He aha te Morphea? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te morphea tētahi āhuatanga o te kiri e pā ana ki te whakapakeke, te whakakaha, me te whakawhāiti i ngā wāhanga o te kiri. He momo scleroderma rohe tēnei e pā ana ki te kiri me ngā kiko kei raro i te kiri anake, kāo ngā tūmomo o roto penei i te momo pūnaha nui ake.

Ka puta mai tēnei āhuatanga ina nui rawa te hua o te collagen i roto i ētahi wāhanga o tō kiri. Whakaarohia te collagen hei pūmua e homai ana te hanganga me te kaha ki tō kiri. Ki te nui rawa te nui o te collagen i roto i tētahi wāhi, ka kaha taua wāhi, ā, ka whakarereke pea te tae, ka hangaia ai ngā tohu āhuatanga e tohu ana i te morphea.

He aha ngā tohu o te morphea?

Ko te tohu matua o te morphea ko te puta mai o tetahi, atu rānei, wāhanga i runga i tō kiri e rerekē ana te ahua mai i te wāhi e karapotia ana. Ka tīmata pea enei wāhanga hei pango, whero rānei, ka pakaru haere, ka mārama ake te tae i te wā.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Ngā wāhanga kiri mātiti, ngā wāhanga kiri ngawari e kaha ana te pā
• Ngā wāhi kua whakarereke te tae, ka puta pea he ma, kōwhai, kōhatu rānei i waenganui
• He tae puru, whero rānei kei te taha o ngā wāhanga kaha, ina koa i ngā wā tīmata
• Ngā wāhanga e pōtae ana, porowhita rānei te āhua
• Te kiri e kaha ana, e ārai ana rānei i ngā wāhi e pā ana
• Te ngaro o te makawe i roto i ngā wāhanga, ki te mea kei runga i ngā wāhi he makawe
• Te iti o te werawera i te kiri e pā ana

Ehara i te mea ka mamae, ka ngau rānei ngā wāhanga, ahakoa ka kōrero etahi tangata mō te kore ngāwari iti. Ko te nuinga, ka puta te morphea i runga i te puku, ngā ringa, ngā waewae rānei, engari ka puta i ngā wāhi katoa o tō tinana.

He aha ngā momo morphea?

He maha ngā momo morphea, he āhua, he āhuatanga anō ōna. Ko te mōhiotanga ki te momo kei a koe ka āwhina i tō tākuta ki te whakarite i te huarahi maimoatanga pai.

Ko ēnei ngā momo tino noa:

• Morphea papa: Ko te momo tino noa, he kotahi, atu rānei, wāhanga pōtae pai te tohu
• Morphea whānui: He maha ngā wāhanga nui ake e hipoki ana i ngā wāhi whānui o te tinana
• Morphea raina: Ka puta hei raina, potae rānei, i runga i ngā ringa, ngā waewae, te rae rānei
• Morphea hohonu: Ka pā ki ngā paparanga hohonu o te kiri, ā, ka pā pea ki te uaua, te wheua rānei kei raro
• Morphea pansclerotic: He momo onge, kino hoki e pā ana ki ngā wāhi nui me ngā kiko hohonu

Me arotahi motuhake ki te morphea raina, no te mea ka pā pea ki te tipu o ngā tamariki ina puta i runga i ngā hononga, ngā waewae rānei. Ka pā pea te morphea hohonu ki te āhua o te kiri me te nekehanga.

He aha ngā take o te morphea?

Kāo te take tika o te morphea i te mōhiotia katoa, engari e whakapono ana ngā kairangahau ko te hua mai tēnei i te whakautu ārai e nui rawa ana e whakaoho ana i te nui rawa o te hua collagen. Ka pohehe pea tō pūnaha ārai, ka tīmata te whakaeke i ngā kiko kiri hauora.

He maha ngā take ka āwhina ki te whanake i te morphea:

• Ngā whakaoho ārai-tinana kei hea te whakaeke he o tō pūnaha ārai i ō kiko ake
• Ngā mate, ina koa ētahi mate huaketo, mate huakore rānei e whakaoho ana i te āhuatanga
• Te whara tinana, te whara rānei ki te kiri i ētahi wā
• Te whakamahinga o te radiation, ahakoa he iti rawa tēnei
• Ētahi rongoā, ina koa ētahi rongoā mate huaketo, rongoā toto teitei rānei
• Ngā take ira e āwhina ana i ētahi tangata kia nui ake te mate

He mea nui kia mōhio kōrua e kore te morphea e pā atu. Kāo e taea te hopu mai i tētahi atu, kāo e taea te horapa atu ki ētahi atu. Kāo te āhuatanga i puta mai i tetahi mea i mahi koe, kāo rānei i mahi koe.

Nō hea te haere ki te tākuta mō te morphea?

Me whakarite e koe tētahi whakatau ki tō tākuta ki te kite koe i ētahi wāhanga rerekē, whakarereke rānei i te āhua o tō kiri. Ka āwhina te taumata whakamātautau me te maimoatanga wawe ki te ārai i te haere tonu o te āhuatanga me te whakaiti i ngā raruraru pea.

Rapua te awhina hauora wawe ki te wheako koe i:

• Ngā wāhanga hou, mātiti, whakarereke rānei te tae i runga i tō kiri
• Ngā wāhanga kei reira kua nui ake te nui, kua whakarereke rānei te āhua
• Te kaha o te kiri e ārai ana i tō nekehanga, tō ngāwari rānei
• Ngā wāhanga raina i runga i te mata, ngā waewae, ngā hononga rānei o te tamaiti
• He maha ngā wāhanga e puta ana i ngā wāhi rerekē o tō tinana
• Ngā whakarereketanga kiri e awangawanga ana koe, e pā ana rānei ki ō mahi o ia rā

Kaua e tatari kia ngaro noa atu ngā wāhanga. Ahakoa ka pai ake pea te morphea i te kore maimoatanga, ko te whiwhi i te tiaki hauora tika ka homai ki a koe te tupono pai rawa ki te whakahaere i te āhuatanga.

He aha ngā take morearea mō te morphea?

He maha ngā take ka nui ake ai tō tūponotanga ki te whanake i te morphea, ahakoa ko te whai i ngā take morearea kāo te tikanga ka whiwhi koe i te āhuatanga. Ka āwhina te mōhiotanga ki ēnei take ki a koe kia mataara ki ngā tohu wawe.

Ko ēnei ngā take morearea matua:

• Ko te wahine te wahine, no te mea ka whanake ngā wāhine i te morphea neke atu i te toru te maha atu i ngā tāne
• Te tau, he rua ngā wā tūturu: te tamarikitanga (ngā tau 2-14) me te tau waenganui (ngā tau 40-50)
• Te whai i ētahi atu āhuatanga ārai-tinana penei i te mate rewiti rheumatoid, te mate thyroid rānei
• Te hītori whānau o ngā mate ārai-tinana, ngā mate hononga kiko rānei
• Ngā mate hou, ina koa ngā mate e kawe ana ngā nakahi penei i te mate Lyme
• Te maimoatanga radiation o mua
• Ētahi tohu ira e āwhina ana i te mate

Ko te whai i tetahi, atu rānei, take morearea kāo te tikanga ka whanake koe i te morphea. Kāo te maha o ngā tangata e whai ana i ngā take morearea maha e whanake ana i te āhuatanga, ā, ko ētahi atu kāo he take morearea e kitea ana e whanake ana.

He aha ngā raruraru pea o te morphea?

Ahakoa ko te nuinga o ngā take o te morphea he ngawari, kāo e pā ana ki ngā raruraru nui, ka āwhina pea ētahi momo ki ngā raruraru e pā ana ki te mahi me te āhua. Ko te mōhiotanga ki ēnei āhuatanga ka āwhina i a koe ki te mōhio he aha te mea nui o te tirotiro hauora.

Ka uru pea ngā raruraru ki:

• Te uaua o ngā hononga me te iti o te nekehanga ina puta ngā wāhanga i runga i ngā hononga
• Ngā raruraru tipu i ngā tamariki, ina koa ki te morphea raina e pā ana ki ngā waewae
• Ngā whakarereketanga tae kiri, āhua rānei
• Te ngoikore o te uaua, te ngoikore rānei i ngā take kino e pā ana ki ngā kiko hohonu
• Te kore rite o te mata ina pā te morphea ki te rae, te mata rānei
• Ngā rerekētanga roa o ngā waewae i ngā tamariki e whai ana i te morphea raina i runga i ngā ringa, ngā waewae rānei
• Ngā raruraru kanohi ki te pā te morphea ki te wāhi kei te taha o ngā kanohi
• Ngā hopu, ētahi atu take neurological rānei i ngā take onge o te hohonu o te upoko

Ko te rongo pai, ko te nuinga o ngā tangata e whai ana i te morphea kāo e wheako ana i ngā raruraru nui. Ka āwhina te maimoatanga wawe me te tirotiro auau ki te ārai, ki te whakaiti rānei i ēnei take ina puta mai.

Me pēhea te whakamātautau i te morphea?

Ko te whakamātautau i te morphea ka tīmata pea me tō tākuta e tirotiro ana i tō kiri me te uiui mō ō tohu me tō hītori hauora. I te nuinga o ngā wā, ko te āhua o ngā wāhanga ka homai ngā tohu kaha mō te whakamātautau.

Ka whakamahi pea tō tākuta i ētahi huarahi hei whakau i te whakamātautau:

• Te tirotiro tinana o ngā wāhi katoa e pā ana me te kiri e karapotia ana
• Te arotake hītori hauora, tae atu ki ngā mate hou, ngā rongoā, ngā whara rānei
• Te tātaritanga kiri, kei hea te wāhanga iti o te kiri e pā ana e tirotirohia ana i raro i te microscope
• Ngā whakamātautau toto hei tirotiro i ngā tohu ārai-tinana me te whakakore i te scleroderma pūnaha
• Te whakaahua hei tuhi i te āhua me te aroturuki i ngā whakarereketanga i te wā
• Te thermography, ētahi atu whakaahua rānei i ētahi wā hei aromatawai i te rere o te toto

Ko te tātaritanga kiri te whakamātautau tino tika. Ka whakaatu tēnei i ngā whakarereketanga āhuatanga o te collagen me te hanganga kiri e whakau ana i te morphea. Ka āwhina ngā whakamātautau toto ki te wehewehe i te morphea rohe mai i te momo scleroderma pūnaha nui ake.

He aha te maimoatanga mō te morphea?

Ko te maimoatanga mō te morphea e arotahi ana ki te mutu i te haere tonu o te mate kaha me te whakapai ake i te āhua me te mahi o te kiri e pā ana. Ko te huarahi e whakawhirinaki ana ki te momo, te wāhi, me te kaha o tō āhuatanga.

Ko ēnei ngā kōwhiringa maimoatanga noa:

• Ngā corticosteroids o runga hei whakaiti i te mumura me te whakaheke i te haere tonu o te mate
• Ngā kaiwhakaheke calcineurin o runga penei i te tacrolimus hei whakakapi i ngā steroids
• Te phototherapy (te maimoatanga rama UV) hei āwhina i te whakamaeneene i te kiri e pā ana
• Te methotrexate, ētahi atu rongoā immunosuppressive rānei mō te mate whānui, hohonu rānei
• Te rongoā tinana hei pupuri i te ngāwari me te ārai i te uaua o ngā hononga
• Ngā kaiwhakamakuku me te tiaki kiri ngawari hei pupuri i te kiri ngawari
• Te hydroxychloroquine mō ētahi momo morphea

Mō ngā take nui ake, ka tūtohu pea tō tākuta i ngā maimoatanga pūnaha penei i ngā corticosteroids waha, ētahi atu rongoā immunosuppressive rānei. Ko te whāinga ko te hopu i te mate i te wā kei te kaha tonu, me te ārai i te kino pumau.

Me pēhea te whakahaere i te morphea i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō hauora kiri me tō oranga katoa. Ko ēnei rautaki tiaki kāinga ka pai ake te mahi me ngā maimoatanga kua tohua e koe.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Whakamahia ngā kaiwhakamakuku ngawari, kāo he kakara, kia mau tonu te kiri ngawari, ngāwari hoki
• Whakahaerehia ngā whakakorikori ngawari hei pupuri i te nekehanga i ngā wāhi e pā ana
• Tīakina tō kiri mai i te whakamahinga nui o te rā, ka kino pea tēnei i ētahi wāhanga
• Whakamahia te wai mahana mō te kaukau hei ārai i te whakaoho i te kiri ngawari
• Whakahaerehia ngā tikanga whakahaere ahotea, no te mea ka pā pea te ahotea ki ngā āhuatanga ārai-tinana
• Kai i te kai tōtika e whai hua ana i ngā kai anti-mumura
• Kia mau te wai hei tautoko i te hauora kiri katoa
• Kaua e whakamahi i ngā hauwai, hua kiri rānei e whakaoho ana i ngā wāhi e pā ana

Kia mahara ko te tiaki kāinga e tautoko ana, kāo e whakakapi i te maimoatanga hauora. Whai tonu i ngā tūtohu a tō tākuta me te whakahaere tonu i ngā rongoā kua tohua ahakoa kei te tiaki pai koe i tō kiri i te kāinga.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite pai mō tō whakatau ka āwhina i tō tākuta ki te homai i te tiaki pai rawa atu, ka whakarite hoki ka whiwhi koe i ngā whakautu ki ō patai nui katoa. Ka āwhina hoki te whakarite pai ki a koe kia nui ake te whakapono me te mana.

I mua i tō whakatau, whakaarohia te mahi i ēnei mea:

• Tuhinga whakaahua o ō wāhanga kiri hei whakaatu i ngā whakarereketanga i te wā
• Tuhia te wā i kite tuatahi koe i ngā wāhanga me te āhua o te whakarereke
• Rārangihia ngā rongoā, ngā taapiri, ngā mate hou, ngā whara rānei
• Whakaritea ngā patai mō ngā kōwhiringa maimoatanga, te whakatau, me ngā whakarereketanga oranga
• Kawea mai tētahi mema whānau, hoa rānei hei tautoko me te āwhina ki te maumahara i ngā mōhiohio
• Kohikohia ngā rekoata hauora o mua e pā ana ki ngā raruraru kiri
• Tātaihia tetahi hītori whānau o ngā āhuatanga ārai-tinana, kiri rānei

Kaua e whakaroa ki te ui ki tō tākuta mō tetahi mea e awangawanga ana koe. Ko ngā patai mō te tirohanga roa, ngā pānga o te maimoatanga, me te whakahaere o te oranga o ia rā he mea nui, he tika katoa.

He aha te mea nui mō te morphea?

Ko te morphea he āhuatanga kiri e taea te whakahaere e pā ana ki te hua collagen o te kiri, e hanga ana i ngā wāhanga mātiti, whakarereke te tae. Ahakoa ka awangawanga pea ina kite tuatahi koe, ko te nuinga o ngā tangata e whai ana i te morphea e ora ana i ngā oranga noa, kaha me te maimoatanga tika me te tiaki.

Ko ngā mea tino nui hei mahara ko te whakamātautau wawe me te maimoatanga ka homai ngā hua pai rawa, ā, kāo te morphea e pā ana ki ngā tūmomo o roto penei i tōna teina pūnaha, te scleroderma. Me te tiaki hauora tika me te whakahaere pai i a koe, ka taea e koe te whakaiti i te pā o te morphea ki tō oranga o ia rā.

Kia hono tonu ki tō rōpū hauora, whai tonu i tō mahere maimoatanga, ā, kaua e whakaroa ki te whakapā mai ina whai koe i ngā patai, ngā awangawanga rānei. Kāo koe anake e whakahaere ana i tēnei āhuatanga, ā, kei reira te tautoko whai hua.

Ngā patai e ui pinepinetia ana mō te morphea

He rite te morphea ki te scleroderma?

Ko te morphea he momo scleroderma rohe e pā ana ki te kiri me ngā kiko kei raro i te kiri anake. Kāo te scleroderma pūnaha, e kore te morphea e pā ki ngā tūmomo o roto penei i te ngakau, ngā pūkahukahu, ngā whatukuhu rānei. Ahakoa he āhuatanga e hono ana, he pai ake te whakatau a te morphea, ā, he ngāwari ake te whakahaere.

Ka horapa te morphea ki ētahi atu wāhi o toku tinana?

Ka puta pea ngā wāhanga hou i ētahi atu wāhi i te morphea, engari kāo e "horapa" mai i ngā wāhanga kei reira penei i te mate. Ko te nuinga o ngā tangata e whanake ana i ngā wāhanga torutoru anake e mau tonu ana i te wā. Ka aroturuki tō tākuta i a koe mō ētahi atu wāhi e pā ana i ngā tirotiro auau.

Ka ngaro noa atu te morphea?

Ko ētahi take o te morphea ka pai ake, ka mutu rānei i te kore maimoatanga, ina koa i ngā tamariki. Engari, ka waiho pea ngā wāhanga i ngā whakarereketanga pumau i te tae kiri, te āhua rānei. Ka āwhina te maimoatanga ki te ārai i te haere tonu me te whakapai ake i te āhua whakamutunga, no reira he mea tūtohutia i ngā take ngawari.

E hia te roa o te maimoatanga morphea?

Ko te roa o te maimoatanga e rerekē ana i runga i te momo me te kaha o te morphea. Ka kite ētahi i te whakapainga i roto i ngā marama torutoru, ā, ko ētahi atu pea ka hiahia ki te maimoatanga mō te tau, atu rānei. Ko te wa mumura kaha e toru ki te rima tau te roa, muri iho ka noho pea te āhuatanga, ahakoa ka noho pea ngā whakarereketanga kiri.

Ka taea e au te whakakorikori, mahi rānei i ngā mahi noa me te morphea?

Ko te nuinga o ngā tangata e whai ana i te morphea ka taea te whakahaere i ō rātou mahi noa, tae atu ki te whakakorikori. Ko te tikanga, ko te whakakorikori ngawari me te nekehanga ka āwhina ki te pupuri i te ngāwari i ngā wāhi e pā ana. Ki te pā te morphea ki ngā hononga, ki te ārai rānei i te nekehanga, ka tūtohu pea tō tākuta i ngā whakakorikori motuhake, te rongoā tinana rānei hei ārai i te uaua me te pupuri i te mahi.