Kua tirohia e koe ngā hua o tō whakamātautau toto ( pūrongo toto ) ā, kua kite koe i tētahi kōrero mō ngā toto toto whero kua nui haere, kua kōrero rānei tō tākuta mō tētahi āhuatanga e kiia nei ko te "Macrocytosis"? He mea noa te āwangawanga, engari kia noho marino. Ehara te Macrocytosis i te mate; he kitenga noa iho he nui ake ō toto toto whero i te mea noa.
He aha te Macrocytosis?
Ki te whakarapopoto, ko te tikanga o te Macrocytosis he nui ake ō toto whero i te rahi paerewa. Kāore e kiia he mate, engari he tohu haumanu e tohu ana i tētahi āhuatanga kei roto i tō tinana. I te nuinga o te wā ka kitea tēnei mā te Tatau Toto Katoa (CBC) / Tatau Toto Katoa ( FBC ). He maha ngā wā ka whakahaua e ngā tākuta tēnei whakamātautau hei aromatawai i tō hauora whānui me te mahi a ō toto.
Kei roto i tō pūrongo CBC tētahi uara e kiia nei ko te `MCV (Mean Corpuscular Volume)`, e ine ana i te rahi toharite o ō toto whero. Mō ngā pakeke, ki te nui ake te uara `MCV` i te 100 femtoliters (`100 fL`), ka whakarōpūtia hei Macrocytosis.
Ahakoa kāore i te kino te nuinga o te wā, i ētahi wā kāore i roto i ēnei pūtau nunui rawa ngā matūkai e hiahiatia ana hei mahi tika, arā, he uaua ki a rātou te mahi i tā rātou mahi matua: te kawe hāora puta noa i te tinana. E kiia ana tēnei mate ko te 'Macrocytic Anemia' ( mate pūkahukahu nui). Ki te kore e rongoatia, ka arahi pea ki ngā raruraru hauora nui atu.
He pēhea te noa o tēnei āhuatanga?
Tata ki te 2% ki te 4% o te taupori o te ao e pāngia ana e te Macrocytosis. I roto i tēnei rōpū, tata ki te 60% e pāngia ana hoki e te anemia.
Heoi, ko te Macrocytosis e puta ana, kāore he anemia, he mea kitea pinepine ake i roto i ngā pēpi 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 uara `MCV` teitei ake i runga i tō pūrongo `CBC`. Mēnā ka puta ngā tohu, he hononga tēnei ki te tino take o te whakanui ake i ngā toto toto whero.
Hei tauira, ki te mea he 'Macrocytic Anemia' tōu, ka pāngia pea koe e ngā tohu anemia tawhito pērā i te ngenge , te ngenge rawa, me te kiri mā . Hei tāpiri, ki te mea ko te take matua he kore kai, ka pāngia pea koe e te mate korere, ngā raruraru mahara, te ngaronga rānei o te taurite .
Nā te mea he maha ngā take mō te Macrocytosis, ka rerekē ngā tohu i ia tangata, i ia tangata.
He aha te take o te Macrocytosis?
Kei roto i tō hinu wheua ō pūtau toto e hangaia ana. Nō reira, ka puta te Macrocytosis i ngā raruraru o te hanga o ngā pūtau toto whero o te hinu wheua , i ngā raruraru rānei o te hanganga o ngā pūtau toto whero. I ētahi wā, ka piki ake te MCV nā te pikinga o ngā pūtau toto whero kāore anō kia pakari (e kiia nei ko ngā 'reticulocytes'), nā te mea he nui ake ēnei pūtau i ngā pūtau toto whero kua pakeke.
Anei ētahi o ngā tino take o te Macrocytosis:
Ngā ngoikoretanga kai
Me whai matūkai tō tinana pērā i te Huaora B12 me te folate (Huaora B9) hei hanga i ngā toto toto whero hauora. Mēnā kāore koe e whiwhi i te nui o ēnei mai i tō kai, ki te kore rānei e taea e tō tinana te mimiti i aua matūkai e tētahi mate hauora, e kore e tika te whanaketanga o ō toto toto whero. Ko te korenga o te Huaora B12 me te folate ngā tino take o te 'Macrocytic Anemia'. Hei tauira, ko te kai iti i ngā rau matomato me ngā hua ka arahi pea ki te korenga o te folate, ko te kai vegan pakari ka arahi pea ki te korenga o te Huaora B12.
Ngā Rongoā Motuhake
Ka taea e ngā rongoā maha te whakaoho i te Macrocytosis, tae atu ki te `hydroxyurea` (e whakamahia ana mō te mate pūtau maripi), ngā rongoā `chemotherapy` motuhake, me te `whakaora antiretroviral (ART)` mō te HIV. Tērā pea ka mōhio tō tākuta mēnā he mōrearea tēnei ki tētahi rongoā e tangohia ana e koe.
Te Inu Waipiro
Ko te inu waipiro roa, nui rawa rānei, tētahi o ngā tino take o te Macrocytosis. Ka taea e te waipiro te whakararu i te kaha o te tinana ki te mimiti i ngā matūkai nui e hiahiatia ana mō te hanga toto whero hauora.
Mate ate
He tohu pea te macrocytosis i ētahi wā mō te mate ate. Ahakoa e hono pinepine ana ki te inu waipiro, ka puta mai anō hoki i ētahi atu mate ate kāore e pā ana ki te waipiro.
Te mate toto toto iti
I roto i te `anemia hemolytic`, ka whakangaromia wawetia ō toto whero. Hei utu, ka tukuna e tō tinana he `reticulocytes` (ngā pūtau koretake) ki roto i te toto, ka taea ai e tēnei te whakapiki i tō taumata MCV.
Te Ngaronga Toto Nui
I muri i tētahi aituā, pokanga, whara rānei, ki te ngaro te nui o te toto, ka tere tō tinana ki te whakaputa pūtau hou, ka tukuna ngā 'reticulocytes' ki roto i te tohanga toto, he rite ki te tukanga e kitea ana i roto i te anemia hemolytic.
Te Mate Myelodysplastic
He rōpū mate pukupuku tēnei e pā ana ki te hinu wheua, ā, kāore e taea e te tinana te whakaputa i ngā pūtau toto hauora, pakari hoki.
Te mate pūkahukahu
Ka taea hoki te hono atu i te repe tairoiti ngoikore, te 'Hypothyroidism' rānei, ki te Macrocytosis, ahakoa kei te kitea te anemia, kāore rānei.
I ētahi wā, kāore e taea te tautuhi i tētahi tino take mō te Macrocytosis, inā koa kāore he mate toto, he tohu rānei.
Me pēhea te tautuhi i te Macrocytosis?
E ai ki tā mātou i kōrero ai i mua, ko te macrocytosis he kupu noa iho e whakamahia ana hei whakaahua i ngā toto toto whero kua nui haere, ehara i te mate tūturu. Mena kei te whakaatu tō pūrongo CBC i te uara MCV neke atu i 100 fL , he tohu tēnei he nui ake ō toto toto whero i te mea noa.
I ētahi wā, i runga i te kaha o te macrocytosis, ka taea e tō tākuta te whakatau i te tino take. Hei tauira, ki te tino piki ake tō uara MCV (pēnei i te 110 – 115 fL), he tohu pea tēnei mō tētahi mate kino pēnei i te macrocytic anemia , tae atu ki megaloblastic anemia .
Ngā Whakamātautau Tātaritanga hei Tāutu i te Take o te Macrocytosis
Mena kei te āwangawanga tō tākuta mō te nui haere o ō toto whero, ka pātai atu rātou hei whakatau i te take matua. Tērā pea ka pātai atu rātou mō ō toto.te hītori hauora o mua, ngā rongoā e tangohia ana e koe, tō kai, me tō inu waipiro. Hei tāpiri, ka tūtohu pea rātou i ngā whakamātautau e whai ake nei:
- Te whakamātautau toto ā-taha: I roto i tēnei tikanga, ka tirohia he tauira iti o tō toto i raro i te karuārai. Mā tēnei ka taea e te tākuta te tirotiro mō ngā āhuatanga rerekē ka puta ai te macrocytosis, pērā i ngā raruraru ki te whanaketanga o ngā pūtau toto whero.
- Ngā whakamātautau taumata huaora B12 me te folate: Ko te iti o te taumata huaora B12, folate rānei i roto i tō toto e tohu ana i te korenga o ngā kai totika, arā, kāore i roto i tō tinana ngā wāhanga e tika ana hei whakaputa i ngā pūtau toto whero hauora.
- Te tatau o ngā reticulocyte: Ka ine tēnei whakamātautau i te maha o ngā toto whero kāore anō kia pakari i roto i tō tauira toto, hei āwhina i te whakatau mēnā koinei te take o te
MCVteitei. - Ngā whakamātautau mahi ate: Ka aromatawaihia e ēnei whakamātautau te pai o te mahi a tō ate ki te tukatuka i ngā matūkai e hiahiatia ana hei whakaputa i ngā toto toto whero hauora.
- Kohikohi i te hinu wheua: Mena kei te whakapae tō tākuta he mate kei roto i tō hinu wheua e aukati ana i te hanga o ngā toto toto whero, ka tūtohu pea rātou i tēnei whakamātautau. Ka kohia he tauira iti o te hinu wheua, ka tirotirohia i raro i te karuārai mō ngā āhuatanga rerekē.
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 whakatauhia te mahere maimoatanga e te take motuhake o te nui haere o ō toto toto whero.
- Mena nā te korenga o ngā kai tō macrocytosis, me whakarerekē pea tō kai , me tango rānei i ngā tāpiringa huaora .
- Mena he rongoā te take, ka whakarerekē pea tō tākuta i te horopeta , ka tohua rānei he rongoā rerekē .
- Mena kei te pāngia koe e te anemia nui me te macrocytosis, me whai toto pea koe.
Ko te mea nui, ahakoa te pūtake o tō macrocytosis, me whai tika i te mahere maimoatanga a tō tākuta.
Ka taea te whakaora i te Macrocytosis?
I te nuinga o te wā, ina rongoatia te pūtake o te mate, ka hurihia te āhua o te macrocytosis. Kōrero ki tō tākuta mō te pānga o tō mahere maimoatanga ki tō hauora whānui.
Me pēhea te whakaiti i te mōrearea o te Macrocytosis?
Ahakoa kāore e taea te ārai i ngā take katoa o te macrocytosis, mā te whai i ngā tikanga hauora ka āwhina i te whakaiti i tō mōrearea. Hei tauira:
- Tāpirihia ngā kai whai kiko i te Huaora B12 me te folate – pērā i te ika, ngā hua miraka, ngā hua manu , ngā rau matomato, me ngā witi kua whakakahangia – hei whakaiti i te tūponotanga o te whakawhanake
macrocytic anemia. - Te whakawhāiti i te inu waipirohe mea tino nui.
- Hei tāpiri atu ki tēnā, kaua e mahue ō whakamātautau toto ā-tau. He maha ngā wā ka kitea te macrocytosis i roto i ngā whakamātautau toto o ia rā. Mā te tātaritanga wawe me te maimoatanga wā tika ka ārai i te kino haere o te mate.
He aha te mea ka tupu mēnā kāore te Macrocytosis e rongoatia?
Ko tō tākuta anake te mea hei whakatau mēnā me wawao tō macrocytosis. Mēnā he macrocytosis tōu e haere tahi ana me te anemia, he mea nui te rapu maimoatanga. Mēnā kāore e rongoatia, ka pā mai pea ngā raruraru hauora kino nā macrocytic anemia .
He aha taku e pātai atu ai ki taku tākuta?
Ki te kitea e koe he nui ake ō toto whero i te mea noa, whai i ngā tohutohu a tō tākuta mō ngā mahi e whai ake nei. Tērā pea ka hiahia koe ki te pātai i ēnei pātai:
- Me āwangawanga ahau mō te
MCVkua piki ake? - He aha ngā whakamātautau e hiahiatia ana hei whakatau i te pūtake o taku macrocytosis?
- Me rongoā ahau mō te tino 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 āhuatanga?
Karere Whakamutunga mō te Tango ki te Kāinga
Ehara i te mea he take whakamataku te nui o te macrocytosis, te nui rānei MCV . Kaua e mataku mēnā he teitei ēnei uara i roto i tō pūrongo CBC . Rapua he aratohu mai i tō tākuta kia mārama ai koe ki ō hua. I runga i ō kitenga, ka tūtohu pea tō tākuta i ngā whakarerekētanga kai, i ngā tāpiringa huaora rānei. Kaua e mangere ki te pātai me pēhea te pānga o tō mahere maimoatanga ki ō toto toto whero me tō hauora whānui. Ko te noho hauora te mea nui!
