Kei te tino ngenge koe ki te mahi i ō mahi o ia rā? Kei te pōuri koe ahakoa kua hikoi mō tētahi wā? Kei te mā tō mata ina titiro koe mā te whakaata? Tērā pea ka whakaaro koe he mea noa iho ēnei, he ngenge nā te nui o te mahi. Heoi, he tohu pea ēnei kei te hē tetahi mea i roto i tō tinana. I tēnei rā ka kōrero tātou mō tētahi mate e pāngia ana e te tini o te tangata engari kāore i te mōhio.
He aha te mate kore huaora?
He kupu ngāwari noa iho, he āhuatanga tēnei e puta ana ina kore e nui ngā toto toto whero hauora e hangaia ana e ō tātou tinana. He rite ki tētahi wheketere e pau ana ngā rauemi mata hei hanga i tētahi hua pai. Ko ētahi o ngā "kai" e rua e tika ana mō ō tātou tinana ki te hanga toto toto whero hauora ko te huaora B12 me te huaora B9 (folate, waikawa folic rānei) . Ina kore ēnei, ka puta he toto toto whero rerekē i te tinana, he nui ake i te mea noa, ā, kāore e taea te mahi tika.
Whakaarohia, ko ngā toto whero ngā waka e kawe ana i te hāora puta noa i ō tātou tinana. Ki te kore ēnei waka e hangaia tika, kāore e taea e rātou te mahi i tā rātou mahi kawe hāora tika. Ko te mate i puta mai i ēnei toto whero nui rawa atu ka kiia hoki ko te anemia macrocytic , megaloblastic rānei i roto i te pūtaiao hauora.
He aha te hiranga o te huaora B12 me te waikawa folic (folate)?
He mea nui ēnei huaora e rua mō ngā mahi maha o roto i ō tātou tinana. Ko tētahi o ngā mea tino nui ko te hanga i ngā toto whero. Ki te kore e nui te nui o ēnei, e ai ki te kōrero i mua ake nei, ehara i te mea ka ngaro noa te āhua o ngā toto whero e hangaia ana i roto i te tinana, engari ka poto hoki te roa o te ora. Ka tere ake te mate i ngā pūtau noa.
Ka aha rā? Ka heke te maha o ngā pūtau o te tinana e kawe ana i te hāora. Koinei te mea e kīia nei e tātou ko te " anemia ." Koinei te take ka tīmata ai tātou ki te ngenge me te ngoikore.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?
E rua ngā take matua mō tēnei. Ko tētahi, kāore tātou e kai nui ana i ēnei huaora . Ko tētahi, ahakoa ka kainga e tātou, kāore e taea e ō tātou tinana te mimiti tika.
He paku teitei ake tēnei mōrearea mō ēnei tāngata e whai ake nei:
- Ngā raruraru kai: Mō te hunga e iti ake ana te kai i ngā kai he nui te huaora B12 me te folate (mīti, ika, miraka, hua manu, huawhenua matomato).
- Ngā raruraru ki te mimiti matūkai: Ka ārai ētahi mate i te tinana ki te mimiti i ngā matūkai o te kai e kainga ana e tātou. Hei tauira:
- Mate celiac
- Te mate a Crohn
- Te mate pukupuku kiriuhi
- Te anemia kino:He āhuatanga motuhake tēnei. Hei mimiti i te huaora B12 mai i te kai e kainga ana e tātou, me whai pūmua motuhake tātou i roto i tō tātou puku. Ka kiia tēnei ko te "āhuatanga ā-roto". Kāore te tinana o ētahi tāngata e whakaputa i tēnei pūmua. Kātahi, ahakoa te nui o te B12 e kainga ana e rātou, kāore e taea e ō rātou tinana te mimiti. He take anō hoki tēnei o te anemia.
Kei a koe anō ēnei tohu?
Kāore pea e kitea wawetia ngā tohu o te mate toto kore huaora. Ka puta mārire, ka puta i roto i ngā marama, i ngā tau rānei. Tirohia te tūtohi i raro nei kia kite ai mēnā kei a koe ētahi o ēnei tohu.
| Tohu | Te āhua o te āhua |
|---|---|
| Ngenge | Te ngenge tonu me te hiamoe, kāore e taea te mahi i tetahi mea. |
| Te uaua ki te manawa (Dyspnea) | Te pōturi o te manawa ahakoa te hikoi pakupaku i a koe e mahi ana i ngā mahi o ia rā. |
| Pōuriuri | Te pōuri ohorere, i ētahi wā ka puru ngā kanohi. |
| Kiri mā, kiri kōwhai rānei | Te āhua mā o ngā wāhi pērā i te mata, ngā ringa, me ngā kapu o ngā waewae. |
| Ngā tere o te manawa | Te tere o te pao o te ngākau, ka taea e koe te whakarongo. |
| Te ngoikore o ngā peka | Te ngenge, te mākūkū rānei o ngā ringa me ngā waewae. |
| ngoikore o te uaua | Te ngoikore o te ngākau, te uaua ki te hiki i ngā taumaha, te mahi rānei. |
| Te whakahekenga taumaha | Te whakaheke taumaha me te kore he take motuhake. |
Haunga ēnei tohu ā-tinana, ka pāngia hoki te hinengaro e te korenga o te huaora. Ka pāngia pea te pouri , te kore e taea te arotahi , me te wareware . I ētahi wā, ki te pāngia te kaumātua e te korenga nui o te huaora B12, ka pohehetia pea he mate wareware.
He aha ngā take matua mō tēnei?
Haunga ngā āhuatanga mōrearea i kōrerotia i mua ake nei, he maha atu anō ngā take ka pā ki tēnei.
- Ētahi rongoā: Ētahi rongoā e hoatu ana mō ngā mate pēnei i te haurangi.
- Te inu nui rawa i te waipiro: Ka whakararu te waipiro i te mimiti o ngā matūkai e te tinana.
- Pokanga puku: Ka iti pea te mimiti o te huaora i muri i ngā mahi pēnei i te pokanga whakaiti taumaha.
- Noke puku: I puta mai i ngā pirinoa pēnei i te noke rīpene.
- Te hapūtanga me te whāngai ū: I ēnei wā, ka nui ake te hiahia o te tinana ki te folate (B9), nō reira ka puta pea ngā ngoikoretanga.
- Ngā tāngata e tangohia ana te rongoā dialysis mō te mate tākihi: He nui ake te tūponotanga o ēnei tāngata ki te ngaro i te folate mai i ō rātou tinana.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Mena kei a koe ēnei tohu, ka taea e tō tākuta te tātaritanga i te mate mā te whakamātautau toto noa iho. Ko te nuinga o tēnei whakamātautau toto e rapu ana i:
- Kei te pēhea te nui o te huaora B12 me te folate i roto i tō toto?
- E hia te rahi o ō toto whero, e hia te rahi, ā, he aha te āhua ?
Mena kei te whakapae te tākuta kei a koe tētahi āhuatanga pēnei i te "(anemia pernicious)," ka whakahaerehia pea e ia ētahi atu whakamātautau motuhake.
Ko te mea nui, ki te pāngia koe e ēnei tohu, me toro atu koe ki te tākuta me te rapu tohutohu i mua i te tango i ngā pire huaora māu ake. He mea morearea te rongoā i a koe anō me te kore e kitea te tino take.
He aha ngā maimoatanga mō tēnei?
Ko te whāinga matua o te rongoā i tēnei he whakahoki i ngā taumata o te huaora i roto i tō tinana ki ngā taumata tika. Mā tō tākuta e whakatau te tikanga rongoā me te horopeta e tika ana māu.
Ka taea te tango i ngā tāpiringa huaora B12, folate rānei i roto i ngā huarahi maha:
- Ngā pire i horomia
- Papa raro-arero
- Rehu ihu
- Werohanga
- He wai e tukuna ana ki roto i te uaua mā te werohanga (Intravenous - IV)
Me haere tonu tēnei maimoatanga kia hoki rā anō ō taumata huaora ki te āhua noa. He mea nui anō hoki kia whakarerekētia tō kai.
Heoi, ki te mea kei a koe tēnei ngoikoretanga huaora nā tētahi atu mate huna, pērā i te raruraru mimiti, me whai maimoatanga roa pea koe hei ārai i te hokinga mai o te mate.
He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?
I te nuinga o te wā, ka ea katoa tēnei āhuatanga mā te maimoatanga tika. Heoi, ki te kore e rongoatia, ka pā mai he raruraru nui mō te wā roa.
- Ngā raruraru o te pūnaha io: Ngā mate io kino pērā i te ngoikore o ngā waewae, te uaua ki te hikoi.
- Mate manawa: Te mōrearea o te ngoikore o te manawa me te ngoikore o te manawa.
- Ngā raruraru i te wā e hapu ana: Ngā pānga ki te whanaketanga o te pēpi.
- Ngā raruraru momona: Te uaua ki te whānau tamariki.
Nō reira, kaua e warewarehia ēnei tohu.
He aha ngā kai me kai hei karo i tēnei mate?
Ko te huarahi pai hei whakaiti i te mōrearea o tēnei mate ko te kai i tētahi kai taurite e whai kiko ana i ngā huaora B12 me te B9 (folate).
| Ngā kai e whai kiko ana i te huaora B12 | Ngā kai e nui ana te huaora B9 (folate) |
|---|---|
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Ka taea e koe te pātai ki tō tākuta e hia te nui o te huaora e hiahiatia ana e koe i ia rā. Māna anō koe e tohutohu kia tangohia he tāpiringa huaora mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ehara i te mea noa te ngenge tonu, me te āhua mā. He tohu pea tēnei mō te mate toto kore huaora.
- Ko te tino take o tēnei mate ko te iti o te huaora B12, te waikawa folic rānei (B9) i roto i te tinana.
- Ko te kai i tētahi kai taurite te huarahi pai rawa atu hei karo i tēnei mate.
- Ki te pā mai ngā tohu, kaua e ngana ki te whakatau i a koe anō, engari me toro atu ki tō tākuta. Mā te whakamātautau toto noa ka taea te tautuhi i te mate.
- He tino māmā noa iho, he tino whai hua hoki ngā maimoatanga. Nō reira kaua e wehi, engari me whai i ngā tohutohu a te tākuta.
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