He nui rawa te parahi i roto i tō tinana? Me ako tātou mō te mate Wilson!

He ngenge noa iho rānei koe i ētahi wā? Kāore rānei he take e pāngia ai koe e ngā āhuatanga pēnei i te ngoikore, te mamae o te puku, me te pōhēhē hinengaro? Tērā ētahi mate rerekē e pā ana ki te tinana i ngā huarahi kāore e taea te whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate he onge noa iho, engari ki te mōhio tika koe, ka taea e koe te tautuhi wawe i a ia, ā, ka whakaiti i te kino ka pā ki tō oranga. Ko te Mate Wilson tēnei.

He aha te mate Wilson?

He whakarāpopototanga noa iho, he mate ira onge te Mate a Wilson e nui ake ai te parahi i roto i te tinana i tā rātou e hiahia ana. Ka kohia tēnei parahi ki roto i te ate me te roro. Me iti noa te parahi mai i te kai e hiahiatia ana e ō tātou tinana kia ora tonu ai. Heoi, ki te kore e rongoatia tika te tangata e pangia ana e te Mate a Wilson, ka nui rawa te parahi i roto i te tinana, ka pā kino ki te ora o ngā okana.

Ko wai te hunga e tino pāngia ana e te mate a Wilson?

He mate tuku iho te mate a Wilson mai i ngā mātua ki ngā tamariki . Hei whakawhanake i tēnei mate, me whiwhi te tamaiti i tētahi ira rerekē mai i ia mātua. Ka kiia tēnei he tukunga iho ā-ira-kore. He tino uaua ki te kī ko wai ka pāngia e tēnei mate. Nā te mea i te nuinga o te wā, kāore ngā mātua e whakaatu i ngā tohu o te whai i tēnei ira rerekē i roto i ō rātou tinana. Nō reira, kāore rātou e mōhio he 'kaikawe' rātou i tēnei ira. Heoi, ki te pāngia tētahi whanaunga tata o tō whānau e tēnei mate, tera pea ka tūpono koe ki te mate.

He pēhea te noa o te mate a Wilson?

He mate tino onge tēnei. E kiia ana kotahi i roto i te 30,000 tāngata ka pāngia e te mate. Heoi, ki te pāngia tētahi o te whānau e te mate, ka nui ake te tūponotanga ka pāngia ētahi atu. He tokomaha ake ngā tāngata he kotahi noa iho ngā ira he, e kiia nei ko ngā kaikawe mate. I te nuinga o te wā kāore he tohu o te mate i a rātou, engari ka taea e rātou te tuku i te mate ki ā rātou tamariki. Nā te mea kāore he tohu o ngā kaikawe mate, he uaua ki te kī tika e hia ngā tāngata o te taupori whānui he ira he.

He aha te pānga o te mate a Wilson ki tōku tinana?

Ki te kore e kitea, e rongoatia wawetia hoki te mate a Wilson, ka arahi pea ki ngā raruraru e morearea ana ki te ora . Ka nui haere te parahi i roto i te tinana ki ngā taumata paitini, inā koa i roto i te ate me te roro. Ka taea e tēnei te kino ki ēnei whekau. Ina piki ake ngā taumata parahi i roto i te tinana, ka rerekē pea tō āhua. Tērā pea ka tino ngenge koe, ka ngoikore, ka mamae hoki. Ki te mau tonu tō ngoikore, tō ngenge, tō mamae rānei , he pai ake te rapu tohutohu hauora.

He aha ngā tohu o te mate a Wilson?

Ka rerekē rawa ngā tohu o te mate a Wilson i ia tangata, i ia tangata.Ahakoa he mate whānau tēnei, ka tīmata ngā tohu i muri i te kohikohinga o te parahi i roto i te ate, te roro, ngā kanohi, me ētahi atu okana rānei. Ko te hunga whai mate a Wilson ka puta ngā tohu i waenga i te 5 me te 40 tau te pakeke. Heoi, ka puta pea ngā tohu i ētahi tāngata i te wā taitamariki, i te wā pakeke rānei.

Kia maumahara, i ētahi wā he rite ēnei tohu ki ētahi atu mate ate, ki ngā raruraru hauora hinengaro rānei, nō reira ka whakaaro hē te tangata he mea kē. He uaua ki te kī tika mēnā ko te mate a Wilson kia whakamatautauria rā anō ō taumata parahi.

Ngā tohu e pā ana ki te ate

He maha ngā tāngata e pāngia ana e te mate a Wilson ka pāngia e ngā tohu o te mate ate hepatitis. Tērā pea ka pāngia rātou e te ngoikore ohorere o te ate. Ko ngā tohu ko:

• Ngenge tonu.
• Whakapairuaki me te ruaki.
• Kāore he reka o te kai.
• Te mamae i te taha matau o te puku, i runga ake i te ate.
• Mimi pouri.
• Ngā tūtae tae mārama.
• Te kōwhai o ngā mā o ngā kanohi me te kiri (te jaundice).

Tērā pea ka puta noa ngā tohu ki ētahi tāngata mēnā ka horapa te mate a Wilson ki ngā raruraru pērā i te mate ate mau tonu me te cirrhosis. Kei roto i ēnei ko:

• Te ngenge me te ngoikore tonu.
• Te whakahekenga taumaha e kore e taea te whakaaro.
• Te pupuhi o te puku (ascites).
• Te pupuhi o ngā waewae o raro, ngā pona waewae, me ngā waewae (edema).
• Kiri mākūkū.
• Te mate kiriuhi nui.

Ngā tohu e pā ana ki te pūnaha io matua

Ina nui haere te parahi i roto i te tinana, ka pāngia te pūnaha io matua e te mate a Wilson, ka pāngia hoki te hauora hinengaro. Ahakoa he nui ake te kitea o ēnei i roto i ngā pakeke, ka pāngia anō hoki ngā tamariki e te mate.

Ko ngā tohu e pā ana ki te pūnaha io ko:

• Ngā raruraru ki te kōrero, ki te horomi, ki te taunga tinana rānei.
• Te pakari o te uaua.
• Te wiri, te nekehanga kore e taea te whakahaere (te kore okiokinga).

Ngā tohu o te mate a Wilson e pā ana ki te hauora hinengaro:

• Te manukanuka.
• Ngā panonitanga o te wairua, te tuakiri, te whanonga rānei.
• Te pouri.
• He āhuatanga e raruraru ai ngā whakaaro me ngā kare ā-roto, ā, he uaua ki te wehewehe i waenga i te pono me te teka (psychosis).

Ngā tohu e pā ana ki te kanohi

He maha ngā tāngata e pāngia ana e te mate a Wilson, he mowhiti kakariki, koura, parauri rānei (ngā mowhiti Kayser-Fleischer) kei te taha o te cornea (te wāhanga mangu o te kanohi). Ko ēnei "mowhiti Kayser-Fleischer" ka puta mai i te kohikohinga o te parahi i roto i te kanohi. Ka taea e tō tākuta te kite i ēnei mowhiti i te wā o te whakamātautau kanohi motuhake (whakamātautau rama-āputa).

He tokomaha ngā tāngata he tohu e pā ana ki te pūnaha io, ā, kua tāpaetia kei te mate a Wilson, he "mowhiti Kayser-Fleischer" ō rātou. Tata ki te haurua noa iho o te hunga he tohu e pā ana ki te ate anake ka kite i ēnei mowhiti.

Ētahi atu tohu o te mate a Wilson

Ka pāngia hoki ētahi atu wāhanga o tō tinana e te mate a Wilson, ka puta ai ngā tohu pēnei i:

• Ko te anemia hemolytic ka puta mai i te pakaru o ngā pūtau toto.
• Ngā raruraru o te wheua me ngā hononga (te mate rumatiki, te osteoporosis rānei).
• Te mate uaua o te ngākau `(cardiomyopathy)`.
• Ngā raruraru tākihi (te waikawa ngongo tākihi, te kōhatu tākihi rānei).

He aha te take o te mate a Wilson?

Ko te tino take o te mate a Wilson he whakarerekētanga ira i roto i te ira e kiia nei ko te ATP7B . Ko tēnei ira te kawenga mō te tango i te parahi nui rawa atu i roto i tō tātou tinana.

I te nuinga o te wā, ka tukuna e te ate te parahi tāpiri ki roto i te wai (aure). Ka rongoatia tēnei aure ki roto i te pūkahukahu. Ka āwhina i te nakunaku kai. Ka tangohia e te aure te parahi, me ētahi atu paitini me ngā hua para, mai i te tinana mā te ara nakunaku. Mena kei a koe te mate a Wilson, ka iti ake te parahi e tukuna ana e tō ate ki roto i te aure. Mā tēnei ka noho tonu te parahi tāpiri ki roto i tō tinana.

Ka taea e au te whiwhi i te mate a Wilson?

Ae, ka taea e koe te tuku iho i te whakarerekētanga ira o te ira ATP7B e puta ai te mate a Wilson. Ko te tikanga ka tukuna iho te whakarerekētanga ira mai i tētahi mātua ki tētahi atu. Hei whakawhanake i te mate a Wilson, me tuku iho e te tangata ngā ira hapa e rua – tētahi mai i tōna whaea, tētahi mai i tōna pāpā (autosomal recessive) .

Ko te hunga he ira ATP7B tō rātou kāore he whakarerekētanga ira, ā, ko tētahi he whakarerekētanga ira, kāore e pāngia e te mate a Wilson. Engari he kaikawe rātou i te mate. Ko te tikanga tēnei, i runga i te āhua ira o tō rātou hoa rangatira, ka taea e rātou te tuku i te ira hauora, te āhua kaikawe, te mate rānei ki ā rātou tamariki.

Me pēhea te tautuhi i te mate a Wilson? (Tautuhinga)

Hei tautuhi i te mate a Wilson, ka pātai tō tākuta mō tō hītori hauora whānau me tō hītori hauora whaiaro hei whakatau mēnā kei te puta mai ō tohu i tēnei mate.

Ka tirotirohia koe e ngā tākuta kia kitea ai mēnā he tohu kē atu e tohu ana i ngā raruraru ki tō ate, roro, kanohi rānei. I te wā e tirotirohia ana tō kanohi, ka whakahaerehia e te tākuta he "whakamātautau rama-āwhati". He whakamātautau tēnei e whakamahi ana i tētahi rama motuhake hei rapu i ngā "mowhiti Kayser-Fleischer."

Mena kei te whakapaehia te mate a Wilson, ka tohua e tō tākuta he whakamātautau toto me te mimi.

He aha ngā whakamātautau e whakamahia ana hei tautuhi i te mate a Wilson?

Ka kitea te mate a Wilson mā roto i ngā whakamātautau toto, ngā whakamātautau mimi, ngā whakamātautau ira, te koiora ate rānei.

Ngā whakamātautau toto

Ka taea e ngā whakamātautau toto te tirotiro i ngā mea maha i roto i tō toto:

• Ceruloplasmin: He pūmua te ceruloplasmin e kawe ana i te parahi i roto i te toto. He iti te taumata o te ceruloplasmin mō te hunga whai mate a Wilson.
• Parahi: Tērā pea he nui ake, he iti iho rānei te taumata o te parahi i roto i te toto o te hunga whai mate a Wilson.
• Ko te Alanine transaminase (ALT) me te aspartate transaminase (AST): Ko te ALT me te AST he whākōkī ate ka piki ake ina pakaru te ate.
• Ngā toto whero: Ko te hunga whai mate a Wilson, tera pea he iti te maha o ngā toto whero (anemia).

Mena kāore e taea e ētahi atu whakamātautau hauora te whakaū, te whakakore rānei i te mate a Wilson, ka tono pea tō tākuta i tētahi whakamātautau toto hei tirotiro i te whakarerekētanga ira e puta ai te mate a Wilson.

He whakamātautau kohi mimi 24-hāora

Mō te wā 24-hāora, ka kohia e koe tō mimi ki te kāinga, i roto i tētahi ipu motuhake kāore he parahi i whakaratohia e tō tākuta. Ka whakamātauhia e te taiwhanga te nui o te parahi i roto i tō mimi. He nui ake i te noa ngā taumata parahi i roto i te mimi o te hunga whai mate a Wilson.

Te koiora ate

Mena kāore e taea e ngā whakamātautau toto me te mimi te whakaū, te whakakore rānei i te mate a Wilson, ka tono pea tō tākuta i tētahi koiora ate. I roto i tēnei tikanga, ka tangohia e tō tākuta tētahi tauira iti o te kiko mai i tō ate. Ka tirotirohia e te tākuta mate te kiko i raro i te karuārai hei rapu i ngā tohu o ngā mate ate motuhake pērā i te mate a Wilson, te kino o te ate, me te cirrhosis. Ka tukuna he wahi kiko ate ki tētahi taiwhanga hei whakamātautau mō te parahi.

Ngā whakamātautau whakaahua

Mena kei a koe ngā tohu e pā ana ki tō pūnaha io, ka whakamahia pea e tō tākuta ngā whakamātautau whakaahua hei rapu i ngā tohu o te mate a Wilson, o ētahi atu āhuatanga rānei i roto i te roro. Kei roto i ēnei ko:

• MRI (Whakaahua Āhua Aukume)
• `X-ray`
• `Matawai CT` (Matawai Tomography Rorohiko)

Me pēhea te rongoā i te mate a Wilson?

Ko te arotahi matua o te maimoatanga mō te mate a Wilson he whakaiti i ngā taumata o te parahi paitini i roto i tō tinana, te ārai i te kino o ngā okana, me te ārai i ngā tohu e puta ana ina kore e mahi tika ngā okana . Kei roto i te maimoatanga:

• Te tango i ngā rongoā hei tango i te parahi i te tinana (ngā rongoā chelating - hei tauira, D-penicillamine, Trientine, Tetrathiomolybdate).
• Te tango i te konutea hei aukati i te mimiti o te parahi mai i ngā whekau.
• Te kai i ngā kai iti te parahi.

Me rongoā tonu te hunga e pāngia ana e te mate a Wilson mō te wā katoa. Mēnā ka mutu te rongoā, ka pāngia pea rātou e te ngoikore o te ate. Ka whakahaerehia e tō tākuta he whakamātautau toto me te mimi auau hei tirotiro i te pai o te mahi a te rongoā.

He aha ngā rongoā mō te mate a Wilson?

Ka tūtohu pea tō tākuta i ngā momo rongoā hei whakaiti i te nui o te parahi i roto i tō tinana.

Ngā kaihoko chelating

Ko te mahi a ngā matū chelating mā te tango i te parahi mai i tō tinana. Ko ētahi tauira o ēnei ko:

• Penisilamine
• Trientine

Ina tīmata te maimoatanga, ka āta whakanuia e ngā tākuta te horopeta o ngā matū chelating. Me nui ake ngā horopeta kia tangohia rā anō te parahi taikaha i roto i te tinana. Kia pai ake ngā tohu o te mate a Wilson, ā, kia whakaūtia e ngā whakamātautau kei te haumaru te taumata o te parahi, ka tohua pea e te tākuta he horopeta iti iho o ngā matū chelating hei maimoatanga pupuri. Mā te maimoatanga pupuri mō te wā katoa ka ārai i te kohikohi anō o te parahi.

Tērā pea he pānga taha ō ēnei rongoā, nō reira he mea nui kia pātai atu koe ki tō tākuta mēnā me tango e koe ētahi tāpiringa, pērā i ngā huaora, me mahi rānei i ētahi mahi ārai i mua i te pokanga.

Konutea

Ka ārai te konutea i te mimiti o te parahi mai i ngā whekau. Tērā pea ka tohua e tō tākuta te konutea hei maimoatanga pupuri i muri i te tango i te parahi nui me ngā kaihoko chelating. Mēnā kei a koe te mate a Wilson engari kāore he tohu, tērā pea ka tohua tonutia e tō tākuta te konutea.

Me pēhea te rongoā i te mate a Wilson i te wā e hapu ana?

Mena kei te hapu koe, me pātai atu ki tō tākuta me pēhea te whakahaere i te mate a Wilson i roto i tō haputanga. Nā te mea he iti noa te parahi e hiahiatia ana e te pēpi, ka tohua pea e tō tākuta he rongoā chelating iti te horopeta. He mea āwhina pea te whai i tētahi tākuta whānau e mōhio ana ki te mate a Wilson.

Me pātai atu hoki ki tō tākuta mēnā he haumaru te whāngai ū i te wā e rongoatia ana mō te mate a Wilson.

He aha ngā kai kāore e tika kia kainga e koe mēnā kei a koe te mate a Wilson?

Mena kei a koe te mate a Wilson, ka tohutohu pea tō tākuta kia karohia e koe ētahi kai he nui te parahi. Me karohia rawatia ēnei:

• Ngā mātaitai, pērā i te kūtai me te tio
• Ate

Ētahi atu kai he nui te parahi:

• Tiakarete
• Hua maroke
• Pīni maroke me te pīni
• Harore
• Ngā nati (pērā i te kāhew, te pīnati)

Kia heke te taumata o te parahi i roto i tō tinana nā te maimoatanga, ā, kia tīmata ai te maimoatanga tiaki, kōrero ki tō tākuta mēnā ka taea e koe te kai i ētahi o ēnei kai i te āhua ōrite.

Mena kei te pūtake mai tō wai puna i tētahi puna, i roto rānei i ngā paipa parahi, tirohia te taumata parahi i roto i tō wai. Akene he pai ki te whakamahi i tētahi tātari wai hei tango i te parahi i roto i tō wai puna.

Mena kei te whakaaro koe ki te tango i ngā tāpiringa, pērā i ngā huaora, kōrero ki tō tākuta i mua i te tango. Tērā pea kei roto i ētahi tāpiringa he parahi.

He raruraru kei roto i te maimoatanga?

Ka pā mai pea ngā raruraru i te mate a Wilson, engari mā te kitenga wawe me te maimoatanga ka whakaiti i te tūponotanga o ngā pānga taha. Tērā pea ka pā mai hoki ngā pānga taha i roto i ngā rongoā e whakamahia ana hei rongoā i te mate a Wilson, nō reira pātai atu ki tō tākuta mō ngā mea hei tūpato māu.

Te ngoikore o te ate

Ka taea e te mate a Wilson te whakararu i te ate. Koinei te wā ka ngaro ohorere te mahi a te ate, kāore he whakatūpato. Tata ki te 5% o te hunga e pāngia ana e te mate a Wilson, he ngoikore te ate i te wā i kitea ai te mate. Tērā pea ka hiahiatia he whakawhitinga ate mō tēnei mate.

Ko te hunga e pāngia ana e te ngoikore o te ate nā te mate a Wilson, ka pāngia hoki e te ngoikore o te whatukuhu me tētahi momo anemia e kiia nei ko te anemia hemolytic.

Te mate ate

Ko te mate ate cirrhosis he mate e whakakapia ai te kiko ate hauora e te kiko whara, ā, kāore e taea e te ate te mahi tika. Ka āraihia hoki e te kiko whara te rere o te toto i roto i te ate ki tētahi taumata. I te haere whakamua o te mate ate cirrhosis, ka tīmata te ngoikore o te ate.

I waenga i te 35% me te 45% o te hunga kua tāpaetia kua pāngia e te mate a Wilson, he cirrhosis tō rātou i te wā i tāpaetia ai.

Ka whakanui ake te mate pukupuku ate i te mate ate cirrhosis. Heoi, kua kitea e ngā tākuta he iti ake te tūponotanga o te hunga e pāngia ana e te mate ate cirrhosis nā te mate a Wilson ki te pāngia e te mate pukupuku ate i te hunga e pāngia ana e te mate ate cirrhosis nā ētahi atu take.

Te ngoikore o te ate

Ka taea e te mate ate te arahi ki te ngoikore o te ate. Ko te ngoikore o te ate ko te wā e tino kino ai te pakaru o tō ate, ā, ka mutu tana mahi. Ka kiia hoki tēnei ko te mate ate wāhanga whakamutunga. Tērā pea ka hiahiatia he whakawhitinga ate mō tēnei āhuatanga.

Me pēhea te rongoā i ngā raruraru o te mate a Wilson?

Mena ka puta te cirrhosis i te mate a Wilson, ka taea pea e tō tākuta te rongoā i ō raruraru mā te rongoā, te pokanga rānei.

Mena ka pā mai te ngoikore o te ate nā te mate a Wilson, te ngoikore rānei o te ate mau tonu nā te cirrhosis, me whai whakawhitinga ate pea koe. Ka ora katoa ētahi tāngata kua whakawhitinga ate i te mate a Wilson. Engari ka tirotirohia koe e tō tākuta kia tino angitu ai te whakawhitinga.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

He tukanga mō te oranga katoa te maimoatanga mō te mate a Wilson. Ko te roa o te wā e pai ake ai koe, e whakawhirinaki ana ki te kaha o ō tohumate. Heoi, i muri i te whā ki te ono marama o te maimoatanga, ā, whai muri i te maimoatanga tonu, ka taea te whakaiti i ō tohumate. Ka whakahaerehia e tō tākuta he whakamātautau auau hei tirotiro i te pai o te mahi a tō maimoatanga mō te mate a Wilson. Ka whakarerekētia hoki e ia te horopeta o tō rongoā kia rite ki ngā hiahia o tō tinana.

Mena kei a au te mate a Wilson, he aha taku e tumanako ai?

I runga i tō tātaritanga, tera pea ka pāngia koe e ngā tohu e pā ana ki te mate a Wilson, kāore rānei. Mena ka pāngia koe e ngā tohu, ka mate pea koe mena kāore koe e whiwhi maimoatanga. Ko te mea nui ko te whai i te mahere maimoatanga a tō tākuta kia tika te tango i te parahi paitini mai i tō tinana, kia ārai hoki i te kino o ngā whekau.

He mate mō te wā roa te mate a Wilson, ā, kāore he rongoā. He poto te roanga o te oranga o te mate a Wilson mēnā kāore i rongoatia. He pai te roanga o te oranga o te hunga kua kitea he mate a Wilson, ā, kua angitu te whakawhitinga ate. Heoi, ahakoa i muri i te whakawhitinga, me noho tonu rātou i raro i te tirotiro hauora mō te toenga o ō rātou oranga.

Ka taea te ārai i te mate a Wilson?

Ko te mate a Wilson te hua o tētahi whakarerekētanga ira tuku iho, nō reira kāore e taea te ārai. Mena he hītori whānau tōu mō te mate a Wilson, kōrero ki tō tākuta mō ngā whakamātautau ira kia mārama ai koe ki te tūponotanga o te whakawhanake i te mate a Wilson, te whānau rānei i tētahi tamaiti me tēnei mate ira.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe te mate a Wilson, ka taea e koe te tiaki i a koe anō mā te tango i tō rongoā e ai ki tā tō tākuta i tohutohu ai, me te whakakore i ngā kai he nui te parahi i roto i tō kai. Mā te maimoatanga, ka taea e koe te whakaiti i ō tohu me te ārai i ngā raruraru e morearea ana ki te ora.

Āhea ahau me toro atu ki taku tākuta?

Ki te kino haere ngā tohu o te mate a Wilson, inā koa kua pai ake i mua, me toro atu koe ki tō tākuta. Tērā pea me whakarerekē te horopeta o tō rongoā.

Mena kei te aukatihia koe e ngā tohumate o te mate a Wilson i te mahi i ō mahi o ia rā, ina koa kāore e taea e koe te kai, kei te ruaki tonu koe, kei te pāngia koe e te hinengaro pōuri, kei te kōwhai tō kiri (jaundice), kei te mamae nui rānei tō puku, haere tonu ki te rūma whawhati tata, waea atu rānei ki te 911.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• Me whai whakawhitinga ate ahau?
• He aha ngā pānga taha o ngā rongoā kua tohua hei rongoā mō te mate a Wilson?
• Ki te hapu ahau, ka pāngia taku pēpi e te mate a Wilson?
• Ka taea e au te tango i taku rongoā mēnā ka hapu ahau?
• Kia pēhea te roa me tango e au te rongoā i whakaritea e koe?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

Ko te tātaritanga wawe me te rongoā i te mate a Wilson ngā huarahi pai rawa atu hei rongoā i tēnei mate ira mō te wā roa. Me whakarerekē pea koe i tō momo noho hei whakaiti i te parahi i roto i tō kai. Kia tino kite koe i tō tākuta kia mōhio ai koe kei te whai hua tō maimoatanga ki te whakaiti i te nui o te parahi i roto i tō tinana. Mā te rongoā tika koe e āwhina ki te ora ake me te ārai i ngā raruraru e morearea ana ki te ora. Kaua e mataku, ko te mea nui ko te mōhio me te whai i ngā tohutohu a tō tākuta.

Te mate a Wilson, te parahi, te ate, te roro, ngā mate ira, te cirrhosis, ngā mowhiti Keiser-Fleischer