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.
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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 ) 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.
| Te wāhi i pangia ai te mate | Ngā tohu motuhake ka kitea pea |
|---|---|
| Kiri | Mamae, whero, pupuhi, mariao, mate pukupuku rānei, ponana. |
| Ngā wheua me ngā hononga (Musculoskeletal) | Te mamae o ngā hononga me te pakari o ngā hononga. |
| Ngā pūkahukahu | Maremare (i ētahi wā he toto kei roto i te hūpē), he uaua ki te manawa. |
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Check Availability →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.
Ko te mea nui, ka roa pea te wā e uru ai ēnei huakita ki te tinana, ā, ka puta ai ngā tohu. Nō reira, he uaua ki te kimi i te wāhi me te āhua o te pangia e koe.
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.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| Pūnaha ārai mate ngoikore | Mena kei a koe te HIV, te mate pukupuku, tetahi atu mate rānei e ngoikore ai tō pūnaha ārai mate. |
| Ngā rongoā pehi ārai mate | Mena kei te tango koe i ngā rongoā ārai mate. |
| Te mate pūkahukahu o mua | Mena kei a koe ngā mate pūkahukahu pēnei i te cystic fibrosis, te bronchiectasis, te huango, te emphysema rānei. |
| Ngā taputapu kua whakauruhia ki roto i te tinana | Mena he ngongo kei roto i tō tinana (hei tauira, te raina uaua pokapū, te ngongo manawa, te ngongo whāngai). |
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.
Ko te huarahi anake hei mōhio mēnā kei a koe te mate NTM ko te toro atu ki te tākuta me te whiwhi i ngā whakamātautau e tika ana. Kāore e taea e koe anake te whakatau i tēnei.
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.
| Tohu kino | Whakaahuatanga |
|---|---|
| Te kirika nui | Mena he nui ake te kirika i te 40 nekehanga Celsius (103 Fahrenheit). |
| He uaua nui ki te manawa | Ki te mea he uaua rawa te manawa. |
| Mamae o te uma | Mena he mamae nui tōu uma. |
| Pōhēhētanga | Mena kua ngaro tō mahara, te kore e mahara ki te wāhi, ki te wā rānei. |
| Te pangia o te patunga | Mena he whero te wāhi i pokangahia, he pupuhi, he mamae, he kore rānei e ora. |
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.
Karere Tangohia ki te Kāinga
- Ko te NTM he momo mycobacteria kāore e hua mai te mate kohi, te repera rānei, engari ka noho ki te taiao (oneone, wai).
- Kāore i te nuinga o te wā ka horapa ēnei mate mai i tētahi tangata ki tētahi atu.
- Ko te hunga he ngoikore te pūnaha ārai mate me te hunga he mate pūkahukahu kei roto i te mōrearea nui ki ngā mate NTM.
- Tērā pea ka puta ngā tohu pēnei i te mare, te kirika, te ngenge, me te hekenga taumaha, ā, he mea nui ngā whakamātautau hauora hei whakatau tika i te mate.
- Ka hiahiatia he rongoā paturopi mō ngā marama maha i roto i te maimoatanga, ā, he mea tino nui kia whai i ngā tohutohu a te tākuta.
- Ki te puta he tohu kino, me haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
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