Ka aha ina mutu te mahi a te ate? (Te ngoikore o te ate)

E mōhio ana tātou katoa he mea nui ētahi okana o roto i tō tātou tinana. Pērā anō hoki te ate. He rite te mahi a te ate ki tētahi wheketere nui i roto i tō tātou tinana. He rau ngā mahi nui e mahia ana e tēnei okana iti. Nō reira, whakaarohia te mea ka puta mēnā ka mutu ohorere, ka mutu haere rānei te mahi a tēnei ate. Koinei te mea e kiia nei e tātou ko te 'Raruraru o te Ate' . Ki te kī noa, kāore e taea e te ate te mahi tika hei whakatutuki i ngā hiahia o tō tinana. He mate tino kino tēnei. Nō reira, kia mōhio tātou i tēnei rā.

He aha te ngoikore o te ate?

Kāore te ngoikore o te ate e puta i te pō kotahi. He tukanga. I ētahi wā ka tere rawa te puta, i roto i ētahi rā, wiki rānei. Ka taea hoki te puta āta haere, i roto i ngā marama, i ngā tau rānei. I te ngaromanga haere o te kaha o tō ate ki te mahi, ka tīmata koe ki te kite i ngā tohu.

Te ngoikore o te ate

Koinei te mea e kiia nei e mātou ko te 'Acute Liver Breakdown' . Ka puta tēnei ina pāngia te ate e te nui rawa o te kino me te ahotea kāore e taea te whakahaere. Kia tika, he rite ki te 'paitini'. I ētahi wā, ka pā mai anō hoki nā te mate huaketo kino. I tēnei wā, ka tīmata te ate ki te mutu te mahi, ā, ka tere te puta mai o ngā tohu. He āhuatanga ohorere tēnei e hiahia ana kia arohia tonutia e te rata.

Te ngoikore o te ate mau tonu

Koinei te momo tino noa. Ko te ngoikore o te ate mau tonu he āhuatanga e puta ana ina roa te pakaru o te ate, ā, kua tae te kino ki te wāhi kāore e taea te whakakore. I te nuinga o te wā ka puta tēnei i muri i te pakaru nui o te ate, he āhuatanga e kiia nei ko te cirrhosis . Ka ārai tēnei kiko whara i te ate ki te mahi tika i tana mahi.

He aha ngā wāhanga o te ngoikore o te ate? (Ina koa i te wāhanga 'Mau tonu')

He maha ngā tākuta e kī ana ko te ngoikore o te ate te wāhanga whakamutunga o te mate ate. Ka haere tonu te mate ate i roto i ētahi wāhanga. Heoi, he mea nui kia mahara he uaua ki te wehewehe mārama i waenga i ēnei wāhanga. Hei tauira, ko te tangata he kiriuhi ate ('Fibrosis') tera pea he mate hepatitis .

He aha ngā tohu o te ngoikore o te ate?

Ka rerekē pea ngā tohu e pā ana ki a koe i runga i te tere o te ngoikore o tō ate me ngā raruraru kua pā mai.

Ngā tohu tōmua:

Koinei pea ngā tohu tōmua o te ngoikore o te ate mau tonu, te ngoikore rānei o te ate:

• Te mamae o te puku (ina koa i te taha matau o runga)
• Te ngenge me te koretake o te hauora
• Whakapairuaki , ruaki , me te ngaronga o te hiahia kai

Ngā āhuatanga motuhake ki te ate:

I muri i tēnei, ka puta ake pea ngā tohu motuhake ake o te mate ate. Ina pakaru te ate, ā, kāore e taea te mahi, ka nui haere te au me ētahi atu paitini i roto i te toto, ā, koinei ngā tohu:

• Te kōwhai o ngā kanohi me te kiri ( te mā o ngā kanohi me te kiri)
• Ngā pānga ki te roro (`Hepatic Encephalopathy`) (ngā panonitanga o te āhua hinengaro - te kore e taea te arotahi, te wareware, ngā panonitanga o te whanonga)
• Pruritus ( te mākūkū o te kiri, engari kāore he ponana mārama)
• He mimi pouri me/ranei he tūtae mārama

Ko ētahi atu tohu ka kitea pea i roto i te mate ate mau tonu ('Te ngoikore o te ate mau tonu'):

Ka taea ēnei te whakaatu mā te āhua ngawari ake:

• Te totohu ngāwari : Te ngawari o te marutanga me te toto.
• Ngā oko toto e rite ana ki te tukutuku pungawerewere, ki ngā ira iti rānei i runga i te kiri
• He iti, he kōwhai ngā puku momona i runga i te kiri, i ngā kamo rānei
• Ngā raruraru nakunaku, inā koa ki ngā kai momona
• Te whakahekenga taumaha me te ngoikore o te uaua
• Te manawa haunga haunga

Ētahi atu tohu kino:

Koinei ngā tohu e tohu ana i ngā āhuatanga kino ake:

• Ascites (pupuhi puku)
• Edema (te pupuhi o ngā pona, ngā waewae, ngā ringa, te mata rānei)
• Te ruaki toto, te ruaki rānei e rite ana ki te paura kawhe
• Ngā raruraru mahi uaua (te wiri, te wiri)
• Te whakahekenga o te mimi
• Te uaua ki te manawa

He rerekē ngā tohu i runga i te ira tangata?

Ae, ka pāngia pea ō homoni ira tangata e te ngoikore o te ate. Ko te tikanga o tēnei ka kore e taurite ngā homoni estrogen me te testosterone. Ka puta he tohu rerekē i roto i ngā tāne me ngā wāhine.

• Tērā pea ka koretake te huringa paheketanga o ngā wāhine, ka mutu rānei.
• Ka mimiti pea ngā rakuraku o ngā tāne, ka nui pea te kiko o te ū.

He aha ngā āhua o te tinana ina ngoikore te ate?

Ina ngoikore tō ate, ka nui haere ngā paitini i roto i ō toto. Ka tino whakararuraru tēnā. Ina kore e taea e tō ate te tātari i ngā paitini i roto i ō toto, ka tīmata koe ki te whakapairuaki, ki te ngenge, me te ngoikore. Ka pāngia hoki tō roro e ēnei paitini. Tērā pea ka raru koe ki te arotahi, ki te riri, ki te manukanuka, ki te hiamoe, ki te mahi uaua rānei.

He aha ngā pūtake o te ngoikore o te ate?

Ahakoa he rerekē ngā āhuatanga o te ngoikore o te ate, he rerekē hoki ngā āhuatanga o te ngoikore o te ate, engari he nui rawa te taumahatanga o te ate i puta mai i ēnei āhuatanga e rua. Ka taea e ētahi paitini me ngā mate te whakararu i te ate i te wā ohorere, i te roanga rānei o te wā, i runga i te kaha o te mate.

He aha ngā raruraru o te ngoikore o te ate?

Nā te mea he maha ngā mahi nui a tō ate, ina hē tana mahi, ka pāngia te tinana katoa. Hei tauira:

• Tinana mate, ngenge, pōhēhē, me te whanoke.
• Ngā pānga o ngā paitini ki te roro, te pūnaha io, me te mahi a ngā uaua.
• Ngā raruraru nakunaku, te kore e mimiti o ngā matūkai, me te kore kai pai.
• Ka iti ake te toto totoka, ka ngawari te maru me te toto.
• Te ngoikore o te ārai mate me te maha o ngā mate pāwera.

Kia maumahara, ko te toto toto tiketike i puta mai i te cirrhosisKo tēnei mate te tino take o te whakaurunga ki te hōhipera me te mate o te hunga e pāngia ana e te ngoikore o te ate. Ka puta ngā āhuatanga pēnei i te pupuhi o te puku me te ruaki toto.

Me pēhea te tautuhi i te ngoikore o te ate? (Tautuhinga)

Mena kei a koe ngā tohu o te ngoikore o te ate, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakaū. Kei roto i ēnei ko:

• Ngā Whakamātautau Toto: Ka inehia e ngā whakamātautau mahi ate ngā taumata o ngā hua ate rerekē i roto i ō toto kia kitea ai te pai o te mahi a tō ate. Ka taea hoki e ngā whakamātautau toto te āwhina i te tautuhi i te pūtake o te ngoikore o te ate me ētahi raruraru, pērā i te heke o te toto totoka, te anemia rānei.
• Ngā Whakamātautau Whakaahua: Ka taea e ngā whakamātautau pēnei i te matawai ultrasound me te MRI o te ate te whakaatu i ngā tohu o te mate ate, pēnei i te pupuhi, te whara, te wai rānei i roto i te puku (ascites). Ko te Elastography he whakamātautau whakaahua motuhake e whakamahi ana i te ultrasound, i te MRI rānei hei ine i te nui me te kaha o te whara (fibrosis) i roto i te ate.
• Kohikohi Ate: He pokanga iti tēnei. Ka tangohia he wahi kiko iti mai i te ate, ka whakamatautauria i roto i te taiwhanga. I te nuinga o te wā ka tangohia tēnei tauira kiko mā te whakamahi i tētahi ngira tuwhera. Ka taea e te kohikohi ate te āwhina ki te whakaū i te cirrhosis me te kimi i te pūtake o te mate ate.

He aha ngā maimoatanga mō te ngoikore o te ate?

Ngā mea hei whakaaroaro mā te rongoā i te ngoikore o te ate:

• Te whakahaere i ōna raruraru.
• Ki te taea, rongoāhia te pūtake o te mate.
• Ki te tika, me whakatō te ate .

Ko ētahi maimoatanga tautoko hei āwhina i te whakaū i tō āhua ko:

• Ngā wai werohanga uaua (ngā wai werohanga IV)
• Kai mā te werohanga uaua (`kai mā te werohanga IV`)
• Te aro turuki i ngā taumata huka toto me te whakarite i te huka mena e tika ana
• Ngā rongoā paturopi, ngā rongoā ārai huaketo rānei
• Ngā Whakawhitinga Plasma, Toto rānei
• Te rongoā hāora, te whakapūngao ā-mīhini rānei
• Ngā rongoā Vasopressor
• Ngā rongoā, ngā maimoatanga rānei e aukati ana i te toto o roto
• Te dialysis mēnā ka pā mai te ngoikore o te whatukuhu

Ko ngā maimoatanga mō te take o te ngoikore o te ate ka uru pea ki:

• Te Maimoatanga mō te Nui rawa o te Paitini: Kāore he rongoā tika mō te nuinga o ngā paitini e puta ai te ngoikore ohorere o te ate. Heoi, he rongoā kei reira mō te paitini acetaminophen . Ko te acetylcysteine ​​te ingoa.Ko ētahi atu maimoatanga mō te paihana whakapeka ko ngā rongoā whakamāmā, te whakamakuku i te puku, te horoi rānei i te puku, me te waro whakahohe.
• Ngā rongoā mō ngā mate pūmau: Mena he ngoikore tō ate nā tētahi mate pūmau, ka taea e ngā rongoā te āwhina i te whakaroa i te kino. Hei tauira, ka whakamahia ngā corticosteroids me ngā immunosuppressants mō ngā mate pūnaha ārai mate.

Ka aroturukihia tō āhua e tō tīma hauora, ā, ka rongoāhia ngā raruraru ina puta. Mēnā ka whakaaro rātou ka kino haere tō āhua me te kore he whakawhitinga ate, ka tūtohu rātou kia whakamahia e koe tētahi.

Me pēhea te ārai i te ngoikore o te ate?

He onge te ngoikore o te ate, engari ahakoa he mea pōuri kotahi ka arahi pea ki tēnei. Anei ētahi mahi haumaru māmā hei ārai i tēnei:

• Tiakina koe i ngā matū paitini: Mauria he karapu, he kopare kanohi rānei ina mahi ana me ngā matū paitini pēnei i ngā patu pepeke, ngā patu harore, ngā hua horoi, ngā peita, me ngā rehu aerosol.
• Tiakina koe i te toto: Kaua e whakamahi i ngā taonga whaiaro kua poke pea i te toto, pērā i ngā ngira a ētahi atu, ngā heu, me ngā paraihe niho. Kaua e pā ki ngā patunga o ētahi atu.
• Kia tūpato ki te haumaru kai: Kaua e kai i ngā harore mohoao kāore i te mōhiotia. Kaua e kai i ngā kai mata i a koe e haere ana ki tāwāhi. Horoia pai ō ringaringa i mua i te taka kai.
• Werohia te mate hepatitis: He kano ārai mate hepatitis A me te mate hepatitis B kei reira.
• Whakamahia ngā rongoā kia rite ki ngā tohutohu: Ahakoa he rongoā whakamamae ka hokona mai i te whare rongoā, kaua e nui atu i te nui kua tohua. Kaua e tango rongoā me te waipiro.
• Me toro atu ki te tākuta i te wā e hapu ana: He onge ngā raruraru ka arahi ki te ngoikore ohorere o te ate. Engari ki te pā mai ngā tohu rerekē ki a koe, kaua e mangere ki te rapu maimoatanga.

Ko te ārai i te ngoikore o te ate mau tonu e whakawhirinaki ana ki tō momo noho whānui. Ka roa te wā e whanake ai te mate ate mau tonu ki te āhua ngoikore. Ki te pāngia koe e te mate ate, mā te whakarerekē wawe i te momo noho ka taea te whakaroa, te aukati, me te huri pea i te tukanga.

• Me tirotiro hauora i ia wā: He tokomaha te hunga kāore e mōhio kei a rātou te mate ate tae noa ki te tīmatanga o te whakaatu i ngā tohu. Mā te tirotiro hauora ka taea te kite wawe i tēnei mate.
• Kia tiakina tō hauora pākia o te tinana: Ko ngā āhuatanga pēnei i te huka toto tiketike, te cholesterol tiketike, me te taupū taumaha tinana (BMI) teitei ka whakararu i te ate. Ka taea e te kai hauora me te whakakori tinana te āwhina.
• Kaua e nui rawa te whakamahi i ngā rongoā ka hokona e koe i te whare rongoā:Ka kino te ate mēnā ka nui rawa te tango i ngā rongoā whakamamae mamae pēnei i te NSAID, te Acetaminophen rānei. Rapua he tohutohu hauora mō te mamae tonu.
• Whakaitihia, kati rānei te whakamahi i te waipiro me te tupeka: He paitini te waipiro me te tupeka ki te ate. Mena he mate ate tōu, he pai ake te karo i te whakamahi.

Ka taea te ora mai i te ngoikore o te ate?

Ka taea te whakakore i te ngoikore o te ate whakapeka, engari he uaua ki te kī pono. Kāore e taea te whakakore i te ngoikore o te ate mau tonu, engari nā te mea he tukanga āta haere, ka taea te whakaroa i ētahi wā. I te nuinga o te wā, ki te mea he maimoatanga motuhake mō tō mate, ā, ka tīmata wawe koe i te maimoatanga, ka nui ake ō tupono ki te ora.

Kia pēhea te roa e ora ai te tangata he ngoikore tōna ate?

Ka mate pea te ate whakapeka i roto i ngā rā, wiki, marama rānei. Ka roa pea te ate whakapeka mō ngā marama ki ngā tau. Ko te roa o tēnei tukanga e whakawhirinaki ana ki ngā āhuatanga maha:

• Ko te pūtake o te mate ko te kaha o tana pānga ki te ate.
• Ahakoa ka taea te whakaroa, te whakakore rānei mā te maimoatanga.
• Te whānuitanga o te kino kua mahia kētia.
• Tō hauora whānui me ngā rauemi mō te whakaora.

Mena he ngoikore tōku ate, me pēhea taku tiaki i ahau anō?

He āhuatanga ohorere te ngoikore o te ate whakapeka. Ki te whakaaro koe kei te pāngia koe e tēnei mate, me haere tonu koe ki te hōhipera. Ehara te ngoikore o te ate mau tonu i te āhuatanga ohorere, engari he rite tonu te kino. Ki te mea kua tāpaetia koe he ngoikore o te ate mau tonu, ka taea e koe te āwhina i tō ate mā te pupuri i tētahi kai hauora me te noho ora.

• Whakaitihia te whakamahinga o ngā raau taero: Āta karohia te waipiro me te tupeka, tangohia ngā rongoā kia rite ki te whakahaunga, ā, ngana ki te karo i ngā rongoā whakamamae mamae e hokona kore utu ana. Pātai atu ki tō tākuta mō ngā otaota me ngā tāpiringa e tangohia ana e koe.
• Kai i tētahi kai hauora, taurite: Ka taea e te nui rawa o te huka me te ngako i roto i te toto te whakararu i te ate. Mena he iti ō kai hei pānga taha o te ngoikore o te ate, he mea pai kia kōrero koe ki tētahi tohunga kai, ina koa hei whakawhanake i tētahi mahere mō te wā roa.
• Tiakina tō pūnaha ārai mate: Ka ngoikore tō pūnaha ārai mate i te ngoikore o te ate, ā, ka taea e ngā mate huaketo me ngā mate kitakita te whakanui ake i te taumahatanga ki te ate. Kia mahara ki te tiaki i a koe i te wā rewharewha. Pātai atu ki tō tākuta mō ngā werohanga kua tūtohutia.