E mōhio ana tātou katoa he parauri te nuinga o te wā o ā tātou paru. Engari i ētahi wā ka āhua whakararuraru te mea e kitea ana e koe i roto i te peihana wharepaku. Whakaarohia mēnā ka kite koe i tō paru he mā, he hina, he rite rānei ki te uku? He āhua whakamataku. Engari ki te puta kotahi, e rua rānei ngā wā, kāore he take e manukanuka ai. Heoi, ki te mea he mā tonu tō paru, ehara i te mea me wareware koe. Nā te mea he tohu pea tēnei o tētahi raruraru hauora nui i roto i tō tinana.
He aha i mā ai te tūtae? He aha ngā tino take?
Ki te kī ngāwari, ka parauri te tae o ā tātou tūtae nā te au i hangaia e tō tātou ate. Kei roto i tēnei au he matū e kiia nei ko te bilirubin . Ko tēnei bilirubin te mea e homai ana te tae ki te tūtae i te wā o te tukanga nakunaku.
Nō reira, ki te kore e nui te wai o te au e puta mai ana i te ate, ki te mea rānei he ārai, he aukati rānei i roto i ngā awa au e kawe ana i te wai mai i te ate ki ngā whekau, kāore te paru e tae. Ko te mutunga mai he ma, he hina, he uku rānei te tae.
Ko te mea nui, ko te nuinga o te wā ka puta mai tēnei i tētahi atu mate hauora, nō reira he mea nui kia mōhio ki tēnei tohu.
Kei te ripanga i raro nei ētahi o ngā āhuatanga hauora matua ka pā ki tēnei.
| Āhua | He whakamārama māmā |
|---|---|
| Hepatitis | Te mumura o te ate i puta mai i ngā huaketo, i ngā paitini, i te nui rawa rānei o te inu waipiro. |
| Te mate ate | Nā te kino roa o te ate, ka pakari, ka ngaro katoa hoki tana mahi. |
| Ngā kōhatu o te pūhā | Ka taea e ngā kōhatu au e hanga ana i roto i te au kawa te noho ki roto i ngā awa au, ka aukati i te rere o te au. |
| Ngā uauatanga o te biliary | Te whaiti o ngā awaawa au, te aukati rānei nā ētahi atu take. |
| Te ngoikore o te biliary | He mate tēnei e tino pāngia ana e ngā pēpi nohinohi. Kāore i tino whanake ngā awaawa au, kua āraia rānei mai i te whānautanga. |
| Ngā pukupuku | Te mate pukupuku, ētahi atu pukupuku rānei o te ate, te pūkahukahu, ngā awa au, te repe taiaki rānei. |
| Te mate pāwera | Te mumura o te repe taiaki. |
Me pēhea te tātaritanga a te tākuta i tēnei mate?
Ina haere koe ki te tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe mō ō tohu, ō tikanga kai, me ō āhuatanga hauora o mua. Kātahi ka tirotirohia e ia tō tinana.
Hei tautuhi i te pūtake, ka tūtohuhia kia whakahaerehia tētahi, neke atu rānei o ngā whakamātautau e whai ake nei.
| Whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Ngā whakamātautau toto | Akohia ngā āhuatanga pangia o te tinana, inā koa te mahi a te ate. |
| Te tirotiro i te puku | Tirohia mēnā he pupuhi, he kōhatu, he ārai rānei i roto i ngā whekau pēnei i te ate me te pūkahukahu. |
| Matawai CT, MRI rānei | Tikina he pikitia mārama ake, he pikitia taipitopito ake hoki o ngā aukati, o ngā kōhatu, o ngā puku rānei. |
| Whakamātautau ERCP (Endoscopic retrograde cholangiopancreatography) | Ka whakauruhia he ngongo angiangi me te kāmera (endoscope) mā te waha hei tirotiro i ngā awaawa o te ate me ngā awaawa o te repeure. Ka taea hoki te whakamahi i tēnei hei mahi maimoatanga, pēnei i te tango i ētahi aukati. |
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o ō tūtae mā. Kia oti te tautuhi i te mate i tō tākuta, ka whakamahere ia i te maimoatanga i runga i taua tautuhi.
- Ngā huringa kai: Hei tauira, te whakamutu i te inu waipiro me te whakaiti i ngā kai momona.
- Pokanga: Tērā pea ka hiahiatia he pokanga hei tango i ngā aukati i roto i ngā awaawa o te kōpū, hei tango rānei i te pūkahukahu.
- Ngā Rongoā: Ka taea te hoatu rongoā hei rongoā i ngā mate huaketo pērā i te mate ate hepatitis, hei whakaiti i te mumura o te ate, hei whakarewa rānei i ngā kōhatu o te pūkahukahu.
- Pokanga ate: Kāore tēnei e hiahiatia ana i te nuinga o ngā wā, engari ka whakaarohia pea i ētahi wā nui.
Ka taea e tātou te ārai i tēnei āhuatanga kei puta?
Ina hoki, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea o ētahi o ngā āhuatanga e hua ai te paru mā.
- He kai totika: Kai i tētahi kai taurite kei roto ko te pūmua kikokore, te muka, te ngako hauora, me ngā witi katoa.
- Kia mau ki te taumaha hauora: Ka piki ake te mōrearea o te mate ate i te momonatanga.
- Te tiaki i te mate ate ate huaketo: Kei te wātea ngā werohanga mo te mate ate ate ate A me te mate ate ate B. He mea nui hoki kia kaua e whakawhitiwhiti ngira, kia noho haumaru hoki te moe tahi.
- Whakaitihia te waipiro: Ka taea e te inu nui rawa o te waipiro te kino nui ki tō ate.
He aha te wā pai rawa atu hei toro atu ki te tākuta?
Ki te mea ka mā tonu tō tūtae mō ētahi rā, me toro atu ki te tākuta i taua wā tonu. Kaua e warewarehia.
Ina koa, me rapu awhina hauora tonu koe mēnā kei a koe ēnei tohu e whai ake nei:
- Ngā tūru uku mā
- NāuTe kōwhai o te kiri me ngā kanohi (jaundice)
- Mimi pouri (tae tī)
Ki te kitea ngātahi ēnei tohu e toru, he tohu tēnei mō tētahi raruraru nui ki te ate, ki te pūnaha biliary rānei, nō reira he mea nui kia tere tonu te toro atu ki te tākuta.
Karere Tangohia ki te Kāinga
- Kaua e manukanuka mēnā ka mā te kiri o tō tūtae i te wā kotahi, i te wā rua rānei. Engari ki te mau tonu tēnei āhuatanga, ehara i te mea noa.
- He tohu pinepine te tūtae koma i tētahi mate e pā ana ki te ate, te pūkahukahu, te pancreas rānei.
- Ko te aukume te mea e parauri ai te paru. Mēnā ka mutu te rere o te aukume, ka mā te paru.
- Kaua rawa e warewarehia ngā tohu o te tūtae mā, te kōwhai o te kiri (jaundice) me te mimi pouri. He mate kino pea tēnei, nō reira me toro atu ki tō tākuta tonu.
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