He aha te Hepatitis Autoimmune? Tohutohu, Take, me te Maimoatanga

He aha te Hepatitis Autoimmune?

Ko te hepatitis autoimmune tetahi āhuatanga e whakaeke ana tō pūnaha ārai ki ngā pūtau ate, ā, ka puta he mumura tonu. Whakaarohia he rite ki te pūnaha tiaki o tō tinana e pohehe ana, ā, e whakaeke ana i ngā kiko ate hauora i te wāhi o ngā kaiwhakaeke kino.

He āhuatanga roa tēnei e pā ana ki ngā tāngata o ngā tau katoa, engari he maha atu ngā wāhine i ngā tāne. Ka tupu haere te mumura i roto i ngā marama, i ngā tau rānei, koia ka kore pea e kitea e koe ngā tohu i te tīmatanga.

He pai te mahi a tō ate ki te horoi i ngā taero me te whakaputa i ngā pūmua nui, no reira, ki te āwangawanga te mumura ki ēnei mahi, ka pā pea ki tō hauora whānui. Heoi, he pai te whakautu o te hepatitis autoimmune ki te maimoatanga i te nuinga o ngā take. Mā te tiaki hauora tika, ka ora ngā tāngata maha i ngā oranga noa, hauora, i te wā e whakahaere ana i tēnei āhuatanga. Ka taea e te kitenga wawe me te maimoatanga te aukati i ngā raruraru nui, ā, ka āwhina i te tiaki i te mahi o tō ate mō te wā roa.

He aha ngā tohu o te Hepatitis Autoimmune?

He maha ngā tāngata e pangia ana e te hepatitis autoimmune e kite ana i te ngenge hei tohu tuatahi me te roa rawa. Ka tino ngenge pea koe ahakoa i te moe nui, ā, ka āwangawanga pea tēnei ngenge ki ō mahi o ia rā.

Ka rereke haere ngā tohu mai i te tangata ki te tangata, ā, ka kore pea etahi e kite i ngā tohu i ngā wā tīmatanga. Ko ēnei ngā tohu ka whakaatu pea tō tinana i te wā e whakahaere ana i te mumura ate:

• Ngenge tonu me te ngoikore e kore e pai ake ahakoa te okioki
• Te mamae o te kopu, ā, te mamae, inā te rohe matau o runga
• Te ngaro o te hiahia kai me te ngaro o te taumaha
• Te ruaki me te ruaki
• Te kōwhai o te kiri me ngā kanohi (jaundice)
• Te mimi pouri
• Te paru mā, te paru parauri rānei
• Te mamae o ngā hononga me ngā uaua
• Ngā pupuhi kiri, te ngau rānei

I etahi wā, ka pā pea ngā tohu nui ake ki ētahi tāngata e hiahia ana ki te tiaki wawe. Ka uru atu ki ēnei te pohehe, te pupuhi nui o te kopu, te kino o te jaundice rānei. Kia mahara ka haere mai, ka haere atu ngā tohu, ā, ehara te mea he iti ngā tohu, he iti te kino o tō āhuatanga.

He aha ngā momo Hepatitis Autoimmune?

Ka wehewehea e ngā tākuta te hepatitis autoimmune ki ngā momo e rua, e whakaū ana ki ngā antibodies motuhake e kitea ana i roto i tō toto. Ko te momo 1 te momo tino noa, e 80% o ngā take katoa.

Ko te hepatitis autoimmune momo 1 e pā ana ki ngā pakeke, ā, ka puta i tetahi tau. E tohuhia ana e te noho o ngā antinuclear antibodies (ANA) i roto i tō toto. Ka whakautu pai tēnei momo ki ngā maimoatanga noa, ā, ka taea pea te haere ki te remission mā te tiaki tika.

He iti te noho o te hepatitis autoimmune momo 2, ā, e pā ana ki ngā tamariki me ngā tāne taitamariki. E tohuhia ana e ngā liver-kidney microsomal antibodies (LKM-1) i roto i te toto. Ka tino kaha tēnei momo, ā, ka tere ake te haere atu i te momo 1, engari ka whakautu tonu ki te maimoatanga ina kitea wawe.

Ka taea e ngā momo e rua te puta i ngā tohu me ngā āwangawanga ate rite, no reira, ko te wehenga nui hei āwhina i tō tākuta ki te whiriwhiri i te huarahi maimoatanga tino pai. Kāore te momo e whai pā ana ki te kino o tō āhuatanga, te pai o tō whakautu ki te maimoatanga rānei.

He aha ngā take o te Hepatitis Autoimmune?

Kāore i te mārama te take pono o te hepatitis autoimmune, engari e whakapono ana ngā kairangahau ka tupu ina kore te mahi o tō pūnaha ārai, nā te whakakotahitanga o ngā take. He mea nui tō hanganga ira ki te whakapakari i a koe ki tēnei āhuatanga.

He maha ngā take ka mahi tahi hei whakakore i te hepatitis autoimmune ki ngā tāngata e tino pāngia ana:

• Ngā mate huaketo penei i te hepatitis A, B, C rānei e pohehe ana pea tō pūnaha ārai
• Ētahi rongoā, tae atu ki ētahi rongoā mate huaketo me ngā rongoā mamae
• Ngā taero taiao, ngā matū rānei e whakaohooho ana pea i ngā whakautu ārai
• Ētahi atu āhuatanga autoimmune e pā ana ki te mahi o tō pūnaha ārai
• Ngā huringa homoni, e whakamaarama ana pea he aha i pāngia ai ngā wāhine i te nuinga

I ngā take onge, ka taea te tupu o te hepatitis autoimmune me ētahi atu āhuatanga autoimmune penei i te rheumatoid arthritis, te mate thyroid, te mate pūkahukahu mumura rānei. E whakaatu ana tēnei kei ētahi tāngata he pūnaha ārai e tino pāngia ana ki te whakaeke i ngā kiko hauora puta noa i te tinana.

He mea nui te mārama ehara te hepatitis autoimmune i te mate ka taea te hora, kāore hoki e taea te aukati mā ngā huringa noho ora anake, ahakoa te tiaki i te hauora whānui ka āwhina pea ki te whakahaere i te āhuatanga ina kitea.

Nōhea te haere ki te tākuta mō te Hepatitis Autoimmune?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e te ngenge tonu e kore e pai ake ahakoa te okioki, inā te whakakotahitanga me ētahi atu tohu. Ka taea e te tiaki hauora wawe te whakarereke nui ki te whakahaere i tēnei āhuatanga.

Whakaritea he hui ki tō kaiwhakarato hauora ki te kite koe i te kōwhai o tō kiri, o ō kanohi rānei, i te mea e whakaatu ana tēnei kei te hiahia tō ate ki te aromatawai wawe. He tohu nui hoki te mimi pouri, te paru mā rānei e hiahia ana ki te tiaki hauora, ahakoa kei te pai koe.

Rapua te tiaki hauora wawe ki te pāngia koe e ngā tohu nui penei i te mamae nui o te kopu, te ruaki tonu, te pohehe, te pupuhi ohorere rānei i ō waewae, i tō kopu rānei. Ka taea e ēnei tohu te whakaatu i ngā raruraru nui e hiahia ana ki te maimoatanga wawe.

Kaua e tatari ki te whakaaro koe he whānau o ngā mate autoimmune, ā, ka puta mai ētahi tohu e pā ana ki te ate. E tika ana te aro ki ngā tohu iti, i te mea ka taea e te hepatitis autoimmune te haere ngāwari, ā, ka taea e te maimoatanga wawe te aukati i ngā raruraru nui ake i muri mai.

He aha ngā take morearea mō te Hepatitis Autoimmune?

Ko te mea he wahine te mea nui e whakapiki ana i tō morearea ki te whanake i te hepatitis autoimmune, i te mea e whā wā te nui o ngā wāhine e whanake ana i tēnei āhuatanga i ngā tāne. E whakaatu ana tēnei rerekētanga ira i te mea he mea nui ngā homoni ki te whakaohooho i te mahi pūnaha ārai.

He maha ngā take ka taea te whakapakari i a koe ki te whanake i te hepatitis autoimmune:

• Te hītori whānau o ngā mate autoimmune penei i te lupus, te rheumatoid arthritis, te mate thyroid rānei
• Ngā mate hepatitis huaketo o mua i whakaohooho pea i tō pūnaha ārai
• Te tango i ētahi rongoā, inā ētahi rongoā mate huaketo, ngā rongoā anti-seizure rānei
• Te noho o ētahi atu āhuatanga autoimmune i roto i tō tinana
• Ngā take tau – Ko te momo 1 e pā ana ki ngā tāngata i waenganui i te 15-40 tau
• Ngā rerekētanga ira e whakapakari ana i tō pūnaha ārai

I ngā take onge, ka taea e te whakaū ki ētahi taero taiao, matū rānei te whakapiki i tō morearea, ahakoa kāore i te tino mārama tēnei hononga. Ka whanake etahi i te hepatitis autoimmune i muri i te wheako i te ahotea tinana, ngakau rānei, engari kei te ako tonu ngā kairangahau i tēnei whakaohooho pea.

Ko te noho o ngā take morearea kāore e tikanga ka whanake koe i te hepatitis autoimmune, ā, he maha ngā tāngata e nui ana ngā take morearea kāore e whanake i te āhuatanga. Ko te mārama ki tō morearea hei āwhina i a koe ki te whakarongo ki ngā tohu, ki te rapu i te tiaki hauora wawe hoki ina hiahiatia.

He aha ngā raruraru pea o te Hepatitis Autoimmune?

Kaore he maimoatanga tika, ka taea e te hepatitis autoimmune te arahi ki te tohe o ngā kiko ate, e mohiotia ana ko te cirrhosis. Ka āwangawanga tēnei tohe ki te kaha o tō ate ki te mahi tika, ā, ka taea te tupu haere i roto i ngā tau maha.

Ka taea e te mumura tonu te puta i ngā raruraru nui e pā ana ki tō hauora whānui me tō kounga o te ora:

• Te cirrhosis ate, kei reira ngā kiko hauora e whakakapihia ana e ngā kiko tohe
• Te toto ate teitei, e whakaputa ana i te pehanga nui ake i roto i ngā oko toto ate
• Te ate nui e pā ana pea ki ō tau o ngā pūtau toto
• Te kohikohi wai i roto i tō kopu (ascites)
• Te pupuhi i ō waewae me ō waewae nā te pupuri wai
• Te whakapiki i te morearea o te mate pukupuku ate i ngā take whanui
• Te toto mai i ngā oko toto nui i roto i tō esophagus

I ngā take onge, ka taea e te hepatitis autoimmune te haere ki te ngoikore o te ate, he āwangawanga hauora e hiahia ana ki te maimoatanga wawe. He tino pāngia tēnei raruraru ki te kore e kitea te āhuatanga mō te wā roa, ki te kore rānei e whai i te maimoatanga tika.

Ko te rongo pai, mā te kitenga wawe me te maimoatanga tika, ka taea te aukati, te whakaroa rānei i te nuinga o ēnei raruraru. Ko te tirotiro tonu me tō rōpū hauora hei āwhina i te kite wawe i ngā huringa, ki te whakarite i te maimoatanga hoki i te mea e hiahiatia ana.

Me pēhea te whakatau i te Hepatitis Autoimmune?

Ko te whakatau i te hepatitis autoimmune e hiahia ana ki ngā whakamātautau maha, i te mea kāore he whakamātautau kotahi e taea te whakau i te āhuatanga. Ka tīmata tō tākuta me ngā whakamātautau toto ki te tirotiro i te mahi o tō ate, ki te rapu hoki i ngā antibodies motuhake e tohu ana i te mahi pūnaha ārai.

Ko te tukanga whakatau e whakauru ana ki te tirotiro i ō enzymes ate, e whakapiki ake ana ina mumura tō ate. Ka whakamātautau hoki tō tākuta mō ngā autoantibodies motuhake penei i te ANA, SMA, LKM-1 rānei e āwhina ana ki te tohu i te momo hepatitis autoimmune pea kei a koe.

He mea nui te biopsy ate ki te whakau i te whakatau, ki te aromatawai hoki i te nui o te āwangawanga ate. I roto i tēnei mahi, ka tangohia, ka tirotirohia he tauira iti o ngā kiko ate i raro i te microscope. Ahakoa ka rongo pea tenei he awangawanga, he mahi tākuta noa tēnei me te iti o te mamae.

Ka whakakore hoki tō tākuta i ētahi atu take o te mate ate penei i te hepatitis huaketo, te āwangawanga e pā ana ki te waipiro, te pānga rongoā rānei. Ka whakarite tēnei tukanga ka whiwhi koe i te maimoatanga tino tika mō tō āhuatanga motuhake. I etahi wā, ka āwhina ngā whakamātautau whakaahua atu penei i te ultrasound, te CT scan rānei ki te aromatawai i te rahi me te hanganga o tō ate.

He aha te maimoatanga mō te Hepatitis Autoimmune?

Ko te maimoatanga matua mō te hepatitis autoimmune e whakauru ana ki ngā rongoā e whakakore ana i tō pūnaha ārai nui. Ko ngā corticosteroids penei i te prednisone te raina tuatahi o te maimoatanga, ā, ka taea te whakaiti i te mumura ate i te nuinga o ngā tāngata.

Ka whakauru pea tō mahere maimoatanga ki tētahi, ki ētahi rānei o ēnei huarahi:

• Corticosteroids (prednisone) hei whakaiti wawe i te mumura
• Ngā rongoā immunosuppressive penei i te azathioprine mō te whakahaere roa
• Te maimoatanga whakakotahi mā te whakamahi i ngā momo rongoā e rua
• Ngā immunosuppressives rerekē ki te kore e mahi ngā maimoatanga noa
• Te tirotiro tonu hei whakarite i ngā rongoā i te mea e hiahiatia ana

Ka tīmata te nuinga o ngā tāngata ki te kite i te pai ake o ō rātou tohu me ngā whakamātautau toto i roto i ngā wiki torutoru i te tīmatanga o te maimoatanga. Heoi, ka roa pea ngā marama ki ngā tau torutoru o te whakamahinga rongoā tonu hei whakatutuki i te remission katoa.

I ngā take onge kei reira te ate i te kino nui, ka hiahiatia pea he whakawhiti ate. E whakaarohia ana tēnei i te nuinga ina kore i angitu ētahi atu maimoatanga, ā, kua kino te mahi ate. Ko te rongo pai, he onge te hokinga mai o te hepatitis autoimmune ki ngā ate i whakawhitihia.

Ka mahi ngātahi tō tākuta me koe ki te kimi i te taurite tika o ngā rongoā e whakahaere ana i tō āhuatanga i te wā e whakaiti ana i ngā pānga. He mea nui ngā hui whai muri tonu hei tirotiro i tō haere whakamua, ki te whakarite i ngā whakaritenga e hiahiatia ana ki tō mahere maimoatanga.

Me pēhea te whakahaere i te Hepatitis Autoimmune i te kāinga?

Ko te tango i ō rongoā tika i te mea i whakaritea te mea nui rawa atu ka taea e koe te mahi hei whakahaere i te hepatitis autoimmune i te kāinga. Kaua rawa e mutu, kaua hoki e whakarerekē ō rongoā me te kore e ui ki tō tākuta, ahakoa kei te pai ake koe.

Ko te tautoko i te hauora ate mā ngā whiringa noho ora ka taea te whakakotahi i tō maimoatanga hauora. He mea nui te karo i te waipiro, i te mea ka taea te whakaiti i te mumura ate, te āwangawanga hoki ki ō rongoā. Ahakoa ngā iti o te waipiro ka kino ki te mate ate.

Ko te kai i te kai rite, kai hauora hei āwhina i te mahi o tō ate i te wā e ora ana koe. Aro atu ki ngā hua hou, ngā huawhenua, ngā pūmua ngawari, ngā witi katoa hoki i te wā e whakaiti ana i ngā kai tukatuka me te tote nui. Ki te whanake koe i te pupuri wai, ka taunaki pea tō tākuta ki te whakaiti i te kai tote.

Kia whakahoutia ngā whakakakahu, inā mō te hepatitis A me te B, i te mea ka nui ake te pānga o ō rongoā pūnaha ārai ki ngā mate. Tākupu ki tō tākuta ko wai ngā whakakakahu e tika ana mōu i te wā e tango ana i ngā rongoā immunosuppressive.

Ka taea e te whakakori ngawari te whawhai ki te ngenge, ki te tiaki i tō hauora whānui hoki, engari whakarongo ki tō tinana, okioki hoki ina hiahiatia. Ka taea hoki e te whakahaere ahotea mā ngā tikanga whakamahinga, te moe tika, te tautoko ngakau hoki te whai hua ki tō oranga whānui.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou me te āwangawanga ki ō mahi o ia rā. Whakauruhia ngā kōrero mō ngā taumata ngenge, te mamae, ngā huringa i tō hiahia kai, i tō taumaha rānei.

Kawe mai he rārangi katoa o ngā rongoā, ngā taapiri, ngā rongoā otaota katoa e tango ana koe, tae atu ki ngā horoinga. Whakauruhia hoki ngā rongoā kore-whakahaunga e whakamahi ana koe i ia rā, i te mea ka taea e ētahi te pā ki te mahi ate, te mahi tahi rānei me ō maimoatanga.

Whakaritea he hītori hauora whānau, inā te tohu i ngā mate autoimmune, ngā raruraru ate, ētahi atu āhuatanga roa rānei i roto i ō whānau. Ka āwhina tēnei kōrero i tō tākuta ki te mārama ki ō take morearea me ngā hononga ira pea.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō tākuta, penei i ngā whiringa maimoatanga, te wa e tumanakohia ana mō te pai ake, ngā whakaritenga noho ora, ngā pānga pea o ngā rongoā hoki. Kaua e mangere ki te ui mō tetahi mea e awangawanga ana koe, te mea rānei e kore e mārama ki a koe.

Ki te taea, kawe mai tētahi hoa whakawhirinaki, mema whānau rānei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā kōrero nui, ki te whakarato tautoko ngakau hoki i te wā e kōrero ana mō tō whakatau me tō mahere maimoatanga.

He aha te mea nui mō te Hepatitis Autoimmune?

He āhuatanga ka taea te whakahaere te hepatitis autoimmune ina kitea wawe, ā, ina maimoatia tika. Ahakoa e hiahia ana ki te tiaki hauora tonu me ngā whakaritenga noho ora, ka taea e te nuinga o ngā tāngata e pangia ana e tēnei āhuatanga te ora i ngā oranga katoa, mahi, mā te maimoatanga tika.

Ko te mea nui rawa atu hei mahara ko tēnei āhuatanga e whakautu pai ana ki te maimoatanga i te nuinga o ngā take. Mā te whakamahinga rongoā tonu me te tirotiro hauora tonu, ka taea e koe te aukati i ngā raruraru nui, te tiaki i te mahi ate pai hoki mō ngā tau maha.

Kaua e tuku i te wehi, i te kore mōhio rānei ki te aukati i a koe ki te rapu awhina ki te pāngia koe e ngā tohu. Ka whakarereke nui te whakauru wawe ki ngā hua, ā, kei reira tō rōpū hauora hei tautoko i a koe i ia kaupae o te whakatau me te maimoatanga.

Kia mahara ehara te noho o te hepatitis autoimmune i te whakatau i a koe, i te whakaiti rānei i tō kaha mō te oranga hauora, whai hua.

Ngā pātai e ui pinepinetia ana mō te Hepatitis Autoimmune

Ka taea te whakaora katoa i te hepatitis autoimmune?

Ahakoa kāore he rongoā pumau mō te hepatitis autoimmune, ka taea e te nuinga o ngā tāngata te whakatutuki i te remission roa mā te maimoatanga tika. Ko te tikanga o te remission ko te ngaro o ō tohu, ko te hokinga mai o ngā whakamātautau toto ki te noa, ahakoa ka hiahia pea koe ki te haere tonu ki te tango i ngā rongoā hei pupuri i tēnei pai ake. Ka taea e ētahi te whakaiti i ō rātou horoinga rongoā, te tango rānei i ngā okioki mai i te maimoatanga i raro i te tirotiro hauora atawhai.

He mea whakararangi te hepatitis autoimmune?

Kāore te hepatitis autoimmune i te whakararangi tika penei i ētahi mate ira, engari ko te noho o ngā mema whānau e pangia ana e ngā āhuatanga autoimmune e whakapiki ana i tō morearea. Ka taea e ngā take ira e whakapakari ana i tetahi ki ngā mate autoimmune te haere i roto i ngā whānau. Heoi, ko te nuinga o ngā tāngata e whai hītori whānau ana o ngā āhuatanga autoimmune kāore e whanake i te hepatitis autoimmune.

Ka taea e au te whānau tamariki ki te pāngia ahau e te hepatitis autoimmune?

Ka taea e te nuinga o ngā wāhine e pangia ana e te hepatitis autoimmune te whānau tamariki hauora, engari e hiahia ana ki te whakamahere atawhai me te tirotiro me tō rōpū hauora. Ka hiahiatia pea te whakarite i ētahi rongoā e whakamahia ana hei maimoatanga i te hepatitis autoimmune i mua i te haputanga, i te wā hoki. Ka mahi tahi ō tākuta me koe hei whakahaere i tō āhuatanga i te wā e tiaki ana i a koe, i te hauora o tō pēpi hoki.

Me tango rongoā tonu ahau mō te toenga o toku ora?

Ko te nuinga o ngā tāngata e pangia ana e te hepatitis autoimmune e hiahia ana ki te rongoā roa hei pupuri i tō rātou āhuatanga i raro i te mana, engari ehara tēnei i te tikanga he maimoatanga ora mō te katoa. Ka taea e ētahi te whakaiti haere i ō rātou rongoā, te tango rānei i ngā okioki maimoatanga i muri i te whakatutuki i te remission pumau. Ka tirotiro tata atu tō tākuta i tō āhuatanga, ka whakarite i tō mahere maimoatanga hoki i runga i te pai o tō whakautu i te wā.

Ka taea e te ahotea te whakaiti i te hepatitis autoimmune?

Ahakoa kāore te ahotea e puta tika i te hepatitis autoimmune, ka whakaohooho pea i ngā whakakore i ētahi tāngata, te whakaiti rānei i ngā tohu. Ko te whakahaere ahotea mā ngā tikanga whakamahinga, te moe tika, te whakakori ngawari, te tautoko ngakau hoki ka taea te whai hua mō tō hauora whānui, ā, ka āwhina pea ki te whakahaere tohu. Heoi, ko te whakahaere ahotea me te whakakotahi, kaua e whakakapi, i tō maimoatanga hauora i whakaritea.