Kei te pāngia koe e te uauatanga me te mamae ina haere koe ki te wharepaku? Kei te āhua kāore anō kia takoto kau tō puku ahakoa kua pau tō tūtae? He maroke, he mārō hoki ō tūtae pērā i te kōhatu? Koinei ngā tohu matua o te mate kōroke e mōhiotia ana e tātou katoa. He tino āhua whakararuraru tēnei.
He maha ngā wā, mā ngā panonitanga iti o tō tātou āhua noho ka taea te whakatau i te raruraru o te mate puku. Hei tauira, mā te kai i ngā kai momona i te muka (ngā pīni, ngā huawhenua, ngā hua rākau, te raihi parauri), te inu i te wai e tika ana i ia rā, me te whakakori tinana ka nui te rerekētanga. Heoi, ki te mea kei te raru tonu koe i muri i te mahi i ēnei mea katoa, he mea noa te whakaaro ki te whakamahi i te rongoā whakangote hei taahiraa e whai ake nei.
He aha ēnei rongoā whakangote? Ko wai e hiahia ana ki ēnei?
He māmā noa iho, ko ngā rongoā whakawaiwai he rongoā hei āwhina i te whakangāwari i te haere o te tūtae ina mate kōroke koe. He maha ngā wā ka hokona noatia i ngā whare rongoā katoa. He rerekē pea ō rātou ingoa, pērā i ngā rongoā whakawaiwai , ngā mea whakangawari tūtae, ngā tāpiringa muka rānei.
He maha ngā āhuatanga e hiahiatia ai he rongoā whakamāmā i te puku:
- Te kōroke i ētahi wā: Mō te kōroke i ētahi wā, kāore e pai ake ahakoa kua huri tō āhua noho.
- Ngā āhuatanga hauora mau tonu: Ka pāngia pea ētahi tāngata e te mate puku mārō nā te mea he āhuatanga hauora roa, pērā i te mate a Crohn, te mate puku ulcerative rānei.
- Te whakarite mō ngā whakamātautau hauora: I ētahi wā, i mua i ngā whakamātautau e pā ana ki ngā whekau, pērā i te endoscopy me te colonoscopy, ka hoatu he rongoā whakawai hei horoi katoa i ngā whekau (horoi whekau).
Engari kia maumahara, kāore ngā rongoā whakamāmā e pai mō te hunga katoa e pāngia ana e te mate puku kore. Mena he whaea hāpu koe, kaua rawa e whakamahi me te kore kōrero ki tō tākuta. Kaua hoki e hoatu he rongoā whakamāmā ki ngā tamariki nohinohi me te kore tohutohu a te tākuta tamariki. Mena kei te tango rongoā koe mō tētahi atu mate, kia mōhio koe ki te kōrero ki tō tākuta i mua i te whakamahinga, nā te mea ka taea e ētahi rongoā whakamāmā te taunekeneke me aua rongoā.
Ngā momo rongoā whakamāmā me te āhua o tā rātou mahi
He rerekē ngā pānga o ngā rongoā whakangote ki tō tātou pūnaha nakunaku, ā, ka māmā ake te haere o te tūtae. Ko ētahi momo ka mimiti i te wai mai i te tūtae, ka whakangawari. Ko ētahi ka whakaoho i ngā uaua o roto i ngā whekau, ka āwhina ki te pana i te tūtae ki raro. Me titiro tātou ki ngā momo matua o ngā rongoā whakangote.
| Momo rongoā whakangāwari | Te āhua o tana mahi | Ngā tauira |
|---|---|---|
| Ngā Rongoā Whakaora-papatipu (Ngā Tāpiringa Muka) (Te momo e whakanui ana i te rahi o ngā putiputi) | Ka tāpirihia e ēnei he muka wairewa ki te tūtae, ka kukume i te wai mai i te tinana, ka nui ake, ka ngawari ake. I te nui haere o te tūtae, ka whakaohokia ngā whekau, ā, ka āwhina i te tuku i te tūtae. Koinei te momo tino ngawari. | Psyllium (Metamucil®), Methylcellulose (Citrucel®), Fybogel, Polycarbophil (FiberCon®) |
| Ngā Rongoā Whakamamae Osmotic (Te momo e kukume ana i te wai ki roto i ngā whekau) | Ka tangohia te wai mai i ētahi atu wāhanga o te tinana ka tukuna ki te koroni. Ka whakangawari te paru i tēnei wai kua kohia, ā, ka māmā ake te tuku. | Polyethylene glycol (MiraLAX®), Konupūmā waikura (Miraka Konupūmā Phillips'®), Glycerin |
| Ngā Whakangawari Tūtae (Momo whakangawari tūtae) | Ka whakanui ake ēnei i te nui o te wai me te ngako e mimitihia ana e te tūtae, ka whakangawari. | Docusate (Colace®) |
| Ngā Whakamamae Hinu (Momo hinu whakahinuhinu) | He rite ēnei ki te paninga i te taha o roto o te whekau nui, ka puta he ahua pahekeheke. Nā reira, ka iti ake te wai e mimitia ana e te tinana i roto i te tūtae, ka ngawari ake te tūtae. | Hinu kohuke |
| Ngā Rongoā Whakaohooho (Te momo e whakaoho ana i ngā whekau) | Ka whakaoho i ngā io e whakahaere ana i ngā uaua o te koroni, ka puta ai ngā nekehanga o te puku (peristalsis) me te pana i te tūtae ki raro. E taunakihia ana ēnei ina kore e whai hua ētahi atu momo. | Bisacodyl (Dulcolax®), Senna |
Ngā rongoā whakangāwari i tūtohutia e te tākuta
Mena kāore ngā rongoā whakangote e taea te hoko i waho o te tākuta hei āwhina i tō mate puku roa, ka tohua pea e tō tākuta he rongoā motuhake. He mea nui rawa tēnei mō te hunga whai mate pēnei i te IBS (Irritable Bowel Syndrome) me te hunga e mate puku ana nā te whakamahinga o ngā rongoā whakamamae (opioids). Kei roto i tēnei wāhanga ngā rongoā pēnei i te Lactulose (Duphalac®), Linaclotide (Linzess®), me te Lubiprostone (Amitiza®).
Me pēhea te whakamahi tika i te rongoā whakangote?
Hei whakamahi i te rongoā whakangote me te whakaiti i ngā pānga taha, he mea nui kia pānuihia te kōrero i roto i te kete, kia rite ki ngā tohutohu. Kaua e nui atu i te horopeta kua tohua nā te mea e hiahia ana koe kia tere te ora. Tērā pea ka pā he hua kino ki a koe mēnā ka pēnā.
He rerekē ngā momo rongoā whakangāwari:
- Pire: He papa, he kāpū rānei ka horomia.
- Paura: He paura ka rewa ki te wai, ki tētahi atu wai rānei, ka inumia.
- Wai/Tīropi: He rongoā wai ka taea te ine me te inu.
- Ngā pūwero: He kāpū rongoā iti, wairewa, ka whakaurua ki roto i te pūkahukahu.
- Enema: He ngongo iti e whakauru ana i te wai ki roto i te pūkahukahu.
Ko ngā pūmua me ngā enema, e whakaurua ana ki roto i te pūmua, ka tere te whakaora i roto i ngā meneti, i ngā hāora rānei. Heoi, he nui ake te mōrearea o ngā pānga taha pēnei i te mamae o te puku me te mate korere. Ko ngā momo ngawari pēnei i ngā mea e hanga papatipu ana, ka roa pea te mahi i roto i ētahi rā, engari he iti ake ngā pānga taha.
Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.
Ka pā mai ngā raruraru maha mēnā ka hē te whakamahinga o ngā rongoā whakamāmā, ka roa rānei te whakamahinga.
- Te maroke: Ina whakamahi koe i ngā hua e kukume ana i te wai mai i te tinana, ki te kore koe e inu i te nui o te wai i te wā kotahi, ka maroke pea tō tinana.
- Te kore taurite o te irahiko hiko: Ka taea te whakararuraru i te toenga tote me te wai o te tinana.
- Te mate puku roa: He mea whakamiharo, ko te whakamahinga tonu o ngā rongoā whakangāwari ka ngoikore ai ngā uaua o te puku, ā, kāore e taea te neke i te puku me te kore rongoā.
- Te karo i tētahi mate huna:He whakaora wā poto noa iho ngā rongoā whakamāmā i te tohumate o te mate puku. Kāore e rongoā i te pūtake. Tērā pea he mate hauora nui te take o tō mate puku. Mā te whakamahi i ngā rongoā whakamāmā ka whakaroa i te tautuhi i taua mate.
Nō reira, ki te mea kei te pōrearea tonu koe, ā, kāore te rongoā i hokona mai e koe i te whare rongoā e āwhina ana, me toro atu koe ki te tākuta i runga i te wā tonu kia kitea ai te take. Ki te mamae nui tō puku, ki te korere nui rānei, haere tonu ki te tari ohorere o te hōhipera tata (ETU).
Karere Tangohia ki te Kāinga
- Ko te taahiraa tuatahi hei whakamātau i te mate pāwera, kaua e whakamātau i ngā rongoā whakawai, engari me huri i te āhua noho pērā i te kai i ngā kai he nui te muka, te inu i te nui o te wai, me te whakakori tinana.
- He poto noa te whakamahinga o ngā rongoā whakangote. Mēnā ka roa te whakamahinga, ka kino ake pea te raruraru.
- I mua i te whakamahinga o tētahi rongoā whakamāmā, pānuihia ngā tohutohu e haere tahi mai ana me te āta, ā, whai i aua tohutohu. Kaua e neke atu i te horopeta kua tohua.
- Kaua rawa e hoatu he rongoā whakamārie ki ngā tamariki me te kore he tohutohu a te tākuta tamariki. Me rapu tohutohu hauora anō hoki ngā whaea hapū me ngā whaea whāngai u.
- Ki te mau tonu tō mate kōroke, ki te puta pinepine rānei, kaua e whakama, me toro atu ki te tākuta i runga i te wā tonu kia kitea ai te take me te maimoatanga tika.
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