noa.

Ka taea te tūtohutia te rongoā radiation mō ngā mate pūngāwerewere kaore e taea te tango katoa me te pokanga, kāore rānei e whakautu ki te rongoā. Ka taea e ngā tikanga radiation hou te whai take tika ki ngā pūtau mate pūngāwerewere me te whakaiti i te kino ki ngā kiko hauora.

Ka tuku te radiosurgery stereotactic i te radiation arotahi i roto i te hui kotahi, i te wa e whakamahi ana te rongoā radiation noa i ngā rāpoi iti maha i roto i ngā wiki maha. Ka awhina tō tākuta ki te whakatau i te huarahi pai mō tō āhuatanga.

Me pēhea te whakahaere i ngā mate pukupuku pituitary i te kāinga?

Ko te whakahaere i te oranga me te mate pukupuku pituitary e pēnei ana te mahi ngātahi me tō rōpū hauora, me te mahi i ētahi mahi hei tautoko i tō hauora whānui me tō oranga pai. Ka taea e ngā whakatikatika noho ora iti te whakarereke nui ki te āhua o tō ahua i ia rā.

He mea nui te tango rongoā kia rite ki te whakahau mō te whakahaere i ngā taumata homoni me te aukati i ngā raruraru. Whakaritea he pūnaha hei āwhina i a koe ki te mahara ki ō rongoā, ina koa ki te tango koe i ngā rongoā maha i ngā wā rerekē.

Ko te tirotiro i ō tohu e āwhina ana i a koe me tō tākuta ki te aroturuki i te pai o tō maimoatanga. Pupurihia he rangitaki ngāwari e tuhi ana i ngā huringa i ngā taumata kaha, ngā ngākau, te tirohanga, me ētahi atu tohu kua pāngia koe.

He mea nui ngā whakaritenga whai muri ahakoa kei te pai koe. Me aroturuki e tō tākuta ngā taumata homoni me te tirotiro i ngā huringa i te rahi o tō mate pukupuku, te āhua rānei.

Ko te pupuri i te oranga hauora e tautoko ana i tō oranga pai whānui, ā, ka taea te whakahaere i ētahi tohu. Arotahi ki te whiwhi moe tika, te kai kai kai hauora, me te noho mahi kia rite ki tō āhuatanga.

Ka tino nui te whakahaere i te ahotea, na te mea ka taea e te ahotea te whakaiti i ngā tohu maha e pā ana ki te homoni. Whakaarohia ngā tikanga whakahaumaru, te whakakori ngawari, te tohutohu rānei ki te raruraru koe ki ngā āhuatanga hinengaro o tō whakatau.

Ko te hono atu ki ngā rōpū tautoko, i te tangata rānei, i te ipurangi rānei, ka taea te whakarato i te tautoko hinengaro nui me ngā tohutohu mahi mai i ētahi atu e mārama ana ki te mea e tūtaki ana koe.

Me pēhea te whakarite mō tō whakaritenga ki te tākuta?

Ko te whakarite mō tō whakaritenga e āwhina ana kia whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Ka taea e te whakarite pai te arahi ki te whakatau tika me te mahere maimoatanga pai ake.

Tūhia ngā tohu katoa o te mate, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa o te mate i te wā. Whakauruhia ngā tohu kaore e rite ki ētahi atu, i te mea ka taea e ngā pūngāwerewere pituitary te whakaputa i ngā pānga rerekē puta noa i tō tinana.

Kawe mai he rārangi kākāriki o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe. Whakauruhia ngā horopeta me te auau o te inu i ia rongoā, i te mea ka taea e ētahi te pā ki ngā taumata o te homoni, te mahi rānei me ngā maimoatanga.

Whakakotahitia tō hītori hauora, tae atu ki ngā pokanga o mua, ngā mate nui, te hītori whānau rānei o ngā pūngāwerewere, ngā mate endocrine rānei. Ka āwhina tēnei mōhiohio i tō tākua ki te aromatawai i te ahua o tō hauora katoa.

Whakamahia ngā pātai i mua kia kaua e wareware ki ngā āwangawanga nui i te wā o te whakaritenga. Tuhia ki raro, ā, whakaritea ngā mea nui rawa atu ki te poto te wā.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, te mema whānau rānei ki tō whakaritenga. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerotia, ā, whakarato i te tautoko hinengaro i te wā e pēnei ana te toro atu.

Mēnā kua oti i a koe ngā rangahau whakaahua, ngā mahi taiwhanga rānei i ētahi atu wāhi, tonohia ngā kōpeke hei kawe mai ki tō whakaritenga. Ka taea tēnei te whakaora i te wā, te aukati rānei i te hiahia ki ngā whakamātautau rua.

He aha te mea nui mō ngā pūngāwerewere pituitary?

Ko te mea nui rawa atu hei mārama mō ngā pūngāwerewere pituitary ko te nuinga o ngā āhuatanga e taea te whakaora me ngā hua pai ina whakahaeretia tika. Ko te nuinga he pai, e kore hoki e horapa ki ētahi atu wāhanga o tō tinana.

Ka taea e te kitenga wawe me te maimoatanga tika te aukati i ngā raruraru nui rawa atu, ā, ka āwhina i a koe ki te pupuri i te kounga ora pai. Ko te nuinga o te hunga e pangia ana e ngā pūngāwerewere pituitary ka ora tonu i ngā oranga noa ki te tiaki hauora tika.

Ko te mahi tahi me tetahi tohunga endocrinologist, tetahi rānei neurologist, ka hoatu ki a koe te huarahi pai rawa atu mō ngā hua pai. Ka mārama ēnei tohunga ki te hononga uaua i waenganui i te mahi pituitary me te hauora katoa.

Kia mahara ko te rongoā he tukanga atawhai te nuinga, ā, pea ka roa te wā ki te kimi i te huarahi tika mō tō āhuatanga motuhake. Ko te manawanui me te whakawhitiwhiti kōrero whakawātea ki tō rōpū hauora ko ngā mea matua mō te whakahaere angitu.

Pātai maha e ui ana mō ngā pūngāwerewere pūtake

Ka taea te aukati i ngā pūngāwerewere pūtake?

Āe, kaore e taea te aukati i te nuinga o ngā pūngāwerewere pūtake, nā te mea ko te tikanga ka whanake mai rātou i ngā huringa ira tōtika. Heoi, ki te whai koe i te hītori whānau o ngā mate ira e hono ana ki ngā pūngāwerewere pūtake, ka taea e te tohutohu ira te awhina i te aromatawai i tō tūponotanga me te aratohu i ngā rautaki aroturuki.

He pūngāwerewere pūtake ngā pūngāwerewere pūtake?

Ko te nuinga o ngā pūngāwerewere pūtake he pai, ko te tikanga kaore he mate pukupuku, kāore hoki e horapa ki ētahi atu wāhanga o tō tinana. He tino onge ngā pūngāwerewere pūtake kino, ka puta i raro i te 1% o ngā take pūngāwerewere pūtake katoa.

Me mahi tāku pokanga mō taku pūngāwerewere pūtake?

Kāore ngā pūngāwerewere pūtake katoa e hiahia ana ki te pokanga. Ko ngā pūngāwerewere iti, kāore e mahi, he maha ngā wā e hiahia ana ki te aroturuki, i te wā e maha ana ngā pūngāwerewere e whakaputa ana i te homoni e whakautu pai ana ki te rongoā. Ko te pokanga te tikanga ka tūtohutia ina ka pā te pūngāwerewere ki ngā raruraru tirohanga, kāore e whakautu ki te rongoā, kāore rānei e tupu tonu ahakoa te rongoā.

Ka pā ngā pūngāwerewere pūtake ki te hapu?

Ka taea e ngā pūngāwerewere pūtake te pā ki te momona me te hapu, inā te nuinga o ngā prolactinoma e taea te whakaroa i te ovulation. Heoi, he maha ngā wāhine e whai ana i ngā pūngāwerewere pūtake e taea te whai i ngā haputanga angitu me te whakahaere hauora tika me te aroturuki i te wa o te haputanga.

E hia te wā ka hiahia ahau ki ngā whakaritenga whai muri?

Ko te auau o te whai muri ka whakawhirinaki ki tō momo pūngāwerewere me te rongoā. I te tīmatanga, pea ka hiahia koe ki ngā whakaritenga i ia 3-6 marama, engari kotahi te pumau o tō āhuatanga, ko te tirotiro tau kotahi te nuinga o te wā ka nui. Ka whakaritea e tō tākuta te kaupapa e whai ana ki ō hiahia motuhake me te whakautu ki te rongoā.