Kua kite koe i tētahi uara e kīia nei ko 'PLT' ina tirohia e koe tētahi pūrongo Tatau Toto Katoa? Kua pāngia rānei koe e tētahi whara iti i puta ai he maru nui, he toto rānei ngā kapia i te wā e parai ana i ō niho? Tērā pea ka pā ēnei katoa ki tētahi rōpū iti o ngā pūtau i roto i ō toto e kīia nei ko ngā pereti toto. E kiia ana hoki rātou ko ngā thrombocyte. Nō reira, i tēnei rā ka kōrero tātou mō ēnei pereti toto me te aha ka puta ina iti rawa.
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Nā, he aha ēnei pereti toto?
He whakarāpopototanga noa iho, ko ngā pereti toto he pūtau iti i roto i ō tātou toto e hangaia ana i roto i tō tātou hinu wheua. Ko tā rātou mahi matua he whakamutu i te toto ina whara tātou. Whakaarohia te mutu o tō toto i muri i tētahi wā poto ina tapahia tō ringa. I taua wā tonu, ka puta mai ēnei pereti toto pērā i ngā toa, ka huihui hei hanga i tētahi toto totoka, ka hiri i te patunga. He rite ki tētahi rōpū miihini iti e tere ana ki te whakatika i tētahi paipa pakaru.
Me pēhea te ine i te maha o ngā pereti toto?
Ka inehia te maha o ngā pereti toto mā te whakamātautau toto auau. Ka inehia tēnei i roto i te whakamātautau Tatau Toto Katoa (CBC) e mahia ana e mātou i ia wā. Mā tēnei ka taea te tirotiro i te maha o ngā pereti toto i roto i te toto me ngā toto toto mā me ngā toto toto whero.
Kia titiro tātou ki te maha o ngā pereti toto e tika ana kia noho i roto i te toto o te tangata hauora.
| Tūnga | Te maha o ngā pereti i ia maikororita toto |
|---|---|
| Taumata Hauora/Noa | 150,000 ki te 450,000 |
| Taumata iti (Thrombocytopenia) | I raro iho i te 150,000 |
| Teitei o te taumata (Thrombocythemia/Thrombocytosis) | Neke atu i te 450,000 |
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Check Availability →Me kōrero tātou mō te iti o ngā pereti toto (Thrombocytopenia)
Mena kei raro iho i te 150,000 te maha o ō pereti toto, ka kiia tēnei mate e ngā tākuta he thrombocytopenia. Koinei te wā kāore i te nui ō pereti toto hei aukati i te toto i muri i te whara.
He aha ngā tohu?
I ētahi wā, kāore pea he tohu e puta mai i te hekenga iti o ngā pereti toto. Heoi, ina tino heke te tau, ka kite pea koe i ngā mea pēnei i:
- Ngāwari te puta o ngā marō: Ahakoa he puku iti noa, ka puta he marō nui, kikorangi/papura hoki.
- Te toto e uaua ana ki te aukati: Te toto o ngā kapia i te wā e parai ana i ō niho, te toto pinepine o te ihu, te toto roa ahakoa mai i tētahi patunga iti.
- Te toto o roto: Te toto i roto i te mimi, te toto i roto i te tūtae (tērā pea he mangu te tūtae), te toto i roto i te ruaki (tērā pea he rite ki te paura kawhe).
- Ngā ira whero o te kiri: Ngā ira ririki, whero, papatahi (petechiae) e puta mai ana i te turuturu o te toto mai i ngā uaua toto i raro i te kiri.
- Ngā ira papura i runga i te kiri: He ira papura nui, whero, parauri-kōwhai (Purpura) e puta mai ana i te toto i raro i te kiri.
- Te ngenge nui me te ngoikore.
- Te toto toto nui i roto i ngā wāhine i te wā paheketanga.
- Te pupuhi o te ate, o te whēkau rānei.
He mea nui: Ki te pā mai tētahi o ēnei tohu ki a koe, he mea pai kia tere tonu te toro atu ki tō tākuta , me te rapu tohutohu i runga i te wā tonu.
He aha i heke ai ngā platelets?
E toru ngā take matua mō te iti o ngā pereti toto:
1. Kāore e ranea ngā pereti toto e hangaia ana e te hinu wheua.
2. Te whakangaromanga tere, te whakamahinga rānei o ngā pereti toto e te tinana.
3. Ka puritia e te ate ngā pereti toto, ā, kāore e tukuna ina hiahiatia.
Anei ētahi o ngā mate me ngā take ka puta ai ēnei āhuatanga:
- Ngā mate wheua wheua: Ngā mate onge pēnei i te Aplastic Anemia, ngā mate pukupuku toto pēnei i te Leukemia me te Lymphoma.
- Ngā maimoatanga matepukupuku: Ka taea e te rongoā matū me te rongoā irahiko te kino i te hinu wheua.
- Te korenga o ngā huaora: Ina iti te huaora B12 me te folate, ka uaua ki te hinu wheua te hanga i ngā pereti toto.
- Ngā āhuatanga ārai mate: I roto i ngā mate pēnei i te Lupus me te Rheumatoid Arthritis, ka whakaeke hē te pūnaha ārai mate o te tinana i ōna ake pereti toto, ā, ka whakangaro hoki.
- Ngā mate urutā: Ngā mate huaketo pēnei i te HIV, te Hepatitis C, me ētahi mate kitakita.
- Ētahi rongoā:Ka taea e ētahi rongoā, pērā i te Heparin me te Quinine, te whakangaro i ngā pereti toto.
- Ngā mate pēnei i te cirrhosis o te ate: Ka pupuhi pea te whēkau, ka mau hoki ngā pereti toto ki roto.
- Te inu nui rawa o te waipiro.
- Ētahi pokanga nui: Hei tauira, te pokanga ngākau.
Me ako anō hoki tātou mō te pikinga o ngā pereti toto (Thrombocythemia/Thrombocytosis)
He raruraru anō hoki te nui o ngā pereti toto i runga ake i te 450,000. Ka taea e tēnei te arahi ki te hanganga o ngā toto toto kore e hiahiatia . Ka taea e ēnei toto toto te piri ki roto i ngā oko toto, ā, ka puta he āhuatanga morearea pēnei i te mate ngakau, te whiu, me te embolism pūkahukahu.
E rua ngā momo o tēnei āhuatanga:
- Te Thrombocythemia Tuatahi: Ka puta mai tēnei i te whakaputanga rerekē o ngā pereti toto i roto i te hinu wheua. Ko te tikanga ka puta mai tēnei i ngā huringa ira.
- Thrombocytosis Tuarua: Koinei te momo thrombocytosis tino noa, ka whakaohokia te hinu wheua kia nui ake ngā pereti toto nā tētahi atu mate hauora (hei tauira, te mate pāwera, te korenga o te rino).
Ko ngā tohumate ka kitea nuitia i te wāhanga tuatahi. Hei tauira:
- Te whero, te wera, me te ngoikore o ngā ringa me ngā waewae.
- Mamae o te uma.
- Te ānini, te whanoke, te ngoikore.
- Ngā panonitanga o te tirohanga.
- Te toto (ahakoa he maha ngā pereti toto, i ētahi wā kāore e mahi tika ana).
Me aha mēnā he iti te nui o ngā pereti toto?
Ko te maimoatanga mō te iti o ngā pereti toto ka whakawhirinaki ki te take me te kaha o ngā tohu. Mā tō tākuta e whakatau te maimoatanga pai rawa atu.
- Te rongoā i te take: Mena he rongoā kei te take o te iti o te maha o ngā pereti toto, ka taea te whakamutu i taua rongoā, ka taea te hoatu i tētahi atu. Mena he ngoikore te rino, ngā huaora rānei, ka taea te hoatu i ngā tāpiringa.
- Ngā Rongoā: Ka taea te hoatu i ngā rongoā pēnei i te 'Corticosteroids' (hei tauira, te Prednisone) hei whakanui ake i te maha o ngā pereti toto, ngā rongoā pēnei i te 'Eltrombopag' me te 'Romiplostim' hei whakanui ake i te hanga pereti toto i roto i te hinu wheua, me ngā rongoā pēnei i te 'Immunoglobulin' hei aukati i te tinana ki te whakangaro i ngā pereti toto.
- Te whakawhiti toto, te whakawhiti pereti toto rānei: Mena he toto kei te heke, he iti rawa rānei te taumata o te pereti toto, ka taea te mahi i te whakawhiti pereti toto o waho.
- Te tango i te whēkau: Mena kāore ētahi atu maimoatanga e angitu, ā, kei te whakangaro te whēkau i ngā pereti toto, ka tūtohu pea tō tākuta kia tangohia te whēkau i roto i te pokanga .
Ko te mea nui ko te mahi i ēnei mea katoa i raro i te tohutohu a te taote. Kaua e mataku, kaua hoki e mahi i tetahi mea ka hopukina koe nā te mea kua rerekē te uara o te pūrongo. Me kōrero tonu ki tō tākuta.
Karere Tangohia ki te Kāinga
- He pūtau iti ngā pereti toto i roto i ō tātou toto e āwhina ana ki te aukati i te toto ina whara tātou.
- Ka inehia ēnei mā te tatau toto katoa (CBC). Ko ngā taumata hauora kei waenga i te 150,000 me te 450,000.
- Ka taea e te thrombocytopenia te whakararuraru i te ngawari me te toto.
- Mā te nui haere o te maha o ngā pereti toto (thrombocytosis) ka hua ake he toto toto kore e hiahiatia, ka hua ake ai he mate kino pēnei i te mate manawa me te whiu.
- Ka taea e ēnei āhuatanga e rua te puta mai i tētahi mate hauora kei raro. Nō reira, ki te kite koe i tētahi mea rerekē i roto i tō whakamātautau toto, kaua e mataku, kōrero ki tō tākuta mō tēnā, ā, me tiki te tohutohu me te maimoatanga tika.
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