Kia ako tātou mō ngā kēhi o te PBC (Primary Biliary Cholangitis), he mate puku e pā ana ki te ate.

I ētahi wā ka tino ngenge koe, kāore he take? Kāore rānei koe e rakuraku noa i tō kiri? Ko te nuinga o tātou kāore e aro nui ki ēnei mea. Engari koinei pea ngā tohu tuatahi o tētahi mate kāore e tino kōrerohia ana, e pā puku ana ki te ate. I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te `(Primary Biliary Cholangitis)`, ko te PBC rānei te poto. Ahakoa he ingoa whakamataku tēnei, ki te mārama tika koe, kāore te whakahaere i te uaua pērā i tō whakaaro.

He aha te PBC?

Whakaarohia tō tātou ate he wheketere nui. I roto i tēnei wheketere, he maha ngā mea e tika ana mō te tinana ka puta, ā, ka tangohia atu hoki ngā paitini kino i te tinana. Ko te mea tino nui e āwhina ana i tēnei mahi ko te "aupū". Ka puta mai tēnei aupū i te ate. He rite ēnei ki ngā awaawa iti, arā, ngā awa aupū. Ka āwhina tēnei aupū ki te whakarewa i ngā ngako i roto i te kai e kainga ana e tātou, te mimiti i ngā huaora ki roto i te tinana, me te tango i te cholesterol kino me ngā paitini mai i te tinana.

Ināianei, i roto i tētahi āhuatanga e kiia nei ko te PBC, ka tīmata hē ā tātou ake pūtau pūnaha ārai mate ki te whakaeke i ēnei awaawa iti o te ate. He rite ki ā tātou ake ope tiaki e whakaeke ana i tētahi wāhanga nui o tō tātou ake whenua. Ka pakaru ngā awaawa o te ate i tēnei whakaeke, ā, ka whakangaro haere i a rātou. Kātahi ka kore e taea e te awaawa te rere tika, ka mau ki roto i te ate. Ka tīmata te pakaru o ngā pūtau ate i tēnei awaawa kua mau. I roto i te wā, ka taea e tēnei kino te whakararu i te ate. Ka kiia tēnei ko te '(cirrhosis)'.

Kei te pēhea te ahunga whakamua o te PBC?

Kāore te PBC e puta ohorere mai. He mate e tupu pōturi ana i roto i ngā tau maha. Koia pea kāore he tohu i ngā wāhanga tōmua. Tērā pea kāore koe e kite i tētahi huringa mō ngā tau.

Tērā pea ka pāngia ētahi tāngata e ngā tohu pēnei i te ngenge me te mākūkū o te kiri i te tīmatanga o te mate. Ko ētahi atu ka pāngia e ēnei tohu i muri mai i te mate. Ka rerekē hoki te kaha o ēnei tohu i ia tangata, i ia tangata. Heoi, kua kitea e ngā tākuta mēnā he kino ngā tohu i te tīmatanga o te mate, tera pea he tohu tera ka tere ake te horapa o te mate.

Ngā wāhanga matua e whā o te mate PBC

Kua wehea e ngā tākuta me ngā kairangahau te PBC kia whā ngā wāhanga matua, i runga i te nui o te kino o te ate. Me titiro tātou ki ngā mea ka puta i te wāhanga tuatahi.

Wāhanga 1: Wāhanga Tomokanga

Koinei te wāhanga tino tīmatanga o te mate. I tēnei wā, kei te tīmata noa te pakaru o ngā awaawa aukume iti o tō ate.

• He aha te āhua?

Ko ngā pūtau-T, ko ngā pūtau-T lymphocytes rānei, he momo toto mā e tiaki ana i tō tātou tinana mai i te mate. I te nuinga o te wā, ka whawhai rātou ki ngā iroriki e uru ana ki te tinana. Heoi, i roto i te PBC, ka hē te tautuhi a ēnei pūtau-T i ngā pūtau awaawa aukume hauora i roto i te ate hei "hoariri" ka tīmata te whakaeke i a rātou. Ka puta te mumura huri noa i ngā awaawa aukume. Ka puta tēnei kino i roto i tētahi wāhi motuhake o te ate e kiia nei ko te wāhi tomokanga, te wāhi e tūtaki ai ngā oko toto me ngā awaawa aukume.

• He tohu kei reira?

He maha ngā wā, kāore pea koe e kite i tētahi tohu i tēnei wāhanga tuatahi. Nō reira, kāore pea koe e mōhio kei a koe tēnei mate. Tērā pea ka roa tēnei wāhanga puku mō ngā tau.

Kāore pea ngā tohu e puta tae noa ki te 5, 10 rānei tau i muri mai. Kia tīmata ngā tohu, ka taea e te tangata toharite te noho me te mate mō te 10 tau pea. Heoi, ki te angitu te whakawhitinga ate, ka piki te reiti oranga 10-tau ki te 65%.

Ngā Wāhanga o Muri Mai (Ngā Wāhanga o Muri Mai - 2, 3 me te 4)

I muri i te wāhanga tuatahi, ka piki haere te mate ki te wāhanga tuarua, tuatoru, me te tuawhā.

• Wāhanga 2: Ka piki ake te kino o ngā awaawa o te ate.
• Wāhanga 3: Ka tīmata te whara o te ate. Koinei te tīmatanga o te mate e kiia nei ko te fibrosis.
• Wāhanga 4: Ka puta he whara nui o te ate, ka hua ake he mate kino e kiia nei ko te cirrhosis. I tēnei wā, kāore e taea e te ate te mahi tika.

Ko tō tākuta anake ka taea te hoatu i te whakamārama pai rawa atu mō ia o ēnei āhuatanga, i runga i tō āhuatanga motuhake.

He aha ngā tohu e tika ana kia aro atu tātou?

He maha ngā tohu ka puta mai i te PBC. Kāore ēnei e puta i te ara kotahi mō te katoa. Engari he mea nui kia mōhio ki ēnei tohu.

Ki te pā tonu mai tētahi, ētahi rānei o ēnei tohu ki a koe, he mea nui kia toro atu koe ki tō tākuta tonu mō ētahi tohutohu. Kaua e whakaaro noa he ngenge noa iho, he kiri maroke rānei.

Ka taea e te tautuhi wawe te whakarerekē i te ora!

Ina kōrerohia te PBC, kaua tātou e wehi, engari me mataara. Nā te mea ko tō hauora ā muri ake nei e whakawhirinaki ana ki te tere o tō tautuhi i tēnei mate me te tīmatanga o te maimoatanga mōna.

Mā te tautuhi wawe i te mate, me te tīmata i te rongoā tika, ka taea te whakahaere i te kino o te ate. Ko te tikanga ka taea te whakamutu, te whakaroa rānei i te mate kia tae rā anō ki te taumata kino. Kātahi ka taea e koe te noho ora me te kore e pā nui ki ō mahi o ia rā.

Engari, ki te tōmuri te tautuhi i te mate, ki te mea rānei he kino rawa atu tō mate, he tere te horapa, ka kino rawa te ate, ā, ka ngoikore pea te ate. I roto i ēnei āhuatanga, ko te whakawhitinga ate anake te huarahi hei whakaora i tō ora. Nō reira, ko te tautuhi wawe te mea nui rawa atu i tēnei āhuatanga.