He aha te koiora ate? Te Whāinga, te Hātepe me ngā Hua

Ko te koiora ate he hātepe rongoā e tango ai tō tākuta i tētahi tauira iti o te kiko ate hei tirotiro i raro i te karu whakanui. Mā tēnei whakamātau ngāwari e āwhina ai ngā tākuta ki te mārama ki ngā mea e pā ana ki tō ate i te wā e kore ai ngā whakamātau toto, ngā karapa whakaahua rānei e whakaatu i te pikitia katoa.

Whakaarohia me te mea kei te titiro tata atu koe ki te hauora o tō ate. Ko te tauira kiko, he iti ake i te rākau pene, ka whakaatu i ngā kōrero nui mō te mate ate, te mumura, te kino rānei e kore e puta i ētahi atu whakamātau.

He aha te koiora ate?

E whai pānga ana te koiora ate ki te tango i tētahi wāhanga iti o te kiko ate mā te whakamahi i te ngira angiangi, i te wā rānei o te pokanga. Ka tirotirohia e tō tākuta tēnei tauira i raro i te karu whakanui hei tātai i ngā āhuatanga ate me te whakamahere i tō rongoā.

E hoatu ana e te hātepe ki tō rōpū hauora ngā kōrero taipitopito mō te hanganga me te mahi o tō ate. Ka taea e ia te tautuhi i ngā mate motuhake, te ine i te whānuitanga o te kino o te ate, me te āwhina ki te whakatau i te huarahi rongoā pai mō tō āhuatanga.

Ko te nuinga o ngā koiora ate ka mahia hei hātepe tūroro waho, ko te tikanga ka taea e koe te hoki ki te kāinga i te rā kotahi. He hātepe poto noa te kohinga kiko, he torutoru hēkona noa iho, ahakoa te roa o te wā whakarite katoa he torutoru hāora tae atu ki te wā whakarite me te whakaora.

He aha te take e mahia ana te koiora ate?

Ka tūtohu pea tō tākuta i te koiora ate i te wā e hiahia ana rātou ki ngā kōrero taipitopito mō te hauora o tō ate i ngā whakamātau toto, ngā whakaahua rānei e whakaatu ana. Ko te nuinga o te wā ko te huarahi tino tika ki te tātai i ētahi āhuatanga ate.

Ko ngā take noa ko te tirotiro i ngā whakamātau mahi ate rereke, te whānui ate kāore i whakamāramahia, te whakapae rānei o te mate ate. Ka whakamahia pea e tō tākuta hei aroturuki i te pai o te urupare o tō ate ki te rongoā mō ngā āhuatanga pēnei i te hepatitis, te mate ate momona rānei.

I ētahi wā ka āwhina te tātai ki te whakatau i te wāhanga o te mate ate, e ārahi ana i ngā whakatau maimoatanga. Hei tauira, ka taea e ia te whakaatu mēnā he ngawari, he kaha rānei te kōpū ate (fibrosis), e āwhina ana i tō tākuta ki te hanga i te mahere maimoatanga tino whai hua.

Koinei ngā āhuatanga rongoā nui e tūtohu ai tō tākuta i tēnei tikanga:

• Te pikinga o ngā enzyme ate kāore i whakamāramahia e mau tonu ana i te wā
• Te whakapae o ngā mate ate autoimmune pēnei i te primary biliary cholangitis
• Te arotake i te kaha o te mate ate momona
• Te aroturuki i te whakakorenga o te whakawhitinga ate
• Te tūhura i te whakanui ate kāore i whakamāramahia, i ngā papatipu rānei
• Te tātai i ngā mate ate metabolic onge
• Te aromatawai i te kino o te ate mai i ngā rongoā, i ngā paitini rānei

Ka whakataurite tonu tō tākuta i ngā painga ki ngā tūponotanga i mua i te tūtohu i te tātai. Ka whakamāramahia e rātou te take i whai pānga ai tēnei whakamātautau ki tō āhuatanga motuhake, me ngā momo kē atu e wātea ana.

He aha te tikanga mō te tātai ate?

Ko te momo tino noa he tātai ate percutaneous, ka kuhu te tākuta i te ngira mā tō kiri kia tae ki tō ate. Ka takoto koe ki tō tuara, ki tō taha mauī rānei i te wā o te tikanga.

I mua i te tīmatanga, ka horoi tō tākuta i te wāhi, ka werohia he rongoā ā-rohe hei whakapōkae i tō kiri. Ka pōkae pea koe i te mamae poto, pērā i te werohanga, engari me pōkae te wāhi i roto i ngā meneti.

Mā te whakamahi i te ārahi ultrasound, ka kitea e tō tākuta te wāhi pai rawa atu hei kuhu i te ngira tātai. Ka tere rawa te kohinga kiko tūturu - i te nuinga o te wā i roto i te hēkona. Ka rongo pea koe i te tangi pāwhiri mai i te pūrere tātai.

Koinei te mea e tupu ana i te wā o tō tikanga:

1. Ka huri koe ki te kākahu hōhipera ka takoto ki runga i te tēpu whakamātau
2. Ka aroturukihia e te rōpū hauora ō tohu nui, ka tīmata i te rārangi IV
3. Ka whakamahia e tō tākuta te ultrasound hei tautuhi i te wāhi pai rawa atu mō te koiora
4. Ka werohia te rongoā whakamoe ā-rohe hei whakamoe i te wāhi katoa
5. Ka kuhuna he ngira angiangi mā tō kiri ki tō ate
6. Ka kohia te tauira kiko i roto i te hautanga o te hēkona
7. Ka pēhia te wāhi hei ārai i te whakaheke toto
8. Ka aroturukihia koe mō te maha o ngā hāora i mua i te hokinga ki te kāinga

Ko ētahi tāngata e hiahia ana ki te koiora ate transjugular, e tae ai te ngira ki tō ate mā te uaua i tō kaki. Ka whakamahia tēnei huarahi ina he mate whakaheke toto tō, he wai rānei i tō puku e mōrearea ai te huarahi paerewa.

Me pēhea te whakarite mō tō koiora ate?

Ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō te whakarite mō tō koiora, te tikanga ka tīmata i te wiki kotahi i mua i te tikanga. Mā te whai i ēnei aratohu ka āwhina i te haumarutanga me te angitu o te whakamātau.

Me whakamutu e koe te tango i ētahi rongoā ka piki ake te tūponotanga o te whakaheke toto, pērā i te aspirin, ibuprofen, i ngā rongoā whakaheke toto rānei. Ka kōrero tō tākuta ki a koe ko ēhea rongoā hei karo me te roa o te wā i mua i te tikanga.

Ko te nuinga o ngā tāngata me nohopuku mō te 8-12 hāora i mua i te koiora, ko te tikanga kāore he kai, he inu rānei engari ko ngā wai iti me ngā rongoā kua whakaaetia. Mā tēnei whakatūpato ka ārai i ngā raruraru mena ka hiahia koe ki te pokanga ohorere, ahakoa he tino onge tēnei.

Tō whakarite ka uru pea ki ēnei mahi nui:

• Ngā whakamātautau toto katoa hei tirotiro i tō mahi whakaheke toto me te tatau toto
• Whakaritea kia haria koe e tētahi tangata ki te kāinga i muri i te tikanga
• Kati te kai me te inu i runga i te wā i whakaritea e tō tākuta
• Horoia tō tinana i te pō i mua, i te ata rānei o tō koiora
• Mau kākahu pai, kākahu whānui ki tō hui
• Mau mai he rārangi o ō rongoā katoa me ō tāpiringa
• Whakaritea kia okioki i te kāinga i te toenga o te rā

Tohua tō tākuta mēnā kei te hapū koe, he pānga mate tōu, kei te mate rānei koe i te rā o tō tikanga. Ka pā ēnei āhuatanga ki te wā, ki te huarahi rānei o tō koiora.

Me pēhea te pānui i ngā hua o tō koiora ate?

Ka hoki mai ngā hua o tō koiora ate hei pūrongo taipitopito mai i tētahi tohunga mate, he tākuta e tohunga ana ki te tirotiro i ngā tauira kiko. E 3-7 rā pea te roa o tēnei pūrongo, ahakoa ka tere ake pea te tukatuka i ngā keehi ohorere.

Ka titiro te tohunga mate ki tō kiko ate i raro i te karu whakanui, ā, ka whakaahua i tā rātou e kite ana i te taha o te mumura, te kiko kōpiko, ngā putunga ngako, me ngā pūtau rereke. Ka tohua hoki e rātou ngā tohu me ngā wāhanga ki ētahi āhuatanga ina tika.

Mō ngā āhuatanga pēnei i te hepatitis, ka uru pea te pūrongo ki tētahi tohu mumura (te kaha o te mate) me tētahi wāhanga fibrosis (te nui o te kiko kōpiko kua puta). Ka āwhina ēnei tau ki tō tākuta ki te mārama ki te kaha o tō āhuatanga me te whakamahere i te rongoā kia rite.

Ko te tikanga ka uru te pūrongo koiora ki ngā kōrero mō:

• Te hanganga ate whānui me te ahua o te pūtau
• Te noho me te whānuitanga o te mumura
• Te nui me te tauira o te kiko kōpiko (fibrosis)
• Ngā putunga ngako i roto i ngā pūtau ate
• Ngā putunga rino, parahi rānei mēnā e tika ana
• Ngā pūtau rereke, pūtau mate rānei
• Ngā tohu mate motuhake ina tika

Ka whakamāramahia e tō tākuta te tikanga o ēnei kitenga mō tō hauora, ā, ka kōrerohia ngā kōwhiringa maimoatanga i runga i ngā hua. Kaua e māharahara ki te ahua uaua o te reo rongoā - mā tō rōpū hauora e whakamaori ngā kitenga ki ngā kōrero whai hua ka mōhio koe.

He aha ngā āhuatanga tūpono mō te hiahia ki te koiora ate?

He maha ngā āhuatanga hauora me ngā āhuatanga o te noho ka piki ake te tūponotanga ki te hiahia ki te koiora ate. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina koe ki te mahi i ngā mahi hei tiaki i tō hauora ate.

Ko te mate hepatitis viral tawhito, ina koa ko te hepatitis B me te C, he maha ngā wā e hiahia ana ki te aroturuki koiora hei aromatawai i te haere o te mate me te urupare ki te maimoatanga. Ko te nui o te inu waipiro mō ngā tau maha ka arahi hoki ki te kino o te ate e hiahia ana ki te aromatawai koiora.

Ko ētahi āhuatanga hauora ka nui ake te pēhanga ki tō ate, ā, ka hiahiatia pea te tirotiro i te kiko. Ko ngā mate autoimmune, ngā mate metabolic, me ētahi rongoā ka pā ki te mahi ate i te roanga o te wā.

Ngā āhuatanga tūpono noa ka arahi pea ki te koiora ate ko:

• Te mate hepatitis B, C rānei tawhito
• Te nui o te inu waipiro mō ngā tau maha
• Te mate ate momona kore-waipiro, ina koa ki ngā tāngata e mate huka ana, e momomo ana rānei
• Ngā mate ate autoimmune pēnei i te cholangitis biliary tuatahi
• Te pikinga tonu o ngā enzyme ate kāore i whakamāramahia
• Te hītori o te whānau mō ngā mate ate ira
• Te whakamahi wā roa i ētahi rongoā ka pā ki te ate
• Te pānga ki ngā matū ahumahi, ki ngā paitini rānei

Ko te whai i ēnei āhuatanga tūpono kāore i te kī ka hiahia koe ki te koiora. He maha ngā tāngata e whai ana i ngā āhuatanga ate ka taea te aroturuki me te rongoā me te kore e hiahia ki tēnei tikanga, ina koa ki ngā whakamātautau toto me ngā tikanga whakaahua o nāianei.

He aha ngā raruraru ka puta mai i te koiora ate?

Ahakoa he haumaru te pokanga ate i te nuinga o te wā, pērā i ētahi atu tikanga rongoā, he raruraru ētahi. Ko te rongo pai he mea onge ngā raruraru nui, ka puta i roto i te iti iho i te 1% o ngā tikanga ka mahia e ngā tākuta mātanga.

Ko te pānga taha tino noa he mamae ngawari i te wāhi pokanga, he rite tonu te ahua ki te mamae pāpaku i tō pakihiwi matau, i tō puku rānei. Ko tēnei āhuatanga e mau ana mō ētahi haora, ā, he pai te urupare ki ngā rongoā mamae e hokona ana.

Ko te toto te raruraru nui rawa atu, ahakoa he mea noa. Ka aroturukihia koe e tō rōpū rongoā mō ētahi haora i muri i te tikanga kia mātakitaki mō ngā tohu o te toto i roto.

Anei ngā raruraru ka puta, kua rārangihia mai i te mea tino noa ki te mea tino onge:

• Mamae ngawari ki te mamae āhua i te wāhi pokanga e mau ana mō te 1-2 rā
• Mamae whakawhiti rangitahi i te pakihiwi matau
• Te toto iti e mutu ana i a ia anō
• Urutau vasovagal (te ahua ngoikore, te ahua mōmona rānei)
• Te toto nui e hiahia ana ki te āwhina rongoā
• Te werohanga ohorere o ngā okana tata pērā i te pūkahukahu, i te pūpū rānei
• Te mate i te wāhi pokanga
• Te toto nui e hiahia ana ki te whakawhitinga toto, ki te pokanga rānei

Ka kōrero tō tākuta i ēnei raruraru ki a koe i mua i te tikanga, ā, ka whakamārama me pēhea te whakaiti i a rātou mā te tikanga āta, me te aroturuki. Ka ora te nuinga o te tangata i roto i te 24-48 haora, kāore he pānga e mau ana.

Āhea au e kite ai i te tākuta i muri i te pokanga ate?

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe te mamae nui o te puku, te mōmona, ngā tohu rānei o te toto i muri i tō pokanga ate. Ahakoa he mea onge ngā raruraru, he mea nui te mōhio wawe me te rongoā mēnā ka puta.

Ka rongo te nuinga o te tangata i ētahi āhuatanga mō te rā, e rua rānei i muri i te tikanga, engari me pai haere tēnei. Mēnā ka kaha ake tō mamae, kāore i te pai ake, mēnā rānei ka puta ngā tohu hou, he mea nui kia rapua te āwhina rongoā.

Waea tonu tō tākuta ki te kite koe i ēnei tohu whakatūpato:

• Te mamae puku nui, te mamae rānei e hōhonu ana, kāore e pai ake i te okiokinga
• Te whanoke, te mārō rānei, te āhua rānei me te mea ka ngaro koe
• Te tere o te ngākau, te ngoikore rānei
• Te whakapairuaki, te ruaki rānei e kore ai e taea e koe te pupuri wai
• Te kirika i runga ake i te 101°F (38.3°C)
• Te toto, te rere rānei i te wāhi i tangohia ai te koiora
• Te uaua ki te hā, te mamae rānei o te uma
• Te kiri e mārohirohi ana, e mātao ana, e mākū ana

Mō te aroturuki i ia rā, ka whakarite tō tākuta i tētahi hui i roto i te 1-2 wiki ki te kōrero mō ngā hua o tō koiora me te whakamahere i ngā rongoā e tika ana. Kaua e whakaroa ki te waea mai mō ngā pātai, ngā āwangawanga rānei i mua i tēnei hui.

Ngā pātai e pātai pinepine ana mō te koiora ate

Q.1 He pai te whakamātautau koiora ate mō te tātai i te mate ate momona?

Āe, ko te koiora ate te mea pai rawa atu mō te tātai me te whakatū i te mate ate momona kore-waipiro (NAFLD). Ahakoa ka taea e ngā whakamātautau toto me te whakaahua te whakaatu i te ate momona, ko te koiora anake ka taea te wehewehe i waenga i te ate momona noa me te āhua kino ake e kīia nei ko NASH (non-alcoholic steatohepatitis).

E whakaatu ana te koiora i te nui o te ngako kei roto i ō pūtau ate me te mea he mumura, he kiko kiko rānei. Mā ēnei mōhiohio e āwhina tō tākuta ki te whakatau mēnā e hiahia ana koe ki te rongoā me te momo e tino whai hua ana mō tō āhuatanga motuhake.

Q.2 E mamae ana te koiora ate i te wā o te mahi?

He iti noa te mamae o te nuinga o te tangata i te wā o te koiora nā te rongoā ā-rohe. Ka pōturi pea koe, ka rongo rānei i tētahi āhua koi i te wā e uru ana te ngira ki tō ate, engari he iti iho i te hēkona tēnei.

Ko te werohanga whakamomori i mua i te nuinga o te wā ka nui ake te raruraru i te koiora ake. He maha ngā tāngata e kī ana he iti ake te mamae o te wheako katoa i tā rātou i whakaaro ai, he rite ki te tango toto, ki te werohanga rānei.

Q.3 E hia te roa ki te ora mai i te koiora ate?

Ka ora katoa te nuinga o te tāngata i roto i te 24-48 haora i muri i te koiora ate. Me okioki koe i te toenga o te rā i muri i te tikanga, me karo i te hiki taumaha, i ngā mahi kaha rānei.

He maha ngā tāngata e hoki ana ki te mahi me ngā mahi noa i te rā e whai ake nei, ahakoa me karo koe i te hiki taumaha mō te wiki pea. Ka hoatu e tō tākuta he aratohu motuhake ki a koe i runga i tō mahi me te taumata mahi.

Q.4 Ka taea e te koiora ate te kite i te mate pukupuku ate?

Āe, ka taea e te koiora ate te kite i te mate pukupuku ate me te āwhina ki te whakatau i te momo. Ka taea e te tauira kiko te tākuta mate te tirotiro i ngā pūtau takitahi me te tautuhi i ngā huringa mate pukupuku kaore pea e kitea i ngā karapa whakaahua.

Heoi, kāore ngā tākuta e hiahia ana ki te koiora i ngā wā katoa ki te tātai i te mate pukupuku ate. I ētahi wā ko te huinga o ngā whakamātautau toto, te whakaahua, me tō hītori hauora e whakarato ana i ngā mōhiohio nui hei tātai i te mate me te tīmata i te rongoā.

Q.5 He aha ētahi atu huarahi ki te koiora ate?

He maha ngā whakamātautau kore-whakawhanaunga ka taea te whakarato mōhiohio mō te hauora ate me te kore e hiahia he tauira kiko. Kei roto i ēnei ko ngā whakamātautau toto motuhake, te elastography (e ine ana i te mārō o te ate), me ngā tikanga whakaahua matatau.

Ahakoa he āwhina ēnei huarahi kē ki te aroturuki i te maha o ngā āhuatanga ate, kāore e taea e rātou te whakarato i ngā mōhiohio taipitopito e tukuna ana e te koiora. Ka kōrero tō tākuta mō te tika o ēnei huarahi kē mō tō āhuatanga motuhake.