Kāore koe e mimiti tika ana i tāu kai? Me kōrero tāua mō tēnei (Malabsorption)!

He maha ngā raruraru o tō puku? He maha ngā wā ka kī koe, ka pū te hau? He maha rānei ō mamae i te hau pūngāwerewere? I ētahi wā ka whakaaro tātou he mea noa ēnei, he mea ka puta ina paku werawera te kai. Heoi, ki te mau tonu ēnei tohu, tera pea nā te mea kāore tō tinana e mimiti i ngā matūkai e hiahiatia ana e ia mai i te kai e kainga ana e koe. I roto i te rongoā, ka kiia tēnei āhuatanga ko te (Malabsorption).

He aha tēnei (Malabsorption)?

He kupu whānui te "malsorption" mō te kore e taea e te tinana te mimiti tika i ngā matūkai mai i te kai e kainga ana e koe. Ehara tēnei i te mate kotahi, engari he āhuatanga ka puta mai i ngā āhuatanga maha. Whakaarohia, ina kai tātou i te kai, kia taea ai e ia te whakarato i te pūngao me te kai mā ō tātou tinana, me nakunaku me te mimiti tika, tika?

Ka taea e tātou te wehewehe i te tukanga nakunaku kai kia toru ngā wāhanga:

1. Wāhanga Tuatahi: Te tapatapahi pai i te kai, me te wāwāhi kia ngawari te nakunaku.

2. Wāhanga tuarua: Te mimiti i ngā matūkai katoa e hiahiatia ana e te tinana mai i te kai kua nakunaku.

3. Wāhanga Tuatoru: Te tuku i ngā para e toe ana i muri i te mimitinga o ngā mea pai katoa.

Nā, ki te mea he raruraru tō te nakunaku, tera pea kei tētahi o ēnei wāhanga te raruraru. Ko te ngoikore o te mimiti he wāhanga o te wāhanga tuarua . Ko te tikanga o tēnei ahakoa kua nakunaku te kai, kāore ngā matūkai e mimitihia ki roto i te tinana. Ka puta pea tēnei i ngā āhuatanga pēnei i te ngoikore o ngā whākōkī e aukati ana i te tinana ki te nakunaku i ētahi kai (hei tauira, kāore e taea e ētahi tāngata te nakunaku i te miraka) me ngā mate puku maha e pā ana ki tō pūnaha nakunaku.

He aha te mea ka tupu ina he ngoikore te mimiti?

Mena he ngoikore tō mimiti, tera pea ka uaua ki te mimiti i ngā matūkai katoa, ka uaua rānei ki te mimiti i ētahi matūkai motuhake. Ko ngā mea kāore e taea te mimiti ka tukuna ki roto i tō tūtae me te kore e nakunaku. He maha ngā tāngata he ngoikore tō mimiti he mate pēnei i te mate korere, ka kino ake ai tēnei raruraru mimiti. Nā te mea ina he mate korere koe, ka tere rawa te neke o te kai i roto i ō whekau, nō reira kāore he wā e mimiti ai ngā matūkai.

I roto i te wā poto, ka pāngia te puku e te ngoikore o te mimiti kai, ka mamae hoki nā te mea kāore e taea te nakunaku i ētahi kai. Engari i roto i te wā, ka tīmata tō tinana ki te whakaatu i te korenga o ngā matūkai kāore e taea e koe te mimiti. Mena kei te ngoikore koe i ngā matūkai nui – pērā i te pūmua, te ngako, me te warowaihā – ka tīmata koe ki te kite i ngā tohu o te kore kai pai, pērā i te ngoikore o te uaua me te ngoikore o te pūnaha ārai mate . Waihoki, ki te kore koe e ngoikore i ngā matūkai iti – pērā i ngā huaora me ngā kohuke – ka pāngia pea ō kanohi, ō wheua, tō kiri, me tō makawe.

He aha ngā momo matua o te koretake o te ngongo?

Ko ētahi mate puku, pērā i te mate Celiac me te mate puku mumura (IBD), ka raru pea te mimiti o ngā momo matūkai katoa. I ētahi atu wā, ka raru pea koe ki te mimiti i tētahi matūkai motuhake anake. Anei ētahi o ngā momo:

Kāore ngā warowaihā e mimiti tika ana e te tinana.

He pāwera ētahi tāngata ki tētahi, neke atu rānei o ngā warowaihā (huka). Tērā pea ka kitea tēnei e koe hei hau, he pupuhi, me te mamae o tō puku . Ko ngā warowaihā kāore i te mimiti tika ki roto i tō whekau iti ka whakapūpūtia e ngā huakita o tō whekau nui. Ka hurihia e ēnei huakita hei hau me ngā waikawa ngako mekameka-poto. Ka puta te hau i roto i tō puku i taua hau, ā, ka taea e ngā waikawa ngako mekameka-poto te whakamomona ake i ō tūtae.

Kāore te ngako e mimiti tika ana e te tinana

He momo mimiti koretake noa iho tēnei. He maha ngā take. Ko te ngako kāore e mimitia ki roto i te whekau iti ka uru ki roto i te whekau nui, ka puta he tūtae momona, he rite ki te mate korere. Ka kiia hoki tēnei he steatorrhea. He hinuhinu, he wai, he haunga kino tēnei momo tūtae. Tērā pea he mārama te tae, ā, ka mānu i roto i te wai. Nā te mea kāore e mimitia tika te ngako, ka ngoikore hoki te mimiti o ngā huaora wairewa-ngako (ngā huaora A, D, E, me te K).

Te ngoikore o te mimiti waikawa ale

I ētahi wā, kāore e taea te mimiti i te ngako nā te mea kāore te au o te puku, ngā awa au, te ate rānei e whakaputa i te au i roto i te nui. Engari i ētahi wā, ko tētahi atu take pea. Kātahi ka noho tonu ngā waikawa au kāore i mimitia ki roto i te whekau iti, ka uru ki te whekau nui. Ko tēnei pānga taha e kiia ana ko te Bile Acid Malabsorption. Ko ngā tote au e noho tonu ana i tēnei ara ka whakanui ake i te tukunga o te wai mai i te whekau nui, ka puta ai te mate korere roa .

Kāore te pūmua e mimiti tika ana e te tinana

Ko te tikanga, ki te kore koe e aro ki tētahi momo pūmua motuhake, arā, he kore e taea e koe te nakunaku, he onge noa iho te raru ki te mimiti i te pūmua anake. Ko ētahi tauira o tēnei ko te kore e taea te nakunaku i te pūmua i roto i te miraka me te kore e taea te nakunaku i ngā kai kei roto te kuruteni.

He aha ngā tohu mēnā he ngoikore te mimiti?

I te tīmatanga, te āhua nei he rite noa te ngoikore o te ngongo ki te koretake o te kai. Ko ētahi o ngā tohu ko:

• Mamae puku.
• Pupuhi ana, whakakī ana i te puku.
• Te rere pinepine o te hau (hau).
• Whakapairuaki me te ruaki.
• Te korere.
• (Steatorrhea) - He tūtae momona, he hinuhinu, he rerekē te tae i ētahi wā, e mānu ana.

I roto i te wā, ka tīmata te puta mai o ngā tohu o te kore kai pai.

Ka penei te āhua o te kore kai pai o ngā matūkai matua:

• Te whakahekenga taumaha koretake.
• Te ngoikore o te uaua, te ngaronga o te taumaha.
• Ngā mate maha (nā te ngoikore o te ārai mate).
• Ka kikorangi te kiri ahakoa he iti noa te marutanga.
• Kiri maroke, ngā whara kiri.
• Makawe maroke, makawe ngaro.
• Te matewai (te kore wai i roto i te tinana).
• (Edema) - Te pupuhi o te tinana (nā te pupuri wai).
• Te mate kore toto - te mā, te ngoikore, te whanoke.
• Te riri tonu, te kore hiahia, te ngenge.
• Te mutunga, te kore rānei o te paheketanga i roto i ngā wāhine (Amenorrhea).
• Te whakaroa i te whanaketanga o ngā tamariki.

Ka penei te āhua o te kore kai pai mō ngā matūkai iti:

• Te ngoikore o te tirohanga i te pō (te korenga o te Huaora A).
• Ngā wheua ngoikore, mamae wheua (te korenga o te Huaora D).
• Te toto o ngā kapia, te toto o te ihu (te korenga o te Huaora K).
• Te arero whero, te mate arero (te korenga o te huaora B12).
• Te mā, te ngoikore, te whanoke (te anemia i te korenga o te huaora).

He aha ngā tino take o te koretake o te ngongo?

He wā poto noa iho pea te ngoikore o te mimiti, pērā i te mate puku, te rewharewha puku rānei. Engari ko te ngoikore o te mimiti mō te wā roa ka puta mai i tētahi mate hauora kua roa e pāngia ana e koe. He maha ngā take o te ngoikore o te mimiti, engari i te nuinga o te wā ka taka ki roto i ētahi wāhanga.

Te kino ki te arai o te whekau iti

Ko te nuinga o ō matūkai ka mimitia ki roto i te whekau iti (ko ētahi ka mimitia ki roto i te whekau nui). Ko te arai kiriuhi o ngā pakitara o tō whekau e whai wāhi ana ki te whakaputa i ngā whākōkī nakunaku me te mimiti i te kai wai ki roto i tō toto. Heoi, ka taea te pakaru i tēnei arai kiriuhi e te mumura (enteritis) me te whara. Ka taea e tēnei kino te noho rangitahi (whakapeka) te noho roa rānei (mau tonu). He maha ngā take mō tēnei:

• Ngā mate pipiri pērā i te mate a Whipple me te mate Tropical Sprue.
• Ngā mate puku mumura (IBD) pērā i te mate puku ulcerative me te mate a Crohn.
• Ngā mate autoimmune pērā i te mate Celiac.
• Te whakamahinga nui rawa o ētahi rongoā.
• Te Mate Whakamahi Waipiro.
• Te rongoā irahiko me te rongoā matū.
• (Te Mate Puku Poto) - Te poto o te whekau iti.
• (Te Tupu Nui o te Huakita o te Pēkana Iti - SIBO) - Te tupu nui o ngā huakita i roto i te whekau iti.
• Te nui rawa o te waikawa o te puku i roto i ngā āhuatanga pēnei i te Zollinger-Ellison Syndrome.

Ngā mate o te repeure, te pūhā, ngā mate ate

Ka mahi tahi tō repe taiaki, tō ate, me tō pūkahukahu me tō whekau iti hei āwhina i a koe ki te nakunaku kai. Ka whakaputahia e te repe taiaki ngā whākōkī nakunaku nui. Ka whakaputahia, ka rongoatia hoki e te ate me te pūkahukahu te au. He mea nui tēnei au mō te nakunaku i ngā ngako. Ina kainga te kai, ka tukuna e ēnei whekau ā rātou mea huna ki roto i te whekau iti. Heoi, ki te kore ēnei whekau e mahi tika ana nā tētahi mate, kāore e taea e te whekau iti te nakunaku me te mimiti tika i te kai. Hei tauira:

• Te ngoikore o te repeure.
• (Te Pūnaha Kirikiri).
• Ngā Ārai o ngā Paipa Au.
• Ngā mate o te pūngāwerewere.
• Mate ate.

Ngā Mate o te Pūnaha Lymphatic

Ka mimitihia te ngako mai i tō whekau iti ki roto i tō toto mā roto i ngā oko toto lymph. Mēnā ka āraia ēnei oko toto nā ngā mate o te pūnaha lymphatic, ka raru pea te mimitinga o te ngako. Ko te Lymphangiectasia Intestinal me te Lymphoma ētahi tauira e rua o tēnei.

Te kore e taea te nakunaku i ētahi kai (Ngā Ārai Kai)

Ko te kore e taea te nakunaku i ētahi warowaihā, i ētahi pūmua rānei, he pānga taha pea tēnei o ngā mate puku. (Hei tauira, ko te kore e taea te nakunaku i te fructose). Engari i ētahi wā ka whānau mai te tangata me te kore he whākōkī e hiahiatia ana hei nakunaku i ētahi matūkai. (Ko te tauira pai rawa atu o tēnei ko te kore e taea te nakunaku i te lactose - Lactose Intolerance).

Me pēhea koe e mōhio ai mēnā he malabsorption tōu?

Pērā i te nuinga o ngā mate puku, he tukanga āta haere te tātaritanga o te kore mimiti o te kai. Ka tirohia tuatahitia koe e tō tākuta, ā, ka whakaarohia tō hītori hauora me ngā tohumate. Tērā pea ka whakapaetia te kore mimiti o te kai mēnā he hītori mate puku mau tonu tōu, kua pokangahia rānei.

Ka taea te whakapae i te koretake o te ngongo me te kore kai mena kei te kitea ētahi tohu, pēnei i te steatorrhea (ngā tūtae momona) me te mate korere tonu, te anemia me te ngoikore o te uaua. Heoi, i ētahi wā, kāore i te tino kitea. Ma tō tākuta e whakahaere ngā whakamātautau tika hei whakatau i te tino take o tō mamae.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te malabsorption?

• Ngā Whakamātautau Manawa: Ka taea e te whakamātautau manawa hauwai te āwhina i te tautuhi i ngā āhuatanga pēnei i te kore e manawanui ki te lactose, ngā raruraru nakunaku warowaihā motuhake, me te SIBO (te tipu nui o te huakita whekau iti).
• Ngā Whakamātautau Tūtae: Ka taea e te whakamātautau tūtae te ine i te nui o te ngako i roto i tō tūtae, ā, ka āwhina i te tautuhi i te ngoikore o te mimiti ngako. Ka taea hoki e ia te kite i ngā mea pēnei i ngā mate pirinoa me te ngoikore o te repe taiaki.
• Ngā Whakamātautau Toto: Ka taea e ēnei te whakaatu i ngā tohu o te korenga o ngā matūkai motuhake ka puta mai i te kore mimiti me ngā āhuatanga hauora motuhake pēnei i te mate Celiac.
• Whakamātautau Werawera: He whakamātautau motuhake tēnei hei tautuhi i te mate (Cystic Fibrosis).
• Ngā Whakamātautau Whakaahua: Tērā pea ka hiahia tō tākuta ki te tirotiro i ngā whekau o tō pūnaha nakunaku kia kitea ai mēnā he tohu kei roto. Kei roto pea i tēnei ko te Whakamātautau X-ray o te puku, te Ultrasound Endoscopic, te Video Capsule Endoscopy rānei.
• Te Kohikohi i te Puku Iti:Tērā pea ka hiahia te tākuta ki te tango i tētahi tauira kiko mai i tō whekau iti hei whakamātautau i roto i tētahi taiwhanga. Ka taea e tēnei koiora te rapu i ngā taunakitanga o te pakaru o te arai o tō whekau (mucosa). Ka taea te tango i tēnei tauira i te wā o te endoscopy.

Me pēhea te rongoā i te malabsorption?

He maha ngā tino take o te koretake o te ngongo, ā, he whānui ngā pānga ka puta. Ka whakatauhia tō maimoatanga i runga i ēnei āhuatanga.

Hei rongoā i ngā pānga o te mimiti koretake, me whai tāpiringa kai pea koe. Ka taea te hoatu hei wai mā te waha, mā te ngongo (whanganga ngongo), mā roto rānei i te uaua (IV - intravenous). Me tango pea e koe ngā whākōkī nakunaku motuhake. Tērā pea nā te mea kāore e taea e koe te nakunaku i tētahi kai, nā te mea rānei kāore tō repe taiaki e mahi tika ana. Mena he mimiti koretake waikawa bile tōu, ka hoatu pea he mea e kiia nei ko te bile acid sequestrant hei āwhina i te ārai i te mate korere.

He uaua ake te rongoā i te pūtake o te koretake o te kai. Mena he koretake noa iho ki te kai, me whakarerekē pea tō kai. Ka taea te rongoā i ngā mate pāwera māmā ki ngā paturopi. Engari ko ngā mate mō te wā roa me whai rongoā motuhake ake. I ētahi wā kāore he rongoā tonu, engari mā ngā whakarerekētanga o te momo noho ka āwhina i te whakahaere i ngā tohu.

Ka ora te mate mimiti?

Kei te tautuhi i te tino take me te rongoā tika i tēnei. He māmā ake te rongoā i ētahi take i ētahi atu. Kia kitea tō mate, ka whakamāramahia e tō tākuta ngā taipitopito o tō āhua. I roto i te nuinga o ngā wā, ka taea e ngā huringa āhua noho te āwhina i a koe ki te rongoā i te āhua (te koretake o te ngongo) me ōna tohu.

He maha ngā tāngata e pāngia ana e te koretake o te puku, te pupuhi, te hau, me te mate korere i ētahi wā. Mēnā kāore tetahi mea e kai ana koe e pai mōu, tera pea ka pāngia koe e ngā tohu wā poto, engari ka memeha noa iho. Kāore he take e manukanuka ai ki tēnei momo mate koretake. Engari ki te pāngia koe e ēnei tohu i ia wā, he tohu pea tēnei mō tētahi mea kino ake. Me māharahara tonu koe ki te korere e mau tonu ana.

He take huna pea te koretake o te kai. Nā te puhoi o te whanaketanga o te koretake o te kai, kāore pea koe e kite i tēnei tae noa ki te tino kino, inā koa he tangata kai pai koe. He tino morearea tēnei mō ngā tamariki. Me nui ake te kai hei oranga mō rātou, ā, kāore pea e taea e rātou te kōrero ki a koe mō ō rātou tohu. Mena kei te whakaatu tō tamaiti i ngā tohu o te puku puku tonu, inā koa ko te tūtae koretake, he mea nui kia kite koe i te tākuta kia mōhio ai koe kāore he mate koretake o te kai.

He aha te karere e hiahia ana tātou ki te kawe ki te kāinga mai i tēnei tuhinga?

Āe, kua mōhio tātou inaianei ko te "malabsorption" he kupu whānui mō te kore e taea e te tinana te mimiti i ngā matūkai mai i te kai e kainga ana e tātou. He maha ngā take mō tēnei, ā, ka rerekē ngā tohu i ia tangata, i ia tangata.

• Mena kei te pāngia koe e ngā tohu pēnei i te mamae o te puku, te korere, te pupuhi, me te hekenga taumaha kāore i te whakaarohia , kaua e kīia he mate puku noa iho.
• Ka pā te koretake o te kai ki te tinana nā te koretake o te ngongo, ā, he maha ngā pānga kino ka pā ki te tinana.
• Mena kei te pā tonu ēnei tohu ki a koe, ki tāu tamaiti rānei, me rapu tohutohu hauora koe .
• Mena ka tika te tātaritanga me te rongoā i te nuinga o te wā, ka taea te whakahaere i tēnei āhuatanga.

Kia maumahara, he mea nui kia whakarongo ki ngā kōrero a tō tinana. Ahakoa te āhua iti nei, i ētahi wā ka taea te waiho hei tīmatanga mō tētahi mea nui. Nō reira, ko te tiaki i tō hauora te mea nui rawa atu.

` Te ngoikore o te mimiti, te korenga o ngā kai, te nakunaku, te korere, te kore kai pai, te korenga o ngā huaora, te mamae o te puku