Anemia E Matekore O Te Huaora
Tirohanga whānui
Ko te mate toto ngākau kore hua he kore o ngā pūtau toto whero hauora, nō te iti o te nui o te hua B-12 me te folate. Ka taea te puta mai tēnei mēnā kāohore koe e kai i ngā kai e whai hua B-12 me te folate, ki te kore rānei e taea e tō tinana te tango, te whakahaere rānei i ēnei hua. Kīhai te tinana e hanga i ngā pūtau toto whero e tika ana, kaore hoki e mahi pai, me kore ēnei kai. Ka whakaiti tēnei i to rātou kaha ki te kawe hau. Ka taea te whakaatu i ngā tohu pērā i te ngenge, te poto o te manawa, me te māuiui. Ka taea e ngā taapiri hua, mā te rongoā rānei, te whakatika i ngā he.
Ngā tohu
Ko te mate toto ngāka toto hua e whāiti ana ngā huaora e tupu ana i te nuinga o te wā i roto i ngā marama maha ki ngā tau. Ka taea pea te kite ngā tohu me ngā tohu i te tīmatanga, engari ka kaha ake te piki haere o te ngoikore. Kei roto i ēnei:
- Te ngenge
- Te poto o te manawa
- Te māuiui
- Te kiri ma, te kōwhai rānei
- Te ngākau kore-tika
- Te ngaro o te taumaha
- Te mānukanuka, te wiri rānei o ngā ringa me ngā waewae
- Te ngoikore o ngā uaua
- Te huringa o te hinengaro
- Ngā nekehanga kore-tūturu
- Te whakapohehe hinengaro, te wareware rānei
Āhea te kite i te tākuta
Kaore he uauatanga
Ngā take
Ka puta mai te mate toto ngoikore nā te kore o ngā huaora ki te kore e kai koe i ngā kai e whai huaora B-12 me te folate, ki te kore rānei e taea e tō tinana te tango, te whakamahi rānei i ēnei huaora.
Ngā āhuatanga tūpono
Ngā mea ka piki ake ai te tūponotanga o te mate toto ngoikore nā te kore o te huaora:
- Ngā mate ā-tinana whaiaro, tae atu ki te mate o Crohn, te mate celiac me te mate huka momo 1.
- Tātaritanga hei tango i tetahi wāhanga o tou kopu, o tou whekau rānei.
- Te pakeketanga.
- Te whakamahinga waipiro roa.
Ngā raruraru
Ko te kore o te huaora B-12, te folate ranei, ka nui ake te tupono o te maha o nga raruraru hauora, tae atu ki:
- ** Nga raruraru hapu.** Ko te peepi e whanau mai ana kaore e whiwhi i te folate nui mai i tona whaea, ka taea te whanau mai me nga hapa o te roro me te tuaiwi o te tuara.
- ** Nga mate o te punaha io.** Ki te kore e rongoa, ka arahi te kore o te huaora B-12 ki nga raruraru neurological, penei i te wiri roa i nga ringa me nga waewae, te raruraru ranei o te taurite. Ka taea te arahi ki te pouri hinengaro me te wareware na te mea he mea nui te huaora B-12 mo te mahi tika o te roro.
- Te mate pukupuku o te puku. Ko te mate toto pernicious ka nui ake te tupono o te mate pukupuku o te puku, o te whekau ranei.
Te ārai
Ka taea e koe te aukati i ētahi momo mate toto nā te kore o te wītamini mā te whiriwhiri i te kai hauora e whai kiko ana i ngā momo kai. Ko ētahi kai e whai kiko ana ki te wītamini B-12:
- Pūāhua, ate, heihei me te ika
- Hēki
- Ngā kai kua whakakahangia, pēnei i ngā mīti parāoa breakfasti
- Waiū, tīhi me te ioka Ko ētahi kai e whai kiko ana ki te folate:
- Pūhā, pīnati, aparaka me ngā pīni rima
- Rēmana, rēmana, panana, tarakona me ngā merē
- Ngā hua witi kua whakakīia, pēnei i te taro, te mīti parāoa, te pāstā me te raihi
- Ate, whatukuhu, hiihi, harore me ngā pīnati Ko te nuinga o ngā pakeke e hiahia ana ki ēnei rahinga kai o ia rā o ngā wītamini e whai ake nei:
- Wītamini B-12 — 2.4 micrograms (mcg)
- Folate, arā, te waikawa folic — 400 micrograms (mcg) Ka hiahia pea ngā wāhine hapu me ngā wāhine e whāngai ana i te u ki te nui atu o ia wītamini. Ko te nuinga o te iwi e whiwhi ana i ngā wītamini e tika ana i ngā kai e kai ana rātou. Engari ki te whakawāititia tō kai, ki te mahi rānei koe i te pokanga gastric bypass, ka hiahia pea koe ki te inu i te maha-wītamini.
Te tātaritanga
Hei āwhina i te whakatau i ngā mate toto pēnā i te kore o ngā huaora, pea ka whakamātau koe i ngā whakamātau toto hei tirotiro i:
- Te maha me te ahua o ngā pūtau toto whero
- Te nui o te huaora B-12 me te folate i roto i te toto
- Te tūmanako o ngā antibody ki te take tūturu, e tohu ana i te mate toto pēnā i te pernicious anemia
Te rongoā
Ko te rongoa mo te mate toto e pā ana ki te kore o te huaora ko te inu i te huaora e kore nei. Mō te mate toto pērā, ka tukuna te huaora B-12 mā te werohinga, ā, me inu pea ia rā mō te toenga o tō oranga.
E wātea ana te huaora B-12 hei:
Ko ngā rongoā hei whakapakari i ngā taumata o te folate ka tae mai hei ngā rongoā hei horomi, engari ka taea te tukuna etahi momo mā te tūpū angiangi, ngawari ki roto i te uaua (intravenously).
- Ngā werohinga ki roto i te uaua, ki raro rānei i te kiri
- Ngā rongoā hei horomi
- He wai, he papa rānei e rewa ana i raro i te arero
- He keke, he pūha rānei i te ihu
Te tiaki whaiaro
Kaore he uauatanga
Te whakarite mō tō whakaritenga
Ki te whakaaro koe kei te ngaro te huaora i roto i to toto, ka tiimata pea koe ma te haere ki tō tākuta whānau, ki tetahi rongoā whānui rānei. Heoi, i etahi wā, ka tukuna pea koe ki tetahi tākuta e mōhio ana ki te whakaora i ngā mate toto (hematologist).
Koinei etahi mōhiohio hei āwhina i a koe ki te whakarite mō tō whakatau, me te aha e tatari ai koe i tō tākuta.
He iti te wā e noho tahi ai koe me tō tākuta, na te whakarite i te rārangi o ngā pūrongo ka āwhina i a koe ki te whakamahi pai i tō wā tahi. Mō te mate toto ngaro huaora, ko ētahi pūrongo taketake hei ui ki tō tākuta ko:
I tua atu i ngā pūrongo kua whakaritea e koe hei ui ki tō tākuta, kaua e whakaroa ki te ui i ngā pūrongo i te wā o tō whakatau i tetahi wā kaore koe e mōhio.
Ka ui pea tō tākuta ki a koe i te maha o ngā pūrongo. Ko te whakarite kia whakautua e koe rātou ka taea te penapena i te wā ki te haere atu i ngā take e hiahia ana koe ki te whakapau i te wā atu ki runga. Ka ui pea tō tākuta:
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Tuhia nga tohu katoa e pā ana ki a koe, tae atu ki ētahi kaore pea e hono atu ki te take i whakarite ai koe i te whakatau.
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Tuhia ngā mōhiohio whaiaro matua, tae atu ki ngā raruraru nui, ki ngā huringa o te ora hou rānei.
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Hangaia he rārangi o ngā rongoā katoa me ngā huaora, ngā taapiri rānei e inu ana koe.
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Tuhia ngā pūrongo hei ui ki tō tākuta.
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He aha te take tino pea o ō tohu?
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He aha atu pea te take o ō tohu?
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He tūpono rānei taku āhuatanga he wā poto, he roa rānei?
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He aha te maimoatanga e tūtohutia ana e koe?
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He aha atu ngā huarahi ki te whakaaro e kīia ana e koe?
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Kei ahau tetahi atu āhuatanga hauora. Me pēhea te whakahaere pai i ēnei āhuatanga tahi?
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He kai rānei e hiahia ana ahau ki te tāpiri ki taku kai?
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He pukapuka rānei, he rauemi atu rānei e taea e au te tango tahi me ahau? He aha ngā paetukutuku e tūtohutia ana e koe?
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Nō hea koe i tīmata ai te wheako i ngā tohu?
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Kia pehea te kino o ō tohu?
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He aha te mea ka pai ake ō tohu?
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He aha, ki te mea he aha, te ahua nei ka kino ake ō tohu?
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He kai tipu koe?
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Kia hia ngā waahanga o ngā hua me ngā huawhenua e kai ana koe i te rā?
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Kei te inu waipiro koe? Ki te pera, kia hira, me te hira o ngā inu e inu ana koe?
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He kai paipa koe?
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
I hangaia i India, mo te ao