Ka titiro koe i roto i te whakaata i ētahi wā, ka whakaaro, "Āe, he ahua nui, he porotaka taku mata"? Kua kōrerotia rānei tēnei e tētahi hoa, e tētahi hoa rānei ki a koe? He kupu hauora tēnei mō te porotaka haere o te mata. Ko 'Moon Facies' te ingoa. Ahakoa he rerekē te ahua o te ingoa, i te nuinga o te wā kāore he mea hei manukanuka. Engari he mea tino nui kia mōhio tika ki te take o tēnei. Nō reira, me kōrero tātou mō tēnei i tēnei rā, kia māmā noa, kia mārama hoki.

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He aha ēnei Mata Marama? He aha rawa te mea e tupu ana?

Ki te kī māmā noa, ko te Moon Facies te wā e pupū ake ai ngā ngako ki ngā taha e rua o tō mata, ka āhua porotaka, kī tonu, ā, he pupuhi paku tō mata. He rite ki te marama kī tonu. Koia te take i tapaina ai ko 'Moon Face'. I ētahi wā, he kī tonu ngā taha o tō mata, ā, kāore e taea e koe te kite i ō taringa ina titiro tika koe ki mua. He tokomaha te hunga e whakaaro ana he wāhanga noa tēnei o te taumaha, o te koroheketanga rānei. Inaa, ka kitea tēnei āhuatanga me te momona. Engari ehara i te mea koinei tonu te āhua. Ko te take matua mō tēnei ko te huringa o tētahi o ā tātou homoni.

Ehara a Moon Facies i te mate, engari he tohu. Arā, he tohu e whakaatu ana i tētahi huringa kei te puta i roto i te tinana.

Ko te take matua mō tēnei: Ko te homoni 'Cortisol'.

Kei roto i ō tātou tinana katoa tētahi homoni motuhake e kiia nei ko te cortisol . Ka whakaputaina tēnei e ngā repe tapatoru iti e rua (ngā repe adrenal) kei runga ake i ō tātou whatukuhu. He mea tino nui tēnei homoni cortisol. He maha ngā mea e āwhina ana tēnei homoni ki te aro atu ki te ahotea, ki te whakahaere i ngā taumata huka toto, me te whawhai ki ngā mate. Heoi, ki te noho teitei tonu tēnei taumata cortisol i roto i te tinana mō te wā roa, ka puta tēnei Moon Facies hei pānga taha. Ko tēnei āhuatanga e piki tonu ana ngā taumata cortisol ka kiia ko te 'Cushing's syndrome' . Nō reira, i ētahi wā ka kitea hoki a Moon Facies hei tohu matua o te Cushing's syndrome.

He aha ngā take o ngā āhua o te marama?

He maha ngā āhuatanga matua e whai wāhi ana ki te pikinga o ngā taumata cortisol me te hanganga o ngā Moon Facies. Me titiro tātou ki ēnei i roto i te huarahi māmā ki te mārama.

Take	Whakamārama Māmā
Ngā Rongoā Steroid	Koinei te tino take. Ka puta pea ngā mate pēnei i te rumatiki rheumatoid me te mate huango mā te tango i ngā rongoā steroid pēnei i te prednisone mō te wā roa.
Ngā Take o te Repe Pituitary	He nui rawa te homoni e whakaputaina ana e te repe pituitary i roto i te roro, arā, ko te ACTH. Ko tēnei homoni ACTH te mea e kī ana ki ngā repe adrenal kia 'hanga cortisol'.
Ngā Puku o te Repe Adrenal	Ko te whanaketanga o ngā pukupuku matepukupuku, kāore rānei he pukupuku i roto i ngā repe adrenal, kei runga ake i ngā whatukuhu. Ka taea e ēnei pukupuku te whakaputa tika i te cortisol.
Ngā pukupuku i ētahi atu wāhi	He tino onge, ka taea hoki e ētahi momo pukupuku e puta ana i roto i ngā whekau pēnei i te pukahukahu me te repeure te whakaputa ACTH.

Te hononga i waenga i te rongoā steroid me Moon Facies

He mea tēnei e pā ana ki te tini tāngata, ā, he mea tino nui. He kaiwhakamahi roa koe i ngā rongoā steroid, pērā i te prednisone, mō te mate rumatiki, te mate huango, ngā mate kiri, ētahi atu mate pūnaha ārai mate rānei? Ko reira ka nui ake te tūponotanga ka pāngia koe e te Moon Facies. Inaa, ko tētahi o ngā pānga taha tino noa o ēnei rongoā steroid ko te porowhita o te mata me te pikinga o te taumaha. Ko te putanga mai o ēnei tohu ka whakawhirinaki ki te horopeta ka tangohia e koe me te roa o te wā ka tangohia e koe.

Tino nui!

Kaua rawa e mutu te tango i ngā steroids, kaua hoki e whakaiti i te horopeta nā te mea kua porotaka ake tō mata, kua taumaha rānei koe. Ki te mutu ohorere koe i te tango i ēnei rongoā, tērā pea kāore e taea e tō tinana te whakahaere i aua rongoā, ā, ka puta pea he raruraru hauora nui. Nō reira, ki te kite koe i ētahi huringa pēnei, he mea nui kia kōrero koe ki tō tākuta mō tēnei mea, kia whai hoki i āna tohutohu.

Me pēhea taku mōhio ki tōku tūnga?

Ki te mea he ruarua āu mō tēnei panonitanga o tō kanohi, ko te mea pai ko te toro atu ki tētahi tākuta. Māna koe e pātai atu mō ō tohumate.

He aha ngā rongoā e tangohia ana e koe?
Kia pēhea te roa o tēnei huringa?
He rerekētanga anō kei tua atu i te porotaka haere o te mata?

I roto i te mate Cushing, ka kitea pea ētahi atu tohu me te Moon Facies. Hei tauira, ko ngā putunga ngako i ngā wāhi pēnei i te tuara o te kaki ("buffalo pump"), te puku, me ngā peka angiangi. Ka tirohia e te tākuta ētahi atu tohu pēnei. Mena e tika ana, ka tono pea te tākuta i ngā whakamātautau toto me ngā whakamātautau mimi hei tirotiro i ō taumata cortisol. Waihoki, ki te whakapaehia he mea pēnei i te pukupuku te take, ka tono pea i tētahi matawai MRI, CT rānei .

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga mō tēnei ka whakawhirinaki katoa ki te take o tō Moon Facies.

Mena he rongoā steroid te take: Ka ngana tō tākuta ki te hoatu i te horopeta iti rawa te whai hua. I ētahi wā, ka ngana pea rātou ki te whakaiti i ēnei tohu mā te kī atu kia tangohia e koe te rongoā i ia rā, i ia rā. Tērā pea ka tūtohu rātou i tētahi atu maimoatanga.
Mena he pukupuku te take: Mena he pukupuku kei roto i te roro, i te repe adrenal, i tētahi atu wāhi rānei te take, mā te pokanga hei tango i te pukupuku ka taea te whakaora i te mate.
Ko ētahi atu take ko: I ētahi wā, ka whakaarohia pea te whakamahi i ngā rongoā me te rongoā irahiko .

Ko te mea nui ko te rapu maimoatanga e ai ki ngā tohutohu a te tākuta, ahakoa te take.

Karere Tangohia ki te Kāinga

Ko te Moon Facies he kanohi porotaka e puta mai ana i ngā putunga ngako . Ahakoa ehara i te mea kino rawa tēnei, he mea nui kia mōhio ki te pūtake.
Ko te tino take o tēnei ko te pikinga roa o te homoni cortisol i roto i te tinana. Ka kiia tēnei mate ko te mate a Cushing.
Ko te whakamahinga roa o ngā rongoā steroids tētahi o ngā tino take o te moon facies.
Ki te kite koe i tētahi o ēnei panonitanga ki tō kanohi, kōrero ki tō tākuta mō tēnei mea. Kaua rawa e mutu te tango rongoā, kaua hoki e whakarerekē i te horopeta.
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te Moon Facies, nō reira he mea nui te tautuhi tika.