Kei te pāngia tō ate e te waipiro? Me kōrero tātou mō te Hepatitis i puta mai i te waipiro i tēnei rā!

E mōhio ana tātou katoa kāore te waipiro i te pai mō te tinana. Engari i ētahi wā, i te tīmatanga o te ngahau, ka noho hei tikanga, ā, ka pā kino ki ō tātou tinana, me te kore e mōhiotia e tātou. Ko tētahi mate kino ka pā ki tō tātou ate nā te waipiro ko te 'Hepatitis i puta mai i te waipiro'. Ahakoa he uaua te ingoa, i roto i ngā kupu māmā, ko te tikanga o tēnei ka pupuhi, ka mumura rānei te ate nā te waipiro.

He pēhea te kino o te waipiro ki tō tātou ate pēnei?

Whakaarohia tō tātou ate he wheketere nui i roto i tō tātou tinana. Ko ngā mea katoa e kainga ana e tātou, e inuhia ana e tātou ka haere mā roto i tēnei wheketere hei horoi me te tukatuka. Ka wehea e te ate ngā matūkai me te tango i ngā paitini kino mai i te tinana. Nō reira, ina inu tātou i te waipiro, ka haere tika atu ki tēnei ate. Engari he paitini te waipiro ki te ate. Kāore e whakarato i tētahi kai, ā, i tētahi atu taha, ka pakaru, ka whakaputa i ngā matū kino ki te tinana.

Nā, ki te inu tonu te tangata i te nui o te waipiro, ki te pāngia rānei e te mate whakamahi waipiro , kāore e taea e tōna ate te tukatuka i ngā paitini me te ngako katoa. Ka nui rawa te taumaha o te ate. Ka ahatia? Ka tīmata te kohikohi o ēnei paitini me te ngako ki roto i te ate, ka tīmata te kino. Ka puta te mumura i tēnei kino, arā, te pupuhi. Ko tēnei pupuhi te ngana a te tinana ki te whakaora i a ia anō me te ārai i ngā kino atu.

Pērā i te wā e pāngia ana koe e te kirika, me noho rangitahi tēnei pupuhi. Engari ina pēhia tonutia te ate e te waipiro, ka haere tonu te pupuhi. Ka kī te ate i te wai pērā i te wai, ka pupuhi. Ki te kaha tēnei pupuhi, ā, ka roa te wā, ka pakaru haere ngā kiko o te ate, ā, ka tīmata te mate o ngā pūtau o te ate.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e te Hepatitis i puta mai i te Waipiro?

Ko te hunga kua roa e inu nui ana i te waipiro te hunga tino mōrearea. Heoi, ehara i te mea ko te hunga katoa e pāngia ana e tēnei mate ka pēnei. Ko ētahi tāngata he tino pāngia e te waipiro. Ka pāngia pea rātou e te mate ate ahakoa he nui noa te inu. Ko ētahi atu ka nui ake te inu, ā, kāore e pāngia e tēnei mate hepatitis.

Ka pāngia pea tēnei e ngā rerekētanga ira . Mena kua pāngia tētahi o tō whānau e te mate inu waipiro, e te mate ate rānei, tera pea he nui ake tō tūponotanga. He pānga anō tā te ira tangata. He nui ake te manawanui o ngā tāne ki te waipiro.

Engari, kāore e rite te katoa. I roto i te taha hauora, kāore e taea te kī 'koinei te nui haumaru o te waipiro'. Ka pāngia ētahi tāngata e te mate hepatitis waipiro me te cirrhosis ahakoa te nui o te waipiro e kore e taea te whakaaro.Te pāngia e ngā āhuatanga pēnei.

He aha ngā tohu o tēnei mate (Hepatitis i puta mai i te waipiro)?

Mena he tino ngawari tō mate hepatitis, he wawe rānei, kāore pea he tohu e pā mai ana ki a koe. Engari i te whanaketanga o te mate, ka tīmata pea koe ki te rongo me te kite i ngā mea pēnei i:

• He kare ā-roto mamae, pēhanga rānei i te taha matau o runga o tō puku, te wāhi kei reira tō ate.
• He āhua e pupuhi ana, e rahi ana rānei te ate.
• He puku pupuhi, me te mea kua kī tonu te puku i te wai .
• Te ngaronga o te hiahia kai me te taumaha .
• Whakapairuaki .
• He paru mā, he wai .

Ināianei, i te mea ka kaha haere te mate hepatitis, ā, ka tīmata te whakararuraru i te mahi a te ate, ka tīmata koe ki te kite i ngā tohu o ētahi atu raruraru. Hei tauira:

• Kirika .
• Te pikinga ake o te tere o te manawa (te tere o te manawa) .
• Te kōwhai o ngā mā o ngā kanohi - ko te tikanga he jaundice .
• He ngawari te puta o ngā marō me ngā ira toto i runga i te kiri (thrombocytopenia) .
• Te ngoikore o te roro, pērā i te mate wareware (hepatic encephalopathy) .
• Te ngenge nui me te kore ora .

Kia pēhea te nui o te inu e hiahiatia ana e koe kia tae atu ai ki tēnei taumata?

Kāore he nui motuhake o te waipiro e pā ana ki te katoa. Engari e whakaatu ana ngā tatauranga he nui ake te mōrearea mēnā ka inu nui koe i roto i te wā roa. He rerekē te inu nui mō ngā tāne me ngā wāhine. Mō ngā tāne, e whā pea ngā inu paerewa i te rā, neke atu rānei i te 14 ngā waeine i te wiki. Mō ngā wāhine, e toru pea ngā waeine i te rā, neke atu rānei i te 7 ngā waeine i te wiki.

Ko te inu nui i ētahi wā ka taea te tautuhi ko te inu nui rawa o te waipiro i ia wā - e mōhiotia ana tēnei ko te 'inu nui' . Ka tautuhia ko te inu i te neke atu i te rima waeine waipiro i te pō kotahi mō ngā tāne, ā, neke atu i te whā waeine mō ngā wāhine. Ko te inu i tēnei nui, neke atu i te rima ngā wā i te marama, ka kiia hoki he inu nui. Ahakoa he poto noa te wā e inu waipiro ana koe, pērā i te ono marama, ka nui ake te tūponotanga ki te pāngia e te mate hepatitis waipiro. Ko te nuinga o te hunga e pāngia ana e tēnei mate ko te hunga kua rima tau neke atu rānei e inu ana, kua mutu te inu mō tētahi wā, kātahi ka tīmata anō te inu.

He mate hopuhopu tēnei?

Kāo. Ehara tēnei mate ate ate waipiro i te huaketo pērā i ētahi atu momo mate ate ate. Kāore e taea te hora i tēnei mate ki tētahi atu tangata pērā i te huaketo. Heoi, ko te inu nui tonu ka rite ki te 'huaketo' mai i te tirohanga pāpori. Ina huihui ngā hoa me te whānau, ka inu nui, ka akiaki rātou tetahi i tetahi ki te whai i ngā whanonga e arahi ana ki te mate ate ate ate waipiro.

Me pēhea te tautuhi i tēnei?

Ka pātai tuatahi tō tākuta mō tō hītori hauora, tae atu ki tō whakamahinga waipiro. Mena kei te whakapae ia he mate whakamahi waipiro koe, ka tirotirohia koe e ia kia kite ai mēnā he kino kei roto i ngā okana. Tērā pea he maha ngā whakamātautau hei whakauru atu, hei tauira:

• Ngā whakamātautau toto . Ka whakamahia ngā whakamātautau pēnei i te tatau toto katoa (CBC) hei tirotiro i ngā momo mate hauora. Ka whakamahia hoki ngā whakamātautau mahi ate, inā koa ngā whākōkī ate, hei tirotiro i ngā taumata tiketike o te waipiro. I ēnei rā, ka whakamahia whānuitia ngā whakamātautau pēnei i te "phosphatidyl ethanol" me te "urine ethyl glucuronide" hei tirotiro i te waipiro i roto i te toto me te mimi.
• Ngā whakamātautau whakaahua hei tirotiro i tō ate, hei rapu i te pupuhi, i te pakaru rānei. Hei tauira, he matawai ultrasound , FibroScan® (mēnā e wātea ana), he matawai CT, he matawai MRI rānei.
• Kohikohi ate . Me tango pea e tō tākuta tētahi tauira o te kiko o tō ate hei whakamātautau i roto i te taiwhanga. Ka mahia tēnei mā te wero i tētahi ngira angiangi ki roto i tō ate.

He aha ngā maimoatanga mō tēnei?

Kāore he rongoā mō te mate ate hepatitis waipiro. Ko te rongoā whai hua anake ko te whakamutu rawa i te inu waipiro . Heoi, he pai ake te mahi i raro i te tirotiro a te taote. Mā te whakamutu ohorere i te waipiro ka pā mai ngā tohu whakatārewatanga me ngā pānga kino kino.

Ka taea e tō tākuta te whakarato i te manaaki tautoko i a koe e ora ana i te whakamutu i te waipiro. Ka taea hoki e ia te tuku i a koe ki te maimoatanga mō ngā mate whakamahi waipiro. Ka taea hoki e ia te āwhina ki te rongoā i ētahi o ngā raruraru o te whakamahi waipiro me te mate hepatitis.

Ko ētahi atu maimoatanga ka uru atu ki:

• Te rongoā kai . Ka taea e te inu waipiro me te kino o te ate te whakararu i te kai koretake. Nā ngā āhuatanga pēnei i te ngaronga o te hiahia kai, te whakapairuaki, me te kore e taea te tukatuka tika i ngā matūkai. Ka taea e te korenga o te kai te whakauaua ake i te ora mai i ēnei āhuatanga. Ka tohua pea e tō tākuta he whakarerekētanga kai, he tāpiringa kai, me ētahi rongoā whakaoho hiahia kai hei āwhina i a koe ki te ora. I ngā wā tino kino, ka hoatu pea he kai enteral ki a koe (te whāngai ngongo) i a koe e noho ana i te hōhipera.
• Ngā steroids poto . I ētahi wā kino o te mate hepatitis waipiro, ka hoatu pea e ngā tākuta he steroids mō te wā poto hei whakaiti i te pupuhi i roto i te ate, hei āwhina hoki i ngā pūtau ate kia tipu anō.

Ka taea te huri i tēnei āhuatanga?

Āe, ki te kore te mate e tino horapa, ka taea te whakakore mā te whakamutu i te inu. Ko te hunga kāore e mutu te inu ka pāngia tonutia e te mate ate me te ngoikore o te ate . Kāore e taea te whakakore i te kiko kua puta kē i roto i tō ate. Heoi, mā te whakamutu i te inu, ka taea e koe te ārai i ētahi atu kino me te tiaki i te toenga o tō ate. Me mutu rawa te inu , ā, mō ake tonu atu , engari ka taea e koe te ora.

Kia pēhea te roa o te wā e ora ai?

Ko te hunga e mutu ana te inu waipiro i muri i te tātaritanga ka kite i te whakapainga nui i roto i ngā marama e ono ki te tekau mā rua (6-12). Ko ngā kēhi iti ake te kino ka ora katoa. Ko ngā kēhi kino ake ka kite pea i te whakapainga haere i roto i ngā tau torutoru e whai ake nei. Ko ētahi ate ka mau pea i te koha tuturu, engari mena ka mutu rawa te inu waipiro, kāore he kino pumau.

Kia pēhea te roa ka taea e koe te ora me tēnei mate?

Ki te kore koe e mutu te inu waipiro i muri i te tātaritanga, ka whakaitihia tō roanga o te ora . Ko ngā tāne kāore e mutu te inu waipiro he 70% te tūponotanga ka ora mō ngā tau e rima. Ko ngā wāhine kāore e mutu te inu waipiro he 30%. He kino ake te mutunga mō te hunga e pāngia ana e te mate hepatitis waipiro kino me te mate ate kua whanake. Tata ki te 40% o te hunga e pāngia ana e te mate hepatitis waipiro kino ka mate i roto i ngā marama e ono i muri i te tātaritanga.

He mea tēnei hei whakaaroaro māu. Kāore koe e kite i te nui o te rerekētanga ina mutu te inu waipiro?

He rite tonu te mate ate hepatitis i puta mai i te waipiro me te mate ate hepatitis waipiro?

Kāo, e pā ana ngā kupu e rua ki te mate kotahi: te mumura o te ate i puta mai i te inu waipiro. E whakamahia ana te kupu 'alcoholic' nā te mea he ahua whakahāwea te kupu 'alcoholic', ā, kāore e tino whakaahua i te mate. Nā te mea he rerekē te tinana o te katoa, ka taea e ētahi tāngata te pāngia e te mate hepatitis waipiro me te kore he mate inu waipiro. Heoi, he maha ngā wā ka kitea ngātahi ēnei mate e rua.

Nā, he aha te rerekētanga i waenga i te hepatitis i puta mai i te waipiro me te cirrhosis?

Ko te mate ate te wāhanga whakamutunga o te mate ate. Ka puta mai i te wā e kino ai te ate i te mumura mau tonu, e mōhiotia ana ko te hepatitis. I te matenga o ngā pūtau i roto i te kiko mumura, ka piki haere te kiko whara i aua wāhi. Ina whara tetahi wāhanga nui o te ate, ka kiia ko te cirrhosis. I ngā whenua o te Hauāuru, ko te hepatitis waipiro te 50% o ngā take katoa o te cirrhosis.

Ka mutu te mahi tika o tō ate i te mate ate cirrhosis. I te whakakapinga o te kiko ate hauora e te kiko whara, ka aukati i te rere o te toto, ā, ka whakaiti i te kaha o te ate ki te tukatuka i ngā matūkai me te tātari i ngā paitini. Ka taea e tēnei te arahi ki ngā raruraru maha, tae atu ki te kore kai paitini, te paitini toto, te ngoikore o te ate, me te mate . I ngā whenua o te Hauāuru, ko te mate ate e pā ana ki te waipiro te take o te 80% o ngā mate katoa mai i te paitini ate.

Ka āta haere te whanaketanga o te mate ate hepatitis waipiro, ā, he maha ngā wā kāore he tohu. He tokomaha te hunga kāore e mōhio ki te kino o te inu nui ki ō rātou ate. Heoi, ko te kitenga wawe te huarahi pai ki te whakakore i ngā pānga o te mate ate hepatitis waipiro. Mena he hītori inu nui tōu, he tohu rānei o te mate ate, me toro atu ki tō tākuta tonu. Ka taea e ia te tirotiro i tō ate, te aromatawai i te kino, me te āwhina i a koe ki te hanga huringa ki ō tikanga hei whakapai ake i tō hauora.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau?

Āe, anei ētahi mea hei whakaaroaro māu i roto i ngā mea kua kōrerohia e tātou:

• He paitini te waipiro ki te ate: Ahakoa he iti noa te inu hei whakangahau, ki te nui te inu, ka kino pea te ate. Ka pupuhi te ate, ka puta he mate e kiia nei ko te "Hepatitis i puta mai i te waipiro".
• Kāore te katoa i te rite: Ka pāngia pea ētahi tāngata e ngā raruraru ahakoa he iti noa te inu waipiro. Kāore he mea e kiia ana he 'rahi haumaru o te waipiro'.
• Kia tūpato ki ngā tohu: Ki te pāngia koe e ngā tohu pēnei i te mamae i te taha matau o tō puku, te kore hiahia kai, te kiri mākūkū rānei, me toro atu koe ki te tākuta.
• Ko te whakamutu te rongoā pai rawa atu: Ko te rongoā pai rawa atu mō tēnei mate ko te whakamutu rawa i te inu waipiro. He mea whakaaro nui kia mahia tēnei me te tohutohu a te tākuta.
• Ka taea te rongoā i te kitenga wawe: Ki te kitea te mate i mua i te kino rawa atu, ā, ki te mutu te inu waipiro, ka taea te whakakore i te kino o te ate, ā, ka taea te ārai i ngā kino atu. Heoi, ina puta he koha kino, pērā i te cirrhosis, he uaua ki te whakakore.

He tino hira tō ate i roto i tō koiora. Kei a koe te tikanga ki te tiaki i a ia. Kaua e tukua tō koiora ki te mōrearea nā te waipiro.

Mumura ate , waipiro, mate ate, cirrhosis, hepatitis, tango waipiro, kino ate