He aha te Thrombocytopenia? Tohutohu, Take, me te Maimoatanga

Ko te thrombocytopenia tetahi āhuatanga kei roto i ō toto he iti ake ngā pūtau toto platelet i te noa. Ko ngā pūtau toto platelet ngā pūtau toto iti e āwhina ana i ō toto kia totohu ina whara koe, pēnei i te whakairi i te tāpare tūturu ki te kotinga.

Ina he iti ake i te 150,000 te maha o ō pūtau toto platelet ia maikiro rita o te toto, ka karanga ngā tākua ki tēnei ko te thrombocytopenia. Ka āhei tēnei kia uaua ake te totohu o ō toto, ā, ka āhei te nui ake o te pupuhi, te toto rānei e roa ana te mutu.

He aha ngā tohu o te thrombocytopenia?

He tokomaha ngā tāngata e pangia ana e te thrombocytopenia ngawari kāore e kite i tetahi tohu. Ina puta mai ngā tohu, e hono ana ki te kaha iti o ō toto ki te totohu.

Ko ēnei ngā tohu tino noa ka kitea e koe:

• Te pupuhi ngāwari, inā koa mai i ngā tūkino iti, i ngā pā rānei.
• Ngā pōkawhā whero iti, pango rānei i runga i ō kiri e kiia nei ko te petechiae.
• Te roa o te toto mai i ngā kotinga, i ngā mahi niho rānei.
• Ngā wā marama nui, roa rānei.
• Te toto i ngā kanohi ina horoi ngā niho.
• Ngā toto ihu e puta ake ana i te noa.

I roto i ngā take nui ake, ka kitea pea e koe te toto i roto i ō mimi, i ō paru rānei, ka raru pea te nui o te toto i muri i te pokanga. Ka puta ēnei tohu nā te kore o ngā pūtau toto platelet hei hanga i ngā totohu tere, pai hoki.

He aha ngā momo thrombocytopenia?

He maha ngā momo thrombocytopenia, kei runga i te take o te iti o ō pūtau toto platelet. Ko te mārama ki te momo ka āhei te awhina i tō tākua ki te whiriwhiri i te huarahi maimoatanga pai mōu.

Ko ēnei ngā momo matua:

• Te immune thrombocytopenic purpura (ITP): Ka whakaeke he te pūnaha ārai mate o tō tinana i ō pūtau toto platelet ake.
• Te thrombocytopenia i puta mai i te rongoā: Ka puta mai te iti o ngā pūtau toto platelet i ētahi rongoā.
• Te thrombocytopenia e pā ana ki te hapu: Te iti o ngā pūtau toto platelet i te wā hapu.
• Te thrombocytopenia tuarua: Ngā pūtau toto platelet iti i puta mai i ētahi atu āhuatanga hauora.

He rerekē ngā take o ia momo, ā, ka hiahiatia pea ngā rautaki maimoatanga rerekē. Ka whakatau tō tākua ko tehea momo kei a koe mā ngā whakamātau toto me tō hītori hauora.

He aha ngā take o te thrombocytopenia?

Ka puta te thrombocytopenia ina kore e hanga e tō tinana ngā pūtau toto platelet, ina ngaro rawa atu rānei, ina mau rawa atu rānei ki roto i tō ate. Kia tirohia ngā mea ka āhei te arahi ki ēnei āhuatanga.

Ko ēnei ngā take noa o te iti o te hanga pūtau toto platelet:

• Ngā mate huaketo pēnei i te hepatitis C, te HIV rānei.
• Ētahi rongoā, inā koa ngā rongoā chemotherapy.
• Te inu waipiro nui i te roa.
• Te kore o te huaora B12, te folate rānei.
• Ngā mate i te wheua wheua.

Ka āhei hoki tō pūnaha ārai mate ki te whakangaro i ngā pūtau toto platelet atu i te noa, nā te:

• Ngā āhuatanga ārai mate pēnei i te lupus, te mate pūngāwerewere rānei.
• Ētahi rongoā pēnei i te heparin, te quinine rānei.
• Ngā mate huaketo i roto i ō toto.
• Ngā raruraru hapu.

I ētahi take onge, ka āhei tō ate ki te mau, ki te pupuri rānei i ngā pūtau toto platelet, kaua e tuku kia rere noa. Ka āhei tēnei te puta mai i te mate ate, ētahi mate pukupuku, i ngā mate pēnei i te malaria rānei.

Nōhea te haere ki te tākua mō te thrombocytopenia?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i ngā āhuatanga toto, pupuhi rānei. Ahakoa he noa ngā pupuhi iti i etahi wā, he tohu ētahi tohu e hiahia ana ki te tiaki hauora.

Rapua te tiaki hauora mena ka pā atu ki a koe:

• Te pupuhi mai i ngā pā ngawari rawa atu, kāore rānei i te take.
• Te toto e kore e mutu i muri i te 10-15 meneti o te pehi tika.
• Ngā pōkawhā whero, pango rānei e puta ana ki runga i ō kiri.
• Te nui o te toto marama.
• Ngā toto ihu maha, ngā toto kanohi rānei.

Whiwhi awhina hauora tūpato tonu mena he mamae nui o te upoko, he whakapohehe, he toto i roto i ō ruaki, i ō paru rānei, i tetahi tohu o te toto o roto rānei. Ka taea e ēnei te tohu i te maha iti rawa o ngā pūtau toto platelet e hiahia ana ki te maimoatanga tere.

He aha ngā take morearea mō te thrombocytopenia?

He maha ngā take ka piki ake ō tūmanako ki te whanake i te thrombocytopenia. Ko te mārama ki ēnei take morearea ka āhei te awhina i a koe me tō tākua ki te mataara mō ngā tohu wawe.

Ka nui pea tō morearea mena:

• Kei te inu koe i ētahi rongoā pēnei i ngā kaiwhakarere toto, ngā rongoā mate huaketo, ngā rongoā hopu rānei.
• He āhuatanga ārai mate pēnei i te lupus, te mate pūngāwerewere rānei.
• Kei te inu nui koe i te waipiro.
• Kei te hapu koe, inā koa i tō toru o ngā marama.
• He hītori whānau o ngā mate toto.
• Kei te whiwhi koe i te maimoatanga chemotherapy, i te rongoā radiation rānei.

Ko ētahi take morearea onge ake ko te whai i ētahi mate huaketo, te mate ate, i ngā mate toto pēnei i te leukemia rānei. Ka āhei hoki te pakeke te whai wāhi, i te mea he noa ake te immune thrombocytopenic purpura i ngā tamariki me ngā pakeke.

He aha ngā raruraru pea o te thrombocytopenia?

Ko te nuinga o ngā tāngata e pangia ana e te thrombocytopenia ngawari e ora ana i ngā oranga noa kāore he raruraru nui. Heoi, ka āhei ngā maha iti rawa o ngā pūtau toto platelet te arahi ki ngā raruraru toto e hiahia ana ki te whakahaere tika.

Ko ēnei ngā raruraru pea:

• Te roa o te toto i muri i ngā whara, i ngā pokanga rānei.
• Te toto o roto i ngā take nui.
• Te kore o te rino i te mate toto nā te ngaro o te toto.
• Te piki o te morearea i ngā mahi niho, i ngā pokanga rānei.

Ko te raruraru tino nui engari onge ko te toto i roto i te roro, ka āhei te puta ina he iti rawa te maha o ngā pūtau toto platelet (he iti ake i te 10,000). Koia te take e mataara ana ngā tākua i ngā take nui, ā, ka tūtohutia pea te maimoatanga hei whakaara i ngā taumata pūtau toto platelet tere.

Mā te tiaki hauora tika me te mataara, ka āhei te aukati, te whakahaere rānei i te nuinga o ngā raruraru. Ka mahi tahi tō rōpū hauora ki a koe hei whakaiti i ngā morearea i te wā e pupuri ana i tō kounga ora.

Me pēhea te aukati i te thrombocytopenia?

Kāore e taea e koe te aukati i ngā momo thrombocytopenia katoa, engari ka taea e koe te mahi hei whakaiti i tō morearea o ētahi take. Ko te aukati e aro nui ana ki te karo i ngā whakaohooho e mohiotia ana, ki te pupuri i te hauora whānui.

Ko ēnei ētahi rautaki aukati whai hua:

• Whakamāmā i te inu waipiro ki ngā rahinga e tūtohu ana.
• Tangohia ngā rongoā tika i te mea i whakaritea, whakamōhiotia tetahi toto rerekē.
• Kai i te kai tōtika e whai huaora ana i te B12 me te folate.
• Whakamahia te horoi pai hei aukati i ngā mate.
• Whiwhi i ngā whakakakahu e tūtohutia ana hei aukati i ngā mate huaketo.

Mena he āhuatanga ārai mate kei a koe, ko te mahi tata atu ki tō tākua hei whakahaere i taua mea ka āhei te awhina i te aukati i te thrombocytopenia. Ka āhei hoki ngā tirotiro auau te hopu i ngā huringa i ō pūtau toto platelet i mua i te whanake o ngā tohu.

Me pēhea te whakatau i te thrombocytopenia?

Ko te whakatau i te thrombocytopenia e tīmata ana i te whakamātau toto ngāwari e kiia nei ko te tatau toto katoa (CBC). Ka ine tenei whakamātau i te maha o ō pūtau toto platelet ia maikiro rita o te toto.

Ka tono pea tō tākua i ētahi atu whakamātau hei kimi i te take:

• Te tirotiro i te toto kia titiro ki te rahi me te āhua o ngā pūtau toto platelet.
• Ngā whakamātau mō ngā ārai mate.
• Ngā tirotiro taumata huaora B12 me te folate.
• Ngā whakamātau mahi ate.
• Ngā whakamātau mō ngā mate huaketo pēnei i te hepatitis, te HIV rānei.

I ētahi wā, ka tūtohu pea tō tākua i te tātaritanga wheua wheua hei tirotiro i te pai o te hanga pūtau toto platelet e tō tinana. Kei roto i tēnei te tango i te tauira iti o te wheua wheua, he mea noa mai i tō wheua huha, hei tirotiro i raro i te microscope.

Ko te tukanga whakatau ka āhei te awhina i tō rōpū hauora ki te mārama ehara i te mea kei a koe ngā pūtau toto platelet iti, engari he aha te take. Ka ārahi tēnei korero i te huarahi maimoatanga tino whai hua mō tō āhuatanga motuhake.

He aha te maimoatanga mō te thrombocytopenia?

Ko te maimoatanga mō te thrombocytopenia kei runga i te take o te iti o ō pūtau toto platelet me te nui o ō tohu. He tokomaha ngā tāngata e pangia ana e ngā take ngawari kāore e hiahia ki tetahi maimoatanga.

Ka tūtohu pea tō tākua:

• Te mutu i ngā rongoā e āhei ana te puta mai i te raru.
• Ngā corticosteroids hei whakaiti i te mahi o te pūnaha ārai mate.
• Te rongoā immunoglobulin hei whakapakari i te hanga pūtau toto platelet.
• Ngā toto toto platelet mō ngā take nui.
• Ngā rongoā pēnei i te eltrombopag hei whakaohooho i te hanga pūtau toto platelet.

Mō te immune thrombocytopenic purpura, ka āhei te whakauru i te maimoatanga i ngā rongoā e whakaiti ana i tō pūnaha ārai mate, i te tango rānei i tō ate i ngā take nui. Ko te whāinga ko te whakaara i ō pūtau toto platelet ki te taumata haumaru i te wā e whakautu ana ki te take take.

He tino motuhake ngā mahere maimoatanga i runga i tō āhuatanga motuhake, te hauora whānui, me te āhua o tō whakautu ki ngā rongoā tuatahi. Ka mataara tonu tō rōpū hauora i tō ahunga whakamua, ka whakarite i te maimoatanga kia rite ki te hiahia.

Me pēhea te whakahaere i te thrombocytopenia i te kāinga?

Ko te whakahaere i te thrombocytopenia i te kāinga e aro nui ana ki te aukati i ngā whara me te mohio ina hiahia koe ki te tiaki hauora. Ka taea e ngā whakaritenga oranga iti te whakarereke nui ki tō ora me tō mārama.

Ko ēnei ngā mahi whai hua ka taea e koe te mahi:

• Whakamahia he tāpare ngawari me te karo i te horoi kino.
• Kakahu i ngā taputapu tiaki i ngā wā takaro, i ngā mahi tinana rānei.
• Karohia ngā rongoā pēnei i te aspirin e āhei ana te piki ake i te morearea toto.
• Whakamahia ngā raka hiko kaua ngā raka ringa.
• Pupuri i tō wāhi noho kia kore ai he kokonga koi, he tūnga rānei.

Tātai ki ngā huringa i ō tohu, pupuri i te tuhi o tetahi pupuhi hou, toto rānei. Mena e hiahia ana koe ki ngā tukanga hauora, whakamōhiotia tonu ō kaiwhakarato hauora mō tō thrombocytopenia kia taea ai e rātou te tango i ngā whakaritenga tika.

Noho hono atu ki tō rōpū hauora, kaua e whakaroa ki te karanga mena kei te manukanuka koe mō tetahi tohu. Kei reira rātou hei tautoko i a koe, hei awhina i a koe ki te ora haumaru me tēnei āhuatanga.

Me pēhea te whakarite mō tō hui tākua?

Ko te whakarite mō tō hui ka āhei te awhina i a koe ki te whiwhi i te nuinga mai i tō wā me tō kaiwhakarato hauora. Ko te whakarite pai ka ārahi ki te whakawhitiwhiti korero pai ake me te mahere maimoatanga whai hua ake.

I mua i tō haerenga, kohikohia ngā korero mō:

• Ngā rongoā me ngā taapiri katoa kei te tango koe.
• I te wā i kite tuatahi ai koe i ngā tohu me te āhua o te huringa.
• Tetahi mate hou, mate huaketo, rānei tukanga hauora.
• Te hītori whānau o ngā mate toto.
• Ngā pātai mō tō whakatau, ngā kōwhiringa maimoatanga, te whakahaere o ia rā rānei.

Tuhia ō tohu, tae atu ki te wā e puta ai rātou me te nui o te kaha. Tangohia ngā whakaahua o tetahi pupuhi rerekē, huringa kiri rānei hei whakaatu ki tō tākua mena kāore e kitea i te wā o tō hui.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei awhina i a koe ki te mahara ki ngā korero nui me te ui i ngā pātai ka wareware pea koe. Ka taea hoki e rātou te whakarato tautoko ngākau i te wā ka āhei te āhua o te hui nui.

He aha te mea nui mō te thrombocytopenia?

Ko te thrombocytopenia he āhuatanga e taea te whakahaere e pā ana ki te kaha o ō toto ki te totohu. Ahakoa he āhua whakawehi, he tokomaha ngā tāngata e pangia ana e tēnei āhuatanga e ora ana i ngā oranga tino ora, mahi nui me te tiaki hauora tika me ngā whakaritenga oranga.

Ko ngā mea tino nui hei mahara ko te hopu wawe e āwhina ana, he kōwhiringa maimoatanga kei reira, kāore hoki koe e noho kotahi ana i te whakahaere i tēnei āhuatanga. Ka mahi tahi tō rōpū hauora ki a koe hei whakawhanake i te mahere e rite ana ki ō hiahia me ō āhuatanga motuhake.

Mā te mataara me te tiaki tika, ka taea e te nuinga o ngā tāngata e pangia ana e te thrombocytopenia te aukati i ngā raruraru nui me te pupuri i tō kounga ora. Noho whakamārama, whai i tō mahere maimoatanga, pupuri i te whakawhitiwhiti korero tuwhera me ō kaiwhakarato hauora.

Ngā pātai e ui pinepinetia ana mō te thrombocytopenia

Ka taea te ngaro ake te thrombocytopenia i a ia ake?

Ae, ka taea te whakatau i ētahi momo thrombocytopenia kāore he maimoatanga, inā koa ngā take i puta mai i ngā mate huaketo, i te hapu rānei. Heoi, kaua rawa e whakaaro ka ngaro ake i a ia ake kāore he aromatawai hauora. Ka taea e tō tākua te whakatau mena kei te pai pea tō āhuatanga motuhake ki te pai ake i te āhua noa, ki te hiahia rānei ki te maimoatanga mahi.

He momo mate pukupuku te thrombocytopenia?

Ehara te thrombocytopenia i te mate pukupuku, engari ka āhei pea te puta mai i ngā mate pukupuku toto pēnei i te leukemia, te lymphoma rānei. Ko te nuinga o ngā take o te thrombocytopenia kāore e pā ana ki te mate pukupuku. Ka whakahaere tō tākua i ngā whakamātau tika hei whakatau i te take tika o te iti o ō pūtau toto platelet me te whakakore i ngā āhuatanga take nui.

Ka taea e au te whakakori mena he thrombocytopenia kei a au?

He tokomaha ngā tāngata e pangia ana e te thrombocytopenia e taea te whakakori haumaru, engari ka hiahia pea koe ki te whakarereke i ō mahi i runga i ō pūtau toto platelet. Ko ngā whakakori iti-pānga pēnei i te hikoi, te kauhoe, te yoga rānei he haumaru ake i ngā wā takaro hono. Kōrero tonu mō ō mahere whakakori ki tō kaiwhakarato hauora, ka taea e rātou te hoatu i ngā aratohu motuhake i runga i ō taumata pūtau toto platelet.

Me tango rongoā tonu ahau i te toenga o toku ora?

Kāore pea. Ko te roa o te maimoatanga kei runga i te take o tō thrombocytopenia me te pai o tō whakautu ki te rongoā. He tāngata e hiahia ana ki te maimoatanga poto, ētahi atu rānei e hiahia ana ki te whakahaere rongoā tonu. Ka arotake tonu tō tākua i tō āhuatanga, ka whakarite i tō mahere maimoatanga kia rite ki te hiahia.

Ka pā te thrombocytopenia ki te hapu?

Ka puta te thrombocytopenia i te wā hapu, ā, ka hiahiatia pea te mataara tika, engari he maha ngā wāhine e pangia ana e tēnei āhuatanga e whai hapu hauora ana, e whānau ana. Ka mahi tata atu tō rōpū hauora ki a koe hei whakahaere i ō pūtau toto platelet me te whakarite i te ora o kōrua, o tō pēpi rānei i te wā hapu me te whānau.