Kua tīmata kē tāu tamaiti, tāu tamaiti rānei, ki te ruaki kino, kāore he take mārama, ā, ka roa mō te rā kotahi, e rua rānei? Kātahi ka hoki anō ki te āhua noa me te mea kāore he mea i tupu? Mena ka tupu tonu tēnei mō ngā marama maha, me mōhio koe ki tēnei āhuatanga e kōrerohia nei e tātou i tēnei rā, ko te Cyclic Vomiting Syndrome (CVS). Ehara i te mea he puku mamae noa iho tēnei, engari he mea tino rerekē.
He aha rawa te mate ruaki hurihuri (CVS)?
He whakarāpopototanga noa iho, ko te CVS he āhuatanga e pāngia ai koe e te whakapairuaki me te ruaki kino, kāore he take e kitea ana. Ka roa pea ēnei wā ruaki mai i ētahi hāora ki ētahi rā. Ka tino kino rawa atu, ā, kāore pea koe e taea te ara ake i te moenga. Nā te mea he nui te wai e ngaro ana i tō tinana, me haere pea koe ki te hōhipera, ki te rūma whawhati tata rānei (ETU) ki te whiwhi wai IV hei ārai i te matewai.
Engari ko te mea whakamiharo, ina mutu tēnei wā ruaki nui, ka tino ora koe, ka noho noa anō, me te mea kāore he raruraru i pā ki a koe.
Ka roa pea tēnei āhuatanga mō ngā marama, ngā tau, tae noa ki ngā tekau tau. Heoi, kāore i te kitea tonu ngā tohu. I te nuinga o te wā, ka puta pea tēnei momo ruaki i ngā wā maha i te tau. Mō ētahi tāngata, ka puta pea i te kotahi, i te rua rānei i te marama.
Ka rerekē pea te āhua o te ruaki, te wā o te rā, te kaha, me te roa o te ruaki i ia tangata, i ia tangata. Engari mō te tangata kotahi, he rite tonu ngā tohu, he rite tonu te āhua i ia wā.
He mea noa tēnei āhuatanga?
He nui ake te kitea o te CVS i roto i ngā tamariki i ngā pakeke. E kiia ana e 3 i roto i te 100,000 ngā tamariki ka pāngia e te mate. Ko te nuinga o te wā ka tīmata i roto i ngā tamariki i waenga i te 3 me te 7 tau te pakeke. Heoi, ka taea te tīmata i ngā tau katoa.
He aha ngā tohu o tēnei mate?
Ko te tohu matua o te CVS he whakapairuaki me te ruaki ohorere, auau, kino hoki. He maha ngā wāhanga motuhake o tēnei.
| Wāhanga | He whakaahuatanga māmā mō ngā mea e tupu ana |
|---|---|
| Wāhanga Prodrome | He torutoru meneti, he haora rānei i mua i te tīmatanga o te ruaki, ka tīmata pea koe ki te whakapairuaki me te werawera. Mō te tini o te tangata, ka puta mai tēnei kare ā-roto i te atatu. Tērā pea ka whakaaro koe "Kāore e pai te rā nei." |
| Wāhanga ruaki | I tēnei wā, ka ruaki tonu koe. I ētahi wā he maha ngā wā i roto i te haora. Ka ruaki tere pea ngā tamariki nohinohi (ruaki pupuhi). Ka roa pea tēnei mai i ētahi haora ki ētahi rā. Ka tino kino rawa atu, ā, ka whakaaro pea koe kāore e taea e koe te kōrero, ā, ka hiahia koe ki te noho ko koe anake i te moenga. |
| Wāhanga whakaora | Kei te heke haere te ruaki me te whakapairuaki, ā, kei te pai haere. Kei te pēnei ahau me te mea kei te kaha haere ahau. |
| Wāhanga puna | Ka tino ora, ka ora anō koe, me te mea kāore he raruraru. Ka ora koe tae noa ki te wā e ruaki ai koe. |
Haunga ēnei, tera pea ētahi atu tohu:
- Mamae puku
- Korere (mamae puku)
- Pōuriuri
- Te pupuhi, te pupuhi rānei
- Te matewai nui
- Hiahia kai
- Kiri mā
- Te ānini nui me te ngenge nui
- Te aro nui ki te mārama, ki te tangi rānei (pērā i te tangata e pāngia ana e te migraine)
- Te kirika (tae atu ki te 101°F / 38.3°C)
- Te ruaki (te pupuhi maroke): Ko te tikanga tēnei kei te tata koe te ruaki, engari kāore he mea e puta mai ana nā te mea kāore he mea i roto i tō puku.
He aha ngā mea ka puta ai te CVS?
Kāore anō kia mōhiotia mēnā koinei anake te take o CVS, engari he maha ngā āhuatanga e whakaarohia ana hei whai wāhi atu ki tēnei.
Ko te mea nui, ehara tēnei i te mea i whakaarohia e koe, ehara hoki i te he nāu. Ko te hua tēnei o tētahi tukanga e puta ana i roto i te tinana.
- Ngā raruraru ki tō tuaka roro-puku:Hei whakarāpopototanga, ina he raruraru kei roto i te 'hononga whakawhitiwhiti' i waenga i tō tātou roro me te pūnaha io i roto i te puku, ka puta te ruaki kore e taea te whakahaere. Ka kiia hoki tēnei e ētahi kaipūtaiao he mate roro-puku.
- Ngā huringa o tō pūnaha io ā-roto: Koinei te wāhanga o tō tinana e whakahaere ana i ngā mea kāore e taea e koe te whakahaere, pērā i te tere o tō manawa, te toto toto, me te ruaki. Mena he raruraru kei tēnei pūnaha, ka ngaro pea tō mana whakahaere i tō ruaki.
- Ngā ānini o te mahunga: Tata ki te 80% o ngā tamariki whai CVS me te 25% o ngā pakeke he ānini anō hoki. Ehara i te mea he ānini nui noa iho ngā ānini. Pērā i te CVS, ka kore e pai te āhua o ngā ānini i te tīmatanga. He maha ngā tāngata whai CVS he hītori whānau ō rātou mō ngā ānini.
- DNA mitochondrial rerekē: He rite ngā mitochondria ki ngā 'tipu hiko' e whakarato ana i te pūngao ki ia pūtau o tō tātou tinana. Kei roto i te DNA ngā tohutohu mō tā rātou mahi. Mena he hapa kei roto i tēnei DNA nā te mate, te āhua ira, te take rānei, kāore ngā pūtau io i roto i ngā whekau e whiwhi i te pūngao e hiahiatia ana e rātou. Ka taea hoki e tēnei te ruaki kore e taea te whakahaere.
He aha ngā 'Pūtake' e puta ai te ruaki?
Ka taea e ētahi huihuinga, kare ā-roto, āhuatanga rānei te whakaoho i te ruaki. Ka kiia ēnei e mātou he 'whakaoho'. Mena he CVS tōu, he mea nui kia tautuhia ō mea whakaoho.
- Ngā panonitanga o te rangi (ina koa i te ngahuru me te hotoke).
- Ētahi kai: ngā mea pēnei i te tiakarete, te tiihi, te kawhe, me te MSG (ngā mea kakara).
- Te harikoa nui o ngā tamariki: Whakaarohia, ka tīmata pea tēnei i te wā e tino harikoa ana te tamaiti, pērā i te pō i mua i te haerenga kura, i te ata rānei o te rā whānau.
- Te ahotea hinengaro i roto i ngā pakeke: Ngā āhuatanga pēnei i te manukanuka nui me te ahotea.
- Mate pāwera, mate ihu, makariri noa rānei.
- Te ngenge tinana.
- Te nohopuku mō te wā roa.
- Te whakamahinga roa o te tarukino.
- Ngā wā paheketanga i roto i ngā wāhine.
- Mate nekeneke.
Ngā raruraru ka pā mai mēnā ka haere tonu te ruaki
Ki te kore e whakahaerea te CVS, ka pā mai pea ētahi atu raruraru hauora i te ruaki nui.
| Ngā raruraru | He whakamārama māmā |
|---|---|
| Te maroketanga | Te ngaronga nui o te wai i te tinana nā te ruaki me te korere. He mea morearea tēnei. |
| Te mate korokoro | Kua whara, kua pupuhi hoki te ngongo e rere ana mai i te korokoro ki te puku (esophagus) i te waikawa o te puku e puta mai ana me te ruaki. |
| Roimata Mallory-Weiss | Ka taea e te pēhanga o te ruaki nui te haehae i te wāhanga o raro o te korokoro. Ka puta mai pea te toto me te ruaki. |
| pirau niho | Mā te pāngia pinepine e te waikawa o te puku ka memeha te enamel o ngā niho, ā, ka pirau hoki ngā niho. |
Me pēhea te tautuhi a te tākuta i tēnei mate?
He ahua uaua te tautuhi i te CVS nā te mea kāore he whakamātautau motuhake mōna. Ma tō tākuta koe e whakarite kia kore he mate kē atu e puta ai ngā tohu rite.
Ka pātai atu tō tākuta ki a koe i ngā pātai maha mō tō hītori hauora, tō hītori hauora whānau, me tō āhua ruaki. Kātahi ka whakahaerehia e ia he whakamātautau tinana, ā, ka whakahau i ētahi atu whakamātautau mēnā e tika ana.
He aha ngā whakamātautau e mahia ana?
- Ngā whakamātautau toto me te mimi: Tirohia mēnā he mate pāwera ki te pūnaha io, he mate mitochondrial, he raruraru rānei ki ētahi atu okana.
- Ngā whakamātautau whakaahua: Tērā pea ka tonoa koe kia tirotirohia he matawai oro-oro o te puku, he matawai MRI, CT rānei o te roro, he hihi-X rānei o te puku. Ka taea e ēnei te rapu i ngā ārai i roto i te pūnaha nakunaku, i te pūnaha io rānei.
- Te tirotiro i te endoscopy o runga: Ko te whakamahi i tētahi ngongo angiangi me tētahi kāmera hei tirotiro i tō korokoro, tō puku, me te tīmatanga o tō whekau iti hei tirotiro mō ētahi atu raruraru e puta ai tō ruaki.
Ētahi atu mate ka hono atu ki te CVS
I mua i te tātaritanga a te tākuta i te CVS, me whakarite kia kore koe e pāngia e ētahi atu āhuatanga e puta ai ngā tohu rite.
- Mate puku, gastritis rānei
- Ngā mate puku
- Te mumura o te pancreas (pancreatitis)
- Āpenikā
- Te takahuri o te puku (volvulus, malrotation rānei)
He aha ngā maimoatanga mō te CVS?
Ko te maimoatanga mō te CVS e whakawhirinaki ana ki te mea kei roto koe i te wā ruaki, kei te wā hauora rānei e ngana ana koe ki te ārai.
- Wāhanga Prodrome: Ina tīmata ngā tohu, ka tohua pea e tō tākuta he rongoā hei whakaiti i te whakapairuaki, te whakaiti i te waikawa o te puku, me te whakamamae i te migraines/mamae puku.
- Wāhanga ruaki: I tēnei wā, ka hoatu tonu he rongoā ki a koe mō te migraines, te heartburn, me te manukanuka. Me kawe pea koe ki te hōhipera kia whiwhi ai koe i ngā wai IV me te kai hei ārai i te matewai. Mā te okioki i roto i tētahi rūma pōuri, marino ka āwhina i te whakamama i ngā tohu i tēnei wā.
- Wāhanga whakaora: Me haere tonu te hoatu i te tote mēnā e tika ana. Mā te āta haere, ka taea te whakauru i ngā kai wai, kātahi ka whakauru i ngā kai mārō.
- Wāhanga pai: I tēnei wā, ka tohua pea e tō tākuta he rongoā o ia rā hei ārai i te ruaki a muri ake nei.
Ngā momo rongoā e whakamahia ana
- Ngā rongoā ārai-migraine
- Ngā rongoā ārai-whakapaipai
- Ko ētahi rongoā ārai-hopu
Hei tāpiritanga, ka kitea e ētahi tāngata te whakamarie mai i ngā tāpiringa pērā i te coenzyme Q10, te riboflavin, me te L-carnitine. Heoi, kaua rawa e tīmata i tētahi mea pēnei me te kore whakaaetanga a tō tākuta.
He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi ana koe me tēnei mate?
Ka pakeke haere te nuinga o ngā tamariki, ā, ka mutu tēnei mate CVS. Heoi, ka pāngia pea rātou e te mate pōuri kino i te pakeketanga. Mā tēnei ruaki tonu, ka kore pea ngā tamariki e haere ki te kura, me ngā pakeke e haere ki te mahi. Ka pā nui tēnei ki te oranga o ia rā.
Ko te mea nui ko te mahi tahi me tō tākuta kia kitea ai he aha ngā maimoatanga e whai hua ana māu, me ngā mea hoki e whakaoho ana i tō mate. He rerekē ngā wheako o ia tangata, nō reira, tera pea ka roa te wā kia kitea ai he aha te mea e whai hua ana māu.
He aha ngā mea ka taea te mahi hei ārai i te ruaki?
Ka taea e koe te whakaiti i tō ruaki mā te karo i ngā mea e whakaoho ana i te ruaki, me te tango i ngā rongoā e tohua ana e tō tākuta. Whakaarohia hoki ēnei mea:
- Mena he mate pāwera koe, he raruraru ihu rānei, me tere te rongoā.
- Kia kaha tonu, engari kaua e nui rawa.
- Āta karohia ngā kai me ngā mea reka kāore e pai mōu.
- Āta karohia te kai tino kai, te nohopuku rānei.
- Kia nui te moe.
- Whakahaerehia te ahotea me te manukanuka.
Ngā pātai hei pātai atu ki tō tākuta
Ina haere koe ki te tākuta, kaua e wareware ki te pātai i ēnei pātai:
- He aha ngā whakamātautau me tino mōhio ahau mēnā he CVS tōku?
- He aha te rongoā me tango e au hei whakamutu i te ruaki ina tīmata, ā, hei ārai hoki i te ruaki kei puta anō?
- He aha ngā huringa me mahi e au i roto i tōku āhua noho hei karo i ngā mea e whakaoho ana i ahau?
- He aha atu ngā mea ka taea e au te mahi hei whakaiti i ngā tohu?
- He aha ngā tohu e tika ana kia kite ahau i a koe, me haere rānei ki te ETU (Emergency Treatment Unit) ?
He mate whakarihariha, he mate morearea hoki te CVS. Kāore he rongoā kotahi, he otinga rānei. Me manawanui kōrua ko tō tākuta i a kōrua e kimi ana i te maimoatanga tika me ngā mea e whakaoho ana i a kōrua. I roto i te wā, ka pai ake te nuinga o te tangata ki te tautuhi me te karo i ngā mea e whakaoho ana i a rātou. I taua wā tonu, ki te puta he ruaki, kei reira ngā rongoā hei āwhina i te whakahaere i ngā tohu.
Karere Tangohia ki te Kāinga
- He mate hauora tūturu te CVS e tohuhia ana e ngā wā maha o te ruaki nui, kāore he take mārama, ā, muri iho ka whai ngā wā e ora katoa ai.
- E whakaponohia ana ehara tēnei i te "mamae puku" noa iho, engari he raruraru kei roto i te hononga i waenga i te roro me te pūnaha nakunaku.
- He wāhanga tino nui o te maimoatanga te tautuhi me te karo i ngā mea e puta ai te ruaki i a koe, i tāu tamaiti rānei.
- He mea nui kia mahi tahi koe me tō tākuta kia tika ai te tautuhi i tēnei mate, kia tika ai hoki te whakarite i tētahi mahere maimoatanga.
- Mēnā ka nui te ruaki, he mea nui pea kia whiwhi koe i te wai tote ā-uaua (wai IV) i te hōhipera, i te ETU rānei hei ārai i te matewai.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero