He mamae uaua kei roto i tō tinana? Me ako tātou mō tēnei (Visceral Hypersensitivity)!

Ka pāngia koe e te mamae rerekē, te koretake rānei i roto i tō puku, i tō uma, i tētahi atu wāhi rānei o roto i tō tinana? Kei te pāngia tonu koe e tēnei mamae ahakoa kāore koe e kite i tētahi take mārama mōna, ahakoa te kī a ngā tākuta kāore he mea nui? Mena koinā, i tēnei rā ka kōrero tātou mō tētahi mea he mea tino nui ki a koe. Ka kiia tēnei ko te visceral hypersensitivity, ko te `(Visceral Hypersensitivity)` rānei.

He aha te tairongo nui o ngā kiko o roto?

Ki te kī māmā noa, ko te "Visceral Hypersensitivity" he wā ka pāngia koe e te mamae, e te kore whakamarie rānei i roto i ngā whekau ngohengohe o roto o tō tinana, pērā i te uma, te puku, me te puku o raro , he māmā ake i te tangata noa. Hei whakamārama, he iti ake tō paepae mō te pāngia e te mamae o ēnei whekau i te tangata noa.

Whakaarohia, ka taea e ngā tākuta te ine i tēnei paepae mamae mā roto i ētahi whakamātautau. I roto i aua whakamātautau, ka pāngia ngā whekau ki tētahi pēhanga iti. Ko te nuinga o te tangata kāore e pāngia e tētahi mamae. Heoi, mō te tangata he "Visceral Hypersensitivity", ahakoa taua pēhanga iti ka taea te rongo hei mamae nui. Ehara i te mea koinā anake, engari ka pāngia pea koe e te mamae mai i ngā kare ā-roto kāore e pāngia e ētahi atu, ā, nā te mahi noa o ngā whekau i puta ai.

He aha te pānga o tēnei ki te tinana?

Ina kōrero tātou mō ō tātou whekau o roto, he maha ngā mea e pā ana ki tēnei mate, pērā i te ngākau, ngā pukahukahu, te pūkahukahu, ngā ira tangata, me ngā whekau i roto i tō tātou pūnaha nakunaku . Mēnā kei a koe te "Visceral Hypersensitivity" (VH), ka pāngia pea koe e te mamae ahakoa kei te mahi noa tētahi, ētahi rānei o ēnei whekau. He maha ngā wā, ka taka hoki te hunga whai mate pēnei ki te wāhanga o ngā "Mate Mahi" , inā koa ko ērā e pā ana ki te pūnaha nakunaku.

Ko te ngoikore o te mahi he mea pēnei i te hau, te wai, te kai rānei e neke ana i roto i tētahi okana, ka puta te mamae me te kore whakamarie. I te nuinga o te wā, kāore he take mārama, pēnei i te whara, i te mate rānei. E whakapono ana ngā tākuta he āhuatanga e kiia nei ko te "Visceral Hypersensitivity" pea kei roto i tēnei ngoikore.

He rerekē tēnei me te `(IBS)`?

Kāo, ehara tēnei i te rite ki te IBS (Irritable Bowel Syndrome). Engari he hononga kaha kei waenganui i ngā mea e rua. He maha ngā wā ka whakamātauria te hunga whai IBS mō te Visceral Hypersensitivity. Kua kitea tata ki te 40% o te hunga whai IBS he Visceral Hypersensitivity. E whakapono ana ngā tākuta ka puta te Visceral Hypersensitivity i ngā tohu IBS mō te wā roa, ā, ka kino ake hoki ngā tohu IBS. E hono ana hoki ki ētahi atu mate mahi, engari kua oti te nuinga o ngā rangahau mō tōna hononga ki te IBS.

He pēhea te noa o tēnei āhuatanga?

He mate hou te Visceral Hypersensitivity. Nō reira, kāore anō kia tino mōhiotia te whānui o tōna auau. Engari he tino noa te ngoikore o te mahi. Ko te IBS anake ka pā ki te 20% o te taupori. Ā, i te mea he 40% o te hunga whai IBS he Visceral Hypersensitivity anō hoki, ka taea e tātou te whakatau tata ka pā tēnei mate ki te 10% o te taupori.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?

Ko te tairongo nui o ngā uaua o roto ka kitea tahitia me ētahi atu mate mahi. Heoi, ehara i te mea ko te hunga katoa he mate mahi he tairongo nui o ngā uaua o roto. He hononga tata hoki ki ngā mate wairua e pā ana ki te ahotea . He taunakitanga anō hoki kei roto i ngā whānau, ko te tikanga he pānga ira pea . He mea whakamiharo, e rua ngā wā ka kitea te mate i roto i ngā wāhine i ngā tāne .

Tērā pea ka nui ake te tūponotanga ka pāngia koe e tēnei mate mēnā kei a koe:

• Te Mate Puku Whakararuraru (IBS)
• Te Matepukupuku Mahi
• Mamae Uma Kore-Ngākau
• Ngā raruraru uaua o te nono (Anismus)
• Te mate pukupuku o te pokapū
• Te mate pukupuku
• Te mamae o te paheketanga (Dysmenorrhea)
• Ngā raruraru hinengaro pēnei i te manukanuka
• Te pouri
• Te pāngia o tētahi o te whānau e ngā āhuatanga mamae mahi.
• Mena i pāngia koe e te mamae nui o te puku (Colic) i a koe e pēpi ana.
• He pūnaha whakaputa uri wahine tō te wahine.

He aha te āhua o tēnei mamae?

Ina kōrero tātou mō tēnei mea, ko te kupu "roto" he tikanga mō tētahi mea e ahu mai ana i roto, he mea hohonu, he mea ā-tinana. He rite ki te kī "he tauhohenga roto." Ā, e pā ana hoki ki tō tātou puku, pērā i te "kare ā-roto." Koinei te āhua o tēnei mamae roto.

He mea horapa noa iho , arā, he uaua ki te tohu tika i te wāhi e mamae ana, ahakoa he tino kino te mamae. I te nuinga o te wā, ka pā ki ō whekau. Ka puta pea ngā tohu pēnei i te mamae o te puku, te whakapairuaki, me te koretake o te kai, ahakoa kei hea te nuinga o te mamae.

Waihoki, tera pea he hononga kaha tō tēnei mamae ki tō āhua hinengaro me tō āhua kare ā-roto . Ka taea e te mamae o ngā whekau o roto te whakararu i te ahotea, ā, ka taea hoki e te ahotea te whakararu i tēnei mamae.

He aha ngā tohu o tēnei?

Ko te hunga whai tairongo nui ki ngā uaua o roto, ka pāngia e te mamae tonu o te uma, te puku, te puku o raro rānei mō ngā marama neke atu i te toru .Ko te mamae mau tonu he mamae e mau tonu ana mō te wā roa. Tērā pea ka haere mai, ka haere atu rānei tēnei mamae, ka puta mai rānei i ētahi mahi a te tinana, pērā i te wā e kī ana te pūkahukahu, i te wā rānei e horomia ana. Ko ētahi o ngā okana ka pāngia ko:

• te korokoro
• Ngākau
• Ngā pūkahukahu
• Puku
• Pancreas
• Whēkau Iti
• Whēkau Nui
• tōngāmimi
• Uretra
• kōpū
• Te tūnga

Ka horapa te mamae o roto, he uaua ki te tohu, ā, i ētahi wā ka horapa ki ētahi atu wāhi. Nā tēnei ka uaua ake te tautuhi. Ko tētahi āhuatanga ahurei o tēnei momo mamae ko te kaha ki te whakaoho i ngā urupare kaha mai i te pūnaha io motuhake o tō tinana. Hei tauira:

• Te kiri mā (Pallor)
• Te werawera
• Ngā urupare nekenekehanga o te tinana katoa
• Ngā huringa o te pāmahana tinana
• Ngā huringa o te toto toto
• Ngā huringa o te tere o te ngakau

Tērā pea ka pāngia te hunga whai tairongo nui ki ngā uaua o roto e ētahi atu tohu o ngā mate puku mahi. He rite ngā tohu o ēnei mate ki ngā tohu o ngā mate mumura pērā i te GERD (Gastroesophageal Reflux Disease), te Peptic Ulcer Disease, me te Inflammatory Bowel Disease. Ko te rerekētanga anake ko ngā mate mahi, kāore e kitea e ngā tākuta he take rauropi, pērā i te mate puku, te reflux waikawa, te mumura mau tonu rānei.

Ko ngā tohu noa o te mate puku mahi ko:

• Ngau mamae
• Mamae o te uma
• Te koretake o te kai
• Puku Pupuhi
• Mamae puku
• Whakapairuaki me te Ruaki
• Korere
• Te kōroke

He maha anō hoki ngā tohu kāore i te tino kitea e ngā tākuta i roto i te hunga whai IBS, ā, e whakaaro ana rātou he hononga pea ki te Visceral Hypersensitivity. Hei tauira:

• Te mamae tonu ahakoa te pā mārie ki te puku.
• He kare ā-wera i ngā wāhanga rerekē o te tinana.
• Te pāwera nui ki te makariri.
• Te horapa o te mamae ki ngā peka me ngā waewae.

E whakaatu ana ēnei tohu ehara i te mea ko ngā whakaohooho tinana anake e pā ana, engari ko te pūnaha io anō hoki.

He aha i pēnei ai?

Kei te ngana tonu ngā kairangahau ki te mārama me pēhea te puta o te Visceral Hypersensitivity. E whakapae ana rātou tera pea ka puta mai i te ahotea tinana, hinengaro, kare ā-roto rānei.E whakaponohia ana ko te pānga o te mamae, ahakoa he nui, he maha rānei ngā mamae, ka taea te whakararu i te pūnaha io. Kua tautuhia e ngā kairangahau ētahi āhuatanga ka whai wāhi pea ki tēnei urupare mamae. Ko ētahi o ēnei ko:

• Ngā ira: Tērā pea ka pāngia ētahi tāngata e te mate pāwera ki ngā āhuatanga ira, ā, ka nui ake tō rātou aro ki te mamae.
• Te mamae o te wā tōmua: He wā nui te tamarikitanga mō te whanaketanga o ngā ara iahiko roro e whakahaere ana i te ahotea me te mamae. Ka taea e te mamae i tēnei wā, inā koa mēnā he āhuatanga ira, te whakarerekē i te whanaketanga o ēnei ara iahiko. Kei roto i tēnei ko te mamae hinengaro/kare ā-roto, te mate kino, te mate pāwera, te whara rānei i te wā o te tamarikitanga.
• Ngā mate hinengaro: Ko ētahi o ngā āhuatanga e whakararu ana i ngā āhua mamae ka taea hoki te whakararu i ngā mate hinengaro, pērā i te manukanuka me te pouri. Waihoki, nā te mea ka whakahohe tonu te hunga whai mate hinengaro i ō rātou ara iahiko mamae me te ahotea, ka nui ake te tūponotanga ka tairongo nui rātou.
• Ngā āhuatanga ahotea pāpori: He maha ngā āhuatanga ahotea i roto i te ao pakeke. Heoi, ka taea e te nuinga o te tangata te aro atu ki ēnei āhuatanga mēnā he nui te tautoko pāpori me te manawanui tinana. Heoi, he ngoikore ake ētahi pakeke ki ngā āhuatanga kua whakahuatia i runga ake nei. Ki te kore ēnei e arohia pai, ka pāngia ētahi e ngā mate mamae mau tonu.
• Te Mate Puku Tūturu: Pērā i ētahi take rauropi, ka taea hoki e te ahotea mau tonu te whakaputa mumura iti i roto i te puku mō te wā roa. Ka taea e tēnei te kino i te arai tiaki o te puku. Ko tētahi ariā e kī ana ka taea e ngā matū mumura te whiti i te arai puku me te whakaoho i te pūnaha io matua.
• Ngā Maikorokoro Kino o te Puku: Ka pā te taurite o ngā huakita e noho ana i roto i tō puku ki te aro o tō tinana ki te mamae. Ka whakamōhio ngā huakita o te puku i te pūnaha io matua mō te āhua o tō puku. Ahakoa kāore i te mārama te take, kua honoa te tipu nui o te momo huakita hē, te whakangaromanga rānei o ngā huakita pai e ngā paturopi, ki te Visceral Hypersensitivity.

Ina kua rite tō pūnaha io mō te urupare mamae tino pāwera, ka tīmata te mamae o roto i te okana tonu, ka tīmata rānei i te roro hei urupare ā-tinana rerekē ki te ahotea. Kua kitea e ngā tākuta he maha ngā wā ka puta te "Visceral Hypersensitivity" i muri i tētahi huihuinga motuhake. Hei tauira, ka puta pea te mamae nui me te mumura i roto i tētahi o ō okana nā te whara, te mate, te ahotea nui rānei. Heoi, ahakoa kua pahemo te āhuatanga ohorere, ka haere tonu te whakamaoritanga a ō io i ngā kare noa hei mamae, ā, ka tukuna aua tohu mamae ki te roro.

Ka tukuna e ēnei io ngā tohu mamae ki te wāhanga o tō roro e hopu ana i te mamae. Ko taua wāhanga anō hoki, ka tukuna ngā tohu ki ngā wāhanga o tō roro e tukatuka ana i ngā āhuatanga kare ā-roto o te mamae. Ko te urupare kare ā-roto te huarahi a tō tinana ki te ako i a koe kia karo i tētahi mea kua whara i a koe. Heoi anō, he rerekē te mahi a tēnei ara io. Arā, ka taea hoki e te ahotea me ngā kare ā-roto te whakanui ake i te kite i te mamae tinana, i te kore whakamarie rānei i roto i ō whekau o roto . Ina pāngia koe e te Visceral Hypersensitivity, ka haere tonu te mamae tinana me te ahotea kare ā-roto te whakakaha i a rāua anō. Ka whakautu tō roro ki ngā mea e rua mā te whakamahi i ngā homoni ahotea. Ka kino ake ngā tohu.

He aha te pānga o tēnei ki ngā mate puku mahi pēnei i te IBS?

He pūnaha io anō tō tō pūnaha nakunaku. Ka kiia ko te pūnaha io puku. Ka horapa puta noa i tō ara nakunaku. I ētahi wā ka kiia ko te "roro tuarua" ko te "roro i roto i te puku" rānei. Kei roto i ia paparanga o tō ara nakunaku ngā pito io o tēnei pūnaha io puku. He maha ngā mea e whakaohoohohia ana ēnei pito io, tae atu ki ngā ihirangi nakunaku, ngā huakita me ngā huakita, te totoro me te pupuhi, te mumura, me ngā tohu ahotea matū.

Ehara i te mea ka whakatūpato noa ēnei io i tō roro ki te kore e pai, engari ka tohu hoki i tō tinana kia aro atu ki ngā mea e kitea ana he tūraru: te whakaroa i te tukanga nakunaku, te tere ake i te tukanga, me te tango i ngā paitini. Mena ka nui rawa te whakaohooho o ēnei io, ka taea e rātou te puta mai i ēnei urupare. Koinei te take e puta ai ngā tohu. Tērā pea ka pāngia koe e te mate e kiia nei ko te "Visceral Hypersensitivity", e kite ana koe he mamae te nakunaku noa.

Me pēhea te kite a ngā tākuta i tēnei?

Ahakoa he maha ngā whakamātautau e whakamahia ana i roto i ngā rangahau haumanu hei tātaritanga i te `(Visceral Hypersensitivity)`, kāore ēnei whakamātautau e mahia i te nuinga o te wā ki ngā tūroro e haere mai ana ki te rapu maimoatanga hauora. He maha ngā wā ka tātaritangahia te `(Visceral Hypersensitivity)` i te huarahi kotahi ki ētahi atu mate mahi: mā te tirotiro i ō tohu me te whakakore i ētahi atu take hanganga (mate) . Whai muri i te tono atu ki a koe mō tētahi hītori hauora katoa me te whakahaere i tētahi whakamātautau katoa, ka whakaritea ngā whakamātautau noa. Mena kāore aua whakamātautau e kitea he mea nui, tera pea ka tātaritangahia koe me te `(Visceral Hypersensitivity)`.

He aha te rongoā mō tēnei?

Kei te rapu tonu ngā kairangahau i ngā huarahi hou hei aro atu ki te Visceral Hypersensitivity. Ko ngā maimoatanga o nāianei he whakakotahitanga o ngā rongoā me ngā maimoatanga hinengaro/tinana . Nā te mea e pā ana tēnei mate ki ō whekau tinana me tō roro, ko te huarahi e rua ngā mata te mea tino whai hua, ā, tera pea ka angitu mō te wā roa.

Ngā rongoā

Ko te whāinga o ngā rongoā mō te "Visceral Hypersensitivity" he whakamarie i tō pūnaha io.Kāore e pai ngā rongoā mamae noa mō tēnei momo mamae . Kāore i te tūtohutia ngā rongoā mamae kaha pērā i ngā narcotics me ngā opioids nā te mea ka kino ake te āhua o te mate i ōna pānga taha. Engari, ko ngā rongoā e tohua ana e ngā tākuta he rite tonu ki ngā rongoā e whakamahia ana hei rongoā i ngā mate hinengaro pērā i te manukanuka me te pouri, engari he iti iho ngā horopeta .

Ehara tēnei i te kī he mate hinengaro tōu. Ko ētahi tāngata he Visceral Hypersensitivity he mate hinengaro tō rātou, engari ko ētahi kāore. Mena kei te whakahekehia tō paepae mamae e ō tohu hinengaro, ka taea e ēnei rongoā te āwhina ki te whakapiki i taua paepae. Heoi anō, ka whakangāwari hoki i ngā tohu mamae e puta mai ana i ō io. Mā te rongoā i te mamae tonu ka āwhina ki te whakaiti i ngā homoni ahotea me te whakarite i tō tinana me tō roro kia whiwhi i te painga nui mai i ngā maimoatanga hinengaro/tinana.

Ko ngā momo rongoā ārai pouri ko:

• Ngā rongoā ārai pouri tricyclic
• Ngā Aukati Whakahoki Anō o te Serotonin (SSRI)
• Ngā Ārai Noradrenaline me te Serotonin Whiriwhiri (SNRI)

Ko ētahi atu rongoā hei āwhina i te mamae o ngā uaua:

• Ngā kaitukino i te kaiwhakawhiwhi histamine H1
• Ngā rongoā ārai-hopu

Ngā rongoā hinengaro/tinana

Ka taea e ngā rongoā te rongoā i ō tohumate, engari kāore e rongoā i te mate taketake. Koinei te mahi a ngā rongoā hinengaro/tinana. Mā te whakamahi i te neuroplasticity - te kaha o tō pūnaha io me tō roro ki te ako i ngā tauira hou - ka ngana ēnei maimoatanga ki te aukati i te tīmatanga o te mamae io. Ko ngā maimoatanga e taunakitia ana ko:

• Whakaora Whanoke Hinengaro (CBT): He huarahi roa, pūnaha hoki tēnei hei whakangungu anō i te urupare a tō pūnaha io ki ngā kare ā-roto "mai i runga ki raro" - arā, i te taumata o te hinengaro.
• Whakaora Hinengaro: Ka taea e te mana o te whakaaro i roto i te āhua whakamoe te āwhina i te whakamarie i te urupare mamae o te io.
• Urupare Koiora: Ka whakamahia e tēnei maimoatanga ngā taputapu hei ine i ō urupare ā-tinana ki te mamae, ā, ka aro atu koe ki aua urupare. Kātahi ka taea e koe te mahi ki te whakarerekē i aua urupare.

Rongoā tāpiri

Ahakoa kāore anō kia tino whakamatautauria ēnei taunakitanga, he pai tonu te whai huatanga ki te rongoā i te mate tairongo nui o ngā uaua ki roto i te tinana.

• Ngā probiotics:I te mea he taurite koretake o te taupori o te puku (Visceral Hypersensitivity) pea te take, ka āwhina pea ngā probiotics me ngā prebiotics ki te whakaiti i ngā tohu.
• Te wero ngira: Kua whakaatuhia te whai huatanga o te wero ngira ki te rongoā i te mamae mau tonu o ētahi tāngata.
• Hinengaro Whakaora: Mena e tika ana, ka taea e te hinengaro whakaora mō te manukanuka me te pouri te āwhina i te whakaiti i te ahotea hinengaro/kare ā-roto me te awe i tō tirohanga mamae.

Ka taea te whakaora katoa i tēnei?

Kāore mātou i te mōhio. He pūrongo whakatenatena kei reira e kī ana kua tino pai ake ētahi tāngata i muri i ētahi maimoatanga. Heoi, he maha ngā mea e whakawhirinaki ana ki tēnei , pērā i te pūtake o ō rātou tohu me te maha o ngā mea kē atu e whai wāhi ana ki tō rātou mate pāwera. Ko te rongo pai ko te rangahau tonu, ā, he maha ngā huarahi whai hua hei aro atu ki te "Matawai i te Mate Pāwera o te Tinana" kei te tūhuratia.

Ka taea te whakaora i tēnei mā te kai me te inu?

He maha ngā wā ka tūtohutia kia whakarerekētia te kai hei āwhina i ngā tohumate o te IBS. Mena kei roto i tō pūnaha nakunaku te aro o roto, ka āwhina pea ngā whakarerekētanga kai ki te whakaiti i te mamae e pā ana ki te nakunaku ngoikore.

Kāore te nakunaku i te wāhanga nui o te Visceral Hypersensitivity. Heoi, ki te kore koe e manawanui ki te kai, ka taea e rātou te whakaputa mumura mau tonu, iti te taumata, te kino i te arai tiaki o tō puku, me te tipu nui o ngā huakita kino o te puku e kai ana i ngā warowaihā kāore e taea te nakunaku. Kua whakaarohia ēnei pānga katoa hei take e whai wāhi ana ki te Visceral Hypersensitivity. Mena koinā, ka āwhina pea ēnei tauira kai:

• Kai Whakakore: He kai rangitahi tēnei hei āwhina i a koe ki te tautuhi ko ēhea ngā kai e whakararuraru ana i a koe. Kei roto i tēnei ko te whakakore i ngā kai e whakararuraru ana i a koe, kātahi ka tāpiri haeretia anō i runga i ō tohumate.
• Kai iti-FODMAP: He kai whakakore motuhake tēnei. E aro ana ki ngā momo warowaihā e puta ai ngā raruraru nakunaku. Mena he nui rawa te tipu o ngā huakita, ka taea e te kai iti-FODMAP te āwhina ki te whakaiti i aua mea mā te kore e hoatu ki a rātou ngā warowaihā e hiahiatia ana e rātou.
• Ngā Kai Probiotic: Mena he kino te microbiome o te puku e pā mai ana ki ō raruraru, tera pea ka āwhina ngā probiotics. Ko tētahi o ngā huarahi pai ki te tiki probiotics i ia rā ko te kai i ngā kai probiotic. Ko ētahi tauira ko te miraka kawa, te miraka kawa, te tīhi kātihi, te sauerkraut (he momo kāpeti kua whakapūkaratia), me te hupa miso (he momo hupa Hapanihi).

Hei whakamutunga, ngā mea hei maumahara

He raruraru uaua te Visceral Hypersensitivity. Me whai huarahi whānui ki te maimoatanga. Kei te piki haere te mahi a ngā tākutaKei te mōhiotia te hiranga o te hononga o te puku me te roro . Kei te ngana ngā kairangahau ki te mārama ake ki te āhua o te whakawhitiwhiti kōrero a ō tātou roro, ō tātou whekau, me ngā pūnaha io, me pēhea hoki tēnei e hē ai.

Kotahi te mea e tino mārama ana: Ehara i te mea ko te mamae o roto "kei roto i tō mahunga anake." Heoi, he pānga ki te roro, ki tētahi taumata. Nō reira he uaua ake i te rongoā i tētahi raruraru ā-tinana. Engari ka hoatu he mana ki a koe. Mā te whakamahi i te mana o tō roro, ka taea e koe te mahi ki te whakarerekē i ō ake ara io hei whakaiti i te mamae. Nō reira, kei reira te tumanako!

Te Tairongo Nui o ngā Wāhanga, IBS, Mate Puku Mahi, Mamae Puku, Taumahatanga, Pūnaha Io, Maimoatanga