Kua rongo koe i te ahua kua kōwhai tō kiri, kua kōwhai rānei te mā o ō kanohi? Kua rongo rānei koe i tētahi e kī ana, "He kōwhai te pēpi, me whakakā ngā rama" ina haere koe ki te tirotiro i tētahi pēpi hou? Ka kiia tēnei mate he jaundice. Ko te take matua o tēnei he pikinga ake o te 'bilirubin' i roto i tō tātou tinana. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei whakamātautau bilirubin me te take e mahia ai.
He aha rawa te bilirubin?
He whakarāpopototanga noa iho, he tae kōwhai-karaka te bilirubin ka puta mai i te wā e pakaru ana ō tātou toto whero. Whakaarohia ngā toto whero i roto i ō tātou tinana he kaimahi iti. Ka mahi rātou mō tētahi wā, kātahi ka 'hoki', ko te tikanga ka mate. Ko te bilirubin te ingoa o tēnei para.
Ko te mea e tupu ana i te nuinga o te wā, ka tangohia e tō tātou ate te bilirubin i roto i te toto, ka whakarerekē i tōna āhua matū, ka tangohia mai i te tinana. Ko te nuinga ka puta i roto i ngā paru hei au, ā, he iti noa iho ka puta i roto i te mimi.
Heoi, ki te teitei ake tō taumata bilirubin i te mea noa, ko te tikanga kei te tere ake te pakaru o ō toto whero i te mea noa, kāore rānei e taea e tō ate te horoi tika i tēnei bilirubin me te tango atu i roto i tō tinana. I ētahi wā ka tupu tēnei mena he aukati kei te ara e kawe ana i te bilirubin mai i te ate ki te tūtae.
He aha i hiahiatia ai tēnei whakamātautau bilirubin?
Mō ngā pakeke me ngā tamariki, ka whakamahia e ngā tākuta tēnei whakamātautau hei rapu me te aroturuki i ngā mate o te ate me ngā awa waikura. Hei tauira, ka taea e ia te āwhina ki te tautuhi i ngā mate pēnei i te cirrhosis, te hepatitis, te kohatu rānei o te pūkahukahu.
Hei tāpiritanga, he mea nui anō hoki tēnei whakamātautau hei whakaū i te aroaro o ētahi momo anemia, inā koa ko te anemia hemolytic, arā, ka tere ake te whakangaromanga o ngā pūtau toto whero i te wā e hangaia ai.
Ka puta te kōwhai o te kiri me ngā kanohi, arā, te jaundice, ina tino teitei rawa ngā taumata bilirubin. He tino noa tēnei āhuatanga i waenga i ngā pēpi whānau hou. Ka whakatauhia e ngā tākuta mēnā me whai maimoatanga i runga i te tau o te pēpi, te taumata bilirubin, me te momo.
Me pēhea te whakahaere i tēnei whakamātautau?
Ka taea te ine i ngā taumata bilirubin i roto i tō mimi me tō toto. He whakamātautau mimi te tikanga hei tirotiro mō te bilirubin. Mēnā ka kitea te bilirubin i roto i tō mimi, ka whakahaua e tō tākuta he whakamātautau toto hei whakatau i te nui tika i roto i tō toto.
Ko te tikanga o tēnei he whakamātautau toto. Ka tangohia e te nēhi, e te tohunga taiwhanga rānei he iti noa te toto mai i te uaua i roto i tō ringa mā te whakamahi i tētahi ngira iti. Mō ngā pēpi hou, ka tangohia te toto mā te wero i te rekereke o te pēpi.
Ina koa mō ngā pēpi nohinohi me te hunga e wehi ana i ngā ngira, i ētahi wā ka mahia he whakamātautau kāore e werohia he ngira. Ka kiia tēnei he ine bilirubin transcutaneous . Ka whakatakotoria he taputapu iti ki te uma, ki te rae rānei o te pēpi, ka whitia he rama mā roto. Ka taea te ine i ngā taumata bilirubin me te kore e tangohia he toto.
Ko wai te tangata me mahi i tēnei whakamātautau?
He maha ngā āhuatanga ka tonoa pea tēnei whakamātautau e tō tākuta. Tirohia te ripanga i raro nei.
| Ngā tohu i kitea | Ngā āhuatanga whakapae |
|---|---|
| Te kōwhai o te kiri me ngā kanohi (jaundice) | Mate ate, aukati i te awaawa o te ate, anemia |
| mimi pouri (pērā i te wai tī) | He raruraru ki te mahi ate |
| Whakapairuaki me te ruaki | He mate pukupuku, he mate pāwera rānei |
| Te mamae o te puku, te pupuhi rānei | Te whakanui ake i te ate, te cirrhosis |
| Ngā tūtae tae-pūpū (mā) | He aukati i roto i ngā awaawa o te ate |
| Te ahua o te ngenge nui | Te mate ate, te mate ate mau tonu |
Hei tāpiritanga, e taunakihia ana hoki tēnei whakamātautau mō te hunga e inu nui ana i te waipiro, te hunga kua pāngia e te huaketo hepatitis, me te hunga e whakapae ana kua pāngia rātou e te mate paitini ki ētahi rongoā.
Me pēhea taku whakarite i mua i te whakamātautau?
I te nuinga o te wā, ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea mō ngā haora e 4 i mua i te whakamātautau . Waihoki, ka pā pea ētahi rongoā e tangohia ana e koe ki ngā hua o tēnei whakamātautau. Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora.
- Ko ngā rongoā ka taea te whakanui ake i ngā taumata bilirubin ko: ētahi paturopi, rongoā ārai mate pāwera, morphine, ārai hapūtanga ā-waha, me ētahi steroids.
- Ngā rongoā hei whakaheke i ngā taumata bilirubin: ngā barbiturates, te caffeine, te penicillin, me ngā horopeta nui o te salicylates.
He aha tā ngā hua e kī ana?
Mā te whakamātautau bilirubin ka ine i te taumata bilirubin katoa. Ka taea hoki e mātou te whakatau motuhake i ngā taumata o ngā momo matua e rua.
1. Bilirubin kore-honohono: E kiia ana hoki ko te "kore-ā-roto". Koinei te bilirubin 'mata' ka puta i te wā e pakaru ana ngā pūtau toto whero. Ka haere mā roto i te toto ki te ate.
2. Bilirubin honohono: Ka kiia hoki tēnei ko te "tika". I muri i tōna taenga ki te ate, ka whakarerekētia te bilirubin 'mata' mā te matū, ā, ka hangaia hei āhua ka taea te tango atu i te tinana. Ko taua bilirubin 'parakore' ko tā tātou e kī nei ko te bilirubin honohono.
Ngā taumata bilirubin noa
| Tangata/Momo | Taumata Noa (mg/dl) |
| ------------------- | ------------------------------------------- |
| Ngā Pakeke (neke atu i te 18 tau) | Tae atu ki te 1.2 mg/dl (Bilirubin Katoa) |
| Tamariki (kei raro iho i te 18 tau) | Tae atu ki te 1.0 mg/dl (Bilirubin Katoa) |
| Pēpi Hou | Tae atu ki te 12 mg/dl (Bilirubin Katoa) - i ētahi wā ka nui ake |
| Honohono (Tika) | Me iti iho i te 0.3 mg/dl |
He aha mēnā he tiketike te taumata o te bilirubin? (Teitei o te Bilirubin)
Mena he nui ake te taumata bilirubin o te pakeke i te 2.0 mg/dl, he tohu pea tēnei nō te jaundice. Mena he nui ake te taumata o te pēpi whānau hou i te 15 mg/dl, ka tīmata te rongoā a ngā tākuta.
Ngā take e whakanuia ai te bilirubin:
- Te mate toto iti
- Te mate ate
- He tauhohenga ki te whakawhiti toto
- Te mate Gilbert - He mate tuku iho noa tēnei, e hua mai ana i te korenga o te whākōkī e wawahi ana i te bilirubin.
- He mate ate huaketo
- Te mate ate i puta mai i te nui o te inu waipiro
- Ngā kōhatu o te pūhā
- Te whakakori tinana kaha, pērā i te oma marathon
Ko ngā take e whakanui ana i te bilirubin i roto i ngā pēpi hou ko:
- Te kore hototahi o te momo toto i waenga i te whaea me te pēpi
- Te korenga o te hāora i te whānautanga
- He mate tuku iho
- He mate e pā ana ki te ate
He aha mēnā he iti te taumata o te bilirubin? (Bilirubin iti)
Ko te iti o ngā taumata bilirubin kāore i te kiia he raruraru nui. Tērā pea nā te kawheine, nā ētahi rongoā rānei i puta ai. He onge noa iho, ka hono atu hoki ki ētahi mate pūnaha ārai mate.
E rua, e toru hāora, kotahi rā rānei te roa o te wā hei whiwhi i ngā hua o te whakamātautau. Ina whiwhi koe i ō hua, ka whakamāramahia e tō tākuta te tikanga o aua hua me te aha te mahi i muri mai.
Karere Tangohia ki te Kāinga
- He para tūturu te bilirubin ka puta mai i te wā e pakaru ana ngā pūtau toto whero.
- Ina piki ake tēnei i roto i te toto, ka kōwhai te kiri me ngā kanohi. Ka kiia tēnei he jaundice.
- Ka taea e te whakamātautau bilirubin te whakarato i ngā mōhiohio nui mō te hauora o tō ate, ngā raruraru o te awaawa au, me ētahi momo anemia.
- Ki te puta ngā tohu o te jaundice, ki te whakapae rānei koe kei te mate koe i te ate, me toro atu ki te tākuta tonu.
- Kaua e manukanuka ki ngā hua o te whakamātautau, me kōrero tonu ki tō tākuta kia mārama ai koe.
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