He aha te Mate Antiphospholipid? Tohutohu, Take, me te Rongoā

Ko te mate antiphospholipid (APS) tētahi āhuatanga autoimmune e whakaeke ana tō pūnaha ārai ki ngā pūtau e whai hua ana ki te toto, ā, ka nui ake te tūponotanga o te hanganga o ngā kōpū toto kino. Whakaarohia ko te pūnaha whakakōpū toto o tō tinana e tere ana te mahi i te wā e kore ai e tika. Ka pā tēnei āhuatanga ki ngā tāne me ngā wāhine, ahakoa he maha atu ngā wāhine kei te pakeke whānau tamariki, ā, ahakoa he wehi te ahua, he tino whakahaeretia ki te tiaki hauora tika.

He aha te Mate Antiphospholipid?

Ka puta te mate antiphospholipid ina hanga e tō pūnaha ārai ngā antibody e whakaeke ana i ngā phospholipid me ngā pūtau e hono ana ki ngā phospholipid i roto i tō toto. Ko ngā phospholipid he ngako nui e āwhina ana ki te pupuri i ngā kiri o ngā pūtau, ā, he mahi nui ki te whakakōpū toto.

Ina whakaeke enei antibody, ka whakararuhia e rātou te tukanga whakakōpū toto noa. Ki te kore e whakakōpū noa i te wā e whara ana koe, ka nui ake te tūponotanga o tō toto ki te hanganga o ngā kōpū i roto i ō ngā oko toto i te wā e kore ai e hiahiatia. Ka taea e tēnei te arahi ki ngā raruraru nui penei i ngā pōka, ngā mate ngākau, rānei ngā raruraru hapu.

Ka taea e te APS te puta anake, e kiia ana ko te mate antiphospholipid matua, kāti rānei me ētahi atu āhuatanga autoimmune penei i te lupus, e kiia ana ko te mate antiphospholipid tuarua. Ko te rongo pai, mā te rongoā tika, ka taea e te nuinga o te hunga e whai APS ana te noho i ngā oranga noa, hauora.

He aha ngā Tohutohu o te Mate Antiphospholipid?

Ka rerekē ngā tohutohu o te APS, no te mea ka whakawhirinaki ki te wāhi e hangai ana ngā kōpū toto i roto i tō tinana. Kaore pea etahi i whai tohutohu tae noa ki te puta mai o te kōpū, engari ka rongo pea ētahi i ngā tohu iti e kaha ake ana.

Ko ēnei ngā tohutohu tino noa ka pā ki a koe:

• Te mamae o te waewae, te pupū, te wera rānei (i te nuinga o te wā i tetahi waewae)
• Te poto o te manawa, te mamae o te uma rānei
• Ngā mamae o te mahunga maha, ngā migraine rānei
• Te ngenge e kore e pai ake me te okioki
• Ngā raruraru mahara, te uaua rānei ki te aro
• Te wiri, te raruraru rānei o te toenga
• Ngā huringa kiri penei i te pupuhi, te ahua whatu i runga i ngā ringa me ngā waewae
• Te ngenge, te wiri rānei o ngā ringa, ngā waewae rānei

Mō ngā wāhine, ko ngā tohutohu e pā ana ki te haputanga ka uru atu ngā mate haputanga maha, ina koa i te tuarua, te tuatoru rānei o te wā, kāti rānei ngā raruraru penei i te preeclampsia. Ka puta enei tohutohu no te mea ka taea e ngā kōpū toto te whakaroa i te rere o te toto ki te placenta.

Ka rongo pea ētahi atu i ngā tohutohu kaore i te noa, penei i ngā huringa tirohanga ohorere, te kōrero kore, te ngoikore rānei i tetahi taha o te tinana. Ahakoa he awangawanga enei, kia mahara kaore te katoa e whai APS ana e pā ana ki enei tohutohu katoa, ā, ka taea te whakahaere pai i te nuinga mā te rongoā.

He aha ngā momo o te Mate Antiphospholipid?

Ka wehea te APS ki ngā momo e rua, kei te puta anake rānei, kei te puta rānei me ētahi atu āhuatanga. Ko te mārama ki te momo e whai ana koe ka āwhina i tō tākuta ki te hanga i te mahere rongoā tino pai mōu.

Ka puta te mate antiphospholipid matua ina whai APS koe kaore he atu mate autoimmune. Ko te ahua tino ngāwari tēnei, ko ngā raruraru whakakōpū toto te take nui. Ka pai te whakautu o te nuinga o te hunga e whai APS matua ana ki ngā rongoā whakawai toto.

Ka puta te mate antiphospholipid tuarua me ētahi atu āhuatanga autoimmune, ko te nuinga ko te systemic lupus erythematosus (SLE, lupus rānei). Ko te 30-40% o te hunga e whai lupus ana e whai ngā antibody antiphospholipid anō. Ko ētahi atu āhuatanga ka taea te puta me te APS ko te mate pūngāwerewere, te scleroderma, me te mate Sjögren.

He ahua onge, he kino hoki te ahua o te mate antiphospholipid nui (CAPS), e pā ana ki te kore atu i te 1% o te hunga e whai APS ana. I roto i te CAPS, ka tere te hanganga o ngā kōpū toto maha puta noa i te tinana, e hiahia ana ki te rongoā ohorere tonu. Ahakoa he wehi te ahua, he tino onge, ā, he tino whakaora i te wā e kitea wawe ana.

He aha ngā Take o te Mate Antiphospholipid?

Kaore i tino mōhiotia te take pono o te APS, engari e whakapono ana ngā kairangahau ka puta mai i te whakakotahitanga o te whakaaro tuku iho me ngā whakaohooho taiao. Ka pohehe tō pūnaha ārai, ā, ka tīmata ki te whakaeke i ngā pūtau ake o tō tinana.

He maha ngā take ka āwhina ki te whanake i te APS:

• Ngā take tuku iho - ka taea e ētahi ira te whakapakari i a koe
• Ngā mate penei i te hepatitis C, te HIV, kāti rānei ētahi mate huaketo
• Ētahi rongoā, tae atu ki ētahi rongoā mate huaketo me ngā rongoā ngākau
• Ētahi atu āhuatanga autoimmune, ko te lupus te mea nui
• Ngā huringa homoni, ina koa i te wā hapu, i te whakamahinga rānei o te whakahaere whānau homoni
• Te ahotea, te mate nui rānei e pā ana ki tō pūnaha ārai

He mea nui kia mārama kaore te whai i ngā take tūponotanga e kī ana ka whanake koe i te APS. Kaore te maha o te hunga e whai i ēnei take tūponotanga e whanake i te āhuatanga, engari ko ētahi atu kaore he whakaohooho marama e whanake ana. Ko te whanaketanga o te APS pea he āhuatanga o te whakaaro tuku iho me ngā take taiao.

I etahi wā, ka taea e te tangata te whai i ngā antibody antiphospholipid i roto i to ratou toto kaore he tohutohu, he kōpū toto rānei. He rerekē tēnei i te whai APS, ā, kaore te maha o ēnei tangata e hiahia ana ki te rongoā.

Nōhea te Tiro ki te Tākutu mō te Mate Antiphospholipid?

Me tiro atu koe ki te tākuta wawe ina pāngia koe e ngā tohutohu e taea ai te tohu i te kōpū toto, no te mea ka taea e te rongoā wawe te aukati i ngā raruraru nui. Kaua e tatari kia pai ake ngā tohutohu anake.

Rapua te awhina hauora ohorere ina pāngia koe e:

• Te mamae ohorere, nui o te waewae me te pupū
• Te mamae o te uma, te uaua rānei ki te manawa
• Te mamae o te mahunga ohorere, nui atu i ētahi atu i mua
• Te ngoikore ohorere, te ngenge, te uaua rānei ki te kōrero
• Ngā huringa tirohanga, te ngaro rānei
• Te mamae o te kopu nui

Me whakarite hoki e koe he hui me tō tākuta ki te whai koe i ngā mate haputanga maha, ina koa ki te whai koe i te rua kāti rānei atu ngā mate haputanga. Ahakoa he maha ngā take o te mate haputanga, ko ngā mate haputanga maha pea he tohu o te APS, kāti rānei tētahi atu āhuatanga e taea te whakaora.

Ki te whai koe i te hītori whānau o ngā kōpū toto, kāti rānei ngā mate autoimmune, kōrerohia tēnei ki tō kaiwhakarato hauora. Ka tūtohutia pea e rātou te whakamātautau mō te APS, ina koa ki te whakarite koe i te haputanga, ki te tīmata rānei i te whakahaere whānau homoni, e rua ngā mea ka taea te whakanui i te tūponotanga o te whakakōpū.

He aha ngā Take Tūponotanga mō te Mate Antiphospholipid?

He maha ngā take ka taea te whakanui i tō tūponotanga ki te whanake i te APS, ahakoa te whai i ēnei take tūponotanga kaore e kī ka whanake koe i te āhuatanga. Ko te mārama ki tō tūponotanga ka āwhina i a koe me tō tākuta ki te tiaki mō ngā tohu wawe.

Ko ēnei ngā take tūponotanga tino nui:

• Ko te wahine, ina koa i waenga i ngā tau 20-50
• Te whai i te lupus, kāti rānei tētahi atu mate autoimmune
• Te hītori whānau o te APS, kāti rānei ngā mate whakakōpū toto
• Ngā kōpū toto o mua, kāti rānei ngā raruraru haputanga
• Ētahi mate, ko te hepatitis C, te HIV rānei te mea nui
• Te tango i ētahi rongoā mo te wā roa
• Te kai hikareti, e whakanui ana i te tūponotanga o te whakakōpū i te nuinga o te wā

Ka taea hoki e ētahi āhuatanga tūāwhiti te whakanui i tō tūponotanga ki te whanake i ngā kōpū toto ki te whai koe i te APS. Ka uru atu ēnei ki te haputanga, te pokanga, te takoto mo te wā roa, te tango rānei i te whakahaere whānau e whai estrogen ana, kāti rānei te rongoā whakakapinga homoni.

He mahi anō te pakeketanga, no te mea ka nui ake te tūponotanga o te whanaketanga o te APS me te pakeke, ahakoa ka taea te puta i tetahi tau. Ka taea e ngā tamariki te whanake i te APS, engari he iti rawa atu i te hunga pakeke.

He aha ngā Raruraru Ka Taea o te Mate Antiphospholipid?

Ahakoa ka rongo te hunga e whai APS ana i ngā raruraru kino, ka taea e te nuinga o te hunga e whai rongoā tika ana, me te tirotiro te karo i ēnei raruraru katoa. Ko te mea nui ko te mārama ki te mea me tiaki, me te mahi tata me tō rōpū hauora.

Ko ēnei ngā raruraru tino noa:

• Te thrombosis uaua hohonu (ngā kōpū toto i roto i ngā uaua waewae)
• Te embolism pūkahukahu (ngā kōpū toto i roto i ngā uaua pūkahukahu)
• Te pōka, ina koa ki ngā tāngata kōuri
• Te mate ngākau, ahakoa he iti ake i te pōka
• Ngā raruraru haputanga tae atu ki te mate haputanga me te whānau wawe
• Ngā raruraru whatukuhu mai i ngā kōpū toto i roto i ngā oko whatukuhu

Ka taea e ētahi e whai APS ana te whanake i ngā raruraru kaore i te noa, engari he kino ake. Ka taea e ēnei te uru atu ki ngā kōpū toto i ngā wāhi kaore i te noa penei i te ate, ngā kanohi, te roro rānei, ka taea te arahi ki ngā tohutohu penei i ngā raruraru tirohanga, te pohehe, te hopu rānei.

Ko te ahua nui o te APS ka taea te arahi ki te kore mahi o ngā tūpuna maha, engari ka puta tēnei ki te kore atu i te 1% o te hunga e whai APS ana. Mā ngā tikanga rongoā hou, ka taea te aukati, te whakaora rānei i ngā raruraru kino, ina kitea wawe ana.

Me pēhea te Whakatau i te Mate Antiphospholipid?

Ko te whakatau i te APS e hiahia ana ki ngā tohutohu hauora (penei i ngā kōpū toto, kāti rānei ngā raruraru haputanga) me te whakau i te taiwhanga o ngā antibody antiphospholipid. Ka hiahia pea tō tākuta ki te whakau i te whakatau me ngā whakamātautau toto pai e rua i te iti rawa i te 12 wiki te wehenga.

Ko te tukanga whakatau i te nuinga o te wā e whai ana i ngā kaupae maha. Tuatahi, ka tango tō tākuta i te hītori hauora taipitopito, ka uiui ki ngā kōpū toto, ngā raruraru haputanga, kāti rānei ngā tohutohu kua pāngia koe. Ka mahi hoki rātou i te tirotiro tinana e titiro ana ki ngā tohu o ngā raruraru whakakōpū.

Ko ngā whakamātautau toto te kaupapa matua o te whakatau i te APS. Ko ngā whakamātautau nui e titiro ana ki ngā momo antibody antiphospholipid e toru: ngā antibody anticardiolipin, ngā antibody anti-beta-2 glycoprotein I, me te lupus anticoagulant. Ahakoa tōna ingoa, ka whakanui tonu te lupus anticoagulant i te tūponotanga o te whakakōpū, kāore i te aukati.

Ka tono pea tō tākuta i ētahi atu whakamātautau hei whakakore i ētahi atu āhuatanga, kāti rānei te titiro ki ngā raruraru. Ka taea e ēnei te uru atu ki ngā rangahau whakaahua penei i ngā ultrasound hei tirotiro i ngā kōpū toto, kāti rānei ngā whakamātautau hei aromatawai i tō mahi whatukuhu, ngākau, roro rānei ki te whai koe i ngā tohutohu e pā ana ki ēnei tūpuna.

He aha te Rongoā mō te Mate Antiphospholipid?

Ko te rongoā mō te APS e aro ana ki te aukati i ngā kōpū toto me te whakahaere i ngā raruraru kua puta. Ko te rongo pai, mā te rongoā tika, ka taea e te nuinga o te hunga e whai APS ana te noho i ngā oranga noa, mahi kaore he herenga nui.

Ko ēnei ngā tikanga rongoā nui:

• Ngā rongoā whakawai toto (anticoagulants) penei i te warfarin, kāti rānei ngā rongoā hou
• Ngā rongoā antiplatelet penei i te aspirin iti
• Hydroxychloroquine, ina koa ki te whai koe i te lupus
• Ngā statins hei awhina i te whakaiti i te mumura me te tūponotanga o te whakakōpū
• Te rongoā motuhake i te wā haputanga hei aukati i ngā raruraru

Ka whakawhirinaki tō mahere rongoā motuhake ki tō āhuatanga motuhake. Ki te whai koe i ngā kōpū toto i mua, ka hiahia pea koe ki te anticoagulation mo te wā roa. Ki te whai koe i te APS, kaore he kōpū, ka tūtohu pea tō tākuta i te aspirin iti hei whakamaramatanga.

Mō ngā wāhine e whakarite ana i te haputanga, ko te rongoā i te nuinga o te wā e whai ana i te whakakotahitanga o te aspirin iti me ngā werohanga heparin. He haumaru enei rongoā i te wā haputanga, ā, ka whakaiti nui i te tūponotanga o ngā raruraru haputanga. Ka tirotiro tatahia koe e tō tākuta i te wā haputanga, ā, ka taea te whakarereke i tō rongoā kia rite ki te hiahia.

He mea nui te tirotiro auau mō te tangata katoa e whai APS ana. Ka hiahia koe ki ngā whakamātautau toto auau hei tirotiro i tō mahi whakakōpū, hei whakarite hoki kei te mahi pai ō rongoā. Ka tiaki hoki tō tākuta i ngā tohu o ngā raruraru, kāti rānei ngā pānga o te rongoā.

Me pēhea te Tango i te Rongoā Kāinga i te Wā o te Mate Antiphospholipid?

Ko te whakahaere i te APS i te kāinga e whai ana i te tango tonu i ō rongoā me te hanga i ngā whiringa oranga e tautoko ana i tō hauora whānui. Ahakoa he mea nui te rongoā hauora, he maha ngā mea ka taea e koe i te kāinga hei awhina i te whakahaere pai i tō āhuatanga.

Ko te pupuri i te rongoā ko tō mahi tiaki kāinga tino nui. Tangohia ō whakawai toto kia rite ki te tohutohu, i te wā kotahi i ia rā. Ki te whai koe i te warfarin, ka hiahia koe ki ngā whakamātautau toto auau hei tirotiro i ō taumata, na pupuritia ō hui katoa, whai i ngā herenga kai e tūtohu ana tō tākuta.

Ka taea e ngā whakarereketanga oranga te awhina nui i te whakahaere i tō APS:

• Noho mahi me te whakakori ngawari auau penei i te hikoi, te kauhoe rānei
• Kaua e noho roa, te takoto rānei i te moenga ki te taea
• Whakamutu i te kai hikareti, no te mea ka whakanui i tō tūponotanga o te whakakōpū
• Pupuri i te taumaha hauora
• Noho makuku, ina koa i te wā haere, i te mate rānei
• Kakahu i ngā kākahu komiriti ki te tūtohuhia e tō tākuta

Tātai ki tō tinana, kia tiaki hoki i ngā tohu whakatūpato o ngā kōpū toto. Pupuri i te rārangi o ngā tohutohu me te tiaki, ā, kaua e whakaroa ki te whakapiri atu ki tō tākuta ki te kite koe i tetahi mea e awangawanga ana. He pai ake te tirotiro atu ki tō rōpū hauora i te whakakahore i ngā tohutohu kino pea.

Ki te whakarite koe i tetahi pokanga, kāti rānei ngā tukanga niho, kia mohio koe ki te kōrero ki ō kaiwhakarato hauora mō tō APS me ngā rongoā e tangohia ana e koe. Ka hiahia pea rātou ki te whakarereke i tō rongoā mo te wā poto hei whakaiti i te tūponotanga o te toto i ngā tukanga.

Me pēhea te Whakarite mō tō Hui Tākutu?

Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te hua nui o tō wā me tō tākuta, ā, ka āwhina hoki i a rātou ki te whakarato i te tiaki pai rawa atu. Ka taea e te whakarite iti te whakarereke nui ki tō tiaki.

I mua i tō hui, kohikohia ngā mōhiohio mō ō tohutohu me tō hītori hauora. Tuhia te wā i tīmata ai ngā tohutohu, te mea e pai ake ai, te kino ake rānei, me te āhua o te pānga ki tō oranga o ia rā. Ki te whai koe i ngā kōpū toto, kāti rānei ngā raruraru haputanga, tuhia ngā rā me ngā kōrero.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā-kāinga, ngā taapiri, me ngā rongoā otaota. Ka taea e ētahi o ēnei te mahi tahi me ngā whakawai toto, kāti rānei te pā ki ō hua whakamātautau, na he mea nui mō tō tākuta te mohio ki ngā mea katoa e tangohia ana e koe.

Whakaritea he rārangi o ngā pātai hei ui ki tō tākuta. Ka hiahia pea koe ki te mohio ki:

• Te tikanga o ō hua whakamātautau
• Ngā whiringa rongoā me ō rātou pānga
• Te auau o ngā hui whai muri
• Ngā tohu whakatūpato hei tiaki
• Ngā herenga mahi, kāti rānei ngā whakarereketanga oranga
• Ngā whakaaro whakarite whānau ki te tika

Ki te kite koe i te tohunga mo te wā tuatahi, tonoa tō tākuta matua ki te tuku i ō rēkōta hauora i mua. Ka uru atu ēnei ki ngā hua whakamātautau toto o mua, ngā rangahau whakaahua, kāti rānei ngā rēkōta rongoā e pā ana ki tō āhuatanga.

He aha te Tango Matua mō te Mate Antiphospholipid?

Ko te mea tino nui ki te mārama mō te APS ko te mea ahakoa he āhuatanga kino, he tino whakahaeretia ina whakahaeretia tika. Ka taea e te nuinga o te hunga e whai APS ana e whiwhi ana i te rongoā tika te tumanako ki te noho i ngā oranga noa, hauora me ngā herenga iti.

He mea nui te kite wawe me te rongoā hei aukati i ngā raruraru. Ki te whai koe i ngā tohutohu e taea ai te tohu i ngā kōpū toto, ki te whai rānei koe i ngā take tūponotanga mō te APS, kaua e whakaroa ki te kōrero ki tō tākuta. Ka taea e ngā whakamātautau toto te kite ngāwari i ngā antibody e pā ana ki te APS, ā, ka taea te tīmata i te rongoā tonu ki te hiahiatia.

Kia mahara kaore te whai i te APS e kī ana ka whai koe i ngā kōpū toto, kāti rānei ētahi atu raruraru. Mā te tiaki hauora tika, te pupuri i te rongoā, me ngā whiringa oranga hauora, ka taea e koe te whakahaere pai i tēnei āhuatanga. Ka haere tonu te maha o te hunga e whai APS ana ki ngā haputanga angitu, ngā mahi kaha, me ngā oranga whai hua.

Noho hono atu ki tō rōpū hauora, ā, kaua e wehi ki te uiui, ki te whakaputa rānei i ngā awangawanga. Ko tō whakauru kaha ki tō tiaki tētahi o ngā take tino nui i te whakahaere angitu i te APS.

Ngā Pātai Nui e Uihia ana mō te Mate Antiphospholipid

Ka taea te whakaora i te mate antiphospholipid?

I tēnei wā, kaore he rongoā mō te APS, engari ka taea te whakahaere pai ki te rongoā me ngā whakarereketanga oranga. Ka taea e te nuinga o te hunga e whai APS ana e whiwhi ana i te rongoā tika te aukati i ngā kōpū toto me te noho i ngā oranga noa.

Ka hiahia ahau ki ngā whakawai toto mō te ora?

Ka whakawhirinaki tēnei ki tō āhuatanga motuhake. Ki te whai koe i ngā kōpū toto, ka hiahia pea koe ki te anticoagulation mo te wā roa hei aukati i ngā kōpū o muri. Ki te whai koe i te APS, kaore he kōpū, ka tūtohu pea tō tākuta i te aspirin iti, kāti rānei te tirotiro kaore he whakawai toto. Ka taea te whakarereke i tō mahere rongoā i te wā e pā ana ki ō take tūponotanga me tō whakautu ki te rongoā.

Ka taea e au te whānau tamariki me te mate antiphospholipid?

Ae, he maha ngā wāhine e whai APS ana e whai haputanga angitu ana mā te tiaki hauora tika. Ko te rongoā i te wā haputanga i te nuinga o te wā e whai ana i te whakakotahitanga o te aspirin iti me ngā werohanga heparin, he haumaru mō te whaea me te pēpi. Ka hiahia koe ki te tirotiro tata i te wā haputanga, engari ka taea e te nuinga o ngā wāhine e whai APS ana te kawe i ō rātou pēpi ki te wā whānau.

He tuku iho te mate antiphospholipid?

Ka taea te rere i roto i ngā whānau te APS, engari kaore i tuku iho tika penei i ētahi āhuatanga ira. Ka taea e koe te tuku iho i ngā ira e whakapakari ana i a koe ki te whanake i te APS, engari te whai i te mema whānau e whai APS ana kaore e kī ka whanake koe. Ki te whai koe i te hītori whānau o te APS, kāti rānei ngā kōpū toto, kōrerohia tēnei ki tō tākuta mō te tirotiro tika.

Ka taea e te ahotea te whaka kino i te mate antiphospholipid?

Ahakoa kaore te ahotea e pā ana ki te APS, ka taea pea te whakanui i tō tūponotanga o ngā kōpū toto mā te pānga ki tō pūnaha ārai me te whakanui i te mumura. Ko te whakahaere i te ahotea mā ngā tikanga whakamahinga, te whakakori auau, me te moe tika ka taea te whai hua mō tō hauora whānui, ā, ka taea te awhina i te whakaiti i tō tūponotanga o te whakakōpū.