He nui rawa te waipiro e inumia ana e koe? Kia ako tātou mō ngā mea e pā ana ki te ate! (Te Mate Ate e Pā Ana ki te Waipiro)

I mōhio koe ko te waipiro e inumia ana e tātou hei ngahau, hei whakangahau, ā, i ētahi wā he mea noa iho, ka taea te kino haere i tētahi okana tino nui o tō tātou tinana? Ae, e kōrero ana ahau mō te ate. E whakaaro ana ētahi tāngata kāore he kino o te inu iti, engari he pono rānei tēnā? Kia kite tātou he aha te mea ka pā ki te ate nā tēnei waipiro.

He aha te mate ate e pā ana ki te waipiro?

Hei whakarāpopototanga, ina inu nui tonu koe i te waipiro, ka tīmata te hanga ngako i roto i tō ate, ka pakaru, koinei te mea e kiia nei e tātou ko te 'Mate Ate e Pā Ana ki te Waipiro' . He momo mate ate tēnei e kiia nei ko te 'mate ate steatotic'. I mua, i tapaina hoki tēnei āhuatanga e ngā tākuta ko te 'mate ate waipiro'.

Ko te mea ka tupu, ina nui atu te waipiro e inuhia ana e koe i tā te ate e taea ai te tukatuka, ka nui haere te ngako i roto i ngā pūtau o tō ate. Whakaarohia he rite ki tētahi wheketere e kī ana i te nui o ngā taonga. Ko te ingoa o tēnei mate ko te 'steatosis' , arā, ko te kohikohinga o te ngako i roto i te ate.

E toru ngā wāhanga o tēnei mate...

Kāore te kino o te ate i puta mai i te waipiro e tino kino i te wā kotahi. E toru ngā wāhanga matua ka taea te tautuhi:

1. Te mate ate pūkahukahu e pā ana ki te waipiro: Koinei te wāhanga tuatahi. Ko te mea ka tupu i konei, ina inu nui rawa te waipiro, ka nui ake te ngako ka kohia e te ate, kāore e taea e ia te whakahaere. I te nuinga o te wā, kāore he tohu nui i tēnei wāhanga.

2. Te mate pūkahukahu ate e pā ana ki te waipiro: Ka puta te mumura, te pupuhi rānei i roto i te ate i tēnei kohikohinga ngako. He ahua kino tēnei. Ka taea e tēnei mumura te whakararu nui i te ate, ā, i muri mai ka arahi atu ki tētahi mate morearea e kiia nei ko te cirrhosis .

3. Te mate ate e pā ana ki te waipiro: Koinei te wāhanga tino morearea. Koinei te wā e mate ai ngā pūtau ate, ā, ka whakakapia ki te kiko whara. Mā tēnei whara ka ngaro katoa te kaha o te ate ki te mahi. He kino tuturu tēnei, arā, kāore e taea te whakakore.

He aha ngā tohu? Me pēhea te mōhio ki tēnei?

Heoi, he tokomaha ngā tāngata e pāngia ana e tēnei mate kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. I ētahi wā ko te mea tuatahi ka kite koe ko te ngenge tonu . Engari i te kino haere o te mate, ka kite pea koe i ngā tohu pēnei i:

• Kirika
• Te pupūnga wai i roto i te puku (e kiia ana tēnei e ngā tākuta he 'ascites ') te pupuhi rānei i ngā waewae (e kiia ana ko te 'edema' )
• Hiahia kai
• Te ruaki, te ruaki toto pea
• Te kōwhai o ngā kanohi me te kiri (e kiia ana tēnei he jaundice )
• Te whakahekenga taumaha

Mena kei a koe tētahi o ēnei tohu, inā koa he tangata inu waipiro koe, me toro atu koe ki te tākuta, nā te mea ka kino pea tēnei āhuatanga ki te kore e arohia.

He aha i puta ai tēnei mate? He aha te tino take?

Ko te tino take, ko te take anake hoki o tēnei, ko te nui o te inu waipiro mō te wā roa . He maha ngā wā ka puta tēnei mate i roto i te hunga kua inu waipiro nui mō te rima ki te tekau tau.

Tērā pea kei te whakaaro koe he aha te nui o te 'inu nui rawa'. He rerekē te tikanga i runga i te ira tangata:

• Mō ngā tāne: Ko te inu nui e kīia ana ko te toru, neke atu rānei o ngā inu waipiro (ko te nuinga he pia māmā) ia rā, 21 rānei, neke atu rānei o ngā inu ia wiki. Mō ngā inu kaha ake pērā i te waina, te wīkī, te waipiro rānei, he iti iho te maha o ngā inu.
• Mō ngā wāhine: E rua, neke atu rānei ngā inu i te rā, 14, neke atu rānei ngā inu i te wiki, e kiia ana he inu nui.

Kua whakaatuhia e ngā rangahau e 90% o te hunga inu nui ka pāngia e te mate ate momona (steatosis). He paitini tēnei ngako ki te ate. Ka taea e ia te arahi ki te mumura, te cirrhosis, tae atu ki te mate pukupuku ate. Heoi, ehara i te katoa e pāngia e te mate kino o tēnei mate.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ko te tino take mōrearea ko te mate e kiia nei ko te Alcohol Use Disorder (AUD) . Arā, ko te inu nui rawa i te waipiro mō te iti rawa e rima tau karapīpiti. Ko te 'AUD' he mate e kore e taea e koe te whakahaere i tō inu, e hiahia ana koe ki te inu tonu, ā, he uaua ki te whakamutu.

Hei tāpiritanga, ka taea hoki te pā mai o tēnei mate ate mā te inu nui i te waipiro i te wā kotahi (`Binge drinking` - arā, te inu nui i te waipiro i roto i te wā poto). Mena kua pāngia kē koe e tētahi atu mate ate (pērā i te hepatitis B, C rānei), ka nui ake te kino o te waipiro ki tō ate.

He aha ngā raruraru kino ka puta mai i tēnei mate?

Ki te kaha rawa te mate ate cirrhosis i puta mai i te waipiro, ka ara ake pea he raruraru ka mōrearea ai te ora. Anei ētahi tauira:

• Ngā varicose uaua me te toto i roto i te ara nakunaku ( ngā varicose gastrointestinal , te toto gastrointestinal rānei), hei tauira, te ruaki toto.
• Te kino o te ate ki te roro ( Hepatic encephalopathy ). Ka taea e tēnei te whakararuraru i te awatea, te pōhēhē, tae noa ki te koma.
• Matepukupuku ate ( Hepatocellular carcinoma ).
• Te ngoikore o te whatukuhu ( hepatorenal syndrome ).
• Te ngoikore o te manawa (te 'mate pūkahukahu hepato' (mate pūkahukahu hepato).
• Mate huakita i roto i te kōhao puku ( Peritonitis huakita tūpono) .

He tino morearea ēnei āhuatanga, nō reira he mea nui kia tūpato ki te waipiro.

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Ina haere koe ki te tākuta, ka tirohia tō tinana e ia i te tuatahi. Ka pātai ia mō tō hītori hauora. Ko te mea nui ko te pātai i te nui o te waipiro e inuhia ana e koe. Tērā pea ka kore koe e pai ki te whakautu i tēnei pātai. Tērā pea ka āwangawanga koe ki te kōrero mō ō tikanga inu. Heoi, mā ngā mōhiotanga tika e homai e koe ka āwhina i te tākuta ki te whakatau tika i te mate. Tena koa kōrerotia te pono. Kāore te tākuta e whakahe ana i a koe, kei konei ia hei āwhina.

Hei tāpiri, ka taea e te tākuta te whakahaere i ngā whakamātautau pēnei i:

• Te tatau toto katoa (CBC ): Hei tirotiro mēnā he anemia (he iti te tatau toto) he iti rānei te tatau pereti toto.
• `Matawai CT` , `Whakamātautau MRI` , `Ultrasound` rānei: Ka taea e ēnei te tirotiro i te āhua o te ate, mēnā kei te kohi ngako, mēnā rānei kei te kitea ngā tohu o te `cirrhosis`.
• Ngā whakamātautau mahi ate : Ka taea e ēnei te whakatau mēnā kua pakaru te ate.
• Ngā whakamātautau tohu waipiro : Ka taea e ēnei te kite i te aroaro o te waipiro i roto i tō toto, i tō mimi rānei. Ka taea e ētahi whakamātautau tohu waipiro te kite i te inu nui ahakoa he marama i muri i tō inu waipiro.

He aha ngā maimoatanga mō tēnei?

Ko te rongoā matua me te tino whai hua mō te mate ate steatotic e pā ana ki te waipiro, te mate ate steatotic e pā ana ki te waipiro rānei, ko te whakamutu rawa i te inu waipiro. Ka taea e tēnei te āwhina ki te whakakore i te kino o te ate.

E mōhio ana mātou he ngāwari tēnei ki te kī, engari he uaua ki te mahi. He maha ngā wā ka pā tēnei mate ate ki te hunga e pāngia ana e te mate whakamahi waipiro (`Alcohol Use Disorder - AUD`). Mena kei a koe te `AUD`, ka tūtohu pea tō tākuta i ēnei maimoatanga:

• Maimoatanga whanonga: I roto i tēnei, ka taea e koe te mahi tahi me ngā kaitohutohu mō te waranga, ngā tohunga hinengaro rānei. Mā rātou koe e āwhina ki te whakarerekē i tō whanonga inu. Ka tautokona tēnei mā roto i ngā momo whakaora.
• Rongoā: He rongoā kei reira hei whakaiti i te hiahia ki te inu waipiro, hei whakaiti hoki i ngā tohumate o te whakamutu i te whakamahi waipiro.

Te mate ate i puta mai i te waipiroKa rerekē te maimoatanga mō te mate i runga i tō āhua hauora. Hei tauira, ko te whakawhitinga ate anake te rongoā mō te mate ate cirrhosis. Heoi, kāore e taea e te katoa e hiahia ana ki te ate hauora te whiwhi i tētahi. Me tutuki ētahi paearu. Mēnā he mate ate cirrhosis tōu, pātai atu ki tō tākuta mēnā he tika te whakawhitinga ate māu.

Āhea ahau me toro atu ki te tākuta?

Ki te whakaaro koe kei te inu nui rawa koe i te waipiro i ia wā, i ia wā rānei, he mea nui kia kōrero koe ki te tākuta. E mōhio ana ngā tākuta ehara i te mea ngāwari te whakapuaki i ngā mōhiohio whaiaro, pērā i tō whakamahinga waipiro. Ka kōrero rātou mō ō raruraru, ka aromatawai hoki i tō hauora me te kore e whakahē i a koe.

Ka taea e koe te pātai atu ki te tākuta i ngā pātai penei:

• Ka taea e au te huri i tēnei āhuatanga?
• Ka kino haere rānei tōku āhua?
• He rongoā anō kei reira kāore e tika kia tangohia e au nā te mea kua pakaru taku ate i te waipiro? (Ko ētahi mea pēnei i ngā rongoā whakamamae ka pā kino ki te ate.)

Mena kei a au tēnei mate, he aha taku e tumanako ai?

He rerekē te āhua o te katoa. Ka taea te whakaora katoa i te mate ate steatotic e pā ana ki te waipiro i roto i te ono wiki i muri i te whakamutu i te inu waipiro. Ko te tikanga ka taea e tō ate te ora anō.

Engari ki te pāngia koe e te cirrhosis, he rerekē te āhuatanga. Ki te mutu te inu waipiro, ka taea e koe te ārai i te kino haere o te mate, me te whakaroa i tō oranga. Engari kāore e taea te whakakore i te kino tuturu ki te ate. Ko te rongoā anake ko te whakawhitinga ate.

He aha te roanga o te oranga o te tangata kua pāngia e tēnei mate?

Ka taea e te tangata he momo ngawari o te mate te ora mō te roanga o tōna oranga mena ka mutu katoa tana inu waipiro, pērā i te tangata kāore i te mate. Engari kei te tangata anake tēnā e mutu ana tana inu waipiro.

He poto ake te roanga o te oranga o te tangata e pāngia ana e te cirrhosis. Ko te roanga o te oranga toharite i muri i te tātaritanga kei waenganui i te rua me te tekau mā rima tau, engari he maha ngā āhuatanga e whakawhirinaki ana ki tēnei, tae atu ki te kaha o te mate, ngā raruraru, me te whakamutu i te inu waipiro. Mena kei a koe tēnei momo mate ate, ko tō tākuta te puna mōhiohio pai rawa atu māu. Ka mōhio ia ki te momo mate ate kei a koe me tōna pānga ki a koe.

Hei whakamutunga, me kī atu ahau i tēnei...

He uaua pea te whakaae he nui rawa te waipiro e inuhia ana e koe i ia wā, i ia wā. Tērā pea he uaua ake te kī atu ki te tākuta te nui me te auau o te inu. Engari he mea nui te whakapuaki i aua mōhiotanga. Mā tēnei ka āwhina i tō tākuta ki te tātari tika i te kino kua pā mai ki tō ate nā te waipiro.

Ki te kitea wawetia te mate, ā, ka mutu te inu waipiro, ka taea e koe te ārai i te kino haere o te mate.Ka taea te whakakore i te kino i pā ki te ate e te waipiro.

E mōhio ana ngā tākuta ehara i te mea ngāwari te whakamutu i te inu waipiro. Kei reira rātou hei āwhina i a koe, ehara i te mea hei whakahē i a koe. Ko te taahiraa tuatahi ki te ora ko te whakapuaki i tō whakamahinga waipiro. Nō reira, kaua e wehi, kaua hoki e whakama ki te kōrero ki te tākuta mō tēnei mea. Ka mihi tō ate ki a koe! Kia mahara, ko te tono āwhina he tohu kaha, ehara i te ngoikore.

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