He aha te Thrombocytosis? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te tikanga o te thrombocytosis he nui rawa ngā pūtau toto i roto i tōu toto. Ko ngā pūtau toto ngā pūtau toto iti e āwhina ana i tōu toto kia pakaru ina whiua koe, kāore rānei e whara.

Ko te maha noa o ngā pūtau toto kei waenga i te 150,000 ki te 450,000 ia microlite o te toto. Ina tae atu tō maha ki runga ake i te 450,000, ka karanga ngā tākuta i tēnei hei thrombocytosis. Whakaarohia ngā pūtau toto hei rōpū whakatikatika a tō tinana – ka tere rātou ki te whakatika i ngā oko toto kua pakaru.

He aha ngā tōmhanga o te thrombocytosis?

He tokomaha ngā tāngata e pangia ana e te thrombocytosis kāore e kite i tetahi tōmhanga. Ka taea e tō tinana te whakahaere i ngā pūtau toto atu me te kore e puta he raruraru, ina koa ki te iti te piki.

Ina puta mai ngā tōmhanga, ka hono atu rātou ki te kaha o te toto kia pakaru. Ko ēnei ngā tohu ka kite koe:

• Ngā mamae o te upoko e rerekē ana i ō mamae noa
• Te mārō, te ngāwari rānei ki te ngaro te mārama
• Te mamae o te uma, te poto rānei o te manawa
• Te ngoikore, te ngenge rānei e kore e pai ake me te okioki
• Ngā huringa o te tirohanga, te mōrehu rānei o te tirohanga
• Te mōrehu, te kī rānei o ō ringa me ō waewae
• Te ngāwari ki te whero, te toto rānei e kore e pūmau
• Ngā toto i roto i ō waewae (e puta ai te pupuhi me te mamae)

Ka puta ēnei tōmhanga nā te nui rawa o ngā pūtau toto e taea ai te puta he pakaru, heoi anō, ka taea te ngāwari ake te toto. Ka taea e tō tākuta te āwhina ki te whakatau mena ka hono atu ō tōmhanga ki tō maha o ngā pūtau toto.

He aha ngā momo thrombocytosis?

Ka wehewehe ngā tākuta i te thrombocytosis ki ētahi momo nui e rua i runga i te take o te maha o ngā pūtau toto. Ko te mārama ko tehea momo kei a koe ka āwhina i tō maimoatanga.

Te thrombocytosis matua ka puta ina hanga e tō wheua iwi ngā pūtau toto maha. Ka puta tēnei nā ngā huringa ira i roto i ngā pūtau e hanga ana i ngā pūtau toto. Ka kiia hoki tēnei ko te thrombocythemia nui.

Te thrombocytosis tuarua ka whanake hei whakautu ki tētahi atu āhuatanga i roto i tō tinana. Ka piki ake te whakaputa pūtau toto a tō wheua iwi hei whakautu ki te mumura, te mate, tetahi atu rānei o ngā take hauora. Ko tēnei momo te nuinga atu i te thrombocytosis matua.

He mea nui te wehewehe nā te mea ka pai ake te thrombocytosis tuarua ina maimoatia te take. Ko te thrombocytosis matua e hiahia ana ki ētahi atu huarahi, he āta whakaaro.

He aha ngā take o te thrombocytosis?

He maha ngā take pea o te thrombocytosis tuarua, engari ko te thrombocytosis matua i puta mai i ngā huringa ira. Kia tirohia ngā mea pea e puta ai tō maha o ngā pūtau toto.

Ko ngā take noa o te thrombocytosis tuarua ko ēnei:

• Ngā mate penei i te mate huhu, ngā mate mimi, te mate huhu rānei
• Ngā āhuatanga mumura penei i te mate rewiti rheumatoid, te mate puku mumura rānei
• Te ngoikore o te rino
• Te pokanga, te whara rānei tata nei
• Te mate pukupuku, ina koa te mate pukupuku o te manawa, te whatukuhu, te u rānei
• Te tango atu o tō kōpū
• Ētahi rongoā penei i ngā corticosteroids
• Te pakaru o ngā kōpū nā te tahuna, te whati rānei

Ka puta te thrombocytosis matua ina whanake ngā ira e whakahaere ana i te whakaputa pūtau toto. Ko ngā huringa ira tino noa ka pā ki ngā ira e kiia nei ko JAK2, CALR, tetahi rānei ko MPL. Kāore ēnei huringa ira e whiwhitia e koe i ō mātua – ka whanake rātou i roto i tō oranga.

Ko ngā take onge ko te myelofibrosis, te polycythemia vera, me ētahi atu mate toto e pā ana ki tō wheua iwi. Ka uiui tō tākuta ki ēnei āhuatanga mena kāore ngā whakamātautau tuatahi e whakaatu i te take tuarua.

Nōhea te haere ki te tākuta mō te thrombocytosis?

Me whakapiri atu koe ki tō tākuta mena ka kite koe i ngā tōmhanga e tohu ana pea i ngā raruraru o te toto pakaru. Kaua e tatari mena ka kite koe i ngā tōmhanga nui, kaha e tohu ana pea i tetahi pakaru nui.

Rapua te awhina hauora tonu mō ēnei tohu whakatūpato:

• Te mamae o te upoko nui, kaha me ngā huringa o te tirohanga
• Te mamae o te uma me te uaua ki te manawa
• Te mamae o te waewae me te pupuhi me te mahana
• Te ngoikore, te mōrehu rānei ohorere i tetahi taha o tō tinana
• Te uaua ki te kōrero, te mārama rānei ki te kōrero
• Te mamae o te kopu nui

Whakaritea he hui noa mena ka kite koe i ngā tōmhanga e mau tonu ana penei i ngā mamae o te upoko, te ngenge, te whero rānei e kore e pūmau. He tokomaha ngā tāngata e kite ana i tō rātou thrombocytosis i te wā o te mahi toto noa, he mea noa tēnei.

Mena kua mōhio koe kei a koe te thrombocytosis, whai i te kaupapa aroturuki a tō tākuta. Ko ngā tirotiro noa e āwhina ana ki te aroturuki i ō maha o ngā pūtau toto me te whakarereke i te maimoatanga i te wā e hiahiatia ana.

He aha ngā take morearea mō te thrombocytosis?

He maha ngā take e taea ai te piki ake o tō tūponotanga ki te whanake i te thrombocytosis. He mea nui te tau, me te thrombocytosis matua e pā ana ki ngā tāngata neke atu i te 50.

Ko ngā take morearea mō te thrombocytosis tuarua ko ēnei:

• Te whai i ngā āhuatanga mumura roa
• Te pokanga nui tata nei, te whara rānei
• Ngā mate kaha, ina koa ngā mate roa
• Te ngoikore o te rino, tetahi atu ngoikore kai rānei
• Te whakatau mate pukupuku, te maimoatanga mate pukupuku rānei
• Te tango atu i te kōpū, te kore mahi rānei o te kōpū
• Te tango i ētahi rongoā roa

Mō te thrombocytosis matua, ko ngā take morearea nui ko ngā ira. Heoi, kāore ēnei huringa ira e whiwhitia mai i te whānau – ka whanake rātou i te wā. Ko te hītori whānau o ngā mate toto, te pakaru toto rānei pea ka piki ake tō morearea, engari ko te nuinga o ngā take ka puta mai me te kore hononga whānau.

Ko te whai i ngā take morearea kāore e tikanga ka whanake koe i te thrombocytosis. He tokomaha ngā tāngata e whai ana i ēnei āhuatanga e pupuri ana i ngā maha noa o ngā pūtau toto i roto i ō rātou oranga.

He aha ngā raruraru pea o te thrombocytosis?

Ko ngā raruraru mai i te thrombocytosis e pā ana ki ngā raruraru o te toto pakaru. Ko te kaha e whakawhirinaki ana ki te teitei o tō maha o ngā pūtau toto me te whai rānei koe i ētahi atu āhuatanga hauora.

Ko ngā raruraru pea ko ēnei:

• Ngā toto i roto i ō waewae (deep vein thrombosis)
• Ngā toto e haere ana ki ō ngā manawa (pulmonary embolism)
• Te pōkaikaha nā ngā toto i roto i ngā oko toto o te roro
• Te mate ngākau nā ngā toto i roto i ngā āti o te ngākau
• Ngā toto i roto i ngā oko toto o te kopu
• Te toto e kore e pūmau ahakoa te maha o ngā pūtau toto
• Ngā raruraru hapu tae atu ki te ngaro o te kopu

He mea whakamiharo, ko te maha rawa o ngā pūtau toto ka taea te puta he raruraru toto. Ka puta tēnei nā te kore e mahi tika ngā pūtau toto ina maha rawa.

Ko te nuinga o ngā tāngata e whai ana i te thrombocytosis ngawari kāore e kite i ngā raruraru nui. Ka aromatawai tō tākuta i tō morearea takitahi i runga i tō maha o ngā pūtau toto, ngā tōmhanga, me ētahi atu take hauora. Ko te aroturuki noa e āwhina ana ki te hopu i ngā raruraru pea i te tīmatanga.

Me pēhea te aukati i te thrombocytosis?

Kāore e taea te aukati i te thrombocytosis matua nā te mea ka puta mai i ngā huringa ira. Heoi, ka taea e koe te mahi i ētahi mahi hei whakaiti i tō morearea o ngā raruraru ina whai koe i te āhuatanga.

Mō te thrombocytosis tuarua, ko te aukati e aro ana ki te whakahaere i ngā āhuatanga. Ko te maimoatanga tere o ngā mate, te whakahaere i ngā mate mumura, me te whakatika i ngā ngoikore kai ka taea te āwhina i te pupuri i tō maha o ngā pūtau toto.

Ko ngā rautaki aukati whānui ko ēnei:

• Te whakahaere i ngā āhuatanga roa penei i te mate huka me te rewiti
• Te maimoatanga i te ngoikore o te rino me te tāpiri tika
• Te whiwhi i ngā tirotiro hauora noa
• Te whai i ngā mahi aukati mate
• Te tango i ngā rongoā e tohua ana e tō tākuta
• Te pupuri i te oranga hauora me te kai pai

Mena kua whai koe i te thrombocytosis, aro ki te aukati i ngā raruraru. Pea ka uru atu ki te tango i ngā rongoā whakaheke toto, te noho makuku, me te karo i te kore neke roa i te wā e haere ana.

Me pēhea te whakatau i te thrombocytosis?

Ka tīmata te whakatau me te maha o ngā pūtau toto katoa (CBC) e ine ana i ō maha o ngā pūtau toto. Ko tēnei whakamātautau toto ngāwari e whakaatu ana i te thrombocytosis i ngā whakamātautau hauora noa.

Ka whakahokia e tō tākuta te whakamātautau toto hei whakau i te maha o ngā pūtau toto. I etahi wā ka taea te piki o ngā maha o ngā pūtau toto nā te maroke, te mate tata nei rānei, no reira he mea nui te whakau.

Ko ētahi atu whakamātautau e āwhina ana ki te whakatau i te take:

• Te tirotiro i te toto ki te titiro ki te āhua me te rahi o ngā pūtau toto
• Ngā ako rino hei tirotiro i te ngoikore
• Ngā tohu mumura penei i te pūtau C-reactive
• Ngā whakamātautau mō ngā mate, ngā āhuatanga autoimmune rānei
• Te whakamātautau ira mō ngā huringa e hono ana ki te thrombocytosis matua
• Te tātaritanga wheua iwi i etahi wā

Pea ka tono atu hoki tō tākuta i ngā rangahau whakaahua penei i ngā CT scan, ngā ultrasound rānei ki te titiro ki ngā āhuatanga penei i te mate pukupuku, ngā kōpū nui rānei. Ko ngā whakamātautau motuhake e whakawhirinaki ana ki ō tōmhanga me tō hītori hauora.

Ko te whiwhi i te whakatau tika e hiahia ana ki te wā nā te maha o ngā āhuatanga e taea ai te maha o ngā pūtau toto. Ka mahi āta tō tākuta ki te kimi i te take.

He aha te maimoatanga mō te thrombocytosis?

Ko te maimoatanga e whakawhirinaki ana ki te whai koe i te thrombocytosis matua, te tuarua rānei, me tō morearea o ngā raruraru. Ko te tokomaha o ngā tāngata e whai ana i te piki ngawari e hiahia ana ki te aroturuki anake me te kore he maimoatanga.

Mō te thrombocytosis tuarua, ko te maimoatanga i te take e kawe ana i ngā maha o ngā pūtau toto ki te noa. Pea ka uru atu ki ngā rongoā mate mō ngā mate, ngā rongoā whakamumura, ngā tāpiri rino rānei mō te ngoikore.

Ko ngā kōwhiringa maimoatanga thrombocytosis matua ko ēnei:

• Te aspirin iti hei whakaiti i te morearea o te pakaru
• Te hydroxyurea hei whakaiti i te whakaputa pūtau toto
• Te anagrelide hei āta whakaaro ki ngā pūtau hanga pūtau toto
• Te interferon mō ngā tāngata taitamariki, te hapu rānei
• Te plateletpheresis mō te whakaiti ohorere o ngā pūtau toto

Ka whakaaro tō tākuta ki tō tau, ngā tōmhanga, te maha o ngā pūtau toto, me ētahi atu take morearea i te wā e whiriwhiri ana i te maimoatanga. Ko ngā tāngata taitamariki kahore he tōmhanga pea e hiahia ana ki te aroturuki anake, engari ko ngā tāngata pakeke, te hunga whai maha rawa rānei e whai hua ana i te rongoā.

Ko ngā whāinga maimoatanga e aro ana ki te aukati i ngā raruraru, kāore ki te whakarite i ngā maha o ngā pūtau toto. Ko te tokomaha o ngā tāngata e noho ana i te noa me te thrombocytosis ngawari me te whakahaere tika.

Me pēhea te whakahaere i te thrombocytosis i te kāinga?

Ko te whakahaere i te kāinga e aro ana ki te whakaiti i tō morearea o ngā toto pakaru me te aroturuki i ngā tōmhanga. Ko ngā huringa oranga ngāwari ka taea te puta he rerekētanga nui ki tō hauora whānui.

Ko ngā rautaki whakahaere o ia rā ko ēnei:

• Te tango i ngā rongoā e tohua ana kia rite ki te tohutohu
• Te noho makuku i te rā katoa
• Te neke noa, ina koa i ngā wā roa e noho ana
• Te kakahu i ngā kākahu komiriti mena ka tohua
• Te karo i te wāhine, e piki ake ai te morearea o te pakaru
• Te whakahaere i ētahi atu āhuatanga hauora penei i te toto teitei

Kia aro ki ngā tohu whakatūpato o ngā toto pakaru, ngā raruraru toto rānei. Pupurihia he rārangi o ō tōmhanga me ngā rongoā hei whakawhiti ki ngā kaiwhakarato hauora. Ko te whakakori tinana noa, e whakaaetia ana e tō tākuta, ka taea te āwhina i te whakapai ake i te rere toto.

Mena kei te tango koe i ngā rongoā whakaheke toto, kia tupato atu ki te aukati i te whara. Whakamahia ngā pūrua niho ngawari, kakahu i ngā taputapu tiaki i ngā mahi, me te kōrero ki ngā kaiwhakarato hauora katoa mō ō rongoā i mua i ngā tukanga.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite e āwhina ana i a koe ki te whakamahi i tō hui me te whakarite kei a tō tākuta ngā mōhiohio katoa e hiahiatia ana. Kohikohia ō rēkōta hauora me te whakaaro ki ō tōmhanga i mua i te haerenga.

Kawe mai ēnei mea ki tō hui:

• Rārangi o ngā rongoā me ngā tāpiri katoa
• Ngā hua whakamātautau toto o mua e whakaatu ana i ngā maha o ngā pūtau toto
• Ngā rēkōta o ngā tōmhanga me ngā rā me te kaha
• Te hītori whānau o ngā mate toto, ngā raruraru toto pakaru rānei
• Ngā kāri inihua me te whakaatu
• Rārangi o ngā pātai e hiahia ana koe ki te ui

Tuhia ō tōmhanga ahakoa kaore e hono. Tāpirihia te wā i tīmata ai rātou, he aha te mea e pai ake ai, te kino rānei, me te āhua o te pānga ki ō mahi o ia rā. Ko ēnei mōhiohio e āwhina ana i tō tākuta ki te mārama pai ake ki tō āhuatanga.

Whakaarohia te kawe mai i te mema whānau, te hoa rānei mō te tautoko, ina koa ki te manukanuka koe ki te hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui me te ui i ngā pātai pea ka wareware koe.

He aha te mea nui mō te thrombocytosis?

He āhuatanga e taea te whakahaere te thrombocytosis e noho ora ana te tokomaha o ngā tāngata. Ahakoa te ahua o te maha o ngā pūtau toto, ko te nuinga o ngā take kāore e puta he raruraru nui me te aroturuki me te maimoatanga tika.

Ko ngā mea nui hei mahara:

• He tokomaha ngā tāngata kahore he tōmhanga, ka noho ora noa
• Ko te thrombocytosis tuarua e pai ake ana i te nuinga o te wā ina maimoatia ngā take
• Ko te aroturuki noa e āwhina ana ki te aukati i ngā raruraru
• He maimoatanga whai hua kei te wātea ina hiahiatia
• Ko ngā huringa oranga ka taea te whakaiti i tō morearea o ngā raruraru

Mahi tata atu ki tō rōpū hauora ki te mārama ki tō āhuatanga motuhake. He rerekē te wheako o ia tangata me te thrombocytosis, me whakarite tō maimoatanga ki ō hiahia me ō take morearea.

Noho whakamārama mō tō āhuatanga, engari kaua e waiho hei whakatau i tō oranga. Me te whakahaere tika, ko te nuinga o ngā tāngata e whai ana i te thrombocytosis e mau tonu ana te hauora pai me ngā mahi noa.

Ngā pātai e ui pinepinetia ana mō te thrombocytosis

Ka taea te ngaro ake te thrombocytosis?

Ko te thrombocytosis tuarua e hoki ana ki te noa i te nuinga o te wā ina maimoatia te take. Hei tauira, mena he mate te take o ō pūtau toto nui, ko te maimoatanga i te mate e kawe ana i tō maha ki raro. Heoi, ko te thrombocytosis matua he āhuatanga roa e hiahia ana ki te whakahaere tonu, kāore ki te ngaro rawa.

Kei te whakaarohia ko te thrombocytosis he momo mate pukupuku?

Ko te thrombocytosis matua kei te whakarōpūhia hei mate toto, he myeloproliferative neoplasm motuhake. Ahakoa te ahua wehi, he iti ake te kaha i ngā mate pukupuku noa. Ko te nuinga o ngā tāngata e whai ana i te thrombocytosis matua he roa noa te ora, he tata noa rānei ki te roa noa o te ora me te maimoatanga tika. Kāore te thrombocytosis tuarua he mate pukupuku – he whakautu noa iho tēnei a tō tinana ki tētahi atu āhuatanga.

Ka taea e au te whakakori mena kei a au te thrombocytosis?

Ko te nuinga o ngā tāngata e whai ana i te thrombocytosis ka taea te whakakori haumaru me te noho mahi mō ō rātou hauora whānui. Ko te nekehanga noa e āwhina ana ki te aukati i ngā toto pakaru, he mea whai hua ina whai koe i ngā pūtau toto nui. Heoi, mena kei te tango koe i ngā rongoā whakaheke toto, pea ka hiahia koe ki te karo i ngā hākinakina hono, ngā mahi rānei e nui ai te morearea o te whara. Kōrero tonu ki tō tākuta mō ō mahere whakakori.

Me tango rongoā tonu ahau i tōku oranga?

E whakawhirinaki ana tēnei ki tō momo thrombocytosis me ō take morearea takitahi. Ko ngā tāngata e whai ana i te thrombocytosis tuarua pea e hiahia ana ki te maimoatanga wā poto anake kia pai ake tō rātou āhuatanga. Ko te hunga e whai ana i te thrombocytosis matua e hiahia ana ki te rongoā roa, engari kāore te katoa e hiahia ana ki te maimoatanga tonu. Ka arotake tonu tō tākuta mena e hiahia ana koe ki te rongoā tonu i runga i ō maha o ngā pūtau toto me tō hauora whānui.

Ka pā te thrombocytosis ki te hapu?

Ka taea e te thrombocytosis te pā ki te hapu, engari he tokomaha ngā wāhine e whai ana i ngā hapu angitu me te tiaki hauora tika. Ko ngā āhuatanga nui ko ngā morearea o ngā toto pakaru me ngā raruraru hapu penei i te ngaro o te kopu. Ka aroturuki tata atu tō rōpū hauora i a koe, ka taea te whakarereke i ngā rongoā hei whakarite i tō ora me te ora o tō pēpi. Kāore ētahi maimoatanga e whakamahia ana mō te thrombocytosis e haumaru ana i te wā hapu, no reira he mea nui te whakarite i mua.