Kia ako tātou i ētahi atu kōrero mō te Hepatitis D. He mea motuhake tēnei!

Kua rongo pea koe i ngā momo mate ate. I tēnei rā ka kōrero tātou mō tētahi mate ate rite tonu, engari he rerekē paku. Ko te Hepatitis D tēnā. He aha te mea motuhake mōna, me pēhea te karo atu, kia mōhio tātou i tēnei rā.

He aha te mate Hepatitis D?

Ki te kī māmā noa, he mate huaketo te Hepatitis D e mumura ai te ate . Heoi, ko te rerekētanga nui ko te kore e taea e te huaketo Hepatitis D (HDV) te whakaputa i te mate i a ia anō. He mea whakamiharo? Ae, kia puta ai he mate i roto i tō tinana i tēnei huaketo , me honoa ki te huaketo Hepatitis B (HBV) . Arā, ka taea anake te whakawhanake i te Hepatitis D ina kua pāngia koe e te Hepatitis B, ina pāngia rānei koe e te Hepatitis B. Kei te mārama koe? Kāore rawa.

E rua ngā huarahi matua ka pā te mate Hepatitis D:

1. Te mate urutā whakapeka: I tēnei wā, ka tere ake te puta o ngā tohu, ā, ka roa pea mō ētahi wiki, mō ētahi marama rānei. I ētahi wā, ka pai ake i a ia anō.

2. Mate pāwera mau tonu: Koinei te mea tino morearea. Ka taea e te mate pāwera tere te noho hei mate pāwera mau tonu. Mēnā ka roa ake ngā tohumate i te ono marama. Ka taea e tēnei te whakararu i te ate mō te wā roa.

He aha ngā momo o te Hepatitis D?

Kia tirohia ngā momo matua e rua o te mate Hepatitis D me ētahi atu taipitopito.

He aha te mate urutā tahi?

Ko te pangia tahi ko te pangia e te huaketo hepatitis B (HBV) me te huaketo hepatitis D (HDV) i te wā kotahi . Whakaarohia he rite ki te whakaekenga a ngā huaketo e rua i te wā kotahi. I tēnei wā, he rite tonu ngā tohu ki ērā o te hepatitis B, engari ka kaha ake te kino o ngā huaketo e rua nā te mea kei te noho tahi rāua. Ko te tikanga o tēnei ka paku kaha ake te mate. Engari he rongo pai tēnei. Mēnā kei a koe tēnei huinga, ka iti ake te tūponotanga ka mau tonu.

He aha te mate urutā nui?

He rerekē te mate urutā , he āhua morearea ake hoki . Ko te mea ka tupu, kua pāngia kē koe e te mate hepatitis B , arā, kei roto i tō tinana te huaketo HBV (tērā pea he mate pūmau). Kātahi ka pāngia koe e te mate hou me te huaketo hepatitis D (HDV). He rite ki te mate kotahi, kātahi ka puta mai tētahi atu mate. Ina pāngia koe e te mate urutā pēnei, ka puta anō pea ō tohumate hepatitis B o mua, ka kaha ake rānei. I te nuinga o te wā, he tino teitei te tūponotanga o tēnei mate urutā kia noho hei mate pūmau (tata ki te 90%).Arā, ka roa te noho o te mate i roto i te tinana, ā, he nui hoki te tere o te kino o te ate.

He aha ngā tohu o te mate Hepatitis D?

He tino ōrite ngā tohu o te Hepatitis D ki ērā o ētahi atu momo hepatitis. Tērā pea kāore he tohu o ētahi tāngata. Heoi, ki te puta mai ngā tohu, ka taea e koe te tumanako ki ēnei e whai ake nei:

• Kirika .
• Mamae te puku , inā koa ki te taha matau o runga o te puku (kei reira te ate).
• Whakapairuaki me te ruaki .
• Anorexia , te ngaronga o te hiahia ki te kai.
• Kei te pōuri haere tō mimi , kua rite ki te tae o te wai tī.
• I tētahi atu ringa, ka mā te tae o tō tūtae, ka hina pea .
• Ka kōwhai ngā kanohi, ka kōwhai te kiri – koinei te mea e kīia nei e tātou he jaundice . Ka puta tēnei ina kore e taea e te ate te tukatuka tika i tētahi matū e kīia nei ko te bilirubin.
• Te ngenge .

Ka taea e te mate Hepatitis D te whakararuraru ake i ngā tohumate o te hepatitis B kua pāngia kētia e koe.

He aha ngā take o te mate Hepatitis D?

Ko te take o tēnei ko te Hepatitis Delta Virus , arā, ko te HDV . Engari e ai ki tā mātou i kōrero ai i mua, kāore e taea e ia te mahi i tetahi mea ko ia anake. Me tino hiahia ia ki te Hepatitis B Virus (HBV) kia ora ai, kia nui ake ai ngā tārua o te huaketo (arā, kia horapa). Koia te take, ki te hiahia koe ki te pangia e te Hepatitis D, me whai huaketo HBV anō hoki koe i roto i tō tinana.

Me pēhea te horapa o te Hepatitis D?

Ka horapa te mate Hepatitis D i te ara kotahi me te mate Hepatitis B. Arā, ina uru te toto, ētahi atu wai tinana rānei (hei tauira, te purapura, te wai o te tara) o te tangata pangia ki te tinana o te tangata hauora. Anei ngā huarahi matua e horapa ai:

• Mai i te moe tāne kore tiaki (arā, te kore e whakamahi i te ure i te wā e moe tāne ana, ā-waha, ā-whakairi rānei).
• Mā te whakawhitiwhiti i ngā ngira me ngā pūwero e whakamahia ana i te wā e werohia ana ngā raau taero . Ka taea hoki tēnei te tupu mēnā kāore i te horoia tika ngā taputapu e whakamahia ana hei wero i ētahi raau taero.
• Mō ngā kaimahi hauora, ko te tūponotanga o te werohanga ki tētahi mea pērā i te ngira i a rātou e mahi ana me ngā tūroro.
• Tērā pea ka horapa te huaketo mai i te whaea ki te pēpi i te wā e whānau ana. Heoi, he onge tēnei, inā koa mēnā ka tangohia ngā mahi ārai e tika ana.
• He mōrearea anō hoki te whakamahi i ngā taputapu kāore i horoia i te wā e tā moko ana, e werohia ana rānei ngā taringa.

Ko wai kei te mōrearea nui ake ki te pangia e te Hepatitis D?

Ko ngā rōpū e whai ake nei he nui ake te mōrearea ki te whakawhanake i te Hepatitis D:

• Ngā tāngata kua pangia e te mate Hepatitis B(Ki te kore tēnei, kāore a D e hangaia!)
• Te hunga e wero ana i ngā raau taero , ina koa ka tohatohahia e rātou ngā ngira.
• Ngā tāngata e moe tāne ana me tētahi tangata kua pangia e te mate hepatitis B (HBV) me te mate D (HDV).
• Ngā tāngata e noho tahi ana me te tangata e pangia ana e te mate hepatitis B (HBV) me te mate D (HDV) (hei tauira, mēnā ka whakamahia tahitia e rātou ngā taonga pēnei i te heu me ngā paraihe niho).
• Ngā tāngata kua pangia e te mate HIV .
• Ina moe tāne ki ngā tāne (kāore he parenga).
• Ko te hunga e mahi ana i roto i te hauora, i ētahi atu mara rānei, e pā pinepine ana ki te toto me ngā wai o te tinana.
• Ngā tāngata whai mate tākihi e whiwhi ana i te hemodialysis .

He aha ngā raruraru ka pā mai i te mate Hepatitis D?

Ka taea e te Hepatitis D te whakararu i te ate, ina koa ka roa. Anei ētahi o ngā raruraru matua:

• Ātete Mate Pukupuku: Koinei te wā e mākū haere ana te ate, ā, kāore e taea te mahi i ana mahi noa. Pērā i te kiri e puta ai he kōhatu ina pāngia tātou e te patunga, ka puta anō hoki he kōhatu i roto i te ate. Ka whakararu tēnei i te mahi a te ate.
• Te ngoikore o te ate: He mate kino tēnei. Kāore e taea e te ate te mahi i tētahi o āna mahi. Ka taea te whakararu i te ora.
• Matepukupuku ate: He momo matepukupuku tēnei e puta ana i roto i te ate. He nui ake te mōrearea o te hunga e pangia ana e te matepukupuku ate D mau tonu ki te pāngia e tēnei matepukupuku.

Me pēhea te mōhio mēnā kei a koe te mate Hepatitis D?

Mena kei a koe ngā tohu o te Hepatitis D, kei roto rānei koe i tētahi rōpū mōrearea, he pai ake te toro atu ki tētahi tākuta me te whakamātau i a ia anō. Ko te nuinga o ngā tākuta e whakamahi ana i ngā whakamātautau toto hei tautuhi i tēnei. Ka tirohia e te taiwhanga ō toto mō ngā wāhanga o te huaketo (HDV RNA) mō ngā paturopi rānei (anti-HDV antibodies) kua hangaia hei ārai i te huaketo.

Hei tāpiritanga, me whai matawai ultrasound pea koe, me whai matawai motuhake pēnei i te FibroScan , te Elastography rānei, ā, i ētahi wā he koiora ate hei tirotiro i te āhua o tō ate, me te kite mēnā he koha kei reira.

He rongoā katoa kei te wātea mō te mate Hepatitis D?

Ki te pono, kāore anō kia kitea he rongoā mō te Hepatitis D. Koinei te mea tino pouri. Heoi, i ētahi wā ka ora ake ngā mate HDV whakapeka me te kore he maimoatanga (ina koa i ngā wā e pangia tahitia ana).

Engari mō te hunga e pāngia ana e te mate hepatitis D mau tonu, ka taea e ngā tākuta te tuku i ēnei maimoatanga. Ka ngana ēnei maimoatanga ki te whakahaere i te huaketo, te whakaiti i te kino o te ate, me te ārai i ngā raruraru.

• Werohanga Peginterferon alfa: He werohanga tēnei ka tangohia kotahi i te wiki. E hoatu ana mō te tau pea. Ka āwhina i tō pūnaha ārai mate ki te whawhai ki ngā mate. Engari ka pāngia pea koe e ngā pānga taha.
• Bulevirtide (Hepcludex®): He rongoā ārai huaketo hou tēnei. Ka ārai i te huaketo HDV kei uru ki ngā pūtau ate. Kua whakaaetia mō te rongoā i te HDV i ētahi whenua, engari kāore i te katoa.
• Te whakawhitinga ate: Mena kua tino pakaru tō ate, ā, kua ngoikore, me whakakapi pea he whakawhitinga ate hou hei huarahi whakamutunga.

Kei te rangahauhia tonutia ngā maimoatanga hou.

He aha ngā mea ka tupu mēnā kei a au te mate Hepatitis D?

Mena ka tāpaetia koe he mate hepatitis D, ka tirotirohia e tō tākuta te hauora o tō ate . Tērā pea ka uru atu ki tēnei ngā tirotiro auau, ngā whakamātautau toto, me ngā matawai. Tērā pea ka memeha haere te mate hepatitis D whakapeka, te mate HBV/HDV rānei, me te kore he maimoatanga i roto i ētahi wiki, i ētahi marama rānei.

Heoi, i te nuinga o te wā, ka huri te mate urutā hei mate hepatitis D mau tonu. Ka roa ake pea te mate mau tonu i te ono marama, i ētahi wā tae noa ki ngā tau. Tērā pea ka rongoatia koe e tō tākuta mō te tau, neke atu rānei.

He aha te āhua o te mate Hepatitis D?

He tino onge te mate mai i te pangia tahi o te HBV/HDV (tata ki te 1-5%), engari ka roa pea ngā wiki, ngā marama rānei hei oranga.

Heoi, he nui ake te kino o te mate urutā HBV/HDV mau tonu . I waenganui i te 70% me te 80% o te hunga whai mate pēnei ka pāngia e te cirrhosis. Ka tere te puta o tēnei mate, i roto i ngā tau tuatahi e rua o te pangia, ka roa rānei i roto i te 5 ki te 10 tau. Engari, he nui te ōrau o te hunga whai mate hepatitis D mau tonu (e ai ki ētahi pūrongo tae atu ki te 15% i roto i te 5-10 tau) ka mate i ngā raruraru pēnei i te mate pukupuku ate, te ngoikore rānei o te ate. Koia te take he mea nui te tautuhi me te whakahaere wawe.

Ka taea te ārai i te mate Hepatitis D?

Ae, ka taea e koe! Ko te huarahi pai rawa atu, me te huarahi nui rawa atu hoki hei tiaki i a koe mai i te Hepatitis D, ko te tiaki i a koe mai i te Hepatitis B. Nā te mea, kāore e taea e te Hepatitis D te whanake me te kore he Hepatitis B.

• Me werohanga koe mō te Hepatitis B.Koinei te mea tino nui. He tino haumaru, he tino whai hua hoki tēnei kano ārai mate. Mena kāore anō kia pangia koe e te Hepatitis B, me tiki tēnei kano ārai mate.
• Ki te whakaaro koe kua pāngia koe e te mate hepatitis B (hei tauira, mēnā i pāngia koe e te toto o tētahi tangata pangia), ka taea e koe te werohanga i te wā e taea ai. Ka taea hoki e koe te whiwhi maimoatanga e kiia nei ko te hepatitis B immune globulin (HBIG) i roto i ngā haora 24-48. Ka taea e tēnei te āwhina i te ārai i te mate.

Mena kua pāngia koe e te Hepatitis B, ka taea e koe te mahi i ēnei mea hei whakaiti i tō tupono ki te pāngia e te mate urutā nui:

• Mauria he karapu puremu ina tūpono koe ki te pā atu ki te toto, ki te puha o te patunga, ki ētahi atu wai tinana rānei.
• Kaua e whakawhitiwhiti i ngā ngira me ngā pūwero e whakamahia ana hei wero i ngā raau taero ki ētahi atu .
• Kaua e tohaina ngā taonga whaiaro pēnei i ngā paraihe niho me ngā heu ki ētahi atu .
• Whakamahia he ure tāne i ngā wā katoa e moe ai koe.
• Tangohia te rongoā patu huaketo mō te Hepatitis B e ai ki te tohutohu a tō tākuta.

Mena kei te hapu koe, ā, kei a koe te mate Hepatitis B, te mate HBV/HDV rānei, ka taea e ngā tākuta te whakaiti i te mōrearea o te pangia e tō pēpi mā te werohanga me te rongoā i tō pēpi i muri tonu i te whānautanga.

Me pēhea taku tiaki i tōku hauora? (Mēnā he mate ate hepatitis tōku)

Mena kei a koe te mate hepatitis (B, D rānei), he maha ngā mea ka taea e koe te mahi hei whakaiti i te kino o tō ate:

• Āta karohia te waipiro. Ina uru te waipiro ki te ate, ka pakaru ōna pūtau. Kāore e taea e te ate kua mate kē te whakahaere i tēnei.
• Ki te kai hikareti koe, kati, kaua rānei e tīmata. He kino hoki te kai hikareti mō te ate.
• Kia mau ki te taumaha hauora e tika ana mōu. Mā te taumaha rawa/momona ka kino ake te mate ate momona mā te whakaemi i te ngako ki roto i te ate.
• Pātai atu ki tō tākuta, ki tō tohunga kai rānei, mō ngā kai me kai e koe, me ngā kai me karo e koe kia ora ai tō ate. He mea nui te kai taurite.
• Pātai atu ki tō tākuta ko ēhea ngā rongoā kore utu (OTC) e haumaru ana māu, ā, ko ēhea me whakawhāiti e koe. Hei tauira, ko te tango i ngā rongoā whakamamae mamae pēnei i te acetaminophen (Tylenol®) i ia wā, kāore e pai mō tō ate. Nō reira, whakamahia kia rite ki ngā tohutohu a tō tākuta.
• Haere ki ngā wā whakarite a tō tākuta i te wā tika, kia whiwhi ai koe i ngā whakamātautau katoa e taunakitia ana hei tirotiro i te hauora o tō ate. He mea tino nui tēnei.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te mate hepatitis (pēnei i te kirika, te mamae o te tinana, te kore hiahia kai, te jaundice), ki te pāngia koe e te mate hepatitis B, ā, ka kino haere ō tohu, me toro atu ki te tākuta . Waihoki, ki te whakaaro koe kua pāngia koe e te mate hepatitis B, D rānei, rapua he tohutohu hauora.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe ēnei tohu kino, haere tonu ki te rūma whawhati tata o te hōhipera :

• Mena he mamae nui tō puku .
• Mena kei te ruaki nui koe , ki te kore rānei e taea e koe te pupuri i tetahi mea ki raro.
• Ki te ruaki toto koe , ki te ruaki rānei, he rite te āhua ki te paura kawhe.
• Mena kua piki ake te jaundice (ka huri te tae o ngā kanohi me te kiri ki te kōwhai pouri).
• Ki te mea te āhua nei kua ngoikore te māramatanga , ki te mea he uaua ki te noho mārama, ki te puta he pōhēhētanga (e kiia ana tēnei ko te encephalopathy hepatic ).
• Mena he parauri pouri te mimi , he tino iti rānei te nui o te mimi e whakaputaina ana.
• Mena he tae uku, he tae mārama rānei tō tūtae .
• Mena kei te pupuhi rawa tō puku.

He tohu pea ēnei mō te kino nui o te ate.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina kite koe i tētahi tākuta, he mea āwhina pea te pātai i ēnei pātai:

• He aha te momo hepatitis kei a au?
• He aha ngā kōwhiringa maimoatanga kei a au?
• Kia pēhea te roa o tēnei maimoatanga?
• Me pēhea taku whakamahi i tēnei rongoā? He pānga taha kei reira?
• He tohu hou, he tohu kino rānei kei te haere, me tino mōhio ahau ki ēnei?
• Kei te pēhea te āhua o taku ate ināianei? He aha ngā whakamātautau me mahi e au ā muri ake nei?
• Me aha ahau kia kore ai tēnei e horapa ki ētahi atu?
• Mena kei a au te mate Hepatitis B, he aha atu ngā mea ka taea e au te mahi hei ārai i te mate Hepatitis D?

He aha te rerekētanga i waenga i te Hepatitis B me te Hepatitis D?

E rua ngā momo mate huaketo o te Hepatitis B me te Hepatitis D. E pāngia ana te ate e ngā mate e rua. Engari ko te rerekētanga matua ko te Hepatitis D ka pangia koe mēnā kei a koe te Hepatitis B, mēnā rānei kei a koe te Hepatitis B. He rite te huaketo Hepatitis D (HDV) ki tētahi huaketo "kāore i oti"; kāore e taea e ia te mahi ko ia anake, me "āwhina" mai i te HBV.

Ehara i te mea ka pāngia te katoa e te mate hepatitis B e te mate hepatitis D. Inaa, he maha ngā tāngata e pāngia ana e te mate hepatitis B kāore e pāngia e te mate hepatitis D.

He pēhea te noa o te mate Hepatitis D?

E pāngia ana te tangata e te mate hepatitis B i waenganui i te 5% me te 15% o te ao.– Arā, kei waenganui i te 12 me te 45 miriona tāngata – kua pangia hoki e te HDV, e ai ki ngā tohunga. Ko te Hepatitis D te mea tino noa i ētahi wāhanga o Āwherika (hei tauira, Āwherika Waenga), Āhia (hei tauira, Mongolia, Pakitāne), te awa o Amazon i Amerika ki te Tonga, me ētahi wāhanga o Ūropi ki te Rawhiti. Kāore i te tino noa i te United States, i Ūropi ki te Hauāuru rānei. Kāore i te tino noa i Sri Lanka, engari kei reira te mōrearea.

He rerekē te mahi a te huaketo hepatitis D i ērā atu huaketo. Arā, me āwhina te huaketo hepatitis B (HBV) kia puta ai he mate. Waimarie, ko ngā mahi katoa ka taea e koe te mahi hei tiaki i a koe mai i te HBV ka āwhina anō hoki i a koe ki te tiaki i a koe mai i te hepatitis D. Waihoki, ko te whakaurunga o te kano ārai mate hepatitis B kua heke te maha o ngā tāngata e pangia ana e te hepatitis B, ā, nō reira, te hepatitis D puta noa i te ao. He mea nui rawa tēnei nā te mea ka pāngia ētahi tāngata e te hepatitis B me te kore he tohumate.

Mena he mate pūmau tōu, me mahi tahi me tō tākuta ki te aroturuki i te hauora o tō ate i ia wā, i ia wā. Mā te rangahau i ngā rongoā hou ka nui ake pea ngā whiringa maimoatanga ā muri ake nei.

Ko te mea nui rawa atu me ako e tātou i tēnei

Nō reira, he momo mate ate motuhake te Hepatitis D. Ko te mea nui kia maumahara, kia puta ai tēnei, me noho te huaketo Hepatitis B ki roto i te tinana. Nō reira, ko te tiaki i a koe mai i te Hepatitis B te huarahi pai rawa atu hei tiaki i a koe mai i te Hepatitis D.

Mā te werohanga ārai mate Hepatitis B, te moe haumaru, me te kore e tohatoha ngira mēnā kei te whakamahi koe i ngā raau taero, ka tiaki katoa i a koe i te Hepatitis D.

Ki te pāngia koe e te Hepatitis B, kaua e mataku. Engari kia tino whai i ngā tohutohu a tō tākuta, kia tirohia ōu tinana i ia wā, ā, kia karohia ngā mea ka kino ai tō ate (ina koa ko te waipiro me ētahi rongoā ka hokona kore utu). Ka āwhina tēnei ki te whakaiti i tō tupono ki te pāngia e te Hepatitis D.

Kia tūpato ki ngā tohu. Ki te mea he ruarua āu, kaua e whakaroa ki te toro atu ki te tākuta. Ko te wawe o tō kitenga, ko te nui ake o te tūponotanga ki te ora hauora me te iti ake o ngā raruraru.

` Hepatitis D, Hepatitis D, Ate, Mate ate, Huaketo, Hepatitis B, Hepatitis B, HDV, HBV, Jaundice, Cirrhosis, Te ngoikore o te ate, Mate pukupuku ate