Kei te mōrearea tō ate? Ngā mea katoa mō te cirrhosis o te ate i roto i ngā kupu māmā noa iho

He tino nui te ate i roto i tō tātou tinana, kāore? He rite ki tētahi wheketere iti i roto i tō tātou tinana. Engari ka taea hoki e tēnei ate te whakawhanake i ngā mate. I ētahi wā kua rongo koe i ngā kōrero pēnei i te "he pakeke te ate", "kua pakaru te ate". Ko tētahi mate kino pēnei ko te cirrhosis o te ate. Me kōrero tātou mō tēnei i tēnei rā, he mea nui rawa atu kia mōhio ki tēnei.

Kia titiro tuatahi tātou he aha te mate ate cirrhosis.

I te whakarapopototanga, ko te cirrhosis o te ate he mate kua roa te pakaru o te ate, ā, kua whakakapia ngā pūtau ate hauora e te kiko whara . Pērā i te whara e puta mai ana i runga i tō tātou kiri ina pāngia tātou e te patunga, ki te mea kei te mumura tonu te ate, e kīia nei ko te hepatitis , ka puta mai tēnei kiko whara i te ngana o te ate ki te whakaora i a ia anō. Engari ina nui haere tēnei kiko whara, kāore e taea e te ate te mahi tika. Koinei te wāhanga whakamutunga o te ngoikore haere o te ate ( te ngoikore o te ate mau tonu).

He rerekē ngā wāhanga o te cirrhosis?

Ae, ehara te mate ate cirrhosis i te mea ka puta ohorere mai. Ka whanake haere mārire, i roto i te wā.

• Wāhanga tōmua (Airiki Ārai): I tēnei wā, kua paku heke te mahi a tō ate , engari kua urutau tō tinana ki tēnā, nō reira, kāore pea koe e kite i ngā tohu nui. Kāore pea koe e mōhio.
• Wāhanga muri mai (Te Aitiopea Kua Whakakorehia):I te piki haere o te kino o te ate, ka heke haere te mahi a te ate. Koinā te wā ka tīmata ai te kite i ngā tohu mārama. He ahua kino ake tēnei.

He aha ngā mea ka pā ki te ate me te tinana nā te cirrhosis?

Ka āraihia e tēnei kiko whara i roto i te ate te rere o te toto me te hāora i roto i te ate. Ka aha rā?

• Ka heke te kaha o te ate ki te pure i te toto, ki te tukatuka i ngā matūkai, me te tātari i ngā paitini .
• Ka heke te hanga o te au me ngā pūmua toto nui e hangaia ana e te ate.
• Ka taea e tēnei kiko whara te pēhi i ngā oko toto i roto i te ate. Ina koa ka pēhia ngā uaua nui, pērā i te pūnaha uaua tomokanga, ka puta he āhuatanga e kiia nei ko te toto toto tiketike . He hua kino anō hoki tēnei o te cirrhosis.

He pēhea te noa o te mate ate?

He mate noa te mate ate ate. E kiia ana koinei te tino take o te noho hōhipera me te mate, inā koa i muri i te pakeketanga. Nā te tere o te piki haere. Hei tauira, i te Hononga o Amerika, tata ki te 0.25% o ngā pakeke me te tata ki te 0.50% o ngā pakeke i waenga i te 45 me te 54 tau te pakeke e kiia ana he mate ate ate ate. Kāore e taea te whakaiti i tēnei āhuatanga i Sri Lanka. He raru hauora nui te mate ate ate ate puta noa i te ao.

He aha ngā tohu o te cirrhosis o te ate?

Ko ngā tohu o te cirrhosis e whakawhirinaki ana ki te kaha o te mate. I ngā wāhanga tōmua, kāore pea he tohu e kitea ana. Kāore rānei, he iti noa iho ngā tohu e rite ana ki ētahi atu mate. Ka kitea ake ngā tohu i te hekenga o te mahi a te ate. Hei tauira, ka puta mai ngā tohu ina kore e rere tika te au, ā, ka kohia ki ētahi atu wāhanga o te tinana.

He aha ngā tohu tuatahi o te cirrhosis?

I ngā wāhanga tuatahi o te mate, ka kitea pea e koe ngā tohu penei:

• Whakapairuaki , ngaro rānei te hiahia kai .
• Ngenge , ngenge.
• Ko te malaise he kare ā-roto whānui o te kore hauora.
• Te mamae i te puku o runga, ina koa i te taha matau.
• Ko ngā angioma pungawerewere he oko toto e rite ana ki te tukutuku pungawerewere i runga i te kiri.
• Te whero o ngā nikau (te whero o te nikau).

He aha ngā tohu e puta ana i te whanaketanga o te mate?

Ka taea te wehewehe i ngā tohu e puta mai ana i te whanaketanga o te cirrhosis kia rua ngā wāhanga: ko ngā tohu e puta mai ana i te ngoikore o te mahi ate me ngā tohu e puta mai ana i te toto toto tiketike.

Ngā tohu i puta mai i te ngoikore o te mahi ate:

• Ko te kōwhai o te kiri me ngā kanohi e kiia ana he jaundice.
• Kiri mākūkū (Pruritus) (kāore he ponana mārama).
• Te mimi pouri me ngā tūtae māmā.
• Ngā raruraru nakunaku, inā koa ki ngā kai ngako.
• Te putanga mai o ngā putunga ngako kōwhai iti ki te kiri, ki ngā kamo rānei.
• Te whakahekenga taumaha me te ngokingoki uaua kāore i te whakamāramatia.
• Ngā pānga ki te mahi a te roro (Hepatic Encephalopathy) – pērā i te ngaronga o te mahara, te pōhēhē, me ngā huringa o te wairua.
• Te ngoikore o te nekehanga - te wiri, te nekenekehanga.
• Ngā rerekētanga o te huringa paheketanga i roto i ngā wāhine.
• Te whakanui i ngā ū me te whakaiti i te kaha o te ure i roto i ngā tāne.

Ngā tohu i puta mai i te toto toto tiketike o te Portal:

• Te pupuhi o te puku, te pupuri wai (ascites).
• Te pupuhi o ngā ringa, o ngā waewae, o ngā waewae me/ranei o te mata (edema).
• Te ngawari o te toto me te maru (coagulopathy).
• Te ruaki toto, te rere toto rānei i roto i te tūtae.
• Te hekenga o te mimi (tērā pea nā te ngoikore o te whatukuhu mau tonu).
• Te uaua ki te manawa (tērā pea nā te ngoikore o te manawa mau tonu).

He aha ngā pūtake o te mate ate cirrhosis?

Ko te mate ate he āhua o te kiriuhi āta haere o te ate i puta mai i te mumura mau tonu. Ko tetahi mate e puta ai te mumura mau tonu o te ate (hepatitis mau tonu) ka arahi pea ki te mate ate ate. Ko ētahi o ngā tino take ko:

• He mate ate i puta mai i te waipiro: Ko te kino o te ate i puta mai i te inu nui i te waipiro mō te wā roa. Ahakoa ko te waipiro te tino take o te cirrhosis, he maha ngā take ehara i te waipiro.
• Te mate kore-waipiro (NASH): He kino mau tonu nā te nui rawa o te ngako i roto i te ate. Ka puta mai i ngā āhuatanga pākia pēnei i te ngako toto tiketike, te huka toto tiketike (pēnei i te mate huka), me te toto toto tiketike.
• Te mate hepatitis C mau tonu: He mate huaketo te Hepatitis C. Mō te tini o te tangata, ka noho hei mate mau tonu. Ka taea te rongoā ināianei mā te whakamahi i ngā rongoā ārai huaketo. Engari he tokomaha te hunga kāore i te mōhio kei a rātou tēnei mate.
• Te mate hepatitis B mau tonu: He mate huaketo anō hoki te Hepatitis B. Mō te hunga tokoiti, ka taea e ia te noho hei mate mau tonu. Mena koinā, ka roa te wā e ora ai. He maimoatanga kei reira, engari kāore e taea te whakaora katoa.

Tērā anō ngā take kāore i te tino kitea:

• Mate pūkahukahu ā-tinana: Ka taea e ētahi mate ā-tinana te whakararu i te ate. Hei tauira, ko te mate ate ā-tinana, te mate pūkahukahu ā-tinana tuatahi, me te mate pūkahukahu ā-kirikiri tuatahi.
• Ngā mate ira: Ka taea e ētahi mate ira te whakararu i te ate mā te whakaemi i ngā paitini ki roto i te ate. Hei tauira, ko te mate rokiroki glycogen, te cystic fibrosis, me te mate Wilson.
• He mate pukupuku paitini: Ka taea e te pānga roa ki ētahi paitini taiao, te whakamahi tonu rānei i ētahi rongoā (tae atu ki ngā rongoā whakamamae mamae e hokona kore ana) te kino ki te ate.
• Mate ngākau: Ka taea hoki te kino o te ate i ngā mate e pupū ai te toto i roto i te ate (pērā i te ngoikore o te ngākau), i ngā mate rānei e ārai ana i te toto kia tae ki te ate (pērā i te ischemia mau tonu).

Ko wai te mea tino mōrearea ki tēnei mate?

Tērā pea ka nui ake tō tūponotanga ki te pāngia koe e te cirrhosis o te ate mēnā:

• Mena kua neke atu i te 50 tau tō pakeke.
• Mena he hītori tōu o te inu nui.
• Mena kei a koe he mate pukupuku viral mau tonu.
• Mena kei a koe te mate pāwera matū ( arā, te huinga o ngā āhuatanga pēnei i te taumaha rawa, te toto toto tiketike, te huka toto tiketike, me te cholesterol tiketike).

He aha ngā āhuatanga kino o te cirrhosis?

He maha ngā pānga taha e puta mai ana i te cirrhosis me te portal hypertension.

Ngā raruraru noa:

• Te māuiui, te ngenge, me te pōuri o te hinengaro nā te nui o ngā paitini e kohia ana i roto i te tinana.
• Te ngoikore o te ārai mate, te whakaroa i te whakaora patunga.
• Te pupuhi nā te turuturu o te wai mai i ngā oko toto.
• Ngā koretake me ngā taurite kore o ngā homoni.
• Ngā raruraru nakunaku, te kore e mimiti o ngā matūkai, me te kore kai pai.
• Ngā ngoikoretanga iti o te mahi a te roro me ngā raruraru ki te whakahaere uaua.

Ngā raruraru nui ka mōrearea pea te ora:

• Ngā varicose o te puku me te toto i roto i te puku.
• Peritonitis huakita tūpono.
• Te ngoikore o te whatukuhu (te mate Hepatorenal).
• Te ngoikore o te manawa (te mate Hepatopulmonary).
• Te ngoikore o te ate mau tonu.
• Matepukupuku ate.

Me pēhea te tautuhi i te cirrhosis o te ate?

Ka tirohia tō tinana e te tākuta i te tuatahi hei tirotiro i ngā tohu o te cirrhosis. Ka pātai atu rātou ki a koe mō te wā i tīmata ai ō tohu, me te mea kua rerekē haere i roto i te wā. Ka pātai atu hoki rātou mō tō hītori hauora, ngā rongoā, ngā otaota, me ngā tāpiringa e tangohia ana e koe, tō kai, me tō momo noho. Ka rapua e rātou ngā tohu o te mate ate, te kino rānei o te ate.

Ko reira anake ka whakahaerehia ngā whakamātautau hauora hei whakaū mēnā kei te pāngia te ate. Kei roto i ēnei ko:

• Ngā whakamātautau toto:Ka taea e ngā whakamātautau mahi ate te whakaatu i ngā tohu o te mate ate me te ngoikore o te ate. Ka inehia e ēnei ngā mea pēnei i ngā whākōkī ate, te pūmua, me ngā taumata bilirubin. Ka taea hoki e ngā whakamātautau toto te whakaatu i ngā mea pēnei i te hekenga o te toto toto.
• Ngā whakamātautau whakaahua: Mā ngā whakamātautau pēnei i te ultrasound puku, te CT scan, te MRI rānei ka taea te whakaatu i te rahi, te āhua, me te āhua o te ate. Mā te whakamātautau whakaahua motuhake e kīia nei ko te elastography ka taea te ine i te pakari, te fibrosis rānei i roto i te ate.
• Kohikohi ate: He tikanga iti noa iho tēnei. Ka tangohia he tauira iti o te kiko mai i te ate, ka tirohia i roto i te taiwhanga. I te nuinga o te wā ka tangohia tēnei tauira mā te whakamahi i tētahi ngira tuwhera. Ahakoa kāore e hiahiatia ana i ngā wā katoa, ka taea e te kohikohi te āwhina ki te whakaū i te cirrhosis me te kimi pea i te pūtake.

Ka taea te whakakore, te whakaora rānei i te cirrhosis o te ate?

Heoi, ka taea te aukati, te whakahaere rānei i te haere whakamua o te cirrhosis . Kei te pūtake o te mate, te pai o te rongoā, me te pai o tō urupare ki te rongoā.

Me pēhea te rongoā a ngā tākuta i te cirrhosis?

Ko te maimoatanga mō te cirrhosis he:

• Ki te taea, whakahaerea te pūtake o te mate (whakaitihia, whakamutua rānei te kino).
• Ngā whakarerekētanga māmā ki te kai me te āhua noho hei whakaiti i te taumahatanga ki te ate.
• Te whakahaere, te tirotiro rānei i ngā raruraru o te cirrhosis.
• Hei huarahi whakamutunga, me whakamahi te whakawhitinga ate .

Te rongoā i te take

Ka taea te rongoā i ētahi mate ate mā te whakamahi i ngā rongoā. Hei tauira, ka taea e ngā rongoā ārai huaketo te whakaora i te hepatitis C mau tonu, engari ka taea anake e rātou te whakahaere (ehara i te whakaora) i te hepatitis B mau tonu. Ka taea e ngā corticosteroids me ngā immunosuppressants te āwhina ki te whakahaere i ētahi mate pūnaha ārai mate.

Mena kua pakaru te ate i te waipiro, i ētahi atu paitini rānei, ko te rongoā anake ko te whakakore i aua paitini i tō oranga. Tērā pea me whiwhi rongoā ētahi tāngata mō ngā mate whakamahi matū. Mena kua pakaru te ate i ngā take kore-waipiro (pērā i te NASH), mā te whakahaere i ngā āhuatanga pākia o te tinana pērā i te cholesterol, te huka toto, me te taumaha nui ka āwhina pea.

Kai me te āhua noho

Ahakoa he take kē atu tō mate ate, mā te karo i te waipiro me ngā raau taero e kino ana ki te ate ka āwhina i te tiaki i tō ate mō te wā roa. Waihoki, ka taea e ngā taumahatanga pākia o te pūnaha io. E taunaki ana ngā tākuta kia kai hauora te hunga whai mate ate katoa, kia ngana hoki ki te pupuri i te taumaha hauora. Tērā pea me tango e ētahi tāngata he tāpiringa kai hei whakatika i ngā ngoikoretanga o te kai.

Te rongoā i ngā raruraru

Kia oti te tātaritanga a tō tākuta he mate ate ate koe, ka tirohia hoki e rātou ngā pānga taha noa. Ko te toto toto tiketike te pānga taha tino noa. He raruraru anō ōna, ā, me whai maimoatanga motuhake ia raruraru.

Tērā pea ka hiahiatia e koe ētahi mea pēnei i:

• He tikanga iti hei hiri i te uaua e toto ana.
• Te whakawhiti toto hei whakahoki mai i te maha o ngā pūtau toto.
• Te tātaritanga whatukuhu.
• Te rongoā hāora.
• Te paracentesis me ngā paturopi hei tango i te wai mai i te puku (ascites).
• Ka āwhina ngā rongoā whakamāmā i te mimiti me te pei i ngā paitini mai i te kai.

Matepukupuku ate

Ko te mate pukupuku ate tētahi atu raruraru kino o te cirrhosis. Ehara i te mea ka pāngia te katoa e te cirrhosis e te mate pukupuku ate, engari he maha ngā tāngata e pāngia ana e te mate pukupuku ate he cirrhosis. Mena ka pāngia te mate pukupuku e te cirrhosis, ka tukuna pea he maimoatanga mate pukupuku pēnei i te radiation, te chemotherapy rānei. Tērā pea ka whakatau tō tākuta ko te whakawhitinga ate te kōwhiringa pai rawa atu.

Te Whakatō Ate

Ka tūtohu ngā tākuta i te whakawhitinga ate ina whakaaro rātou ka kino haere tō hauora me te kore he whakawhitinga. Tērā pea ka pēnei mēnā he ngoikore tō ate, he mate pukupuku ate tōu, ā, kāore rānei koe e aro ki te maimoatanga mō tō mate ate. Mēnā kei te tika koe mō te whakawhitinga ate, ka whakanohoia koe ki te rārangi tatari ā-motu.

Ka taea te ārai i te mate cirrhosis?

He maha ngā wā ka taea te ārai i te mate ate kei huri ki te cirrhosis mā te wawaotanga wawe . Kei te mōhio koe ki tēnei mate, me ngā mahi ka taea e koe te mahi hei ārai. Nā te mea he maha ngā tāngata kāore e whakaatu i ngā tohu i ngā wāhanga tōmua, ka taea te kite i tēnei mate i te wā e tirotirohia ana tō hauora. Mā tēnei ka whai wāhi koe ki te mahi i ngā huringa nui, ki te tīmata rānei i te maimoatanga.

Ka taea te whakaora i te ate i muri i te cirrhosis?

Kia pāngia koe e te cirrhosis, kāore tō ate e pai ake. Engari kāore hoki e kino haere . Mena kei te mau tonu ngā tohu (cirrhosis kua utua), ka taea e koe te noho pēnā mō tētahi wā. Mena ka taea e koe te whakamutu, te whakaiti rānei i te mumura e puta ai te cirrhosis, tērā pea kāore te mate e haere ki te wāhanga kua kore e utua. Engari me tiaki e koe tō ate mō te toenga o tō oranga.

He aha te roanga o te oranga mō te hunga e mate ana i te cirrhosis?

He rerekē te roanga o te oranga o te tangata me te cirrhosis i runga i ngā āhuatanga maha:

• Te kaha o te mate (kua utua, kua kore rānei e utua).
• Ngā raruraru e pā ana ki a koe.
• Te oranga tonutanga me te angitu o ngā maimoatanga.
• Tō hauora whānui, mēnā rānei he mate kē atu āu.

Ka whakamahia e ngā tākuta ngā pūnaha tataunga pērā i te pūnaha Child-Turcotte-Pugh (CTP) me te Model for End-Stage Liver Disease (MELD) hei aromatawai i tō āhua me te whakatau i tō tūranga i runga i te rārangi tatari mō te whakawhitinga ate.

I ngā wāhanga tōmua o te "cirrhosis kua utua", ka neke atu i te 15 tau te roa o te oranga. Ina puta te toto toto tiketike, ka whakaitihia te roa o te oranga nā te mōrearea o te toto o roto. Ko te roanga o te oranga toharite o te "cirrhosis kua kore e utua" he tata ki te whitu tau. Ka poto ake pea tēnei wā nā ngā mate kino, kāore e taea te rongoā me ētahi atu raruraru. Mō ētahi tāngata, ka iti iho i te rua tau. Engari he mea nui kia mahara kāore ēnei tatauranga i te ōrite mō te katoa.

Me pēhea taku tiaki i ahau anō i a au e ora ana me te cirrhosis o te ate?

Ka taea e ēnei mea te whakaroa i te ora o tō ate:

• Kai i ngā kai hauora, kai tōtika, me ngā pūmua hiroki .
• Ki te taea, karohia te waipiro, te tupeka, me ngā rongoā e tangohia ana i waho i te tohutohu a te taote .
• Me tango noa i ngā rongoā kia rite ki ngā tohutohu a tō tākuta. Kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
• Kaua e mahue ngā whakamātautau hauora kua whakaritea me ngā tirotiro mō ngā raruraru hauora.