I ētahi wā, ina kei te pāti koe, ina noho tahi koe me ō hoa, ā, ka inu waina, ka inu pia rānei koe, kāore e pā ki ētahi tāngata. Engari kei reira ētahi, ahakoa i muri i te inu iti, ka whero katoa ō rātou mata, ā, ka kore e pai ki a rātou. Kua pā tēnei ki a koe? Nō reira, ka kōrero tātou mō tētahi mea tino nui ki a koe. He āhuatanga e kiia nei ko te kore manawanui ki te waipiro.
He aha te kore e manawanui ki te waipiro?
He whakarāpopototanga noa iho tēnei, he āhuatanga ira tuku iho tēnei i ō tātou mātua, e pā ana ki te pākia o te tinana. Ko te pākia o te tinana te huarahi e huri ai te kai hei pūngao i roto i te tinana. He mea tuku iho, arā, kua riro mai i a koe tētahi ira kua whakarerekētia mai i ō mātua e rua. Kāore pea ō mātua i te pāngia e tēnei āhuatanga, engari ka taea e rātou te tuku i taua ira ki a koe.
He pūmua motuhake kei roto i ō tātou tinana e kiia nei ko ngā whākōkī . Koinei ngā mea e āwhina ana i a tātou ki te nakunaku i te kai e kainga ana e tātou, me te hanga pūngao. Ko te kore e manawanui ki te waipiro he raruraru nā tētahi whākōkī motuhake e āwhina ana i a tātou ki te nakunaku i te waipiro.
Koia te take ahakoa i muri i te inu waipiro iti (ethanol), ka whero tonu te mata, ka wera hoki. Ka kiia tēnei he "waipiro waipiro" . Ka puta mai he kare ā-roto tino kore whakamarie mō te tinana.
Kaua e whakapoauautia tēnei ki te mate pāwera ki te waipiro!
He tokomaha te hunga e whakapoauau ana i ēnei āhuatanga e rua. Engari he rerekē rawa ēnei mea e rua. He mea tino nui kia mārama tika ki tēnei.
He raruraru ira te kore e manawanui ki te waipiro. Ko te mate pāwera waipiro he urupare a te pūnaha ārai mate.
Ka taea e koe te mārama ki tēnei rerekētanga mai i te ripanga i raro nei.
| Āhuatanga | Te Ātete ki te Waipiro | Mate pāwera ki te waipiro |
|---|---|---|
| Take | He raruraru ira e pā ana ki te pūnaha nakunaku. Kāore e taea e te tinana te nakunaku tika i te waipiro. | He tauhohenga nui rawa atu o te pūnaha ārai mate. Ka tauhohe te tinana ki tētahi mea kei roto i te waipiro (ngā witi, ngā matū). |
| Ngā āhuatanga matua | Te whero, te whakapairuaki, me te piki haere o te tere o te ngakau. | He ponana kiri, he mākati nui, he pupuhi, he mamae puku. |
| Te Hiranga | He āhua whakamā, engari kāore e mōrearea ki te ora. | Ka tino kino, ā, ka mōrearea pea te ora mēnā kāore e rongoatia. |
E kite ana koe, he tino mamae, he tino koretake hoki ngā tohu o te mate pāwera. Nō reira, ki te mea ka pāngia koe e tētahi āhuatanga rerekē i muri i te inu waipiro, kaua e warewaretia. Me toro atu ki tō tākuta mō ētahi tohutohu.
He aha tēnei e tupu nei? He aha te take?
Hei mārama ki tēnei, me mōhio tātou ki te pakaru o te waipiro i roto i ō tātou tinana.
Koinei te mea e tupu ana ina inu waipiro te tangata (ethanol):
1. Te taahiraa tuatahi: Ka wawahia te waipiro e te whākōkī e kīia nei ko te `alcohol dehydrogenase (ADH)`.
2. Hipanga 2: Ka hurihia e te ate te waipiro hei matū e kiia nei ko te acetaldehyde . He matū paitini tēnei acetaldehyde ka taea te kino i ō tātou pūtau.
3. Tuatoru o ngā taahiraa: Ka puta mai tētahi atu whākōkī e kiia nei ko te `Aldehyde Dehydrogenase 2 (ALDH2)` ka huri i taua acetaldehyde paitini hei waikawa acetic kinokore (waikawa acetic - e kitea ana hoki i roto i te winika).
Nā, kia titiro tātou he aha ka pā ki te tangata e kore e manawanui ki te waipiro.
He whakarerekētanga ira kei roto i te ira e hanga ana i te whākōkī ALDH2, kei te taahiraa tuatoru. Nō reira, kāore tēnei whākōkī e mahi tika. Ka ahatia i muri mai? Ka kohia taua acetaldehyde paitini i roto i te tinana. Koinei te take o aua tohu kino katoa.
He aha ngā tohu matua o tēnei mate?
Ko te tohu matua he whero te mata e kiia nei ko te whero o te waipiro , engari tera pea he maha atu ano nga tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Te horoi | Ka whero te mata, te kaki, me te uma, ka wera hoki te tinana. |
| Whakapairuaki me te ruaki | Whakapairuaki me te ruaki me te mamae o te puku. |
| Ngā tere o te ngakau | Te āhua nei kei te tere te pao o tō ngākau (tachycardia). |
| Te toto toto iti | Te toto toto iti (te toto toto iti). |
| Ānini | Te ānini nui, te mamae o te upoko. |
| Te pupuhi o te ihu | He kare ā-roto e pupuhi ana te ihu, pērā i te makariri. |
| Korere | Te pupuhi nā te raruraru nakunaku. |
| Te kino haere o te mate huango | Mena he mate huango tōu, ka kino ake pea ō tohu. |
Me pēhea te rongoā me te whakahaere i tēnei?
E ai ki te kōrero i mua ake nei, nā te mea he mate ira tēnei, kāore he rongoā mōna. He mate mō te wā katoa. Kaua e manukanuka. Ka taea te whakahaere.
Ko te huarahi pai rawa atu, ko te huarahi anake hoki hei mahi i tēnā, ko te kore rawa e inu waipiro. Koinei te huarahi māmā rawa atu hei ārai i ngā tohumate.
Hei tāpiritanga, me mōhio anō hoki koe ki ēnei mea:
- Āta karohia te kai hikareti: Ka taea e te kai hikareti te whakanui ake i te taumata o te acetaldehyde i roto i te tinana, ka nui ake ai te mōrearea o te mate pukupuku.
- Kia tūpato ki ētahi rongoā: Ka taea e te waipiro te taunekeneke me ētahi atu rongoā e tangohia ana e koe, ā, ka kino ake ngā tohu. Nō reira, me kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- Kaua e tango rongoā hei pehi i ngā tohumate: Ka tango ētahi tāngata i ngā rongoā ārai mate waikawa, i ngā rongoā ārai mate pāwera rānei, kātahi ka inu waipiro. Ka pehi noa iho tēnei i ngā tohumate. Kātahi, kāore koe e mōhio, ka nui ake te waipiro ka inumia e koe. Ka nui ake te kino o te tinana. He tikanga tino morearea tēnei.
He aha ngā mōrearea o te inu waipiro i roto i tēnei āhuatanga?
Ehara tēnei i te mea he raruraru noa iho. Mēnā ka inu waipiro tonu te tangata whai mate pēnei, ka nui ake te tūponotanga ka pāngia rātou e ngā mate kino.
Kei te whakatūpato mai te tinana i a tātou mā roto i ēnei tohu. Ki te kore e aro ki taua whakatūpato, ka pā mai pea he mate kino i te wā roa.
Kua kitea e ngā rangahau he nui ake te mōrearea o te hunga whai mate pēnei ki ngā mea e whai ake nei mēnā ka inu waipiro rātou:
- Te mate pukupuku o te waha me te korokoro (te mate pukupuku o te upoko me te kaki)
- Ngā mate ate (pērā i te cirrhosis)
- Te mate a Alzheimer i te tīmatanga o muri
Nō reira, kaua e whakahawea ki te whero o tō mata, ki te werawera rānei o tō tinana i muri i te inu waipiro, me te kī "āe, he mea noa tēnā." He tohu nui tēnei e tukuna ana e tō tinana ki a koe.
Karere Tangohia ki te Kāinga
- He mate ira te kore e manawanui ki te waipiro, ehara i te mate pāwera.
- Nā te ngoikore o te mahi a te whākōkī ALDH2 tēnei, e hua ai te kohikohinga o te acetaldehyde paitini i roto i te tinana.
- Ko te tohu matua ko te māhana me te whero o te mata, te kaki, me te uma i muri i te inu waipiro. Hei tāpiri, ka puta pea ngā tohu pēnei i te whakapairuaki me te ānini.
- Ko te huarahi pai me te huarahi haumaru ki te whakahaere i tēnei āhuatanga ko te kore rawa e inu waipiro.
- Mā te kore aro ki tēnei āhuatanga, me te inu waipiro ka nui ake te mōrearea o te whakawhanake i ngā mate kino pērā i te mate pukupuku waha me te mate ate.
- Ki te pāngia koe e tētahi o ēnei mamae ina inu waipiro koe, kōrero ki tō tākuta mō tēnei mea.
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