He iti ngā parenga o tō tinana? Me kōrero tātou mō te neutropenia!

He maha ngā wā ka pāngia koe e te mate? Kua tirohia rānei e te tākuta tō whakamātautau toto, ā, ka mea mai, "He iti te toto o ō toto mā?" Tērā pea kei te pāngia koe e te kirika, kei te ngoikore koe, engari kāore e taea e koe te mārama he aha. I ngā wā pēnei, he mea nui kia mōhio koe ki tēnei āhuatanga e kiia nei ko te neutropenia, e kōrerohia ana e tātou i tēnei rā. Kaua e manukanuka, me whakamārama noa iho.

He aha te neutropenia? He tino māmā noa iho!

He whakarāpopototanga noa iho, ko te neutropenia he āhuatanga e iti iho ana i te toharite te maha o tētahi momo toto ma e kiia nei ko ngā neutrophils i roto i tō toto. Whakaarohia ēnei neutrophils he pirihimana kua whakangungua motuhake i roto i ō tātou tinana. Ko rātou te hunga e whawhai ana ki ngā iroriki, pērā i te huakita me ngā huaketo, e uru mai ana ki roto i ō tātou tinana, e tiaki ana i a tātou mai i te mate.

Ko ēnei hōia e kiia nei ko ngā neutrophils, he mea hanga i roto i tētahi wheketere i roto i tō tātou hinu wheua. Nō reira, ina heke te maha o ēnei neutrophils, ka heke anō hoki te kaha o tō tātou tinana ki te whawhai ki ngā iroriki. Ko te tikanga ka nui ake te tūponotanga o te pangia e ngā mate. I ētahi wā kino, ahakoa ngā huakita kāore e tino whakararuraru i te tangata hauora, pērā i ērā i roto i ō tātou waha, i ō tātou whekau rānei, ka taea te whakararu i te mate kino. Kei te mārama koe?

He aha te taumata noa o ngā neutrophils?

Ka whakarōpūtia te Neutropenia i runga i te maha o ngā neutrophil i roto i te tauira toto. E whakaaetia whānuitia ana me whiwhi te pakeke i te iti rawa 1,500 neutrophils i ia microrita toto. (Ki tā ētahi he 1,800 tēnei rohe). Anei te wehewehenga:

• Neutropenia ngawari: I waenga i te 1,000 – 1,500 neutrophils.
• Neutropenia ngawari: I waenga i te 500 – 1,000 neutrophils.
• Neutropenia kino: I raro i te 500 neutrophils.

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

Ko wai te mea ka nui ake te tūponotanga ki te pāngia e te neutropenia?

I ētahi wā ka puta te neutropenia i ngā mate pāwera. Heoi, he maha tonu te kite i tēnei hei pānga taha o ngā maimoatanga mate pukupuku, inā koa te chemotherapy. E ai ki ngā kairangahau tae atu ki te 50% o te hunga e whiwhi ana i te chemotherapy ka pāngia pea e te neutropenia.

Tērā tētahi atu momo e kiia nei ko te 'Benign Ethnic Neutropenia (BEN).' He mate whānau tonu tēnei, he mate roa. He mea noa tēnei i roto i ngā tāngata o Āwherika, o te Rawhiti o Waenganui, me Īnia ki te Hauāuru. He iti iho i te 1,500 te maha o ngā neutrophils o ēnei tāngata, engari kāore i te tino mōrearea ki te pangia e ngā mate.

He aha te pānga o te neutropenia ki tōku tinana?

He rerekē ngā pānga o te neutropenia i runga i te maha o ngā neutrophils. Tērā pea kāore he tohu o te tangata he neutropenia ngawari. He maha ngā wā ka kitea noa iho i te wā e whakamātautau toto ana mō tētahi atu mate. Heoi, ki te mea he neutropenia ngawari ki te kino tōu, he nui ake te tūponotanga ki te pangia e ngā mate. Ki te kore e rongoatia tika, ka taea e te neutropenia kino te whakararu i te ora. Koia te take he mea nui kia mōhio koe ki tēnei mate.

He aha te take e puta ai te neutropenia? He aha ngā take?

E toru ngā take matua e pā ai te neutropenia:

1. Kāore e ranea ana ngā neutrophils e hangaia ana e tō hinu wheua.

2. Te tere o te pakaru (te whakangaromanga) o ngā neutrophils e whakaputaina ana.

3. Ki te whakangaro rānei i ngā neutrophils kua hangaia.

Anei ētahi o ngā take:

• Ngā āhuatanga ira: I ētahi wā ka taea te tuku iho i tēnei āhuatanga mai i ngā mātua ki ngā tamariki mā roto i ngā ira. Ko te Benign Ethnic Neutropenia (BEN), te Cyclic neutropenia, me te Severe congenital neutropenia ētahi o ngā momo e puta mai ana i ēnei take ira.
• Ngā Mate Pukupuku: Ka taea hoki te whakaputa i te neutropenia e ngā mate huaketo, kitakita, me ngā pirinoa. Hei tauira, ko te HIV, te hepatitis, te mate kohi, te sepsis (he mate kino o te toto), me te mate Lyme.
• Matepukupuku: Ko ngā matepukupuku pēnei i te leukemia, te lymphoma, me ētahi atu mate e pā ana ki te toto, ki te wheua wheua rānei, ka kore e taea e te tinana te whakaputa i ngā toto toto ma e hiahiatia ana, ka hua ake te neutropenia.
• Ngā Rongoā: Ka taea e ngā maimoatanga mō te mate pukupuku, pērā i te chemotherapy me te radiation therapy, te kino i ngā neutrophils me te hinu wheua e whakaputa ana i aua mea. Waihoki, ka taea e ētahi rongoā mō ētahi atu āhuatanga ehara i te mate pukupuku te whakaheke i ngā taumata neutrophils hei pānga taha.
• Ngā ngoikoretanga kai: Ka puta te neutropenia mēnā kāore te tinana e whiwhi i te nui o ngā huaora me ngā kohuke, pērā i te huaora B12, te folate, te parahi rānei.
• Ngā ngoikoretanga o te pūnaha ārai mate: Koinei te wā e hē ai te mārama o tō tātou ake pūnaha ārai mate ki tō tātou ake pūnaha ārai mate, ā, ka hangaia he paturopi hei whakangaro i ngā neutrophils hauora. He rite ki tō tātou ake ope taua e whakaeke ana i a ia anō. Ko te mate a Crohn, te lupus, me te rumatiki rheumatoid ētahi o ēnei mate.

I ētahi wā, ka puta he āhuatanga e kiia nei ko te 'Chronic idiopathic neutropenia'. Arā, he neutropenia tēnei, engari kāore e kitea te tino take .

He aha te take e puta ai te neutropenia i te maimoatanga matepukupuku?

He tino kaha ngā rongoā mate pukupuku pērā i te chemotherapy. Ka patua e rātou ngā pūtau mate pukupuku. Heoi, ka taea hoki e rātou te kino i ngā pūtau hauora e tere wehewehe ana. Ko ā tātou neutrophils me ngā pūtau wheua e hanga ana i a rātou he pūtau tere wehewehe hoki. Koia te take e kitea ai te neutropenia i te wā o te chemotherapy. Ko ngā taumata neutrophil te nuinga o te wā ka tino heke i roto i ngā wiki tuatahi e rua o te maimoatanga. Whai muri i tēnā, ka piki haere anō.

He mea tino nui kia mahi i ētahi atu mahi hei tiaki i a koe mai i ngā mate urutā i tēnei wā, nā te mea koinei te wā e ngoikore haere ana ngā parepare o te tinana.

He aha ngā tohu o te neutropenia?

Kāore he tohu motuhake o te neutropenia. Heoi, ki te pāngia koe e ngā mate nā te neutropenia, ka pāngia pea koe e ngā tohu o aua mate. Ko ngā mate auau he tohu anō hoki o te neutropenia. Anei ētahi o ngā tohu:

• Te kirika (ina koa he āhuatanga e kiia nei ko te febrile neutropenia)
• Ngenge
• Korokoro mamae (Pharyngitis)
• Ngā kōpū lymph pupuhi
• Ngā mate pukupuku i roto i te waha, i te taha rānei o te nono
• Te mamae, te pupuhi, me te whero i te wāhi i pangia ai te mate
• Te koretake o te kai, te mate korere
• Ngā tohu mimi, pērā i te wera i te wā e mimi ana me te mimi pinepine

Mena he iti noa te neutropenia kei a koe, tera pea he nui ngā neutrophils i roto i tō tinana hei whawhai i ngā mate. Mēnā koinā, tērā pea kāore koe e kite i tētahi tohu.

Me pēhea te tautuhi i te neutropenia?

Ko te whakamātautau matua me te whakamātautau māmā rawa atu hei tautuhi i tēnei ko te tatau toto katoa (CBC) me te rerekētanga . Mena kei te whiwhi koe i te maimoatanga pēnei i te chemotherapy, ka mahi tonu tō tākuta i tēnei whakamātautau hei aroturuki i ō taumata neutrophil.

Mena kāore tō tākuta i te tino mōhio he aha te take o tō neutropenia, ka tonoa pea e ia ētahi atu whakamātautau. Hei tauira, ka tangohia he tauira o tō hinu wheua ka tirohia i raro i te karuārai. Ka taea e tēnei whakamātautau te whakatau mena kei te tika te hanga o ngā neutrophils i roto i tō hinu wheua, mena rānei kei te whakangaromia i muri i te hanga. Ka taea e ēnei mōhiohio te āwhina i tō tākuta ki te whakaū i te mate.

He aha ngā maimoatanga mō te neutropenia?

Kāore pea ētahi momo neutropenia e hiahiatia he maimoatanga. Ko ētahi atu whiringa maimoatanga ka whakawhirinaki ki te take o te iti o ō taumata neutrophil.

Hei maimoatanga, ka taea te mahi i ngā mahi e whai ake nei:

• Paturopi: Mena kei a koe te kirika me te mate pāwera, ka taea e ngā paturopi te whakaora i te ora. He maha ngā wā ka whakaurua koe ki te hōhipera, ā, ka hoatu he paturopi, pērā i te tote, mā roto i te uaua. I tēnei wā, ka mahia he whakamātautau hei kimi i te pūtake o te mate.
• Corticosteroids: Mena he neutropenia tōu i puta mai i tētahi mate pūnaha ārai mate, ka tohua pea e tō tākuta he rongoā e kiia nei ko te corticosteroids. Ka whakaitihia e ēnei rongoā te mahi a tō pūnaha ārai mate, ka whakangaro i ō neutrophils.
• Te matū whakaoho i te koroni granulocyte (G-CSF): Ka tohua pea e tō tākuta he rongoā hei whakaoho i tō hinu wheua ki te whakaputa i ngā toto toto mā. Mena kei te whiwhi koe i te chemotherapy, ka tukuna pea tēnei werohanga G-CSF ki a koe.

Mena ka whakatauhia ko te neutropenia i puta mai i te rongoā e tangohia ana e koe, ka kī atu tō tākuta kia mutu te tango i taua rongoā, kia whakarerekē rānei i te horopeta.

Ka taea te ārai i te neutropenia?

Kāore e taea e mātou te ārai i ngā momo neutropenia whānau. Heoi, ki te mea kei te whiwhi koe i te chemotherapy, ki te whakapae tō tākuta he iti ō taumata neutrophil, ka whakaroa pea ia i te wāhanga chemotherapy e whai ake nei, ka whakaiti rānei i te horopeta. Ka tūtohu pea rātou i te werohanga G-CSF hei whakanui ake i te hanga o ngā pūtau toto mā.

Me pēhea taku tiaki i ahau i ngā mate urutā mēnā he neutropenia tōku?

Ki te mōhio koe he iti ō neutrophils, he maha ngā mahi ka taea e koe te mahi hei tiaki i a koe mai i ngā mate. He mea tino nui ēnei hei maumahara.

• Horoia ō ringaringa i ia wā ki te hopi , ki te whakamahi rānei i tētahi wai horoi ringa kei roto he waipiro.
• Tae atu ki te rewharewha me te Covid-19 `(COVID-19)`Me whiwhi i ō werohanga katoa i te wā tika.
• Me noho tawhiti atu i te hunga e mate ana, me ngā wāhi kī tonu i te tangata e tūtaki ai koe ki tētahi e mate ana.
• Kia tūpato ki ngā karawarawa, ngā motu, me ngā patunga (tae atu ki ngā moko me ngā wero tinana). Me rongoā tonu ngā whara kiri.
• Horoia rawatia ngā hua me ngā huawhenua, wehea te mīti me te ika i ētahi atu kai, ā, takaia te kai i roto i te kīhini ma, tunua kia tika. Mā tēnei, ka taea e koe te ārai i te horapa o ngā iroriki.
• Kaua e tohaina ngā oko kai, ngā kapu, ngā kai me ngā inu rānei ki ētahi atu.
• Kaua e tohaina ngā taonga pēnei i ngā tauera, ngā heu, me ngā paraihe niho ki ētahi atu.
• Mena kei te mahi koe i te māra, mauria he karapu.
• Kaua e tango i ngā paru mōkai, kaua hoki e whakawhiti i ngā nāpi o ngā pēpi hou i ngā wā katoa e taea ana (ki te hiahiatia, mau karapu, ā, horoia pai ō ringaringa i muri i te mahi).
• Kaua e whakamahi i ngā roto, ngā roto hōhonu, ngā awa me ngā kaukau wera.
• Whakamahia ngā rongoā kia rite ki te tohutohu a tō tākuta hei ārai i ngā mate pāwera.

He maha o ēnei tohutohu he mea e mahia ana e tātou hei pupuri i te hauora. Heoi, ki te pāngia koe e te neutropenia, me tino tupato koe. Pātai atu ki tō tākuta he aha atu ngā mea ka taea e koe te mahi hei tiaki i a koe mai i ngā mate urutā, i runga i tō momo noho me tō āhua hauora.

He aha te matapae mō te hunga e pāngia ana e te neutropenia? (Matapae)

Ka taea te rongoā i te neutropenia, nō reira he pai te tirohanga mō te nuinga o te tangata. Ko te mea nui ko te ārai i ngā mate me te rapu rongoā wawe tonu (mēnā ka pāngia koe e te mate).

Āhea ahau me toro atu ki te tākuta?

Mena kei te whiwhi koe i te chemotherapy, kei a koe rānei tētahi atu mate ka pā mai ai te neutropenia, me toro atu ki te tākuta tonu mena ka pāngia koe e tētahi o ēnei tohu, me waea atu rānei ki tō tākuta tonu mō ngā tohutohu me mahi koe:

• He kirika 38 nekehanga Celsius, neke atu rānei.
• Te werawera, te wiri rānei i te makariri.
• Te uaua ki te manawa.
• Te pupuhi o te ihu.
• Te korokoro mamae, te kaki rānei e pakari ana.
• He maremare hou, he maremare kino rānei o te maremare o mua.
• Te korere me/te ruaki rānei.
• Te rere o te tara, te mākūkū rānei.
• Te mamae, te whero, te pupuhi rānei i ngā wāhi katoa o te tinana.
• Te panonitanga o te mimi (mamae, werawera, hiahia tonu ki te mimi).
• Te tīmatanga hou o te mamae, inā koa ki te puku, ki te tō rānei.
• Te pōhēhē, te rerekē rānei o te hinengaro i tō te tikanga.
• Te tino ngenge, te kore rānei e pai te hauora.

Ko te āhua o tō wheako i te neutropenia e whakawhirinaki ana ki te take i heke ai ō taumata neutrophil. Mena he iti ō taumata nā te mate tata nei, tera pea ka hoki anō ki te āhua noa i te wā e ora ana tō tinana. Mena he mate roa, he rongoā chemotherapy rānei te take o tō neutropenia, ka aroturukihia e tō tākuta ō taumata neutrophil i ia wā hei ārai i ngā raruraru mai i ngā mate. Pātai atu ki tō tākuta mēnā me whai whakamātautau hauora me ngā rongoā auau tō neutropenia hei ārai i ngā mate.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko te Neutropenia he āhuatanga e iti ai te nui o ngā toto toto mā o te tinana, e kiia nei ko ngā neutrophils. Ka piki ake te mōrearea o te mate. He mea noa tēnei āhuatanga i roto i te hunga e whiwhi ana i ngā maimoatanga mate pukupuku pēnei i te chemotherapy.

Kāore he mea e manukanuka ai, kei reira ngā maimoatanga mō tēnei. Ko te mea nui ko:

• Kia tino whai i ngā tohutohu a tō tākuta.
• Te mahi i ngā mahi katoa hei tiaki i a koe mai i te mate.
• Ki te kite koe i ētahi tohu o te mate urutā, pērā i te kirika , rapua tonutia he tohutohu hauora.

Ki te mōhio koe ki tēnei, ā, me mahi koe i ngā mahi ārai, ka taea e koe te noho hauora ahakoa te mate pāwera. Kaua e mangere ki te kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.

` Nutropenia, neutrophils, toto mā, ārai mate, mate pāwera, mate pukupuku, chemotherapy