[Rā Aroha ā-Motu] Tiakina, tiakina hoki te "ngākau iti"!

Ko te 18 o Poutū-te-rangi, 2024 te 24 o ngā "Rā Aroha ā-Motu mō te Ate", ā, ko te kaupapa matua o tēnei tau ko "te ārai wawe me te tirotiro wawe, me te noho tawhiti atu i te mate ate cirrhosis".

E ai ki ngā tatauranga a te World Health Organization (WHO), neke atu i te kotahi miriona ngā mate o te ate puta noa i te ao i ia tau. Tata ki te kotahi i roto i te tekau o ō tātou whanaunga me ō tātou hoa e pangia ana e te huaketo hepatitis B, C rānei, ā, ko te ate momona he mea taitamariki ake.

I whakatūria te Rā Aroha o te Motu mō te Ate hei kohikohi i ngā momo mana pāpori katoa, hei whakaoho i te marea, hei whakatairanga i te mātauranga pūtaiao rongonui mō te ārai i te mate ate me ngā mate ate, me te tiaki i te hauora o te tangata i raro i te āhuatanga e piki haere ana te maha o ngā mate ate pērā i te mate ate B, te mate ate C me te mate ate waipiro i Haina i ia tau, i ia tau.

Me mahi tahi tātou, me whakatairanga i te mōhiotanga ki te ārai me te rongoā i te mate ate pukuriri, me whakahaere i ngā tirotiro kaha, me whakarite i te maimoatanga paerewa, me te aroturuki i ia wā hei whakaiti i te putanga mai o te mate ate pukuriri.

01 Kia mōhio ki te ate.

Te wāhi o te ate: Ko te ate te ate. Kei te taha matau o runga o te puku, ā, he mahi nui tāna hei pupuri i te ora. Koia hoki te whekau nui rawa atu o roto o te tinana tangata.

Ko ngā mahi matua a te ate ko te whakaputa i te au, te penapena i te glycogen, me te whakahaere i te pākia o te pūmua, te ngako me te warowaihā. He pānga anō hoki tōna ki te tango i ngā paitini, te hematopoiesis me te toto toto.

HCV,HBV

02 Ngā mate ate noa.

1 te mate hepatitis waipiro

Ka pā kino te inu waipiro ki te ate, ā, ko te whara o te ate i puta mai i te inu waipiro ka kiia ko te mate ate waipiro, ka piki ake hoki te nui o ngā transaminase i roto i tēnei mate, ā, ka pā mai hoki te cirrhosis i te inu waipiro mō te wā roa.

2 Ate momona

Ko te tikanga whānui, e kōrero ana mātou mō te ate momona kore-waipiro, he momona rawa. Ko ngā whara kiko ate i puta mai i te kohikohinga ngako i roto i te ate ka haere tahi me te ātete insulin, ā, e toru ngā taumata teitei o te taumaha o ngā tūroro. I ngā tau tata nei, me te whakapainga o ngā āhuatanga noho, kei te piki haere te maha o ngā ate momona i ia rā, i ia rā. He tokomaha kua kite kei te piki haere te transaminase i roto i te whakamātautau tinana, ā, he maha ngā wā kāore rātou e aro ki tēnā. Ko te nuinga o te hunga ehara i te tohunga ka whakaaro he kore noa iho te ate momona. Inaa, he tino kino te ate momona, ā, ka taea hoki te arahi ki te cirrhosis.

3 He mate hepatitis i puta mai i te rongoā

E whakapono ana ahau he maha ngā hua hauora whakaponokore e whai pānga ana ki te "whakaora tinana" i te ao, ā, he nui taku hiahia ki ngā mea whakahihiko tinana, ngā pire kai, ngā rongoā ataahua, ngā rongoā otaota Hainamana, me ētahi atu. E mōhio ana te katoa, "e toru ngā āhuatanga paitini o ngā raau taero", ā, ko te hua o te "whakaora tinana" ko ngā raau taero me ō rātou matūkai i roto i te tinana he pānga taha ki te tinana tangata, ā, ka whara te ate.

Nō reira, kaua e tango noa i te rongoā me te kore e mōhio ki te tikanga rongoā me ngā āhuatanga rongoā, ā, me whai i ngā tohutohu a te tākuta.

03 te mahi whara i te ate.

1 Te inu nui rawa

Ko te ate anake te okana ka taea te whakapūmau i te waipiro. Mā te inu waipiro mō te wā roa ka ngāwari te whakaputa i te ate momona waipiro. Ki te kore tātou e inu waipiro i te iti o te wā, ka pakaru te ate i te pūnaha ārai mate, ka mate te tini o ngā pūtau ate, ka puta ai te mate hepatitis mau tonu. Ki te haere tonu te whanaketanga kino, ka puta ai te cirrhosis me te mate pukupuku ate.

2 Noho roa ki te ara ake

I muri i te 23 karaka i te ahiahi, kua tae ki te wā mō te ate ki te tango paitini me te whakatika i a ia anō. I tēnei wā, kāore anō ahau kia moe, ka pā tēnei ki te tango paitini me te whakatika noa i te ate i te pō. Mā te noho roa me te mahi nui rawa atu ka ngoikore te ātete me te kino o te ate.

3Tte tango rongoā mō te wā roa

Ko te nuinga o ngā rongoā me whakapūkara e te ate, ā, mā te tango noa i ngā rongoā ka nui ake te taumahatanga ki te ate, ā, ka ngāwari te kino o te ate i puta mai i te rongoā.

Hei tāpiritanga, ko te kai nui, te momi hikareti, te kai i ngā kare ā-roto hinuhinu kino (te riri, te pouri, me ētahi atu), me te kore mimi i te ata i te wā tika ka kino anō hoki ki te hauora o te ate.

04 Ngā tohu o te ate kino.

Kei te ngenge haere te tinana katoa; Te kore hiahia kai me te whakapairuaki; Te kirika iti tonu, te whakarihariha rānei ki te makariri; Te kore e ngawari ki te aro; Te hekenga ohorere o te inu waipiro; Te mata mangu, te ngaro o te kanapa; He kōwhai, he mākūkū rānei te kiri; Ka huri te mimi hei tae pia; Te nikau ate, te pūngāwerewere nevus; Te whanoke; Te kōwhai haere o te tinana katoa, inā koa te sclera.

05 Me pēhea te aroha me te tiaki i te ate.

1. Kai hauora: Me kai pakari, me kai pai hoki te kai taurite.

2. Te whakakori tinana me te okioki i ia wā.

3. Kaua e tango noa i te rongoā: Me whakamahi i ngā rongoā i raro i te aratohu a te tākuta. Kaua e tango noa i ngā rongoā, ā, me tūpato te whakamahi i ngā hua tiaki hauora.

4. Te werohanga hei ārai i te mate ate: Ko te werohanga te huarahi tino whai hua hei ārai i te mate hepatitis viral.

5. Whakamātautau tinana auau: E taunakihia ana kia whakamātauria te mahi ate e ngā pakeke hauora kotahi i te tau (te mahi ate, te mate hepatitis B, te ngako toto, te ultrasound ate, me ētahi atu). Ko te hunga whai mate ate mau tonu e tohutohuhia ana kia whakamātauria i ia ono marama - te whakamātautau ultrasound ate me te tirotiro toto alpha-fetoprotein mō te mate pukupuku ate.

Otinga mō te mate ate

Kei a Macro & Micro-Test ngā hua e whai ake nei:

Wāhanga 1 te kitenga tauanga oTe Ira HBV

Ka taea e ia te aromatawai i te taumata whakaputa uri o te hunga kua pangia e te HBV, ā, he tohu nui hoki mō te whiriwhiri i ngā tohu maimoatanga ārai huaketo me te whakatau i te pānga whakaora. I roto i te tukanga maimoatanga ārai huaketo, mā te whiwhi i tētahi urupare huaketo pumau ka taea te whakahaere nui i te ahunga whakamua o te cirrhosis ate me te whakaiti i te mōrearea o te HCC.

Wāhanga 2Te whakarōpūtanga ira HBV

He rerekē te mate urutā, te rerekētanga o te huaketo, ngā whakaaturanga o te mate me te urupare maimoatanga i ngā momoira rerekē o te HBV, ā, ka pā tēnei ki te tere whakawhiti o te HBeAg, te kaha o ngā whara ate, te auau o te mate pukupuku ate, me ētahi atu, ā, ka pā hoki ki te matapae haumanu o te mate HBV me te pānga rongoā o ngā rongoā ārai huaketo.

Ngā Painga: Ka taea e te ngongo kotahi o te otinga tauhohenga te kite i ngā momo B, C me D, ā, ko te iti rawa o te rohenga kitenga ko te 100IU/mL.

Ngā Painga: ka taea te kimi i te nui o te DNA HBV i roto i te toto mā te tauanga, ā, ko te iti rawa o te rohenga kitenga ko te 5IU/mL.

Wāhanga 3 te ine i ngāRNA HBV

Mā te kitenga o te HBV RNA i roto i te toto ka pai ake te aroturuki i te taumata o te cccDNA i roto i ngā hepatocytes, he mea nui tēnei mō te tautuhi tāpiri i te mate HBV, te whai huatanga o te kitenga o te maimoatanga NAs mō ngā tūroro CHB, me te matapae i te tangohanga o te rongoā.

Ngā Painga: ka taea te kite i te nui o te HBV RNA i roto i te toto mā te tauanga, ā, ko te iti rawa o te rohenga kitenga he 100Copy/mL.

Wāhanga 4 Te ine i te RNA HCV

Ko te kitenga RNA HCV te tohu pono rawa atu mō te kaha o te pangia me te whakaputa uri o te huaketo, ā, he tohu nui anō hoki mō te tūnga o te mate hepatitis C me te hua o te maimoatanga.

Ngā Painga: ka taea te kimi i te nui o te HCV RNA i roto i te toto, i te parāuma rānei, ā, ko te iti rawa o te rohenga kitenga he 25IU/mL.

Wāhanga 5Te whakarōpūtanga ira HCV

Nā ngā āhuatanga o te huaketo polymerase HCV-RNA, ka ngāwari te whakarerekē i ōna ake ira, ā, he hononga tata tōna momo ira ki te nui o te kino o te ate me te pānga rongoā.

Ngā Painga: Ka taea e te ngongo kotahi o te otinga tauhohenga te kite i ngā momo 1b, 2a, 3a, 3b me te 6a mā te pato, ā, ko te iti rawa o te rohenga kite ko te 200IU/mL.


Wā tuku: Maehe-18-2024