Ka whero anō hoki tō mata, ka pōuri hoki i muri i te inu waipiro? Me ako tātou mō te kore e manawanui ki te waipiro!

Kua kite koe i ētahi tāngata, ahakoa i muri i te inu waipiro iti, ka whero tonu ō rātou mata, ā, ka kore e pai ki a rātou? Tērā pea kua pā mai tēnei ki a koe anō hoki. Kua whakaaro koe, 'Āe, kāore e taea e au te inu waipiro iti'? Koinei tonu te momo āhuatanga ka kōrerohia e tātou i tēnei rā. Ka kiia tēnei ko te 'Ārai Waipiro'.

He aha tonu te kore e manawanui ki te waipiro?

He kupu ngāwari tēnei, he mea nō ngā ira, arā, mai i tētahi whakatipuranga ki tētahi whakatipuranga. He mea tēnei e riro mai ana i ō tātou mātua, pērā i te tae o tō tātou kiri me te tae o ō tātou makawe. Ka kiia hoki tēnei he mate pākia o te pūnaha io . Inaianei kei te whakaaro koe he aha tēnei mate pākia o te pūnaha io, tika? Koinei te tukanga e huri ai i ngā mea e kainga ana e tātou, e inuhia ana e tātou hei pūngao i roto i tō tātou tinana, ā, e wawahi ana, e tango ana hoki i ngā mea kāore e tika ana. Nō reira, kāore e taea e te tangata kāore e manawanui ki te waipiro te aro atu me te tukatuka tika i te waipiro.

Whakaarohia, he pūmua motuhake kei roto i ō tātou tinana hei āwhina i a tātou ki te nakunaku i te kai me te wawahi i ngā matū kei roto. Ka kiia ēnei he whākōkī . He rite te mahi a ēnei whākōkī ki ngā kaimahi iti. Ko te hunga kāore e manawanui ki te waipiro, he ngoikore te mahi a tētahi whākōkī motuhake e āwhina ana ki te wawahi i te waipiro. Koia rātou ka pāngia e ngā tohu kino pēnei i te whero o te mata (e kiia ana ko te 'waipiro inu') me te werawera ahakoa kua inumia he iti noa te waipiro.

Kaua tēnei e pohehe ki te mate pāwera ki te waipiro, tika?

He tokomaha te hunga e whakapoauau ana i te kore manawanui ki te waipiro me te mate pāwera ki te waipiro. Engari he rerekē ngā mea e rua.

He mate ira te kore e manawanui ki te waipiro, he mate pākia o te pūnaha nakunaku, ā, kāore e taea e te pūnaha nakunaku te tukatuka tika i te waipiro.

He rerekē te mate pāwera ki te waipiro. He urupare tēnei mai i tō tātou pūnaha ārai mate. Pērā i tō mate pāwera ki te puehu, ki te kai rānei, kei te tauhohe tō tinana ki tētahi mea kei roto i te waipiro (hei tauira, he witi e whakamahia ana hei hanga i te waipiro, he matū, he matū tiaki rānei pērā i te whanariki).

He rerekē paku ngā tohu. Ka pā te whakapairuaki ki ngā mea e rua. Heoi, ko te tohu matua o te kore e manawanui ki te waipiro ko te whero o te kiri i te uma, te kaki, me te mata. Koinei taku i kōrero ai i mua, ko te 'waipiro i te waipiro'.

I tētahi atu taha, ka taea e te mate pāwera waipiro te puta he ponana kiri, he mākati, he pupuhi, me te mamae puku nui. Ko ngā tohu o te mate pāwera he mamae ake, he kore whakamarie ake i ērā o te kore manawanui. I ētahi wā, ka taea e te mate pāwera waipiro te whakararuraru i te ora mēnā kāore e rongoatia.

Nō reira, ki te pāngia koe e ētahi tohu rerekē i muri i te inu waipiro, me toro atu koe ki te tākuta. Kātahi ka taea e koe te whakatau he aha te raruraru.

Nō reira, he rite tonu tēnei ki te 'hoha'?

Āe, kāo. Ko te kore e manawanui ki te waipiro, ehara i te mea ka haurangi wawe koe, ka haurangi rānei me te iti o te waipiro. Kāore e piki ake te taumata waipiro i roto i tō toto. Inaa, he maha ngā tāngata e pāngia ana e tēnei mate ka whakaiti i tā rātou inu waipiro nā te mea kāore e taea e rātou te aro atu ki ngā tohu kino.

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Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate? He aha ngā take?

Ahakoa he mate ira tēnei ka pā ki te tangata katoa, ko te hunga nō te Rawhiti o Āhia (pērā i te Hainamana, te Hapanihi, me te Kōrea) he nui ake te tūponotanga ka pāngia e te koretake ki te waipiro. Nā te mea he nui ake te whakarerekētanga ira i roto i ō rātou ira.

Āe, me titiro tātou ki te take o tēnei. Ina horomia e tātou te waipiro (ko te etanoru tēnei), koinei te mea e tupu ana i roto i ō tātou tinana:

1. Ka hurihia te etanoru e te whākōkī e kīia nei ko te Alcohol Dehydrogenase (ADH) hei matū e kīia nei ko te acetaldehyde . Ka pā kino pea tēnei acetaldehyde ki ō tātou pūtau.

2. Kātahi ka hurihia tēnei acetaldehyde e tētahi atu whākōkī e kiia nei ko te Aldehyde Dehydrogenase 2 (ALDH2) hei waikawa acetic kinokore (he winika te tikanga).

Nā, ko te mea ka pā ki te tangata e kore e manawanui ki te waipiro, ko te tuarua o ngā whākōkī, ALDH2, he tino kore mahi, he kore mahi rānei. Nā taua huringa ira tēnei. He aha te mea ka tupu? Ko taua acetaldehyde kino, i te kore e hurihia hei waikawa acetic , ka tīmata te kohikohi i roto i te toto me ngā kiko. Koinei te take matua o te putanga mai o aua tohu kino. Kei te mārama koe?

He aha ngā tohu o te kore e manawanui ki te waipiro?

E ai ki taku kōrero i mua, ko te tohu matua, ko te tohu tino kitea ko te whero, te werawera o te mata, te kaki, me te uma. Ka kiia hoki tēnei ko te 'mate waipiro waipiro'. Ka pā pea tēnei i muri i te inu waipiro ahakoa he iti noa te waipiro.

Haunga tēnā, ka taea hoki e koe te kite i ētahi atu āhuatanga pēnei i:

• Whakapairuaki me te ruaki
• He tere te pao o te ngakau (e kiia ana ko te 'tachycardia') he rongo rānei kei te pao te ngakau ('heart palpitations')
• Te toto toto iti (hypotension)
• Te ngenge me te mamae nui o te upoko (pērā i te mate pōuri)
• Te pupuhi o te ihu
• Korere
• Mena he mate huango tōu, tera pea ka kino ake.

Kāore ēnei tohu e puta i te huarahi kotahi mō te katoa. Tērā pea kotahi, e rua rānei ngā tohu o ētahi, ko ētahi he maha.

Me pēhea te tautuhi tika a ngā tākuta i tēnei?

Ka pātai atu te tākuta ki a koe mō ngā tohu e pā ana ki a koe me ngā tauhohenga e pā ana ki a koe ina inu waipiro koe. Koinei te taahiraa tuatahi.

Hei tāpiritanga, i ētahi wā ka taea te mahi i tētahi whakamātautau e kiia nei ko te whakamātautau pāti etanoru . He whakamātautau tino māmā tēnei.

• Ka pania e te tākuta tētahi pata etanoru ki runga i tētahi wahi miro iti, ka pania ki tō ringaringa.
• E whitu meneti pea.
• Kātahi ka tangohia te miro ka tirohia mēnā he whero, he mākūkū, he pupuhi rānei taua wāhi o tō ringaringa.

Ka taea e tēnei te hoatu he whakaaro ki a koe mō te āhuatanga.

He rongoā kei te wātea mō tēnei? Ka taea te whakaora?

Ki te pono, kāore he huarahi hei whakaora katoa i tēnei mate nā te mea he ira tuku iho. Arā, nō ō tātou mātua tēnei mate. Nō reira, kāore e taea te whakaora.

Kaua e manukanuka. Ka taea e tō tākuta te āwhina i a koe ki te whakahaere i ēnei tohu kino.

Ko te mea nui ko te karo, te whakawhāiti rānei i te inu waipiro. Koinei te huarahi pai me te huarahi māmā ki te ārai i ngā tohumate. Ka taea e koe te whiriwhiri i ētahi atu inu kāore he waipiro kei roto.

Anei ētahi atu mea nui me mōhio koe:

• Āta karohia te kai tupeka, te pāngia rānei e te auahi hikareti: Ka taea e te kai hikareti te whakanui ake i te nui o te acetaldehyde i roto i te tinana, ka piki ake ai te mōrearea o te mate pukupuku.
• Āta karohia te inu waipiro i te wā e tango ana i ētahi rongoā: Mā te inu waipiro me ētahi rongoā ka kino ake ō tohu.
• Kia tūpato ki te whakamahi i ngā rongoā ārai mate waikawa, i ngā rongoā antihistamine rānei hei whakaiti i ngā tohu: Ka pehi noa iho ēnei rongoā i ngā tohu. Tērā pea ka hiahia koe ki te inu waipiro nui atu nā te mea kāore koe e pāngia e te mamae. Mā te mahi pēnā ka kino noa iho te raruraru.

He mea nui: Ahakoa ka taea e ngā rongoā antacid me ngā antihistamine te whakaora i ngā tohumate mō te wā poto, kāore e rongoā i te manawanui kore waipiro. Kāore hoki e whakaiti i te kino ki te tinana.

Ka aha mēnā ka inu tonu ahau i te waipiro i roto i tēnei āhua?

Ki te haere tonu te whakamahi waipiro a te tangata whai mate pēnei, ehara i te mea ka puta noa aua tohu kino, engari ka piki ake hoki te mōrearea ki te whakawhanake i ētahi atu mate kino.

Ina koa, ko te hunga e kore e manawanui ki te waipiro ka nui ake te mōrearea ki ēnei āhuatanga mēnā ka inu tonu rātou i te waipiro:

• Matepukupuku waha me te korokoro(Te Matepukupuku o te Upoko me te Kaki)
• Ngā mate ate (hei tauira, cirrhosis)
• Te mate a Alzheimer i te tīmatanga o te wā

Nō reira, kāore e pai mō te tinana te inu waipiro ahakoa e mōhio ana koe kei a koe tēnei mate.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

Āe, me whakarāpopoto tātou i ngā mea kua kōrerotia e tātou hei āwhina i a koe ki te maumahara ki ētahi o ngā kōrero tino nui.

He mate ira te kore e manawanui ki te waipiro. Ko te tikanga ka riro mai i a koe tēnei mate mai i ō mātua. Kāore e taea te whakaora, engari ka taea te whakahaere i ngā tohumate.

Ko te mea nui kia kaua e inu waipiro i ngā wā katoa e taea ana. Ki te pērā koe, ka kore koe e pāngia e aua tohu kino, ā, ka taea e koe te noho ora, ora kaha.

Tērā pea ka whakaaro koe, 'Āe, he tino uaua te kore inu waina, te kore pia rānei i ētahi wā.' Engari, mā te karo i te waipiro ka āwhina i a koe ki te karo i aua kanohi whero, ngā mamae tinana, me ngā raruraru puku. Ehara i te mea koinā anake, engari ka āwhina hoki i a koe ki te tiaki i a koe mai i ngā mate kino pēnei i te mate pukupuku.

Mena he koretake tōu ki te waipiro, engari kāore e taea e koe te whakahaere i tō inu waipiro ahakoa te mamae me te kore whakamarie, me kōrero koe ki te tākuta. He ratonga kei reira hei āwhina i ngā mate whakamahi waipiro.

Kia maumahara, ko tō hauora te mea tino nui!