Ina pāngia koe e te motu iti, ka mutu te toto i muri i tētahi wā, tika? Kua kite rānei koe i ētahi wā ka puta he maru kikorangi, papura rānei i tō tinana, kāore e pā ki tētahi mea? Ko te take matua o ēnei mea ko ngā pūtau iti e kiia nei ko ngā ' platelet ' i roto i ō tātou toto. Engari he aha te mea ka puta ina heke te maha o ēnei kaiawhina? Koinei te mea e kiia nei e tātou ko te Thrombocytopenia i roto i te rongoā. Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.
He aha te Thrombocytopenia?
Ko te thrombocytopenia he āhuatanga e iti iho ai te maha o ngā pereti toto i roto i tō toto i te mea noa. He iti ngā pereti toto, he rite ki te kōpae, he pūtau kei roto i ō tātou toto. Ko tā rātou mahi matua he hanga i tētahi toto totoka ki te wāhi o te patunga hei aukati i te toto. He rite ki te whakapiri i tētahi kōhao ki te pakitara.
Kua whakaaro koe he aha te tikanga o tēnei kupu? Ko "Thrombocytes" tētahi atu ingoa mō ngā pereti toto. Ko te tikanga o "Penia" ko te kore e ranea tetahi mea, he korenga. Nō reira, ina honoa ēnei mea e rua, ka puta te "Thrombocytopenia".
I te nuinga o te wā, me whai i waenga i te 150,000 me te 450,000 ngā pereti toto i roto i te tangata hauora mō ia maikororita toto (tata ki te 35 maikororita kei roto i tētahi pata toto). Mēnā he iti iho tēnei tau i te 150,000 i roto i tō pūrongo toto, ka kiia he āhuatanga e kiia nei ko te thrombocytopenia.
Kei a koe ēnei tohumate?
I te nuinga o te wā, kāore he tohu e puta mai i te hekenga iti o ngā pereti toto. Heoi, ki te tino heke te maha o ō pereti toto, ka pāngia pea koe e ēnei tohu:
| Tohu | He aha te mea ka tupu i roto i tēnā? |
|---|---|
| Te toto | Tērā pea ka puta te toto mai i ngā kapia, i te ihu rānei, inā koa i te wā e parai ana ō niho. Tērā pea ka roa ake, ka roa ake rānei te paheketanga o ngā wāhine. I ētahi wā, ka kitea hoki te toto i roto i te mimi, i te paru rānei. |
| Ngā marō me ngā ira | Ka puta noa mai ngā marō kikorangi/papura (me te mea kua pāngia) ki te tinana, kāore he take. Ka kiia ēnei he Purpura i roto i ngā kupu hauora. He toto ēnei e puta ana i raro i te kiri. |
| He iti ngā ira whero i runga i te kiri | Ka kitea ngā ira whero iti (ngā ira) e rite ana te rahi ki te pito o te pene i runga i te kiri, inā koa i ngā waewae. Ka taea hoki ēnei te puta mai i roto i ngā tautau. Ka kiia ēnei e ngā tākuta he Petechiae . |
| Ngenge | Ehara i te mea ko te iti o te maha o ngā pereti toto anake te take o te ngenge. Heoi, ko tētahi mate hauora e pā ana ki a koe (hei tauira, te anemia) e hua ai te iti o te maha o ngā pereti toto, ka meinga pea koe kia ngenge, kia ngenge hoki. |
| Te whakanui i te whēkau | Ko te whēkau he okana kei te taha maui o runga o tō tātou puku. I ētahi wā, ka mau ngā pereti toto, ka whakangaromia i roto, ka heke ai te maha o ngā pereti toto. Kātahi ka pupuhi te whēkau. |
He aha i pēnei ai te heke o ngā pereti toto? He aha ngā take?
He maha ngā take e iti ai te toto i roto i te toto. He onge noa iho, ka taea te tuku iho. Engari i te nuinga o te wā, ka puta mai i tētahi atu mate hauora, i tētahi rongoā rānei e tangohia ana e koe. He māmā noa iho, e toru ngā momo take matua.
1. Nā te mea kāore e nui ngā pereti toto e hangaia ana e te tinana
Ko tō tātou hinu wheua te wheketere e hanga ana i ēnei pereti toto. Mēnā ka ngoikore te hanga o taua wheketere, ka heke te maha o ngā pereti toto.
- Ngā āhuatanga mate pukupuku pērā i te leukemia
- Ētahi momo anemia
- Ngā mate urutā , hei tauira te dengue, te hepatitis C , te HIV rānei
- Te rongoā matū, te rongoā irahiko rānei mō te mate pukupuku
- Te nui rawa o te inu waipiro
- Te horomitanga o ngā matū paitini pērā i ngā patu pepeke me te arsenic
2. Nā te mea ka tere ake te whakangaromanga o ngā pereti toto i tō rātou hanganga
Ahakoa te pai o te mahi a te wheketere, ki te tere te pakaru o te takuahi, ka kore he pereti toto.
- Te haputanga (mō ētahi)
- Ngā mate pūnaha ārai mate. Koinei te wā e whakangaro hē ai te pūnaha ārai mate o tō tātou tinana i ōna ake pereti toto. Hei tauira, ko te lupus.
- Ētahi mate huakita, mate huaketo rānei
- Ko ētahi rongoā (hei tauira, Heparin)
- Ngā āhuatanga onge pēnei i te Thrombotic thrombocytopenic purpura (TTP)
3. Nā te mea ka piri ngā pereti toto ki roto i te whēkau
I te nuinga o te wā, tata ki te hautoru o ā tātou pereti toto e rongoa ana i roto i te ate. Heoi, ki te nui haere te ate nā te mate pēnei i te cirrhosis o te ate, ka mau te tini o ngā pereti toto ki roto, ka whakaiti i te maha o ngā pereti toto e rere ana i roto i te toto.
He rerekē anō ngā momo thrombocytopenia.
Ka taea te wehewehe i te thrombocytopenia ki ētahi momo matua i runga i te take.
- Te Purpura Thrombocytopenic Ārai Mate (ITP): Koinei te momo tino noa. Ko te mea e tupu ana i konei ko te whakangaro a tō tātou pūnaha ārai mate i ō tātou ake pereti toto nā te mea he raruraru. E rua ngā momo o tēnei: te ITP whakapeka i roto i ngā tamariki me te ITP mau tonu i roto i ngā pakeke.
- Thrombotic Thrombocytopenic Purpura (TTP): He āhuatanga onge engari he morearea tēnei. Ka puta he toto iti puta noa i te tinana. Nā te nui rawa o ngā pereti toto e whakamahia ana hei hanga i ēnei toto, ka heke te maha o ngā pereti toto i roto i te toto.
- Te Thrombocytopenia i puta mai i te rongoā (DIT): Ka puta pea tēnei āhuatanga hei pānga taha o ētahi rongoā. Ka memeha haere ina mutu te rongoā.
- Thrombocytopenia Hapūtanga: He āhuatanga e puta ana i te wā e hapu ana, kāore i te kino rawa. He maha ngā wā ka memeha i muri i te whānautanga.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
He maha ngā wā ka kitea noatia i roto i te whakamātautau toto auau (Full Blood Count – FBC) mō tētahi atu take. Kia kitea e tō tākuta he iti ō pereti toto, ka tonoa e ia ētahi atu whakamātautau hei rapu i te take.
Kia maumahara, ki te whakaatu tō whakamātautau toto i te iti o ngā pereti toto, ko te mea nui kia kaua e mataku, kia toro atu rānei ki te tākuta mō ētahi tohutohu.
| Whakamātautau | He aha tāu e kite ana i roto i tēnā? |
|---|---|
| Te tatau toto katoa (CBC/FBC) | Ka inehia te nui o ngā pūtau whero, ngā pūtau mā, me ngā pereti toto i roto i te toto. |
| Te Pane Toto (Te Pane Ā-Taiao) | Ka tirohia ngā pereti toto i raro i te karuārai hei tirotiro mēnā he āhua noa, he āhua noa hoki. |
| Whakamātautau Huango Wheua | Ki te kore e mārama te pūtake, ka mahia tēnei whakamātautau hei tirotiro mēnā kei te tika te mahi a te wheketere hinu wheua. |
Hei tāpiritanga, ka tirohia pea e te tākuta tō tinana, ka whakahaerehia he matawai ultrasound o te puku hei tirotiro mēnā he nui te whēkau, he raruraru ate rānei.
Tērā pea he āhuatanga kino tēnei?
Ki te nuinga o te tangata, ehara tēnei i te raruraru nui. Heoi, ki te heke te maha o ngā pereti toto ki raro iho i te 20,000, ka tūpono he mea morearea. Nā te mea ka puta te toto i roto i te tinana, inā koa i roto i te roro, ahakoa kāore he whara. He mea morearea tēnei ki te ora.
Nō reira, ki te mea kei a koe te Thrombocytopenia, he mea tino nui kia whai i ngā tohutohu a tō tākuta, kia haere hoki ki te wāhi rongoā i te wā tika. Ki te pāngia koe e ngā tohu pēnei i te mamae nui o te upoko, te panoni o te tirohanga, te uaua rānei ki te kōrero, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera tata atu, nā te mea he tohu pea ēnei o te toto toto i roto i te roro.
Me pēhea te rongoā?
Ko te maimoatanga e whakawhirinaki ana ki te take o te iti o te tatau pereti toto me te iti o te tatau pereti toto.
- Te rongoā i te take: Mena he rongoā te take o te iti o te tatau pereti toto, ka mutu te rongoā a te tākuta ka tohua he rongoā anō. Mena he mate, ka rongoāhia e rātou.
- Ngā Rongoā: Mena he raruraru pūnaha ārai mate pēnei i te ITP, ka whakahaerehia te pūnaha ārai mate mā te hoatu rongoā pēnei i te steroids.
- Te whakawhiti toto, te whakawhiti pereti toto rānei: Mena he tino iti te maha o ngā pereti toto, he nui rānei te toto e puta mai ana, ka hoatuhia ngā pereti toto ki waho (te whakawhiti pereti toto).
- Pokanga: Mena kaore e taea e ētahi atu maimoatanga te whakahaere i te mate, ka hiahiatia pea he splenectomy.
- Whakawhitinga Plasma: Ka whakamahia tēnei tikanga maimoatanga i roto i ngā āhuatanga pēnei i te TTP.
Me pēhea koe e tiaki ai i a koe anō?
I te wā e noho tahi ana koe me tēnei mate, he mea nui kia whakaitihia te mōrearea o te whara.
- Āta karohia ngā mahi morearea: Kaua e uru ki ngā hākinakina pāngia e te mate pēnei i te mekemeke, te karate, me te whutupōro.
- Kia tūpato ki ngā rongoā: Me pātai atu ki tō tākuta i mua i te whakamahi i ngā rongoā whakamamae mamae e whakanui ana i te mōrearea o te toto, pērā i te aspirin me te ibuprofen.
- Whakaitihia te waipiro: Ka taea e te waipiro te whakaiti i te hanga o ngā pereti toto i roto i te hinu wheua, nō reira he pai ake te whakawhāiti i te inu waipiro.
Karere Tangohia ki te Kāinga
- Ko te thrombocytopenia he whakahekenga o te maha o ngā pereti toto i roto i te toto. Ka taea e tēnei te whakanui ake i te mōrearea o te toto.
- I te nuinga o te wā, kāore he tohu. Heoi, kia tūpato ki ngā mea pēnei i te marō kāore i te whakamāramatia, te toto o ngā kapia/ihu, me ngā ira whero i te kiri.
- He maha ngā take mō tēnei āhuatanga. Nō reira, kaua e mataku ina kite koe i te iti o ngā pereti toto i roto i tō pūrongo toto, engari me toro atu ki te tākuta kia kitea ai te take.
- Ko te maimoatanga e whakawhirinaki ana ki te take me te kaha o te mate. I ētahi wā, kāore he maimoatanga e hiahiatia ana.
- Kia tika te whai i ngā tohutohu a tō tākuta. Mēnā ka pāngia koe e ngā tohu whakatūpato pēnei i te mamae nui o te upoko, te panoni rānei o te tirohanga, haere tonu ki te hōhipera.
Te toto toto iti, Ngā pereti toto, Te iti o te tatau pereti toto, Te toto, Te marō, Te purpura, Te petekiae
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