Kei te ngenge tonu koe? Kei te ngoikore tonu koe ahakoa he poto noa te hikoi? Kei te ahua kāore koe i te hiahia kai, ā, kei te āhua mā koe? I te nuinga o te wā, kāore tātou e aro nui ki ēnei mea, e whakaaro ana he mea noa iho. Heoi anō, tera pea he take nui kei muri i tēnei. I tēnei rā, e kōrero ana tātou mō tētahi mate kino engari ka taea te rongoā i puta mai i te korenga o te huaora B12. Ka kiia tēnei ko te Anemia Kino .
He aha te Pernicious Anemia?
Ko te mate toto kino tētahi o ngā tino take o te korenga o te huaora B12. Hei whakamārama, he mate pūnaha ārai mate tēnei. Tērā pea kei te whakaaro koe he aha te mate pūnaha ārai mate. Ki te kī ngāwari, ko te mahi matua a tō tātou pūnaha ārai mate he whawhai ki ngā whakaekenga mai i waho, me te tiaki i a tātou mai i te mate. Heoi, i roto i tēnei mate, ka tīmata te pūnaha ārai mate ki te whakaeke i ō tātou ake pūtau hauora.
He rite tonu te āhua o te mate Anemia kino. Ka whakaekea e tō tātou pūnaha ārai mate ētahi pūtau i roto i ngā whekau (puku). Ka whakaputahia e ēnei pūtau he pūmua motuhake e kiia nei ko te Intrinsic Factor e āwhina ana i te tinana ki te mimiti i te huaora B12. Ina ngaro tēnei pūmua, ahakoa te nui o te huaora B12 e kainga ana e tātou, kāore e mimitihia e te tinana, ā, ka maumauria.
He mea tino nui te huaora B12 mō tō tātou tinana. Ina koa, he mea nui mō te hanga o ngā toto whero, e kawe ana i te hāora i roto i te toto. Nō reira, ina kore te huaora B12, ka heke te hanga o ngā toto whero hauora. Koinei te mea e kiia nei e tātou ko te anemia .
Ko te tikanga o te ingoa Pernicious Anemia he "kino." Nā te mea, ki te kore e rongoatia, ka taea e tēnei mate te whakararu i te pūnaha io, ā, ka kore e taea te whakatika.
He aha te pānga o tēnei āhuatanga ki tōku tinana?
Ka pā te anemia kino ki ētahi pūnaha tinana.
- Pūnaha nakunaku: Tērā pea ka whakapairuaki, ka pupuhi, ka heke te taumaha.
- Pūnaha io: Koinei te mea tino morearea. Ka taea e ia te arahi ki te ngoikore o te uaua, te ngoikore o ngā peka, te ngaro o te mahara, tae atu ki te mate wareware.
- Manawa: Tērā pea ka pāngia koe e te tere o te manawa, e te koretake rānei o te ngakau.
- Hauora whānui: Ko te ngenge tonu me te ngoikore ngā tohu matua.
Ka kitea nuitia tēnei mate i waenga i te 60 me te 80 tau te pakeke, inā koa i waenga i te hunga nō te Tai Tokerau o Ūropi.
He aha ngā tohu o te Anemia Pernicious?
Ko tētahi o ngā āhuatanga ahurei o tēnei ko te roanga o ngā tau ka puta mai ngā tohu. Nā te mea ka rongoatia e tō tātou tinana te huaora B12 i roto i te ate, ā, ka whakamahia mārire. E 3-5 tau pea ka pau te penapena i tēnei taonga. Ahakoa tērā, ka roa pea te wā ka puta mai ngā tohu.
Ka heke te nui o te huaora B12, ka kaha haere ngā tohu. Ka taea e koe te mārama ki tēnei mai i te ripanga i raro nei.
| Momo tohu | Ngā mea hei tiro |
|---|---|
| Ngā tohu tōmua (he maha ngā wā ka pohehetia hei mate kē atu) | |
| Pūnaha nakunaku | Te korere, te mate pāwera rānei, te kore hiahia kai, te mamae o te uma. |
| Āhua o te tinana | Kiri mā, he kōwhai te kiri (he kōwhai ngā kanohi, te kiri rānei). |
| Ngā raruraru whānui | Pōuriuri, uaua ki te manawa (dyspnea) i te tū, i te whakakori tinana rānei, pupuhi arero, whero, toto rānei ngā kapia. |
| Ngā tohu o te pūnaha io i puta mai i te iti o ngā taumata B12 i roto i te wā | |
| Hinengaro me te whanonga | Pōhēhē, ngaronga mahara mō te wā poto, pouri, uaua ki te arotahi, pukuriri, moemoeā. |
| Ngā mate pūnaha io | Te ngaronga o te taurite, te ngoikore, te ngaro rānei o te kare ā-roto o ngā ringa me ngā waewae. |
| Te tirohanga | Ka pāngia te tirohanga e te pirau o te io whatu. |
He take anō kei te pā mai o te mate toto kino?
Āe. Haunga te mate pūnaha ārai mate e kiia nei ko te Pernicious Anemia, tērā pea kāore e taea e te tinana te mimiti i te huaora B12 mō ētahi atu take.
- Pokanga puku: Ina mahia te pokanga hei tango i tētahi wāhanga, i te katoa rānei o te puku (hei tauira, te pokanga karo puku mō te momona), ka ngaro ngā pūtau e āwhina ana ki te mimiti i te huaora B12.
- Pokanga whekau iti: Mā te tango i tētahi wāhanga o te whekau iti ka whakaiti i te kaha ki te mimiti i te huaora B12.
- Ngā Huakita Puku Iti: I roto i te āhuatanga e kiia nei ko te Small Intestinal Bacterial Overgrowth (SIBO) , ka tipu ngā huakita kino i roto i te whekau iti ka pau te huaora B12 i mua i te mimiti e te tinana.
- Ētahi rongoā: Ka pāngia pea ngā taumata huaora B12 e ētahi rongoā mō te mate huka, te mate haurangi, me ētahi paturopi.
- Ngā Mate Pukupuku Rīpene: Ka pāngia pea koe e ngā mate pukupuku rīpene mēnā ka kai koe i ngā ika kāore i tino maoa, kāore hoki i pangia. Ka kai ēnei pirinoa i te huaora B12.
- Kai: Ko te hunga e kai huawhenua ana, e whai ana rānei i ngā kai tipu, tera pea kāore i te rawaka te huaora B12 i roto i ā rātou kai.
- Ētahi atu mate: Ka uaua te mimiti i te huaora B12 nā ngā mate o te pūnaha nakunaku pērā i te mate Celiac , te mate a Crohn rānei.
- Ngā mate homoni: Ko te hunga whai mate pūnaha ārai mate pēnei i te hypoparathyroidism me te mate a Graves ka nui ake te mōrearea ki te whakawhanake i te anemia kino.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ēnei tohu, he mea nui kia toro atu koe ki tō tākuta. Ka tirotirohia koe e ia, ka tangohia tō hītori hauora, ā, ka tonoa he whakamātautau hei whakaū i te āhua.
- Whakamātautau taumata huaora B12: Mā tēnei ka ine i te nui o te huaora B12 i roto i te toto.
- Te Tatau Toto Katoa (CBC): Mā tēnei ka taea te whakatau i te momo me te kaha o te anemia.
- Ētahi atu whakamātautau toto motuhake: Ko ngā whakamātautau pēnei i te tatau Reticulocyte, te LDH, te bilirubin toto, te MMA, te taumata Homocysteine, me ētahi atu, ka whakarato i ngā mōhiohio hohonu mō te ngoikore o te huaora B12 me te mahi a te hinu wheua.
- Whakamātautau paturopi: Ka whakamātauhia te toto mō ngā paturopi e whakaeke ana i ngā pūtau puku me te intrinsic factor.
- Te Endoscopy o Runga:Ka whakauruhia he kāmera rite ki te ngongo (endoscope) mā te waha, ā, ka tirotirohia te arai o te puku.
Me pēhea te rongoā? Ka pai ake rānei?
He rongoā kei reira mō tēnei, ā, koinei te rongo pai rawa atu! Nā te mea kāore e taea e tō tinana te mimiti i te huaora B12, ka tohua tuatahitia e tō tākuta he werohanga huaora B12 māu. Ka hoatu tika ēnei ki roto i te uaua, kia tika ai te uru ki roto i tō toto, me te kore e haere mā te puku.
Kia hoki anō ō taumata huaora B12 ki te āhua noa, ka tohutohuhia pea koe kia haere tonu te tango i ngā papa huaora B12 horopeta nui (whakakapinga B12 ā-waha). Ka haere tonu te aro turuki a tō tākuta i tō āhua me te whakarerekē i tō maimoatanga.
Ka tīmata koe ki te rongo i te tino whakamarie i roto i ētahi rā i muri i te tīmatanga o te maimoatanga. Heoi, tera pea ka roa pea ētahi wiki ka memeha rawa ō tohumate, ā, ka pai ake tō āhua.
Ehara te mate toto kino i te mate e kore e taea te rongoā. Heoi, mā te tango i te huaora B12 i roto i tō oranga katoa, ka taea e koe te whakahaere i ngā tohu me te noho ora tonu.
Engari kia maumahara, kāore pea te kino o te pūnaha io e tino taea te whakaora ahakoa te whakamahi i te huaora B12. Nō reira, he mea tino nui kia tautuhia te mate me te tīmata wawe i te maimoatanga.
Me pēhea taku tiaki i ahau anō?
Mena kei a koe te mate toto toto kino (Pernicious Anemia), me tango e koe te huaora B12 mō te toenga o tō oranga, e ai ki ngā tohutohu a tō tākuta. He mea nui tēnei.
Mena he mate B12 tōu nā ētahi atu take, ka taea hoki te āwhina mā te whakarerekē i tō kai. Ko ngā kai e nui ana te huaora B12 ko:
- Ngā mīti pērā i te mīti kau, te ate, te heihei, me te ika
- Ngā hua manu me ngā hua miraka (miraka, miraka kawa, tiihi)
- Ngā pata parakuihi me te huaora B12 tāpiri
- Ngā hua soya me te huaora B12 tāpiri
He mea pai kia kōrero koe ki tō tākuta, kia whiwhi tohutohu ai mō te kai e tika ana māu.
Karere Tangohia ki te Kāinga
- Ko te anemia kino he momo anemia e puta mai ana i tō tātou ake pūnaha ārai mate, ā, i puta mai i te korenga o te huaora B12.
- Ahakoa he ngawari noa iho ngā tohu pēnei i te ngenge tonu, te kiri mā, me te poto o te manawa i te tīmatanga, ka taea e ia te kino haere i te roanga o te wā.
- Ki te kore tēnei āhuatanga e rongoatia, ka pā he kino kino, e kore e taea te whakatika, ki te pūnaha io.
- Mena kei te mau tonu ēnei tohu ki a koe, me toro atu ki tō tākuta, kaua e whakaaro ki tētahi atu take.
- Ko te maimoatanga he werohanga, he pire rānei mō te huaora B12 mō te wā katoa. Mā tēnei ka taea e koe te noho hauora, te noho noa.
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