I ētahi wā, ka rongo koe i te kī tonu o tō waha i te huware, me te mea kei te mau tetahi mea i roto i tō korokoro, ā, he reka kawa kei roto? He mea tēnei e whakararuraru ana i te tini o te tangata. I roto i te rongoā, ka kiia tēnei mate ko te wai-whara . He tohu tēnei e kitea whānuitia ana me te GERD (Gastroesophageal Reflux Disease), he momo gastritis kino rawa atu. Nā te mea he tokomaha te hunga kāore i te tino mōhio ki tēnei, me kōrero noa tātou i tēnei rā.
He aha rawa te Water Brush?
He māmā noa iho, ko te huware wai te wā e mahi nui rawa ai ō repe huware, ā, ka nui rawa te huware i roto i tō waha. Ka puta tēnei ina he nui te mate gastritis, arā, ka hoki te waikawa o te puku ki runga i te korokoro ki roto i tō korokoro me tō waha.
Whakaarohia, ina puta te waikawa o te puku, ka ngana te tinana ki te whakakore i taua waikawa mā te whakanui ake i te hanga huware. Koinei te take ka rere ohorere te huware ki roto i te waha. Ka taea e ētahi tāngata te whakaputa i te rua tīpune (10 miririta) o te huware i ia meneti. Ina konatunatua tēnei huware ki te waikawa o te puku, ka puta he reka kawa, he reka rerekē ki te waha, me te ahua kei te mau tetahi mea i roto i te korokoro.
He tokomaha te hunga e whakapoauau ana i tēnei āhua o te korere wai ki te ruaki. Engari he rerekē ēnei mea e rua. Ko te ruaki ko te ruaki o te kai kua nakunakuhia mai i te puku ki roto i te korokoro. Ko te korere wai ko te whakaputanga o te huware nui.
Ko ētahi atu tohu ka haere tahi me te wera wai
Ko te korere wai tētahi o ngā tohu o te GERD. Tērā pea ka pāngia koe e ētahi atu tohu kua whakarārangihia i raro nei.
| Tohu | Whakaahuatanga |
|---|---|
| Ngau mamae | Te mamae wera i waenganui o te uma nā te waikawa o te puku. |
| Regurgitation | Ka piki ake te waikawa o te puku me te kai kua nakunakuhia tata tonu ki roto i te korokoro. |
| Te uaua ki te horomi i te kai | Te āhua nei kua piri te kai ki roto i te korokoro. |
| Te mamae o te uma ehara i te mate ngakau | Te mamae i te wāhanga o te korokoro e tata ana ki te ngākau. |
| Whakapairuaki me te ngaronga o te hiahia kai | Te āhua e ruaki ana, me te kore e hiahia kai. |
He aha tātou ka pāngia ai e te matewai?
Ko te tino take o tēnei ko te GERD. Kei waenganui i te korokoro me te puku he takirere e kiia nei ko te Lower Esophageal Sphincter (LES) . He rite ki te tatau. Ina kai tātou, ka tuwhera tēnei tatau hei tuku i te kai kia uru ki roto i te puku, kātahi ka kati pūmau anō kia kore ai e piki ake te waikawa o te puku.
Engari ki te ngoikore, ki te whara, ki te kore rānei e kati tika tēnei takirere e kiia nei ko te LES, ka tīmata te turuturu o ngā waikawa kino o te puku. Ina pā tēnei waikawa ki te korokoro, ka rongo tātou i te werawera i roto i tō tātou uma. Koinei te tukanga e puta ai te mamae pēnei i te mamae o te uma.
Kei te rangahau tonu ngā tohunga i tēnei. E whakapono ana rātou ko te waikawa e uru ana ki te korokoro he tohu ki ngā repe huware kia whakaputa ake i te huware. He tikanga tiaki pea tēnei mō te tinana.
Me pēhea te rongoā mō tēnei?
He rite tonu te rongoā mō te mate korere wai ki te rongoā mō te GERD. I te nuinga o te wā, ka taea te whakahaere i te mate mā te whakarerekē i ngā momo noho me ngā tikanga kai, ā, ki te tika, mā te tango rongoā e ai ki ngā tohutohu a te tākuta.
Ngā huringa āhua noho e tika ana kia mahia e koe
| Me aha? | Whakaahuatanga |
|---|---|
| Te karo i te momi hikareti | Ka ngoikore te takirere LES i te kai hikareti. |
| Te pupuri i te taumaha hauora | Ka taea e te taumaha rawa te pēhi i te puku me te whakanui ake i te waikawa reflux. |
| Te whakaiti i te inu waipiro | Ka taea hoki e te waipiro te whakararu i ngā tohu o te GERD. |
| Te whakarite kai | He pai ake te kai i ngā kai iti maha i te rā, kaua e toru ngā kai nui. |
| Te kai āta haere | Hoatu he wā ki tō pūnaha nakunaku kia nakunaku tika ai te kai. |
| Te kai i mua i te moe i te pō | Kai i te tina i te iti rawa i te toru hāora i mua i te moe. Kaua e takoto i muri i te kai. |
Ngā rongoā (me te tohutohu hauora anake)
Tērā pea ka tohua e tō tākuta he rongoā hei whakahaere, hei whakaiti rānei i te waikawa o te puku.
He mea tino nui: Me whakamahi noa i ēnei rongoā i raro i te tohutohu a tō tākuta. Kaua e tango rongoā i te whare rongoā i a koe anō. Ko te tākuta anake ka taea te whakatau i te rongoā me te horopeta tika māu.
| Momo rongoā | Mahi |
|---|---|
| Ngā rongoā ārai waikawa | Ka tere te whakaora i te mamae (i roto i te 30 meneti). |
| Ngā aukati H2 | Ahakoa e tata ana ki te haora te roa o te pānga o ēnei, e tata ana ki te 10 haora te roa o te whakaora. |
| Ngā aukati papu pūmua (PPI) | Ka whakaorahia ngā tohumate GERD mō te wā roa e ēnei, ā, ka roa pea te 1-4 rā ka pā mai te hua. |
He aha ngā kai kino hei karo i tēnei mate?
Kāore he rārangi motuhake o ngā kai e kino ana mō te mate korere wai, te GERD rānei. Heoi, ko ngā kai e whakangāwari ana i te takirere LES, e roa ake rānei te nakunaku, ka kino ake pea ngā tohu. Mena kei te pāngia koe e te mamae, ngana ki te whakaiti i ngā kai i raro nei.
- Ngā kai hinuhinu, ngako, me ngā kai raukikī
- Ngā inu kawheine (hei tauira, tiakarete, kawhe)
- Ngā inu warowaihā (hei tauira, te houra tunutunu)
- Ngā hua citrus pērā i te rēmana me te karaka
- Riki me te kāriki
- Mīni
Engari kia maumahara, kāore te katoa e pāngia e te mate pāwera ki ēnei kai. He pai ake kia tūpato, kia mōhio ai ko ēhea ngā kai e whakamā ai koe.
He aha tāu e mahi ai hei whakaora wawe mēnā ka pā mai he uauatanga?
Ki te puta ohorere mai ēnei tohu, ā, ka kore koe e pai ki te haere, ngana ki te mahi i ēnei mea:
- Tū tika: Ina tū koe, ka āwhina te kaha ā-papa i te waikawa kia hoki ake ki roto i te puku.
- Wetekina ngā kākahu piripono: Kaua e mau i ngā kākahu piripono (whitiki, tarau piripono) i a koe e moe ana . Ka taea e te pēhanga te whakanui ake i te nui o te waikawa e puta ake ana.
- Tangohia he rongoā whakaiti waikawa e ai ki te tohutohu a tō tākuta: Mena kua tūtohutia e tō tākuta i mua, ka taea e koe te tere whakaora i te rongoā whakaiti waikawa.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ēnei tohu (te ngau o te uma, te wai o ngā kanohi) mō ngā wiki e rua neke atu, me toro atu ki te tākuta. Ahakoa ehara i te mea morearea ngā wai o ngā kanohi, ki te kore e rongoatia te mate GERD, ka taea e ia te kino i tō korokoro i roto i te wā.
Ahakoa he tohu whakararuraru te mamae o te uma, te mamae o te uma, me te ruaki i te puku o te uma o te puku, he maha ngā wā ka taea te whakahaere pai mā te whakarerekē i te momo noho me te rongoā. Nō reira kaua e mataku. Kōrero ki tō tākuta mō te mahere maimoatanga pai rawa atu māu.
Karere Tangohia ki te Kāinga
- Ko te wai o ngā kanohi he tohu o te GERD (mate reflux gastroesophageal acute).
- Ko te tino take o tēnei ko te pikinga o te waikawa o te puku ki te esophagus.
- Ka taea te whakahaere i tēnei āhuatanga mā te hanga i ngā huringa māmā ki te āhua noho me ngā tikanga kai.
- Mena ka roa ake ngā tohu mō ngā wiki e rua, me toro atu ki te tākuta.
- Kaua e whakamahia ngā rongoā e pai ana ki a koe me te kore he tohutohu hauora.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te Uauatanga ki te Horomi / Te Mate Puku?
He mea noa te uaua ki te kai ina mamae tō korokoro. Engari ko te 'Dysphagia' ko te wā e mau ana te raihi, te taro, te wai rānei e kainga ana e koe ki waenganui o tō korokoro/uma, kaua ki raro i tō korokoro. Mā tēnei ka nui tō ngaungau i tō kai, ā, ka tīmata koe ki te maremare/kōkō i a koe e kai ana. He tohu whakatūpato tino morearea tēnei mō te mate pukupuku morearea, te mate io rānei i roto i te puku/korokoro.
💬 He aha ngā tino take e piri ai te kai/inu ki te korokoro, ki te uma rānei (Dysphagia)?
Ko ngā tino take e whā, me ngā tino mōrearea hoki o tēnei: 1) 'Te Mate Pukupuku / Te Pūkahukahu' - Te mate pukupuku e puta ana i roto i te pūkahukahu (te ngongo e anga atu ana ki te puku) ka ārai i te ngongo! (Tuatahi ka uaua ki te horomi kai, kātahi ka uaua ki te horomi wai). 2) Ka whara te pūkahukahu i te hau/Gastritis (GERD) (nā te reflux waikawa) ka whaiti/ārai te ngongo (Strictures). 3) Te ngoikore/te ngaronga o ngā uaua horomi nā te whiu, nā te mate a Parkinson rānei.
💬 He aha te take me toro atu ai te tangata e horomi ngāwari ana, pērā i tana manawa, ki te tākuta/haere tonu atu ki te hōhipera ina uaua ki te horomi kai (Dysphagia)?
Ehara tēnei i te mate e hiahia ana kia rongoatia ki te kāinga (me whai endoscopy). Ko te mōrearea nui rawa atu! Haunga te uaua ki te horomi, 1) 'Te whakahekenga taumaha kāore i te mārama, kāore he take', 2) Te mamae nui i te korokoro/uma (Odynophagia) i te wā e kai ana, 3) Te niumōnia mimiti (te mimiti o te kai ki roto i ngā pukahukahu i te wā e horomi ana), he mate pukupuku 100%/he mate whakamate! Me haria koe ki te hōhipera tonu!
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