Ngā Puku Toto o te Puku me te Puku Iti: Ngā Pūtake, Ngā Tohu, me Ngā Kōwhiringa Rongoā

Ko ngā whēwhē o te puku me te whekau iti (duodenum), he ngaronga kiko ēnei e puta ana ki te mata o roto o ēnei whekau nā te pānga o te waikawa puku me ngā pūmua whakangao kai. Ka taea e tēnei āhuatanga te keri hohonu i te kiko nā te waikawa me ngā wai whakangao kai, ā, ka puta he whara me te mumura. He mate o te pūnaha whakangao kai ngā whēwhē, e kitea whānuitia ana puta noa i te ao, ā, ka taea te take i ngā raruraru hauora nui.

He aha ngā Take o te Whēwhē?

Ko te tino take o ngā whēwhē puku me te duodenum, ko te mate urutā nā tētahi huakita e kīia nei ko Helicobacter pylori. Ko tētahi atu take nui ko te whakamahi tonutanga i ngā rongoā aukati mumura kāore he steroid (NSAII), otirā ko te aspirin me ētahi atu rongoā rewharewha mō te wā roa. Ka taea hoki e te āhua tuku iho, te pēhanga mauroa, ngā rongoā pēnei i te cortisone, te kai paipa, te inu waipiro, te kai nui i te kawheina (hei tauira, te kawhe) me ngā āhuatanga taiao te whai wāhi ki te puta o ngā whēwhē. Heoi, ka rerekē pea te pānga o ēnei mea i te tangata ki te tangata.

I Ēhea Tau, Ā, ki Ēwhea Tangata Ka Kitea Te Whēwhē?

Ahakoa ka taea te whanake whēwhē i ngā tau katoa, ko ngā whēwhē duodenum ka tino kitea i waenga i te 30 ki te 50 tau, ā, he maha ake ki ngā tāne. Engari, ka kaha kitea ngā whēwhē puku i ngā tau pakeke ake, otirā ki ngā wāhine kei runga i te 60 tau. E ai ki ngā rangahau, ko te ōrau o te hunga kua tohua he whēwhē i roto i te hapori i tētahi wā, kei waenganui i te 2% ki te 6%. He whānui ake te whēwhē duodenum i te whēwhē puku.

He Aha Ngā Tohu o te Whēwhē?

Ko te tohu matua o ngā whēwhē puku me te duodenum, ko te mamae āhua wera, āhua kai i te wāhi runga o te puku. Ka kaha ake tēnei mamae i te wā hiakai, ka puta pea i waenga kai, i te pō rānei, ā, ka kaha rawa pea kia oho ai te tangata i te moe. Ka māmā ake te mamae i muri i te kai, i te tango rānei i ngā rongoā aukati waikawa. I ētahi wā, ka kitea hoki te ruaki, te kore hiahia kai, te ngaronga taumaha kāore i te hiahia, ahakoa he iti noa. He tino āhuatanga mō te whēwhē te māmā ake o te mamae i muri i te ruaki. I ētahi wā (hei tauira, i te kōanga me te ngahuru) ka kaha ake ngā amuamu.

He Aha Ngā Hua Kino o te Whēwhē?

Te Totohe: Ko te tino take o ngā totohe o te pūnaha whakangao kai runga, ko ngā whēwhē. I ētahi wā, ko te totohe te tohu tuatahi ki te hunga kāore anō kia tohua he whēwhē. Ko te whēwhē pango, parauri rānei (pērā i te tarana), te ruaki āhua pērā i te "kawhe para", he tohu whakatūpato nui ēnei. Me whakapae hoki i te totohe mēnā ka pā te ngoikore ohorere, te mātao hinu. Ina kitea ēnei tohu, me hohoro te toro ki tētahi whare hauora.

Te Poka (Te Tīwhera): Mēnā ka keri hohonu te whēwhē, ka puta ki waho o te pakitara o te puku, o te duodenum rānei, ka rere te waikawa puku me ngā pūmua whakangao kai ki roto i te puku, ka puta he mamae ohorere, kaha hoki. Ka mārō ngā uaua o te puku, ka uaua te neke a te tangata. He āhuatanga mate ohorere tēnei e hiahia ana kia pokanga wawe.

Te Ārai: Otirā ki te wāhi putanga o te duodenum, o te puku rānei, arā te wāhi pylor, ka taea te ārai, te kiki rānei nā te whēwhē kino, te pupuhi kiko, te whanaketanga rānei o te ārai mō te wā roa. Kāore e taea e te kai, te wai rānei te puta i te puku, ka ruaki nui, ruaki auau te tangata. Ka puta te kai kore, te ngaronga taumaha tere. I ēnei āhuatanga, me hohoro te kimi rongoā, te pokanga rānei.

He Aha Ngā Tikanga Whakamātautau mō te Whēwhē?

Hei kimi i te whēwhē, he mea nui te uiui hauora me te arotake tinana. Heoi, kāore te arotake tinana, te hātepe ultrason rānei e tino kitea ai ngā tohu motuhake mō te whēwhē. I te mahi, ka tūtohuhia te whakamātau i ngā rongoā whakaiti waikawa puku, ka mātaki mēnā ka pai ake ngā amuamu. Ko te tino whakamana, mā te endoscopy o te pūnaha whakangao kai runga (esophagogastroduodenoscopy). Ka tirohia tika te korokoro kai, te puku me te duodenum, ā, ka taea te tango tauira kiko i ngā wāhi whakapae. Ahakoa ka taea te whakamahi i te X-ray baryum mō te puku me te duodenum, i ēnei rā, ka kaha ake te whakamahi i te endoscopy.

He Aha Ngā Tikanga Rongoā mō ngā Whēwhē?

Te Rongoā:

I te rongoā hou, ko te kōwhiringa matua, ko ngā rongoā aukati papu proton (omeprazole, lansoprazole me ērā atu) me ngā aukati H2 (ranitidine, famotidine, nizatidine me ērā atu). Ka tautoko ēnei rongoā i te whakaora o te whēwhē, ka whakakore i ngā amuamu. Mēnā ka kitea te mate urutā Helicobacter pylori, he wāhanga nui o te rongoā ko te patu i tēnei huakita mā ngā rongoā paturopi tika. Ka rerekē te roa me te huinga o te rongoā i runga i te wāhi, te rahi o te whēwhē me te āhua hauora whānui o te tangata.

Te Pokanga:

Ka taea te whakaora i te nuinga o ngā whēwhē mā te rongoā. Engari, mēnā ka puta ngā raruraru pēnei i te totohe, te tīwhera, te ārai rānei, kāore rānei e pai ake ahakoa te rongoā, ka hiahiatia pea te pokanga.

Te Kai me te Āhua Noho:

I mua, i tūtohuhia he kai tino herea mō te hunga whēwhē; engari i ēnei rā, kāore he kai motuhake e tino whai wāhi ana ki te whakaora whēwhē. Ko te aro ki ngā kai e whakapiki ana i ngā amuamu, me te aukati i aua kai, he mea nui. Me mutu hoki te kai paipa, nā te mea ka whakaroa i te whakaora whēwhē. He mea nui hoki te karo i te waipiro me te whakamahi rongoā kāore e hiahiatia (otirā ko te aspirin me ngā NSAII) hei wāhanga o te rongoā whēwhē.

Ko te whakaiti i ngā āhuatanga pēhanga, te kai pai, te moe nui, me ērā atu tikanga tautoko hauora whānui, ka whai hua ki te whakaora whēwhē.

Te Hononga o Helicobacter pylori me te Whēwhē

Ko Helicobacter pylori te tino take o te nuinga o ngā whēwhē. He tino nui te kitea o tēnei huakita i ngā whēwhē duodenum. Heoi, i ētahi tangata, ahakoa te noho o tēnei huakita, kāore e whanake whēwhē; nō reira, e whakapaetia ana he wāhi anō tō ngā āhuatanga tuku iho me te taiao. Ka taea hoki e Helicobacter pylori te take i te gastritis mauroa, ā, e ai ki ētahi rangahau, ka piki ake pea te mōrea o te mate pukupuku puku.

Ngā Pātai Auau

1. Ka taea te whakaora katoa i te whēwhē?

Ka taea te whakaora katoa i te nuinga o ngā whēwhē mā te rongoā tika me te whakamahi paturopi tika mēnā he mate urutā huakita. Heoi, he mea nui te tūpato ki te mōrea o te hoki anō.

2. Me pēhea te tukunga o Helicobacter pylori?

He māmā te tukunga o tēnei huakita i waenga tangata mā te waha, i ngā wāhi kāore i te mākūkū te horoi, te tiaki rānei i te hauora.

3. Me aha kia kore ai e hoki anō te whēwhē?

Ahakoa kua oti te rongoā, me karo i te kai paipa, ngā rongoā whakamāmā mamae kāore e hiahiatia, me te waipiro; me whai kai hauora, me ū ki ngā tikanga tiaki hauora.

4. He aha te wāhi o te kai ki te rongoā whēwhē?

Ahakoa kāore he kai motuhake mō te whēwhē, ko te tūtohunga matua ko te karo i ngā kai e whakapiki ana i te raru.

5. Ka taea e te totohe whēwhē te whakatuma i te oranga?

Ka taea e ngā totohe nui te whakatuma i te oranga. Ina kitea te whēwhē pango, te ruaki parauri, me hohoro te toro ki te rata.

6. He aha ngā rongoā ka whakaoho whēwhē?

Mēnā ka whakamahia mō te wā roa te aspirin, te ibuprofen me ētahi atu rongoā NSAII, ka piki ake te mōrea whēwhē.

7. Ka taea e te pēhanga te take i te whēwhē?

Ehara te pēhanga anake i te take whēwhē; engari, mā te whakapiki waikawa puku, te whakaiti i te kaha ārai mate, ka māmā ake te puta o te whēwhē.

8. He aha te tohu tino kitea o te whēwhē?

Ko te nuinga, ko te mamae āhua wera, āhua kai i te wāhi runga o te puku, otirā i te wā hiakai.

9. Ina kitea a Helicobacter pylori, me rongoā tonu?

Mēnā he whēwhē kaha, he tohu gastritis mauroa rānei, ka tūtohuhia te rongoā.

10. Ka taea te whēwhē ki ngā tamariki?

Āe, ahakoa he onge, ka kitea te whēwhē ki ngā tamariki. Ina kitea ngā tohu, me toro ki te mātanga gastroenterology tamariki.

11. He uaua te mahi endoscopy?

He poto noa te mahi endoscopy, ka taea te manawanui, ā, ka taea te whakamahi rongoā whakangā kia pai ake te noho o te tangata.

12. Me whakamahi rongoā mō te oranga katoa i muri i te rongoā whēwhē?

Kāore te nuinga o te hunga e hiahia rongoā i muri i te whakaotinga o te rongoā. Engari, mēnā ka mau tonu ngā āhuatanga mōrea (hei tauira, te whakamahi NSAII), ka hiahiatia pea te rongoā mō te wā roa i raro i te tohutohu a te rata.

Ngā Rauemi

Te Rōpū Hauora o te Ao (WHO) – Pepa Kōrero mō te Mate Whēwhē Peptic

Te Kāreti o Amerika mō te Mātai Whēkau – Ngā Aratohu mō te Tautuhi me te Whakahaere i te Mate Puku Kōpū me te Mate H. pylori

Te Whare Hauora o Mayo – Te Mate Puku Kōpū

Te Whare Rangahau o Amerika mō te Mate Huka, te Whakawhitinga Kai me te Mate Whatukuhu (NIDDK) – Te Whakamārama me ngā Meka mō te Mate Puku Kōpū

Te Rōpū Rangahau o te Ao mō te Helicobacter pylori – H. pylori me ngā Mate Puku

Te Rōpū Mātai Whēkau o Amerika – Ngā Rauemi Tiaki Pānga mō te Mate Puku Kōpū