He aha te Cholestasis o te Whakamamae? Tohutohu, Take, me te Maimoatanga

Ko te Cholestasis o te whakamamae he āhuatanga o te ate e pā ana ki ētahi wāhine i te wā o to rātou wāhanga tuarua, tuatoru rānei. Ka puta mai ina nui haere te maha o ngā waikawa bile i roto i tōu toto, engari kāore i te rere noa mai i tō ate hei awhina i te whakahaere kai.

Ka puta tēnei āhuatanga i te ngau nui, ina koa ki ō ringaringa me ō waewae, ā, ka pā pea ki te oranga o tō pēpi. Ahakoa he wehi te ahua, ko te mōhiotanga ki te aha e puta ana i roto i tō tinana ka taea te awhina i a koe ki te mahi tahi me tō rōpū hauora hei whakahaere i te āhuatanga kia ora.

He aha te cholestasis o te whakamamae?

Ka puta te Cholestasis o te whakamamae ina kore e taea e tō ate te whakahaere tika i ngā waikawa bile i te wā o te whakamamae. Ka hanga e tō ate te bile hei awhina i te wetewete i ngā ngako, engari ka taea e ngā homoni whakamamae te whakaiti i tēnei mahi.

Ina kore e taea te rere o ngā waikawa bile mai i tō ate, ka hoki ki roto i tō toto. Koinei te take o te tohu nui o te ngau nui, ā, ka pā pea ki te hauora o tō pēpi ki te kore e maimoatia.

Ka puta tēnei āhuatanga i ngā wāhanga whakamutunga o te whakamamae, te nuinga i muri i te 28 wiki. E pā ana ki te 1 i roto i te 1,000 o ngā whakamamae, ahakoa ka nui ake te maha i roto i ētahi momo iwi.

He aha ngā tohu o te cholestasis o te whakamamae?

Ko te tohu tino kitea ko te ngau nui e rerekē ana i ngā huringa kiri noa o te whakamamae. Ka tīmata pea tēnei ngau i ō ringaringa me ngā papa o ō waewae, katahi ka horapa ki ētahi atu wāhanga o tō tinana.

Ko ēnei ngā tohu matua ka pā pea ki a koe:

• Te ngau nui, ina koa ki ngā ringaringa me ngā waewae, e kino ake ana i te pō
• Te ngau e horapa ana ki ō ringa, waewae, me tō pouaka
• Te mimi pouri
• Te paru mārama, te ma rānei
• Te kōwhai o tō kiri, kanohi rānei (jaundice), ahakoa he iti rawa tēnei
• Te ngenge nui atu i te ngenge noa o te whakamamae
• Te ngaro o te hiahia kai
• Te ruaki, ina koa ki te hoki mai i muri i te pai ake i ngā wā tīmata o te whakamamae

He rerekē te ngau mai i te cholestasis i te ngau noa o te whakamamae. Ka whakaahuahia e te nuinga he rite ki te puta mai i raro i tō kiri, ā, kāore te kiko i te whakaora.

He aha ngā take o te cholestasis o te whakamamae?

Ko ngā homoni whakamamae, ina koa te estrogen me te progesterone, ngā take nui i muri i te cholestasis o te whakamamae. Ka taea e ēnei homoni te whakaiti i te rere o te bile mai i tō ate.

Ka mahi kaha ake tō ate i te wā o te whakamamae hei tautoko i a koe me tō pēpi. Ina tae atu ngā taumata homoni ki te pito i te wāhanga tuatoru, ka uaua ngā ate o ētahi wāhine ki te pupuri i te whakahaere tika i ngā waikawa bile.

He maha ngā take ka piki ake tō tūponotanga ki te whanake i tēnei āhuatanga:

• Te hītori whānau o te cholestasis o te whakamamae
• Te hītori whaiaro o te āhuatanga i ngā whakamamae o mua
• Te mau i ngā mahanga, maha rānei
• Te mate ate o mua, te raruraru rānei o te gallbladder
• Te whakamamae in vitro fertilization (IVF)
• Ētahi momo iwi, ina koa te iwi Scandinavian, Chilean, Bolivian rānei

I roto i ngā take onge, ka taea e ngā rerekētanga ira te whakapakari i ētahi wāhine ki ngā pānga o ngā homoni whakamamae ki te rere o te bile. Koinei te whakamārama i te take i puta ai tēnei āhuatanga i roto i ngā whānau.

Nō hea te haere ki te taote mō te cholestasis o te whakamamae?

Me whakapiri atu koe ki tō kaiwhakarato hauora tonu mēnā ka pāngia koe e te ngau nui, ina koa ki ō ringaringa me ō waewae. Kaua e tatari mō tō hui whakarite e whai ake nei, i te mea he mea nui te taumata whakamārama me te aroturuki.

Waea atu ki tō taote tonu mēnā ka kite koe i te mimi pouri, te paru mārama, te kōwhai rānei o tō kiri, kanohi rānei. Ka whakaatu ēnei tohu kei te hiahia tō ate ki te tiaki tonu.

Ahakoa he ngawari te ahua o tō ngau i te tīmatanga, he mea tika te kōrero ki tō rōpū hauora. Ka taea e rātou te whakamahi i ngā whakamātau toto ngāwari hei tirotiro i ō taumata waikawa bile me te mahi o tō ate.

He aha ngā take tūponotanga mō te cholestasis o te whakamamae?

Ko te mōhiotanga ki ō take tūponotanga ka taea te awhina i a koe me tō taote ki te tūpato mō ngā tohu wawe. He nui ake te tūponotanga o ētahi wāhine ki te whanake i tēnei āhuatanga i runga i to rātou hītori whaiaro me te whānau.

Ko ēnei ngā take tūponotanga tino nui:

• Te cholestasis o te whakamamae o mua (he 60-70% te tūponotanga ka hoki mai)
• Te hītori whānau, ina koa tō whaea, tōu tuahine rānei i pāngia e te āhuatanga
• Te whakamamae maha (mahanga, torutoru rānei)
• Te pakeke o te whaea (neke atu i te 35)
• Te hītori o te mate ate, te kohatu rānei o te gallbladder
• Te whakamamae IVF
• Ētahi rerekētanga ira e pā ana ki te kawe waikawa bile

He nui ake te maha o te cholestasis o te whakamamae i ētahi momo iwi. He nui ake te tūponotanga o ngā wāhine o Scandinavian, Araucanian Indian, ētahi iwi o Amerika ki te Tonga rānei.

Ko te whai i ngā take tūponotanga kāore e tikanga ka whanake koe i te āhuatanga. He maha ngā wāhine e whai ana i ngā take tūponotanga maha e whai ana i ngā whakamamae noa, ā, ko ētahi atu kāore he take tūponotanga e kitea ana ka taea tonu te pāngia.

He aha ngā raruraru pea o te cholestasis o te whakamamae?

Ahakoa ka taea te whakahaere pai i te cholestasis o te whakamamae, he maha ngā tūponotanga e aroturukihia ana e tō rōpū hauora. Ko te mōhiotanga ki ēnei raruraru pea ka awhina i te whakamārama i te take he mea nui te maimoatanga tere.

Mō tō pēpi, ko ēnei ngā āhuatanga matua:

• Te whānau wawe (te whānau i mua i te 37 wiki)
• Ngā raruraru manawa nā te whānau wawe
• Te poke meconium (te tukunga o te paru e te pēpi i mua i te whānau)
• Te mate i te kopu, ahakoa he onge tēnei me te aroturuki tika
• Te hiahia ki te tiaki nui i muri i te whānau

Mōu hei whaea, he iti ake te kino o ngā raruraru, engari ka uru atu:

• Te ngau nui e whakaroa ana i te moe me ngā mahi o ia rā
• Te pikinga o te toto i te wā o te whānau nā te kore o te huaora K
• Te tūponotanga nui ake o te hiahia ki te whānau wawe
• Te toto nui i muri i te whānau i roto i ngā take onge

Ko te rongo pai ko te nuinga o ngā pēpi me ngā whaea e pai ana me te aroturuki me te maimoatanga tika. Ka tirotiro tata atu tō rōpū hauora i a koe, ā, ka tūtohutia pea te whānau wawe hei aukati i ngā raruraru.

Me pēhea te whakamārama i te cholestasis o te whakamamae?

Ka tīmata tō taote mā te whakarongo ki ō tohu me te mahi i te whakamātau tinana. Ko te whakakotahitanga o te ngau nui me te whakamamae te tikanga ka whakapaehia tēnei āhuatanga.

Ko ngā whakamātau toto te ki hei whakau i te whakamārama. Ka tirotirohia e tō taote ō taumata waikawa bile, e nui ake ana i te cholestasis o te whakamamae. Ka whakamātauhia hoki e rātou te mahi o tō ate ki te kite i te pai o te mahi a tō ate.

Ko ēnei ngā whakamātau matua:

1. Te whakamātau waikawa bile serum (te whakamātau tino nui)
2. Ngā whakamātau mahi ate (ngā taumata ALT me AST)
3. Ngā taumata bilirubin
4. Te tauākī toto katoa
5. Ngā whakamātau hei whakakore i ētahi atu āhuatanga ate

I etahi wā, ka tono pea tō taote i ētahi atu whakamātau hei whakakore i ētahi atu āhuatanga kiri, te raruraru rānei o te ate. Ka uru pea ēnei ki ngā whakamātau hepatitis, te tohu autoimmune rānei mēnā he mārama kāore ō tohu.

Ka puta mai ngā hua i roto i te rā, rua rānei. Ka whakamāramahia e tō taote te tikanga o ngā nama, ā, ka kōrerohia ngā mahi e whai ake nei i runga i te nui o ō waikawa bile.

He aha te maimoatanga mō te cholestasis o te whakamamae?

Ka aro te maimoatanga ki te whakaiti i ō taumata waikawa bile, te whakaora i te ngau, me te tiaki i te hauora o tō pēpi. Ko te rongoā matua e whakamahia ana ko te ursodeoxycholic acid (UDCA), e awhina ana i tō ate ki te whakahaere i ngā waikawa bile kia nui ake te whai hua.

E whakaarohia ana he haumaru te UDCA i te wā o te whakamamae, ā, ka taea te whakapai ake i ō tohu, ā, ka taea pea te whakaiti i ngā tūponotanga ki tō pēpi. Ka inu koe i tēnei rongoā tae noa ki te whānau.

Ka uru pea tō mahere maimoatanga ki:

• Ngā papa Ursodeoxycholic acid (UDCA), te nuinga ka inu rua i te rā
• Ngā taapiri huaora K hei aukati i ngā raruraru toto
• Te aroturuki tonu i ngā taumata waikawa bile
• Te pikinga o te aroturuki pēpi, tae atu ki ngā whakamātau kore-pānga tonu
• Te whakarite mō te whānau wawe, te nuinga i waenganui i te 36-38 wiki

Ka tono pea ētahi taote i ngā antihistamines, ngā maimoatanga topical rānei hei awhina i te ngau, ahakoa kāore ēnei e whakaoti i te raruraru.

I roto i ngā take kino, te kore rānei e whai hua te UDCA, ka whakaaro pea tō taote ki ētahi atu rongoā. Heoi, ko te UDCA tonu te maimoatanga tuatahi me te pūnaha haumaru pai.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te cholestasis o te whakamamae?

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 tohu me te tautoko i tō oranga katoa. Ka pai ake te mahi o ēnei rautaki me ngā rongoā kua tohua e koe.

Mō te whakaora i te ngau, whakamātauhia ēnei huarahi ngawari:

• Tangohia ngā kaukau, ngā kaukau makariri (kāore i te makariri)
• Whakamahia ngā kaihoroi kiri ngawari, kore kakara i te wā kei te makuku tonu tō kiri
• Kakahu kakahu makuku, manawa pai
• Pupuri i tō ruma moe makariri i te pō
• Whakamahia he humidifier hei aukati i te hau maroke
• Whakamātauhia ngā kāpeka makariri ki ngā wāhanga ngau

Arotake ki te tautoko i te hauora o tō ate mā ngā whiringa noho ora ngawari. Kai iti, maha ngā kai ngawari ki te whakahaere. Whakauruhia te nui o ngā hua me ngā huawhenua, ā, pupuri i te wai pai me te wai.

He mea nui te moe pai, ahakoa ka uaua te moe ki te ngau. Whakamātauhia ngā tikanga whakahaerenga penei i te yoga whakamamae ngawari, te whakaaroaro rānei hei awhina i te whakahaere i te ahotea me te whakapai ake i te moe.

Me pēhea te aukati i te cholestasis o te whakamamae?

Heoi, kāore he huarahi kua whakamāramahia hei aukati i te cholestasis o te whakamamae i te mea ko te take nui ko te whakautu o tō tinana ki ngā homoni whakamamae. Heoi, ko te pupuri i te hauora pai katoa ka taea te tautoko i te mahi o tō ate.

Mēnā kua pāngia koe e te cholestasis i te whakamamae o mua, kōrerohia tēnei ki tō kaiwhakarato hauora i te tīmatanga o tō whakamamae e whai ake nei. Ka hiahia pea rātou ki te aroturuki tata atu i a koe me te tīmata i te whakamātau i mua.

Ko ētahi tikanga tautoko ate whānui e uru ana ki:

• Te pupuri i te taumaha hauora i mua i te whakamamae
• Te kai i te kai rite e whai hua ana i ngā hua me ngā huawhenua
• Te pupuri i te wai
• Te karo i te waipiro katoa i te wā o te whakamamae
• Te tango i ngā huaora whakamamae penei i te tūtohu
• Te whakahaere i ētahi atu āhuatanga hauora penei i te mate huka

Ahakoa kāore ēnei kaupae e taea te whakamana i te aukati, ka tautoko rātou i tō hauora katoa, ā, ka taea pea te awhina i te mahi o tō ate i te wā o te whakamamae.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka awhina i te whakarite kia whiwhi koe i te taumata whakamārama tika me te tiaki pai rawa atu. Ka hiahia tō taote ki ngā mōhiohio motuhake mō ō tohu me tō hītori hauora.

I mua i tō hui, tuhia te wā i tīmata ai tō ngau me te āhua o te huringa i te wā. Tākina ngā wāhanga o tō tinana e pāngia ana e te nui, me te aha e pai ake ai te ngau, te kino rānei.

Kawe mai ēnei mōhiohio ki a koe:

• Te whakaahuatanga taipitopito o ō tauira ngau
• Te rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Te hītori whānau o ngā raruraru ate, te cholestasis rānei o te whakamamae
• Ngā raruraru whakamamae o mua, ngā raruraru ate rānei
• Ngā pūrongo mō ngā whiringa maimoatanga me te aroturuki
• Ō hiahia me ō awangawanga mō te mahere whānau

Kaua e whakaroa ki te ui atu mō te aha e tatari ana ki te aroturuki me te whakarite whānau. Ko te mōhiotanga ki te wa me ngā mahi e whai ake nei ka taea te whakaiti i te awangawanga mō te āhuatanga.

He aha te tango matua mō te cholestasis o te whakamamae?

He āhuatanga whakahaere te cholestasis o te whakamamae ina whakamāramatia me te maimoatia tere. Ahakoa ka taea e te ngau nui te kore whakahaere me ngā raruraru pea e awangawanga ana, ko te nuinga o ngā wāhine me ngā pēpi e pai ana me te tiaki hauora tika.

Ko te mea tino nui ko te kaua e wareware ki te ngau nui, ina koa ki ō ringaringa me ō waewae. Ka taea e te taumata whakamārama te tuku i tō rōpū hauora ki te tīmata i te maimoatanga me te aroturuki tonu.

Kia mahara ka mutu tēnei āhuatanga i muri i te whānau. Ka hoki te mahi o tō ate ki te noa, ā, ka ngaro te ngau i roto i ngā rā, wiki rānei i muri i te whānau. Me te tiaki tika, ka taea e koe te whai i te pēpi hauora ahakoa tēnei āhuatanga uaua.

Ngā pūrongo e ui pinepinetia ana mō te cholestasis o te whakamamae

Ka puta anō te cholestasis o te whakamamae i ngā whakamamae e whai ake nei?

Mēnā kua pāngia koe e te cholestasis o te whakamamae, he 60-70% te tūponotanga ka hoki mai i ngā whakamamae e whai ake nei. Heoi, kāore tēnei e tikanga kāore e taea e koe te whai tamariki atu kia ora. Ka aroturuki tata atu tō rōpū hauora i a koe mai i te tīmatanga o te whakamamae, ā, ka taea te tīmata i te maimoatanga tere mēnā ka puta mai ngā tohu. He maha ngā wāhine e whai ana i ngā whakamamae maha ahakoa te cholestasis e hoki mai ana.

Ka taea e au te whāngai u mēnā kua pāngia ahau e te cholestasis o te whakamamae?

Ae, ka taea e koe te whāngai u i muri i te pānga o te cholestasis o te whakamamae. Ka mutu te āhuatanga i muri i te whānau, ā, kāore e pā ki tō kaha ki te whakaputa miraka, te haumaru rānei o te whāngai u. Mēnā kei te tango koe i te UDCA i te wā o te whakamamae, ka tohutohu tō taote mēnā me haere tonu koe i te wā e whāngai u ana, ahakoa e whakaarohia ana he haumaru.

Nō hea te whānau wawe o taku pēpi?

Ko te nuinga o ngā taote e tūtohutia ana te whānau i waenganui i te 36-38 wiki mō ngā wāhine e whai ana i te cholestasis o te whakamamae, i runga i te kino o tō āhuatanga me ngā taumata waikawa bile. Ka taurite tō rōpū hauora i ngā tūponotanga o te whānau wawe ki ngā tūponotanga o te haere tonu i te whakamamae. Ka aroturuki tata atu rātou i a koe me tō pēpi hei whakatau i te wā pai mō te whānau.

He kino rawa atu te ngau, te nui rawa rānei taku whakaaro?

He tino nui te ngau mai i te cholestasis o te whakamamae, ā, he rerekē i te ngau noa o te whakamamae. Ka whakaahuahia e te nuinga he rite ki te puta mai i raro i te kiri, ā, e kī ana te nuinga o ngā wāhine ko te ngau kino rawa atu kua pāngia e rātou. Kāore koe e nui rawa te whakaaro - ka pā nui tēnei tohu ki te kounga o te ora me te moe. Kaua e whakaroa ki te rapu awhina me te tautoko mō te maimoatanga tika.

He aha te pānga ki taku ate i muri i te whānau?

Ka hoki te mahi o tō ate ki te noa i roto i ngā rā, wiki rānei i muri i te whānau. Ka heke tere ngā taumata waikawa bile ina he iti ngā homoni whakamamae, ā, ka ngaro te ngau i roto i te wiki tuatahi i muri i te whānau. Ka tirotiro pea tō taote i te mahi o tō ate i muri i te whānau hei whakau kua hoki katoa ki te noa. He onge rawa ngā raruraru ate roa mai i te cholestasis o te whakamamae.