He rite ngā toto whero ki te tataramoa ki roto i ō toto? Me ako tātou mō (Acanthocytosis)!

Kua rongo koe i ngā toto whero i roto i ō toto? I te nuinga o te wā, he porowhita, he rite ki ngā pōro papatahi iti. Engari i ētahi wā, ka huri te āhua o ēnei toto whero, ka huri hei āhua rerekē, he koikoi, he tataramoa. Koinei te ingoa hauora mō tēnei mate ko `(Acanthocytosis)`. Whakaarohia, ko te kupu Kariki "acan" he tataramoa, he rite ki te tataramoa. Ko te tikanga o "Cyte" he pūtau. Nō reira, ko "ngā pūtau rite ki te tataramoa" te tikanga māmā o tēnei.

Ina hoki, kei roto i ō tātou toto ētahi o ēnei pūtau tataramoa (Acanthocytes). Ehara i te mea he raruraru nui. Engari, ki te nui rawa ō ēnei pūtau tataramoa i roto i ō toto, koinā te wā ka tīmata ai ētahi raruraru iti. E mōhio ana koe ki te aha ka tupu? He okana tō tātou e kiia nei ko te whēkau . He rite tana mahi ki te tātari e horoi ana i ō tātou toto. Ko tā te whēkau he tautuhi i ngā pūtau tawhito, kua pakaru i roto i te toto, ka whakangaro i a rātou. Nō reira, ina haere aua pūtau toto whero tataramoa i roto i te whēkau, ka whakaaro te whēkau, "Āe, he ahua paru ēnei, kāore i te āhua rite ki ngā pūtau noa." Kātahi ka tīmata te whēkau ki te whakangaro i ēnei pūtau tataramoa i te tere tere. Ina tupu tēnā, ka taea te heke te maha o ngā pūtau toto whero hauora i roto i tō tinana. Ka kiia tēnei ko te anemia , ko te "anemia hemolytic" rānei. Arā, he kore toto i puta mai i te pakaru o ngā pūtau toto whero. Ehara i te mea koinā anake, ko tēnei āhuatanga e kiia nei ko te "Acanthocytosis" he tohu pea mō ētahi atu mate me ngā raruraru. Nō reira, ina kitea ēnei pūtau tataramoa i roto i te toto, ka taea hoki e ia te āwhina i ngā tākuta ki te tautuhi i ētahi atu mate huna.

Nā, he aha ngā momo tohu ka pā mai i tēnei `(Acanthocytosis)`?

Ina tere te whakangaro a tō ate i ngā toto whero nā te mate pūtau maripi, ka puta he āhuatanga e kiia nei ko te "anemia hemolytic". Tērā pea ka pāngia koe e ngā tohu pēnei i:

• Te kōwhai o te kiri me ngā kanohi: Ka kiia hoki tēnei he "waikura", pērā i te mea ka pāngia ētahi tāngata e te kirika kōwhai.
• Te tino ngenge: Ehara i te mea ko te ngenge anake, engari he āhua ngenge tonu ahakoa te roa o te moe.
• Te uaua ki te manawa: Te poto o te manawa ahakoa te kaha o te mahi (dyspnea).
• Te tere o te manawa: He ahua e tere rawa ana te pā o tō uma ahakoa kei te tū noa koe (tachycardia).
• Te toto i roto i te mimi: I ētahi wā ka huri te mimi ki te whero, ki te parauri pouri rānei (hematuria).
• Mamae puku: He maha ngā wā ka puta mai tēnei i te pupuhi o te whēkau.

Haunga ēnei tohu, ka puta pea ētahi atu tohu i runga i te mate taketake i puta ai ēnei pūtau unahi i roto i tō tinana. Whakaarohia, mō ētahi tāngata:

• Te whakaiti taumaha: Mena he pēpi nohinohi koe, tera pea ka puhoi te tipu.
• Ngā raruraru ki te whakataurite i ngā mahi uaua: Pērā i te ngaro o te taurite (ataxia).
• Ngā nekehanga ā-ringa o ngā wāhanga o te tinana kāore e taea te whakahaere: hei tauira, te kimo, te huri rānei i te kaki (tic).
• Te uaua ki te whakaaro me te maumahara: Te āhua nei kei te puhoi haere te mahi a tō roro (te ngoikore o te hinengaro).
• Ngā raruraru nakunaku.
• Te tūtae mā: Ka puta pea tēnei ina kore e tika te nakunaku o ngā ngako (steatorrhea).
• Te mimi pouri.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te toro atu ki te tākuta i te wā e taea ai.

He aha i puta ai ēnei momo pūtau koikoi i roto i ō tātou toto? He aha ngā take?

Ki te kī māmā noa, ko te tino take o te `(Acanthocytosis)` ko te pānga ki te kiriuhi pūtau o waho o ngā toto whero, arā, te `(kiriuhi pūtau).` He mea hanga tēnei kiriuhi pūtau i ngā ngako `(lipids)` me ngā pūmua . Nō reira, ki te mea he mate, he āhuatanga rānei e pā ana ki ēnei wāhanga nui, ka huri te āhua porowhita noa o ngā toto whero, ā, ka tīmata rātou ki te tango i taua āhua rite ki te tataramoa.

E ai ki te kōrero i mua ake nei, kāore e ngāwari te tātari i ēnei pūtau take kua whakarerekētia ina haere mā roto i te whēkau. Nō reira, ka whakangaromia rātou e te whēkau. I ētahi wā, hei utu mō te whakangaro i ēnei pūtau, ka whakapōturitia e te whēkau ētahi o ō rātou tuaiwi ka whakahokia ki roto i te toto. I ētahi wā ka kiia ēnei pūtau take kua whakarerekētia he '(spur cells)'.

Anei ētahi o ngā tino take o te acanthocytosis:

• Mate ate kino: He tohu ngā pūtau pupuhi i te mate ate kino, ā, i ētahi wā ka morearea te ora. Ko ētahi tāngata he mate ate ka pāngia e te mate e kiia nei ko te spur cell anemia (SPA). Ko te tikanga he pūtau pupuhi kei roto i ō rātou toto, ā, he iti hoki te maha o ngā pūtau toto whero.
• Abetalipoproteinemia: He mate tino onge tēnei, he mate ira tuku iho. Arā, he mate tuku iho i ngā mātua ki ngā tamariki. Nā tēnei mate ka kore e taea e te tinana te mimiti tika i ngā ngako me ngā huaora wairewa-ngako (ngā huaora A, D, E, K).
• Neuroacanthocytosis: He mate ira onge anō hoki tēnei. Ka puta te kore e taea te whakahaere i ngā nekehanga o te tinana. Hei tauira, ko te chorea-acanthocytosis, te mate McLeod, te pantothenate-kinase associated neurodegeneration (PKAN), me te mate Huntington's-like 2.

Haunga ēnei take matua, ka taea hoki e ētahi atu āhuatanga te whakaputa i te "Acanthocytosis":

• Ko te Anorexia nervosa he mate e puta mai ana i te kore hiahia kai.
• Te ngoikore o te mahi a te repe tairoiti (Hypothyroidism).
• Ko te mate Myelodysplastic he mate e pā ana ki te hinu wheua.
• Mate whatukuhu.
• Te tango pokanga o te whēkau (splenectomy).
• Ko ētahi rongoā (hei tauira, ngā rongoā whakaheke cholesterol pērā i te "statins").

Me pēhea te tautuhi a ngā tākuta i te acanthocytosis?

Ka taea e tō tākuta te tātaritanga i te acanthocytosis mā te mahi i tētahi whakamātautau toto ā-taha (PBS) . Ko te tikanga o tēnei ko te tango i tētahi tauira iti o tō toto ka tirohia i raro i tētahi karuārai. Mā tēnei ka kitea mārama te aroaro o ēnei pūtau koi, rerekē.

Kātahi, kia kitea ai te pūtake o ēnei pūkahukahu hinu, me whai atu koe i ētahi atu whakamātautau toto. Ko ēnei ēnei:

• Te tatau toto katoa (CBC)
• Ngā whakamātautau mahi ate
• Ngā whakamātautau mahi whatukuhu
• Ngā whakamātautau homoni tairoi
• Whakamātautau taumata ngako toto `(Panui lipid)`
• Ngā whakamātautau ira: Tirohia mēnā he whakarerekētanga ira e pā ana ki ētahi mate tuku iho.

Hei tāpiritanga, ka tūtohu pea tō tākuta i ngā whakamātautau pēnei i te matawai whakaahua hei tirotiro mēnā he kino ki ngā kiko, ki ngā okana rānei o roto i tō tinana.

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga mō te acanthocytosis e whakawhirinaki ana ki te pūtake. I te nuinga o te wā, ina rongoatia tika te mate taketake, ka hoki ngā toto whero ki te āhua noa.

Whakaarohia, ko ngā maimoatanga mō ngā mate ate me ngā āhuatanga pēnei i te "Neuroacanthocytosis" he mea nui ki te whakahaere i ngā tohu. He uaua te rongoā katoa i ēnei mate. Ka kino haere i roto i te wā. Heoi, i roto i ngā mate ate kino, tera ētahi wā ko te whakawhitinga ate anake te rongoā.

Mena he mate ira tōu e kiia nei ko te abetalipoproteinemia, me whakaiti pea e koe te kai i ngā ngako kino, me te whiwhi i te nui o ngā kaora. Me tango pea hoki e koe ngā tāpiringa huaora hei whakarite kia nui ngā huaora (A, D, E, K) hei hanga i ngā toto toto whero hauora.

Mena nā te anorexia, te hypothyroidism rānei i puta ai te acanthocytosis, ka pai ake te āhua ina rongoatia te mate taketake. Waihoki, ki te kitea he rongoā te take o te acanthocytosis, ka memeha haere te āhua ina mutu te rongoā.

Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?

I ētahi wā, ka taea te whakaora katoa i te mate e kiia nei ko te acanthocytosis mā te rongoā. Ko te tikanga o tēnei ka hoki ngā toto whero ki te āhua noa.

Heoi, i te nuinga o te wā, ko te putanga o tō hauora e whakawhirinaki ana ki te take i tupu ai ēnei repe hinu me te tere o te tīmatanga o te maimoatanga mōna.

Hei tauira, ko ngā mate pēnei i te `(Neuroacanthocytosis)` me te `(Abetalipoproteinemia)` ka pā kino ki ngā kiko o te tinana mō te wā roa. Heoi, ki te kitea wawetia te mate, ā, ka rongoātia hoki,, ka taea te whakaroa i te haere whakamua o ngā tohu.

I te nuinga o te wā, ki te pāngia koe e te `(Acanthocytosis)` me te mate ate, ka paku kino pea. He tokomaha ngā tāngata e pāngia ana e te `(spur cell anemia)` kua whakahuatia ake nei ka mate i roto i ētahi marama. Nō reira, ko te huarahi pai ki te mōhio mō tō āhua ko te haere mai ki te tākuta e rongoā ana i a koe. Ka tirohia e ia tō hauora whānui me te take o ēnei spur cells, ā, ka whakamārama i te mea e pā ana ki a koe.

He ara hei ārai i tēnei `(Acanthocytosis)` kei puta?

Ina hoki, mēnā he mate ira te take o te acanthocytosis, kāore he huarahi hei ārai. Nā te mea he mea tuku iho tēnei ki a tātou. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o te whakawhanake i tēnei mate nā ētahi atu take.

• Āraia, whakawhāitihia rānei te inu waipiro: Ka āwhina tēnei ki te ārai i ngā mate ate e pā ana ki te waipiro.
• Kai i ngā kai whai kiko: Me whiwhi tō tinana i ngā matūkai tika hei hanga i ngā toto whero. Mena kei te hiahia āwhina koe ki te whiriwhiri i ngā kai tika māu, kōrero ki tētahi tohunga kai.
• Me tere te rapu maimoatanga: Ko ētahi āhuatanga e puta ai ngā kiore hinu ka tere te kino mena ka kore e rongoatia. Nō reira, he mea nui kia kite i te tākuta i te wā tonu e puta ai ngā tohu, kia tātaritangahia te āhuatanga, ā, kia tīmata te maimoatanga.

Me pēhea taku tiaki i tōku hauora?

Ko te mea nui ko te whai i te maimoatanga kua tohua e tō tākuta mō te mate pūtake e puta ai tō acanthocytosis.

Mena he mate ira tōu e kiia nei ko te acanthocytosis, whakaarohia te tiki tohutohu ira . Ka taea e te kaitohutohu ira te tuku tohutohu ki a koe mō te pānga o te mate ki a koe me tō whānau, me te tūponotanga ka tukuna e koe te whakarerekētanga ira e hua ai tēnei ki āu tamariki.

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

Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ēnei pātai:

• Me manukanuka rānei ahau kei roto i tōku toto ēnei pūtau tataramoa (Acanthocytes)?
• He aha atu ngā whakamātautau me mahi e au hei kimi i te pūtake o tēnei?
• He aha te momo maimoatanga e tūtohu ana koe mōku?
• He aha ngā hua ka taea e au te tumanako mai i ēnei maimoatanga?
• Me kite ahau i tētahi kaitohutohu ira?

Hei whakamutunga, me kī atu ahau... (Karere hei tango ki te kāinga)

Ina tātaritangahia koe e ngā tākuta, ka tirohia hoki e rātou te āhua o ō toto whero. Mēnā kua tātaritatia koe he `(Acanthocytosis),` ko te tikanga he rerekē ētahi toto whero kei roto i ō toto. Kaua e manukanuka. I ētahi wā, ka taea e te maimoatanga te whakahoki i ō toto whero ki te āhua noa. Mēnā rānei, ka taea e ia te āwhina ki te whakahaere i te mate pūtake. Heoi, i ētahi wā, ko te noho o ngā acanthocytes i roto i ō toto he tohu pea mō tētahi mate kino, pērā i te mate ate kino. Nō reira, ko tō tākuta te tangata pai rawa atu ki te whakamārama tika i te pānga o te `(Acanthocytosis)` ki tō hauora. Mēnā ka whakarongo koe ki tāna e kī ana, ā, ka whai tika i te maimoatanga, ka taea te whakahaere i te mate.

` Acanthocytosis, Ngā toto whero, Scutellaria, Wāhanga, Anemia, Mate ate