Ngā Tohu Hauora o te Mate Ate i roto i ngā Ngeru
He mate kino te mate ate ka pā ki ngā mahi nui o te tinana o ngā ngeru. Ka puta mai i ngā momo āhuatanga maha, tae atu ki ngā mate pāwera, ngā mate pūmau, tae atu ki ngā ira. I te mea he mahi nui tā te ate i roto i te pākia o te tinana, te tango paitini, me te whakaputa pūmua, ka pā nui ngā raruraru o tēnei okana ki te hauora o te ngeru. Ka tūhuratia e tēnei tuhinga ngā tohu haumanu o te mate ate i roto i ngā ngeru, tae atu ki te mōhio ki ngā tohu wawe me te wā e rapu ai i te awhina hauora.
1. Te Hinga o te Hiahia Kai me te Whakaiti Taumaha
Ko tētahi o ngā tohu tōmua tino kitea o te mate ate ko te ngaronga nui o te hiahia kai. Ina pāngia ngā ngeru e te kino o te ate, ka whakapairuaki rātou, ka ngaro rānei te hiahia kai. I roto i te wā, ka taea e tēnei ngaronga hiahia kai te arahi ki te hekenga nui o te taumaha. Ko ngā ngeru i mua he kaha, he hauora, tera pea ka ahua ngoikore, kāore hoki i te kaha.
Ko te ngaronga taumaha o ngā ngeru e mate ana i te ate ka haere tahi me te mate e kiia nei ko te cachexia, he ngoikore nui o te uaua. Ko te ngaronga o te papatipu uaua me te ngako tinana he tohu nui e hiahia ana kia arohia tonutia.
2. Te ngoikore me te ngenge
Ko te ngoikore me te ngenge ētahi atu tohu noa i roto i ngā ngeru e mate ana i te ate. Tērā pea ka ngaro te hiahia o ngā ngeru ki ngā mahi e pai ana ki a rātou, pērā i te tākaro, te piki rānei. Tērā pea ka ahua moe nui ake rātou, ka kore rānei e pai ki te ara ake i te wāhi e takoto ana rātou.
Ka taea te whakaputa i tēnei ngoikore e te maha o ngā āhuatanga e pā ana ki te ngoikore o te mahi ate, tae atu ki te kohikohinga o ngā paitini i roto i te tinana, ngā mate pāwera o te pūnaha io, me te kore kai tika.
3. Te icterus, te jaundice rānei
Ko te icterus, te jaundice rānei, he āhua e huri ai te kiri, ngā kapia, me te mā o ngā kanohi (sclera) o te ngeru ki te kōwhai. He tohu noa tēnei o te mate ate kino, ā, ka puta mai i te kohikohinga o te bilirubin i roto i te toto. Ko te bilirubin he hua pakaru o te hemoglobin, e tukatukahia ana e te ate. Ina kore e taea e te ate te mahi tika, ka kohikohi te bilirubin i roto i te toto, ka puta ai tēnei rerekētanga.
Ko te tae kōwhai o ngā kapia, te kiri, me ngā kanohi he tohu mārama e hiahia ana tō ngeru ki te awhina hauora tonu, nā te mea he maha ngā wā ka tohu te waikura i te mate ate kua horapa.
4. Te Ruaki me te Korere
Ko te ruaki me te korere he tohumate o te puku e pā ana ki te mate ate i roto i ngā ngeru. Ko ngā ngeru he mate ate, ka ruaki pinepine atu i te tikanga, ā, ka puta he tūtae waikore, he toto rānei. Ka puta pea tēnei raruraru nakunaku nā te kohikohinga o ngā paitini i roto i te tinana e pā ana ki te pūnaha nakunaku, nā te ngoikore rānei o te mahi ate, e pā ana ki te pākia o te kai.
Mā te ruaki me te korere roa ka matewai te ngeru, ka kino ake te hauora o te ngeru. Nō reira, he mea nui kia aroturukitia ēnei tohu, ā, me rapu awhina hauora mēnā ka mau tonu.
5. Ngā Huringa Whanoke
Ka taea e te mate ate te whakarerekē i ngā whanonga o ngā ngeru. Tērā pea ka riri ake rātou, ka noho pōrearea, ka whakaatu rānei i ngā tohu o te pouri. He mahi nui tā te ate ki te tango i ngā paitini mai i te toto, ā, ki te kore e mahi tika, ka pā te kohikohinga o ngā paitini ki te pūnaha io, ka whakarerekē hoki i ngā whanonga.
I ētahi wā, ka whakaatu pea ngā ngeru e mate ana i te ate i ngā whanonga rerekē pērā i te piko o te mahunga, te haere koretake, te pōhēhē rānei. He tino kino ēnei tohu pūnaha io, ā, me arotake tonu e te rata.
6. Te Ascites, te Kohinga Wai rānei i roto i te Puku
Ko te ascites he āhuatanga e kohia ai te wai i roto i te kōhao puku o te ngeru. He tohu tēnei o te mate ate tino kino, ā, he maha ngā wā e pā ana ki te mumura, ki te kino nui rānei o ngā pūtau ate. Tērā pea he puku pupuhi ngā ngeru he ascites, ā, he uaua ki te pā atu.
Ka pāngia pea te ngeru e te ascites, ā, ka aukati pea i te nekehanga. I ētahi wā, ka tino kino te kohikohinga o tēnei wai, ā, ka pā ki te manawa, ā, me rapu tonu i te awhina hauora.
7. Ngā Mate Pukupuku me te Mate Pukupuku
He maha ngā wā ka raru ngā ngeru e mate ana i te ate ki te toto totoka. Ko te ate te kawenga mō te whakaputa i ētahi matū totoka, ā, ki te kore e mahi tika te ate, ka whakararuraruhia te whakaputanga o ēnei matū. Nō reira, ka tere ake te toto, te maru rānei o ngā ngeru e mate ana i te ate.
Ko te epistaxis (toto ihu) me te melena (tūtae mangu nā te toto i roto i te ara nakunaku) he tohu e tohu ana i ngā raruraru toto totoka i roto i ngā ngeru. Mēnā ka kitea ēnei tohu, me rapu tonu i te awhina hauora, nā te mea ka mate pea te toto kāore e taea te whakahaere.
8. Polydipsia me te Polyuria
Ko te polydipsia (te nui o te matewai) me te polyuria (te nui o te mimi) ētahi atu tohu o te mate ate i roto i ngā ngeru. Ina kore e mahi tika te ate, ka ngana pea te tinana ki te tango i ngā paitini mā roto i ngā whatukuhu, ka nui ake te inu wai a te ngeru, ka mimi pinepine atu i te tikanga.
He mea tika kia aro atu ki ngā panonitanga o te inu me te mimi a tō ngeru, nā te mea he tohu tōmua ēnei o ngā raruraru hauora nui, tae atu ki te mate ate.
Te Maimoatanga me te Tātaritanga
Ki te whakapae koe kei te pāngia tō ngeru e te mate ate, ko te mahi tuatahi ko te kawe i a ia ki te rata kararehe. Ka whakahaerehia e te rata kararehe he whakamātautau tinana hōhonu, ā, ka tūtohu pea ia i ngā whakamātautau toto hei aromatawai i te mahi a te ate, tae atu ki ngā whākōkī ate me ngā inenga bilirubin. Tērā pea ka mahia he ultrasound, he biopsy ate rānei hei whiwhi i tētahi pikitia mārama ake mō te āhua o te ate.
Ko te maimoatanga mō te mate ate ka whakawhirinaki ki te pūtake o te mate. I ētahi wā, ka taea e ngā whakarerekētanga kai me ngā tāpiringa te āwhina i te mahi a te ate. Tērā pea me whai rongoā hei whakahaere i ngā tohu me te rongoā i ngā mate. I ngā wā tino kino, me kawe pea ki te hōhipera me te tiaki nui.
Hei ārai i te mate ate, he mea nui kia whāngaihia tō ngeru ki te kai kounga teitei, kia mau tonu tōna taumaha hauora, kia whakarite hoki kia whiwhi rātou i ngā werohanga me te tiaki ārai mate. Mā te whakaiti i te pānga ki ngā paitini, tae atu ki ngā tipu paitini me ngā rongoā tangata, ka āwhina hoki ki te tiaki i te hauora o te ate o tō ngeru.
Whakamutunga
He mate kino te mate ate o ngā ngeru, ā, me aro tonu ki te hauora. Ko te mōhio ki ngā tohu tōmua pēnei i te kore hiahia kai, te ngoikore, te jaundice, te ruaki, ngā huringa whanonga, te ascites, ngā mate toto totoka, me ngā huringa o te inu me te mimi he mea nui kia whiwhi ai tō ngeru i te maimoatanga e tika ana. Mā te mārama ki ngā tohu me te whakarato i te maimoatanga tika, ka taea e koe te āwhina i te hauora me te oranga o tō ngeru.
