I ētahi wā ka rongo koe i te wera o tō uma, me te reka kawa o tō korokoro ina kai koe i te kai raukikī i te pō? Kei te mamae rānei tō korokoro ina oho ake koe i te ata, ā, ka rerekē tō reo? He tokomaha o tātou e kī ana i tēnei he "gastritis." Ehara i te mea he hē rawa, engari he rerekē pea tēnei āhuatanga. I roto i te rongoā, ka karangahia tēnei e mātou ko te GERD, ko tōna tikanga (Gastroesophageal Reflux Disease). I tēnei rā ka kōrero tātou mō tētahi rongoā motuhake i hangaia mai i te rimu hei āwhina i tēnei āhuatanga GERD, engari he tokomaha o te iwi o tō tātou whenua kāore e mōhiotia ana. Koia ko ngā alginates.
He aha te GERD?
He tino māmā tēnei ki te mārama. Whakaarohia, kei roto i tō tātou puku he waikawa kaha e āwhina ana ki te nakunaku i te kai e kainga ana e tātou. Me noho noa tēnei waikawa ki roto i te puku. Kua hangaia te puku kia tū atu ki tēnei waikawa. Engari ko te ngongo e haere ana te kai e kainga ana e tātou, te korokoro, kāore e taea te tū atu ki tēnei waikawa.
I te nuinga o te wā, he mowhiti uaua kei waenganui i te puku me te korokoro, pērā i te tatau. Ina horomia e tātou te kai, ka tuwhera tēnei tatau, kātahi ka kati pūmau. Mā tēnei ka aukati i te pikinga ake o te waikawa i roto i te puku. Heoi, i roto i te tangata whai GERD, tērā pea kāore e kati tika tēnei tatau. Kātahi ka piki ake te waikawa i roto i te puku, arā, ki roto i te korokoro. Koinei te wā ka puta mai ai ngā tohu pēnei i te mamae o te puku , te mamae i waenganui o te uma, me te reka kawa i roto i te korokoro. Ina piki ake te waikawa pēnei mō te wā roa, ka pakaru hoki ngā pakitara o te korokoro.
He tokomaha e kī ana ko te "gastritis" he mumura o te puku. Heoi, ko te GERD he mate e puta mai ana i te rerenga ake o te waikawa o te puku. Ahakoa he rite ngā tohu o ngā tohu e rua, he rerekē pea ngā take me ngā maimoatanga.
Nā, he aha ēnei alginate? Me pēhea tā rātou mahi?
Koinei te wāhanga tino nui o tēnei tuhinga. He matū taiao ngā alginate e kitea ana i roto i te rimu. Kaua e kainga noa te rimu! He mea parakore, he mea whakatikatika hoki hei hanga rongoā.
He mīharo te mahi a ngā alginate. Ina tangohia e tātou tēnei rongoā, ka uru ki roto i te puku ka honoa ki te waikawa o reira, ka hanga he paparanga rite ki te tiēre, he pahuka rānei, e mānu ana i runga. Whakaarohia he paparanga hinu e mānu ana i runga i te pounamu kī tonu i te wai. Ka kiia tēnei paparanga tiēre he "raft."
He tino māmā tēnei "waka", nō reira ka mānu i runga i ngā mea kē atu i roto i te puku. Engari he kaha ki te aukati i te waikawa o te puku kia kaua e piki ki roto i te korokoro. He kupu ngāwari, ka hangaia he ārai ā-tinana . Arā, ka hangaia he momo taupoki i waenganui i te puku me te korokoro. Mā tēnei ka ārai i te waikawa kia kaua e piki.
He aha ngā painga me ngā mōrearea o ngā alginates?
Pērā i ngā rongoā katoa, he pai, he mōrearea hoki ngā alginate. Me titiro tātou ki ēnei.
| Ngā Painga | Ngā Tūponotanga me ngā Huakore |
|---|---|
| Tere te mahi: Ka tīmata te mahi a te rongoā tata tonu i muri i te tangohanga. Ka taea te tango me te kai, i muri rānei i te kai. | Kāore pea e pai mō te katoa: Kāore pea tēnei e whakaora i ngā tohumate o ētahi tāngata. |
| Haumaru: E kiia ana he haumaru ēnei mō ngā wāhine hāpu, ngā whaea whāngai pēpi, tae atu ki ngā tamariki (engari me kōrero ki tō tākuta i mua i te tango ). | Ngā pānga taha: He onge noa iho, ka puta pea ngā pānga taha pēnei i te pupuhi, te mate kōroke rānei. |
| Te māmā o te wātea: Ka taea te hoko mai i ēnei mā te kore utu i te whare rongoā, me te kore he whakahaunga a te tākuta. | Ngā taunekeneke ki ētahi atu rongoā: Mena kei te tango koe i ngā rongoā mō ētahi atu āhuatanga, ka pā pea ēnei ki te whai huatanga o aua rongoā. |
Ngā āhuatanga motuhake kāore e tika ana kia whakamahia tēnei rongoā
Ahakoa he tino whai hua ngā alginate mō ngā tohumate GERD, kāore e pai mō ngā āhuatanga katoa. Kia maumahara ki ēnei mea.
- Mena kua pakaru te korokoro: Ina roa te wā e pāngia ana koe e te GERD, ka wera pea ngā pakitara o te korokoro i te waikawa. Ka kiia tēnei ko (ngā pakaru o te korokoro) ko (ngā mate pukupuku rānei). Kāore e taea te rongoā i tēnei momo mate ki ngā alginate. Me whai rongoā kaha ake anō i whakaritea e te tākuta.
- Te korokoro o Barrett: He mate uaua ake tēnei ka puta mai i te GERD. Kei roto ko ngā huringa i roto i ngā pūtau o te korokoro. Kāore hoki ngā alginate e pai mō tēnei mate.
- Mate whatukuhu: He mea tino nui tēnei. Mena he mate whatukuhu tōu, me kōrero koe ki tō tākuta i mua i te tango i ngā alginate. Kei roto i ētahi alginate te konutai. Kāore i te tūtohutia kia nui rawa te konutai e kainga ana e ngā tūroro whatukuhu.
He aha te rerekētanga i waenga i ngā alginate me ngā antacid e mōhiotia ana e tātou katoa?
He maha ngā tāngata e whakamahi ana i ngā rongoā antacid hei rongoā mō te mamae o te puku. Hei tauira, ko ngā mea pēnei i a Digene me Gelusil. Nō reira, he rite tonu ngā alginates? Kāore. E rua ngā huarahi mahi a ēnei e rua.
| Āhuatanga | Ngā Alginate | Ngā rongoā ārai waikawa |
|---|---|---|
| Te āhua o tana mahi | Ka hangaia he ārai ā-tinana (he arai) ki runga i te waikawa o te puku, hei aukati i te putanga ake o te waikawa. | Ka whakakorea te waikawa i roto i te puku mā te matū . Arā, ka whakaiti i te kaha o te waikawa. |
| Whāinga matua | Te aukati i te rerenga waikawa. | Te whakaiti i te kaha o te waikawa kei roto i te puku. |
| Ngā tauira | Kei roto i ngā hua pēnei i te Gaviscon Advance te nuinga. | Ngā wai me ngā papa pēnei i a Digene me Gelusil. |
Engari me kōrero anō hoki tēnei. Tērā ētahi rongoā ka hangaia mā te whakakotahi i ngā alginates me ngā antacids. Kei roto i ētahi hua, pērā i a Gaviscon, ēnei matū e rua. Ka puta ngā painga e rua.
He pēhea te whai huatanga o tēnei rongoā? Ki te whakatauritea ki ētahi atu rongoā
Kua kitea e ngā rangahau he huarahi whai hua ake ngā alginates ki te whakahaere i ngā tohumate GERD noa i ngā antacids .
Heoi anō, kei reira ētahi atu rongoā e tohua ana e ngā tākuta mō te GERD. Kua rongo pea koe i ēnei ingoa: Omeprazole, Esomeprazole, Pantoprazole. Nō roto ēnei i te rōpū e kiia nei ko ngā PPI (Proton Pump Inhibitors) . Waihoki, nō roto i te rōpū e kiia nei ko ngā H2RA (Histamine-2 Receptor Antagonists) ngā rongoā pēnei i a Famotidine. Mā te whakaiti i te hanga waikawa i roto i te puku ka mahi ēnei rongoā.
E ai ki ngā rangahau, he iti ake te whai huatanga o ngā alginate i ngā PPI me ngā H2RA. Engari ko te painga o ngā alginate he mahi tonu i muri i te tangohanga, ā, he nui ake te haumaru.
Nō reira, ka arotakehia pea e tō tākuta tō āhua, ā, ka hoatu pea he alginate hei tango māu ina hiahiatia, me te PPI hoki.
Ngā mea hei whakaaroaro māu i mua i taku tango i tēnei rongoā
Nā te mea kua mōhio pai koe ki ngā alginates, kia maumahara ki ēnei mea mēnā kei te whakaaro koe ki te whakamahi i tēnei rongoā.
1. Tirohia tō tākuta i te tuatahi: Ahakoa kei te wātea mai tēnei i runga i te kaute, he mea nui kia tino mōhio koe mēnā he GERD tō mamae ngākau, he mea kē atu rānei. Ko tō tākuta anake ka taea te kī atu mēnā ka whai hua tēnei me tō hītori hauora me ētahi atu rongoā e tangohia ana e koe.
2. Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe: Mena kei te tango koe i ngā rongoā mō te mate huka, te toto toto tiketike, te mate ngakau, tetahi atu mea rānei, me kōrero ki tō tākuta.
3. Whakamahia tika: Kei roto i te wai, te ngaungau, me te paura ēnei. Tangohia kia rite ki tā te tākuta i tohutohu ai, i te horopeta, me te wā tika. I te nuinga o te wā ka tangohia i muri i te kai.
Kāore pea koe i whakaaro ka taea e tētahi matū kei roto i te rimu te whakaoti i tō raruraru mamae o te puku. He kōwhiringa haumaru, whai hua, me te tere te whakaora i ngā alginate mō te tini o te hunga e pāngia ana e ngā tohumate GERD. Engari kia maumahara, he mea whakaaro nui tonu te rapu tohutohu hauora i mua i te rongoā i a koe anō.
Karere Tangohia ki te Kāinga
- He rongoā te alginates i hangaia mai i te rimu, ā, e whakamahia ana hei rongoā i ngā tohumate GERD.
- Ka hangaia he paparanga tiēre tiaki (he raft) e mānu ana i runga i te waikawa o te puku, hei ārai i te waikawa kei tae ki te korokoro.
- Kāore tēnei e whakakore i te waikawa pērā i ngā rongoā ārai waikawa. He ārai tinana anō hoki.
- He tere te mahi a tēnei, ā, he haumaru hoki mō ngā whaea hāpu. Engari me whakarongo ki ngā tohutohu a te tākuta anake.
- Me whakamōhio te hunga e mate ana i te mate tākihi me te hunga e tango ana i ētahi atu rongoā ki tā rātou tākuta i mua i te tango i tēnei.
- Tukua tō tākuta kia tātaritanga tika i te pūtake o tō mamae o te uma, kia whakatauhia ai hoki te maimoatanga pai rawa atu māu.
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