E mōhio ana koe he aha tēnei "au" i roto i tō tinana? Me kōrero māmā noa iho!

Ka kai tātou katoa. Engari kua whakaaro koe me pēhea te wawahi i ngā kai e kainga ana e tātou, inā koa ngā kai momona, kia iti ai te wāhi e mimiti ai e ō tātou tinana? I tēnei rā ka kōrero tātou mō tētahi wai tino nui e whakaputaina ana e ō tātou tinana hei āwhina i tēnā. Ka karangatia tēnei e tātou ko te "aute". Tērā pea kua rongo anō koe i tōna ingoa ko `(Aute)`.

He aha te au? He aha tāna mahi?

He māmā noa iho, he wai matotoru, piri, he kōwhai-kakariki te au e hangaia ana e tō tātou ate. He kōwhai tōna tae. Ko tana mahi matua he āwhina i te nakunaku o te kai e kainga ana e tātou. Ina koa, he kaha whakamiharo tō te au ki te wawahi i ngā ngako i roto i ngā kai e kainga ana e tātou.

Whakaarohia kei te kai tātou i tētahi kai momona, hei tauira, te raihi parai, te kai parai rānei. Kātahi ka tukuna he tohu e ētahi homoni i roto i tō tātou tinana ki tō tātou pūkahukahu , e mea ana, "Āe, tukua mai he au." He okana iti te pūkahukahu i raro i te ate, te wāhi e rongoa ai te au.

Nō reira, ina tae mai tēnei tohu, ka whakawhāiti te pūkahukahu ka tukuna te au ki te wāhanga tuatahi o tō tātou whekau iti, te duodenum . Ka pakaruhia e ngā tote au i roto i te au (koinei ngā mea tino nui i roto i te au) ngā pata hinu nui i roto i te kai kia iti ake ngā wahi. Ka kiia tēnei ko te emulsification . He rite ki te whakamahi i te hopi hei whakaranu i te wai me te hinu.

Whakaarohia, he pōro ngako nui tēnei, he uaua ki te nakunaku. Ka tae mai ngā tote au ka pakaru taua pōro ngako hei puranga pata iti. Kātahi ka taea e ngā whākōkī nakunaku kē atu i roto i tō tātou tinana te nakunaku i ēnei wahi ngako iti. Kātahi ka mimitihia ēnei waikawa ngako ki roto i ō tātou toto, ā, ka whakamahia e te tinana hei tiki i te pūngao e hiahiatia ana.

Haunga te āwhina i te nakunaku i ngā ngako, he mahi nui anō tā te au. Arā, ka āwhina i te tango i ngā para kore e hiahiatia mai i ō tātou tinana, pērā i te bilirubin. Ko te bilirubin he hua o te pakaru noa o ō tātou toto whero. Ko te au he kaikawe e kawe ana i tēnei bilirubin mai i te ate mā roto i ngā whekau, ā, puta atu i te tinana me ngā paru.

Kei hea te au e puta ai? Kei hea e rongoa ai?

Ka hangaia te aukume e tō tātou ate . Ka puta i te ate i waenga i te 800 me te 1000 miririta (arā, i waenga i te 27 me te 34 auneke wai) o te aukume ia rā. Whakaarohia te nui o tēnā!

I muri i te hanga o te au i te ate, ka haere mā roto i ngā awa au, ā, ka rongoatia ki roto i te pūkahukahu.He rite te pūkahukahu ki tētahi tāke iti e tata ana ki te ate e pupuri ana i te pūkahukahu kia tae rā anō ki te wā e hiahiatia ana. I te nuinga o te wā ka taea e te pūkahukahu te pupuri i waenga i te 30 me te 80 miririta o te wai (arā, i waenga i te 1 me te 2.7 aune wai).

He aha ngā mea kei roto i te au?

He maha ngā matū e hangaia ana i roto i te au. Ko ngā mea matua ko:

• Korekoretere
• Ngā tote au, ngā waikawa au rānei: Koinei ngā mea matua e āwhina ana ki te wawahi i ngā ngako.
• Wai
• Ngā Phospholipid: He momo ngako matatini ēnei kei roto he phosphorus.
• Bilirubin: He tae i hangaia e te pakaru o ngā pūtau toto whero.
• Ngā tote tinana: Hei tauira, te pāhare pāporo me te konutai.
• Te parahi me ētahi atu konganuku.

He mea tino nui te whakauru i ēnei katoa ki te rahinga tika mō te mahi pai a te pekapeka.

He aha ngā āhuatanga noa e pā ana ki te ate?

I ētahi wā, mēnā he aukati i te whakaputanga, i te rere rānei o te au, ka puta pea ngā raruraru o te pūkahukahu. Anei ētahi o ngā āhuatanga pēnei:

• Ngā kōhatu pūkahukahu: He hanganga mārō, he rite ki te kōhatu ēnei e hanga ana i roto i te pūkahukahu. Ko te nuinga o ēnei he cholesterol, he bilirubin, he mea hanga rānei i ngā mea e rua.
• Cholecystitis: He mumura tēnei o te pūhā. Ka puta pinepine tēnei ina āraia ngā awaawa pūhā e ngā kōhatu pūhā.
• Te mate kōroke: He mate tēnei e puta ana i roto i ngā awaawa o te pūhā . Ka puta pea tēnei ina noho ngā kōhatu pūhā i roto i te pūhā ki roto i ngā awaawa o te pūhā, ā, ka āraia.
• Choledocholithiasis: Koinei te hanganga o ngā kōhatu i roto i te awaawa aukume noa, te awaawa aukume matua e kawe ana i te aukume mai i te ate me te pūkahukahu ki te whekau iti.
• Te aukati i ngā awaawa au: Ka āraia pea ngā awaawa au nā ngā kōhatu o te au, te kiko whara, ngā pukupuku, me ētahi atu take rānei. Ka ārai tēnei i te rere tika o te au, ka puta he raruraru ki te nakunaku me te mimiti matūkai.

He aha ngā tohu o ngā raruraru o te ate?

Ka puta he maha ngā tohu i ngā raruraru o te pūkahukahu. Heoi, anei ētahi o ngā mea e tino kitea ana:

• Mamae i te taha matau o runga, i waenganui rānei o tō puku (puku): Koinei te tohu tuatahi o ngā raruraru o te pūkahukahu. Ka taea e te mamae te koi, te puhoi rānei. Ka taea te haere mai, te haere atu. Ka tino kino tēnei mamae i muri i te kai i ngā kai momona. Ka horapa atu pea te mamae ki tō tuara, ki tō pakihiwi matau rānei.
• Whakapairuaki me te ruaki: He tohu noa ēnei mō ngā raruraru pūkahukahu. Tērā pea ka haere tahi me te mamae o te puku.
• Te koretake o te kai:Tērā pea ka pāngia koe e te mamae o te uma, te kī tonu i muri i te kai, me te kore whakamarie i te puku o runga.
• Te kirika me te makariri: He tohu pea ēnei o te mate. Ka pā mai pea ngā mate me ngā āhuatanga pēnei i te cholecystitis.
• Te mate kiri māwhero: Koinei te wā ka kōwhai tō kiri me te mā o ō kanohi. Ka puta tēnei ina piki ake te taumata o te bilirubin i roto i tō toto. Ko te tikanga o tēnei ka āraia pea te awaawa o te waikura.
• Huringa tae o te tūtae: Ina aukatihia te awaawa au, ka mārama pea tō tūtae, ka rite rānei ki te uku.

Ko te mea nui kia maumahara ko ēnei tohu ka puta mai i ētahi atu mate hauora. Mena kei a koe ēnei tohu, ina koa he kino, he roa rānei, me toro atu ki te tākuta kia whiwhi ai koe i te tātaritanga tika me te matapaki i te maimoatanga.

He aha ngā whakamātautau e mahia ana hei whakatau i te hauora o tā tātou pūnaha nakunaku?

Ka whakamahia pea e ngā tākuta ēnei whakamātautau toto hei tirotiro i ētahi mea e pā ana ki tō au:

• Ngā whakamātautau mahi ate: Ka tirohia e ēnei ngā taumata o ngā whākōkī ate, ngā pūmua, me te bilirubin i roto i ō toto. Ka taea e ngā taumata rerekē te tohu i ngā raruraru o tō ate, tō pūkahukahu, ō awa wai rānei.
• Whakamātautau bilirubin: Ka ine tika tēnei i te taumata o te bilirubin i roto i tō toto. Ko te nui o ngā taumata bilirubin he tohu pea nō te aukati i te awaawa o te ate, nō ētahi atu raruraru rānei.

Hei tāpiritanga ki tēnei, ki te tika, ka taea hoki te mahi i ngā mahi pēnei i te "matawai Ultrasound" me te "matawai CT".

He aha ngā maimoatanga mō ngā raruraru o te ate?

Ka rongoatia ngā mate e pā ana ki te ate, i runga i te raruraru. Ko ētahi o ngā maimoatanga noa ko:

• Paturopi: Mena kei te pupuhi koe nā te mate, ka tohua pea e tō tākuta he paturopi hei rongoā.
• Cholecystectomy: Koinei te maimoatanga tino noa mō ngā kōhatu o te pūhā me te cholecystitis. Kei roto i tēnei ko te pokanga hei tango i te pūhā . He maha ngā wā ka mahia hei tikanga laparoscopic. Ko te tikanga ka whakauruhia ngā taputapu mā roto i ētahi tapahi iti , kaua ki tētahi tapahi nui.
• Endoscopic retrograde cholangiopancreatography (ERCP): He tikanga tēnei e whakamahia ana hei tātaritanga me te rongoā i ngā raruraru o te ate, te pūhā, ngā awa waikura, me te pancreas. Hei tauira, ka taea e tēnei tikanga te tango i ngā kōhatu mai i ngā awa waikura me te kore pokanga, mā te whakamahi i tētahi kāmera motuhake (scope).
• Pokanga:I ngā wā tino kino, ka hiahiatia pea te pokanga hei whakatika i te pūtake o te aukati, o te pupuhi rānei.

He aha tā tātou e taea ai te mahi kia ora tonu ai ō tātou whekau?

Anei ētahi tohutohu hei āwhina i a koe ki te pupuri i te hauora o tō pūkahukahu:

• Kia mau tonu tō taumaha hauora: He take mōrearea te momona mō ngā kōhatu pūkahukahu. Mā te whakaheke haere i te taumaha ka āwhina i te whakaiti i te mōrearea o ngā raruraru ā muri ake nei. Engari kia maumahara, ko te whakaheke tere rawa i te taumaha i te wā kotahi he take mōrearea anō hoki mō ngā kōhatu pūkahukahu.
• Kai iti te ngako: Mā te kai i ngā kai iti te ngako kukū, inā koa te ngako kukū, ka āwhina i te ārai i ngā kōhatu pūkahukahu. He pai tonu tēnei ahakoa kua oti te maimoatanga.
• Muka kai: Mā te tāpiri i te nui o te muka ki tō kai ka āwhina i te whakatairanga i te nakunaku hauora me te āwhina ki te whakahaere i ngā taumata cholesterol.

I a koe e mahi ana i te rā, kāore pea koe e whakaaro nui ki te āhua o te nakunaku o te ngako i roto i tō parakuihi e tō tinana. He maha ngā mea e tiakina ana e ō tātou tinana. Engari ina puta mai ngā raruraru nakunaku, inā koa ko ngā mea e pā ana ki te au, ka pā nui ki tō tātou hauora me tō tātou oranga. Mena kei a koe ngā tohu kua whakahuatia ake nei, pērā i te mamae i te taha matau o runga o tō puku, te whakapairuaki, me te ruaki, me toro atu koe ki te tākuta. Ahakoa ka puta mai ēnei tohu i ētahi atu mate, he mea nui kia whiwhi tātaritanga tika me te maimoatanga hei pupuri i te hauora o tō au me tō pūnaha nakunaku.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He okana puku te au, engari he tino hira i roto i ō tātou tinana. Ki te kore, e kore e taea e tātou te nakunaku tika i ngā kai ngako, te whakakore rānei i ētahi o ngā para e kohikohi ana i roto i ō tātou tinana.

• Kia tiakina tō kai: Kai i tētahi kai taurite, he iti te ngako, he nui hoki te muka.
• Kia mau ki te taumaha hauora: Mā te taumaha rawa ka ara ake ngā raruraru pēnei i te kōhatu pūkahukahu.
• Kaua e warewarehia ngā tohu rerekē: Ki te mamae tō puku, ki te mākūkū rānei, rapua tonutia he tohutohu hauora.

Kia maumahara, he mea nui te pūnaha nakunaku hauora mō te oranga hauora. He mea tino nui hoki te hauora o te pūkahukahu mō tēnā!

` Aue, nakunaku, pūkahukahu, ate, kōhatu pūkahukahu, jaundice