He maha ngā wā ka ngenge koe, ka kore ora? I ētahi wā ka whakaaro tātou he mea noa tēnei, he ngenge e puta mai ana i te nui o te mahi. Heoi, tera pea he take nui kei raro i tēnei ngenge. I tēnei rā ka kōrero tātou mō te mate toto iti, he āhuatanga motuhake rānei e pā ana ki te kore toto i roto i te tinana. Ka kiia tēnei ko te Heinz Body Anemia.
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He whakarāpopototanga, he aha ēnei tinana Heinz?
Hei mārama ki tēnei, me mōhio tātou ki ētahi mea mō ō tātou toto. Kei roto i ō tātou toto tētahi momo pūtau e kiia nei ko ngā toto toto whero. Koinei ngā pūtau e kawe ana i te hāora puta noa i ō tātou tinana. Whakaarohia ēnei toto toto whero he taraka iti e kawe ana i te hāora. Ko te wāhanga matua o ēnei taraka e kawe ana i te hāora ko te hemoglobin . Ko tēnei pūmua e kiia nei ko te hemoglobin te mea e homai ana te tae whero ki ō tātou toto.
Heoi, mō ētahi take, ka pakaru pea ēnei ngota hemoglobin. Pērā i te pakaru o te tauranga uta o te taraka. Ka pūhui te hemoglobin kua pakaru, ka pūhui tahi, ka piri ki te pakitara o te toto whero. Ka kiia aua pūhui he Heinz Bodies .
Mā ēnei tinana Heinz ka ngaro te ngāwari o ngā toto whero, ka pakari hoki. I te nuinga o te wā, ka taea e ngā toto whero hauora te haere mā roto i ngā oko toto angiangi rawa. Engari he uaua ki ēnei pūtau pakari te mahi pera. Ko tō tātou whēkau he okana e horoi ana i ō tātou toto. I a ia e haere ana mā roto i tēnei tātari, ka mōhio te whēkau ki ngā toto whero mā roto i ēnei tinana Heinz pakari, ā, ka whakangaromia. I ētahi wā, ko te wāhanga tinana Heinz anake ka tangohia, ā, ko ngā toto whero te āhua me te mea kua ngaua e te tangata tētahi wahi pihikete. Ka karangatia hoki ēnei pūtau ngau .
Pēnei, ina tere ake te pakaru o ēnei toto whero kua pakaru i te kaha o te tinana ki te hanga i ētahi hou, ka heke te nui o te toto i roto i te tinana. Koinei te mea e kiia nei e mātou ko te Heinz Body Anemia.
He aha i puta ai tēnei āhuatanga? He aha ngā take?
Ko te tino take o ngā tinana Heinz ko te kino matū, te kino waikura rānei ki ō tātou toto whero. Ka pā mai pea tēnei i muri i te whānautanga, ka pā mai rānei i tētahi mate whānau.
Ngā take e puta ana i muri i te whānautanga
Ko te nuinga o ēnei ka puta mai i ngā mea e uru ana ki te tinana mai i waho.
| Take | Whakaahuatanga me ngā tauira |
|---|---|
| Ētahi rongoā me ngā matū | Ka taea e te pānga o ētahi rongoā me ngā matū te kino i ngā pūtau toto whero. Hei tauira:
|
| Ngā ngoikoretanga o ngā kohuke | He kohuke nui te Selenium mō tō tātou tinana. Ka āwhina i te hanga i tētahi matū ārai-mate kaha e kiia nei ko te glutathione. Ko tēnei matū ārai-mate te mea e tiaki ana i ō tātou toto whero mai i te kino. Mena he ngoikore te selenium, ka heke tēnei parenga, ā, ka taea te hanga i ngā tinana Heinz. |
Ngā take whānau (ngā āhuatanga ira)
He āhuatanga ira ēnei e tukuna iho ana mai i ngā mātua ki ngā tamariki.
- Te ngoikore o te G6PD: Ko te ingoa katoa o tēnei ko te ngoikore o te Glucose-6-phosphate dehydrogenase. He āhuatanga tēnei e kitea ana hoki i tō tātou whenua. He whākōkī tino nui tēnei G6PD e tiaki ana i ngā toto whero. Mō te hunga e ngoikore ana i tēnei whākōkī, ina tango ana rātou i ētahi rongoā, ina pāngia rātou e ētahi mate, ina kai rānei rātou i ētahi kai (hei tauira, ngā pīni fava), ka tīmata wawe te pakaru o ō rātou toto whero.
- Thalassemia: He hapa ira anō hoki tēnei i roto i te hanga hemoglobin e kitea whānuitia ana i tō tātou whenua. Ka kitea anō hoki ngā tinana Heinz i roto i te toto o ngā tūroro thalassemia.
- Ngā mate pūmau o te hemoglobin: Ka whānau mai ētahi tāngata me ngā momo hemoglobin rerekē, kāore i te pumau. Ka ngawari te pakaru o ēnei, ā, ka puta he tinana Heinz.
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Kāore he tohu e puta mai i te aroaro o ngā tinana Heinz. Heoi, ina tīmata te pakaru o te nui o ngā toto whero, ka puta te anemia, ā, ka puta pea ngā tohu rerekē.
| Ngā tohu noa o te anemia tinana o Heinz | |
|---|---|
| Te kōwhai o te kiri me ngā kanohi (Jaundice) | Te ahua o te ngenge nui me te ngenge nui |
| Te uaua ki te manawa me te wheezing | Kiri mā |
| Te tere o te ngakau, te koretake rānei | Te ate pupuhi, te whēkau rānei (mamae i te puku o runga) |
Me pēhea te kimi i tēnei? He aha ngā whakamātautau e mahia ana?
Mena kei a koe ēnei tohu, ko te mea tuatahi ka mahia e tō tākuta he tirotiro i a koe me te tono i ētahi whakamātautau toto.
- Te Tatau Toto Katoa (CBC): Ka ine tēnei i te maha o ngā toto whero, ngā toto mā, me ngā pereti toto i roto i tō toto. He mea nui tēnei hei tirotiro mō te anemia.
- Te Hemoglobin me te Hematocrit: Ka ine hoki tēnei i te maha o ngā toto toto whero me ngā taumata o te hemoglobin.
- Te Pane Toto Āpiti: He whakamātautau tino nui tēnei. I konei, ka pania he pata toto ki runga i te kiriata karāhe, ā, ka tirohia i raro i te karu hiko. Kātahi ka kitea te āhua me te rahi o ngā toto whero. Ka kitea hoki ngā "pūtau ngau" i kōrerohia e tātou i mua ake nei me tēnei whakamātautau. Hei tiro tika i ngā tinana Heinz, me whakamahi he tae motuhake (te paru) mō tēnei whakamātautau.
- Whakamātautau mimi: Ina pakaru ngā pūtau toto whero, ka tukuna te hemoglobin ki roto i te mimi. Ka mahia tēnei whakamātautau hei tirotiro mēnā kei roto.
He aha ngā maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mate. Mā tō tākuta e whakatau te pūtake, ā, māna hoki e hoatu te maimoatanga tino tika.
- Te whakamutu i te rongoā e puta ai te mate: Ki te kitea he rongoā te take o te mate, ka whakamutua taua rongoā, ā, ki te tika, ka hoatu he rongoā haumaru ake.
- Te whakarato i ngā tāpiringa kai: Mena nā te kore o tētahi kohuke pēnei i te selenium tēnei āhuatanga i puta ai, ka whakaratohia he tāpiringa kai mō tēnā.
- Ngā rongoā paturopi: Mēnā ka kino haere te toto toto i te mate pāwera.
- Te Whakawhiti Toto: Mena he tino kino te mate toto iti, tera pea ka hiahiatia he whakawhiti toto hei whakahoki wawe i ngā taumata o te toto.
- Te Tango i te Whati: I ētahi wā tino kino, ka tūtohuhia kia tangohia te whai, te wāhi matua o te whakangaromanga o ngā toto toto whero, mā te pokanga.
- Ka taea hoki te whakamahi i ngā maimoatanga pēnei i ngā rongoā pehi ārai mate me ngā whakawhitinga pūtau take i roto i ngā take tino onge me ngā take kino.
Ko te mea nui: Kaua rawa e mutu te tango i tētahi rongoā, kaua hoki e whakarerekē i te horopeta me te kore kōrero ki tō tākuta. Tērā pea he mea morearea.
He aha ngā raruraru ka puta mai i tēnei āhuatanga?
Ki te kore e tika te whakahaere i te mate toto iti o Heinz, ka puta pea ētahi raruraru. Ka rerekē ēnei i runga i te pūtake me te maimoatanga o te mate.
- Ngā toto totoka (ina koa i roto i ngā pukahukahu)
- Ngā kōhatu o te pūkahukahu
- Te ngoikore o te whatukuhu
- Te ngoikore o te ngākau
- ohorere
- Ngā pānga taha o ngā rongoā i tangohia mō te maimoatanga
Ko ētahi o ēnei raruraru he āhuatanga ohorere hauora. Nō reira, ki te pāngia koe e te mate ohorere, he uaua ki te manawa, he mamae rānei te uma, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. Ki te whakapae koe kua puta tēnei āhuatanga i te kai matū, ka taea hoki e koe te waea atu ki te National Poisons Information Centre i te Hōhipera ā-Motu o Colombo mō ētahi tohutohu.
Karere Tangohia ki te Kāinga
- Ko te Heinz Body Anemia he āhuatanga e tere ake ai te pakaru o ngā toto whero e te tinana i tōna kaha ki te hanga i ngā toto hou.
- Tērā pea ka puta tēnei i ētahi rongoā, matū, mate whānau rānei pērā i te ngoikore o te G6PD me te thalassemia.
- Ko ngā tohu matua ko te ngenge pinepine, te kōwhai o te kiri, me te mā.
- He mea nui ngā whakamātautau toto hei tautuhi tika i tēnei mate.
- Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mate, nō reira he mea tino nui te rapu tohutohu hauora.
- Kaua e mutu te tango i tētahi rongoā me te kore e kōrero ki te tākuta. Mēnā ka pāngia koe e tētahi mamae, whakapā atu ki tō tākuta tonu.
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