He aha te Pouchitis? Tōna Tohutohu, ōna Take, me tōna Rongoā

Ko te pouchitis te mumura o te putea ileal, he kohinga i hangaia mā te pokanga hei whakakapi i te kōroke i ngā tāngata kua tangohia atu tō rātou rōpū nui. Ko tēnei āhuatanga e pā ana ki te 30-50% o ngā tāngata he putea ileal, ā, koinei te raruraru roa rawa i muri i te pokanga putea.

Mēnā kei te noho koe me te putea, kei te whakaaro rānei koe ki te pokanga putea, ka taea e te mārama ki te pouchitis te āwhina i a koe ki te mohio wawe ki ngā tohu, ā, ki te mahi tahi me tō rōpū hauora hei whakahaere pai.

He aha te pouchitis?

Ka puta te pouchitis ina mumura, ka whakaheke te paparanga o roto o tō putea ileal. Ko te putea ileal, e kiia ana hoki ko te J-putea, i hangaia mai i te wāhanga whakamutunga o tō whekau iti i te wā o te pokanga ki te tango i te kōroke.

Whakaarohia tō putea hei wāhi hou hei penapena i ngā mea, ā, ka tangohia etahi mahi a tō kōroke i tangohia atu. I etahi wā, ka taea e tēnei putea te mumura, ka rite ki te mumura o tō kōroke taketake mēnā he colitis ulcerative koe. Ko te mumura ka meinga ai te kiko kia whero, kia pupū, kia ngawari.

Ko tēnei āhuatanga te nuinga o te wā ka puta i ngā marama ki ngā tau i muri i tō pokanga putea, ahakoa ka puta wawe ake i etahi wā. Ko te rongo pai, ko te pouchitis te tino pai ki te rongoā i te nuinga o ngā take, ā, he tokomaha ngā tāngata e noho tonu ana i te ora roa, i te ora kaha me ō rātou putea.

He aha ngā tohu o te pouchitis?

Ko ngā tohu o te pouchitis te nuinga o te wā ka rite ki te pupuhi o te mate whekau mumura. Ka kite pea koe i ngā huringa i ō tikanga whekau me te kore ngāwari e pā ana ki ō mahi o ia rā.

Koinei ngā tohu tino noa ka kitea e koe:

• Te maha ake o ngā nekehanga o te whekau, te nuinga o te 8-15 i te rā
• Ngā paru wai, ngā paru ngāwari rānei e taea te whakauru i te toto, te mucus rānei
• Te hiahia ki te haere ki te wharepaku, i etahi wā kaore he whakamōhiotanga
• Te mamae o te kopu, te mamae o te puku rānei, ina koa i te puku raro
• Te ahua kore ngāwari, te ngoikore rānei
• Te kirika iti, te iti noa iho
• Te maroke mai i ngā paru ngāwari maha

He iti ngā tāngata e kite ana i ngā tohu iti ake penei i te mamae o ngā hononga, ngā raruraru kiri, te mamae o te kanohi rānei. Ka puta enei na te mea ka taea e te pouchitis te whakaoho i te mumura i ētahi atu wāhanga o tō tinana.

Ka rere ke ngā tohu mai i te raruraru iti ki te whakaroa nui o ō mahi o ia rā. Mēnā ka kite koe i ēnei huringa, ina koa ki te roa atu i ngā rā torutoru, he mea tika kia kōrero ki tō kaiwhakarato hauora.

He aha ngā take o te pouchitis?

Kāore i tino mōhiotia te take pono o te pouchitis, engari e whakapono ana ngā kairangahau kei roto i te whakakotahitanga o ngā take e pā ana ki te mahi rerekē o tō putea i te kōroke noa. Ko te taiao o tō putea ka hanga i ngā āhuatanga ka taea te arahi ki te mumura.

He maha ngā take e āwhina ana ki te whanaketanga o te pouchitis:

• Te nui haere o ngā pūtau i roto i te putea, kei reira ngā pūtau kino e tupu tere atu ana i ngā pūtau pai
• Ngā huringa i ngā momo pūtau e noho ana i roto i tō putea ki te kōroke hauora
• Tō pūnaha mate e whakautu ana ki ēnei huringa pūtau me te mumura
• Ngā take ira e meinga ai ētahi tāngata kia nui ake te mate ki ngā whakautu mumura
• Ngā take ki te neke o ngā paru, te whakapau rānei i tō putea
• Te hītori o mua o te colitis ulcerative, e whakanui ana i tō tūponotanga

I etahi wā, ko ētahi rongoā penei i ngā rongoā mate pūtau, ngā NSAID rānei (ngā kaiwhakaora mamae penei i te ibuprofen) ka taea te whakaoho i ngā wāhanga pouchitis. Ko te ahotea me ngā take kai ka taea te whai wāhi, ahakoa ka rere ke tenei i te tangata ki te tangata.

Ko te mārama ki ēnei take ka āwhina i tō tākuta ki te whiriwhiri i te huarahi rongoā tino pai mō tō āhuatanga motuhake.

Nōhea te haere ki te tākuta mō te pouchitis?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka kite koe i ngā huringa roa i ō tikanga whekau, i ngā tohu hou rānei e awangawanga ana koe. Ko te rongoā wawe te nuinga o te wā ka ārahi ki te whakaora tere ake, ka taea te aukati i ngā raruraru.

Rapua te tiaki hauora mēnā ka kite koe i ētahi o ēnei tohu whakatūpato:

• Te piki ohorere o te maha o ngā nekehanga o te whekau e roa atu ana i te 2-3 rā
• Te toto i roto i tō paru, ina koa ki te whero marama, ki te pouri rānei
• Te mamae nui o te kopu, te mamae rānei e whakaroa ana i ngā mahi o ia rā
• Ngā tohu o te maroke penei i te māuiui, te waha maroke, te iti rānei o te mimi
• Te kirika kei runga ake i te 101°F (38.3°C)
• Te kore e taea te pupuri i ngā wai na te ruaki, te ruaki rānei

Kaua e tatari mēnā kei te pāngia koe e ngā tohu nui, kei te awhina rānei ō tikanga whakahaere noa. Ka taea e tō rōpū hauora te aromatawai tere i tō āhuatanga, ka tīmata i te rongoā tika.

Ahakoa ngā tohu iti, he mea tika kia kōrero ki tō tākuta mō ngā huringa roa. Ka taea e rātou te āwhina ki te whakatau mēnā ko te mea kei te pāngia koe he pouchitis, he āhuatanga ke rānei e hiahia ana ki te rongoā rerekē.

He aha ngā take tūponotanga mō te pouchitis?

Ka taea e ētahi take te whakanui i tō tūponotanga ki te whanake i te pouchitis, ahakoa ko te whai i ēnei take tūponotanga kāore e whakamana ka pāngia koe e tēnei āhuatanga. Ko te mārama ki tō tūponotanga whaiaro ka taea te āwhina i a koe me tō rōpū hauora ki te tiaki mō ngā tohu wawe.

Ko ngā take tūponotanga tino nui ko:

• Te whai i te colitis ulcerative hei tākuta taketake i mua i te pokanga putea
• Te pāngia e ngā raruraru i te wā, i muri rānei i tō pokanga putea
• Te whai i ētahi tohu ira e hono ana ki ngā āhuatanga mumura
• Ngā wāhanga o mua o te pouchitis, e whakanui ana i te tūponotanga o ngā wāhanga o muri
• Te tango i ētahi rongoā ka taea te whakaroa i te toenga pūtau o tō putea
• Te whai i ētahi atu āhuatanga mate ā-tinana me tō mate whekau

He mea whakamīharo, ko ngā tāngata i hangaia tō rātou putea mō te familial adenomatous polyposis (FAP) kāore i te colitis ulcerative he iti rawa te tūponotanga ki te whanake i te pouchitis. Ka whakaatu mai tenei ko tō āhuatanga taketake he wāhi nui ki tō taumata tūponotanga.

Ko ētahi take noho ka taea te whai wāhi ki tō tūponotanga, ahakoa he iti ake te mārama o ngā mōhiohio. Kei roto i ēnei te kai paipa, ētahi tauira kai, me ngā taumata ahotea teitei, ahakoa he nui ake ngā rangahau e hiahiatia ana kia tino mārama ki ēnei hononga.

He aha ngā raruraru pea o te pouchitis?

Ahakoa ko te nuinga o ngā take o te pouchitis te tino pai ki te rongoā, ko ētahi tāngata ka pāngia pea e ngā raruraru mēnā ka kaha, ka roa rānei te āhuatanga. Ko te mārama ki ēnei wāhi pea ka taea te āwhina i a koe ki te mahi tahi me tō rōpū hauora hei aukati, hei whakahaere pai rānei.

Ko ngā raruraru pea ko:

• Te pouchitis roa e kore e whakautu ki te rongoā mate pūtau noa
• Te maroke me ngā koretake o ngā waikawa mai i ngā paru ngāwari maha
• Ngā ngohe putea, kei reira ngā kiko tohu e whakaiti ana i te tuwhera o te putea
• Ngā fistulas putea, ngā hononga rerekē i waenga i te putea me ētahi atu whekau
• Te cuffitis, te mumura o te wahi iti o te rectum i mahue i te wā o te pokanga
• Ngā koretake kai mai i te kore pai o te tango i ngā hua i ngā wāhanga pupuhi

Ko ētahi tāngata ka whanake i te mea e kiia nei ko te "refractory pouchitis," ko te tikanga kāore ō rātou tohu e pai ake ki te rongoā mate pūtau noa. Ko tēnei ahua uaua ake pea ka hiahia ki te tiaki motuhake me ngā huarahi rongoā rerekē.

Ko te rongo pai, ko ngā raruraru nui he iti te noa, ina koa ka mau wawe te pouchitis, ka tukuna tika.

Me pēhea te aukati i te pouchitis?

Ahakoa kāore e taea e koe te aukati katoa i te pouchitis, ko ētahi rautaki ka taea te āwhina i te whakaiti i tō tūponotanga ki te whanake, ki te pāngia rānei e ngā wāhanga nui. Ko ēnei huarahi e aro ana ki te pupuri i te taiao putea hauora, ki te tautoko i tō oranga katoa.

Whakaarohia ēnei whakaritenga aukati:

• Te tango i ngā probiotics i ia rā hei tautoko i ngā pūtau hauora i roto i tō putea
• Te whai i te kai rite e ngāwari ana ki tō pūnaha whekau
• Te noho makuku pai hei āwhina i tō putea ki te mahi pai
• Te karo i ngā rongoā mate pūtau kore e hiahiatia e taea te whakaroa i te toenga pūtau
• Te whakahaere i te ahotea mā ngā tikanga whakahaerenga, te tohutohu rānei
• Te pupuri i ngā tirotiro noa me tō gastroenterologist

Ko ētahi tākuta e tūtohutia ana ngā momo probiotic motuhake penei i te VSL#3 mō ngā tāngata he nui ake te tūponotanga ki te pouchitis. Heoi, me kōrero koe ki tō kaiwhakarato hauora i mua i te tīmatanga o ētahi tāpiringa hou.

Ko te pupuri i ngā tikanga whakapau putea pai me te karo i ngā kai e kitea ana e whakaoho ana i ngā tohu ka taea te āwhina. Pupurihia he pukapuka kai mēnā ka kite koe i ētahi kai e tino whakaoho ana i ngā raruraru ki tō mahi putea.

Me pēhea te whakatau i te pouchitis?

Ko te whakatau i te pouchitis e pā ana ki te arotake i ō tohu me te tirotiro tika i tō putea. Ka hiahia tō tākuta ki te whakakore i ētahi atu āhuatanga ka taea te whakaoho i ngā tohu rite, me te whakatau i te kaha o te mumura.

Ko te tukanga whakatau te nuinga o te wā e whakauru ana i te kōrero taipitopito o ō tohu, tae atu ki te wā i tīmata ai, me pehea te huringa i te wā. Ka ui tō tākuta mō te maha o ngā nekehanga o tō whekau, te āhua o te paru, ngā taumata mamae, me ētahi atu tohu penei i te kirika.

Ko te taputapu whakatau tino nui ko te pouchoscopy, he tukanga e whakamahi ana tō tākuta i te uira ngawari ki te titiro ki roto i tō putea. Ka taea e tenei te kite tika i te mumura, me te tango i ngā tauira kiko mēnā e hiahiatia ana. Ko te tukanga he rite ki te colonoscopy, engari e aro ana ki tō wāhi putea.

Ka taea e tō tākuta te tono i ngā whakamātautau toto hei tirotiro i ngā tohu o te mumura, o te mate pūtau rānei, me ngā whakamātautau paru hei rapu i ngā pūtau kino, i ētahi atu mea ora rānei. Ka āwhina ēnei whakamātautau ki te whakau i te whakatau, ki te arahi i ngā whakatau rongoā.

I etahi wā, ko ngā rangahau whakaahua penei i ngā CT scan ka taea te āwhina ki te whakakore i ngā raruraru, i ētahi atu āhuatanga rānei e taea te whakaoho i ō tohu.

He aha te rongoā mō te pouchitis?

Ko te rongoā mō te pouchitis e aro ana ki te whakaiti i te mumura, ki te whakahoki i te toenga pūtau hauora i roto i tō putea. Ko te rongo pai, ko te nuinga o ngā tāngata te tino pai ki te rongoā, te nuinga o te wā ka pai ake te ahua i roto i ngā rā torutoru ki te wiki i te tīmatanga o te rongoā.

Ko te rongoā tuatahi te nuinga o te wā e whakauru ana i ngā rongoā mate pūtau e āwhina ana ki ngā pūtau e āwhina ana ki te mumura. Ko te Ciprofloxacin me te metronidazole te nuinga o te wā e tuhia ana, kotahi anake, i te whakakotahitanga rānei. Ka whakatau tō tākuta i te rongoā mate pūtau pai rawa atu e hāngai ana ki tō āhuatanga motuhake me ētahi atu rongoā kua whakamātau koe.

Mō ngā tāngata he pouchitis roa, he pouchitis hoki e puta ana, ko ngā rongoā roa ake pea ko:

• Te huri i ngā rongoā mate pūtau rerekē hei aukati i te ātete pūtau
• Ngā rongoā anti-mumura penei i ngā suppositories mesalamine
• Te rongoā probiotic hei whakahoki i ngā pūtau hauora
• Ngā rongoā immunosuppressive mō ngā take kino, refractory
• Ngā huringa kai hei whakaiti i ngā kai whakaoho

Ko ētahi tāngata e whai hua ana i te rongoā tiaki me ngā rongoā mate pūtau iti, i ngā probiotics rānei hei aukati i ngā wāhanga o muri. Ka mahi tahi tō rōpū hauora me koe ki te kimi i te huarahi e pupuri ana i a koe kia pai rawa atu, me te whakaiti i ngā pānga.

He tino motuhake ngā mahere rongoā, ā, ko te mea e pai ana mōu ka rerekē pea i te mea e pai ana mō ētahi atu me te pouchitis.

Me pēhea te whakahaere i te pouchitis i te kāinga?

Ahakoa he mea nui te rongoā hauora mō te pouchitis, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō whakaora, hei pai ake te ahua i te wā o te rongoā. Ko ēnei rautaki e mahi tahi ana me ō rongoā kua tohua hei āwhina i te whakahaere i ngā tohu.

Arotake ki te noho makuku pai, ina koa ki te maha o ngā paru ngāwari. Ko te wai, ngā wai kohua marama, me ngā otinga waikawa ka taea te āwhina i te whakakapi i te mea kei te ngaro koe. Kaua e inu i ngā inu kei roto te caffeine, te waipiro rānei, na te mea ka taea e ēnei te whakaiti i te maroke.

Whakaarohia ēnei rautaki whakahaere kāinga:

• Te kai i ngā kai iti ake, te maha atu rānei hei whakaiti i te ahotea ki tō putea
• Te whiriwhiri i ngā kai ngāwari ki te kai penei i te raihi, ngā panana, me ngā pūmua ngawari
• Te karo i ngā kai nui te muka, te kawa, te ngako rānei i ngā wāhanga pupuhi
• Te whakamahi i te papa whakamahana ki tō puku mō te whakaora i te mamae
• Te whiwhi i te okioki tika hei tautoko i te tukanga whakaora o tō tinana
• Te mahi i ngā tikanga whakaiti ahotea penei i te manawa hohonu, te whakaaroaro rānei

Pupurihia te tuhi i ō tohu me te mea e āwhina ana, e whakaiti ana rānei i a rātou. Ko ēnei mōhiohio he mea nui mō tō rōpū hauora, ka taea te āwhina i a koe ki te kimi i ngā tauira i tō āhuatanga.

Kaua e whakaroa ki te whakapiri atu ki tō tākuta mēnā kāore ngā rautaki whakahaere kāinga e homai ana te whakaora, kei te kino ake rānei ō tohu ahakoa te rongoā.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka taea te āwhina i a koe ki te whakamahi pai i tō wā me tō kaiwhakarato hauora, me te whakarite ka whiwhi koe i te tiaki e hiahia ana koe. Ko te whakarite pai ka ārahi ki te whakawhitiwhiti pai ake, ki ngā whakatau rongoā pai ake.

I mua i tō haerenga, tuhia ngā kōrero taipitopito o ō tohu, tae atu ki te wā i tīmata ai, te maha o te putanga, me te mea e pai ake ana, e kino ake ana rānei. Tuhia te maha o ngā nekehanga o tō whekau, me ētahi atu huringa i te āhua o te paru, te āhua rānei.

Kawe mai ēnei mea nui ki tō hui:

• He rārangi o ngā rongoā me ngā tāpiringa katoa kei te tangohia e koe inaianei
• Tō pukapuka tohu, ngā kōrero rānei mō ngā huringa hou
• Ngā pūrongo e hiahia ana koe ki te ui ki tō tākuta
• Ngā hua whakamātautau o mua, ngā rēkōta hauora rānei mēnā kei te kite koe i te kaiwhakarato hou
• Ngā mōhiohio mō tō pokanga putea, tae atu ki te wā i mahia ai

Whakaarohia me pēhea te pānga o ō tohu ki tō oranga o ia rā, kia rite ki te kōrero ki tō tākuta. Kei te ngaro koe i te mahi, i ngā mahi pāpori rānei? Kua whakaroahia tō moe? Ka āwhina ēnei mōhiohio i tō rōpū hauora ki te mārama ki te pānga o tō āhuatanga.

Kaua e whakama ki te kōrero taipitopito mō ngā tohu e pā ana ki te whekau. Me whai mōhiohio tika tō kaiwhakarato hauora hei āwhina pai i a koe, ā, e whakamahia ana e rātou te kōrero i ēnei kaupapa mā te mahi ngaio, te atawhai hoki.

He aha te mea nui mō te pouchitis?

Ko te pouchitis he āhuatanga e taea te whakahaere e pā ana ki te tokomaha o ngā tāngata he putea ileal, engari kāore e hiahia kia whakahaere i tō oranga. Mā te tiaki hauora tika me ngā rautaki whakahaere whaiaro, ko te nuinga o ngā tāngata e kite ana i te whakaora pai i ō rātou tohu, ā, e noho tonu ana i te ora kaha, i te ora whai hua.

Ko te mea nui rawa atu hei mahara, ko te mohiotanga wawe me te rongoā ka ārahi ki ngā hua pai rawa atu. Mēnā ka kite koe i ngā huringa roa i ō tikanga whekau, i ngā tohu hou rānei, kaua e tatari ki te rapu i te tiaki hauora. Kei a tō rōpū hauora ngā rongoā whai hua, e hiahia ana hoki ki te āwhina i a koe kia pai rawa atu.

Ahakoa ka taea e te pouchitis te whakararuraru, ina koa ki te pāngia koe e ngā wāhanga e puta ana, kia mahara kei te pai haere tonu ngā rongoā, kei te haere tonu te rangahau. He tokomaha ngā tāngata e whakahaere pai ana i tō rātou āhuatanga, ā, e haere tonu ana ki te pai o te oranga me ō rātou putea.

Noho hono atu ki tō rōpū hauora, kia mahi whai hua koe mō tō hauora, kaua hoki e whakaroa ki te ui i ngā pūrongo, ki te rapu tautoko rānei ina hiahia koe. Kāore koe i te kotahi anake i te whakahaere i tēnei āhuatanga, ā, kei te waatea tonu te āwhina.

Ngā pūrongo e ui pinepinetia ana mō te pouchitis

Ka ngaro noa iho rānei te pouchitis?

Ko te pouchitis te nuinga o te wā kāore e ngaro me te kore rongoā. Ahakoa ka rere ke ngā tohu, ko te mumura taketake te nuinga o te wā e hiahia ana ki te whakauru hauora me ngā rongoā mate pūtau, i ētahi atu rongoā rānei. Ko te rongoā wawe te nuinga o te wā ka ārahi ki te whakatau tere ake, ka āwhina i te aukati i ngā raruraru, no reira he pai ki te kite i tō kaiwhakarato hauora i te tatari kia pai ake ngā tohu.

E hia te roa o te rongoā pouchitis hei mahi?

Ko te nuinga o ngā tāngata e tīmata ana te pai ake i roto i ngā rā 3-7 i te tīmatanga o te rongoā mate pūtau mō te pouchitis. Ko te whakatau tohu katoa te nuinga o te wā ka puta i roto i te 1-2 wiki o te rongoā. Heoi, ko ētahi tāngata he pouchitis roa, he pouchitis kino rānei pea ka hiahia ki ngā kaupapa rongoā roa ake, ki ngā rongoā rerekē rānei hei whiwhi i te whakaora katoa.

Ka taea e au te aukati i te pouchitis mai i te hokinga mai?

Ahakoa kāore e taea e koe te aukati katoa i te hokinga mai o te pouchitis, ko ētahi rautaki ka taea te āwhina i te whakaiti i tō tūponotanga. Kei roto i ēnei te tango i ngā probiotics i ia rā, te pupuri i te horoi putea pai, te karo i ngā rongoā mate pūtau kore e hiahiatia, te whakahaere i te ahotea, me te noho hono atu ki tō rōpū hauora. Ko ētahi tāngata e whai hua ana i te rongoā tiaki me ngā rongoā mate pūtau iti, i ngā momo probiotic motuhake rānei.

He rite te pouchitis ki te pupuhi o te colitis ulcerative?

Ka rite pea te pouchitis ki te pupuhi o te colitis ulcerative na te mea kei roto ngā mea e rua te mumura me ngā tohu rite penei i te maha o ngā nekehanga o te whekau me te mamae. Heoi, ko te pouchitis e pā ana ki tō putea i hangaia mā te pokanga, ko te colitis ulcerative e pā ana ki te kōroke. He rerekē hoki ngā rongoā, me te pouchitis te nuinga o te wā e tino pai ana ki ngā rongoā mate pūtau.

Me huri rānei taku kai ina he pouchitis ahau?

I te wā o te pouchitis kaha, he tokomaha ngā tāngata e kite ana i te whakaora mā te karo wawe i ngā kai nui te muka, te kawa, te ngako rānei, te whakaputa hau rānei. Arotake ki ngā whiringa ngāwari ki te kai penei i te raihi, ngā panana, ngā pūmua ngawari, me ngā huawhenua tunua. Kia pai ake ō tohu me te rongoā, ka taea e koe te whakahoki mā te iti i ētahi atu kai. Mahi tahi me tō kaiwhakarato hauora, i te kaiwhakaako kai rehitatia rānei hei whakawhanake i te mahere kai e mahi ana mō ō hiahia motuhake.