Te Mama o te Puku: Ngā Tohu, Ngā Pūtake me te Tikanga Tika ki te Whakahaere
Ko ngā āhuatanga pirau e whanake ana i te rohe o te puku, he maha ka puta he kore hiahia kai, he ruaki, he ruaki anō hoki. Ina tīmata ohorere te mamae o te puku, me tino arotake te tūroro. Mēnā ka haere tonu te mamae o te puku neke atu i te kotahi wiki, kāore i te tino pea te āhua "puku ohorere" e hiahia ana kia pokanga tonu. Heoi anō, ahakoa ka roa te wā, me kimi tonu te take o ēnei āhuatanga e tētahi rata.
He aha ngā Take pea o te Mamae Puku?
Ko te mamae puku e rongo ana i ngā wāhi rerekē, tērā pea nō ngā mate, raru rānei o ngā whekau o taua wāhi. Ko ngā take e kitea nuitia ana, ko ēnei:
Ngā mate o te puku, te kōpiro me te kōpiro nui
Ngā mate o te pūnaha mimi me te ate pātata pērā i te kōhatu whatukuhu, kōhatu ate
Ngā mate o ngā whekau whakaputa uri o te wahine me te tāne
Ngā mamae wāhine (dismenore)
Ngā raruraru e pā ana ki te mate huka (māuiui huka)
Ngā raruraru o te repe whatukuhu runga
Ētahi mate toto
Ngā paitini matū (pērā i te arataki, moripini me ērā atu)
Ngā mate whakapokenga pērā i te zona (herpes zoster)
Ehara i te mea ko ngā mate o ngā whekau i roto i te puku anake ka takea ai te mamae puku, engari ka takea mai hoki i ētahi atu wāhi o te tinana. Hei tauira, ko te niumonia (mate huango), te mate manawa ohorere me te whati kōiwi hope ka taea hoki te puta hei mamae puku.
Ka Rerekē te Mamae Puku ki Ētahi Atu Mate?
He mea nui te wāhi o te mamae e rongo ai i te puku hei mārama i te take kei raro iho. Ko ngā mamae e puta ana i ngā wāhi rerekē, ka hono ki ēnei whekau:
Puku runga matau: Ate, pūtea ate, ara ate, ngā pokenga peptiki
Puku runga mauī: Tākihi, pākākā, wāhanga o te uaua aorta
Runga o te kōpū: Puku, korokoro kai, kōpiro iti, rewhu, pokenga puku, pokenga puku pērā i te mate kai
Puku raro mauī: Pirau kōpiro nui, mate whatukuhu wahine, raruraru ara mimi, hapūtanga waho, mate aorta, apanititi
Puku raro matau: Apanititi, mate whatukuhu wahine, mate ara mimi, hapūtanga waho, hereni hope, raruraru ara ate
Nō reira, i te arotake i te mamae puku, me whakaaro ki ngā mate o ngā whekau o te rohe me ngā mate pūnaha hoki.
Me Pehea te Whakahaere i te Mamae Puku?
Nā te maha o ngā take rerekē o te mamae puku, he raru pea te tango rongoā kāore anō kia whiwhi i te tātari. Ina koa, mō ngā mamae puku kāore anō kia arotakengia e te rata, kāore e taunaki kia whakamahia ngā rongoā whakamāmā mamae, rongoā kē rānei. Ka uaua pea te kite i te mate nui kei raro iho i te whakamahinga o ēnei rongoā.
Mō ngā mamae puku māmā, poto hoki i muri i te kai, ka taea pea te whakamahi i ētahi tikanga māmā hei whakangāwari. Ko te inu wai mātao, te kai tōhi, kai māmā rānei, te kai panana, te inu wai āporo rānei, ka āwhina i ētahi wā. Heoi anō, mēnā ka haere tonu ngā āhuatanga, ka kaha ake rānei, me whai whakaaro tonu ki te rata.
I Ēhea Āhuatanga Me Kimi Awhina ki te Mātanga?
I ngā āhuatanga e whai ake nei, me hohoro te toro ki tētahi whare hauora:
He tino mamae, he whakahoki, he kaha haere, he mamae pūmau rānei
He uaua ki te manawa, he hiamoe, he toto, he ruaki, he wera teitei rānei e piri ana ki te mamae puku
Ka toro te mamae ki te uma, ki te kaki, ki te pokohiwi rānei
Ka kitea te toto i te tuuta
He tino pupuhi, he mārō te puku
I ēnei āhuatanga, he mea nui te wheako me te mātauranga o te rata i te tātari. Ka rerekē te maimoatanga i runga i te take kua tautuhia. Hei tauira; mēnā ka kitea he kōhatu i te ara mimi, ka whakamahia te rongoā, engari mēnā he apanititi me pokanga, ka tūtohutia kia pokanga tonu.
Ngā Pātai Auau
1. Āhea ka raru te mamae puku?
Mēnā he tino mamae, he pūmau, he whakahoki rānei, ā, ka piri mai te hiamoe, te wera, te toto, te ruaki, te uaua ki te manawa rānei, me toro tonu ki te rata.
2. He aha te pai mō te mamae puku i te kāinga?
Mō ngā mamae māmā, poto hoki, ka taea te kai i ngā kai māmā, ngā inu māmā hoki. Engari mēnā kāore i te mōhiotia te take, he kaha rānei te mamae, kāore e taunaki te whakamahi rongoā i te kāinga.
3. He tohu apanititi tonu te mamae puku?
Kāo. He take noa iho te apanititi mō ngā mamae i te puku raro matau, engari he maha atu ngā mate ka takea ai te mamae puku.
4. He rerekē te mamae puku i ngā wāhine?
I ngā wāhine, ka takea te mamae puku i te huringa wāhine, ngā mate whatukuhu wahine, ngā mate kōpū me ētahi atu take motuhake.
5. He aha te take nui o te ruaki me te mamae puku?
I ētahi wā, he tohu te ruaki mō ngā mate nui o roto i te puku, te aukatinga kōpiro rānei. Nō reira, mēnā ka puta ngātahi, me toro ki te rata.
6. Āhea me haere tonu ki te pokapū ohotata mō te mamae puku?
Mēnā he tino kaha te mamae, kāore e mutu, ka toro rānei, ka piri mai ngā āhuatanga kua kīia ake nei, me toro tonu ki te pokapū hauora ohotata.
7. Me aha mō te mamae puku i ngā tamariki?
Mēnā he mamae puku auau i ngā tamariki, he poto, he māmā hoki, ka taea te mātaki i te kāinga. Engari mēnā he kaha te mamae, he āhuatanga anō hoki, me toro ki te rata.
8. He raru te mamae puku i te hāpūtanga?
I te hāpūtanga, ka taea te mamae puku te tohu i ngā āhuatanga noa, i ngā raruraru nui rānei. Ina koa mēnā he kaha, he roa, he toto hoki, me tono tonu ki te mātanga hauora.
9. He raru noa iho te mamae puku, he tohu mate nui rānei?
I ētahi wā, he take māmā noa iho te mamae puku, engari i ētahi wā, he tohu mō ngā mate nui. Nō reira, he mea nui te roa me te kaha o ngā āhuatanga.
10. He aha ngā whakamātautau mō te mamae puku?
Hei tāpiri ki te arotake a te rata, ka whakamahia ngā whakamātautau toto, mimi, ultrasonography, tomografi rānei mēnā e tika ana.
11. He aha te take o te mamae puku i muri i te kai?
He maha ka takea mai i ngā raruraru kai, engari mēnā ka pūmau, me arotake.
12. He tika te whakamahi paturopi mō te mamae puku?
Kāo; me whakamahi anake i raro i te tohutohu a te rata, mō ngā mate whakapokenga motuhake anake.
13. Ko wai te rata e tiro ana i te mamae puku?
I te arotake tuatahi, ka tirohia e te rata rongoā whānui, rata whānau rānei, ā, mēnā e tika ana, ka tukuna ki te rōpū motuhake.
Ngā Rauemi
World Health Organization (WHO) – Acute Abdominal Pain Factsheet
Centers for Disease Control and Prevention (CDC) – Abdominal Pain Guidelines
American College of Gastroenterology – Guidelines for the Evaluation of Abdominal Pain
British Medical Journal – Clinical Review: Acute Abdominal Pain in Adults
UpToDate – Evaluation of Acute Abdominal Pain in Adults and Children