Kua kite koe i te toto i roto i tō tūtae, i tō ruaki rānei? He tohu pea tēnei nō te puku mamae. Ehara i te mea hei mea ngāwari māu. I tēnei rā ka kōrero tātou mō te toto o te puku , te toto o te puku rānei. Ka pā tēnei ki te katoa, nō reira he mea nui kia mōhio koe ki tēnei.
He aha tēnei toto e puta mai ana i ngā whekau? (Te Toto o te Puku)
Ki te kī ngāwari, ko te `(Te Toto o te Puku)` he toto mai i ngā wāhi katoa o roto o tō tātou pūnaha nakunaku (arā, te ara e nakunaku ai tātou i te kai e kainga ana, e inuhia ana hoki e tātou). Whakaarohia, ka tīmata tēnei pūnaha mai i tō tātou waha, kātahi ka haere mā te korokoro, te korokoro, te puku, te whekau iti, te whekau nui, ā, ka mutu ki te nono. Nō reira, i ngā wāhi katoa o tēnei ara roa, ka puta te toto nā te whara, te mate, te raruraru rānei.
E toru ngā momo matua o te toto e wehea ana e ngā tākuta, i runga i te wāhi e haere ai:
Ngā Wāhi Toto o te GI o Runga Pea
Ka puta tēnei i te wāhanga o runga o te pūnaha nakunaku. Arā:
- Te korokoro (te ngongo e anga atu ana ki te puku ina horomia te kai)
- Puku (te putea nakunaku i roto i te puku)
- Duodenum (te wāhanga tuatahi o te whekau iti)
Ngā wāhi pea o te toto o te whekau iti
Ka puta tēnei i waenganui o te whekau iti. Arā:
- Jejunum ('Jejunum' - te wāhanga waenga o te whekau iti)
- Ileum (te wāhanga whakamutunga o te whekau iti)
Ngā Wāhi Pea o te Toto o te GI o Raro
Ka puta tēnei i te wāhanga o raro o te pūnaha nakunaku. Arā:
- Te kōro (whekau nui)
- Te wāhanga o raro o te rectum ('Rectum')
- Anus (`Anus`)
He rerekē ngā momo toto?
Āe, he maha ngā momo kei runga i te rere o tēnei toto.
- Te Toto Whakapeka: Koinei te wā ka puta te toto ohorere, tino nui . He āhuatanga tēnei e hiahia ana ki te awhina hauora ohorere. Ehara i te mea pai te whakaroa i tēnei ahakoa he iti noa iho.
- Te toto mau tonu: I tēnei wā, ka puta mārire te toto, engari ka roa pea te wā , ā, ka mutu pea, kātahi ka hoki mai anō.
- Te toto ngaro: He ahua uaua tēnei. Nā te mea kāore e taea te kite i te toto. He iti noa iho hoki. Heoi, mā te mahi i ngā whakamātautau toto ka kitea kua heke te toto.
- Te toto e kitea whānuitia ana: Koinei te wā e kitea mārama ana te toto. Ka kitea pea me te tūtae (tērā pea he mangu, he whero rānei), me te ruaki rānei.
- Te toto ngaro:I ētahi wā, ahakoa ngā whakamātautau a ngā tākuta pēnei i te "Endoscopy," kāore e kitea te pūtake o te toto. Koia te take i tapaina ai tēnei.
He aha te take e toto ai te wāhanga o runga? (Ngā Take o te Toto o te GI o Runga)
He maha ngā take o te toto mai i te ara kai o runga. Ko ngā mea matua ko:
- Mate puku: Koinei te tino take. Ka puta ēnei mate puku nā te kore e tango rongoā mō ngā mate puku, te whakamahi tonu i ētahi rongoā whakamamae mamae, me te pangia e te huakita e kiia nei ko te Helicobacter pylori.
- Ngā mate pūkahukahu: Ka pā tēnei āhuatanga ki te hunga whai mate ate. Ka pupuhi ngā oko toto i roto i te pūkahukahu, ka pakaru, ka tīmata te toto.
- Te mate puku: Te mumura o te arai o te puku. He maha ngā take o tēnei.
- Esophagitis: Te mumura o te arai o te esophagus.
- GERD (Te Whakahokinga Waikawa Mau tonu): Ka puta ake te waikawa o te puku (pērā i te wā e kaha haere ana te gastritis). Ka taea hoki e tēnei te kino i te korokoro.
- Matepukupuku: Ka taea hoki e te matepukupuku o te korokoro me te puku te whakaputa toto. Kaua e manukanuka, ehara i te mea ko te matepukupuku te take o te toto katoa.
- Te pukupuku stromal gastrointestinal (GIST): He momo pukupuku motuhake tēnei e puta ana i roto i te pūnaha nakunaku.
- Ka pāngia anō hoki ētahi atu okana e ngā mate o ētahi atu whekau, pērā i te mate pukupuku ate me te mate pukupuku repeure.
He aha ngā take o te toto o te puku o raro? (Ngā Take o te Toto o te puku o raro)
He maha ngā take mō te toto mai i te ara nakunaku o raro.
- Hemorrhoids: He mea tēnei e mōhiotia ana e te nuinga o te tangata. Ka pupuhi ngā uaua toto huri noa i te nono, ā, ka toto i te wā e neke ana te puku.
- Ngā matārae o te ihu: Ka puta pea ngā matārae iti i te kiri o te ihu nā ngā āhuatanga pēnei i te mate pāwera me te toto.
- Ngā polyp o te koroni: He tipu iti ēnei e puta mai ana i roto i te whekau nui. Ka taea e ētahi o ēnei te huri hei mate pukupuku.
- Matepukupuku repeure: He tino take nui anō hoki tēnei.
- Te diverticulitis me te diverticulosis: He putea iti e hanga ana i roto i te pakitara o te whekau nui, ka taea te toto ina pangia.
- Te mate a Crohn me te mate puku mumura : He mate mumura mau tonu ēnei o te pūnaha nakunaku (Inflammatory Bowel Disease - IBD).
- Ngā mate pukupuku o te rectum.
- Te pukupuku stromal o te puku (GIST).
- Matepukupuku o te ihu.
He aha ngā tohu o tēnei, e te tākuta?
Ka rerekē pea ngā tohu i runga i te wāhi e puta ai te toto me te nui o te toto. Ko ngā tohu noa ko:
- Te mamae o te puku, te mamae rānei.
- Te toto i roto i te tūtae: I ētahi wā ka mangu, ka pōuri rānei te tūtae (ka puta tēnei ina puta te toto mai i te whekau o runga, nā te mea kua nakunaku te toto). Ka whero rānei (ka puta pinepine tēnei ina puta te toto mai i te whekau o raro).
- Te āhua mā: Ka mā te kiri ina ngaro te toto i te tinana.
- Te uaua ki te manawa (dyspnea): Tērā pea ka pōturi te manawa ina piki arawhata koe, ina ngenge paku rānei.
- Te ngenge nui me te ngoikore: Te ngenge rawa, te kore e taea te mahi i tetahi mea, te ahua kore ora.
- Te ruaki toto: I ētahi wā ka ruaki pea koe i te toto hou . Ka ruaki pea rānei koe i te ruaki pango , he rite ki te paura kawhe (ka puta tēnei ina whakaranua te toto i roto i te puku ki te waikawa ka huri hei mangu).
He rerekē ngā tohu i te toto tere?
Āe, ina ngaro te toto nui i te wā kotahi ('Acute bloating'), ka kaha ake ngā tohu, ā, ka tere tonu te puta mai. Mēnā kei a koe tētahi o ēnei tohu, me haere tonu koe ki te hōhipera :
- Te whanoke, te āhua hurihuri, te ngoikore rānei (syncope).
- Te uaua ki te mimi, te iti rānei o te mimi e puta mai ana.
- Te tere o te manawa o te ngakau: Te manukanuka me te tukinga o te uma.
- Te ohorere: He āhuatanga tino morearea tēnei. Ka puta mai ina kore e nui te toto e whiwhihia ana e ngā whekau o te tinana. Ka mātao pea te kiri, ka werawera, ka tere pea te manawa, ā, ka ngoikore pea te māramatanga.
Me pēhea te tautuhi tika i tēnei mate? (Tautuhinga)
Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki tētahi tākuta . Ka pātai atu te tākuta ki a koe mō ō tohu, ā, ka tirotirohia koe. Kātahi ka whakaritea e rātou ētahi whakamātautau hei kimi i te pūtake o te toto, me te kaha o tōna toto.
He aha ngā whakamātautau ka mahia?
Tuatahi, ka hiahia pea koe ki te mahi i ngā whakamātautau e whai ake nei:
- Ngā whakamātautau toto: Ka taea e ēnei te tirotiro i tō tatau toto me te tirotiro mēnā he anemia tōu.
- Whakamātautau toto huna mō te tūtae (FOBT): Mā tēnei ka kitea he toto kei roto i te tūtae kāore e kitea.
- Matawai CT: He whakamātautau hihi-X motuhake tēnei e tango ana i ngā whakaahua toru-ahu (3D) o ngā whekau hei tirotiro mēnā he toto, he raruraru rānei.
- Te whakamātautau hihi-X o ngā whekau ('HIRANGA-X O TE whekau'): I tēnei mahi, ka hoatu he wai motuhake e kiia nei ko te '(Barium)' hei inu, ka whakaurua rānei mā te pūtu, ā, ka tangohia he 'HIRANGA-X'. Mā tēnei ka kitea mārama te roto o ngā whekau.
- Endoscopy o runga: I tēnei tikanga, ka whakaurua e te tākuta he ngongo angiangi, ngāwari (e kiia ana he endoscope) mā roto i tō waha hei tirotiro i tō korokoro, tō puku, me tō duodenum. He kāmera iti kei te ngongo me te rama kei te pito, kia pai ake ai te tirohanga a te tākuta ki roto.
- Te tirotiro pūwero: He rite tēnei ki te tirotiro pūwero, engari ka taea te tirotiro i ngā wāhi uaua ki te kite o te whekau iti. Mā te pupuhi i tētahi pūwero iti ki te pito o tētahi ngongo.
- Colonoscopy, Sigmoidoscopy rānei: I roto i tēnei tikanga, ka whakauruhia he endoscope mā roto i te nono hei tirotiro i te whekau nui me te rectum o raro.
Me nui ake ngā whakamātautau e hiahiatia ana?
I ētahi wā, ki te kore e taea e ngā whakamātautau o runga ake nei te tohu i te pūtake tika o te toto, ki te mea rānei he toto ohorere, me whai whakamātautau motuhake ake pea:
- Angiography: I tēnei mahi, ka werohia he tae motuhake ki roto i ngā uaua toto, ā, ka mahia he karapa X-ray, he karapa CT rānei. Mā tēnei ka māmā ake te kimi i te pūtake o te toto nā te mea e kitea mārama ana ngā uaua toto.
- Te tirotiro i te kāpūrua: He whakamātautau tino rerekē tēnei. Ka horomia e koe tētahi kāmera iti rite ki te pire. He maha ngā whakaahua ka tangohia e te kāmera i a ia e haere ana i roto i ō whekau. Hei whakamutunga, ka tukuna atu te kāmera me tō tūtae.
- Matawai irahiko: I roto i tēnei, ka hoatu he mea kei roto he taumata haumaru o te rauemi irahiko. Ka piri tēnei rauemi ki ngā toto toto whero, nō reira ka whakaatuhia e te matawai te wāhi e rere ana te toto.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te toto, te wāhi e toto ana, me te kaha o te toto.
Ka taea te whakaora mā te rongoā?
Ae, i ētahi wā, ka taea e ngā rongoā te whakahaere i te toto me te rongoā i te pūtake. Hei tauira, kei reira ngā rongoā mō te toto i puta mai i ngā mate puku, ngā hemorrhoids, te GERD rānei. Kei roto i ēnei rongoā:
- Ka whakaiti i ngā taumata waikawa o te puku.
- Ka āwhina i te toto totoka.
- Ka whakaiti i te pupuhi.
Me mahi koe i ngā mahi pēnei i te pokanga?
He maha ngā wā, ka whakahaerehia e ngā tākuta te maimoatanga i te wā kotahi me te endoscopy, te colonoscopy rānei. Koinei ngā taputapu iti kei te pito o te ngongo ka taea te whakamahi hei:
- Te tango i ngā tipu rerekē, hei tauira, ngā polyp o te koroni.
- Te werohanga rongoā hei āwhina i te aukati i te toto.
- Ko te mahi kati (hiri) i tētahi uaua toto ki tētahi topenga iti, ki tētahi here rānei.
- Te whakamahi i te taiaho, te hau wera, te hau matao rānei hei whakangaro i te kiko e rere ana te toto.
He mea nui: Ka taea te mahi i te nuinga o ēnei maimoatanga i te wā kotahi me te endoscopy, me te kore e tapahia he wahi nui, nō reira he tūponotanga ka tere ake te ora.
He rerekē te maimoatanga mēnā ka puta he toto ohorere?
Mena he tino kaha te toto, me mahi pea he pokanga ohorere . I ētahi wā ka mahia te pokanga mā te whakamahi i tētahi tikanga e kiia nei ko te laparoscopy . Ko te tikanga o tēnei ka mahia he tapahi iti ki te puku, ka whakauruhia he kāmera me ngā taputapu pokanga hei rongoā tere i te wāhi toto.
Me pēhea te ārai i tēnei mea? (Te ārai)
He maha ngā mea ka taea e tātou te mahi hei ārai i tēnei momo toto puku:
- Whakamahia ngā rongoā whakamamae mamae (ngā rongoā anti-inflammatory kore-steroidal - NSAID) me te aspirin anake ina tino tika. Ki te haere tonu te tango i ēnei, kōrero ki te tākuta.
- Whakaitihia te inu waipiro. Ka kino pea tō puku ki te nui rawa o te waipiro.
- Ki te kaipaipa koe, kati. Ka piki ake te mōrearea o te mate puku i te kaipaipa.
- Mena kei a koe ngā mate puku pēnei i te diverticulitis, me whiwhi rongoā tika, ā, me whakahaere hoki ō tohumate.
- Me whakamātau koe mō te huakita Helicobacter pylori, ka taea e ia te whakararu i te puku, inā koa mēnā kei roto koe i te mōrearea.
Ka ora ahau i tēnei mate? He aha te tirohanga? (Tirohanga)
Ka ora katoa te nuinga o te tangata i te toto o te puku. Heoi, ka roa pea ētahi marama kia ora katoa ai ngā whekau. Mā ēnei huringa āhua noho ka āwhina i te whakaiti i te mōrearea o tētahi atu toto o te puku ā muri ake nei:
- Kia kore e whakamahia ngā rongoā ka puta ai te toto i ngā wā katoa e taea ai.
- Me whiwhi rongoā mō ngā mate pukupuku pērā i te Helicobacter pylori, e puta ai ngā mate puku.
- Whakaitihia te ahotea. Whakamātauria ngā mahi pēnei i te whakakorikori manawa hōhonu.
- Kia mau ki tētahi momo noho hihiko me te kai taurite. Kātahi ka taea e koe te pupuri i tō taumaha hauora.
He tohutohu tiaki motuhake anō kei te hiahiatia kia whāia?
Ahakoa te angitu o te maimoatanga, i ētahi wā ka hoki mai anō ngā toto o te puku. Nō reira, hei tiaki i tō hauora, me tiaki ēnei mea:
- Kia mahara ki te haere ki ngā wā tirotiro a tō tākuta. Mā ēnei wā tirotiro ka taea e tō tākuta te kite i te pai o te mahi a tō maimoatanga, me te kite i ngā toto hou.
- Tangohia te rongoā kia rite ki te whakahaunga a tō tākuta, mō te wā kua whakaritea. Mena kei te raru koe i ngā pānga taha o te rongoā, kōrero ki tō tākuta mōna. Tērā pea ka taea e ia te whakaiti i te horopeta, te hoatu rānei i tētahi atu rongoā ki a koe.
- Me haere tonu ki te hanga i ngā huringa pai o te āhua noho kua mahia e koe. Ahakoa kāore he tohu i a koe i nāianei, mā te pupuri i tētahi āhua noho hauora koe e āwhina kia ora tonu.
Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)
He tohu te toto o te puku e puta mai ana i ngā momo mate hauora. Ka puta pea i ngā wāhi katoa o te pūnaha nakunaku.
Kaua rawa e warewarehia te toto i roto i tō tūtae, te ruaki toto rānei. He tohu pea tēnei nō tētahi mea kino.
Ko te mea pai rawa atu ko te toro atu ki te tākuta ina kite koe i tētahi o ēnei tohu. Ka taea e ngā tākuta te whakamahi i ngā whakamātautau pēnei i te "Endoscopy" me te "Colonoscopy" hei kimi i te pūtake o te toto, hei rongoā hoki. Ahakoa i muri i te maimoatanga, ka taea tonu e tēnei mate te hoki mai, nō reira he mea nui kia whai i ngā tohutohu a tō tākuta. Mena he pātai āu, kaua e wehi ki te pātai ki tō tākuta. Kia ora tonu koe!
Pūnaha nakunaku , toto puku, Toto GI, tohu, maimoatanga, take, endoscopy











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