I tō kitenga i tētahi pūrongo whakamātautau toto i ngā wā tata nei, i kīia i roto he nui te maha o ngā toto whero i roto i tō toto? He mea noa te mataku me te mataku ina kite koe i tētahi mea pēnei. Tērā pea ka whakaaro koe, "He aha tēnei? He mate kino tōku?" Kaua e manukanuka. I tēnei rā, ka kōrerohia e tātou tēnei mea, pērā i tāu e kōrero ai ki tētahi hoa.
He aha te tikanga o tēnei pikinga o ngā pūtau toto whero?
I te whakarapopototanga, ko te tikanga o tēnei he nui ake te maha o ngā toto whero (RBC) i roto i tō toto i te mea noa. E toru ngā wāhanga matua o roto i ō tātou toto: ngā toto whero, ngā toto mā, me ngā pereti toto. Ko te mahi matua a ngā toto whero ko te kawe i te hāora mai i ngā pukahukahu ki te toenga o te tinana.
Whakaarohia he rite ki ngā motuka i runga i te rori. Ina nui ngā motuka, ka rere pai ngā waka, kāore he raruraru. Waihoki, ina nui ngā toto whero, ka haere te hāora puta noa i te tinana. Engari ina nui rawa te pikinga o ngā toto whero, pērā i te kī tonu o te rori i ngā motuka, i ngā waka, ka matotoru ō tātou toto. Ka kiia tēnei ko te "Erythrocytosis" i roto i ngā kupu hauora. Ina matotoru te toto, ka piki ake te mōrearea o te toto totoka. He tohu anō hoki tēnei mō tētahi raruraru hauora kei raro.
E hia ngā toto whero e kiia ana he 'tiketike'?
Ka inehia e ngā tākuta te maha o ngā toto whero hei mārama ki tō hauora me te tautuhi i ngā mate. I te nuinga o te wā, ka rerekē pea ēnei uara i runga i te taiwhanga e whakahaere ana i te whakamātautau. Engari i te nuinga o te wā, ko ngā uara noa e whai ake nei.
| Tangata | Rahi noa o ngā pūtau whero (mō ia maikirīta toto) |
|---|---|
| Ngā tāne | 4.7 ki te 6.1 miriona |
| Ngā uwha | 4.2 ki te 5.4 miriona |
| Tamariki | 4.0 ki te 5.5 miriona |
He maha ngā wā ka kitea he nui ngā toto whero i roto i te toto ina mahia he whakamātautau toto mō tētahi atu raruraru hauora. Mēnā ka puta tēnei, ka tūtohu tō tākuta i ētahi atu whakamātautau hei kimi i te pūtake.
He aha ngā tohu o te pikinga o ngā toto toto whero?
Ahakoa te nui o ngā toto toto whero, kāore pea ētahi e pāngia e ngā tohu. Heoi, ka pāngia pea ētahi e ēnei tohu:
| Tohu | Whakaahuatanga |
|---|---|
| Ngenge/ngoikore | Te ngenge nui, kāore he take. |
| Te uaua ki te manawa | Te poto o te manawa ahakoa he iti noa te whakapau kaha. |
| Te ānini me te tirohanga pōuri | Te ānini pinepine me te tirohanga pōuri. |
| Mamae hononga | Mamae hononga. |
| Kiri mākūkū | Te kiri mākūkū, ina koa i muri i te kaukau i te wai wera. |
| Ngā raruraru moe | Te kore moe, te nui haere rānei o te ngongoro. |
He aha i piki ake ai te maha o ngā toto toto whero? He aha ngā take?
He maha ngā take e puta ai te nui o ngā toto toto whero. Ehara i te mea he tohu tonu tēnei mō tētahi mate kino. Tērā pea ka puta mai i ētahi āhuatanga o tō tātou āhua noho. Me titiro tātou ki ngā tino take.
Nā ngā āhuatanga hauora
- Te ngoikore o te ngākau: Ina ngoikore te ngākau, kāore e taea e ia te pupuhi i te hāora e tika ana ki te tinana. Hei whakakapi, ka tīmata te tinana ki te hanga i ngā toto whero.
- Mate Manawa Whānau: Nā ētahi hapa o te manawa e kitea ana i te whānautanga.
- Polycythemia Vera: He momo matepukupuku toto onge tēnei e puta ai ngā toto whero i roto i te hinu wheua, ā, kāore e taea te whakahaere.
- Ngā pukupuku whatukuhu: Nā te nui rawa o te homoni (Erythropoietin) e whakaoho ana i te hanga o ngā toto whero e ngā whatukuhu.
- Ngā mate pūkahukahu: Ka whakaitihia e ngā mate pēnei i te 'COPD' me te 'Emphysema' te nui o te hāora e whiwhihia ana e te tinana. Hei whakakapi i tēnei, ka nui ake ngā pūtau toto whero e hangaia ana e te tinana.
- Te korenga o te hāora i roto i te toto: He āhuatanga e iti ai te taumata o te hāora i roto i te toto.
- Te Apnea Moe: He āhuatanga e mutu pinepine ai te manawa i te wā e moe ana. Ka whakaitihia hoki e tēnei ngā taumata hāora i roto i te tinana, ka whakanuia hoki te hanga toto whero.
Te pānga o tō tātou āhua noho
- Te Auahi Momi: Ka herea te hauota waro i roto i te auahi hikareti ki te hemoglobin, te pūmua kawe hāora i roto i te toto. Ka whakaitihia e tēnei te kaha o te toto ki te here ki te hāora. Ka whakatikatika te tinana mā te whakaputa i ētahi atu pūtau toto whero.
- Te noho i ngā teitei: Whakaarohia kei te neke koe mai i Colombo ki Nuwara Eliya. He iti te kukū hāora i te āhuarangi i ngā teitei. Hei urutau ki tēnei, ka whakanuia e tō tinana tana hanga toto whero.
- Te whakamahinga o ngā rongoā whakarei ake i te mahi: Ka whakamahia e ētahi kaitākaro ngā steroids anabolic, te erythropoietin rānei, ka taea te whakanui ake i te hanga toto whero.
Ka taea e te ahotea te whakapiki i ngā toto whero?
Āe. Kua kitea e te rangahau he hononga i waenga i te ahotea me ngā pūtau toto. Ka taea e te ahotea nui te whakanui ake i te maha o ngā pūtau toto whero, ngā neutrophils, he momo pūtau toto ma, me ngā platelets.
Me pēhea te rongoā mō te pikinga o te maha o ngā toto toto whero?
Ko te mea nui ko te maimoatanga e whakawhirinaki ana ki te pūtake o te nui o ngā toto toto whero. He mea nui ake te kimi i te pūtake me te rongoā i te whakaiti noa i te maha o ngā toto toto whero.
Hei tauira, mēnā he mate tōu e kīia nei ko te 'Polycythemia Vera', ka tohua pea e tō tākuta he rongoā pēnei i te '(Hydroxyurea)' hei whakahaere i te hanga toto whero. I ētahi wā, ka whakamahia he maimoatanga e kīia nei ko te 'Therapeutic Phlebotomy'. Ko te tikanga o tēnei ko te tango i tētahi toto iti mai i tō tinana i ngā wā auau, he rite ki te koha toto, hei whakahaere i te maha o ngā toto whero.
Nō reira, ki te nui te maha o ngā toto whero i roto i tō tinana, me toro atu koe ki tō tākuta, me kōrero ki a ia mō tēnei. Māna e kimi te tino take, ā, māna anō hoki e whakatau te maimoatanga e hiahiatia ana e koe.
He aha tā tātou e taea ai te aukati i te tipu haere o ngā pūtau toto whero?
Ahakoa kāore e taea te ārai i tēnei i ngā wā katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea:
- Inumia he nui te wai: Ko te inu i te iti rawa o te 8-10 karāhe wai i te rā ka āwhina i te whakaiti i te toto totoka.
- Whakaitihia ngā mea pēnei i te kawhe me ngā inu huka: He rongoā whakaheke toto ēnei e ngaro ai te wai i te tinana, ā, ka whakapiki ake i te matotoru o te toto.
- Āta karohia te momi hikareti: Koinei tētahi o ngā mea pai rawa atu ka taea e koe te mahi.
- Whakakorikori Tinana: He tino pai te whakakorikori tinana auau mō te ngakau me te rere o te toto.
- Kaua e tango pire rino ki te kore e hiahiatia: Kaua e tango pire rino ki te kore e tūtohutia e tō tākuta, he matūkai nui hoki te rino mō te hanga toto whero.
- Mena he mate moe tōu: Whakamahia ngā taputapu pēnei i te `CPAP` kia rite ki ngā tohutohu a tō tākuta.
- Mena he mate manawa tōu: Whāia te mahere maimoatanga kua hoatu e tō tākuta ki a koe.
Karere Tangohia ki te Kāinga
- Kaua e mataku mēnā ka kite koe i te nui o te tatau o ngā toto whero (RBC) i roto i tō pūrongo toto. Kaua hoki e warewaretia.
- Ko te pikinga ake o ngā pūtau toto whero ko te tikanga ka matotoru te toto, ā, ka piki ake te mōrearea o te pupuhi toto.
- Tērā pea nā ngā āhuatanga o te noho pērā i te momi hikareti me te noho i ngā teitei, tae atu ki te mate manawa, te mate pūkahukahu, ētahi mate pukupuku rānei.
- Ko te mea nui ko te toro atu ki te tākuta i taua wā tonu , kia kitea ai te tino take.
- Ka whakawhirinaki te maimoatanga ki te pūtake o te mate. Mā te pupuri i tētahi momo noho hauora ka taea te whakaiti i te mōrearea.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te 'Tau Toto Whero Teitei / Polycythemia'?
I te nuinga o te wā, me whai toto whero ō tātou toto hei kawe i te hāora. Engari i roto i tēnei mate, nā tētahi raruraru nui i roto i te tinana/wheua, ka piki ake te maha o ngā toto whero mā te tekau mano (Teitei o ngā toto whero/Hematocrit), he āhuatanga whakamate tēnei e 'matotoru/mātotoru ai te toto pērā i te honi' (Hyperviscosity) hei utu mō te wai. Ka puta he toto totoka, ā, ka pāngia te tūroro e te mate manawa/te whiu i ngā wā katoa ka mate!
💬 He aha ngā tino take o te matotoru o te toto me te pikinga o ngā toto whero (Polycythemia)?
E rua ngā take matua mō tēnei: 1) Polycythemia Tuarua - Ka puta tēnei nā te mea he nui tō kaipaipa, he mate manawa/mate pūkahukahu (COPD), he mate moe pōrearea rānei! Kātahi ka mataku te roro nā te mea kei te hiakai te tinana mō te hāora, ā, ka kī atu ki ngā whatukuhu kia hanga he pūtau hou (tukunga EPO). 2) Polycythemia Vera (PV) - He 'mate pukupuku toto/mate wheua wheua' tēnei! Mō te kore take, ka tukuna e te wheua wheua ngā tekau mano o ngā pūtau toto whero ki roto i te toto.
💬 He aha ngā tohu kino o te nui o ngā toto whero i roto i te toto? Āhea koe me toro atu ki te tākuta?
Ko ngā tohu nui rawa atu ko te ānini e kore e taea te manawanui (nā te toto toto tiketike), te tirohanga pōuri, me te mākūkū o te tinana katoa i muri i te kaukau/wai wera! Waihoki, he whero tonu te mata (Plethora). Heoi, ki te 1) kei te pupuhi/kei te uma, 2) kāore e taea e koe te manawa, 3) ka ngoikore te ringa, te waewae rānei, ā, ka ngaro tō māramatanga (ngā tohu whiu), me haere tonu koe ki te hōhipera nā te mea tera pea ka piri te toto toto (Blood clots/Thrombosis)!
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