He aha te mate ate cirrhosis? Me kōrero tātou mō tēnei mate kino i roto i ngā kupu māmā noa iho.

He okana whakamiharo te ate i roto i tō tātou tinana. He rite ki tētahi wheketere nui. He maha ngā mahi nui e mahia ana e ia, pērā i te tātari i ngā paitini, te āwhina i te nakunaku kai, me te penapena pūngao. Heoi, ka taea e tēnei ate utu nui te pakaru mō ngā take maha. Ina pakaru tonu te ate i roto i te wā, ka tīmata te hanga kiko whara, kaua ki ngā pūtau hauora. Koinei te mate e kiia nei e tātou ko te cirrhosis.

He aha tonu te mate ate?

Whakaarohia mēnā he patunga kei tō kiri i ora, ā, i waiho he koha, tika? Koinei te mea ka tupu ki te ate. Mēnā he mumura kei roto i te ate mō te wā roa, ka ngana te ate ki te whakaora i a ia anō. I roto i tēnei tukanga, ka puta he kiko koha mārō, kore mahi, kaua ki te kiko ate hauora, ngohengohe.

Ki te kī māmā noa, ko te cirrhosis te wāhanga whakamutunga o te mate ate mau tonu. I tēnei wā, kua pakaru te nuinga o ngā wāhanga hauora o te ate. I te mea ka nui haere te kiko pakaru, ka kore e taea e te ate te mahi i tana mahi noa o te horoi i te toto me te tukatuka i ngā matūkai. I te mutunga, ka arahi pea tēnei ki te ngoikore o te ate .

He wāhanga anō kei te mate cirrhosis?

Āe, ka kino haere te mate ate. Me kōrero tātou mō tēnei mā te wehewehe i ngā wāhanga matua e rua.

1. Te Ate Matū Kua Whakahokia: Koinei te wāhanga tuatahi. I tēnei wāhanga, ahakoa kua pakaru te ate, ka taea tonu e te wāhanga hauora e toe ana o te ate te whakakapi i te kino, te 'whakahoki' rānei, me te pupuri i te tinana kia mahi tonu. Koia pea te take kāore pea koe e kite i tētahi tohu. He tokomaha te hunga kāore e mōhio kei a rātou tēnei mate.

2. Te Mate Pukupuku Kāore i te Āhua Pai: I te roanga o te wā, i te mea ka nui haere te kiko whara i roto i te ate, kāore e taea e te ate te whakatika i te kino. Koinei te wā ka tīmata te puta o ngā tohu. Ka kitea ngā tohu pēnei i te wai i roto i te puku me te kōwhai o ngā kanohi me te kiri i tēnei wāhanga. Koinei te wāhanga tino kino o te mate.

He aha ngā tohu e tika ana kia tirohia e tātou?

Kāore ngā tohu o te cirrhosis e puta wawe mai. He maha ngā wā ka puta mai i muri i te kaha haere o te mate. Me wehewehe tātou i waenga i ngā tohu wawe me ngā tohu tōmuri penei.

He aha te take e puta ai te mate ate? He aha ngā tino take?

Ko tētahi mate pūmau e puta ai te mumura roa o te ate ka arahi pea ki te cirrhosis. Koinei ētahi o ngā tino take o tō tātou whenua me te ao.

1. Te inu nui rawa i te waipiro (Hepatitis i puta mai i te waipiro)

Koinei te take tino mōhiotia, tino mōhiotia hoki. Ka nui te kino o te ate ki te inu waipiro i roto i te wā roa. Ka mumura te ate, ā, ka roa pea te wā ka arahi ki te cirrhosis.

2. Mate ate momona (MASH)

Ko te ingoa katoa mō tēnei ko te Metabolic dysfunction-associated steatohepatitis (MASH). He mate kino tēnei e puta mai ana i te kohikohinga o te ngako i roto i te ate o te hunga kāore e inu waipiro. Ko te hunga whai take pākia pēnei i te mate huka, te cholesterol teitei, te toto toto tiketike, me te momona nui, he nui ake te mōrearea ki te mate.

3. Ngā mate urutā hepatitis B me C mau tonu

Ko te Hepatitis te ingoa hauora mō te mumura o te ate. Ka taea e te mate huaketo Hepatitis C te noho hei mate mau tonu i roto i te tini o te tangata. Ahakoa he rongoā whai hua inaianei mō tēnei, he tokomaha te hunga kāore e mōhio kei a rātou te huaketo. Ka taea hoki e te huaketo Hepatitis B te noho hei mate mau tonu i roto i ētahi tāngata. Ka taea e ngā huaketo e rua te kino i te ate me te mate cirrhosis ina noho roa.

Ētahi atu take kāore i te tino kitea

Haunga ngā take o runga ake nei, he maha atu anō ngā take kāore i te tino kitea:

• Mate Ārai Mate: I ētahi wā ka whakaekea hētia e tō tātou ake pūnaha ārai mate ngā pūtau ate. Hei tauira, ko ngā mate pēnei i te `(Autoimmune Hepatitis)` me te `(Primary Biliary Cholangitis)`.
• Ngā Mate Ira: Ka taea e ētahi mate ira te whakaemi i ngā matū paitini ki roto i te ate, ā, ka kino hoki. Ko ngā tauira o ēnei mate ko te `(Wilson Disease)` me te `(Cystic Fibrosis)`.
• Ko ētahi rongoā me ngā paitini (Hepatitis Paitini): Mā te whakamahi roa i ētahi rongoā whakamamae mamae (NSAID, Acetaminophen) me te pānga rānei ki ētahi matū paitini o te taiao ka kino te ate.
• Mate Ngākau: Ka taea e te ngoikore o te ngākau (CHF) te kino ki te ate nā te korenga o te rere o te toto, te hekenga rānei o te nui o te toto e tae atu ana ki te ate.

Me pēhea te kitenga a ngā tākuta i tēnei?

Ki te whakaaro koe kei a koe ngā tohu o te cirrhosis, me toro atu koe ki te tākuta. Ka tirotirohia koe e ia, ka pātai atu mō tō hītori hauora, ngā rongoā e tangohia ana e koe, me tō momo noho. Kātahi ka tonoa pea e ia ētahi whakamātautau hei whakaū i te mate.

1. Ngā Whakamātautau Toto: Mā ngā Whakamātautau Mahi Ate ka taea te whakaatu mēnā kei te pakaru te ate, me tōna kaha hoki. Ka tirohia hoki mēnā kua heke te kaha ki te toto totoka.

2. Ngā Whakamātautau Whakaahua: Ka taea e te matawai ultrasound te tirotiro i te rahi, te āhua, me te āhua o te ate. Ka taea e tētahi momo matawai motuhake e kiia nei ko te elastography te ine i te pakari o te ate, arā, te nui o te kiko whara kei reira.

3. Te tirotiro i tētahi wāhanga iti o te ate (Liver Biopsy):Ahakoa kāore e hiahiatia ana i ngā wā katoa, i ētahi wā, ka tangohia he wahi kiko iti rawa o te ate ki te ngira iti, ka tirotirohia i raro i te karu hiko hei whakaū i te mate me te kimi i te pūtake.

He aha ngā maimoatanga?

Ahakoa kāore e taea te whakakore i te whara i puta mai i te cirrhosis, e rua ngā whāinga matua o te maimoatanga. Ko tētahi he aukati i te kino atu ki te ate. Ko te tuarua he whakahaere i ngā raruraru i puta mai i te mate.

Te rongoā i te take

• Ngā Rongoā: Kei te wātea ngā rongoā ārai huaketo hei whakaora katoa i ngā mate huaketo pēnei i te hepatitis C. Kei te wātea ngā rongoā hei whakahaere i te hepatitis B. Ka rongoatia ngā mate pūnaha ārai mate mā te whakamahi i ngā rongoā e whakahaere ana i te pūnaha ārai mate.
• Te rongoā mō te waipiro: Mena ko te waipiro te take o te mate ate, ko te rongoā pai rawa atu ko te whakamutu i te inu waipiro. Tērā pea me whai tohutohu me te maimoatanga motuhake tēnei.
• Te whakahaere i ngā āhuatanga pākia o te pākia o te tinana: Mena ko te ate momona te take o te mate, he mea tino nui kia whakahaeretia ngā mea pēnei i te cholesterol, te mate huka, me te whakaheke taumaha.

Ngā huringa kai me te āhua noho

He mea nui anō hoki kia kai i tētahi kai hauora, kia whakahaere i tō taumaha, me te tango i ngā tāpiringa kai e tika ana kia rite ki te whakahau a tō tākuta.

Te maimoatanga mō ngā raruraru

Me rongoā anō hoki ngā raruraru ka puta mai ina kaha rawa te mate.

• Ki te kī te puku i te wai (`(Ascites)`), ka tangohia te wai mā te whakamahi i te ngira (`(Paracentesis)`).
• Mena kei te ruaki toto koe, ka aukatia ngā oko toto e toto ana mā te endoscopy (sclerotherapy).
• Tērā pea e hiahiatia te dialysis mō ngā āhuatanga pēnei i te ngoikore o te whatukuhu.

Te Whakatō Ate

Ina kore e angitu ngā maimoatanga katoa, ā, kei te tūpono te ngoikore katoa o te ate, ko te kōwhiringa whakamutunga e whakaarohia ana ko te whakawhitinga ate. Ko te tango i te ate mate ka whakakapi ki tētahi ate hauora.

Ka taea rānei te whai tumanako mō te ora me tēnei mate?

He take tairongo rawa tēnei. Ko te roanga o te oranga o te tangata e pāngia ana e te mate ate ka whakawhirinaki ki ngā āhuatanga maha. Kei roto i tēnei ko te kaha o te mate, ngā raruraru kua puta, te urupare a tō tinana ki te maimoatanga, me tō hauora whānui.

Ka whakamahia e ngā tākuta ngā pūnaha whakatauranga pēnei i te "Child-Turcotte-Pugh (CTP)" me te "Tauira mō te Mate Ate Wāhanga Mutunga (MELD)" hei whakatau i te kaha o te mate me te matapae ā muri ake nei.

Ko te mea nui ko te tautuhi i te mate i te wā tōmua (te wā kua utua) me te rongoā tika i te pūtake.Mā te maimoatanga me ngā panonitanga o te noho, ka taea e te tini o te tangata te aukati i te kino haere o te mate, me te noho i te oranga noa mō te wā roa. Nō reira kaua e mutu te tumanako. He mea tino nui te whai i ngā tohutohu hauora tika.