Me pēhea te kimi me te rongoā i ngā mate pūnaha ārai mate
Ko ngā mate pūnaha ārai mate he āhuatanga e whakaekea ai e te pūnaha ārai mate ngā pūtau hauora o te tinana. Ka puta tēnei nā te mea ka hē te pūnaha ārai mate, e tika ana kia tiakina te tinana mai i te mate urutā me te mate, ki te tautuhi i ngā pūtau o te tinana hei tūmomo mōrearea, ā, ka whakaekea rātou. Hei tauira, ko te lupus, te rumatiki rheumatoid, me te sclerosis maha. He mea nui te kimi me te rongoā i ngā mate pūnaha ārai mate hei whakapai ake i te kounga o te oranga me te whakaiti i ngā tohu. Kei raro nei, ka matapakihia e mātou me pēhea te kimi me te rongoā i ngā mate pūnaha ārai mate.
Me pēhea te kite i ngā mate pūnaha ārai mate
1. Kia Mōhio ki ngā Tohumate Noa
He rerekē ngā tohu o ngā mate pūnaha ārai mate i runga i te momo mate. Heoi, ko ētahi o ngā tohu noa e pāngia ana e te hunga whai mate pūnaha ārai mate ko:
– Te ngenge nui: He maha ngā wā ka ngenge te hunga whai mate pūnaha ārai mate ahakoa kua nui te okiokinga.
– Te mamae o ngā uaua me ngā hononga: He tohu noa te mamae me te kōpiko o ngā uaua me ngā hononga.
– Te kirika māmā: Ka roa te kirika ka puta mai i ngā mate pūnaha ārai mate.
– Mumura: Te pupuhi me te whero huri noa i ngā hononga.
– Ngā ponana kiri: Ka puta ngā ponana kiri pēnei i te lupus i ētahi mate pūnaha ārai mate.
– Te ngaronga o te makawe: Te ngaronga nui o te makawe, kāore he take e kitea ana.
– Ngā raruraru nakunaku: Te korere, te mate puku, me ētahi atu raruraru nakunaku.
2. Te Whakamātautau Tinana me te Hītori Hauora
Ko te tikanga ka tīmata ngā tākuta mā te pātai mō tō hītori hauora me te whakahaere i tētahi whakamātautau tinana. Mā tēnei whakamātautau ka āwhina i te tautuhi i ngā tohu haumanu e tohu ana i tētahi mate pūnaha ārai mate. Ka pātai pea rātou mō te hītori whānau, nā te mea ko ētahi mate pūnaha ārai mate ka puta i roto i ngā whānau.
3. Ngā Whakamātautau Taiwhanga
Hei whakaū i te mate, ka tūtohu te tākuta i ētahi whakamātautau taiwhanga, tae atu ki:
a. Whakamātautau Toto
He mea nui ngā whakamātautau toto hei kite i te mumura me te mahi a te pūnaha ārai mate. Ko ētahi o ngā whakamātautau toto noa ko:
– Whakamātautau Paturopi: Ka tautuhia e tēnei whakamātautau ngā paturopi-ā-tinana e whakaeke ana i ngā kiko o te tinana. Ko ngā tauira o ngā paturopi-ā-tinana ko te ANA (ngā paturopi antinuclear), te RF (te take rheumatoid), me te DNA anti-ds.
– Whakamātautau ESR (Reiti Whakatakotoranga Erythrocyte): Ka ine i te taumata o te mumura i roto i te tinana.
– Whakamātautau Pūmua C-Reactive (CRP): Ka ine i ngā taumata o te CRP, he pūmua ka piki ake ina puta te mumura.
b. Ngā Whakamātautau Motuhake
I runga i ngā hua o te whakamātautau toto tuatahi, ka tūtohu pea tō tākuta i ētahi atu whakamātautau motuhake ake mō ētahi momo mate pūnaha ārai mate. Hei tauira, he whakamātautau tairoi hei kite i te mate pūnaha ārai mate tairoi, he whakamātautau kiri rānei hei tautuhi i te mate kiri lupus.
4. Whakaahua me te Koiora
I ētahi wā, ka whakamahia ngā tikanga whakaahua pēnei i te MRI, te CT scan, me ngā hihi-X hei kite i ngā kino o ngā whekau motuhake, pēnei i ngā hononga, i ngā io rānei. Tērā pea ka mahia he koiora kiko hei tango i tētahi tauira kiko hei whakamātautau taiwhanga atu.
Me pēhea te rongoā i ngā mate pūnaha ārai mate
Ko te whāinga o te maimoatanga mō ngā mate pūnaha ārai mate he whakaiti i ngā tohu, he whakaiti i te mumura, me te pupuri i te mahi a te tinana. Kāore he rongoā mō ngā mate pūnaha ārai mate, engari he maha ngā huarahi whai hua hei whakahaere i aua mate.
1. Ngā rongoā
a. Ngā Rongoā Ārai-Mumura Kore-Steroid (NSAID)
He maha ngā wā ka tohua ngā NSAID pēnei i te ibuprofen me te naproxen hei whakaiti i te mumura, te mamae, me te kirika i puta mai i ngā mate pūnaha ārai mate. Ahakoa he whai hua ēnei rongoā, me tūpato te whakamahi i ēnei rongoā nā te mea ka pāngia pea ngā pānga taha pēnei i ngā raruraru nakunaku me te kino o te whatukuhu mēnā ka whakamahia mō te wā roa.
b. Ngā Corticosteroids
He rongoā kaha ngā corticosteroids pēnei i te prednisone e whakamahia ana hei pehi i te mumura me ngā urupare ārai mate. He wā poto noa iho ēnei e whakamahia ana nā te mea ka pā mai he pānga kino nui pēnei i te pikinga o te mōrearea o te mate, te osteoporosis, me te pikinga o te toto toto.
c. Ngā rongoā ārai mate
Ka āwhina ngā rongoā ārai mate ki te pehi i te pūnaha ārai mate kia iti ai tana whakaekenga ki ngā pūtau o te tinana. Ko ētahi tauira o ngā rongoā ārai mate ko te methotrexate, te azathioprine, me te cyclosporine. Me aroturukitia hoki te whakamahinga o ēnei rongoā e te tākuta nā te mea he tūponotanga kei pāngia koe e te mate me ētahi atu pānga taha.
d. Te Whakaora Koiora
Ko ngā rongoā koiora he rongoā hou e aro ana ki ngā wāhanga motuhake o te pūnaha ārai mate. Ko ētahi tauira ko te infliximab, adalimumab, me te rituximab. He maha ngā wā ka whakamahia ēnei rongoā mō ngā mate pūnaha ārai mate e uaua ana ki te rongoā ki ētahi atu rongoā.
2. Whakaora Tinana
Mēnā he mate pūnaha ārai mate e pā ana ki ngā hononga me ngā uaua, ka taea e te whakaora tinana te āwhina i te pupuri i te kaha me te ngāwari. Ka taea e ngā kaiwhakaora tinana te mahi tahi me ngā tūroro ki te whakawhanake i tētahi kaupapa whakakori tinana e hāngai ana ki ō rātou hiahia.
3. Ngā Huringa o te Āhua Noho me te Kai
a. Kai Taurite
He mea nui te kai i tētahi kai hauora, taurite hoki hei tautoko i te pūnaha ārai mate me te whakahaere i ngā tohu o ngā mate pūnaha ārai mate. Mā te karo i ngā kai mumura pērā i ngā kai tukatuka, te huka, me ngā ngako kukū ka āwhina. Engari, he tino whai hua te kai i ngā kai ārai mumura pērā i ngā hua rākau, ngā huawhenua, ngā ika momona, me ngā witi katoa.
b. Te Whakahaere i te Taumahatanga
Ka taea e te ahotea te whakararu i ngā tohu o ngā mate pūnaha ārai mate. Mā ngā mahi whakangā pēnei i te whakaaroaro, te yoga, me te aroātahi ka āwhina i te whakaiti i te ahotea me te whakapai ake i te oranga whānui.
c. Te whakakori tinana auau
Mā te whakakori tinana auau ka pai ake te hauora whānui me te whakaiti i ngā tohu o ngā mate pūnaha ārai mate. Ko ngā momo whakakori tinana e taunakitia ana ko te hikoi, te kaukau, me te eke pahikara.
4. Te Tohutohu me te Tautoko Hinengaro
He uaua te whakahaere i tētahi mate pūnaha ārai mate, ā, he uaua hoki te hinengaro. He tino āwhina te tautoko a te whānau, ngā hoa, me ngā rōpū tautoko mō ngā tūroro pūnaha ārai mate. Ka taea hoki e te tohutohu, te rongoā hinengaro rānei te āwhina ki te whakahaere i ngā pānga kare ā-roto o te noho me tētahi mate mau tonu.
Whakamutunga
He āhuatanga uaua ngā mate pūnaha ārai mate e hiahia ana kia āta tirohia te mate me te rongoā. Ko te kimi i tētahi mate pūnaha ārai mate me mārama ki ngā tohu, me whakahaere he whakamātautau tinana, me whakahaere he whakamātautau taiwhanga, me te mahi whakaahua, he koiora rānei. Ko te maimoatanga he whakamahi i ngā rongoā, he whakaora tinana, he whakarerekētanga momo noho, he kai, me te tautoko hinengaro hei whakahaere i ngā tohu me te whakapai ake i te kounga o te oranga. Mā te tiaki tika me te tautoko tika, ka taea e te tini o te hunga whai mate pūnaha ārai mate te noho ora me te whai hua.
