He ahua whakamataku ina titiro koe ki te whakaata, ina kī mai rānei tetahi he kōwhai te mā o ō kanohi, kāore? Inaa, koinei pea te tohu tuatahi kei te hē tetahi mea i roto i ō tātou tinana, inā koa te ate. Nō reira, me kōrero tātou mō tēnei kōwhai o ngā kanohi, e kiia nei i roto i te rongoā ko te `(Scleral Icterus)`, i roto i ngā kupu māmā noa iho.
He aha rawa te Scleral Icterus?
Ki te kī māmā noa, ko te 'Scleral Icterus' te wā e ahua kōwhai ana te wāhanga mā o ō tātou kanohi, arā, te wāhanga e kīia nei e tātou ko te `(Sclera)`. Engari he mea anō tēnei. Ehara i te mea ko te sclera tonu te kōwhai. Ko te wāhanga kei runga ake, he kiriuhi angiangi, mārama hoki e kiia nei ko te `(Conjunctiva).` Ina huri kōwhai tēnei kiriuhi, ka kitea mārama te tae kōwhai nā te mea he mā te sclera kei raro.
He tokomaha hoki e kī ana ko te `(Jaundice)`. Kāore he he o tēnā, engari he whānui te kupu `Jaundice`. E pā ana ki te kōwhai o ngā kanohi me te kōwhai o te kiri. Heoi, ko te `Scleral Icterus` he mate e pā ana ki ngā kanohi .
He aha i kōwhai ai ō tātou kanohi? Te kōrero mō te bilirubin
Ko te take matua mō tēnei tae kōwhai ko te pikinga ake o te matū kōwhai e kiia nei ko te bilirubin i roto i ō tātou toto. Ka kiia tēnei āhuatanga ko te "Hyperbilirubinemia".
Whakaarohia, he roa te ora o ngā toto whero i roto i tō tātou tinana. Ka puta te bilirubin ina pakaru ēnei toto whero tawhito. Ko te tikanga, ko te mahi a tō tātou ate he rite ki te tātari, e tātari ana i tēnei bilirubin kore e hiahiatia ana mai i te toto, ka whakakotahi ki te au, ka tukuna ki te tukanga nakunaku. Hei whakamutunga, ka tukuna atu taua bilirubin i te tinana me ngā paru.
Heoi, ki te kore e taea te tango tika i tēnei bilirubin mai i te toto, nā te raruraru o te ate, nā tētahi atu take rānei, ka tīmata te kohikohi i roto i te toto. Ko tēnei kohikohinga o te bilirubin te mea e kōwhai ai ngā kanohi me te kiri.
Ko te take i kitea tuatahitia ai tēnei panoni tae o ngā kanohi, he ngāwari te mimiti o te bilirubin, ā, ka whakatakotoria ki roto i te kiko o te kanohi e kiia nei ko te "Conjunctiva." Nā te mea he mā te papamuri i raro, ahakoa he iti noa te taumata o te bilirubin, ka kitea tonutia e tātou.
He aha ngā tino take o te pikinga o ngā taumata bilirubin?
He maha ngā take e piki ai ngā taumata bilirubin, e kōwhai ai hoki ngā kanohi. Ko ētahi he māmā noa iho, engari ko ētahi he kino ake. Nō reira, he mea nui kia mōhio koe ki tēnei.
| Take | He whakamārama māmā |
|---|---|
| Ngā mate e pā ana ki te ate | Ngā āhuatanga pēnei i te kino o te ate nā te waipiro ( cirrhosis ), ngā mate huaketo (Hepatitis A, B, C), me te hepatitis autoimmune . |
| Ngā mate o te puku me te pancreas | Ngā āhuatanga pēnei i te kōhatu o te pūkahukahu , te whakawhāititanga o ngā awa au, te pancreatitis rānei. |
| Ngā mate urutā | Te Leptospirosis , ngā kirika huaketo pērā i te dengue, ngā mate kino e horapa puta noa i te tinana ( sepsis ), me ngā mate pirinoa (hei tauira, te Schistosomiasis ). |
| Ngā raau taero me ngā paitini | Ko te nui rawa o te whakamahi i ētahi rongoā (hei tauira, ngā steroids, ētahi paturopi) me ngā rongoā whakamamae mamae pērā i te Acetaminophen (Panadol). Ko ētahi otaota tuku iho me ngā paitini pērā i ngā matū ahuwhenua ētahi atu take. |
| Ngā mate ira | Ngā mate tuku iho pērā i te Mate Pūtau Hāripiri me te Mate a Gilbert e pā ana ki te pākia o te bilirubin. |
| Ngā puku me ngā pukupuku | Te aukati i te rere o te au o te ate nā ngā pukupuku noa, pukupuku rānei i roto i te ate, te pūkahukahu, ngā wāhi e pā ana rānei. |
| Te mate kiriuhi pēpi hou | Nā te mea kāore anō kia tino whanake te ate o te pēpi hou, he mea noa te kōwhai o ngā kanohi i ngā wiki tuatahi e rua. Heoi, i ētahi wā, ka kino pea tēnei. |
Me pēhea te rongoā?
Ko te mea nui kia mārama koe i konei, ehara te 'Scleral Icterus' i te mate, engari he tohu . Nō reira, ehara te rongoā i te mea mō te kōwhai o ngā kanohi; engari mō te mate taketake i puta ai.
Hei tauira, ki te kōwhai ō kanohi nā te kōhatu o te pūhā, ka rongoatia koe kia tangohia ngā kōhatu. Ki te mea he mate ate, ka rongoatia koe mō tēnā. Hei kimi i te take, ka whakahaerehia pea e tō tākuta he whakamātautau toto, he matawai, me ētahi atu. Nō reira , he pai ake te rapu tohutohu hauora kaua e rongoā i a koe anō.
Ka aha mēnā ka warewarehia ngā kanohi kōwhai?
Ehara i te mea morearea te kōwhai o ngā kanohi. Engari he tohu whakatūpato . Ki te kore e rongoatia, ka piki ake te taumata o te bilirubin i roto i te toto, ā, ka pā ki te roro. He tino morearea tēnei āhuatanga.
- Ka kiia tēnei āhuatanga i roto i ngā pēpi hou ko te "Kernicterus" ā, ka taea e ia te whakararu i te roro tuturu.
- Ka kiia tēnei āhuatanga i roto i ngā pakeke ko te "Hepatic Encephalopathy" ā, ka taea e ia te whakararu i te mahara, te pōhēhē, tae noa ki te koma.
Me rapu maimoatanga hauora ohorere mō ēnei āhuatanga e rua.
Āhea te wā e tika ai kia kite i te tākuta, kia haere rānei ki te ETU tonu
Ki te kite koe kei te kōwhai haere ō kanohi, whakaritea he wā ki te toro atu ki te tākuta i te wā e taea ai. Heoi, ki te whai koe i tētahi o ngā tohu e whai ake nei me ō kanohi kōwhai, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.
| Ngā tohu e hiahia ana kia aro wawe | |
|---|---|
| ⚫ Te mamae puku nui, te mamae tonu rānei | ⚫ Kirika |
| ⚫ Te ruaki tonu | ⚫ Pōuriuri, ngaro rānei te māramatanga |
| ⚫ Te pupuhi o te puku, te pupuri wai rānei | ⚫ Pōhēhē, hiamoe, ngaro rānei te mahara |
He tohutohu iti
I ētahi wā, ka puta te tae o ngā rama i roto i tō tātou taiao (hei tauira, ngā pūangi kōwhai) hei take e kōwhai ai ō tātou kanohi. Nō reira, ki te mea he ruarua āu, haere ki tētahi wāhi e mārama ana, e mārama ana ki te taiao, ka titiro ki te whakaata. Pērā ai, ka taea e koe te tino mōhio ki te rerekētanga o te tae.
Ka taea te ārai i tēnei āhuatanga?
Ahakoa e kore e taea te ārai katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea.
- Whakahaerehia te waipiro: Mā te whakawhāiti i te inu waipiro ka tino whakaiti i te kino o te ate.
- Werohia te mate: Tiakina koe mā te werohanga i ngā mate e pā ana ki te ate, pērā i te Hepatitis A me te B.
- Kia tūpato ki ngā rongoā: Kaua e tango i ngā rongoā, i ngā otaota, i ngā tāpiringa rānei kāore e hiahiatia ana me te kore kōrero ki te tākuta. Mā te tango i te nui atu i te horopeta rongoā kua tohua, inā koa ko te Acetaminophen (Panadol), ka kino te ate.
- Me tirotiro hauora ā-tau: Ahakoa he whakamātautau toto noa, ka taea e koe te kite i ngā huringa o te mahi ate i mua i te puta mai o ngā tohu.
Karere Tangohia ki te Kāinga
- Ehara te kōwhai o ngā kanohi (scleral icterus) i te mate, engari he tohu nō tētahi mate kei raro.
- Ko te take matua mō tēnei ko te pikinga o ngā taumata bilirubin i roto i te toto. He maha ngā wā ka puta mai tēnei i te mate ate.
- Ki te kite koe i te kōwhai o ngā kanohi, kaua e mataku, engari kaua hoki e warewaretia . Tirohia te tākuta i te wā e taea ai.
- Mena ka pā mai ētahi atu tohu pēnei i te mamae nui o te puku, te kirika, te pōhēhē rānei, haere tonu ki te Tari Urupare o te hōhipera (ETU) .
- Ko te maimoatanga e whakawhirinaki ana ki te mate pūtake e puta ai ngā kanohi kōwhai. Nō reira, he mea nui kia rapu tohutohu hauora mō te tātaritanga tika me te maimoatanga.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te āhua morearea o te whēkau nui (Wēkau Nui / Splenomegaly)?
He okana iti te whēkau e tū ana i te taha maui o tō tātou uma, i raro i te rara/i muri i te puku, e tātari ana i te toto/e whakangaro ana i ngā toto whero tawhito (he iti ake i tō koromatua). Engari ko te 'Wēkau Nui' he āhua e pupuhi ana tēnei okana, ā, ka taea te rongo i raro i te rara maui (LUQ)! Koinei te tohu whakatūpato nui rawa atu mō tētahi mate toto nui i roto i te tinana.
💬 He aha ngā tino take o te nui rawa o te whēkau i te taha maui?
E toru ngā tino take o tēnei: 1) 'Leukemia / Lymphoma' - I tēnei wā, ka nui haere te whēkau nā te mea ka whakakīia e ngā pūtau matepukupuku. 2) 'Liver Cirrhosis' - Ina aukatia te rere o te toto i roto i te ate, ka whakakīia ngā uaua o te whēkau e taua toto (Portal hypertension) ā, ka pupuhi. 3) Ko te Malaria / Dengue, te jaundice rānei (Malaria / EBV Infections) me ngā mate e memeha haere ana ngā pūtau toto whero (Hemolytic anemia) ka puta ai tēnei.
💬 Ina he puku/whewhe nui kei raro i te rara maui, he aha ngā 'āhuatanga mōrearea/ohorere' e hiahia ana kia whakaurua ki te hōhipera tonu?
He mate tēnei e hiahia ana kia tirohia e te tākuta (me haere koe ki te CT Scan). Engari ko te mōrearea nui rawa atu, me te tino kino rawa atu! 1) Ki te pāngia koe e te 'mamae nui pērā i te werohanga maripi e kore e taea te manawanui (mamae nui o te LUQ - Splenic Rupture)' i raro i te rara maui, ā, ka horapa taua mamae ki te pakihiwi maui (tohu a Kehr) ā, ki te pōuri koe, ka ngaro te mārama, he 'splen rupture'! Ka taea e tēnei te puta he toto me te mate i roto i ngā meneti, nō reira me tere tonu te kawe i a koe ki te hōhipera!
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