He iti ō toto whero? Me kōrero tātou mō te Microcytosis!

I ētahi wā, ina whakamātauhia tō toto, ka mataku koe ina kite koe i ētahi kupu i runga i te pūrongo, kāore? Ko tētahi kupu pēnei ko 'Microcytosis'. Kaua e mataku, ehara tēnei i te ingoa o tētahi mate kino. Ko tōna tikanga he iti ake ō toto whero i te mea noa. I tēnei rā, ka kōrerohia tēnei mea me te taipitopito, he tino māmā noa iho.

He aha te Maikorositosis?

Ki te kī māmā noa, ko te microcytosis te wā e iti ake ai ngā toto whero i te mea noa. Kāore mātou e whakaaro he mate tēnei, engari he kitenga ka kitea i muri i te whakamātautau toto. Koinei te mea ka kitea e koe i te nuinga o te wā mā te tatau toto katoa (CBC). Whakaarohia he rite ki tētahi pūrongo e whakaatu ana i ngā taipitopito mō ngā toto i roto i tō tinana.

He uara kei roto i tēnei pūrongo `CBC`, e kiia nei ko `Mean Corpuscular Volume` (MCV) . Ka whakamahia tēnei uara `MCV` hei ine i te rahi toharite o ō toto whero. Mō te pakeke, ki te iti iho i te 80 femtoliters `(80 fL)` tēnei uara `MCV`, ka kiia he microcytosis.

He maha ngā wā, ko tēnei āhuatanga e kiia nei ko te microcytosis he tohu pea nō tētahi momo anemia e kiia nei ko te microcytic anemia . I roto i tēnei microcytic anemia, he iti te nui o te hemoglobin i roto i ngā toto toto whero. I mōhio koe he pūmua tino nui te hemoglobin e āwhina ana i ō tātou toto toto whero ki te kawe i te hāora puta noa i te tinana?

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ko tēnei āhuatanga e kiia nei ko te Microcytic Anemia he momo anemia tino noa e kitea ana i waenga i ngā pakeke me ngā tamariki. Nō reira, he mea tino nui kia mōhio ki tēnei.

He aha ngā tohu o te Microcytosis?

I te nuinga o te wā, kāore he tohu motuhake. Ko te mea anake e kitea ana i roto i te pūrongo ko te iti o te uara `MCV`.

Heoi, ki te puta mai ngā tohu, he rite tonu ki ngā tohu o te mate Microcytic Anemia i kōrerotia e au i mua ake nei. Koia ēnei:

• Te ngenge tonu. Me te mea kāore he ora i roto i te tinana.
• Kiri mā. I ētahi wā ka mā hoki ngā ngutu me te arero.
• Te uaua ki te manawa. Tērā pea ka ngoikore koe ahakoa te iti o te kaha e whakamahia ana.
• Ka piki ake te tere o te manawa.
• He āhuatanga e kiia nei ko te 'Pica'. Ka puta noa tēnei ina puta te microcytosis i te korenga o te rino. Ko te 'Pica' te hiahia ki te kai i ngā mea kāore e taea te kai pērā i te paru, te hukapapa, me te uku.

Haunga ēnei tohu, ka pāngia pea koe e ngā tohu e pā ana ki te pūtake o te microcytosis.

He aha i puta ai tēnei microcytosis?

Ko te tino take o te microcytosis ko te kore e nui te rino i roto i tō tinana. Ka kiia tēnei ko te anemia kore-rino . Kia mahara, i kī ahau he mea nui te rino mō te hanga hemoglobin.

Hei tāpiri, ko ngā āhuatanga taiao, ko ētahi āhuatanga hauora (nō te whānautanga mai, nō te mea kua riro mai), me ētahi tikanga ka pā mai ai te microcytosis.

Ko ngā tino take o te microcytosis:

• Te korenga o te rino:
• Te kore e nui te rino e whiwhihia ana mai i te kai: I ētahi wā, kāore pea e nui te rino e riro mai i te kai e kainga ana e tātou. Me tino tupato ngā kaiwhenua ki tēnei.
• Ngā raruraru o te mimiti rino: Whakaarohia, ahakoa ka kai koe i ngā kai kei roto te rino, ki te mea he mate tōu pērā i te 'mate Celiac' , he mate puku rānei pērā i te 'mate H. pylori' , kāore e taea e te tinana te mimiti tika i taua rino. Waihoki, ka puta pea tēnei mate i muri i ngā pokanga pērā i te 'pokanga bypass gastric' hei whakaiti i te taumaha.
• Te korenga o te rino nā te toto: Mō ngā wāhine, ka taea e te toto nui o te paheketanga i te wā o te menopause te hua ake te korenga o te rino. Waihoki, ko te toto gastrointestinal (GI) nā te mate pukupuku i roto i te puku, i ngā whekau rānei tētahi atu take.

• Te mate tākihi:
• He mate ira tuku iho tēnei. I roto i tēnei āhuatanga, kāore e taea e te tinana te whakaputa tika i te hemoglobin. Ahakoa he noa, he nui ake rānei te maha o ngā toto whero o te tangata e pangia ana e te thalassemia, he iti noa iho te nui o te hemoglobin i roto i aua pūtau. Ka kiia tēnei ko te hypochromic microcytosis . I roto i ētahi momo ngawari o te thalassemia, ko te microcytosis anake ka kitea me te kore he anemia.

• Te mate toto iti o te mate pūmau:
• Ka taea e te mumura i puta mai i ngā mate roa pēnei i ngā mate pūnaha ārai mate ( hei tauira, te rumatiki rheumatoid), ngā mate mau tonu, te mate tākihi, me te mate pukupuku te whakararu i te kaha o te tinana ki te whakamahi i te rino hei hanga i ngā toto whero hauora.

Ngā take onge o te microcytosis:

He iti iho ēnei, engari he mea pai kia mōhio koe:

• Ngā āhuatanga ira onge e whakararuraru ana i te hanga me te mahi a ngā pūtau toto whero.
• Ngā ngoikoretanga o ngā kohuke (hei tauira, te ngoikoretanga o te parahi).
• Te paitini mata.

Me pēhea te whakatau tika mēnā he microcytosis tōu?

E ai ki taku kōrero i mua, ehara te microcytosis i te ingoa whaimana mō tētahi mate. Ko tōna tikanga he iti ake ō toto whero i te mea noa.

Ka whakaarohia e tō tākuta ō tohu, tō tau, tō ira tangata, me tō hītori hauora hei whakatau he aha te take o tēnei. Hei tauira, ki te nui te toto i a koe i tō paheketanga, tera pea he anemia ngoikore rino. Ki te mea rānei he thalassemia tētahi o tō whānau, tera pea he take anō tēnā.

Ka taea e te tākuta te whakahaere i ētahi atu whakamātautau hei rapu i te tino take.

He aha ngā whakamātautau e mahia ana mō tēnei?

He maha ngā whakamātautau hei āwhina i te tākuta ki te kimi i te pūtake o tēnei mate:

• Te whakamātautau toto ā-taha: Ko te tango i tētahi tauira o tō toto ka tirohia i raro i te karuārai. Mā tēnei ka taea te whakaū mēnā he iti noa ō toto whero, ā, mēnā he rerekē anō ō rātou āhua. Mēnā he rerekē te rahi me te āhua o ō toto whero (Poikilocytosis), he tohu pea tēnei ki ētahi o ngā mate e puta ai te microcytosis.
• Whānuitanga o te tohatoha o ngā pūtau toto whero (RDW): Ka ine anō hoki tēnei i te rerekētanga o te rahi o ō pūtau toto whero. He uara anō hoki tēnei e kitea ana i roto i te pūrongo CBC. I te nuinga o te wā, he rite tonu te rahi o ngā pūtau toto whero. Heoi, ki te mea he rerekētanga nui te rahi o ngā pūtau (Anisocytosis), ka taea hoki te hoatu he whakaaro mō ētahi mate.
• Ngā taumata rino: Ko te iti o te taumata rino i roto i te toto he tohu o te anemia koretake o te rino.
• Ngā taumata ferritin: He pūmua te ferritin e penapena ana i te rino i roto i ō tātou pūtau. Mā te titiro ki tēnei taumata ferritin, ka kitea e koe te nui o te rino e wātea ana i roto i te tinana.
• Te kaha here katoa o te rino (TIBC): Ka taea e tēnei whakamātautau, ina mahia ngātahitia me ngā taumata rino me te ferritin, te āwhina nui ki te tautuhi i te korenga o te rino. Ka taea hoki e ia te āwhina ki te kite i te anemia i puta mai i ngā mate mau tonu, i te mumura rānei.

Kia whakaūtia ai kāore he ngoikore o te rino, kia tino mōhio ai mēnā ko te thalassemia te take, me whakahaere ngā whakamātautau pēnei i te hemoglobin electrophoresis me ngā whakamātautau ira .

Me pēhea te rongoā i te Microcytosis?

Ko te maimoatanga e whakawhirinaki ana ki te take o te iti o te maha o ngā toto whero. I ētahi wā, ki te kore he tohu, ā, kāore i te tino kino ngā hua o te whakamātautau, kāore pea e hiahiatia he maimoatanga.

I runga i te take, ka taea te whakamahi i ngā maimoatanga e whai ake nei:

• Ngā whakarerekētanga kai: Te tāpiri i ngā kai nui te rino (hei tauira, te ika, ngā hua pīni soya (tofu), te pī, te pīni, te rau kakariki, te hua rākau) ki te kai.
• Ngā tāpiringa rino: Ka hoatu ēnei ki te hunga e mate ana i te mate toto kore rino.
• Te whakawhiti toto: Ka mahia anake tēnei mēnā he tino kino te mate toto iti.

Ko te mea nui ko te whai i te mahere maimoatanga a tō tākuta e hoatu ana ki a koe, kia rite tonu ki te pūtake o te raruraru.

Ka taea te whakakore i te Microcytosis?

Kei te pūtake anō hoki tēnā. I te nuinga o te wā, ka memeha haere te microcytosis ina rongoatia te mate taketake. Ka taea e tō tākuta te kōrero ki a koe me pēhea te pānga o te maimoatanga ki ō pūtau toto me tō hauora whānui.

Ka aha mēnā ka kore e rongoatia?

Ehara i te mea ko te katoa e pāngia ana e te microcytosis, e te microcytic anemia rānei, e hiahia ana ki te maimoatanga. Heoi, ki te mea he mate kino tōu e iti ai ō toto whero, he mea nui kia tere te tātaritanga me te rongoā. Whaia ngā tohutohu a tō tākuta mō te hiahia ki te maimoatanga me te aha e tumanakohia ana mai i te maimoatanga.

He kino te mate Microcytosis?

Ko te microcytosis tētahi o ngā āhuatanga o ō toto whero. He tohu pea tēnei mō tētahi mate e hiahia ana kia rongoatia (me ētahi atu tohu). Engari i te nuinga o te wā, kāore i te tino kino, ā, he mea noa iho pea ka kitea e koe i runga i te pūrongo.

Mā tō tākuta koe e kī atu mēnā he tohu tō microcytosis i tētahi āhuatanga e hiahia ana kia rongoatia.

He aha taku e taea ai hei whakaiti i tēnei mōrearea?

Kāore e taea te ārai i ngā mate katoa ka whakangaro i ngā toto toto whero. Heoi, ka taea e koe te whakaiti i tō mōrearea mā te whai i ētahi tikanga hauora.

Ko te mea nui mō tēnei ko te whakarite kei te whiwhi koe i te rino e nui ana i roto i tō kai. Ko ngā kai e nui ana te rino ko:

• Ngā kai moana pērā i te tuna me te makarera
• Ngā hua i hangaia mai i te soya (Tofu)
• Ngā rēmana pērā i te pīni, te pīni matomato, te pīni tīhi, me te rēneti
• Ngā huawhenua rau matomato pouri pērā i te pīnihi, te kāreti, me te kāreti
• Ngā hua pērā i te tāte me te karepe maroke
• Ngā mīti, inā koa te mīti whero (pīhi, koati) me te heihei

Waihoki, ki te mea kua pokangahia tō puku, kei a koe rānei tētahi atu mate e whakaiti ana i tō kaha ki te mimiti i te rino mai i te kai, kōrero ki tō tākuta mō ngā tāpiringa rino e hiahiatia ana e koe.

Mena he āhuatanga tōu e tūpono ai koe ki te pāngia e te anemia, pērā i te thalassemia, i te mate pūnaha ārai mate rānei, me whai i ngā tohutohu a tō tākuta mō te whakaiti i tō tūponotanga.

He aha taku e pātai atu ai ki te tākuta?

Ki te kitea e koe he microcytosis tōu, whai i ngā tohutohu a tō tākuta mō te mahi e whai ake nei. Tērā pea ka hiahia koe ki te pātai i ēnei pātai:

• 'Me āwangawanga ahau mō te iti o taku MCV?'
• 'He aha atu ngā whakamātautau me mahi e au hei kimi i te pūtake o te microcytosis?'
• 'Me rongoā ahau?'
• 'He aha ngā hua e tika ana kia tumanakohia e au mai i te maimoatanga?'
• 'He aha ngā huringa āhua noho ka taea e au te mahi hei whakakore i tēnei microcytosis?'

He hononga kei waenganui i te microcytosis me te mate pukupuku?

He tohu pea te microcytosis i ētahi wā mō te mate pukupuku, engari he tohu anō hoki mō ētahi atu mate. Ko te microcytosis he tohu mō te korenga o te rino. Ko te mea nui, kaua e mataku, kaua hoki e whakaaro he mate pukupuku (he mea kē atu rānei) kia taea rā anō e tō tākuta te whakamārama he aha te āhua o ō whakamātautau toto.

He mea noa te manukanuka ina kite koe i tētahi hua rerekē i roto i tētahi whakamātautau hauora. Heoi, kāore te mea he rerekē ngā awhe e tohu ana kei te mate koe, kei te hiahia rānei koe ki te maimoatanga. Ko ngā uara pēnei i te "MCV" he mōhiohio noa iho hei āwhina i tō tākuta ki te mārama ki tō hauora whānui. Pātai atu ki tō tākuta mō ngā tohutohu mō te pānga o ngā hua o tō whakamātautau ki tō maimoatanga ā muri ake nei.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa?

Āe, me titiro noa tātou ki ētahi o ngā mea tino nui hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• Ehara te microcytosis i te mate, engari he iti iho i te tikanga ngā toto toto whero.
• He maha ngā wā ka kitea tēnei mā te "CBC" (tau toto katoa).
• Ko te korenga o te rino te tino take, engari tera pea ētahi atu take, pērā i te thalassemia me ngā mate pūmau.
• He tokomaha te hunga kāore e whakaatu i ngā tohu. Mēnā ka puta, ka pāngia pea rātou e te ngenge, te mā, me te uaua ki te manawa.
• Ka whakahaerehia e te tākuta ētahi atu whakamātautau hei kimi i te take.
• Ka whakawhirinaki te maimoatanga ki te take. I ētahi wā, kāore pea e hiahiatia he maimoatanga.
• Kaua e mataku! Ki te kite koe kua iti tō MCV, kōrero ki tō tākuta kia mōhio ai koe ki te take me te aha hoki te mahi.
• He mea nui kia mau tonu te kai hauora, inā koa te kai i ngā kai e nui ana te rino.

Kia maumahara, he mea hei whakamōhio noa iho ēnei kōrero, ehara i te mea hei whakamataku i a koe kia whakaaro he mate tōu. Mena he ruarua, he pātai rānei āu, he pai ake te toro atu ki te tākuta mō ētahi tohutohu.

`Maikorositosis, Ngā toto whero, Kore toto nui, Te korenga o te rino, Te toto toto iti (Hemoglobin), MCV