He aha te Mate Pūngāwerewere? Tohutohu, Take, me te Rongoā

Ko te mate pūngāwerewere he whekau tuwhera e whānau ana i roto i te paparinga o tō pūngāwerewere, te wāhanga whakamutunga o tō whekau nui i mua i te tara. Whakaarohia he whara e hanga ana i runga i te kiko ngawari i roto i tō pūngāwerewere, rite tonu ki te ahua o te whekau waha i runga i tō arero, i tō kauae rānei.

Ahakoa ka rongo te ingoa he wehi, he mate ārai e taea te rongoā te mate pūngāwerewere, e pā ana ki te iwi o ngā tau katoa. Ka taea e rātou te rere mai i ngā whekau iti, ngawari ki ngā whara hohonu ake, kei runga i te take o te take me te roa o te wā kua puta.

He aha ngā tohu o te mate pūngāwerewere?

Ko te tohu tino noa ka kite koe ko te toto pūngāwerewere, ka puta pea hei toto whero mārama i runga i te pepa horoi, i te whakakotahi rānei me tō paru.

Tukua mai ahau kia arahi atu koe ki ngā tohu me āta whai koe, kia mahara kei te pānga katoa ki te hunga katoa ēnei tohu:

• Toto pūngāwerewere (toto whero mārama)
• Te mamae i te wā e haere ana te paru
• Te āhua o te kore e tino whakaotinga te paru
• Te tukunga o te māku mai i te pūngāwerewere
• Te hiahia tonu ki te haere te paru
• Te mamae o te kopu, te kore ranei e pai
• Ngā huringa i ngā tikanga paru

Ka kite etahi i te mea e kiia ana e ngā tākuta he tenesmus, ko te āhua whakahi i te hiahia ki te haere te paru ahakoa kua kore tō paru. Ka tino raruraru tēnei tohu, ā, ka āhei pea te whakaaro ki a koe kaore e taea e koe te whakaotinga tō paru.

I etahi wā, ka kite pea koe i ngā tohu āwangawanga atu penei i te toto nui, te kirika, te ngaro taimaha nui rānei. Ka hiahia ēnei tohu ki te tiaki hauora tonu, i te mea ka tohu pea i ngā raruraru, i ētahi atu āhuatanga kei raro rānei.

He aha ngā momo mate pūngāwerewere?

Ko te nuinga o ngā momo mate pūngāwerewere e whakarōpūhia ana i runga i te take o te take me te wāhi e whānau ana. Ko te momo tino noa ko te mate pūngāwerewere kotahi, e puta ana hei whekau kotahi i te taha o mua o tō pūngāwerewere.

Ko ēnei ngā momo matua me mōhio koe:

• Mate pūngāwerewere kotahi: Kotahi te whekau, e mate ana i te whakapau kaha i te wā e haere ana te paru
• Ngā mate pūngāwerewere maha: Ngā whekau maha ka tohu pea i te mate whekau mumura
• Ngā whekau stercoral: E puta ana i te paru pakeke e pēhi ana ki te pakitara pūngāwerewere
• Ngā whekau ischemic: E puta ana i te iti o te rere o te toto ki te kiko pūngāwerewere
• Ngā whekau traumatic: E puta ana i te whara ki te rohe pūngāwerewere

He iti te rerekē o ngā take o ia momo, ā, ka hiahia pea ki ngā huarahi rongoā rerekē. Ka taea e tō tākuta te whakatau i te momo kei a koe mā te tirotiro me te whakamātautau.

He aha ngā take o te mate pūngāwerewere?

Ka whānau ngā mate pūngāwerewere ina pakaru, ina mumura rānei te paparinga ngawari o tō pūngāwerewere i te wā roa. Ko te take tino noa ko te whakapau kaha i te wā e haere ana te paru, e pēhi ana ki ngā pakitara pūngāwerewere, ā, ka āhei te arahi ki te pakaru o te kiko.

Ko te mārama ki ngā take maha ka āhei te awhina i a koe me tō tākuta ki te whakatau i te huarahi rongoā pai:

• Te koretake o te paru me te whakapau kaha
• Ngā mate whekau mumura (te mate o Crohn, te mate o te colitis ulcerative)
• Te ngaro o te pūngāwerewere (ina neke atu te kiko pūngāwerewere ki waho)
• Te paru pakeke e noho ana i roto i te pūngāwerewere mō te wā roa
• Te moe wahine, tetahi atu whara pūngāwerewere rānei
• Ētahi rongoā e pā ana ki te rere o te toto
• Te koretake o te papa pelvic

I etahi wā, kaore e taea e ngā tākuta te whakatau i te take motuhake, ka āhei te whakahi, engari ehara tena i te tikanga kaore e taea te rongoā pai te mate.

Nōhea te haere ki te tākuta mō te mate pūngāwerewere?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i tetahi toto pūngāwerewere, ahakoa he iti te ahua.

Ko ēnei ngā wā me whakapiri atu koe ki tō tākuta:

• Tetahi nui o te toto pūngāwerewere
• Te mamae tonu i te wā e haere ana te paru
• Ngā huringa i ō tikanga paru e roa atu ana i ngā rā torutoru
• Te tukunga o te māku mai i tō pūngāwerewere
• Te āhua o te kore e taea te whakaotinga tō paru

Rapua te tiaki hauora tonu mena ka pāngia koe e te toto nui, te mamae nui, te kirika, te tohu rānei o te mate. Ka tohu pea ēnei tohu i ngā raruraru e hiahia ana ki te rongoā tonu.

Kia mahara, ko te whakamātautau me te rongoā wawe ka āhei te arahi ki ngā hua pai ake, na, kaua e whakaroa ki te kōrero ki tō tohunga hauora mō ō tohu.

He aha ngā take morearea mō te mate pūngāwerewere?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whānau i te mate pūngāwerewere. Ko te take morearea nui ko te koretake o te paru, ina koa ki te whakapau kaha koe i te wā e haere ana te paru.

Tukua mai ahau kia whakarārangi i ngā take morearea matua kia taea ai e koe te mārama ki te mea ka whakapiki ake i tō morearea:

• Te koretake o te paru, te paru pakeke rānei
• Te whakapau kaha i te wā e haere ana te paru
• Te mate whekau mumura
• Ngā raruraru o ngā uaua papa pelvic
• Te pokanga pūngāwerewere o mua, te whara rānei
• Ētahi rongoā (inā koa ngā rongoā mamae e puta ai te koretake o te paru)
• Te noho noa
• Te kai iti-pūngāwerewere

Ka taea hoki e te tau te whai wāhi, i te mea he tino tūpono ngā pakeke ki te pāngia e te koretake o te paru me ngā raruraru e pā ana. Heoi, ka taea te whānau i ngā mate pūngāwerewere i tetahi tau, tae atu ki ngā tamariki me ngā tāne taitamariki.

Ko te whai i tetahi take morearea, i ngā take morearea maha rānei, ehara i te tikanga ka whānau tonu koe i te mate pūngāwerewere, engari ko te mōhio ki a rātou ka āhei te awhina i a koe ki te tango i ngā kaupae ārai.

He aha ngā raruraru pea o te mate pūngāwerewere?

Ko te nuinga o ngā mate pūngāwerewere ka ora pai me te rongoā tika, engari i etahi wā ka taea te whānau i ngā raruraru mena kaore i te rongoā te mate, kaore rānei e whakautu ki te rongoā tuatahi. Ko te rongo pai ko ngā raruraru nui he iti te noa.

Ko ēnei ngā raruraru pea me mōhio koe:

• Te toto roa e arahi ana ki te ngoikore o te toto
• Te mate o te whekau
• Te tohu e whakaiti ana i te pūngāwerewere
• Te pakaru (te rua puta noa i te pakitara pūngāwerewere)
• Te hanganga o te pupū
• Te mamae roa

I etahi wā, ka taea e ngā mate pūngāwerewere kore rongoā te arahi ki ngā raruraru nui atu penei i te toto nui, te pakaru rānei o te pakitara pūngāwerewere. Ka hiahia ēnei āhuatanga ki te whakauru hauora tonu.

Ko te ki ki te ārai i ngā raruraru ko te whiwhi i te whakamātautau me te rongoā wawe, koia te take he mea nui kia kaua e wareware ki ngā tohu penei i te toto pūngāwerewere, te mamae tonu rānei.

Me pēhea te ārai i te mate pūngāwerewere?

Ko te huarahi pai ki te ārai i ngā mate pūngāwerewere ko te pupuri i ngā tikanga paru hauora me te karo i ngā āhuatanga e arahi ana ki te hanganga. I te mea ko te koretake o te paru me te whakapau kaha ngā take nui, ko te aro ki te hauora o te whekau ko tō raina tuatahi o te tiaki.

Ko ēnei ngā rautaki kua whakamātautauhia ka āhei te tiaki i a koe:

• Kai i te kai nui-pūngāwerewere me te nui o ngā hua me ngā huawhenua
• Inu wai nui i te rā katoa
• Whakapakaritia te tinana kia whai hua ai te whekau
• Kaua e whakapau kaha i te wā e haere ana te paru
• Whakautu ki te hiahia ki te haere te paru tonu
• Whakaarohia he kai whakamama i te paru mena kei te pāngia koe e te koretake o te paru
• Whakahaeretia ngā āhuatanga kei raro penei i te mate whekau mumura

Mena kei te tango koe i ngā rongoā e puta ai te koretake o te paru, kōrero atu ki tō tākuta mō ngā huarahi ki te whakahaere i tēnei pānga taha. I etahi wā, ka taea e ngā huringa kai ngāwari, te tāpiri rānei i te tāpiri pūngāwerewere te whakarereke nui.

Ko te hanga i te mahinga wharepaku noa me te hoatu i te wā nui mō te haere o te paru ka āhei hoki te ārai i te whakapau kaha e āwhina ana ki te hanganga o te whekau pūngāwerewere.

Me pēhea te whakamātautau i te mate pūngāwerewere?

Ka tīmata tō tākuta mā te uiui mō ō tohu me tō hītori hauora, ka whakahaere rānei i te tirotiro tinana. Ko te whakamātautau ka whakauru i te titiro tika ki te rohe pūngāwerewere ki te whakatau i te whekau me te aromatawai i ōna āhuatanga.

Ko te tukanga whakamātautau ka whakauru i ēnei kaupae:

1. Hītori hauora: Te kōrero mō ō tohu, ngā tikanga paru, me ētahi atu āhuatanga e pā ana
2. Tirotiro tinana: Tae atu ki te whakamātautau pūngāwerewere matihiko
3. Anoscopy, sigmoidoscopy rānei: Te whakamahi i te tirohanga iti ki te titiro i te paparinga pūngāwerewere
4. Biopsy: Te tango i te tauira iti o te kiko mena e hiahiatia ana
5. Ngā whakamātautau atu: Te mahi toto, ngā rangahau whakaahua rānei mena ka whakapaehia ngā raruraru

Ka rongo pea te tirotiro tirohanga he kore e pai, engari he poto te nuinga, ā, ka homai ngā mōhiohio nui mō te rahi, te wāhi, me te ahua o te whekau. Ka taea e tō tākuta te whakatau i te whakamātautau i tēnei tirotiro.

I etahi wā, ka hiahiatia pea ngā whakamātautau atu ki te whakakore i ētahi atu āhuatanga, ki te whakatau rānei i ngā take kei raro penei i te mate whekau mumura.

He aha te rongoā mō te mate pūngāwerewere?

Ko te rongoā mō ngā mate pūngāwerewere e aro ana ki te whakaora i te whekau, ki te whakahaere i ngā tohu, ki te whakatau rānei i te take kei raro. Ko te rongo pai ko te nuinga o ngā mate pūngāwerewere e whakautu pai ana ki ngā huarahi rongoā māori.

Ka whakauru pea tō mahere rongoā ki ēnei huarahi:

• Ngā kai whakamama i te paru: Ki te ārai i te whakapau kaha me te whakaiti i te mumura
• Te kai nui-pūngāwerewere: Ki te whakaputa i ngā paru noa, ngawari
• Ngā rongoā topical: Ngā suppositories, ngā kirikiri rānei anti-mumura
• Te rongoā papa pelvic: Ngā whakapakari tinana ki te whakapai ake i te whakahaere uaua
• Ngā huringa whāinga: Ngā tikanga wharepaku pai ake me te tuunga
• Te rongoā i ngā āhuatanga kei raro: Te whakahaere i te IBD, i ētahi atu take whai wāhi rānei

Mō ngā take nui ake, ngā whekau rānei kaore e ora me te rongoā māori, ka tūtohutia pea e tō tākuta ngā rongoā kaha ake. Ka taea e ēnei te whakauru i ngā rongoā kaha ake, ngā werohanga, i etahi wā, te whakauru pokanga.

Ko te tukanga whakaora ka roa pea i ngā wiki maha ki ngā marama, kei runga i te rahi me te take o te whekau. Ka tirotirohia e tō tākuta tō ahunga whakamua me te whakarite rongoā i te mea e hiahiatia ana.

Me pēhea te whakahaere i te mate pūngāwerewere i te kāinga?

Ko te whakahaere kāinga he wāhi nui ki te whakaora i ngā mate pūngāwerewere me te ārai i te puta mai anō. Ka taea e ngā huringa oranga ngāwari te whakapai ake i ō tohu me te tautoko i te tukanga whakaora.

Ko ēnei ngā rautaki tiaki kāinga whai hua ka taea e koe te whakamahi:

• Tangohia ngā kaukau noho mahana mō ngā meneti 10-15 i ngā wā maha i te rā
• Whakamahia te pepa horoi ngawari, kore kakara rānei, ngā tauera makuku rānei
• Whakamahia ngā putea huka e takoto ana i te kiko mō te whakaora mamae
• Kai i ngā kai iti ake, ngā kai maha ake ki te awhina i te whekau
• Pupuri i te pukapuka kai ki te whakatau i ngā mea whakaoho
• Whakamahia ngā tikanga whakaiti ahotea penei i te manawa hohonu
• Pupuri i te horoi pai me te kore e horoi nui te rohe

Ka taea e ngā kaukau noho te whakaora, ā, ka āhei te whakaiti i te mumura i te wā e whakaputa ana i te whakaora. Ka taea e koe te whakamahi i te wai mahana noa, i te tāpiri rānei i ngā tote Epsom mena ka whakaae tō tākuta.

Karohia ngā hautai pakeke, ngā hua kakara, te horoi pakeke rānei, i te mea ka taea e ēnei te whakaoho atu i te rohe me te whakaroa i te whakaora. Ko te tiaki ngawari te ki ki te tautoko i te tukanga whakaora taiao o tō tinana.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i te whakamātautau tino tika me te mahere rongoā whai hua. Tīmata mā te tuhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ai rātou, e kino ake rānei.

Ko ēnei ngā mea me kawe atu e koe ki tō hui:

• Rārangi o ngā rongoā me ngā tāpiri katoa o nāianei
• Ngā tuhinga o ō tohu me tō rā
• Mōhiohio mō ō tikanga paru me ētahi atu huringa
• Rārangi o ngā pātai e hiahia ana koe ki te ui
• Hītori hauora, tae atu ki ngā raruraru whekau o mua
• Hītori whānau o ngā āhuatanga whekau, āhuatanga autoimmune rānei

Kaua e whakama ki te kōrero mō ngā kōrero mō ō paru, ō tohu rānei. Ka hiahia tō tākuta ki ēnei mōhiohio hei whakarato i te tiaki pai, ā, kua rongo rātou i te katoa i mua.

Whakaarohia te kawe mai i te hoa whakawhirinaki, i te mema whānau rānei mena kei te manukanuka koe, i te mea ka āhei te awhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te hui.

He aha te mea nui mō te mate pūngāwerewere?

He mate ārai ngā mate pūngāwerewere, ahakoa he āwangawanga, e whakautu ana ki te tiaki hauora tika me ngā huringa oranga. Ko te mea nui rawa atu hei mahara ko te toto pūngāwerewere me āta whakamātautau tonu e te tohunga hauora.

Ko te whakamātautau me te rongoā wawe ka āhei te arahi ki ngā hua pai, me te nuinga o te iwi e kite ana i te whakapainga nui i ō rātou tohu. Ahakoa ka roa te tukanga whakaora, ko te whai i tō mahere rongoā me te mahi i ngā huringa oranga e tūtohuhia ana ka āhei te whakarite i ngā hua pai rawa atu.

Kia mahara kei te noho kotahi koe ki te whakahaere i tēnei mate, ā, kei te wātea ngā rongoā whai hua. Ko te mahi tata atu ki tō rōpū hauora me te manawanui ki te tukanga whakaora ka homai ki a koe te tupono pai rawa atu mō te ora tonu.

Ngā pātai e ui ana ngā tāngata mō te mate pūngāwerewere

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

Ko ngā mate pūngāwerewere anō kaore e huri hei mate pukupuku. Heoi, he mea nui te whiwhi i te whakamātautau tika, i te mea ka taea e ētahi tohu te whakakotahi ki ētahi atu āhuatanga. Ka taea e tō tākuta te wehewehe i waenga i ngā whekau pai me ētahi atu āwangawanga mā te tirotiro me te whakamātautau mena e hiahiatia ana.

E hia te roa o te whakaora i te whekau pūngāwerewere?

Ka rerekē te wā whakaora kei runga i te rahi me te take o te whekau, engari ko te nuinga o te iwi e kite ana i te whakapainga i roto i ngā wiki 4-8 i te tīmatanga o te rongoā. Ka roa pea etahi whekau ki te whakaora katoa, ina koa ki te hiahia tuatahi ki te whakahaere i ngā āhuatanga kei raro.

He haumaru te whakapakari tinana me te mate pūngāwerewere?

Ko te whakapakari tinana ngawari penei i te hikoi he pai te nuinga, i te mea ka whakaputa i te whekau hauora me te rere o te toto. Heoi, karohia ngā mahi e pēhi ana ki te rohe pūngāwerewere, e puta ai te whakapau kaha. Tirohia tonu ki tō tākuta mō ngā mahi e tika ana mō tō āhuatanga motuhake.

Ka taea e ngā huringa kai anake te whakaora i te mate pūngāwerewere?

Ahakoa he wāhi nui ngā huringa kai ki te rongoā, ā, ka taea te awhina nui ki te whakaora, ko te nuinga o te whai hua ina whakakotahitia ki ētahi atu rongoā. Ko te kai nui-pūngāwerewere me te wai nui e tautoko ana i te whakaora, engari ko te rongoā hauora te nuinga e hiahiatia ana mō te whakatau katoa.

Ka hiahia ahau ki te pokanga mō taku mate pūngāwerewere?

Ko te nuinga o ngā mate pūngāwerewere e ora ana me te rongoā māori, ā, kaore e hiahia ki te pokanga. Ko te pokanga te nuinga e whakaarohia ana mō ngā whekau kaore e whakautu ki ētahi atu rongoā, i ngā take rānei me ngā raruraru nui. Ka ngana tonu tō tākuta ki ngā huarahi iti ake i mua.