Kua roa koe e mamae ana i te puku, e mamae ana rānei te ngau o te puku? He mate puku rānei kei a koe e hoki mai ana ahakoa kua tangohia he rongoā? I ngā wā penei, ka tono pea tō tākuta kia whakamātauria he toto motuhake māu. Koinei te Whakamātautau Gastrin. Me kōrero tātou mō tēnei i tēnei rā, i roto i te huarahi mārama, ngāwari hoki.
Kia titiro tuatahi tātou, he aha te Gastrin?
He whakarāpopototanga noa iho, he homoni te gastrin e hangaia ana i roto i tō tātou puku. Ka hangaia e tētahi momo pūtau motuhake e kiia nei ko ngā pūtau-G, e kitea ana i roto i ngā pakitara o tō tātou puku. Ehara i te mea kei roto noa i te puku ēnei pūtau, engari kei te wāhanga o runga o tō tātou whekau iti anō hoki.
Nō reira, ko te mahi matua o tēnei homoni gastrin he whakaoho i te hanga o te waikawa puku i roto i te puku. Me te mea kei te tuku tohu tetahi e mea ana, "Āe, tīmata te hanga waikawa inaianei." He mea nui tēnei waikawa puku mō te nakunaku me te mimiti o te kai e kainga ana e tātou, inā koa ko ngā pūmua me ngā waikawa amino. Whakaarohia, e rua ki te toru rita o tēnei wai waikawa ka puta i ō tātou puku i ia rā!
He aha te take e taunaki ai te tākuta i tēnei whakamātautau?
Mena he ruarua tō tākuta mō ō taumata gastrin, arā, ki te whakaaro rātou he nui rawa, he iti rawa rānei, ka tūtohu pea rātou i tēnei whakamātautau. Nā te mea ko ngā panonitanga o ngā taumata gastrin he tohu pea nō te raruraru o tā tātou pūnaha nakunaku.
I te nuinga o te wā, ki te whai tohu pēnei koe, ka tukuna koe mō tēnei whakamātautau:
- Te mamae puku pinepine.
- Te mate korere tonu.
- Ngā mate pukupuku peptic e hoki mai ana ahakoa te rongoā.
Hei tāpiritanga, ka mahia tēnei whakamātautau i ētahi wā ki tētahi kua tangohia te pukupuku e whakaputa ana i te gastrin mā te pokanga hei whakaū mēnā kua hoki mai anō te pukupuku .
Me pēhea tā tātou whakarite i mua i te whakamātautau?
He rite tēnei ki ētahi atu whakamātautau toto , ā, me iti te whakarite.
- Te nohopuku mō ngā hāora 12: He pai ake te kore e kai i tetahi mea mō ngā hāora 12 i mua i te whakamātautau. Heoi, he pai te inu wai.
- Kaua e inu waipiro: Me karo rawa koe i te inu waipiro mō te 24 haora i mua atu.
- Ki te tākuta mō te rongoāMea atu: Koinei te mea tino nui. Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā kua tohua, ngā rongoā kāore e taea te hoko, ngā huaora, ngā tāpiringa, ngā rongoā otaota, me ngā rongoā turekore katoa e tangohia ana e koe . Tērā pea ka tohutohu tō tākuta kia mutu te tango i ētahi rongoā mō ētahi rā i mua i te whakamātautau.
Ko te mea nui, kaua e mutu te tango i ngā rongoā, kaua hoki e whakarerekē i te horopeta me te kore e pātai atu ki tō tākuta.
| Ngā mea ka pā ki ngā hua o te whakamātautau | |
|---|---|
| Pokanga | Mena kua mahia he pokanga mō ngā mate puku (mate puku) i mua, kua whakaritea rānei kia pokangahia koe. |
| Kai | Ki te nui rawa āu kai e kai ana i ngā kai whai pūmua (hei tauira, te mīti, te ika, te hua manu). |
| Ētahi atu āhuatanga hauora | Mena ka tango koe i te insulin mō te mate huka. |
| Ngā rongoā | Ngā pire konupūmā, ngā rongoā antacid mō te gastritis, me ētahi atu rongoā e pā ana ki te hanga waikawa o te puku. |
| Ngā Inu | Ki te inu koe i ngā inu kei roto te kawheine (kawhe, tī, ētahi inu ngohengohe). |
| Ētahi atu rongoā | Ko ētahi rongoā e whakamahia ana mō te pouri. |
He aha ngā mea ka taea e tātou te ako mai i ngā hua?
Ina whiwhi koe i ngā hua o te whakamātautau (pūrongo), i mua i te whakamātau ki te whakamārama i ngā uara, me kawe ki tō tākuta. Ka rerekē pea ēnei uara i ia taiwhanga, i ia taiwhanga. Waihoki, ka whakatauritea e te tākuta ki ngā āhuatanga pēnei i tō tau me ngā tohumate hei whakatau i tētahi whakatau.
Ko ngā taumata hauora e whai ake nei:
| Rōpū tau | Te taumata gastrin noa (pg/mL) |
|---|---|
| Ngā pakeke | 0 - 180 pg/mL (tērā pea ka piki ake i te pakeketanga) |
| Tamariki | 0 - 125 pg/mL |
*Ko te pg/mL he tohu mō ngā pikokaramu mō ia miririta toto, arā, te maha o ngā pikokaramu kei roto i te miririta toto. He waeine ine tēnei.*
He aha mēnā he teitei ake ngā taumata o te gastrin i te mea noa?
He maha ngā take ka piki ake ai ngā taumata o te gastrin.
- Te mate Zollinger-Ellison (ZE): He mate onge tēnei. Ka puta mai i tētahi pukupuku e whakaputa ana i te gastrin i tētahi wāhi o te pūnaha nakunaku. Ka kiia ēnei pukupuku he gastrinomas. Ko te nuinga o te wā ka puta i te wāhanga tuatahi o te whekau iti (duodenum) i roto rānei i te pancreas. Hei tāpiri, ka whakaputahia e ēnei pukupuku te gastrin, ka nui rawa te waikawa o te puku. Koinei te take o te mate korere me ngā mate puku.
- Ētahi atu take noa: Engari ko ngā take e rua e tino kitea ana mō te nui o te taumata gastrin ko ngā rongoā whakaiti waikawa e tangohia ana e tātou mō te reflux/heartburn me te mate e kiia nei ko te chronic atrophic gastritis. Ka kino ēnei take e rua ki te arai o te puku, ka whakaiti hoki i te hanga waikawa. Ka heke te waikawa (pH) o te puku, ka nui ake te kawakore. Hei whakautu, ka whakaaro te roro, "Āe, kei te hanga tātou i te waikawa nui ake, me hanga e tātou he nui ake." Nō reira ka ngana ki te hanga i te waikawa nui ake mā te whakaputa i te homoni gastrin. Koia te take ka piki ake ai ngā taumata gastrin.
- I muri i te pokanga:E ai ki te kōrero i mua ake nei, ki te piki ake ngā taumata o te gastrin i muri i te tangohanga me te whakamātautau anō i te gastrinoma, ko te tikanga kua hoki mai anō te pukupuku. Ki te kore ngā taumata e heke i muri i te pokanga, ko te tikanga pea kāore i angitu te pokanga.
He aha mēnā he iti iho te taumata o te gastrin i te mea noa?
He tino onge tēnei āhuatanga. Kāore e tika ana kia āwangawanga te iti o te taumata o te gastrin. Heoi, ki te pērā, kāore pea e taea e te puku te mimiti tika i ngā matūkai mai i te kai. Tērā pea ka piki ake te mōrearea o ngā mate pāwera o te ara nakunaku.
Ko te tikanga, kāore he mea hei manukanuka mēnā kei roto i te awhe noa, kei te iti rānei ngā taumata o te gastrin.
Karere Tangohia ki te Kāinga
- He whakamātautau toto māmā te whakamātautau gastrin e ine ana i te taumata o te gastrin, he homoni e whakahaere ana i te hanga waikawa o te puku.
- Ka tūtohu pea te tākuta i tēnei whakamātautau mēnā he mamae puku tonu tōu, he mate korere, he mate puku rānei kāore e ora.
- Me nohopuku koe mō ngā hāora 12 i mua i te whakamātautau. He mea nui anō hoki kia whakamōhio atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- He maha ngā take ka piki ake ai ngā taumata o te gastrin, mai i ētahi rongoā ka tangohia e koe ki ngā mate pukupuku onge.
- Ahakoa te hua o tō pūrongo whakamātautau, ko tō tākuta anake ka taea te whakarato i te tautuhi tika rawa atu mā te whakataurite i tēnā ki ō tohumate me tō hītori hauora.
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