Kua piki ake te maha o ngā eosinophils, he momo toto mā, i roto i tō tinana? Me kōrero tātou mō te Hypereosinophilic Syndrome!

Kei te whakaaro koe i ētahi wā kei te hē tetahi mea i roto i tō tinana, kei te raru tonu koe, engari kāore e taea e koe te tino mōhio he aha te take? Tērā ētahi mate he tino onge, he uaua hoki. I tēnei rā ka kōrero tātou mō tētahi o aua mate. I roto i tēnei, he nui rawa te pikinga o te maha o ngā eosinophils, he momo toto ma motuhake i roto i tō tātou tinana.

He aha te Mate Hypereosinophilic?

He whakarāpopototanga noa iho, ko te Hypereosinophilic Syndrome (HES) he mate onge e hua mai ana i te pikinga nui o te maha o ngā eosinophil , he momo toto ma i roto i tō tātou tinana. Tērā pea kei te whakaaro koe he aha ēnei eosinophil.

Whakaarohia he pā tūwatawata. He rerekē ngā momo hōia hei tiaki i tēnei pā tūwatawata. Waihoki, he rerekē ngā momo toto mā i roto i ō tātou toto e whawhai ana ki ngā iroriki me te tiaki i a tātou mai i ngā mate. Ko ngā eosinophil tētahi o aua hōia motuhake. Ko tā rātou mahi matua he whawhai ki ngā pirinoa e uru mai ana ki roto i ō tātou tinana, me te aro atu ki ngā mate pāwera.

I te nuinga o te wā, e 5% ki te 7% o te katoa o ngā toto ma i roto i te toto o te tangata hauora he eosinophils. Ko te tikanga kei waenganui i te 100 me te 500 eosinophils i ia microrita o te toto. Heoi, ki te pāngia koe e te mate pāwera, ka piki ake pea ēnei eosinophils. Ka kiia tēnei āhuatanga ko te eosinophilia .

Heoi, i roto i te mate hypereosinophilic (HES), ka kaha ake te kino o tēnei āhuatanga e kiia nei ko te eosinophilia, ā, ka nui haere te tere o te whakaputanga o ngā eosinophil, ka nui haere te kohikohinga o ēnei pūtau i roto i te toto me ngā momo kiko o te tinana. Ina piki ake ngā eosinophil i tēnei ara, ka tīmata ēnei pūtau ki te kino i ngā whekau nui pēnei i tō tātou ngākau, ngā pukahukahu, te kiri, me te pūnaha io. Ki te kore e rongoatia tika, ka taea e tēnei āhuatanga te whakararu i te ora. Engari ko te rongo pai , ki te kitea wawetia te mate, ā, ka tīmatahia te maimoatanga tika, neke atu i te 80% o te hunga whai HES ka ora pai ahakoa e rima tau i muri i te tautuhi.

Ko wai ka pāngia e te mate hypereosinophilic (HES)?

He tino onge tēnei āhuatanga e kiia nei ko te HES. Nō reira, he uaua ki ngā tākuta te kī tika i te tokomaha o ngā tāngata kua pāngia e tēnei mate. Ahakoa ka taea e te tangata te pāngia e tēnei mate, ko te nuinga o te wā ka pāngia e te hunga i waenga i te 20 me te 50 tau te pakeke .

He aha te take o te mate hypereosinophilic (HES)?

Ina hoki, i te nuinga o ngā wā o te HES, kāore anō kia kitea e ngā kairangahau te take o tēnei pikinga ohorere o te maha o ngā eosinophil. Heoi, kua tautuhia e rātou ētahi āhuatanga, ētahi āhuatanga rānei ka whai wāhi ki tēnei:

• Ngā mate myeloproliferative: He rōpū mate ēnei e tohuhia ana e te nui rawa o ngā pūtau toto i roto i te hinu wheua. He rite tonu ki te kaha rawa o te mahi a te hinu wheua.
• Te nui haere o te Interleukin-5: He pūmua tēnei e hangaia ana e ō tātou toto mā. Ina piki ake tēnei, ka whakaohokia te hanga o ngā eosinophil.
• He āhuatanga ira rerekē e tere ake ai te tipu o te pūtau: I ētahi wā, ka taea e ēnei pūtau te tipu kāore e taea te whakahaere nā ngā huringa o ngā ira.

He aha ngā tohu o te HES?

Ko te tohu tino kitea o te HES he ponana kiri, he whewhe rānei. Ko ētahi atu tohu e whakawhirinaki ana ki te wāhi o te tinana e piki ake ana ngā taumata eosinophil.

Whakaarohia pēnei:

• Mena ka pāngia te ngākau: Tērā pea ka pāngia koe e ngā tohu pēnei i te Congestive Heart Failure (he āhua rite ki te ngoikore o te ngākau), Cardiomyopathy (te ngoikore o te uaua o te ngākau), Myocarditis (te mumura o te uaua o te ngākau), Pericardial Effusion rānei (te kohi wai huri noa i te ngākau).
• Mena ka pāngia ngā pukahukahu: Tērā pea ka pāngia koe e ngā mate urutā o te manawa o runga, pērā i te makariri me te rewharewha, te mare, me te uaua ki te manawa.

Hei tāpiritanga, ka kitea pea ngā tohu noa pēnei i te ngenge, te kirika, te mamae o te tinana, me te hekenga taumaha .

Me pēhea te tautuhi a ngā tākuta i te mate hypereosinophilic (HES)?

He mahi uaua te tātaritanga o te HES. He tikanga whakakore te whakamahi a ngā tākuta, arā, kia kore ai he mate kē atu e puta ai.

Hei tauira, ki te mea he mau tonu te mākūkū o te kiri, ka tirohia tuatahitia pea e tō tākuta ētahi āhuatanga kiri, ā, ka tohua he maimoatanga mō aua āhuatanga.

Mena ka mau tonu ō tohu i muri i ēnei maimoatanga, ka whakahaerehia pea e tō tākuta he whakamātautau toto hei tirotiro i ngā taumata eosinophil teitei i roto i tō toto. Mena te āhua nei he hononga ō tohu ki tētahi raruraru ate, ā, i muri i te whakakorenga i ētahi atu take, ka whakahaerehia pea e tō tākuta he whakamātautau toto mō te mahi ate . I ētahi wā, ka hiahiatia he koiora (te tango i tētahi wahi kiko) hei whakaū i te tautuhi i te HES.

Nā te mea he roa te wā e kitea ai tēnei mate, tera pea ka pāngia koe e te mate mō ngā marama, ka ngenge rawa, ā, kāore e taea te mārama he aha te āhua. Engari he mea nui kia manawanui.

Me pēhea te rongoā a ngā tākuta i te mate hypereosinophilic (HES)?

Ko te whāinga matua a ngā tākuta he whakaiti i ngā taumata tiketike o ngā eosinophil i roto i ō toto me ō kiko. Ko ngā maimoatanga e whakamahia whānuitia ana hei whakatutuki i tēnei ko:

• Corticosteroids: He rongoā ārai-mumura kaha ēnei.
• Ngā rongoā chemotherapy: Ngā rongoā e hoatu ana hei patu i ngā pūtau matepukupuku. Ka whakamahia hoki ēnei i roto i ngā horopeta iti hei whakahaere i ngā pūtau eosinophil.

Hei tāpiritanga, ka whakamahia ētahi wā ngā maimoatanga kua arotahihia pērā i te Imatinib me ngā maimoatanga paturopi monoclonal .

Ka taea te ārai i te mate hypereosinophilic (HES)?

Engari, nā te mea kāore i te mōhiotia te tino pūtake o te nuinga o ngā mate HES, he uaua ki te kī i tētahi mea motuhake me pēhea te ārai.

Mena kei a au te mate hypereosinophilic (HES), he aha taku e tumanako ai? (Te ahunga whakamua o te mate)

Ko te ahunga whakamua o tō mate, te "matapae" rānei, e whakawhirinaki ana ki tō āhua motuhake. Hei tauira, mēnā i puta tō HES i tētahi mea motuhake, pērā i te mate wheua, ka tohua pea e tō tākuta he maimoatanga e aro ana ki taua mate.

Heoi, ki te kore e taea e tō tākuta te tautuhi i te pūtake o tō mate HES, ka arotahi te maimoatanga ki te whakahaere i ō tohu. Hei tauira, ki te pāngia ō pukahukahu e te HES, ā, ka pāngia koe e ngā mate maha, ka ngana te maimoatanga ki te whakahaere i aua mate.

I te nuinga o te wā, ko te wawe o te tautuhi me te rongoā i te HES, ko te iti ake o te tūponotanga ka pāngia e ngā raruraru mō te wā roa.

Me pēhea taku tiaki i tōku hauora?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te tikanga ka rongoāhia e ngā tākuta te HES mā te whakamahi i ngā corticosteroids me te chemotherapy. Tērā pea ka pāngia ēnei maimoatanga e rua e ngā pānga taha . Nō reira, kōrero ki tō tākuta mō ēnei pānga taha me ngā mea ka taea e koe te mahi hei whakaiti i ōna pānga.

• Tangohia ō rongoā i te wā tika.
• Whāia ngā tohutohu a te tākuta.
• Kai i te kai taurite.
• Ngāna kia okioki i te wā e taea ana.
• Kia kaha tonu te hinengaro.

Āhea ahau me toro atu ki taku tākuta?

Mena kua tāpaetia koe kei te pāngia koe e te HES, ā, ka mau tonu, ka kino rānei ō tohu, me toro atu ki tō tākuta tonu. Me whakarite hoki kia tae atu koe ki ō wā whakarite ki te whare hauora.

Āhea ahau me haere ki te Rūma Ohotata?

E mōhio ana tātou ka pāngia ngā whekau maha e te mate e kiia nei ko te hypereosinophilic syndrome (HES), tae atu ki te ngākau. Nō reira, ki te pāngia tō ngākau e te HES, ā, ka pāngia koe e ngā tohu pēnei i te mamae ohorere o te uma, te kikī o te uma, te whakapairuaki, me te werawera , me haere tonu koe ki te rūma whawhati tata. He tohu pea ēnei mō te mate ngākau.

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

Nā te mea he mate onge te HES, tera pea he maha āu pātai mōna. Anei ētahi pātai ka taea e koe te pātai hei tīmatanga:

• E te tākuta, he aha rawa tēnei mate Hypereosinophilic?
• He aha i pā ai tēnei ki ahau?
• Ka taea tēnei te rongoā?
• He aha ngā maimoatanga e wātea ana?
• He aha ngā pānga taha o te maimoatanga?
• Tērā pea ka hoki mai anō tēnei āhuatanga HES?
• Ka taea e au te ora katoa?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate onge te mate hypereosinophilic (HES), ā, he uaua ki te tautuhi i ētahi wā. Mēnā he HES tōu, kua roa pea koe e mate ana, e pāngia ana e ngā momo mate, ā, kāore koe i te pai te āhua.

Engari ko te rongo pai, ina kitea tō mate HES, kei reira ngā maimoatanga whai hua e wātea ana. Tērā pea ka roa pea ētahi marama ka puta ngā hua o tō maimoatanga, nō reira kia manawanui. Waihoki, ki te mea kei te raru koe ki te aro atu ki ngā wero o tētahi mate roa, kōrero ki tō tākuta. Ka taea e rātou te kōrero ki a koe mō ngā kaupapa me ngā rauemi hei āwhina i a koe. Kia maumahara, ehara i te mea ko koe anake!

` Te Mate Hypereosinophilic, HES, Ngā Eosinophil, Eosinophilia, Ngā Pūtau Toto Mā, Eosinophil, Eosinophilia, Ngā Tohu, Te Maimoatanga