Kei te māuiui koe i muri i te kai? He mate tuku kai pea tēnei!

Kua mutu noa iho tō kai i tētahi kai reka... ā, i muri i tētahi wā, ka rongo koe kei te hē tetahi mea i roto i tō puku. Kua kī tō puku, kua whakapairuaki koe, kua werawera koe, ā, kei te tere haere te pao o tō ngākau. Tērā pea kei te whakaaro koe, 'Kāore au i te mōhio mēnā i pā ahau ki te kai, kāore rānei.' Engari he āhuatanga pea tēnei e kiia nei ko te 'dumping syndrome' ka puta i muri i te pokanga puku, i ētahi atu āhuatanga hauora rānei. Kaua e manukanuka, me kōrero tātou mō tēnei mea, kia māmā noa, kia mārama hoki.

He aha te Mate Tukunga?

Hei whakarāpopototanga, koinei te wā e panaia ai e tō puku (te wāhanga o runga o te whekau) ngā mea o roto o tōna puku, arā, te kai e kainga ana e tātou, ki roto i te whekau iti i mua i te nakunaku tika. Ka kiia hoki tēnei ko te "whakakore tere i te puku".

Whakaarohia he wheketere e hiahia ana ki te wehewehe i ētahi taonga ka tukuna atu. Engari nā te raruraru o te mīhini, he rite ki te maka atu i ngā taonga katoa i te wā kotahi. I te nuinga o te wā, ka tukuna e tō tātou puku te kai ki te whekau iti i runga i te tikanga whakahaere. Ka mahi tahi ō tātou uaua, io, me ngā homoni i roto i tēnei tukanga. Engari ki te whakararuraru tetahi mea i tēnei mahi, ka "maka" ohoreretia te kai i roto i te puku ki roto i te whekau iti, arā, ka maka atu.

Ina uru whakarere mai te nui o ngā kai kāore anō kia nakunaku ki roto i te whekau iti, kāore e taea e ia te whakahaere. Ka pōuri, ā, hei whakahaere i tēnei, ka kukumehia e ia he nui te wai ki roto i taua wāhi, ka tukuna he homoni. Ko taua pōuri ka kitea e tātou hei tohu pēnei i te whakapairuaki, te mamae o te puku, me te pupuhi .

Tērā pea ka pāngia ētahi tāngata e ētahi atu tohu i muri i ētahi haora i te kai. Nā ngā panonitanga o ngā taumata huka toto tēnei. Ina uru te nui o te huka ki roto i ngā whekau i te wā kotahi, ka mataku te repe taiaki, ka whakaaro, "Āe, he nui te huka, me werohia wawe te insulin," ā, ka tukuna he insulin nui atu i te mea e tika ana. Kātahi ka heke ohorere te taumata huka toto. Koinei te mea e kiia nei e tātou ko te "Reactive Hypoglycemia." Ka taea e tēnei te puta he ngoikore, he wiri, me te tere o te ngakau.

He aha ngā tohu o te mate tuku taonga?

E rua ngā wāhanga matua o ngā tohu o tēnei mate. Tērā pea ka pāngia koe e tētahi, e rua rānei o ēnei.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

He maha ngā wā ka puta tēnei āhuatanga hei pānga taha o te pokanga i te puku, i te korokoro rānei. He mea tino noa i muri i te pokanga te tango i tētahi wāhanga, i te katoa rānei o te puku, i muri rānei i te pokanga whakaiti taumaha. Tērā pea ka puta mai i ētahi āhuatanga hauora.

He kino te mate tuku para?

Heoi, ki te kino rawa atu tēnei āhuatanga, ka tere te heke o te taumaha me te korenga o ngā kai. Ka puta hoki te matewai nā te mate korere tonu. Engari he maha ngā wā ka taea e tātou te whakahaere i ēnei. He ngawari ngā tohu o te nuinga o te tangata. Ka memeha haere ēnei tohu i roto i te wā. Ehara tēnei i te āhuatanga pumau.

E te tākuta, me pēhea e tautuhia ai tēnei?

Mena kua pokangahia tō puku i ngā wā tata nei, tera pea ka taea e tō tākuta te tātaritanga i tēnei mate i runga i ō tohumate. I ētahi wā, ka hoatu pea e rātou he pātai (te 'Dumping Symptom Rating Scale') hei ine i te kaha o ō tohumate.

Heoi, ki te mea kāore anō kia mahia he pokanga, ki te mea rānei me whakaū he mate, ka tūtohu pea tō tākuta i ētahi whakamātautau, pēnei i:

• Whakamātautau ā-waha mō te manawanui huka: Kei roto i tēnei ko te inu i tētahi wai huka me te tirotiro i ō taumata huka toto i mua atu, ā, i muri mai hoki. Ka āwhina tēnei ki te tautuhi i ngā taumata huka toto iti e puta ai pea ngā tohu i muri mai.
• Whakamātautau manawa hauwai: Kei roto hoki i tēnei ko te inu i tētahi wai huka me te ine i te nui o te hau hauwai i roto i tō manawa. Ki te kore e mimiti tika te huka, ka piki ake te nui o te hauwai i roto i tō manawa.
• Endoscopy o runga: Ka whakauruhia he ngongo iti me te kāmera e piri ana mā te waha hei tirotiro i te puku, te korokoro, me te wāhanga tuatahi o te whekau iti.
• Raupapa GI o Runga:Ka hoatu he wai motuhake (he rerekētanga) hei inu, ā, ka whakamahia he hihi-X ataata hei mātakitaki i tana neke i roto i ngā whekau. Ka taea e tēnei te whakaatu i te tere o te neke o te kai i roto i te puku.
• Whakamātautau whakawātea puku: Koinei te whakamātautau pai rawa atu hei ine i te tere o te whakawātea puku. Ka konatunatua he iti noa o te rauemi irahiko ki roto i te kai, ā, ka inehia te tere o te neke o te kai i roto i te puku mā te whakamahi i te matawai.

Me pēhea tā tātou whakahaere i tēnei āhuatanga?

He tokomaha ka taea te whakahaere angitu i tēnei mate mā te whakarerekē i tā rātou kai .

Ngā whakarerekētanga kai (koinei te mea tino nui!)

Ngā rongoā (tarukino)

Mena he uaua ki te whakahaere i ngā tohu ahakoa ngā whakarerekētanga kai, ka tohua pea e tō tākuta ētahi rongoā.

• Octreotide acetate: He werohanga tēnei. Ka āwhina i te whakaroa i te whakawātea o te puku me te whakahaere i te tukunga o te insulin.
• Acarbose: Ko te mahi a tēnei rongoā mā te whakaroa i te tere o te mimiti o ngā warowaihā ki roto i te tinana. Ka āwhina tēnei ki te whakahaere i ngā tohu o te huka toto iti i muri mai i te rā.

Pokanga

He tino onge tēnei mahi. Ka whakaarohia e te tākuta te pokanga anō mēnā kua kore e angitu ngā mahi katoa, ā, he nui te pānga o te mate ki tō oranga.

Ka memeha haere te mate tuku taonga?

Ae, i te nuinga o te wā ka pai ake i roto i te wā. Ka taea e ngā mate ngawari te pai ake i roto i te 3 marama. Ko ngā mate kino ka roa pea i roto i te 12 ki te 18 marama. Kaua e manukanuka, ki te whakatikatika tika koe i tō kai, ka tino pai tō wairua i roto i tēnei wā.

Mena kua whakaritea kia pokanga koe, he mea whakaaro nui kia whakamaheretia i mua i te kai ka whai koe i muri mai.