He aha te Hepatitus Parekura? Tohutohu, Take, me te Maimoatanga

Ko te hepatitus parekura te mumura o te ate e puta mai ana i te whakamahinga o ngā mea kino penei i ngā rongoā, ngā matū, me ngā poizon. Ka puta te mamae me te pupuhi o tō ate ina nui atu te taonga poizon e kore e taea e ia te tukatuka.

Whakaarohia tō ate hei pokapū horoi matua mō tō tinana, e mahi ana i te po tae noa ki te rā hei horoi i ngā mea kino i roto i tō toto. Ki te nui rawa te poizon, ka mumura pea, ka puta mai ngā tohu mai i te ngenge iti ki te kino o te ate. Ko te mea pai, he maha ngā hepatitus parekura ka taea te whakaora ina tangohia te mea kino, ā, tukua kia ora tō ate.

He aha ngā tohu o te hepatitus parekura?

Ka puta mai ngā tohu o te hepatitus parekura i te wa poto, i te roa rānei i roto i ngā wiki, i ngā marama rānei. Ko te wā e puta mai ai te tohu e whakawhirinaki ana ki te take o te mumura o te ate me te nui o te whakamahinga.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te ngenge me te ngoikore e kore e pai ake ahakoa te okioki
• Te ruaki me te ruaki, ina koa i muri i te kai
• Te ngaro o te hiahia kai me te ngaro o te taumaha
• Te mamae o te kopu, te ngawari rānei i tō taha matau o runga
• Te kowhai o tō kiri me ō kanohi (jaundice)
• Te mimi pouri e rite ana ki te tiihi rānei ki te kola
• Te paru mā, te paru parauri rānei
• Te kiri ngau kahore he pupuhi e kitea ana
• Te kirika me te wiri

Ka kitea e ētahi atu te tohu nui ake ki te nui te kino o te ate. Ka uru atu ki ēnei te porangi, te uaua ki te aro, te pupuhi rānei o ō waewae me tō kopu. Kia mahara, ka rereke ngā tohu mai i te tangata ki te tangata, ā, ka iti pea ngā tohu o ētahi i te tīmatanga.

He aha ngā take o te hepatitus parekura?

Ka puta te hepatitus parekura ina kitea e tō ate ngā mea kaore e taea e ia te tukatuka. Ka puta mai ēnei mea kino i ngā rongoā, ngā poizon taiao, i ngā mea taiao rānei i roto i ētahi tipu.

Ko ēnei ngā take tino noa:

• Ngā rongoā: Te nui o te acetaminophen (Tylenol), ngā rongoā mate huaketo, ngā rongoā hopu, me ētahi tāpiringa tipu
• Ngā matū umanga: Te tetrachloride kāpona, te chloride vinyl, me ngā kai horoi
• Te poizon harore: Ina koa mai i ngā momo Amanita (ngā harore poka mate)
• Ngā tāpiringa tipu: Kava, comfrey, me ētahi rongoā Hainamana tawhito
• Te waiū: Te inu nui tonu, te inu nui rānei
• Ngā poizon taiao: Ngā pūhui, ngā konganuku taumaha penei i te arahi, te mercury rānei

Ko ngā take iti ake, engari he kino, ko te whakamahinga o ētahi rongoā ngāwari i te whakahaere, ētahi maimoatanga mate pukupuku, me ngā āhuatanga onge ki ngā kai whakaora mamae i runga i te kaute ina nui te whakamahinga. Ko tō tūponotanga ake e whakawhirinaki ana ki ngā mea penei i tō tau, tō hauora whānui, me tō hanganga ira.

Nōhea te haere ki te taote mō te hepatitus parekura?

Me kimi wawe koe i te awhina hauora mena ka puta mai te jaundice (te kowhai o te kiri, o ngā kanohi rānei) te mamae nui rānei o te kopu. Ka whakaatu ēnei tohu i te whakauru nui o te ate e hiahia ana ki te arotake wawe.

Whakapa atu ki tō kaiwhakarato hauora i roto i ngā haora 24 mena ka kitea e koe te ruaki tonu, te ruaki rānei, te ngenge rānei i muri i te whakamahinga o ngā poizon pea. Ahakoa ngā tohu iti rawa, ka taea e rātou te tohu i te ahotea o te ate e hiahia ana ki te tirotiro.

Karanga atu ki ngā ratonga āwhina wawe mena kei a koe te porangi, te ngoikore nui, te uaua ki te manawa, te whakaaro rānei kua poizon koe i te harore. Ka taea e ēnei tohu te tohu i te korenga o te ate nui, he āwangawanga hauora tēnei e hiahia ana ki te maimoatanga wawe.

He aha ngā take tūponotanga mō te hepatitus parekura?

He maha ngā mea ka piki ake tō tūponotanga ki te whanake i te hepatitus parekura. Ka taea e te mārama ki ēnei take tūponotanga te āwhina i a koe ki te tango i ngā mahi aukati me te mohio ki te wā ka nui atu tō ngoikore.

Ko ēnei ngā take tūponotanga matua hei matawai:

• Te tau: Kaore ngā tāngata neke atu i te 60 me ngā tamariki iti e tukatuka pai ana i ngā poizon
• Te mate ate o mua: Ngā āhuatanga penei i te hepatitus B, C, te mate ate ngako rānei
• Te whakamahinga waiū: Ka nui ake te ngoikore o tō ate ki ētahi atu poizon
• Ngā take ira: He iti ake te tere o ētahi i te tukatuka poizon
• Te kore kai: Ka ngoikore te kaha o tō ate ki te whakahaere i ngā poizon
• Te wahine: Ka nui ake pea te ngoikore o ngā wāhine ki ētahi whara ate rongoā
• Te whakamahinga mahi: Ngā mahi e whakamahi ana i ngā matū, ngā kai horoi rānei, ngā rauemi umanga rānei
• Ngā rongoā maha: Ka piki ake te tūponotanga o te mahi tahi i te maha o ngā rongoā

Ki te whai koe i ngā take tūponotanga, ehara tena i te tikanga ka whanake koe i te hepatitus parekura. Heoi, ko te matawai i a rātou ka āwhina i a koe me tō kaiwhakarato hauora ki te whakatau whakamārama mō ngā rongoā me ngā whiringa oranga.

He aha ngā raruraru pea o te hepatitus parekura?

Ka mutu te nuinga o ngā hepatitus parekura ina tangohia te mea kino, ā, tīmata te maimoatanga tika. Heoi, ka taea e ētahi āhuatanga te arahi ki ngā raruraru nui ake e hiahia ana ki te tirotiro tika.

Ko ēnei ngā raruraru pea:

• Te korenga o te ate nui: Te ngaro tere o te mahi ate e hiahia ana ki te whakauru atu ki te whare hauora
• Te mate ate roa: Te kino roa e arahi ana ki ngā raruraru ate tonu
• Te tohu ate (fibrosis): Te kino o te kiko mau e taea te haere ki te cirrhosis
• Te toto nui o te portal: Te piki o te pehanga i roto i ngā oko toto ate
• Ngā raruraru whatukuhu: Ka taea e te kino nui o te ate te pā ki te mahi whatukuhu
• Ngā mate toto: Ka hanga e te ate ngā pūmua e hiahiatia ana mō te toto tika

Ko ngā raruraru onge engari he kino pea ka uru atu te whanaketanga o te mate pukupuku ate i muri i ngā tau, ahakoa he onge tēnei ki te hepatitus parekura. Ko te tūponotanga o ngā raruraru teitei rawa ina tonu te whakamahinga, te whakaroa rānei o te maimoatanga, koia te take i nui ai te kitenga wawe me te maimoatanga.

Me pēhea te aukati i te hepatitus parekura?

Ko te aukati i te hepatitus parekura ko te whakaaro nui ki te mea e tomo ana ki tō tinana me te tango i ngā mahi hei tiaki i tō ate i ngā mea kino. Ka taea te aukati i te nuinga o ngā take me ngā whakaritenga tika.

Ko ēnei ngā rautaki aukati whai hua:

• Whai i ngā tohutohu rongoā: Kaua rawa e nui atu i ngā horoinga e tūtohutia ana, ina koa ki te acetaminophen
• Kaua e whakaranu i te waiū me ngā rongoā: Ka nui ake te tūponotanga o te poizon ate
• Rapua ngā tāpiringa tipu: Ka taea e te maha o ngā hua "taiao" te kino ki tō ate
• Whakamahia ngā whakaritenga āwhina mahi: Kakahu i ngā taputapu tiaki ina whakahaere i ngā matū
• Kaua rawa e kai i ngā harore ngahere: Ahakoa ngā kai rapu wheako ka taea te mahi he mate
• Whakaitihia te inu waiū: Whai i ngā aratohu e tūtohutia ana mō te inu haumaru
• Tirohia ngā mahi rongoā: Pātai atu ki tō kaihoko rongoā mō ngā raruraru pea i waenga i ngā rongoā

Mena kei te mahi koe me ngā matū, kei te tango rānei i ngā rongoā maha, ka taea e ngā tirotiro auau me ngā whakamātautau mahi ate te hopu i ngā raruraru i te tīmatanga. Ka taea hoki e tō taote te āwhina i a koe ki te mārama ki ngā mea e tino tūpono ana ki tō āhuatanga ake.

Me pēhea te whakatau i te hepatitus parekura?

Ko te whakatau i te hepatitus parekura ko te hono i ō tohu ki te whakamahinga o ngā mea kino pea. Ka tīmata tō taote me te hītori taipitopito mō ngā rongoā, ngā tāpiringa, ngā whakamahinga mahi, me ngā mahi hou.

Ko te tukanga whakatau e whakauru ana i ngā whakamātautau toto hei tirotiro i te mahi ate. Ka inetia e ēnei whakamātautau ngā enzyme penei i te ALT me te AST, e rere ana i ngā pūtau ate kino ki tō toto. Ka tohu te taumata teitei i te mumura ate.

Ka taea e ngā whakamātautau atu te whakauru i ngā taumata bilirubin (e puta mai ana te jaundice ina teitei), ngā whakamātautau toto, me te tirotiro viral hepatitis hei whakakore i ētahi atu take. I ētahi wā, ka tono pea tō taote i ngā rangahau whakaahua penei i te ultrasound, te CT scan rānei hei tirotiro i te hanganga o tō ate.

Mena kaore te take i te marama, ka tono pea tō taote i te biopsy ate. Ka whakauru atu ki ēnei te tango i te tauira iti o te kiko hei tirotiro i raro i te microscope, ahakoa he onge tēnei mō ngā take ngāwari o te hepatitus parekura.

He aha te maimoatanga mō te hepatitus parekura?

Ko te maimoatanga mō te hepatitus parekura ko te tango i te mea kino me te tautoko i tō ate i te wā e ora ana. Ko te huarahi motuhake e whakawhirinaki ana ki te take o te kino o te ate me te nui o ō tohu.

Ko te kaupapa tuatahi ko te mutu i te whakamahinga o te poizon. Ka taea e tēnei te tango i te rongoā, te karo i ētahi matū, te tango rānei i ētahi tāpiringa motuhake i tō mahi.

Mō te poizon acetaminophen, ka taea e ngā taote te whakamahi i te N-acetylcysteine, he rongoā e taea te aukati i te kino atu o te ate mena ka hoatu wawe.

Ka taea e ngā take nui te hiahia ki te whakauru atu ki te whare hauora mō te tirotiro tata me te tautoko. I roto i ngā āhuatanga onge rawa atu ka puta mai te korenga o te ate, ka hiahiatia pea te whakawhiti ate, ahakoa he iti iho i te 1% o ngā take hepatitus parekura.

Me pēhea te whakahaere i te hepatitus parekura i te kāinga?

He mahi nui te tiaki kāinga i tō ora mai i te hepatitus parekura. Me whai koe i ngā tikanga pai hei whakaora i tō ate, ā, ka taea e koe te tautoko i tēnei tukanga mā te aro nui ki te kai me te oranga.

He mea nui te okioki i te wā e ora ana. Ka mahi nui tō ate i te whakaora i a koe e moe ana, na reira kia 8-9 haora te moe pai i ia pō. Kaua e mahi tinana kaha kia tae rawa atu ki te kī atu tō taote he haumaru.

Ka taea e ngā huringa kai te tautoko i te ora. Aro atu ki ngā kai ngawari ki te kai penei i ngā pūmua ngawari, ngā hua, ngā huawhenua, me ngā witi katoa. Kaua e inu waiū i te wā e ora ana, no te mea ahakoa ngā iti, ka taea e rātou te whakaroa i te ora o te ate.

Kia pai te inu wai i te rā katoa. Ka āwhina tēnei i tō ate ki te horoi i ngā poizon me te tautoko i te ora whānui. Kaua e inu i ngā tāpiringa, ngā rongoā tipu rānei, kia tae rawa atu ki te whakaae a tō taote.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō tō hui ka āwhina i tō taote ki te whakatau tika me te whakawhanake i te mahere maimoatanga pai. Ko te kohikohi i ngā mōhiohio tika i mua ka taea te whakaora i te wā nui me te whakarite kia kaua e ngaro ngā mea nui.

Mau mai he rārangi katoa o ngā rongoā, ngā tāpiringa, me ngā hua tipu kua inu koe i ngā marama toru kua pahure. Whakauruhia ngā horoinga me te roa o tō inu i ia mea. Ahakoa ngā hua i runga i te kaute me ngā huaora ka taea te whai take.

Tuhia ō tohu me te wā i tīmata ai rātou. Kia mārama ngā tauira, penei i te kino ake o ngā tohu i ētahi wā o te rā, i muri rānei i te kai. Tuhia hoki ngā whakamahinga hou ki ngā matū, ngā rongoā hou, ngā kai rerekē rānei.

Whakaritea ngā pātai mō tō āhuatanga, ngā whiringa maimoatanga, me te wā ora. Pātai atu mō ngā tohu whakatūpato e hiahia ana ki te awhina hauora wawe me te wā ka tumanako koe ki te pai ake.

He aha te mea nui mō te hepatitus parekura?

Ko te hepatitus parekura he āhuatanga nui engari he maha ngā wā ka taea te whakaora e puta mai ana ina mumura tō ate nā te whakamahinga o ngā mea kino. Ko te mea nui hei mahara ko te kitenga wawe me te maimoatanga wawe ka arahi ki ngā hua pai.

Ka ora te nuinga o ngā tāngata ina kitea, tangohia te mea poizon. He kaha te whakaora o tō ate, ā, me te tiaki tika me te wā, ka taea e ia te hoki ki te mahi noa ahakoa te kino nui.

Ko te aukati tonu tō rautaki pai. Ko te tupato ki ngā rongoā, te karo i ngā tāpiringa koretake, me te tiaki i a koe i ngā whakamahinga matū ka taea te aukati i te nuinga o ngā take hepatitus parekura. Ki te whakapā atu koe mō te haumaru o tetahi mea, korero atu ki tō kaiwhakarato hauora.

Ngā pātai maha e ui ana mō te hepatitus parekura

E hia te roa te ora mai i te hepatitus parekura?

Ka rereke te wā ora i runga i te take me te kino o te kino o te ate. Ka taea e ngā take iti te pai ake i roto i ngā wiki 2-4 i muri i te tango i te mea poizon. Ka taea e ngā take nui ake te roa o ngā marama mō te ora katoa. Ka tirotirohia e tō taote tō ahunga whakamua me ngā whakamātautau toto auau hei aroturuki i te pai ake o te mahi ate.

Ka mate pea te hepatitus parekura?

Ahakoa ka mutu te nuinga o ngā take hepatitus parekura me te maimoatanga tika, ka taea e ngā take nui te mate. Ka puta te korenga o te ate nui i raro i te 5% o ngā take, engari e hiahia ana ki te tiaki āwangawanga wawe. Ko te kitenga wawe me te maimoatanga ka whakaiti i te tūponotanga o ngā raruraru nui, o te mate rānei.

Me karo tonu ahau i te waiū i muri i te hepatitus parekura?

Me karo katoa koe i te waiū i te wā e ora ana, e roa ana i ngā wiki ki ngā marama. Kia hoki mai tō mahi ate ki te noa, ka taea e tō taote te whakaae ki te inu waiū. Heoi, ka nui ake pea te ngoikore o tō ate ki ngā poizon mo te roa, na te tupato tonu ki te waiū me ētahi atu mea kino pea he mea whakaaro.

Ka puta pea te hepatitus parekura mai i te tango i ngā horoinga noa o te rongoā?

Ae, ka taea e ētahi te whanake i te hepatitus parekura ahakoa te tango i ngā rongoā e whakaritea ana. Ko te tikanga tēnei e puta mai ana i te ngoikore o te tangata, ngā take ira, ngā mahi tahi rānei i waenga i ngā rongoā maha. He nui ake te ngoikore o ētahi tangata nā te tau, ngā āhuatanga hauora o mua, ngā rerekētanga ira rānei i te tukatuka rongoā.

Me pēhea te mohio mena kei te kino haere ō tohu?

Rapua te awhina hauora wawe mena ka puta mai te jaundice kino ake, te porangi, te mamae nui o te kopu, te uaua ki te manawa, te toto rānei, te pupuhi rānei. Ka taea e ēnei tohu te tohu kei te heke iho tō mahi ate, ā, e hiahia ana ki te arotake āwangawanga. Ka āwhina ngā hui whai muri auau ki te aroturuki i tō ahunga whakamua me te hopu i ngā huringa awangawanga i te tīmatanga.