Kei te pupuhi koe i ētahi wā, kei te pupuhi hoki te hau? Kei te ahua mura rānei tō uma i muri i te kai? Ka pāngia tātou katoa e ēnei raruraru nakunaku iti i ētahi wā. Engari ko te rongo pai he maha ngā otinga ngāwari mō ēnei mate whakarihariha. I tēnei rā, ka kōrero tātou mō ngā take, me pēhea te ārai, me te wā tika ki te toro atu ki te tākuta.
Tuatahi, kia tirohia te mahi a tā tātou pūnaha nakunaku.
He tokomaha e whakaaro ana ko te nakunaku ka puta i roto i te puku anake. Engari he tukanga roa tēnei e uru ana ki ngā whekau maha. Whakaarohia he rite ki te pūnaha paipa roa.
Ka tīmata tēnei haerenga i roto i tō tātou waha. Ina ngaungau tātou i te kai, ka tīmata te huware i roto i tō tātou waha ki te nakunaku. Ina horomia e tātou, ka haere tēnei kai ki raro i te korokoro, te ngongo e arahi ana i te korokoro ki te puku. Mā ngā uaua o reira ka panaia te kai ki roto i te puku.
Kātahi ka pakaru anō te kai, ka nakunaku e ngā waikawa o te puku. Kātahi ka uru te kai ki te whekau iti. I reira, ka honoa ngā wai o ngā whekau pēnei i te repeure me te pūhā hei nakunaku i te kai me te mimiti i ngā matūkai e hiahiatia ana e te tinana. Ko te toenga ka uru ki te whekau nui. I reira, ka mimitihia te wai, ā, ka tukuna atu ngā para e toe ana i te tinana hei paru. Nō reira, ka puta pea ngā raruraru nakunaku i ngā wā katoa o tēnei haerenga roa.
Hau me te Pupuhi
He mea whakamā, he mea whakama hoki te puku kī tonu, me te puku pupuhi. He mea noa tēnei. E 13-21 ngā wā e tukuna ana e te tangata hauora te hau i te rā. Haunga te horomitanga o te hau i a tātou e kai ana, e inu ana, ka puta hoki te hau i te wā e nakunaku ana.
Ngā kai e nui ai te hau i roto i te puku
Kua kite pea koe ka nui ake te hau i roto i tō puku i ētahi kai. Anei ētahi o aua kai matua.
| Momo kai | Ngā tauira |
|---|---|
| Ngā hua | Āporo, pītiti, pea, pūremu |
| Huawhenua | Pīni, pūrokoro, kāpeti, kūmara, riki, harore |
| Miraka me ngā kai miraka | Miraka, tīhi, miraka kawa (mō ētahi) |
| Ētahi atu | Ngā kai i hangaia mai i te paraoa witi |
He aha ngā mea ka taea te mahi hei whakaiti i tēnei mamae?
- Whakaitihia ngā kai hinuhinu .
- Kati te inu i ngā inu huka (ngā inu mimi) .
- Kai mārire, inu mārire .
- Ki te kai hikareti koe, kati.
- Āta karohia te ngaungau kapia .
- Whakakorikori tinana i ia wā, i ia wā .
- Āta karo i ngā kai e whakamā ai i a koe.
I ētahi wā, he tohu pea tēnei āhua o tētahi mate hauora pērā i te `Irritable Bowel Syndrome (IBS)`. Nō reira, ki te mau tonu, he mea pai kia toro atu ki te tākuta.
Te mamae o te ngākau me te GERD
Ko te mamae o te uma he ahua wera, he mamae hoki i waenganui o te uma, o te puku o runga rānei. Ka horapa pea tēnei mamae ki te kaki, ki te kauae, ki ngā ringaringa rānei.
He māmā noa iho, he uaua rite ki te kuaha (Lower Esophageal Sphincter - LES) kei te tomokanga o tō tātou puku. Ka kati tēnei ina uru te kai. Engari ki te kore tēnei kuaha e kati tika, ka piki ake ngā waikawa kino o te puku, arā, ki te esophagus. Koinā te wā ka puta ai tēnei mumura.
Ngā mea e whakanui ana i te mumura o te uma
- Te kai nui rawa.
- Ngā kai kakara, hinuhinu, kawa.
- Te inu kawhe, tī, me te waipiro.
- Te momi hikareti.
- Te takoto i muri i te kai.
- Te ahotea.
- Momona: Ka piki ake te waikawa o te puku i te nui o te taumaha i roto i te puku.
- Te haputanga.
He aha te GERD?
Ka pāngia te katoa e te mamae o te puku i ētahi wā. Engari, ki te nui atu i te rua ngā wā e pāngia ana koe e te mamae o te puku i te wiki , ā, kei te whakararuraru i ō mahi o ia rā, ka kī pea tō tākuta he mate roa tōu e kiia nei ko te Gastroesophageal Reflux Disease (GERD). Ka kino pea tēnei i te esophagus.
He mea tino nui: He rite tonu ngā tohu o te mate manawa ki ērā o te mate manawa. Mena kei te mamae tō uma, kei te poto te manawa, kei te pōuri, kei te werawera, kei te mamae rānei e horapa ana ki tō kaki, ki tō ringa rānei ,Kaua rawa e warewaretia. Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Te maimoatanga mō te ngau o te uma me te GERD
Mena kāore e ranea ngā huringa āhua noho hei whakahaere i tēnei āhuatanga, ka tohua pea e tō tākuta he rongoā.
- Ngā rongoā antacid: Ka tere te mahi a ēnei, ā, ka whakakore i ngā waikawa o te puku.
- Ngā Ārai H2: Ka whakaitihia e ēnei te hanga waikawa o te puku.
- Ngā Ārai Papu Pūtorino (PPI): Ka whakaitihia e ēnei te hanga waikawa me te whai hua ake i ngā ārai H2.
Me kōrero koe ki tō tākuta i mua i te whakamahi i tētahi o ēnei rongoā.
Te kōroke
He rerekē te auau o te nekenekehanga o te puku i ia tangata, i ia tangata. Heoi, ki te uaua koe ki te whakamātau i te nekenekehanga o te puku, ki te mārō tō tūtae pērā i te toka, ki te mea rānei kāore koe i tino hemo, tera pea he mate kōroke koe.
He aha ngā take o te mate kōroke?
- Kāore i te nui te wai e inuhia ana .
- Te whakaiti i te muka i roto i te kai.
- Te kore whakakori tinana.
- Ētahi rongoā (hei tauira, ngā pire rino, ētahi rongoā whakamamae mamae).
- Te haputanga.
- Ētahi āhuatanga hauora (hei tauira, te mate huka, ngā raruraru tairoi).
He aha ngā mea ka taea te mahi hei ārai me te rongoā i te mate puku?
- Inuhia kia 8-10 karāhe wai i te rā.
- Kai atu i ngā kai he nui te muka (hua rākau, huawhenua, witi katoa, me ngā pīni).
- Whakakorikori tinana i ia rā.
- He āwhina te inu i tētahi karāhe wai māhana i te ata ki ētahi tāngata.
Mena he nui atu i te rua wiki tō mate puku kōroke, he toto kei roto i tō tūtae, he mamae nui o te puku, he heke rānei tō taumaha, me toro atu koe ki te tākuta tonu . He tohu pea ēnei nō tētahi mate kino.
Ngā pukupuku me te mate korere
Ngā pukupuku
He pupuhi ngā oko toto e karapoti ana i te pūkahukahu me te nono. Ka puta pea ēnei i te whakamātau i te puku mārō, te hāputanga, me te noho roa i te wāhi kotahi.
- Ngā Tohu: Te toto i te wā e neke ana te puku, te mākūkū, te mamae, me ngā puku e tata ana ki te nono.
- Maimoatanga: Te kai i ngā kai he nui te muka, te whakamahi i ngā rongoā whakangawari tūtae, te whakakōkī ki te wai wera, me te whakamahi i ngā hinu kua tohua e tō tākuta.
Korere
Ko te āhua o tēnei ko te tūtae wai, he maha ngā wā. Ko ngā huaketo, ngā mate kitakita, ētahi rongoā, me ngā kai kāore i te tika te take pea .
Ko te mea nui ko te karo i te matewai . Nō reira,
- Inumia he nui o ngā wai (wai, hupa, wai hua, wai hua).
- Me noho matara atu i te miraka me ngā hua miraka, me ngā kai hinuhinu me ngā kai raukikī mō ētahi rā.
- Kai i ngā kai māmā pērā i te panana, te raihi, te taro, me ngā pihikete.
Mena ka roa ake te mate korere i te rua ngā rā, he kirika nui, he mamae nui te puku, he toto kei roto i te tūtae, he tohu rānei kua matewai (he waha maroke, he iti te mimi) , me toro atu ki te tākuta .
Karere Tangohia ki te Kāinga
- Whakarongo ki tō tinana. Tāutuhia, ā, karohia ngā kai e whakararuraru ana i a koe.
- Ko te kai hauora me te noho ora ko te rongoā pai rawa atu. Inuhia he wai nui i ia rā, kai i ngā kai he nui te muka, me te whakakori tinana.
- He mea noa te mamae iti i ētahi wā. Heoi, ki te mau tonu ngā tohu, he kino rawa, he āhuatanga mōrearea rānei pērā i te toto i roto i te tūtae, te ngaronga taumaha rānei, kaua e warewarehia .
- I mua i te whakamahinga o tētahi rongoā, inā koa mēnā kei te tango rongoā koe mō ētahi atu āhuatanga, me kōrero koe ki tō tākuta .
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