Kua kite koe i tētahi, i ētahi rānei o ngā maru i tō tinana, ā, ka whakaaro koe, "Āe, nō hea tēnei i pā ai?" He mea noa te whiwhi i ētahi maru iti pēnei i ētahi wā. Engari, ki te mea kei te whiwhi koe i ngā maru puta noa i tō tinana, kāore he take, ki te toto ō kapia i a koe e parai ana i ō niho, ki te kore rānei e mutu te toto o tētahi karawarawa iti, he mea tēnei hei āwangawanga māu. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga e puta ai ngā tohu rite, engari he tokomaha te hunga kāore e mōhio ana. Ko te ITP tēnā.
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He aha te ITP?
Ko te ingoa katoa o te mate, e whakarapopototia ana ko ITP, ko Immune Thrombocytopenia. He mate toto tino onge tēnei.
Whakaarohia, he iti rawa ngā wāhanga pūtau e kiia nei ko ngā "Platelets" i roto i ō tātou toto. He rite rātou ki ngā hōia ririki i roto i ō tātou tinana. Mena he motu, he whara rānei kei tētahi wāhi, ko te mahi matua a ēnei platelets he tere ki reira, he piri tahi, he whakamutu i te toto.
Nā, koinei te mea ka pā ki te tangata whai ITP. Ko te pūnaha ārai mate, e tiaki ana i tō tātou tinana mai i te mate, ka pōrearea ohorere. Nā taua raruraru, ka hē te pūnaha ārai mate ki te tautuhi i ō tātou ake 'hōia' pai, arā, ngā pereti toto, hei hoariri mai i waho. Kātahi, nā taua tohu teka, ka tīmata te pūnaha ārai mate ki te whakangaro i ēnei pereti toto.
Ki te kī ngāwari, ko te ITP te wā e whakangaromia ai e tō tātou ake pūnaha ārai ō tātou ake pereti toto e totoka ana. Ka heke te maha o ngā pereti toto i roto i te toto ki raro i ngā taumata noa .
Ina heke te nui o ngā pereti toto, ka heke anō hoki tō rātou kaha ki te aukati i te toto. Koia te take ka tīmata ai koe ki te maru me te toto koretake.
He aha ngā momo matua o te ITP?
E toru ngā momo matua o te ITP, i runga i te roa o tōna roa. He mea tino nui kia mōhio koe ki tēnei.
| Momo ITP | Whakaahuatanga |
|---|---|
| ITP whakapeka (ITP wā poto) | E toru marama te roa o tēnei mate. He maha ngā wā ka pā mai tēnei ki ngā tamariki nohinohi (ina koa ko te hunga i waenga i te 2-5 tau te pakeke) i muri i te ora ake i te mate huaketo, pērā i te makariri, te rewharewha rānei. Heoi anō, he maha ngā wā ka ora tonu me te kore rongoā. |
| ITP pumau | Ka roa tēnei momo i waenga i te 3 me te 12 marama. |
| ITP mau tonu | Neke atu i te tau te roa o tēnei mate. Ka puta tēnei momo i roto i ngā pakeke. I ētahi wā ka puta anō hoki i roto i ngā tamariki nohinohi. Tērā pea me roa te maimoatanga. |
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Check Availability →He aha ngā tohu o te ITP?
Ka kitea noa ngā tohu ina tino iti te maha o ngā pereti toto. Tērā pea kāore ētahi tāngata e kite i tētahi tohu i te tīmatanga.
- Marumaru ohorere: Ka puta ohorere mai ngā marū kikorangi-papura ki te tinana, kāore he whara.
- Ngā ira whero i runga i te kiri: Ngā ira whero-papura (petechiae) he rite ki ngā wero iti, inā koa i ngā waewae o raro. He toto ēnei e turuturu ana mai i ngā uaua toto iti i raro i te kiri.
- Ngā ira nunui: I ētahi wā ka puta mai ngā ira nunui whero, papura, parauri rānei (Purpura).
- Te toto o ngā kapia: Ka toto pea ō kapia, i a koe e parai ana i ō niho, me te tū noa iho hoki.
- Te toto o te ihu: Kia tīmata te toto o te ihu, he uaua ki te whakamutu.
- Te toto i roto i te mimi, i te tūtae rānei: He tohu kino ake tēnei.
- Te toto nui o te paheketanga i roto i ngā wāhine: He toto nui te roa mō te paheketanga neke atu i te 7 ngā rā.
- Ngenge rerekē: Ka kitea te ngenge nui me te ngenge, kāore he take e kitea ana.
He aha ngā take o te ITP?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take o te ITP he raruraru kei roto i te pūnaha ārai mate. Heoi, ka taea te wehewehe i te ITP kia rua ngā momo, i runga i te take e puta ai tēnei raruraru.
1. ITP Tuatahi: I tēnei momo ITP, kāore he tino take o waho. Ka hē noa te pūnaha ārai mate.
2. ITP Tuarua: I tēnei wā, ka puta te ITP nā tētahi atu mate hauora, mate pāwera rānei. Hei tauira:
- Ngā mate urutā pēnei i te 'HIV' me te 'Hepatitis C' rānei.
- Ngā mate kitakita pērā i te 'H. pylori'.
- Ko ētahi atu mate pūnaha ārai mate pērā i te lupus.
- Ka taea hoki tēnei āhuatanga te puta mai i ētahi rongoā.
Te tātaritanga me te maimoatanga
Mena kei a koe ēnei tohu,Ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta me te tiki tohutohu. Kaua e wehi. Ka pātai atu te tākuta ki a koe mō tō hītori hauora, ā, ka tirotirohia tō tinana.
Kātahi ka tonoa ētahi whakamātautau hei tirotiro mēnā he take kē atu mō ēnei tohu.
- Te Tatau Toto Katoa (FBC/CBC): Koinei te mea e whakaatu ana i te iti o te tatau toto o tō pēreti toto.
- Te Whakamātautau Toto Āpiti: I roto i tēnei mahi, ka tangohia he pata toto ka tirohia i raro i te karuārai hei tirotiro i te āhua o ngā pereti toto.
- Ētahi atu whakamātautau: Tērā pea ka whakamātauria koe mō ngā mate pēnei i te HIV me te Hepatitis C.
Me pēhea te rongoā?
Kāore te katoa e pāngia ana e te ITP e tīmata tonu i te maimoatanga. Mā tō tākuta e whakatau mēnā ka tīmata te maimoatanga i runga i te maha o ō pereti toto, te kaha o ō tohu, me tō tūponotanga o te toto.
Mena e hiahiatia ana he maimoatanga, he maha ngā maimoatanga matua ka tukuna:
- Corticosteroids: Koinei te momo rongoā tuatahi ka hoatu. Ka mahi ēnei rongoā mā te whakahaere i te mahi a te pūnaha ārai mate me te aukati i te whakangaromanga o ngā pereti toto.
- Immunoglobulin Ā-roto-uaua (IVIG): He maimoatanga tēnei e hoatu ana mā roto i te uaua (pērā i te wai tote). Mena he toto nui, ka taea e ia te āwhina ki te whakanui wawe i te maha o ō pereti toto.
- Te Whakawhitinga Peretā: Mēnā ka puta he toto nui, he toto mōrearea ki te ora (hei tauira, he toto roro), ka hoatu ngā peretā mai i tētahi tangata hauora hei āhuatanga ohorere.
- Ētahi atu rongoā: Ki te kore e taea e te maimoatanga tuatahi te whakahaere i te mate, ka hoatu ngā rongoā hei whakanui ake i te hanga pereti toto (pēnei i te Eltrombopag, Romiplostim) me ētahi atu huarahi hei whakahaere i te pūnaha ārai mate (pēnei i te Rituximab).
- Te tango i te whēkau: Ko te whēkau te wāhi nui e pakaru ai ngā pereti toto i roto i te tinana. Mena kāore e taea te whakahaere i te mate mā te rongoā, ka tūtohu ngā tākuta kia tangohia te whēkau i roto i te pokanga mō ētahi tāngata.
Ngā mea hei whakaaroaro māu ina noho tahi ana me te ITP
He mate te ITP mau tonu ka roa pea te noho ki a koe. Nō reira, me tiaki e koe ngā mea iti hei tiaki i a koe mai i ngā aituā me te toto i a koe e noho ora ana.
Ko te mea nui, kaua e tango i ngā rongoā whakamamae mamae, i ētahi atu rongoā rānei me te kore kōrero ki tō tākuta. Ina koa ko ngā rongoā pēnei i te 'Aspirin' me te 'Ibuprofen' ka whakanui ake i te mōrearea o te toto.
- Kia tūpato: Āta karohia ngā hākinakina pā atu ki a koe pērā i te whutupōro me te whutupaoro. Ki te eke pahikara koe, kia mau koe i te potae.
- Whakamahia he paraihe niho ngohengohe: Ka āwhina tēnei ki te ārai i te whara o te kapia.
- Kia tūpato i te whakamahi i ngā mea koi: Whakaarohia kia rua ngā wā i mua i te whakamahi i ngā mea pēnei i ngā maripi me ngā kutikuti whao.
- Whakaitihia te ahotea: He mea tino nui kia whakangāwarihia tō hinengaro mā roto i ngā mahi pēnei i te yoga me te whakaaroaro.
Karere Tangohia ki te Kāinga
- Ko te ITP he āhuatanga e whakangaro ai tō ake pūnaha ārai mate i ngā pereti toto, e āwhina ana i te toto kia totoka.
- Ki te mea ka maru koe, kāore he take, he maha rānei ngā toto e puta mai ana i a koe, kaua e warewarehia , engari me toro atu ki te tākuta tonu.
- Ehara te ITP i te mate pukupuku, ā, ehara hoki i te mea hopuhopu.
- Ka taea e te nuinga o te tangata te whakahaere pai i tēnei āhuatanga mā te rongoā me te noho i te oranga noa. Mō ētahi, ina koa ko ngā tamariki, ka ea noa iho.
- Mena kei a koe te ITP, kaua e tango i tetahi rongoā (ina koa ko ngā rongoā whakamamae mamae) me te kore he tohutohu a tō tākuta.
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