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.

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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?

Pērā i te paipa wai e purua ana, e puea ana, ina purua te awa au, ka tīmata te whakakī o te au i roto i te tinana.

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.

He mea tino nui: Ki te mea kei a koe ngā tohu o te 'biliary colic', kaua e whakaaro he mea noa, ahakoa kāore i te tino kino te mamae. Tirohia he tākuta , haere rānei ki te hōhipera i te wā e taea ai. I ētahi wā, me haere pea koe ki te Tari Whawhati Tata (ETU). Ki te tere te whiwhi maimoatanga, ka taea e koe te ārai i ngā mate kino.

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.