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.
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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.
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