Kei te ngenge tonu koe, kei te ngoikore hoki? Kei te ngoikore tonu koe ahakoa te mahi iti nei? Kua whakahaua rānei e tō tākuta he whakamātautau toto hei tirotiro i ngā taumata rino i roto i ō toto. Ko tētahi whakamātautau tino nui e mahia ana i ēnei wā ko te TIBC. Ahakoa he ahua uaua te ingoa, he tino māmā noa iho. Me kōrero tātou mō tēnei i tēnei rā.
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He aha te tikanga o tēnei whakamātautau TIBC?
Ko te tikanga katoa o TIBC ko (Te Pūmanawa Here Rino Katoa). I te reo Sinhala, ko tōna tikanga ko "te pūmanawa here rino katoa". Āe, he ahua uaua rawa atu tēnā, kāore? Kia mārama tātou i tēnei ara.
Whakaarohia he "taraka" iti kei roto i ō tātou toto e kawe ana i te rino (arā, e kawe ana puta noa i te tinana). I roto i ngā kupu hauora, ka kiia ēnei taraka he transferrin . He pūmua motuhake ēnei i hangaia e tō tātou ate. Nō reira, ka ine te whakamātautau TIBC i te nui ake o te rino ka taea e ēnei "taraka", te transferrin rānei, te pupuri i roto i ō toto. Arā, ka ine tēnei whakamātautau i te nui o te wāhi e wātea ana i roto i ēnei taraka.
He aha te hiranga o te rino mō ō tātou tinana?
- Hei hanga i ngā toto whero: He mea nui te rino mō te hanga i te hemoglobin, te pūmua i roto i ngā toto whero e kawe ana i te hāora puta noa i ō tātou tinana.
- Mō te pūngao: E hiahiatia ana te rino mō te mahi hauora o ō tātou uaua, te hinu wheua, me ētahi atu okana.
He rite tonu te TIBC me te Ferritin?
Kāo. Ahakoa he whakamātautau ēnei e rua mō te rino, e rua ngā mea rerekē e inehia ana e rāua. He tokomaha te hunga e pōhēhē ana mō tēnei.
- TIBC: Ka ine tēnei i te kaha ki te kawe i te rino. Arā, ko te katoa o te wāhi e wātea ana i roto i aua "taraka" i kōrerohia e tātou i mua ake nei.
- Ferritin: Ka ine tēnei i te nui o te rino e rongoa ana i roto i ngā pūtau o tō tinana, he rite ki te nui o te rino i roto i tō tātou "rūma rokiroki".
Ki te kī māmā noa, ahakoa ko te TIBC e pā ana ki te kawe rino, ko te ferritin e pā ana ki te rokiroki rino. Inaa, he tohu pai ake te whakamātautau ferritin mō te korenga o te rino o te tangata.
Āhea me mahi te whakamātautau TIBC?
Ko te tikanga, ka tohua tēnei whakamātautau e te tākuta mēnā e whakapae ana rātou he raru rino tōu. Arā, mēnā he iti rawa ō taumata rino (anemia kore-rino) he teitei rawa rānei (hemochromatosis) .
Ka taea e tō tākuta te whakahaere i tēnei whakamātautau mēnā kei a koe ēnei tohu:
- Te ahua tonu o te ngenge nui me te ngenge
- Kiri mā
- Te uaua ki te manawa (te poto o te manawa)
- Pōuriuri
- Ngā maikuku e piko ana ki runga, pērā i te pūnu
Kāore te whakamātautau TIBC e mahia takitahitia ana. Ka mahia hei wāhanga o tētahi raupapa whakamātautau e kiia nei ko te "panera rino," kei roto pea i ēnei:
- Rino toto - Te nui o te rino kore utu i roto i te toto.
- Ferritin - te nui o te rino e rongoatia ana i roto i te tinana.
- Te Kūpapatanga o te Transferrin - Te nui o te pūmua kawe rino e kī ana i te rino.
Me pēhea tāu whakarite mō tēnei whakamātautau?
Kāore e nui te whakarite e hiahiatia ana mō tēnei, engari ka kī atu pea tō tākuta kia mahia e koe ēnei mea:
- Te nohopuku mō ngā hāora 12: Ko te tikanga me karo koe i te kai, i te inu rānei mō ngā hāora 12 i mua i te whakamātautau. Heoi, ko te inu wai anake ehara i te mea he raruraru.
- Te whakamutu i ngā tāpiringa rino: Mena kei te tango koe i tētahi mea pēnei i ngā tāpiringa rino, ka tohutohu tō tākuta kia mutu te tango i aua mea 12-24 hāora i mua i te whakamātautau.
Mena he ruarua āu mō tēnei, he pai ake te pātai atu ki tō tākuta i mua i te whakamātautau kia tino mōhio ai koe.
Me pēhea te mārama ki te pūrongo TIBC?
Āe, kua tae tātou ki te wāhanga tino nui. Kia tangohia tō tauira toto, kia tukuna ki te taiwhanga, ka tae atu te pūrongo ki a koe i roto i te kotahi, e rua rānei ngā rā. Ka kite koe kei roto i te pūrongo he uara TIBC me te "Awhe Noa", arā, he whānuitanga o ngā uara noa.
Ko te mea nui, ka rerekē pea tēnei awhe noa i waenga i ngā taiwhanga, nō reira me whakarite e koe tō uara ki te awhe noa kei roto i tō pūrongo.
I te nuinga o te wā, ko te uara TIBC mō te pakeke hauora kei waenga i te 240 me te 450 maikirokaramu/tekirita (240 - 450 mcg/dL) .
Nā, kia tirohia te tikanga o tēnei uara. Kāore te tākuta e whakatakoto i tētahi tātaritanga i runga i te uara TIBC anake, engari mā te whakataurite ki ngā hua o ētahi atu whakamātautau.
| Hua | He aha te tikanga o tēnei | He whakamārama māmā |
|---|---|---|
| TIBC teitei me te Ferritin iti | Te mate toto ngoikore o te rino (Te mate toto ngoikore-rino) | Nā te iti o ngā toa rino o te tinana, he nui ake ngā "kaikawe" takoto kau (transferrin) i roto i te toto ka taea te here i te rino. Nō reira, ka piki ake te kaha here rino. |
| TIBC iti me te Ferritin/Rino teitei | Te nui rawa o te rino (Te hemochromatosis) | Nā te nui rawa o te rino i roto i te tinana, kua kī katoa ngā "taraka" hei pupuri i te rino. Nō reira, he iti noa te wāhi (te kaha) hei mimiti i te rino hou. |
| He iti te TIBC me te iti te rino/ferritin | Ngā āhuatanga pēnei i te mumura mau tonu, ngā mate pāwera, te kore kai pai, te cirrhosis, me te mate nephrotic. | I roto i ētahi mate pūmau, ka heke te kaha o te tinana ki te whakamahi me te kawe i te rino. Nō reira, ka heke pea ngā taumata rino me te kaha here rino. |
Me manukanuka rānei ahau mēnā he rerekē te uara o te pūrongo?
Kāore rawa. Ahakoa kei waho o te awhe noa tō pūrongo TIBC, ehara i te mea he mate tōu. Tata ki te kotahi i roto i te 20 tāngata hauora ka puta he hua kei waho o te awhe noa.
Ka taea hoki e ngā uara TIBC te huri mō ētahi atu take, pēnei i:
- Mena kua whiwhi toto koe i tētahi koha toto i ngā wā tata nei (Ngā whakawhiti toto tata nei).
- Te whakamahinga o ngā pire ārai whānau (ngā pire ārai whānau ā-waha).
- Ko ētahi rongoā, hei tauira, ngā rongoā kanohi pērā i te Chloramphenicol.
- I puta mai tētahi hapa iti i te wā o te kohikohinga, te kawe, te whakamātautau rānei i te tauira toto.
Kaua e whakatau nui i runga i te pūrongo whakamātautau kotahi anake. Mā tō tākuta koe e kōrero mō tō āhua tūturu i muri i te tirotiro i ō tohumate, ngā hua o ētahi atu whakamātautau, me ēnei mea katoa, me te whakahaere i ētahi atu whakamātautau mēnā e tika ana.
Nō reira, ki te mea he panoni kei roto i te uara o te pūrongo, kaua e mataku, tangohia, ka tūtaki ki tō tākuta ki te kōrero mōna. Ko te rongo pai, ko te nuinga o ngā mate e pā ana ki te rino ka taea te whakaora katoa mā te maimoatanga tika.
Karere Tangohia ki te Kāinga
- E whakaatu ana te whakamātautau TIBC i te pai o te kawe a tō toto i te rino.
- Ko te tikanga, ko te uara TIBC teitei e tohu ana i te korenga o te rino, ko te uara TIBC kua heke iho e tohu ana i te nui rawa o te rino, i tētahi atu mate hauora mau tonu rānei.
- Mō te tautuhi tika, ka whakamahia te whakamātautau TIBC me ētahi atu whakamātautau pēnei i te Ferritin me te Serum Iron.
- Kaua e mataku mēnā he rerekē ngā hua o tō whakamātautau. Ko tō tākuta te tangata pai rawa atu, ko ia anake hei kōrero atu mō tēnei.
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