Ahakoa he iti noa te maru, ka kikorangi tonu koe? He maha tonu ngā toto ihu e puta mai ana i a koe? He toto rānei ō kapia? Tērā pea kua kōrero mai tō tākuta ki a koe he mate tōu e kiia nei ko te ITP. He mate tēnei e heke ai te maha o ngā pereti toto i roto i te tinana, e āwhina ana ki te totoka . Nō reira, ko te ingoa o tētahi maimoatanga motuhake mō tēnei ko te Nplate. I tēnei rā, ka kōrero tātou mō tēnei, mō tēnei rongoā, he tino māmā noa iho, i roto i tētahi huarahi e mārama ai koe.
He aha te ITP (Immune Thrombocytopenia )?
Ki te whakarapopototanga, ko te ITP he āhuatanga e whakaeke hē ai te pūnaha ārai mate o tō tātou tinana, arā, te pūnaha ārai mate, i ō tātou ake pereti toto, me te whakaaro ko rātou te hoariri. Koinei te mea e kiia nei e tātou he āhuatanga ārai mate .
Whakaarohia pēnei: he hanganga iti rite ki te hōia ngā pereti toto i hangaia i roto i tō tātou hinu wheua . Ina he patunga kei tētahi wāhi, ā, ka tīmata te toto, ka tere atu ēnei pereti toto ki te wāhi, ka purua te patunga, ka mutu te toto. He iti te taumata o ēnei pereti toto mō te hunga whai ITP, ka nui ake te mōrearea o te toto.
He aha ngā tohu o te ITP?
Ka rerekē ngā tohu o te ITP i ia tangata, i ia tangata. Tērā pea kāore he tohu o ētahi tāngata. Heoi, he iti noa ngā tohu e kitea whānuitia ana. Me titiro tātou ki ēnei tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Petekiae | Te putanga mai o ngā ira whero iti ki te kiri, me te mea nei i tuhia ki te pito o te pene iti. |
| Waiporoporo | He ira papura kei runga i te kiri (he nui ake i te petechiae). |
| Ngāwari te marō (Ecchymosis) | Ahakoa he marutanga iti noa iho, inā koa i ngā ringaringa me ngā waewae, ka taea te huri ki te kikorangi. |
| Te toto ihu auau | Te toto ihu maha, nui rawa rānei. |
| Te toto nui o te paheketanga (Menorrhagia) | Te toto nui rawa atu i te wā paheketanga i roto i ngā wāhine. |
| Ngā kapia toto | Te toto o ngā kapia i te wā e parai ana i ō niho, i te parai noa rānei i ō niho. |
| Te toto i roto i te mimi (Hematuria) | Te toto i roto i te mimi. |
Me pēhea te mahi a te rongoā Nplate?
He "whakatairanga pereti toto" te Nplate. Arā, he rongoā e āwhina ana ki te whakanui ake i te maha o ngā pereti toto i roto i te toto.
He mea nui, ehara a Nplate i te rongoā tuatahi e hoatu ana mō te ITP. Ko te tikanga ka whakamātau tuatahi tō tākuta i ētahi atu maimoatanga, pērā i te corticosteroids me te immunoglobulins. I ētahi wā, ka whakaarohia pea te tango i te splenectomy . Ka whakamahia noa he rongoā pērā i a Nplate mēnā kāore ēnei maimoatanga e whakarato i te mana whakahaere e tika ana.
He pūmua motuhake kei roto i tō tātou tinana e kiia nei ko te thrombopoietin (TPO) e 'tohu ana' ki te hinu wheua kia hanga he pereti toto. Tērā pea he iti ngā taumata o tēnei TPO mō te hunga whai ITP. He rite tonu te mahi a te rongoā Nplate ki tēnei TPO, e tuku karere ana ki te hinu wheua kia "hanga he pereti toto anō."
Ko te whāinga matua o tēnei rongoā ehara i te whakahoki i te maha o ngā pereti toto ki te āhua noa (150,000-450,000). Ko te whāinga kia mau tonu te maha o ngā pereti toto ki runga ake i te 50,000, he mea e tika ana hei whakaiti i te mōrearea o te toto.
Me pēhea te hoatutanga o te Nplate?
He werohanga kotahi i te wiki te Nplate ka tukuna ki raro i te kiri. Māu, mā tāu tamaiti rānei tēnei.Ka hoatu e te tākuta, e te nēhi rānei kua whakangungua. Ko te horopeta ka whakatauhia i runga i te taumaha o tō tinana. Ka whakarerekē pea tō tākuta i te horopeta e hiahiatia ana i runga i ngā hua o tō whakamātautau toto (te tatau o ngā pereti toto). Nō reira, he mea tino nui kia haere koe ki te tākuta i ngā rā me ngā wā kua whakaritea e tō tākuta. Ki te ngaro koe i tētahi horopeta, waea atu ki tō tākuta i te wā e taea ai hei whakarite i tō horopeta e whai ake nei.
He aha ngā pānga taha o tēnei rongoā?
Pērā i ngā rongoā katoa, ka pāngia pea a Nplate e ngā pānga taha. Tērā pea he rerekē te pānga ki ngā pakeke me ngā tamariki.
| Ngā pānga taha noa o Nplate | |
|---|---|
| Ngā mea ka pā ki ngā pakeke | |
| Ānini | Mamae hononga me te uaua |
| Pōuriuri | Te kore moe |
| Te mamae o te ringa, te waewae, me te pakihiwi | Mamae puku, whakapairuaki, ruaki, pupuhi |
| Te ngoikore o ngā peka | Maremare, korokoro mamae, makariri |
| Ngā mea ka pā ki ngā tamariki | |
| Marumarutanga | Ngā mate korokoro me te ihu, pērā i te makariri |
| Mamae o te waha me te korokoro | |
Me pēhea te whakahaere i ēnei pānga taha?
- Whakapairuaki/ruaki: Ki te pāngia koe e te whakapairuaki, inumia he nui te wai hei ārai i te matewai. Āta karohia ngā kai momona me ngā kai raukikī, ā, kai i ngā kai māmā pērā i te taro me ngā pihikete. Ki te mau tonu ēnei tohu , me kōrero ki tō tākuta .
- Te mamae o te upoko me te mamae: Ka tohua pea e tō tākuta he rongoā whakamamae mō ngā mea pēnei i te mamae o te upoko me te mamae o ō ringaringa. Heoi, kaua e tango i tētahi rongoā me te kore kōrero ki tō tākuta .
- Pōuriuri: Tērā pea ka pōuriuri tēnei rongoā, nō reira karohia te taraiwa, te whakahaere rānei i ngā mīhini taumaha kia mōhio rā anō koe ki te pānga o te rongoā ki a koe.
- Te kore moe: Mā te haere ki te moenga i te wā kotahi, te whakaiti i te wā e mātaki ana i tō waea me te pouaka whakaata i mua i te moenga, me te whakaaroaro ka āwhina i te whakaiti i ngā raruraru moe.
Ko te mea nui ko te whakamōhio atu ki tō tākuta mēnā ka pāngia koe, tāu tamaiti rānei e ētahi pānga taha, ahakoa he iti noa iho.
He raruraru kei te pā ki ētahi atu rongoā? (Ngā Taunekeneke o ngā Rongoā)
Kāore anō kia puta he pūrongo mō ngā raruraru nui ki ētahi atu rongoā e taunekeneke ana ki a Nplate. Heoi, ko te mea nui kia maumahara, ki te mea kei te tango koe i ētahi atu rongoā e whakanui ana i tō mōrearea o te toto (hei tauira, te aspirin, te warfarin, ngā rongoā whakangawari toto pēnei i te clopidogrel), he mea nui kia kōrero koe ki tō tākuta. Me tino kōrero hoki ki tō tākuta mō ngā rongoā me ngā huaora katoa e tangohia ana e koe.
Karere Tangohia ki te Kāinga
- Ko te ITP he āhuatanga e whakangaromia ai e tō tātou ake pūnaha ārai mate ngā pereti toto.
- He werohanga kotahi i te wiki te Nplate hei whakaoho i te hinu wheua kia nui ake te hanga o ngā pereti toto.
- Ehara tēnei i te rongoā mō te ITP. Ko tōna whāinga he whakaiti i te mōrearea o te toto.
- Ka whakatauhia te horopeta o te rongoā i runga i tō taumaha me ngā hua o te whakamātautau toto. Nō reira, he mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Tērā pea ka puta ngā pānga taha pēnei i te ānini, te mamae o ngā hononga, me te whakapairuaki, ā, me whakamōhio tonu atu ki tō tākuta mō ngā āhuatanga rerekē.
- He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, inā koa ngā rongoā whakaiti toto.
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