He aha te Dermatomyositis? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

He mate pūngāwerewere onge te dermatomyositis e pā ana ki ngā uaua me te kiri. Ka puta he ngoikore o ngā uaua, me te pupuhi kiri motuhake, ka whai hua ai ngā mahi o ia rā, pēnei i te piki i ngā kaupae, te kawe i ngā mea, kia uaua atu i te noa.

Ko tēnei mate ā-whakaheke-mate e puta ana ina whakaeke he kino te pūnaha ā-mate o tō tinana ki ngā kiko uaua me te kiri hauora. Ahakoa e rangona ana he nui te āhuatanga, ko te mārama ki te mea kei te puta i roto i tō tinana ka āhei ai koe ki te mahi tahi me tō rōpū hauora hei whakahaere pai i ngā tohu.

He aha te dermatomyositis?

Ko te dermatomyositis tētahi o ngā mate uaua e kiia nei ko ngā myopathies pūngāwerewere. Ka hanga e tō pūnaha ā-mate te pūngāwerewere i roto i ngā muka uaua me ngā oko toto iti i roto i tō kiri, ka arahi ai ki te whakakotahitanga o te ngoikore o ngā uaua me ngā huringa kiri.

Ka taea e te mate te pā ki te tangata o te tau katoa, ahakoa ko te nuinga o te wā ka puta i roto i ngā pakeke i waenga i te 40-60 tau te pakeke me ngā tamariki i waenga i te 5-15 tau te pakeke. Ki te puta i roto i ngā tamariki, ka karanga ngā tākuta he dermatomyositis taitamariki, he maha ngā tohu rerekē.

Kāore i rite ki ētahi atu mate uaua, ko te dermatomyositis tonu te whakauru i ngā huringa kiri me te ngoikore o ngā uaua. Ka ngāwari ai tenei mō ngā tākuta ki te mohio, ahakoa ka rereke te kaha mai i te tangata ki te tangata.

He aha ngā tohu o te dermatomyositis?

Ka tupu haere te tohu o te dermatomyositis, ā, ka pā ki ngā uaua me te kiri. Tukua ahau kia arahi atu koe ki te mea ka kite koe, kia mahara ko te tangata katoa ka rereke te wheako i tēnei mate.

Ko ngā tohu e pā ana ki ngā uaua ka pā pea ki a koe:

• Te ngoikore o ngā uaua e haere ana, ina koa ki ō pakihiwi, ngā ringa o runga, ngā hope, me ngā huha
• Te uaua ki te whakatika mai i ngā tūru, te piki i ngā kaupae, te toro atu rānei ki runga
• Te raruraru ki te horomi kai, te rerekē rānei o tō reo
• Te mamae o ngā uaua me te ngawari, ahakoa ehara i te mea kei te puta tonu
• Te ngenge e tino kaha ake ana i te ngenge noa

Ko ngā huringa kiri te mea tuatahi e kitea ana e te iwi, ā, ka puta pea i mua i te whanaketanga o te ngoikore o ngā uaua:

• He pūpura rānei he whero motuhake te pūāhua i te taha o ō kamo, me te pupū pea
• Ngā pupū whero, pūpura rānei i runga i ō ngāku, ngā rekereke, ngā turi rānei (e kiia ana ko ngā papules Gottron)
• He pūāhua puta noa i tō uma, tua, pakihiwi rānei ka kaha ake pea i te wera o te rā
• Te kiri mātotoru, kē i ō ngā matihao me ō ngā ringa
• Ngā huringa i te taha o ō moenga maihao me ngā uaua toto iti e kitea ana

E wheako ana etahi atu i ngā tohu kaore i te noa e pā ana ki ētahi atu wāhanga o te tinana. Ka uru pea ēnei ki te poto o te manawa ki te pā te āhuatanga ki ō uaua pūkahukahu, te mamae o ngā hononga kahore he pupū nui, te whakato rānei o te kārati i raro i te kiri e rite ana ki ngā pupū iti, pakeke.

He mea nui kia mahara ka rereke te ahua o te dermatomyositis i te tangata ki te tangata. He tino kitea ngā huringa kiri i ētahi, he ngoikore noa iho ngā uaua, ā, ko ētahi anō e wheako ana i te tauira rerekē.

He aha ngā momo dermatomyositis?

Ka wehewehe ngā tākuta i te dermatomyositis ki ētahi momo e whakaū ana i te tau o te tīmatanga me ngā āhuatanga motuhake. Ka āwhina te mārama ki ēnei wehenga ki te whakawhiti korero pai atu ki tō rōpū hauora mō tō āhuatanga motuhake.

Ko te dermatomyositis pakeke e puta ana i waenga i ngā tau 40-60, ā, e whai ana i te tauira tuku iho o te ngoikore o ngā uaua me ngā huringa kiri. Ka puta pea tēnei ahua me ētahi atu āhuatanga autoimmune, te hono rānei ki ngā mate pukupuku i etahi wā.

Ko te dermatomyositis taitamariki e pā ana ki ngā tamariki me ngā taitamariki, e puta ana i te nuinga i waenga i ngā tau 5-15. Ahakoa he maha ngā āhuatanga e rite ana ki te ahua o te pakeke, ka tupu ake te maha o ngā kōhatu kākā i raro i o ratou kiri ngā tamariki, ā, ka kaha ake pea te pānga o ngā oko toto.

Ko te dermatomyositis amyopathic ngākaha he ahua motuhake kei reira koe e whanake ana i ngā huringa kiri tohu me te kore he ngoikore o te uaua nui. Kāo te tikanga kua kore rawa te pānga o ō uaua, engari ka ngoikore pea te ngoikore kia kore ai koe e kite i roto i ngā mahi o ia rā.

Ka puta te dermatomyositis e hono ana ki te mate pukupuku ina puta te āhuatanga me ētahi momo mate pukupuku. He maha ake te hononga nei i roto i ngā pakeke, ina koa ko te hunga neke atu i te 45, ā, ka tirotirohia e tō tākuta te wāhi pea i te wā o tō arotake.

He aha te take o te dermatomyositis?

Ka whanake te dermatomyositis ina pohehe te pūnaha ārai mate o to tinana ka tīmata ki te whakaeke i ō pūtau hauora ake. Kāo te take tika mō tēnei mahi heke o te pūnaha ārai mate kua tino mōhiotia, engari e whakapono ana ngā kairangahau he maha ngā take e uru ana.

Pea he wāhi te hanganga ira a to tinana ki te whakaiti i tō tūmanako ki te whanake i te dermatomyositis. He ahua o ngā rerekētanga ira e piki ana te tūponotanga, ahakoa te whai i ēnei ira kahore e whakamana ka whanake koe i te āhuatanga.

Ka taea hoki e ngā take taiao te awhina i te whanaketanga o te dermatomyositis. Kei roto i ēnei take pea ngā mate huaketo, te whakamahinga i ētahi rongoā, te ra nui rānei. Heoi, he mea nui kia mōhio kē atu ēnei take kahore e tino whakaeke i te mate, engari ka taea e rātou te whakahohe i roto i te hunga kua whakaritea kē te ira.

I ētahi wā, ina koa i roto i ngā pakeke, ka taea te whanake i te dermatomyositis hei wāhanga o te whakautu ārai mate whānui ake i whakaohohia e te mate pukupuku kei ētahi atu wāhi o te tinana. Ko te whakautu o te pūnaha ārai mate ki ngā pūtau mate pukupuku ka taea pea te mahi tahi ki te uaua me te kiri.

Ko te mea nui kia mārama ko te dermatomyositis kāhore he mate ka pā atu, ā, kāhore he mea i mahi koe hei whakaoho i te mate. Kāhore i puta mai i te nui o te whakakori tinana, te kai kino, te kōwhiringa noho ora rānei.

Nōhea te toro atu ki te taote mō te dermatomyositis?

Me rapu āwhina hauora koe mēnā ka kite koe i te whakakotahitanga o te ngoikore o te uaua e piki haere ana me ngā huringa kiri motuhake,inā te pupuhi āhua i te taha o ō kanohi, i runga rānei i ō kōpiko. Ka taea e te whakamātautau wawe me te maimoatanga te whakapai ake i te whakahaere i tēnei āhuatanga.

Whakapa atu ki tō taote wawe mēnā kei te pōhēhē koe ki te horomi, i te mea ka pā tenei ki tō kaha ki te kai mā te ora, ā, me āta tirohia tonu. Pēnei anō, mēnā ka puta mai te poto o te manawa, te mamae uma rānei, ka taea e ēnei tohu te tohu i te pānga o te pūkahukahu, ā, me whakamātautau wawe.

Kaua e tatari mēnā ka kite koe i te tere o te ngoikore o te uaua,inā mēnā kei te pānga ki tō kaha ki te mahi i ngā mahi o ia rā, pēnei i te kakahu, te hikoi, te piki i ngā kaupae rānei. Ka taea e te whakauru tere te āwhina i te aukati i te kino atu o te uaua.

Mēnā kua whakamātautauhia koe ki te dermatomyositis, kia mataara ki ngā tohu e pā ana ki te kino haere o tō āhuatanga ahakoa te maimoatanga. Kei roto i ēnei ngā pupuhi kiri hou, te ngoikore o te uaua e piki haere ana, te puta mai rānei o ētahi atu tohu pēnei i te mare i te kohinga, te kirika rānei.

He aha ngā take morearea mō te dermatomyositis?

He maha ngā take ka piki ake ai tō tūmanako ki te whanake i te dermatomyositis, ahakoa te whai i ēnei take morearea kāhore e tikanga ka whanake koe i te āhuatanga. Ka taea e te mārama ki a rātou te āwhina i a koe ki te mataara ki ngā tohu wawe.

He mea nui te tau, me ngā wā piki e rua ka puta mai te dermatomyositis. Ko te tuatahi i te tamarikitanga, i te nuinga i waenga i ngā tau 5-15, ā, ko te tuarua i te waenganui o te pakeketanga, i te nuinga i waenga i ngā tau 40-60.

Ko te wahine te tino piki o te mate pukupuku, i te mea ko ngā wāhine e rua te tūpono ki te whiwhi i te dermatomyositis i te whakataurite ki ngā tāne. Ko tēnei rerekētanga ira tangata e whakaatu ana pea he mahi ngā take homonal, ahakoa kāo te tikanga tika.

Ko te whai i ētahi atu mate ā-mate pūnaha i roto i tō whānau pea ka piki ake te tūpono. Ko ngā āhuatanga penei i te mate rewiti, te lupus, te scleroderma rānei i roto i ngā whānau tata e whakaatu ana i te tūpono ira ki ngā mate ā-mate pūnaha katoa.

Ko ētahi tohu ira, inā te nuinga o ngā rerekētanga motuhake i roto i ngā ira e pā ana ki te mahi ā-mate pūnaha, ka puta ake i roto i ngā tāngata e whai ana i te dermatomyositis. Heoi, kāo te whakamātautau ira mō ēnei tohu e mahitia ana i ia wā, i te mea kāo te whai i ēnei e whakamana ana ka whiwhi koe i te āhuatanga.

Mō ngā pakeke, inā te nuinga o te hunga neke atu i te 45, ko te whai i ētahi momo mate pukupuku ka piki ake te tūpono ki te whiwhi i te dermatomyositis. Ko tēnei hononga e mahi ana i ngā huarahi e rua – i etahi wā ka puta tuatahi te dermatomyositis, ka ārahi ki te kimi i te mate pukupuku kei raro.

He aha ngā raruraru pea o te dermatomyositis?

Ahakoa ko te dermatomyositis te tino pānga ki ngā uaua me te kiri, i etahi wā ka uru atu ki ētahi atu wāhanga o tō tinana. Ko te mārama ki ēnei raruraru pea ka āwhina i a koe ki te mohio ki ngā tohu hei titiro atu me te wā hei rapu atu i te tiaki hauora.

Ka taea te whanake i ngā raruraru o ngā pūkahukahu i etahi tāngata e whai ana i te dermatomyositis, a ko ēnei e hiahia ana ki te tirotiro tika. Pea ka pāngia koe e te poto o te manawa, te mare mare koretake, te ngenge rānei e kore e rite ki tō ngoikore o ngā uaua. Ko ēnei tohu pea ka tohu i te mumura i roto i ō pūkahukahu, te tohu rānei o te kiko pūkahukahu.

Ka taea te puta mai ngā raruraru o te horomi i te wā ka pāngia ngā uaua i roto i tō korokoro me tō esophagus. Pea ka tīmata hei whakakī i te wā, te ahua rānei o te kai e mau ana, engari ka taea te haere tonu ki ngā raruraru nui ake ki te kai, ka piki ake te tūpono ki te whiwhi i te mate huango mai i te manawa o te kai, te wai rānei.

Ko te whakauru o te ngakau he iti te tūponotanga, engari ka kaha te kino ina puta. Ka mumura pea te uaua o tō ngakau, ā, ka arahi ki ngā whiti ngakau koretake, ki te mamae o te uma, ki te poto o te manawa i ngā mahi i kore e whakawehi i mua.

Ka tupu ake te maha o ngā kōhatu kākā i raro i tō kiri, e kiia nei ko te calcinosis, ki ngā tamariki e pangia ana e te dermatomyositis, engari ka taea hoki te puta ki ngā pakeke. Ka rite ēnei ki ngā pūngāwerewere pakeke i raro i tō kiri, ā, ka taea e ētahi te pakaru i te mata, ā, ka arahi ki ngā pōka tāngia.

Ki ngā pakeke, inā koa ki te hunga neke atu i te 45, he nui ake te tūponotanga o te whanake i ētahi mate pukupuku i mua, i te wā, i muri rānei i te whakatau o te dermatomyositis. Ko ngā mate pukupuku tino hono atu ko ngā mate pukupuku ovarian, ngā pūkahukahu, ngā u, me ngā puku o te puku.

He mea nui kia mahara ehara i te katoa o te hunga e pangia ana e te dermatomyositis e whanake ana i ēnei raruraru, inā koa me te rongoā tika me te tirotiro. Ka titiro tō rōpū hauora ki ngā tohu o mua, ka whakarite i tō mahere rongoā kia rite.

Me pēhea te aukati i te dermatomyositis?

Aroha mai, kāore he huarahi e mohiotia ana hei aukati i te dermatomyositis, nā te mea he mate ā-tinana whakaheke ia, kāore i te mārama ngā mea whakaoho. Heoi, he maha ngā mahi ka taea e koe hei tiaki i a koe i ngā mea ka kino ake ai te mate, ka whakaoho rānei i ngā mura.

He mea nui rawa te tiaki i te rā mō te hunga e pangia ana e te dermatomyositis, i te mea ka taea e te whakahiatanga UV te whaka kino i ngā tohu o te kiri, ā, ka taea te whakaoho i ngā mura o te mate. Whakamahia he sunscreen whānui-whanui me te SPF 30 noa atu, kakahu kakahu tiaki, ā, kimi kōpae i ngā hāora o te rā nui.

Ko te karo i ngā mea whakaoho e mohiotia ana, ki te taea, ka āwhina pea ki te whakaiti i tō tūponotanga o ngā mura ki te pangia koe e te mate. Ka kite ētahi i te ahua o ētahi rongoā, mate, teitei rānei o te ahotea e kino ake ai ō rātou tohu.

Ko te pupuri i te hauora pai whānui mā te tiaki hauora rānei, te pupuri i ngā whakakakahu hauora, me te whakahaere i ētahi atu āhuatanga hauora ka taea te āwhina i tō tinana kia pai ake te whakatau i ngā wero autoimmune.

Ki te pēnei koe i te whānau e pā ana ki ngā mate autoimmune, ko te noho matau ki ngā tohu o mua me te rapu i te tiaki hauora tere mō ngā tohu āwangawanga ka ārahi ki te taumata whakamātautau me te maimoatanga wawe, e ārahi ana ki ngā hua pai ake.

Pehea te whakamātautau i te dermatomyositis?

Ko te whakamātautau i te dermatomyositis e whakauru ana i te whakamātautau tinana, ngā whakamātautau toto, ā, i etahi wā ngā tukanga atu. Ka titiro tō tākuta ki te whakakotahitanga āhuatanga o te ngoikore o te uaua me ngā huringa kiri e whakamārama ana i tēnei āhuatanga.

He mahi nui ngā whakamātautau toto ki te whakamātautau me te tirotiro. Ka tirotirohia e tō tākuta teitei o ngā enzymes uaua pēnei i te creatine kinase, e rere ana ki roto i tō toto ina pakaru ngā muka uaua. Ka whakamātautau hoki rātou mō ngā antibodies motuhake e noho ana i roto i te hunga e pangia ana e te dermatomyositis.

Ka taea te mahi i tetahi electromyogram (EMG) hei ine i te mahi hiko i roto i ō uaua. Ka taea e tēnei whakamātautau te whakaatu i ngā tauira o te pakaru o te uaua e tino rite ana ki ngā mate uaua mumura pēnei i te dermatomyositis.

I etahi wā he mea tika te biopsy uaua, kei hea ka tangohia he tauira iti o te kiko uaua ka tirotirohia i raro i te microscope. Ka taea e tēnei te whakaatu i ngā tauira mumura āhuatanga me te awhina i te whakakore i ētahi atu āhuatanga uaua.

Ka taea hoki e tō tākuta te tūtohutia ngā rangahau whakaahua pēnei i ngā karapa MRI hei titiro ki te mumura o te uaua me te aromatawai i te whānui o te whakauru. Ka taea te tono i ngā X-rays uma, i ngā karapa CT rānei hei tirotiro i ngā raruraru o te pūkahukahu.

Ki te mea he pakeke koe, inā koa neke atu i te 45, ka tino tirotirohia e tō tākuta ngā mate pūngao e hono ana mā ngā whakamātautau maha. He wāhanga nui tēnei tirotiro o te tukanga whakamātautau me te tiaki haere tonu.

He aha te maimoatanga mō te dermatomyositis?

Ko te ātete mō te dermatomyositis e āta whai ana ki te whakaiti i te mumura, te tiaki i te kaha o ngā uaua, me te whakahaere i ngā tohu o te kiri. Ka whakaritea tō mahere ātete ki ō tohu motuhake me ō hiahia, ā, ka taea te whakawhanake i te wā.

Ko ngā corticosteroids, pēnei i te prednisone, te nuinga o te whakamahinga tuatahi mō te dermatomyositis. Ka taea e ēnei rongoā whakakore mumura kaha te whakaiti tere i te mumura o ngā uaua me te whakapai ake i te kaha. Ka tīmata te taote ki te horo nui ake, ka whakaiti haere i te wā e pai ake ana ō tohu.

Ka tapiritia ngā rongoā whakakore pūnaha ārai mate hei āwhina i te whakahaere i te mate i te wā e taea ai e tō taote te whakaiti i ngā rongoā steroid. Ko ngā kōwhiringa noa ko te methotrexate, azathioprine, rānei mycophenolate mofetil. Ka mahi māori atu ēnei rongoā i ngā steroid engari ka whakarato i te whakahaere mate roa.

Mō ngā take kino, te kore rānei e whai hua ētahi atu ātete, ka taea e tō taote te tūtohutia te rongoā immunoglobulin intravenous (IVIG). Ko tēnei ātete e whai ana ki te whiwhi i ngā antibodies i ngā kai homai hauora, ka taea te āwhina i te whakatau i tō pūnaha ārai mate kaha.

Ka whakaarohia ngā rongoā hou o te tikanga pāngarau, pēnei i te rituximab, mō ngā take uaua ki te ātete. Ka mahi ēnei ātete āta whai ki ngā wāhanga motuhake o te pūnaha ārai mate, ā, ka tino whai hua mō ētahi tāngata.

He tino mahi te whakaora tinana ki te pupuri me te whakapai ake i te kaha o ngā uaua me te ngawari. Ka hoahoa tō kaiwhakaora tinana i ngā mahi whakakori e tika ana mō tō taumata o nāianei o te mahi uaua me te āwhina i te aukati i ngā uaua kōpū.

Mō ngā tohu kiri, ka taea e tō taote te tūtohutia ngā rongoā waho rānei te tūtohutia ngā tikanga tiaki kiri motuhake. Ka taea e ngā rongoā antimalarial pēnei i te hydroxychloroquine te āwhina i ngā whakaatu kiri.

Me pēhea te whakahaere i te dermatomyositis i te kāinga?

Ko te whakahaere i te dermatomyositis i te kāinga e pā ana ki te tiaki i ō uaua me ō kiri, me te tautoko i tō hauora whānui. Ka taea e ēnei rautaki te whakakotahi i tō rongoā hauora, ā, ka awhina i a koe kia mōhio ake koe ki tō mate.

He mea nui te whakakori ngawari, ā, te whakakori tonu mō te pupuri i te kaha o ngā uaua me te kōkōngawhatu, engari he mea nui kia kitea te taurite tika. Mahi tahi me tō kaiwhakaora tinana ki te whakawhanake i te kaupapa whakakori e wero ana i ō uaua, kaua e tino ngenge, kāore rānei e mumura.

He mea nui te tiaki i tō kiri i te rā, i te mea ka kaha ake te kino o ngā tohu kiri e te ra, ā, ka taea te whakaoho i ngā āhuatanga o te mate. Whakamahia te sunscreen whānui-spectrum i ngā rā katoa, kakahu kakahu tiaki, ā, whakaarohia ngā kiriata matapihi UV-blocking mō tō waka me tō kāinga.

Ka taea e te kai kai hauora, te kai rite te awhina i tō pūnaha ārai mate, ā, whakarato i te kaha e hiahia ana tō tinana mō te whakaora. Ki te inu koe i ngā corticosteroids, arotahi ki ngā kai whai kōtē, me te huaora D hei tiaki i tō hauora wheua.

Ko te whakahaere i te ngenge he wero nui i te nuinga o te wā me te dermatomyositis. Whakaritea ō mahi mō ngā wā e nui atu ana tō kaha, wehea ngā mahi nui ki ngā wāhanga iti, ā, kaua e mangere ki te tono awhina ina hiahia koe.

Ka taea e ngā tikanga whakahaere ahotea pēnei i te ngākau nui, te yoga ngawari, te whakakorikori manawa hohonu te whakaiti i ngā āhuatanga o te mate. He tokomaha te iwi e kite ana he nui te ahotea ka kaha ake ngā tohu.

Tāruahia ō tohu, tae atu ki ngā mea e pai ake ana, kāore rānei. Ka taea te whakamahi i tēnei mōhiohio mō tō rōpū hauora ki te whakarite i tō mahere rongoā.

Me pēhea te whakarite mō tō hui rongoā?

Ko te whakarite mō ō hui rongoā ka taea te awhina i a koe ki te whakamahi pai i tō wā tahi, ā, kia whakarite kē koe e whiwhi ana i ngā mōhiohio me te tiaki e hiahia ana koe. Ko te whakarite pai ka awhina hoki i tō taakuta ki te mārama pai ake ki tō mate, ā, ki te whakarite i tō rongoā.

Tuhia he rangitaki tohu i mua i tō whakatau, mā te tuhi i ngā huringa o te kaha o ngā uaua, ngā tohu hou o te kiri, ngā taumata o te ngenge, me ngā pānga o ngā rongoā. Whakauruhia ngā tauira motuhake o te āhua o ngā tohu ki ō mahi o ia rā.

Mauria mai he rārangi kākāriki o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuto, ngā rongoā kore-tākuto, me ngā taapiri. Whakauruhia ngā rāpoi me te auau mō ia, i te mea ka taea e ētahi rongoā te mahi tahi me ngā maimoatanga dermatomyositis.

Whakamahia he rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākuta. Whakaarohia te ui mo tō mahi mate o nāianei, tetahi whakarerekētanga e hiahiatia ana ki ngā rongoā, te wā ki te whakarite i ngā whakamātautau whai muri, me ngā tohu e tika ana kia karanga atu koe ki te tari.

Mēnā ko tēnei te whakatau tuatahi mō ngā āhuatanga dermatomyositis, kohikohia ngā hītori hauora whānau e tika ana, inā tetahi mate ā-whakaū ranei ngā mate pukupuku i roto i ngā whānau tata. Waihoki, whakaarohia ngā huringa hou i roto i tō oranga ka taea te whai take, pēnei i ngā rongoā hou, ngā mate, te rā whakamataku.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki ranei te mema o te whānau ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara i ngā mōhiohio nui me te whakarato i te tautoko hinengaro, inā te kōrero mo ngā whakatau maimoatanga uaua.

He aha te mea nui mō te dermatomyositis?

He āhuatanga whakahaere te dermatomyositis, ahakoa ka rongo ka nui te pānga ina whakatauhia koe tuatahi. Mā te maimoatanga tika me te tiaki, ka taea e te tini o te hunga e pangia ana e tēnei āhuatanga te pupuri i te kounga ora pai me te haere tonu ki te whakauru ki ngā mahi e pai ana rātou.

He mea nui te whakatau me te maimoatanga wawe mō ngā hua pai. Ko te whakakotahitanga o te ngoikore o ngā uaua me ngā huringa kiri ā-tohu e tino mohiotia ana te dermatomyositis, ko te tikanga ka taea e koe te whiwhi i te tiaki tika i te wa poto i te wā e puta mai ana ngā tohu.

Ka rereke pea tō mahere maimoatanga i te wā, i te ako a ō tākuta ki te whakautu o tō tinana ki ngā rongoā rerekē, ā, i te wā e wātea mai ana ngā maimoatanga hou. He mea noa tenei, ā, e kore e whakaatu kei kino haere tō mate.

Kia mahara ko koe tētahi wāhanga nui o tō rōpū hauora. Ko ō tirohanga mō ngā tohu, ngā pānga o ngā rongoā, me ngā mea e āwhina ana, e whakaiti ana rānei i tō mate, he korero whai whakaaro e ārahi ana i tō maimoatanga.

Ahakoa e hiahia ana te dermatomyositis ki te tiaki hauora haere tonu, he tokomaha ngā tāngata e kite ana i te wā, ka whakawhanakehia e rātou ngā rautaki whai hua mō te whakahaere i ō rātou tohu, ka taea te hoki ki te nuinga o ō rātou mahi noa.

Pātai noa e uihia ana mō te dermatomyositis

He mate ka pā atu te dermatomyositis?

Kāo, ehara te dermatomyositis i te mate ka pā atu. He āhuatanga autoimmune tēnei, kei reira te pūnaha ārai mate o tō tinana ake e whakaeke he i ngā kiko hauora. E kore e taea e koe te hopu i te mate i tētahi atu, kāo e taea te tuku atu ki ngā mema o te whānau, ki ngā hoa rānei mā te hononga.

Ka taea te whakaora i te dermatomyositis?

I tēnei wā, kāo he rongoā mō te dermatomyositis, engari he āhuatanga tino ārai pai. He tokomaha ngā tāngata e tutuki ana i te whakaora, arā, ka iti rawa ngā tohu, kāo rānei ka ngaro katoa mā te maimoatanga tika. Ko te whāinga o te maimoatanga ko te whakahaere i te mumura, ko te tiaki i te mahi uaua, me te āwhina i a koe ki te pupuri i te kounga ora pai.

Me inu rongoā tonu ahau i ngā rā katoa o toku ora?

He rerekē tēnei i te tangata ki te tangata. Ka taea e ētahi tāngata te whakaiti, kāo rānei te mutu i ō rātou rongoā mena ka tutuki te whakaora tonu, engari ko ētahi atu e hiahia ana ki te maimoatanga haere tonu kia mau tonu te whakahaere i ō rātou tohu. Ka mahi tahi tō tākuta me koe ki te kimi i te maimoatanga iti rawa e mau tonu ana tō mate.

Ka taea e au te whakakori tinana me te dermatomyositis?

Ae, he pai te whakapakari tinana tika mō te hunga e pangia ana e te dermatomyositis. Heoi, he mea nui kia mahi tahi koe me tō rōpū hauora, inā te kaiwhakaora tinana e mohio ana ki ngā mate ngāngā o ngā uaua, kia whakawhanake ai i te kaupapa whakapakari tinana haumaru. Ko te kī, ko te kimi i te taurite tika i waenganui i te pupuri i te kaha o ngā uaua, me te kore e whakapau kaha rawa i ngā uaua ngāngā.

E pā ana rānei te mate pūkahukahu ki te mate pukupuku i ngā wā katoa?

Kāo, ehara i te mea ka pā tonu te mate pūkahukahu ki te mate pukupuku. Ahakoa kei te piki ake te tūponotanga o ētahi mate pukupuku, inā te hunga pakeke neke atu i te 45, he tokomaha ngā tāngata e pangia ana e te dermatomyositis kāore i te whanake i te mate pukupuku. Ka tirotirohia koe e tō tākuta mō ngā mate pukupuku e hono ana hei wāhanga o tō tiaki, engari he mahi whakatūpato tēnei, ehara i te tohu kei te tūpono te mate pukupuku.