Whakaarohia ngā toto whero i roto i tō tinana he 'ratonga tuku' e kawe ana i te hāora puta noa i tō tinana. Inaianei, ki te heke te maha o ēnei toto whero, ki te kore rānei e mahi tika, kāore ngā kiko o te tinana e whiwhi i te hāora e tika ana. Koinei te āhua e kīia nei e tātou ko te 'anemia' ko te 'kore toto' rānei. Kātahi ka rongo tonu koe i te ngenge, te ngoikore, me te kore ora. E mōhio ana te nuinga o tātou ki te anemia i puta mai i te kore rino. Engari kei reira anō ngā momo anemia he iti noa iho te tokomaha o te tangata e pāngia ana, ā, kāore anō kia rongohia e tātou. I tēnei rā, ka kōrero tātou mō ētahi o ngā momo anemia onge.
He aha te mate toto ngoikore (Aplastic Anemia)?
He mea hanga ā tātou pūtau toto mai i ngā pūtau take i roto i te hinu wheua. Koinei ngā purapura taketake o ngā pūtau toto katoa. I roto i te tangata he mate toto koretake, ka pakaru ēnei pūtau take i roto i te hinu wheua. Nō reira, kāore e taea e te tinana te hanga i ngā pūtau toto hou (ngā pūtau whero, ngā pūtau mā, me ngā pereti toto) hei whakatutuki i ana hiahia.
Tērā pea he whānautanga tēnei mate, arā, ka taea te tuku iho mā roto i ngā ira mai i ngā mātua. Tērā pea ka whanake i te wā e ora ana. Ko tēnei momo tuarua te mea e kitea pinepinetia ana. I ētahi wā, he wā poto noa iho.
Ngā take o waho:
- Ngā mate autoimmune pērā i te lupus me te rheumatoid arthritis.
- Te pānga ki ngā matū pēnei i ngā patu pepeke, te arsenic, me te benzene. (Mēnā kei te whakapae koe kua horomia e koe tētahi matū, whakapā atu tonu ki te National Poisons Information Center i te Colombo National Hospital.)
- Ngā mate urutā pēnei i te hepatitis, te huaketo Epstein-Barr, me te HIV.
- Te rongoā irahiko me te rongoā matū mō te mate pukupuku.
Ko ngā tohu o tēnei mate ko te poto o te manawa, te whanoke, te ānini, te kiri mā, te mamae o te uma, te tachycardia, me te makariri o ngā ringa me ngā waewae. Kei roto i te maimoatanga ko te whakawhiti toto me te whakawhitinga pūtau take.
Te mate toto iti o te taha raro
He mate toto anō hoki tēnei. Ko te mea e tupu ana i konei, ahakoa he rino kei roto i te tinana, kāore e taea e ia te whakamahi i taua rino hei hanga i te hemoglobin. Ko te hemoglobin he pūmua e āwhina ana i ngā toto whero ki te kawe i te hāora. Nā te mea kāore e taea te whakamahi i te rino, ka kohia te rino ki roto i te hinu wheua, ā, ka hangaia he momo toto whero rerekē e kiia nei ko ngā sideroblast.
E rua ngā momo matua o tēnei. Ko tētahi e puta mai ana i te pānga o tētahi matū, rongoā rānei mai i waho. Ko tētahi e puta mai ana i tētahi whakarerekētanga ira e tukuna iho ana i roto i ngā whakatipuranga, e whakararu ana i te hanga o te hemoglobin. Ko ngā tohu ko te mamae o te uma, te tere o te ngakau, te ānini, me te uaua ki te manawa.
Ko te mea nui ko te kimi i te pūtake o te mate. Mena he rongoā, he matū rānei te take o te mate, me karo i te whakamahi i runga i te tohutohu a te taote.
Ko te rongoā huaora B6 me te whakawhitinga hinu wheua he maimoatanga anō mō tēnei.
Ētahi atu momo onge o te anemia
Haunga ngā momo kua kōrerotia i runga ake nei, he maha atu anō ngā momo mate toto kāore anō kia tino rangona. Me titiro poto tātou ki ēnā.
| Momo mate toto iti | He whakamārama māmā | Ngā āhuatanga noa |
|---|---|---|
| Ngā Mate Myelodysplastic (MDS) | He āhuatanga e pakaru ai te hinu wheua, ā, kāore e taea te whakaputa i ngā pūtau toto hauora. E kiia ana tēnei he momo mate pukupuku. | Marautanga, toto, mate pāwera, kirika, makariri, ngenge, hekenga taumaha. |
| Te mate toto toto ā-tinana | Ka whakangaromia e tō ake pūnaha ārai mate ō ake toto whero, ka tere ake te whakangaro i a rātou i te mea ka taea te whakakapi. | Ngenge, kiri mā, tere te pā o te ngakau, pōuriuri, makariri, mamae tuara, kōwhai te kiri (jaundice). |
| Te mate toto nui rawa | He nui rawa ngā toto whero e hangaia ana e te hinu wheua, ā, kāore anō kia pakari. Nā tēnei ka kore e taea e rātou te kawe hāora. Nā te korenga o te huaora B12, B9 rānei (folate) te take. | Pōuriuri, ngenge, korere, whakapairuaki, tere o te ngakau, mamae uaua, whakapairuaki. |
| Te mate pāwera o Fanconi | He mate ira e tukuna iho ana i roto i ngā whakatipuranga. Kāore e ranea ngā pūtau toto e hangaia ana e te hinu wheua. | Ngā māikuku nui rerekē, te ngawari o te maru/toto, te maha o ngā mate pāwera, ngā raruraru o te ngākau, te whatukuhu, te wheua, te rerekētanga o te kiri. Te pikinga ake o te mōrearea ki te mate pukupuku (ina koa ko te AML). |
Ētahi atu mate onge pērā i a Diamond-Blackfan me CDA
- Te Mate Kore-Taimana-Blackfan: Ka puta anō hoki tēnei i ngā huringa ira. Kāore e taea e te hinu wheua te whakaputa i ngā toto whero e ranea ana. He poto ēnei tamariki, he ngoikore ō rātou wheua, ā, tera pea ka pāngia rātou e ngā ngunguru o te ngākau.
- Ko te Anemia Dyserythropoietic Congenital (CDA): He momo anemia tuku iho anō hoki tēnei. Ka whakaitihia te maha o ngā toto toto whero hauora. Kāore pea ētahi tāngata e hiahia ki tētahi maimoatanga, engari ko ngā take kino ka hiahia pea ki ngā whakawhiti toto, ki ngā whakawhitinga pūtau take rānei.
He aha tāu e mahi ai i roto i tēnei āhuatanga?
E kite ana koe, ko ngā tohu noa o ēnei momo anemia katoa ko te ngenge rawa, te kiri mā, te poto o te manawa, me te tere o te pao o te ngakau. Nō reira, ki te mea kei a koe tonu ēnei tohu, kaua e wareware noa.
E kore e taea te whakatau i tētahi raruraru nui pēnei i te whakaaro ki a koe anō, me te tango pire rino mai i te whare rongoā. Ko te mea nui ko te tautuhi tika i te mate.
Ko te mea pai rawa atu ka taea e koe ko te toro atu ki tō tākuta. Ka whakahaerehia e ia he whakamātautau toto me ngā whakamātautau hinu wheua, ki te tika, kia kitea ai te tino take o te mate. Ka whakawhirinaki te maimoatanga ki te take. Ahakoa ka taea te rongoā i ētahi āhuatanga, i ngā wā tino kino, me whai maimoatanga nui koe pērā i te whakawhitinga hinu wheua. Mena he nui ngā tohu kino kei a koe (hei tauira, te mamae nui o te upoko, te mamae o te uma), he mea nui kia haere tonu koe ki te rūma ohorere (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- Ehara i te mea ko te korenga o te rino te take o te 'anemia'. He onge engari he kino ngā momo.
- Ki te haere tonu te pā mai o ngā tohu pēnei i te ngenge tonu, te ngenge, te kiri mā, me te whanoke, kaua e warewaretia.
- He mea tino nui te tautuhi tika i te mate. Mō tēnā, me toro atu koe ki tētahi tākuta whai tohu. Kaua e ngana ki te rongoā i a koe anō.
- He maha ngā mate nei he mea tuku iho i roto i ngā whakatipuranga. Mēnā he mate toto tō tētahi o tō whānau, me whakamōhio atu ki tō tākuta.
- Mā te maimoatanga tika, ka taea te whakahaere i te nuinga o ēnei āhuatanga, ā, ka taea te whakaora rawa i ētahi. Nō reira kaua e mataku, engari me whai i ngā tohutohu a tō tākuta.
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