He aha i heke ohorere ai te nui o te toto? Me kōrero tātou mō te Aplastic Crisis

Kua kite, kua rongo rānei koe i tētahi āhuatanga e ngaro whakarere ai te toto i ētahi tāngata, inā koa ko ngā tamariki nohinohi, ā, ka tino ngenge, ā, i ētahi wā ka mate pea? Koinei tētahi o ngā āhuatanga kino ka kōrerohia e tātou i tēnei rā, e kiia nei ko te aplastic crisis . Ahakoa he ahua whakamataku tēnei ingoa, ki te mōhio tātou, ka taea e tātou te aro atu ki tēnei āhuatanga.

He aha rawa tēnei raruraru ā-pūngoikore?

Ki te kī ngāwari, ko te raruraru aplastic ko te wā e mutu ohorere ai te hanga toto whero hou e te hinu wheua i roto i tō tātou tinana. Inaianei pea kei te whakaaro koe, "Nā, he aha te mea ka puta mēnā ka mutu te hanga toto whero?" Ko ēnei toto whero te mea e kawe ana i te hāora puta noa i ō tātou tinana. Nō reira, ina mutu tā rātou hanga, ka tino heke te maha o ngā toto whero i roto i te tinana, ka puta he anemia kino . He āhuatanga tēnei ka taea te whakararu i te ora.

Ko te mate pukupuku toto (aplastic crisis) te tikanga ka pā ki te hunga he mate toto pērā i te mate toto toto hāripiri ( sickle cell anemia) . Ko te tino take o tēnei he mate huaketo noa e kiia nei ko te Parvovirus B19 . Kaua e miharo, ahakoa he maha ngā tāngata e pāngia ana e tēnei huaketo, ka puta noa te mate pukupuku toto ina pangia te hunga he mate toto e tēnei huaketo. He nui ake te kitea o tēnei mate i roto i ngā tamariki nohinohi, inā koa ngā pēpi. Engari he rongo pai, kei reira ngā maimoatanga mō tēnei pērā i te whakawhiti toto me te immunoglobulin intravenous (IVIG) .

He mate tēnei e pāngia ana e te katoa?

Kāo, kāore rawa. E ai ki taku kōrero i mua, he huaketo tino noa te Parvovirus B19 . Heoi, ehara i te mea ko te hunga katoa e pangia ana e tēnei huaketo ka pāngia e te aplastic crisis. Ka puta noa tēnei ina pangia tetahi tangata he mate toto motuhake e te Parvovirus B19.

Ko ngā pēpi hou, ngā pēpi, me ngā tamariki e pāngia ana e te mate toto toto hāripiri te hunga e tino mōrearea ana. Ko te hunga e pāngia ana e ētahi atu āhuatanga e whakangaro ana i ngā toto toto whero me te mate toto toto toto toto, ka nui ake te mōrearea ki te whakawhanake i te mate aplastic mena ka pangia rātou e te parvovirus B19. Ko ētahi o ēnei āhuatanga ko:

• Te Spherocytosis Tuku Iho
• Te mate Hemoglobin C
• Te mate tākihi
• Te mate ngoikore o te G6PD
• Te korenga o te Pyruvate Kinase
• Te mate toto toto ā-tinana
• Hemoglobinuria Pō Pākarukaru
• Te Elliptocytosis Tuku Iho

Mena kei a koe, kei tāu tamaiti rānei tēnei momo mate toto, he mea tino nui kia tino tiakina tēnei.

He aha ngā tohu o te raruraru aplastic?

Ko ngā pakeke, tae atu ki ngā tamariki me ngā pēpi, e pāngia ana e te mate toto nui, he maha ngā tohu e pā ana ki te mate toto nui. Tērā pea ka nui ake te pukuriri, te riri rānei o ngā pēpi me ngā tamariki nohinohi i te tikanga. Hei tauira, ki te nui te tangi a tāu tamaiti, kāore e pai ki tetahi mea, e ahua riri tonu ana rānei, he tohu pea tēnei mō tētahi mea pēnei.

Anei ētahi o ngā tohu matua:

• Ngenge: Te tino ngenge, te kore e taea te mahi i tetahi mea.
• Kirika: Ka eke te pāmahana o te tinana ki te 38 nekehanga Celsius (101 nekehanga Fahrenheit) neke atu rānei.
• Whatiwhati: Me te mea kei te hurihuri tō mahunga, ā, ka kikorangi pea ō kanohi.
• Te poto o te manawa / te uaua o te manawa: Te poto o te manawa ahakoa he iti te nekenekehanga, te tino ngenge i te piki arawhata.
• Te tere, te koretake rānei o te manawa o te tangata: Tērā pea ka tere ake te manawa o te tangata i te wā noa, kāore rānei i te ōrite te tere o te manawa, ā, kāore e pā ki tētahi taha.
• Te mā: Ka mā ake te kiri, ngā ngutu, ngā kapia, ngā maikuku rānei i te āhua noa. Koinei te tae e kitea ana ina kore he toto.

Ki te kite koe i tētahi, i ētahi rānei o ēnei tohu, inā koa he mate toto tōu, tō tamaiti rānei, he mea tino nui kia rapu tohutohu hauora tonu atu .

He aha i puta ai tēnei raruraru ā-pūtau? He aha te take?

Ko te tikanga o te kupu "aplastic" kua mutu te mahi a tetahi mea i roto i tō tinana. Koinei te mea ka tupu i roto i tēnei raruraru aplastic. Kāore e taea e tō hinu wheua te whakaputa i ngā toto whero hauora. Ko te take o tēnā ko te Parvovirus B19 i kōrerotia e au i mua ake nei. Ka aro tika tēnei huaketo ki ngā toto whero kāore anō kia pakari. Ka pakaru rātou.

Ka whiwhi tō tātou tinana i ngā mea pēnei i ngā toto whero, ētahi toto mā, me te toto toto mai i te hinu wheua. Nō reira, ina mutu te hanga tonu o ngā toto whero, ka pāngia koe e te anemia nui . Whakaarohia, koinei te mea ka tupu ina mutu ohorere te mahi a te wheketere toto o tō tātou tinana.

He aha ngā raruraru pea ka pā mai i tēnei mate?

Ka taea e te raruraru aplastic te arahi ki ngā raruraru maha, inā koa mō te hunga e pāngia ana e te anemia pūtau mariao . He tino kino hoki ēnei.

• Te raruraru Vaso-occlusive roa (VOC):He mamae ohorere, he mamae nui te VOC e pā ana ki te hunga e pāngia ana e te mate toto toto iti. Ka roa ake pea tēnei mamae nā te raruraru aplastic.
• Myocarditis: He mumura tēnei o te uaua o te ngākau, he āhua pupuhi rite tonu ki te mate pukupuku.
• Te aukati i te whēkau: Ka mau ngā toto whero rerekē ki roto i te whēkau, ka nui haere te whēkau.
• Glomerulonephritis: He mate tākihi tēnei, ki te kore e rongoatia tika, ka arahi pea ki te ngoikore o te tākihi.

Koia mātou e kī nei he mea tino nui kia mōhio tātou ki tēnei āhuatanga.

Me pēhea te mōhio o ngā tākuta ki tēnei?

Ina whakaatu koe, tāu tamaiti rānei i ēnei tohu, ina kite koe i te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu. Kātahi ka tirotirohia e ia te tinana. Hei tāpiri, ka taea te whakahaere i ētahi whakamātautau hei whakaū i te mate:

• Tatau Toto Katoa (CBC): Mā tēnei ka tirohia te maha o ngā toto whero, ngā toto mā, me ngā pereti toto i roto i te tinana. I roto i te mate aplastic, he tino iti te maha o ngā toto whero.
• Te maha o ngā retikulosit: Ko ngā retikulosit he toto whero kāore anō kia pakari. Ka inehia e tēnei whakamātautau te maha o ngā toto whero hou e hangaia ana e te hinu wheua. I roto i te raruraru aplastic, he tino iti hoki tēnei tau.
• Whakamātautau Parvovirus B19: Ka mahia tēnei whakamātautau hei whakaū mēnā kua pangia koe e tēnei huaketo.

I muri i ēnei whakamātautau, ka taea e te tākuta te tino mōhio mēnā he raruraru aplastic tūturu tēnei, he take kē atu rānei.

He aha ngā maimoatanga mō tēnei?

Ko te rongoā matua mō te raruraru aplastic ko te whakawhiti toto . Ko te tikanga o tēnei ko te tuku toto mai i waho. Ka taea e tēnei te whakahoki wawe i te iti o ngā toto whero o te tinana. Hei tāpiri, ka tukuna he rongoā e kiia nei ko te Intravenous Immunoglobulin (IVIG) . Ka tukuna tēnei ki roto i te tinana mā te uaua (IV).

Ka ora te nuinga o ngā tūroro i roto i ngā rā 10 ki te 14 i muri i te tīmatanga o te maimoatanga. Ko tētahi atu mea pai ko te mea kua pangia te tangata e te parvovirus B19, ka whakawhanakehia e rātou he ārai mate mō te wa katoa ki te huaketo. Ko te tikanga o tēnei ka tino whakaitihia te tūponotanga o te whakawhanake anō i te raruraru aplastic mai i te huaketo.

He ara hei ārai i te raruraru aplastic?

He uaua rawa te kī. Nā te mea, ka puta te mate aplastic ina pangia te tangata he mate toto e te parvovirus B19 . He huaketo tino noa te Parvovirus B19, ā, kāore anō kia kitea he kano ārai mate mō tēnei.

Engari, māu me tāu tamaitiMena he mate toto tōu pērā i te mate toto toto-mate, he mea nui kia pātai atu koe ki tō tākuta he aha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te pangia e te parvovirus B19. Hei tauira, ko ngā mea ngāwari pēnei i te noho tawhiti atu i ngā wāhi kīngi me te horoi pinepine i ō ringaringa ka taea te whakarato i ētahi tiaki.

He aha ngā mea ka puta i muri i tēnei āhuatanga? (Te matapae)

Ko te matapae te putanga e tumanakohia ana mō tō āhua. Ko te hunga e pāngia ana e te mate pukupuku kiri ka ora ake i roto i ngā rā 10 ki te 14 i muri i te tīmatanga o te maimoatanga. Heoi, tera pea ētahi tāngata ka pāngia e te mate pukupuku kiri. Nō reira, he mea nui kia aro ki ngā tohu me te whai i ngā tohutohu a tō tākuta.

Me pēhea taku tiaki i ahau anō? / Me pēhea taku tiaki i taku tamaiti?

Ko te raruraru aplastic tētahi o ngā raruraru maha ka puta mai i ngā mate toto pērā i te anemia pūtau mariao . Kāore pea e taea e koe te ārai i te parvovirus B19, engari he mea ka taea e koe te mahi hei pupuri i tō hauora whānui:

• Me tirotiro auau: Mā te noho tahi me tō tākuta tiaki tuatahi, ka taea e koe te tautuhi i ngā raruraru hauora nui i mua i te puta mai.
• Whakaitihia tō tūponotanga ki te pangia: Kōrero ki tō tākuta mō ngā huarahi hei tiaki i a koe mai i ngā mate urutā pēnei i te rewharewha me te makariri noa.
• Kai i tētahi kai hauora: Kai i tētahi kai taurite, ā, inuhia kia 8-10 karāhe wai i te rā.
• Korikori Tinana: Mā te korikori tinana auau ka pai ake tō wairua me tō hauora. Engari, kia ata haere, okioki ina ngenge koe, ā, kia mahara ki te inu nui i te wai.

Ka āwhina ēnei mea ki te pupuri i te pūnaha ārai mate o tō tinana, ā, ka āwhina hoki i a koe kia noho hauora whānui.

Āhea ahau me toro atu ki te tākuta?

He āhuatanga ohorere hauora te raruraru aplastic.

Mena kei a koe, kei tāu tamaiti rānei tētahi mate toto pērā i te mate toto toto-mate , ā, ka pāngia koe e ngā huringa ohorere o tō hauora, pērā i te ngoikore, te tino ngenge rānei , me toro atu koe ki tō tākuta tonu, me te kore e whakaroa. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake.

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

Mena kei a koe, kei tāu tamaiti rānei tētahi raruraru ā-pūnaha, ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• Āhea ahau/taku tamaiti ka ora ake?
• He aha ngā tūponotanga ka pā mai anō tēnei āhuatanga ohorere ki ahau/ki taku tamaiti?
• He aha ētahi mea me tino tupato ahau i a au e noho ana me tēnei mate?

He mea tino nui kia pātaihia ēnei pātai, kia whakamāramahia ai ō feaa.

He rite tonu te aplastic crisis me te aplastic anemia ?

Āe, ahakoa e pā ana ēnei āhuatanga e rua ki te hekenga o te maha o ngā toto toto whero, he rerekētanga kei waenganui i ngā mea e rua.

Ko te raruraru aplastic he hekenga ohorere, he hekenga ohorere o te maha o ngā pūtau toto whero.

Ko te anemia aplastic he āhuatanga e puta haere ana i roto i te wā. I roto i tēnei, ehara i te mea ko ngā toto whero anake engari ko ētahi atu momo toto (ngā toto mā, ngā pereti toto) ka heke pea.

Ki te kī māmā noa, he raruraru wā poto, he raruraru nui te Aplastic Crisis. He raruraru roa te Aplastic Anemia , he raruraru motuhake ki te hinu wheua.

Hei whakamutunga, he karere hei kawe ki te kāinga

Āe, ko tāku tumanako kua mārama ake koe ki tā tātou i kōrero ai i tēnei rā, arā, te Aplastic Crisis. He raruraru nui tēnei ka pā ki te hunga whai mate toto pēnei i te Sickle Cell Anemia . Ko te mea ka tupu, ka mutu ohorere te hanga toto whero o tō wheua wheua, o tō tamaiti rānei, ka puta he anemia kino ka mate pea.

He wheako whakamataku pea ngā mate urutā āplastic nā te mea ka puta ohorere mai ngā tohu, ā, ka kaha rawa atu. Waimarie, ka taea e ngā tākuta te rongoā mā te whakawhiti toto me te rongoā.

Mena kei a koe, kei tāu tamaiti rānei tētahi mate toto e whakararu ana i a koe, i tāu tamaiti rānei ki te whakawhanake i tētahi raruraru toto āplastic, pātai atu ki tāu tākuta he aha ngā tohu e tohu ana i tētahi raruraru. Kāore pea e taea e koe te ārai i tētahi raruraru toto āplastic, engari ka mōhio koe ki te aha me mahi mēnā ka puta. Ko taua mōhiotanga te mea nui rawa atu.

` Te Mate Pākirikiri, Ngā Pūtau Toto Whero, Te Huka Wheua, Te Korekore o te Tinana, Te Parvovirus B19, Te Korekore o te Tinana