Kua rongo koe i te pupuhi ohorere o te rohe e tata ana ki tō taringa, ā, he tino mamae rawa, kāore e taea e koe te pā atu? Kei te ahua piki haere tēnei mamae, ina koa ka kite koe i ngā kai reka, ka tuwha rānei koe i roto i tō waha? Tērā pea ka pāngia ētahi e tēnei pupuhi me te kirika. He tokomaha e whakaaro ana he pupuhi noa iho tēnei ka memeha i roto i te rā kotahi, e rua rānei. Engari he raruraru pea tēnei nō te 'repe parotid', he wāhanga tino nui o tō tātou tinana. Nō reira kaua e manukanuka, ka kōrerohia e tātou tēnei i tēnei rā, i tētahi huarahi e mārama ai koe.
He aha tonu te repe parotid?
Ki te kī māmā noa, ko te repe parotid te repe huware matua o tō tātou waha. E toru ngā takirua repe huware matua o roto i tō tātou waha. Ko te takirua repe nui rawa atu ko te repe parotid. Kei ia taha o ō paparinga ēnei repe e rua, kei mua tata atu, kei raro iho hoki i ō taringa.
Whakaarohia te roto o tō tātou waha he mīhini e mahi tonu ana. Ka kōrero tātou, ka kai, ka horomia hoki ngā mea. Kia pai ai, kia maeneene ai te mahi a tēnei mīhini, me whai mea pēnei i te hinu whakahinuhinu. Koinei te ingoa o tō tātou waha ko te 'huware'. Ko te repe parotid te mea nui rawa atu, ko te mea nui rawa atu hoki o ngā wheketere matua e whakaputa ana i tēnei huware.
Nā, he aha te mea ka pā ki te huware i whakaputaina e tēnei repe?
Ehara i te wai anake tēnei. He nui ngā mahi tino nui a tēnei mō ō tātou tinana.
- Te pupuri i te waha kia makuku: Mā te huware ka noho makuku te waha, kia kore ai e maroke, kia ngāwari ai tā tātou kōrero me te horomi kai.
- Te āwhina i te nakunaku: Ka tīmata te tukanga nakunaku i te kai e kainga ana e tātou i roto i te waha. Kei roto i te huware, e hangaia ana e te repe parotid, he whākōkī e kiia nei ko te amylase . Koinei te tīmatanga o te taahiraa tuatahi i roto i te nakunaku o ngā kai māngaro (pēnei i te taro me te raihi) e kainga ana e tātou i roto i te waha.
- Ka whakaiti i ngā huakita kino i roto i te waha: He kāinga mō ngā miriona huakita i roto i tō tātou waha. Ka taea e te huware te whakahaere i ēnei huakita kino me te whakaiti i te tūponotanga o ngā mate waha.
- Ārai i te pirau niho: Ka horoia e te huware ngā matūriki kai, ka whakakore hoki i ngā waikawa kino ki ngā niho. Nō reira, he mea nui te huware hei ārai i te pirau niho.
I mōhio koe? I te nuinga o te wā, e 10% o te huware katoa i roto i tō tātou waha ka puta mai i ngā repe parotid. Engari i a tātou e kai ana, ka kaha ake te mahi a ēnei repe, ka piki ake te hanga huware tae atu ki te 25%!
Kei hea tonu tēnei repe i roto i tō tātou tinana, ā, he aha tōna āhua?
E ai ki tā mātou i kōrero ai i mua ake nei, kei mua tonu i ō taringa, kei raro iho hoki i ō paparinga ēnei repe e rua. Hei whakamārama, me noho ki runga i tō kauae o raro. Ka puare ia o ēnei repe ki roto i tētahi awa angiangi rite ki te ngongo ('awa o Stensen'). Koinei te wāhi e puta ai te huware ki roto i tō waha. Ka puare tēnei awa tata ki ngā niho niho o runga i tō kauae o runga.
Ki tōna āhua, he rite ki tētahi piramiti e hurihia ana. He whānui te taha o runga, ā, ka whaiti haere i a ia e heke ana ki raro. He io tino nui e whakahaere ana i ngā kare ā-roto o tō tātou mata, arā, te io kanohi , e rere ana i roto i te repe. Mā tēnei io ka wehea te repe kia rua ngā wāhanga (te pū o runga me te pū hohonu). Koia te take e tino tupato ai ngā tākuta i te wā e mahi pokanga ana i te repe parotid. Nā te mea ki te paku pakaru taua io, ka taea e tetahi taha o te mata te piko, ā, ka taea e te huware te turuturu i te kokonga o te waha.
He aha i pupuhi ai tēnei repe parotid? He aha ngā take?
Āe, me titiro tātou ki te raruraru o te tini tāngata. He aha i pupuhi ohorere ai tēnei repe, i mamae ai? He maha ngā take matua mō tēnei. Me wehewehe pēnei tātou.
| Raruraru/āhuatanga | He whakamārama māmā |
|---|---|
| Te hanganga kōhatu huware (Sialolithiasis) | Koinei te tino take. Ka kohia ngā kohuke pēnei i te konupūmā i roto i te huware, ka hanga he kōhatu ririki ki roto i ngā awaawa e kawe ana i te huware. Ina kai koe, ka nui ake te huware ka puta, ā, ka piri ēnei kōhatu, ka ārai i te huware kei rere ki waho, ka pupuhi te repe, ka mamae nui. |
| Te mate o te repe (Sialadenitis) | Ka pangia pea te repe e te huakita, e te huaketo rānei. Hei tauira, ko te makariri noa, te mumps, he mate huaketo o te repe parotid. Ka taea hoki e ētahi atu mate huakita te pupuhi, te whero, me te kirika. |
| Te hanganga o ngā pukupuku i roto i te repe | I ētahi wā ka puta he pukupuku i roto i te repe parotid. Kaua e mataku ina rongo koe i tēnei. Tata ki te 80% o ēnei pukupuku he pukupuku noa, ehara i te matepukupuku. Ka taea e rātou te tipu nui ake, engari kāore pea e mamae. |
| Matepukupuku | He tino onge tēnei. Heoi, i ētahi wā ka puta he pukupuku matepukupuku i roto i tēnei repe. He tere te tipu o ēnei, ka mamae, ā, ka taea hoki te whakatōtō i te mata nā te pēhanga ki te io o te mata. |
He aha ngā tohu tino kitea o tēnei raruraru?
I te nuinga o te wā, ahakoa te take, he iti noa ngā tohu noa. Mena kei a koe tētahi, neke atu rānei o ēnei, kaua e whakakorea he mea noa.
- Te pupuhi o te paparinga me te kauae: Ka pupuhi ohorere, ka pupuhi mārire rānei te taha o te paparinga e tata ana ki te taringa.
- Mamae: Ka puta te mamae me te pupuhi. Ka piki ake te mamae, ina koa ka whakaaro koe ki te kai, ki te kai, ki te whakaaro rānei ki tētahi mea kawa . Nā te mea ka piki ake te nui o te huware e whakaputaina ana.
- Te kirika: Ki te pā mai he mate, ka werawera pea te tinana, ka pāngia hoki e te kirika.
- Te uaua ki te whakatuwhera i tō waha: Ka uaua pea te whakatuwhera me te kati i tō waha i te pupuhi.
- Waha maroke: Mena ka aukatihia tetahi o ngā awa huware, ka maroke pea tō waha.
- Te reka kino i roto i te mangai: Mena kua puta te pūhā i te mate, tera pea he reka kino, he haunga kino rānei kei roto i tō mangai.
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta me ēnei tohu, ko te mea tuatahi ka mahia e ia ko te pātai atu ki a koe. Ka pātai atu ia ki a koe mō te roa o te pupuhi, te āhua o te mamae, mēnā ka kino haere i te wā e kai ana koe, me te mea kei te kirika koe.
Kātahi ka tirotirohia tō mata, ō paparinga, me tō kauae. Ka tirohia e rātou mēnā he pupuhi, he ngawari, he mahana, he mamae hoki. Ka tirohia anō hoki tō waha mēnā he whero, he pupuhi, he rerenga wai rānei mai i ngā repe huware.
I te nuinga o te wā, mā tēnei whakamātautau tuatahi ka mārama te tākuta ki te raruraru. Heoi anō, i ētahi wā ka hiahiatia ētahi atu whakamātautau hei whakaū i te tino take.
| Ingoa o te whakamātautau | Hei whakarāpopototanga, he aha tāu e mahi ai ki taua mea? |
|---|---|
| Ngā Whakamātautau Whakaahua | Tērā pea ka tonoa koe kia tirotirohia he matawai ultrasound , he matawai CT , he matawai MRI rānei kia kitea ai he aha te āhua o roto i te repe. Mā tēnei ka kitea mārama mēnā he kōhatu, he pukupuku, he pupū rānei. |
| Te Kohikohi Ngira | Mena kei te whakapaehia he pukupuku, ka whakamahia e te tākuta he ngira angiangi hei tango i ētahi pūtau mai i te pupuhi ka tukuna atu ki te taiwhanga. Mā tēnei ka āwhina ki te whakatau mena he matepukupuku. |
He aha ngā maimoatanga mō tēnei?
Ko te tikanga maimoatanga e whakawhirinaki ana ki te pūtake o tō raruraru.
- Mena he mate pāwera: Mena he mate kitakita, ka tohua e tō tākuta he paturopi e tika ana, me te rongoā hoki mō te kirika me te mamae.
- Mena he iti rawa te kōhatu, ka kī atu pea tō tākuta kia nui te wai e inumia ana, kia kai rānei i tētahi mea kawa pērā i te tōfei, i te rēmana rānei. Mā tēnei ka āwhina i te rere o tō huware, ā, ka āwhina hoki ki te pana i te kōhatu ki waho. Tērā pea ka akona koe e ia ki te mirimiri i te repe. Engari me kōrero koe ki te tākuta i mua i te whakamātau i ēnei mahi māu ake. Ki te kore ēnei mahi e mahi, me mahi pea koe i tētahi pokanga iti hei tango i te kōhatu.
- Mena he pukupuku: Mena he pukupuku, ko te maimoatanga pai ko te pokanga (`Parotidectomy`) hei tango i te pukupuku, i tetahi wāhanga rānei o te repe.
- Mena he mate pukupuku: Mena kua whakaūtia te mate pukupuku, me whai pea te rongoā irahiko , te rongoā chemotherapy rānei hei tāpiritanga ki te pokanga.
Me aha tātou kia ora tonu ai ēnei repe?
Kāore e taea e tātou te ārai i ēnei raruraru katoa, engari he iti noa ngā mea māmā ka taea e tātou te mahi hei pupuri i te hauora o ō tātou repe huware.
- Inumia he nui te wai i te roanga o te rā: Ko te matewai tetahi o ngā take o te hanganga o ngā kōhatu huware. Nō reira, kia tino inu koe i te nui o te wai e hiahiatia ana i te roanga o te rā.
- Kapia, tōfe rānei kāore he huka: Mā te ngaungau i ēnei ka whakaoho i te whakaputanga huware, ka āwhina i te pupuri i ngā ngongo kia ma.
- Āta karohia te kai hikareti:Ka pāngia te mahi a ngā repe huware e te hikareti, ā, he tūponotanga hoki ki te mate pukupuku.
- Whakaitihia te kawheine me te waipiro: Ka taea e ēnei te whakamaroke i te tinana, nō reira he pai ake te whakawhāiti i te whakamahinga.
- Kia mau ki te akuaku o tō waha: Mā te parai i ō niho e rua i te rā, me te pupuri hoki i tō waha kia ma, ka āwhina i te ārai i ngā mate.
Hei whakamutunga, ki te pupuhi tō repe parotid, ā, e mamae ana, kaua e warewarehia. I te nuinga o te wā, he mea ēnei ka taea te whakaora katoa mā te whakamahi i ngā maimoatanga māmā. Engari i ētahi wā, me mahi pea tētahi mea pēnei i te pokanga. Nō reira, ki te mea he pātai, he ruarua rānei āu, ko te mea pai ko te toro atu ki tō tākuta me te tiki tohutohu.
Karere Tangohia ki te Kāinga
- Kaua e warewarehia te pupuhi me te mamae o te paparinga e tata ana ki te taringa, pērā i te mea noa. Tērā pea he raruraru kei te repe parotid.
- Ki te kaha ake te mamae, inā koa i te kai, i te whakaaro rānei ki tētahi mea kawa, he tohu kaha tēnā tera pea nā ngā kōhatu i roto i ngā awa huware (sialolithiasis).
- Ki te pā mai ēnei tohu ki a koe, kaua e noho ki te kāinga, kaua e whakaaro noa, kaua hoki e whakawhirinaki ki tāu e pānui ana i te ipurangi. Me toro atu ki tō tākuta.
- Ko te nuinga o ngā raruraru o te repe parotid ka taea te rongoā ngāwari mā te whakamahi i ngā paturopi, i ngā rongoā kāinga rānei. Nō reira, he mea nui kia rapu tohutohu hauora tika i te wā e taea ai, me te kore e mataku.
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