He aha te Mate Gilbert? Tōna Tohutohu, Ngā Take, me Te Maimoatanga

Ko te mate Gilbert he āhuatanga ngawari, i tukuna mai e ngā mātua, e pā ana ki te tukatuka o te bilirubin e tō ate. He rerekētanga gene e kore e kino tēnei, e pā ana ki te wehewehenga o ngā pūtau toto whero tawhito, ka āhei pea te piki ake o te taumata bilirubin i roto i tō toto.

Ko te nuinga o te hunga e pangia ana e te mate Gilbert e ora ana i te oranga noa, kāhore hoki he tohu. Ki te puta mai ngā tohu, he ngawari, he wā poto, ā, ka puta mai pea i te ahotea, te mate, te kore kai rānei.

He aha te mate Gilbert?

Ko te mate Gilbert he āhuatanga ate ngawari, kāhore he kino, kei reira te iti o te mahi a tō tinana i tetahi enzyme e kiia nei ko te UDP-glucuronosyltransferase. Ko tēnei enzyme te āwhina i tō ate ki te tukatuka i te bilirubin, he mea kowhai e hangaia ana i te wa e wehewehe ai tō tinana i ngā pūtau toto whero tawhito.

Whakaarohia he pūnaha tukatuka iti te tere o tō ate. Ka tukatuka tonu te bilirubin, engari kāhore he tere rite ki te hunga kāhore he mate. Ka āhei pea tēnei te piki ake o te bilirubin i roto i tō toto.

E pā ana tēnei āhuatanga ki te 3-12% o te taupori, ā, he tino noa. He tokomaha ngā tāngata e pangia ana e te mate Gilbert kāhore hoki e mōhio, no te mea kāhore he raruraru e kitea ana.

He aha ngā tohu o te mate Gilbert?

Ko te nuinga o te hunga e pangia ana e te mate Gilbert kāhore he tohu. Ki te puta mai ngā tohu, he ngawari, he koretake.

Ko ēnei ngā tohu tino noa ka kitea pea e koe:

• Te kōwhai o te kiri me ngā karu (jaundice)
• Te ngenge, te ngoikore rānei
• Te mamae o te kopu
• Te ngaro o te hiahia kai
• Te kore pai o te hauora

Ka puta mai pea ēnei tohu i te wa o te ahotea, te mate, te whakakino tinana, te kore kai rānei. He iti rawa te kōwhai, ā, ka kitea pea i te mārama.

He aha ngā take o te mate Gilbert?

Ko ngā rerekētanga i roto i te ūkuka UGT1A1 te take o te mate Gilbert, ā, ka riro mai i ō mātua. Ka whakaiti tēnei rerekētanga gene i te nui o te enzyme e hangaia ana e tō ate ki te tukatuka i te bilirubin.

Me riro mai i ō mātua e rua te ūkuka i whakarerekētia kia pangia koe e te mate Gilbert. Ki te riro mai i tētahi mātua anake, ka waiho koe hei kaimau, engari kāhore koe e pangia.

Kāhore tēnei e riro mai i ētahi atu, kāhore hoki e puta mai i muri mai o te oranga. I whānau mai koe me tēnei, ahakoa kāhore pea ngā tohu e puta mai kia tae ra ano ki ō tau whakahirahira, te tīmatanga rānei o tō pakeketanga, i te wa e āhei ai ngā huringa homoni te whakaoho i ngā tohu tuatahi.

Nōhea te haere ki te tākuta mō te mate Gilbert?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i te kōwhai o tō kiri, o ō karu rānei, ā, ina koa ki te haere tahi me ētahi atu tohu. Ahakoa he āhuatanga ngawari te mate Gilbert, ka āhei pea te jaundice te tohu i ngā āhuatanga ate nui ake e hiahia ana ki te tiaki hauora.

Rapua te tiaki hauora ki te pāngia koe e:

• Te kōwhai ohorere, nui rānei o te kiri, o ngā karu rānei
• Te mimi pouri, te paru mā rānei
• Te mamae nui o te kopu
• Te ngenge, te ngoikore rānei
• Te kirika me te jaundice

Ka āhei tō tākuta te whakamahi i ngā whakamātau toto ngāwari ki te whakatau mena kei te hono atu ō tohu ki te mate Gilbert, ki ētahi atu mea rānei e hiahia ana ki te maimoatanga.

He aha ngā take morearea mō te mate Gilbert?

No te mea he āhuatanga i tukuna mai e ngā mātua te mate Gilbert, ko tō take morearea nui ko te whai mātua e mau ana i te rerekētanga gene. He tino noa tēnei āhuatanga i roto i ētahi taupori, ā, e pā ana ki ngā tāne atu i ngā wāhine.

He maha ngā take ka whakaoho i ngā tohu i roto i te hunga e pangia ana e tēnei āhuatanga:

• Te kore kai
• Te ahotea tinana, ngākau rānei
• Te mate, te mate pukupuku rānei
• Te whakakino tinana nui
• Te ngenge wai
• Ētahi rongoā
• Ngā huringa homoni

Ka āhei te mōhiotanga ki ēnei whakaoho te āwhina i a koe ki te whakahaere pai i te āhuatanga, ki te karo hoki i te manukanuka koretake ina puta mai ngā tohu.

He aha ngā raruraru pea o te mate Gilbert?

Kāhore te mate Gilbert e tino puta mai he raruraru nui. He āhuatanga ngawari tēnei, ā, kāhore e kino tō ate, kāhore hoki e pā ki tō hauora whānui.

Heoi, he torutoru ngā mea hei whakaaro:

• Te piki o te ngawari ki ētahi rongoā e tukatukahia ana e te ate
• Te āhei pea o te whakatau he, ki te kore ngā tākuta e mōhio ki te āhuatanga
• Te manukanuka mō ngā tohu e puta mai anō
• Ngā take onge o te hanga o ngā kohatu i roto i te kōpū, no te piki o te bilirubin

Ko te mea nui hei mahara ko te mate Gilbert kāhore e puta ki te mate ate nui ake. Ka noho tonu te mahi a tō ate, kāhore hoki e pā ki tō roa o te ora.

Me pēhea te whakatau i te mate Gilbert?

Ko te tikanga ka whakatau ngā tākuta i te mate Gilbert mā ngā whakamātau toto e ine ana i ngā taumata bilirubin. Ko te kitenga matua ko te piki o te bilirubin kore-whakakotahi, ā, ko ētahi atu whakamātau mahi ate e noho ana i te noa.

Ka tono pea tō tākuta i ētahi whakamātau ki te whakau i te whakatau:

• Te taupori toto katoa ki te tirotiro i te mate toto iti
• Ngā whakamātau mahi ate
• Ngā taumata bilirubin (katoa me te tika)
• Te whakamātau gene i ētahi wā

I ētahi wā ka whakamahi ngā tākuta i te whakamātau kore kai, kei reira koe e kai ana i te kai iti rawa te kaha mō te rua rā. I roto i te hunga e pangia ana e te mate Gilbert, ka tino piki ake tēnei i ngā taumata bilirubin, ka āwhina i te whakau i te whakatau.

He aha te maimoatanga mō te mate Gilbert?

Kāhore te mate Gilbert e hiahia ana ki tetahi maimoatanga hauora motuhake, no te mea he āhuatanga ngawari kāhore e kino tō ate. Ko te aro nui ko te whakahaere i ngā tohu ina puta mai, me te mōhiotanga ki ō whakaoho.

Ka tūtohu pea tō kaiwhakarato hauora:

• Te karo i ngā whakaoho e mōhiotia ana, pēnei i te kore kai, te ahotea nui rānei
• Te pupuri i ngā tauira kai noa
• Te pupuri i te wai
• Te moe pai
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga

I ētahi wā onge, ki te raruraru ngā tohu, ka tono pea tō tākuta i te rongoā e kiia nei ko te phenobarbital, ka āhei te whakaiti i ngā taumata bilirubin. Heoi, kāhore tēnei e hiahiatia.

Me pēhea te whakahaere i te mate Gilbert i te kāinga?

Ko te whakahaere i te mate Gilbert i te kāinga e aro nui ana ki ngā whiringa oranga e āwhina ana ki te aukati i ngā tohu e puta mai ana. Ko te rongo pai ko ngā tikanga o ia rā ngāwari ka āhei te whakarerekē nui.

Ko ēnei ngā mahi whai hua ka taea e koe:

• Kai noa, kai rite, ā, kaua e wareware ki te kai
• Pupuri i te wai mā te inu i te wai maha i te rā
• Moe pai, noa
• Whakamahia ngā tikanga whakahaere ahotea, pēnei i te manawa hohonu, te whakaaroaro rānei
• Kaua e inu nui rawa i te waipiro
• Kia tupato ki ngā rongoā, ā, whakamōhiotia ngā kaiwhakarato hauora ki tō āhuatanga

Pupuri i te puka tohu hei kimi i ō whakaoho whaiaro. Ka āhei tēnei te āwhina i a koe, i tō kaiwhakarato hauora rānei ki te mōhio pai ake ki ngā tauira, ki te whakatau whakaaro hoki mō tō tiaki.

Me pēhea te whakarite mō tō whakatau tākuta?

I mua i tō whakatau, kohikohia ngā mōhiohio mō ō tohu, tae atu ki te wā i tīmata ai rātou, me ngā mea pea i whakaoho ai rātou. Ka āwhina tēnei i tō tākuta ki te mōhio pai ake ki tō āhuatanga motuhake.

Mau mai ēnei mōhiohio:

• Rārangi o ngā rongoā me ngā taapiri o nāianei
• Te hītori whānau o ngā āhuatanga ate, o te mate Gilbert rānei
• Te whakaahuatanga o ngā tohu me tō rātou tūāhua
• Ngā hua whakamātau toto o mua
• Ngā pātai mō te āhuatanga me tōna whakahaere

Kaua e whakaroa ki te ui ki tō tākuta mō tetahi mea e awangawanga ana koe. Ko te mōhiotanga ki tō āhuatanga te āwhina i te whakaiti i te manukanuka, ā, ka manaaki koe ki te whakahaere pai.

He aha te mea nui hei tango mō te mate Gilbert?

Ko te mate Gilbert he āhuatanga ngawari, i tukuna mai e ngā mātua, e pā ana ki te tukatuka o te bilirubin e tō ate. Ahakoa ka āhei te puta mai ngā tohu i ētahi wā, pēnei i te jaundice ngawari, te ngenge rānei, he āhuatanga kore kino tēnei, kāhore hoki e hiahia ana ki te maimoatanga i te nuinga o ngā wā.

Ko te mea nui hei mahara ko te whai mate Gilbert kāhore e whakatūpato i tō hauora. Ka āhei koe te ora i te oranga noa, hauora pai me tēnei āhuatanga.

Aro nui ki te pupuri i ngā tikanga oranga hauora, te mōhiotanga ki ō whakaoho, me te whakawhitiwhiti korero tuwhera me tō kaiwhakarato hauora. Mā tēnei whakaaro, ka waiho te mate Gilbert hei wahi iti noa iho o tō pūrongo hauora, kāhore hoki hei take manukanuka.

Ngā pātai e ui pinepinetia ana mō te mate Gilbert

Ka taea te whakaora i te mate Gilbert?

Kāhore te mate Gilbert e taea te whakaora, no te mea he āhuatanga gene i riro mai i ō mātua. Heoi, kāhore e hiahiatia te whakaora, no te mea he āhuatanga kore kino, kāhore hoki e kino tō ate, kāhore hoki e pā ki tō hauora whānui. Ko te nuinga o te hunga e whakahaere pai ana mā ngā whakarerekētanga oranga.

Ka pā te mate Gilbert ki taku hapu?

Ko te tikanga kāhore te mate Gilbert e pā ki te hapu, ki te hauora o tō pēpi rānei. Heoi, ka āhei pea ngā huringa homoni i te wa o te hapu te piki ake o ngā taumata bilirubin. He mea nui te whakamōhio i tō kaiwhakarato hauora ki tō āhuatanga kia āhei ai rātou te tirotiro tika i a koe, me te wehewehe i ngā huringa noa o te mate Gilbert i ētahi atu āhuatanga e pā ana ki te hapu.

Ka taea e au te hoatu toto ki te pangia ahau e te mate Gilbert?

Ko te whai mate Gilbert kāhore e aukati tika i a koe ki te hoatu toto. Heoi, me whakamōhio koe i te pokapū hoatu toto ki tō āhuatanga. Ka whakamātau pea rātou i ō taumata bilirubin, ā, ki te piki nui rātou i te wā o te hoatu, ka hiahia pea koe ki te tatari kia tae ra ano ki ngā taumata e whakaaetia ana.

Kei roto i ngā whānau te mate Gilbert?

Ae, he āhuatanga i tukuna mai e ngā mātua te mate Gilbert kei roto i ngā whānau. Me riro mai i ō mātua e rua te ūkuka i whakarerekētia kia pangia koe e te āhuatanga. Ki te whai koe i te mate Gilbert, he āhei pea te tukuna atu ki ō tamariki, engari me riro mai hoki te ūkuka i tō rātou mātua ke kia pangia rātou e te āhuatanga.

Ka whakaoho ngā kai i ngā tohu o te mate Gilbert?

Ahakoa kāhore ngā kai motuhake e whakaoho tika i te mate Gilbert, ka āhei te kore kai te whakaoho i ngā tohu. Ko te mea nui ko te pupuri i ngā tauira kai noa, kāhore hoki te karo i ngā kai motuhake. Ka kitea e ētahi tāngata ko te kai i ngā kai iti, maha te āwhina i te pupuri i ō rātou taumata bilirubin, ā, ka aukati i ngā tohu e puta mai ana.