Kia ako tātou mō tēnei mate urutā e kiia nei ko te NTM (Nontuberculous Mycobacteria Infection)

He maha tonu ngā wā ka rongo tātou katoa mō ngā mate kitakita. Engari, tera ētahi momo kitakita kāore e tino kōrerohia ana, engari ka pā mai pea ētahi raruraru hauora, inā koa mō te hunga ngoikore te pūnaha ārai mate. I tēnei rā, ka kōrero tātou mō tētahi rōpū kitakita e noho ana i te taiao, engari i ētahi wā ka uru ki roto i ō tātou tinana ka pā mai he mate.

He aha tēnei NTM?

Ki te whakarapopoto, ko te NTM he whakarāpopototanga mō te Nontuberculous Mycobacteria . He rōpū huakita tēnei. Kua rongo pea koe i te mate kohi me te repera. Ko te NTM he rōpū mycobacteria e pā ana ki ngā huakita e puta ai aua mate, engari kāore e puta ai aua mate e rua.

Ka kitea ēnei huakita i ngā wāhi katoa o te taiao. E noho ana rātou i roto i te oneone, i te puehu, me te wai. I te nuinga o te wā, ahakoa ka uru mai ēnei huakita ki roto i ō tātou tinana, e kore tātou e pāngia e te mate. Heoi, ka taea e ētahi tāngata, inā koa ko te hunga ngoikore te pūnaha ārai mate, te pangia.

He aha ngā wāhanga o te tinana ka pāngia e te mate NTM?

• Ngā mate pūkahukahu: Ko te momo mate pukupuku tino noa ko ngā mate pūkahukahu.
• Toto
• Ngā wheua (he whakarapopototanga, wheua)
• Ngā pūngāwerewere lymph (pupuhi)
• Kiri me te kiko ngohengohe

I te nuinga o te wā, kāore e pāngia te tangata hauora me te pūnaha ārai mate pai e te mate i waho atu i ngā pukahukahu. Heoi, i roto i te tangata he ngoikore te pūnaha ārai mate, ka horapa (horapa) tēnei mate puta noa i te tinana.

He aha ngā tohu o te mate NTM?

He maha ngā tohu noa o te mate NTM. Heoi, i te mea ka kitea anō ēnei tohu i roto i te maha atu o ngā mate, kāore te kitea o ēnei tohu anake e tohu ana i te mate NTM.

Ko ngā āhuatanga noa ko:

• Kei te haere mai te kirika
• Ngenge
• Te whakahekenga taumaha
• Ngā kōpū lymph pupuhi

Haunga ēnei tohu noa, ka puta pea ētahi atu tohu motuhake i runga i te wāhi i pangia ai te mate. Me titiro tātou ki ēnei tohu.

Me pēhea te puta mai o tēnei mate NTM?

E ai ki tā mātou i kōrero ai i mua, kei roto i tō tātou taiao tēnei huakita, nō reira he maha ngā huarahi e taea ai e tātou te whakauru mai ki roto i ō tātou tinana.

• Mā te wai: Mā te inu, te kaukau, te kaukau rānei i te wai kei roto ngā huakita NTM.
• Mā te manawa: Mā te manawa i ngā huakita i te taiao. He tino teitei tēnei mōrearea mō te tangata kua pāngia e te mate pūkahukahu.
• Mā roto i ngā taputapu hauora: Mā roto i ētahi taputapu hauora kua whakaurua ki roto i te tinana (hei tauira, ngā ngongo pēnei i te raina uaua pokapū) me ngā taputapu pokanga rānei.
• Mā roto i ngā ngira: Mā roto i ngā ngira paru e whakamahia ana hei werohanga i ngā raau taero, hei werohanga raau taero, hei tā moko rānei.

He mea horapa tēnei mai i te tangata ki te tangata?

Kāo. He tino onge te horapa o ngā mate NTM mai i tētahi tangata ki tētahi atu. Nō reira, kāore e kiia he mate hopuhopu.

Ko wai te mea tino mōrearea?

Ahakoa kei ngā wāhi katoa tēnei huakita, ehara i te mea ka pāngia tātou katoa e te mate. Heoi anō, he nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate.

Hei tāpiri, ko ngā wāhine he iti te taupū papatipu tinana (BMI) me ētahi atu āhuatanga hauora pēnei i te GERD (mate reflux waikawa) me te scoliosis, kei te nui ake te mōrearea ki te whakawhanake i ngā mate NTM pūkahukahu.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Nā te mea he rite ngā tohu o te mate NTM ki ētahi atu mate, me maha ngā whakamātautau hei tautuhi tika i tōna mate. Ka whai te tākuta i ēnei mahi:

1. Te pātai mō ō tohumate: Ka whakarongo mātou ki a koe kia mōhio ai koe ki tō mamae.

2. Te tirotiro i tō hītori hauora: Te pātai mō ētahi atu mate kei a koe me ngā rongoā e tangohia ana e koe.

3. Te whakakore i ētahi atu mate: Kia tino mohio kei a koe ētahi atu mate pāwera noa, mate hauora rānei.

4. Ngā whakamātautau motuhake: Ka tukuna he toto, he tauira kiko, he tauira huware rānei mō te whakamātautau taiwhanga ('ahurea') hei rapu i ngā huakita NTM.

Ngā whakamātautau tātaritanga

• X-ray o te uma
• Matawai CT
• Pūkahukahu: He tikanga e tukuna ai he ngongo iti me te kāmera ki roto i ngā pukahukahu hei tirotiro.
• Ko te koiora-koiora: Te tango i tētahi wahi iti o te kiko mai i te wāhi pangia hei tirotiro.
• Whakamātautau huakita tere-waikawa: Te kitenga i ngā huakita mycobacteria i roto i te huware, toto, tauira kiko rānei.

He aha ngā maimoatanga mō tēnei?

He tukanga roa te rongoā i ngā mate NTM. Ko te tikanga, ka tohua e ngā tākuta he huinga o ngā momo paturopi e rua, e toru rānei . Me tango pea ēnei rongoā mō te 12 marama te roa kia tino ora ai te mate.

I ētahi wā, me mahi pokanga hei tango i te kiko kua pakaru. Mō ngā mate pūkahukahu, me mahi hoki ngā mahi manawa me ngā maimoatanga hei āwhina i te whakakore i te hūpē.

He pānga taha kei te rongoā?

Āe. Mēnā ka roa te tango i ngā paturopi, ka pā mai ētahi pānga taha. Nō reira, ki te pā mai ētahi tohu rerekē i a koe e tango ana i te rongoā, me kōrero tonu atu koe ki tō tākuta.

Ngā pānga taha pea:

• Te ngoikore o te whakarongo
• Ngā huringa tirohanga
• Ngā rerekētanga o te manawa o te ngākau ('Long QT syndrome')
• Te kino o te ate, o te whatukuhu rānei

Āhea koe me rapu tohutohu hauora?

Mena he mate pūkahukahu tōu, he ngoikore te pūnaha ārai mate, kua pokangahia, kua whakaurua rānei he taputapu hauora ki roto i tō tinana, pātai atu ki tō tākuta mō ngā tohu pea o te mate. Mena ka pāngia koe e ētahi tohu whakapae, kaua e whakaroa ki te rapu tohutohu hauora.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?

Mena kei a koe tētahi o ngā tohu kino e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

Me pēhea taku tiaki i ahau i tēnei mate urutā?

Mena he mate pūkahukahu tōu, he ngoikore rānei te pūnaha ārai mate, ka taea e koe te whakaiti i tō mōrearea mā te karo i ngā wāhi e kitea whānuitia ana ngā huakita NTM.

• Āta karohia te whakamahi i ngā kaukau wera: inā koa ko ngā mea kei roto i ngā wāhi kati.
• Āta karohia ngā pūrehu kohu makariri: Whakaitihia te whakamahinga o ngā pūrehu e whakaputa ana i ngā pata ririki ka taea te manawa.
• Kia tūpato i te wā e mahi ana me te oneone: Mauria he kopare kanohi me ngā karapu, inā koa i te wā e mahi ana me te oneone kohua.
• Kaua e tā moko: He tūponotanga kei pangia koe e te mate i te whakamahi i ngā taputapu paru.

He mate tino onge ngā mate NTM. Engari ki te pāngia koe e tētahi, ka roa pea te wā e hiahiatia ana hei tātaritanga me te maimoatanga. Nō reira, he mea nui kia manawanui. Tangohia te rongoā i whakaritea e tō tākuta, mō te roanga katoa. Kōrerotia ki tō tākuta ngā mamae katoa e pā ana ki a koe i te wā e maimoatanga ana.