Kei te mamae, kei te uaua rānei te nekeneke o te puku? He maha tonu ngā wā ka rite koe ki te kore kau o ō puku, ahakoa kua pau tō mimi? He mārō, he maroke, he pūkohu rānei ō tūtae? Koinei ngā tohu matua o te mate puku kōroke—he āhuatanga e mōhio ana tātou katoa, ā, he pono, he āhuatanga tino kore whakamarie ki te manawanui.
I ngā wā maha, mā ngā whakarerekētanga iti o te momo noho ka taea te whakatau i te mate puku. Hei tauira, mā te whakanui ake i te kai i ngā kai momona i te muka (ngā rau matomato, ngā huawhenua, ngā hua rākau, me te raihi parauri), me te whakarite kia nui te wai e inuhia ana e koe i ia rā, me te noho kaha tonu ki te tinana, ka nui ake te rerekētanga. Heoi, ki te mea kua whakamātau koe i ēnei whakarerekētanga, ā, kei te raru tonu koe, he mea maori te whakaaro ki te tango i te rongoā whakamāmā hei āwhina i te whakamama i ō tohumate.
He aha ngā rongoā whakangote, ā, ko wai e hiahia ana ki ēnei?
He māmā noa iho, ko ngā rongoā whakawaiwai he rongoā i hangaia hei āwhina i te whakahaere, i te whakaoho rānei i te nekehanga o te puku ina mate kōroke koe. Ko te tikanga, ka taea te hoko i ēnei mā te kore utu i te nuinga o ngā whare rongoā. He maha ngā momo rongoā, tae atu ki ngā whakangawari tūtae, ngā tāpiringa muka, me ngā rongoā whakawaiwai whakaohooho.
He maha ngā āhuatanga ka hiahiatia he rongoā whakamāmā:
- Te kōroke i ētahi wā: Mō ngā wā poto o te kōroke, kāore e memeha ahakoa ngā huringa o te āhua noho.
- Ngā Āhuatanga Hauora Mau tonu:Ka pāngia ētahi tāngata e te mate puku mārō tonu nā ngā mate hauora roa pērā i te mate a Crohn, te mate puku ulcerative rānei.
- Te Whakarite Hauora: He maha ngā wā ka whakamahia ngā rongoā whakamāmā puku hei horoi katoa i te puku i mua i ngā tikanga hauora, pērā i te endoscopy me te colonoscopy.
Heoi, kia maumahara kāore ngā rongoā whakamāmā e pai mō te katoa. Mena kei te hapu koe, kaua rawa e whakamahi i ēnei me te kore e kōrero ki tō tākuta i te tuatahi. Waihoki, kaua e hoatu he rongoā whakamāmā ki ngā tamariki mena kāore i tohua e te tākuta tamariki. Mena kei te tango kē koe i ētahi atu rongoā, kōrero ki tō kaiwhakarato hauora kia kore ai e pā kino te rongoā whakamāmā ki tō maimoatanga o nāianei.
Ngā momo rongoā whakamāmā me te āhua o tā rātou mahi
He rerekē ngā mahi a ngā rongoā whakangote i tō pūnaha nakunaku hei whakamama i tō mamae. Ko ētahi momo ka mimiti i te wai hei whakangawari i te tūtae, kia māmā ake ai te haere, ko ētahi ka whakaoho i ngā uaua o roto i ngā whekau kia pai ake ai te neke o ngā para. Me titiro tātou ki ngā momo rongoā whakangote matua e wātea ana.
| Momo Whakaora | Te Āhua o tā rātou Mahi | Ngā tauira |
|---|---|---|
| Ngā Rongoā Whakaora-papatipu (Ngā Tāpiringa Muka) | Ka tāpirihia e ēnei he muka wairewa ki tō tūtae, ka mimiti i te wai hei whakanui i te matotoru me te whakangawari i te kakano. I te tipu haere o te tūtae, ka whakaoho i te nekeneke o te puku, ka āwhina i te putanga. Koinei te momo whakamarie ngawari rawa atu. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Ngā Rongoā Whakamamae Osmotic | Ka kukumehia e ēnei te wai mai i ngā kiko e karapoti ana ki roto i tō kōpuku. Ka whakangawarihia te tūtae e te nui o te wai, ka māmā ake te tuku. | Polyethylene glycol (MiraLAX®), Konupūmā waikura (Miraka Konupūmā Phillips'®), Glycerin |
| Ngā Whakangawari Tūtae | Mā te whakanui ake i te wai me te ngako e mimitihia ana ki roto i te tūtae ka mahi ēnei, ka noho ngohengohe kia māmā ake ai te haere. | Docusate (Colace®) |
| Ngā Whakamamae Hinu | Ka hangaia he paninga pahekeheke i roto i te koroni. Ka whakaitihia te mimiti wai e te tinana, ka noho ngawari ake te paru, ka ngāwari ake hoki te tuku. | Hinu kohuke |
| Ngā Rongoā Whakaohooho | Ka whakaoho ēnei i ngā io e whakahaere ana i ō uaua puku, ka puta ai ngā kōpeketanga (peristalsis) hei pana i te paru. E taunakihia ana ēnei ina kore e whai hua ētahi atu huarahi. | Bisacodyl (Dulcolax®), Senna |
Ngā Rongoā Whakamamae Tohutohu
Mena kāore e taea e ngā rongoā kore-whakahau te whakaora i tō puku mārō, ka tūtohu pea tō tākuta i ētahi rongoā motuhake. He mea nui ēnei mō ngā āhuatanga pēnei i te Irritable Bowel Syndrome (IBS) me ngā tūroro e pāngia ana e te puku mārō nā te opioid. Kei roto i ngā kōwhiringa ko ngā rongoā pēnei i te Lactulose (Duphalac®), Linaclotide (Linzess®), me te Lubiprostone (Amitiza®).
Me pēhea te whakamahi haumaru i ngā rongoā whakamāmā?
Hei whakatutuki i ngā hua pai rawa atu, hei whakaiti hoki i ngā pānga taha, me pānui tonu te pepa tohutohu, ā, me whai i te horopeta kia tika. Kaua rawa e neke atu i te horopeta kua tūtohutia me te tumanako ka tere ake te hua; mā te mahi pera ka ara ake he raruraru hauora nui.
He maha ngā momo rongoā whakangote e wātea ana:
- Pire: Papa, kāpū rānei hei horomia.
- Paura: Me rewa ki te wai, ki ētahi atu wai rānei.
- Wai/Tīropi: Ngā horopeta wai kua inehia.
- Ngā Pūwero: He rongoā iti, ka taea te rewa ka whakaurua ki roto i te pūkahukahu.
- Enema: He ngongo iti hei tango tika i te wai ki roto i te pūkahukahu.
I roto i ngā meneti, i ngā haora rānei, ka puta te whakamarie mai i ngā suppositories me ngā enemas, ahakoa he nui ake te mōrearea o ngā pānga taha pēnei i te kōroke, te korere rānei. Ka roa ake te pānga o ngā rongoā whakawara nui – i ētahi wā he torutoru rā – engari he ngawari ake ki tō pūnaha.
Kia tūpato ki ngā pānga taha me ngā mōrearea
Mā te whakamahi hē, te whakawhirinaki roa rānei ki ngā rongoā whakamāmā ka pā mai ētahi raruraru:
- Te matewai: Ka taea e ngā rongoā whakawaiwai e kukume ana i te wai ki roto i te koroni te arahi ki te ngaronga o te wai mena kāore koe e whakanui ake i te inu wai.
- Te Tauritekore o te Irahiko: Tērā pea ka pāngia koe e te tauritekore o ngā tote me ngā kohuke nui o te tinana.
- Te Mate Korepa Mau tonu: He mea whakamiharo, ko te whakamahinga roa o ngā rongoā whakangote whakaoho ka ngoikore ngā uaua o te puku, ka uaua ai te neke i te puku me te kore ēnei.
- Te huna i ngā mate taketake: Ko ngā rongoā whakamāmā puku ka rongoā noa i te tohumate o te mate puku kore, kaua ki te pūtake. Tērā pea he tohu tō mate puku kore mō tētahi mate kino ake e hiahia ana kia tirohia e te rata. Mā te whakamahi i ngā rongoā whakamāmā puku ka whakaroa i te tautuhi i aua raruraru.
Mena ka pāngia tonutia koe e te mate kōroke, ā, kāore e whai hua ngā rongoā ka hokona noa i te toa rongoā,Kaua e whakaroa—whakapā atu ki te tākuta kia kitea ai te pūtake. Mēnā ka pāngia koe e te mamae nui o te puku, e te mate korere roa, e te mate korere kino rānei, me rapu tonu i te awhina hauora i tō tari urupare tata.
Ngā Kōrero Matua (Nirogi Lanka)
- Mō te mate puku kore, kaua ngā rongoā whakamāmā e waiho hei parepare tuatahi māu. Whakatairangahia ngā huringa oranga hauora i te tuatahi, pērā i te whakanui ake i te kai muka, te noho wai māori, me te whakakori tinana auau.
- Ko ngā rongoā whakangote he whakaora poto noa iho. Ki te whakamahia mō te wā roa, ka kino pea te mahi a tō puku.
- I mua i te whakamahinga o tētahi rongoā whakamāmā, me pānui tonu ngā tohutohu e haere tahi ana. Kaua rawa e neke atu i te horopeta kua tohua e te kaihanga, e tō rata rānei.
- Kaua rawa e hoatu he rongoā whakamārie ki ngā tamariki me te kore he tohutohu mai i te tākuta tamariki. Mena kei te hapu koe, kei te whāngai u rānei, me kōrero ki tō tākuta i mua i te tīmatanga o tētahi rongoā.
- Mena ka mau tonu tō mate kōroke, ka hoki anō rānei i ngā wā katoa, kaua e whakama, kaua hoki e whakaroa ki te rapu āwhina. Whakaritea he wā hui ki tō tākuta kia kitea ai te pūtake o te mate, kia whiwhi ai hoki i te maimoatanga tika.
kōroke, rongoā whakawai, auau o te puku, hauora o te nakunaku, whakangawari tūtae
