Kua rongo koe i te 'Ate Ngako'? Tērā pea i runga i tō pūrongo matawai, ā, i mataku koe. He tokomaha e whakaaro ana he mate tino morearea tēnei. Engari he aha rawa tēnei kohikohinga ngako i roto i te ate? He mea hei wehi māu? Me kōrero tātou mō tēnei mea katoa mai i te tīmatanga, he tino māmā noa iho.
He aha te mate ate steatotic?
Ki te kī māmā noa iho, koinei te kohikohinga o te ngako, te hinu rānei, i roto i tō ate. Ka kiia tēnei e ngā tākuta he 'steatosis'. Ahakoa he ate hauora, he pai te mahi, he iti noa te ngako. He mea noa tēnā. Engari ki te neke atu tēnei kohikohinga ngako i te 5% o te taumaha o te ate, koinei te tīmatanga o te raruraru.
Whakaarohia he rite ki te paipa i roto i te totohu o tā tātou kīhini. Kāore he aha mēnā he iti noa te wai e uru ana. Engari mēnā ka kohia te hinu, ka piri ki roto i te paipa, he raruraru tēnā, kāore? Koinei te āhua o te kohi o te ngako nui ki roto i te ate.
He aha i hurihia ai te ingoa 'Mate Ate Ngako' ki te 'Mate Ate Mate Pūkahukahu'?
I mua, i tapaina tēnei mate e tātou katoa ko 'Ate Ngako'. Engari i te tau 2023, i huihui ngā tohunga hauora, ā, i whakatau kia hurihia tēnei ingoa. E rua ngā take matua mō tēnā.
1. Whakamāramahia te take: Ina rongo te tangata i te kupu 'Ate Ngako', he tokomaha e whakaaro ana ko te hunga momona anake ka pā ki tēnei. Engari ehara tēnā i te pono. Ka taea hoki te kohikohi ngako i roto i te ate mō ētahi atu take kāore e pā ana ki te taumaha o te tinana. Mā te ingoa hou ka hoatu he whakaaro tika ake mō ngā āhuatanga maha ka puta ai tēnei.
2. Whakakorea te whakama me te whakamā: Ko te kupu 'Fatty' he whakama, he whakamā hoki mō te hunga momona. He pai ake te kore e whakamahi i ngā kupu e hanga ana i taua kare ā-roto ina kōrero ana mō tētahi mate hauora, tika? Koia te take i whakarerekētia ai te ingoa.
He aha ngā momo matua o te ate momona?
Ka wehea e ngā tākuta te ate momona ki ētahi momo matua, i runga i te pūtake. Kia tirohia tātou he aha ēnei. Kia māmā ake ai te mārama, ka hangaia e au he ripanga iti māu.
| Momo mate (Momo SLD) | He whakamārama māmā |
|---|---|
| Te mate ate i puta mai i te waipiro (ALD) | Ko te take matua mō tēnei koTe inu nui rawa o te waipiro. I te tukatukahia o te waipiro e te ate, ka kino ngā pūtau ate. Mēnā ka inu tonu, ka nui rawa te waipiro, kāore e taea e te ate te whakatika i tēnei kino, ā, ka tīmata te kohikohi ngako. |
| Te mate pāwera (MASLD) | I mua, i huaina tēnei ko te mate ate momona kore-waipiro. I konei, ehara te waipiro i te take o te ngako i roto i te ate, engari nā ngā āhuatanga mōrearea cardiometabolic pērā i te mate huka, te momona, te toto toto tiketike, me te cholesterol tiketike . |
| Te mate pāwera o te pūnaha io (MASH) | He momo kino ake tēnei o te mate MASLD kua whakahuatia ake nei. Ko te mea e tupu ana i konei ko te kohikohinga o te ngako i roto i te ate, ka pupuhi te ate, ka mumura. Kātahi ka tīmata te pakaru me te whara o te kiko o te ate. |
| MASLD me te whakamahinga nui o te waipiro (MetALD) | Ka puta tēnei ina he āhuatanga mōrearea pākia o te tinana o te tangata kua whakahuatia ake nei (hei tauira, te mate huka) ā, ka nui rawa hoki tana inu waipiro. I konei, ka honoa ngā āhuatanga e rua hei kino i te ate. |
| Ētahi atu momo o te SLD | Ka taea hoki e ētahi rongoā me ētahi atu mate te whakaemi i te ngako i roto i te ate. I ētahi wā, kāore e kitea he tino take . Ka kiia tēnei ko te 'Cryptogenic SLD'. |
He raruraru nui tēnei?
I te nuinga o te wā, kāore he raruraru nui e puta mai i te mate ate momona i te tīmatanga, ā, kāore hoki e whakararuraru i te mahi noa o te ate.
Engari he mea tēnei me whai whakaaro, pērā i te 'tohu whakatūpato' . He rite ki te rama kōwhai i runga i te rama huarahi e kā ana. Ki te mahi tātou i taua wā tonu, ka taea e tātou te whakahaere i tēnei i mua i te kā o te rama whero, arā, i mua i te puta mai o tētahi āhuatanga kino.
Ki te kore tēnei mate e rongoatia, ka piki haere te kino o te mate mō ētahi tāngata. Ka puta i roto i ētahi wāhanga:
1. Hepatitis: Ka pupuhi, ka whero, ka mumura te ate, e kī ana i te ngako. Ka kiia tēnei ko te 'Steatohepatitis'. Koinei te āhua o te MASLD hei MASH.
2. Fibrosis: Ka kino te kiko o te ate i te mumura. Ka tīmata te hanga kiko koha i ngā wāhi kua pakaru. Pērā i te koha e puta ana ina whara tō tātou kiri. Mā tēnei koha ka paku mārō, ka paku taratara te ate.
3. Te mate ate: Ka tipu tonu tēnei kiko whara, ka whakakapi i te kiko ate hauora ki te kiko whara. He mate kino tēnei e kiia nei ko te mate ate. Ki te kore e rongoatia te mate ate, ka arahi pea ki te ngoikore o te ate, tae atu ki ngā mate whakamate pērā i te mate pukupuku ate.
Nā reira he mea nui kia kitea wawetia tēnei mate, kia kitea te pūtake, kia tere ai te rongoā e tika ana.
He aha ngā tohu o tēnei mate?
Ko te raru nui o tēnei ko te kore e whakaatu i ngā tohu i ngā wāhanga tōmua . Tērā pea kāore koe e rongo i tētahi rerekētanga. Engari, tera pea ētahi tāngata ka pāngia e ēnei tohu:
- He kare ā-roto o te mamae, te taumaha rānei i te taha matau o runga o te puku.
- Ko te ngenge he ngenge nui rawa, he ngoikore hoki e puta ana mō te kore take.
Ina kua horapa te mate ki te mate ate, ka tīmata te puta o ngā tohu mārama. I taua wā, ka kite pea koe i ngā mea pēnei i:
- Whakapairuaki me te ruaki.
- Kāore he reka o te kai.
- Te ngaronga taumaha me te kore take.
- Te kōwhai o ngā mā o ngā kanohi me te kiri (te jaundice).
- Te pupuhi o te puku, te pupuri wai (Ascites).
- Te pupuhi o ngā waewae, ngā pona me ngā ringa (Edema).
He aha ngā tino take me ngā tūponotanga mō te mate ate momona?
He maha ngā take pea mō tēnei. Engari ko ngā mea matua ko ngā āhuatanga mōrearea pākia o te tinana i kōrerotia i mua ake nei me te inu waipiro. He nui ake te tūponotanga ka pāngia koe e tēnei mate mēnā kei a koe tētahi, ētahi rānei o ēnei āhuatanga:
- Te waranga ki te waipiro , te inu nui, te inu pinepine rānei.
- Te Mate Pūmua: Koinei te huinga o ētahi āhuatanga mōrearea. Arā, te ātete ki te insulin, te toto toto tiketike, te cholesterol tiketike me ngā taumata triglyceride.
- Mate huka momo 2 .
- Taumaha rawa (BMI i waenga i te 25 me te 29.9) te momona rānei (BMI neke atu i te 30).
- Mō ngā wāhineTe mate ovary polycystic (PCOS).
- Te Apnea Moe Ārai .
- Te hekenga o ngā homoni tairoi (Hypothyroidism) .
- Te ngoikore o te pituitary gland (te iti o ngā homoni pituitary) .
- Te iti o ngā taumata homoni ira tangata (Hypogonadism) .
- Ka puta anō hoki hei pānga taha o ētahi rongoā (hei tauira, Amiodarone, Diltiazem, Tamoxifen, Steroids).
Me pēhea te tautuhi i tēnei?
I te nuinga o te wā, ka kitea tēnei mā te tūpono noa iho. Ina whakamātauhia tō toto mō tētahi atu mate, ka kite pea tō tākuta kua teitei ake ngā whākōkī o tō ate. Koinei te tohu tuatahi.
I muri i tēnā, ka taea e koe te whakahaere i ngā whakamātautau pēnei hei whakaū i te mate:
- Tō hītori hauora me te whakamātautau: Ka pātai atu tō tākuta ki a koe mō ō āhuatanga hauora, te whakamahinga waipiro, me ngā rongoā e tangohia ana e koe. Ka whakahaerehia hoki e ia he whakamātautau tinana hei tirotiro i ngā tohu o te mumura ate me te cirrhosis.
- Ngā Matawai: Ka taea te whakamahi i te Ultrasound, te CT Scan, te MRI rānei hei tirotiro i ngā putunga ngako, te pupuhi me te whara i roto i te ate. Ka taea hoki e te matawai ultrasound motuhake e kiia nei ko FibroScan te ine i te nui o te ngako me te pakari (whara) i roto i te ate.
- Kohikohi Ate: I ētahi wā, ka tangohia he wahi iti rawa o te kiko ate ka tirohia i raro i te karuārai hei whakatau i te kaha o te mate. Koinei te huarahi pai ki te wehewehe tika i waenga i te MASLD me te MASH.
Me pēhea te rongoā? Ka taea te whakaora i tēnei?
Kāore anō kia kitea he rongoā motuhake mō tēnei. Kaua e manukanuka. Hei rongoā, ka arotahi ngā tākuta ki te whakahaere i ngā āhuatanga mōrearea i puta ai. Ko te tikanga o tēnā, me huri te āhua o te noho hauora.
Ka tohutohu pea tō tākuta i a koe kia mahi i ngā mea penei:
- Kati rawa te inu waipiro: Ahakoa ehara i te waipiro te take o te ngako i roto i tō ate, he tino pai te whakamutu rawa i te inu waipiro mō tō ate.
- Whakaitihia te taumaha: Ka taea e te whakakori tinana, te whakarerekē i te kai e ai ki ngā tohutohu a te tohunga kai, me ētahi rongoā (pēnei i te GLP-1RA) te āwhina i a koe ki te whakaiti i tō taumaha. Ka taea hoki e koe te whakaaro ki te pokanga bariatric.
- Whakahaerehia ētahi atu mate hauora: Tangohia ō rongoā mō ngā mate pēnei i te mate huka, te cholesterol tiketike, me te toto toto tiketike e ai ki te whakahaunga. I ētahi wā, ka tūtohutia pea kia whakamahia ngā tāpiringa pēnei i te huaora E.
- Me werohanga mō te Hepatitis A me te B:He tino morearea tēnei mate huaketo mō te tangata kua pāngia kētia e te mate ate. Nō reira, he mahi ārai te whiwhi i tēnei kano ārai mate.
He okana whakamiharo tō tātou ate. He kaha whakamiharo tōna ki te whakatika i a ia anō ki tētahi taumata. Ki te whai koe i ngā tohutohu a tō tākuta, ka taea e koe te whakaiti i te ngako me te mumura i roto i tō ate, te aukati i ngā kino atu, ā, i ētahi wā ka taea te whakakore i te kino i puta i te tuatahi.
Me pēhea te tiaki i a koe mai i tēnei āhuatanga?
Ko te huarahi pai hei ārai i tēnei āhuatanga ko te pupuri i tētahi momo noho hauora whānui.
- Whakakorikori tinana i ngā wā katoa: He mea tino pai te mahi i te iti rawa 30 meneti o te whakakorikori tinana e whakaputa werawera ana i te rā.
- Whakawhāitihia, kati rawatia rānei te whakamahi waipiro .
- Kia mau ki te taumaha hauora mō tō teitei.
- Kai i te kai taurite: Kai atu i ngā huawhenua, ngā hua rākau, ngā pīni, ngā nati, me ngā witi katoa. Whakaitihia te hinu, te huka, te paraoa, te kai tere, me te mīti whero (pī, poaka). Inuhia he wai ma, kaua ki ngā inu huka.
- Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike rānei, me whakamahi tika i te rongoā kua tohua .
He pai ake te kōrero ki tō tākuta me te tiki tohutohu mō te momo oranga hauora e tika ana māu.
Karere Tangohia ki te Kāinga
- Ko te Ate Ngako/Steatotic he mate e nui ake ai te ngako o te ate i te 5%. He mate tino noa tēnei.
- Ko ngā take pēnei i te inu waipiro, te mate huka, te momona, me te cholesterol tiketike ngā tino take o tēnei.
- He maha ngā wā, kāore he tohu e kitea ana i ngā wāhanga tōmua, nō reira he 'mate puku' pea.
- Ki te kore e arohia tēnei āhuatanga, ka roa pea ka arahi ki ngā āhuatanga kino pērā i te cirrhosis me te mate pukupuku ate.
- Kaua e manukanuka! Ka taea te whakahaere i tēnei mate, ā, ka taea pea te whakaora katoa, mā te whakarerekē i te āhua noho hauora (te whakaiti taumaha, te whakakori tinana, te whakaiti i te waipiro, me te kai taurite).
- Mena he ruarua āu mō tēnei, me toro atu ki tō tākuta mō ētahi tohutohu.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero