Kia ako tātou i ētahi atu kōrero mō te Hepatitis C. Ngā pānga puku ki tō ate

Kua rongo koe i te mate Hepatitis C? Āe pea, kāore pea. He huaketo tēnei e uru puku ana ki roto i tō tinana, e kino ana hoki tō ate. He tokomaha te hunga kāore e mōhio kei a rātou tēnei mate nā te mea kāore e puta he tohu i te tīmatanga. Kaua e manukanuka, kei reira ngā rongoā pai mōna i nāianei!

He aha te mate Hepatitis C?

Ki te kī ngāwari, ko te Hepatitis C he mate e puta mai ana i te huaketo e whakaeke ana i tō tātou ate. Ina uru tēnei huaketo, e kiia nei ko te Hepatitis C Virus (HCV), ki roto i tō tātou ate, ka puta te mumura. Pērā i te wā e pāngia ai tātou e te patunga, ka pupuhi. Ka kino haere te ate i tēnei mumura. I te nuinga o te wā, ki te kore e rongoatia, e kore e ora ake. I roto i te wā, ka kino rawa te ate. Engari he rongo pai tēnei! Inaianei kei reira ngā rongoā hou ka taea te whakaora katoa i te Hepatitis C. Ko te raruraru he maha ngā tāngata kāore e whakaatu i ngā tohu, ā, kāore e mōhio kei a rātou.

He aha ngā tohu?

Anei te mea nui. Ko te nuinga o te tangata kāore e whakaatu i ngā tohu! Koinei te wāhanga tino whakamataku o tēnei mate. Heoi, ka whakaatu pea ētahi i ētahi tohu ina uru te huaketo ki te tinana, ā, ka tīmata te tinana ki te whawhai ki a ia, arā, i te wā 'whakamataku'.

Ngā tohu whakapeka

Ka rite anō hoki ēnei tohu ki ērā o te makariri noa. Tirohia:

• He rite ki te mamae o te puku.
• He mimi pouri, he tūtae māmā pea
• Ngā tohu rewharewha pērā i te kirika, te mamae o te tinana, te whakapairuaki, me te ngenge
• Te kōwhai o te kiri me te mā o ngā kanohi. Ka kiia hoki tēnei he 'waikura'.

Ngā tohu e puta ana mō te wā roa (Pūmau)

Nā, ki te kore koe e pāngia e ngā tohumate ohorere i whakahuatia ake nei, tērā pea kāore koe e rongo i tetahi mea mō ngā tau. Koinei te mea e kiia nei e mātou ko te hepatitis C 'mau tonu'. Heoi, i te mea ka tīmata te ate ki te ngoikore haere i te mahi, ka puta pea ngā tohumate pēnei i ēnei:

• Tērā pea ka hoki mai anō ngā tohu katoa i whakahuatia i mua ake nei (pēnei i te mamae o te puku, te jaundice).
• Ehara i te mea koinā anake, engari ka tāpirihia pea ētahi atu āhuatanga hou:
• Te toto i roto i te tūtae, te ruaki toto rānei
• He toto tonu, he kikorangi te tae ahakoa he maru iti noa iho
• He mākūkū e kore e taea te pupuri puta noa i te tinana
• He whero, he mangu rānei te āhua o ngā nikau.
• Ngā angiomas pungawerewere (ngā oko toto iti rite ki te pungawerewere i runga i te kiri)
• Ka kī te puku i te wai, ā, ka pupuhi te puku (e kiia ana tēnei ko te `(Ascites)`)

Me pēhea te tuku i tēnei ki tētahi?

He pātai tēnei e pātaihia ana e te tini tāngata. Ko te nuinga o te wā ka horapa te mate Hepatitis C mā te toto . Arā, ka horapa ina uru te toto o te tangata whai huaketo Hepatitis C (HCV) ki te tinana o tētahi atu tangata. Whakaarohia he rite ki te tohatoha ngira e whakamahia ana hei werohanga tarukino.E ai ki ngā pūrongo koinei te huarahi matua e horapa ai tēnei mate puta noa i te ao.

Engari tera atu anō ngā huarahi e horapa ai:

• Ka taea e te pēpi te pangia e te hepatitis C mai i te whaea kua pangia e te mate (i te wā e hapu ana, i te whānautanga rānei).
• I mua, i pangia te tangata e ngā whakawhiti toto kāore i whakamatautauria tika. Engari ināianei kua iti ake taua mōrearea, nā te mea ka whakamatautauria pai te toto ina kohaina.
• I ētahi wā, ahakoa i roto i ngā hōhipera, ki te whakamahia he taputapu kāore anō kia horoia tika, ka taea te tuku mā te toto (engari he tino onge hoki tēnei i nāianei).
• Ka pangia pea koe e te mate mā te tā moko, te wero tinana rānei mā te whakamahi i ngā taputapu kāore anō kia horoia tika . Me tino tupato koe ki tēnei.
• Mehemea ka tohaina e koe he heu, he paraihe niho rānei ki tētahi atu kua poke i te toto. Whakaarohia te tohatoha i ngā mea pēnei i waenganui i ngā hoa i roto i te whare moe, tika? He tūponotanga kei te pāngia koe e te toto mai i tētahi patunga iti.

Ko te mea nui, ahakoa kāore he tohu, ā, kāore koe i te mōhio kei a koe te mate hepatitis C, ka taea tonu e koe te horapa. Engari kia maumahara, ka horapa noa mā te toto. Kāore e horapa mā ngā mea pēnei i te huware, te werawera, te rūrū ringa, te kai tahi rānei.

He aha ngā mea ka pā ki a koe mēnā ka pāngia koe e te mate hepatitis C?

Kāore te mate Hepatitis C e pā ki te katoa i te huarahi kotahi. Mō ētahi tāngata, tata ki te 30 i roto i te 100 , ka horoia te huaketo e tō rātou ake pūnaha ārai mate i te wā tuatahi ka pāngia rātou (te wāhanga whakapeka). Ka roa pea tēnei mō ētahi marama. Heoi, mō te tini tāngata (tata ki te 70 i roto i te 100), kāore tēnei e puta ko ia anake. Whai muri i ngā marama o te whawhai, ka pāngia te tinana e te mate pumau, e mōhiotia ana ko te mate 'mau tonu'.

He aha ngā raruraru o te mate hepatitis C mō te wā roa?

Ko te mate hepatitis C mau tonu te tikanga he mumura tonu tō ate. He rite tēnei ki te mate ate mau tonu. Ka kino haere tō ate i tēnei mumura tonu i roto i ngā tau maha. Ka puta he koha i roto i te ate, ka kore ai e mahi tika. Ka kiia tēnei mate he cirrhosis . Koinei te mate e wehingia ana e te tini tāngata. Ina kino te cirrhosis, ka taea e te ate te ngoikore rawa (te ngoikore o te ate mau tonu).

Ka taea e te cirrhosis me te ngoikore o te ate te arahi atu ki ētahi atu raruraru, pēnei i:

• Te pikinga o te pēhanga i roto i ngā oko toto e hono ana ki te ate (Portal Hypertension)
• Matepukupuku ate

Me pēhea te kitenga a ngā tākuta i tēnei?

Ki te whakaaro koe he mate ate hepatitis tōu, he tohu rānei kei a koe o te mate ate, me toro atu koe ki te tākuta. Ka tirotirohia koe e te tākuta, ka tirohia mēnā he pupuhi, he kōwhai ngā kanohi, me ētahi atu mea anō hoki.

Whai muri i tēnā, ka tonoa koe kia mahi i ētahi whakamātautau toto . Ko ngā mea matua ko:

• Whakamātautau paturopi: Ka tirohia tō toto mō ngā paturopi e ārai ana i te huaketo hepatitis C. Mena he pai tēnei, ka whakaū kua pāngia koe e te hepatitis C.
• Whakamātautau RNA: Mena he "pai" te whakamātautau paturopi, ka mahia tēnei whakamātautau i muri mai. Ka tirohia mēnā kei te kaha tonu te huaketo i roto i tō tinana. Arā, ka taea e ia te kī mēnā kua whakakorea e tō tinana te huaketo, mēnā rānei kei te pangia tonutia koe.
• Whakamātautau ira-ira: E ono pea ngā ira-ira matua o te huaketo hepatitis C. Mā tēnei whakamātautau ka taea e koe te mōhio ko tēhea momo huaketo kei a koe. Mā tēnei ka āwhina i tō tākuta ki te whiriwhiri i te maimoatanga pai rawa atu māu.
• Ngā whakamātautau mahi ate (LFT): Ka tirohia e ēnei te hauora whānui o tō ate.

Mena ka whakaatuhia e ngā whakamātautau toto kua pāngia tō ate, ka tono pea tō tākuta i ētahi atu whakamātautau hei tirotiro anō i te kino o tō ate. Ko tētahi tauira ko te matawai ultrasound e kiia nei ko te Transient Elastography (Fibroscan) . Ka taea e tēnei te ine i te pakari o te ate, te whānuitanga rānei o te whara/fibrosis.

He aha ngā maimoatanga?

He tino rongo pai tēnei! He tino whai hua ngā rongoā mō te mate hepatitis C. Ko ngā rongoā matua e whakamahia ana ko ngā rongoā 'antiviral mahi tika' (DAA) . He rongoā ēnei e tangohia ana hei pire. Neke atu i te tekau mā rua ngā momo rongoā 'DAA' e mahi ana ki ngā momo rerekē o te huaketo.

Anei ētahi rongoā e tohua ana (nā te tākuta ēnei i tohu):

• `Elbasvir/grazoprevir (Zepatier®)`
• `Glecaprevir/pibrentasvir (Mavyret®)`
• ``Ledipasvir/sofosbuvir (Harvoni®)''
• ``Sofosbuvir/velpatasvir (Epclusa®)''
• ``Sofosbuvir/velpatasvir/voxilaprevir (Vosevi®)''

Ahakoa he uaua pea tēnei rongoā māu, mā te tākuta e whiriwhiri te rongoā tika māu.

Mena kua roa koe e pangia ana e te mate hepatitis C, ā, kua tino pakaru tō ate, me whai maimoatanga anō pea koe. Ka taea te whakakore i ētahi o ngā kino, engari kāore e taea e ētahi. Me rongoā anō pea koe i ētahi atu pānga o te mate ate. Ko te tikanga, e rua ki te ono marama te roa o tēnei maimoatanga 'DAA'. Mō ētahi tāngata, ka roa ake pea.

He pānga taha kei te rongoā?

Kāore te nuinga o te tangata e pāngia e ngā pānga kino nui mai i ēnei rongoā 'DAA', engari ka pāngia pea ētahi e ngā pānga kino iti noa iho.

• He iti te mamae o te puku
• Korere
• Ngenge
• Ānini
• Whakapairuaki
• I ētahi wā ka paku uaua te manawa

Ki te puta he mea pēnei, me kōrero koe ki te tākuta.

He aha atu anō ngā mea ka taea e au te mahi hei tiaki i tōku ate?

Mena he mate ate tōu, he maha ngā mea ka taea e koe te mahi hei ārai i te kino atu o te ate. He mea nui ēnei mō ngā mate ate katoa, ehara i te hepatitis C anake.

• Ki te inu waipiro koe, me mutu rawa, me whakaiti rawa rānei. He hoariri te waipiro ki te ate.
• Ki te kai paipa koe, ngana ki te whakamutu i tēnā.
• Mena kāore anō kia whiwhi koe i ngā kano ārai mate mō te Hepatitis A me te Hepatitis B, tikina. Nā te mea he uaua ki te whakahaere i te ate kua pāngia e te Hepatitis C mena ka pāngia e tētahi atu momo hepatitis.
• Me whakapā atu ki tō tākuta i ngā wā katoa, me te ata whai i ana tohutohu.

Kāore e taea e koe te tiaki i a koe anō mai i te mate hepatitis C?

Ko te huarahi anake hei tiaki i a koe i tēnei ko te karo i te pangia e te toto . Kāore anō kia kitea he kano ārai mate mō te hepatitis C i tēnei wā. Kei te rangahauhia e ngā kaipūtaiao, engari nā te mea he maha ngā momo momo o tēnei huaketo, ā, he tere te hurihanga, he uaua ki te waihanga i tētahi kano ārai mate e whai hua ana mō te katoa.

Nō reira, me tūpato tātou ki ngā tikanga tuku kōrero i kōrerotia i mua ake nei:

• Ki te whakamahi koe i ngā raau taero, kaua e whakawhitiwhiti ngira. (He pono, he pai ake te karo rawa i te whakamahi i ngā raau taero.)
• Mēnā kei te tā moko, kei te wero tinana rānei koe, whiriwhiria ngā wāhi e whakamahi ana i ngā taputapu hou kua horoia .
• Kaua e whakamahia ngā heu, ngā paraihe niho rānei a ētahi atu.

He aha te matapae mō te mate hepatitis C?

I kōrero tātou i mua ake nei mō te āhua o te whakaora a ētahi tāngata i ngā wāhanga tōmua o te huaketo (wāhanga whakapeka). Engari mō te tini o te tangata, ka huri hei mate mau tonu. Ahakoa kāore ō tohu, kāore rānei koe e mōhio kei a koe, ka kino tonu tō ate i te hepatitis C mau tonu i roto i te wā. Koia te mea nui kia tirotirohia tō ate i ia wā, i ia wā.

Engari, ina mōhio koe kei a koe, kāore he mea hei manukanuka. Nā te mea ka taea te whakaora katoa i te nuinga o ngā mate hepatitis C mā te whakamahi i ngā rongoā ārai huaketo e wātea ana i nāianei! Ahakoa te roa o te wā e pāngia ana koe e te mate, ka taea te whakaora.

Heoi, mō ētahi tāngata, ahakoa kua ora te mate hepatitis C, kāore pea ētahi o ngā kino o te ate (ina koa ko te cirrhosis) e taea te whakaora. Tata ki te 20% o te hunga kua pāngia e te mate mō te 20-30 tau ka pāngia pea e tēnei kino e kore e taea te whakaora.

Tērā pea ka ohorere koe, ka manukanuka hoki ina kitea e koe he mate hepatitis C tōu. Tērā pea kāore koe e māuiui ana, ā, kāore pea koe e mōhio me pēhea, āhea rānei i pā mai ai. Engari he pai ake te mōhio kei a koe tēnei mate i te kore mōhio. He mate ka taea te rongoā i te Hepatitis C. Ā, ki te kitea wawetia, ka rongoātia hoki, ka taea e ia te whakaora i tō ate mai i te kino mō te wā roa.

Kia maumahara ki te mea tino nui (Karere hei kawe ki te kāinga)

Āe, nā, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea tino nui hei maumahara māu:

• He huaketo te Hepatitis C e kino ai te ate. He maha ngā wā kāore e puta he tohu i te tīmatanga.
• Ka horapa te nuinga mā te horomitanga o te toto pangia. Ka taea hoki te horapa mā ngā mahi pēnei i te tohatoha ngira me te tā moko/wero me ngā taputapu kāore i horoia.
• He tino whai hua ngā maimoatanga inaianei mō tēnei (ngā rongoā 'DAA'). Ka taea te whakaora katoa i roto i ētahi marama.
• Ki te whakaaro koe kei roto koe i te mōrearea, kei a koe rānei ngā tohumate o te mate ate, me toro atu koe ki te tākuta mō tētahi tirotiro hauora.
• Ki te kitea, ā, ka rongoātia i te wā wawe, ka taea te ārai i ngā kino nui ki te ate (cirrhosis, cancer).
• Kaua e mataku! Ko te mea nui ko te mōhio me te whai i ngā tohutohu hauora tika.

Ki te mea he pātai anō āu mō tēnei, kaua e whakamā, pātai atu ki tō tākuta. Kia ora tonu!

Hepatitis C, ate, huaketo, tohu, maimoatanga, tuku, cirrhosis, HCV, mate ate