Kei te pāngia hoki koe e te mamae o te puku? Me ako atu tātou mō tēnei mate e kiia nei ko te (Irritable Bowel Syndrome - IBS)?

He mamae puku rerekē tōu i ētahi wā, he pupuhi, he tūtae rite ki te mate korere ina haere koe ki te wharepaku, he uaua rānei ki te noho puku mō ngā rā? Ehara ēnei tohu i te mea kotahi, engari he maha e hono tahi ana, ka pā ki tō pūnaha nakunaku, koinei te mea e kōrerohia ana i tēnei rā (Irritable Bowel Syndrome), arā, (IBS) hei whakarāpopototanga. He mate noa tēnei, he mate whakararuraru hoki.

He aha te Mate Puku Whakararuraru (IBS)?

He whakarāpopototanga noa iho, ko te IBS he kohinga o ngā tohu me ngā raruraru e pā ana ki tō pūnaha nakunaku, inā koa ō whekau. He mate noa tēnei e pā ana ki ō whekau. Tērā pea ka pāngia te hunga whai IBS e te mamae puku me te kōroke. Haunga tēnei, tērā pea ka pāngia koe e te korere maha, te mate kōroke, i ētahi wā e rua rānei.

Engari ko te mea pai rawa atu, kāore te IBS e kino i ngā kiko o tō pūnaha nakunaku. Kāore hoki e whakanui ake i te tūponotanga o te whakawhanake i ngā mate kino pērā i te mate pukupuku koroni. Ahakoa he mate mau tonu, he maha ngā tāngata ka taea te whakahaere pai mā te huri i ō rātou momo noho o ia rā, ngā tikanga kai, te tango rongoā mēnā e tika ana, me ētahi rongoā whanonga.

He momo matua o te IBS?

Ae, ko te IBS te nuinga o te wā ka whakarōpūtia i runga i te āhua o ō tūtae (e kiia ana e mātou he 'tūtae') i ngā rā e tino kino ana ō tohu. He maha ngā tāngata whai IBS he pai ngā nekenekehanga o te puku i ētahi rā, engari he rerekē ngā nekenekehanga o te puku i ētahi atu rā. Ko te momo nekenekehanga o te puku i aua rā rerekē te whakatau i te momo IBS.

• IBS me te mate puku mārō (IBS-C): I tēnei wā, he uaua te tuku i te nuinga o ō tūtae, he pūkohu, he maroke hoki.
• IBS me te korere (IBS-D): Koinei te wāhi e marara ana te nuinga o ō tūtae, pērā i te wai.
• IBS me ngā tikanga puku whakauru (IBS-M): I roto i tēnei momo, ka pāngia pea koe e ngā wā rerekē o te kōroke (ngā tūtae mārō, pupuhi) me te korere (ngā tūtae marara).

He mea nui kia mārama ki ēnei rerekētanga, nā te mea he pai noa iho ētahi maimoatanga mō ētahi momo IBS.

He pēhea te noa o te IBS?

He mate tino noa tēnei. E ai ki ngā tohunga, e kiia ana kei waenganui i te 10% me te 15% o ngā pakeke i te Hononga o Amerika he IBS. Heoi, he iti noa iho te ōrau, i waenganui i te 5% me te 7%, ka kite i te tākuta, ā, ka whiwhi tātaritanga. Tērā pea he rite tonu te āhua o tō tātou whenua.

Ko te IBS tētahi o ngā mate e tino kitea ana e ngā tohunga gastroenterologist.

He aha ngā tohu o te (IBS)?

Ka taea e ngā tohumate o te IBS te noho pūmau. Tērā pea ka noho pōturi (ka puta noa). Ko te tikanga, kāore koe e kite i ngā tohumate i ngā wā katoa. I ētahi wā ka ngaro ngā tohumate (he pai te nekeneke o te puku), kātahi ka hoki mai anō i muri i tētahi wā.

Ko ngā tohu matua o te IBS ko:

• He maha ngā wā ka haere tahi tēnei me te mamae o te puku, te kōpiri rānei, me te hiahia hoki ki te totohu.
• Te nui o te hau me te pupuhi.
• Te korere, te mate kōroke, te taupatupatu rānei i waenga i ngā mea e rua.
• Tērā pea he matūriki rite ki te hūpē (pērā i te wai mā) kei roto i te tūtae.
• Te āhua nei kāore anō kia tino takoto kau te puku, ahakoa i muri i te tūtae.

He aha ngā pūtake o te IBS?

Kāore anō kia tino mōhiotia e ngā kairangahau te pūtake o te IBS. Heoi, kua whakarōpūtia hei mate neurogastrointestinal (GI). Ka kiia hoki ēnei āhuatanga ko ngā "mate o te taunekeneke puku-roro." I roto i ngā kupu māmā, e whakaponohia ana nā ngā raruraru o te whakawhitiwhiti kōrero i waenga i tō roro me tō puku, e āwhina ana i tō pūnaha nakunaku kia mahi tika.

Ka taea e ēnei raruraru whakawhitiwhiti kōrero i waenga i te roro me te puku te whakaputa i ngā mea penei:

• Te ngoikore o te puku: Ngā raruraru o te āhua o te whakawhāiti me te neke o ngā uaua o tō pūnaha nakunaku i te kai ki raro i te ara nakunaku . Ko te hunga whai IBS te āhua nei he nui ake ngā whakawhāititanga uaua i roto i ō rātou whekau nui i te mea noa. Ka puta te kōpiri me te mamae i ēnei whakawhāititanga.
• Te aro nui ki ngā uaua o roto: Tērā pea ka tino aro nui ngā io o tō pūnaha nakunaku. Kua kitea he iti ake te manawanui o te hunga whai IBS ki te mamae i ērā kāore he IBS. Ko te tikanga o tēnei, tera pea ka nui ake te aro o tō puku ki te mamae me te kore whakamarie i te tangata noa.

Anei ētahi atu āhuatanga ka whai wāhi ki te whanaketanga o te IBS:

• Ngā huakita o te puku: Kua whakaatuhia e ngā rangahau he rerekētanga kei roto i ngā huakita i roto i te ara nakunaku o te hunga whai IBS. Tērā pea ka whai wāhi ēnei rerekētanga ki ngā tohu. Kua kitea e ngā rangahau he rerekē ngā momo me te nui o ngā huakita i roto i te puku o te hunga whai IBS i ērā kāore he IBS.
• Ngā mate urutā kino: Ka kitea te IBS i ētahi tāngata i muri i te mate urutā kino e pā ana ki te pūnaha nakunaku. Nō reira, tera pea he wāhi nui tō ngā iroriki ki tēnei.
• Te kore e manawanui ki te kai: Ka taea e ētahi mate pāwera, mate pāwera rānei te whai wāhi ki te IBS. Hei tauira, kāore e taea e ētahi tāngata te nakunaku i ngā hua miraka, ko ētahi ia ka pāngia e te mamae ina kai i ngā kai i hangaia ki te paraoa witi.
• Te ahotea o te tamarikitanga: He nui ake te kitea o te IBS i roto i te hunga kua pāngia e te tukino tinana, te tukino ā-ira tangata, te tukino kare ā-roto rānei i te wā o te tamarikitanga. Ko te tikanga o tēnei he pānga anō hoki tō te ahotea hinengaro nui.

He aha ngā mea e whakaoho ana i ngā tohu o te IBS?

Mena kei a koe te IBS, kua kite pea koe kei te kino haere ētahi āhuatanga o ō tohu. Ehara ēnei i te take o te mate, engari ka kino ake pea ō tohu, ka puta mai rānei ētahi tohu hou. Ka karangatia ēnei e mātou hei whakaoho. Ko ngā whakaoho tino noa ko:

• Ngā Pāpātanga: Tērā pea ka kitea e koe ka piki haere ō tohumate i te taha o tō huringa pāpātanga o ia marama.
• Ētahi kai: He rerekē tēnei i ia tangata, i ia tangata. Heoi, ko ngā kai noa e taea ai te whakanui ake i ngā tohumate IBS ko ngā miraka, ngā kai kei roto te kuruteni (pērā i te paraoa witi), me ngā kai me ngā inu e puta ai te hau (hei tauira, ngā pīni, te kāpeti, ngā inu reka).
• Te ahotea: E ai ki ētahi kairangahau ko te IBS he urupare a tō puku ki te ahotea. Koia te take e kiia ai te IBS ko te "puku io" ko te "puku manukanuka" rānei. Whakaarohia, kei te mamae ake tō puku ina haere mai he whakamātautau, ina raru rānei koe i te tari? Ae.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te IBS?

Ko te IBS te mea tino noa i waenga i te hunga i waenga i te 18-20 tau me te tīmatanga o te 40 tau . E rua pea te nui ake o te tūponotanga o ngā wāhine ki te pāngia e te IBS i ngā tāne. Ko ētahi atu āhuatanga mōrearea ko:

• Te kore e aro ki ētahi kai.
• Kua pāngia koe e te mate kino o te ara nakunaku i mua.
• E ai ki te kōrero i mua ake nei, he hītori tō te tukino i a koe i a koe e tamariki ana, i muri mai rānei.
• Kei te pāngia koe e ngā āhuatanga hauora hinengaro pēnei i te manukanuka, te pouri, te mate ahotea muri-traumatic rānei (PTSD).

He maha ngā tāngata whai IBS he mamae mau tonu ō rātou. Ko ngā āhuatanga e whakanui ake ana i te mōrearea o te IBS ko:

• Te mate pukupuku
• Te mate ngenge mau tonu (Te mate ngenge mau tonu)
• Te mamae pūmau o te hope

Me pēhea te mōhio mēnā kei a koe te IBS? (Tauātanga)

Ko te taahiraa tuatahi ki te tautuhi i te IBS ko te tango i tētahi hītori hauora katoa. Ka pātai atu tō tākuta ki a koe mō ō tohumate. Hei tauira:

• Ka pāngia koe e te mamae i te wā e tūtae ana koe?
• Kei te kite koe i tētahi rerekētanga i te auau o ō nekehanga puku?
• He rerekē te āhua o tō tūtae?
• E hia ngā wā ka pā mai ēnei tohu ki a koe?
• Nōnahea i tīmata ai ēnei tohu?
• Kei te tango koe i ētahi rongoā?
• I pāngia koe e te mate i ēnei rā tata nei, i pāngia rānei koe e tētahi āhuatanga taumaha o tō ao?

I runga i ō tohumate, me whai whakamātautau anō pea koe hei whakaū i te mate. Kāore he whakamātautau kotahi hei tautuhi i te IBS. Engari, mā tō tākuta e whakatau mēnā kei a koe te IBS mā:

• I rongo ahau mō ō tohumate.
• Tirohia mēnā kua oti tō whakamātautau matepukupuku koroni i te wā tika.
• Kia tino mohio kei a koe ngā tohu e tohu ana i ētahi atu mate hauora.

Ngā whakamātautau taiwhanga

He maha ngā wā ka mahia ngā whakamātautau taiwhanga hei whakakore i ētahi atu āhuatanga e puta ai ō tohumate, pērā i te mate pāwera, te kore kai pai, tētahi atu mate nakunaku rānei (pērā i te Inflammatory Bowel Disease - IBD). Kāore e hiahiatia ana ngā whakamātautau ōrite mō te katoa.

• Whakamātautau toto: Tirohia mēnā he mate pūnaha nakunaku, he mate rānei e pā ana ki ō tohumate.
• Whakamātautau tūtae: Hei tirotiro mō te mumura i roto i ngā whekau nā te mate urutā, nā te mate rānei o te pūnaha nakunaku.
• Whakamātautau manawa hauwai: Tirohia mēnā kei te tipu nui rawa ō huakita whekau iti (SIBO) mēnā he koretake rānei tō kai.

Ētahi atu whakamātautau (Whakamātautau whakaahua)

Tērā pea e hiahiatia ana ngā tikanga whakaahua hei whakakore i te mumura, i ngā tipu rerekē rānei i roto i tō pūnaha nakunaku.

• Kōnokotiro: Mā tēnei ka āwhina i tō tākuta ki te kimi mēnā he raruraru puku tōu (pēnei i te polyps, te IBD, te tipu matepukupuku rānei) e puta ai ō tohu. I roto i tēnei whakamātautau, ka whakauruhia e tō tākuta he ngongo (tirotiro) me te kāmera i roto hei tiro i tō kōnoko katoa.
• Sigmoidoscopy ngāwari: He rite tēnei ki te colonoscopy, engari ka taea anake e te tākuta te kite i roto i tō pūkahukahu me te wāhanga o raro o tō koroni.
• Te tirotiro i te pito o runga: Ka āwhina tēnei ki te tautuhi i te mate celiac, i ētahi atu raruraru rānei o te pūnaha nakunaku. Ka whakamahia e tēnei whakamātautau he ngongo angiangi hei tirotiro i tō korokoro, tō puku, me te wāhanga tuatahi o tō whekau iti, te duodenum.

He aha ngā maimoatanga mō te IBS?

Kāore he maimoatanga kotahi e pai ana mō te katoa. Heoi, ka kitea e te nuinga o te hunga whai IBS he mahere maimoatanga e pai ana mō rātou. Ko ngā maimoatanga noa ko ngā huringa kai me ngā huringa momo noho. Ka taea hoki e ngā rongoā te āwhina. Tērā pea ka āwhina te rongoā hauora whanonga i ētahi tāngata.

He roa te wā e mahi ai te nuinga o ēnei maimoatanga. Ahakoa ka āwhina pea rātou ki te whakahaere i ō tohumate, kāore pea e taea te whakakore katoa i aua tohumate.

Ngā huringa o te kai

Ka taea e te tohunga kai te āwhina i a koe ki te whiriwhiri i ngā kai e tika ana māu, me te whakarerekē i ō tikanga kai hei ārai i te kino haere o ngā tohu. Tērā pea ka tūtohu ia i ētahi mea pēnei i:

• Tāpirihia he muka ki tō kai. Ka taea e ngā kai he nui te muka (hua rākau, huawhenua, witi katoa, karepe maroke, nati) te āwhina i te hunga mate puku. Engari kaua e tīmata ki te kai i te muka i te wā kotahi; tāpirihia mārire, kia whai wā ai ō whekau ki te whakarite.
• Tangohia he muka tāpiri. Ko tētahi atu kōwhiringa ko te whakamahi i ngā tāpiringa muka pēnei i te Metamucil®, Citrucel® rānei (kōrero ki tō tākuta i mua i te tango i ēnei).
• Whakawhāitihia ngā kai miraka (pēnei i te tīhi me te miraka). He mea noa te kore e manawanui ki te lactose i waenga i te hunga whai IBS. Mena kei te whakaiti koe i te kai miraka, kia tino kai koe i ētahi atu kai he nui te konupūmā (hei tauira, te pūrorā, te pīnihi, te hāmana).
• Whakawhāitihia ngā kai e puta ai te hau. E mōhiotia ana ko ngā kai pēnei i te pīni, te pihi Brussels, me te kāpeti ka puta ai te hau. Ka taea hoki e ngā inu warowaihā me te kapia ngaungau te puta ai te hau. Whakaitihia ēnei kai, ā, kia wātea ō whekau.
• Āta karohia ngā kai kei roto he kuruteni. Ahakoa te hunga kāore he mate celiac (IBS) ka pāngia pea e te kuruteni. Ki te whiriwhiri koe i tētahi kai kore-kuruteni, kōrero ki tō tākuta kia mōhio ai koe kei te whiwhi koe i ngā huaora me ngā kohuke matua (pēnei i te muka, te rino, me te konupūmā) e kitea ana i roto i ngā kai kei roto he kuruteni.
• Whakamātauria te kai iti-FODMAP. Ka whakaitihia e tēnei mahere kai te nui o ngā warowaihā ka kainga e koe. Engari, ka tūtohuhia he kai rerekē hei whakarato i ngā matūkai e hiahiatia ana e koe, ā, he ngāwari hoki mō tō pūnaha nakunaku. He uaua pea tēnei, nō reira he pai ake te kōrero ki te tākuta, ki te tohunga kai rānei.
• Inumia he nui te wai. Inuhia kia 8 karāhe wai (tata ki te 2 rita) ia rā. Mā te wai ka noho makuku tō pūnaha nakunaku, ā, ka āwhina ki te whakamamae, ki te ārai rānei i te mate puku.
• Puritia he rātaka kai. Tērā pea ka tono atu tō tākuta kia pupuri koe i tētahi rātaka kai hei kimi i ngā kai e kainga ana e koe, me ngā kai e whakaoho ana i ō tohumate IBS. Kātahi ka taea e koe te whakaatu i tēnei ki tētahi tohunga kai.

Ngā huringa āhua noho

Ka āwhina anō hoki te whakarerekē i ō mahi o ia rā. Tērā pea ka tūtohu tō tākuta i ēnei e whai ake nei:

• Whakakorikori tinana i ngā wā katoa. Whai kia 150 meneti o te whakakorikori tinana ngāwari ia wiki. Arā, tata ki te 30 meneti ia rā, e rima ngā rā ia wiki. Ko te tikanga o te "Whakakorikori Tinana" ko te taumata e piki ake ai te tere o tō manawa.
• Whakamātauria ngā tikanga whakangā. Mā te yoga o ia rā, te whakaaroaro, me ētahi atu tikanga whakaiti ahotea ka āwhina i te whakamarie i te pūnaha io kua nui rawa te mahi me te "puku kore okiokinga." I ētahi wā ka taea hoki e te kaiwhakaora whanonga te āwhina.
• Kia nui te moe. Whai kia 7 ki te 9 hāora te moe pai i ia pō. Haere ki te moenga i te wā kotahi i ia rā. Ko te moe pai tētahi o ngā huarahi tino kaha ki te whakaiti i te ahotea. Mena kei te raru koe ki te moe, tirohia he tākuta.
• Puritia he rātaka mahi. Tuhia ngā mahi hei āwhina i a koe ki te whakahaere i tō IBS, ka kōrero ki tō tākuta.

Whakaora

He maha ngā tāngata e pāngia ana e te IBS ka whai hua mai i te kitenga i tētahi kaiwhakaora hinengaro. Ka taea e te rongoā hinengaro te āwhina i a koe ki te whakahaere i te ahotea me ngā āhuatanga e whai wāhi ana ki te IBS, pērā i te manukanuka me te pouri. Ka kitea e ētahi he whakamarie mā ēnei tikanga:

• Te rongoā whanonga hinengaro (CBT)
• Te rongoā hinengaro
• Urupare koiora

Ngā rongoā

Ka tohua pea e tō tākuta ngā rongoā pēnei hei whakaora i ngā tohu:

• Ngā rongoā ārai pouri (mēnā he nui te mamae o tō puku me te pouri me te manukanuka). Kei roto i ēnei ko ngā rongoā pēnei i ngā rongoā ārai pouri tricyclic (TCA) me ngā rongoā aukati serotonin reuptake whiriwhiri (SSRI).
• Ngā rongoā hei whakaora i te mate pāwera (tae atu ki ngā tāpiringa muka me ngā rongoā whakamāmā).
• Ngā rongoā hei whakamātotoru i ngā tūtae (rongoā ārai-korere).
• Ngā rongoā e whakaiti ana i te mamae o te puku.

Ahakoa kei te haere tonu ngā rangahau mō tōna whai huatanga, ka tūtohu pea tō tākuta i ngā probiotics. Tērā pea ka āwhina ēnei "huakita pai" ki te whakaora i ngā tohumate o te IBS.

Kei reira anō ngā rongoā e whakamahia ana hei rongoā i te IBS:

• Dicyclomine (Bentyl®)
• Hīosiamini (Levsin®)
• Lubiprostone ((Lubiprostone (Amitiza®)))
• Linaclotide ((Linaclotide (Linzess®)))
• Plecanatide ((Plecanatide (Trulance®)))
• Rifaximin ((Rifaximin (Xifaxan®)))

He mea nui: Me whakamahi noa i ēnei rongoā katoa i raro i te tohutohu a te taote. Kaua e tango rongoā ko koe anake.

Ka taea te whakaora katoa i te IBS?

Kāore, kāore he rongoā mō te IBS. Heoi, he tokomaha ngā tāngata ka taea te whakahaere pai i ō rātou tohu mā te karo i ngā mea whakaoho me te tango rongoā ina hiahiatia.

Ka taea e te IBS te whakaputa i ētahi atu mate puku kino?

Kāo, kāore te IBS e whakararu i a koe ki te whakawhanake i ngā mate kino pērā i te mate puku, te mate a Crohn, te mate pukupuku koroni rānei. He wehi nui tēnei mō te tini o te tangata, engari kaua e tino manukanuka.

He aha ngā kare ā-roto o te tangata whai IBS i te nuinga o te wā?

He uaua te noho me te IBS, nā te mea ka puta mai, ka ngaro haere ngā tohu puta noa i tō oranga. He whakamātautau noa iho te kimi i tētahi maimoatanga. Engari ko te rongo pai, tata ki te katoa e pāngia ana e te IBS ka kitea e rātou tētahi maimoatanga e pai ana mō rātou.

I te nuinga o te wā, ka pai ake ngā tohu i roto i te wā mā te whakarerekē i tō kai me ngā taumata mahi. Me manawanui pea koe i a koe e tautuhi ana, e karo ana hoki i ngā mea e whakaoho ana i te mate. Kāore pea ō tohu e memeha rawa. Heoi, me kite koe i tētahi whakapainga nui o tō āhua i roto i ētahi wiki, i ētahi marama rānei.

Ka taea e au te ārai i te IBS?

Nā te mea kāore anō kia mōhiotia te tino pūtake o te IBS, kāore he huarahi hei ārai, hei whakakore rānei i tēnei. Heoi, ki te mea he IBS tōu, mā te karo i ngā mea whakaoho ka āwhina i te whakaiti i te auau o ō tohu.

Āhea te wā pai ki te rapu tohutohu hauora?

Mena ka roa ake ō tohumate i te toru marama, ka kino haere rānei i ia rā, me toro atu koe ki te tākuta. Ahakoa kāore i te tino auau ō tohumate, ki te whakararuraru i tō oranga o ia rā, he mea pai kia kōrero koe ki tō tākuta whānau (kaiwhakarato ratonga tuatahi).

Tērā pea ētahi tohu e tohu ana i tētahi raruraru nui ake. Mena kei a koe tētahi o ēnei e whai ake nei me ngā tohu noa o te IBS , me toro atu ki te tākuta i te wā e taea ai:

Ki te whai tohumate koe me ngā tohumate IBS, me toro atu ki te tākuta tonu!

• Kirika
• Ruaki
• Te toto o te rectum
• Te whakahekenga taumaha kāore i te whakamāramahia
• Te korere kino rawa atu ka ara ake koe i te pō.
• Te mamae nui o te puku (ina koa te mamae e kore e memeha i muri i te nekenga o te puku, te hau rānei).

Ngā pātai hei pātai atu ki tō tākuta

Mena kei a koe ngā tohu o te IBS, pātai atu ki tō tākuta i ēnei pātai:

• He aha ngā rongoā ka taea te āwhina i ahau?
• He aha ngā kai me karo e au?
• He aha ngā huringa āhua noho me mahi e au?
• Kia pēhea te roa ka tīmata ai taku pai ake?

Karere Tangohia ki te Kāinga

Ko ngā tohumate o te IBS, pērā i te mamae o te puku, te korere, te kōroke, me te pupuhi, ka tino whakararuraru, ā, ka whakararuraru i tō oranga. Heoi, he ngāwari te whakahaere i te IBS.Ka taea e koe te whakapai ake i ō tohu mā te whakarerekē i tāu e kai ana, e inu ana hoki, me te whakarerekē i ō tikanga o ia rā kia aro atu ki ngā mea e whakaoho ana i te mate. Mena kei te mamae tonu tō puku, me toro atu ki te tākuta. Mā te mahi tahi, ka kitea e kōrua he mahere maimoatanga IBS e pai ana māu. Kaua e mataku, kaua hoki e mamae ko kōrua anake!

IBS , mamae puku, korere, kōroke, pūnaha nakunaku, mate whekau, ahotea me te mamae puku