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

Ko te kolitis pōka he mate pūkahukahu o te kopu e mate ai te pupuhi me te pōka i te papanga o roto o tō whekau nui (koroni) me tō tūtae. Kāore i rite ki ētahi atu mate o te pūkahukahu, ka noho tonu tēnei pupuhi ki te paparanga o roto o te pakitara o tō whekau, ā, ka tīmata pea i te tūtae, katahi ka horapa pea ki runga i te koroni.

Ko tēnei mate e pā ana ki te 1 i roto i te 250 o te iwi, ā, ka puta pea i tetahi tau, ahakoa ko te nuinga o te wā ka puta i waenga i ngā tau 15 me te 30. Ahakoa he mate ora tonu te kolitis pōka, he maha ngā tāngata e kimi ana i ngā huarahi whai hua hei whakahaere i ō rātou tohu, ā, hei ora tonu, hei ora ngākau.

He aha ngā tohu o te kolitis pōka?

Ko ngā tohu matua o te kolitis pōka e pā ana ki ngā huringa i ō huringa o te whekau me te mamae o te kopu. Ka rereke enei tohu mai i te ngawari ki te kino, ā, ka puta mai pea, ka mutu i ngā pupuhi e whai ana i ngā wā o te whakaora.

Koinei ngā tohu tino noa ka pā pea ki a koe:

• Te ruaki, te nuinga o te wā me te toto, te kōhua rānei
• Te mamae o te kopu me te kopuku, te nuinga o te wā i te taha maui
• Te hiahia nui ki te haere ki te wharepaku
• Te mārama kaore e taea e koe te whakaoti i te whakamahinga o tō whekau
• Te mamae o te tūtae me te toto
• Te ngenge me te ngoikore
• Te ngaro o te hiahia kai me te ngaro o te taumaha
• Te kirika iti i ngā wā pupuhi

He maha ngā tāngata e pā ana ki ngā tohu i waho atu o ō rātou pūnaha kai. Ka uru pea enei ki te mamae o ngā hononga, ngā raruraru kiri, te pupuhi o te kanohi, te pōka rānei o te waha. Ka pai ake enei tohu i te wā e pai ana te whakahaere i tō pupuhi o te whekau.

Ka rereke te kaha o ngā tohu mai i te tangata ki te tangata. He maha ngā tāngata he tohu ngawari kei te iti rawa te pānga ki ō rātou mahi o ia rā, ā, he maha ngā tāngata e pā ana ki ngā pupuhi kaha ake e hiahia ana ki te tiaki hauora tonu.

He aha ngā momo o te kolitis pōka?

Ka whakarōpūhia te kolitis pōka i runga i te wāhi e puta ai te pupuhi i tō koroni. Ko te mārama ki tō momo motuhake ka āwhina i tō tākuta ki te whiriwhiri i te huarahi maimoatanga tino whai hua.

Ko ngā momo matua e whai ake nei:

• Proctitis pōka: Ko te pupuhi kei te tūtae anake, ko te nuinga o te wā ko te momo ngawari
• Kolitis taha maui: Ko te pupuhi e horapa ana mai i te tūtae ki te taha maui o te koroni
• Kolitis whānui: Ko te pupuhi e pā ana ki te nuinga, ki te katoa rānei o te koroni
• Kolitis nui ohorere: He momo onge engari he kino e pā ana ki te koroni katoa me ngā tohu kino

Ka rereke pea tō momo i te wā. Ka tīmata pea ētahi tāngata me te proctitis, ā, ka whānuitia ake te mate, ā, ko ētahi atu e pupuri ana i te tauira kotahi i roto i ō rātou mate.

He aha ngā take o te kolitis pōka?

Kāore i tino mārama te take pono o te kolitis pōka, engari e whakapono ana ngā kairangahau ka puta mai i te wā e whakaeke ai tō pūnaha mate ki te papanga hauora i tō koroni. Ka puta mai tēnei na te whakakotahitanga o ngā take ira, taiao, me te pūnaha mate e mahi tahi ana.

He maha ngā take ka āwhina ki te whanake i te kolitis pōka:

• Ira: Ko te whai whānau e mate ana i te mate pūkahukahu o te whekau ka piki ake tō tūponotanga
• Te kore mahi o te pūnaha mate: Ko te pūnaha tiaki o tō tinana e whakaeke ana i tō papanga whekau ake
• Ngā whakaohooho taiao: Ka taea e ētahi huakita, huaketo, me ētahi atu take te whakaohooho i te whakautu mate
• Te kore taurite o ngā huakita o te whekau: Ka taea e ngā huringa i ngā huakita noa i roto i ō whekau te mahi

He rerekē ki ngā whakapono tawhito, kāore te ahotea me te kai e pā ana ki te kolitis pōka, ahakoa ka taea e rāua te whakaohooho i ngā pupuhi ki ngā tāngata kua pangia e te mate. Kāore te mate e pā ana, ā, kāore e taea te tuku atu i te tangata ki te tangata.

Ko ētahi take āwhina onge e ako ana ngā kairangahau, ko ētahi rongoā, ngā mate o mua, me te whakaū ki ngā poizon taiao motuhake, ahakoa kāore anō kia tino whakamāramahia enei hononga.

Nōhea te haere ki te tākuta mō te kolitis pōka?

Me haere koe ki te tākuta mena ka pāngia koe e ngā huringa roa i ō tikanga o te whekau, ina koa ki te kite koe i te toto i tō tūtae, te mamae rānei o te kopu. Ko te taumata whakamārama me te maimoatanga wawe ka āwhina i te aukati i ngā raruraru me te whakapai ake i tō kounga o te ora.

Rapua te tiaki hauora mena kei a koe:

• Te toto, te kōhua rānei i tō tūtae mō ngā rā neke atu i te torutoru
• Te ruaki roa kaore e pai ake
• Te mamae o te kopu e āwangawanga ana i ngā mahi o ia rā
• Te ngaro o te taumaha, te ngaro rānei o te hiahia kai
• Te ngenge kaore e pai ake me te okioki

He maha ngā ahuatanga e hiahia ana ki te tiaki hauora tonu. Haere ki te ruma ohorere mena ka pāngia koe e te mamae nui o te kopu, te kirika teitei, te tere o te ngākau, ngā tohu o te maroke, te nui rānei o te toto e tukuna ana e koe.

Ahakoa he ngawari ngā tohu, he pai te kōrero ki tō tākuta. He maha ngā tāngata e tatari ana kia roa rawa te rapu awhina, ka arahi pea tenei ki ngā tohu kaha ake me ngā raruraru i muri mai.

He aha ngā take tūponotanga mō te kolitis pōka?

Ahakoa ka taea e te tangata te whanake i te kolitis pōka, he maha ngā take ka piki ake tō tūponotanga ki te whanake i tēnei mate. Ko te mārama ki enei take tūponotanga ka āwhina i a koe ki te mohio wawe ki ngā tohu me te rapu i te tiaki tika.

Ko ngā take tūponotanga matua e whai ake nei:

• Tau: Ko te nuinga o te wā ka whānuitia i waenga i ngā tau 15-30, me te piki iti i te tau 50-70
• Te hītori whānau: Ko te whai mātua, te teina, te tamaiti rānei e mate ana i te mate pūkahukahu o te whekau
• Iwi: Ko te nuinga o te wā i ngā tāngata o te iwi Hūrai, ahakoa e pā ana ki ngā iwi katoa
• Te whenua: Ko te nuinga o te wā i ngā whenua whānui me ngā takiwa o te tāone
• Te tango atu o te āpeneke: He mea whakamīharo, ko te tango atu o tō āpeneke ka iti pea te tūponotanga

Ko ētahi take tūponotanga iti ake e akohia ana, ko ētahi rongoā penei i ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal), ngā take hormonal, me ngā tauira kai motuhake, ahakoa kāore anō kia tino whakamāramahia enei hononga.

Ko te whai take tūponotanga kāore e tikanga ka whānuitia e koe te kolitis pōka. He maha ngā tāngata he maha ngā take tūponotanga kāore e whānuitia te mate, ā, ko ētahi atu kāore he take tūponotanga e kitea ana.

He aha ngā raruraru pea o te kolitis pōka?

Ahakoa ko te nuinga o ngā tāngata e mate ana i te kolitis pōka e whakahaere pai ana i ō rātou mate, he mea nui te mārama ki ngā raruraru pea kia taea ai e koe te mahi tahi me tō rōpū hauora hei aukati i a rātou. Ka taea te karo i ngā raruraru maha me te maimoatanga me te tirotiro tika.

Ko ngā raruraru tino noa e whai ake nei:

• Te toto nui: Ka taea e te ngaro toto roa te arahi ki te mate toto iti
• Te maroke: Mai i te ruaki roa me te iti o te inu wai
• Te ngaro o te wheua: Na te pupuhi me ētahi rongoā
• Te piki o te tūponotanga mate: Mai i ngā rongoā e whakaiti ana i tō pūnaha mate
• Ngā raruraru kiri, kanohi, me ngā hononga: Ko te pupuhi e pā ana ki ētahi atu wāhanga o tō tinana

Ko ngā raruraru onge engari he kino e hiahia ana ki te tiaki tonu. Ko ēnei ko te megacolon poizon (te pupuhi kino o te koroni), te pōka o te whekau, me te maroke nui ka arahi pea ki ngā raruraru whatukuhu.

Mō te wā roa, he iti te piki o te tūponotanga o te mate pūngāwerewere ki ngā tāngata he kolitis pōka whānui, ina koa ki te wā roa o te mate. Ko te tirotiro colonoscopy noa ka āwhina i te kite wawe i ngā huringa i te wā e tino taea ai te whakaora.

Me pēhea te aukati i te kolitis pōka?

Aroha mai, kāore he huarahi kua whakamāramahia hei aukati i te kolitis pōka, na te mea he nui te pānga o te ira me ngā take pūnaha mate i tua atu i tō mana whakahaere. Heoi, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūponotanga ki ngā pupuhi ina pangia koe e te mate.

Ahakoa kāore e taea te aukati, he maha ngā take noho ora ka āwhina i te whakaiti i te auau o ngā pupuhi:

• Te whakahaere i te ahotea mā ngā tikanga whakahaerenga, te whakakori tinana, te tohutohu rānei
• Te kai i te kai tōtika me te kimi i ō kai whakaohooho ake
• Te whakakori tinana noa hei tautoko i te mahi o te pūnaha mate
• Te kore kai paipa (ka taea e te kai paipa te whakaiti i ngā tohu o te kolitis pōka)
• Te tango i ngā rongoā penei i te whakahaua, ahakoa i ngā wā kaore he tohu

He maha ngā tāngata e kite ana ko te pupuri i te tāpuhi kai me te tohu ka āwhina i a rātou ki te kimi i ngā tauira me ngā whakaohooho pea. Ka taea te whakamahi i tēnei mōhiohio e tō rōpū hauora hei whakawhanake i tō mahere maimoatanga.

Ko te rautaki "aukati" tino nui ko te mahi tata atu ki tō rōpū hauora hei whakahaere pai i tō mate me te hopu wawe i ngā huringa.

Me pēhea te taumata whakamārama o te kolitis pōka?

Ko te taumata whakamārama o te kolitis pōka e whai ana i ngā mahi maha, na te mea kāore he whakamātautau kotahi e taea te whakamārama pono i te mate. Ka whakakotahi tō tākuta i tō hītori hauora, te whakamātautau tinana, me ngā whakamātautau maha hei whakawhanake i te taumata whakamārama tika.

Ko te tukanga taumata whakamārama e whai ake nei:

• Te hītori hauora me te whakamātautau tinana: Te kōrero mō ō tohu me tō hītori whānau
• Ngā whakamātautau toto: Te tirotiro mō te mate toto iti, ngā tohu pupuhi, me te whakakore i ngā mate
• Ngā tauira tūtae: Te whakamātautau mō ngā mate, te toto, me ngā tohu pupuhi
• Colonoscopy: Te tirohanga tika o te papanga o roto o tō koroni me ngā tauira papanga
• Ngā tātaritanga CT, MRI rānei: Te whakaahua hei kite i te nui o te pupuhi

Ko te colonoscopy te nuinga o te wā ko te whakamātautau tino nui, na te mea ka taea e ia tō tākuta te kite i te tauira pupuhi tohu o te kolitis pōka me te whakakore i ētahi atu mate penei i te mate Crohn, te mate pūngāwerewere rānei.

I etahi wā ka roa te whakamārama, ina koa ki te ngawari ngā tohu, ki te rite rānei ki ētahi atu mate o te pūkahukahu. Ka hiahia pea tō tākuta ki te whakahoki i ētahi whakamātautau, ki te whakamātautau rānei i ngā huarahi rerekē hei whiwhi i te whakaahua marama o te mea e puta ana.

He aha te maimoatanga mō te kolitis pōka?

Ko te maimoatanga mō te kolitis pōka e whai ana ki te whakaiti i te pupuhi, ki te whakahaere i ngā tohu, ki te āwhina i a koe ki te whiwhi me te pupuri i te whakaora. Ka whakaritea tō mahere maimoatanga ki ō tohu motuhake, te nui o tō mate, me te āhua o tō whakautu ki ngā rongoā rerekē.

Ko ngā huarahi maimoatanga noa e whai ake nei:

• Ngā rongoā anti-inflammatory: Aminosalicylates (penei i te mesalamine) hei whakaiti i te pupuhi
• Corticosteroids: Mō ngā pupuhi o te waenganui ki te nui, e whakamahia ana mō te wā poto
• Ngā rongoā immunosuppressant: Ngā rongoā e whakahaere ana i tō pūnaha mate
• Ngā maimoatanga Biologic: Ngā maimoatanga e āwhina ana ki te aukati i ngā huarahi pupuhi motuhake
• Ngā kaihoroi JAK: Ngā rongoā waha hou e whakaiti ana i te pupuhi

Ko te nuinga o ngā tāngata e tīmata ana me ngā rongoā ngawari ake, ka haere tonu ki ngā rongoā kaha ake mena e hiahiatia ana. Ka tirotiro tata atu tō tākuta ki a koe hei kimi i te maimoatanga tino whai hua me ngā pānga iti.

I ngā take onge kaore he hua ngā rongoā, ka whānuitia ngā raruraru, ka taea te tūtohutia te pokanga hei tango i te koroni me te tūtae. Ahakoa he pokanga nui tēnei, ka taea te whakaora, ā, ka taea e ngā tāngata te ora i ngā ora kore tohu.

Me pēhea te whakahaere i te kolitis pōka i te kāinga?

Ko te whakahaere kāinga he mahi nui ki te whakahaere i ngā tohu o te kolitis pōka me te aukati i ngā pupuhi. Ahakoa he mea nui ngā rongoā, ka taea e ō tikanga o ia rā me ō rautaki tiaki ake te pānga nui ki tō āhua.

Ko ngā rautaki whakahaere kāinga whai hua e whai ake nei:

• Ngā huringa kai: Te karo i ngā kai whakaohooho i ngā wā pupuhi, te kai i ngā kai iti ake, te maha atu
• Te whakahaere ahotea: Te whakakori tinana noa, te whakaaroaro, te yoga rānei hei whakaiti i ngā taumata ahotea
• Te inu wai tika: Te inu i te wai nui, ina koa i ngā wā ruaki
• Te pupuri tika i ngā rongoā: Te tango i ngā rongoā penei i te whakahaua, ahakoa i te wā e pai ana te āhua
• Te moe hauora: Te whiwhi i te 7-8 haora o te moe kounga hei tautoko i te mahi o te pūnaha mate

Pupurihia he tāpuhi tohu hei aroturuki i ngā kai, ngā mahi, ngā ahotea rānei ka whakaohooho pea i ō tohu. Ka āwhina tēnei mōhiohio i a koe me tō rōpū hauora ki te whakatau i ngā whakatau maimoatanga pai ake.

I ngā wā pupuhi, arotahi ki ngā kai ngawari, ngāwari ki te kai, ā, karohia ngā kai nui-pūngāwerewere, ngā kai kawa, ngā kai ngako rānei ka āwangawanga pea i ō whekau. Ka āwhina pea ngā probiotics ki ētahi tāngata, ahakoa me kōrero koe ki tō tākuta tuatahi.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui tākuta ka āwhina i te whakarite kia whiwhi koe i te hua nui mai i tō haerenga, ā, ka hoatu ki tō rōpū hauora te mōhiohio e hiahia ana rātou ki te āwhina pai i a koe. Ko te whakarite pai ka penapena i te wā, ka arahi ki te tiaki pai ake.

I mua i tō hui, kohia ngā mōhiohio e whai ake nei:

• He rārangi taipitopito o ō tohu, tae atu ki te wā i tīmata ai rātou me te auau o te puta
• Ngā rongoā katoa e tangohia ana e koe i tēnei wā, tae atu ki ngā taapiri me ngā rongoā kore-whakahaunga
• Tō hītori hauora whānau, ina koa ngā mate o te pūkahukahu, ngā mate autoimmune rānei
• He rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākuta
• Ngā hua whakamātautau o mua, ngā rēkōta hauora rānei e pā ana ki ō tohu

Whakaarohia te pupuri i te tāpuhi tohu mō te wiki kotahi, rua rānei i mua i tō hui. Tuhia te mea e kai ana koe, ō taumata ahotea, me ngā tohu katoa e pāngia ana koe. Ka āwhina tēnei mōhiohio ki te kimi i ngā tauira e hiahia ana tō tākuta ki te mohio.

Kaua e whakaroa te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui me te whakarato i te tautoko ngākau i te wā pea he haerenga ahotea.

He aha te mea nui mō te kolitis pōka?

Ko te kolitis pōka he mate roa e taea te whakahaere e pā ana ki te tangata katoa. Ahakoa ka tino āwangawanga te whiwhi i tēnei taumata whakamārama, kia mahara ko te nuinga o ngā tāngata e mate ana i te kolitis pōka e ora ana i ngā ora tonu, ngā ora ngākau me te maimoatanga me te tiaki ake.

Ko ngā mea tino nui hei mahara ko te taumata whakamārama wawe me te maimoatanga ka whakapai ake i ngā hua, ā, ko te mahi tata atu ki tō rōpū hauora ka āwhina i a koe ki te kimi i te whakakotahitanga tika o ngā rongoā me ngā rautaki noho ora mō tō ahuatanga motuhake.

Kua hurihia e ngā maimoatanga hou te tirohanga mō ngā tāngata e mate ana i te kolitis pōka. Me ngā rongoā me ngā rautaki whakahaere o nāianei, ka taea e te nuinga o ngā tāngata te whiwhi me te pupuri i te whakaora, te aukati i ngā raruraru me te pupuri i ō rātou kounga o te ora.

Kia tūmanako, kia hono atu ki tō rōpū hauora. Ko te kolitis pōka he haerenga, engari kāore koe e hiahia ki te haere kotahi.

Ngā pātai e ui pinepinetia ana mō te kolitis pōka

He rite te kolitis pōka ki te mate Crohn?

Kāo, ahakoa ko ngā mate pūkahukahu o te whekau e rua, he rerekē ngā mate. Ko te kolitis pōka e pā ana ki te papanga o roto o te koroni me te tūtae anake, ahakoa ka taea e te mate Crohn te pā ki tetahi wāhanga o te pūkahukahu, ā, e whai ana i ngā paparanga hohonu o te pakitara o te whekau. Ka rite pea ngā tohu me ngā maimoatanga, engari ka rereke pea te huarahi motuhake.

Ka taea te whakaora i te kolitis pōka mā te kai?

Kāore e taea te whakaora i te kolitis pōka mā te kai anake, engari ka taea te āwhina i te whakahaere i ngā tohu me te tautoko i tō mahere maimoatanga katoa. Ahakoa kāore he "kai kolitis pōka" kotahi, he maha ngā tāngata e kite ana ko te karo i ētahi kai whakaohooho i ngā wā pupuhi ka āwhina i te whakaiti i ngā tohu. Mahi tahi me tō tākuta, kai kai rēhita rānei hei whakawhanake i te mahere kai e mahi ana mōu.

Me pokanga ahau mō te kolitis pōka?

Ko te nuinga o ngā tāngata e mate ana i te kolitis pōka e whakahaere pai ana i ō rātou mate me ngā rongoā, kāore hoki e hiahia ki te pokanga. Ko te pokanga e whakaarohia ana i te wā kaore he hua ngā rongoā, ka whānuitia ngā raruraru, te whiriwhiri rānei a te tangata ki te pokanga hei karo i te whakamahinga rongoā mō te wā roa. I te wā e hiahiatia ana, ka taea te whakaora i te pokanga mō te kolitis pōka.

Ka taea e au te whānau tamariki mena kei ahau te kolitis pōka?

Ae, he maha ngā tāngata e mate ana i te kolitis pōka e whai ana i ngā haputanga hauora me ngā tamariki. Heoi, he mea nui te whakarite i ngā haputanga me tō rōpū hauora hei whakarite kia pai te whakahaere i tō mate, ā, kia haumaru ngā rongoā i te wā hapu. Ka hiahia pea ki te whakarerekē i ētahi rongoā, engari ka taea te whakahaere haumaru i te nuinga.

He ira te kolitis pōka?

Ahakoa he wāhanga ira kei te kolitis pōka, kāore i tuku tika penei i ētahi atu mate. Ko te whai mema whānau e mate ana i te mate pūkahukahu o te whekau ka piki ake tō tūponotanga, engari ko te nuinga o ngā tāngata e mate ana i te kolitis pōka kāore he mema whānau e pāngia ana. Mena kei a koe te mate, he iti te piki o te tūponotanga o ō tamariki, engari ko te nuinga kāore e whānuitia.