Me mōhio pū tātou ki ngā āhuatanga o ngā awaawa o roto i ō tātou tinana?

Kua kai koe i tētahi kai tino reka, kātahi ka pāngia koe e te mamae rerekē i te taha matau o runga o tō puku? I ētahi wā ka puta tēnei i tētahi raruraru o tētahi pūnaha awa iti, engari he mea nui rawa atu, i roto i ō tātou tinana, kāore e tino kōrerohia ana. I tēnei rā ka kōrero tātou mō te pūnaha awa au, he mea nui ki tā tātou nakunaku.

He whakarāpopototanga noa iho, he aha tēnei awaawa au?

Whakaarohia he pūnaha o ngā awaawa ririki i roto i ō tātou tinana. Ko ngā awaawa aukume tētahi o aua pūnaha. He whatunga ngongo ririki ēnei e hono ana i ētahi okana nui o roto i tō tātou pūnaha nakunaku. Ko tā rātou mahi matua he kawe i te wai e kiia nei ko te "aukume" mai i tētahi wāhi ki tētahi wāhi.

E toru ngā whekau e hono ana i roto i tā tātou pūnaha biliary:

1. Ate: Ka whakaputaina te aukume ki konei.

2. Pūngāwerewere: He pēke iti e pupuri ana i te au i hangaia e te ate kia hiahiatia rā anō.

3. Puku Iti: Te wāhi e puta ai te wāhanga tino nui o te tukanga nakunaku.

He wai kōwhai-kakariki te au o te ate. Kei roto ngā waikawa kaha e āwhina ana ki te whakarewa i ngā ngako me ngā pūmua . Nō reira, me whai huarahi haumaru tātou ki te kawe i tēnei au ki te wāhi e hiahiatia ana, i te wā e hiahiatia ana. Koinei te mahi a ēnei awa au.

He pēhea te hononga o ēnei okana katoa?

He pūnaha tēnei e rite ana ki te rākau e manga ana. Me titiro tātou mai i te tīmatanga.

• Ka tīmata i roto i te ate: Ka tīmata tēnei haerenga i roto i ngā awaawa aukume iti rawa i roto i te ate, kei te taha matau o runga o tō tātou puku. Ina hanga aukume te ate, ka kohia taua aukume mā roto i ēnei awaawa iti.
• Te hanganga o ngā awaawa nui: Ka honoa ēnei mano tini awaawa iti i roto i te ate hei hanga i ngā awaawa matua e rua he nui ake, arā, ngā awaawa ate matau me te awaawa ate maui.
• Te awaawa ate noa: I muri i te putanga o ēnei awaawa e rua i te ate, ka honoa rāua hei hanga i te awaawa ate noa .
• Hononga ki te pūkahukahu: Ka honoa tēnei awa ate noa ki te awa cystic, e ahu mai ana i tō tātou pūkahukahu. Ko te awa matua me te awa nui rawa ka hangaia ina honoa ēnei e rua ka kiia ko te awa au noa .

Titiro mai, tata ki te haurua o te au e puta mai ana i te ate ka heke tika atu i tēnei awa au noa. Ko te haurua ka heke ki te pūkahukahu, ā, ka rongoatia mō te wā poto.

Ina kai tātou i tētahi wahi ika momona, i tētahi huawhenua rānei me te hinu me te raihi, ka tono mai tō tātou whekau iti kia āwhina i te nakunaku i tēnei ngako. I taua wā, ka kōpiri te pūkahukahu pērā i te hautai, ka tukuna te au kua rongoatia mā te awa au noa ki roto i te whekau iti. Koinei te huarahi e tāpirihia ai te au ki tā tātou tukanga nakunaku.

He aha ngā raruraru matua ka pā ki ngā awaawa o te ate?

Ahakoa i roto i tēnei pūnaha paipa iti, ka ara ake pea ngā raruraru nui. Me titiro tātou he aha ngā raruraru matua.

Ka aha mēnā ka āraia te awa toto?

He āhuatanga tino morearea tēnei.

• Te kino o ngā okana: Ka taea e te au e kī ana te hoki anō ki te pūngao ka tīmata te kino i te pūngao wai (cholecystitis), te pancreas (gallstone pancreatitis), me te ate.
• Ngā mate urutā:Ina noho pūmau te au (cholestasis), ka nui ake te tūponotanga o ngā mate kitakita. Mēnā ka uru ēnei mate ki roto i te toto, ka horapa puta noa i te tinana, ā, ka puta he mate morearea e kiia nei ko te `sepsis'.
• Te kiriuhi waikura: Ina tīmata te kohikohi o te au i roto i te toto, ka tīmata te kōwhai o ngā mā o ngā kanohi me te kiri. Koinei te mea e kīia nei he kiriuhi waikura.
• Ko ētahi atu tohu ko te whakapairuaki me te mākūkū nui o te kiri.
• Ngā raruraru nakunaku: Nā te korenga o te au e uru ki te whekau iti, ka ngoikore te nakunaku o ngā ngako me te mimiti o ngā huaora wairewa-ngako (A, D, E, K) ki roto i te tinana.

Me pēhea koe e mōhio ai mēnā he raruraru tō te awaawa o tōu?

I tēnei, ka taea e tātou te arotahi ki ngā tohu matua e rua.

1. Mamae puku (Biliary Colic):

Kāore tēnei i rite ki te mamae puku noa.

• Ka puta pinepine i muri i te kai he nui te hinu, te ngako rānei.
• Ka puta te mamae mai i te taha matau o runga o te puku.
• Ka piki haere te mamae, ka tino kaha mō te haora pea, kātahi ka memeha haere i roto i ngā haora e rua, e toru rānei e whai ake nei.
• Tērā pea ka pāngia koe e te whakapairuaki, te ruaki rānei i tēnei.

2. Te kiri mākūkū:

• Te kōwhai o ngā kanohi me te kiri.
• He mimi kōwhai pouri, he mimi parauri rānei.
• Ngā tūtae mā, hina rānei.

Me pēhea te rongoā i te awaawa kōpū kua āraia?

He maha ngā tikanga e whakamahia ana e ngā tākuta hei tango i ēnei aukati. Ko te tikanga pai rawa atu ka whakawhirinaki ki tō āhuatanga.

• ERCP (Endoscopic Retrograde Cholangiopancreatography): Ehara tēnei i te pokanga. Ka tukuna he kāmera (endoscope) e piri ana ki tētahi ngongo roa mā te waha, ka heke ki raro i te puku, ka uru ki roto i ngā awaawa au. Kātahi ka taea e te tākuta te whakauru i ngā taputapu iti mā roto i tēnei ngongo hei tango i ngā kōhatu e piri ana.
• Pokanga: I ētahi wā ka hiahiatia te pokanga. I ēnei rā, i te nuinga o te wā, ka mahia mā roto i tētahi tapahi iti, mā te whakamahi i tētahi kāmera me ngā taputapu (e kiia nei ko te pokanga laparoscopic). Mena ko ngā kōhatu o te pūkahukahu te take o te raruraru, ka tangohia te pūkahukahu i te wā kotahi.
• Te whakatakotoranga o te stent: Mena ka whaiti te uaua nā te mea he koha kei roto, ka whakauruhia he ngongo iti rite ki te mata (stent) kia noho tuwhera tonu.

Me pēhea te pupuri i te hauora o ō tātou awaawa au?

Mā ngā panonitanga iti ki tō tātou āhua noho ka tino whakaiti i tēnei mōrearea.

• Whakahaerehia te cholesterol: Ko te take matua o te hanganga o ngā kohatu pūkahukahu ko te nui o te cholesterol i roto i te toto. Ka kohia te cholesterol tāpiri ki roto i te au, ka hanga kohatu. Nō reira, he mea tino nui kia kai i ngā mea pēnei i te hinu, te wai kokonati, te kai tere, me ngā kai tukatuka i roto i te rahinga iti.
• Tiakina tō ate: Ka taea hoki e ngā mate ate te kino i ō awa wai. Nō reira, ka taea e koe te pupuri i te hauora o tō ate mā te karo i te waipiro, te karo i ngā rongoā kāore e hiahiatia, me te whakakori tinana i ngā wā katoa .

Ahakoa he wāhanga iti noa te pūkahukahu o te tinana, he nui rawa ngā mahi e tukuna ana e ia. Nō reira, ko tā tātou kawenga he tiaki i a ia anō hoki.