Me kī atu i haere koe ki te tākuta mō tētahi tirotiro ā-tau, ā, i puta mai ngā hua o tō whakamātautau toto. I mea te tākuta, nāna i tirotiro te pūrongo, "Kua piki ake te nui o ō whākōkī ate." Ka kite koe he teitei ake ngā uara i mua i ngā reta e rua, ALT me AST, i roto i tō pūrongo i te mea noa. He mea noa te mataku ina puta tēnei. Engari kaua e mataku. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te "Transaminitis", arā, he pikinga o ngā whākōkī ate.
He aha te tikanga o te Transaminitis?
Ehara te 'Transaminitis' i te mate hauora nui. Ko tōna tikanga kua tino piki ake ngā taumata o ētahi whākōkī e kiia nei ko ngā 'transaminase' i roto i tō toto. Ko ngā whākōkī matua e rua ko te 'Alanine Transaminase (ALT)' me te 'Aspartate Transaminase (AST)' .
Whakaarohia tō ate he wheketere nui. Ko ēnei whākōkī ngā kaimahi i roto i ngā pūtau o taua wheketere. I te nuinga o te wā, kei roto i te wheketere ēnei kaimahi. Engari ina pāngia te ate e tētahi momo pēhanga, kino, ahotea rānei, ka pakaru ngā pūtau ate, ā, ka turuturu ētahi o ēnei kaimahi ki waho, arā, ki roto i ō tātou toto. Mā te pūrongo whakamātautau toto, ka inehia e tātou te nui o ngā whākōkī kua kohia i roto i te toto.
I te nuinga o te wā, ka kitea tēnei āhuatanga mā te tūpono noa iho. Ka kitea ngā taumata ALT me AST teitei i roto i te whakamātautau toto mō tētahi atu take. Heoi, mō ētahi tāngata, ina pāngia rātou e ngā tohu pēnei i te jaundice, te kōwhai o ngā kanohi me te kiri, te mamae rānei i te taha matau o runga o te puku, ka whakahau te tākuta i ēnei whakamātautau, inā koa hei tirotiro i te mahi a te ate.
He mea morearea te pikinga ake o ēnei whākōkī?
He raruraru tēnei e pāngia ana e te tini tāngata. Ko te 'Transaminitis' te whakatūpato tuatahi kei te pakaru ngā pūtau ate. He rite ki te rama 'check engine' o te motuka e mura ana. E whakaatu ana tēnei kei te hē tetahi mea o te motuka, ā, me tirotiro e koe. Ā, pērā anō hoki tēnei.
Ko te kaha o tēnei ka whakawhirinaki ki te tino take .
- Ngā take rangitahi: Ka piki ake pea ēnei whākōkī i te wā e tango ana i ētahi rongoā, i te wā rānei e pangia ana e te mate rangitahi. Kia ngaro te take, ka ora te ate, ā, ka hoki anō ngā taumata whākōkī ki te āhua noa.
- Ngā take mō te wā roa: Heoi, ki te haere tonu tēnei kino nā te mate pūmau, ka kino rawa atu i roto i te wā. He tino kaha te ate ki te whakaora, engari ki te haere tonu te kino, ka ngaro taua kaha, ā, ka arahi pea ki tētahi āhuatanga e kiia nei ko te ngoikore o te ate.
Nō reira, ehara tēnei i te tau kotahi noa iho. He tohu nui tēnei hei whakaatu i tō hauora whānui.
He aha ngā tino take o te transaminitis?
He maha ngā take mō tēnei. Me wehewehe kia rua ngā wāhanga: ko ngā take tino noa me ngā take kāore i te tino noa.
| Take | He whakamārama māmā |
|---|---|
| Ngā Take Noa | |
| Mate Ate Ngako | I tēnei wā, he tino take noa tēnei i Sri Lanka. Ina koa, he āhuatanga e kiia nei ko te Metabolic dysfunction-associated steatotic liver disease (MASLD) . Ko ngā āhuatanga pākia pēnei i te kai koretake, te taumaha, te mate huka, me te cholesterol teitei ka whai wāhi ki tēnei. |
| Te nui rawa o te inu waipiro (Hepatitis i puta mai i te waipiro) | Ka kino tika te ate ki te nui o te waipiro, ka raru pea te ate mō te wā poto, mō te wā roa rānei. |
| Ngā Mate Huaketo (Hepatitis Huaketo) | Ka taea e ngā huaketo pērā i te hepatitis A, B, C, D, me te E te whakamumura i te ate. Ka taea e tēnei te arahi ki te hepatitis B me te C mau tonu. |
| Ngā pānga i puta mai i te rongoā (Hepatitis paitini) | Ka pāngia te ate e ētahi rongoā whakamamae mamae, rongoā whakaheke cholesterol, rongoā mate kohi, me ētahi atu rongoā. Kei te tirotiro tonu te tākuta i tēnei. |
| Ngā Take Kāore i te Noa | |
| Ētahi atu take | Ngā āhuatanga pēnei i ngā raruraru o te pūnaha ārai mate (hepatitis autoimmune), ngā mate tuku iho (hemochromatosis, te mate Wilson), te whakaeke ngakau, te jaundice, te mate tairoi, me te mate pukupuku ate i roto i te nuinga o te wā. |
He tikanga motuhake rānei mēnā he teitei ake te AST i te ALT?
I te nuinga o te wā, ina pakaru te ate, ka piki ngātahi ēnei whākōkī e rua. He motuhake ake te whākōkī ALT ki te ate. Ko te tikanga ka kitea nuitia i roto i te ate. Heoi, ka kitea anō hoki te whākōkī AST i roto i te uaua ngākau, te uaua angaanga, me ētahi atu kiko i tua atu i te ate.
Nō reira, ki te nui ake te uara AST i te uara ALT , ka whakaarohia hoki e te tākuta ētahi atu āhuatanga. Hei tauira:
- Mate ate i puta mai i te waipiro: I tēnei āhua, ka piki te ōwehenga AST/ALT.
- Ātete toto: Ka kitea tonutia tēnei āhua ahakoa te haere whakamua o te mate.
- Ngā take i waho o te ate: Ka taea hoki te piki ake o ngā taumata AST i roto i ngā take pēnei i te ischemia myocardial, te kino kino rānei o te uaua (rhabdomyolysis).
Ko te mea nui: He tohutohu noa iho ēnei. Kaua e ngana ki te tātaritanga i a koe anō i runga i tāu pūrongo. Me mahi tēnā e tō tākuta.
Me pēhea te rongoā a te tākuta i tēnei?
Tuatahi, kia maumahara kāore he rongoā tika mō te 'Transaminitis'. Nā te mea ehara i te mate, engari he tohu. Nō reira, ko te whāinga matua a te tākuta he kimi i te pūtake o te pikinga o ngā whākōkī me te rongoā i taua take.
Ko te tikanga o te tukanga maimoatanga penei:
1. Hītori hauora: Ka pātai atu te tākuta ki a koe mō tō momo noho (kai, whakakori tinana, inu waipiro), ngā rongoā e tangohia ana e koe, me ngā āhuatanga hauora katoa o tō whānau.
2. Ētahi atu whakamātautau: Ka tonoa ētahi atu whakamātautau hei whakaū i te pūtake.
- Whakamātauria anō te whakamātautau toto.
- Ngā whakamātautau mō ngā huaketo hepatitis B me te C.
- He matawai ultrasound o te puku.
- Mena e tika ana, me ētahi atu whakamātautau toto motuhake.
3. Te maimoatanga i runga i te take: Ka whakatauhia te maimoatanga i muri i te kitenga o te take.
- Ate Ngako: He mea nui ngā panonitanga o te āhua noho. He mea nui te kai hauora , te whakakori tinana auau , me te whakaiti taumaha .
- Mena nā te waipiro koe: Ko te otinga anake ko te whakamutu rawa i te whakamahi waipiro .
- Mena nā te rongoā i horomia: Mā te tākuta e whakatau mēnā ka huri te rongoā, ka whakaiti rānei i te horopeta.
- Mena he huaketo te take: Ka tīmata te rongoā mō taua huaketo.
I te nuinga o te wā, ina rongoatia tika te take matua, ka mutu te kino o te ate, ā, ka hoki anō ngā taumata whākōkī ki te noho noa.
Karere Tangohia ki te Kāinga
- Ko te Transaminitis (te nui haere o ngā whākōkī ate) he tohu whakatūpato kei raro tō ate i te ahotea. Kaua e mataku ina kite koe i tēnei.
- He maha ngā take mō tēnei. Ko te ate momona, te inu waipiro, ngā mate huaketo, me ētahi rongoā ētahi o ngā tino take.
- Kāore te maimoatanga e aro ana ki te taumata whākōkī, engari ki te āhuatanga matua i piki ai.
- Ki te kite koe i te taumata ALT me te AST kua piki ake i roto i tō whakamātautau toto, kaua rawa e warewaretia. Me toro atu ki tō tākuta kia whiwhi ai i ngā tohutohu me ngā maimoatanga tika.
- I ngā wā maha, he āwhina nui te whai i tētahi momo noho hauora (kai pai, whakakori tinana) hei pupuri i te hauora o te ate.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te Syncope / Te ngoikore?
Ehara tēnei i te wā hiamoe/hoha noa iho! Ko te 'Syncope' i roto i te rongoā he āhuatanga ohorere hauora tino morearea, e mutu katoa ai te toto me te hāora ki te roro mō ētahi hēkona (Te ngaronga o te rere o te toto ki te roro mō te wā poto), ka hinga ohorere te tangata ki te whenua (Te ngaronga o te māramatanga/Te hinganga o te āhua o te tinana) ka ngaro te māramatanga!
💬 He aha ngā tino take e ngaro whakarere ai te māramatanga o te tangata (Syncope/Fainting) i a ia e tū ana/e hikoi ana?
E whā ngā tino take o tēnei: 1) 'Cardiogenic Syncope' - Ki te mutu ohorere te patu a te ngākau/ka pāngia e te mate ngākau, kāore e taea e te ngākau te pupuhi toto ki te roro, ka ngaro te māramatanga! 2) Hypoglycemia (i roto i ngā tāngata mate huka). 3) Vasovagal syncope - Te ngaronga o te māramatanga nā te ohorere o ngā io i te mamae e kore e taea te pupuri/i te kitenga i te toto/te mataku nui. 4) Ngā mate hopuhopu/Epilepsy.
💬 Ina hemo te tangata, he aha ngā 'āhuatanga mate/ohorere' e hiahia ana kia haria wawetia ki te hōhipera, kaua ko te ringihia noa i te wai ki tōna mata, me te noho ki te kāinga?
Ki te hinga koe, ā, ka ara ake i roto i ētahi hēkona ruarua/ki te hinga koe i muri i te takoto, ngana ki te hoatu he wai/huka. Engari ko te mōrearea nui rawa atu! I mua i tō ngaronga o te māramatanga me te hinganga, ki te 1) mamae tō uma/mate ngakau, uaua rānei te manawa, 2) ina hinga koe, ka wiri tō tinana katoa, ka ruperupea/ka huka te waha (ngā haurangi/ngā mate), 3) ki te hinga koe, ā, kāore e kōrero/kei roto koe i te koma mō ētahi meneti, me waea atu tonu koe ki te waka tūroro ka kawe i a rātou ki te hōhipera!
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