I kīia i roto i tō whakamātautau toto ko 'Polychromasia'? Kia kite tātou he aha te mea! (Polychromasia)

Ina whakamātauhia he toto, ka kitea ētahi kupu kāore i te mōhiotia i roto i te pūrongo, tika? Tērā pea i roto i tō pūrongo te kupu 'Polychromasia' me te 'Polychromatophilia' rānei. Tērā pea ka mataku koe ina kite koe. Engari kaua e manukanuka, ka kōrero noa tātou mō tēnei i tēnei rā.

He aha te 'Polychromasia'?

Ki te whakarapopoto, ko te tikanga o te 'Polychromasia' he rerekē ngā tae o ō toto whero. Ka kitea tēnei ina tangohia he tauira o tō toto, ka whakatakotoria ki runga i te kiriata karāhe, ka pania ki te tae motuhake, ā, ka tirohia i raro i te karu hiko. Ka kiia tēnei whakamātautau ko te 'Peripheral Blood Smear (PBS)'.

I te nuinga o te wā, ka puta te whero o ngā toto toto hauora, kua whanake pai i roto i te PBS. Heoi, ki te mea kei roto te Polychromasia, i roto i ēnei pūtau māwhero, ka kitea ētahi pūtau he kikorangi, he hina kikorangi, he papura rānei te āhua . He maha ngā wā he toto toto whero kāore anō kia pakari ēnei pūtau rerekē te tae. I roto i te rongoā, ka kiia ēnei toto toto whero kāore anō kia pakari ko 'Reticulocytes'.

Ko te tikanga o te polychromasia ko te tukunga tere rawa atu o ngā toto whero hou, kāore anō kia pakari (Reticulocytes) ki roto i tō toto e tō hinu wheua. Kei te mōhio koe, ko te hinu wheua te wāhanga ngohengohe, hautai o tō tinana kei roto i ngā wheua nui. Ko ngā toto whero katoa, ngā toto toto mā, me ngā pereti toto i roto i tō toto ka hangaia i roto i te hinu wheua. He rite ki te wheketere.

He aha i kikorangi ai te āhua o ēnei toto whero?

Tērā pea kei te whakaaro koe he aha te āhua kikorangi o ēnei toto toto whero kāore anō kia pakari (‘Reticulocytes). Ko te take he mea kei roto i ēnei ‘Reticulocytes’ he rauemi ira e kiia nei ko te ‘RNA’. Ina tauhohe rātou ki te tae ‘PBS’, ka kikorangi tēnei ‘RNA’. He rite tēnei ‘RNA’ ki tētahi kaupapa rangitahi i roto i te pūtau. Ina pakeke te ‘Reticulocyte’ ka huri hei toto toto whero tino pakari, ka ngaro atu tēnei ‘RNA’.

He mea nui kia tautuhia ēnei 'Reticulocytes' i roto i te 'PBS'. Nā te mea, ko ngā 'Reticulocytes' he rōpū pūtau kāore e taea te kawe hāora me te whai hua pērā i ngā toto toto whero kua tino pakari. Ko te mahi matua a ngā toto toto whero ko te kawe hāora ki ia pūtau o tō tātou tinana. Nō reira, ki te nui rawa ngā pūtau kāore anō kia pakari, ko te tikanga kāore taua mahi e mahia tika ana.

He aha ngā take o te 'Polychromasia'?

He tohu pea te polychromasia o tētahi mate hauora e pā ana ki tēnei mate. Nā tēnei mate ka tere rawa te tukunga o ngā toto whero kāore anō kia pakari ki roto i tō toto. I te nuinga o te wā ka puta tēnei ina heke te maha o ngā toto whero kua pakari i roto i tō toto. Ka ngana te tinana ki te whakakapi mā te tuku tere i ngā reticulocytes mai i tō toto wheua ki roto i tō toto.

Anei ētahi take ka kite pea koe i te 'Polychromasia':

• Te Mate Kore-Totoro: He mate toto tēnei. Koinei te wāhi e whakangaromia ai ngā toto whero i te wā e kore e taea e te tinana te hanga toto whero hou. Ka hua ake tēnei i te mate kore-toto. Ka taea hoki te whakaputa i te mate kore-toto nā ngā āhuatanga tuku iho pērā i te Paroxysmal Nocturnal Hemoglobinuria (PNH), te Thalassemia, me te Mate Pūtau Hīnati. Ka taea hoki te whakaputa e ētahi mate me ētahi rongoā.
• Te toto nui e ngaro ana: Ina nui te toto, i roto, i waho rānei, ka whakaohokia te hinu wheua kia nui ake te hanga o ngā toto whero. Kātahi ka tukuna ngā reticulocytes ki roto i te toto hei whakakapi i ngā toto whero kua ngaro. Whakaarohia, ki te nui te toto e ngaro ana i roto i tētahi aituā nui, ka taea tēnei te tupu.
• Matepukupuku: Ka horapa ētahi momo matepukupuku ki te hinu wheua, ka whakararuraru i te hanga o ngā toto whero, ka pana rānei i ngā toto kāore anō kia pakari ki roto i te toto.
• Hapūtanga: He mea noa te piki ake o te maha o ngā 'Reticulocytes' i roto i te toto i te mea noa i te wā e hapū ana. I te nuinga o te wā, kāore tēnei e whai take hei āwangawanga.
• Te noho i ngā teitei: He iti ngā taumata hāora i ngā teitei. Ka taea e te tinana te urutau ki te korenga o te hāora mā te whakanui ake i te hanga o ngā toto whero me te tuku i ngā reticulocytes ki roto i te toto.

Ngā matūkai e whakanui ana i ngā toto toto whero

I ētahi wā, ina tīmata koe ki te tango i ngā huaora me ngā tāpiringa e hiahiatia ana hei hanga i ngā toto whero hauora, ka kite pea koe i te "Polychromasia" i runga i tō pūrongo toto. Ko te tikanga tēnei kei te tauhohe tō tinana. Mena kāore koe e whiwhi ana i te nui o ēnei matūkai mai i ngā kai e kainga ana e koe, ka tūtohu pea tō tākuta:

• Huaora B12 (Huaora B12)
• Waikawa Folic ('Waikawa Folic')
• Rino

He mea nui ēnei matūkai mō te whakaputanga o ngā toto toto whero. Hei tauira, ka āwhina te rino ki te hanga i te hemoglobin, te pūmua kawe hāora i roto i ngā toto toto whero. He mea nui te huaora B12 me te waikawa folic mō te wehenga me te pakeketanga o ngā toto toto whero.

He aha ngā tohu o te 'Polychromasia'?

Kāore he tohu motuhake mō te Polychromasia. Heoi, tera pea ka pāngia koe e ngā tohu e puta mai ana i tētahi mate taketake, pērā i te anemia, e hua ai te Polychromasia.

Koinei ngā tohu tino kitea o te anemia:

• Kiri mā
• Ānini
• Ngoikore, ngenge rānei
• Te uaua ki te manawa (Dyspnea)
• Te tere o te manawa (Tachycardia)
• Pōuriuri, māuiui rānei
• Te toto toto iti (hypotension)
• Te kōwhai o te kiri, te mā rānei o ngā kanohi (Jaundice) - Ka kitea nuitia tēnei i roto i te Hemolytic Anemia.
• Te whakanui ake i te whēkau (Splenomegaly) me te ate (Hepatomegaly)

I ētahi wā, kāore pea he tohu. Kei te āhua o te mate i puta ai te polychromasia me tōna kaha te katoa.

Me pēhea te mōhio ki te 'Polychromasia'?

Ka taea e ngā tākuta te mōhio mēnā he polychromasia tōu mai i ngā hua o te whakamātautau PBS (peripheral blood smear). Mā tēnei ka whakaatuhia ngā toto whero kikorangi pouri, kikorangi-hina rānei (e kiia nei ko ngā reticulocytes) i roto i tō tauira toto, me ngā toto whero māwhero pakari noa.

Kia maumahara, ko te 'Polychromasia' he mea ka kitea i roto i te whakamātautau toto, ehara i te 'tātaritanga' i a ia anō.

Nō reira, ka tono pea tō tākuta i ētahi atu whakamātautau hei āwhina i te whakatau i te take o tō āhua. Ka pātai atu ia ki a koe mō ō tohumate, tō hītori hauora, me ngā rongoā katoa e tangohia ana e koe. Ka whakahaerehia hoki e ia he whakamātautau tinana hei tirotiro i ngā tohu o te anemia hemolytic (pēnei i te whēkau nui, te ate rānei). Ko ngā whakamātautau motuhake ka mahia e koe ka whakawhirinaki ki te take e whakaarohia ana he pānga ki te tukunga o ngā reticulocytes mai i tō hinu wheua.

Me pēhea te rongoā mō te Polychromasia?

Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tō polychromasia. Mena he anemia ngawari te pūtake, ā, kāore he tohu nui e pā ana ki a koe, kāore pea koe e hiahia ki te maimoatanga. Heoi, ki te mea he mate nui tōu e pā ana ki tō polychromasia, ka tūtohu tō tākuta i te maimoatanga tika.

Ka taea te whakamahi i ēnei hei rongoā:

• Te whakawhiti toto: I roto i ētahi āhuatanga tuku iho pērā i te Mate Pūtau Hāripiri, i ngā take rānei o te toto nui.
• Corticosteroids: I roto i ngā āhuatanga pēnei i te Autoimmune Hemolytic Anemia, ka whakangaromia e tō pūnaha ārai mate ō ake toto whero.
• Ngā rongoā ārai mate: Ka taea te hoatu i ēnei ina whakangaromia ana ngā toto whero e te pūnaha ārai mate, ā, kāore e whai hua ngā maimoatanga pēnei i te corticosteroids.

Mena he mate huakita, he mate huaketo, he mate pirinoa rānei te take o te polychromasia, tera pea ka hiahiatia he rongoā motuhake mō taua mate. Mena he rongoā te take o te mate, me mutu pea te tango i taua rongoā, me huri rānei ki tētahi atu rongoā. Heoi, kaua rawa e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta. Mā tō tākuta koe e ārahi marie.

Me wehi koe i te 'Polychromasia'?

Kāore pea. Tērā pea he tohu te polychromasia o tētahi mate toto e hiahia ana kia rongoatia, he mea rānei kāore he kino. Hei tauira, ki te mea kei te hapu koe, kua tīmata rānei koe ki te tango i ngā tāpiringa rino, he mea noa pea tēnei.

Mā tō tākuta ēnei hua e kōrero ki a koe, ā, ka whakamārama atu hoki mēnā he mea hei āwangawanga māu, mēnā rānei me whai whakamātautau anō.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te anemia, pērā i te ngenge, te kiri mā, me te poto o te manawa, whakaritea he wā ki te toro atu ki te tākuta. I tēnei wā, kaua e wareware ki ō tirotiro ā-tau. Tērā pea ka tirotirohia ō toto e tō tākuta mā te mahi whakamātautau pērā i te PBS mēnā e tika ana.

He maha ngā mōhiohio ka taea e ngā pūrongo whakamātautau toto te whakarato mō tō hauora whānui. Ka taea hoki e ēnei te āwhina i a koe ki te tautuhi i ngā mate toto e hiahia ana kia rongoatia wawe.

Hei whakarāpopototanga (Karere hei tango ki te kāinga)

Kaua e mataku ina kite koe i te kupu 'Polychromasia' i runga i tō pūrongo toto. Kia maumahara:

• He whakaahuatanga te "Polychromasia", ehara i te tātaritanga. Ko tōna tikanga he nui ake ngā toto whero kāore anō kia pakari i tō te tikanga noa.
• He tohu pea tēnei nō tētahi mate hauora kei raro i te maru, he mea rānei kāore he kino, he rangitahi noa iho.
• Mena he āwangawanga āu mō tēnei, kōrero ki tō tākuta. Ka taea e ia te whakamārama me pēhea te pānga o tēnei hua ki a koe.

Nō reira, he mea tino nui kia mau tonu te kōrero pai ki tō tākuta. Ko rātou te hunga e tino mārama ana ki tō hauora.