Created at:1/16/2025
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Ko te mastocytosis pūnaha he āhuatanga onge ka nui rawa te whakaputa o ngā pūtau mast e tō tinana, ā, ko ētahi pūtau ātete motuhake tēnā e āwhina ana i te tiaki i a koe i ngā mate me ngā mate pāwera. Ki te whai koe i tēnei āhuatanga, ka horapa ēnei pūtau ki ngā tūmomo whekau puta noa i tō tinana, tae atu ki tō wheua wheua, kiri, ate, kōpū, me tō pūnaha kai.
Whakaarohia ngā pūtau mast hei kaitiaki haumaru mō tō tinana. Ka tukuna e rātou ngā mea penei i te histamine ina kitea e rātou ngā tūkino. I roto i te mastocytosis pūnaha, he nui rawa te maha o ēnei kaitiaki, ā, ka taea e rātou te tuku i ō rātou matū ahakoa kāore he tūkino pono, ka puta ai ngā tohu maha puta noa i tō tinana.
Ka rereke haere ngā tohu o te mastocytosis pūnaha mai i te tangata ki te tangata, nā te pānga o te āhuatanga ki ngā pūnaha tinana maha. He tokomaha ngā tāngata e pā ana ki ngā tohu e haere mai ana, ā, ka mutu, engari ko ētahi atu pea he raruraru pumau ake.
Ko ēnei ngā tohu tino noa ka pā pea koe:
Ko ētahi atu tāngata e pā ana ki ngā tohu nui ake e hiahia ana ki te tiaki hauora tūturu. Ka uru pea ēnei ki ngā mate pāwera nui, te uaua ki te manawa, te heke ngāwari rānei o te toto. Ahakoa he iti te noa o ēnei āhuatanga nui, ka taea te puta, ā, he mea nui kia mōhio koe ki ngā tohu whakatūpato.
Ka kite pea koe i ētahi whakaohooho pēnei i te ahotea, ētahi kai, rongoā, ā, aha atu rānei ngā huringa o te pāmahana e kaha ake ai ō tohu. Ka puta tēnei nā te mea ka taea e ēnei whakaohooho te whakapakari i ō pūtau mast ki te tuku atu i ō rātou matū.
He maha ngā momo o te mastocytosis pūnaha, ā, ko te mōhiotanga ki te momo kei a koe ka āwhina i tō tākuta ki te whakarite i te huarahi rongoā pai rawa atu. Ko te rerekētanga matua i waenga i ngā momo ko te kaha o te āhuatanga me ngā kōpū e pā ana.
Ko te momo tino noa ko te mastocytosis pūnaha ngāwari, e puāwai haere ana, ā, he maha ngā tāngata e ora ana i ngā tau ora noa me te whakahaere tika. Ko tēnei momo te tikanga ka puta mai ngā tohu kore pai, engari kāo te kino nui ki ō kōpū.
He iti te mahi o te mastocytosis pūnaha werawera atu i te momo ngāwari. Ka nui ake pea ō tohu, ā, ka pā ki ētahi kōpū, engari ka puāwai haere tonu i te iti, ā, ka pai te whakautu ki te rongoā.
He nui ake te kino o te mastocytosis pūnaha kaha, ā, ka pā pea ki te mahi o ngā kōpū. Ko tēnei momo e hiahia ana ki te rongoā nui ake me te tirotiro. Ka taea e ngā pūtau mast i roto i tēnei momo te whakakore i te mahi tika o ō kōpū.
Ko te momo tino onge me te tino kino ko te leukemia pūtau mast, kei reira te āhuatanga e rite ana ki te mate pukupuku toto. Ko tēnei momo e hiahia ana ki te rongoā tere me te kaha, ahakoa he mea nui kia mōhio koe he tino onge tēnei momo.
Ka puta pea te mastocytosis pūnaha me te mate toto e hono ana ina he mastocytosis me tetahi atu āhuatanga toto. Ka hiahia tō tākuta ki te whakaora i ngā āhuatanga e rua ngātahi i enei take.
Ko te mastocytosis pūnaha te take i ngā huringa ira e puta ana i roto i ngā pūtau wheua o ō wheua. Ko te take tino noa ko te whakarereketanga i roto i te kiripuaki e kiia nei ko KIT, e whakahaere ana i te tipu me te mahi o ngā pūtau mast.
Ko te huringa ira tino te nuinga o te wā ka puta i roto i tō oranga, kaore i te whakawhiwhia mai i ō mātua. Ko te mea tenei e kiia ana e ngā tākuta he "mutation somatic," arā, ka whanake i roto i ngā pūtau o tō tinana i muri i tō whānautanga, ehara i te mea i whānau mai koe.
Ko te mutation o te kiripuaki KIT te take o te whakaputa i te nui rawa o ngā pūtau mast e tō wheua wheua, ā, kāore enei pūtau e mahi tika. Kāore i te whakautu noa ki ngā tūmomo kino, ka taea e rātou te tuku i ō rātou matū kaore i te tika, ka puta ai ngā tohu e pā ana ki a koe.
Ahakoa ko te nuinga o ngā take kaore i te whakawhiwhia, he maha ngā momo whānau ka taea te rere i roto i ngā whānau. Ki te pēnei koe i te hītori whānau o te mastocytosis, he mea tika kia kōrerohia tēnei ki tō tākuta, ahakoa ko te nuinga o te iwi e pangia ana e te mastocytosis pūnaha kaore he hītori whānau o te āhuatanga.
Kei te ako tonu ngā kairangahau i ngā mea ka taea te whakaoho i ēnei huringa ira. I tēnei wā, kāore he huarahi e mohiotia ana hei aukati i ngā mutation ira e pā ana ki te mastocytosis pūnaha.
Me kite koe i te tākuta ki te pāngia koe e ngā tohu e puta ana, ina koa ki te whai pānga ki ngā pūnaha tinana maha. He maha ngā tāngata e pangia ana e te mastocytosis pūnaha e haere ana i ngā tau kaore he whakatau tika, na te mea ka taea te whakaaro he āhuatanga ke.
Rapua te tiaki hauora ki te pangia koe e te whero kiri tonu, ngā raruraru pūnaha kai kaore i te marama, te mamae wheua, te maha o ngā tauhohenga momo mate pāwera. Ko ēnei tohu, ina koa ka puta tahi, ka taea te whakatūpato i te rangahau atu.
Me rapu koe i te tiaki hauora tere ki te pangia koe e ngā tohu kino penei i te uaua o te manawa, te heke nui o te toto, te ngaro o te mohio, te tohu ranei o te tauhohenga mate pāwera nui. Ka taea e ēnei te tohu i te tauhohenga pūtau mast nui e hiahia ana ki te rongoā whakapāha.
Mēnā kua whakamāramahia koe he mastocytosis pūnaha, kia mau tonu te hononga ki tō rōpū hauora. Ka taea e rātou te āwhina i a koe ki te mohio ki ngā tohu whakatūpato me te whakarite i tō maimoatanga kia rite ki te hiahia. Kaua e whakaroa ki te whakapiri mai ki te whakarereke, ki te kino rānei ō tohu.
He mea nui hoki kia kite i tō tākuta i mua i tetahi mahinga hauora, pokanga rānei, mahi niho rānei. Ko ngā tāngata he mastocytosis pūnaha pea ka hiahia ki ngā whakaritenga motuhake i ēnei mahi hei aukati i te whakaoho i te tauhohenga pūtau mast.
Ka taea e te mastocytosis pūnaha te pā ki te tangata tetahi, engari ko ētahi take pea ka pā ki tō tūponotanga ki te whanake i tēnei āhuatanga. Ko te mārama ki ēnei take morearea ka taea te āwhina i a koe me tō tākuta ki te mataara ki ngā tohu pea.
He wāhi te pakeke i roto i te mastocytosis pūnaha, me te nuinga o ngā keehi e whakamāramahia ana i roto i ngā pakeke i waenga i te 20 me te 40 tau te pakeke. Heoi, ka puta te āhuatanga i tetahi tau, tae atu ki ngā tamariki me ngā kaumātua.
Ko te whai i te mastocytosis kiri (mastocytosis kiri anake) i te tamarikitanga pea ka piki ake tō tūponotanga ki te whanake i te ahua pūnaha i muri mai i te ora. Kāore te katoa o ngā tāngata he mastocytosis kiri tamariki e whanake ana i te mate pūnaha, engari he mea e aroturuki ana ngā tākuta.
E whakaatu ana te ira tangata ki tetahi pānga, me te tokomaha atu o ngā tāne i ngā wāhine e whakamāramahia ana he mastocytosis pūnaha. Heoi, kāore te rerekētanga i te nui, ā, ka pā te āhuatanga ki ngā ira e rua.
Ko te whai i te hītori whānau o te mastocytosis he take morearea, ahakoa he tino onge tēnei. Ko te nuinga o ngā keehi o te mastocytosis pūnaha ka puta noa atu kahore he hītori whānau o te āhuatanga.
I tēnei wā, kāore i kitea e ngā kairangahau ngā take taiao motuhake, ngā take noho rānei e piki ake ai tō tūponotanga ki te whanake i te mastocytosis pūnaha. Ko ngā rerekētanga ira e pā ana ki te āhuatanga ka puta noa i te nuinga o ngā keehi.
Ahakoa he tokomaha ngā tāngata e ora ana i te oranga tino whānuitia, mahi, me te whakahaere tika o te mastocytosis pūnaha, he mea nui kia mōhio ki ngā raruraru pea kia taea ai te mahi tahi me tō rōpū hauora hei aukati, hei whakahaere pai rātou.
Ko ngā raruraru tino noa e pā ana ki ō wheua, ā, ka uru atu ki te osteoporosis, ki ngā whati wheua rānei. Ka puta mai tenei nā te whakawakia e ngā pūtau mast te mahi wheua noa, ka ngoikore haere ai ō wheua i te wā. Ka āwhina te tirotiro auau o te mātotorutanga wheua me ngā maimoatanga tika ki te aukati i ngā raruraru wheua nui.
Ka puta mai ngā raruraru pūnaha kai ina pā ngā pūtau mast ki tō kopu me ō whekau. Ka puta pea he mate pōka, he raruraru kore kai, he raruraru pūnaha kai roa rānei. Ka taea te whakahaere i ēnei raruraru mā ngā rongoā me ngā whakarerekētanga kai.
Ko ngā mate pāwera nui, e kiia nei ko te anaphylaxis, tētahi o ngā raruraru tino nui. Ka mate pea ēnei mate pāwera, ā, ka puta pea me ngā whakaohooho marama, kāore rānei. Ka tohutohu pea tō tākuta i ngā rongoā mate pē, ka whakaako ki a koe me pēhea te mohio me te whakautu ki ēnei mate pāwera.
Ka uru atu ki ngā raruraru e pā ana ki te toto te mate toto iti, te toto rere koretake, te whākōkī rānei o te kōpū. Ka puta mai ēnei ina whakawakia e ngā pūtau mast te whakaputa toto noa, te mahi rānei. Ka āwhina ngā whakamātautau toto auau i tō tākuta ki te tirotiro i ēnei take.
I etahi wā, ka puta pea te kino o ngā kōpū ki ngā tāngata e pangia ana e ngā momo mastocytosis pūnaha kaha. Koinei te take i nui ai te tirotiro me te maimoatanga tika hei whakahaere pai i tō āhuatanga.
Ka puta pea ngā raruraru hinengaro pēnei i te manukanuka, te pouri rānei, ina koa ki te uaua te whakahaere i ngā tohu. He uaua te noho me te mate roa, ā, he mea nui kia whakahaere ngā āhuatanga tinana me ngā āhuatanga hinengaro o tō hauora.
Ko te whakatau i te mastocytosis pūnaha e hiahia ana ki te maha o ngā whakamātautau, nā te mea ka rite ngā tohu ki ētahi atu āhuatanga. Ka tīmata tō tākuta me te hītori hauora taipitopito me te whakamātautau tinana, mā te aro nui ki ō tohu me te wā e puta mai ai.
Ko ngā whakamātautau toto te tikanga ko te tīmatanga o te whakatau. Ka tirohia e tō tākuta tō taumata tryptase, he mea e tukuna ana e ngā pūtau mast. Ka taea e ngā taumata tryptase teitei te tohu i te mastocytosis, ahakoa ehara i te katoa o te hunga kei a rātou te āhuatanga he taumata teitei.
He mea nui te biopsy wheua i te nuinga o te wā hei whakau i te whakatau. I roto i tēnei mahi, ka tangohia e tō tākuta he tauira iti o te wheua, i te nuinga o te wā mai i tō wheua huha, ki te rapu i ngā pūtau mast koretake i raro i te microscope. Ka taea hoki e tēnei whakamātautau te whakamātautau ira ki te rapu i te KIT mutation.
Ko ētahi atu whakamātautau pea ka uru ki ngā CT scans, ki ētahi atu rangahau whakaahua hei tirotiro i te whakauru o ngā whekau. Ka taea hoki e tō tākuta te mahi i ngā whakamātautau motuhake hei ine i te āhua o te whakautu a ō pūtau mast ki ētahi kaiwhakaoho.
Ka roa pea te tukanga whakatau, ā, pea ka hiahia koe ki te kite i ngā tohunga penei i ngā hematologists, i ngā immunologists he wheako ki te mastocytosis. Kaua e ngakau pouri ki te roa te whakatau ki te maha o ngā whakaritenga, ki ngā whakamātautau hei whakau.
Ka hiahia hoki tō tākuta ki te whakakore i ētahi atu āhuatanga ka puta mai ngā tohu rite. Ko tēnei huarahi tino tika ka whakarite kia whiwhi koe i te whakatau tika me te maimoatanga tino tika mō tō āhuatanga motuhake.
Ko te maimoatanga mō te mastocytosis pūnaha e aro ana ki te whakahaere i ō tohu me te aukati i ngā raruraru. Mai i te mea kāore he rongoā i tēnei wā mō te nuinga o ngā momo o te āhuatanga, ko te whāinga ko te āwhina ia koe kia ora i te ngāwari me te noa.
Ko ngā antihistamine te nuinga o te wā te rongoā tuatahi, ā, ka āwhina i te whakahaere i te maha o ngā tohu pērā i te ngau, te whero, me ngā raruraru o te pūnaha kai. Ka tātai pea tō tākuta ngā antihistamine H1 me H2, e aukati ana i ngā momo rerekē o ngā kaiwhiwhi histamine i roto i tō tinana.
Ka āwhina ngā kaiwhakauka pūtau mast pērā i te cromolyn sodium ki te ārai i ngā pūtau mast kia kaua e tukuna o rātou matū kaore i te tika. He tino whai hua ēnei rongoā mō ngā tohu o te pūnaha kai, ā, ka taea te inu, te whakamahi rānei hei whakainu ihu.
Mō ngā raruraru e pā ana ki te wheua, ka tūtohu pea tō tākuta i ngā rongoā hei whakakahangia i ō wheua, pērā i ngā bisphosphonate, i ngā taapiri hua-D rānei. Ko te tirotiro auau i te mātotorutanga o te wheua ka āwhina i te arahi i ēnei maimoatanga.
Mēnā kei te tūpono koe ki ngā mate pāwera kino, ka tātai tō tākuta i ngā rongoā whakarau pērā i ngā kaitukutuku epinephrine. Ka ako hoki koe ki te mohio ki ngā tohu whakatūpato o te mate kino, me te wā e whakamahi ai i ēnei rongoā.
Mō ngā momo tino kaha o te mastocytosis pūnaha, ka tūtohu pea ngā rongoā āta whai pērā i ngā kaiwhakakore tyrosine kinase. Ko ēnei rongoā hou e āta whāiti ana i ngā rerekētanga ira e pā ana ki te āhuatanga, ā, ka tino whai hua ki ētahi tangata.
I roto i ngā take onge o te mate tino kaha, ka whakaaro pea ngā maimoatanga pērā i te chemotherapy, i te whakawhiti pūtau pakiaka rānei. Ko ēnei maimoatanga kaha e waiho ana mō ngā momo tino kino o te āhuatanga.
Ko te whakahaere i te mastocytosis pūnaha i te kāinga e pā ana ki te ako ki te kite me te karo i ō whakaohooho whaiaro, me te pupuri i te oranga hauora e tautoko ana i tō oranga whānui. Ko te nuinga o te iwi e kite ana, mā te tiaki tika i a rātou anō, ka taea te whakaiti nui i ō rātou tohu.
He tino whai hua te pupuri i te rangitaki tohu mō te kimi i ngā tauira me ngā mea whakaohooho. Tuhia ngā mea e kai ana koe, ō mahi, ngā taumata ahotea, me ētahi atu tohu e pā ana ki a koe. Ka āwhina tēnei mōhiohio i a koe me tō tākuta ki te mārama he aha ngā mea e āhei ana te whakaohooho i ngā āhuatanga kino.
He maha ngā wā ka tino mahi ngā whakarerekētanga kai ki te whakahaere i ngā tohu. He tokomaha ngā tāngata e pangia ana e te mastocytosis e whai hua ana i te karo i ngā kai e nui ana te histamine, pēnei i ngā mīti kēki tawhito, ngā kai whakakōkō, te waina, me ētahi mīti tukatuka. Heoi, ka rerekē ngā mea whakaohooho kai i waenga i ngā tāngata.
He mea nui te whakahaere ahotea, nā te mea ka taea e te ahotea ngāwari te whakaohooho i ngā āhuatanga pūtau mast. Whakaarohia te whakauru i ngā tikanga whakahaere ahotea pēnei i te manawa hohonu, te whakaaroaro, te yoga ngawari, tetahi atu rānei o ngā tikanga whakaiti ahotea e pai ana ki a koe.
Ka taea e ngā āhuatanga pāmahana te whakaohooho i ngā tohu mō te tini o ngā tāngata, no reira, ko te kakahu i ngā paparanga me te karo i ngā taiao wera rawa atu, heoi ano rānei, ka āhei te awhina. Ka kite etahi atu he pai ake te manawanui ki ngā whakarerekētanga pāmahana mā te iti iho i ngā whakarerekētanga ohorere.
Maua tonu ō rongoā mate āwangawanga mena kua tohua atu ki a koe, kia mohio hoki ō whānau, ētahi hoa tata rānei ki te āwhina i a koe i te wā o te āhuatanga kino. Whakaarohia te kakahu i te taonga whakaatu mate e tohu ana i tō āhuatanga.
Pupurihia te whakawhitiwhiti korero pai ki tō rōpū hauora, kaua hoki e whakaroa ki te whakapā atu ki a rātou mena ka kite koe i ngā whakarerekētanga i ō tohu, mena kāore ō tikanga whakahaere o nāianei e mahi pai ana.
Ka taea e te whakarite mō tō hui ki te tākuta te āwhina i te whakarite kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, ka hoatu ki tō rōpū hauora ngā mōhiohio e hiahia ana rātou ki te āwhina pai i a koe. He mea nui rawa atu te whakarite pai ki te āhuatanga uaua pēnei i te mastocytosis pūnaha.
Kawe mai te rārangi taipitopito o ō tohu katoa, tae atu ki te wā i tīmata ai, te auau o te puta mai, me te aha e āhei ana te whakaoho i ā rātou. Whakauruhia ngā tohu ahakoa kaore e rite ki te hononga, i te mea ka taea e te mastocytosis te pā ki ngā pūnaha tinana maha i ngā huarahi kaore i te marama tonu.
Whakaritea he rārangi katoa o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuto, ngā rongoā kore-tākuto, ngā taapiri, me ngā rongoā tipu. Ka taea e ētahi rongoā te mahi tahi me ngā maimoatanga mastocytosis, te whakaoho rānei i ngā tohu.
Whakamahia he rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākuta. Tuhia ki mua kia kaua e wareware i te wā o te whakarite. Whakauruhia ngā pātai e pā ana ki ngā kōwhiringa maimoatanga, ngā whakarerekētanga oranga, ngā tohu whakatūpato hei tiaki, me te wā hei rapu i te tiaki mate tupurangi.
Mēnā kei te kite koe i tētahi tākuta hou, kohikohia ō rēkōta hauora, tae atu ki ngā hua whakamātautau o mua, ngā pūrongo biopsy, ngā rangahau whakaahua rānei e pā ana ki tō mate. Ka āwhina tenei i tō kaiwhakarato hauora hou ki te mohio tere ki tō hītori hauora.
Whakaarohia te kawe mai i tētahi mema whānau whakawhirinaki, hoa rānei ki tō whakarite. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui i kōrerohia i te wā o te haerenga, me te whakarato tautoko ngākau, ina koa ki te kōrero koe mō ngā whakarerekētanga maimoatanga, tohu hou rānei.
Whakaarohia ō whāinga mō te whakarite. Kei te tumanako koe ki te whakarereke i tō maimoatanga o nāianei, te kōrero mō ngā tohu hou, te ako rānei mō ngā whakarerekētanga oranga? Ko te whai whāinga mārama ka āwhina i te whakapau kaha o te kōrero.
Ko te mea nui rawa atu hei mārama e pā ana ki te mastocytosis pūnaha, ahakoa he mate kino e hiahia ana ki te tiaki hauora haere tonu, ka taea e te nuinga o te hunga e pangia ana te noho ora, ora tonu me te whakahaere tika me te maimoatanga. Ko te taumata whakamātautau me te tiaki tika ka puta he rerekētanga nui ki tō kounga ora.
He tino whai take tēnei āhuatanga, arā, ka rere kē te wheako mōu i te wheako o tētahi atu e whai take ana i te whakataurite. He mea nui te mahi tata atu ki tō rōpū hauora hei whakawhanake i te mahere maimoatanga whaiaro hei whakahaere i ō tohu motuhake me ō hiahia.
Ko te ako ki te mohio ki ō whakaohooho whaiaro me ngā tohu whakatūpato ka whakamana koe ki te mahi kaha ki te whakahaere i tō āhuatanga. He tokomaha ngā tāngata e kite ana i te wā me te wheako, ka tino pūkenga rātou ki te karo i ngā whakakī kaha me te whakahaere i ngā tohu ina puta.
Kia mahara kei te haere tonu te rangahau mo te mastocytosis pūnaha, ā, kei te whakawhanakehia tonutia ngā maimoatanga hou. Ko te noho hono atu ki tō rōpū hauora me ngā hapori tautoko mastocytosis ka āhei te pupuri i a koe i te whakamōhio mō ngā ahuatanga o te tiaki.
Ko te mea nui rawa atu, kaua e tuku i tēnei whakataurite ki te whakataurite i tō oranga katoa. Ahakoa ka hiahia koe ki te mahi i ētahi whakarerekētanga me te noho mataara ki tō hauora, he tokomaha ngā tāngata e whai ana i te mastocytosis pūnaha e whai tonu ana i ō rātou whāinga, e pupuri ana i ngā hononga, ā, e pai ana ki te ora tino.
Ka tohua te mastocytosis pūnaha hei mate toto, ā, ka taea e ētahi momo te mahi rite ki te mate pukupuku, engari ehara te nuinga o ngā momo i te whakaarohia he mate pukupuku pono. Ko te ahua ngāwari, ko te mea tino noa, kaore e poto te roa o te oranga me te whakahaerehia atu rite ki te āhuatanga roa. Ko ngā momo tino kaha anake, pēnei i te mate toto o te pūtau mast, ka mahi rite ki ngā mate pukupuku ā-ture, ā, ka hiahia ki ngā maimoatanga rite ki te mate pukupuku.
I te wā nei, kāore he rongoā mō te nuinga o ngā momo mastocytosis pūnaha, engari ka taea te whakahaere pai te āhuatanga me te rongoā tika. He tokomaha ngā tāngata e ora ana i ngā tau ora noa me te kounga ora pai mā te whakahaere i ngā tohu me te tirotiro auau. Ko te rangahau ki ngā rongoā hou, tae atu ki ngā rongoā e whai ana i te taumata, kei te whakaatu tonu i ngā hua whakatenatena mō ngā hua pai mo te roa.
Ko te nuinga rawa o ngā keehi o te mastocytosis pūnaha kaore i tukuna i roto i te whānau, no reira ehara i te mea pea ka whanakehia e ō tamariki te āhuatanga no te mea kei a koe. Ko te nuinga o ngā keehi e puta mai ana i ngā rerekētanga ira e puta ana i te oranga o te tangata, kaore i tukuna iho i ngā mātua. Heoi, he torutoru ngā momo whānau, no reira he mea tika kia kōrerohia tō hītori whānau ki tō tākuta, ā, pea he kaitohutohu ira.
He maha ngā wāhine e pangia ana e te mastocytosis pūnaha e whai ana i ngā haputanga angitu, engari e hiahia ana ki te whakarite me te tirotiro ata me tō rōpū hauora. Ka taea e te haputanga te whakaoho i ngā tohu i etahi wā, ā, me whakarereke pea etahi rongoā. Me mahi tahi tō kaiwhakahaere whānau me tō tohunga mastocytosis hei hanga i te mahere rongoā haumaru mōu me tō pēpi i te wa o te haputanga me te whānau.
Ka taea e koe te whakamārama ko te mastocytosis pūnaha he āhuatanga kei reira te pūnaha mate o to tinana e whakaputa ana i te maha rawa o ētahi pūtau e kiia nei ko ngā pūtau mast, ka taea te whakaoho i ngā āhuatanga rite ki te mate pāwera puta noa i to tinana. Kia mohio rātou ahakoa kaore e taea te whakatau i ngā tohu, ā, i etahi wā ka kino, ka taea te whakahaere te āhuatanga me te tiaki tika. He mea whai hua te whakangungu i te whānau tata me ngā hoa ki ō rongoā āwangawanga me ngā tohu whakatūpato kia taea ai e rātou te tautoko i a koe ina hiahiatia.