Kei te pēhia koe e te ahua o te kai e piri ana ki roto i tō korokoro ina kai koe? Kei te pēhia tō uma ina inu wai koe? Ko te hunga anake e pāngia ana e tēnei mate e mōhio ana ki te uaua o te noho me tēnei momo mamae. Ahakoa he tokomaha e whakaaro ana he gastritis tēnei, ko te take o tēnei mate i ētahi wā ko te Eosinophilic Esophagitis, arā, ko te mea e kīia nei e tātou ko te `(EoE)`.
He aha te Eosinophilic Esophagitis (EoE)?
Āe, me whakarāpopoto noa iho. He momo pūtau motuhake kei roto i te pūnaha ārai mate o tō tinana e kiia nei ko te eosinophil. I te nuinga o te wā, kei reira ēnei pūtau hei whawhai i ngā mea pēnei i ngā pirinoa e uru mai ana ki roto i ō tātou tinana. Engari i ētahi wā, inā koa he mate pāwera koe, ka tīmata te kohikohi o ēnei eosinophil ki roto i tō korokoro - te ngongo e kawe ana i te kai mai i tō waha ki tō puku.
Ina tupu tēnei, ka pupuhi te korokoro, ka whero, ka mamae hoki i roto. He rite ki te ponana i runga i te kiri. He maha ngā wā ka puta tēnei i ētahi kai e kainga ana e tātou. Mā tēnei pupuhi ka whaiti te korokoro, ka uaua ai te horomi kai, ā, ka piri te kai.
Nā te mea kua whakaūtia e tō tākuta kei a koe tēnei mate, ko te mea tuatahi ka whakaarohia e koe ko, "Āe, he aha te rongoā pai mōku ināianei?" Me kōrero tāua mō tēnā inaianei.
He aha ngā maimoatanga matua mō te EoE?
Kāore he maimoatanga kotahi e pai ana mō te EoE. He rite ki te hūtu e tau ana ki tētahi tangata, kāore pea e tau ki tētahi atu. Ka whakaarohia e tō tākuta ngā āhuatanga maha, tae atu ki tō āhua, tō momo noho, me ngā mea e pai ana ki a koe, kia waihangahia ai he mahere maimoatanga e pai ana mōu.
E whā ngā tikanga maimoatanga matua.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā Ārai Papu Pūtorino (PPI) | Ko te tikanga ka tohua ēnei mō te gastritis, engari ka taea hoki e rātou te whakaiti i te mumura i roto i te korokoro. He maha ngā wā ka tīmata tuatahi ngā tākuta ki tēnei maimoatanga. |
| Ngā Steroids Panana | He rongoā ēnei e wātea ana i roto i tētahi mea whakapūngao motuhake, i roto rānei i tētahi rongoā whakapūngao. Ina horomia e koe, ka piri te rongoā ki ngā pakitara o ō ara manawa, ā, ka whakahaere tika i te pupuhi i puta mai i aua pūtau eosinophil. |
| Ngā Huringa Kai | E ai ki taku kōrero i mua ake nei, ko te tino take o te EoE ko ngā mate pāwera kai. Nō reira, ko te mea nui i konei ko te kimi i ngā kai e mate pāwera ana koe, ā, me whakakore rawa atu i roto i tō kai. |
| Te Whakawhanuitanga o te Esophagus | Mena he tino whaiti te korokoro nā te EoE roa e mau ana, ā, he maha ngā wā ka piri te kai, ka whakauruhia he taputapu motuhake rite ki te poihau i te wā o te endoscopy hei whakawhanui ake i te korokoro. Mā tēnei ka tere te whakaora i te uaua ki te horomi. |
Me pēhea te whiriwhiri a te tākuta i te maimoatanga e tika ana māu?
Tērā pea kei te whakaaro koe, "Ko tēhea o ēnei e whā te mea tika māku?" Ka āta whakaarohia e tō tākuta ētahi āhuatanga i mua i tana whakatau.
1. Hītori o ō mate pāwera kē atu
Kua pāngia koe e te mate huango, te ekisema, te mate pāwera rānei ki ngā mea pēnei i te puehu me te hae mai i tō tamarikitanga? Mena koinā, he nui te tūponotanga kei te pāngia tō mate EoE e te mate pāwera kai. I roto i ēnei āhuatanga, ka aro pea tō tākuta ki ngā huringa kai kaua ki te rongoā. Tērā pea ka tukuna koe ki tētahi tohunga mate pāwera, he tohunga ki ngā mate pāwera.
2. Te kaha o ō tohumate
Whakaarohia he iti noa te uaua o te horomitanga o te kai e tetahi. Ko tētahi atu tangata ka piri tonu te kai, ā, me inu wai hei tango. I ētahi wā, ka piri rawa te kai, ā, me haere ki te Tari Whakaora (ETU).
Ki te kore e tino kino ō tohumate, ka tīmata pea tō tākuta ki tētahi mea māmā pēnei i te PPI. Heoi, ki te mea kei te pāngia koe e te hiahia kai maha, ki te whakaaro rānei koe kua tino whaiti tō korokoro, ka tūtohu pea tō tākuta i tētahi mahere maimoatanga e uru ana ki te whakawhānui i te korokoro.
3. Tō momo noho me ō hiahia
He mea tino nui tēnei. Ka kōrero te tākuta ki a koe, ka pātai atu hoki mō ēnei mea.
- Ka taea te whakahaere i tō kai?Whakaarohia he tangata pukumahi koe, he nui te kai i waho. Mō tēnei tangata, he tino uaua te tango i ngā kai matua e 6 (miraka, hua manu, pīni soya, witi, ika/kaimoana, nati) me te kai i aua kai (Kai Whakakore). I roto i tēnei āhua, he māmā ake pea māu te whakamahi i tētahi pire ka horomia e koe kotahi i te rā.
- He pai ki a koe te rongoā? Kāore ētahi e pai ki te tango rongoā mō te wā roa. He pai ake ki a rātou te kimi i te pūtake o te mate, me te whakahaere i te mate mā te kai. Mō tēnei momo tangata, ko te whakahaere i te kai te kōwhiringa pai rawa atu.
Arā, he whakatau tēnei mā kōrua ko te tākuta e whakatau ngātahi.
Ka taea e te kai te whakaora i te EoE?
Koinei te raruraru nui rawa atu mō te tini o te tangata. Nā te mea ko te kai te pūtake o te EoE, ki te taea e koe te tautuhi i te kai e whakaoho ana i tēnei mate, ā, ki te mutu, ka taea e koe te whakaora katoa i ngā tohumate. Engari ko te wero ko te kimi he aha te kai.
He uaua ki te kimi i te kai e puta ai te EoE mā te whakamahi i ngā whakamātautau mate pāwera auau, pērā i ngā whakamātautau wero kiri. Nā te mea he momo rerekē te EoE o te mate pāwera, e rua ngā tikanga motuhake e whakamahia ana e ngā tākuta.
1. Kai Whakakore: Kei roto i tēnei ko te whakakore katoa i ētahi kai matua (e 6 te nuinga) kua kitea ko ngā tino take o te EoE mō ētahi wiki. Kātahi ka whakahokia mai e mātou tētahi i muri i tētahi kia kite ai mēnā ka pai ake ngā tohu. Kātahi ka taea e mātou te kite ko ēhea kai ka hoki mai ngā tohu.
2. Kai Taketake: He uaua ake tēnei. I konei, ka mutu te kai i ō kai noa, ka inu noa i tētahi wai motuhake hei oranga mō te tinana (te tauira waikawa amino). Mā tēnei ka okioki tō korokoro, ā, ka ora katoa te pupuhi. Kātahi ka tāpirihia ngā kai ki roto, takitahi.
Me mahi ēnei tikanga e rua i raro i te tohutohu a te tākuta me te tohunga kai anake . Mēnā ka mahi takitahi koe, ka raru pea koe i ngā kai koretake.
| Ngā kai e tino pāngia ai te EoE | |
|---|---|
| Miraka me ngā hua miraka | Wiiti (taro, rimurapa, keke) |
| Ngā hua manu | Soy |
| Ngā nati (pērā i te kāhew, te pīnati) | Ika me ngā kaimoana |
| Mīti kau | Kānga |
Hei whakamutunga, kāore he mea hei manukanuka mō te EoE. He āhuatanga ka taea te whakahaere. Ko te mea nui ko te kōrero tuwhera ki tō tākuta me te mahi tahi ki te whakawhanake i tētahi mahere maimoatanga e pai ana mō tō momo noho, ō hiahia, me tō āhua.
Karere Tangohia ki te Kāinga
- He mate pāwera te Eosinophilic Esophagitis (EoE) e pā ana ki te esophagus. Ka uaua pea te horomi kai.
- E whā ngā maimoatanga matua mō tēnei: te rongoā PPI, te steroids ā-waha, te kai, me te whakawhanui i te korokoro.
- Mā tō tākuta e whiriwhiri te maimoatanga e tino tika ana māu, me te whai whakaaro ki ngā āhuatanga pēnei i ō tohumate, ētahi atu mate pāwera, me tō āhua noho.
- Mai i te mea ko te kai te tino take o te EoE, he maimoatanga tino whai hua te tautuhi me te karo i ngā kai kino.
- I mua i te tīmatanga o tētahi maimoatanga, kōrero marie ki tō tākuta mō tēnei mea. He mahi tahi te tukanga maimoatanga i waenganui i a koe me tō tākuta.
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