Kua rongo pea koe mō ngā mate ate maha, engari i Nirogi Lanka i tēnei rā, e hiahia ana mātou ki te kōrero mō tētahi mea ahurei, tino nui hoki: ko te Hepatitis D. Me titiro matatau tātou ki ngā āhuatanga motuhake o tēnei huaketo, me ōna pānga ki tō hauora, me ngā mahi nui ka taea e koe te mahi hei tiaki i a koe anō.
He aha te mate Hepatitis D?
I te whakarapopototanga, he mate huaketo te Hepatitis D e puta ai te mumura o te ate.Heoi, ko te mea e tino motuhake ai tēnei huaketo ko te kore e taea e te huaketo Hepatitis D (HDV) te whakaputa mate i a ia anō. He mea miharo, kāore? Hei whakaputa uri me te whakaputa mate i roto i tō tinana, me noho tahi te huaketo me te huaketo Hepatitis B (HBV) . Ko te tikanga ka taea e koe te pangia e te Hepatitis D mēnā kua pangia kē koe e te Hepatitis B, mēnā rānei ka pangia koe e ngā huaketo e rua i te wā kotahi. Kāore e taea e ia te ora, te whakaputa mate rānei i a ia anake.
Ko ngā mate Hepatitis D e rua ngā wāhanga:
1. Mate Pāwera Koiora: Ka puta wawe ngā tohumate, ā, ka roa pea mō ētahi wiki, mō ētahi marama rānei. I ētahi wā, ka taea e tō tinana te whakakore i te mate i a ia anō.
2. Mate Pukupuku Mau tonu: Koinei te momo tino kino. Tērā pea ka horapa te mate whakapeka ki tētahi āhua mau tonu, ka roa ake ngā tohumate i te ono marama. Ka taea e tēnei te arahi ki te kino roa, tuturu ki tō ate.
He aha ngā momo o te Hepatitis D?
Kia tirohia tata atu ngā huarahi matua e rua e pangia ai koe e te Hepatitis D.
He aha te mate urutā tahi?
Ka pā te mate urutā tahi ina pangia koe e te huaketo Hepatitis B (HBV) me te huaketo Hepatitis D (HDV) i te wā kotahi . Whakaarohia he whakaekenga ngātahi tēnei e ngā huaketo e rua. I ēnei wā, he rite tonu ngā tohu ki te mate Hepatitis B noa engari ka nui ake te kino . Heoi, he rongo pai tēnei: ina pangia koe e ngā mate e rua i te wā kotahi, ka iti ake te tūponotanga ka mau tonu te mate.
He aha te Superinfection?
He rerekē te mate pāwera nui , he nui ake te mōrearea . Ka puta tēnei ina kua pāngia koe e te mate Hepatitis B (tērā pea he mate mau tonu) ā, kua pāngia koe e te huaketo Hepatitis D. He rite ki te tāpiri i tētahi paparanga hou o te mate ki tētahi mate kua pāngia. Ina puta he mate pāwera nui, ka puta anō pea ō tohumate Hepatitis B o mua, ka kaha ake rānei. I te nuinga o te wā (tata ki te 90%), ka piki haere tēnei momo mate pāwera nui ki tētahi āhua mau tonu . Ko te tikanga ka noho roa te mate ki roto i tō tinana, ka piki ake te tere o te pakaru o tō ate.
He aha ngā tohu o te mate Hepatitis D?
He tino ōrite ngā tohu o te Hepatitis D ki ētahi atu momo hepatitis. Tērā pea kāore ētahi tāngata e whakaatu i tētahi tohu. Heoi, ki te puta mai ngā tohu, ka pāngia pea koe e ēnei e whai ake nei:
- Te kirika.
- Mamae puku , inā koa i te taha matau o runga o tō puku (te wāhi kei reira tō ate).
- Whakapairuaki me te ruaki.
- Te ngaronga o te hiahia kai , te korenga o te hiahia ki te kai.
- He mimi pouri te tae , he rite tonu ki te tae o te tī.
- I tetahi atu taha, ka mā, ka rite rānei te tae o ō tūtae ki te uku .
- Te kōwhai o te kiri me ngā kanohi — he āhuatanga e mōhiotia ana ko te jaundice . Ka puta tēnei ina kore e taea e tō ate te tukatuka tika i te bilirubin.
- Te ngenge tonu, te ngenge rānei.
Ka taea hoki e te mate Hepatitis D te whakararuraru nui i ngā tohu o mua o te Hepatitis B.
He aha ngā take o te mate Hepatitis D?
Ko te huaketo Hepatitis Delta (HDV) te take. Heoi, e ai ki te kōrero, kāore e taea e ia te mahi ko ia anake. Ka whakawhirinaki katoa ki te huaketo Hepatitis B (HBV) hei oranga me te whakaputa uri. Nō reira, kia pāngia ai koe e te Hepatitis D, me noho te huaketo HBV 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: mā te pa atu ki te toto, ki ētahi atu wai tinana rānei (hei tauira, te purapura, te wai o te tara) o te tangata kua pangia. Ko ngā ara matua o te horapa ko:
- Te moe tāne me te wahine kāore i te tiakina (te kore e whakamahi i te ure i te wā e moe tāne ana, ā-waha, ā-poro rānei).
- Te whakawhitiwhiti ngira, te weronga rānei e whakamahia ana mō te weronga rongoā. Ka tūpono pea he mōrearea te whakamahi i ngā taputapu hauora kāore anō kia horoia tika.
- Ngā whara o te wero ngira mō ngā kaimahi hauora i a rātou e tiaki ana i ngā tūroro.
- Te tuku i te mate mai i te whaea ki te tamaiti i te wā e whānau ana. He iti ake te kitea o tēnei mate, inā koa mēnā ka tangohia ngā mahi ārai e tika ana.
- He mōrearea nui anō hoki te tā moko, te wero rānei mā te whakamahi i ngā taputapu kore-parakore .
Ko wai kei te nui ake te mōrearea ki te pangia e te Hepatitis D?
Ko ngā rōpū e whai ake nei he nui ake te mōrearea ki te pangia e te Hepatitis D mai i te tirohanga a Nirogi Lanka:
- Ngā tāngata kua pangia e te Hepatitis B (HBV): Kāore e taea te ora mai te Hepatitis D me te kore te Hepatitis B.
- Ngā tāngata e wero ana i ngā raau taero: Tērā pea ko te hunga e whakamahi tahi ana i ngā ngira me ngā taputapu.
- Hoa moe tāne: Te tangata e moe tāne ana me te tangata kua pangia e te HBV me te HDV.
- Ngā mema o te whānau: Ko te hunga e noho tahi ana me tētahi tangata he HBV me te HDV te mate, inā koa mēnā ka tohaina ngā taonga whaiaro pēnei i te heu me ngā paraihe niho.
- Ngā tāngata whai mate HIV.
- Ngā tāne e moe tāne ana: Ina koa i ngā wā e moe tāne ana, kāore he ārai.
- Ngā kaimahi hauora: Me ērā rānei i ētahi atu mara e kitea pinepine ana te toto, ngā wai rānei o te tinana.
- Ngā tāngata whai mate tākihi e whiwhi ana i te hemodialysis.
He aha ngā raruraru pea ka pā mai i te Hepatitis D?
Ka taea e te Hepatitis D te whakararu nui i tō ate, ina koa ka roa, ā, ka kino pea ēnei ki a ia. Ko ngā raruraru matua ko:
- Ātete toto: Koinei te whara o te kiko o tō ate. I te roanga o te wā, ka pakari haere tō ate, ka nui haere te whara, ka ngaro tōna kaha ki te mahi tika, he rite ki te waiho a te patunga hohonu i tō kiri i te tohu tuturu.
- Te ngoikore o te ate: He āhuatanga kino tēnei e kore ai e taea e tō ate te mahi i ana mahi nui, ā, he tūraru tēnei ki tō ora.
- Matepukupuku ate: He momo matepukupuku ate tuatahi tēnei. Mena he matepukupuku ate Hepatitis D mau tonu tōu, he nui ake te tūponotanga ki te pāngia e tēnei matepukupuku.
Me pēhea te tātaritanga o te mate Hepatitis D?
Ki te whakapae koe kei a koe ngā tohu o te Hepatitis D, kei roto rānei koe i tētahi rōpū mōrearea nui, ko te mahi pai ko te toro atu ki tētahi tākuta mō te whakamātautau. Ka tutukihia te tautuhi mate mā roto i ngā whakamātautau toto . Ka tirohia e tō taiwhanga te aroaro o ngā matūriki huaketo (HDV RNA) me ngā paturopi rānei kua hangaia e tō tinana hei whawhai i te huaketo (ngā paturopi Anti-HDV).
Hei tāpiritanga, hei aromatawai i te hauora o tō ate me te whānuitanga o tētahi kōpura, ka tūtohu pea tō tākuta i tētahi ultrasound , i tētahi FibroScan , i tētahi elastography rānei. I ētahi wā, ka hiahiatia pea he koiora ate (he tauira iti o te kiko ate).
He rongoā katoa kei te wātea mō te mate Hepatitis D?
Ki te pono, kāore anō kia kitea he rongoā tuturu mō te Hepatitis D i tēnei wā. Heoi, ko ngā mate HDV whakapeka, inā koa i roto i ngā mate pāwera tahi, ka taea e rātou te memeha noa iho me te kore he maimoatanga.
Mō te hunga e ora ana me te Hepatitis D mau tonu, ka arotahi ngā tākuta ki te whakahaere i te huaketo, te whakaiti i te kino o te ate, me te aukati i ngā raruraru anō. Ko ngā maimoatanga pea ko:
- Ngā werohanga Peginterferon alfa: Ka tukuna ēnei kotahi i te wiki mō te tau kotahi hei āwhina i tō pūnaha ārai mate ki te whawhai i te mate. Kia mōhio koe ka pā mai pea ngā pānga taha.
- Bulevirtide (Hepcludex®): He rongoā ārai huaketo hou tēnei e ārai ana i te huaketo HDV kei uru ki roto i ō pūtau ate. Ahakoa kua whakaaetia mō te maimoatanga i roto i ētahi whenua, ka rerekē pea te wātea.
- Te whakawhitinga ate: Mena kua tino kino tō ate, ā, kāore e mahi ana, ko te whakawhitinga ate pea te whiringa maimoatanga whakamutunga.
Kei te haere tonu ngā rangahau mō ngā tikanga maimoatanga hou i Nirogi Lanka me te ao whānui.
He aha ngā mea ka tupu mēnā kei a au te mate Hepatitis D?
Mena kua tāpaetia koe he mate Hepatitis D, ka tirotirohia e tō tākuta te hauora o tō ate . Kei roto i tēnei ko ngā tirotiro auau, ngā whakamātautau toto tonu, me ngā matawai whakaahua. Tērā pea ka memeha haere ngā mate HDV whakapeka, HBV/HDV rānei i roto i ngā wiki, i ngā marama rānei.
Heoi, he maha ngā wā ka huri te mate urutā ki te Hepatitis D mau tonu, ka roa pea mō ngā tau. Tērā pea ka whakamaherehia e tō rōpū hauora ngā tikanga maimoatanga mō te tau, neke atu rānei.
He aha te matapae mō te mate Hepatitis D?
He tino onge te mate mai i te pangia tahi o te HBV/HDV (tata ki te 1-5%), ahakoa ka roa pea te wā e ora ai mō ngā wiki, ngā marama rānei.
Heoi, he tino kino te mate urutā HBV/HDV mau tonu . I waenganui i te 70% me te 80% o ngā tāngata whai mate pēnei ka pāngia e te cirrhosis i roto i te wā. Ka tere te puta o tēnei mate—i ētahi wā i roto i ngā tau tuatahi e rua—ka āta haere rānei i roto i ngā tau 5 ki te 10. Engari, he nui te wāhanga o te hunga whai mate Hepatitis D mau tonu (e ai ki ngā pūrongo tata ki te 15% i roto i ngā tau 5-10) e pāngia ana e ngā raruraru nui pērā i te ngoikore o te ate, te mate pukupuku rānei o te ate. Koia te take he mea nui te tātaritanga tere me te whakahaere tohunga.
Ka taea te ārai i te mate Hepatitis D?
Āe, tino tika! Ko te huarahi pai rawa atu, me te huarahi tino whai hua hei tiaki i a koe mai i te Hepatitis D ko te ārai i te Hepatitis B. Nā te mea kāore e taea e te Hepatitis D te whanake i roto i tō tinana me te kore he Hepatitis B.
- Me werohanga koe mō te mate Hepatitis B. Koinei te taahiraa tino nui. He tino haumaru, he tino whai hua hoki te werohanga. Mena kāore anō kia werohangahia koe, he mea nui kia kōrero koe ki tō tākuta kia whiwhi ai koe i te werohanga.
- Ki te whakapae koe kua pāngia koe e te Hepatitis B (hei tauira, mā te pa atu ki te toto o te tangata kua pangia), rapua tonutia te awhina hauora. Tērā pea ka taea e koe te whiwhi i te horopeta o te kano ārai mate, me te Hepatitis B immune globulin (HBIG) , me hoatu i roto i ngā haora 24-48 hei āwhina i te ārai i te horapa o te mate.
Mena kei te noho koe me te Hepatitis B, ka taea e koe te whakaiti i tō tupono ki te "superinfection" mā te whai i ēnei mahi ārai:
- Me mau tonu ngā karapu paru mena ka pā te toto, te rerenga o te patunga, ētahi atu wai tinana rānei ki te tinana.
- Kaua rawa e tohaina ngā ngira, ngā pūwero, ngā taputapu rānei e whakamahia ana mō te werohanga rongoā.
- Kaua e tohaina ngā taputapu akuaku whaiaro pēnei i ngā paraihe niho me ngā heu, nā te mea tera pea ka nui te toto kei roto.
- Whakamahia tonutia ngā ure tāne i ngā wā katoa e moe ai koe.
- Mena kua tohua e tō tākuta ngā rongoā patu huaketo mō te Hepatitis B, kia tino tangohia e koe kia rite ki ngā tohutohu.
Mena kei te hapu koe, ā, kei te noho tahi koe me te Hepatitis B, he mate urutā rānei (HBV/HDV), ka taea e ngā tākuta te mahi i ngā mahi motuhake i muri tonu i te whānautanga o tō pēpi ki te whakarato werohanga me ngā maimoatanga e tika ana hei whakaiti i te mōrearea o te horapa ki tō tamaiti.
Me pēhea taku tiaki i tōku hauora i a au e ora tahi ana me te mate Hepatitis?
Mena kei a koe te Hepatitis (B, D rānei), he maha ngā mahi ka taea e koe te mahi hei tiaki i tō ate mai i ngā kino atu anō:
- Āta karohia te waipiro. He nui te taumahatanga o te waipiro ki ngā pūtau ate, ā, ka uaua pea te whakahaere e tō ate mēnā kua mumura kē.
- Kati te momi hikareti , kaua rānei e tīmata, he kino hoki te momi hikareti ki te hauora o te ate.
- Kia mau ki te taumaha hauora. Mā te taumaha rawa, te momona rānei, ka pāngia te ate momona e te mate, ka kino ake ai te āhua o tō ate.
- Me kōrero ki tō tākuta, ki tētahi tohunga kai rānei, mō ngā tohutohu whaiaro mō te kai pai hei tautoko i te hauora o te ate. He mea nui te kai taurite.
- Me kōrero ki tō tākuta i mua i te tango i tētahi rongoā kore utu (OTC). Hei tauira, ko te whakamahinga pinepine o ngā rongoā whakamamae pēnei i te Acetaminophen (Tylenol®) ka pā kino ki tō ate. Whakamahia noa ēnei rongoā i raro i te tohutohu a te taote.
- Kia mau ki ō whakaritenga whai muri, me te whakaoti i ngā tirotiro hauora ate katoa kua tūtohutia. He mea nui tēnei hei aroturuki i tō ahunga whakamua.
Āhea ahau me toro atu ki te tākuta?
Mena ka puta ngā tohu o te mate hepatitis (pēnei i te kirika, te mamae o te tinana, te kore hiahia kai, te jaundice rānei), mena kua pāngia koe e te Hepatitis B, ā, ka kite koe i te kino haere o ō tohu, me toro atu koe ki tō tākuta . Hei tāpiri, ki te whakapono koe kua pāngia koe e te Hepatitis B, D rānei, rapua tonutia he tohutohu hauora.
Āhea ahau me haere ki te Tari Ohotata?
Rapua tonutia te awhina hauora ohorere mēnā ka pāngia koe e tētahi o ngā tohu kino e whai ake nei:
- Te mamae nui o te puku.
- Te ruaki tonu, te ruaki kino rānei , ina koa mēnā kāore e taea te pupuri i te iti o te wai.
- Te ruaki toto , te mea rānei e rite ana ki te paura kawhe.
- Te kino haere o te jaundice (te kōwhai nui o ō kanohi, o tō kiri rānei).
- Te pōhēhē, te kore aro, te uaua rānei ki te noho ara (he tohu ēnei o te Hepatic Encephalopathy ).
- He mimi pouri te tae , he nui rānei te hekenga o te putanga mimi.
- He tūtae parauri, he tae uku rānei.
- Te pupuhi nui o te puku.
He tohu pea ēnei o te mate kino, te ngoikore rānei o te ate.
He aha ngā pātai me pātai atu e au ki taku tākuta?
I Nirogi Lanka, ka akiaki mātou i a koe kia whai wāhi nui ki te tiaki i a koe. Ina tūtaki koe ki tō tākuta, whakaarohia te pātai atu:
- He aha te momo mate hepatitis kei a au?
- He aha aku kōwhiringa maimoatanga?
- Kia pēhea te roa e hiahiatia ana e au kia noho tonu ki tēnei maimoatanga?
- He aha te huarahi tika hei tango i taku rongoā, ā, he aha ngā pānga taha ka pā mai?
- He tohu hou, he huringa rānei hei tirotiro māku?
- He aha te āhua o tōku ate i tēnei wā, ā, he aha atu ngā whakamātautau e hiahiatia ana?
- He aha ngā mahi whakatūpato me mahi e au hei ārai i te horapa o tēnei 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 pangia e te Hepatitis D?
He aha te rerekētanga i waenga i te Hepatitis B me te Hepatitis D?
He mate huaketo te Hepatitis B me te Hepatitis D e pā ana ki tō ate. Ko te rerekētanga nui ko te Hepatitis D ka pangia koe mēnā kua pāngia koe e te Hepatitis B. He rite te mahi a te huaketo Hepatitis D (HDV) ki te huaketo "kāore i oti"; kāore e taea te ora, te whakaputa uri rānei ko ia anake, ā, ka whakawhirinaki katoa ki te "āwhina" o te huaketo HBV hei whakaputa mate.
He mea nui kia mōhio koe kāore te katoa e pāngia ana e te Hepatitis B ka pāngia e te Hepatitis D. Inaa, ko te nuinga o te hunga e ora ana me te Hepatitis B kāore he Hepatitis D.
He pēhea te noa o te mate Hepatitis D?
E ai ki ngā whakatau tata a ngā tohunga, e 5% ki te 15% o te hunga e noho ana me te Hepatitis B puta noa i te ao—tata ki te 12 ki te 45 miriona tāngata—ka pangia hoki e te HDV. Ko te Hepatitis D te mea tino kitea i ētahi wāhi o Āwherika (pērā i Āwherika Waenga), Āhia (hei tauira, Mongolia, Pakitāne), te awa o Amazon i Amerika ki te Tonga, me ētahi wāhi o Ūropi ki te Rawhiti. He iti ake te kitea i te Hononga o Amerika me Ūropi ki te Hauāuru. Ahakoa kāore i te tino kitea i Sri Lanka, kei te mau tonu te mōrearea, ā, me tūpato.
Nā te mea me mate te huaketo Hepatitis B (HBV) i te huaketo Hepatitis D, he māmā noa iho tō rautaki tiaki: ko ia mahi ka mahia e koe hei ārai i te mate HBV ka tiaki anō hoki i a koe mai i te Hepatitis D. Hei tāpiri, nā te whakamahinga whānui o te kano ārai mate Hepatitis B, kei te heke haere tonu te maha o ngā mate Hepatitis B, ā, nō reira, kei te heke haere tonu ngā mate Hepatitis D puta noa i te ao. He mea nui tēnei, nā te mea he maha ngā tāngata ka pāngia e te Hepatitis B me te kore e whakaatu i tētahi tohu.
Mena he mate pūmau tōu, me mahi tahi koe me tō tākuta ki te aroturuki i te hauora o tō ate i ia wā, i ia wā. Kei te haere tonu ngā rangahau hauora mō ngā maimoatanga hou e tuku ana i te tumanako mō ngā kōwhiringa maimoatanga whai hua ake ā muri ake nei.
Ko te mea tino nui hei tango
He mate ate ahurei te Hepatitis D. Ko te mea nui hei maumahara, kāore e taea e koe te pangia e te Hepatitis D mēnā kāore te huaketo Hepatitis B i roto i tō tinana. Nō reira, ko te ārai i te Hepatitis B te huarahi tino whai hua hei tiaki i a koe mai i te Hepatitis D.
Ko te whiwhi i te kano ārai mate Hepatitis B, te mahi i te moe haumaru, me te kore rawa e whakawhitiwhiti ngira, he mahi nui ēnei hei tiaki i a koe mai i te Hepatitis B me te Hepatitis D.
Mena kua kitea kētia tō mate Hepatitis B, kaua e mataku. He mea nui kia whai i ngā tohutohu hauora a tō tākuta, kia haere ki ngā whakamātautau katoa kua whakaritea, kia karohia hoki ngā matū e whakararuraru ana i te ate, pērā i te waipiro nui rawa, ngā rongoā rānei kāore i tohua e tō kaiwhakarato hauora. Mā te mahi pēnā ka tino whakaiti i tō tupono ki te pāngia e te Hepatitis D.
Kia tūpato ki ngā tohumate katoa. Mena he āwangawanga āu, me toro atu ki tō tākuta i te wā tonu. Ko te kitenga wawe te taputapu pai rawa atu hei whakaiti i ngā raruraru me te pupuri i te oranga hauora, oraora hoki ki Nirogi Lanka.
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He rite te Hepatitis D ki ētahi atu huaketo kino ki te ate?
He huaketo ate kino te Hepatitis D, engari he mea ahurei nā te mea he huaketo "kāore i oti". Kāore i a ia te kaha koiora ki te pangia tō tinana, ki te whakaputa mate rānei. Me noho te huaketo Hepatitis B kia tupu ai, kia kino ai hoki.
💬 He aha ngā mōrearea o te pangia tahitia o te HBV me te HDV?
Ina pāngia koe e ngā huaketo e rua (B me D), ka mōhiotia tēnei he "super-infection". Koinei tētahi o ngā momo mate ate tino kino. Ka taea e ia te whakakino tere i ngā pūtau ate, ka arahi ki te cirrhosis (te whara o te ate) ā, i te mutunga, ki te mate pukupuku ate. Ka taea hoki e ia te whakakōwhai i te kiri me ngā kanohi.
💬 He aha ngā kōwhiringa maimoatanga mō te Hepatitis D?
I tēnei wā, kāore he rongoā tika mō te Hepatitis D. Ko te tikanga, ko te werohanga Pegylated Interferon te rongoā, ahakoa he rerekē ngā reiti angitu. Nō reira, ko te rautaki tino whai hua, e mōhiotia whānuitia ana, ko te aukati i te mate mā te whiwhi i te kano ārai mate Hepatitis B i te whānautanga—ki te kore koe e pāngia e te Hepatitis B, e kore koe e pangia e te Hepatitis D.
Ngā Tohu: Hepatitis D, Hepatitis D, ate, mate ate, huaketo, Hepatitis B, Hepatitis B, HDV, HBV, jaundice, Jaundice, mumura ate, Cirrhosis, Te ngoikore o te ate, Matepukupuku ate
