He okana tino nui te ate i roto i tō tātou tinana. He rite ki te tātari i roto i tō tātou tinana. He maha ngā mahi tino nui a te ate, pērā i te tātari me te tango i ngā paitini mai i te toto me te whakahaere i ngā taumata cholesterol. Heoi, ki te pupuhi tō ate i te nuinga o te wā, arā, ki te nui haere, ka kiia e tātou he pupuhi ate, arā, he '(Hepatomegaly)'. He tohu tēnei i tētahi atu mate hauora.
He kino te pupuhi o te ate?
Ehara tēnei i te mea hei whakaaro māmā noa iho. Engari ko tōna kaha kei runga i te pūtake o tēnei pupuhi. I ētahi wā ka taea te noho hei āhuatanga ohorere. I ētahi wā, he tohu whakatūpato pea mō tētahi mate. Nō reira, kāore e taea e tātou te kī tika kia oti rā anō i tō tākuta ngā whakamātautau e tika ana.
I ētahi wā, ka pupuhi te ate hei whakautu ki tētahi mate wā poto, pērā i te mate urutā, kātahi ka hoki anō ki te āhua noa ina ora te mate. Heoi, i ētahi wā, ka pakaru haere te ate i tētahi mate roa.
He aha ngā tohu o tēnei mate?
I te nuinga o te wā, kāore koe e rongo i te ate pupuhi i a koe anō. Heoi, i ngā wā kino rawa atu, ka rongo pea koe i te kī , te whakapairuaki , te mamae rānei i te taha matau o tō puku, te wāhi kei reira te ate.
Heoi, ka kitea tēnei i te nuinga o te wā ina tirohia koe e tō tākuta. Mēnā ka rongo ia i tētahi panoni i roto i tō ate i a ia e pā ana ki tō puku, tera pea kei te whakapae koe.
Mena he tohu te pupuhi o te ate i te mate ate, tera pea ka puta mai ētahi atu tohu e pā ana.
| Tohu | Whakaahuatanga |
|---|---|
| Ngenge | Te tino ngenge, kāore he take. |
| Whakapairuaki me te ngaronga o te hiahia kai | Te āhua e ruaki ana, e ngaro ana hoki te hiahia ki te kai. |
| Te kiriuhi | Te kōwhai o te kiri me te mā o ngā kanohi. |
| Ngā huringa o te mimi me te tūtae | He mimi pouri (pērā i te tī) me ngā tūtae mā (he tae paru). |
| Kiri mākūkū (Pruritus) | Te mākūkū o te tinana katoa, kāore he take motuhake. |
| Te splenomegaly | Te whakanui ake i te ate, kei te taha maui o runga o te puku. |
He aha ngā tino take o te pupuhi o te ate?
Hei whakarāpopototanga, e whā ngā huarahi matua ka mumura ai tō ate:
1. Mumura: He pupuhi e puta ana ina pāngia te ate e te mate urutā, e te nui rawa rānei o ngā paitini (hei tauira, te waipiro) kāore e taea te whakahaere.
2. Ngako: Te nui rawa o te ngako e kohia ana i roto i te ate.
3. Toto: Te aukati, te waipuke rānei o te toto i roto i ngā oko toto e haere ana i roto i te ate.
4. Ngā Pupū: Te putanga mai o ngā puku, ahakoa he matepukupuku, he matepukupuku rānei.
He maha ngā take noa, me ngā take onge hoki e pā ana ki tēnei.
Ngā take noa
- He mate ate e pā ana ki te waipiro: Te kino o te ate i puta mai i te nui o te inu waipiro.
- Te mate ate hepatitis paitini: Ka puta pea tēnei i ngā āhuatanga pēnei i te nui rawa o te rongoā i tangohia. Mena kua nui rawa te rongoā i tangohia e te tangata, me haria tonutia ia ki te Tari Whawhati Tata (ETU) o te hōhipera tata. Mena e tika ana, ka rapu tohutohu ngā tākuta mai i te National Poisons Information Centre i te Hōhipera ā-Motu o Colombo .
- He mate pukupuku ate: Te mate urutā nā te huaketo pēnei i te mate pukupuku ate A, B, C rānei.
- Mate ate ngako: Ka puta pea tēnei i te inu waipiro, i ngā raruraru pākia rānei pērā i te mate huka me te momona.
- Mononucleosis: He mate huaketo noa.
Ngā take onge
He iti ake te kitea o ēnei, engari ka pupuhi pea te ate.
| Kāwai Take | Ngā tauira |
|---|---|
| Ngā mate ira | Ngā āhuatanga pēnei i te hemochromatosis, te mate a Wilson, me te mate Gaucher. |
| Ngā pukupuku ate | Ngā pūkahukahu ate, ngā pukupuku pai, te mate pukupuku ate. |
| Ētahi atu momo mate pukupuku | Ngā mate pukupuku toto pērā i te leukemia me te lymphoma. |
| Ngā mate o te gallbladder me ngā awa waikura | Te aukati, te mumura rānei o ngā awaawa au. |
| Ngā mate ngakau me ngā raruraru o ngā oko toto | Ngā āhuatanga pēnei i te ngoikore o te ngākau me te mate Budd-Chiari. |
Me pēhea te rongoā mō tēnei?
Ka ngana tuatahi tō tākuta ki te kimi i te take o te pupuhi o te ate. Tērā pea ka uru atu ki tēnei ngā whakamātautau toto me ngā matawai (pēnei i te matawai ultrasound). I ētahi wā, ki te whakaarohia he kino ake te mate, ka tūtohu pea rātou i te koiora ate, arā, ko te tango i tētahi wahi iti o te kiko mai i te ate ka tirotirohia.
Ko te mea nui, kāore he maimoatanga motuhake mō te pupuhi o te ate. Ka aro te maimoatanga ki te mate taketake i puta ai te pupuhi.
Kia kitea te pūtake, ka whakamāramahia e tō tākuta ngā tikanga maimoatanga e tika ana ki a koe.
Ka taea te whakakore i te pupuhi o te ate?
Ae, i ētahi wā ka taea. He kaha whakamiharo tō te ate ki te whakaora anō i a ia anō. Engari kia tutuki ai tēnā, me nui te kiko hauora o te ate e toe ana.
Ki te pupuhi te ate nā tētahi mate ohorere, mā te rongoā i te pūtake ka whai wāhi te ate ki te ora.
Waihoki, ki te mea nā te mate ate roa tēnei āhuatanga i puta ai, ka taea e ngā huringa momo noho te āwhina i te whakahaere i te āhuatanga, ā, i ētahi wā ka ora rawa.
- Mena kei te waranga koe ki te waipiro, rapua he tohutohu hauora, ā, rapua tonutia te āwhina kia mutu ai.
- Mena kei a koe te mate ate momona kore-waipiro, kōrero ki tō tākuta mō te pupuri i te taumaha hauora e tika ana māu.
- Whakahaerehia te toto toto tiketike, te cholesterol tiketike, me te huka toto tiketike.
- I a koe e kai ana i ngā kai totika , me whakakori tinana hoki i ia rā.
Āhea ahau me toro atu ki te tākuta?
Ki te pāngia koe e te pupuhi, te whakapairuaki , te mamae rānei i te taha matau o runga o tō puku, me toro atu ki te tākuta. Hei tāpiri, rapua tonutia te awhina hauora mēnā kei a koe ētahi o ēnei tohu kino, tohu rerekē rānei:
- Te kirika pumau.
- Te pōhēhē, te kore rānei o te māramatanga.
- Te ngoikore rawa me te pōuri.
- Te kōwhai o ngā kanohi, o te kiri rānei.
- He panoni mārama o te tae o te mimi, o te tūtae rānei.
He tohu te pupuhi o te ate mō ngā āhuatanga maha. Ahakoa ehara i te mea he āhuatanga ohorere katoa, me rapu awhina hauora katoa. Nō reira, ki te whakapae koe kei te pāngia koe e tēnei tohu, kāore anō kia roa rawa te wā ki te tirotiro.
Karere Tangohia ki te Kāinga
- Ehara te hepatomegaly i te mate, engari he tohu noa iho nō tētahi atu mate.
- Ko te mea nui ko te tautuhi tika i te take o tenei mate me te rongoa i te mate.
- Kaua rawa e warewarehia ngā tohu pēnei i te mamae i te taha matau o te puku, te pupuhi, me te kōwhai o ngā kanohi.
- Ngā huringa āhua noho, pērā i te whakamutu i te inu waipiro, te kai hauora, me te whakakori tinanaKa taea e ia te tiaki i te hauora o te ate.
- Mena he ruarua, he tohu rānei āu, kaua e mangere ki te toro atu ki tō tākuta mō ētahi tohutohu.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e tohua ana ngā papa Lovastatin (Lovastatin / Mevacor)?
Koinei te rongoā 'High Cholesterol/Hyperlipidemia' (Statin) tuatahi i kitea i te ao! Mā tēnei ka whakaiti i te 'kino cholesterol (LDL)' me te ārai i ngā mate manawa me te whakaekenga manawa/whiu (Cardiovascular Events). He mea hanga tēnei mai i tētahi harore motuhake e kiia nei ko (Aspergillus), ā, ahakoa he tawhito tēnei rongoā, kei te whakamahia tonutia e ngā tākuta i ēnei rā.
💬 Me pēhea te whakarewa a tēnei pire cholesterol tuatahi (Lovastatin) i te cholesterol kino ina uru ki roto i ō tātou tinana?
Ko te mīhini matua e hanga ana i te cholesterol i roto i te ate o tō tātou tinana ko te 'HMG-CoA Reductase'. Ina uru tēnei pire ki te tinana, ka hurihia hei matū kē atu (Active Metabolite) ka haere ki tō tātou ate. Ka ārai/ka kati, ka raka hoki i taua mīhini cholesterol 100%. Ina whakawetohia te mīhini, kāore he huarahi kē atu mā te ate engari ko te mimiti me te whakangaro i te cholesterol kino/LDL i roto i ō tātou toto.
💬 He aha ngā 'mōrearea whakamate' (mimi mangu) me mōhio koe ina tango ana koe i tēnei pire cholesterol (Lovastatin)?
Ko te mōrearea tino kino o tēnei ko te 'Myopathy/Rhabdomyolysis'! Mēnā he uaua kōpiri/ngoikore, he mimi pouri hoki tōu, haere tonu ki te hōhipera, ki te kore ka mate pea koe i te ngoikore o te whatukuhu! Waihoki, mēnā kei te tango koe i ētahi atu rongoā (pēnei i te Clarithromycin) kei te inu rānei i te 'Grapefruit/Grapefruit water', ka tino paitini tēnei rongoā ki te tinana, ā, ka mate pea koe.
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