He aha te Mate a Still mō te Pakeke? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te mate a Still mō te pakeke he āhuatanga mumura onge e pā ana ki te wera nui, te mamae o ngā hononga, me te pupuhi karaka-kākahu motuhake. Ko te putanga pakeke tēnei o te āhuatanga tamariki e kiia nei ko te mate pūtau-ā-tinana o ngā tamariki iti, ahakoa ka puta tuatahi ki ngā pakeke o te tau katoa.

Ka pā tēnei āhuatanga ki tō pūnaha ārai, ka tino mahi, ka whakaeke i ngā kiko ora puta noa i tō tinana. Ahakoa he āwangawanga te ahua, he maha ngā tāngata e pangia ana e te mate a Still mō te pakeke ka taea te whakahaere pai i ō rātou tohumānga mā te maimoatanga tika, ā, ka ora tonu ki te ora roa, te ora kaha.

He aha ngā tohumānga o te Mate a Still mō te Pakeke?

Ka puta mai ngā tohumānga o te mate a Still mō te pakeke i roto i ngā ngaru, me ngā wā o te mate kaha e whai ake nei i ngā wā e pai ake ai tōnei.

Koinei ngā tohumānga matua ka pā pea ki a koe, mā te tīmata ki ngā mea tino noa:

• Ngā wera nui e piki haere ana: Ngā wera o ia rā e tae ana ki te 102°F (39°C) neke atu rānei, ka puta i te ahiahi, i te ahiahi rānei
• Te pupuhi karaka-kākahu: He pupuhi karaka, he pupuhi kākahu rānei e puta ana, ka ngaro atu, ka kitea ake pea i te piki haere o tō wera
• Te mamae me te pupuhi o ngā hononga: Ko te nuinga o ngā ringa, ngā turi, me ngā rekereke, ahakoa ka uru pea tetahi hononga
• Te mamae o te korokoro: He mamae roa, he mamae nui o te korokoro e kore e whakautu ki ngā maimoatanga noa
• Ngā mamae o ngā uaua: Te mamae me te ngawari o ngā uaua puta noa i tō tinana
• Te ngenge: Te ngenge nui e kore e pai ake mā te okioki
• Ngā whekau lymph pupuhi: Ngā whekau lymph nui, ina koa i tō rohe kaki

Ka pā pea ki ētahi atu tāngata ngā tohumānga iti ake penei i te mamae o te kopu, te ngaro o te taumaha, te mamae o te uma rānei. Ka tino kaha pea ngā tohumānga i ngā wā e pupuhi ana, engari kia mahara kei reira ngā maimoatanga whai hua hei awhina i a koe kia pai ake.

He aha ngā take o te Mate a Still mō te Pakeke?

E kore e mohiotia te take pono o te mate a Still mō te pakeke, engari e whakapono ana ngā kairangahau ka whanake mai i te whakapohehe o tō pūnaha ārai, ka tīmata te whakaeke i ō kiko ora ake. Ka hanga tēnei i te mumura e arahina ana ki aua tohumānga kore pai katoa e pā ana ki a koe.

He maha ngā take ka whakaohooho i tēnei whakapohehe o te pūnaha ārai:

• Ngā mate: Ka whakaohooho pea etahi mate huaketo, mate huakita rānei i te āhuatanga ki ngā tāngata kua whakaritea
• Ngā take ira: Ka tino pā ngā tohu ira ki ētahi tāngata, ahakoa ehara i te mea ka tuku tikahia
• Ngā whakaohooho taiao: Ka pā pea te ahotea, ētahi atu mate, te taiao rānei ki ētahi take

He mea nui kia mārama ehara te mate a Still mō te pakeke i te mea ka taea te hora, ā, kāre koe i mahi i tetahi mea hei whakaohooho i te āhuatanga. Ka puta noa ēnei āhuatanga ārai-whaiaro, tae noa ki ngā tāngata ora i mua.

Nōhea te haere ki te taote mō te Mate a Still mō te Pakeke?

Me haere wawe koe ki te taote ki te whanake koe i te whakakotahitanga o ngā wera nui o ia rā, te mamae o ngā hononga, me te pupuhi e puta ana, ka ngaro atu.

Rapua te tiaki hauora tere ki te pā ki a koe:

• Ngā wera neke atu i te 102°F (39°C) e puta ana i ia rā mō te wiki neke atu
• Te mamae nui o ngā hononga e ārai ana i tō nekehanga
• Te uaua ki te manawa, te mamae o te uma rānei
• Te mamae nui o te kopu
• Ngā tohu o te mate nui penei i te whakapohehe, te ngoikore nui rānei

Kaua e tatari ki te ngoikore nui koe. Ka taea e te tautuhi me te maimoatanga wawe te aukati i ngā raruraru, ā, ka awhina i a koe kia pai ake i mua.

He aha ngā take morearea mō te Mate a Still mō te Pakeke?

Ka taea e te mate a Still mō te pakeke te pā ki te tangata, engari ka piki pea ētahi take i tō tūponotanga ki te whanake i tēnei āhuatanga.

Koinei ngā take morearea matua:

• Te tau: Ko te nuinga o ngā tāngata kei waenga i te 15-25 tau me te 35-45 tau te pakeke, ahakoa ka puta i tetahi tau pakeke
• Te ira tangata: He iti te tūponotanga o ngā wāhine ki te whanake i te āhuatanga i ngā tāne
• Ngā mate hou: Ka whanake etahi tāngata i ngā tohumānga i muri i ngā mate huaketo, mate huakita rānei
• Te hītori whānau: Ahakoa onge, ko te whai whānau e pangia ana e ngā āhuatanga ārai-whaiaro ka piki pea te morearea

Kia mahara ko te whai take morearea kāre e tikanga ka whanake koe i te mate a Still mō te pakeke. He maha ngā tāngata e whai ana i ēnei take morearea kāre e whanake i te āhuatanga, ā, ko ētahi atu kāre he take morearea e kitea ana.

He aha ngā raruraru pea o te Mate a Still mō te Pakeke?

Ahakoa ka taea e te nuinga o ngā tāngata e pangia ana e te mate a Still mō te pakeke te whakahaere pai mā te maimoatanga, he mea noa te whakaaro mo ngā raruraru pea. Ka taea e te mārama ki ēnei wāhi te awhina i a koe ki te mahi tahi me tō taote hei aukati i a rātou.

Koinei ngā raruraru tino noa:

• Te mate hononga roa: Te mumura o ngā hononga e mau tonu ana, ā, ka taea te whakarahi i te kino o ngā hononga mo te wā roa ki te kore e maimoatia tika
• Ngā raruraru ngakau: Te mumura o te uaua ngakau (myocarditis) te peke o te ngakau rānei (pericarditis)
• Ngā raruraru pūkahukahu: Te mumura o ngā pūkahukahu, te wai rānei i te taha o ngā pūkahukahu, ka taea te whakaiti i te manawa
• Ngā raruraru ate: Ngā enzyme ate teitei, te mumura ate rānei, e hono ana ki te mate, ki ngā rongoā rānei

Ko ngā raruraru onge engari he kino:

• Te āhuatanga whakahohe macrophage: He āhuatanga mate kino e tino mahi ana ngā pūtau ārai
• Ngā mate kino: Te piki o te morearea nā te whakaiti i te pūnaha ārai nā ngā rongoā
• Ngā mate toto: Ngā raruraru ki te whakaputa pūtau toto i ngā take onge

Ko te rongo pai, mā te tirotiro me te maimoatanga tika, ka taea te aukati, te whakahaere pai rānei i te nuinga o ngā raruraru. Ka titiro tō rōpū hauora ki ēnei take, ka whakarite i tō maimoatanga kia rite ki te hiahia.

Me pēhea te tautuhi i te Mate a Still mō te Pakeke?

Ka uaua pea te tautuhi i te mate a Still mō te pakeke, nā te mea kāre he whakamātautau kotahi e whakau ana. Me whakakore e tō taote ētahi atu āhuatanga e puta mai ana ngā tohumānga rite, penei i ngā mate, ētahi atu mate ārai-whaiaro, me ētahi mate pukupuku.

Ko te tukanga tautuhi ka uru pea ki:

• Te tirotiro tinana: Ka tirotirohia e tō taote te pupuhi motuhake, ngā hononga pupuhi, me ngā whekau lymph nui
• Ngā whakamātautau toto: Ka tirotirohia ēnei mō ngā tohu mumura, ka whakakore i ngā mate, ka titiro ki ngā tauira motuhake
• Ngā rangahau whakaahua: Ka taea te mahi X-rays, CT scans, MRI rānei hei tirotiro i ō hononga, uma, me te kopu
• Te whai i ngā tohumānga: Te tuhi i te tauira o ō wera, pupuhi, me ētahi atu tohumānga

Ka whakamahi tō taote i ngā tikanga kua whakaritea e hiahia ana ki ngā whakakotahitanga motuhake o ngā tohumānga, ngā hua whakamātautau toto, me te kore o ētahi atu āhuatanga. Ka roa tēnei tukanga, engari he mea nui kia tika te tautuhi kia whiwhi koe i te maimoatanga tino whai hua.

He aha te maimoatanga mō te Mate a Still mō te Pakeke?

Ka aro te maimoatanga mō te mate a Still mō te pakeke ki te whakahaere i te mumura, te whakahaere i ngā tohumānga, me te aukati i ngā raruraru. Ko te rongo pai kei reira ngā maimoatanga whai hua, ā, ka kite te nuinga o ngā tāngata i te pai ake o te whakapai ake mā te huarahi tika.

Ka uru pea tō mahere maimoatanga ki:

• Ngā rongoā anti-mumura kore-steroidal (NSAIDs): Ibuprofen nui, naproxen rānei hei whakaiti i te mumura me te mamae
• Ngā corticosteroids: Prednisone, ētahi atu rongoā rānei mō ngā tohumānga nui ake, ki te kore e ranea ngā NSAIDs
• Ngā rongoā whakarereke mate: Methotrexate, ētahi atu rongoā rānei hei awhina i te whakahaere i ngā raruraru pūnaha ārai
• Ngā rongoā pāngarau: Ngā maimoatanga hou penei i te anakinra, tocilizumab rānei mō ngā take uaua ki te maimoatanga

Mō ngā raruraru onge, ka uru pea ētahi atu maimoatanga ki:

• Te whakaiti i te pūnaha ārai: Mō te uru nui o ngā whekau
• Plasmapheresis: He tukanga hei kānana i ngā mea mumura i tō toto
• Te noho whare hauora: Mō ngā raruraru kino e hiahia ana ki te tirotiro tata

Ka tīmata tō taote mā ngā maimoatanga ngawari ake, ka whakarite kia rite ki tō whakautu. Ka kite te nuinga o ngā tāngata i te whakaora mā ngā NSAIDs me ngā steroids, ā, ko ētahi atu ka hiahia ki ngā maimoatanga matatau ake.

Me pēhea te whakahaere i te Mate a Still mō te Pakeke i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i ō tohumānga, hei whakapai ake i tō kounga ora. Ka pai ake te mahi o ēnei rautaki tiaki-whaiaro i te taha o ō rongoā kua tohua.

Koinei ngā kaupae mahi ka taea e koe te tango:

• Okioki ina hiahia koe: Whakarongo ki tō tinana, kaua e pehi i te ngenge nui i ngā wā e pupuhi ana
• Tono wera, makariri rānei: Whakamahia ngā papa wera mō ngā hononga pakari, ngā putea huka rānei mō ngā wāhi pupuhi, mamae
• Kia makuku tonu: Inu wai nui, ina koa i ngā wā wera
• Te whakakori ngawari: Ka taea e te whakatete ngawari, te kauhoe, te hikoi rānei te pupuri i te ngawari o ngā hononga
• Te whakahaere ahotea: Whakamahia ngā tikanga whakamahinga, ngā whakaaroaro, ētahi atu tikanga whakaiti ahotea rānei
• Whai i ō tohumānga: Pupuri i te puka o ngā wera, ngā puta o te pupuhi, me te mamae o ngā hononga hei awhina i tō taote

Kia mahara ki te tango i ō rongoā kia rite ki te tohu, ahakoa kei te pai ake koe. Ka taea e te mutu o te maimoatanga i mua i te wā te whakaohooho i ngā tohumānga.

Me pēhea te whakarite mō tō hui taote?

Ka taea e te whakarite pai mō ō haerenga taote te awhina i a koe ki te whiwhi i te nuinga o ō hui, kia whakarite hoki kei a tō rōpū hauora ngā korero katoa e hiahia ana rātou. Nā te mea ka uaua, ka rerekē pea ngā tohumānga o te mate a Still mō te pakeke, he mea nui rawa te whakarite pai.

I mua i tō hui:

• Tuhia ō tohumānga: Tuhia te wā e puta ai ngā wera, te teitei o rātou, me te aha e pai ake ai, e kino ake ai rānei
• Tango pikitia o tō pupuhi: Nā te mea ka puta, ka ngaro atu te pupuhi, ka tino awhina ngā pikitia mō te tautuhi
• Rārangihia ngā rongoā katoa: Tāpirihia ngā rongoā tohua, ngā rongoā kore-tohu, me ngā taapiri
• Whakarite pātai: Tuhia te mea e hiahia ana koe ki te mohio mō tō āhuatanga me ngā whiringa maimoatanga
• Kawea mai tētahi kaiāwhina: Ka taea e te whai tangata ki a koe te awhina i a koe ki te mahara ki ngā korero, ki te whakarato tautoko ngākau hoki

Kaua e whakaroa ki te tono ki tō taote kia whakamārama i tetahi mea kaore koe e mārama. Ko tō hauora tēnei, ā, e tika ana kia whiwhi koe i ngā korero mārama, katoa mō tō āhuatanga me ngā whiringa maimoatanga.

He aha te mea nui mō te Mate a Still mō te Pakeke?

Ko te mate a Still mō te pakeke he āhuatanga mumura onge engari ka taea te whakahaere e pā ana ki te wera nui, te mamae o ngā hononga, me te pupuhi motuhake. Ahakoa ka wehi pea ina puta tuatahi ngā tohumānga, he maha ngā tāngata e pangia ana e tēnei āhuatanga e ora ana i te ora roa, te ora kaha mā te maimoatanga tika.

Ko ngā mea tino nui hei mahara ko te tautuhi me te maimoatanga wawe ka tino rerekē te hua. Ki te pā ana ki a koe ngā tohumānga tino noa o ngā wera nui o ia rā, te mamae o ngā hononga, me te pupuhi karaka-kākahu, kaua e tatari ki te rapu awhina hauora.

Mā ngā whiringa maimoatanga o nāianei, tae atu ki ngā rongoā tuku iho me ngā rongoā pāngarau hou, ka taea e te nuinga o ngā tāngata te whiwhi i te whakahaere pai o ngā tohumānga. Mahi tahi me tō rōpū hauora, kia mau tonu ki tō mahere maimoatanga, ā, kaua e whakaroa ki te toro atu ina hiahia koe ki te tautoko, ki te whakaaro rānei.

Ngā pātai e ui pinepinetia ana mō te Mate a Still mō te Pakeke

He rite te mate a Still mō te pakeke ki te mate hononga tamariki?

E kiia ana ko te mate a Still mō te pakeke te ahua pakeke o te mate pūtau-ā-tinana o ngā tamariki iti, engari ehara i te mea he āhuatanga rite. Ahakoa he rite ngā tohumānga me ngā tauira mumura, ka puta te mate a Still mō te pakeke ki ngā tāngata neke atu i te 16 tau te pakeke, ā, ka rerekē pea ngā āhuatanga me ngā whakautu maimoatanga.

Ka taea te whakaora tonu i te mate a Still mō te pakeke?

Ae, ka taea e ētahi tāngata e pangia ana e te mate a Still mō te pakeke te whiwhi whakaora roa, ina koa mā te maimoatanga tika, wawe. Heoi, ka pā pea ki ētahi atu te āhuatanga roa me ngā pupuhi waatea. E toru tetahi o ngā tāngata e whai ana i tetahi wāhanga anake e mutu ana, ā, ko ētahi atu e whai ana i ngā tohumānga e puta ana, te mate hononga roa rānei.

Ka taea e au te mahi me te pupuri i ngā mahi noa?

Ka taea e te nuinga o ngā tāngata e pangia ana e te mate a Still mō te pakeke te haere tonu ki te mahi me te whai wāhi ki ngā mahi noa, ina koa mā te maimoatanga whai hua. I ngā wā e pupuhi ana, ka hiahia pea koe ki te whakarereke i ō mahi, ki te tango wā okioki rānei, engari ka hoki te nuinga o ngā tāngata ki ō rātou mahi noa i waenga i ngā wāhanga. Kōrero atu ki tō taote mō ngā whakaritenga ka taea te awhina.

He kai kāre e tika kia kai ahau me te mate a Still mō te pakeke?

Kāre he kai motuhake e hiahiatia ana mō te mate a Still mō te pakeke, engari ka taea e te kai tōtika, te kai anti-mumura te awhina i a koe kia pai ake. Ka kite etahi tāngata ko te whakaiti i ngā kai tukatuka, te whakanui i ngā ngako momona-3 te awhina i te mumura. Heoi, arotahi ki te tango i ō rongoā kua tohua i te whakaaro ki ngā whakarereketanga kai anake.

Ka pā pea te mate a Still mō te pakeke ki te hapu?

Ko te hapu me te mate a Still mō te pakeke e hiahia ana ki te whakamahere me te tirotiro ata, engari he maha ngā wāhine e whai ana i ngā hapu angitu. Ka hiahia pea ki te whakarereke, ki te whakarereke rānei ētahi rongoā e whakamahia ana hei maimoatanga i te āhuatanga i te wā hapu. Ki te whakamahere ana koe ki te hapu, kei te hapu rānei koe, mahi tahi me tō rheumatologist me tō taote whānau hei whakarite i ngā hua pai mōu me tō pēpi.