He PBC tōu? He mea nui kia mōhio koe ki ēnei raruraru (Primary Biliary Cholangitis)

He okana whakamiharo tō ate. Ka hangaia e ia he wai e kiia nei ko te 'bile' hei āwhina i a tātou ki te nakunaku i ngā kai momona e kainga ana e tātou. Engari i roto i te tangata he mate e kiia nei ko te Primary Biliary Cholangitis (PBC), ka pakaru ngā awa ngawari e kawe ana i tēnei au. Nā tēnei ka kore e rere tika te au, ka āraia ki roto i te ate. I roto i te wā, ka whakapakeketia e tēnei au kua āraia hei kōhatu, ka puta ai he mate. I te mutunga, ka hoki anō tēnei au, ka puta he kiriuhi ki roto i te ate. Koinei te āhua taketake o te PBC.

Kaua e manukanuka. He rongoā pai kei reira hei āwhina i te tango i te au mai i te ate, me te whakaiti i te hanganga o ēnei kōhatu. Heoi, ki te kore koe e rongoā tika i te PBC, ki te kaha ake rānei te mate, ka puta pea ētahi raruraru. I tēnei rā, ka kōrero tātou mō ngā raruraru tino noa o te PBC me pēhea te whakahaere i aua raruraru.

Te mate ate, he mate kino

Ko te mate ate cirrhosis te wā e whakakapia ai ngā pūtau hauora o tō ate e te kiko whara. He māmā noa iho, ka mārō haere te ate hei kōhatu. Ka puta tēnei āhuatanga i ngā wāhanga whakamutunga o te PBC. I tēnei wā, kua tino pakaru kē te ate.

I mua, i tapaina te PBC ko te 'primary biliary cirrhosis'. Nā te hononga tata o te uauatanga o te cirrhosis ki tēnei mate.

Me pēhea te rongoā mō tēnei?

Ka tohua e tō tākuta he rongoā hei whakahaere i tēnei āhuatanga.

• He maha ngā wā, ko te rongoā tuatahi ko te waikawa ursodeoxycholic (Ursodiol) . Mā te tango i te au mai i te ate ka whakaiti i te kino o te ate ka mahi.
• Ki te kore koe e pai ake i te whakamahi i tēnei rongoā anake, ka tūtohu pea tō tākuta kia tangohia he rongoā e kīia ana ko te waikawa obeticholic (Ocaliva) hei tāpiri atu ki tēnei.
• Hei tāpiritanga, kua whakaaetia ngā rongoā hou pēnei i te elafibranor (Iqirvo) me te seladelpar (Livdelzi) kia whakamahia tahi me te waikawa ursodeoxycholic.
• Ko tētahi atu kōwhiringa ko tētahi momo rongoā e kiia nei ko ngā fibrates . Ahakoa kua whakaaetia ēnei hei whakaheke i ngā ngako toto (lipids), kua kitea he tino pai te mahi a ēnei rongoā ki ngā tūroro PBC kāore e pai te urupare ki te waikawa ursodeoxycholic. Nō reira, ina whakamahia e te tākuta tētahi rongoā mō tētahi āhuatanga ehara i te mea i whakaaetia, ka kiia e mātou he whakamahinga 'kore-tohu'.

Heoi, ahakoa te maimoatanga e whakamahia ana e koe, ki te nui rawa te kiko whara i roto i te ate, ā, kāore e taea e te ate te mahi, ko te otinga anake ko te whakawhitinga ate.Anake. Ko te mahi i reira he tango i tō ate kua pakaru, ka whakatōkia ki tētahi ate mai i tētahi kaituku hauora.

Te pikinga o te pēhanga i roto i te uaua o te ate (Portal Hypertension)

He raruraru nui anō tēnei. Kia mārama tātou ki tēnei. He uaua toto matua tō tātou e kawe ana i te toto ki tō tātou ate. Koinei te mea e kiia nei e tātou ko te 'uaua tomokanga'.

Ināianei, ina puta he kiko whara i roto i te ate nā te mate cirrhosis i kōrerohia e tātou i mua ake nei, ka āraia te rere o te toto mā roto i tēnei 'uaua portal'. Pērā i te waka i runga i te rori, kāore e taea e te toto te rere tika, ā, ka mau ki roto i taua uaua. I te kohikohinga o te toto pēnei, ka piki haere te pēhanga i roto i taua uaua. Ka kiia tēnei mate e ngā tākuta ko te portal hypertension .

He aha tēnei i morearea ai? Ka taea e tēnei toto toto tiketike te pakaru i ngā uaua toto ngawari o roto i te tinana, ka puta ai te toto o roto . Nō reira, he mea tino nui kia tere te rongoā i tēnei.

Me mārama noa tātou ki ēnei uauatanga e rua mai i te ripanga i raro nei.

He aha ngā maimoatanga mō tēnei?

Tērā pea ka tohua e tō tākuta he rongoā, pērā i ngā beta-blockers, hei whakaiti i te pēhanga i roto i tēnei 'uaua portal'. Ka taea e ēnei te whakahaere i tō pēhanga toto mō te wā poto.

Engari kia maumahara, ko te whakawhitinga ate anake te maimoatanga tuturu rawa atu ka taea te whakamutu katoa i te toto toto tiketike.Anake. Nā te mea ko te pūtake o tēnei ko te kino o te ate i puta mai i te cirrhosis. Nā te mea kāore e taea te whakatika i taua kino, ko te huarahi whakamutunga ko te tango i te ate kua pakaru, ka whakakapi ki tētahi mea hou.

He mate te PBC ka taea te whakahaere pai mā te maimoatanga hauora me ngā tohutohu tika. Nō reira, ki te pāngia koe e tēnei mate, kaua e mataku, me whakapā atu ki tō tākuta i ia wā, ā, me whai i te maimoatanga kua whakaritea. Koinei te huarahi pai hei noho haumaru i ēnei raruraru.