Kua rahi ake ō toto whero? (Macrocytosis) - Kia mōhio tātou ki tēnei!

Kua tirohia e koe tētahi pūrongo whakamātautau toto , ā, kua kite koe he nui ake ō toto whero i te mea noa (ngā toto whero kua whakanuia)? Kua kōrerotia rānei e tō tākuta ki a koe tētahi āhuatanga e kiia nei ko te "Macrocytosis"? He ahua whakamataku pea tēnei, engari kaua e manukanuka. Ehara te Macrocytosis i te mate, he huringa noa iho i roto i ngā toto whero.

He aha te Macrocytosis?

Ki te whakarapopoto, ko te tikanga o te Macrocytosis he nui ake ō toto whero i te mea noa. Kāore tēnei e kiia he mate, engari he tohu pea kei te hē tetahi mea o tō tātou tinana. Ka mōhiotia tēnei ina he tatau toto katoa (CBC)/Full Blood Count ( FBC ). I te nuinga o te wā, ka mahia e ngā tākuta tēnei whakamātautau 'CBC' hei tirotiro i te mahi a ngā pūtau o tō tātou tinana, me te hauora hoki o aua pūtau.

Kei te pūrongo `CBC` te uara e kiia nei ko `MCV (Mean Corpuscular Volume)`. He ine tēnei mō te rahi toharite o ō toto whero. Mena he nui ake te uara `MCV` o te pakeke i te 100 femtoliters (`100 fL`), ka kiia taua āhuatanga ko Macrocytosis.

I te nuinga o te wā, ehara tēnei i te raruraru nui. Heoi, i ētahi wā, kāore pea ēnei toto toto whero kua nui haere e whiwhi i ngā matūkai e hiahiatia ana e rātou. Kātahi, kāore e taea e aua pūtau te mahi i tā rātou mahi matua, arā, te kawe i te hāora puta noa i te tinana. Ka kiia tēnei āhuatanga ko te 'Macrocytic Anemia' . Ki te kore e rongoatia tika te 'Macrocytic Anemia', ka arahi pea ki ngā raruraru hauora nui.

He pēhea te noa o tēnei āhuatanga?

I te nuinga o te wā, e 2% ki te 4% o te taupori o te ao he Macrocytosis. Ko te nuinga o ēnei tāngata, tata ki te 60%, he Macrocytosis me te anemia.

Heoi, ko te macrocytosis kāore he anemia he mea noa ake i waenga i ngā tamariki nohinohi me ngā kaumātua.

He aha ngā tohu o te Macrocytosis?

I te nuinga o te wā, ko te tohu anake o te macrocytosis ko te MCV teitei ake i runga i te pūrongo CBC. Ko te tikanga o tēnei he nui ake ō toto whero. Mena ka puta ngā tohu, he hononga ki te take matua o te nui haere o ngā toto whero.

Hei tauira, ki te mea he 'Macrocytic Anemia' tōu, ka pāngia pea koe e ngā tohu pēnei i te ngoikore , te ngenge, me te kiri mā , he tohu noa ēnei o te anemia. Waihoki, ki te mea he kore kai te take, ka pāngia pea koe e ngā tohu pēnei i te korere, te ngaronga o te mahara, me te ngaronga o te taurite .

Arā, nā te mea he maha ngā take o te macrocytosis, ka rerekē anō hoki ngā tohu.

He aha ngā take o te macrocytosis?

Ka hangaia ngā pūtau toto i roto i tō tātou hinu wheua. Nō reira, ka puta te Macrocytosis i ngā raruraru o te hanga o ngā pūtau toto whero i roto i tēnei hinu wheua me ngā raruraru o te hanganga o ngā pūtau toto whero . I ētahi wā, ki te nui rawa ō pūtau toto whero kāore anō kia pakari, e kiia nei ko ngā 'reticulocytes', i roto i tō toto, ka piki ake te uara 'MCV'. Nā te mea he nui ake te rahi o ēnei 'reticulocytes' i ngā pūtau toto whero kua pakeke.

Ko ētahi o ngā tino take o te macrocytosis ko:

Ngā ngoikoretanga o te kai

He mea nui ngā matūkai pēnei i te huaora B12 me te folate (huaora B9) kia ora ai ō tātou tinana i roto i te hanga toto whero. Ki te kore e nui ēnei matūkai e whiwhihia ana e koe mai i te kai e kainga ana e koe, ki te kore rānei e taea e tō tinana te mimiti i aua matūkai nā tētahi mate, kāore e tupu tika ō toto whero. Mā te korenga o te huaora B12 me te folate ka puta he āhuatanga e kiia nei ko te 'Macrocytic Anemia'. Hei tauira, kāore ētahi tāngata e kai nui ana i ngā huawhenua me ngā hua matomato. Ka arahi pea tēnei ki te korenga o te folate. Waihoki, ko te hunga kai huawhenua katoa ka pāngia e te korenga o te huaora B12.

Ētahi rongoā

Ka taea hoki te whakaputa i te macrocytosis e ngā momo rongoā. Ko ngā mea tino noa ko te hydroxyurea, he rongoā e whakamahia ana hei rongoā i te mate pūtau maripi, ngā momo rongoā chemotherapy e whakamahia ana hei rongoā i te mate pukupuku, me te rongoā antiretroviral (ART) e whakamahia ana hei rongoā i te mate HIV. Mena kei te tango koe i tētahi o ēnei rongoā, tera pea ka mōhio tō tākuta ki ēnei.

Te whakamahinga waipiro

Ko te nui rawa o te inu waipiro tētahi atu tino take o te Macrocytosis. Ka whakaitihia e te waipiro te kaha o te tinana ki te mimiti i ngā matūkai, inā koa ko ērā e hiahiatia ana hei hanga i ngā pūtau toto whero hauora.

Mate ate

He tohu anō hoki te macrocytosis mō te mate ate. He maha ngā wā ka honoa te mate ate ki te inu waipiro, engari kāore i te katoa. Heoi anō, ka pā mai pea te mate ate mō ētahi atu take.

Te mate toto toto iti

I roto i tētahi āhuatanga e kiia nei ko te "anemia hemolytic," ka mate wawe ō toto whero nā tētahi āhuatanga kei raro iho. Ina tupu tēnei, ka tukuna e tō tinana ngā "reticulocytes," (ngā toto whero kāore anō kia pakari) ki roto i te toto hei whakakī i te korenga. Kāore ēnei toto whero kāore anō kia pakari e kaha ki te kawe hāora pērā i ngā toto whero kua pakari.

Te toto nui rawa

Ki te ngaro te nui o te toto, ahakoa i puta mai i tētahi aituā, i tētahi pokanga, i tētahi atu take rānei, ka tāpirihia e tō tinana ngā reticulocytes ki ō toto hei whakakapi i te toto i ngaro. Pērā i te anemia hemolytic, ka tomo wawe ngā pūtau kāore anō kia pakari ki te toto.

Te mate Myelodysplastic

He momo mate pukupuku tēnei e puta ana i roto i te hinu wheua. Ka ārai tēnei āhuatanga i te hinu wheua ki te whakaputa i ngā toto whero hauora.

Te mate pūkahukahu

Ka pā anō hoki te macrocytosis ki te hunga e pāngia ana e te hypothyroidism, arā, he repe tairoi kāore i te mahi pai. Ka pā pea tēnei me te anemia, me te kore rānei.

I ētahi wā, kāore e kitea he tino take mō te macrocytosis, inā koa mēnā he macrocytosis anake tōu engari kāore he anemia.

Me pēhea koe e mōhio ai mēnā he macrocytosis tōu?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te macrocytosis he kupu e whakaahua ana i te nui haere o ngā toto toto whero, ehara i te mate whaimana. Mena he nui ake te uara MCV i runga i tō pūrongo CBC i te 100 fL, ko te tikanga he nui ake ō toto toto whero i te mea noa.

I ētahi wā ka taea e ngā tākuta te whakaaro i te pūtake o te Macrocytosis i runga i te kaha o te mate. Hei tauira, ki te tino teitei te MCV (tata ki te 110 – 115 fL), he tohu pea tēnei mō tētahi mate toto nui ake, pērā i te mate toto nui rawa atu.

Ngā whakamātautau hei rapu i te take o te macrocytosis

Mena kei te āwangawanga tō tākuta mō te nui haere o ō toto whero, ka pātai atu ia ki a koe kia kitea ai te take. Tērā pea ka pātai atu ia mō tō hītori hauora, ngā rongoā e tangohia ana e koe, tō kai, me te inu waipiro . Hei tāpiri, tērā pea ka whakahaerehia e ia ētahi atu whakamātautau:

• Te whakamātautau toto ā-taha:Ko te tikanga o tēnei ko te tango tauira o tō toto, ka tirohia i raro i te karuārai hei tirotiro mēnā he āhuatanga rerekē kei te pūtake o te Macrocytosis, pērā i ngā raruraru ki te tipu o ngā toto whero.
• Whakamātautau taumata huaora B12 me te folate: Mena he iti ngā taumata o te huaora B12, te folate rānei i roto i te toto, ko te tikanga he hapa kai kāore e whiwhi ana i ngā matūkai e hiahiatia ana hei hanga tika i ngā pūtau toto whero.
• Te maha o ngā retikulosit: Ka ine tēnei whakamātautau i te maha o ngā toto whero kāore anō kia pakari i roto i tō tauira toto. Ka āwhina tēnei ki te whakatau mēnā koinei te take o tō MCV teitei.
• Whakamātautau mahi ate: Ka whakamātautauhia te pai o te mahi a tō ate ki te mimiti i ngā matūkai e hiahiatia ana hei hanga i ngā toto toto whero hauora.
• Te koiora wheua wheua: Ka taea tēnei whakamātautau mēnā kei te whakapae tō tākuta he mate tōu e whakararuraru ana i te hanga o ō toto whero. Ko te tikanga o tēnei ko te tango i tētahi tauira iti o tō wheua wheua, ka tirotirohia ngā pūtau i raro i te karuārai hei tirotiro mēnā he āhuatanga rerekē kei roto.

Me pēhea te rongoā i te Macrocytosis?

Mena kāore he tohu o te anemia i a koe, ā, kāore he rerekētanga o ngā hua o tō whakamātautau, kāore pea koe e hiahia ki tētahi maimoatanga. Ki te kore, ka whakawhirinaki te maimoatanga ki te take o te nui o ngā toto toto whero.

• Mena nā te korenga o ngā kai i puta ai tō macrocytosis, me whakarerekē pea tō kai , me tango rānei i ngā tāpiringa huaora .
• Mena kei te rongoā e tangohia ana e koe te raruraru, tera pea ka taea e tō tākuta te whakarerekē i te horopeta , te tohu rānei i tētahi atu rongoā .
• Mena he nui te anemia e pāngia ana e te macrocytosis, me whai whakawhiti toto pea koe.

Ko te mea nui ko te whai i te mahere maimoatanga a tō tākuta e hoatu ana ki a koe, ahakoa te pūtake o tō macrocytosis.

Ka taea te whakaora i te mate pukupuku nui?

I te nuinga o te wā, ka hoki te mate nui ina rongoatia te pūtake. Pātai atu ki tō tākuta me pēhea te pānga o te maimoatanga ki tō hauora.

Me pēhea te whakaiti i te mōrearea o te macrocytosis?

Kāore pea e taea e tātou te ārai i ngā mea katoa ka puta ai te mate pukupuku nui. Heoi, ka taea e tātou te whakaiti i tō tātou mōrearea mā te whai i ngā tikanga hauora. Hei tauira:

• Mā te tāpiri i ngā kai whai kiko i te huaora B12 me te folate – ika, hua miraka, hua manu , rau rau, me ngā witi kua whakakahangia – ki tāu kai ka whakaiti i te tūponotanga o te whakawhanake i te anemia macrocytic.
• He mea tino nui kia whakawhāitihia te inu waipiro .
• Kaua hoki e mahue ngā whakamātautau toto ā-tau. He maha ngā wā ka kitea te macrocytosis i roto i ngā whakamātautau toto o ia rā. Mā te tātaritanga me te maimoatanga wawe ka ārai i te kino haere o te mate.

Ka aha mēnā kāore te macrocytosis e rongoatia?

Ko te tākuta anake ka taea te whakatau mēnā he mea hei āwangawanga māu mō tō Macrocytosis. Mena kei a koe te Macrocytosis me te anemia, he mea nui kia rapu maimoatanga. Ki te kore e rongoatia, ka arahi pea te Macrocytic Anemia ki ngā raruraru hauora nui.

He aha taku e pātai atu ai ki te tākuta?

Ki te kitea e koe he nui ake ō toto whero i te mea noa, whai i ngā tohutohu a tō tākuta mō te aha me mahi. Tērā pea ka hiahia koe ki te pātai i ēnei pātai:

• Me manukanuka rānei ahau mō te tiketike o taku MCV?
• He aha ngā whakamātautau e hiahiatia ana hei kimi i te pūtake o te macrocytosis?
• Me rongoā e au te take o te nui haere o ngā toto whero?
• He aha ngā huringa āhua noho ka taea e au te mahi hei whakahaere i tēnei mate Macrocytosis?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

Ehara i te mea he take āwangawanga tonu te nui o te toto toto nui, te nui rānei o te MCV. Nō reira, kaua e mataku mēnā kei roto i tō pūrongo CBC ēnei uara. Tikina he aratohu a tō tākuta mō te whakamārama i ō hua. I runga i ō hua, ka tūtohu pea tō tākuta i ngā huringa kai, i ngā tāpiringa huaora rānei. Kaua e wehi ki te pātai me pēhea te pānga o tō maimoatanga ki ō toto toto me tō hauora whānui. Ko te noho hauora te mea nui!