He tino kino, he uaua hoki te ruaki mō te tangata. Engari whakaarohia, ehara te ruaki e ruakina ana e koe i te mea noa, engari he parauri pouri, he mangu rānei te āhua, pērā i te paura kawhe. Ka tino mataku te tangata ina kite i tētahi mea pēnei. He mea tēnei hei wehi māna? Ae. He mate kino tēnei , kaua e whakahaweatia . I tēnei rā kei te kōrero tātou mō tēnei mate e kiia nei ko te ' pukupuku paura kawhe ', ko tā tātou ingoa hauora rānei.
He aha tēnei ruaki e āhua rite ana ki te paura kawhe?
He kupu ngāwari, he toto tēnei e puta mai ana i tō ruaki. Engari ehara tēnei toto i te toto hou, he toto whero. He toto tawhito tēnei. Ka puta tēnei ina puta mai te toto i tētahi wāhi i te pito o runga o tō pūnaha nakunaku, arā, te korokoro, te puku, te wāhanga tuatahi rānei o te whekau iti (duodenum), ā, kua roa taua toto e noho ana i roto i te puku.
Whakaarohia, ina honoa tēnei toto ki ngā waikawa kaha o te puku, ka huri te hemoglobin i roto i te toto, ka huri hei parauri pouri, hei mangu rānei. Koia te āhua he rite ki te whenua kawhe. Ko te tikanga i ruaki koe i muri tata mai i te toto. I roto i te rongoā, ka kiia e mātou tetahi āhuatanga e ruakihia ai te toto he hematemesis . Ko tēnei ruaki whenua kawhe he momo hematemesis.
He aha te take e ruaki ai pēnei? He aha ngā tino take?
He tohu kaha te ruaki pērā i te paura kawhe mō te toto o te puku o runga. He maha ngā take mō tēnei.
| Take | He whakamārama ngāwari noa iho |
|---|---|
| Ngā Mate Pukupuku (Ngā Mate Puku, Ngā Mate Puku Iti rānei) | Koinei te tino take. Ka puta te toto mai i ngā patunga i te pakitara o te puku, i te wāhanga tuatahi rānei o te whekau iti. |
| Te mumura o te puku, o te korokoro rānei (Gastritis/Esophagitis) | Ka pā mai pea he toto iti i te pupuhi me te whero o ngā pakitara o te puku, o te korokoro rānei. |
| Ngā Varices Esofagus | Ina koa mō te hunga e mate ana i te ate, ka pupuhi, ka pakū, ka toto ngā uaua o te korokoro. He mate tino morearea tēnei. |
| Te pakaru o te esophagus nā te ruaki nui | Ka taea e te ruaki pinepine, te ruaki nui rānei te haehae i te pakitara o te korokoro, ā, ka puta te toto. |
| Ngā mate pukupuku | Ka taea e te mate pukupuku o te puku, te korokoro, te repe taiaki rānei te whakaheke toto. |
E whakaaro ana ētahi he aukati te puku i puta ai tēnei. Engari kāore tēnā i te pono. Mena he toto kei te taha raro o ngā whekau, ka puta te toto me te tūtae (he mangu te tae), ehara i te ruaki.
Ko wai te mea tino mōrearea ki tēnei mate?
Ahakoa ka taea e te tangata katoa te pāngia e tēnei mate, he nui ake te mōrearea o ētahi tāngata.
| Tauwehenga Mōrearea | Whakaahuatanga |
|---|---|
| Te nui rawa o te whakamahi waipiro | Ka whakanui ake te waipiro i te mōrearea o te gastritis me te mate ate. |
| Te tango i ngā rongoā mamae momo NSAID | Mā te whakamahi tonu i ngā rongoā whakamamae mamae pērā i te Ibuprofen me te Diclofenac ka pāngia te puku e ngā mate pukupuku. |
| Te mate ate o te wāhanga whakamutunga | Ka nui ake te mōrearea o te toto ina kore te ate e mahi tika. |
| Ngā mate toto totoka | Nā te mea kāore te toto e totoka tika, ahakoa he whara iti noa iho, ka taea e ia te whakaheke toto nui. |
| Neke atu i te 60 tau te pakeke | Ka piki ake te mōrearea i te kaumātuatanga nā te ngoikore o te papa tiaki o te puku me te noho mai o ētahi atu mate. |
He aha te mahi a te tākuta mō tēnei?
Ina haere koe ki te hōhipera nā te mea kua ruaki koe i te paura kawhe, ka ngana tuatahi ngā tākuta ki te whakatau i tō āhua me te kimi i te tino pūtake o te toto.
1. Te pātai atu ki a koe mō ētahi atu kōrero
Ka pātai atu te tākuta ki a koe mō tō hītori hauora, ngā rongoā e tangohia ana e koe (ina koa ko ngā rongoā whakamamae mamae), me te mea kei te inu waipiro koe. Ka pātai atu anō hoki rātou mō ētahi atu tohu, pērā i te mamae o te puku, te mamae o te uma, me te paru pango (melena).
2. Te whakahaere i ngā whakamātautau e tika ana
He maha ngā whakamātautau ka taea te whakahaere hei whakaū i te take.
- Ngā whakamātautau toto: Tirohia te iti o te maha o ō toto (taumata hemoglobin), me te mahi a tō ate me ō whatukuhu.
- Te Endoscopy o Runga (whakamātautau EGD): Koinei te whakamātautau tino nui. Ka whakamoea koe, ā, ka whakaurua he ngongo kāmera iti mā roto i tō waha hei tirotiro i tō korokoro, tō puku, me te wāhanga tuatahi o tō whekau iti. Mā tēnei ka āwhina i a koe ki te kite tika i te pūtake o te toto.
3. Te Maimoatanga
Ko te mea pai rawa atu, i te nuinga o te wā, ka taea te mahi maimoatanga i te wā kotahi me te endoscopy.
- Ki te kite koe i tētahi wāhi e toto ana, ka taea e koe te whakamahi i ngā taputapu iti kua tukuna mā roto i te ngongo hei kutikuti , hei tahu rānei i te uaua e toto ana hei whakamutu i te toto .
- Mena kua nui te toto kua ngaro i a koe, ā, kua matewai koe, me whiwhi pea koe i ngā wai IV , i te whakawhiti toto rānei hei whakatau i tō āhua.
- Kia mutu te toto, ka rongoāhia te pūtake. Hei tauira, ki te mea he mate puku, ka hoatu he rongoā.
Āhea ahau me toro atu ki te tākuta?
Ki te ruaki koe i te paura kawhe, arā, he pango, he parauri pouri rānei te ruaki, rapua tonutia he awhina hauora. Ehara tēnei i te mea ka taea te rongoā i te kāinga. Kaua e whakaroa.
Ina koa, ki te ruaki koe i te paura kawhe me ngā tohu e whai ake nei, he āhuatanga ohorere tēnei. Haere tonu ki te hōhipera me tetahi atu.Haere ki te Wāhanga Maimoatanga Ohotata (ETU).
| Haere tonu ki te Hōhipera! | |
|---|---|
| 🚨 | Ki te pāngia koe e te whanoke nui, te māhunga rānei |
| 🚨 | Ki te pōuri koe, ki te ngaro rānei tō māramatanga |
| 🚨 | Te pōhēhē, te ngaro rānei o te māramatanga |
| 🚨 | Mena ka huri te mā o ngā kanohi ki te kōwhai (Jaundice) |
| 🚨 | Te mamae nui o te puku, e kore e taea te whakamanawanui |
| 🚨 | Mamae nui o te uma |
Karere Tangohia ki te Kāinga
- Ko te ruaki e rite ana ki te paura kawhe he tohu nō te toto tawhito i roto i te puku, i te ara kai o runga rānei.
- He mate kino tēnei, me toro atu koe ki te tākuta tonu. Kaua e whakaroa ahakoa he aha te take.
- Ka puta pea tēnei i ngā āhuatanga pēnei i te mate puku, te nui rawa o te waipiro, ētahi rongoā whakamamae mamae (NSAID), me te mate ate.
- Mena ka pā mai ētahi atu tohu pēnei i te whanoke, te mamae nui, te ngaronga rānei o te māramatanga, haere tonu ki te Tari Urupare (ETU) o te hōhipera.
- Kaua e manukanuka, ka taea te whakaora katoa i tēnei mate mā te kimi i te pūtake tika me te rongoā wawe. Me whai i ngā tohutohu a tō tākuta.
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