Kua rongo pea koe i ō tātou hoa me ō tātou whanaunga e kōrero ana mō ngā mea pēnei i te "raruraru tairoi" me te "pukupuku kaki". I ētahi wā ka mea te tākuta me pokanga tēnei. He mea noa te mataku. Engari ki te mōhio tika koe ki ēnei mea, ka taea e koe te wikitoria i taua mataku. I tēnei rā kei te kōrero tātou mō ngā pokanga e mahia ana ki ngā repe e whakaputa ana i ngā homoni i roto i tō tātou tinana, arā, ko te 'Pokanga Endocrine'.

He aha tēnei pūnaha endocrine?

Ki te kī ngāwari, koinei te pūnaha repe i roto i tō tātou tinana e whakaputa ana i ngā homoni. Whakaarohia he pūnaha karere a tētahi kamupene nui. Ka tukuna e ēnei repe ngā karere matū e kiia nei ko ngā homoni ki roto i te toto. Ka haere ēnei homoni puta noa i te tinana, ka kī atu ki ia okana kia "mahi i tēnei."

Nō reira, he maha ngā mea nui o roto i tō tātou tinana e whakahaerehia ana e tēnei pūnaha.

• Te tipu tinana me te whanaketanga ā-ira tangata
• Te manawa
• Te pākia o te kai - te tukanga e huri ai te kai e kainga ana e tātou hei pūngao
• Ngā nekehanga tinana
• Te haputanga me te whānautanga
• Ō tātou kare ā-roto

Ki te kore tēnei repe e mahi tika, ahakoa he nui rawa, he iti rawa rānei ngā homoni e whakaputaina ana, ka ngaro te taurite o tō tātou tinana, ā, ka puta he mate. Koinei te wā e hiahiatia ai te pokanga.

Ko ēhea ngā repe e tino whai wāhi ana ki ēnei pokanga?

Ahakoa he maha ngā repe i roto i te pūnaha endocrine, ko te nuinga o te wā ka hiahiatia he pokanga mō ngā mate o ngā repe matua e toru.

1. Repe Tairoiro: Kei mua o te kaki tēnei, he rite te āhua ki te pūrerehua. Koinei te rangatira o te pākia o te tinana. He rite ki te whakatere e whakahaere ana i te tere o te miihini o te motuka. Koinei te mea e whakatau ana i te tere o te whakamahinga o te pūngao me te whakaputa wera o te tinana.

2. Ngā Repe Parathyroid: He repe iti e whā ēnei, he rite ki te pīni te rahi. Kei muri i te repe tairoi. Ko tā rātou mahi matua he whakahaere i ngā taumata o te konupūmā me te whākōkī i roto i te tinana. He mea tino nui tēnei mō te kaha o ō tātou wheua.

3. Ngā Repe Adrenal: Kei runga ake i ō tātou whatukuhu ēnei, pērā i ngā potae e rua. Ka whakaputahia e ēnei repe ngā homoni ira tangata, me ngā homoni pēnei i te cortisol, ka tukuna ina pāngia tātou e te ahotea. Ka āwhina hoki rātou ki te whakahaere i te toto toto.

He aha ngā āhuatanga hauora noa e hiahia ana kia pokanga?

He mea tika te pokanga ina puta he pukupuku i roto i te repe, ina ka matepukupuku, ina kaha rawa rānei te mahi, ā, kāore e taea te whakahaere mā te rongoā. Me titiro tātou ki ngā mate matua e hiahia ana kia pokangahia mō ia repe.

Ka taea e te tākuta tohunga ki ngā mate homoni te mahi pokanga?

He pātai tēnei e pātaihia ana e te tini tāngata. Ko ngā tākuta endocrinologist he tākuta e rongoā ana i ēnei mate mā te rongoā. Kāore rātou e mahi pokanga. Ki te hiahia koe ki te pokanga, ka tukuna koe e taua tākuta ki tētahi taote pokanga . Kei ētahi hōhipera he taote pokanga endocrine kua whiwhi whakangungu motuhake mō ēnei repe homoni. He pai ake mēnā ka taea e rātou te mahi i te pokanga.

He aha ngā mea ka tupu i mua i te pokanga?

Mā tō taote pokanga koe e whakamārama mārama he aha te mea hei mahi i mua i te pokanga.

• Ka tonoa koe kia nohopuku (kia kaua e kai, kia kaua e inu) mō ētahi haora i mua i te pokanga.
• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā me ngā huaora mō tētahi wā.
• Ki te mea he kaipaipa koe, he mea tino tika kia mutu te kai.

Hei tāpiri, me whakahaere e koe ētahi whakamātautau hei aromatawai tika i tō āhua.

• Ngā whakamātautau toto: Tirohia te mahi a te repe me ngā taumata homoni.
• Ngā matawai whakaahua: Ka taea te mahi i te ultrasound, te CT scan, te MRI scan rānei hei tiro i te rahi me te wāhi tika o te repe, o te puku rānei.
• Kohikohi Ngira: Mena he pukupuku, ka mahia tēnei whakamātautau hei whakaū mena he matepukupuku.
• Whakamātautau i te roro: Ka mahia tēnei hei tirotiro i te hauora o ō taura reo, inā koa i mua i te pokanga tairoi.

He maha ngā huarahi e taea ai te mahi i te pokanga.

I runga i tō āhua, ka whiriwhiria e tō taote pokanga te tikanga pokanga tino tika. E toru ngā tikanga matua.

1. Pokanga Tuwhera: Koinei te tikanga tuku iho. Ka tapahia te kiri i runga ake i te repe, kātahi ka tangohia tika te repe. He mea tika tēnei tikanga mō ngā mea pēnei i ngā pukupuku matepukupuku nui.

2. Pokanga Laparoscopic: Ka kiia hoki tēnei ko te "pokanga kī-pōro." Engari i te tapahi nui kotahi, ka mahia he maha ngā tapahi iti, ā, ka whakauruhia he ngongo angiangi me te kāmera mā roto i te tapahi, ā, ka mahia te pokanga i raro i te kanohi mataara o te aroturuki. Ko te hua o tēnei he iti ake te mātā, he iti ake te mamae, ā, he tere ake te whakaora.

3. Pokanga Robotic: He rite tēnei ki te pokanga laparoscopic. Heoi, i konei ka whakahaerehia e te taote pokanga te pokanga mā te whakahaere i te ringa robotic. Mā tēnei ka taea te pokanga tika ake, me te tika ake.

Ko te tikanga, ka roa te pokanga mai i te kotahi ki te toru ki te whā hāora, i runga i te uaua o tō āhua. Ka mahia ēnei pokanga katoa i raro i te mate whakamoe whānui, arā, ka hoatu he rongoā whakamoe ki a koe hei whakamoe i a koe . Nō reira, kāore koe e mamae.

He aha ngā mea ka tupu i muri i te pokanga?

Me noho koe ki te hōhipera mō te rā kotahi, e rua rānei i muri i te pokanga. Tērā pea ka mamae te korokoro, ka mākūkū hoki te wāhi i tapahia ai. Ka hoatu e te tākuta he rongoā whakamamae ki a koe mō tēnā.

• Ka tukuna tētahi wāhanga o te repe i tangohia ki te taiwhanga hei tirotiro mō te mate pukupuku (Biopsy)Ka tukuna atu. Ka whakatauhia te maimoatanga ā muri ake nei i runga i taua pūrongo. Hei tauira, ki te mea he mate pukupuku tairoi tōu, me whiwhi pea koe i te rongoā radioiodine.
• I ētahi wā, me tango pea te homoni i hangaia e te repe kua tangohia hei pire mō te toenga o tō oranga. Hei tauira, ki te tangohia katoatia tō repe tairoiti, me tango e koe te homoni thyroxine i ia rā. Ehara i te mea nui, kotahi noa te pire i te rā.

Ngā painga me ngā mōrearea pea o te pokanga

Pērā i ngā pokanga katoa, he painga anō ō ēnei pokanga, engari he iti noa iho ngā mōrearea.

Ngā Painga:

• Ka taea te whakaora rawa i te mate.
• Kua kore ngā tohu, kua māmā ake te ora.
• Mena he mate pukupuku, ka taea te ārai i tōna horapa.
• Ka whakaitihia te mōrearea o te whakawhanake i ētahi atu mate pēnei i te toto toto tiketike, te mate ngakau, me te osteoporosis.

Ngā Tūponotanga:

• Te mate urutā.
• Te toto.
• Te kino ki ngā io e tata ana ki te wāhi i pokangahia ai. (Hei tauira, ki te pakaru te io ki ngā taura reo i te wā o te pokanga tairoi, ka rerekē pea te reo mō te wā poto, mō te wā roa rānei. Heoi, he tino iti tēnei mōrearea ki te taote pokanga mātau.)
• Ki te tangohia ngā repe parathyroid, ka heke te taumata konupūmā i roto i te toto (Hypoparathyroidism).

Kaua e wehi i ēnei mōrearea. Ka mahi tō tākuta i ngā mahi e tika ana hei whakaiti i ēnei mea katoa.

Te wā whakaora i muri i te hokinga ki te kāinga

Kia tere te tiaki i ēnei mea kia ora ai koe i muri i tō hokinga ki te kāinga.

• Okioki pai mō te wiki kotahi, e rua rānei, ā, karohia te hiki i ngā mea taumaha.
• Kia ma te patunga. Whakakapia te takai kia rite ki ngā tohutohu a te tākuta.
• Hei āwhina i te korokoro mamae, ngā mea pēnei i te wai, ngā inu matao, me ngā maramara hukapapa .
• Tangohia ngā rongoā, ngā pire homoni, me te konupūmā i tohua e te tākuta i te wā tika.
• I te nuinga o te wā ka taea e koe te hoki ki te mahi i roto i te wiki, i ngā wiki e rua rānei.

Ina hiahia koe ki te toro wawe ki te tākuta

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera.

• He pupuhi, he whero, he wai rite ki te pūhā e maringi ana i te wāhi i tapahia ai (he tohu ēnei o te mate).
• Te kirika.
• Te uaua ki te manawa , te rerekē rānei o te reo.
• Mena ka pāngia koe e te māuiui, te ngau rānei i tō mata, i ō ngutu, i ō ringaringa, i ō waewae rānei (he tohu pea tēnei o te iti o te konupūmā).