Ina titiro koe ki te whakaata, ina tohu mai rānei tetahi, he tino whakamataku te kitenga i te tae kōwhai i te wāhanga mā o ō kanohi, kāore? Inaa, koinei te tohu tuatahi a tō tinana—arā, tō ate—e whakaatu ana kei te hē tetahi mea. Me matapaki tātou i tēnei mate, e mōhiotia whānuitia ana ko te Scleral Icterus , i roto i ngā kupu māmā me te mārama i konei i Nirogi Lanka .
He aha rawa te Scleral Icterus?
I te whakarapopototanga, ko te Scleral Icterus e pā ana ki te kōwhai o te wāhanga mā o tō kanohi, e mōhiotia ana ko te Sclera . Heoi, he iti nei te rerekētanga: ehara i te sclera tonu e kōwhai ana, engari ko te kiriuhi angiangi, mārama e hipoki ana i a ia, e kiia nei ko te conjunctiva . Ina kōwhai tēnei kiriuhi, ka kitea nuitia te rerekētanga e te sclera mā o raro.
He maha ngā tāngata e whakamahi ana i te kupu Jaundice hei kupu whakawhitiwhiti, engari ehara i te mea he hē te tikanga. Heoi, he kupu whānui te jaundice e pā ana ki te kōwhai o te kiri. Ko te Scleral Icterus e whakaatu ana i te āhua e puta ana i ngā kanohi.
He aha i kōwhai ai ō kanohi? Te kōrero mō te bilirubin
Ko te take matua mō tēnei kōwhaitanga ko te pikinga ake o tētahi matū he kōwhai te tae i roto i tō toto e kiia nei ko te Bilirubin . E kiia ana tēnei āhuatanga e te rongoā ko te Hyperbilirubinemia .
Hei mārama ki tēnei, whakaarohia he roa te ora o ō toto whero. I te pakaru o ngā toto whero tawhito, ka puta he bilirubin. I te nuinga o te wā, ka mahi tō ate hei tātari, ka tukatuka i tēnei bilirubin taikaha mai i ō toto, ka whakaranua ki te au, ka tukuna ki roto i tō pūnaha nakunaku kia tukuna atu i tō tinana i roto i tō paru.
Heoi, ki te mea kei te pāngia tō ate e ngā wero, e ētahi atu raruraru rānei e aukati ana i te tango tika o te bilirubin i roto i ō toto, ka tīmata te hanga o tēnei matū. Nā tēnei puranga o te bilirubin ka huri te tae o ō kanohi me tō kiri hei kōwhai.
Tērā pea ka kite tuatahi koe i te kōwhai o ō kanohi nā te mea ka ngawari te taunga o te bilirubin ki roto i te kiko e mōhiotia ana ko te conjunctiva. Nā te mā o te kanohi, ahakoa he pikinga iti o ngā taumata bilirubin ka kitea wawetia e tātou.
He aha ngā take matua mō te pikinga o ngā taumata bilirubin?
He maha ngā take e piki ai ō taumata bilirubin, e kōwhai ai ngā kanohi. He iti noa iho ētahi take, ko ētahi he nui rawa. He mea nui kia mōhio koe ki ēnei mea ka taea.
| Take | Whakamārama Māmā |
|---|---|
| Ngā āhuatanga e pā ana ki te ate | Ngā āhuatanga pēnei i te kino o te ate e pā ana ki te waipiro (Cirrhosis), ngā mate huaketo (Hepatitis A, B, C), te Hepatitis Autoimmune rānei, ka whakaekea te ate e te pūnaha ārai mate. |
| Ngā raruraru o te pūkahukahu me te pancreas | Ngā take pēnei i te kōhatu o te pūkahukahu, te whakawhāititanga o ngā awa waikura, te mumura rānei o te repe taiaki (Pancreatitis). |
| Ngā mate urutā | Te Leptospirosis, ngā kirika huaketo pēnei i te dengue, ngā mate urutā kino (Sepsis), me ngā mate pirinoa (hei tauira, Schistosomiasis). |
| Ngā rongoā me ngā paitini | Ko te nui rawa o te whakamahinga o ētahi rongoā (hei tauira, ngā steroids, ētahi paturopi) me ngā rongoā mamae pēnei i te Acetaminophen. Ko ngā rongoā tuku iho, ko te pānga rānei ki ngā paitini pēnei i ngā matū ahuwhenua ētahi atu take. |
| Ngā āhuatanga ira | Ngā āhuatanga tuku iho pērā i te Mate Pūtau Sickle, te Mate Gilbert rānei e pā ana ki te pākia o te bilirubin. |
| Ngā pukupuku | Te aukati i te rere o te au o te ate nā te tipu kino, pai, kino rānei i roto i te ate, i te pūkahukahu, i ngā wāhi e karapoti ana rānei. |
| Te mate kiriuhi pēpi hou | He mea noa te kōwhai o ngā kanohi o ngā pēpi hou i roto i ngā wiki tuatahi e rua, nā te mea kei te whanake tonu ō rātou ate. Heoi, i ētahi wā me rapu awhina hauora tēnei. |
Me pēhea te rongoā?
He mea nui kia mārama koe ehara te Scleral Icterus i te mate tonu; he tohu haumanu noa iho . Kāore te maimoatanga e aro ki te kōwhai o ngā kanohi, engari ki te mate hauora e ahu mai ana.
Hei tauira, mēnā ko ngā kōhatu pūkahukahu te take o te kōwhai, ka rongoāhia. Mēnā he mate ate, ka rongoāhia. Tērā pea ka whakahaerehia e tō tākuta he whakamātautau toto, he matawai whakaahua rānei hei tautuhi i te take. Nō reira, kaua e whakamātau ki te rongoā i a koe anō; ko te kōrero ki tētahi tohunga hauora te huarahi pai rawa atu.
Ka aha mēnā ka warewarehia te kōwhai o ngā kanohi?
Ehara i te mea he mea morearea te kōwhai tonu, engari he tohu whakatūpato nō tō tinana. Ki te kore e rongoatia, ka pā te pikinga o te bilirubin i roto i tō toto ki tō roro, he mate tino kino tēnei.
- Mō ngā pēpi hou, ka kiia tēnei mate ko te Kernicterus, ā, ka pā he kino tuturu ki te roro.
- Mō ngā pakeke, e mōhiotia ana tēnei ko te Hepatic Encephalopathy, ka taea e tēnei te arahi ki te pōhēhē, te kore aro, tae noa ki te koma.
Me rapu awhina hauora ohorere ēnei āhuatanga e rua.
Āhea te wā e tika ai kia kite tonu i te tākuta, kia toro atu rānei ki te Tari Ohotata
Ki te kite koe kua kōwhai ō kanohi, whakaritea he wā hui ki tō tākuta i te wā e taea ai. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei me ngā kanohi kōwhai, haere tonu ki te Tari Whawhati Tata (ED) o te hōhipera tata.
| Ngā Tohu Whero e Hiahia Ana ki te Tiakitanga Ohotata | |
|---|---|
| ⚫ Te mamae puku nui, te mamae tonu rānei | ⚫ Kirika |
| ⚫ Te ruaki tonu | ⚫ Pōuriuri, ngaro rānei te māramatanga |
| ⚫ Te pupuhi o te puku, te nui rānei o te wai e puta mai ana | ⚫ Pōhēhē, hiamoe nui, koretake rānei te aronga |
He Tohutohu Tere
I ētahi wā, ka puta te āhua kōwhai o ō kanohi nā te māramatanga o tō taiao (pērā i ngā pūangi kōwhai mahana). Ki te kore koe e tino mōhio, tū ki tētahi wāhi e mārama ana, he māramatanga taiao, ka tirohia tō whakaata i roto i te whakaata. Mā tēnei ka āwhina i a koe ki te whakamana tika i te huringa tae.
Ka taea te ārai i tēnei?
Ahakoa kāore e taea te ārai i ngā take katoa, ka taea e koe te mahi i ngā mahi hei whakaiti i tō mōrearea:
- Whakahaerehia te Inu Waipiro: Mā te whakawhāiti i te inu waipiro ka tino whakaiti i te mōrearea o te kino o te ate.
- Me mau tonu te werohanga: Tiakina koe mā te whiwhi werohanga mai i ngā mate e pā ana ki te ate pērā i te Hepatitis A me te B.
- Kia Tūpato ki te Rongoā: Kaua rawa e tango rongoā, tāpiringa otaota, huaora rānei me te kore he tohutohu a te tākuta. Mā te nui rawa o ngā rongoā pēnei i te acetaminophen (Paracetamol) ka kino rawa te ate.
- Whakaritea ngā Tirotiro ā-Tau: Ahakoa he whakamātautau toto māmā noa iho, ka āwhina pea tēnei ki te kite i ngā huringa o te mahi ate i mua i te puta mai o ngā tohu ā-tinana.
Karere Tangohia ki te Kāinga
Kanohi kōwhai, Waikura, Waikura kiriuhi, Pirirubin, Mate ate, Waikura, Pirirubin, Mate ate
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He aha te whēkau nui (Splenomegaly) ā, he aha te take he kino rawa atu?
He okana iti te whēkau kei te taha maui o runga o tō puku, i raro i te rara. Ka tātarihia ō toto, ka tangohia hoki ngā toto whero tawhito. I te nuinga o te wā, he iti ake i tō ringa. Ko te tikanga o te 'wēkau nui' kua pupuhi nui tēnei okana, ā, ka taea te rongo i te wā e tirotirohia ana. He tohu whakatūpato nui tēnei mō tētahi mate e pā ana ki te toto, mō tētahi āhuatanga pūnaha rānei.
💬 He aha ngā tino take o te rahi o te ate?
E toru ngā wāhanga matua: 1) Ngā matepukupuku toto (Leukemia/Lymphoma), arā, ko ngā pūtau kino ka uru ki roto i te whēkau. 2) Te Ate Cirrhosis, arā, ko te toto ka hoki ki roto i te whēkau nā te toto toto tiketike. 3) Ngā mate pēnei i te Malaria, te EBV rānei, me ngā mate toto toto iti, arā, ko te whēkau ka nui rawa te mahi ki te whakangaro i ngā toto toto whero rerekē.
💬 Āhea te wā e kiia ai he āhuatanga ohorere hauora te whēkau nui?
Me arotakehia e te tohunga te whēkau kua nui (tae atu ki te matawai CT). Heoi, ko te āhuatanga ohorere tino nui ko te 'Splenic Rupture'. Mena ka pāngia koe e te mamae ohorere, tino kino i te puku maui o runga ka horapa ki te pakihiwi maui (tohu a Kehr), me te whanoke, te ngoikore, ngā tohu ohorere rānei, tera pea kua pakaru te whēkau. Ka taea e tēnei te arahi ki te toto o roto e morearea ana ki te ora; rapua tonutia te āwhina hauora ohorere (waea atu ki te 911).
