Kua whakaaro kē koe he aha te mea ka pā ki te kai e kainga ana e tātou i muri i tōna taenga ki roto i tō tātou puku? E whakaaro ana tātou kua oti te mahi ina tae ki roto i tō tātou puku. Engari ka tīmata te kōrero tūturu i reira. Whai muri i tō tātou puku, ka haere roa tēnei kai. Ko te whekau iti te wāhi tino nui, te wāhi roa rawa atu hoki o taua haerenga. Ahakoa e kiia ana he 'iti' te ingoa, he tino nui te mahi e mahia ana e ia mō tō tātou tinana. Inaa, ko te oranga hauora o tō tātou tinana katoa e whakawhirinaki ana ki te mahi a tēnei whekau iti. Nō reira, i tēnei rā, me kōrero tātou mō tēnei toa iti.
He aha te mea e tupu ana i roto i te whekau iti?
Ki te kī māmā noa, ko te whekau iti te wheketere kai o te tinana. E toru āna mahi matua.
1. Te whakapūmau anō i te kai: I muri i te taenga o te ranunga kai matotoru, rite ki te parāoa kua nakunakuhia mai i te puku ki te whekau iti, ka tino wai nā ngā wai nakunaku me ngā whākōkī e kohia ana i konei. Ko te au, e hangaia ana e tō tātou ate, e rongoatia ana i roto i te pūhā, me ngā whākōkī nakunaku mai i te repeure, he tino āwhina i tēnei mahi.
2. Te mimiti i ngā matūkai: Ko ngā matūkai katoa e hiahiatia ana e tō tātou tinana, pērā i ngā huaora, ngā kohuke, ngā warowaihā, ngā pūmua, me ngā ngako, e noho ana i roto i te āhua wai o te kai, ka mimitihia ki roto i te toto o te tinana i konei. Koinei te mea nui rawa atu ka mahia e te whekau iti. Ki te kore tēnei mahi e oti tika, ahakoa te pai o te kai e kainga ana e tātou, e kore te tinana e whiwhi i tētahi matūkai.
3. Te tuku i te toenga ki te whekau nui: Ko tētahi atu o āna mahi he pana i ngā para kore e taea te nakunaku, arā, ngā para, e toe ana i muri i te mimitinga o ngā matūkai katoa, ki te pito e whai ake nei, arā, te whekau nui. Ko reira anake ka puta te para i te tinana hei paru.
Kei hea tēnei whekau iti? He aha tōna rahi?
Kei roto i te kōhao puku te whekau iti, he mea takai, he rite ki tētahi pōro miro nui. Kei te taha o tēnei whekau iti te whekau nui.
Ahakoa tōna ingoa, ko te whekau "iti" te wāhanga roa rawa atu o tā tātou pūnaha nakunaku. Ko te whekau iti o te pakeke toharite he tata ki te 22 putu te roa . Whakaarohia, he tata ki te rua te roa o te rūma i roto i te whare noa! He mea whakamiharo te kitea o tētahi ngongo roa i roto i ō tātou puku, kāore?
Me tōna mata hoki. Kāore te pakitara o roto o te whekau iti i te maeneene. He miriona ngā toronga tino angiangi, pērā i ngā maihao. Ka karangatia ēnei e mātou he villi. Mā ēnei ka nui te mata hei mimiti i ngā matūkai. Inaa, ki te horahia te pakitara o roto o te whekau iti, ka rite te rahi ki te papa tēnehi !
Engari he iti ake te whānui o tēnei. E rua henimita te roa, he rite tonu te rahi ki tō maihao tohu. Ka kiia ko te "whekau iti" nā te mea he roa engari he iti te whānui.
Ngā wāhanga matua e toru o te whekau iti
Hei whakangawari ake i tēnei haerenga roa, ka wehea te whekau iti kia toru ngā wāhanga. He mahi motuhake tā ia wāhanga. Me titiro tātou ki tēnei ripanga kia mārama ai tātou ki tēnei.
| Wāhanga | Whakaahuatanga me te Mahi |
|---|---|
| Duodenum | Koinei te wāhanga tuatahi, te wāhanga poto rawa hoki o te whekau iti. Ka tomo tuatahi mai te kai mai i te puku ki konei. Ka tāpirihia ngā whākōkī au me te repeure, e tika ana mō te tukanga nakunaku, ki te kai i tēnei wāhanga. He rite ki te peihana whakaranu e whakaranu ana i ngā kai nakunaku katoa o te kai. |
| Jejunum | Koinei te wāhanga o waenganui. E waru putu te roa. He whero pouri nā te mea he maha ngā uaua toto. I konei, ka nekehia te kai ki mua, ki muri mā te mahi uaua, ka whakaranu pai ki ngā wai nakunaku. Ka panaia mārire te kai ki te wāhanga e whai ake nei mā te whakahekenga o ngā uaua aunoa e kiia nei ko te peristalsis. |
| Ireuma | Koinei te wāhanga whakamutunga, te wāhanga roa rawa hoki o te whekau iti. Koinei te wāhi e mimiti ai te nuinga o ngā matūkai ki roto i te tinana. Ka mimitihia hoki ki konei ngā matūkai motuhake pērā i te huaora B12. Ka noho te kai ki tēnei wāhanga mō te wā roa. Kātahi ka tukuna ngā para e toe ana ki te whekau nui. |
He aha ngā āhuatanga noa e pā ana ki te whekau iti?
Tērā pea ka pāngia tēnei okana nui o tātou e ngā momo mate hauora, ko ētahi o ēnei kua rongo pea koe.
- Mate Celiac: He mate pāwera o te tinana ki te gluten, he pūmua e kitea ana i roto i ngā witi pēnei i te witi me te parei.
- Te mate a Crohn: He mate mumura roa e puta ai i ngā wāhi katoa o te pūnaha nakunaku.
- Ngā mate puku (Enteritis):Te mumura o ngā whekau i puta mai i ngā mate huaketo, kitakita rānei. Ngā āhuatanga pēnei i te mea e kīia nei e tātou ko te 'pōrearea o te puku' me te 'paihana kai'.
- Ngā pukupuku neuroendocrine o te puku: He momo mate pukupuku onge ēnei.
- Te Mate Puku Whakararuraru (IBS): He āhuatanga e tohuhia ana e ngā wā e mamae ana te puku, e pupuhi ana, e mate kōroke ana, me te korere, engari kāore he mate e kitea ana.
- Te ngoikore o te ngākau: Te kore e taea e ngā whekau te mimiti tika i ngā matūkai.
- Mate puku peptic: He mate pukupuku e puta ana i roto i te puku, i te tīmatanga rānei o te whekau iti.
- Te aukati i te whekau iti: He aukati i roto i te whekau iti nā tetahi take.
- Te Tupu Nui o te Huakita o te Puku Iti (SIBO): He tupu nui o ngā huakita i roto i te whekau iti e noho ana i te whekau nui.
Ko te mea nui, ki te whakaaro koe kei a koe ēnei tohu, kaua e ngana ki te tātaritanga i a koe anō i runga ipurangi. Kia mahara ki te toro atu ki tētahi tākuta whai tohu mō ētahi tohutohu.
Ngā tohu e tohu ana i tētahi raruraru ki te whekau iti
Ina kore e mahi pai te whekau iti, ka puta ngā tohu me ngā āhuatanga rerekē i roto i te tinana. Mēnā ka mau tonu tētahi, neke atu rānei o ēnei, me aro atu ki tēnei.
| Tohu | Hei whakarāpopototanga... |
|---|---|
| Mamae puku | Te mamae pinepine o te puku, me te āhua kei te takahurihia koe. |
| Pupuhi | Te āhua nei kua kī tonu tō puku i te hau, kua pupuhi hoki. |
| Te kōroke | He uaua ki te haere ki te wharepaku, kāore e haere mō ngā rā. |
| Korere | Ngā tūtae wai, auau. |
| Whakapairuaki me te ruaki | Whakapairuaki, ruaki rānei me te mamae o te puku. |
| Te whakahekenga taumaha kāore i te whakamāramahia | Ki te whakaiti i tō taumaha me te kore e kai nui, e whakakori tinana rānei. |
Me pēhea te tākuta e tautuhi ai i tētahi raruraru o te whekau iti?
Ina amuamu koe mō ēnei tohu, ka tirotirohia koe e tō tākuta, ka tukuna koe mō ngā whakamātautau maha mēnā e tika ana, i runga i ō tohu.
Ngā Whakamātautau Toto me te Taiwhanga
- Te Tatau Toto Katoa (CBC): Tirohia mēnā he mate pēnei i te anemia.
- Paewhiri Pūnaha Whakaora Katoa (CMP): Ka tirotiro i ngā mea pēnei i te tote o te tinana me te mahi a te whatukuhu.
- Te tātaritanga mimi
- Ngā whakamātautau tūtae: Tirohia mēnā he mate urutā me te toto.
- Ngā whakamātautau mō ngā mate motuhake: Mena kei te whakapaehia he mate pēnei i te mate celiac, te mate a Crohn rānei, ka mahia he whakamātautau toto motuhake mō aua mate.
Ngā Whakamātautau Whakaahua
Mā ēnei whakamātautau ka taea e te tākuta te kite i ngā mea e tupu ana i roto i ngā whekau.
- Kāpū Endoscopy: He kāpū tēnei, he rite ki te kāpū huaora, he kāmera iti kei roto. Ka horomia e koe. Ka hopukina te ataata o roto i a ia e neke ana i roto i ō whekau.
- Matawai CT (Matawai Tomography Rorohiko): Ka taea e tēnei te whakaputa whakaahua whakawhiti-wāhanga taipitopito o ngā whekau me ētahi atu whekau puku.
- Endoscopy o Runga: Te tirotiro i te puku me te tīmatanga o te whekau iti mā te whakamahi i tētahi ngongo angiangi me te kāmera e whakaurua ana mā te waha.
- Enteroscopy: Te tirotiro i tētahi wāhanga roa ake o te whekau iti mā te whakamahi i tētahi ngongo roa ake i te endoscope.
He aha ngā maimoatanga mō ngā mate puku iti?
Ko ngā kōwhiringa maimoatanga ka whakawhirinaki ki tō āhua motuhake, ka rerekē pea i ia tangata, i ia tangata.
- Hei tauira, ki te mea he mate celiac tōu, me karo koe i ngā kai kei roto te kuruteni (pēnei i te taro, te rimurapa, me ngā keke) mō te toenga o tō oranga.
- Mēnā he mate puku , ka tohua e te tākuta he rongoā hei whakaiti i te waikawa o te puku, hei whakaora hoki i ngā mate puku.
- I ngā take nui, pērā i te aukati o te whekau iti , me mahi pokanga pea hei tango i te aukati.
Ko te mea nui ko tō tākuta anake hei whakatau i te maimoatanga pai mōu. Kaua e whakamātau i ngā rongoā e taunakitia ana e ō hoa, i ngā mea rānei e kitea ana e koe i te ipurangi.
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora o te whekau iti
Anei ētahi tikanga pai, ngāwari hoki ka taea e tātou te whai hei pupuri i te hauora o te puku, me tō tātou hauora whānui hoki.
- Kai pai: Kai i ngā kai e nui ana i ngā huawhenua hou, ngā hua rākau, me ngā witi katoa . Whakaitihia ngā kai tukatuka, ngā kai ngako nui, me ngā kai huka nui. Mena e tika ana, ka taea e koe te tāpiri i ngā prebiotics me ngā probiotics ki tō kai mā te pātai atu ki tō tākuta, ki tētahi tohunga kai rānei.
- Inumia he nui te wai ma: Mā te inu i te nui o te wai e hiahiatia ana i te roanga o te rā ka āwhina i te tukanga nakunaku. He pai ake te inu i te wai ma, kaua ki ngā inu warowaihā me ngā inu he nui te huka.
- Kia nui te moe me te okioki: Ka whakatikatika ngā pūtau o te tinana i a rātou anō i a tātou e moe ana. Ehara i te mea ko te moe pai anake te whakapakari i tō tātou pūnaha ārai mate, engari he mea tino nui hoki mō te hauora o te puku.
- Whakahaerehia te ahotea: Ka taea e te ahotea nui te whakararuraru i ngā mate pēnei i te IBS me te mate a Crohn. Ka taea e koe te whakaiti i te ahotea mā te mahi i ngā mea pēnei i te whakaaroaro, te yoga, me te whai wāhi atu ki ngā mahi whakangahau.
- Kia kaha tonu: Mā te whakakori tinana i ia rā ka pai ake te rere o te toto i roto i te tinana. He pai hoki mō ngā whekau. Ka āwhina te whakakori tinana ki te whakahaere i te nekenekehanga o te puku, ā, ka āwhina hoki ki te ārai i ngā āhuatanga pēnei i te mate puku.
Hei whakamutunga, ahakoa he iti noa te ingoa o te whekau iti, he mea nui e tiaki ana i tō tātou tinana katoa. E hia ngā hāora e pau ana ki te mahi i taua mahi nui. E ono pea ngā hāora hei nakunaku katoa i te kai kotahi, hei mimiti i ngā matūkai, hei tuku para ki te whekau nui. Nō reira, ko tā tātou kawenga te tiaki i tēnei okana utu nui.
Karere Tangohia ki te Kāinga
- Ko te whekau iti te kawenga mō te mimiti i ngā matūkai e hiahiatia ana e te tinana, nō reira he mea tino nui te pupuri i tōna hauora.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te puku, te pupuhi, te mate korere, te mate kōroke rānei, me te ngaronga taumaha kāore i te whakamāramatia.
- Kaua rawa e tātaritanga i a koe anō, kaua hoki e tango i ngā rongoā ka taea te hoko kore utu. Mēnā he raruraru hauora tōu, whakapā atu ki tētahi tākuta whai tohu.
- Ko te kai hauora, te inu wai nui, te whakakori tinana, me te noho kore ahotea ngā huarahi pai hei pupuri i te hauora o tō pūnaha nakunaku.
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