Kua ngoikore ngā parepare o tō tinana? Me ako tātou mō te agranulocytosis.

He maha ngā wā ka pāngia koe e te makariri me te rewharewha, ā, ka tino pāngia koe e te mate? I ētahi wā, ahakoa he mate iti noa iho, ka taea te kino, ā, ka roa te wā e ora ai? Ko te take matua pea o tēnei he ngoikore o te pūnaha ārai mate o tō tinana, arā, te ope taua e tiaki ana i a tātou i ngā mate. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga ka taea te whakapae i aua wā, he ahua morearea pea, engari ka taea te rongoā.

He aha te Agranulocytosis, he aha te tikanga?

Ko te Agranulocytosis (e kīia ana: "a-gra-nu-lo-cy-to-sis") he mate morearea e tino heke ai te maha o ngā neutrophils, he momo toto ma, i roto i ō tātou toto.

Whakaarohia he rite tō tātou tinana ki tētahi whenua. Kātahi ko ngā toto toto mā te ope taua e tiaki ana i taua whenua. He maha ngā ope taua i roto i tēnei ope taua. I roto i a rātou , ko ngā neutrophils he rōpū whakahau motuhake e haere ana ki te whakaeke i ngā iroriki ina kite tonu rātou i a rātou . Nō reira, ina tino heke te maha o ēnei whakahau, ahakoa he iroriki iti mai i waho ka taea te whakaeke ngāwari i tō tātou tinana ka pāngia ai tātou e te mate.

Ka taea e tēnei āhuatanga te whakaraerae ake i a koe ki ngā mate kino, ahakoa mai i ngā iroriki kāore e pā kino ki a tātou.

Na, he aha te rerekētanga i waenga i te Neutropenia me te Agranulocytosis?

Kua rongo pea koe i te kupu neutropenia. Ahakoa he rite te tangi o ēnei e rua, he iti noa te rerekētanga.

• Neutropenia: He āhuatanga e iti iho ai te maha o ngā neutrophils i te mea noa.
• Agranulocytosis: Koinei te momo neutropenia tino kino me te morearea.

Ki te kī ngāwari, ina tino iti rawa ngā taumata neutrophil, ka kiia tēnei he Agranulocytosis.

He aha ngā take e puta ai tēnei āhuatanga?

E rua ngā huarahi matua o te whanaketanga o te agranulocytosis.

1. Te Agranulocytosis Tuku Iho: Ka puta tēnei i te hapa o ngā ira e hanga ana i ngā neutrophils. He tino onge tēnei, ā, he mea noa i roto i ngā pēpi me ngā tamariki nohinohi.

2. Te Agranulocytosis Whiwhi: Koinei te momo tino noa. He maha ngā take mō tēnei. Engari i roto i te 70% o ngā take, he pānga taha tēnei o ētahi rongoā e tangohia ana e tātou. He nui ake te noa o tēnei momo i waenga i ngā pakeke.

Ko ngā tino take o te agranulocytosis i muri mai

• Ētahi rongoā: Ka puta pea tēnei āhuatanga i ngā rongoā pēnei i ētahi paturopi, ngā rongoā mō ngā mate hinengaro (hei tauira, clozapine), me ngā rongoā mō ngā mate tairoi (hei tauira, methimazole).
• Te rongoā matū: Ina whakangaromia ngā pūtau matepukupuku, ka taea hoki te pakaru ngā neutrophils, arā, ngā pūtau hauora e tere wehewehe ana.
• Ngā mate pūnaha ārai mate: Koinei te wā e hē ai te mahi a te pūnaha ārai mate o te tinana, e whakaeke ana i ōna ake pūtau hauora. Hei tauira, ko ngā mate pēnei i te Lupus me te Rheumatoid Arthritis.
• Ngā Mate o te Huango Wheua: Ko te hinu wheua te wheketere e whakaputa ana i ō tātou pūtau toto katoa. Nō reira, ko ngā mate e pā ana ki tēnei wheketere, pērā i ngā mate pukupuku pērā i te leukemia, i te anemia aplastic rānei, ka taea te whakararu i te whakaputanga o ngā neutrophil.
• Ētahi mate urutā: Ka taea hoki tēnei āhuatanga te puta mai i ngā mate urutā kino pērā i te malaria me te mate kohi.
• Ngā ngoikoretanga o te kai: Kei reira anō hoki tēnei mōrearea me ngā ngoikoretanga roa o ngā matūkai pēnei i te huaora B12 me te folate.
• Ngā matū paitini: Te horomitanga o ngā matū paitini pērā i te mata, te mercury rānei.

He aha ngā tohu o te agranulocytosis?

Nā te iti o te maha o ngā neutrophils, ko ngā tohu matua o tēnei mate he mate pāwera . Ka puta ohorere mai ēnei, ka puta mārire rānei.

Ko ngā āhuatanga matua e kitea ana ko ēnei:

• E tino makariri ana, e wiri ana, e pāngia ana hoki e te kirika .
• Te pikinga ake o te tere o te ngakau me te tere o te manawa.
• Te ahua o te ngenge me te ngoikore o te tinana kāore i reira i mua .
• Korokoro mamae, ka pupuhi me te toto o ngā kapia.
• Te uaua ki te horomi nā te mate pukupuku o te waha me te korokoro .
• Te hekenga ohorere o te toto toto (hypotension) ka arahi ki te ngoikore me te whanoke.

Me pēhea te tātaritanga a te tākuta i tēnei mate?

Mena kei a koe tētahi o ngā tohu kua whakarārangihia i runga ake nei, inā koa mēnā he maha ngā mate pāwera kei a koe, ka tirohia koe e te tākuta. Ko te whakamātautau tino nui hei kimi mēnā kei a koe tēnei mate ko te tatau toto katoa (CBC) . I ētahi wā ka kiia hoki tēnei he tatau toto katoa (FBC).

Ka ine tēnei whakamātautau i te maha tika o ngā neutrophils i roto i tō toto. Mēnā he iti iho i te 100 te maha o ngā neutrophils i ia microliter, ka tautuhia he Agranulocytosis.

Hei tāpiri, ka taea e te tākuta te tono i ētahi atu whakamātautau hei kimi i te take.

• Kohikohi i te Huka Wheua: Ka mahia tēnei whakamātautau hei tirotiro mēnā he raruraru kei roto i te hinu wheua, te wheketere e hanga ana i ngā pūtau toto.
• Whakamātautau Ira: Mena kei te whakapaehia he mate whānau tēnei, ka tukuna pea koe mō tēnei whakamātautau.

He aha ngā rongoā hei rongoā mō te agranulocytosis?

Ahakoa he mate morearea tēnei, ko te rongo pai he maha ngā maimoatanga whai hua mōna. Ko te maimoatanga e whakawhirinaki ana ki te take o te mate.

• Te Whakamutu i te Rongoā Taketake: Mena ko te take o tēnei mate he rongoā e tangohia ana e koe, ko te mea tuatahi me te mea nui ko te whakamutu i te tango i taua rongoā. Heoi, kaua rawa e mutu te tango i tō rongoā i a koe anō. Kia mahara ki te kōrero ki tō tākuta, me te whai i ana tohutohu kia haumaru ai te mahi.

• Paturopi: Mena kua pāngia tō tinana e te mate, ka tohua e tō tākuta he paturopi kaha hei whawhai.

• Ngā werohanga G-CSF: Ka kiia ēnei ko te Granulocyte Colony-Stimulating Factor (G-CSF). Ka whakaoho ēnei werohanga i te hinu wheua, ā, ka āwhina i a ia ki te whakaputa tere ake i ngā pūtau neutrophil.

• Ngā rongoā ārai mate: Mena he mate pūnaha ārai mate te take, ka taea te hoatu rongoā pēnei i te prednisone hei whakamarie i te pūnaha ārai mate e kaha rawa ana te mahi.

• Te Whakatō Huango Wheua: Mena kāore e angitu ētahi atu maimoatanga, ka taea te mahi i te whakato wheua wheua mai i tētahi tangata hauora hei huarahi whakamutunga.

Me pēhea taku tiaki i a au anō mai i ngā mate urutā i te wā e rongoatia ana?

He mea tino nui kia karohia ngā mate urutā i te wā e rongoā ana i tētahi e pāngia ana e tēnei mate.

• Horoia pai ō ringaringa ki te hopi i ngā wā katoa.
• Whakaitihia te haere ki ngā wāhi kī tonu i te tangata.
• Me mau he kopare kanohi ina haere koe ki waho.
• Kai noa i ngā kai kua tino maoa, kua ma hoki.

Ka taea te ora katoa mai i tēnei mate?

Āe, i te nuinga o te wā ka taea. Ko te roa o te whakaoranga kei te pūtake.

Mena he rongoā te take, ka hoki anō te maha o ngā neutrophil ki te āhua noa i roto i te 1 ki te 3 wiki i muri i te whakamutu i te rongoā.

Ki te kitea wawetia, ā, ka rongoatia, ka taea te whakahaere katoa i tēnei mate. Heoi, ki te kore e rongoatia, ka arahi pea ki ngā mate kino me ngā āhuatanga morearea pērā i te sepsis . Ko te hunga neke atu i te 65 tau te pakeke me te hunga he mate manawa, whatukuhu, pukahukahu rānei, he nui ake te mōrearea ki ngā raruraru.