He nui te rino i roto i tō tinana, engari kāore koe i te pai te āhua? He mate toto sideroblastic pea?

He maha ngā wā ka ngenge koe, ka poto hoki te manawa? He maha ngā wā ka rite koe ki te iti o te toto toto? He tohu pea ēnei o te anemia noa. Heoi, i ētahi wā he take uaua ake kei muri i tēnei. I tēnei rā ka kōrero tātou mō tētahi mate toto he onge noa iho, engari he mea nui kia mōhiotia. Ko te anemia sideroblastic tēnā, ko te ingoa rānei o ngā tākuta ko `(Sideroblastic Anemia - SA)`.

Nā, he aha te mate toto iti sideroblastic?

He kupu ngāwari noa iho, he āhuatanga onge tēnei e pā ana ki te hanga toto whero o ō tātou tinana, arā, ngā toto whero i roto i ō tātou toto. Mēnā kei a koe tēnei āhuatanga, he iti noa iho ō toto whero, ko te tikanga he mate toto kore toto tōu. Engari i te wā anō, he mea miharo, he nui hoki te rino kei a koe. He aha tēnei e tupu ai? Nā te mea kāore tō tinana e whakamahi ana i te rino e hiahiatia ana hei hanga toto whero tika.

Ko wai te mea tino pāngia e tēnei āhuatanga?

E rua ngā huarahi e puta ai tēnei āhuatanga e kiia nei ko te `(Sideroblastic Anemia)`. Ko tētahi ko te congenital sideroblastic anemia, CSA rānei . Arā, ka whānau mai ētahi pēpi me tēnei mate. Ko tētahi ko te acquired sideroblastic anemia . Koinei te momo tino noa. Ka puta pea i ētahi atu mate e pā ana ki te toto, te whakamahinga o ētahi rongoā, te nui rawa rānei o te pānga ki ētahi kohuke.

Whakaarohia, ko ngā pēpi me ngā tamariki nohinohi e whānau mai ana me tēnei mate ka pāngia e ngā raruraru hauora e morearea ana ki te ora nā te nui rawa o te rino i roto i ō rātou tinana, e mōhiotia ana ko te "rahi rawa o te rino". Mēnā ka pāngia ngā pakeke e tēnei mate, ka pāngia rātou e ngā mate pēnei i te mate manawa me te mate ate cirrhosis.

He rongo pai tēnei! Ahakoa kāore e taea e ngā tākuta te whakaora katoa i te `(Sideroblastic Anemia)` whānau, kei reira ngā rongoā hei whakahaere i ngā tohu me te ārai i ngā raruraru nui. Heoi, ka taea te whakaora i ētahi momo `(Sideroblastic Anemia)` e puta ake ana i muri mai i te ao.

Ko tēnei mate, koinei te momo e kitea ana i te whānautanga, ka pā ki ngā pēpi, ki ngā tamariki nohinohi, tae atu ki ngā pakeke taitamariki. I ētahi wā he tino ngawari ngā tohu o te CSA. Nō reira, ahakoa i whānau mai koe me tēnei mate, tera pea ētahi tāngata kāore he raruraru hauora nui e pāngia ana e rātou tae noa ki te pakeketanga.

Ko te momo o muri mai, e kiia nei ko te "Acquired CSA," ka puta pinepine i roto i te hunga he mate toto e kiia nei ko te "myelodysplastic syndrome." Ka taea hoki te puta mai i te pānga ki ngā kohuke pēnei i te mata me te konutea, te whakamahinga o ētahi rongoā, tetahi mea rānei e pā ana ki te kaha o te tinana ki te whakamahi i te parahi.

He aha te pānga o tēnei āhuatanga ki tōku tinana?

Ko te hunga e pāngia ana e te anemia sideroblastic ka whakaatu i ngā tohu o te anemia. Arā, ka tino ngenge rātou, kāore he take.Te ngenge, te uaua ki te manawa, me ētahi atu. Ehara i te mea koinā anake, ka pāngia rātou e te "anemia macrocytic" (ngā toto whero he nui ake i te mea noa) me te "anemia microcytic" (ngā toto whero he iti iho i te mea noa). Ka taea hoki e ēnei momo anemia te tohu i ētahi atu momo anemia.

He aha ngā take o te anemia sideroblastic?

E ai ki tā tātou i kōrero ai i mua, ka kitea pea tēnei i te whānautanga mai, ka puta rānei i muri mai nā tētahi atu mate hauora, te pānga ki ētahi konganuku, kohuke, rongoā rānei.

Hei mārama ki ngā pūtake o te anemia sideroblastic whānau (congenital SA), he mea āwhina kia mōhio ki te mahi a ō tātou pūtau toto whero.

He kupu whakataki poto ki ngā toto whero

Ko ngā toto whero te momo pūtau tino kitea i roto i ō tātou toto. He mea nui ngā toto whero hauora, kua pakari, hei kawe i te hāora ki ngā kiko o tō tātou tinana. Mā te āwhina o te pūmua e kiia nei ko te hemoglobin ka taea tēnei e ngā toto whero. Ko te hemoglobin te mea e hoatu ana te tae whero ki ngā toto whero.

Me hiahia ngā pūtau toto whero ki te rino hei hanga i te hemoglobin. I te nuinga o te wā, ka puta mai ngā pūtau take i roto i te hinu wheua. Ka whanake ēnei pūtau take hei pūtau toto whero kāore anō kia pakari, e kiia nei ko ngā erythrocytes. Kei roto i ēnei pūtau kāore anō kia pakari te nui o te hemoglobin me te rino e tika ana hei hanga i ngā pūtau toto whero hauora, pakari.

Engari, ki te mea he anemia sideroblastic tōu, kāore e taea e tō tinana te whakamahi i tēnei rino. E rua ngā raruraru ka puta mai i tēnei. Ki te kore he rino, kāore ō toto toto whero e hanga i te hemoglobin e ranea ana hei kawe i te hāora puta noa i tō tinana. I tētahi atu taha, ka kohia te rino kāore i whakamahia i roto i tō hinu wheua. Ka puta mai i tēnei he momo pūtau rerekē e kiia nei ko te sideroblast mowhiti . Ko te sideroblast he toto toto whero kāore anō kia pakari, he mowhiti rino kei te taha o tōna karihi. Ka taea e ngā tākuta te kite i ēnei mowhiti ina tirohia e rātou ngā pūtau take i roto i te hinu wheua i raro i te karuārai. Ko te ingoa o te anemia sideroblastic i ahu mai i ēnei mowhiti rino. E tohu ana ēnei mowhiti rino kei te rongoa ngā pūtau i te rino, kaua ki te whakamahi. Ka kiia tēnei kohi rino he nui rawa te rino . Ko tēnei nui rawa te rino te take o te maha o ngā raruraru hauora nui ka puta mai i te anemia sideroblastic.

He aha ngā momo o te Anemia Sideroblastic Congenital (CSA)?

E toru ngā momo o te SA whānau. Ka puta ēnei i ngā whakarerekētanga ira i roto i ētahi ira e pā ana ki te mahi a ngā toto toto whero. Me titiro tātou ki ēnei:

• Te anemia sideroblastic hono-X:Koinei te momo mate toto whānau tino noa. Ka puta mai i te whakarerekētanga ira i roto i te ira e hanga ana i tētahi whākōkī motuhake e kiia nei ko te "ALAS2", ka puta he ngoikore o te hemoglobin. Ko te hunga whai mate pēnei he kiri mā, he iti iho i te tikanga o ngā toto whero (microcytic). He nui rawa hoki te rino i roto i ō rātou tinana.
• Te mate anemia sideroblastic autosomal recessive (ARCSA): Koinei te tuarua o ngā momo tino kitea. Ka pāngia ngā pēpi me ngā tamariki nohinohi e te ARCSA. He mate kino tēnei ka taea te whakararu i te ora i ētahi wā. Ka puta ina nui rawa te nui o te rino i roto i te toto.
• Whaea: Tata ki te 20% o ngā tūroro CSA katoa ka taka ki tēnei kāwai. Nā te mea kua whakarerekētia te ira MT-ATP6, ka pā ki te mahi a ō mitochondria. (Ko ngā mitochondria ngā whekau i roto i ō tātou pūtau. Ko rātou te kawenga mō te pūtake pūngao matua o ngā pūtau. Ka hurihia e ngā mitochondria te pūngao mai i te kai ki tētahi āhua ka taea e ngā pūtau te whakamahi.)

He aha ngā momo mate toto sideroblastic kua riro mai ka puta i muri mai i te oranga?

E rua ngā momo anemia sideroblastic ka puta i muri mai i te ao - tuatahi me te tuarua. Ko te SA Tuatahi e pā ana ki te SA e pā ana ki te mate e kiia nei ko te myelodysplastic syndrome. Ko te SA Tuarua e pā ana ki te SA ka puta i muri i te pānga nui ki ētahi konganuku, matū, me ngā rongoā. Ko ngā mea ka puta ai te anemia sideroblastic tuarua ko:

• Waipiro: Ko te mate whakamahi waipiro te tino take o te anemia sideroblastic ka puta i muri mai.
• Te paihana konganuku taumaha: Kei roto i tēnei te paihana mata me te paihana āheniki.
• Te korenga o te huaora B: Ka āwhina te huaora B ki te hanga i tētahi wāhanga e kiia nei ko te heme, ka hurihia hei hemoglobin. Ko te heme te mea ka āwhina ki te kawe i te hāora.
• Te korenga o te parahi: Ka āwhina te parahi ki te hanga i tētahi whākōkī hei tiaki i te rino nui.
• Te nui rawa o te konutea: Ka pāngia te whakamahinga o te rino me te mimiti o te parahi e te tinana te nui o te konutea. Ka taea tēnei e ētahi tāngata te tango i ngā tāpiringa konutea.
• Ngā Rongoā: Ka taea e ētahi paturopi, chemotherapy, homoni, me ngā rongoā whakaiti parahi te whakaputa i te anemia sideroblastic tuarua. Ka rongoāhia e ngā tākuta tēnei momo SA mā te whakamātautau i ngā rongoā e tangohia ana e koe, me te tango i ngā rongoā e whakaarohia ana koia te take o te SA.

He aha ngā tohu o te anemia sideroblastic?

Pērā i ngā momo anemia maha, ko ngā tohu o te anemia sideroblastic ko:

• Ngenge nui:Ko te tikanga tēnei ka tino ngenge koe, ā, kāore e taea e koe te mahi i ngā mahi o ia rā.
• Te ngoikore o te manawa: He ahua ngoikore tēnei, he uaua rānei ki te manawa.
• Te tere o te manawa: He kare tēnei e tere rawa ana te pā o te manawa, he rerekē rānei te āhua.
• Te mamae o te upoko.

Tērā pea ka pāngia te hunga whai mate toto sideroblastic hono-X e ētahi atu tohu nā te korenga o te hemoglobin me te pikinga o ngā taumata rino i roto i te tinana. Ko ēnei tohu ko:

• Ate nui: He maha ngā mahi nui a tō ate i roto i te tinana.
• Te whēkau nui: He okana rite te rahi o tō whēkau ki te ringa, kei te puku o runga. Tērā pea kāore koe e kite kua nui ake tō whēkau i te mea noa, tērā pea ka pāngia koe e te mamae puhoi i tō puku o runga.
• Kiri parahi: Ki te nui rawa te rino e rongoatia ana e tō tinana, ka huri pea tō kiri ki te parauri parahi.
• Te mate huka kore e taea te whakahaere.

Me pēhea te tautuhi a ngā tākuta i te anemia sideroblastic?

Nā te mea ka kitea pea te anemia sideroblastic i te whānautanga, ka puta rānei i muri mai, ka whakamātautau tuatahi tō tākuta i a koe hei whakaū, hei whakakore rānei i te anemia sideroblastic kua whiwhi. Mēnā ka whakatau rātou ehara i te anemia sideroblastic kua whiwhi, ka mahi anō rātou i ētahi atu whakamātautau hei kimi i te momo anemia sideroblastic whānau kei a koe. Anei ētahi o ngā whakamātautau ka mahia pea e rātou:

• Te tatau toto katoa (CBC): Ka whakaatuhia e ngā hua CBC te rahi me te āhua o ngā pūtau i roto i tō toto, te maha o ngā pūtau toto hou e hangaia ana e tō tinana, ā, i roto i te take o te SA, e hia ngā pūtau toto whero kua pakari, kua kore rānei e pakari.
• Te whakamātautau toto ā-taha: He tikanga tēnei e whakamahia ana e ngā tākuta hei tirotiro i ngā pūtau toto. Ahakoa he mīhini te whakamahi i ētahi whakamātautau toto hei tātari i a rātou, i tēnei wā, ka tātarihia e ngā tākuta ngā pūtau toto i raro i te karuārai.
• Ngā rangahau rino: E whakaatu ana tēnei whakamātautau i ō taumata rino.
• Te tango i te hinu wheua: He tikanga tēnei hei tango tauira mai i te wāhanga wai o tō hinu wheua.
• Kohikohi wheua wheua: I roto i tēnei whakamātautau, ka tangohia e ngā tākuta he tauira iti o tō wheua wheua ka tirotirohia ngā pūtau wheua wheua.
• Whakamātautau ira:Mā te whakamātautau ira ka āwhina i te whakaū, te whakakore rānei i ngā āhuatanga ira motuhake. Ka āwhina hoki i a koe ki te mārama ki te tūponotanga o te tuku i te āhuatanga ki ō tamariki.

Me pēhea te rongoā a ngā tākuta i te anemia sideroblastic?

He rerekē ngā maimoatanga a ngā tākuta mō te anemia sideroblastic whānau me te anemia sideroblastic i whiwhi. He rerekē ēnei maimoatanga i runga i tō āhua, nō reira ka matapakihia e tō tākuta te maimoatanga pai rawa atu māu. Hei tauira, ka hoatu pea he huaora B6 me ngā rongoā whakaiti rino ki tētahi tangata he X-linked SA (CSA). Mena he paihana mata te take o te SA, ka rongoatia e tō tākuta te paihana mata. He pai ake te kōrero ki tō tākuta mō tēnei.

Me pēhea taku ārai i tēnei?

He maha ngā wā ka puta te mate anemia sideroblastic i te whakarerekētanga ira. Ahakoa kāore e taea te ārai i tēnei momo mate anemia sideroblastic whānau, ka taea te rongoā. Mena kei a koe te `(CSA)` hono-X, ā, he ngawari ō tohu, mena rānei kei tētahi o tō whānau (ngā mātua, ngā tuākana, teina rānei, ngā tamariki rānei) he `(CSA)`, he mea pai kia pātai atu ki tō tākuta mō ngā whakamātautau ira.

Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei ārai i te whanaketanga o ētahi momo CSA kua riro mai i muri mai. Kei roto i ēnei mahi:

• Te karo i te paihana mata, te paihana ā-tīni rānei.
• Mena kei te tango koe i ngā tāpiringa konutea mō ngā mea pēnei i te makariri noa, pātai atu ki tō tākuta mō te horopeta tika.
• Whakaitihia tō inu waipiro. Ka taea e te waipiro te arahi ki te mate toto sideroblastic. Ngāna kia whakaitihia te nui o te waipiro e inuhia ana e koe i ia rā. Ki te hiahia āwhina koe, pātai atu ki tō tākuta kia tūtohu mai i ngā kaupapa e tika ana.

He aha taku e tumanako atu ai mō tēnei āhuatanga?

Ko tō matapae ka whakawhirinaki ki te momo anemia sideroblastic kei a koe. Hei tauira, ki te mea he anemia sideroblastic whānau-hononga X tōu, ka rongoā pea tō tākuta i tō mate ki te huaora B6 me ngā rongoā whakaheke rino. Mena kua pāngia koe e te anemia sideroblastic, i puta mai i te paihana mata, ka rongoā pea tō tākuta i te paihana mata.

Me pēhea taku tiaki i ahau anō?

He maha ngā tāngata e pāngia ana e te anemia sideroblastic me aroturukitia tonutia ō rātou taumata rino kia kore ai e nui rawa te rino. Mena kua pāngia koe e te anemia sideroblastic i mua, pātai atu ki tō tākuta he aha tāu e taea ai te mahi hei ārai i te SA hou.

He mate toto onge te anemia sideroblastic. E mōhio ana ētahi tāngata he aha rātou i pāngia ai e te anemia sideroblastic, engari kāore pea ētahi atu. Mēnā he anemia sideroblastic tōu, me pātai atu pea koe ki tō tākuta i ēnei pātai:

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* He aha te momo `(SA)` kei a au?

* He aha i whiwhi ai ahau i te `(SA)`?

* He aha ngā kōwhiringa maimoatanga mōku?

* He aha ngā pānga taha o te maimoatanga?

* He aha ngā mea ka taea e au te tumanako i muri i te maimoatanga?

* Ka taea e au te tuku i te `(SA)` ki aku tamariki?

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau?

He mate toto onge engari he mate toto kino pea te anemia sideroblastic. Ko te SA ka puta mai i tētahi mea e whakararuraru ana i te kaha o te tinana ki te whakaputa i ngā toto toto whero hauora. He nui rawa te rino i roto i ngā toto o te hunga whai SA. I te nuinga o te wā, he ngāwari te rongoā i tēnei taumahatanga rino. Heoi, i roto i ngā pēpi me ngā tamariki nohinohi i whānau mai me te SA, ka taea e te taumahatanga rino te whakararu i te ora.

Whakaarohia, mēnā i whānau mai tāu tamaiti me te mate toto sideroblastic, ka tīmata tonu ā rātou tākuta ki te rongoā i te mate. Ka tino whakamataku, ka taumaha hoki te whānautanga o tētahi pēpi, o tētahi tamaiti rānei e tino mate ana. E mārama ana ō tākuta ki tēnei, ā, ka mahi i ngā mea katoa hei āwhina i a koe me tāu tamaiti i te wā e rongoatia ana, me muri hoki i te rongoā. Nō reira, mēnā kei a koe, kei tētahi rānei o tō whānau ēnei tohu, he mea nui kia kite tonu i tētahi tākuta mō ētahi tohutohu.

Rino , anemia, sideroblasts, hinu wheua, hemoglobin, ira, mate toto