He aha te mea ka tupu ina mutu te mahi a te ate? (Te ngoikore o te ate) | Nirogi Lanka

E mōhio ana tātou katoa he tino nui ngā okana o roto i ō tātou tinana hei oranga mō tātou. Ko tō ate tētahi o aua okana. Ka taea e koe te whakaaro he wheketere nui, he tino mahi i roto i tō tinana, e mahi ana i ngā rau o ngā mahi nui i ia rā, i ia rā. Nō reira, whakaarohia te mea ka tupu mēnā ka mutu ohorere tēnei wheketere—ka mutu mārire rānei—te mahi. Koinei te mea e kiia nei e tātou ko te ngoikore o te ate . I roto i ngā kupu ngāwari, ko te tikanga kāore e taea e tō ate te mahi i ngā mahi e tika ana hei pupuri i te rere tika o tō tinana. He mate hauora tino kino tēnei, nō reira me titiro tata atu tātou ki ngā āhuatanga e pā ana ki tēnei.

He aha te ngoikore o te ate?

Kāore te ngoikore o te ate e puta i te pō kotahi; he tukanga haere tonu. I ētahi wā, ka tere te puta, i roto i ngā rā, i ngā wiki rānei. I ētahi atu wā, ka āta haere te whanaketanga i roto i ngā marama, i ngā tau rānei. I te heke haere o te mahi a tō ate, ka tīmata koe ki te kite i ngā tohu e pā ana.

Te ngoikore o te ate

Koinei te mea e kiia nei e tātou ko te ngoikore o te ate . Ka puta tēnei ina pāngia te ate e te kino ohorere, te ahotea nui rānei, pērā i te paihana nui, te mate huaketo ohorere rānei. Nā te mea ka ngaro te kaha o te ate ki te mahi tata tonu, ka puta wawe ngā tohu. He āhuatanga ohorere hauora nui tēnei e hiahia ana kia tere te tiaki ngaio i te hōhipera tata, i te tari ohorere rānei (waea atu ki te 911).

Te ngoikore o te ate mau tonu

Koinei te momo e tino kitea ana. Ka puta te ngoikore o te ate mau tonu ina pakaru te ate mō te wā roa, ā, ka tae ki te wāhi e kore e taea te whakaora anō. Ko te tikanga ka whai muri mai tēnei i te whara nui o te ate, he mate e mōhiotia ana ko te cirrhosis . Ka ārai ēnei kiko whara i te ate ki te mahi tika i ana mahi nui.

He aha ngā wāhanga o te ngoikore o te ate? (Ina koa i ngā mate pūmau)

E whakaaro ana te nuinga o ngā tohunga hauora ko te ngoikore o te ate mau tonu te wāhanga whakamutunga o te mate ate mō te wā roa. He maha ngā wāhanga ka whanake te mate ate, engari kia maumahara ka taea e ēnei wāhanga te taupatupatu. Hei tauira, ko te tangata he kiriuhi ate ( fibrosis ) ka pāngia pea e te mumura kaha (hepatitis) i te wā kotahi.

He aha ngā tohu o te ngoikore o te ate?

Ka rerekē ngā tohu i runga i te kaha o te korenga o te mahi me ngā raruraru motuhake kua puta.

Ngā tohu tōmua:

Ka puta pea ēnei i roto i te ngoikore o te ate mau tonu me te ngoikore o te ate whakapeka:

• Te mamae o te puku (ina koa i te taha matau o runga)
• Te ngenge nui me te āhua kino whānui (mate pāwera)
• Whakapairuaki , ruaki , me te ngaronga o te hiahia kai

Ngā tohu e pā ana ki te mate ate:

I te raru o te ate, ka tīmata te kohikohi o te au me ngā paitini i roto i te toto, ka puta mai ngā tohu motuhake:

• Te kōwhai o te kiri me te mā o ngā kanohi ( jaundice )
• Te mate ate (ngā huringa hinengaro pēnei i te pōhēhē, te wareware, te nekehanga whanonga rānei)
• Te mākūkū o te kiri (Pruritus) (kāore he ponana e kitea ana)
• He mimi pouri me/ranei he tūtae mā

Ētahi atu tohu o te ngoikore o te ate mau tonu:

Ka taea e ēnei tohu te whanake mārire ake:

• Coagulopathy: He ngawari te marō me te toto.
• He iti ngā uaua toto, rite ki te pungawerewere, e kitea ana i runga i te kiri.
• He iti, he kōwhai ngā putunga ngako i runga i te kiri, i ngā kamo rānei.
• Ngā raruraru nakunaku, inā koa ki ngā kai ngako.
• Te whakahekenga taumaha me te ngokingoki uaua kāore i te whakamāramatia.
• Te manawa haunga haunga.

Ngā tohu kino:

Ko ngā tohu e whai ake nei o ngā raruraru hauora nui:

• Ascites (te nui haere o te wai e pupuhi ai te puku)
• Edema (te pupuri wai e pupuhi ana i ō pona waewae, ringa, kanohi rānei)
• Te ruaki toto, te mea rānei e rite ana ki te paura kawhe
• Ngā raruraru whakahaere uaua (pēnei i te wiri, te nekeneke rānei)
• Te hekenga o te putanga mimi
• Te uaua ki te manawa

He rerekē ngā tohu i runga i te ira tangata?

Ae, ka pā te ngoikore o te ate ki ō homoni ira tangata. Nā te mea ka tukatukahia e tō ate ngā homoni pēnei i te estrogen me te testosterone, ka taea e tōna ngoikore te arahi ki ngā kore taurite, ka puta ai ngā tohu rerekē mō ngā tāne me ngā wāhine.

• I roto i ngā wāhine, ka kore e taurite te huringa paheketanga, ka mutu rānei.
• Mō ngā tāne, ka pāngia pea koe e te mimiti o ngā ū me te whakanui i te kiko o te ū.

He aha te āhua o te ngoikore o te ate?

Ina ngoikore tō ate, ka nui haere ngā paitini i roto i ō toto, ka tino pāngia koe e te mate. Nā te mea kāore e taea e tō ate te tātari i ēnei paitini, ka pāngia pea koe e te whakapairuaki, te ngenge nui, me te ngoikore. Hei tāpiri, ka pāngia tō roro e ēnei paitini (hepatic encephalopathy), ka puta ai te pōhēhē, te riri, te manukanuka, te hiamoe nui, te raruraru rānei ki te whakahaere uaua.

He aha te take o te ngoikore o te ate?

Ahakoa he rerekē te ahunga whakamua o te ngoikore o te ate whakapeka me te ngoikore o te ate mau tonu, ka puta mai i te taumahatanga nui rawa atu ki te ate. I runga i te kaha o te mate, ka taea e ētahi paitini, e ētahi mate rānei te kino i te wā ohorere, i te wā roa rānei.

He aha ngā raruraru o te ngoikore o te ate?

Nā te mea he maha ngā mahi nui a tō ate, ka pāngia tō tinana katoa e tōna ngoikore. Hei tauira:

• Te ngoikore whānui, te ngenge, te kohu hinengaro, me te heke o te mataara hinengaro.
• Ngā paitini e pā ana ki tō roro, ki tō pūnaha io, me te mahi a ngā uaua.
• Ngā raruraru nakunaku, te mimiti koretake o ngā matūkai (karekau e pai te mimiti), me te kore kai pai.
• Ka heke te kaha ki te toto totoka, ka ngawari te pakaru me te toto.
• He ngoikore te pūnaha ārai mate, e piki ake ai te pāngia e ngā mate pāwera.

He mea nui kia maumahara ko te toto toto tiketike (te toto toto tiketike i roto i te uaua portal o te ate) i puta mai i te cirrhosis tetahi o ngā tino take o te whakaurunga ki te hōhipera me te mate o ngā tūroro e pāngia ana e te ngoikore o te ate. Koinei te tino take o ngā raruraru pēnei i te ascites me te toto o roto.

Me pēhea te tātaritanga o te ngoikore o te ate?

Mena ka kitea ngā tohu o te ngoikore o te ate, ka whakahaerehia e tō tākuta ngā whakamātautau hei whakaū i te mate, tae atu ki:

• Ngā Whakamātautau Toto:Ka inehia e ngā Whakamātautau Mahi Ate (LFT) ngā momo pūmua me ngā whākōkī hei aromatawai i te hauora o tō ate. Ka āwhina hoki ngā whakamātautau toto ki te tautuhi i te pūtake o te ngoikore me te kite i ngā raruraru pēnei i te anemia, i ngā mate toto toto rānei.
• Ngā Whakamātautau Whakaahua: Ka taea e ngā matawai ultrasound, MRI rānei te kite i te pupuhi, te whara, te kohi wai rānei (ascites) i roto i te puku. Ko te elastography he tikanga whakaahua motuhake e whakamahia ana i te wā o te ultrasound, MRI rānei hei ine i te pakari, te nui rānei o te whara (fibrosis) i roto i tō ate.
• Kohikohi Ate: Ka tangohia he tauira kiko iti, he maha ngā wā ka whakamahia he ngira tuwhera, hei tātari taiwhanga. He mea nui te kohikohi hei whakaū i te mate ate cirrhosis me te whakatau i te pūtake o te kino o te ate.

Me pēhea te rongoā mō te ngoikore o te ate?

Ko ngā rautaki maimoatanga e whai ake nei te kaupapa matua a ngā tākuta o Nirogi Lanka:

• Te whakahaere i ngā raruraru.
• Te rongoā i te take matua i ngā wā katoa e taea ai.
• Te aromatawai i te hiahia mō te whakawhitinga ate .

Ko ngā mahi tautoko hei whakaū i tō āhua ka uru atu ki:

• Ngā wai werohanga uaua (IV)
• Kai whāngai
• Te aro turuki me te whakahaere i ngā taumata huka toto
• Ngā rongoā paturopi, ngā rongoā ārai huaketo rānei
• Ngā whakawhiti toto, ngā whakawhiti toto rānei
• Te rongoā hāora, te whakapūngao ā-mīhini rānei
• Ngā rongoā Vasopressor hei tautoko i te toto toto tiketike
• Ngā rongoā, ngā wawaotanga rānei hei whakahaere i te toto o roto
• Te dialysis mēnā kei te ngoikore hoki ō whatukuhu

Ko ngā maimoatanga mō ngā take matua motuhake ko:

• Te rongoā mō te nui rawa o te horopeta: Ahakoa he maha ngā paitini kāore he rongoā motuhake mōna, ka taea te rongoā i te paitini o te Acetaminophen ki te Acetylcysteine . Ko ētahi atu wawaotanga ohorere mō te paitini ko te horoi puku (te pupuhi puku) te waro whakahohe rānei.
• Ngā rongoā mō ngā mate pūmau: Mena nā te mate pūmau tō ngoikore, ka taea e ngā rongoā te āwhina i te whakaroa i te kino. Hei tauira, ka whakamahia ngā corticosteroids me ngā immunosuppressants hei whakahaere i ngā raruraru ate e pā ana ki te pūnaha ārai mate.

Ka aro turukihia tō ahunga whakamua e tō tīma hauora. Mēnā ka kitea e rātou kāore tō āhua e ora ake, ā, kei te heke haere tō hauora, ka whakanoho pea rātou i a koe ki te rārangi matua mō te whakawhitinga ate.

Me pēhea te ārai i te ngoikore o te ate?

He mate onge engari he mate kino te ngoikore o te ate. Ahakoa he aituā kotahi ka pā mai pea. Ka taea e koe te tiaki i a koe anō mā te whai i ēnei mahi ārai māmā:

• Tiakina koe i ngā paitini: I te wā e pā ana ki ngā matū morearea pēnei i ngā patupatu pepeke, ngā patu harore, ngā kaihoko horoi, ngā peita, ngā rehu aerosol rānei, me whakamahi tonu i ngā karapu tiaki me ngā kopare kanohi.
• Āraia te pā ki te toto: Kaua rawa e tohaina ngā taonga whaiaro ka mau te toto, pērā i ngā ngira, ngā heu, ngā paraihe niho rānei. Āraia te pā tika ki ngā patunga tuwhera o ētahi atu.
• Whakatairangahia te haumaru kai: Kaua e kai i ngā harore mohoao mēnā kāore koe i te mōhio ki te tautuhi i a rātou. Kia tūpato ki ngā kai mata i a koe e haere ana ki tāwāhi. Horoia pai ō ringaringa i mua i te whakarite kai.
• Werohia te mate Hepatitis: Kei te wātea ngā kano ārai mate mō te Hepatitis A me te Hepatitis B. Kōrerohia ēnei ki tō kaiwhakarato hauora.
• Whakamahia ngā rongoā kia rite ki te whakahaunga: Kaua rawa e neke atu i te horopeta kua tohua, ahakoa mō ngā rongoā whakamamae mamae ka hokona kore utu. Kaua e whakaranu i te waipiro me ngā rongoā.
• Me noho tata ki tō tākuta i te wā e hapu ana: Ahakoa he onge ngā raruraru e arahi ana ki te ngoikore o te ate, kaua e mangere ki te rapu tohutohu hauora mēnā ka pāngia koe e ētahi tohu rerekē.

Ko te ārai i te ngoikore o te ate mau tonu e whakawhirinaki ana ki ō whiringa momo noho. Ka roa te whanaketanga o te mate ate mau tonu. Mena ka kitea he mate ate tōu, ka taea e ngā huringa momo noho wawe te whakaroa, te aukati, te huri rānei i te tukanga i ētahi wā.

• Whakaritea ngā tirotiro hauora auau: He tokomaha te hunga kāore e mōhio kei te mate ate rātou tae noa ki te puta mai o ngā tohu. Mā ngā tirotiro hauora auau ka āwhina i te kite wawe i ngā raruraru.
• Whakahaerehia tō hauora pākia o te tinana: Ko te huka toto tiketike, te cholesterol teitei, me te Taupū Papatipu Tinana (BMI) teitei ka pēhi nui i te ate. Ko te kai hauora me te whakakori tinana auau ō parepare pai rawa atu.
• Kia tūpato ki ngā rongoā ka hokona kore utu: Mā te whakamahi nui i ngā rongoā mamae pēnei i te NSAID, te acetaminophen rānei ka kino te ate. Mēnā kei te pāngia koe e te mamae mau tonu, whakapā atu ki tō tākuta.
• Whakaitihia, whakakorea rānei te waipiro me te tupeka: He paitini ngā mea e rua ki te ate. Mena he mate ate tōu, ko te kore kai te mea pai rawa atu.

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

Ka taea te ora mai i te ngoikore o te ate, ahakoa he rerekē ngā putanga i runga i ngā āhuatanga takitahi. Kāore e taea te whakakore katoa i te ngoikore o te ate, engari nā te mea ka puhoi te haere, ka taea e te wawaotanga hauora te whakaroa i tōna whanaketanga. I te nuinga o te wā, ki te mea he maimoatanga motuhake kei a koe mō tō āhua, ā, ka rapu wawe koe i te tiaki, he nui ake te tūponotanga o te whakapai ake.

Kia pēhea te roa e ora ai te tangata me te ngoikore o te ate?

Ka taea e te ngoikore o te ate whakapeka te whakamomori i roto i ngā rā, wiki, marama rānei. Ka roa pea te ngoikore o te ate mō ngā marama ki ngā tau. Ka whakawhirinaki te whanaketanga ki ētahi āhuatanga:

• Te kaha o te tino take o te kino o te ate.
• Te whai huatanga o ngā maimoatanga ki te whakaroa, ki te whakakore rānei i te kino.
• Te whānuitanga o te kino o te ate.
• Tō āhua hauora whānui me te urunga atu ki ngā rauemi hauora.

Me aha ahau mēnā he ngoikore tōku ate?

He āhuatanga ohorere hauora te ngoikore o te ate whakapeka. Ki te whakaaro koe kei te pāngia koe e tēnei mate, rapua tonutia he āwhina i te rūma ohorere tata. Ahakoa ehara te ngoikore o te ate mau tonu i te āhuatanga ohorere tonu, he āhuatanga kino mō te wā roa. Mena kua tautuhia tō mate, ka taea e koe te tautoko i tō ate mā te kai hauora me te noho ora.

• Whakaitihia te whakamahinga o ngā matū: Āta karohia te waipiro me te tupeka, me tango noa i ngā rongoā kua tohua, ā, me kōrero ki tō tākuta i mua i te whakamahi i ngā otaota me ngā tāpiringa.
• Kia taurite te kai: Ka taumaha te ate i te nui o te huka toto me te nui o te ngako. Mena kei te pāngia koe e te korenga o ngā kai nā te ngoikore o te ate, me toro atu ki tētahi tohunga kai hei waihanga i tētahi mahere roa e tika ana mōu.
• Tiakina tō ārai mate: Ka ngoikore tō pūnaha ārai mate i te ngoikore o te ate, ka ngāwari ake ai koe ki te pangia e ngā mate huaketo me ngā mate kitakita. Tiakina koe i ngā wā rewharewha, ā, kōrero ki tō tākuta mō ngā werohanga kua tūtohutia.