Kua ngoikore tō pūnaha ārai mate? Me ako tātou mō te Neutropenia!

I mōhio koe ina uru mai he iroriki ki roto i tō tātou tinana, he ope taua tō tō tātou tinana hei whawhai ki a ia? Ko tētahi o ngā momo hōia tino motuhake o tēnei ope ko te Neutrophil. Engari i ētahi wā, nā runga i ngā take maha, ka heke te maha o ēnei hōia i roto i tō tātou tinana. Koinā te wā ka kino haere ahakoa he mate iti, ā, ka tīmata te puta pinepine o ngā mate. I tēnei rā kei te kōrero tātou mō tēnei āhuatanga e kiia nei ko te 'Neutropenia', arā, ka heke te kaha o ngā hōia tiaki o te tinana.

He aha te Neutropenia?

Ko te Neutropenia (e kīia ana ko: neutro-pe-nia) he āhua e iti iho ana te maha o ngā neutrophils, he momo toto mā, i roto i tō toto i te mea noa. Ko te nuinga o ēnei neutrophils ka hangaia i roto i tō tātou hinu wheua. Ko tā rātou mahi matua he kimi me te whakangaro i ngā iroriki, pērā i te huakita me ngā huaketo, e uru mai ana ki roto i ō tātou tinana.

Whakaarohia te mea ka puta ina iti iho ēnei neutrophils. He rite ki te ngoikore o te ope taua e tiaki ana i tētahi whenua. Ka tino heke te kaha o tō tātou tinana ki te whawhai ki ngā iroriki. I ngā wā tino kino, ahakoa ngā huakita noa i roto i ō tātou waha me ō tātou whekau, kāore e pā kino ki tētahi tangata hauora, ka taea e rātou te whakaputa mate kino.

Me pēhea te whakarōpūtanga o ngā taumata neutrophil?

Mā te tākuta tēnei e whakatau mā te titiro ki ngā hua o tō whakamātautau toto. I te nuinga o te wā, me nui ake i te 1,500 ngā neutrophils i roto i te maikororita toto o te pakeke hauora. E toru ngā taumata o te neutropenia, i runga i te iti o tēnei tau.

Ka taea e tēnei mate te noho poto (whakapeka) te noho roa rānei (mau tonu). Ka taea hoki te whānau mai, te noho whiwhi rānei.

He aha ngā tino take o te neutropenia?

He maha ngā take mō te hekenga o ngā neutrophils. Kāore e nui ngā neutrophils e whakaputaina ana e te hinu wheua, he tere rawa rānei te whakangaromanga o ngā neutrophils e whakaputaina ana.

Anei ētahi o ngā take matua:

• Te mate pukupuku me ōna maimoatanga: He take noa tēnei. Ka taea hoki e te chemotherapy me te radiation therapy, inā koa mō te mate pukupuku, te kino i ngā pūtau hauora e kiia nei ko ngā neutrophils, he pūtau tere wehewehe, ina whakangaromia. Ka taea hoki e ngā mate pukupuku toto pēnei i te leukemia te puta.
• Ngā Mate Pukupuku: Ka taea e ētahi mate huaketo, kitakita, me ngā pirinoa te whakaheke i ngā taumata neutrophil mō te wā poto. Hei tauira, ko te HIV, te Hepatitis, te Kohi, me te sepsis, he mate kino.
• Ētahi rongoā: Haunga ngā rongoā mate pukupuku, ko ētahi rongoā e tangohia ana mō ētahi atu mate ka taea hoki te whakaheke i te nui o ngā neutrophils hei pānga taha.
• Ngā āhuatanga ārai mate ā-tinana: Koinei te wā ka whakaekea hētia ai e te pūnaha ārai mate o tō tātou tinana ō tātou ake pūtau neutrophil hauora, me te whakaaro ko rātou te hoariri. Hei tauira, ko ngā āhuatanga pēnei i te lupus me te rheumatoid arthritis.
• Ngā ngoikoretanga o te kai: Ka puta anō hoki tēnei āhuatanga mēnā kāore i te tinana ngā matūkai pēnei i te huaora B12, te folate, te parahi rānei.
• Ngā take ira: Ka riro i ētahi tāngata tēnei mate mai i te whānautanga mai.

He aha ngā tohu o te neutropenia?

Ko te mea nui i konei , kāore he tohu o te Neutropenia. Heoi, nā te iti o ngā neutrophils, ka pāngia pea koe e ngā momo tohu rerekē nā ngā mate ka pāngia wawetia koe. Ki te pāngia koe e te mate i ngā wā katoa, he tohu pea tēnei nō te Neutropenia.

Ina puta he mate, ka kitea pea e koe ngā tohu penei:

• Te kirika (neke atu i te 38 Celsius, neke atu rānei i te 100.4 Fahrenheit)
• Tino ngenge, kore ora hoki
• Korokoro mamae
• Te pupuhi o ngā hononga o te tinana
• Ngā mate pāwera i roto i te waha, i te nono rānei
• Korere
• Te wera me te mamae i te wa e mimi ana
• Ngā mate kiri (whero, pupuhi, mamae)

Mena he ngawari te taumata o tō neutropenia, tera pea kei te toe tonu ngā neutrophils i roto i tō tinana hei whawhai i ngā mate. Tērā pea kāore he tohu i tēnei wā.

He aha ngā maimoatanga mō tēnei?

Ko te maimoatanga e whakawhirinaki ana ki te take o te iti o ō taumata neutrophil me tōna kaha. Ko ētahi o ngā take ngawari kāore pea e hiahiatia he maimoatanga.

Anei ētahi o ngā tikanga maimoatanga matua:

• Ngā rongoā paturopi: Mena kei a koe te neutropenia me te kirika (e kiia nei ko te 'febrile neutropenia'), he tohu pea tēnei mō tētahi mate kino. I roto i tēnei āhuatanga, ka whakaurua pea koe e tō tākuta ki te hōhipera, ā, ka hoatu he rongoā paturopi kaha mā roto i tētahi uaua (mā roto i tētahi raina).
• Corticosteroids: Mena he mate pūnaha ārai mate tō neutropenia, ka hoatu ēnei rongoā hei whakahaere i te mahi a te pūnaha ārai mate o te tinana.
• G-CSF (Granulocyte colony-stimulating factor): He momo werohanga motuhake ēnei e whakaoho ana i te hinu wheua, e whakanui ana hoki i te hanga o ngā pūtau toto mā (ina koa ko ngā neutrophils). He maha ngā wā ka hoatu ēnei ki te hunga e whiwhi ana i te chemotherapy.
• Te whakarerekē i ngā rongoā: Mena he rongoā te take o tō mate, ka mutu pea te rongoā, ka whakarerekē rānei te horopeta e tō tākuta.

Me aha ahau hei tiaki i ahau i ngā mate urutā?

Ki te mōhio koe he neutropenia tōu, ko te mea nui rawa atu ka taea e koe ko te tiaki i a koe mai i ngā mate urutā. Nā te ngoikore o tō pūnaha ārai mate, me tino tupato koe.

• Horoia ō ringaringa kia tino pai ki te hopi me te wai i ngā wā katoa. Whakamahia he wai horoi ringa kei roto he waipiro ina kore e wātea he wai.
• Kia matara atu i te hunga e mate ana, me ngā wāhi kī tonu i te tangata.
• Tikina ō kano ārai mate katoa e hiahiatia ana , pērā i te kano ārai mate rewharewha, i te wā tika. Pātai atu ki tō tākuta mō ngā tohutohu mō tēnei.
• Āta karohia ngā motu me ngā karawarawa. Horoia, ā, rongoāhia tonutia ahakoa ngā patunga iti.
• Kia tino tupato ki te akuaku o te kai. Horoia pai ngā huawhenua me ngā hua i mua i te kai. Tunua pai te mīti, te ika, me ngā hua manu i mua i te kai.
• Kaua e whakamahia ngā rīhi, ngā kapu, ngā pūnu, ngā heu, ngā tauera me ngā paraihe niho a ētahi atu.
• Mena kei te mahi koe i te māra, mauria he karapu.
• I te tango i ngā paru mōkai, i te whakawhiti nāpi rānei mō ngā tamariki nohinohi, kia mau karapu, kia horoia hoki ō ringaringa i muri i te mahi.
• Kaua e kaukau i roto i ngā wai kāore i te ma, pērā i ngā roto, ngā awa me ngā roto hōhonu.

Āhea ahau me toro atu ki te tākuta i te wā e taea ai?

Mena kei te whiwhi koe i te rongoā mate pukupuku, kei a koe rānei tētahi atu mate hauora ka pā mai ai te neutropenia, kaua e whakaroa mēnā ka puta mai tētahi o ēnei tohumate. Waea atu ki tō tākuta tonu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.

Kāore he mea e wehi ai te neutropenia, engari he mea nui kia mōhio koe ki tēnei mea, kia tūpato hoki. Ki te āta whai koe i ngā tohutohu a tō tākuta, ā, ki te mahi i ngā mahi e tika ana hei tiaki i a koe mai i ngā mate, ka taea e koe te whakahaere pai i tēnei āhuatanga.