He teitei ō pereti toto? Me kōrero tātou mō te Thrombocytosis!

Kua kitea anō hoki tō mate he nui ngā pereti toto i roto i tō toto? He mate rānei tēnei kei tētahi e mōhio ana koe? He mea noa te mataku ina rongo koe i tētahi mea pēnei. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei mate e kiia nei ko te Thrombocytosis i roto i tētahi huarahi māmā e mārama ai koe.

He aha te thrombocytosis? He māmā noa iho…

Ki te kī māmā noa, ko te thrombocytosis te wā he nui rawa ngā pereti toto i roto i ō toto. Tērā pea kei te pātai koe, "He aha ngā pereti toto?" He pātai tino nui tēnā!

He momo pūtau iti ngā pereti toto e kitea ana i roto i ō tātou toto. Ko tā rātou mahi matua he whakamutu i te toto ina puta he toto, pērā i te patunga. He rite tā rātou mahi ki tētahi pā iti.

Engari, he aha te mea ka tupu mēnā ka nui rawa te pikinga o te maha o ngā pereti toto? Ka matotoru, ka piri hoki ō toto. I ētahi wā kino rawa, ka taea e ēnei pereti toto nui te hanga i ngā toto toto kino ki roto i ngā oko toto. Ka taea e tēnei te whakanui ake i te mōrearea o ngā mate pēnei i te whiu , te mate ngakau rānei.

Heoi, ehara i te mea he rite te mōrearea o ngā mate katoa o te Thrombocytosis. Ko te kaha o te mate, me te hiahia rānei ki te maimoatanga, kei te pūtake.

E rua ngā momo matua o te thrombocytosis:

Āe, e rua ngā momo matua o tēnei mate kua tautuhia e ngā tākuta. Me kōrero tātou mō tēnā.

1. Te Thrombocythemia Matua (ET) te Thrombocytosis Tuatahi rānei

He mate toto onge tēnei. Ka puta mai ina nui rawa ngā pereti toto e whakaputaina ana e tō hinu wheua – te wheketere toto i roto i ō wheua. Whakaarohia, ko te nuinga o ngā toto toto i roto i ō tātou tinana ka hangaia i roto i tēnei hinu wheua. Ko te tangata he thrombocythemia nui, he nui rawa te whakaputanga o ngā pereti toto nā te mea he hapa kei roto i tēnei tukanga whakaputa toto.

Ko tēnei āhuatanga, e kiia nei ko te ET (Essential Thrombocythemia) , e kiia ana ko te mate tino noa i roto i te rōpū toto e kiia nei ko te Myeloproliferative Neoplasm (MPN) .

2. Te Thrombocytosis Tauhohe, te Thrombocytosis Tuarua rānei

Koinei te momo Thrombocytosis tino noa. Koinei te wā e nui ake ai ngā pereti toto e hangaia ana e tō tinana hei whakautu ki tētahi atu āhuatanga, ki te mate, ki te whara, ki te pokanga, ki te tango rānei i te whēkau. He māmā noa iho, ka tauhohe tō tinana ki tētahi atu mea, ā, ka piki ake ōna taumata pereti toto. TēneiHe wā poto noa iho te thrombocytosis tauhohe , arā, ina ea te take matua, ka hoki anō te maha o ngā pereti toto ki te āhua noa.

Ko wai ka pāngia e te thrombocytosis?

Ko te nuinga o te wā ka kitea tēnei mate i roto i te hunga neke atu i te 60 tau te pakeke. E ai ki ngā pūrongo, ko te momo e kiia nei ko te Essential Thrombocythemia (ET) ka kitea i roto i ngā wāhine e rua ngā wā ka kitea i roto i ngā tāne.

He aha ngā take o te thrombocytosis?

He rerekē anō hoki ngā take mō ngā momo e rua i kōrerotia i mua ake nei.

Ngā Take o te Thrombocythemia Matua (ET)

He mate ira whiwhi te Thrombocythemia Matua (ET) . Ehara i te mea i whānau mai koe me ia. Ka puta mai i ngā huringa, i ngā whakarerekētanga rānei, i roto i ētahi ira e uru ana ki te hanga i ngā pereti toto. Nā tēnei ka nui rawa ngā pereti toto e hangaia ana e tō hinu wheua.

Neke atu i te haurua o te hunga whai mate pūkahukahu tino nui (ET) he whakarerekētanga kei roto i te ira JAK2 . He mea noa anō hoki ngā whakarerekētanga kei roto i ngā ira CALR , MPL rānei.

Kāore anō kia taea e ngā kaipūtaiao te tohu tika i te take o ēnei whakarerekētanga ira, engari kei te haere tonu ngā rangahau mōna.

Ngā Take o te Thrombocytosis Tauhohe

Ka puta tēnei momo nā te mea ka nui ake ngā pereti toto e hangaia ana e tō tinana hei whakautu ki ngā āhuatanga rerekē. I ētahi wā rānei, ka puta anō hoki nā te mea ka kohia ngā pereti toto tawhito, kaua e whakangaromia i te tere noa.

Anei ētahi āhuatanga ka pā mai ai te reactive thrombocytosis :

• Te mate toto iti , inā koa te mate toto iti i te korenga o te rino .
• Ētahi atu mate toto.
• Ko ētahi momo mate pukupuku .
• Ngā mate urutā, pērā i te niumōnia .
• Ngā āhuatanga mumura – arā, ngā āhuatanga e puta ai te mumura i roto i te tinana, pērā i te mate rumatiki.
• Whara .
• Te ngoikore o te whatukuhu .
• Ētahi rongoā.
• Te pokanga, inā koa te pokanga o te puku.
• Te tango i te whēkau .
• Te rongoā i te ngoikore o te huaora B12 .

He torutoru noa iho ngā take noa kei roto i tēnei rārangi. He maha atu anō ngā take o te Reactive Thrombocytosis .

He aha ngā tohu o te thrombocytosis?

He maha ngā wā, kāore he tohu e pā ki te hunga he nui te maha o ngā pereti toto, i ngā wāhanga tōmua rānei. Mena kei a koe te Reactive Thrombocytosis , tera pea ka pāngia koe e ngā tohu o te mate hauora i puta ai.

Heoi, ina puta ngā tohu, he maha ngā wā e pā ana ki te toto rerekē me te toto totoka i roto i tō tinana. Tērā pea ka kite koe i ngā tohu pēnei i:

• Te mamae o te upoko .
• Ngāwari te maru.
• Te ngoikore, te pōuriuri, te māhunga rānei.
• Te toto e puta mai ana i te ihu, i te waha, me ngā kapia.
• Te toto i roto i te puku, i ngā whekau rānei.

Tērā pea ka pāngia ētahi tāngata e te Erythromelalgia (ET) e te mate e kiia nei ko te Erythromelalgia . Ka puta te mamae, te pupuhi, me te whero i roto i ngā ringaringa me ngā waewae. Tērā pea ka pāngia hoki rātou e te māuiui me te ngau o ngā ringaringa me ngā waewae.

I ngā take kino, ka taea e te thrombocytosis te arahi ki ngā toto toto rerekē i roto i te puku (hei tauira, te mate Budd-Chari ) me te whakanui ake i te mōrearea o te whiu , te mate ngakau rānei.

Me pēhea te tautuhi i te thrombocytosis?

Nā te mea kāore e puta he tohu i te nuinga o te wā e te thrombocytosis, ko te tohu tuatahi ka kitea e koe ko te whakaatu mai i te pikinga o te maha o ngā pereti toto i roto i te whakamātautau toto noa (hei tauira, Complete Blood Count – CBC ).

Ko te tikanga o te thrombocytosis ko te nui ake i te 450,000 ngā pereti toto i ia maikororita toto. Mena he nui te maha o ō pereti toto, tera pea ka tono tō tākuta i tētahi atu whakamātautau toto i roto i ētahi wiki hei tirotiro mena kei te teitei tonu te taumata. Ko te pikinga kotahi o te maha o ngā pereti toto, kātahi ka hoki ki te āhua noa, ehara i te mea he raruraru. Heoi, ko te pikinga tonu o ngā taumata he tohu pea kei te mate koe.

Mēnā he thrombocytosis tauhohe , mā te tautuhi i te mate taketake i puta ai (hei tauira, te anemia ngoikore rino , te mate pukupuku, te mate pāwera) ka āwhina i ngā tākuta ki te tautuhi me te whakahaere i te mate. Heoi, ki te kore e kitea e te tākuta tētahi atu take, ka whakahaerehia e rātou ētahi atu whakamātautau hei tirotiro mēnā kei a koe te Essential Thrombocythemia (ET) .

Kei roto pea i ēnei whakamātautau:

• Te whakamātautau toto ā-taha:Ka tirohia tēnei mēnā he āhua rerekē te āhua o ngā pereti toto i roto i tō toto.
• Ngā whakamātautau DNA/ira: Ka taea e tēnei te kite i ngā whakarerekētanga ira pēnei i te JAK2 , e hono pinepine ana ki te ET (Essential Thrombocythemia) .
• Kohikohi hinu wheua: Mā tēnei ka tirohia tō hinu wheua mō ngā pūtau rerekē.

Me pēhea te rongoā i te thrombocytosis?

Mena kāore he tohu, me tirotiro noa iho pea koe i ia wā.

Ko te thrombocytosis tauhohe (thrombocytosis tuarua) kāore e hiahiatia he maimoatanga. I te nuinga o te wā, ka hoki ngā taumata pereti toto ki te noho noa ina ea te āhuatanga i puta ai te maha o ngā pereti toto (pēnei i te whara, te mate, te tauhohenga rānei ki te pokanga). Heoi, ki te puta he tohu, ka rongoatia e tō tākuta te take matua.

Mena kei a koe te Essential Thrombocythemia (ET) ā, kei te pāngia koe e ngā tohu, ka tūtohu pea tō tākuta i ētahi maimoatanga, pēnei i:

• Te tango i te aspirin iti i ia rā: Ka taea e koe te tango i te aspirin i ia rā hei ārai i te toto totoka. Ko te tikanga, kāore tēnei horopeta iti e puta ai te mamae o te puku, te toto rānei. Heoi, kaua e tango i te aspirin i ngā wā katoa me te kore kōrero ki tō tākuta.
• Te tango i ngā rongoā e whakaiti ana i ngā taumata pereti toto: Ko ngā rongoā pēnei i a Hydroxyurea (ingoa waitohu: Droxia®, Hydrea®, Siklos®, Mylocel®) me Anagrelide (ingoa waitohu: Agrilyn®) ka whakaiti i te hanga o ngā pereti toto i roto i te hinu wheua. Ka ārai a Interferon alfa (ingoa waitohu: Multiferon®) i te wehewehe me te whakanui o ngā pereti toto rerekē.
• Te whai tikanga hei tango i ō pereti toto: Mena he tino tiketike ngā taumata o ō pereti toto, ā, kei te tūpono koe ki te whakawhanake i ngā toto totoka e morearea ana ki te ora, ka tūtohu pea tō tākuta i tētahi tikanga e kiia nei ko te plateletpheresis . Ko te tikanga o tēnei ko te whakamahi i tētahi mīhini hei tātari i ngā pereti totoka taikaha mai i ō toto. Heoi, i te nuinga o ngā wā o te thrombocytosis , kāore e hiahiatia te plateletpheresis .

He mea nui: Kaua e tīmata, kaua hoki e whakamutu i tētahi o ēnei maimoatanga me te kore he tohutohu a te taote. Me kōrero katoa ki tō tākuta, ā, me mahi i raro i tana aratohu.

Ka taea te whakaora katoa i te thrombocytosis?

Te Thrombocythemia Tino Nui (ET)Kāore anō kia kitea he rongoā mō te thrombocytopenia i tēnei wā. Heoi, ka taea e tō tākuta te āwhina i a koe ki te whakahaere i te mate hei whakaiti i te mōrearea o te toto totoka. Mēnā he thrombocytosis tauhohe (nā ngā take tuarua), ka hoki anō ngā taumata pereti toto ki te āhua noa ina rongoāhia te take matua.

Ka taea te ārai i te thrombocytosis?

He maha ngā āhuatanga e hua ai te thrombocytosis kāore e taea te ārai, tae atu ki te Essential Thrombocythemia (ET) .

He mōrearea te ora i te thrombocytosis?

Ehara i te mea mōrearea te nui o ngā pereti toto i te ora, engari ka mōrearea pea ngā raruraru pēnei i te toto totoka, te toto nui rānei.

He rangitahi noa iho te nuinga o ngā take o te thrombocytosis, ā, he onge noa iho te arahi ki ngā toto totoka kino. I roto i te Thrombocythemia Tino Nui (ET) , he paku teitei ake te mōrearea. Heoi, ka tirotirohia koe e tō tākuta, ka tohua ngā rongoā e tika ana, ā, ka mahia ngā tikanga e tika ana hei ārai i ngā totoka kino. Nō reira kaua e manukanuka.

He aha te tirohanga mō te tangata e pāngia ana e te thrombocytosis?

Ko te thrombocytosis tauhohe ka memeha haere ina rongoatia te raruraru matua. Ahakoa ka piki ake pea tō tatau pereti toto mō te wā poto (ā, tera pea mō te wā roa i muri i te tango i tō whēkau), ko te thrombocytosis tuarua kāore e puta he toto toto rerekē.

Ka taea e te Thrombocythemia Matua (ET) , te thrombocytosis tuatahi rānei, te whakaputa toto nui, te toto totoka rānei, ngā raruraru. Mā te tango rongoā hei pupuri i te taumata o ō pereti toto kia noho noa, ka āwhina i te ārai i tēnei. Heoi, i muri i ngā tau maha o te pangia e te mate, ka puta pea te fibrosis o te hinu wheua (te whara o te hinu wheua). Ka taea hoki e te hunga iti e pangia ana e te Thrombocythemia Matua (ET) te whakawhanake i te leukemia .

Āhea ahau me toro atu ki taku tākuta?

Me whai tonu i ngā tohutohu a tō tākuta mō te auau o ngā tirotiro hauora me te mea me whakamātau toto koe hei tirotiro i te maha o ō pereti toto.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te pāngia koe e ngā tohu o te whiu , te mate manawa rānei, waea atu ki te 1990 tonu atu, haere rānei ki te rūma ohorere o te hōhipera tata. Kia tūpato ki ēnei tohu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei:

• Me manukanuka rānei ahau mō te teitei o ngā taumata pereti toto o taku toto?
• Me whai whakamātautau anō ahau hei tirotiro anō i ngā taumata o taku pereti toto?
• He aha ngā whakamātautau me mahi e au hei rapu i te pūtake o taku Thrombocytosis?
• He aha ngā maimoatanga e taunaki ana koe?
• He aha ngā huringa ka taea e au te mahi i roto i tōku āhua noho hei whakahaere i tēnei āhuatanga?

Ki te whakaatu mai ngā hua o tō whakamātautau toto he teitei ō pereti toto, kaua e mataku. He maha ngā take ka teitei ai ō pereti toto. He maha o ēnei take kāore e hiahiatia he maimoatanga. Engari ki te mea he teitei tonu ō taumata, ā, he tohu kei a koe, ka ngana tō tākuta ki te kimi i te take. Mā te aroturukitanga me te rongoā ka taea te ārai i ngā raruraru tino kino e pā ana ki te thrombocytosis.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, he nui ngā kōrero i kōrerohia e tātou mō te Thrombocytosis i tēnei rā, kāore? Ko tāku tumanako kei te mārama pai koe ki tēnei.

Ko te mea nui, kaua e mataku mēnā ka kitea e koe he teitei te taumata o ō pereti toto. Ehara i te mea he morearea ngā mate katoa o te Thrombocytosis.

• Ko te Thrombocytosis tauhohe te momo tino noa, ā, he maha ngā wā ka puta mai i tētahi atu take rangitahi. Ka pai ake anō hoki tēnei ina rongoatia taua take.
• He momo onge te Thrombocythemia Matua (ET) e hiahia ana kia rongoatia mō te wā roa.
• Me whakarite kia mahia ngā whakamātautau me ngā maimoatanga e tika ana i whakaritea e tō tākuta.
• Kaua e warewarehia ngā tohumate. Rapua tonutia he awhina hauora, ina koa mēnā he toto rerekē tōu, he marō, he ānini nui, he mamae uma, he uaua rānei ki te manawa.
• Kōrero māhorahora ki tō tākuta. Pātai atu ō pātai, ō āwangawanga rānei.

Kia maumahara, ehara i te mea ko koe anake. Mā te arahi me te tautoko hauora tika, ka taea e koe te whakahaere pai i tēnei mate me te noho ora.