Te Mumura o te Kiri o te Puku: Ngā Mea Me Mōhio Mō te Gastrit
Te Waikawa o Roto i te Puku me ngā Pūnaha Tiaki
Ka whakaputa te puku i tētahi wai waikawa kaha e whai wāhi nui ana ki te tukanga whakarewa kai. Ka puta tēnei waikawa i ngā repe maha kei te mata o roto o te puku. Hei tiaki i te kiri o te puku (mukoza) kia kore e whara, ka hipokina te mata o roto e tētahi paparanga angiangi, paparua tiaki, nā ngā pūtau motuhake e whakaputa. Heoi, i ētahi āhuatanga, ka taea te kino i tēnei ārai tiaki, ka nui rānei te whakaputanga waikawa o te puku. Ko te mutunga, ka mumura te kiri o te puku, ā, ka puta te āhuatanga e kīia nei ko te mate mumura o te puku (gastrit).
He Aha te Gastrit?
Ko te gastrit he mumura o te kiri e hipoki ana i roto i te puku (mukoza). Ko te nuinga, ka puta nā te pikinga o te waikawa o te puku, nā te kino rānei o te paparua tiaki. I tēnei āhuatanga, ka pā tika te waikawa o te puku ki te kiko o te puku, ka whara ngā pūtau. Ka kitea te gastrit i ngā āhua e rua: ka tīmata ohorere (akuta), ka puāwai rānei, ka roa te wā e noho ana (kronik).
Ko te gastrit akuta ka kitea te mamae puku kaha, te ruaki, te kore hiahia kai, me ētahi atu tohu. Ko te gastrit kronik, kāore e tino kitea he tohu, he āhua ngoikore rānei pērā i te koretake o te puku, te koretake o te kai, te pupuhi me te kī o te puku i muri i te kai.
Ngā Take o te Gastrit
Ko te take tino whānui o te gastrit ko te kākā o te puku e te huakita e kīia nei ko Helicobacter pylori. Heoi, he maha atu ngā take ka taea te mumura o te kiri o te puku:
Te kai paipa
Te inu waipiro nui
Te whakamahi rongoā pērā i te aspirin, ibuprofen me ētahi atu rongoā anti-inflamatuar kore-steroidal mō te wā roa
Ngā mate taumaha, pokanga nui, wharanga kino me ngā wera nui pērā i te pēhanga tinana
Te pēhanga hinengaro nui
Ngā mate huakita, huaketo, harore kē atu
Ngā mate ārai kai
Ngā maimoatanga hihiko
Te koroheketanga
Ngā mate whakapaitini kai
Ngā āhuatanga ka whāia e te pūnaha ārai mate te kiko o te puku (gastrit autoimmune, gastrit momo A)
He Aha Ngā Tohu o te Gastrit?
He rerekē ngā tohu o te gastrit i ia tangata. I ētahi, kāore he tohu, i ētahi atu ka tino kitea ngā āwangawanga.
Ngā Tohu o te Gastrit Akuta
Te mamae ohorere, te nuinga kei waenganui, kei runga o te puku (ka kaha ake ina pēhia)
Te mamae ka toro ki te tuarā
Te ruaki me te kākā
Te ngaro o te hiahia kai
Te nui o te korokoro
Te kī me te pupuhi o te puku
Te ruaki toto, te ruaki parauri kākāriki rānei
Te toto i te whēru, te whēru pango (melena)
Te wera me te kawa o te puku
Ngā Tohu o te Gastrit Kronik
I te nuinga o te wā, kāore he tohu i te gastrit kronik. Ko ngā tohu ngoikore pea ko te pupuhi i muri i te kai, te korokoro roa, me te koretake o te puku. Engari, ki te kore e rongoāhia te gastrit kronik, ka piki te tūponotanga o te whēru o te puku, te whēru o te kōpū rua tekau mā rua, me te mate pukupuku o te puku.
Ngā Momo Gastrit: Te Wāhi me ngā Take
Ka tapaina te gastrit ki ngā ingoa rerekē i runga i te wāhi o te puku e pāngia ana:
Gastrit Antral: Ka pā ki te pito putanga o te puku (antrum), koinei te momo tino kitea, ā, he maha ka hono ki te H. pylori.
Pangastrit: Ka pā ki te wāhi whānui o te kiri o te puku.
Gastrit Korpus: Ka puāwai ki te wāhanga tinana (korpus) o te puku.
Ka wehea te gastrit kronik ki ngā momo iti e toru i runga i te take:
1. Gastrit Otoimmün (Momo A): Ka puta nā te urupare hē a te pūnaha ārai mate ki ngā pūtau o te puku. He maha ka pā ki te kore o te huaora B12.
2. Gastrit Huakita (Momo B): Ka pā ki ngā mate huakita, otirā ko te H. pylori.
3. Gastrit Matū (Momo C): Ka puta nā te whakamahi rongoā mō te wā roa (otirā ko ngā NSAİİ), te nui o te waipiro, i ētahi wā ko te rerenga o te waiate.
Me Pēhea te Kite i te Gastrit?
I te wāhanga tuatahi o te aromatawai, ka kohia te hītori whānui o te tūroro. Ka arotakengia ngā āwangawanga, ngā rongoā e whakamahia ana, ngā tikanga kai, te inu waipiro-me te paipa, me te hītori hauora whānui. Ka kimi te rata i ngā wāhi mamae mā te tirotiro puku.
Mēnā e tika ana, ka whakamahia ngā tikanga whakaahua pērā i te hāparapara puku. Ko te tirohanga rōngia ka whakamahia anake mēnā e whakapaetia ana he āhuatanga tino kino pērā i te pakaru o te puku. Ko te tikanga tino pono hei whakamana i te gastrit me te kimi i te take ko te endoscopy o te pūnaha kai o runga. I te wā o te endoscopy, ka taea hoki te tango tauira kiko o te puku hei tirotiro.
Hei tāpiri, ka taea te kimi i te mumura, te mate huakita, me ngā tohu urupare autoimmune i ngā whakamātautau toto. Mēnā e whakapaetia ana he gastrit autoimmune, ka tirohia ngā antikoro motuhake. Mā te whakamātautau whēru ka kitea mēnā he toto kei roto i te whēru.
Te Ara Maimoatanga o te Gastrit
I te nuinga o te tangata, ka taea te whakahaere i te gastrit mā te whakarerekē i te noho me te aro ki te kai. Engari, mēnā e tika ana, ka whakamahia hoki ngā rongoā.
Ko ngā mahi tuatahi e taunakitia ana ko ēnei:
Te karo i te kawhe, te waipiro me te paipa e whakapataritari ana i te puku
Te karo i ngā kai kakā, waikawa
Mēnā he tino āwangawanga, whakaitihia te kai mō te wā poto, whiriwhiria rānei ngā kai māmā, ngā kai ngāwari te whakarewa
Te whakahaere i te pēhanga hinengaro (hei tauira, ngā mahi whakangā, te whakaaroaro)
I te rongoā, ko ngā rongoā e whakamahia nuitia ana:
Ngā antiasit hei whakaiti i te waikawa o te puku, ngā aukati papu proton (PPI), me ngā aukati H2
Ngā tāpiri huaora B12 mō te gastrit autoimmune
Ko te wāhanga tino nui o te maimoatanga ko te whakahaere i te take matua (hei tauira, te mate H. pylori, te whakamahi rongoā mō te wā roa, ngā tukanga autoimmune) i raro i te tirotiro a te rata. He mea nui te aroturuki me te whakahaere auau hei aukati i ngā raruraru kino a mua ake nei.
Ngā Tohutohu Kai mō te Hunga Gastrit
He wāhi nui tō te kai ki te maimoatanga me te whakangāwari i ngā tohu o te gastrit. Me whiriwhiri i ngā kai pai mō te puku, ngā kai whai muka, me ngā kai whakaiti mumura. E whakaatu ana ngā rangahau, ko ngā kai whai probiotics pērā i te miraka pē (yogurt) me te kāpeti whakatotoka, ka taea te tiaki i te puku i ētahi momo huakita. Ka taea hoki e te brokoli, te tinitia, te kāriki, te kāroti me ngā tī rākau te āwhina ki te whakaiti i ngā tohu o te gastrit.
Ngā kai me ngā inu e taunakitia ana:
Ngā huawhenua me ngā hua rākau hou (hei tauira, āporo, kāroti, brokoli)
Ngā kai kākano katoa, te pāreti o te oati, ngā pīni me ētahi atu kai whai muka nui
Ngā mīti iti ngako (heihei, heihei mā, ika)
Te hinu kokonati
Ngā kai whai probiotics (tarahana, miraka pē, kāpeti whakatotoka)
Ngā mea me karo:
Te tiakarete, te kawhe, te waipiro
Ngā tōmato me ngā kai tino waikawa
Ngā kai tukatuka, ngā kai nui te ngako me te huka
Ngā kai tino kakā me ngā kai parai
Ngā kai rite me ngā kai whakamātao
Ngā whakarehu horihori me ngā tāpiri kai
Me maumahara, he rerekē te tairongo o te puku i ia tangata. I mua i te whakarerekē kai, te tīmata rānei i te maimoatanga, me ui ki tētahi mātanga hauora.
Ngā Pātai Auau
1. Ka taea te rongoā aunoa i te gastrit?
I ētahi wā, otirā mēnā ka whakakorea te take (hei tauira, te mutu whakamahi rongoā, te mutu inu waipiro, paipa rānei), ka taea te whakaiti i te gastrit. Engari, mēnā he roa, he tino kaha rānei ngā tohu, me aromātai e te rata.
2. He pēhea te tūponotanga ka puta te mate pukupuku o te puku nā te gastrit?
Ko te gastrit kronik, otirā mēnā ka roa, kāore e rongoāhia, ka piki te tūponotanga o te mate pukupuku o te puku. Nō reira, he mea nui te aroturuki auau me te maimoatanga tika.
3. He aha te Helicobacter pylori me pēhea tana pānga ki te gastrit?
He momo huakita a Helicobacter pylori e noho ana i te kiriu o te puku. Ka puta he mumura ki te kiriu o te puku, ā, ka ara ake te mate gastrit. I te nuinga o te wā, ka whakamahia ngā rongoā paturopi me ngā rongoā hei whakaiti i te waikawa o te puku hei rongoā.
4. Āhea me toro atu te tangata mate gastrit ki te rata?
Mēnā ka puta te mamae puku, te ruaki, te ruaki toto, te ruaki pango, te toto i te whēru, me tere tonu te toro atu ki te rata. Ko ngā tohu māmā, ahakoa roa, me arotake tonu e te rata.
5. He aha te rongoā tino whai hua mō te gastrit?
Ka whakatauhia te rongoā i runga i te take matua. Ko te huarahi tino whai hua ko te whakarerekē i ngā tikanga noho, te karo i ngā mea e kino ai te puku, me te whakamahi i ngā rongoā kua taunakitia e te rata i runga i te tikanga.
6. Ka taea te whakaora katoa i te gastrit?
Mā te rongoā tika me ngā ārai ka pai te nuinga o te hunga mate gastrit. Engari, ki te kore e whakakorehia te take, ka taea te hoki mai. I ngā take mauroa, he pai kia arotakengia tonutia e te rata.
7. Ka taea te whakamahi haumaru i ngā rongoā tiaki puku i te gastrit?
Ka taea te whakamahi haumaru i ngā aukati papu proton me ngā antiasit i raro i te tohutohu a te rata. Ki te whakamahia mō te wā roa, mō te tangata anake, ka piki ake te tūpono o ngā pānga taha.
8. Kia pehea te roa o te kai motuhake mō te gastrit?
Ka rerekē te roa o te kai motuhake i runga i te tangata me te momo gastrit. I te nuinga o te wā, kia heke ngā tohu, ā, i ētahi wā, me pupuri tonu i ngā tikanga kai hauora mō te wā roa.
9. Ka taea e ngā kai probiotic te whakaora i te gastrit?
E ai ki ētahi rangahau, ka taea e ngā kai probiotic te tautoko i te hauora kai, ā, ka āwhina pea i te gastrit, otirā i te rongoā mō te mate H. pylori.
10. He aha ngā inu me karo i te gastrit?
Kāore e taunakitia te kawhe, te waipiro, ngā inu haurehu me ngā wai hua rākau waikawa nui, nā te mea ka whakapataritari ēnei i te puku.
11. He mōrearea te gastrit i te wā hapūtanga?
Ka raru pea te wairua i ngā tohu gastrit i te wā hapūtanga, engari i te nuinga o te wā kāore e puta he raruraru nui. I ngā wā katoa, me kōrero ki te rata wahine.
12. Ka taea e te pēhanga hinengaro te whakaoho i te gastrit?
Āe, ka taea e te pēhanga hinengaro te whakapiki i te hanga waikawa puku, ā, ka kino ake ngā tohu gastrit. He pai te whakahaere i te pēhanga hinengaro.
13. He mate ka pā atu te gastrit?
Ka taea te tuku mate Helicobacter pylori i te tangata ki te tangata, engari kāore ngā momo katoa o te gastrit e pā atu. He mea nui te tiaki i te akuaku whaiaro.
14. Ka taea te gastrit i ngā tamariki?
Āe, ka taea te gastrit i ngā tamariki. Ka puta ngā tohu ōrite, ā, me arotake tonu e te rata.
Ngā Rauemi
Te Whakahaere Hauora o te Ao, Helicobacter pylori me ngā Puka Mōhiohio Matepuku Puku
Centers for Disease Control and Prevention, Mōhiohio mō Helicobacter pylori
American Gastroenterological Association, Aratohu Haumanu mō te Gastrit
Mayo Clinic, Tirohanga whānui ki te Gastrit
European Society of Gastrointestinal Endoscopy, Aratohu Haumanu mō te Gastrit