Ngā mea me mōhio koe mō te mate ate momona! 🧠

I te Wenerei whakamutunga, i haere mai a Suneth (45 tau te pakeke) ki taku whare hauora me te pōhēhē. He kaiwhakahaere peeke a Suneth, kāore e inu waipiro, ā, e mahi tika ana i tana mahi. Heoi, i tana tirotiro hauora ā-tau, he tino teitei ana whākōkī ate (AST/ALT), ā, i whakaatuhia e te matawai ultrasound puku he nui te ngako o te ate.

"E Tākuta Priya, kāore anō ahau kia inu i tētahi pata waipiro i roto i tōku ao. Me pēhea e kī ai taku ate i te ngako, ā, he mate ate anō hoki tōna? Kāore e taea e au te whakaaro i tēnei," te pātai a Suneth me te reo mataku.

I whakamārama mārire atu ahau ki a Suneth. "E Suneth, ehara i te mea ko koe anake, engari he tokomaha o Sri Lanka e whakaaro ana ka puta te mate ate mēnā ka inu waipiro koe. Engari ahakoa te hunga kāore e inu waipiro ka taea te whakawhanake i te ngako i roto i ō rātou ate. I roto i te rongoā, ka kiia tēnei ko te Mate Ate Ngako Kore-Waipiro (NAFLD) . Ko te wāhanga tino kino me te mumura o tēnei ko te Kore-Waipiro Steatohepatitis (NASH) . I tēnei rā, me kōrero tātou mō tēnei i roto i ngā kupu māmā noa iho."

🚨 Ngā tohu whero e hiahia ana kia rapu awhina hauora tonu

Ahakoa kāore pea te NASH e puta he tohu i ngā wāhanga tōmua, ka puta pea ēnei tohu ina ka whanake haere ki te ngoikore nui o te ate. Mēnā he pēnei, me tere te kawe ki te hōhipera:

• Te kōwhai o te kiri me te mā o ngā kanohi (te jaundice).
• Ko te ascites he āhuatanga e pupuhi ai, e pupuhi ai te puku nā te nui o te wai e kohia ana i te puku o raro me te hope.
• Te ruaki toto whero, te puta rānei o ngā tūtae mangu, pōuriuri (he tohu toto o roto).
• Te ahua hiamoe nui tonu, te kore e taea te mārama ki te kōrero, te pōhēhē nui rānei (Hepatic Encephalopathy).
• Ngāwari te puta o te maru, te toto rānei i runga i te kiri.

He aha te rerekētanga i waenga i te NAFLD me te NASH?

Ka taea te wehewehe i te mate ate momona i roto i te hunga kore-waipiro ki ngā wāhanga matua e rua:

1. Ate Ngako Māmā (NAFLD): I tēnei āhua, ahakoa kua whakatakotoria te ngako ki roto i te ate, kāore he kino, he mumura rānei ki ngā pūtau ate. Kāore tēnei e puta he raruraru nui.
2. Te mate kore-waipiro (NASH): He mate tino kino tēnei. I roto i tēnei mate, ka mumura, ka whakangaromia hoki ngā pūtau ate nā te nui o te ngako i roto i te ate. Ka puta he tukanga e kiia nei ko te fibrosis, ka puta he kiriuhi i roto i te ate. Ki te kore e rongoatia, ka arahi pea tēnei ki te cirrhosis, he mate ka whakapakeketia rawatia te ate, ā, ka mutu te mahi.

Ngā take matua me ngā āhuatanga mōrearea mō te NASH

Ko ngā raruraru pākia o te tinana ka hua ake te kohikohinga ngako koretake i roto i te ate. Ko ngā āhuatanga matua e pā ana ki tēnei ko:

• Momona Waenganui: He nui rawa te kohi ngako huri noa i te puku.
• Mate huka momo 2: Te kore e taea te whakahaere tika i ngā taumata huka toto.
• Te Ātete ki te Insulin: Ko te kore e taea e ngā pūtau te whakamahi tika i te homoni insulin.
• Te ngako toto tiketike: Te pikinga o te cholesterol me te triglycerides.
• Ngā tikanga kai kino: Te kai pinepine i ngā inu kua whakarekahia, ngā kai tere, me ngā kai he nui te māngaro.

Me pēhea te tautuhi i te mate

Ka whakahaerehia e ngā tākuta ngā whakamātautau e whai ake nei hei tirotiro i te aroaro o te NASH:

• Ngā whakamātautau toto (Ngā Whakamātautau Mahi Ate - LFT): Inehia ngā taumata whākōkī ate (ALT, AST).
• Matawai Ultrasound: Ka kitea te aroaro o te ngako i roto i te ate.
• FibroScan: He whakamātautau māmā hei ine i te kiriuhi ate (fibrosis) me te pakari.
• Kohikohi Ate: He whakamātautau e tangohia ai he wāhanga iti o te ate hei whakaū tika i te mate.

Ngā otinga hei whakahaere i te NASH me te tiaki i te ate

Ahakoa he iti noa ngā rongoā motuhake kua tohua mō te NASH, ka taea e ngā huringa āhua noho te āwhina i te whakakore katoa i te ngako ate:

1. Whakaitihia te taumaha (te otinga matua):

Mā te whakaiti haere i waenga i te 7% me te 10% o tō taumaha o nāianei, ka tata taea e koe te whakakore katoa i te ngako me te mumura i roto i te ate.

2. Kai hauora:

• Āta karohia ngā kai kei roto te fructose: Ko te huka fructose e kitea ana i roto i ngā inu kua whakamātaohia, te houra tunutunu, ngā pihikete reka, me ngā wai hua kēne ka huri tika hei ngako i roto i te ate.
• Whiwhi ngako pai: Whakaurua ngā ngako hauora ki roto i tō kai, pērā i te hinu oriwa, ngā nati, me te ika.

3. Te whakakori tinana o ia rā:

Mā te mahi i ngā korikori tinana pēnei i te hikoi me te eke pahikara mō te iti rawa 150 meneti i te wiki (30 meneti i te rā, 5 ngā rā i te wiki) ka nui ake te aro o te ate ki te insulin, ā, ka āwhina i te tahu ngako.

Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi

Ngā puna pūtaiao (Ngā tohutoro)

• 📚 Mate ate momona kore-waipiro (NAFLD) - NHS
• 📚 Te mate huka kore-waipiro: He arotake whānui kua whakahoutia mō ngā āhuatanga mōrearea, ngā tohu, me te maimoatanga - PMC