He iti tō toto? Me kōrero tātou mō te Megaloblastic Anemia!

Kei te ngenge tonu koe? Kei te hiamoe koe i te rā roa, ā, kāore he ora o tō tinana ki te mahi i tetahi mea? I ētahi wā ka mā tō kiri, ā, ka paku poto te manawa? Kaua e waiho noa ēnei hei mea noa. He tohu pea ēnei mō tētahi raruraru ki tō toto. I tēnei rā ka kōrero tātou mō te Megaloblastic Anemia , he āhuatanga e puta ai ēnei tohu, inā koa ka kore koe e whiwhi i te huaora B12 me te huaora B9 (e mōhiotia ana ko te folate).

He aha te Anemia Megaloblastic?

I te whakarapopototanga, ko te anemia megaloblastic he momo anemia e pā ana ki ngā toto whero i roto i te toto. Ko te mea ka tupu i roto i tēnei , ka nui ake ngā toto whero e hangaia ana i roto i tō tātou hinu wheua i te mea noa . Koia te take i huaina ai ko te 'anemia macrocytic', arā, ko te korenga o ngā toto nui .

Ara, he mate toto kore huaora tēnei. Ka puta tēnei āhuatanga ina kore e ranea ngā matūkai e rua e te tinana , arā, te huaora B12 me te huaora B9 ( folate ) . Kaua e manukanuka, ka taea e ngā tākuta te rongoā i tēnei āhuatanga mā te hoatu i ngā tāpiringa huaora B12 me te B9.

He aha te pānga o te anemia megaloblastic ki tō tātou tinana?

Nā, tirohia, me nui ngā toto toto whero hauora e hiahiatia ana e ō tātou tinana. Nā te mea ko ēnei toto toto te mea e kawe ana i te hāora mai i ngā pukahukahu ki ngā kiko puta noa i te tinana, ā, ko rātou anō hoki e kawe ana i te hauhā waro. Pērā i ngā toto katoa, ka tīmata ngā toto toto whero hei pūtau take i roto i tō tātou hinu wheua.

He mea nui te huaora B12 me te huaora B9 mō te hanganga tika o ngā pūtau toto whero. Ki te kore ēnei, ka puta he momo pūtau rerekē e kiia nei ko ngā megaloblasts i roto i ō tātou tinana.

Whakaarohia, ko ēnei megaloblasts, arā, ngā pūtau e wehewehe ana, e whakanui ana pērā i ngā pūtau hauora, kāore e hanga i ētahi mea hou. Ko te tikanga ka heke te maha o ngā pūtau toto whero i roto i te hinu wheua. Ko tētahi atu take he tino nui ēnei pūtau rerekē. He tino nui rawa atu, ā, i ētahi wā, kāore e taea e rātou te puta atu i te hinu wheua ki te tomo ki te pūnaha toto. Ahakoa ka puta, ka tere ake te mate o ēnei pūtau rerekē i ngā pūtau toto hauora. Ina huihui katoa ēnei mea, ka heke te maha o ngā pūtau toto whero i roto i te tinana, ka puta te anemia, arā, te kore toto.

He mate kino tēnei?

Ko tētahi o ngā take o te anemia megaloblastic ko te korenga o te huaora B12. Mēnā kāore e rongoatia, ka taea e te korenga o te huaora B12 te arahi ki ngā raruraru pūnaha io . Hei tauira, te ngaronga o te mahara, te ngaronga o te taurite, me te ngau, te kōpikopiko rānei i ngā peka, e mōhiotia ana ko te 'paresthesia'. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.

He pēhea te noa o tēnei mate?

Ehara te mate nui onge te anemia megaloblastic, engari kāore i te rawaka ngā raraunga a ngā tākuta hei kī tika i te tokomaha o te hunga e pāngia ana e tēnei mate.

He aha te take o te anemia megaloblastic?

E ai ki te kōrero i mua ake nei, ko te take matua mō tēnei he kore e ranea te huaora B12, te huaora B9 rānei i roto i te hinu wheua hei hanga i ngā toto whero hauora hei kawe i te hāora puta noa i te tinana.

He aha ngā take o te korenga o te huaora B12?

Ka pāngia ētahi tāngata e te ngoikore o te huaora B12 nā te mea kāore rātou e kai i ngā kai momona i te huaora B12, pērā i te mīti, te ika, te hua manu, me te miraka. Ko ētahi he uaua ki te mimiti i te huaora B12, nā ētahi mate hauora, nā ngā maimoatanga hauora rānei. Ko ēnei mate ko:

• Te anemia kino: He mate pūnaha ārai mate tēnei e kore ai e mimiti te tinana i te huaora B12 .
• Te tango i te puku: He pokanga tēnei e tango ai i tētahi wāhanga o te puku. Ka pā pea tēnei ki te mimiti o te huaora B12.
• Te mate Zollinger-Ellison: He mate onge tēnei e kore ai e mimiti te tinana i te huaora B12.
• Te mate pōturi matapo: Koinei te wā kāore te kai e nakunakuhia e tātou e neke tika ana i roto i ngā whekau, ka mau ki te wāhi kotahi, ka tipu ai ngā huakita, ka pau ai te huaora B12.
• Te pangia e te kutukutu rīpene ika: Ka taea te pangia e tēnei mate kutukutu rīpene mā te kai i ngā ika kua pangia, kāore i tino maoa. Ka ora ēnei kutukutu rīpene mā te mimiti i te huaora B12.
• Te ngoikore o te repe taiaki: I tēnei āhua, kāore e taea e tō repe taiaki te hanga i ngā whākōkī nakunaku hei nakunaku i te kai. Ko te tikanga tēnei, kāore pea koe e whiwhi i te nui o ngā matūkai katoa e hiahiatia ana e koe, pērā i ngā huaora B12, B9 rānei.

He aha ngā take o te korenga o te huaora B9 (folate)?

Ka pā mai pea te korenga o te huaora B9 (folate) mēnā kāore e nui ngā huawhenua matomato, ngā hua, te mīti, me ngā pīni i roto i ā tātou kai o ia rā, ngā kai rānei kua whakakīia ki te waikawa folic. Tērā atu anō ngā take:

• Ngā mate o te pūnaha nakunaku: Mena kei a koe tētahi mate pēnei i te mate a Crohn , te mate celiac rānei, kāore pea tō pūnaha nakunaku e mimiti tika i te waikawa folic.
• Te inu nui i te waipiro : Ko te hunga e inu nui ana i te waipiro ka whakakapi i te kai ki te waipiro. Nō reira, kāore e nui te folate e whiwhi ana rātou.
• Te tunu nui i ō hua me ō huawhenua: Ina tunu nui koe i ngā hua me ngā huawhenua, ka taea e te wera te whakangaro i te folate kei roto i aua hua.
• Te mate toto totokore: He mate toto tēnei e whakangaromia ai ō toto whero, ā, kāore e taea e tō hinu wheua te hanga anō i aua toto i te tere tika.
• Ētahi rongoā: Ētahi rongoā hopi me ngā mate pukuKa whakararuraru ngā rongoā e hoatu ana mō te mate puku ulcerative i te mimiti tika o te folate.
• Dialysis: I ētahi wā ka iti ake te hiahia kai o te hunga e dialysis ana nā te ngoikore o te whatukuhu. Ka pā pea tēnei ki te nui o te huaora B12 e whiwhi ana rātou mai i te kai. (Me pānui anō hoki koe mō te B9 i konei, ahakoa e kī ana te tuhinga taketake ko te B12, tera pea ko te B9 i runga i te horopaki.)

He aha ngā tohu o te anemia megaloblastic?

He rite ngā tohu o te anemia megaloblastic ki ērā o ētahi atu momo anemia:

• Ngenge: Ka tino ngenge koe, ā, kāore e taea e koe te mahi i ngā mahi o ia rā.
• Ngoikore: Te āhua nei kāore he ora o te tinana, kāore e taea te nekeneke, te mahi rānei i tetahi mea.
• Te mā: Ka mā ake tō kiri i te mea noa.
• Te Pōrearea o te Māuiui: He āhua o te poto o te manawa, te uaua ki te manawa hōhonu.
• Whatiwhati, ngoikore rānei: He āhua hurihuri, he ngaro rānei te māramatanga.

Ko te korenga o te Huaora B12, inā koa, ka pā ki ō io i ētahi wā, ka puta ngā tohu pēnei i te māuiui o ō waewae, te ngaronga o te rongo, te ngoikore rānei o te uaua.

Me pēhea te mārama o ngā tākuta ki tēnei?

Mā te tirotiro tinana i a koe, me te pātai atu ki a koe mō ō tohumate, ka tātaritatia e ngā tākuta te mate toto nui, pērā i:

• Te tatau toto katoa (FBC): Ka tirohia e tēnei whakamātautau te maha o ō toto whero me ā rātou mahi.
• Te whakamātautau toto ā-taha (PBS): Ko te tirotiro i ō pūtau toto i raro i te karuārai toto. Ahakoa ka tātarihia ētahi whakamātautau toto e te mīhini, i tēnei wā, ka tirohia e te tākuta ngā pūtau, ā, ka whakatau.
• Te maha o ngā reticulocytes: Ka ine tēnei i te maha o ngā pūtau toto whero kāore anō kia pakari (reticulocytes) i roto i tō hinu wheua. Mā tēnei ka āwhina i ngā tākuta ki te whakatau mēnā kei te nui ngā pūtau toto whero hauora e hangaia ana e tō hinu wheua.

Me pēhea te rongoā mō tēnei?

Mā te hoatu huaora hei rongoā mā ngā tākuta. Tirohia tēnei:

• Te Maimoatanga mō te Kore Huaora B12: Ka tūtohu pea tō tākuta kia werohia he huaora B12 mō ētahi wiki tae noa ki te hokinga mai o ō taumata huaora B12 ki te āhua noa. Mena he raruraru kei roto i te kaha o tō tinana ki te mimiti i te B12 te take o te korenga o te huaora B12, me werohia pea koe i ia torutoru marama mō te toenga o tō oranga. Waihoki, ko te hunga e kore e nui te B12 nā te mate e kiia nei ko te anemia kino, me tango pea i ngā tāpiringa B12 mō te toenga o ō rātou oranga.
• Te Maimoatanga mō te Kore Huaora B9: Ka tohua pea e tō tākuta he papa waikawa folic hei whakatika i te korenga o te huaora B9. Ka tirohia hoki e rātou ō taumata huaora B12 kia mōhio ai kei roto i ngā rohe noa. Nā te mea i ētahi wā ka taea e ngā tāpiringa huaora B9 te whakaiti i ngā tohu o te anemia megaloblastic me te huna i te korenga o te huaora B12 kei raro (ka pā kino pea ki ngā io).

Me pēhea tātou e whakaiti ai i te mōrearea o te whanaketanga o tēnei mate?

He maha ngā huarahi hei whakaiti i te mōrearea:

• Ngāna ki te kai i tētahi kai taurite e whakatairanga ana i ngā kai kei roto te huaora B12 me te huaora B9 .
• Whakawhāitihia te inu waipiro. Mā te inu waipiro i ngā wā katoa ka pā ki tō pūnaha nakunaku, ā, ka kore e taea e te tinana te mimiti i te huaora B12.
• Mena he mate hauora tōu e kore ai e taea e koe te mimiti i ēnei huaora, me mahi tahi me tō tākuta ki te whakahaere i taua mate.

Ngā kai kei roto te huaora B12:

• Ngā kai kararehe: He nui te huaora B12 i roto i te mīti whero, te ika, te heihei, ngā hua manu, te miraka, me ētahi atu hua miraka.
• Ngā kai whakapakari: Ko ēnei ngā kai kua whakapakarihia ki ētahi huaora me ngā matūkai kāore i te kitea i te taiao. Hei tauira, ko ētahi pata parakuihi, he rewena kai, ētahi miraka tipu, me ētahi taro. He mea nui kia tirohia te tapanga kai kei runga i te kete kai kia tino mōhio ai kei te whakapakarihia te kai ki te huaora B12.

Ngā kai e nui ana te huaora B9 (folate):

• Huawhenua: Ngā huawhenua kakariki pouri (pērā i te pīnihi, te kāreti), te pī, te pīni, me ngā pīni.
• Hua: Ngā hua citrus (pērā i te karaka me te tangerines).
• Ngā kai kararehe: ate, kaimoana, mīti me te heihei.
• Ngā hua manu me ngā kai miraka.
• Ngā kai whakapakari: Kei roto i ētahi taro, paraoa, rimurapa, raihi, me ngā pata witi te waikawa folic. Tirohia hoki te tapanga kei runga i te kete kai kia tino whakapakaritia ai te kai ki te huaora B9 (waikawa folic).

He aha taku e tumanako atu ai mēnā he megaloblastic anemia tōku?

He tokomaha ngā tāngata ka ora ake i te anemia megaloblastic i muri i te tango i ngā tāpiringa huaora. Ka aroturukihia e tō tākuta ō taumata huaora i ia wā, i ia wā, kia mōhio ai koe kei te whiwhi koe i te nui o te huaora B12 me te huaora B9. Hei tauira, ka whakamātauria pea ō toto i ētahi wiki i muri i te tīmatanga o te maimoatanga kia kite ai mēnā kua piki ake ō taumata huaora B12 me/ranei B9 e ngā tāpiringa.

Me pēhea taku tiaki i ahau anō?

Ka taea e koe te tiaki i a koe anō penei:

• Tangohia ngā tāpiringa huaora kia rite ki te whakahau a tō tākuta.
• Whakawhanakehia ngā tikanga kai hauora kia tino whiwhi ai koe i te huaora B12 me te huaora B9.
• Kia tiakina tō hauora, me toro atu ki te tākuta mēnā kei te pāngia anō koe e ngā tohu o te mate toto iti.

Kia maumahara, ki te mea he anemia megaloblastic tōu, ko te tikanga kāore koe e whiwhi ana i te nui o te huaora B12 me/ranei te huaora B9. Ka āwhina ēnei huaora i tō tinana ki te hanga i ngā toto whero hauora. Ko ngā toto whero hauora te mahi nui o te kawe hāora puta noa i tō tinana. Waimarie, ka taea e ngā tākuta te whakatika i tēnei ngoikoretanga mā te hoatu ki a koe he tāpiringa hei whakanui ake i ō taumata huaora B12 me te huaora B9. Ka taea hoki e koe te kai i tētahi kai e nui ana ngā huaora me te pātai ki tō tākuta mō ngā huarahi hei whakarite kei te whiwhi koe i te nui o te huaora B12 me te huaora B9.

Whakarāpopototanga (Karere hei tango ki te kāinga)

Āe, me whakarāpopoto tātou i tā tātou i kōrero ai i tēnei rā. Ko te anemia megaloblastic he āhuatanga e puta ai ngā toto whero nunui, rerekē i roto i te hinu wheua ina kore te tinana e whiwhi i te huaora B12, i te huaora B9 rānei (folate).

• Ko ngā tohu matua ko te ngenge rawa, te ngoikore, te kiri mā, me te uaua ki te manawa. Ka pāngia hoki te pūnaha io e te korenga o te B12.
• Ko te take he kore e ranea te kai i ēnei huaora mai i te kai, he mate hauora rānei e kore ai e taea e te tinana te mimiti i aua huaora.
• Ka kitea tēnei mā roto i ngā whakamātautau toto, inā koa ko ērā pēnei i te CBC me te Peripheral Blood Smear.
• Kei roto i te maimoatanga ko te huaora B12 me ngā tāpiringa waikawa folic, ā, me tango pea ēnei e ētahi tāngata mō te wā roa.
• Ko te huarahi pai hei ārai me te whakahaere i tēnei āhuatanga ko te kai i tētahi kai taurite e nui ana ngā huaora B12 me te B9, te whakaiti i te waipiro, me te rongoā tika i ngā mate taketake.

Nō reira, ki te pā mai ēnei tohu ki a koe, he mea whakaaro nui kia rapu tohutohu hauora i te wā e taea ai. Nā te mea ki te kitea wawe, ka māmā ake te maimoatanga, ā, ka tere ake te ora.