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

Ko te Hepatitis C tētahi mate huaketo e pā ana ki tō ate, e pāngia ai te mumura, ā, pea ka pakaru i te roa ki te kore e rongoā. Ko te rongo pai, kua nui ngā mahi whakamāori i te rongoā hou mō tēnei mate, ā, neke atu i te 95% te rongoā i te nuinga o ngā take.

Ka horapa tēnei mate huaketo mā te pā atu ki te toto kua pangia, ā, he tokomaha kaore e mōhio kei a rātou, nā te mea ka ngawari noa rānei, kāore rānei ngā tohu mō ngā tau.

He aha te Hepatitis C?

Ko te huaketo Hepatitis C te take o te Hepatitis C (HCV), e āta whakaeke ana i ngā pūtau ate. Ka tomo te huaketo ki tō ate, ka tīmata te tupu, ka whakautu tō pūnaha mate ki te mumura.

E rua ngā momo matua o te mate huaketo. Ko te Hepatitis C koi e puta ana i roto i ngā marama ono tuatahi i muri i te whakaeke, i te wā e puta ai te Hepatitis C roa ki te kore e taea e tō tinana te tango i te huaketo. E 75-85% te tokomaha o te hunga e pangia ana e te momo roa.

Ka mahi kaha tō ate ki te whakakore i ngā pokanoa, ki te whakaputa i ngā pūmua, ki te tāpiri i te kaha. Ka pā te mumura o te Hepatitis C ki ēnei mahi nui i te roa.

He aha ngā tohu o te Hepatitis C?

He tokomaha kaore he tohu o te Hepatitis C, ina koa i ngā wā tīmata. Koia tēnei te take e kiia ai te mate huaketo he 'waikore'.

Ki te puta mai ngā tohu, ka tupu haeretia, ā, pea ka uru atu:

• Te ngenge tonu e kore e pai ake te okioki
• Te ruaki, te ngaro kai
• Te mamae o ngā uaua me ngā hononga
• Te kirika iti
• Te mimi pouri
• Te paru parauri, te paru ma
• Te mamae o te kopu, ina koa i te taha matau o runga
• Te kowhai o te kiri me ngā kanohi (jaundice)

Ka ngawari ēnei tohu, ā, pea ka haere mai, ka haere atu. Ka whakaaro etahi he mate huaketo rite ki te mate huaketo, te ngenge noa i te ahotea o ia rā.

I roto i ngā take roa kua tupu mo te maha o ngā tau, pea ka kite koe i ngā tohu āwangawanga penei i te ngawari o te whero, te pupuhi o ō waewae, te kopu rānei, te whakapohehe rānei. Ka tohu ēnei i te pakaru o te ate, ā, me rapu wawe te awhina hauora.

He aha te take o te Hepatitis C?

Ka horapa te Hepatitis C mā te pā tika ki te toto kua pangia. He kaha te huaketo, ā, ka ora mo ngā wiki i waho o te tinana i raro i ngā āhuatanga tika.

Ko ngā huarahi tino noa e pangia ai te tangata:

• Te whakamahi tahi i ngā ngira, ngira ranei, ētahi taputapu whakauru rongoā ranei
• Te tango toto, te whakawhiti whekau ranei i mua i te 1992 (i te wā i tīmata ai te whakamātautau)
• Te tā, te whākōkī ranei me ngā taputapu kore-whakamāori
• Te whakamahi tahi i ngā taonga whaiaro penei i ngā reiti, ngā pūruku niho rānei me te tangata kua pangia
• Ngā whara ngira i roto i ngā wāhi hauora
• Te moe kore-tiaki me te hoa kua pangia (kaore i te tino noa, engari he mea pea)
• Te whānau mai i tētahi whaea kua pangia e te Hepatitis C

Kaore i te tino noa, ka horapa te mate huaketo mā te whakamahi tahi i ngā whakarewa mo te whakamahinga rongoā, te whiwhi i ngā mahi hauora, ngā mahi niho rānei i ngā wāhi hauora he iti te mana whakahaere, te whiwhi tā rānei i ngā wāhi kore-mana.

He mea nui kia mōhio kē kaore te Hepatitis C e horapa mā te pā noa. Kaore e taea e koe te whiwhi mā te awhi, te kihi, te whakamahi tahi kai, inu rānei, te noho tata rānei ki te tangata e hū, e tī rānei.

Nōhea te haere ki te taote mō te Hepatitis C?

Me haere koe ki te taote ki te mea kei a koe ētahi tūponotanga mō te Hepatitis C, ahakoa kei te pai koe. Ka taea e te kitenga wawe me te rongoā te aukati i ngā raruraru nui.

Rapua te awhina hauora ki te pāngia koe e te ngenge tonu, te ruaki, te mamae o te kopu, te kite rānei i te kowhai o tō kiri, o ō kanohi rānei. Ka hiahiatia ēnei tohu kia arotakehia ahakoa ō tūponotanga.

Me whakamātau koe hoki ki te whakamahi tahi koe i ngā ngira, i whiwhi toto rānei i mua i te 1992, i tā rānei, i whākōkī rānei i ngā wāhi kore-mana. Me kōrero ngā kaimahi hauora kua whara ngira ki ō rātou kaiwhakarato hauora mahi.

Ki te hapu koe, te whakaaro rānei ki te hapu, kōrero atu ki tō taote mō te whakamātautau Hepatitis C. Ahakoa he iti te tuku i te whaea ki te tamaiti, he mea nui kia mōhio koe ki tō tūāhua.

He aha ngā tūponotanga mō te Hepatitis C?

Ka piki ake ō tūponotanga ki te whiwhi Hepatitis C i ētahi wāhi me ngā mahi. Ka taea e te mōhiotanga ki ēnei tūponotanga te āwhina i a koe ki te whakatau i ngā whakatau mō te whakamātautau me te aukati.

Ko ngā tūponotanga tino nui:

• Te whakamahinga rongoā whakauru inaianei, i mua rānei, ahakoa kotahi noa te wā
• Te whiwhi toto, te whakawhiti whekau rānei i mua i te Hūrae 1992
• Te dialysis whatukuhu roa
• Te whānau mai i waenga i te 1945 me te 1965 (he nui ake te mate o ngā pēpi pūrongo)
• Te mate HIV
• Te tā, te whākōkī tinana rānei i ngā wāhi kore-mana

Ko ngā tūponotanga o te reo waenga ko te mahi hauora me te whakaeke toto, te maha o ngā hoa moe, te whakamahi tahi rānei i ngā taonga tiaki whaiaro penei i ngā reiti, ngā pūruku niho rānei me ngā tangata kua pangia.

Ko te whānau mai i tētahi whaea kua pangia e te Hepatitis C e 5% te tūponotanga o te mate huaketo. Ka piki ake te tūponotanga ki te mate HIV hoki te whaea.

He aha ngā raruraru pea o te Hepatitis C?

Ahakoa he tokomaha te hunga e ora ana i te oranga noa me te rongoā tika, ka taea e te mate huaketo roa kore-rongoā te arahi ki ngā raruraru nui i te roa. Ka tupu ēnei i muri i te 20-30 tau o te mate huaketo.

Ko te tupu ka whai i tēnei tauira: ka arahi te mumura roa ki te toka (fibrosis), ka taea te whakawhiti ki te toka nui (cirrhosis), ā, i ētahi wā, te mate pukupuku ate, te korenga ate rānei.

Ko ngā raruraru motuhake:

• Te cirrhosis ate (te toka nui e whakaiti ana i te mahi ate)
• Te mate pukupuku ate (hepatocellular carcinoma)
• Te korenga ate e hiahia ana ki te whakawhiti
• Te toto nui o te ate (portal hypertension)
• Te kohinga wai i roto i te kopu (ascites)
• Te pupuhi o ngā waewae me ngā waewae
• Te ngawari o te whero me te toto
• Te whakapohehe, te huringa hinengaro rānei (hepatic encephalopathy)

Kaore i te tino noa, ka taea e te Hepatitis C roa te arahi ki ngā raruraru i waho o te ate, tae atu ki te mate whatukuhu, ngā āhuatanga kiri, ētahi mate toto rānei. Ka pangia etahi e te mixed cryoglobulinemia, tētahi āhuatanga e pā ana ki ngā oko toto.

Ko te rongo pai, ka taea e te rongoā angitu te aukati i te tupu o te mate, te whakahoki mai rānei i ētahi pakaru ate i te nuinga o ngā take.

Me pēhea te aukati i te Hepatitis C?

Ko te aukati i te Hepatitis C e arotahi ana ki te karo i te pā ki te toto kua pangia. Nō te mea kāore he rongoā mō te Hepatitis C i tēnei wā, ka puta mai te tiaki mā ngā mahi haumaru me te mōhiotanga.

Ko ngā rautaki aukati tino whai hua ko te kore e whakamahi tahi i ngā ngira, ngira rānei, ētahi taputapu rongoā rānei. Ki te whakamahi koe i ngā rongoā whakauru, rapua te awhina mai i ngā kaupapa rongoā taumanutia, whakamahia ngā ngira ma mai i ngā kaupapa whakawhiti ngira.

I te wā e tā, e whākōkī rānei ana, tīpakohia ngā wāhi mana e whai ana i ngā tikanga whakamāori tika. Kaua e whakamahi tahi i ngā taonga whaiaro penei i ngā reiti, ngā pūruku niho rānei, ngā kutikuti maihao rānei e pea ana he toto.

Me whai ngā kaimahi hauora i ngā tikanga whānui, tae atu ki te tuku tika i ngā ngira me ētahi taputapu koi. Ki te pāngia koe e te whara ngira, rapua te arotake hauora wawe.

Ahakoa he iti te horapa mā te moe, ka taea e te tiaki ārai i te wā e moe ana te whakaiti i te tūponotanga, ina koa ki te maha ō hoa moe, ētahi mate moe rānei.

Me pēhea te whakamātautau i te Hepatitis C?

Ko te whakamātautau i te Hepatitis C e whakamahi ana i ngā whakamātautau toto e taea ai te kite i te huaketo me te whakautu o tō tinana ki reira. He ngāwari te tukanga, ā, he tango toto noa i te nuinga.

Ka tono tuatahi tō taote i te whakamātautau antibody, e whakaatu ana kua whakaekehia koe e te Hepatitis C. Ki te pai tēnei whakamātautau, ka hiahia koe ki te whakamātautau whai muri e kiia nei ko te HCV RNA hei whakatau mena kei a koe te mate huaketo.

He mea nui te whakamātautau RNA nā te mea ka tango etahi i te huaketo. Ka whakau te whakamātautau RNA pai te mate huaketo roa, ā, ka tohu kei te hiahia koe ki te rongoā.

Ki te pangia koe e te Hepatitis C roa, pea ka tono tō taote i ētahi atu whakamātautau hei aromatawai i te pakaru ate. Pea ka uru atu ēnei ki ngā whakamātautau mahi ate, ngā rangahau whakaahua penei i te ultrasound, ngā tirotiro CT rānei, ā, pea he biopsy ate, ngā whakamātautau hou kore-whakaeke penei i te FibroScan.

Ka whakamātautau hoki tō taote mō te momo (kāhua) o te Hepatitis C kei a koe. Ka āwhina tēnei mōhio ki te whakatau i te huarahi rongoā pai mō tō āhuatanga.

He aha te rongoā mō te Hepatitis C?

He tino whai hua te rongoā Hepatitis C hou, neke atu i te 95% te rongoā mō te nuinga o te iwi. Ko te rongoā e whakamahi ana i ngā rongoā waha mō te 8-12 wiki.

Ko te rongoā paerewa o nāianei e whakamahi ana i ngā antivirals tika (DAAs), e āta whakaeke ana i ngā wāhanga motuhake o te huaketo Hepatitis C. Ka mahi ēnei rongoā mā te aukati i te kaha o te huaketo ki te tupu i roto i ō pūtau ate.

Ko ngā tikanga rongoā noa e whakauru ana i ngā whakakotahitanga penei i te sofosbuvir/velpatasvir, te glecaprevir/pibrentasvir rānei. Ka tīpako tō taote i te whakakotahitanga pai rawa atu e whakaū ana ki tō momo, āhuatanga ate, ētahi atu āhuatanga hauora rānei.

I te wā e rongoā ana, ka whai koe i ngā whakamātautau toto kia āta tirotirohia tō whakautu me te tirotiro i ngā pānga.

I muri i te mutunga o te rongoā, ka hiahia koe ki te whakamātautau whai muri hei whakau kua ngaro te huaketo. Ka whakau te whakamātautau e kiia nei ko te sustained virologic response (SVR) i te 12 wiki i muri i te mutunga o te rongoā te rongoā.

Ka taea te angitu o te rongoā ahakoa kei a koe te mate ate nui, ahakoa pea ka hiahia ngā tangata kua pangia e te cirrhosis ki ngā kaupapa rongoā roa ake, ngā whakakotahitanga rongoā rānei.

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

Ahakoa he mea nui te rongoā hauora mō te rongoā i te Hepatitis C, ka taea e koe te tautoko i tō hauora ate me tō oranga pai mā ngā whiringa oranga whakaaro.

Ko te tiaki i tō ate e tīmata ana mā te karo katoa i te waipiro i te wā e rongoā ana, te whakaiti rānei i muri mai. Ka tere te waipiro i te pakaru ate, ā, ka taea te whakaiti i tō ora.

Whakahaerehia he kai hauora e whai hua ana i ngā hua, ngā huawhenua, ngā witi katoa, ngā pūmua ngawari rānei. Ka mahi kaha tō ate ki te tukatuka i ngā mea katoa e kai ana koe, no reira ka āwhina te kai kai hauora ki te tautoko i tō mahi.

Kia makuku mā te inu wai maha i te rā. Kaua e inu i ngā rongoā me ngā taapiri kore-hiahia ki te kore e whakaaetia e tō taote, nā te mea ka tukatuka tō ate i ngā mea katoa e inu ana koe.

Whiwhi okioki tika, whakahaerehia te ahotea mā ngā tikanga whakamahinga, te whakakori ngawari rānei, ngā mahi e pai ana koe rānei. He mea noa te ngenge ki te Hepatitis C, no reira whakarongo ki tō tinana, okioki ki te hiahia.

Whakamahia te hauora pai hei aukati i te horapa o te mate huaketo ki ētahi atu. Kaua e whakamahi tahi i ngā taonga whaiaro e pea ana he toto, whakamōhio atu ki ngā kaiwhakarato hauora mō tō āhuatanga i mua i ngā mahi.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui Hepatitis C e āwhina ana ki te whakarite ka whiwhi koe i te pai rawa atu i tō haerenga. Tīmata mā te kohikohi i ngā mōhiohio mō tō hītori hauora me ētahi tohu kua pāngia koe.

Tuhia ngā rongoā, ngā taapiri, ngā hua hua katoa e inu ana koe, tae atu ki ngā horopeta. Kawe mai he rārangi o ētahi mate rongoā, ngā pānga kino rānei kua pāngia koe i mua.

Whakaritea he raupapa o ngā tūponotanga whakaeke pea, penei i te toto, ngā pokanga, ngā tā, ētahi atu kaupapa tika rānei. Ka āwhina tēnei mōhio ki tō taote ki te mōhio pai ake ki tō āhuatanga.

Rārangihia ētahi tohu kua kitea e koe, ahakoa kaore e rite. Whakauruhia te wā i tīmata ai, te maha o te putanga, me te aha e pai ake ai, te kino ake rānei.

Tuhia ngā pātai e hiahia ana koe ki te ui mō ngā whiringa rongoā, ngā huringa oranga, ngā āwangawanga rānei mō ngā mema whānau. Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe.

Kawe mai tētahi hoa whakawhirinaki, mema whānau rānei ki te hiahia koe ki te tautoko i te wā o te hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, te whakarato tautoko ngākau rānei.

He aha te mea nui mō te Hepatitis C?

Ko te Hepatitis C tētahi mate ate e taea te rongoā, e taea te rongoā hoki e pā ana ki te miriona o te iwi puta noa te ao. Ko te karere tino nui ko te rongoā hou kua huri i tēnei āhuatanga mai i te mate roa, te tupu haeretia ki tētahi e taea te rongoā i te nuinga o ngā take.

He mea nui te kitenga wawe me te rongoā hei aukati i ngā raruraru roa. Ki te mea kei a koe ētahi tūponotanga, tohu rānei, kaua e whakaroa ki te whakamātautau. He ngāwari te whakamātautau, ā, ko te mōhiotanga ki tō tūāhua e manaaki ana i a koe ki te whakahaere i tō hauora.

He tino whai hua, he ngāwari ake te manawanui te rongoā i tēnei wā atu i mua. Me te rongoā neke atu i te 95%, ka taea e koe te tumanako ki te heke mai hauora i muri i te rongoā angitu.

Kia mahara kaore te Hepatitis C e whakatau i a koe, ā, ko te whiwhi i tēnei mate huaketo kaore e tikanga kua he koe. Arotahi ki te whiwhi i te tiaki e hiahia ana koe, te tango i ngā mahi hei tiaki i tō hauora ate ki te heke mai.

Ngā pātai e ui pinepinetia ana mō te Hepatitis C

Ka taea te whiwhi Hepatitis C neke atu i te kotahi wā?

Ae, ka taea te whiwhi Hepatitis C ano i muri i te rongoā, te tango rānei i te mate huaketo. Ko te whiwhi Hepatitis C kaore e hoatu te ārai ki ngā mate huaketo kei te heke mai. Koia tēnei te take he mea nui te whakahaere tonu i ngā mahi haumaru ahakoa i muri i te rongoā angitu. Ko te tūponotanga o te whakaeke hou te tino nui i roto i te hunga e whakamahi tonu ana i ngā rongoā whakauru.

E hia te roa o te rongoā Hepatitis C?

Ko te nuinga o te iwi e inu ana i ngā rongoā Hepatitis C mō te 8-12 wiki, e whakaū ana ki ngā rongoā motuhake e whakamahia ana me ngā take takitahi penei i te momo me te āhuatanga ate. Pea ka hiahia etahi tangata kua pangia e te mate ate nui, ētahi momo rānei ki te rongoā tae atu ki te 24 wiki. Ka whakatau tō taote i te roa tika mō tō āhuatanga motuhake.

He mate huaketo te Hepatitis C mā te waha, te pā noa rānei?

Kāo, kāore te Hepatitis C e horapa mā te waha, te pā noa, te whakamahi tahi kai, inu rānei, te hau rānei. Ka horapa noa te huaketo mā te pā toto ki te toto. Ka taea e koe te awhi, te kihi, te whakamahi tahi kai, te noho noa rānei me ngā mema whānau me te kore e pāngia e ēnei mahi.

Ka taea e ngā wāhine hapu kua pangia e te Hepatitis C te tuku ki ō rātou pēpi?

He mea pea te tuku i te whaea ki te tamaiti o te Hepatitis C, engari he iti te tino noa, e puta ana i te 5% o ngā haputanga. He nui ake te tūponotanga ki te mate HIV hoki te whaea. Kāore he huarahi hei aukati i te tuku i te wā e hapu ana, engari me whakamātautau ngā pēpi i whānau mai i ngā whaea kua pangia e te Hepatitis C, ā, ka taea te rongoā ki te pangia.

Ka whakaiti rānei te rongoā Hepatitis C i ētahi atu rongoā?

Ka taea e ngā rongoā Hepatitis C te pā ki ētahi atu rongoā, koia tēnei te take he mea nui te kōrero ki tō taote mō ngā rongoā, ngā taapiri, ngā hua otaota katoa e inu ana koe. Pea ka hiahia tō taote ki te whakarereke i ngā horopeta, te wā rānei o ētahi atu rongoā i te wā e rongoā ana. Kaua e mutu, whakarereke rānei i ētahi rongoā me te kore e kōrero ki tō kaiwhakarato hauora tuatahi.