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.