Ngā mea e hiahia ana koe kia mōhio mō te ngoikore o te ate

Ko te ate tētahi o ngā okana tino nui o tō tinana. Ina hoki, kāore e taea e tātou te ora me te kore ia. Pērā i tētahi wheketere nui i roto i tō tātou tinana, he rau ngā mahi a te ate. Whakaarohia, he aha ka puta mēnā kāore e taea e tēnei wheketere te mahi tika i tana mahi? Ka whakararuraruhia te mahi a te tinana katoa, tika? Koia mātou i kī ai ko te ngoikore o te ate. Ko te tikanga kāore e taea e tō ate te mahi pai hei whakatutuki i ngā hiahia o tō tinana.

Ka puta katoa tēnei i te wā kotahi? Ka puta mārire rānei?

Kāore te ngoikore o te ate e puta katoa i te wā kotahi. He tukanga. Ka taea te tupu tere, te puhoi rānei. Nō reira, e rua ngā momo matua e kōrerohia ana e tātou.

• Te ngoikore o te ate: He mea tēnei ka tino tere te puta, i roto i ētahi rā, i ētahi wiki rānei. I te nuinga o te wā ka puta ina pāngia te ate e te paihana kino. I ētahi wā ka puta mai i te mate huaketo kino. He mate kino tēnei e hiahia ana kia rongoatia wawetia .
• Te ngoikore o te ate mau tonu: Koinei te momo tino noa. Ka puta mārire, ka āta haere, i roto i ngā marama, i ētahi wā he tau. Ka puta mai i te kino o te ate mō te wā roa. Ā tōna wā, ka kore e taea te whakatika te kino.

Te haerenga ki te ngoikore o te ate: 4 ngā wāhanga matua

Ka ahu whakamua te mate ate mau tonu i roto i ētahi wāhanga, ā, ka arahi atu ki te ngoikore o te ate. He rite ki te piki i tētahi arawhata. Engari kia maumahara, kāore ēnei wāhanga i tino wehea tetahi i tetahi. Tērā pea ka pāngia te tangata i tētahi wāhanga e ngā tohu o tētahi atu wāhanga.

He aha ngā tohu e whakaatu ana kei roto te ate i te mōrearea?

Ka rerekē pea ngā tohu o te ngoikore o te ate i runga i te kaha o te mate me ngā raruraru kua pā mai. Ka puta tuatahi ētahi tohu, ko ētahi ka puta i muri i tētahi wā.

Ngā āhuatanga noa e puta tuatahi mai ana

Ka kitea anō hoki ēnei i roto i ētahi atu mate, nō reira kāore pea koe e aro nui ana ki ēnei.

• Te mamae o te puku (ina koa ki te taha matau o runga)
• Te ngenge nui me te ngoikore
• Te whakapairuaki, te ruaki, me te ngaro o te hiahia kai

Ngā tohu whakatūpato motuhake ki te ate

I muri i ngā tohu o runga ake nei, tera pea ka puta ake ētahi atu tohu motuhake o te mate ate. E tohu ana ēnei kei te kohikohi haere ngā paitini kāore e taea e te ate te tātari i roto i te toto.

• Te kiri māwhero: Te kōwhai o ngā mā o ngā kanohi me te kiri.
• Ngā panonitanga o te mahi a te roro (Hepatic Encephalopathy): Te pōhēhē, te wareware, te hiamoe.
• Mākūkū: He mākūkū tonu o te kiri, kāore e pā kino.
• Te mimi pouri me ngā tūtae mā.

Ētahi atu tohu ka kitea pea i te ngoikore o te ate mau tonu

Tērā pea ka puta mārire mai ēnei.

• He ngawari te toto i te whara iti noa iho, me te marō hoki.
• He uaua pungawerewere, he ira whero iti rānei kei runga i te kiri.
• Te putanga mai o ngā puku momona iti, kōwhai i runga i te kiri, i ngā kamo rānei.
• Ngā raruraru nakunaku, inā koa ki ngā kai ngako.
• Te whakahekenga taumaha me te memeha o te uaua.
• He kakara rerekē mai i te manawa.

Ngā tohu i roto i tētahi take nui

E tohu ana ēnei kei te kino haere te āhua.

• Te pupuhi o te puku (Ascites): Nā te nui haere o te wai i roto i te puku.
• Pupuhi: Te pupuhi o ngā pona, ngā waewae, ngā ringa, te mata rānei, me te mea kua kī i te wai.
• Te ruaki toto , te ruaki rānei e rite ana ki te paura kawhe.
• Ngā raruraru whakahaere uaua (te wiri, te oma).
• Te hekenga o te putanga mimi.
• Te uaua ki te manawa.

He aha tēnei e tupu nei? He aha ngā take?

He rerekē ngā pūtake o te ngoikore o te ate i runga i te mea ka puta ohorere (whakapeka) ka puta rānei i roto i te wā roa (mau tonu).

Ngā take o te ngoikore ohorere o te ate (Te ngoikore o te ate ohorere)

He maha ngā wā ka pā tēnei ki tētahi tangata kāore anō kia pāngia e te mate ate i mua. Ka puta mai i tētahi mea ka pā kino rawa atu ki te ate.

• Ngā mate urutā: Ngā huaketo pēnei i te Hepatitis A, B, D, me te E.
• Te nui rawa o te horomanga o te rongoā: Ko te nui rawa o te horomanga o te paracetamol te tino take o tēnei. He kino anō hoki te nui rawa o te horomanga o ētahi rongoā mamae (NSAID) me ngā rongoā paturopi.
• Ngā raruraru hāputanga: He tino onge te puta mai o ētahi raruraru hāputanga nui.
• Ngā Paitini: Te kai i tētahi momo harore kāore i te mōhiotia . Ki te whakaaro koe kua horomia e koe tētahi paitini, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. Ki te tika, ka taea hoki e koe te waea atu ki te Pokapū Mōhiohio Paitini ā-Motu i te Hōhipera ā-Motu o Colombo mō ētahi tohutohu.
• Ētahi atu take: Ngā mea pēnei i te mate pukupuku, te ru repe, te whiu wera rānei.

Ngā take o te ngoikore o te ate mau tonu

He hua tēnei o te cirrhosis. Koinei ngā tino take o te cirrhosis.

• Ngā mate urutā mau tonu: Ka roa te noho o ngā mate urutā Hepatitis B me C.
• Te inu nui i te waipiro: Ka taea e te inu nui i te waipiro te kino nui ki te ate.
• Mate Ate Ngako: Ko ngā āhuatanga pēnei i te momona, te mate huka, me te cholesterol tiketike ka taea te kohikohi ngako i roto i te ate, ka taea ai te ahu whakamua ki te cirrhosis.
• Mate Pūnaha Ārai Mate:Ngā mate e whakaekea ai te ate e te pūnaha ārai mate o te tinana ake.
• Ngā mate tuku iho: Ka taea hoki e ētahi mate ira te whakakino i te ate.

Me pēhea te mōhio o te tākuta mēnā koinei te āhua?

Mena kei a koe ngā tohu o te mate ate, ka whakaritea e te tākuta ētahi whakamātautau hei whakaū i te mate.

• Ngā whakamātautau toto: Ka taea e ngā whakamātautau mahi ate te tirotiro i te pai o te mahi a te ate.
• Ngā whakamātautau whakaahua: Ka taea e te matawai ultrasound, MRI rānei te tirotiro mō te pupuhi, te koha, te wai rānei i roto i te ate.
• Kohikohi Ate: Ko te tango i tētahi wahi kiko iti mai i te ate mā te whakamahi i tētahi ngira iti rawa. Mā tēnei ka taea te whakaū i te cirrhosis me te kimi i te pūtake o te mate.

He rongoā kei te wātea? He aha te mahi kei te mahia?

Ko te maimoatanga e whakawhirinaki ana ki te nui o te kino o te ate me te pūtake o te mate. E toru ngā whāinga matua:

1. Te whakahaere i ngā raruraru kua puta ake.

2. Te rongoā i te pūtake o te mate.

3. Te whakawhitinga ate, mēnā e tika ana.

Mēnā he āhuatanga ohorere, ka whakaratohia he manaaki tautoko i roto i te hōhipera. Kei roto i tēnei ko te werohanga tote IV, te kai, ngā paturopi mō ngā mate urutā, me ngā whakawhiti toto mēnā e tika ana.

He mea tino nui hoki te rongoā i te pūtake o te mate. Hei tauira, mō te paihana paracetamol, he rongoā motuhake kei reira. Mena nā te waipiro, me mutu rawa te inu waipiro. Mena he mate huaketo, me hoatu ngā rongoā e tika ana.

Ngā mea ka taea e tātou te mahi hei tiaki i te ate

He maha ngā mea ka taea e tātou te mahi hei ārai i te ngoikore o te ate, inā koa te mate mau tonu.

• Whakahaerehia tō inu waipiro: Ki te taea, kati rawa. Ki te kore, inuhia he iti noa iho.
• Kai i tētahi kai hauora: Whakaitihia ngā kai he nui te hinu, te huka, me te tote. Kai atu i ngā huawhenua, ngā hua rākau, me ngā rau kakariki.
• Kia mau ki te taumaha hauora: Mā te whakahaere i tō taumaha tinana ka āwhina i te aukati i te kohikohinga o te ngako ki te ate. Me whakakorikori tinana i ia wā .
• Kia tūpato te whakamahi i ngā rongoā: Kaua e tango i ngā rongoā kore e hiahiatia, pērā i ngā rongoā whakamamae mamae, me te kore he tohutohu a te taote. Tangohia ngā rongoā katoa i roto i te horopeta kua tohua.
• Werohia te mate hepatitis: He kano ārai mate hei ārai i te mate hepatitis A me te B.
• Kia tūpato: Kaua e whakamahia he heu, he ngira, me ērā atu mea kua whakamahia e ētahi atu. Ka taea e ēnei te hora i ngā mate toto (Hepatitis B, C).