I ētahi wā ka whakama tātou mō te haunga kino o te manawa ina kōrero tātou. Ki te kore te haunga e memeha ahakoa te kaha o tā tātou parai i ō tātou niho, te whakamahi i te wai horoi waha, me te mahi i ngā mea katoa hei whakakore, tera pea ehara i te mea noa. Ina koa mēnā he haunga rerekē tō manawa, he reka, pērā i te hua pirau, i te hua pirau rānei, he tohu pea tēnei mō te mate ate nui. I roto i ngā kupu hauora, ka kiia tēnei mate ko te Fetor Hepaticus . I tēnei rā, ka kōrero māmā noa tātou mōna.
He aha te Fetor Hepaticus?
He kupu ngāwari noa iho, ko te Fetor Hepaticus he kakara motuhake e puta mai ana i tō manawa ina kore tō ate e mahi tika nā tētahi mate hauora. Ko te ate te tātari matua i roto i tō tātou tinana. Ka tātarihia e ia ngā paitini mai i te toto, pērā i te kai e kainga ana e tātou me ngā rongoā e tangohia ana e tātou.
Engari ina pāngia te ate e te mate, kāore tēnei tukanga tātari e mahi tika. Kātahi ka kohia ētahi matū paitini e tika ana kia tangohia mai i te toto ki roto i te toto, kaua e tangohia. Kātahi ka puta mai ēnei paitini kua kohia me te manawa. I ētahi wā ka puta mai tēnei kakara i tō werawera me tō mimi.
Ko te mea nui, ehara i te mea ko te manawa kino anake i puta mai i te koretake o te akuaku o te waha. He tohu whakatūpato nui tēnei mō tētahi mate kino kei roto i tō tinana.
He aha te āhua o tēnei kakara? He aha tōna rerekētanga mai i ētahi atu kakara?
He uaua te tautuhi i tēnei kakara, nā te mea he rerekē te tirohanga a te katoa mō tēnei kakara. Engari koinei te whakaahuatanga a ngā tākuta:
- He kakara pokepokea ai.
- He reka kē tōna, he rerekē te reka.
- I ētahi wā ka hongi pērā i te paru.
- He kakara e whakaranua ana ki ngā hua pirau me te kāriki.
- Te kakara o te tarutaru hou kua tapahia.
Ka taea e ētahi atu mate te whakaputa i te manawa kino, engari he rerekē te Fetor Hepaticus. Kia mārama tātou ki tēnei rerekētanga.
| Te āhua o te kakara | Whakaahuatanga me te āhua hauora e pā ana |
|---|---|
| Haunga ate | He kakara haunga, reka, pirau/rite ki te hua manu. Ko tēneiE pā ana ki te mate ate nui. |
| Trimethylaminuria (kakara ika) | He kakara ika. Ko tētahi atu āhuatanga pākia o te tinana tēnei. |
| Uremic Fetor (kakara haukini) | He kakara pērā i te haukini, i te wai mākū rānei. He tohu tēnei mō te ngoikore o te whatukuhu . |
| Manawa Keto (Kakara Hua) | He kakara acetone, pērā i te tango hua, te tango peita whao rānei. Ka puta pea tēnei i roto i te ketoacidosis mate huka. |
He aha i pēnei ai te kakara?
Ko te nuinga o tēnei kakara ka puta mai i ngā matū e hangaia ana i roto i ō tātou tinana e kiia nei ko te 'Dimethyl sulfide' (kakara kāriki) me te 'methyl mercaptan' (kakara hua pirau/kāpeti). E mōhiotia ana hoki ēnei ko ngā 'Volatile Organic Compounds' (VOC).
I te nuinga o te wā, he hua taha ēnei o tā tātou pākia o te tinana. Ka haere mā roto i te toto ki te ate, ka tātarihia, ka tangohia atu. Engari ina pāngia te ate e te mate, kāore e taea te tātari i a rātou, ā, ka piki ake ō rātou taumata i roto i te toto. Ko te wā tēnā ka tīmata te puta mai o tēnei kakara i te manawa.
E rua ngā take matua mō tēnei:
1. Te ngoikore o te ate: Kua pakaru ngā pūtau ate (hei tauira, nā te cirrhosis) ā, kāore e taea e te ate te mahi tika i tana mahi tātari.
2. Te Whai i te Portosystemic Shunt: Ko te uaua portal te uaua matua e kawe ana i te toto mai i tā tātou pūnaha nakunaku ki te ate. I ētahi wā, ka taea te karo i tēnei uaua, ā, ka taea e te toto paitini te rere tika ki roto i te tohanga noa o te tinana. Nā te mea ka hangaia e te tinana he shunt hei aukati i te toto kei puta i roto i te ate.
He aha atu ngā tohu e haere tahi ana me te Fetor Hepaticus?
Mena kei a koe te Fetor Hepaticus, tera pea ka puta mai ētahi atu tohu i te mate ate e ahu mai ana i te mate, i te Portal Hypertension rānei. He mea nui kia mōhio koe ki ēnei tohu anō hoki.
| Ētahi atu tohu hei tūpato | |
|---|---|
| Ngā tohu noa o te ngoikore o te ate | |
| Te kōwhai o te kiri me ngā kanohi (Jaundice) | Te kōwhai o te kiri me te mā o ngā kanohi. |
| Te mamae i te taha matau o runga o te puku | Te mamae i te rohe ate. |
| Ngā huringa o te mimi me te tūtae | He mimi pouri (pērā i te tī) me ngā tūtae māmā (pērā i te uku). |
| Kiri mākūkū | Te mākūkū o te tinana katoa, kāhore he ira, he ponana rānei e kitea ana. |
| Te toto me te maru | He toto e kore e mutu ngāwari ahakoa he whara iti noa iho, me te putanga mai o ngā marōtanga kāore i te mārama te take i te tinana. |
| Ngā Tohu o te Toto Toto o te Portal | |
| Te pupuhi o te puku me ngā waewae | Te pupuhi o te puku (te kohi wai o te puku) me te pupuhi o ngā waewae me ngā pona. |
| Te ruaki toto, te rere toto rānei i roto i te tūtae | He āhuatanga tino whāiti tēnei, he āhuatanga nui hoki. |
| Ngā huringa o te mahara me te whanonga | Te pōhēhē, te hiamoe, me te ngaronga o te māramatanga i puta mai i ngā pānga paitini ki te roro. (Hepatic Encephalopathy) |
He tohu whakatūpato tēnei me toro atu koe ki te tākuta tonu?
Āe, tino pono! He tohu whakatūpato tino kino te Fetor Hepaticus me tere tonu te rapu awhina hauora, ahakoa e mōhio ana koe he mate ate tōu.
E tohu ana tēnei tohu kei te kino haere te āhua o tō ate. Kei te tae atu ngā paitini e kohia ana i roto i ō toto ki te wāhi e tukuna ana, ko te tikanga tērā pea kua tīmata aua paitini ki te pā ki tō roro me tō pūnaha io.
Ki te kore e rongoatia, ka taea e tēnei mate te arahi ki ngā raruraru tino kino.
- Te toto kāore e taea te whakahaere mai i te ara nakunaku.
- Te ngoikore o te whatukuhu (te mate Hepatorenal).
- Te ngoikore o te manawa (te mate Hepatopulmonary).
- Te ngoikore o te mahi roro (Hepatic encephalopathy).
I ngā wā o mua, i huaina hoki tēnei mate ko te "manawa o te hunga mate." E whakaatu ana tēnā i te mōrearea o tēnei mate. Kaua e wehi. I ēnei rā, kua tino matatau te rongoā. He maimoatanga pērā i te whakawhitinga ate me ngā maimoatanga tino pai hei whakahaere i ngā tohu.
Ko te mea nui ko te toro atu ki tō tākuta ina kite koe i tētahi o ēnei tohu. Māna koe e tirotiro, e whakahaere ngā whakamātautau e tika ana, ā, ka tohua te maimoatanga tino tika māu.
Karere Tangohia ki te Kāinga
- He kakara reka, he haunga haunga te Fetor Hepaticus, he mea motuhake mai i te manawa. He tohu tēnei mō te mate ate kino.
- Ehara tēnei i te manawa kino noa e puta mai ana i te kore e pai te akuaku o te waha.
- Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, tēnei tohu, whakaarohia he whakatūpato tino nui tēnei .
- Me toro atu ki tō tākuta i te wā e taea ai, kaua e whakaroa.
- Ahakoa kua tāpaetia kētia koe kei te mate ate, he mea nui tonu kia rapu tohutohu hauora anō koe, nā te mea e tohu ana tēnei tohu hou kei te kino haere tō āhua.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te tikanga o ngā whekau pupuhi?
Ehara tēnei i te mea noa! Koinei te wā ka nui/pupuhi ohorere tetahi, e rua rānei o ngā 'Testicles/Scrotum' o te tāne (te pupuhi o te scrotum), i ētahi wā ka mamae rawa (i ētahi wā kāore he mamae). He tohu whakatūpato nui tēnei mō te hernia, te pupū wai, te kino kino/matepukupuku rānei i roto i te scrotum.
💬 He aha ngā tino take e pupuhi/rahi ai ngā poro o te tāne?
He maha ngā take matua mō tēnei: 1) 'Hydrocele' - he pēke wai e karapoti ana i te kōpū e whakanui ana (kāore he mamae). 2) Inguinal Hernia - he kōpae herniated i roto i te scrotum. 3) 'Epididymitis' - he mate mimi/STI e pirau ai te kōpū (mamae me te kirika). 4) Ko te take tino morearea: Ki te puta he puku iti, mārō pērā i te toka, kāore he mamae, he 'Testicular Cancer' tonu!
💬 He aha te 'Testicular Torsion', he āhuatanga ohorere e morearea ana ki te ora e puta mai ana me te pupuhi o te testicular? He aha koe me tere ai ki te hōhipera?
Ko te mōrearea nui rawa atu, ko te tino mōrearea ko te 'Testicular Torsion'! Arā, i a koe e moe ana/e takaro ana, ka huri whakarere te uaua toto i roto i te testicle, ka piri. Kātahi, mō tētahi hēkona, ka puta he mamae/pupuhi e kore e taea te tu atu! Ki te tupu tēnei, haere ki te hōhipera i roto i ngā haora e 6 ka pokanga hei wetewete i te here, ka mangu te testicle, ka pirau rawa, ā, me tapahi atu mō ake tonu atu (Gangrene/Ngaronga o te testicle)!
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