He maha ngā mamae o tō puku? He toto kei roto i tō tūtae? He mate puku ulcerative pea? Me kōrero tātou mō tēnei!

He maha ngā wā ka pāngia koe e te kore whakamarie i roto i tō puku, pērā i te kī tonu o te puku me te werawera? Mēnā ka puta he toto iti i roto i tō tūtae, me āwangawanga koe mōna. Tērā pea he tohu tēnei o tētahi mate e kiia nei ko te `(Ulcerative Colitis - UC)`. Kaua e manukanuka, ka kōrerohia e mātou tēnei mea kia māmā noa iho, kia mārama ai koe.

He aha te `(Ulcerative Colitis - UC)`? He māmā noa iho...

He whakarāpopototanga noa iho, he mate mō te wā roa te Ulcerative Colitis e puta ai te mumura me ngā mate pukupuku i roto i tō koroni me tō rectum. He wāhanga tēnei o tētahi rōpū mate nui ake e kiia nei ko te Inflammatory Bowel Disease (IBD). Kua rongo pea koe i te mate a Crohn, tika? Kei roto anō hoki tēnā i te kāwai kotahi ki te IBD.

Ina pāngia koe e te UC, tera pea ka pāngia koe e ngā āhuatanga pēnei i te toto o ngā tūtae, te mamae o te puku, me te mimi pinepine . Kia maumahara, tera ētahi wā ka kino haere ēnei tohu, e kiia nei e mātou ko ngā "flare-ups". Ā, tera anō ētahi wā ka kore rawa he tohu, e kiia nei e mātou ko te "remission".

He momo `(UC)` kei reira?

Ae, he maha ngā momo UC. Ka whakarōpūtia ēnei i runga i te wāhi kei reira te pupuhi me ngā mate i roto i tō koroni . I te nuinga o te wā, ka tīmata i te wāhanga whakamutunga o tō pūkahukahu, e tata ana ki tō nono. Ka taea te tīmata i reira ka horapa ki runga i te koroni. Anei ngā momo:

• Te proctitis ulcerative: I roto i tēnei, ka puta te mumura ki te wāhanga whakamutunga o tō rectum anake.
• (Proctosigmoiditis): Kei konei te mumura i te wāhanga whakamutunga o te nono (rectum) me te wāhanga o raro, āhua 'S' o te whekau nui (sigmoid colon).
• (Te mate koripi taha maui): E ai ki te ingoa, ka pā tēnei ki te taha maui o te koroni.
• (Pancolitis): I tēnei wā, ka horapa pea te pupuhi me ngā whara puta noa i te koroni katoa .

Ka taea e tēnei mate (UC) te ngawari, te āhua whakarara, te kino rānei , i runga i ō tohumate. Tērā anō tētahi momo tino kino, engari he tino onge, e kiia nei ko te "fulminant ulcerative colitis". I ētahi wā ka morearea te ora, ā, me aro tonu ki te hauora.

He pēhea te noa o te rongonui o tēnei mate e kiia nei ko te `(Ulcerative Colitis)`?

I te taha o te mate a Crohn, e kiia ana kotahi i roto i te 250 tāngata i Amerika Te Raki me Ūropi he mate pēnei. I te Hononga o Amerika anake, e kiia ana tata ki te 900,000 tāngata e noho ana me te UC. Kei te piki haere te kitea o tēnei mate i Sri Lanka.

He aha ngā tohu o te Ulcerative Colitis?

Ka kino haere ngā tohu o te UC i te roanga o te wā.Āe. I te tīmatanga, ka kite pea koe i ngā tohu iti, pēnei i ēnei:

• Te pupuhi o te puku: Tērā pea ka puta tēnei me te toto, kāore rānei.
• Te pikinga ake o te auau o te puku: E whā pea ngā wā i te rā, iti iho rānei.
• Te hiahia nui ki te haere ki te wharepaku: He hiahia nui e uaua ana ki te whakahaere.
• (Tenesmus): He kupu rerekē tēnei, kāore? He kupu ngāwari noa iho, he kare ā-roto e hiahia ana koe ki te haere ki te wharepaku engari kāore e taea, he kare ā-roto e mau ana i roto i tō puku.
• He mamae puku ngawari, he kōpiripiri rānei.

Ā muri ake nei, i te whanaketanga o te mate, ka puta pea ngā tohu ngawari, kino rānei pēnei i ēnei:

• Me haere tonu koe ki te wharepaku i ngā wā katoa, neke atu i te whā ngā wā i te rā.
• He toto, he hūpē, he pūhā rānei kei roto i te tūtae. He tohu tēnei hei āwangawanga māu.
• Te mamae nui o te puku.
• Te ngenge rawa. Te ngenge rawa, te kore e taea te mahi i tetahi mea.
• Te whakahekenga taumaha ohorere.
• Te whakapairuaki.
• Te kirika.

Ina hoki, tata ki te haurua o te hunga whai UC ka pāngia e ngā tohu ngawari i te wā e puta ake ana te mate. Engari ko ētahi ka pāngia pea e te kirika maha, te korere toto, te whakapairuaki, me te mamae nui o te puku.

He tohu anō kei tua atu i te koroni?

Āe, kaua e miharo, tata ki te 25% o te hunga whai UC ka pāngia e ngā tohu i waho o te koroni, i ētahi atu wāhanga o te tinana . Nā te mea ka horapa te mumura i roto i te koroni ki ētahi atu wāhanga o te tinana, pērā i ngā wheua, ngā hononga, ngā kanohi, te kiri, me te ate.

• Te mamae o ngā hononga me te pupuhi.
• Te whero, te mumura, te mākūkū o ngā kanohi.
• He pupuhi mamae, he whara, he mariao rānei i runga i te kiri.

He aha te take e puta ai tēnei `(Ulcerative Colitis)`? He aha te take?

Kāore anō kia mōhiotia te tino take o tēnei mate. Heoi, e whakapono ana ngā tākuta me ngā kairangahau he mate uaua tēnei, he maha ngā āhuatanga mōrearea e hono tahi ana . E whakaae ana te nuinga he hononga tēnei ki te mahi hē a te pūnaha ārai mate o tō tātou tinana.

Whakaarohia, ko te mahi matua a tō tātou pūnaha ārai mate he tiaki i tō tātou tinana mai i ngā huakita me ētahi atu mea kino e puta mai ana i waho. Engari i ētahi wā, ka tīmata te pūnaha ārai mate ki te whakaeke i ō tātou ake kiko hauora. Ko te wā tēnei ka puta ai tēnei momo mumura me te kino o ngā kiko. I roto i te `(UC)`, ka puta tēnei whakaeke ki te arai o roto o te koroni.

He aha ngā āhuatanga mōrearea? Ko wai te hunga ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ahakoa ka taea e te tangata katoa te pāngia e te mate puku ulcerative, he nui ake te mōrearea o ētahi tāngata. Tirohia mēnā e pā ana ēnei kōrero ki a koe:

• Tau: Ko te nuinga o te wā ka kitea tēnei mate i roto i ngā taiohi i waenga i te 15 me te 30 tau te pakeke, i roto rānei i ngā kaumātua i muri i te 60 tau te pakeke .
• Iwi me te iwi taketake: Kua whakaatuhia e ētahi rangahau he nui ake te mōrearea o te hunga mā, inā koa ko te hunga Hūrai Ashkenazi. Heoi, me nui ake ngā rangahau hei whakatau i te nui o te pānga o tēnei ki tētahi whenua pēnei i a Sri Lanka.
• Ira: He mea nui anō hoki tēnei. Mena kei roto i tō whānau tata (arā, ngā mātua, ngā tuākana, teina, ngā tamariki) te mate UC, te mate a Crohn rānei, ka nui ake te tūponotanga ka pāngia koe e te mate. Tata ki te 20% o te hunga whai UC he mema whānau kei a rātou tētahi o ēnei mate.
• Ngā moroiti puku: Kei roto i tā tātou pūnaha nakunaku, inā koa te whekau nui, ngā miriona moroiti (huakita, huaketo, harore). Ka kiia tēnei kohinga ko te "moroiti puku". He rite ki tētahi pūnaha rauropi iti i roto i ō tātou whekau. Kua whakaatuhia e ngā rangahau he rerekētanga nui kei roto i tēnei taiao moroiti i roto i te hunga whai "UC" ki te hunga kāore i te mate. Ahakoa kāore anō kia mōhiotia te take tuturu, e whakaarohia ana ka whai wāhi anō hoki tēnei ki te whanaketanga o te "UC".

Kotahi te mea hei maumahara, ehara i te mea ko tō ahotea me tō kai te take tika o tō UC. Heoi, ki te mea kua pāngia koe e te UC, ka taea e ēnei mea te whakapataritari i ō tohumate. Nō reira, ki te mea kua tāpaetia koe he UC, ko te mea pai rawa atu ka taea e koe ko te aroturuki i ngā mea e pāngia ai koe, me te karo i aua mea i ngā wā katoa e taea ana.

He aha atu ngā raruraru ka puta mai i te Ulcerative Colitis?

Mā te mate pukupuku ulcerative ka nui ake te tūponotanga o te whakawhanake i ētahi atu raruraru hauora. Tērā pea me aroturukitia me te rongoā anō ēnei.

• Kore toto nui: Mā te toto tonu, puhoi, ā, i ētahi wā ohorere, nui hoki mai i ngā whara o te koroni ka heke te nui o te toto i roto i te tinana, ka puta ai te kore toto, arā, te hekenga o ngā toto whero.
• Matepukupuku koroni: Ko te hunga whai UC, inā koa ko te hunga kua roa e pāngia ana e te mate, he nui ake te tūponotanga ki te pāngia e te matepukupuku koroni i ētahi atu. Ko tō tūponotanga ka whakawhirinaki ki te wāhi kei reira te mumura i roto i tō koroni me te roa o tō pāngia e te UC. He mea nui kia kōrero koe ki tō tākuta mō tēnei mea, me te tirotiro i a koe anō i ia wā.
• Osteoporosis: Ka pāngia ngā wheua me ngā hononga e te mumura o te koroni, ka ngoikore ai te wheua, he āhuatanga e kiia nei ko te osteoporosis.
• Te cholangitis sclerosing tuatahi:He ingoa uaua tēnei. Ki te kī māmā, ki te horapa te mumura o te koroni ki te ate, ka pupuhi, ka whara hoki ngā awaawa o te ate. Ka taea e tēnei kiko kua pakaru te whakararu i te mahi a te ate.
• Ngā raruraru tipu me te whanaketanga o ngā tamariki: Mena he mate pukupuku o te puku (UC) tō te tamaiti nohinohi, ka iti pea te mahi a te whekau nui, ka whakaiti i te kaha o te tinana ki te mimiti i ngā matūkai e tika ana mō te tipu me te whanaketanga. I a koe e tango ana i te rongoā mō te mate pukupuku o te puku (UC), me hoatu pea he huaora ki tāu tamaiti hei tāpiri atu ki ētahi atu tāpiringa.

Ngā raruraru e hiahia ana ki te maimoatanga ohorere

He ahua morearea ēnei raruraru, ā, ki te puta he mea pēnei , me haria tonu koe ki te hōhipera, ā, me whiwhi maimoatanga ohorere (ER).

• Te Matewai Nui: Ka taea e ngā nekehanga puku maha te meinga kia ngaro te nui o te wai i roto i tō tinana, ka arahi pea ki te matewai nui. Mena ka tupu tēnei, me hoatu pea he wai ki a koe i te hōhipera.
• Te Pūngao o te Kōrini: He āhuatanga tino morearea tēnei. He āhuatanga ohorere hauora te pūngao i te pakitara o te kōrini, ā, me mahi pokanga tonu.
• Te toto nui: Mena he nui te toto e puta mai ana i te patunga, tera pea e hiahiatia he whakawhiti toto.
• Te megacolon paitini: He āhuatanga onge anō hoki tēnei engari he mate morearea pea. Ka mutu te mahi a te koroni i te pupuhi nui, ka nui haere te koroni (megacolon), ka turuturu ngā paitini ki roto i te toto.
• Ngā toto totoka: Ka whakanui ake te UC i te mōrearea o te hanganga o ngā toto totoka i roto i ngā oko toto o te tinana ( ngā uaua , ngā uaua toto , me ngā kapia toto). I runga i te wāhi e puta ai ēnei totoka, ka taea e rātou te whakararu i te ora.

Me pēhea te tātaritanga o te mate puku ulcerative? He aha ngā whakamātautau e mahia ana?

Ki te whakapae koe kei a koe te UC, ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, ka whakahaere i tētahi whakamātautau tinana, ā, ka pātai atu mēnā kei roto i tō whānau te IBD. Kātahi, ka tonoa pea e rātou ētahi whakamātautau hei whakakore i ētahi atu mate he rite ngā tohumate ki te UC, hei whakaū hoki i te UC.

• Ngā whakamātautau toto: Ka taea te tango tauira o tō toto hei tirotiro mō te anemia. Ko te anemia te tikanga he toto kei roto i te koroni, i te rectum rānei. Ka taea hoki e ēnei whakamātautau toto te rapu i ētahi atu take, pērā i ngā mate pāwera.
• Ngā tauira tūtae: Ka tirohia he tauira o tō tūtae kia kitea ai mēnā he tohu mate, he pirinoa, he mumura rānei.
• Ngā whakamātautau whakaahua: Tērā pea ka tangohia he whakaahua hei tirotiro i te roto o te koroni me te pūkahukahu.
• (Te werohanga barium)He momo hihi-X motuhake tēnei. Ka taea e ia te kite i ngā mea pēnei i te pupuhi i te koroni.
• Mā te matawai CT (matawai Tomography Rorohiko) me te MRI (Whakaahua Resonance Āhua) ka kitea mārama te pupuhi o te koroni, inā koa i ngā take ngawari me ngā take kino o te UC.
• Ka taea hoki e te hihi-X auau te tirotiro mō ngā raruraru morearea pērā i te megacolon, te poka rānei o te koroni.
• Ngā whakamātautau endoscopic: Koinei te whakamātautau matua me te whakamātautau tino whakatau hei tautuhi i te UC. He ngongo angiangi, ngāwari te endoscope me te kāmera iti i tetahi pito. Ka whakauruhia tēnei ngongo mā roto i tō nono, ā, ka taea e te tākuta te kite i te roto o tō koroni. Ka taea hoki e rātou te tango i tētahi wahi kiko iti (biopsy) mai i ngā wāhi whakapae ka tukuna ki te taiwhanga hei whakaū i te tautuhi. Ko ngā whakamātautau endoscopic matua hei tautuhi i te UC ko te colonoscopy me te sigmoidoscopy .

Me pēhea te rongoā i te Ulcerative Colitis?

E rua ngā whāinga matua o te rongoā i te UC. Ko tētahi he whakaiti i ō tohumate (ngā putanga mai o te mate) me te whakamutu i te mamae. Ko tētahi atu whāinga he pupuri i tō mamae mena kua mutu te mamae. Ka mahia tēnei mā te rongoā, ā, i ētahi wā ka pokanga .

Ngā rongoā

Ka whakamahia e ngā tākuta ngā momo rongoā (kotahi, he rongoā whakakotahi rānei) hei whakaiti i te mumura me te whakaora i ngā patunga o te koroni. Ina whakaitihia te pupuhi me te mumura, ka whai wāhi ngā kiko ki te whakaora. Ka whakaitihia hoki ō tohumate, ā, ka whakahaeretia tō mamae me ō nekehanga puku.

• (Aminosalicylates): He maha ngā wā ka tohua te Sulfasalazine (Azulfidine®) mō te UC ngawari ki te ngoikore. Heoi, ki te mea he mate pāwera koe ki te sulfa, me kōrero ki tō tākuta. Ka tohua pea e tō tākuta he aminosalicylate kore-sulfa, pērā i te mesalamine (Canasa®, Delzicol®, Asacol® HD, Pentasa®, Lialda®, Apriso®).
• Corticosteroids: Mena he nui te UC kei a koe, ka hoatu pea he corticosteroid ki a koe, pērā i te prednisone (Deltasone®) budesonide rānei (Entocort® EC, Uceris®). Heoi, nā te mea he pānga taha nui ēnei corticosteroids, he poto noa te wā e taunaki ana ngā tākuta i ēnei.
• Ngā rongoā ārai mate: Ka hoatu ēnei rongoā hei whakahaere i tō pūnaha ārai mate kia kaua e kaha rawa te mahi, kia kaua hoki e whakaeke i tō tinana ake, arā, hei whakamarie i te pūnaha ārai mate. Ko ēnei momo rongoā ko '(6-mercaptopurine (Purixan®, Purinethol®))', '(azathioprine (Azasan® me Imuran®))', '(methotrexate (Trexall®))' rānei.
• (Ngā Pūtaiao Koiora):He rongoā hou ēnei, ā, he tino whai hua. E whakamahia ana hei rongoā i ngā mate pukupuku UC i roto i ngā tau waenga ki te kino. Ka mahi ēnei rongoā mā te whakahaere i te mahi a ngā wāhanga motuhake o te pūnaha ārai mate e uru ana ki te mumura. Ko ngā rongoā koiora ko te infliximab (Remicade®), adalimumab (Humira®), golimumab (Simponi®), vedolizumab (Entyvio®), me te ustekinumab (Stelara®).
• (Ngā aukati Janus kinase (JAK) - ngā rongoā ngota iti): Ka mahi ngā rongoā pēnei i te `(Tofacitinib (Xeljanz®))` mā te aukati i te mahi a tētahi whākōkī motuhake i roto i te tinana e puta ai te mumura. Ko te `(Upadacitinib (RinvoQ®))` tētahi atu momo `(aukati JAK).`

Pokanga

Mena kāore e taea te whakahaere i ngā tohu ahakoa te rongoā, mēnā rānei kua puta he raruraru nui ki te UC, ko te pokanga pea te huarahi whakamutunga. Tata ki te 30% o te hunga whai UC ka hiahia ki te pokanga i tētahi wā o ō rātou oranga. Waihoki, tata ki te 20% o ngā tamariki whai UC ka hiahia pea ki te pokanga.

E rua ngā momo pokanga matua mō te UC. E rua ngā momo pokanga e kiia nei ko te proctocolectomy , arā, ko te tango i te katoa, i te wāhanga rānei o tō koroni me te rectum.

1. (Proctocolectomy me te pēke ileal): Koinei te tikanga pokanga tino noa, tino pai hoki mō te UC. I roto i tēnei tikanga, ka tangohia e te taote tō koroni me te wāhanga whakamutunga o tō pūhā, engari ka wehe atu i tō nono. Kātahi ka whakamahia tētahi wāhanga o tō whekau iti hei hanga i tētahi pēke iti (pēke ileal) ka hono atu ki tō pūhā. I muri i tō oranga mai i te pokanga, ka mahi tēnei whekau iti hei pūhā hou, ka taea ai e koe te neke noa i te puku.

2. (Proctocolectomy me te ileostomy): I ētahi wā, kāore pea e taea te hanga i tētahi "pēke ileal". Mena koinei te āhua, ka tūtohu pea tō tīma hauora i tētahi mahi tūturu (ileostomy) (kāore he pēke ileal). I roto i tēnei, ka tangohia e te taote pokanga tō koroni katoa, te wāhanga whakamutunga o tō rectum, me tō nono. Kātahi ka hangaia he kōhao iti ki roto i tō puku (puku) ka tāpirihia he pēke (ileal stoma) ki waho o tō tinana hei kohi paru. Me whakawātea e koe tēnei pēke i ia wā, i ia wā.

Me pēhea te ārai i te puta o ngā tohu o te mate pukupuku ulcerative colitis?

Mena kei a koe te UC, he mea nui kia ngana koe ki te whakaiti i ō putanga. Ko te huarahi pai ki te mahi i tēnei ko te tautuhi i ō mea whakaoho me te karo i aua mea i ngā wā katoa e taea ana. Anei ētahi tohutohu hei āwhina i a koe ki te karo i ngā mea whakaoho noa:

• Te whakahaere i te ahotea:Ko te ahotea te tino take o te pikinga ake o te mate pukupuku o te roro (UC). Nō reira, kia pai te moe mō te 7 hāora i te pō, kia whakakori tinana i ia wā , ā, kia mahi i ngā mea hei whakamarie i tō hinengaro, pērā i te whakaaroaro.
• Āraia ngā NSAID: Ki te pāngia koe e te kirika, te mamae rānei o te tinana, me tango he rongoā pēnei i te acetaminophen (Tylenol®). Ka taea e ngā rongoā anti-inflammatory kore-steroidal (NSAID) pēnei i te ibuprofen (Motrin®, Advil®) te whakakino ake i ngā tohu o te UC.
• Āta karohia ngā kai e kino ake ai ō tohumate: Ehara i te mea ka pāngia te katoa e ngā kai ōrite. Ko ngā mea e kino ake ai ō tohumate ki a koe, kāore pea e rite ki tētahi atu. Heoi, he tokomaha ngā tāngata whai UC kua kite ko ngā hua miraka me ngā kai muka-nui ka whakaoho i ngā whakaekenga. Kōrero ki tō tākuta, ki te tohunga kai rānei, kia waihangahia he mahere kai e pai ana māu, ā, kāore e whakakore i ngā matūkai e hiahiatia ana e tō tinana.

He mea pai kia tuhia he pukapuka iti mō ngā mea e kino ake ai ō tohumate, pērā i ngā kai me ngā āhuatanga. Ina kōrerohia e koe ki tō tākuta, ka taea e kōrua te whakatau tahi i ngā huarahi pai hei karo i aua mea me te whakahaere i tō āhua.

Mena kei a au te mate pukupuku ulcerative, he aha taku e tumanako ai?

He rerekē te āhua o te mate (UC) i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e te mate kotahi noa iho i roto i ō rātou oranga, ā, kāore anō kia pāngia e tētahi atu. Tērā pea ka pāngia ētahi e ngā tohumate mau tonu e uaua ana ki te whakahaere.

Heoi, mō te tini o te tangata, ka haere mai, ka haere ngā tohu. Arā, ka whakawhiti i waenga i ngā wā ka piki haere ngā tohu (ka pā mai) me ngā wā roa, kāore he tohu (ka murua). Mō te 30% o te hunga whai UC, ka piki haere ngā tohu i te roanga o te wā, ka nui haere te auau, ā, i te mutunga ka hiahiatia he pokanga.

Ko te nuinga o te tangata ka whakahaere i tā rātou UC mā te karo i ngā mea whakaoho me te tango i ā rātou rongoā e ai ki te whakahaunga. Me toro atu hoki koe ki tō tākuta i ia wā hei aroturuki i tō hauora. Hei tauira, ka tūtohu pea tō tākuta i ngā colonoscopie auau hei tirotiro i te matepukupuku koroni, i runga i tō mōrearea. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.

Ka ora katoa rānei te mate puku ulcerative?

Ko te "rongoa" anake mō tēnei mate ko te pokanga hei tango i tō koroni me tō pūkahukahu. Heoi, e ai ki te kōrero i mua ake nei, ka taea e te nuinga o te tangata te whakahaere pai i te mate mā te rongoā, ā, ki te tika, te pokanga, me te noho i te oranga noa. Ko te whāinga matua o te maimoatanga mō te UC ko te whakatutuki i te murunga me te pupuri i tōna oranga mō te wā roa rawa atu. Mā tō rōpū hauora koe e āwhina ki tēnei.

Āhea ahau me waea atu ki taku tākuta?

Mena kei a koe te `(UC)`, waea atu ki tō tākuta tonu atu, haere rānei ki te hōhipera tata mena ka pāngia koe e tētahi o ēnei tohu:

• Mena he nui rawa tō tūtae e mimi ana, kāore e mutu.
• Mena kei te toto mai te nono, kei te toto rānei kei roto i te tūtae.
• Mena he maha tonu ngā mamae kino me te kirika nui.

Ko ēnei tohu e tohu ana kei te kino haere tō āhua, nō reira he mea nui kia rapu tohutohu hauora tonu.

He aha taku e pātai atu ai ki taku tākuta?

Mena kei a koe te mate pukupuku o te puku (UC), kaua e wehi ki te pātai atu ki tō tākuta mō āu pātai. Mā te nui ake o tō mōhiotanga mō tō āhua, ka māmā ake te whakahaere i a ia. Anei ētahi pātai ka taea e koe te pātai:

• He aha te pānga o te momo UC kei a au ki tōku hauora ā muri ake nei (te matapae)?
• He aha te mōrearea o te whakawhanake i ētahi atu raruraru mai i te UC?
• He aha ngā maimoatanga e taunaki ana koe māku?
• He aha ngā mōrearea, ngā pānga taha rānei ka pā mai i ēnei maimoatanga?
• Me pēhea taku whakarerekē i taku momo noho hei ārai i ngā pānga kino? (Mō ngā mea pēnei i te kai, te whakakori tinana, te whakahaere i te ahotea, me ētahi atu)
• Ina kino haere ngā tohu, me aha ahau ki te kāinga hei whakahaere i aua tohu?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate mō te wā roa te mate puku ulcerative, he mate ngoikore te āhua. Heoi, mā te maimoatanga hauora me ngā tohutohu tika, me te hanga i ngā huringa e tika ana ki tō momo noho, ka taea e koe te whakahaere pai i te mate me te noho ora.

He mea tino nui te mahi tahi me tō tīma hauora. Tangohia ō rongoā kia rite ki tā te tākuta i tohutohu ai, me te wā tika hoki. Kaua e mutu te tango i ō rongoā ahakoa kāore he tohu, nā te mea ka puta anō ngā tohu, ā, ka uaua ake te whakahaere i tō āhua.

Kia mārama ki tō mōrearea o ngā raruraru me te pānga o tēnā ki tō mahere tiaki. Hei tauira, me nui ake pea ō whakamātautau toto, ō colonoscopy rānei i te tangata kāore he UC. Kōrero ki tō tākuta mō ngā huarahi pai hei pupuri i tō murunga me te pupuri i tō hauora whānui. Kāore koe i te mokemoke, ā, kei reira ngā tākuta, ngā nēhi, me ngā whanaunga ka taea te āwhina i a koe i tēnei haerenga.

Te Mate Pukupuku Ulcerative, Ngā Mate Pukupuku Koroni, Mamae Puku, IBD, Te Mate a Crohn, Te Korere, Te Toto i roto i te Tūtae, Te Pūnaha Nakunaku