Kei te mamae tō puku i a koe e kai ana? Kāore e kitea he take? Me kōrero tātou mō te (Functional Dyspepsia)!

He maha ngā wā ka kī tonu koe, ka wera te puku, ka pōuri rānei i muri i te kai? I ētahi wā, kāore e kitea he take mō tēnei, tika? Ahakoa kua haere koe ki te tākuta me te mahi i ngā whakamātautau maha, ka kī pea rātou, "Kāore koe i te mate." He maha ngā tāngata kua pāngia e tēnei momo wheako. Koinei te mea e kiia nei e mātou ko te "Functional Dyspepsia", he mate nakunaku e uaua ana ki te kimi i te take mārama.

He aha te (Functional Dyspepsia)? He māmā noa iho...

Ki te kī ngāwari, ko te "Functional Dyspepsia" he āhuatanga e pāngia ana koe e te mate puku roa, engari kāore e kitea he pūtake mārama. Ko te "Dyspepsia" tētahi atu kupu mō te mate puku. He tauira o ngā tohu e puta tahi ana i muri i te kai me te wā e nakunaku ana. Ko te tikanga o te "Functional" kāore e taea te kī ko ō tohu mate puku he take tinana noa (pēnei i te mate pukupuku, i te gastritis rānei).

Tērā pea ka rite ō tohu ki te mate puku peptic , ki te mate reflux gastroesophageal (GERD) rānei. Heoi, e whakaatu ana ngā whakamātautau he tokoiti noa iho ngā tāngata e pāngia ana e ēnei āhuatanga. Ko ētahi atu he mea e kiia nei ko te Functional Dyspepsia.

Whakaarohia, kei te haruru te mīhini o tō waka, engari kāore i kitea e te mekanika tetahi hapa. He pai te āhua o waho, engari he hapa kei roto.

He momo rerekē tēnei?

He rite tonu te Functional Dyspepsia ki tētahi mate kotahi, ehara i te mate kotahi. Ko te tikanga, he rerekē te pānga ki ia tangata, ki ia tangata, me ngā tohu e pāngia ana e rātou. Kua wehea e ngā tākuta kia rua ngā momo matua:

1. Te mamae o te puku: Ko te nuinga o te wā ka pā tēnei momo mamae ki te taha whakarunga o te puku, ā, he rite ki te mamae o te puku . Kāore e pā ana ki te kai i ngā wā katoa. I ētahi wā ka pā mai i te puku kau. He rite tonu tēnei ki ngā tohu o te GERD.

2. Te mate pōuri i muri i te kai: He āhuatanga tēnei e puta ai te mamae o te puku i muri i te kai. Hei tauira, te mākū ahakoa he iti te kai (te mākona wawe), te mākū, te pupuhi, me te mamae o te puku i muri i te kai. He rite tonu tēnei ki ngā tohu o te mate puku.

Kāore te katoa e uru ki tētahi o ēnei wāhanga e rua. Tērā pea ka pāngia ētahi e te ranunga o ngā mea e rua, e te whakakotahitanga rānei o ngā mea e rua.

He aha ngā tohu matua o tēnei?

Mēnā kei te pāngia koe e te "Functional Dyspepsia", ka pāngia pea koe e tētahi, e ētahi rānei o ēnei tohu:

• Te mamae o te puku o runga (mamae epigastric):Mamae i te puku o runga, i raro noa i te rara. Ko te ingoa o tēnei wāhi ko te "epigastrium". Koinei te wāhi e noho ai tō puku, te repeure, te duodenum (te wāhanga tuatahi o te whekau iti), me te wāhanga o tō ate.
• Puku pupuhi: He ahua o te kore whakamarie me te kī i roto i te puku i muri i te kai. He maha ngā wā ka honoa tēnei ki te hau, te pupuhi, me ētahi atu mea pēnei i te hau. Ka taea hoki te ahua kei te kumea tō puku.
• Te kī me te ngaro o te hiahia kai: Te mākona i te wā e kai ana, i muri i te kai, i muri rānei i te kore kai nui (te mākona wawe) . I ētahi wā, ka ngaro pea te hiahia kai i mua i te kai.
• He Kakara Wera: He kakara wera i roto i te uma, e mōhiotia ana ko te "ngāwhā o te puku", he mea noa i roto i ēnei tohumate koretake. Ko te nuinga o te wā ka puta mai tēnei i te pikinga ake o te waikawa o te puku ki roto i tō korokoro (te reflux waikawa). Tērā pea ka rongo koe i te kakara wera i roto i tō puku.

Hei tāpiri atu ki tēnei, ka kitea anō hoki ētahi atu āhuatanga pēnei i ēnei:

• Te nui rawa o te ruaki
• Whakapairuaki, whakapūpū rānei
• Mena kei a koe te IBS (irritable bowel syndrome), ka piki ake pea ō tohumate (hei tauira, te nekeneke pinepine o te puku, te mate kōroke rānei).
• Te āhua o te ahotea, te kore rānei e pai ki ngā kare ā-roto.

He aha i puta ai tēnei (Functional Dyspepsia)? He aha ngā take?

E kīia ana e ngā tākuta he mate "mahi" he mate kāore he take tika, he take mārama mō ngā tohu. Ko tētahi take pea ko te hononga tata i waenga i tō puku me tō roro (tuaka puku-roro) . Ko ēnei momo mate mahi te āhua nei e pā ana ki tō pūnaha io me te āhua o tō kitenga me tō kare ā-roto i te mamae, i te kore whakamarie rānei.

Ahakoa kāore he take kotahi o te "Functional Dyspepsia", he maha ngā āhuatanga ka whai wāhi ki tēnei:

• Te aro nui ki ngā uaua o roto: Whakaarohia he tino tairongo rawa tō pūnaha io. He nui ake te tūponotanga ka tauhohe ā-tinana koe ki te ahotea. Tērā pea kei te whakawhāitihia ō uaua e koe, kei te puhoi rānei tō pūnaha nakunaku nā te ahotea. Tērā pea he tino tairongo koe ki ngā mea noa e tupu ana i roto i ō whekau. Ka kore e pai te nakunaku ahakoa kei te pai te haere.
• Ngā mate nekehanga o te pūnaha nakunaku:Ko te tikanga o tēnei he raruraru kei roto i te huarahi e neke ai te kai i roto i tō pūnaha nakunaku (kōrero gastrointestinal). Tērā pea he hua tēnei nō te koretake o te whakawhitiwhiti kōrero i waenga i tō roro me tō pūnaha nakunaku. Tērā pea kāore ngā io me ngā uaua o tō pūnaha nakunaku e mahi tika ana. Ka taea e tēnei te noho pūmau o te kai ki te wāhi kotahi, kāore rānei ngā okana e tino marino, ā, kāore e taea te kai te haere mā roto.
• Te dysbiosis o te puku: Ko te kore taurite o ngā moroiti i roto i tō puku (e kiia nei ko tō microbiome) ka arahi pea ki ngā tohu o te dyspepsia mahi. Hei tauira, ka taea e te huakita H. pylori te kino i te arai o tō puku, ka puta te mumura me te kaha ake o te aro ki te waikawa o te puku. Waihoki, ki te nui rawa te tipu o ngā huakita i roto i te whekau iti, ka pupuhi, ka uaua hoki te nakunaku i ngā ngako.
• Te mate puku eosinophilic: Kua kitea he nui rawa te momo toto ma e kiia nei ko ngā eosinophil i roto i te wāhanga tuatahi o te whekau iti (duodenum) i roto i ētahi tāngata he mate puku mahi. Ka taea e tēnei te whakararu i te mumura roa (duodenitis). Kei reira ēnei eosinophil hei tiaki i a koe mai i tō pūnaha ārai mate, i ngā mate pāwera, me ngā mate pāwera. Tērā pea nā te mate pāwera o mua, nā te mate pāwera kai rānei i puta ai tēnei.

He aha ngā āhuatanga mōrearea mō tēnei mate?

He maha atu anō ngā āhuatanga e whakanui ake ai i te mōrearea o te whakawhanake i te "Functional Dyspepsia":

• Ngā āhuatanga hinengaro: Ngā āhuatanga hinengaro pēnei i te manukanuka, te pouri (ngā mate kare ā-roto), ngā āhuatanga mamae, ngā mahi tukino rānei i pā ki a koe i mua.
• Hītori whānau: He hītori whānau mō ngā mate pūnaha io, ngā mate GI mahi rānei pērā i te mate puku irritable (IBS).
• Ngā aro ki te kai: Te aro ki ētahi kai (hei tauira, ngā kai nō te rōpū (FODMAPs)) te kore rānei e manawanui ki ētahi kai (hei tauira, (lactose intolerance) - he uaua ki te nakunaku i te miraka me ngā hua miraka).
• Atopy: Ko te tikanga he maha ngā mate pāwera kei a koe, pērā i te huango, te ekisema, me te kirika tarutaru.

Me pēhea te mārama o ngā tākuta ki tēnei?

Ka tātaritatia e ngā tākuta te (Functional Dyspepsia) i muri i te whakaū i ō tohu me te whakakore i ētahi atu take (hei tauira (GERD), (Peptic Ulcer Disease)). I ētahi wā, kua pāngia kē koe e tētahi o ēnei mate, ā, kua rongoatia mōna. Heoi, ki te kore aua maimoatanga e whakaiti i ō tohumate o te koretake o te kai, me whakaaro tonu koe ki te (Functional Dyspepsia).

Kāore ngā tohu o te "Functional Dyspepsia" e kitea tonutia ana, ā, ka haere mai, ka haere atu. Ka tātaritatia e ngā tākuta mā te whai whakaaro ki ngā āhuatanga e whai ake nei:

• Kua mau tonu ngā tohu mō te toru marama neke atu rānei ?
• Kua ono marama pea te roa mai i te tīmatanga o ngā tohu?
• Kāore ianei ēnei tohu e whakamamaetia mā te horomi, te pupuhi hau (korere), te nekeneke rānei o te puku?
• Kāore ianei ēnei tohu e pā ana ki te mamae i puta mai i ngā kōhatu pūkahukahu (biliary colic) me ētahi atu mamae pūkahukahu rānei?

Kia whakaūtia e ngā tākuta kei te pāngia koe e te mate puku (dyspepsia), ka rapua e rātou tētahi take ā-tinana (hei tauira, he mate puku, he mate pāwera). Tērā pea ka whakahaerehia e rātou ēnei whakamātautau:

• Ngā whakamātautau toto: Tirohia mēnā he mate me he āhuatanga noa.
• Ngā whakamātautau manawa: Hei tauira, ka taea e te whakamātautau manawa urea te tirotiro mō te aroaro o te huakita H. pylori. Ka taea e te whakamātautau manawa hauwai te tirotiro mō te tipu huakita rerekē i roto i te puku.
• Ngā rangahau mō te whakawātea puku: Tirohia te tere/te puhoi o te nekenga o te kai mai i tō puku ki roto i te whekau iti.
• Endoscopy o runga: Ka whakauruhia he ngongo angiangi mā te waha hei tirotiro i roto i te puku, te korokoro , me te wāhanga tuatahi o te whekau iti. Ka mahia tēnei hei tirotiro mō tētahi mea rerekē, pērā i te mate pukupuku. Mena e tika ana, ka tangohia pea he wahi kiko iti (biopsy) hei tirotiro.

He aha te rongoā mō tēnei?

Mena ka kitea he take matua i roto i ngā whakamātautau (hei tauira, te tipu nui o te huakita, te mate nekehanga), ka rongoā tuatahitia tēnā e tō tākuta. Heoi, he maha ngā wā, ahakoa kua rongoātia ēnei take matua, kāore ō tohumate o te "Functional Dyspepsia" e memeha katoa. Nō reira, ka tūtohu tō tākuta i ētahi atu maimoatanga hei āwhina i te whakahaere i ō tohumate. He huinga tēnei o ētahi maimoatanga .

Ko ētahi rongoā e whakamahia ana mō te "Functional Dyspepsia":

• Mena he mate huakita , ka tohua he rongoā paturopi .
• Ko ngā prokinetics he rongoā e whakaoho ana i te nekehanga o te pūnaha nakunaku.
• Ngā rongoā hei whakaiti i te waikawa o te puku: ngā aukati papu proton (PPI) (hei tauira, omeprazole) ngā aukati H2 rānei (hei tauira, Ranitidine).
• Ngā rongoā ārai pouri tricyclic i roto i ngā horopeta iti hei whakamarie i te pūnaha io me te whakaiti i te mamae (ahakoa he rongoā ēnei e hoatu ana mō te pouri, ka whakamahia hoki i roto i ngā horopeta iti mō ngā āhuatanga pēnei).

Hei tāpiritanga, kei reira anō ngā tikanga rongoā tāpiri me ngā tikanga rongoā rerekē :

• Ngā rongoā tipu: Hei tauira, ngā kāpū kei roto te hinu pepa me te hinu caraway, ngā ranunga otaota rānei pērā i te Iberogast® (me pātai atu koe ki tō tākuta mēnā kei te wātea ēnei i Sri Lanka).
• Ngā maimoatanga whakangā hinengaro-tinana:Te whakaaroaro, te yoga, te urupare koiora (he tikanga hei mōhio ki ngā mahi a te tinana me te ako ki te whakahaere i aua mahi), te whakaora hinengaro.
• Ngā Huringa Kai: Tāutuhia ko ēhea ngā kai kāore e pai mōu, ā, e whakakino ana hoki i ō tohu mā te mahi i te "Kai Whakakore" (te whakamutu me te titiro ki tētahi rōpū kai i ia wā) me te whakarerekē i tō kai o ia rā.
• Te wero ngira: Kua whakaatuhia e ētahi rangahau he whakaora anō hoki tēnei tikanga.

He aha ngā mea ka puta mēnā kei a koe te (Functional Dyspepsia)? He aha ngā mea ka taea e koe te tumanako?

Mō te tini o te tangata, he mate mau tonu te Functional Dyspepsia e hokihoki ana puta noa i te oranga. Tērā pea ka roa te wā, me te whakamātautau me te hapa, kia kitea ai ngā maimoatanga me ngā tikanga e whai hua ana mōu, e whakaiti ana hoki i ō tohumate. Tērā pea ka whiwhi koe i te whakamarie, engari kāore pea e memeha katoa. Engari, ko te mea nui, ehara i te mea kino. Nō reira kaua e manukanuka.

Āhea ahau me toro atu ki te tākuta?

Me rapu tohutohu hauora koe mēnā kei a koe:

• Mena kāore anō kia whakamātauria koe mō ngā mate o te pūnaha nakunaku.
• Mena ka rerekē ō tohumate, ka kino haere rānei.
• Mena ka ruaki pinepine koe.
• Mena kei te heke tō taumaha, kāore he take.

Nā te mea kāore he pūtake mārama, he rongoā tūturu rānei, ka āhua pōhēhē pea te tautuhi i te "Functional Dyspepsia" mō te hunga e rapu ana i ngā whakautu. He uaua ake ngā "Functional GI disorders". Ka pā ki tō roro, ki tō pūnaha io, ki tō kai, ki tō āhua noho, ā, i ētahi wā ko ngā take taketake o tō tinana. Koia te take ka uaua ake te whakahaere.

Ka taea e ngā whakamātautau hauora te āwhina i te tautuhi me te whakakore i ētahi āhuatanga whai wāhi. Engari i te mutunga, ko koe anake te tangata ka taea te mārama ki ngā mea e pai ake ai ō tohu me ngā mea e kino ake ai. I a koe e whakamātau ana i ngā maimoatanga rerekē me te tautuhi i ō mea whakaoho, ka kitea e koe tō ake huarahi ahurei ki te noho me te Functional Dyspepsia.

Karere ki te kāinga

• Ko te "(Functional Dyspepsia)" he tino mamae e pā ana ki a koe. Ehara i te mea "kei roto noa i tō hinengaro".
• Ka taea te whakahaere i tēnei mā te whakahaere i ngā tohu, ka taea hoki te āwhina mā te whakarerekē i te āhua o te noho, te kai, me te rongoā pea.
• He mea tino nui te mahi tahi me te tākuta. Kōrerohia mā te mahorahora ō tohumate, ō kare ā-roto, me ō whakamātautau.
• Kaua e mutu te tumanako. He tokomaha e kimi huarahi ana hei oranga angitu me tēnei mate. Kāore koe i te mokemoke!