Kei te kitea ngā putunga ngako i ngā wāhanga rerekē o tō tinana? Me ako tātou mō te Lipodystrophy!

Kua kite koe, kua pāngia rānei e te ngaronga ohorere o te ngako i ētahi wāhi o tō tinana, te pikinga ake rānei o te ngako kāore i te hiahiatia i ētahi atu wāhi? Tērā pea he mea kāore e taea te whakaaro i ētahi wā. I tēnei rā ka kōrero tātou mō tēnei mate. I roto i te reo hauora, ko te Lipodystrophy te ingoa o tēnei. Kaua e manukanuka, ahakoa he rerekē te ahua o te ingoa, me kōrero noa iho tātou.

He aha te Lipodystrophy?

I te whakarapopototanga, ko te Lipodystrophy te ngaromanga katoa, te ngaronga wāhanga rānei o te kiko ngako, arā, ko te "ngako" i ētahi wāhi, ko te kohikohinga ngako rerekē rānei ki ngā wāhi rerekē o te tinana.

Whakaarohia kei te whakaitihia tō taumaha i ētahi wāhi o tō tinana, pērā i ō ringaringa me ō waewae, ā, kei te piki haere te ngako i ngā wāhi pērā i tō mata me tō kaki. Koinei te mea ka tupu i roto i te Lipodystrophy. He rerekē ngā momo o tēnei mate, ko ētahi he mea ira mai (arā, he mea i whānau mai ai tātou), ko ētahi ka puta i muri mai hei hua o ētahi atu mate hauora. He rerekē te pānga o ia momo ki te tangata, ā, he rerekē hoki ngā tohu.

He aha te hiranga o te ngako (te kiko ngako) ki tō tātou tinana?

Tērā pea kei te whakaaro koe, "Ko te iti o te ngako, ko te pai ake." Engari ko te mea pono, he maha ngā mahi nui a te kiko ngako i roto i ō tātou tinana. Tirohia:

• Te rokiroki pūngao: Kei roto i ēnei kiko ngako ka rongoatia ngā kaora tāpiri e whiwhi ana tātou mai i te kai e kainga ana e tātou hei pūngao.
• Te whakarato tiaki: Ka whakarato i te tiakitanga rite ki te urunga ki ngā momo okana o te tinana.
• Te pupuri i te mahana: Ka pupuri i te wera o te tinana, ā, ka tiaki i a tātou i te makariri o te taiao.
• Te tukunga homoni: He maha ngā homoni nui, pērā i te leptin, ka hangaia, ka tukuna ki roto i te toto.
• Te whakahaere i te mumura: Ka āwhina hoki i te whakahaere i te mumura i roto i te tinana.

Nō reira, ina ngaro, ina whakatakotoria rānei tēnei kiko ngako i tētahi āhua rerekē nā te lipodystrophy, ehara i te mea ka rerekē noa tō tātou āhua, engari ka whakararuraruhia hoki ngā mahi nui o te pākia o te tinana. He maha ngā tāngata e pāngia ana e te lipodystrophy e tūpono ana ki te whakawhanake i ngā mate pēnei i te mate huka me te koretake o te taumata cholesterol toto.

He momo lipodystrophy anō kei reira?

Ae, e rua ngā momo matua o te lipodystrophy: te ira me te mea i whiwhihia.

Ngā momo Lipodystrophy ira

He momo tuku iho ēnei, arā, he momo e puta mai ana i ngā whakarerekētanga ira.

• Te Lipodystrophy Whānui i te Whānautanga (CGL): Ko te mate Berardinelli-Seip tēnei.E mōhiotia ana hoki ko. He tino onge tēnei mate. I roto i tēnei, kua tata ngaro katoa, kua ngaro katoa rānei te ngako o te tinana. Nā te hapa ira kei roto i te whānautanga tēnei mate. I te nuinga o te wā ka taea te tātaritanga i tēnei mate i roto i te tau tuatahi o te oranga.
• Te Lipodystrophy Wāhanga Whānau (FPLD): He mate ira anō hoki tēnei. Heoi, he maha ngā wā ka kitea i muri mai i te pakeketanga. I roto i tēnei mate, ka ngaro te ngako o te tamaiti i ngā waewae me ngā ringa, ā, ka nui ake te ngako ka kohia ki te mata me te kaki.

Ngā momo Lipodystrophy kua whiwhihia

He momo ēnei e puta ake ana i muri i tō tātou whānautanga, ā, i roto anō hoki i tō tātou oranga, mō ngā take maha.

• Te Lipodystrophy Whānui i Whiwhihia (AGL): E mōhiotia ana ko te mate Lawrence , ka puta te ngako i tēnei āhuatanga, i te nuinga o te wā i te mata, i te kaki, i ngā ringa, me ngā waewae. Ka tere te ngaronga o te ngako, i roto i ētahi wiki, i te āta haere rānei i roto i ngā marama, i ngā tau rānei. I te nuinga o te wā ka tīmata i te tamarikitanga, i te taiohitanga rānei, engari ka taea te puta i ngā tau katoa. He maha ngā take pea o te AGL.
• Lipodystrophy Wāhanga Whiwhi (APL): E mōhiotia ana ko te mate Barraquer-Simons , ka puta te ngako mārire mai i te mata, te kaki, ngā ringa, me te uma i tēnei mate i te wā tamarikitanga. Tērā pea he nui rawa te ngako o ētahi tāngata i ngā wāhi pērā i te puku, ngā waewae, me te papa. He maha ngā wā ka honoa te APL ki ngā mate pūnaha ārai mate .
• Te lipodystrophy i puta mai i te rongoā antiretroviral kaha rawa (HAART) (LD-HIV): Ka puta tēnei momo lipodystrophy i roto i te hunga kua pangia e te huaketo ārai mate tangata (HIV) i muri i te whiwhinga o te rongoā antiretroviral kaha rawa (HAART) e whakauru ana i ngā aukati protease HIV-1 . Ko te putanga mai o tēnei āhuatanga ka whakawhirinaki ki te kaha me te roa o te maimoatanga. He maha ngā wā ka ngaro haere te ngako o te hunga whai LD-HIV mai i ō rātou ringa, waewae, me te mata. Ka nui ake pea te ngako o ētahi tāngata huri noa i ō rātou mata, kaki, tuara o runga, me te hope.
• Te Lipodystrophy ā-Rohe: Koinei te wā e ngaro ai te ngako i tētahi wāhi iti noa iho o te tinana. Hei tauira, ka puta tēnei āhuatanga ina werohia ngā rongoā (pēnei i te insulin) ki te wāhi kotahi i ngā wā katoa. He rite ki tētahi rua iti te āhua, engari ko te kiri e kapi ana i te nuinga o te wā kāore e pāngia.

He rite tonu te Lipodystrophy me te Lipoatrophy?

Ko te Lipodystrophy he kupu whānui mō te tohatoha ngako rerekē. He hononga anō hoki ki te Lipoatrophy , arā, ko te ngaronga o te ngako. Ka whakamahia e ētahi kaipūtaiao me ngā tākuta ngā kupu e rua hei whakaahua i te āhua kotahi. Ki te kī māmā noa, ko te Lipoatrophy he wāhanga iti o te Lipodystrophy.

Ko wai te hunga e tino pāngia ana e tēnei mate? He pēhea te noa o tōna pānga?

Ko te nuinga o ngā momo lipodystrophy ka tīmata i te tamarikitanga, engari ka taea hoki e ngā momo kua riro mai te whakawhanake i roto i ngā pakeke.

Haunga te lipodystrophy i puta mai i te HAART (LD-HIV) , he nui ake te pānga o ētahi atu momo lipodystrophy kua riro ki ngā wāhine. Nā te mea he nui ake te mate HIV i roto i ngā tāne, he nui ake hoki te pānga o te LD-HIV ki ngā tāne.

I te nuinga o te wā, he tino onge te lipodystrophy. Heoi, kei te piki haere te maha o ngā momo lipodystrophy kua riro mai (mo te wa katoa) nā ngā pānga taha o ētahi rongoā.

He aha te pānga o te lipodystrophy ki tōku tinana?

He rerekē te pānga o ia momo lipodystrophy ki te tinana, engari e rua ngā āhuatanga matua e kitea whānuitia ana: te ngaronga o te kiko ngako me te korenga o te homoni leptin .

Te pānga o te ngaronga o te kiko ngako ki te tinana

He mea hanga tō tātou kiko ngako i ngā pūtau e kiia nei ko ngā adipocytes . Kei roto i ia pūtau adipocytes te 90% o ngā pata ngako. Ka rongoa e ēnei adipocytes te ngako (triglycerides). Ina pakaru ēnei pūtau ngako nā te lipodystrophy, kāore e taea e rātou te rongoa tika i te ngako.

I ētahi wā o te Lipodystrophy, ka whakatakotoria hētia tēnei ngako ngaro ki roto i ētahi atu kiko o te tinana, hei tauira, i roto i te ate, te repe taiaki, te kiko uaua rānei. Ka arahi pea tēnei ki ngā raruraru hauora pēnei i:

• Te mate ate momona / te mate ate steatosis
• Te ātete ki te insulin me ngā taumata insulin teitei i roto i te toto (hyperinsulinemia)
• Mate Huka (Diabetes Mellitus)
• Te pikinga ake o ngā taumata triglycerides i roto i te toto (hypertriglyceridemia)
• Te mate pāwera
• Te mate pāwera
• Te mate uaua koronari

Engari kia maumahara, ehara i te katoa e pāngia ana e te lipodystrophy ka pāngia e ēnei āhuatanga. Tērā pea he ngawari ake te āhua o ētahi, engari ko ētahi he kino ake.

Ngā Pānga o te Kore Leptin ki te Tinana

I te mea ka ngaro te kiko ngako o te hunga whai lipodystrophy, ka ngaro hoki ētahi homoni, inā koa te homoni leptin .

He homoni te leptin e hangaia ana e ō tātou kiko ngako. Ka āwhina i a tātou ki te pupuri i te taumaha tinana noa mō te wā roa. E mōhio ana koe me pēhea? Mā te mea ka makona tātou, ka whakahaere hoki i tō tātou hiakai. Kei te rangahau tonu ngā kaipūtaiao i te leptin. E whakapono ana rātou ka pā te leptin ki tō tātou pākia o te tinana , te mahi a te pūnaha endocrine , me te mahi a te pūnaha ārai mate .

Tērā pea ka heke te taumata leptin o te hunga whai lipodystrophy, ka arahi atu ai tēnei ki te hiakai nui, te ātete ki te insulin, me ētahi atu raruraru hauora.

He aha ngā tohu o te lipodystrophy?

He maha ngā momo lipodystrophy, ā, he rerekē hoki ngā tohu.

Ko te tohu tino kitea ko te ngaronga o te ngako mārama me te pumau i ētahi wāhi o te tinana, i te wa ano, he kohi ngako rerekē, kāore rānei e hiahiatia ana ki ētahi atu wāhi o te tinana.

Hei tauira, ko te hunga e pangia ana e te mate lipodystrophy wāhanga (APL) ka memeha haere te ngako i ō rātou mata, kaki, ringa, me te uma i te wā tamarikitanga. Ko ētahi tāngata e pangia ana e te APL ka nui haere te ngako i ngā wāhi pērā i te puku, ngā waewae, me te papa.

I runga i te momo lipodystrophy kei a koe me tō tau, tērā pea kāore koe e kite i tētahi raruraru hauora nui mō ngā tau. Heoi, he maha ngā momo lipodystrophy ka piki ake te taumata o te cholesterol toto, te triglycerides, me te huka (glucose). Ka taea e tō tākuta te kite i ēnei mā te whakamātautau toto noa, pērā i te panera lipid me te panera metabolic taketake .

He uaua te tautuhi i ētahi momo lipodystrophy, inā koa ko te lipodystrophy wāhanga. Nō reira, he mea nui kia toro atu ki te tākuta mēnā ka puta he tohu hou ki a koe, ki tāu tamaiti rānei, mēnā rānei ka kino haere tētahi tohu o mua, ahakoa te take.

He aha ngā take o te lipodystrophy?

He rerekē ngā take o te lipodystrophy i runga i te mea he ira, he mea whiwhi rānei.

Ngā Take o te Lipodystrophy Ira

Ko ngā momo ira o te lipodystrophy – arā, ko te congenital generalized lipodystrophy (CGL) me te familial partial lipodystrophy (FPLD) – ka puta mai i ētahi whakarerekētanga ira .

Ko te whakarerekētanga ira he panoni i roto i tō tātou raupapa DNA. Ko tō tātou raupapa DNA te mea e hoatu ana ki ō tātou pūtau ngā mōhiohio e hiahiatia ana e rātou hei mahi i ā rātou mahi. Nō reira, ki te kore e oti, e pakaru rānei tētahi wāhanga o tēnei raupapa DNA, ka puta pea ngā tohu o tētahi mate ira.

• Ngā Take o te lipodystrophy whānui whānau (CGL): Ko ngā momo CGL 1 ki te 4 ka puta mai i ngā whakarerekētanga ira o ngā ira AGPAT2, BSCL2, CAV1 , me CAVIN1 . He mea nui ēnei ira mō te tipu me te mahi a ngā pūtau penapena ngako (ngā pūtau ngako) i roto i ō tātou kiko ngako. Ka pāngia te hanganga me te mahi a ngā pūtau ngako e ngā whakarerekētanga ira o ēnei ira. Ka riro mai i te tamaiti whai CGL ēnei whakarerekētanga ira mai i ō rātou mātua. Ahakoa he kotahi te kape o te ira kua whakarerekētia e ngā mātua e rua, kāore i te nuinga o te wā ka kitea he tohu.
• Ngā Take o te Familial Partial Lipodystrophy (FPLD): Ka taea e ngā whakarerekētanga ira te whakaputa i te FPLD. Ko te mea tino noa ko te LMNA.He whakarerekētanga ira i roto i tētahi ira e kiia nei ko te LMNA. Ko te ira LMNA me ētahi atu ira e whai wāhi ana ki te FPLD ka tohutohu i ngā pūtau ngako ki te penapena ngako me te hanga i ngā momo pūmua he mea nui mō te penapena ngako. Mena ka puta he whakarerekētanga ira i roto i tētahi o ēnei ira, ka pāngia kino te tipu, te hanganga, te mahi rānei o ngā pūtau ngako. Ko te nuinga o ngā take o te FPLD ka tukuna iho i roto i tētahi tauira autosomal dominant . Ko te tikanga o tēnei, he nui te whai i tētahi tārua o te ira kua whakarerekētia i roto i ia pūtau hei whakaputa i te mate. I ētahi wā, ka riro i te tangata whai FPLD te whakarerekētanga ira mai i tētahi o ōna mātua e pāngia ana. I ētahi atu wā, ka puta mai i ngā whakarerekētanga hou, matapōkere i roto i te ira, ā, ka puta pea ahakoa kāore anō tētahi o te whānau kia pāngia e te mate i mua.

Ngā Take o te Lipodystrophy i Whiwhi

Ka puta pea te lipodystrophy i ngā rongoā, ngā tauhohenga ā-tinana , ngā take idiopathic rānei. Ahakoa kāore he pūtake ira tika mō te lipodystrophy i whiwhi, e whakapono ana ētahi kairangahau he āheinga ira pea ētahi tāngata ki te whakawhanake i te lipodystrophy i whiwhi.

• Ngā Take o te Lipodystrophy Whānui i Whiwhihia (AGL): Ka puta te AGL i muri i te mate urutā, i muri rānei i te mate o te pūnaha ārai mate. Ko ngā mate urutā kua honoa ki te AGL ko:
• Rewharewha (Rewharewha/varicella)
• rewharewha
• Maremare whooping (pertussis)
• Diphtheria
• Pūkahukahu
• Te mate wheua
• Mononucleosis (Mononucleosis / mono)

Kāore i te tino mārama ka pāngia koe e te AGL nā te mea kei a koe ēnei mate urutā.

Ko ngā āhuatanga autoimmune e pā ana ki te AGL ko:

• Te mate tairoi ā-tinana
• He mate hepatitis ā-aunoa
• Te mate kiri o te taiohi
• te rumatiki
• Te mate a Sjogren
• Te anemia hemolytic aunoa

Ki te pāngia koe e ēnei mate pūnaha ārai mate, kāore e taea te kī ka tino pāngia koe e te AGL.

I te nuinga o te wā, kāore e taea te tautuhi i te pūtake o te AGL (idiopathic).

• Ngā Take o te Aquired Partial Lipodystrophy (APL): E whakapono ana ngā kaipūtaiao ko te APL te take o te whakangaromanga hē o ngā pūtau ngako e tō tātou pūnaha ārai mate. Neke atu i te 80% o te hunga whai APL kei roto i ō rātou toto te Complement 3 .He iti te taumata o te pūmua e kiia nei ko te complement factor. Ko tēnei pūmua te mea nui rawa atu ki te urupare a tō tātou pūnaha ārai mate. He maha ngā wā kei roto i te toto o te hunga whai APL he autoantibody e kiia nei ko te complement 3-nephritic factor . Ko te autoantibody he pūmua i roto i te pūnaha ārai mate e whakaeke hē ana, e kino ana hoki i te kiko hauora.

• Ngā take o te lipodystrophy i puta mai i te rongoā antiretroviral kaha (HAART) (LD-HIV): Kāore anō kia tino mārama ngā kaipūtaiao he aha te take o te lipodystrophy i puta mai i te HAART, kei roto nei ngā aukati protease HIV-1.

Ko te rongo pai, ko te nuinga o te hunga ka tīmata te rongoā HIV inaianei kāore e nui te manukanuka mō te lipodystrophy, nā te mea ka whakaitihia e ngā rongoā HIV hou te tūponotanga o te puta o te mate.

Me pēhea koe e mōhio ai mēnā he lipodystrophy tōu?

Mena kei a koe ngā tohu o te lipodystrophy, ka tirotirohia e tō tākuta tō tinana, ka pātai atu mō tō hītori hauora me tō hītori hauora whānau, kātahi ka whakahau i ētahi whakamātautau hei whakaū i te mate me te kite mēnā he take kē atu mō ō tohu.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te lipodystrophy?

Tērā pea ka tonoa e tō tākuta ētahi whakamātautau hei tātaritanga i te lipodystrophy, hei tirotiro rānei mēnā he take kē atu mō ō tohumate. Kei roto i ēnei ko:

• Matawai MRI (Atahanga Āhua-Mate): Ka whakamahia e te MRI tētahi aukume nui, ngā ngaru reo irirangi, me te rorohiko hei hanga pikitia taipitopito o ngā whekau me ētahi atu hanganga i roto i tō tinana. Tērā pea ka whakahaua e tō tākuta tēnei whakamātautau hei aromatawai i te hanganga me te tohatoha o te ngako i roto i tō tinana.
• Paewhiri Pūnaha Whakaora Katoa: He whakamātautau toto tēnei e ine ana i ngā matū rerekē e 14 i roto i tō toto. Ka whakaratohia he mōhiohio nui mō te taurite matū me te pākia o tō tinana. Ka tirohia motuhaketia e te tākuta ō taumata huka toto (huka) me ngā whākōkī ate .
• Paewhiri Ngako: He whakamātautau toto anō hoki tēnei. Ka ine i te nui o ngā ngota ngako e kiia nei ko ngā lipid i roto i ō toto. E whā ngā inenga cholesterol me te inenga triglyceride i roto i tēnei whakamātautau. He maha ngā wā ka puta he taumata cholesterol rerekē i te lipodystrophy.
• Whakamātautau Leptin: Mā tēnei ka ine i te taumata o te leptin i roto i tō toto. Mena he lipodystrophy tōu, ā, he iti iho ō taumata leptin i te mea noa, ka taea e koe te whakaaro me pēhea te urupare a tō tinana ki te rongoā whakakapinga leptin.
• Whakamātautau Ira: Mena kei te whakapae tō tākuta he momo Lipodystrophy tuku iho tōu, ka tūtohu pea rātou kia whakamātauria he whakamātautau ira hei whakaū i te mate.
• Te koiora whatukuhu:Ko te tikanga o tēnei ko te tango i tētahi tauira o te kiko whatukuhu mā te pokanga, kātahi ka tirotirohia i raro i te karuārai. Tērā pea ka tonoa e tō tākuta tēnei whakamātautau hei tirotiro mēnā kua pāngia ō whatukuhu e te lipodystrophy.

He aha ngā maimoatanga mō te lipodystrophy?

Ko te maimoatanga me te whakahaere i te lipodystrophy ka whakawhirinaki ki te momo motuhake kei a koe, me te mea kei a koe ētahi atu mate e pā ana, pēnei i te mate huka, te taumata cholesterol rerekē rānei.

Ko ngā tikanga matua mō te lipodystrophy ko:

• Rongoā whakakapinga leptin: Tērā pea ka tohua e tō tākuta he momo hangai o te homoni leptin e kiia nei ko te metreleptin . He maha ngā wā ka ngoikore te leptin i te hunga whai lipodystrophy. Ka āwhina tēnei homoni ki te whakahaere i te pākia o te tinana, ā, ka taea hoki te whakaiti i ngā taumata cholesterol me te triglyceride teitei.
• Te rongoā mō te mate huka me te ātete ki te insulin: Mena he ātete ki te insulin, he mate huka rānei tōu nā te lipodystrophy, ka tohua pea e tō tākuta he rongoā ā-waha pērā i te pioglitazone, te metformin, te sulfonylureas , te thiazolidinediones rānei hei rongoā. Tērā pea me tango e ētahi tāngata he lipodystrophy te insulin hangai hei rongoā mō ō rātou mate huka. Me tirotiro tonu pea ō taumata huka toto i te kāinga me te whakamahi i te glucometer .
• Te whakahaere i ngā taumata triglyceride me te cholesterol: Ko ngā rongoā ā-waha i whakahuatia ake nei hei āwhina i te rongoā mate huka ka āwhina i te whakahaere i ngā taumata cholesterol. Tērā pea ka tohua e tō tākuta ngā statin , pērā i te rosuvastatin me te pravastatin . Ko te hunga he nui ngā taumata triglyceride, me tango pea i ngā tāpiringa o ngā waikawa fibric, ngā waikawa ngako polyunsaturated n-3 rānei, pērā i ngā mea kei roto i te hinu ika.
• Pokanga me ngā tikanga whakapaipai: Ko te hunga e pāngia ana e te lipodystrophy i ngā wāhi ātaahua, pērā i te mata, te uma, me ngā wāhi ira tangata, ka taea te pokanga whakapaipai hei whakapai ake i ō rātou āhua me te whakapono ki a rātou anō. Ka taea e ngā taote pokanga kirihou te mahi i te whakawhitinga kiko ngako autologous, te hanga anō i te mata mā te whakamahi i ngā papa kore utu, me te silicone me ētahi atu whakaurunga. Ka taea hoki e rātou te whakamahi i te liposuction , i ngā tikanga tango pokanga rānei hei tango i ngā putunga ngako kāore e hiahiatia i ngā wāhi pērā i te kauae, te tuara rānei o te kaki (e kiia ana ko te "buffalo hump" ).

He nui tonu ngā mea hei ako mā ngā kaipūtaiao mō te rongoā me te whakahaere i te lipodystrophy. I a rātou e kite ana i ngā āhuatanga uaua o ngā tukanga pākia o te tinana, tera pea ka nui ake ngā kōwhiringa maimoatanga e wātea ana.

Ka taea te ārai i te lipodystrophy?

I te nuinga o te wā, kāore e taea te ārai i te lipodystrophy.

Kāore e taea te ārai i ngā momo ira o te lipodystrophy, nā te mea he hua ēnei o te whakarerekētanga ira tuku iho. Mena kei te whakaaro koe ki te whānau tamariki, kia mārama ki te mōrearea o te whānautanga o tētahi tamaiti me tētahi mate ira, ā, kōrero ki tō tākuta mō ngā whakamātautau ira.

He maha ngā wā ka puta te lipodystrophy i te mate urutā, i te mate pūnaha ārai mate rānei. Ahakoa ka taea te ārai i ētahi mate urutā, pērā i te rewharewha me te maremare, mā te werohanga, kāore e taea te ārai i ētahi atu mate urutā me ngā mate pūnaha ārai mate e pā ana ki te lipodystrophy kua riro.

He aha te āhua o te lipodystrophy?

Ko te āhua o te lipodystrophy e whakawhirinaki ana ki te momo lipodystrophy kei a koe, me te mea kei a koe ētahi atu mate, raruraru rānei e pā ana, pērā i te mate huka, ngā mate ate, ngā mate tākihi rānei.

Mā te whakatikatika āhua o ngā wāhi he iti te ngako me ngā wāhi he nui te ngako ka āwhina i te whakapai ake i te kounga o te oranga mō te hunga e pāngia ana e te lipodystrophy.

Mena kua tāpaetia koe, tāu tamaiti rānei, kei te pāngia e te lipodystrophy, kōrero ki tō tākuta mō ngā mea hei tumanakohia me te huarahi pai ki te whakahaere i te mate.

Āhea koe me toro atu ki te tākuta mō te lipodystrophy?

Ki te kite koe kei te heke haere tonu te ngako o tō tinana, o tāu tamaiti rānei i ētahi wāhi motuhake, kei te piki haere rānei te ngako i ētahi wāhi, kōrero ki tō tākuta.

Mena kua tāpaetia koe, tāu tamaiti rānei, ki te mate Lipodystrophy, me hui tonu koe me tō tīma hauora kia mōhio ai kei te pai te mahi a tō maimoatanga māu.

Hei whakamutunga, ngā mea hei maumahara

He mate onge engari he mate kino te lipodystrophy. Ahakoa kāore he rongoā, ka taea e ētahi maimoatanga te āwhina i te whakahaere i ōna tohu me ngā mate e pā ana, pērā i te mate huka me ngā taumata cholesterol rerekē.

He rerekē rawa ngā maimoatanga i ia tangata, i ia tangata. Nō reira, ka mahi tahi tō tīma hauora me koe ki te waihanga i tētahi mahere e pai ana mōu. Kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe. Mā tēnei mōhiotanga koe e āwhina ki te ora hauora!

` lipodystrophy, kiko ngako, leptin, ira, whiwhi, mate huka, cholesterol, triglyceride, HIV, mate pāwera