Kei te puta noa ngā ira kikorangi puta noa i tō tinana? He roa rānei te toto e toto ana, kāore e mutu ahakoa he patunga iti? Tērā pea kei te ngenge tonu koe, kei te kore ora, ā, kei te ngenge rawa ki te mahi i tetahi mea? Kei muri i ēnei mea, tera pea he raruraru kei te rere o te toto i roto i tō tātou tinana, arā, he mate toto. Kaua e mataku ina rongo koe i tēnei ingoa. Ka taea e koe te whakahaere i te nuinga o ēnei mea, ā, ka ora pai koe. I tēnei rā, ka kōrerohia e tātou ngā mea katoa me te tino māmā, i roto i te huarahi e mārama ai koe.
Tuatahi, me titiro tātou ki ngā mahi a te 'toto' i roto i ō tātou tinana.
He whakarāpopototanga, ko te toto te wai e ora ai ō tātou tinana. E toru ngā wāhanga matua, pērā i te tokotoru o ngā tāngata i roto i te tīma kotahi e mahi ana i ngā mahi motuhake.
- Ngā Pūtau Toto Whero: Koinei ngā 'ratonga tuku' o tō tātou tinana. Ka haria e rātou te hāora e uru ana ki ngā pukahukahu ina manawa tātou ki ngā kokonga katoa o te tinana. Ka haria hoki e rātou te hauhā waro kāore e hiahiatia e kohia ana i roto i te tinana ki ngā pukahukahu kia tukuna atu.
- Ngā Pūtau Toto Mā: Koinei te 'ope tiaki' o tō tātou tinana. Ko tā rātou mahi matua he tiaki i a tātou mai i te mate mā te whawhai ki ngā iroriki, ngā huakita, me ngā huaketo e puta ai te mate mai i waho.
- Ngā Peretā: Koinei ngā 'tāngata whakaora patunga'. Ina pāngia tātou e te motu, e te whara rānei i tētahi wāhi o tō tātou tinana, ka āwhina ēnei peretā ki te hanga i ngā toto totoka hei aukati i te toto. He rite ki te tāpiri i tētahi pātaki ki tētahi paipa pakaru.
Ko te mate toto he āhuatanga e kore ai e mahi tika ngā toto whero, ngā toto mā, ngā pereti toto rānei. Ka taea e ēnei mate te mate pukupuku, te mate kore-mate pukupuku rānei. I roto i tēnei tuhinga, ka kōrerohia e tātou ngā mate toto kore-mate pukupuku. Ko ētahi mate toto he mea tuku iho, ko ētahi ka puta i muri mai hei hua o tētahi atu āhuatanga hauora.
He aha ngā mea ka pā ki te tinana me ngā mate toto?
Ko te tikanga, e rua ngā huarahi matua e pā ai ngā mate toto ehara i te matepukupuku ki te tinana.
1. Te toto toto nui rawa: I roto i ētahi mate, ka tīmata te toto toto ki te toto i roto i ngā uaua. He mea morearea tēnei, nā te mea ka taea e ēnei toto toto te noho ki roto, ka puta ai ngā āhuatanga kino pēnei i te mate manawa me te whiu.
2. Kāore te toto e totoka tika (he toto nui rawa): I ētahi atu mate, kāore te toto e totoka tika ina whara. Nō reira, ahakoa he patunga iti noa iho, ka nui te toto e puta.
Nā, kia tirohia ngā mate noa e pā ana ki ia momo.
Ngā Mate Pupuhi Toto
I roto i ēnei āhuatanga, ka piri te toto i roto i ngā uaua ahakoa kāore e hiahiatia. E kiia ana tēnei e te rongoā ko te "āhua totoka nui" ko te "Thrombophilia" rānei.
Whakatūpato: Ki te pāngia koe e te pupuhi ohorere, te whero, me te mamae i tētahi o ō waewae (tērā pea he tohu tēnei o te toto totoka i roto i te uaua - 'Deep Vein Thrombosis`) te mamae ohorere rānei o te uma me te uaua ki te manawa (tērā pea he toto totoka i roto i ngā pukahukahu - 'Pulmonary Embolism`), haere tonu ki te Tari Ohotata o te hōhipera (ETU). He āhuatanga ēnei e hiahia ana kia tere te aro atu ki te hauora.
Kei raro nei ētahi o ngā mate e kitea whānuitia ana.
| Ingoa Mate | Hei whakarāpopototanga... |
|---|---|
| Te whakarerekētanga ira prothrombin | He mate ira tēnei e tukuna mai ana i te whānautanga. Ka piki ake te mōrearea o te toto totoka i roto i ngā uaua o ngā waewae ('Deep Vein Thrombosis') me ngā pukahukahu ('Pulmonary Embolism'). |
| Te mate ārai-phospholipid | He mate onge tēnei nō te pūnaha ārai mate. Ka mahi tō tātou ake pūnaha ārai mate ki tō tātou ake tinana. Ka taea e tēnei te hanga i ngā toto totoka ki ngā wāhanga rerekē o te tinana. |
| Ngā ngoikoretanga o te Pūmua S me te Pūmua C | Ko te Pūmua S me te Pūmua C he pūmua tūturu i roto i ō tātou toto e whakahaere ana i te toto totoka. Ina iti noa iho ēnei, ka piki ake te toto totoka. |
| Te Whakapūngao I roto i te Ngākau i Horahia (DIC) | He tino onge engari he mate kino tēnei, ka puta whakarere mai ngā toto totoka puta noa i te tinana, ā, i taua wā anō, ka tīmata te toto e kore e taea te whakahaere. |
Ngā Mate Toto
I roto i ēnei āhuatanga, ka raru te tukanga toto totoka, ka nui ake te toto i te mea noa.
| Ingoa Mate | He aha te mea ka tupu ki tēnei? |
|---|---|
| Te mate a Von Willebrand | Koinei te mate toto whānau tino noa. Ka puta mai i te ngoikore, i te hapa rānei o te von Willebrand factor, he pūmua motuhake e āwhina ana i te toto kia totoka. |
| Hemophilia | He mate ira anō hoki tēnei. Nā te korenga o ētahi atu 'pūtake totoka' e hiahiatia ana mō te totoka. He momo hemophilia A, B, me C. |
| Te toto toto iti | Ko te tikanga o tēnei ka heke te maha o ngā pereti toto i roto i te toto. Koinei te mea ka tupu ina pāngia koe e te dengue. Ina heke ngā pereti toto, ka uaua ki te whakamutu i te toto. |
Ko te mate toto tino noa i roto i a tātou: Ko te mate toto iti
Ko te mate toto korekore, te 'kore toto' rānei e kīia nei e tātou, koinei te mate toto tino noa. Ka puta mai tēnei ina kore e ranea ngā toto whero hauora o te toto hei kawe i te hāora ki te tinana. He maha ngā take o te mate toto korekore.
Me pēhea te hanganga o te anemia?
Ngā mate toto iti kua riro mai
He maha ngā take e puta ake ai ēnei āhuatanga i muri i tō tātou whānautanga.
- Te mate toto iti-rino: Koinei te momo tino noa. He mea nui te rino mō te hanga hemoglobin, te pūmua i roto i ngā toto whero e kawe ana i te hāora. Ka puta tēnei āhuatanga ina kore e nui te rino i roto i te kai. He mea noa iho i roto i ngā wāhine hapu me ngā kōtiro taitamariki.
- Te Mate Kore Huka o te Huaora B12, te Mate Kore Huka rānei: He mea nui hoki ēnei huaora mō te hanga i ngā toto whero hauora. Ko te mate kore huka kino he mate pūnaha ārai mate e kore ai e taea e te tinana te mimiti i te huaora B12.
- Ārai toto āplastic: Koinei te wā ka mutu te hanga toto hou o te hinu wheua (whero, mā, me ngā pereti toto).
- Te mate toto hemolytic aunoa-pūnaha: I roto i tēnei āhuatanga, ka tīmata hē tā tātou ake pūnaha ārai mate ki te whakangaro i ō tātou ake toto whero.
Ngā mate toto iti tuku iho
He mate ēnei ka tukuna ki ngā tamariki mā roto i ngā ira mai i ngā mātua.
- Te mate toto toto toto: I tēnei āhuatanga, ka rerekē te āhua o ngā toto toto whero. Engari ko te āhua porowhita noa, ka huri hei āhua toto toto, ā, ka mau pea ki roto i ngā uaua toto.
- Thalassemia: He ingoa e rangona pinepinetia ana i Sri Lanka. Ko te mea ka tupu i roto i tēnei ko te hekenga o te hanga hemoglobin a te tinana. Ka iti haere ngā toto whero, ka puta te anemia. He iti, he nui hoki ngā take o tēnei.
Me pēhea taku mōhio mēnā he mate toto tōku? (Ngā tohu)
Ka rerekē ngā tohu o ngā mate toto i runga i te āhua o te mate. Me whakarōpū tātou i a rātou.
| Ngā tohu noa o ngā mate toto rerekē | |
|---|---|
| Ngā tohu noa o te anemia | |
| |
| Ngā tohu noa o ngā mate toto | |
| |
| Ngā tohu noa o ngā mate toto totoka | |
|
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina amuamu koe mō ngā tohu o runga ake nei, ka tirohia koe e tō tākuta, ka pātai mō ō tohu, ā, ka pātai atu mēnā kua pāngia tētahi o tō whānau e ēnei āhuatanga. Kātahi ka whakahaerehia e rātou ētahi whakamātautau toto hei whakatau tika i te mate.
Ko te tikanga he tatau toto katoa (CBC) hei whakatau i te maha o ngā toto whero, ngā toto ma, me ngā pereti toto i roto i tō toto.
- Whakamātautau toto whero: Ka tirohia ngā mea pēnei i te taumata o te hemoglobin me te maha o ngā toto whero. Mena he iti ēnei, ka whakaū he mate toto kore toto tōu.
- Te maha o ngā pūtau toto mā: He maha ngā momo pūtau toto mā (pērā i ngā 'Neutrophils', 'Lymphocytes', 'Eosinophils'). Mā te titiro ki ngā rahinga o ia momo, ka taea e koe te whakatau mēnā he mate pāwera tōu, he mate pāwera, he mate kino rānei.
- Te maha o ngā pereti toto: Ka tirohia te maha o ngā pereti toto. Mena he iti te maha, tera pea ka totohu. Mena he nui te maha, tera pea ka totohu.
I muri i ēnei whakamātautau tuatahi, ka tukuna pea koe mō ētahi atu whakamātautau motuhake (hei tauira, te whakamātautau i te toto totoka, te whakamātautau i te hinu wheua) mēnā e tika ana.
He aha ngā maimoatanga mō tēnei?
Ko te tikanga maimoatanga ka whakawhirinaki ki te mate toto kei a koe me tōna kaha.
- Te tatari mataara: Mō ētahi mate toto iti, ki te kore he tohu nui, kāore pea tō tākuta e tohu rongoā, ā, ka aroturuki pea i tō āhua mā te whakahaere i ngā whakamātautau auau.
- Ngā rongoā:
- Papa rino, tirikara rānei mō te mate toto kore rino.
- Ngā huaora e pā ana ki te korenga o ngā huaora.
- Ka hoatu ngā rongoā ārai toto hei ārai i te totoka i roto i ngā mate e whakanui ake ana i te totoka.
- Mō ngā mate e nui ai te toto e puta ai, ka hoatu he rongoā hei āwhina i te toto kia totoka.
- Mō ngā mate e pā mai ana i ngā raruraru o te pūnaha ārai mate, ka hoatu ngā rongoā pēnei i te corticosteroids hei whakahaere i taua pūnaha.
- Te whakawhiti toto me ngā pereti toto: Mena he tino kino te mate toto, he nui rawa rānei te toto, ka hoatu te toto, ngā pereti toto rānei ki waho.
- Tāpiritanga ira tipu: Ka hoatu ngā werohanga hei whakaoho i te hinu wheua, hei āwhina hoki i a ia ki te whakaputa i ētahi atu pūtau toto.
Mā tō tākuta e whiriwhiri te maimoatanga e pai ana māu. Tērā pea he pānga taha o tētahi maimoatanga. Kaua e wehi ki te pātai atu ki tō tākuta mō ēnei.
Me pēhea te noho tahi me te mate toto? Me pēhea te whakaiti i te mōrearea?
Ehara te mate toto i te mutunga o te ora. Mēnā ka tika te whakahaere, ka taea e te nuinga o te tangata te noho noa.
- Kia pai te kai: Whakaurua ngā kai whai kiko i te rino (pērā i te pīnihi, te kāreti, te pīnihi, te mīti kau, me te pīni), te huaora B12, me te folate ki roto i tō kai. Kōrero ki tō tākuta, ki tētahi tohunga kai rānei mō tēnei.
- Kia mau ki te taumaha hauora: Whakakorikori tinana i ngā wā katoa.
- Tiakina koe i ngā mate urutā: Horoia ō ringaringa i ngā wā katoa, kia tino horoia. Tikina ngā werohanga e tika ana kia rite ki ngā tohutohu a tō tākuta.
- Kia tūpato ki ngā whara: Ki te mea he mate toto tōu, karohia ngā hākinakina ka hinga ai, ka maru ai hoki. Mauria he potae mēnā kei te eke pahikara koe. Mauria tonu he whitiki nohoanga ina eke waka koe.
- Whakamōhiotia tō whānau me ō hoa: Kōrerotia tō āhua ki a rātou. He mea nui kia mōhio rātou ki te mea hei mahi mēnā ka puta he āhuatanga ohorere.
- Whāia ngā tohutohu a te rata: Tangohia tō rongoā i te wā tika. Haere ki ngā wāhi rongoā i ngā rā kua whakaritea. Kaua e mutu te tango i tō rongoā me te kore e kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko ngā mate toto he raruraru ki te mahi a ō tātou toto whero, toto mā, toto pereti rānei.
- Ko ngā pānga matua e rua ko te toto totoka koretake, ko te toto rānei e kore e mutu.
- He mate toto tino noa te kore toto. Kaua e warewarehia ngā tohu pēnei i te ngenge tonu, te kiri mā, me te ngenge.
- Ki te puta he kikorangi i roto i tō tinana, kāore he take, ki te kore he patunga iti e mutu te toto, ki te pupuhi ohorere rānei tetahi waewae, me toro atu koe ki te tākuta.
- He maha ngā mate toto ka taea te whakahaere mā te maimoatanga me te whakahaere tika, ā, ka taea e koe te noho hauora, noho noa. Nō reira, kaua e mataku, me rapu tohutohu hauora tika.
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