He aha te Mate Ngāwari-eosinophil? Tōmhanga, Take, me te Rongoā

Ko te mate ngāwari-eosinophil (HES) tētahi mate toto onge e nui rawa ai ngā eosinophils e hangaia ana e tō tinana, tētahi momo pūtau toto ma e awhina ana i te whawhai ki ngā mate me ngā āhuatanga pāwera. Ki te nui haere ēnei pūtau i te wā, ka taea e rātou te whakangaro i ō tūpuna me ō kiko, inā koa tō ngākau, ngā pūkahukahu, te kiri, me te pūnaha io.

Whakaarohia ngā eosinophils hei kapa horoi a tō tinana mō ētahi momo tūkino. I roto i te HES, ka nui rawa te mahi o tēnei kapa, ka tīmata te whakaeke i ngā raruraru kaua e whakatau.

He aha ngā tōmhanga o te mate ngāwari-eosinophil?

Ka rereke haere ngā tōmhanga o te HES, nā te mea ka taea e ngā eosinophils te pā ki ngā tūpuna maha puta noa i tō tinana. He maha ngā tāngata e whiwhi ana i ngā tōmhanga mārewa i te tīmatanga, ā, ka rite pea ki ngā mate noa, koia te take ka roa te whakatau.

Ko ēnei ngā tōmhanga tino noa ka kitea e koe:

• Te ngenge tonu e kore e pai ake me te okioki
• Te poto o te manawa, te uaua rānei ki te manawa
• Te mamae o te uma, te pupuhi rānei o te ngākau
• Ngā pupuhi o te kiri, te ngau, te rerekētanga rānei o te kiri kaore i te marama
• Te ngoikore o ngā uaua, te mamae rānei o ngā hononga
• Te mare tonu e kore e ngaro
• Te pupuhi o ō waewae, o ō rekereke, o tō mata rānei
• Te mamae o te kopu, te raruraru rānei o te pūnaha kai

Ka whiwhi etahi atu i ngā tōmhanga neurological penei i ngā raruraru mahara, te whakapohehe, te ngenge rānei o ō ringa me ō waewae. Ka puta ēnei tōmhanga nā te mea ka taea e ngā eosinophils te tomo ki tō pūnaha io ka whakaeke i te mumura.

Kaore i te tino noa, ka kitea pea e koe ngā ngutu lymph nui, te ngaro o te taumaha kaore i te marama, te kirika rānei. Ko te mea nui hei mahara ko te tupu haere o ngā tōmhanga i roto i ngā marama, no reira pea kaore koe e hono wawe atu ki tētahi āhuatanga kotahi.

He aha ngā momo o te mate ngāwari-eosinophil?

Ka wehewehea e ngā tākuta te HES ki ngā momo rerekē i runga i te take o te piki haere o ō taumata eosinophil. Ko te mārama ki tō momo motuhake ka awhina i te whakatau i te huarahi rongoā pai mō tō āhuatanga.

Ko ēnei ngā momo matua:

• HES matua: Ka puta mai tēnei ina nui rawa ngā eosinophils e hangaia ana e tō wheua wheua nā ngā huringa ira ranei ngā mate pūtau toto
• HES tuarua: Ka puta mai tēnei ina puta mai tētahi atu āhuatanga, penei i ngā pāwera, ngā paraeite, ngā mate autoimmune rānei, e whakaohooho ana i te hanga eosinophil nui
• HES idiopathic: Ko te tikanga kaore e taea e ngā tākuta te kimi i te take motuhake mō ō eosinophils teitei

Ko te HES matua e whakauru ana ki ngā rerekētanga ira e pā ana ki te whanaketanga o ō pūtau toto. Ko tētahi momo rongonui e whakauru ana i te hononga o ngā ira e rua e kiia nei ko te FIP1L1 me te PDGFRA, e tino pai ana te whakautu ki te rongoā e kiia nei ko te imatinib.

Ka taea te whakaeke i te HES tuarua e ngā āhuatanga maha, tae atu ki ētahi mate pukupuku, ngā āhuatanga rongoā, ngā mate pangia rānei. Ko te kimi me te whakaora i te take take ka awhina i te whakahaere i ngā taumata eosinophil.

He aha ngā take o te mate ngāwari-eosinophil?

Ko te take tika o te HES e whakawhirinaki ana ki te momo kei a koe, engari ko te mea nui ko te hanga nui rawa o ngā eosinophils e tō pūnaha mate.

He maha ngā take ka whakaohooho, ka awhina rānei i te HES:

• Ngā rerekētanga ira e pā ana ki te hanga pūtau toto
• Ngā āhuatanga autoimmune e whakaeke ana tō pūnaha mate i ngā kiko hauora
• Ētahi rongoā, ngā āhuatanga rongoā rānei
• Ngā mate paraeite, inā koa i ngā rohe tropika
• Ngā mate pukupuku toto penei i te leukemia, te lymphoma rānei
• Ngā āhuatanga pāwera nui, te mate huhu rānei
• Ētahi momo mate pukupuku

I etahi wā ka puta te HES i muri i te mate huaketo, te ahotea nui rānei ki tō pūnaha mate. Ko te ngana a tō tinana ki te whawhai i te raruraru tīmatanga ka arahi pea ki te hanga eosinophil tonu.

I te nuinga o ngā wā, kaore e taea e ngā tākuta te tohu tika i te mea i tīmata ai te mahi. Kāore tēnei e tikanga kua he koe, kua taea rānei te aukati. Ka puta te HES i ngā take kei tua atu o tō mana whakahaere.

Nōhea koe me haere ki te taakuta mō te mate ngāwari-eosinophil?

Me rapu awhina hauora koe mena ka whiwhi koe i ngā tōmhanga tonu e kore e pai ake me ngā rongoā noa, inā koa he maha ngā tōmhanga e pā ana ki ngā wāhanga rerekē o tō tinana. Ko te whakatau me te rongoā wawe ka taea te aukati i ngā raruraru nui.

Whakapa atu ki tō taakuta wawe mena ka kitea e koe:

• Te poto o te manawa kaore i te marama, te mamae rānei o te uma
• Te ngenge tonu e āwangawanga ana i ngā mahi o ia rā
• Ngā pupuhi o te kiri, ngā huringa rānei e kore e whakautu ki ngā rongoā noa
• Te ngoikore o ngā uaua, te ngenge rānei o ō ringa me ō waewae
• Te pupuhi o ō waewae, o ō rekereke, o tō mata rānei
• Te whakakotahitanga o ngā tōmhanga maha e roa atu ana i ngā wiki

Rapua te tiaki hauora wawe mena ka whiwhi koe i te mamae nui o te uma, te uaua ki te manawa, te pupuhi nui, ngā tōmhanga neurological ohorere rānei penei i te whakapohehe, te ngoikore nui rānei. Ka taea e ēnei te tohu i te whakauru nui o ngā tūpuna e hiahia ana ki te rongoā wawe.

Kaua e whakaroa ki te tautoko i a koe mena ka mau tonu ō tōmhanga. He onge te HES, no reira pea ka roa te whakatau tika. Pupuri i te pukapuka tōmhanga hei awhina i tō rōpū hauora ki te mārama ki ngā tauira me ngā huringa i te wā.

He aha ngā take morearea mō te mate ngāwari-eosinophil?

Ka taea e te HES te pā ki te tangata, engari ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i tēnei āhuatanga. Ko te mārama ki ēnei take morearea ka taea te awhina i a koe me tō taakuta ki te tupato mō ngā tohu wawe.

Ko ēnei ngā take morearea matua:

• Ko te tane (ka pā atu te HES ki ngā tāne atu i ngā wāhine)
• Te tau i waenga i te 20 me te 50 tau
• Te hītori o ngā āhuatanga pāwera, te mate huhu rānei
• Te whakaatu o mua ki ētahi rongoā, ngā matū rānei
• Te noho, te haere rānei ki ngā rohe he mate paraeite
• Te whai i ētahi atu mate autoimmune, mate toto rānei
• Te hītori whānau o ngā mate toto

Ko te whai i ēnei take morearea kāore e tikanga ka whanake koe i te HES. He maha ngā tāngata he maha ngā take morearea kaore e whanake i te āhuatanga, engari ko ētahi atu kaore he take morearea e kitea ana.

Mena he maha ngā take morearea kei a koe, ka puta mai ngā tōmhanga e awangawanga ana, korerohia tēnei ki tō kaiwhakarato hauora. Ko te matauranga wawe ka arahi ki te whakatau tere ake me ngā hua pai ake.

He aha ngā raruraru pea o te mate ngāwari-eosinophil?

Ki te kore e whakaorahia te HES, ka taea e ngā eosinophils nui te whakangaro i ngā tūpuna maha i roto i tō tinana. Heoi, me te rongoā tika, ka taea te aukati, te whakahaere rānei i ēnei raruraru.

Ko ngā raruraru tino awangawanga e pā ana ki tō ngākau, ā, ka taea te whakauru:

• Te whakangaro o te uaua ngākau (cardiomyopathy) e pā ana ki te kaha o te pupuhi
• Ngā raruraru o te waahanga ngākau e whakaroa ana i te rere toto
• Ngā toto kohu e taea te haere ki ētahi atu wāhanga o tō tinana
• Ngā raruraru o te au o te ngākau e taea te mate

Ka taea hoki te pā ki ō pūkahukahu, ka arahi ki te toka, te mare tonu, te uaua rānei ki te manawa. Ka whanake etahi i te mumura o ngā pūkahukahu e uaua ai te whiwhi hau i ngā mahi noa.

Ko ngā raruraru neurological ka taea te whakauru i te pēhanga, ngā hopu, te neuropathy taha rānei e ngaro ai te āhua o ō ringa me ō waewae. Ka taea e tō kiri te whanake i ngā pupuhi roa, te mātotoru, ngā mate rānei e uaua ana te whakaora.

Ko te rongo pai ko te tupu haere o ngā raruraru i roto i ngā marama, ngā tau rānei. Me te tirotiro tonu me te rongoā tika, ka taea e tō rōpū hauora te aukati i ngā raruraru nui.

Me pēhea te whakatau i te mate ngāwari-eosinophil?

Ko te whakatau i te HES e hiahia ana ki ngā mahi maha, nā te mea me whakau e ngā tākuta ngā taumata eosinophil teitei, me whakakore i ētahi atu take, me tirotiro hoki te whakangaro o ngā tūpuna. Ka roa pea te mahi, engari ko te tino tika ka awhina i a koe ki te whiwhi i te rongoā tika.

Ka tīmata tō taakuta me ngā whakamātautau toto hei ine i tō tau eosinophil. Mō te whakatau HES, ko tō taumata eosinophil e hiahiatia ana kia teitei mō te ono marama, ki te kore koe e whai mōhiohio mo te whakangaro o ngā tūpuna.

Ko ētahi atu whakamātautau pea ka whakauru:

• Te tau toto katoa hei tirotiro i ō momo pūtau toto katoa
• Te biopsy wheua wheua hei tirotiro i te wāhi e hangaia ana ngā pūtau toto
• Te whakamātautau ira hei titiro mō ngā rerekētanga motuhake
• Ngā whakamātautau ngākau penei i te echocardiogram, te MRI rānei hei tirotiro i te whakangaro
• Ngā tātaritanga CT o tō uma me tō kopu
• Ngā whakamātautau hei whakakore i ngā paraeite, ngā pāwera, ngā āhuatanga rānei

Ka mahi hoki tō taakuta i te tirotiro tinana tino pai ka arotake i tō hītori hauora. Kei te rapu rātou i ngā tauira ka taea te whakamārama i ō tōmhanga me te piki haere o te eosinophil.

Ka taea e te mahi whakatau te āwangawanga, engari ka hoatu e ia whakamātautau ngā mōhiohio nui mō tō āhuatanga ka awhina i ngā whakatau rongoā. Kaua e whakaroa ki te uiui mō te mea kei te rapu ia whakamātautau.

He aha te rongoā mō te mate ngāwari-eosinophil?

Ko te rongoā mō te HES e arotahi ana ki te whakaiti i tō tau eosinophil, te whakahaere i ngā tōmhanga, te aukati rānei i te whakangaro o ngā tūpuna. Ko tō mahere rongoā motuhake ka whakawhirinaki ki tō momo HES, ngā tūpuna e pā ana, me te āhua o tō whakautu ki ngā rongoā rerekē.

Ko ēnei ngā huarahi rongoā matua:

• Ngā corticosteroids penei i te prednisone hei whakaiti tere i ngā taumata eosinophil
• Ngā rongoā whakaora e whai take ana penei i te imatinib mō ētahi momo ira
• Ngā rongoā immunosuppressive hei whakahaere i tō pūnaha mate
• Ngā rongoā chemotherapy mō ngā take nui ake
• Ngā rongoā hei tiaki i tō ngākau me ētahi atu tūpuna

He maha ngā tāngata e tīmata ana me ngā corticosteroids nā te mea ka mahi tere rātou ki te whakaiti i ngā tau eosinophil. Heoi, ko te whakamahinga steroid roa ka taea te whai pānga, no reira ka mahi tō taakuta ki te kimi i te horoinga iti rawa e mahi ana, ngā rongoā rerekē rānei.

Mena he rerekētanga ira FIP1L1-PDGFRA kei a koe, ka taea e te imatinib te mahi whakamiharo, ka taea pea te mutu i ētahi atu rongoā katoa. Koia te take he mea nui te whakamātautau ira i te whakatau HES.

Ko te rongoā e whakauru ana ki te whakakotahitanga o ngā rongoā, ā, ka roa pea te kimi i te taurite tika mō tō āhuatanga. Ko ngā whakamātautau toto auau ka awhina i tō taakuta ki te tirotiro i tō whakautu me te whakarite i ngā rongoā kia rite ki te hiahia.

Me pēhea te whakahaere i te mate ngāwari-eosinophil i te kāinga?

Ahakoa he mea nui te rongoā hauora mō te HES, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō hauora me te mahi tahi me ō rongoā kua tohua. Ka taea e ēnei rautaki tiaki-whaiaro te awhina i a koe ki te pai ake te āhua me te whakaiti pea i ngā mura.

Arotahi ki te tautoko i tō hauora mate katoa:

• Kai i te kai rite e whai hua ana i ngā kai anti-mumura penei i te ika, ngā rau kakariki, ngā hua whero rānei
• Whiwhi moe tika hei awhina i tō pūnaha mate ki te mahi tika
• Whakahaere i te ahotea mā ngā tikanga whakahaerenga, te whakaaroaro, te whakakori ngawari rānei
• Noho makuku hei awhina i tō tinana ki te tukatuka i ngā rongoā tika
• Aukati i ngā whakaohooho e mohiotia ana penei i ētahi kai, ngā āhuatanga pāwera taiao rānei

Pupuri i te tuhi o ō tōmhanga i roto i te pukapuka, te tohu i ngā tauira, ngā huringa rānei. Ka taea te whakamahi i tēnei mōhiohio mō tō rōpū hauora ki te whakarite i tō mahere rongoā.

Tangohia ō rongoā kia rite ki te tohu, ahakoa kei te pai koe te āhua. Ko te mau tonu te ki hei pupuri i ō taumata eosinophil i te whakahaere me te aukati i ngā raruraru.

Noho hou ki ngā whakakakahu kia rite ki te tohu a tō taakuta, nā te mea ka taea e ētahi rongoā HES te pā ki te kaha o tō pūnaha mate ki te whawhai ki ngā mate.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite mō ō hui ka taea te awhina i a koe ki te whakamahi pai i tō wā me tō rōpū hauora, me te whakarite kua whakautuhia ō awangawanga katoa...

I mua i tō haerenga, kohikohia ngā mōhiohio nui:

• Rārangihia ō tōmhanga katoa, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa
• Mau mai ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā taapiri me ngā rongoā-ā-te-kaute
• Kohikohia tō hītori hauora, tae atu ki ngā mahi toto o mua, ngā hua whakamātautau rānei
• Tuhia ngā pānui e hiahia ana koe ki te ui ki tō taakuta
• Tātaihia tetahi hītori whānau o ngā mate toto, ngā āhuatanga autoimmune rānei

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei awhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te hui. Ka taea e ngā hui hauora te āwangawanga, inā koa ina mahi ana me te āhuatanga uaua penei i te HES.

Kaua e whakaroa ki te tono mārama mena kaore koe e mārama ki tetahi mea. E hiahia ana tō rōpū hauora ki te whakarite kei te pai koe ki tō mahere rongoā, kei te mārama hoki koe ki te mea e tatari ana.

Uiui mō ngā tōmhanga me whakaohooho i a koe ki te karanga, ki te rapu rongoā wawe rānei. Ko te whai i ngā aratohu mārama ka taea te awhina i a koe ki te whakapono atu ki te whakahaere i tō āhuatanga i waenga i ngā hui.

He aha te mea nui hei tango mō te mate ngāwari-eosinophil?

Ko te HES tētahi āhuatanga e taea te whakahaere mena ka whakatau tika, ka whakaora.

Ko te mea nui hei mahara ko te whakatau me te rongoā wawe ka taea te aukati i ngā raruraru nui. Mena he tōmhanga tonu, kaore i te marama e pā ana ki ngā wāhanga maha o tō tinana, kaua e whakaroa ki te rapu whakamātautau hauora.

Mahi tata atu ki tō rōpū hauora ki te kimi i te huarahi rongoā e pai ana mō tō āhuatanga motuhake. Ka roa pea tēnei me ngā whakaritenga, engari ko te mau tonu te utu i roto i te whakahaere tōmhanga me te kounga o te ora.

Noho mōhiohio mō tō āhuatanga, kaua e tuku kia whakatau i tō oranga. Me te whakahaere tika, ka waiho te HES hei āhuatanga kotahi o tō hauora e tirotirohia ana e koe, e whakaorahia ana, kaua e whakahaere i ō mahi o ia rā.

Ngā pānui e ui ana mō te mate ngāwari-eosinophil

E taea te whakaora te mate ngāwari-eosinophil?

Ko te HES te tikanga he āhuatanga roa e hiahia ana ki te whakahaere tonu, kaua ki te whakaora kotahi. Heoi, ko ētahi tāngata he momo ira motuhake e tino pai ana te whakautu ki ngā rongoā e whai take ana, ka rite tonu ngā tau eosinophil. Me te rongoā tika, ka whiwhi maha i te whakahokinga roa e whakahaere pai ana ō tōmhanga, ka aukatihia te whakangaro o ngā tūpuna. Ko te ki ko te kimi i te huarahi rongoā tika mō tō momo HES motuhake me te pupuri i te whai wā tonu i te hauora.

E taea te whakawhiwhi i te mate ngāwari-eosinophil?

Ko te nuinga o ngā take o te HES kaore i te whakawhiwhi, ka puta mai i te oranga o te tangata. Heoi, he take whānau onge kei reira ngā mema whānau maha e pā ana, e tohu ana i te waahanga ira. Mena he hītori whānau o ngā mate toto kei a koe, he maha ngā mema whānau he tōmhanga rite, korerohia tēnei ki tō taakuta. Ka tūtohu pea te tohutohu ira i etahi wā hei awhina i te mārama ki tō morearea me te morearea o ō mema whānau.

E hia te wā e mahi ai te rongoā HES?

Ko te raarangi wā mō te whakautu rongoā e rereke ana i runga i ngā rongoā e whakamahia ana me tō āhuatanga motuhake. Ko ngā corticosteroids e tīmata ana ki te whakaiti i ngā tau eosinophil i roto i ngā rā ki ngā wiki, engari ko ngā rongoā e whai take ana penei i te imatinib pea ka roa ngā wiki ki ngā marama hei whakaatu i ngā hua katoa. Ka tirotiro tonu tō taakuta i ō tau toto hei aroturuki i tō whakautu. Ka kite etahi i te pai ake o ngā tōmhanga i roto i ngā wiki tuatahi, engari ko ētahi atu pea ka hiahia ki ngā marama maha hei whakatutuki i te whakahaere pai.

E taea te pā te mate ngāwari-eosinophil ki te hapu?

Ko te hapu me te HES e hiahia ana ki te whakarite me te aroturuki, engari he maha ngā wāhine he HES e whai hapu angitu ana. Ko ētahi rongoā HES pea ka hiahiatia te whakarite, te whakarereke rānei i te wā hapu hei whakarite i te ora mō te whaea me te pēpi. Mena kei te whakaaro koe ki te hapu, kei te hapu rānei, korerohia tēnei ki tō hematologist me tō obstetrician wawe. Ka taea e rātou te mahi tahi hei hanga i te mahere rongoā ora e whakahaere ana i tō HES me te tiaki i tō pēpi e whanake ana.

He aha te rerekētanga i waenga i te HES me ngā eosinophils teitei mai i ngā pāwera?

Ahakoa e rua ngā āhuatanga e whakauru ana i ngā eosinophils teitei, ka rerekē rātou i ngā huarahi nui. Ko ngā āhuatanga pāwera e whakaohooho ana i te piki haere o te eosinophil tūturu e ngaro ana ina tangohia te allergen, ina whakaorahia rānei. Ko te HES e whakauru ana ki ngā tau eosinophil teitei tonu e kore e whakautu ki ngā rongoā pāwera noa ka taea te whakangaro i ngā tūpuna i te wā. Ka pā atu te HES ki ngā pūnaha tūpuna maha i te wā kotahi, engari ko te eosinophilia pāwera he pānga rohe ake. Ka taea e tō taakuta te awhina i te wehewehe i ēnei āhuatanga mā te aromatawai me te whakamātautau tika.