Te Mamae o te Rohe Anarā: Ngā Pūtake, Ngā Tohu me te Whakahaere
Ko te mamae e rongo ana i te rohe ānara, he raruraru e kitea nuitia ana i roto i ngā rōpū pakeke me ngā ira rerekē o te hapori. He maha ngā take rerekē o tēnei mamae, ā, he maha ngā wā ka taea te whakangāwari mā ngā panonitanga o te āhua noho, mā ngā rongoā rānei. Heoi anō, i ētahi wā, me āta arotake i te mea pea he tohu nō tētahi mate nui ake.
He aha ngā Take Noa o te Mamae Ānara?
Ko ngā āhuatanga matua ka puta ai te mamae ki te rohe o te ānara, ko ēnei:
Hemoroiti: Ka puta i te whānui me te pupuhi o ngā uaua huri noa i te ānara me te rektumu. Ka kitea pea te kākā, te pupuhi, ā, i ētahi wā he pūkoro tairongo.
Pakaru Ānara: He pakaru e puta ana ki te taha o te ānara, he maha ka hua i te kūnatu roa, te korere rānei. Ka taea te puta he mamae koi, he mamae nui hoki.
Pūtae Ānara: He pupuhi, he whero, he mamae hoki nā te mate huaketo ki ngā kiko huri noa i te ānara. Ka taea te whai i ngā tohu mate huaketo pērā i te kirikaa me te mātao.
Fistula Ānara: He kōhao iti e puta ana ki waenga i te pito o te puku me te kiri o te ānara, he maha ka puta i muri i te mate huaketo.
Mate Levator Ani: He mamae nā te kōpiko o ngā uaua huri noa i te ānara, he poto, he hoki anō hoki te āhua.
Korere e kore e mutu, he tino kaha rānei
Mate pukupuku ānara, rektara rānei
Ētahi mate huaketo ka pā mā te moepuku
Huruhuru piko
Mate kiri
Proktalgia Fugax: He mamae rektara ka tīmata ohorere, he poto, he kaha hoki.
Ngā panonitanga homoni me te tinana nā te hapūtanga me te whānau
Te noho noho, te noho roa rānei
Me pēhea te Puta o te Mamae Ānara? Ngā Momo Mamae Rerekē
Ka rerekē te mamae ki te rohe ānara i runga i te take me te tangata:
Ko te mamae ka puta i muri, i te wā rānei o te whakakore, he rite ki te werohia ki te māripi, he maha ka pā ki te pakaru ānara me te hemoroiti.
Ko te mamae ohorere, ka noho tonu, ka tino pā ki te oranga o ia rā, he tohu pea o te pūtae ānara.
Ko te mamae ohorere, he kaha, he kōpiko, e pā ana ki te āhuatanga e kīia nei ko te proktalgia fugax.
Ko te mamae e kore e mutu, he uaua ki te ngaro, he take roro, he raruraru i te tuaiwi pea te take.
Ngā Tohu Noa o te Mamae Ānara
He maha ngā wā ka whai atu ēnei amuamu ki te mamae o te rohe ānara:
Te wera, te koi, me te pupuhi
Te raru, te mamae rānei i te noho
Te piki o te mamae i te wā me muri i te whakakore
Te kākā huri noa i te ānara
I ētahi wā, te tairongo, te whero rānei o te kiri
Ko te nuinga o ngā take o te mamae ānara ka māmā i roto i te wā poto me te maimoatanga tika. Engari, mēnā he kaha, he roa, he uaua rānei ki te whakahaere i te oranga o ia rā, me toro ki te rata.
He aha ngā Take o te Mamae Ānara i ngā Tamariki?
I ngā tamariki me ngā pēpi, he maha ka hono te mamae ki te rohe ānara ki te pakaru ānara. He maha ka puta ēnei pakaru i muri i te whakakore mārō nā te kūnatu, ā, ka pā te mamae i te wā o te whakakore, i ētahi wā ka puta he toto iti.
He maha hoki te kākā me te wera i ngā tamariki, ā, ka pā kino ki te kounga o te oranga o ia rā. Ka taea te whakaora aunoa i ngā pakaru ānara i roto i ētahi wiki (pakaru koi), engari mēnā ka roa atu i te toru wiki, ka kīia he "pakaru mauroa", ā, me ui ki te rata tamariki, te rata pokanga rānei.
Ngā Take o te Mamae Ānara i te Wā Hapū
I te wā hapū, ka taea e ngā panonitanga homoni me te piki o te pēhanga o te kōpū e tipu ana te take o te mamae ki te rohe ānara. Ko te kūnatu, te hemoroiti me te pakaru ānara ngā tino take o te mamae ānara i te wā hapū. Hei tiaki i te hauora o te whaea me te pēpi, he maha ka tūtohutia ngā tikanga kāore i te rongoā:
Te kaukau noho ki te wai māhana
Te whakamahi kōmiri mātao
Te horoi āta o te rohe me te whakamahi rongoā whakangāwari
Hei whakaiti i te tūponotanga o te mamae ānara i te wā hapū, he mea nui te neke, te karo i te noho roa, me te kai taurite.
Ngā Take o te Mamae Ānara i ngā Wāhine Pakeke
Ko tētahi o ngā tino take o te mamae ānara i ngā wāhine pakeke ko te rektosel, arā, ko te herenga o te rektumu ki te tara. He maha ka kitea i ngā wāhine kua whānau tokomaha, kua pokangia te kōpū, kua pakeke rānei. Me arotake te rata mō te tautuhi. Mēnā he ngoikore ngā amuamu, ka tūtohutia te kai hauora me te korikori tinana, engari mēnā he taumaha, ka taea te pokanga.
Ngā Tikanga ka taea i te Kāinga: Te Whakaiti i te Mamae Ānara i ngā Wāhine
He maha ngā tikanga māori me ngā tikanga tautoko hei whakangāwari i te mamae ānara:
Te inu wai nui
Te kai kai whai muka (huawhenua, huarākau, witi katoa)
Te whakamahi kōmiri mātao ki te wāhi mamae
Te kaukau noho ki te wai māhana
Te horoi āta i te rohe ānara, te karo i te riri me te horoi kaha
Te whakamahi hua māori pērā i te hinu kokonati, te hinu oriwa, te hūperei aloe vera rānei
Te inu tī pērā i te kamamila, te melisa, te yasemini
He āwhina ēnei tikanga i ngā amuamu ngoikore, engari mēnā ka haere tonu, me toro ki te rata. Kāore e tūtohutia te whakamahi rongoā mō te tangata anake.
He aha ngā Tirohanga ka Mahia mō te Mamae Ānara?
Mēnā he mārama, he roa rānei te mamae ānara, ka tūtohutia te toro ki te mātanga pērā i te proktorogo, te rata pokanga kolorektara rānei. Ka taea te whakamahi i ēnei tirohanga mō te tautuhi:
Arotake ā-tinana
Arotake endoskopi (anoskopi, rektoskopi)
Defekografi (te tirohanga o te whakakore)
Anorektara manometri (te ine i te mahi o ngā uaua)
Mēnā e tika ana, ka taea hoki te whakamahi i ētahi atu tikanga taiwhanga me te tirohanga.
Ngā Tikanga Maimoatanga mō te Mamae Ānara i ngā Wāhine
Ka piki pea te mamae ānara i ngā wāhine i muri i te whānau me te wā o te menopau. Ka whakamahia ēnei tikanga hei whakangāwari i ngā amuamu:
Te mirimiri māmā me ngā korikori whakangāwari hei whakangāwari i ngā uaua o te rohe ānara
Te noho ki ngā tūnga tika (ki muri o te tara mō ngā wāhine, ki te pakiaka o te ure mō ngā tāne ki runga i te papa mārō)
Ngā kaukau noho māhana me ngā kōmiri huka
Te inu wai me te kai muka nui
Te korikori tinana auau
Te whakamahi tī rākau (pērā i te kamamila, te melisa, te yasemini)
Mēnā e tika ana, te whakamahi rongoā, te botox rānei i raro i te tirotiro a te rata
Mēnā kāore e ngaro ana, he kaha, he hoki anō te mamae ānara, me toro ki te rata mō te tautuhi me te maimoatanga tika.
Ngā Pātai Auau
1. He aha atu ngā tohu me aro au i te taha o te mamae ānara?
Mēnā he toto ki te ānara, he rere kino te kakara, he kirikaa, he pupuhi ohorere, he uaua ki te whakakore, he ngaronga taumaha rānei, me toro ki te mātanga rata.
2. He tohu mate nui tonu te mamae ānara?
Kāo. He maha ka puta nā ngā take māmā, engari i ētahi wā he tohu nō tētahi mate nui. Mēnā he kaha, he roa rānei, kaua e warewaretia.
3. Me aha mēnā he mamae ki te ānara o te tamaiti?
He maha ka takea mai i te pakaru ānara, ka taea te ngaro aunoa. Engari mēnā ka haere tonu te tohu, he kaha rānei, he toto hoki, me ui ki te rata tamariki.
4. He aha te mea pai mō te mamae ānara i te wā hapū?
Te kaukau noho māhana, te inu wai me te kai muka nui, te kōmiri mātao me te horoi tika i te rohe ka whai hua. Mēnā ka haere tonu ngā amuamu, me ui ki te rata.
5. Me toro au ki tehea rata mō te mamae ānara?
Me toro ki te mātanga pokanga whānui, ki tētahi rata e mātau ana ki te proktorogi, te pokanga kolorektara rānei.
6. He aha ngā tikanga māori hei āwhina i te mamae ānara i te kāinga?
Te kai muka nui, te inu wai nui, ngā kaukau noho māhana, te kōmiri mātao me te horoi āta ka āwhina. Mēnā kāore e māmā ngā amuamu, me toro ki te rata.
7. Me aha kia kore ai e pā te mamae ki te rohe ānara?
Te kai hauora, te inu wai nui, te noho korikori, me te whai tikanga whakakore auau hei ārai.
8. Ka taea hoki te mamae ā-ārai te take mai i ngā mate kiri?
Āe. Ka taea e te ekemā, ngā mate harore me ētahi atu mate kiri te take i te mamae me te āwangawanga ki te wāhi ā-ārai.
9. He pēhea te rerekētanga i waenga i te hemoroid me te pakaru o te ārai?
E rua ka taea te take i te mamae. I te hemoroid ka tino kitea te pupuhi me te toto, ā, i te pakaru o te ārai ka tino kitea te mamae koi pērā i te mata o te maripi me te wera i te wā e tuku ai te tuhinga.
10. He aha te pokenga ā-ārai? Me pēhea te mōhio?
Ka puta he pupuhi, he whero, he mamae ohorere, he mamae nui ki te wāhi ā-ārai, i ētahi wā ka puta te kirikaa me te mātao. Me rongoā ā-rongoā.
Ngā Rauemi
Te Whakahaere Hauora o te Ao (WHO), Ngā Whārangi Whakamōhio mō ngā Mate Kolorektal
Te Pokapū Manaaki me te Ārai Mate o Amerika (CDC), Aratohu mō ngā Mate Anorektal
Te Rōpū Kaitarai Mate o te Puku me te Ārai o Amerika (ASCRS) Ngā Aratohu Haumanu
British Medical Journal (BMJ), "Te Aromatawai me te whakahaere i te mamae ā-ārai" (2022)
Mayo Clinic, Tirohanga Whānui mō te Mamae ā-ārai me ngā Rauemi mō ngā Tūroro