He maha ngā raruraru puku kei a koe? Me ako tātou mō tēnei Whakamātautau Manawa Hauwai!

He maha ngā wā ka pāngia koe e te puku mamae, te kī tonu, te mamae rānei o te puku? Ka pāngia koe e te mamae o te puku ina kai koe i ētahi kai, inā koa ka inu miraka koe? He maha ngā wā, ehara i te mea ngāwari ki te kimi i te tino take o taua mamae. I ēnei wā, ka tono pea tō tākuta kia mahia e koe tēnei whakamātautau manawa hauwai. He whakamātautau tino māmā tēnei, kāore he mamae. Me kōrero taipitopito tātou mō tēnei i tēnei rā, āe?

He aha tēnei Whakamātautau Manawa Hauwai?

He māmā noa iho, ka ine i te nui o te hau hauwai i roto i tō manawa ina whakapūha koe. Ka āwhina tēnei ki te tautuhi i ētahi raruraru i roto i tō puku, pērā i te tipu nui o te huakita o te puku iti (SIBO), te mate puku riri (IBS), me te kore e manawanui ki te lactose. He rerekē ngā momo o tēnei whakamātautau, ā, ka tirohia e ia momo te pai o te nakunaku o tō tinana i ngā momo huka rerekē. Mā ēnei hua, ka taea e tō tākuta te tohu i te pūtake o ō raruraru puku, te whakakore rānei i ētahi atu take.

He aha ngā mate ka taea te kitea mā tēnei whakamātautau?

He maha ngā take e tino teitei ai te nui o te hauwai i roto i ō tātou whekau. Engari ka tono te tākuta kia mahia tēnei whakamātautau ina rua ngā take matua e whakapaetia ai koe:

1. Te kore e taea te nakunaku i ētahi huka: Ka kiia hoki tēnei ko te `(Carbohydrate malabsorption)`. Hei tauira, he uaua ki ētahi tāngata te nakunaku i ngā huka pēnei i te `(Lactose)`, `(Fructose)`, `(Sucrose)`, `(Sorbitol)` rānei. O ēnei, ko te `(Lactose intolerance )` te mea tino kitea. Whakaarohia, ka kī tonu ētahi tāngata ina inu miraka, ā, ka mamae ō rātou puku, tika? He rite tonu tēnā ki tēnā.

2. Te Tupu Nui o te Huakita o te Puku Iti (SIBO): Koinei te wā e heke ai ngā huakita e tika ana kia noho ki roto i tō tātou whekau nui, e tika ana kia āwhina i a tātou, ki te whekau iti, ka tupu nui ki reira. Kātahi ka kore e pai kia noho ki reira.

Tirohia, mō te tangata e pāngia ana e te `(IBS - Irritable Bowel Syndrome)`, e te mate rānei e pāngia ai te puku, ko ēnei āhuatanga e rua pea te take. Nō reira, ki te whakaaro koe kei a koe te `(IBS)`, me tirotiro anō hoki koe i ēnei mea.

He pēhea te mahi a tēnei whakamātautau manawa hauwai? He mea whakamiharo, kāore?

Kua pāngia koe e te hau i roto i tō puku, kua rite koe ki te poihau, kua mamae koe i te nekenekehanga o te hau i roto i tō puku, ā, kua uaua ki te tuku? Ko te nuinga o taua hau he hauwai. Mena kei te whakaputa hauwai koe i roto i tō tinana, kotahi anake te take: nā te mea kei te wawahi ngā huakita puku anaerobic i roto i tō puku i ngā huka me ngā warowaihā e kainga ana e koe. Ka kiia tēnei tukanga he whakapūtanga.

Ko te tikanga, kei roto i tō whekau nui (koroni) ēnei huakita e noho ana. I reira, ka āwhina rātou i te nakunaku. Heoi, ehara te huka me te warowaihā i tā rātou kai matua.

I roto i te pūnaha nakunaku o te tangata hauora, ka pai te nakunaku o ngā huka me ngā warowaihā e kainga ana e koe i mua i te taenga atu ki ngā huakita i roto i tō whekau nui. Engari ki te kore e nakunaku tika, ka pakaruhia e aua huakita ka huri hei hau. Kei roto i taua hau te hauwai.

Kātahi ka mimitihia tēnei hau hauwai e hangaia ana i roto i tō koroni ki roto i ō toto, ā, ka haere taua toto ki ō pukahukahu. I reira, ina whakapūha koe, ka puta mai taua hauwai. Koinei te huarahi e taea ai e tō manawa te whakaatu ki a koe he aha te mea e tupu ana i roto i tō puku. I roto i te whakamātautau manawa hauwai, ka inu koe i tētahi momo huka, kātahi ka inehia te nui o te hauwai i roto i tō manawa i ngā wā rerekē. Kātahi, i runga i te nui o te hauwai me te tere o tōna whakaputanga, ka taea e te tākuta te whiwhi whakaaro pai mō te pai o te mahi a tō pūnaha nakunaku. Kei te mārama koe?

Ka ine koe i ētahi atu momo hau mā te manawa?

Āe, i ētahi wā ka inehia hoki ētahi atu hau.

• Methane: Nā te mea he rerekē te āhua o ngā huakita puku o te tangata, tera pea he nui ake te hau methane i roto i te manawa o ētahi tāngata i te hauwai. Nā reira, he maha ngā whare hauora e ine ana i te hauwai me te methane i te wā kotahi. He rite tonu te ine i ngā mea e rua. Heoi, nā te mea he mea hou te whakamātautau methane, tera pea kāore i te tino tika pērā i te whakamātautau hauwai.
• Hauhā waro (CO2): Ko tētahi atu momo whakamātautau manawa e ine ana i te taumata o te hauhā waro (CO2) i roto i tō manawa. Hei tauira, ko te whakamātautau manawa H. pylori. He rerekē tēnei i te whakamātautau manawa hauwai nā te mea he rerekē te matū kei roto i te whakamātautau. Ahakoa e titiro ana te whakamātautau hauwai ki te pai o tō nakunaku i te huka, i ngā warowaihā rānei, ka hoatu e te whakamātautau waro he wai kei roto ngā matūriki waro hei inu māu. E whakamahia ana ngā whakamātautau e rua hei tātaritanga i ngā mate puku.

He rerekē ngā momo whakamātautau manawa hauwai nei?

Āe, ina whai whakamātautau koe i tēnei, ka tangohia he tauira manawa, kātahi ka hoatu he momo huka motuhake (hei tauira, te lactose, te fructose, te sucrose, te sorbitol, te glucose, te lactulose rānei) hei inu. Kātahi ka tangohia he tauira manawa i ia 15-30 meneti mō ētahi haora. Ka whiriwhiria e te tākuta te momo huka ka hoatu hei inu māu i runga i te āhua o tō mate.

• Ngā whakamātautau lactose, fructose , sucrose, me te sorbitol: Ka whakamātautau ēnei i tō kaha ki te nakunaku i ia momo huka. He uaua ki ētahi tāngata te nakunaku i ia momo huka mō ngā take rerekē. Kotahi anake te momo huka ka whakamatautauria i te wā kotahi. Mena he nui ngā taumata hauwai i roto i ngā hua o te whakamātautau, ko te tikanga kāore taua momo huka i nakunaku tika i roto i ō whekau.
• Whakamātautau Huka: Koinei te momo huka matua e whakamahia ana hei tātaritanga i te tipu nui o ngā huakita o te whekau iti (SIBO). Ko te take he tere rawa te mimiti o te huka i roto i te whekau iti. Nō reira, ki te whakapūpū te huakita anaerobic i te huka ka whakaputa hauwai, ko te tikanga kei te nui rawa te urunga o ngā huakita ki roto i te whekau iti, ā, kei te nakunaku i mua i te mimiti.

Me pēhea te whakarite i mua i te whakamātautau?

He mea tino nui tēnei, tika? Ka pā pea ētahi kai, rongoā, me ngā mea e mahia ana e koe ki ngā hua o tēnei whakamātautau manawa hauwai. Nō reira, kia whiwhi ai koe i ngā hua tino tika mai i te whakamātautau, me whai koe i ngā tohutohu a te tākuta.

• He marama kua pahure: Ki te mea kei te tango koe i ngā paturopi, i ngā probiotics rānei, me mutu te tango i aua mea nā te mea ka taea e rātou te whakarerekē i te taurite noa o ngā huakita i roto i tō puku.
• He wiki i mua i te: Ki te kaipaipa koe, ka kīia atu kia mutu. Me mutu hoki te tango i ngā rongoā whakamāmā, ngā tāpiringa muka, ngā rongoā antacid , me ngā prokinetics.
• Te rā i mua: Ko ngā kai iti-muka, ngāwari ki te nakunaku anake ka taea te kai. Tērā pea he rerekē te tohutohu mō tēnei. Engari i te nuinga o te wā ka kīia kia kaua e kai i ngā hinu me ngā ngako, i ngā mea reka, i ngā mea kakara, i ngā hua miraka, me ngā witi (haunga te taro mā me te raihi mā). He pai te kai ika, heihei rānei kua kohuatia, kua tunua rānei ki te tote me te pepa.
• I te rā o te whakamātautau: Ka tonoa koe kia nohopuku mō ngā hāora 12. Ko te tikanga tēnei kāore koe e kai, e inu rānei i tetahi mea. Ka tonoa hoki koe kia kaua e whakakorikori tinana, e moe rānei mō ētahi hāora i mua i te whakamātautau.

He aha ngā mea me tumanako atu koe i te wā o te whakamātautau?

Tuatahi, ka tangohia he tauira o tō manawa. Ka manawa koe ki roto i tētahi mīhini tātari manawa. He pēke pupuhi me te ngongo e piri ana. Kātahi ka hoatu he inu huka ki a koe. I muri i tō inu, ka tangohia tō manawa i ia 15 ki te 30 meneti mō ngā haora e whai ake nei. Ka taea e koe te mātaki pouaka whakaata, te pānui pukapuka rānei i te wā e tangohia ana te tauira. Engari ehara i te mea pai te mahi i tētahi mahi uaua i te wā o te whakamātautau. Tērā pea ka tonoa koe kia tuhi i ngā mamae o te puku e pā ana ki a koe i muri i te inu i te inu huka - pērā i te mamae o te puku , te pupuhi, te hau rānei.

He tūponotanga, he pānga taha rānei kei roto i tēnei whakamātautau?

Ko te Whakamātautau Manawa Hauwai ehara i te whakamātautau kore-whakaeke. Ko te tikanga, kāore e nui te mōrearea. Heoi, e ngana ana ki te kimi i te pūtake o ō raruraru nakunaku mā te whakaoho mārire i aua raruraru. Nō reira, i muri i te inu i taua wai huka, tera pea ka pāngia koe e te mamae o te puku. He māmā noa iho, ko ngā tohu i haere koe ki te tākuta mō – te pupuhi, te mamae o te puku, me te hau pea – tera pea ka kitea i te wā o te whakamātautau. Koinā te mea e tumanakohia ana.

Kaua e manukanuka! Kia kitea e koe te pūtake tuturu o tō mate, ā, kia tīmata te maimoatanga tika, ka tino whakaitihia tō mamae.

Me pēhea taku mārama ki ngā hua o taku whakamātautau?

Ka inehia ngā taumata hauwai i roto i tō manawa i roto i ngā wāhanga-mō-ia-miriona (ppm). Ko te taumata hauwai noa o te tangata hauora he iti iho i te 16 ppm. Mena he teitei ake tō taumata tuatahi i te 16 ppm i te rā o te whakamātautau, ka tonoa pea koe kia whai i te kai kotahi i mua i te whakamātautau, ā, ka mahi i te whakamātautau i tētahi atu rā.

• I te whakamātautau mō te kore mimiti o te warowaihā: Mena ka piki te taumata hauwai mā te 20 ppm, neke atu rānei, i te taumata tīmatanga, ka kiia he whakamātautau pai.
• I te whakamātautau mō te SIBO: Me piki ake te taumata hauwai mā te `20 ppm` i runga ake i te taumata tīmatanga i roto i ngā meneti 90. Nā te mea kei te whakapūpūhia te hauwai i roto i te whekau iti, ehara i te whekau nui.

He pēhea te tika o ngā hua o tēnei whakamātautau manawa hauwai? He pono rānei?

He iti noa ngā raruraru ka pā ki ngā hua o tēnei whakamātautau. Kia maumahara, ki te kore koe e whai i ngā tohutohu i mua i te whakamātautau – hei tauira, ki te tango koe i ngā paturopi, i ngā rongoā whakangote rānei, ki te kore rānei koe e nohopuku tika – tērā pea kāore e tika ngā hua o tō whakamātautau. Waihoki, kei reira ētahi tāngata (hei tauira, i waenga i te 15% me te 30%) e whakaputa ana ā rātou huakita puku i te methane nui atu i te hauwai. Mena ko koe tētahi o rātou, ka pā anō hoki tēnā ki ngā hua.

Heoi, ki te whiwhi koe i te hua pai mai i te whakamātautau manawa hauwai, ka taea e koe te tino mohio kei te puta te hauwai nā te mea kāore te huka i hoatu mō te whakamātautau e nakunaku tika ana. Ko ngā whakamātautau e rapu ana i ngā raruraru nakunaku huka motuhake me te whakamātautau huka e rapu ana i te SIBO he nui ake te pono ki te tautuhi i ēnei mate.

I ētahi wā, kāore pea ēnei āhuatanga anake e whakamārama i ō tohumate katoa. Ahakoa i muri i te rongoā i aua āhuatanga, kāore pea ō tohumate e tino pai ake. Mena koinei te āhua, me whai whakamātautau anō pea koe hei rapu i ētahi atu take, me whakamātau rānei koe i ētahi atu tikanga kai, maimoatanga rānei.

Hei whakamutunga, ko te mea tino nui

Kāore ēnei tohu o ngā raruraru puku i te pai rawa atu. Ka taea e tēnei mamae e puta mai ana i te hau me ngā raruraru nakunaku te whakararuraru i tō oranga o ia rā. Ka taea hoki e ia te aukati i tō tinana ki te whiwhi i ngā matūkai e hiahiatia ana e ia. He maha ngā take mō ēnei tohu. Engari i te nuinga o te wā, he ngāwari noa te tautuhi me te rongoā. Ahakoa he iti noa ngā mōhiohio ka taea te āwhina i a koe ki te ora. Ko tētahi o ngā huarahi māmā ki te tiki i aua mōhiohio ko te whakamātautau manawa hauwai. Nō reira, ki te pāngia koe e tēnei raruraru, he pai ki te kōrero ki tētahi tākuta me te ako atu mō tēnei mea.

`Whakamātautau Manawa Hauwai, Mamae Puku, SIBO, Ātete Lactose, Ngā Raruraru Nakunaku, Whakamātautau Manawa, Huakita Puku