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.

✨ Clinical nutrition Verified Partner

Clinical vitamins and nutritional supplements

Clinically proven high quality vitamins, minerals and immune nutritional supplements.

Check Availability →

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.