I ētahi wā, ka āhua kōwhai te mā o ō kanohi? Kua pātai atu rānei tētahi hoa ki a koe, "He aha i kōwhai ai ōku kanohi?"? Ina tupu tēnā, ka mataku koe, "Āe, he kiri mākūkū anō hoki tōku?" Nā te mea e mōhio ana tātou katoa ko te kōwhai o ngā kanohi he tohu pea nō tētahi raruraru o te ate. Engari ehara i te mea ko te kiri mākūkūkū katoa he mate ate kino. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e pāngia ana e te tini o te tangata, engari ehara i te mea hei wehi rawa atu. Ko te mate Gilbert Syndrome tēnā.
He aha te mate Gilbert?
Ehara te mate Gilbert Syndrome i te mate kino. He mate ira noa iho e tukuna iho ana i ia whakatipuranga ki ia whakatipuranga. Whakaarohia ka mate ngā toto whero i roto i tō tātou tinana i roto i te wā. Kātahi, ina pakaru, ka puta he para kōwhai e kiia nei ko te bilirubin . He rite ki te para kakariki pirau. Ko tētahi o ngā mahi matua a tō tātou ate ko te tango i tēnei para e kiia nei ko te bilirubin mai i te tinana.
He puhoi ake te tukanga tango bilirubin a te hunga whai mate Gilbert. Nā te mea he iti ake te taumata o te whākōkī e āwhina ana i tēnei tukanga i roto i tō rātou ate. Ko te ira e pā ana ki tēnei ko te 'UGT1A1'. Kia pāngia ai koe e tēnei mate, me rua ngā tārua o tēnei ira kua whakarerekētia i riro mai i a koe, tētahi i tō whaea, tētahi i tō pāpā.
He rite ki te wheketere i roto i te ate, te wāhi e puhoi ake ai te mahi a te para bilirubin. Nō reira, i ētahi wā ka kohia tēnei matū kōwhai e kiia nei ko te bilirubin ki roto i te toto. Ko te wā tēnā e ahua kōwhai ai ngā kanohi me te kiri. Ka kiia hoki tēnei he jaundice . Engari kia mahara, ehara te mate Gilbert i te mate e kino ai te ate, ā, ehara hoki i te mea hei wehi.
He aha ngā tohu? He aha i puta ohorere mai ai?
I te nuinga o te wā, kāore he tohu o te hunga whai mate Gilbert. He nui te whākōkī hei whakahaere i ngā taumata bilirubin i roto i ō rātou tinana.
Engari i ētahi wā motuhake, ka paku piki ake te taumata o te bilirubin i roto i te toto. Koinei te wā ka kōwhai te mā o ngā kanohi me te kiri. Ka kiia tēnei he jaundice. Ki te kite koe i tēnei momo kōwhai, me toro atu koe ki te tākuta kia kitea ai mēnā he take nui kē atu.
I ētahi wā, ka haere tahi tēnei kōwhai me te mamae o te upoko, te ngenge, me te mamae o te puku.
Nā te aha i piki ohorere ai tēnei taumata bilirubin? He maha ngā take motuhake e pā ana ki tēnei. Kia tirohia tātou he aha ēnei.
| Ngā mea e whakanui ana i ngā taumata bilirubin | He aha te mea e tupu ana? |
|---|---|
| ahotea | Ka taea e ngā mea pēnei i ngā whakamātautau me ngā raruraru mahi te whakarerekē i ngā tukanga o te tinana. |
| Te maroketanga | Ina kore koe e inu i te nui o te wai. |
| Te peke i ngā kai | Ina nohopuku, ina kore rānei e kai nā te pukumahi. |
| Ngā mate urutā | Ina pāngia koe e tētahi mate pēnei i te makariri, i te rewharewha rānei, ka whawhai tō tinana ki taua mea. |
| Whakakorikori tinana uaua | Ina ngenge rawa tō tinana ki te whakahaere. |
| Waipiro | Ka nui ake te taumahatanga o te waipiro ki te ate. |
| Te paheketanga i roto i ngā wāhine | Tērā pea ka puta tēnei āhuatanga i ngā huringa homoni. |
Me pēhea te kitenga a te tākuta i tēnei?
He maha ngā wā ka kitea te mate o te tangata i te mate Gilbert mā te tūpono noa. Tērā pea i a koe e whakamātautau toto ana mō tētahi atu mate, ka kite tō tākuta he paku teitei ake tō taumata bilirubin i te mea noa. Koinā te wā e whakapaetia ana e rātou.
Ko ēnei mahi te tikanga hei tātaritanga i te mate:
- Ngā whakamātautau toto:Ka tirohia ngā taumata bilirubin. Ka whakahaerehia hoki ngā whakamātautau mahi ate hei tirotiro i te mahi a te ate. Mā tēnei ka taea te whakakore i ētahi atu mate ate kino.
- Matawai Ultrasound: I ētahi wā ka mahia he matawai hei whakarite kāore he raruraru kē atu o te ate (pērā i ngā kōhatu, i ngā putunga ngako rānei).
- Ngā Whakamātautau Ira: Ka taea tēnei whakamātautau hei whakaū mēnā he whakarerekētanga ira kei roto i te ira `UGT1A1`. Heoi, kāore e mahia i ngā wā katoa.
- Kohikohi Ate: Kāore i te maha ngā wā ka mahia tēnei hei tirotiro mō te Mate Gilbert. Ka mahia anake mēnā kei te whakapaetia he mate kino kē atu.
He rongoā kei te wātea mō te mate Gilbert Syndrome? Me aha tātou?
Anei te rongo pai. Ehara te mate Gilbert i te mate e hiahia ana ki te rongoā. Kāore te kōwhai (jaundice) e pā mai ana i tēnei mate e kino ai tō tinana mō te wā roa.
Nō reira, ko tā tātou mahi he noho matara atu i ngā mea e piki ai ngā taumata bilirubin i kōrerohia e tātou i mua ake nei.
- Kaua e peke i ngā kai. Kai i te wā tika.
- Inumia he nui te wai. He mea tino nui kia inuhia kia 2-3 rita wai i te rā.
- Whakaitihia te ahotea. Whakangāwaritia tō hinengaro mā te whakaaroaro, te whakarongo ki te puoro, te whai wāhi atu rānei ki tētahi mahi whakangahau e pai ana ki a koe.
- Moe pai. Kia 7-8 hāora te moe i te rā.
- Whakaitihia, kati rawatia rānei te inu waipiro .
- Āta karohia ngā mahi whakakori tinana e tino taumaha ana ki te tinana. He pai ngā mahi pēnei i te hikoi auau me te yoga.
He take tino āwangawanga!
Koinei te wāhi e tino aro atu ai koe. Ko te whākōkī kotahi e wawahi ana i te bilirubin i roto i tō tātou ate ka āwhina anō hoki ki te tango i ētahi rongoā mai i te tinana. Nā te mea he puhoi ake te mahi a taua whākōkī i roto i te tangata e pāngia ana e te mate Gilbert, ka roa ake te noho o aua rongoā ki roto i te tinana, ā, he nui ake te tūponotanga ka pāngia e ngā pānga taha.
I te mea he tangata koe e pāngia ana e te mate a Gilbert, he mea nui kia kōrero koe ki tō tākuta mō ngā rongoā hou e tangohia ana e koe.
Hei tauira, ko ngā rongoā e whakamahia whānuitia ana pērā i te acetaminophen (Panadol, Paracetamol) kei roto i tēnei kāwai. Kei roto hoki ko ngā rongoā pērā i te `Irinotecan`, e whakamahia ana mō te mate pukupuku, me te `Protease inhibitor`, e whakamahia ana mō te HIV me te Hepatitis C.
Nō reira, ina haere koe ki te tākuta, he mea tino nui kia kī koe, "Kei a au te mate Gilbert." Kātahi ka whakaarohia e te tākuta tēnā ina tohua he rongoā māu.
Karere Tangohia ki te Kāinga
- Ehara te mate Gilbert i te mate hei wehi. He mate ira kore kino, he mate tuku iho i roto i ngā whakatipuranga.
- Ko te tohu matua ko te kōwhai o ngā kanohi me te kiri (jaundice) i ngā wā ahotea, mate, nohopuku rānei.
- Kāore tēnei mate e hiahiatia he rongoā. Ko tāu mahi he karo i ngā mea e whakapiki ake ai i ngā taumata bilirubin.
- Ki te kōwhai haere ō kanohi, tō kiri rānei, me rapu tohutohu hauora kia mōhio ai ehara i te mea he mate kino anō tēnei.
- Ki te mōhio koe kei a koe te mate a Gilbert, he mea tino nui kia whakamōhio koe ki tō tākuta i mua i te tango i tētahi rongoā hou.
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