Kua pai te tākaro a tāu tamaiti, ā, ka ruaki kino ia mō ngā hāora, mō ngā rā e rua, e toru rānei, ka ruaki tonu ia. Kātahi ka tīmata anō te tākaro me te mea kāore he mea i tupu. I muri i ētahi marama, ka tīmata anō ia ki te mahi i taua mea. Kāore pea tēnei e pā ki a koe anake, engari ki tētahi pakeke anō hoki. I tēnei rā kei te kōrero tātou mō tēnei momo ruaki nui e puta mai ana, e haere atu ana, kāore he take e kitea ana.
He aha te mate ruaki huringa (CVS)?
Ki te kī māmā noa, ko te Cyclic Vomiting Syndrome (CVS) he āhuatanga e pāngia ai koe e te whakapairuaki nui me te ruaki, kāore he take e kitea ana. Ko te mea ahurei mōna, i roto i ēnei wā, kei te tino ora koe, ā, kāore he tohu.
Whakaarohia he rite ki te pana i roto i tō tātou tinana. Kātahi ka 'kā' tēnei pana, ka tīmata te ruaki. Ka roa pea mō ngā hāora, tae noa ki ngā rā. I tēnei wā, ka tino uaua, ā, kāore e taea e koe te ara ake i te moenga. Me haere pea koe ki te hōhipera, ā, me hoatu he wai tote (he wai IV) hei ārai i te matewai. Kātahi, me te mea kua 'weto' te pana, ka ngaro ohorere ngā tohu katoa, ā, ka hoki koe ki te āhua noa.
Ka roa pea tēnei mate mō ngā marama, mō ngā tau rānei. Engari kāore i te kitea tonu ngā tohu. I te nuinga o te wā, ka puta pea i ētahi wā i te tau. Mō ētahi, ka puta kotahi, e rua rānei i te marama. He rite tonu te momo tohu, te wā o te rā, te kaha, me te roa o ngā tohu mō te tangata kotahi i ia wā.
He pēhea te noa o tēnei āhuatanga?
Ko te CVS te mea tino noa i roto i ngā tamariki. E ai ki ngā tatauranga, tata ki te 3 i roto i te 100,000 ngā tamariki ka pāngia e tēnei mate. I te nuinga o te wā, ka tīmata ngā tamariki i waenga i te 3 me te 7 tau te pakeke. Heoi, he mea nui kia mahara ka taea te tīmata i ngā tau katoa.
He aha ngā tohu o te CVS?
Ka taea e tātou te tautuhi e whā ngā wāhanga matua o te CVS, pērā i ngā whakaaturanga o tētahi whakaari.
| Wāhanga | He whakaahuatanga māmā mō ngā mea e tupu ana |
|---|---|
| 1. Wāhanga Prodrome | He meneti, he hāora rānei i mua i te tīmatanga o te ruaki, ka tīmata koe ki te whakaaro, "Āe, ka uaua tēnei." Tērā pea ka pāngia koe e te whakapairuaki me te werawera. Mō te tini o te tangata, ka tīmata tēnei i te atatu. |
| 2. Wāhanga ruaki | Koinei te wā tino uaua. Ka ruaki tonu koe. I ētahi wā he maha ngā wā i roto i te haora. Ka ruaki pea ngā tamariki nohinohi. Ka roa pea tēnei mai i ētahi haora ki ētahi rā. He tino uaua i tēnei wā, ā, ka hiahia koe ki te noho ko koe anake i te moenga, kāore e taea te kōrero, te noho tahi rānei me tetahi. |
| 3. Wāhanga whakaora | Ka memeha haere te ruaki me te whakapairuaki, ā, ka tīmata koe te pai ake. E āhua ana koe kei te ora anō koe. |
| 4. Wāhanga puna | Ka tino ora anō koe. Ka hoki koe ki tō oranga noa me te mea kāore koe i pāngia e te mate. Ka roa tēnei wā whakaora tae noa ki te wā e ruaki ai koe. |
Hei tāpiri atu ki ēnei wāhanga matua, ka kitea pea ētahi atu tohu:
- Mamae puku nui
- Korere (mamae puku)
- Pōuriuri, pōturi rānei
- Te pupuhi, te pupuhi rānei
- Te matewai nui
- Hiahia kai
- Kiri mā
- Te ānini nui me te ngenge nui
- Te aro ki te mārama, ki te tangi rānei (ngā kanohi kikorangi, te uaua ki te whakarongo ki ngā oro)
- Te kirika (tae atu ki te 101°F, 38.33°C rānei)
- Ruaki (maroke te pūhā) - Ko te tikanga tēnei ka hiahia koe ki te ruaki, engari kāore he mea e puta mai ana nā te mea kāore he mea i roto i tō puku.
He aha tēnei e tupu ai? He aha ngā take?
Kāore i te tino mōhiotia mēnā koinei anake te take o CVS, engari he iti noa ngā mea e whakaarohia ana he take mō tēnei.
- Ngā raruraru o tō roro-puku: Ki te kī māmā noa, he hononga kei waenganui i te roro me ngā io o roto i te puku. Ina he hapa kei roto i tēnei 'whakawhitiwhitinga', ka puta te ruaki kāore e taea te whakahaere. E kīia ana tēnei e ētahi kaipūtaiao he mate roro-puku.
- Ngā huringa i roto i tō pūnaha io autonomic:Mā tēnei pūnaha e whakahaere ngā mea o roto i tō tātou tinana kāore e taea te whakahaere, pērā i te tere o te manawa, te toto totoka, me te ruaki. Mēnā ka hē tēnei pūnaha, ka puta pea te ruaki.
- Ngā ānini o te migraine: Tata ki te 80% o ngā tamariki whai CVS me te 25% o ngā pakeke he migraine anō hoki. Ehara i te mea he ānini nui noa iho te migraine. Pērā i te CVS, he ahua rerekē te migraine ina tīmata. He maha ngā tāngata whai CVS he hītori whānau mō te migraine.
- Te DNA mitochondria rerekē: Ko ngā mitochondria ngā pūtake mana o ia pūtau o tō tātou tinana. Ka taea te whakarerekē i ngā tohutohu (DNA) e whakaatu ana i te mahi mā te mate, te āhua ira, te rongoā/paitini rānei. He nui te kaha e hiahiatia ana e ngā pūtau io i roto i ō tātou whekau kia pai ai te mahi. Ina he raruraru ki tēnei pūtake kaha (ngā mitochondria), ka puta te ruaki kore e taea te whakahaere.
He aha ngā mea e whakaoho ana i te CVS?
Ka taea e ētahi huihuinga, kai, me ngā āhua hinengaro te whakaoho i te ruaki. Ka kiia ēnei e mātou he 'whakaoho'.
- Ngā panonitanga o te rangi (he mea noa i te ngahuru me te hotoke)
- Ngā kai pēnei i te tiakarete, te tiihi, te kawhe, me te MSG
- Te harikoa nui o ngā tamariki (hei tauira, he rā whānau, he pikiniki)
- Te ahotea nui me te manukanuka i roto i ngā pakeke
- Mate pāwera, mate ihu, makariri rānei
- Te kaha rawa o te tinana
- Te kore kai mō te wā roa
- Te whakamahinga roa o te tarukino
- Te paheketanga o ia marama o ngā wāhine
- Mate nekeneke
Ki te aro koe ki te wā ka tīmata te ruaki, te wā rānei ka ruaki koe, tāu tamaiti rānei, i muri i te kai i tētahi mea, i te wā rānei ka puta he mea whakarihariha, ka māmā ake te tautuhi i ngā mea e pā ana ki a koe.
He aha ngā raruraru ka puta mai i tēnei?
Ka pā kino te ruaki tonu, kino hoki ki te tinana.
| Ngā raruraru | Hei whakarāpopototanga... |
|---|---|
| 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 tō tātou korokoro nā te waikawa o te puku e puta mai ana i te ruaki. |
| Roimata Mallory-Weiss | Ka haehae pea te wāhanga o raro o te korokoro i te pēhanga o te ruaki. Ka puta mai pea te toto me te ruaki. |
| pirau niho | Ka taea e te waikawa puku e uru ana ki te waha te whakarewa i te enamel niho, ā, ka pirau hoki ngā niho. |
Me pēhea te mōhio a te tākuta he CVS tēnei?
He ahua uaua te tātaritanga o te CVS nā te mea kāore he whakamātautau kotahi e tautuhi tika ana i tēnei mate. Me whakarite e tō tākuta kāore he mate kē atu āu e puta ai ngā tohu rite.
Ka pātai atu tō tākuta ki a koe mō tō hītori hauora, tō hītori hauora whānau, me tō āhua ruaki. Kātahi ka tirotirohia e ia te tinana, ā, ka tonoa pea ētahi whakamātautau.
Ngā whakamātautau ka taea te mahi
- Ngā whakamātautau toto me te mimi (Ngā whakamātautau taiwhanga): Ka āwhina ēnei whakamātautau ki te kite mēnā he mate pākia o te pūnaha io, he mate mitochondrial, he raruraru rānei ki ētahi atu okana o te tinana.
- Ngā whakamātautau whakaahua: Ka taea e ēnei te rapu i ngā raruraru o ngā whekau o tō pūnaha nakunaku me te pūnaha io. Hei tauira, ka tonoa pea koe kia mahi i tētahi tirotiro oro-mata o te puku, i tētahi tirotiro MRI, CT rānei o tō roro, i tētahi tirotiro rānei o te pūnaha GI o runga. Tērā pea ka hiahiatia he whakamātautau whakawātea puku hei tirotiro i te tere o te neke o te kai i roto i ō whekau.
- Endoscopy o runga: He whakamātautau e whakaurua ai he kāmera iti mā te waha hei rapu i ngā raruraru i roto i te esophagus, te puku, me te whekau iti.
He aha ngā maimoatanga mō te CVS?
Ko te maimoatanga e whakawhirinaki ana ki te wāhanga kei roto koe. Arā, kei te ruaki koe, kei te ngana rānei koe ki te ārai i te wā ruaki.
- Wāhanga Prodrome: Ina tīmata ngā tohu, ka taea te hoatu rongoā hei whakaiti i te whakapairuaki, te whakaiti i te waikawa o te puku, me te rongoā i te migraines.
- Wāhanga ruaki: I tēnei wā, ka hoatu hoki he rongoā ki a koe hei rongoā i te migraines, hei whakaiti i te waikawa o te puku, hei whakaiti hoki i te manukanuka. Me kawe pea koe ki te hōhipera, ā, me hoatu he wai IV hei ārai i te matewai. Mā te okioki i tētahi wāhi pōuri, marino i tēnei wā ka āwhina i te whakamama i ngā tohu.
- I te wā whakaora: Ki te mea e tika ana, me haere tonu te hoatu i te tote, me te neke haere ki ngā kai wai, kātahi ki ngā kai mārō.
- I te Wāhanga Ora: Ka tohua pea e te tākuta ngā rongoā ārai hei ārai i ngā wā ruaki a muri ake nei.
Ka whakamahia ngā rongoā ārai-migraine, ngā rongoā ārai-whakapaipai, ā, i ētahi wā tae noa ki ngā rongoā ārai-ohorere hei rongoā.
Kua kitea e ētahi ngā painga o ngā tāpiringa pērā i te coenzyme Q10, te riboflavin, me te L-carnitine. Heoi, kaua rawa e tīmata i tētahi mea me te kore e kōrero ki tō tākuta.
Ka taea te ārai i tēnei āhuatanga?
Ahakoa kāore e taea te ārai katoa, ka taea te whakaiti i te mōrearea o te ruaki anō.
- Tāutuhia ngā mea e whakaoho ana i a koe (ngā kai, ngā huihuinga) ā, me noho matara atu i aua mea i ngā wā katoa e taea ana.
- Whakamahia te rongoā kia rite ki te mea i tohua e te tākuta.
- Mena he mate pāwera koe, he raruraru ihu rānei, me tere te rongoā.
- Kia kaha tonu, engari kaua e whakakaha rawa.
- Moe pai.
- Whakahaerehia te ahotea me te manukanuka.
Ngā pātai hei pātai atu ki te tākuta
Ina kite koe i tō tākuta, he mea nui pea kia pātaihia 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, hei ārai hoki i tōna hokinga mai?
- He aha ngā huringa āhua noho me mahi e au 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 tika rānei ahau ki te ETU (Emergency Treatment Unit) o te hōhipera?
He mate whakarihariha, he mate pōuri hoki te CVS i te nuinga o te wā. Kāore he otinga kotahi mō tēnei raruraru, ā, kāore he huringa āhua noho kotahi e tino tika ana mō te katoa. Me mahi tahi kōrua ko tō tākuta ki te kimi i te maimoatanga tika me ngā mea e whakaoho ana i a koe. I roto i te wā, ka pai ake te karo a te tini o te tangata i ngā mea me ngā āhuatanga e whakararuraru ana i a rātou.
Karere Tangohia ki te Kāinga
- Ehara te CVS i te mamae puku anake. He mate tūturu e taupatupatu ana i waenga i ngā wā ruaki me ngā wā ora katoa.
- Ahakoa he uaua ki te kimi i te pūtake, kei reira ngā maimoatanga. Ko te mea nui ko te whiwhi i te tautuhi tika.
- He āwhina nui te tautuhi i ngā mea e whakaoho ana i te mate (pēnei i te kai, te ahotea) māu, mā tāu tamaiti rānei.
- Mēnā he nui te ruaki, inā koa kāore e taea e te tinana te pupuri i te nui o te wai, he mea tino nui kia haere ki te ETU (Emergency Treatment Unit) o te hōhipera hei ārai i te matewai.
- Kaua rawa e tango rongoā ko koe anake. Me toro atu ki tētahi tākuta whai tohu mō ētahi tohutohu.
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