Kua kī atu tō tākuta ki a koe, "Ka haere mātou ki te kite i tētahi tohunga ate"? Kua paku mataku, kua āwangawanga rānei koe i tō kitenga kua paku piki ake ngā whākōkī ate i roto i te whakamātautau toto? Kātahi ka whakaaro koe, "Ko wai tēnei tohunga ate?" Koinei te whakautu ki taua pātai ka matapakihia e tātou i roto i tēnei tuhinga i tēnei rā. Kāore he take e mataku ai, kia mārama noa tātou ki ēnei mea.
Ko wai tēnei tohunga ate?
He māmā noa iho, he tākuta te tohunga ate he tohunga nui ki ngā mate e pā ana ki te ate, te pūkahukahu, ngā awaawa ate, me te repe taiaki.
He māmā ake te wehewehe i tēnei kupu. Ko te tikanga o "Hepato" i te reo Kariki ko "ate". Ko te tikanga o "-ologist" he tohunga ki tētahi kaupapa. Nō reira, ki te honoa ngā mea e rua, ko te tikanga o "hepatologist" he tohunga ki te ate. Engari kāore ia e titiro noa ki te ate, engari he mōhiotanga pai anō hoki ki ētahi atu okana e pā ana ki te ate.
Whakaarohia pēnei, he rite ēnei okana o roto i tō tātou tinana ki tētahi pūnaha e mahi tahi ana. Pērā i te pūnaha paipa i roto i te whare. Mena he raruraru kei tētahi wāhi, ka pā ki ētahi atu wāhi anō hoki. Waihoki, ka pā te mate ate ki te pūkahukahu, ki te repeure rānei. Nō reira, me hiahia koe ki tētahi e mōhio ana ki tēnei pūnaha katoa.
Nō reira, he tangata kotahi te tohunga puku me te tohunga ate?
He wāhi tēnei e pōhēhē ai te tini o te tangata. He pātai tino pai tēnei.
He tākuta tohunga puku te tākuta e tohunga ana ki te pūnaha nakunaku katoa. Arā, he mōhiotanga tōna mō ngā mea katoa mai i te waha ki te nono, tae atu ki te korokoro, te puku, te whekau iti, te whekau nui, te ate, te pūkahukahu, me te repeure.
He tohunga puku te tohunga ate kua whai whakangungu me te mātauranga anō kia noho hei tohunga tino tohunga ki te ate me ōna mate e pā ana.
Hei whakarāpopototanga, whakaarohia ko ngā tākuta ngakau katoa he tākuta puku, engari ehara i te mea he tākuta puku katoa. Pērā i ngā tākuta ngakau katoa he tākuta puku whānui, engari ehara i te mea he tākuta ngakau katoa.
I te nuinga o te wā, ka taea e te tākuta puku te rongoā i ngā mate ate māmā. Heoi, ki te mea he uaua ake te mate, hei tauira, ngā mate kino pēnei i te cirrhosis, te mate pukupuku ate, te whakawhitinga ate rānei, me tino hiahiatia te tohungatanga o te tākuta hepatologist.
Ina tukuna koe e tō tākuta ki tētahi tohunga ate, e ngana ana ia ki te whakarato i te taumata teitei o te tiaki motuhake ki a koe, nō reira kaua e wehi ki te pātai.
He aha te take e tukuna ai koe e te tākuta ki te tohunga ate?
I te nuinga o te wā, ka kite tuatahi koe i tō tākuta tiaki tuatahi (PCP). Mena kei a koe ngā tohu, pēnei i te kōwhai o ngā kanohi, te puku pupuhi, te ngenge nui rānei, mena he rerekē ngā whakamātautau mahi ate (LFT) kei runga i te pane toto, tera pea ka whakapae ia he raruraru ate.
I roto i tēnei āhuatanga, ka tukuna pea koe e ia ki tētahi tohunga hepatology kia whiwhi ai koe i te tautuhi me te maimoatanga tino tika.
I ētahi wā, ki te whakaaro tō tākuta puku kua piki haere tō mate ki tētahi wāhi e hiahia ana ia ki ētahi atu tohungatanga i tōna ake, ka tukuna koe e ia ki tētahi tākuta hepatologist. Koinei te huarahi hauora tino tika.
He aha ngā mate e rongoatia ana e te tohunga hepatology?
He whānui rawa te whānuitanga o ngā mate e rongoāhia ana e ngā tākuta ate. Me wehewehe kia rua ngā wāhanga.
| Ngā mate ate te nuinga | |
|---|---|
| Ingoa o te mate | He whakamārama māmā |
| Hepatitis huaketo | Te mumura o te ate i puta mai i ngā huaketo pēnei i te hepatitis B me te C. |
| Te mate ate i puta mai i te waipiro | Te kino o te ate nā te nui o te inu waipiro. |
| Mate Ate Ngako | He mea tino noa ngā putunga ate ngako i tō tātou whenua i ēnei rā, ahakoa i roto i te hunga kāore e inu waipiro. |
| Hepatitis Ārai Mate | Kei te whakaeke te pūnaha ārai mate o te tinana i te ate. |
| Te mate a Wilson | Te kino o te ate nā te nui o te kohi parahi i roto i te tinana. |
| Te mate ate | Ka mimiti te ate, ka pakaru, ka ngaro hoki tana mahi i te mate ate mau tonu. |
| Te ngoikore o te ate | Te mutunga ohorere, te mutunga āta rānei o te mahi a te ate. |
| Matepukupuku Ate Tuatahi | Ngā mate pukupuku e puta ana i roto i te ate. |
| Ngā mate o te ara biliary | |
|---|---|
| Koretake | Te aukati i te rere o te aukume i hangaia e te ate. |
| Te whakawhāititanga o te biliary | Te whaiti, te aukati rānei i ngā awaawa o te ate. |
| Te Cholangitis Biliary Tuatahi | He mate pūnaha ārai mate e kino ai ngā awaawa o te ate. |
| Matepukupuku o te awa au | Ngā mate pukupuku e puta ana i roto i ngā awaawa o te ate. |
Ko wai tēnei Tohunga Whakatō Hepato?
Ko tētahi atu tohungatanga taumata-teitei tēnei. Ko te Tākuta Whakatō Hepatopath he tākuta kua whiwhi whakangungu motuhake ki te tiaki i ngā tūroro e pāngia ana e te mate ate wāhanga whakamutunga i mua atu, ā, i muri i te pokanga whakato ate.
Kei ngā hōhipera nunui ēnei tākuta e mahi ana i ngā pokanga whakawhiti ate. He mōhiotanga hōhonu tō rātou ki ngā mea katoa mai i te whakatau mēnā ko te whakawhitinga ate te kōwhiringa pai rawa atu mō te tūroro, te whakarite i te tūroro mō taua mea, me te whakahaere i ngā raruraru i muri i te pokanga.
He tino uaua te hauora o te tūroro i ngā wāhanga whakamutunga o te ngoikore o te ate. He maha ngā raruraru ka puta i te wā kotahi. Mā te tohunga hepatology whakawhitinga toto ēnei katoa e whakahaere.
He aha ngā raruraru ka taea e rātou te whakahaere?
Ko tētahi o ā rātou mahi matua he whakahaere i ngā raruraru ka puta mai i mua atu, me muri hoki i te whakawhitinga ate.
- Te toto toto tiketike o te ate: Te pikinga o te pēhanga i roto i ngā oko toto e kawe ana i te toto ki te ate.
- Te Ascites: E kiia ana tēnei ko te kohikohinga wai i roto i te puku.
- Ngā Varices Essophageal: Ka pakaru pea ēnei, ka toto hoki.
- Te Mate Pūkahukahu Āte: Ka pāngia te mahi a te roro nā te mea kāore e taea e te ate te tātari i ngā paitini. Tērā pea ka ngaro te mahara o te tūroro.
- Te Mate Hepatorenal: Ngā raruraru ate e pā ana ki ngā whatukuhu.
Ka puta ake ngā raruraru hou i muri i te whakawhitinga ate, nā te mea me haere tonu te tinana ki te tango i ngā rongoā ārai mate hei ārai i te panga o te ate kua whakawhitingahia. Ka taea e ēnei rongoā te whakaputa i ētahi atu raruraru.
- Ngā mate auau.
- Te toto toto tiketike (hypertension).
- Mate huka (Mati huka Momo 2).
- Te angiangi o ngā wheua (Osteoporosis).
- Te hokinga mai o te mate ate.
Ko te kawenga a te tohunga tākuta hepatic whakawhitinga kia aro nui ki ēnei mea katoa, kia ora tonu hoki te tūroro.
Ko wai te Tākuta Matepukupuku Tamariki?
E ai ki te ingoa, he tākuta te Tākuta Mate Pukupuku Tamariki e tohunga ana ki ngā mate o te ate me te pūnaha nakunaku o ngā pēpi, ngā tamariki nohinohi, me ngā tamariki nohinohi.
Kāore te tinana o ngā tamariki i rite ki te tinana o te hunga nohinohi. He rerekē ō rātou mate, he rerekē tā rātou urupare ki ngā mate, ā, he rerekē hoki te horopeta o ngā rongoā e hoatu ana. Nō reira, hei rongoā i ngā tamariki, me whai i tētahi kua whiwhi whakangungu motuhake mō ngā tamariki.
Ka noho tuatahi te tākuta hepatopathologist tamariki hei tākuta tamariki, kātahi ka whiwhi whakangungu motuhake ki te gastroenterology tamariki, kātahi ka whiwhi whakangungu motuhake anō mō te ate. Ka tiaki hoki ēnei tohunga i ngā take uaua pēnei i te whakawhitinga ate i roto i ngā tamariki.
Ko te ate tētahi o ngā whekau nui rawa atu o te tinana. Ā, he tino nui hoki te mahi a te ate. He maha ngā mahi a te ate, pērā i te tātari i ngā paitini mai i te tinana, te penapena pūngao, me te āwhina i te nakunaku kai. Nō reira, ki te pāngia te ate e te mate, ka pā ki te tinana katoa.
Ehara i te mea ngāwari te mahi hei tohunga ate. He nui te whakapau kaha, te mōhiotanga, me te whakangungu e hiahiatia ana. Me kaha hoki te hinengaro ki te taha o ngā tūroro me ō rātou whānau. Engari i te mutunga, he maha ngā oranga ka whakaorangia e rātou. Koinei te tino harikoa e whiwhi ai rātou.
Karere Tangohia ki te Kāinga
- Ko te tohunga ate he rata tino matatau ki ngā mate e pā ana ki te ate me ōna whekau e pā ana (te puku au, te repeure).
- He tohunga puku ia tohunga ate, engari kua hohonu ake tā rātou rangahau i te ate.
- Ki te tukuna koe e tō tākuta whānau, e tētahi atu tohunga rānei, ki tētahi tohunga ate, kaua e mataku. Ko te tikanga kei te ngana rātou ki te hoatu i te maimoatanga pai rawa atu ki a koe.
- Ka rongoatia e rātou ngā mate katoa mai i ngā mate noa pēnei i te hepatitis me te mate ate momona ki ngā mate uaua ake pēnei i te cirrhosis, te mate pukupuku ate, me ngā whakawhitinga ate.
- Mena he āwangawanga, he pātai rānei āu mō tō ate, kōrero ki tō tākuta i te tuatahi. Mena e tika ana, māna koe e tuku ki te tohunga tika.
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