He raruraru tōu ki te pūkahukahu? (Te Mate Pūkahukahu) Kia mōhio tātou ki tēnei!

Kua pāngia koe e te mamae nui i te taha matau o runga o tō puku, i raro iho i tō rara matau? Kei te māuiui tō puku, kei te whakapairuaki rānei koe i muri i te kai i te kai momona? He tohu pea ēnei o te raruraru o tō pūkahukahu . Nō reira, i tēnei rā, me kōrero tātou mō te mate pūkahukahu.

He aha te mate pūkahukahu?

Ki te kī māmā noa, ko te mate pūkahukahu he āhuatanga e pā ana ki te hauora o tō pūkahukahu. I mōhio koe he okana iti te pūkahukahu i roto i tō tātou pūnaha nakunaku ? He rite ki te putea iti. Ko tana mahi matua he penapena i ētahi o te au i hangaia e tō tātou ate, ā, i muri i tā tātou kai, hei āwhina i te nakunaku i te kai e kainga ana e tātou, mā te tuku mārire i taua au ki te whekau iti . Ka puta tēnei mā roto i te pūnaha o ngā awa au e rite ana ki ngā paipa wai.

Whakaarohia, mēnā he mate, he aukati rānei kei roto i te pūkahukahu, i ngā awaawa wai rānei e hono ana ki reira, ka pā ki te pūkahukahu. Nā te mea e hono ana te pūkahukahu ki ngā whekau maha atu, pērā i te ate me te repeure, mā roto i ēnei awaawa wai. Nō reira, mēnā he mate kei roto i te pūkahukahu, ka pā anō hoki ki ētahi atu whekau.

He aha ngā āhuatanga hauora matua e pā ana ki te pūkahukahu?

He maha ngā āhuatanga hauora ka pā ki te pūkahukahu. Me titiro tātou ki ngā mea matua.

1. Ngā kōhatu pūkahukahu (Ngā kōhatu pūkahukahu / Cholelithiasis)

Koinei te mate tino noa o te pūkahukahu. Engari kāore te katoa e pāngia e ngā raruraru o ngā kōhatu pūkahukahu. Ka puta ngā kōhatu pūkahukahu ina kohia ngā matū i roto i te pūkahukahu, inā koa te cholesterol, ka hanga he puku iti. Ka nui haere pea ēnei puku i roto i te wā. Tērā pea kāore he tohu o ētahi tāngata, ā, kāore pea e mōhio he kōhatu pūkahukahu ō rātou. Heoi, ka tīmata ngā raruraru ina ārai ēnei kōhatu i te rere o te pūkahukahu i roto i te pūkahukahu, i ngā awa pūkahukahu rānei.

Whakaarohia he rite ki te kōhatu e mau ana ki roto i te paipa wai. Kātahi ka kore te wai e rere. Waihoki, ina kore e taea e te pūkahukahu te neke, ka tīmata te puta o te mamae me ētahi atu tohu.

2. Te mumura o te pūkahukahu (Cholecystitis)

Ko te mumura o te pūkahukahu, te cholecystitis rānei, tētahi atu tohu noa o te mate pūkahukahu. He tohu tēnei ka arahi atu ki ētahi atu raruraru. Ka puta te cholecystitis i te mate pūkahukahu, i ngā kohatu pūkahukahu, i te ngoikore o te pūkahukahu, i te mate pukupuku rānei, he onge noa iho. I te nuinga o te wā, ko ngā kohatu pūkahukahu e aukati ana i te rere o te au.Ki te roa te mumura, ka puta he whara o te kiko o te pūkahukahu, ā, ka mate pea ngā kiko (gangrene), tae atu ki te pakaru o te pūkahukahu.

3. Te dyskinesia biliary

Ka kiia hoki tēnei ko te `(Mate mahi o te pūkahukahu)`. Ko te `(Biliary dyskinesia)` he raruraru ki te nekehanga o te pūkahukahu, te kaha rānei ki te pana i te au ki waho, ki roto hoki i ngā awa au. Hei whakamārama, ka puta pea tēnei i tētahi raruraru ā-tinana o ngā uaua, o ngā io rānei o te pūkahukahu. He rite tēnei ki te mea ka puta ina piri te kōhatu pūkahukahu. Kāore te au e wehe atu i te pūkahukahu, ka kohia, ka pupuhi te pūkahukahu, ka mumura hoki i roto i te wā.

4. Te matenga o te kiko o te pūkahukahu (Gangrene)

He raruraru nui te gangrene o te cholecystitis mau tonu. Ina pupuhi tonu te pūkahukahu, ka pūkepuke, ka pakaru te kiko, ā, ka tīmata te mate. He nui ake te tūponotanga ka pakaru tēnei kiko mate. Mēnā ka pakaru te pakitara o te pūkahukahu, ka horapa te mate ki ētahi atu wāhanga o te kōhao puku, ka puta he mate kino e kiia nei ko te peritonitis . Koia te take kaua e whakahaweatia te cholecystitis.

5. Matepukupuku o te pūkahukahu

He mate onge engari he mate kino te mate pukupuku o te pūkahukahu. Kāore e puta ngā tohu o te mate pukupuku pūkahukahu kia horapa rā anō te mate, nō reira ka mahi ngā tākuta i ngā mahi hei rongoā mēnā he iti noa te tūponotanga ki te whakawhanake i te mate pukupuku pūkahukahu. Kāore he kino o te nuinga o ngā polyp i roto i te pūkahukahu. Heoi, mēnā he polyp nui ake tōu i roto i tō pūkahukahu, ka tūtohu pea tō tākuta kia tangohia kia noho haumaru ai.

6. Ngā mate o ngā awaawa au (Cholangiopathy)

Ko te `(Cholangiopathy)` e pā ana ki tētahi mate e puta ana i roto i ngā awaawa o te kōpū. Ko te tikanga ka tīmata mā te mumura o ngā awaawa o te kōpū `(Cholangitis). Ko te take pea he mate rangitahi, he aukati, he mate pūnaha ārai mate pērā i te `(Primary biliary cholangitis). Mēnā ka roa te mumura o ngā awaawa o te kōpū, ka pakaru, ka whaiti pea ngā awaawa o te kōpū (Biliary stricture). Kātahi ka kore e rere tika te kōpū, ā, ka tīmata te hoki whakamuri ki roto i te gallbladder me te ate.

He pēhea te noa o te mate pūkahukahu?

E kiia ana ka pāngia e te kōhatu pūkahukahu te 15% o te taupori. Heoi, 20% anake o te hunga whai kōhatu nei ka pāngia e ngā raruraru, e ngā tohumate rānei. Ko ētahi atu mate pūkahukahu kāore e pā ana ki ngā kōhatu pūkahukahu he iti ake te kitea.

Ko wai te hunga ka nui ake te tūponotanga ki te pāngia e te mate pūkahukahu? (Ngā āhuatanga mōrearea)

Mena he kōhatu pūkahukahu tōu, he nui ake te tūponotanga ka pāngia koe e te mate pūkahukahu. Me titiro tātou ki ngā āhuatanga mōrearea matua:

• Kai mō te cholesterol tiketike:Ko te nuinga o ngā kōhatu pūkahukahu ka hangaia mai i te nui rawa o te cholesterol e kohia ana i roto i te pūkahukahu. Nō reira, ko te hunga e kai pinepine ana i ngā kai he nui te hinu me te ngako, he nui ake te mōrearea ki te pāngia e ēnei.
• Te taumaha rawa me te momona: I a koe e taumaha ana, ka nui ake te cholesterol e whakaputaina ana e tō tinana, inā koa mēnā kei runga ake i te 30 tō taupū papatipu tinana (BMI).
• Neke atu i te 60 tau te pakeke: Ka piki ake te mōrearea o te whakawhanake i ngā kohatu pūkahukahu i te pakeketanga. Tērā pea nā te mea ka roa ake te wā e kohia ai ngā matū tāpiri ki roto i te au o te pūkahukahu i roto i te wā.
• Te noho hei wahine: E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā kōhatu pūkahukahu i ngā tāne. Mā te nui rawa o te estrogen i roto i te tinana (ina koa i te wā e hapu ana) ka piki ake ngā taumata cholesterol, ā, ka whakaroa i te takoto kau o te pūkahukahu.
• Hītori whānau mō te mate pūkahukahu: Tata ki te 25% o ngā mate pūkahukahu he mea tuku iho pea. Kua tautuhia e ngā kaipūtaiao te 12 ngā ira e whai wāhi ana ki tēnei.
• He uri Īniana Amerikana, he uri Mekihana Amerikana rānei: E 30% ki te 70% te tūponotanga o te hunga o ēnei iwi ki te whakawhanake i ngā kohatu pūkahukahu. Ka taea e ngā āhuatanga kai me ngā āhuatanga ira te whai wāhi ki tēnei.
• Mate huka: E rua, e toru rānei ngā wā ka nui ake te tūponotanga o te hunga mate huka ki te whakawhanake i ngā kōhatu o te puku. Tērā pea nā te pikinga o ngā taumata waikawa ngako.
• Te mate a Crohn: E rua ngā wā ka nui ake te tūponotanga o te hunga whai mate a Crohn ki te whakawhanake i ngā kohatu pūkahukahu nā te mea kāore e taea e ō rātou pūkahukahu te mimiti i ngā tote pūkahukahu, e āwhina ana ki te whakarewa i te cholesterol.
• Te mate ate: Koinei te wāhanga whakamutunga o te mate ate. I tēnei āhua, ka puhoi te rere o te au mai i te ate ki te pūkahukahu, ā, ka taea te kohikohi i te au.
• Mate pūtau hāripiri: Ka kohia te bilirubin i roto i te pūkahukahu nā tēnei āhuatanga, ka hua ake te hanganga o ngā kōhatu pūkahukahu tae, kāore e tino kitea.
• Kai whāngai katoa: Mō te hunga e hoatu ana he kai wai mā roto i te uaua nā ētahi āhuatanga hauora, tera pea ka kohia te au i roto i te pūkahukahu nā te ngoikore o te mahi nakunaku.
• Ko ētahi rongoā whakaheke cholesterol: Ahakoa ka whakaitihia e ēnei rongoā te cholesterol toto, ka meinga hoki e rātou te kohikohi cholesterol i roto i te pūkahukahu.

He aha ngā "5 F" o te mate pūkahukahu?

Ko ngā "5 F" he kupu poto i whakamahia e ngā tākuta hei maumahara ki ngā āhuatanga mōrearea noa mō te mate pūkahukahu. Ko ngā F e rima e tohu ana i: He kiri mā (he kiri mā), He wahine (he wahine), He momona (he momona), He momona (he wahine e whānau ana), me te Whā tekau (he whā tekau tau te pakeke).Ahakoa i ahu mai ēnei i ngā tatauranga, kei te tautohetia tonutia tēnei i ēnei rā. Nā te mea he rite tēnei ki te whakatakoto i tētahi pouaka ki roto i tētahi kāwai. Ki te rapu ngā tākuta i tētahi āhua me ngā tohu i te wā e tātaritanga ana i tētahi mate pūkahukahu, ka ngaro pea i a rātou ngā tūroro kāore e uru ki taua mate, ā, ka ngaro pea i a rātou ētahi atu mate i roto i ngā tūroro e uru ana ki taua mate.

Heoi, ko ngā mea kua whakahuatia i roto i ēnei "5 F" he tino take mōrearea noa iho.

• Ko te "Whakaaturanga" e hangai ana ki te meka he nui ake te tūponotanga o te hunga Pākehā ki te pāngia e te mate kōhatu. Tērā pea nā ngā awe ira me te kai o te Hauāuru tēnei.
• Ko te tikanga o te kupu "wahine" he "wahine" nā te mea e rua ngā wā ka nui ake te tūponotanga o te pāngia o ngā wāhine e tēnei mate.
• Ko te "ngako" he kupu whānui mō te hunga e kai ana i ngā kai he nui te cholesterol, ā, kei te pāngia pea rātou e te mate huka.
• Ko te take "momona" he nui ake te pānga o ngā wāhine kua hapu, kua hapu rānei ki te homoni estrogen.
• Ko te tikanga o te "whā tekau" ka piki ake te mōrearea i te pakeketanga, nō reira ko te hunga neke atu i te whā tekau tau te pakeke ka nui ake te tūponotanga ka pāngia rātou e tēnei mate.

He pēhea te pānga o te mate pūkahukahu ki tō tinana?

Ina kore e taea e te pūkahukahu te mahi tika i tana mahi, ka tīmata te hanga o te pūkahukahu ki roto i te toto, kaua ki te haere ki te whekau iti hei āwhina i te nakunaku kai. Nā te mea he mea nui te pūkahukahu i roto i te whekau iti mō te nakunaku i ngā ngako, tera pea ka uaua ki te nakunaku i te kai , inā koa ngā kai momona. Waihoki, nā te mea ka āwhina te pūkahukahu ki te tango i ngā paitini mai i te ate, ina hanga te pūkahukahu ki roto i te toto, ka pāngia koe e te mate. Ka taea hoki e te pūkahukahu mate te whakararu i te mamae nui .

He maha ngā mate pūkahukahu ka taea te rongoā mā te pokanga. Ka tangohia ngā kōhatu pūkahukahu, ka tangohia rānei te pūkahukahu. Ka hono tika ngā taote pokanga i ngā awa pūkahukahu mai i te ate ki te whekau iti, me te karo i te pūkahukahu. Mā tēnei, ka taea e koe te haere tonu ki te nakunaku i te kai me te ora pai me te kore he pūkahukahu. Heoi, ko te kino ka pā mai i te mate pūkahukahu ki ētahi atu wāhanga o te tinana ka pā he pānga roa ki te kore e kitea, e rongoatia wawetia hoki.

He aha ngā raruraru ka puta mai i te mate pūkahukahu?

Ka pā pea te mate pūkahukahu ki ō awaawa au, ki te ate, ki te pancreas rānei.

1. Te mate korokoro

Ka taea e te mate pūkahukahu te whakararu, te mate pāwera, me/ranei te aukati i ngā awaawa au (cholangitis). Ka taea tēnei te tupu ina koa mēnā ka neke te kōhatu au mai i te pūkahukahu ki roto i ngā awaawa au. Ina tupu tētahi mea, ka whai mai ētahi atu mea. I roto i te wā, ka puta he kiriuhi o ngā awaawa au, ka whakawhāiti i a rātou, me ngā raruraru roa ki te rere o te au.

2. Te mate ate

Ki te hoki whakamuri te au ki roto i te ate nā ngā raruraru o te pūhā, o ngā awa au, o ngā mea e rua rānei, ka pupuhi te ate, ā, ka mutu, ka whara. Ka kiia tēnei ko te cirrhosis . Ka taea e tēnei te whakararu i te mahi a te ate mō te wā roa. Ka taea hoki e te cirrhosis te whakararu i ētahi atu okana.

3. Te mate pāwera

Ki te haere te kōhatu pūkahukahu mai i te pūkahukahu mā raro i te awaawa au, ā, ka āraia te wāhi e tīmata ai te awaawa pancreatic, ka taea e ia te hoki ake o te au ki roto i te awaawa pancreatic me te pancreas. He take noa tēnei o te pancreatitis . Ki te kino, ki te roa rānei te pancreatitis, ka taea e ia te whakararu i te pancreas mō te wā roa.

He aha ngā tohu o te mate pūkahukahu?

Ka taea te wehewehe i ngā tohu o te mate pukupuku ki ētahi wāhanga maha.

1. Mamae puku (Biliary colic)

He mamae tēnei e puta mai ana i roto i te puku, arā, `(Biliary colic)`. Ko te tikanga, koinei te tohu tuatahi ka kitea mēnā he raruraru kei te pūkahukahu. Ko te ingoa tonu e kī ana kei roto hoki ngā awaawa o te pūkahukahu. Inaa, he hononga tō rāua, ahakoa he ārai, he ārai rānei. Mēnā he aukati kei roto i te pūkahukahu, i ngā awaawa rānei o te pūkahukahu, ka piki ake te pēhanga i roto i ngā mea e rua. He maha ngā wā ko te take he kohatu pūkahukahu. Heoi, ko te pupuhi nā te mate, te whaiti o ngā awaawa o te pūkahukahu `(Biliary stricture)`, he raruraru rānei ki te tukanga whakakore o te pūkahukahu, ka piki ake te pēhanga. He rite te mamae ki tēnei pēhanga.

• Tērā pea ka tīmata hei mamae puhoi, mamae rawa e haere mai ana, e haere atu ana , inā koa i muri i te kai ina kukū te pūkahukahu.
• Ka rongo koe i te mamae i te taha matau o runga o tō puku, i raro i tō rara matau , te wāhi kei reira tō pūkahukahu.
• Tērā pea ka pā te mamae ki waenganui o te puku, ka horapa rānei ki te pakihiwi matau.
• He mea noa ka haere tahi tēnei mamae me te whakapairuaki me te ruaki .
• He maha ngā haora te roa o tēnei mamae. Kāore e puta i ngā wā katoa, engari ka puta i ētahi wā. E pā ana tēnei ki tētahi aukati e puta ana ina kuiti te pūkahukahu, ā, ka heke ina wātea te pūkahukahu, engari kāore i oti, ā, ka puta i ētahi wā.

2. Te mate korokoro whakapeka

Ko te cholecystitis whakapeka, e puta mai ana i te aukati tonu, te mate, te pukupuku rānei i roto i te pūkahukahu, ka nui atu te kino i te mamae o te biliary colic.

• Tērā pea ka haere tahi te whakapairuaki me te ruaki me te kirika me te makariri .
• He mamae pumau, i ētahi wā he tino kino rawa atu me haere ki te rūma whawhati tata .
• I te whakawhāititanga o te pūkahukahu, pērā i muri i te kai, ka piki ake pea te tere o te manawa, ka heke ohorere rānei te toto toto.
• Ina tīmata te kohikohi o te au i roto i te toto, ka puta pea ngā tohu pēnei i te kōwhai o ngā kanohi me te kiri, te mimi pouri, me ngā tūtae mā .

3. Te mate korokoro mau tonu

Ko ngā tohumate mau tonu, arā, he roa te wā, he iti ake te kaha o ēnei tohumate i ngā tohumate tere. Tērā pea kāore e kitea mō te wā roa. Tērā pea ka pāngia koe e te mamae o te pūnaha nakunaku. Hei tauira, te pupuhi, te kī tonu i muri i te kai, te hau tonu, te whakapairuaki, te mate korere rānei.Ngā mea pēnei. Nā te mea he maha atu ngā take mō ēnei tohu, kāore e kiia he raruraru pūkahukahu. Ahakoa te mate pukupuku pūkahukahu, ka roa pea te mumura me te jaundice ngawari, kāore he mamae. Nā te āhua koretake o ēnei tohu, me te kore o te mamae nui, ka kore e kitea te cholecystitis mau tonu, ā, ka pā he kino mō te wā roa.

He aha ngā take o te mate pūkahukahu?

Ko ngā kōhatu pūkahukahu te tino take o ngā raruraru pūkahukahu. Heoi, kāore i te wā katoa ka puta he raruraru. Ina puta, he maha ngā wā nā te mea ka aukati i te rere o te au i roto i te pūkahukahu, i ngā awaawa pūkahukahu, i ngā mea e rua rānei. Hei tāpiri, he onge te wā ka puta te au i roto i ngā awaawa pūkahukahu nā te mea he puhoi te rewa o te pūkahukahu, nā tētahi atu mate hauora rānei. Ko tēnei rerenga hoki o te au te tino take o te cholecystitis. Engari i ētahi wā, ka puta hoki te mumura i tētahi atu mate. Ka pupuhi te pūkahukahu i te pūkahukahu nā te mumura, ka piki ake te pēhanga ki roto. Ka taea hoki e tēnei te puta anō te au hei pānga tuarua.

Me pēhea te tautuhi i te mate o te gallbladder?

Pērā i ngā mate katoa, ka pātai tuatahi tō tākuta mō tō hītori hauora me ō tohumate . Ka tirohia e rātou ō tohu ora (te tere o te manawa, te toto toto, te pāmahana o te tinana - kei te kirika, me ētahi atu). Kātahi ka tirotirohia e rātou te tinana, ka tirohia ngā tohu o te jaundice me te pupuhi i roto i te puku. Ka pāngia pea e rātou te wāhi kei reira te pūkahukahu. Mena ka ngawari te pūkahukahu, he tohu pupuhi. Mēnā he mamae ina pā koe ki te wāhi ka taea te wehewehe i waenga i te mumura nui e pā ana ki ngā kōhatu pūkahukahu me te mumura mau tonu e pā ana ki te mate pukupuku. Kātahi ka whakaritea e rātou he whakamātautau toto me ngā whakamātautau whakaahua.

He aha ngā whakamātautau tātaritanga?

• Te tatau toto katoa: Mā tēnei ka tirohia te taumata o ngā toto mā. Mēnā he teitei, he tohu tēnei kei te pāngia koe e te mate, e te mumura rānei.
• Ngā whakamātautau mahi ate: Ka āwhina ēnei whakamātautau toto ki te kite i ngā aukati i roto i ngā awaawa ate.
• Ngā whakamātautau mahi a te repe taiaki: Mā ēnei whakamātautau toto ka kitea he aukati i roto i te awa repe taiaki.
• Te tirotiro oro o te puku: He whakamātautau whakaahua o waho, kāore he mamae, ka taea te kite i ngā mea pēnei i te pupuhi, te aukati, te pukupuku rānei i roto i te pūkahukahu, i ngā awa wai rānei.
• Matawai HIDA (matawai HIDA / matawai Cholescintigraphy): Ka ine tēnei whakamātautau whakaahua i te tukunga o te au mai i te pūkahukahu ki roto i te whekau iti me te rere o te au mā roto i ngā awa au.
• Te Kōlangiopancreatography Retrograde Endoscopic (ERCP):He whakamātautau tēnei e whakakotahi ana i te endoscopy (he ngongo angiangi me te kāmera) me ngā hihi-X. Ka taea te whakamahi i te endoscope, e whakaurua ana ki raro i te korokoro, hei tiro i ngā whekau o roto i te puku. Ka taea e ngā hihi-X motuhake (ngā hihi-X fluoroscopic) te whakaatu mārama i ngā awaawa au. Mena ka kitea he aukati i te wā o te whakamātautau, ka taea pea e te tākuta te rongoā mā te tuku i ngā taputapu iti mā roto i te endoscope.
• Te Ultrasound Endoscopic (EUS): Ka whakakotahi hoki tēnei i te hangarau ultrasound me te endoscopy. Ka tāpirihia he taputapu ultrasound ki te pito o te endoscope. Ka whakaurua tēnei mā roto i te korokoro, ā, ka taea te kite mārama i ngā whekau o te puku, inā koa ngā awa au, te repeure, te pūkahukahu, me te ate. Mena ka kitea he rerekētanga, tera pea ka hiahiatia ētahi atu whakamātautau, maimoatanga rānei.

Me pēhea te rongoā i ngā mate pūkahukahu?

• Ngā rongoā whakamamae: Mēnā he mamae nui pērā i te "Biliary colic", arā, ko te "whakaekenga o te gallbladder", me tango pea ngā rongoā whakamamae i whakaritea e te tākuta hei whakahaere i te mamae. Mā tō tākuta e whakatau te rongoā tino tika i runga i tō hītori hauora me ngā tohumate.
• Paturopi: Mena he mate pāwera tōu, ka tohua e tō tākuta ngā paturopi hei rongoā. He maimoatanga tuatahi noa iho tēnei i mua i te pokanga.
• Te wawaotanga endoscopic: I mua i te pokanga, ka taea pea e tō tākuta te rongoā i ngā raruraru iti o te pūkahukahu mā te whakamahi i te endoscope. Ka taea e te endoscopic retrograde cholangiopancreatography (ERCP) me/ranei te endoscopic ultrasound (EUS) te āwhina ki te tautuhi i ngā aukati, ngā pukupuku, me ngā kōhatu. I roto i ēnei whakamātautau, ka taea te whakamahi i ngā taputapu kei te pito o te endoscope hei tango i ngā kōhatu pūkahukahu, te whakanoho i ngā stent hei pupuri i ngā awaawa o te pūkahukahu kia tuwhera, me te tango tauira kiko (biopsies).
• Pokanga: Ko te rongoā pumau me te tino whai hua mō te mate pūkahukahu pumau ko te cholecystectomy . He maimoatanga noa tēnei. Ka taea e koe te ora pai me te kore he pūkahukahu. He maha ngā tāngata ka taea te tango i ō rātou pūkahukahu mā te pokanga laparoscopic ( he pokanga e mahia ana mā roto i ētahi tapahi iti noa iho). I ngā take uaua, pērā i te mate pukupuku, te mate pūkahukahu rānei, me pokanga tuwhera pea.

Me pēhea taku whakaiti i te mōrearea o te mate kōhatu?

Kāore e taea e tātou te whakahaere i ngā āhuatanga mōrearea katoa. Heoi, ka taea e koe te pupuri i tō pūkahukahu kia ora mā te pupuri i tētahi kai me te momo noho hauora . He nui te ngako me te cholesterol i roto i ngā kai o te Hauāuru o ēnei rā, ā, he iti hoki te muka, ka āwhina i te tango i te ngako nui mai i te tinana. Ngāna kia nui ake te kai i ngā hua me ngā huawhenua he nui te muka, me te whakaiti i ngā kai momona, ngā kai tukatuka . He mea nui anō hoki te whakakori tinana auau .Ka āwhina i te whakaiti i te mōrearea nā te mea ka whakapai ake i te nekenekehanga - arā, ngā kōpiritanga auau - o ngā okana i roto i tō pūnaha nakunaku.

He aha taku e tumanako atu ai mēnā he mate pūkahukahu tōku?

Ko te nuinga o ngā raruraru o te pūkahukahu ka mutu i te pokanga (tango i te pūkahukahu). Engari ki te tupu tēnā, ehara i te mea ko koe anake, he maha ngā tāngata e pāngia ana e tēnei. He tere te ora o te nuinga o te tāngata, ā, kāore he pānga taha mō te wā roa i muri i te pokanga . Tērā pea ka pāngia koe e te mamae o te nakunaku mō te wā poto i a koe e ora ana. Nā te mea kua kore tō tinana i roto i te pūkahukahu, me whakaiti pea e koe te kai i ngā kai momona mō tētahi wā tae noa ki te wā e taunga ai tō tinana ki tēnā. I muri i ētahi marama, ka taea e te nuinga o te tāngata te hoki ki te kai noa, engari he hauora.

Ka taea e te mate pūkahukahu te tino kino, ahakoa kāore koe e mōhio. I te wā e puta ai ngā tohu, tera pea kua tino kino kē. Waimarie, he ngāwari te rongoā i te nuinga o ngā kōhatu pūkahukahu mā te pokanga iti. Ko te mea nui ko te rapu tohutohu hauora, ahakoa kāore i te tino kino ngā tohu. Tērā pea ka pāngia koe e te mamae pūkahukahu ngawari, ā, ka memeha noa iho. Engari he raruraru pumau, ka haere tonu. Kaua e tatari kia puta rā anō ngā tohu whakatūpato kino o te cholecystitis whakapeka, te kino roa rānei mai i te cholecystitis mau tonu. Ka taea e tō tākuta te kimi me te tango pea i ngā kōhatu pūkahukahu raruraru i roto i ngā whakamātautau ā-waho.

Hei whakamutunga, ngā mea hei maumahara

He mea hei tūpato māu mō te mate pūkahukahu. Mēnā kei a koe ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, inā koa mēnā kei te mamae tō puku i muri i te kai i ngā kai momona, i te mamae tonu rānei i te puku matau o runga, me toro atu koe ki te tākuta . Mēnā ka kitea wawetia, ka māmā ake te rongoā, ā, ka taea te ārai i ngā raruraru. Ko te pupuri i te kai hauora me te noho ora ko ngā huarahi pai hei tiaki i a koe mai i ēnei mate.

` Puku wai, kōhatu wai, cholecystitis, cholesterol, jaundice, nakunaku, pokanga