Kua pakaru tō ate i te waipiro? (Hepatitis nā te waipiro)

He tokomaha te hunga e whakaaro ana he pai te inu iti i te rā, te inu tahi rānei me ngā hoa kotahi i te wiki. Engari e mōhio ana koe ki te nui o te kino ka pā ki te ate, te kaimahi puku o tō tinana? I tēnei rā ka kōrero tātou mō te mumura o te ate i puta mai i te waipiro, he mate e mōhiotia ana i roto i te rongoā ko te 'Hepatitis i puta mai i te waipiro'.

He aha te mate hepatitis i puta mai i te waipiro?

Ki te kī māmā, ko te 'Hepatitis' he mumura o te ate. He rite tēnei ki te whero me te pupuhi e puta ana ina whara te tinana. Ko te tikanga o tēnei pupuhi kua pakaru ngā pūtau ate, kua pangia rānei. He maha ngā take mō tēnei. He momo huaketo, he paitini e kino ana ki te tinana, me ētahi atu. Ko te inu nui i te waipiro tētahi o ngā tino take o tēnei.

I ētahi wā, he āhuatanga rangitahi tēnei ka puta i muri i te inu nui rawa i te rā kotahi. Heoi, ki te noho hei āhuatanga mau tonu tēnei i roto i te tangata e inu tonu ana i te waipiro, he tino tūponotanga ka pā he kino nui ki te ate e kore e taea te whakatika.

He aha te take e pēnei ai te waipiro ki te ate?

Whakaarohia, ko ngā mea katoa e kainga ana e koe, e inu ana koe, ka horoia, ka tukatukahia e tō ate i mua i te mimiti ki roto i tō tinana. He rite te ate ki te tātari i roto i tō tātou tinana. Māna ēnei mahi katoa e wehewehe, e tango ngā matūkai, e tango hoki i ngā paitini.

Ina inu koe i te waipiro, ka haere hoki ki tēnei ate. Engari ehara te waipiro i te matūkai mō te ate, he paitini tika . I a te ate e wawahi ana i te waipiro, ka puta mai ētahi atu matū paitini.

Ina nui rawa te waipiro e inuhia ana mō te wā roa, arā, mō te tangata e pāngia ana e te mate inu waipiro, ka taupokina te ate e ēnei paitini. Ina kore e taea e te ate te whakahaere i te ngako me ngā paitini nui, ka tīmata rātou ki te kino i ngā pūtau ate. Hei whakautu ki tēnei kino, ka puta te pupuhi, te mumura rānei, i roto i te tinana. Ko te ngana tēnei a te tinana ki te whakaora i te patunga me te aukati i ngā kino atu.

Engari ko te raruraru, i te mea ka horomia tonutia te waipiro, ka pupuhi tonu tēnei. I te mea ka pupuhi tonu te ate, ka tīmata te mate o ōna pūtau.

Ko wai te mea tino mōrearea ki tēnei mate?

Ko te hunga kua roa e inu nui ana i te waipiro, ko rātou te hunga tino mōrearea. Engari, ehara i te mea ko te hunga katoa e pāngia ana e tēnei mate ka taka ki roto i taua kāwai. He tino pāngia te tinana o ētahi tāngata e te waipiro. Ka taea tonu e rātou te kino i ō rātou ate ahakoa he nui noa te inu. Ko ētahi atu, kāore pea e pāngia e tēnei mate ahakoa he nui ake tā rātou inu.

Ngā rerekētanga ira mō tēneiKa pāngia pea. Mena he hītori o te waipiro, he mate ate rānei tō tētahi o tō whānau, he nui ake tō tūponotanga. He wāhi anō tō te ira tangata ki konei. Ko te tikanga, he nui ake te manawanui o ngā tāne ki te waipiro i ngā wāhine.

He aha ngā tohu o tēnei mate?

Mena kei te tīmatanga tonu tēnei mate, tērā pea kāore he tohu e pā mai ana. Engari i te kino haere o te āhua, ka tīmata koe ki te rongo i ēnei āhuatanga.

Kia pehea te nui o te inu e hiahiatia ana hei rongoā mō tēnei mate?

Kāore he tauira kotahi e tika ana mō tēnei katoa. Engari e whakaatu ana ngā tatauranga he nui ake te mōrearea o te hunga e inu nui ana i ia rā mō te wā roa. He rerekē anō hoki te tikanga o te "inu nui" mō ngā tāne me ngā wāhine.

• Mō ngā tāne: Te inu i te whā inu noa i te rā, neke atu rānei i te 14 inu i te wiki.
• Mō ngā wāhine: Me inu e toru karāhe i te rā, neke atu rānei i te 7 karāhe i te wiki.

Ko te inu nui i te waipiro tētahi o ngā take o tēnei. E inu ana ngā tāne i te neke atu i te 5 karāhe i te wā kotahi, ā, e inu ana ngā wāhine i te neke atu i te 4. Ki te mahi koe i tēnei i te iti rawa e rima ngā wā i te marama, ka kiia hoki tēnā he inu nui. Ahakoa te inu pēnei mō te wā poto, pērā i te ono marama, ka nui ake te tūponotanga o te pāngia e tēnei mate.

Me pēhea te tātaritanga tika a te tākuta i tēnei mate?

Ina haere koe ki te tākuta, ka pātai tuatahi ia mō tō hītori hauora me te whakamahinga waipiro. Mēnā e whakapae ana rātou he raruraru tō te whakamahinga waipiro, ka tirohia e rātou mēnā kei te pāngia ētahi atu okana. He maha ngā whakamātautau ka taea te mahi hei āwhina i tēnei.

• Ngā whakamātautau toto: Ka taea e te tatau toto katoa (CBC) te tirotiro mō ngā momo mate hauora. Ka mahia hoki ngā whakamātautau mahi ate hei tirotiro mō ngā whākōkī ate kua teitei.
• Ngā whakamātautau whakaahua: Tērā pea ka mahia ngā whakamātautau pēnei i te ultrasound, FibroScan®, CT scan, MRI scan rānei hei tirotiro mēnā kei te pupuhi, kei te pakaru rānei te ate.
• Kohikohi ate: I ētahi wā, me tango pea e te tākuta tētahi wahi kiko iti rawa mai i te ate ka tirotirohia i raro i te karuārai hei whakaū i te mate.

Me pēhea te rongoā?

Kāore he rongoā motuhake e taea te hoatu tika mō tēnei mate. Ko te rongoā pai rawa atu ko te whakamutu rawa i te inu waipiro.

Engari he mea morearea te whakamutu ohorere i te waipiro. Ka pā mai pea ngā pānga kino (ngā tohumate tango) ki te tinana. Koia te take me mahi koe i tēneiI raro i te tirotiro hauora .

Ahakoa ka āwhina tō tākuta i a koe ki te whakarērea te waipiro, ka rongoā anō hoki e ia ngā raruraru ka puta mai i taua mea.

Ko ētahi atu maimoatanga ko:

• Te rongoā kai: Ka pāngia pea koe e te waipiro me te kino o te ate e ngā āhuatanga pēnei i te ngaronga o te hiahia kai me te whakapairuaki, ka arahi pea ki te kore kai pai. Ka hoatu e tō tākuta he kai tika me ngā tāpiringa kai ki a koe. I ngā wā tino kino, ka hoatu pea he whāngai ngongo ki a koe i te hōhipera.
• Ngā steroids wā poto: Ko ētahi mate kino ka hoatuhia he steroids mō te wā poto hei whakaiti i te pupuhi i roto i te ate me te āwhina i ngā pūtau ki te whakaora anō.

Ka taea te whakakore i tēnei āhuatanga? Kia pēhea te roa o te wā e ora ai?

Ae, ka taea te rongoā i tēnei ki te whānuitanga nui. Engari kotahi anake te tikanga mō tēnei. Ko te whakamutu rawa i te inu waipiro.

Ki te kore te mate e tino kino, ka taea e te ate te ora ake i muri i te whakamutu i te inu. Ko te hunga kāore e mutu te inu ka taea tonu te whakawhanake i te cirrhosis me te ngoikore o te ate, arā, ko te wā ka tino pakaru te ate. Kāore e taea te whakakore i te kiko kua pakaru i roto i te ate. Engari ka taea e koe te aukati i te kino atu me te whakaora i te toenga o tō ate.

Ko te tikanga, ko te hunga e mutu ana te inu waipiro i muri i te tātaritanga mate ka kite i te whakapainga nui o tō rātou hauora i roto i ngā marama 6 ki te 12. Ka taea te whakaora katoa i ngā mate ngawari.

He aha te rerekētanga i waenga i te hepatitis i puta mai i te waipiro me te cirrhosis?

Kaua e whakapoauau i ngā mea e rua. Ko te mate ate te wāhanga whakamutunga, te wāhanga kino rawa atu o te mate ate.

I te whakarapopototanga, mā te mate ate roa (mumura) ka mate tonu ngā pūtau ate, ka whakakapia ki te kiko whara. Ina kapi te wāhi nui o te ate i tēnei momo kiko whara, ka kiia te mate he cirrhosis. Ka whakararu tēnei kiko whara i te rere o te toto ki te ate, ka kore e taea te tukatuka tika i ngā matūkai me te tātari i ngā paitini. I te mutunga, ka ngoikore rawa te ate, ā, ka mate pea.

He tūponotanga morearea te mate ate hepatitis waipiro i te ara ki te mate ate cirrhosis. Ka taea te whakaora, engari ki te kore e arohia, ko te taahiraa e whai ake nei ko te mate ate cirrhosis e kore e taea te whakaora.