Kei te mamae tō puku i muri i te kai? He mate tuku kai pea tēnei?

I muri i tō kai, ka pōuri koe, ka kī tonu, ka mamae rānei tō puku? Ka pōuri hoki ētahi tāngata, ka wiriwiri hoki i muri i ētahi haora i te kai. Mena kei a koe ēnei tohu, tera pea he mate e kiia nei ko te mate kai kore kai . Me kōrero taipitopito tātou mō tēnei i tēnei rā, nā te mea ka pā ki te tini o te tangata.

He aha te Mate Tukunga?

Ki te kī ngāwari, ko te mate "dumping syndrome" ko te nekenga o te kai i roto i tō puku, arā, ko ngā mea o roto o tō puku, ki roto i tō whekau iti, ki tā tātou e kī nei ko tō whekau iti, he tere atu i te tikanga . Ka kīia hoki tēnei e ngā tākuta ko te "tere o te whakawātea puku". Whakaarohia me te mea kei te "maka" te kai i roto i tō puku ki roto i tō whekau iti i roto i tētahi puranga nui, i mua i te taea te nakunaku tika.

Nō reira, ina tupu tēnei, ka uru atu te nui o te kai kāore anō kia nakunaku ki roto i te whekau iti i te wā kotahi, ka pā mai te mamae pērā i te whakapairuaki, te pupuhi, te mamae o te puku, me te mate korere . Ehara i te mea koinā anake, engari ka pā mai hoki ngā huringa nui ohorere ki ngā taumata huka toto.

He aha te mea e tupu ana i roto i te Dumping Syndrome?

I te nuinga o te wā, ina kai tātou, ka tukuna mārire, ā, ka whakahaeretia hoki te kai e tō tātou puku ki te whekau iti. Ka mahia tēnei e ngā uaua, e ngā io, me ngā homoni i roto i te puku, e mahi tahi ana. Ka kiia tēnei ko te "nekehanga o te puku".

Heoi, i roto i te mate tuku kai, ka hē te taunga o tēnei mahi. Ka tuwhera te takirere kei raro i te puku, te takirere pyloric , i mua i te nakunaku o te kai, ā, ka tukuna katoatia ngā mea o roto o te puku ki roto i te whekau iti i te wā kotahi.

Ka aha rā? Ina puta whakarere mai tēnei kai kāore anō kia nakunaku i roto i te whekau iti, ka ngana ia ki te urutau ki roto. Ka kukume mai i te wai tāpiri, ka tukuna atu ngā homoni tāpiri. Ko aua huringa te take o te mamae i kōrerotia i mua ake nei i muri tata mai i te kai.

Tērā pea ka pāngia ētahi tāngata e ētahi atu tohu i muri i ētahi haora i te kai. Nā te mea kei te huri haere ngā taumata huka toto. Ina pā whakarere mai he kai nui te huka ki te whekau iti, ka tukuna he tohu ki tō tātou repe taiaki kia tukuna he nui ake te insulin hei whakahaere i te huka toto. Ka taea e tēnei te heke ohorere o te huka toto. Ka kiia tēnei ko te hypoglycemia tauhohe . Ka taea e tēnei te puta he āhuatanga pēnei i te whanoke, te wiri, me te palpitations.

Ko wai te mea ka nui ake te tūponotanga ki te pāngia e te mate tuku taonga?

He maha ngā wā ka puta te mate Dumping syndrome hei raruraru i muri i te pokanga puku.E ai ki te whakatau tata, i waenganui i te 20% me te 50% o te hunga kua pokanga puku ka pāngia e ēnei tohumate ki tētahi taumata. He mea tino noa tēnei i roto i te hunga kua pokangahia kia tangohia ai tētahi wāhanga nui o te puku, pērā i te gastrectomy (te tango i te puku katoa, i tētahi wāhanga rānei) te pokanga bypass puku rānei (he pokanga whakaiti taumaha e karo ana i tētahi wāhanga o te puku). He tino onge, ka taea hoki te puta mai i ētahi mate puku.

He mate kino te Dumping Syndrome?

I te nuinga o te wā, kāore te mate tuku kai i te mea morearea, kāore hoki e tūpono ki te ora. Heoi, ki te kino rawa te mate, ka tere te heke o te taumaha me te kore kai. Ki te kore e whakahaeretia te mate korere, ka matewai pea. Engari i te nuinga o te wā, ka taea te whakahaere i ēnei.

He ngawari noa iho ngā tohu o te nuinga o te tangata, ā, ka memeha haere i roto i te wā. Kāore te mate tuku taonga e pumau tonu, nō reira kāore he mea hei manukanuka.

He aha ngā tohu o te mate tuku taonga?

E rua ngā wāhanga matua o te mate tuku taonga, me ngā tohu e pā ana ki ia wāhanga. Tērā pea ka pāngia koe e tētahi, e rua rānei o ēnei wāhanga.

Ngā tohu o te mate tukunga wawe

Ka tīmata ēnei i waenga i te 10 me te 30 meneti i muri i te kai .

• Whakapairuaki
• Ruaki
• Korere (mamae puku)
• Te mamae o te puku me te totitoti
• Pupuhi, te ahua pupuhi
• Pōuriuri, ngoikore
• Te pikinga ake o te tere o te ngakau (te ahua kei te pakū tō uma)

Ngā tohu o te mate tuku kai tōmuri e puta ana i ētahi haora i muri i te kai

Ko te tikanga ka puta ēnei tohu i ngā haora e rua, e toru rānei i muri i te kai .

• Ngoikore, ngenge
• Te wiri, te kore okiokinga
• Te tere o te manawa, te kore rānei e tika ana te manawa
• Te werawera makariri
• Te whero o te mata
• Kohu roro - he ahua uaua ki te whakaaro mārama
• Tino hiakai te tinana

He aha ngā take o te mate tuku taonga?

E rua ngā momo take matua mō tēnei.

Ngā take e pā ana ki te pokanga:

• Te tango i te puku: He pokanga hei tango i tētahi wāhanga, i te katoa rānei o te puku.
• Pokanga Bariatric: He pokanga e mahia ana hei whakaiti i te taumaha, hei tauira, he pokanga bypass puku.
• Pyloroplasty: He pokanga e mahia ana i te takirere pyloric i te pito raro o te puku.
• Te tango i te korokoro: He pokanga hei tango i tētahi wāhanga, i te katoa rānei o te korokoro.
• Vagotomy: He pokanga e tapahia ai te io vagus i roto i te puku hei whakaiti i te waikawa o te puku.
• Nissen fundoplication: He pokanga hei tuitui i te wāhanga o runga o te puku huri noa i te esophagus (e mahia ana mō te mate reflux gastroesophageal - GERD).

Ngā take e pā ana ki te mate:

Ka taea hoki e te mate dumping syndrome te puta mai i ētahi āhuatanga hauora.

• Mate Huka (Diabetes Mellitus)
• Te mate ruaki huringa
• Te ngoikore o te pūnaha aunoa
• Te ngoikore o te repe taiaki
• Ngā mate pukupuku duodenal
• Te mate Zollinger-Ellison
• Te mate puku mahi
• Te mate pukupuku nui o te tarukino ( he āhua o te ruaki nui nā te whakamahinga o te tarukino)

Me pēhea te mohio ki te mate tuku taonga?

Mena kua pokanga puku koe i mua (ahakoa he maha ngā tau kua pahure), tera pea ka whakapae tō tākuta kei te mate koe i te tango kai i runga i ngā tohu e whakaahuahia ana e koe. Tērā pea ka hoatu e rātou he pātai ki a koe, pērā i te Tauine Whakatauranga Tohu o te Tango Kai , hei ine i te kaha o ō tohu.

Heoi anō, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei whakaū i te mate, hei whakakore rānei i ētahi atu take. He mea nui rawa atu ēnei whakamātautau mēnā kāore anō kia pokangahia tō puku.

Anei ētahi whakamātautau ka taea te mahi hei tautuhi i te mate tuku taonga:

• Whakamātautau ā-waha mō te manawanui huka: Ko te tikanga o tēnei he hoatu inu huka ki a koe, me te ine i ō taumata huka toto i mua atu, ā, i muri mai hoki. Ka inehia hoki tō hematocrit , arā, te ōrau o ngā toto whero. Ko te pikinga o tō hematocrit i muri i te inu i te inu huka, ko te tikanga he nui ake te wai e kohia ana mai i ō toto ki roto i ō whekau. Mena ka heke tō huka toto i roto i te kotahi ki te toru hāora, ka kiia tēnei ko te delayed dumping syndrome.
• Whakamātautau manawa hauwai: Ka inehia hoki e tēnei te nui o te hauwai i roto i tō manawa i muri i tō inu i te otinga huka. Ko te tikanga o te hauwai i roto i tō manawa kāore tō whekau iti e mimiti tika ana i te huka. Ko te tikanga tēnei kua nui rawa te huka i roto i te whekau iti.
• Te tirotiro i te pito o runga: Ko te whakaurunga o tētahi ngongo angiangi, ngāwari (endoscope) me tētahi kāmera e piri ana mā te waha, me te tirotiro i te roto o te korokoro, te puku, me te duodenum (te wāhanga tuatahi o te whekau iti). Ka āwhina tēnei ki te whakatau mēnā he raruraru hanganga, he take kē atu rānei mō ō tohu.
• Raupapa GI o Runga:I roto i tēnei, ka hoatu he wai motuhake (he otinga rerekē) hei inu māu, ā, ka whakamahia he raupapa hihi-X ataata (e kiia nei ko te 'fluoroscopy') hei mātakitaki i a ia e neke ana i roto i tō korokoro, tō puku, me tō whekau iti o runga. Mā tēnei ka taea e koe te kite i te tere o te neke o te wai.
• Whakamātautau whakawātea puku: Ka ine tēnei i te tere o te whakawātea o te kai i roto i tō puku. Ka tāpirihia he iti noa iho o te rauemi irahiko ki te kai e kainga ana e koe. Kātahi, mā te whakamahi i tētahi matawai motuhake, ka taea e tō tākuta te mātakitaki i te neke o te kai i roto i tō puku.

Me pēhea te whakakore i te mate tuku taonga?

He tokomaha ngā tāngata ka taea te whakahaere angitu i te mate tuku taonga mā te whakarerekē i te kai . Mō ngā tohu kino, ki te kore te kai anake e āwhina, ka taea te whakamahi i te rongoā. Heoi, ka pāngia pea ngā rongoā e ngā pānga taha, nō reira kāore i te tūtohutia kia whakamahia mō te wā roa. I ētahi wā onge, ki te mea nā te pokanga i puta ai te mate tuku taonga, ā, kāore he maimoatanga kē atu i āwhina, ka tūtohu pea tō tākuta i tētahi atu pokanga.

Ngā aratohu kai

Ka tūtohu ngā tākuta kia whai i ēnei tohutohu hei whakaiti i ngā tohu:

• Whakaitihia te nui o ngā kai e kainga ana e koe i te kotahi kai, ā, whakanuia ake te maha o ngā kai ka kainga e koe i te roanga o te rā. Engari kaua e toru ngā kai nui, ngana ki te kai i ngā kai iti e ono.
• Āta kai, me ngaungau kia pai. Mā tēnei ka māmā ake te nakunaku.
• Whakaitihia te kai i ngā huka māmā, ngā kai warowaihā nui, me ngā hua miraka i ngā wā katoa e taea ana. Mā ēnei ka āwhina i te ārai i ngā huringa ohorere o te huka toto. He pai ake ngā warowaihā matatini, pērā i ngā witi katoa.
• Whakaitihia te nui o ngā warowaihā i roto i tāu kai, ā, tāpirihia he nui ake te pūmua me te ngako hauora. He puhoi te nakunaku o ngā ngako, ā, he pūtake pūngao pumau tēnei.
• Kai atu i ngā kai he nui te muka kai. Mā tēnei ka nui ake te kai, ka puhoi ai te nekeneke o te kai i roto i ngā whekau. Ka whakahaere hoki te muka i te mimiti o te huka.
• Takoto tika mō te 30 meneti i muri i te kai. Ka taea e tēnei te whakaroa i te tukunga o te kai i roto i te puku, ā, ka āwhina hoki ki te pupuri i te toto toto i te wā e nakunaku ana.
• Kaua e inu wai, e inu rānei i ētahi atu inu 30 meneti i mua, i muri rānei i te kai. Ka whakanui ake ngā wai i te nekenekehanga o te puku.

Ngā rongoā

Ka taea e ētahi rongoā te āwhina ki te whakahaere i ngā tohu tōmua me ngā tohu tōmuri o te mate tuku para.

• Te ātete Octreotide:Ka ārai te Octreotide i te mahi a ētahi homoni i roto i tā tātou pūnaha nakunaku. Ka whakaroa tēnei i te tukunga o te kai mai i te puku me te nekehanga o te kai mā roto i te whekau iti. Ka whakaitihia hoki te hanga insulin. Ka hoatu tēnei rongoā hei werohanga, ia rā (he poto te mahi) ia marama rānei (he roa te mahi).
• Acarbose: Ka whakaroa tēnei rongoā i te tere o te mimiti o ngā warowaihā i roto i te tinana, ka whakahaere i ngā taumata huka toto. Kua whakaatuhia ka whakaiti i te hypoglycemia e puta ana i te mate whakaheke taumaha.

Pokanga

Kāore i te tino tūtohutia te pokanga mō te mate tāpae. Heoi, ki te mea nā te pokanga tō mate i puta ai, tera pea ka taea e tētahi atu pokanga te whakatika. Mena kei te tino pāngia tō kounga o te oranga e te mate tāpae, ā, kāore he mahi kē atu, me whakaaro pea koe ki te pokanga hanga anō. Kei roto i tēnei ko:

• Te hanga anō, te whakarerekē rānei i tētahi wāhanga o te puku kāore e mahi pai ana.
• Te whakakore i ngā pokanga pēnei i te bypass gastric, te huri rānei ki tētahi kōwhiringa iti ake te whakaekenga.

Ka memeha rawatia rānei te mate tuku taonga?

Ae, ka memeha haere i roto i te wā. Ko te mate ngawari o te tuku kai wawe ka memeha i roto i te toru marama pea. Ko ngā kēhi kino rawa atu me te mate tuku kai mutunga ka roa pea te 12 ki te 18 marama hei memeha. I taua wā tonu, ka taea e ngā huringa kai te whakarato i te whakamarie nui. Heoi, ka roa pea he maha ngā wiki hei kite i te whakapainga. Nō reira he mea nui kia manawanui.

He aha ngā kai me kai e koe, ā, he aha hoki ngā kai me karo e koe ina pāngia koe e te mate tuku kai?

He mea tino nui mō te hunga whai mate pēnei, inā koa i muri i te pokanga puku, kia whai i tētahi mahere kai hei āwhina i te whakahaere i ngā tohu. Ko ngā kōrero i kōrerohia i mua ake nei i raro i te "Ngā Huringa Kai" e pā ana ki konei:

• Ngā kai hei kai: Ngā kai whai kiko i te pūmua (ika, heihei, hua manu, pīni), ngako hauora (āwōkātō, nati), warowaihā matatini whai kiko i te muka (raihi parauri, ōti, huawhenua).
• Ngā mea hei karo, hei whakawhāiti rānei: Ngā huka māmā (ngā inu reka, ngā mea reka, ngā keke), ngā warowaihā tino parakore (ngā mea i hangaia mai i te paraoa paraoa), te miraka me ngā hua miraka (tērā pea he uaua ki ētahi tāngata te nakunaku), ngā kai ngako nui, ngā kai parai.

He pai ake te kōrero ki tō tākuta, ki tō tohunga kai rānei, kia waihangahia he mahere kai e tika ana māu.

Hei whakamutunga, he karere hei kawe ki te kāinga:

He āhuatanga te mate tāmi e pāngia ai te tini o te tangata i muri i te pokanga puku. Tērā pea ka pāngia koe e ēnei tohu i muri i te pokanga. Ko te rongo pai, he maha ngā wā, he āhua ngawari, ā, ka memeha haere i roto i ētahi wiki, i ētahi marama rānei.I tēnei wā, ka taea e koe te whakahaere pai i tēnei āhuatanga mā te whakarerekē tika i tō kai.

Ki te mea ka pokangahia tō puku ā muri ake nei, he mea whakaaro nui kia whakamaheretia he kai e tika ana mō te mate puku. Whakaritea te kīhini, ā, kia mahara ki ētahi mahere kai. Ki te mea kua huri koe i te kai, ā, kāore e puta he whakaoranga, kia kite koe i tō tākuta. Ka taea e ia te tohu i ngā rongoā e tika ana hei āwhina i a koe i tō wā e ora ana. Nō reira, ko te mea nui ko te kaua e mataku, kia mōhio, me te mahi i ngā mahi e tika ana.

Te Mate Puku , Te Puku, Te Whēkau Iti, Te Pokanga, Te Nakunaku, Ngā Tohu