E mōhio ana tātou katoa ehara te toto i roto i tō tātou tinana i te wai, engari he wai he matotoru tōna. Engari whakaarohia, he aha te mea ka tupu mēnā ka matotoru rawa atu tēnei toto i te mea noa, pērā i te paru matotoru? Ka uaua te neke o tēnei toto matotoru i roto i ngā uaua toto pai puta noa i tō tātou tinana. He rite ki te paru matotoru e mau ana i roto i te paipa. Mā tēnei, ka matotoru te toto pērā i te wai kokonati, ā, ka ngoikore te rere o te toto i roto i te tinana, koinei te mea e kiia nei e tātou ko te Hyperviscosity Syndrome i roto i te rongoā. Ehara tēnei i te mea iti noa iho, engari he āhuatanga tino morearea, he mate hoki i ētahi wā. Me kōrero noa tātou mō tēnei mea, i roto i te huarahi e mārama ai koe.
He aha i tino matotoru ai te toto?
Ko te mea tuatahi kia mārama, ehara te Hyperviscosity Syndrome i te mate tonu. He tohu ia nō tētahi atu mate. Pērā i te mare he tohu nō te makariri, te niumōnia rānei. Ko te matotoru o te toto te take nui o te nui rawa o ngā momo pūtau, o ngā pūmua rānei i roto i te toto.
I ētahi atu kupu, ki te piki haere te maha o ngā toto whero, ngā toto mā, ngā pereti toto, ngā pūmua toto rānei i roto i te toto, i runga i te koretake, ka matotoru te toto.
Kei te ripanga i raro nei ētahi o ngā mate hauora matua ka puta ai tēnei mate.
| Ngā āhuatanga ka taea te whakapakeke i te toto | He whakamārama māmā |
|---|---|
| Te Macroglobulinemia o Waldenström (WB) | Koinei te tino take o te hyperviscosity. He momo matepukupuku toto tēnei e puta ana i roto i te hinu wheua me ngā kiko lymphatic. Ka puta mai i te nui rawa o te pūmua rerekē, ka matotoru ai te toto. |
| Myeloma maha | He momo matepukupuku anō hoki tēnei e pā ana ki ngā pūtau toto. Ko ngā pūmua rerekē e whakaputaina ana e ngā pūtau matepukupuku ka meinga kia matotoru te toto. |
| Polycythemia Rubra Vera | He mate tēnei o te hinu wheua. I roto i tēnei āhua, ka puta ngā toto whero i roto i te āhua kore e taea te whakahaere. I te piki haere o te maha o ngā toto whero, ka nui haere hoki te matotoru o te toto. |
| Leukemia | I roto i te mate pukupuku toto, arā, te leukemia, ka nui rawa te whakaputanga o ngā pūtau toto mā. Tērā pea he āhua rerekē o ēnei pūtau. Ka ārai pea tēnei i ngā oko toto, ka matotoru hoki te toto. |
| Ngā mate o te kiko honohono | Ka pā te toto totoka i ētahi wā i roto i ngā mate pēnei i te rumatiki rheumatoid, engari he tino onge tēnei. |
| Ētahi atu take onge | Tērā pea he maha atu anō ngā take, pērā i te cryoglobulinaemia (he mate e mumura ai ngā oko toto), te hypoxia mau tonu (te korenga o te hāora mau tonu), me ētahi maimoatanga mate pukupuku (te rongoā waikawa Retinoic). |
He aha te āhua o te toto e mātotoru ana? He aha ngā tohu?
Whakaarohia, ko ia okana o roto i tō tātou tinana, mai i te roro ki ngā pito o ō tātou maihao, e haria ana e te toto, e kawe ana i te hāora me ngā matūkai. Nō reira, ina aukatia tēnei rere o te toto, kāore aua okana e whiwhi i ngā mea e hiahiatia ana e rātou. Koia te take e puta ai ngā tohu. Ka rerekē ēnei tohu i ia tangata, ā, ka rerekē anō hoki i runga i te mate taketake i meinga ai te toto kia matotoru.
Koinei ētahi o ngā tohu e kitea whānuitia ana:
Ngā tohu e pā ana ki te roro me te pūnaha io
Ka tino pāngia te roro e te ngoikore o te rere o te toto.
- Te ānini nui me te whanoke
- Ngā raruraru tirohanga: te tirohanga pōuri, te tirohanga takirua, i ētahi wā ka ngaro ohorere te tirohanga
- Ngā raruraru whakarongo: te ngoikore, te ngaro rānei o te whakarongo
- Ngā wiri
- Te ngenge nui me te hiamoe (Lethargy)
Ngā tohu e pā ana ki te toto
Ina matotoru te toto, ka raruraru te whakahaere ātaahua o te rere o te toto, ka arahi pea tēnei ki te toto ohorere.
- Ngāwari te marō
- Te toto o te kiriuhi mucous (te toto o te ihu, te kapia)
- Ētahi atu toto rerekē (hei tauira, toto i roto i te tūtae)
Ētahi atu tohu kino
E tohu ana ēnei kei te pakaru ngā whekau nui o te tinana.
- Te toto toto tiketike (hypertension)
- Te ngoikore o te ngakau: te mamae o te uma, te poto o te manawa
- Te ngoikore o te whatukuhu
- Ngā toto totoka (Thrombosis)
- Mate pāwera nui (Sepsis)
Mena kei a koe, kei tētahi atu rānei o ēnei tohumate, he mea nui kia toro atu koe ki te tākuta tonu atu, me te kore e whakaroa.
Me pēhea te rongoā i tēnei mate mōrearea?
He āhuatanga ohorere hauora te Hyperviscosity Syndrome, nā te mea, ki te kore e rongoatia, ka kore e whiwhi hāora ngā whekau nui pēnei i te roro, te ngākau, me ngā whatukuhu, ā, ka mutu, ka pakaru, ka ngoikore rānei. Nō reira, he mea nui te rongoā wawe.
E rua ngā taumata o te mahere maimoatanga.
1. Maimoatanga tonu, poto noa iho
Ko te taahiraa tuatahi ko te whakahaere i ngā tohu me te whakaiti wawe i te matotoru o te toto. Ko tētahi o ngā maimoatanga e whakamahia whānuitia ana mō tēnei ko te Plasmapheresis .
He rite te tukanga o te plasmapheresis ki te purenga toto. Ka tangohia he iti noa o ō toto mai i tō tinana, ka tukuna mā roto i tētahi mīhini motuhake, ā, ka wehea te plasma, kei roto nei ngā pūmua tāpiri e whakapakeke ana i ō toto, ka tangohia. Kātahi ka konatunatua ngā toto whero me ngā toto mā hauora ki tētahi wai whakakapinga ka whakahokia ki tō tinana.
Ka taea e tēnei te whakaiti tere i te toto totoka me te aukati i te kino o ngā whekau. Heoi, kei tō rōpū hauora te whakatau mēnā he tika tēnei maimoatanga mō te katoa, ā, mēnā hoki he mea tika.
2. Maimoatanga mō te wā roa (te maimoatanga o te mate pūtake)
I muri i te whakaiti i te matotoru o te toto, ko te mea nui e whai ake nei ko te rongoā i te mate taketake i puta ai. Nā te mea ki te kore taua mate e rongoātia, ka taea e te toto te matotoru anō.
- Mena ko te mate pukupuku pērā i te Multiple Myeloma, te Leukemia rānei te pūtake, ka hoatu ngā maimoatanga ārai-mate pukupuku pērā i te chemotherapy .
- Mena ko te polycythaemia te take, ka tukuna he maimoatanga hei tango i ngā pūtau toto whero tāpiri, hei whakaiti rānei i tō rātou hanga.
- Mena he mate hauora anō tēnei, ka tūtohu ngā tākuta i ētahi maimoatanga motuhake mōna.
Mō tēnei, ka huihui mai tētahi tīma tākuta, tae atu ki ngā tākuta toto, ngā tākuta pukupuku, me ngā tākuta roro, ki te whakawhanake i te mahere maimoatanga pai rawa atu māu.
Karere Tangohia ki te Kāinga
- Ko te Hyperviscosity Syndrome he āhuatanga e matotoru ai te toto pērā i te hinu kokonati, e aukati ana i te rere o te toto i roto i te tinana.
- Ehara tēnei i te mate motuhake. He tohu tēnei nō tētahi atu mate kino, pērā i te mate pukupuku toto.
- Kaua e warewarehia ngā tohu pēnei i te mamae nui o te upoko, te panoni o te tirohanga, te toto rerekē, te ngenge nui rānei.
- He āhuatanga ohorere hauora tēnei. Tirohia tō tākuta ina kite koe i ngā tohu. Mena e tika ana, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Ko te maimoatanga he whakaheke toto tonu (pērā i te plasmapheresis) me te maimoatanga hoki o te mate pūtake.
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