He iti te nui o ngā momo toto e toru kei roto i a koe? Me kōrero tātou mō te pancytopenia!

Kei te ngenge tonu koe i ētahi wā? Kei te pāngia rānei koe e te mate i te mea iti noa iho, kei te kite rānei koe i ngā marutanga puta noa i tō tinana? Tērā pea nā ētahi huringa o tō toto ēnei. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta i ēnei wā, e kiia nei e ngā tākuta ko te "pancytopenia". Kaua e manukanuka, ka kōrero māmā noa tātou mō tēnei.

He aha te pancytopenia?

Ki te whakarapopoto, ko te pancytopenia he āhua e iti iho ana i te tikanga ngā momo toto matua e toru o roto i tō tātou tinana – ngā toto whero, ngā toto mā, me ngā pereti toto. Whakaarohia he rite ki tētahi wheketere nui. He rerekē ngā kaimahi i roto i tēnei wheketere mō ngā mahi rerekē. Waihoki ēnei toto. He mahi motuhake tā ia momo.

Tirohia te mea ka puta ina heke te maha o ēnei momo pūtau:

• Ngā toto toto whero kua heke: Koinei ngā pūtau e kawe ana i te hāora puta noa i ō tātou tinana. Kei roto i ēnei pūtau he pūmua motuhake e kiia nei ko te hemoglobin . Koinei te mea e pupuri ana i te hāora. Nō reira, ina heke te nui o ngā toto toto whero, te hemoglobin rānei, ka kiia e tātou he "anemia" he "kore toto rānei."
• Te maha o ngā pūtau toto mā: He rite ngā pūtau toto mā, ngā leukocyte rānei, ki ngā pūtau tiaki o te tinana. Ka whawhai rātou ki ngā iroriki me te tiaki i a tātou mai i ngā mate. I roto i ēnei pūtau toto mā, ko te momo tino nui ko ngā neutrophils . Ko te hekenga o ngā pūtau toto mā ka kiia ko te leukopenia . Ko te hekenga o ngā neutrophils ka kiia hoki ko te neutropenia .
• Te iti o te maha o ngā pereti toto: He iti ngā kongakonga pūtau o ngā pereti toto. Engari he tino pai tā rātou mahi. Ina motuhia tātou, ka āwhina ēnei pereti toto ki te aukati i te toto. He mea tino nui rātou mō te toto totoka. Nō reira, ina iti te maha o ngā pereti toto, ka kiia te mate he thrombocytopenia .

Mena he pancytopenia tōu, ka pāngia pea koe e ngā tohu i puta mai i tētahi, i ētahi, i te katoa rānei o ēnei āhuatanga, i runga i te iti o ō pūtau toto.

He pēhea te noa o te pancytopenia?

Ina hoki, ehara te mate e kiia nei ko te pancytopenia i te mea onge pērā i tō whakaaro. Nā te mea he maha ngā take pea, he uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate.

He aha ngā tohu o te pancytopenia?

I ētahi wā, he tino ngawari te pancytopenia. Tērā pea kāore koe e kite i tētahi tohu nui. I ētahi wā, ka kitea e te tākuta i a rātou e mahi ana i ngā whakamātautau toto o ia rā. Heoi, i ētahi wā ka tino kino te mate, ā, ka mōrearea te ora. Mēnā he pērā, me rapu tonu koe i te maimoatanga.

Nā, kia titiro tātou he aha ngā tohu rerekē ina heke te nui o ēnei momo pūtau toto.

Ngā tohu o te iti o ngā toto whero (anemia)

Ki te kore e ranea ō toto whero, kāore e ranea te hāora mō ngā whekau me ngā kiko o tō tinana. Tērā pea ka pāngia koe e ngā tohu pēnei i:

• Te ngenge tonu (Fatigue): He āhua ngenge, kāore hoki e hiahia ki te mahi i tetahi mea.
• Te uaua ki te manawa (dyspnea): Te poto o te manawa ahakoa te kaha o te mahi.
• Te pōuriuri.
• Te mamae o te upoko.
• Ko te arrhythmia he āhua e tere ana te patu o te ngākau, e kore rānei e tika te patu.
• He kiri mā, he mātao, he werawera rānei.

Ngā tohu o te iti o ngā toto toto ma (leukopenia)

Ki te kore e ranea ō toto toto mā, ka heke te kaha o tō tinana ki te whawhai ki te mate. Ko te tikanga ka ngāwari te pangia e ngā mate. Ka puta pea ngā tohu pēnei i ēnei mate:

• Te ngenge tonu.
• Te kirika me te makariri.
• Korokoro mamae, mate pāwera rānei (pharyngitis).
• Ngā mate waha.
• Te maremare nui.
• Te korere.
• Te uaua ki te manawa.
• Ngā kōpū lymph pupuhi.
• Te maringi o te pūhā mai i ngā motu.

Ngā tohu o te iti o te maha o ngā pereti toto (thrombocytopenia)

Ina iti ō pereti toto, kāore tō toto e totoka tika. Ka puta pea ēnei āhuatanga pēnei i:

• Te whiwhi marō i tō tinana ahakoa i te mea iti rawa.
• He toto e uaua ana ki te aukati, e roa rānei te toto e mau ana.
• Te toto nui rawa atu i te wā paheketanga i roto i ngā wāhine.
• Te toto e puta mai ana i te tūtae, te mimi , te ruaki rānei.
• He whero, he papura rānei ngā ira i runga i te kiri (petechiae) – he rite ki te ponana. I ētahi wā ka puta ake anō hoki he whero, he papura, he parauri rānei ngā ira (purpura).

He aha te take o tēnei āhuatanga o te pancytopenia?

Ko te Pancytopenia te take o te hapa o te tukanga whakaputa toto i roto i tō tātou hinu wheua . I mōhio koe kei roto i te hinu wheua te whakaputa toto o ō tātou toto? Ka kiia tēnei tukanga he hematopoiesis . Ka puta atu ēnei pūtau i te hinu wheua ka tomo ki roto i te toto i muri i tō rātou pakeketanga.

Nō reira, ka puta te pancytopenia mēnā kāore e nui ngā pūtau toto hauora e whakaputaina ana e tō hinu wheua, mēnā rānei ka tere rawa te whakangaromanga o ēnei pūtau toto i muri i te whakaputanga.

He maha ngā āhuatanga ka ārai i te hanga o ēnei pūtau toto, ka whakangaro rānei i a rātou:

• Ngā mate e pā ana ki te hinu wheua:Tērā ētahi mate e puta ai ngā pūtau toto rerekē i roto i te hinu wheua. Ko te nuinga o ēnei ka "whiwhi" i a tātou e ora ana. Ko ētahi he "tuku iho". Hei tauira:
• Te mate toto ā-plastic
• Te mate toto Fanconi
• Te mate toto Diamond-Blackfan

• Matepukupuku: Ina horapa ngā pūtau matepukupuku ki te hinu wheua, ka whakararuraru i te hanga o ngā pūtau toto hauora. Ko ētahi momo matepukupuku ka puta ai te pancytopenia ko:
• Leukemia
• Lymphoma
• myeloma maha
• Myelofibrosis
• Ngā mate Myelodysplastic
• Te horapa o te mate pukupuku mai i ētahi atu wāhi ki te hinu wheua (te mate pukupuku metastatic)

• Te korenga o ngā kai me te whakamahinga waipiro: Ki te kore e nui ngā matūkai e whiwhihia ana e tō tinana pērā i te huaora B12 me te folate , tērā pea kāore e taea e ia te hanga pūtau toto hauora. Waihoki, ko te inu nui rawa i te waipiro te tino take o te pancytopenia.

• Ngā mate pāwera: Ka taea hoki tēnei āhuatanga te puta mai i ētahi momo huaketo. Hei tauira:
• Mononucleosis `(Mononucleosis - mono)`
• HIV (huaketo ngoikore o te ārai mate tangata)
• Hepatitis C
• Parvovirus B19 `(Parvovirus B19)`
• Te mate kohi
• Malaria

• Ngā āhuatanga ārai mate: Koinei te wā ka whakaekea e ngā pūtau ārai mate o tō tinana ngā pūtau toto hauora. Ko ngā mate ārai mate ka puta ai te pancytopenia ko:
• Lupus
• te rumatiki

• Ngā maimoatanga rongoā: Ka taea e ētahi rongoā, inā koa ngā rongoā chemotherapy mō te mate pukupuku, te whakaiti i te hanga o ngā pūtau toto.

• Te pānga ki ngā paitini: Ka taea e ngā paitini taiao pēnei i te benzene me te arsenic te kino i ō pūtau toto. Ka taea hoki e te pānga o te radiation te whakaiti i ō pūtau toto.

• Te aukati i te whēkau:Ka taea e ētahi āhuatanga hauora te whakaemi i ngā pūtau toto ki roto i tō whēkau. Ka taea tēnei e ngā mate pūnaha ārai mate, te cirrhosis o te ate, me ētahi mate pukupuku. Ina tupu tēnei, ka pupuhi, ka mamae hoki te whēkau (splenomegaly).

I ētahi wā onge, kāore e taea e ngā tākuta te kimi i te tino take o tēnei hekenga o ngā pūtau toto. Ka kiia tēnei ko te idiopathic pancytopenia .

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te pancytopenia?

Ka taea e te tangata e pāngia ana e ngā mate i kōrerotia i mua ake nei te whakawhanake i te pancytopenia. Heoi, ki te mea he mate toto tō tētahi o tō whānau, ki te mea rānei kei te whiwhi koe i te chemotherapy e pā ana ki te hanga o ngā pūtau toto, ka nui ake te tūponotanga ka pāngia koe e tēnei mate.

Me pēhea te tautuhi i te pancytopenia?

Mā te tatau toto katoa (CBC) ka taea te tirotiro mō ngā taumata iti o ngā pūtau toto. Ka rerekē pea ēnei uara i runga i ngā āhuatanga pēnei i te tau, te iwi, me te āhua hauora.

Koinei ngā taumata e kiia ana he iti:

• Ngā toto whero: Mō ngā wāhine, iti iho i te 4.2 miriona pūtau mō ia maikororita toto, iti iho rānei i te 12 karamu (g) ​​o te hemoglobin (mō ia teririta). Mō ngā tāne, iti iho i te 4.7 miriona pūtau mō ia maikororita toto, iti iho rānei i te 13 karamu o te hemoglobin (mō ia teririta).
• Ngā toto toto mā: I raro iho i te 4,000 ngā toto toto mā mō ia maikirīta toto, i raro iho rānei i te 1,800 ngā neutrophil mō ia maikirīta toto. Ko ngā neutrophil te momo toto toto mā tino nui, nō reira he mea tino nui tēnei tatau.
• Ngā pereti toto: I raro iho i te 150,000 ngā pereti toto i ia maikororita toto.

He aha atu ngā whakamātautau e mahia ana hei kimi i te pūtake?

Kia kitea e tō tākuta he pancytopenia tōu, ka whakahaerehia pea e rātou ētahi atu whakamātautau hei rapu i te take. Me toro atu pea koe ki tētahi tākuta tohunga ki ngā mate toto (hematologist) .

Kei roto pea i ēnei whakamātautau:

• Te whakamātautau toto ā-taha: Ka tirohia e tēnei whakamātautau ō pūtau toto i raro i te karuārai toto. Mena he āhua rerekē ō pūtau, ka taea pea te āwhina i a koe ki te kimi i te pūtake.
• Ngā whakamātautau taumata huaora B12 me te folate: Ko te Pancytopenia hoki e puta pinepine ana i te korenga o ngā kai. Nō reira, mā te tirotiro i ēnei taumata ka āwhina i te whakatau mēnā koinei te take.
• Te tango i te hinu wheua me te koiora: I roto i tēnei tikanga, ka tangohia e te tākuta tētahi tauira iti o tō hinu wheua ka whakamātautau kia kitea ai mēnā he mate e puta ai te pancytopenia, pērā i te mate pukupuku.

I runga i ngā hua o ō whakamātautau, ō hītori hauora, me ngā tohu, ka whakahaerehia pea e tō tākuta ēnei whakamātautau hei rapu i ētahi atu take:

• Ngā whakamātautau huaketo.
• Ngā whakamātautau mō ngā mate urutā.
• Ngā whakamātautau mō ngā āhuatanga autoimmune.
• Ngā whakamātautau mō ngā whakarerekētanga ira (ngā panonitanga o tō DNA).

Me pēhea te rongoā i te pancytopenia?

Ko te arotahi matua o te maimoatanga ko te kimi i te pūtake o te mate, te rongoā i te mate, me te whakaiti i ngā tohu. Tērā anō hoki ētahi maimoatanga ka taea te whakanui tika i te maha o ngā pūtau toto. Kei roto i ēnei ko:

• Ngā Rongoā: Tērā ētahi rongoā hei whakaoho i te hinu wheua, hei āwhina hoki i te hanga i ētahi atu pūtau toto.
• Te whakawhiti toto: Mena he iti rawa te maha o ngā pūtau toto, ā, ka kino pea ki tō hauora, ka tukuna pea he werohanga o ngā pūtau toto whero, o ngā pereti toto rānei ki a koe.
• Te whakawhitinga pūtau take, te whakawhitinga wheua rānei: Ko ēnei tikanga ko te tango i ngā pūtau take kore mahi (koinei ngā pūtau taketake i roto i te wheua e hanga ana i ngā pūtau toto) me te whakawhitinga i ngā pūtau take hauora.

Mena he tino iti ō taumata neutrophil, ā, he nui te tūponotanga o te pangia e ngā mate, ka tukuna pea ki a koe ngā paturopi whānui-whānui .

He aha ngā mea e tika ana kia tumanakohia e te tangata e pāngia ana e te pancytopenia?

Ko te tūponotanga o tō oranga ka whakawhirinaki ki te take i iti ai te maha o ngā pūtau toto. Kāore anō kia kitea he raraunga tuturu mō te angitu o ngā maimoatanga mō te pancytopenia. Engari, ka tirohia e ngā kairangahau te whai huatanga o ngā maimoatanga mō te mate taketake.

Ko te mea nui, i te whakapai ake o ngā maimoatanga mō ngā mate taketake, ka pai ake hoki ngā hua mō te hunga e pāngia ana e te pancytopenia. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō tēnei. Ka taea e ia te kōrero atu ki a koe i ngā mōhiohio rangahau hou me te whakamārama i te pānga ki tō mate.

He mate kino te pancytopenia?

Āe, ka taea te kino. Kei te pūtake hoki o te iti o te maha o ngā pūtau toto. Mena he pancytopenia tōu, ka rapua e tō tākuta te take, ā, ka whakatauhia te kino.

Āhea ahau me haere ki te hōhipera (ETU) i te wā e taea ai?

Ka kino rawa atu te pancytopenia, ā, ka mōrearea te ora mēnā kāore e rongoatia. Mēnā ka pāngia koe e tētahi o ēnei tohu, haere tonu ki te rūma whawhati tata (ETU) :

• Mena he nui ake te kirika i te 38 nekehanga Celsius (101 nekehanga Fahrenheit).
• Ki te ngaro tō māramatanga (pōuriuri).
• Mena he tino uaua ki te manawa.
• Te pōhēhē ohorere.
• Ki te tīmata koe i tētahi mamae upoko hou.
• Mena he toto nui te toto.
• Mena he mamae tō uma.
• Mena ka puta he hopuhopu.

Ka pāngia koe e te Pancytopenia i ngā huarahi rerekē. Kei te iti o ō pūtau toto me te take o te mate. Mena ka tūpono koe ki te mate toto kore toto, ki te mate pāwera, ki te toto nui rānei i roto i tō tau toto, me ata whai i ngā tohutohu a tō tākuta. Pātai atu hoki mō ngā tohu e tohu ana me toro atu koe ki tō tākuta.

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

Nō reira, kua mārama pea koe ināianei ko te pancytopenia he āhuatanga e heke ana ngā toto toto e toru, arā, ngā toto toto whero, ngā toto toto mā, me ngā pereti toto, i te wā kotahi. He maha ngā take mō tēnei, ā, he rerekē hoki ngā tohu.

Ko te mea nui ko te toro atu ki te tākuta mēnā kei a koe ēnei tohu. Kātahi ka taea e ia te tautuhi i te mate, ā, ka tīmata te maimoatanga e hiahiatia ana e koe. Ki te kitea wawetia e koe, ka taea e koe te whakahaere pai i ēnei āhuatanga. Nō reira, tiakina tō tinana, ā, ki te kite koe i tētahi mea rerekē, kia aro atu ki a ia. Kia ora tonu!

Pancytopenia , Pancytopenia, Te korenga o ngā pūtau toto, Ngā pūtau toto whero, Ngā pūtau toto mā, Ngā pereti toto, Huango wheua, Anemia, Leukopenia, Thrombocytopenia