He maha ngā mamae o tō puku, inā koa te mamae o te puku o raro? Me oma koe ki te wharepaku i ngā wā maha i te rā? Kua kite koe he toto iti kei roto i tō tūtae i ētahi wā? Ka pai ake ēnei mea i muri i ētahi rā, kātahi ka tīmata anō i muri i tētahi wā? Kaua e whakaaro he mamae puku noa iho tēnei. He nui te tūponotanga he mate puku mumura tēnei, he IBD rānei. Kaua e mataku ina rongo koe i tēnei ingoa. Me kōrero noa tātou mō tēnei, i roto i te huarahi e mārama ai koe, me te mea kei te kōrero koe ki tētahi hoa tata.
He aha te IBD?
Ko te IBD he mumura mau tonu o tō pūnaha nakunaku, o te ara kai rānei. Whakaarohia mēnā he whara kiri tōu kua whero, kua pupuhi, kua mamae hoki, tika? Koinei te mea ka tupu i roto i ō whekau. Ka taea e tēnei mumura te kino i ō whekau.
Ko te mea motuhake o tēnei, kāore ngā tohu e ōrite i ngā wā katoa.
- Te pā mai o te mate puku: He wā tēnei ka kaha haere ngā tohu. Ka tino kaha te mamae o te puku me te korere i tēnei wā.
- Te Whakamarietanga: Koinei te wā kua iti haere, kua ngaro rānei ngā tohu. I tēnei wā, ka taea e koe te noho noa me te kore he raruraru.
Ko te mea nui ko te IBD he mate mō te wā katoa. Kāore anō kia kitea he rongoā mōna. Engari, kaua e mataku ina rongo koe i tēnā. Ki te whakahaere tika koe i tēnei mate, ā, ki te whakamahi rongoā koe, ka taea e koe te whakahaere i tēnei mate, me te noho i te oranga noa.
He aha ngā momo matua e rua o te IBD?
Ahakoa koia te ingoa o te IBD, e rua ngā momo matua o roto. He iti noa ngā rerekētanga i waenganui i ngā mea e rua. Kia kite tātou he aha rāua.
| Ingoa o te mate | Ngā wāhi matua o te awe | Hei whakarāpopototanga... |
|---|---|---|
| Te Mate a Crohn | Ka pā pea ki ngā wāhi katoa o te pūnaha nakunaku (mai i te waha ki te nono), engari ko te nuinga o te wā ka pā ki te whekau iti me te tīmatanga o te whekau nui. | Ka taea e te mumura te toro hōhonu ki roto i te pakitara o te puku, ā, ka kitea ngā wāhi mate i waenganui i ngā wāhi hauora. |
| Te Mate Pukupuku Ulcerative (UC) | Ka herea ki te koroni me te tōku. | I tēnei wā, ka puta te mumura i te paparanga o roto rawa o te whekau. Ka tīmata te mumura i te pūkahukahu, ā, ka horapa tonu puta noa i te whekau nui. |
He aha ngā tohu noa o te IBD?
Tērā pea ka pāngia te tangata whai IBD e tētahi, e ētahi rānei o ēnei tohu. Engari kia maumahara, kāore ēnei tohu e puta i te huarahi kotahi mō te katoa. Tērā pea ka pāngia ētahi e ngā tohu tino kino, ko ētahi ia ka pāngia e ngā tohu tino ngawari.
- Mamae puku: He mamae e rite ana ki te mea kei te miro tetahi mea i roto i te puku.
- Korere Mau tonu: Te haere i roto i ngā tūtae wai, tātātaha, he maha ngā wā i te rā.
- Te toto i roto i te tūtae: Tērā pea ka puta te toto hei tohu i roto i te tūtae, ka konatunatua rānei ki te toto i roto i te tūtae.
- Te whakaiti taumaha mō te kore take: Ahakoa e kai pai ana koe, ka whakaitihia tonutia tō taumaha.
- Ngenge: Te āhua o te ngenge rawa, kāore e taea te mahi i tetahi mea .
- Kāore he reka o te kai.
- Te kirika.
He aha te take e pāngia ai tātou e te IBD? He aha te take?
Kāore anō kia kitea he tino take, engari e whakapono ana ngā tākuta he maha ngā āhuatanga i puta ai.
I te kīanga māmā noa iho, ka hē te pūnaha ārai mate, e tiaki ana i tō tātou tinana mai i te mate . E whakaaro ana ia he "hoariri" ngā pūtau hauora i roto i ō tātou ake whekau, ā, ka tīmata te whakaeke i a rātou. Ka puta te mumura i roto i ngā whekau i tēnei whakaekenga.
Ko ēnei āhuatanga ka whai wāhi pea ki tēnei momo hapa:
1. Ira: Mena he mate IBD tō tētahi mema o te whānau (whaea, pāpā, tuākana/teina), he iti noa te tūponotanga ka pāngia koe e te mate. Engari ehara i te mea ka tino pāngia koe e te mate.
2. Ngā āhuatanga taiao: Ka taea e ētahi āhuatanga te whakaoho i tēnei ngoikore o te pūnaha ārai mate. Ka kiia ēnei e mātou he "Pūtake" .
Ngā Whakaoho Noa
Kāore ēnei mea e hua ai te IBD, engari ki te mea he IBD tōu, ka taea e ēnei te whakararu i ngā tohu (te piki haere o te mate) .
- Ētahi rongoā whakamamae mamae: Ina koa ko ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal). Hei tauira, ko ngā rongoā pēnei i te Aspirin, Ibuprofen, me te Diclofenac.
- Ko ētahi momo paturopi .
- Te Momi hikareti: Ka tino kino te mate a Crohn i roto i te hunga e momi hikareti ana.
- Te ahotea: Ahakoa ehara te ahotea i te pūtake o te mate, ka pā nui pea ki te kino haere o ngā tohu.
Ka kino ake rānei ngā tohu o te IBD i te kai me te inu?
He pātai tēnei e pātaihia ana e te tini tāngata. Kāore te kai e puta ai te IBD. Kia maumahara ki tēnā.
Heoi anō, tera pea ētahi kai me ētahi inu ka kino ake ō tohumate. Kāore tēnei e rite mō te katoa, ā, he rerekē i ia tangata, i ia tangata. Me rangahau koe kia kitea ai he aha ngā kai e whakararuraru ana i a koe. Anei ētahi kai ka kino ake ai ō tohumate:
- Miraka me ngā kai miraka
- Ngā kai he nui te hinu me te ngako (ngā kai parai)
- Ngā inu warowaihā (ngā inu ngawari)
- Ngā inu kawheine (kawhe, tī)
- Waipiro
- Ko ētahi huawhenua me ngā hua he nui te muka (Muka)
He mea nui kia kōrero koe ki tō tākuta , ki tō tohunga kai rānei i mua i te whakakorenga katoa i ēnei kai i roto i tō kai, he mea nui hoki kia whiwhi koe i ngā matūkai e hiahiatia ana e tō tinana.
He aha atu ngā raruraru ka puta mai i te IBD?
Ki te kore e tika te whakahaere i te IBD, ka puta ake pea ētahi atu raruraru hauora i roto i te wā. Kaua e mataku, ko te mea nui ko te mōhio ki ēnei.
- Matepukupuku Kōpuku: He nui ake te tūponotanga o te hunga e pāngia ana e te IBD mō te wā roa ki te pāngia e te matepukupuku kōpuku i te taupori whānui. Koia te mea nui kia whakamātauria i ia wā, e ai ki tā tō tākuta.
- Puku Pūkarukaru: Ka taea e te mumura te ngoikore i te pakitara o te puku, ka puta he kōhao.
- Te Megacolon Paitini: He āhuatanga ohorere tēnei. Ka tino pupuhi te koroni, ka nui haere hoki.
- Te mate toto kore toto: Ka heke te nui o te toto i roto i te tinana nā te toto e puta mai ana i ngā whekau me te mimiti koretake o ngā matūkai.
- Osteoporosis: Ka ngoikore pea ngā wheua i ētahi rongoā me te kore kai.
- Ka pāngia hoki ētahi atu wāhanga o te tinana, pērā i te mamae o ngā hononga, ngā raruraru kiri, me te mumura o ngā kanohi .
Me pēhea te tautuhi a te tākuta i te IBD?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate. Kātahi ka tirotirohia tō tinana. Hei whakaū mēnā he IBD tōu, ka tonoa pea e rātou tētahi, ētahi rānei o ngā whakamātautau e whai ake nei:
- Ngā Whakamātautau Toto: Tirohia mēnā he toto iti, he mumura rānei.
- Ngā Whakamātautau Tūtae: Tirohia mēnā he mate urutā, he toto rānei kei roto i te tūtae.
- Endoscopy / Colonoscopy: Koinei te whakamātautau tino nui. Ka whakauruhia he ngongo iti kei roto he kāmera mā te waha, mā te pūkahukahu rānei, ā, ka tirohia te roto o te koroni i runga i te mata. Tērā pea ka tangohia he wahi kiko iti (biopsy) hei tirotiro.
- Matawai CT / Matawai MRI: Mā ēnei matawai ka taea te tiki whakaahua taipitopito o ngā whekau me ngā whekau e karapoti ana.
He aha ngā maimoatanga mō te IBD?
E rua ngā whāinga matua o te maimoatanga IBD.
1. Te whakaiti i te mumura i roto i te puku me te whakahaere i ngā tohu (te whakaora i tōna mamae).
2. Te aukati i ngā putanga mai o te mate pukupuku.
Ka whakamahia ngā rongoā hei whakahaere i tēnei mahi, ā, i ētahi wā ka whakamahia te pokanga.
Rongoā
Ko te momo rongoā ka hoatu ki a koe ka whakawhirinaki ki te mea kei a koe te mate a Crohn, te mate UC rānei, te kaha o te mate, me te wāhanga o te whekau e pāngia ana.
- Ngā rongoā ārai-mumura: Koinei ngā rongoā e hoatu ana i ngā wāhanga tuatahi.
- Corticosteroids: He steroids kaha ēnei e whakahaere ana i te mumura. Heoi, kāore e whakamahia mō te wā roa.
- Ngā rongoā ārai mate: Ka āwhina ēnei ki te whakahaere i te mahi nui rawa o te pūnaha ārai mate.
- Ngā rongoā koiora: He momo rongoā hou ēnei e aro ana, e whakakore ana hoki i ngā pūmua i roto i te pūnaha ārai mate e puta ai te mumura.
- Ngā rongoā paturopi : Ka hoatu ēnei mēnā ka pāngia koe e te mate.
Pokanga
Mena kāore e ranea te rongoā hei whakahaere i te mate, ki te puta rānei he raruraru nui, ka tūtohu pea tō tākuta kia pokangahia, arā, ko te tango i te wāhanga kua pakaru o te whekau.
Me pēhea te noho tahi me te IBD? Ngā mea ka taea e koe te mahi
He uaua te noho me te IBD i ētahi wā. He mea whakamā, he mea whakama, he mea pouri hoki ngā āhuatanga pēnei i te mamae o te puku me te oma ki te wharepaku. Heoi, he maha ngā mea ka taea e koe te mahi hei āwhina i te whakahaere i te mate.
- Kia tūpato ki tāu kai: Puritia he tuhinga mō ngā mea e kainga ana e koe, me te mea ka kino haere ō tohu i muri i te kai i aua mea. Ka kiia tēnei he 'Pukapuka Kai'.
- Whakahaerehia te ahotea: Ka taea e te ahotea te whakararu i ngā tohu. Ka taea e koe te whakaiti i te ahotea mā te mahi i ngā mea pēnei i te whakaaroaro, te yoga, te whai wāhi atu rānei ki tētahi mahi whakangahau e pai ana ki a koe.
- Kia rite mō ngā āhuatanga ohorere: Ina haere koe ki waho, puritia ētahi atu kākahu o roto, tauera, me ngā tauera pēpi i roto i tō putea. Ka nui te rangimarie o tō hinengaro.
- Mea atu ki tētahi e whakawhirinaki ana koe:He mea nui kia kōrerotia tō āhuatanga ki tō whānau, ki tō hoa pai rānei. He āwhina nui tēnei i ngā wā uaua.
- Kati rawa te kai hikareti: He mea tino nui tēnei. Ka kino ake te mate i te kai hikareti.
- Rapua he tautoko hinengaro: I ētahi wā ka puta he āhuatanga pēnei i te pouri i te IBD. Kāore he mea e whakama ai, ā, he puna nui te kaha o te kōrero ki tētahi tohunga hinengaro, ki tētahi kaiwhakatakoto whakaaro rānei.
- Tirohia tō tākuta i ia wā: Ahakoa kāore he tohu, me haere tonu koe ki te tirotiro i ngā rā e kī ana tō tākuta.
Āhea te rapu tohutohu hauora tonu
Ko te tikanga ka taea te whakahaere i te IBD mā te rongoā me ngā huringa momo noho, engari i ētahi wā, me rapu tonu i te awhina hauora.
| Whai wāhitanga | Me aha? |
|---|---|
| Mena kei te kino haere ō tohumate (ngā putanga mai o te mate), ā, kāore e taea te whakahaere mā te whakamahi i ō rongoā o ia rā. | Tirohia tō tākuta auau. |
| Haere tonu ki te Tari Ohotata (ETU) o te hōhipera! | |
| |
He rerekē ngā mate o te IBD me te IBS. I roto i te IBD, he mumura kei roto i ngā whekau, engari i roto i te IBS (Irritable Bowel Syndrome), kāore he mumura pērā. Ahakoa he rite ngā tohu o ngā mea e rua, he rerekē rawa ngā take me ngā maimoatanga. Nō reira, he mea nui kia kite i te tākuta, kaua e tātaritanga whaiaro.
Karere Tangohia ki te Kāinga
- He mate mō te wā roa te IBD e puta ai te mumura o ngā whekau. Heoi, ka taea te whakahaere angitu, ā, ka taea e koe te noho ora pai.
- Tāutuhia ngā mea e whakanui ake ai i ō tohu. Ko ngā kai, ko te ahotea rānei ēnei.
- Kaua rawa e warewarehia ngā tohu. Kōrerohia ngā mea katoa ki tō tākuta.
- Ahakoa i ngā wā kāore he tohu e memeha haere ana, kia mau ki ngā whakamātautau me ngā tirotiro hauora kua whakaritea e tō tākuta.
- Kāore koe i te mokemoke i tēnei haerenga. Kei reira tō whānau, ō hoa, me ō tākuta hei āwhina i a koe. Kaua e mangere ki te rapu tautoko hinengaro mēnā e hiahiatia ana e koe.
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