He aha te Tatau Pūtau Toto Whero Nui? Ngā Tohu, Ngā Take, me te Whakamōhiotanga Kāinga

Ko te tatau pūtau toto whero nui, e mōhiotia ana ko te polycythemia, ka puta i te wā e hanga ana tō tinana i te nui rawa o ngā pūtau toto whero, i te wā rānei e matotoru ana tō toto i te tikanga. Whakaarohia me te mea he nui rawa ngā motokā i runga i te huarahi nui - ka pūngāwerewere te waka, ā, kāore e rere mārire. Ka taea e tēnei āhuatanga te whanake haere, ā, he maha ngā wā ka kore e kitea kia kitea rā anō i ngā mahi toto o ia rā.

He aha te Tatau Pūtau Toto Whero Nui?

Ko te tatau pūtau toto whero nui te tikanga he nui ake ngā pūtau toto whero e huri ana i roto i ō toto i te mea e whakaarohia ana he tikanga mō tō tau me tō ira tangata. Mō ngā tāne, ko te tatau pūtau toto whero tikanga kei waenga i te 4.7 ki te 6.1 miriona pūtau mō ia microliter, i te wā e 4.2 ki te 5.4 miriona pūtau mō ia microliter mō ngā wāhine.

Inā neke ake tō tatau i ēnei awhe, ka matotoru ake, ka pūngāwerewere ake tō toto. Mā tēnei ka uaua ake te ngākau ki te pōmpu toto puta noa i tō tinana. Ka ine tō tākuta i tēnei mā te whakamātautau tatau toto oti (CBC), he tango toto noa iho e whakarato ana i ngā mōhiotanga whai hua mō tō hauora whānui.

He pēhea te Ōrite o te Tatau Pūtau Toto Whero Nui?

He maha ngā tāngata e whai ana i te tatau pūtau toto whero nui kāore e rongo i ngā tohu i te tuatahi, koinei te take e kitea ana i ngā whakamātautau toto o ia rā. Inā puta ngā tohu, ka whanake haere rātou i te wā e matotoru ana tō toto.

Ko ngā tohu tino noa ka pā ki a koe ko te ngenge tonu kāore e pai ake i te okiokinga, te mamae o te upoko e mōhiotia ana he auau ake i te tikanga, me te whanoke, te māmā rānei i te tū ake. Ka kite pea koe e pōkaikaha ana koe i ngā mahi kāore i te whakapōkaikaha i a koe.

Ka puta pea te kiri whero ki ētahi tāngata, ina koa ki te kanohi, ka kite rānei te kiri i te tae puru iti iho i te taha o ngā ngutu, o ngā pito maihao rānei. Ka pā pea te mānukanuka, ina koa i muri i te kaukau wera, i te mea ka pā te toto matotoru ki te rere o te toto ki tō kiri.

He aha ngā take e piki ai te tatauranga pūtau toto whero?

Ka piki pea te tatauranga pūtau toto whero mō ētahi take, ā, mā te māramatanga ki te take ka āwhina i te whakatau i te huarahi rongoā pai. E rua ngā kāwai matua o ngā take: ka hanga e tō tinana te maha rawa o ngā pūtau toto whero, ka ngaro rānei te wai o tō toto, ka pūmau.

Koinei ngā take tino noa e arahi ana ki te pikinga o te tatauranga pūtau toto whero:

• Te noho ki ngā wāhi tiketike: Ka hanga noa tō tinana i te maha atu o ngā pūtau toto whero hei kawe i te hāora i te hau angiangi
• Te kai paipa: Ka whakaiti i te hāora i roto i tō toto, e akiaki ana i tō tinana ki te whakaputa i te maha atu o ngā pūtau toto whero
• Te maroke: Ka ngaro te wai, ka pūmau tō toto
• Ngā mate pūkahukahu tawhito: Ko ngā āhuatanga pēnei i te COPD, i te moe apinīa rānei, ka whakaiti i ngā taumata hāora
• Te mate ngākau: Ka taea e ētahi āhuatanga ngākau te whakaoho i te whakaputanga pūtau toto whero
• Ngā raruraru tākihi: Ka whakaputa tō tākihi i tētahi homoni e whakahihiri ana i te whakaputanga pūtau toto whero

I te nuinga o te wā, ka taea e ētahi rongoā pēnei i te rongoā testosterone, i ngā matū toto rānei te whakanui i te whakaputanga pūtau toto whero. Ka mahi tō tākuta ki a koe ki te tautuhi i te āhuatanga e whai wāhi ana ki ō taumata tiketike.

He tohu, he tohumate rānei te tatauranga pūtau toto whero tiketike?

Ko te maha o ngā pūtau toto whero teitei he tohu pea mō ētahi momo mate, mai i ngā take iti noa iho ki ngā raruraru hauora nui ake. Ko te mea nui ko te whakatau mēnā he urupare tō te pūtau teitei ki tētahi mea i tō taiao, i tō oranga rānei, mēnā rānei he tohu tētahi mate hauora kei raro.

Ngā mate noa e pā ana ki te maha o ngā pūtau toto whero teitei ko te mate aukati pūkahukahu (COPD), e whakaiti ana i te kaha o ō pūkahukahu ki te tuku hāora ki tō toto. Ko te moe moe, e mutu ai tō manawa i te wā e moe ana koe, ka taea hoki te whakaoho i tō tinana ki te hanga i ētahi atu pūtau toto whero hei utu mō te iti o te hāora.

Ngā mate ngākau pēnei i te mate ngākau whānau, i te ngoikore rānei o te ngākau ka taea te arahi ki te maha o ngā pūtau toto whero teitei i te mea e ngana ana tō tinana ki te whakapai ake i te tuku hāora. I ētahi wā ka pā te mate tākihi i tēnei āhuatanga nā te mea ka nui rawa te homoni e hangaia ana e ngā tākihi kua pakaru, e whakahihiri ana i te hanga o ngā pūtau toto whero.

I ngā wā onge, ka tohu pea te maha o ngā pūtau toto whero teitei i te polycythemia vera, tētahi momo mate pukupuku toto e hanga ana e tō wheua wheua te nui rawa o ngā pūtau toto. He mea onge tēnei āhuatanga engari e hiahia ana ki te rongoā motuhake mai i te tohunga hematologist. Ko ētahi atu take onge ko ētahi puku e whakaputa ana i ngā homoni e pā ana ki te hanga o ngā pūtau toto whero.

Ka Ngaro Anō te Maha o ngā Pūtau Toto Whero Teitei?

Ko te ngaro anō o te maha o ngā pūtau toto whero teitei e whakawhirinaki ana ki te take i tū ai i te tuatahi. Mēnā nā ngā āhuatanga rangitahi pēnei i te maroke, i te haerenga tata rānei ki ngā wāhi teitei te pūtau teitei, ka hoki anō ki te noa i te wā e whakatikahia ana te take i raro.

Hei tauira, ki te mea kua maroke koe i te mate, i te korikori tinana kaha rānei, mā te inu i te wai nui me te tuku i tō tinana kia ora ka āwhina i te whakatika i te tatauranga pūtau toto whero i roto i ngā rā, i ngā wiki rānei. Waihoki, ki te mea i nuku tata koe i tētahi wāhi teitei ki te taumata moana, ka heke haere pea tō tatauranga i roto i ngā wiki maha i te urutau o tō tinana.

Heoi, ki te mea nā tētahi āhuatanga e haere tonu ana, pēnei i te moe moe, te mate ngākau, te āhuatanga pūkahukahu rānei, i puta ai tō tatauranga pūtau toto whero tiketike, e kore e ngaro me te kore e tika te rongoā i te raruraru i raro. Koinei te take he mea nui kia mahi tahi koe me tō tākuta ki te tautuhi me te whakatika i te take.

Me pēhea te rongoā i te tatauranga pūtau toto whero tiketike i te kāinga?

Ahakoa e kore e taea e koe te rongoā i te tatauranga pūtau toto whero tiketike i te kāinga, he maha ngā mahi tautoko ka taea e koe hei āwhina i te whakahaere i tō āhuatanga me te tautoko i tō hauora whānui. Ko ēnei rautaki tiaki kāinga te pai rawa atu ina honoa ki te rongoā rongoā tika.

Ko te noho wai pai tētahi o ngā mea nui ka taea e koe, nā te mea ka taea e te maroke te whakapakeke ake i tō toto. Me inu wai i te roanga o te rā, me te aro ki te tae o tō mimi - ko te kōwhai marama te tikanga he pai te wai.

Anei ngā rautaki whakahaere kāinga whai hua ka tautoko i tō rongoā:

• Whakamutua te kai paipa: He mea nui tēnei nā te mea ka whakaiti te kai paipa i te hāora me te whakahihiri i te hanga pūtau toto whero
• Kia wai: Inu wai nui i te roanga o te rā kia kore ai te toto e kaha ake
• Aukati i te waipiro: Ka taea e te waipiro te whai wāhi ki te maroke, ā, ka raru pea i tō rongoā
• Whakakorikori tinana ngawari: Ka taea e te mahi tinana māmā te āwhina i te whakapai ake i te tohanga, engari me karo te whakapau kaha rawa
• Aroturuki i ō tohumate: Kia mau ki ngā huringa o tō ahua me te pūrongo ki tō tākuta

He mea nui kia mahara ko ēnei mahi i te kāinga he manaaki tautoko, ehara i te whakakapi mō te rongoā. Me whai tonu i ngā tohutohu a tō tākuta, ā, me haere ki ngā whakaritenga whai-whai i ngā wā katoa hei arotake i tō āhua.

He aha te Rongoā mō te Tau Nui o ngā Pūtau Toto Whero?

Ko te rongoā mō te tau nui o ngā pūtau toto whero e arotahi ana ki te whakatika i te take i raro iho, me te whakahaere i ō tohu hei ārai i ngā raruraru. Ka whakarite tō tākuta i tō mahere rongoā i runga i te take e piki ana ō taumata, me te kaha o tō āhua.

Mō ngā take ngawari e pā ana ki ngā āhuatanga o te noho, ka tūtohu pea tō tākuta i ngā huringa pēnei i te whakamutu i te kai paipa, te rongoā i te moe moeā ki te mīhini CPAP, te whakahaere rānei i ngā āhua o te ngākau, o te pūkahukahu rānei. Ko ēnei huarahi e whakatika ana i te take pūtake, e āwhina ana i te whakatika i te tau o ō pūtau toto whero i te roanga o te wā.

I ngā take kaha ake, ka tūtohu pea tō tākuta i tētahi tikanga e kīia ana ko te phlebotomy, he rite ki te takoha toto. I te wā o tēnei tikanga, ka tango tētahi kaiwhakarato hauora i tētahi rahinga toto mai i tō tinana, e āwhina ana i te whakaiti i te kukū o ngā pūtau toto whero. Ko te tikanga ka mahia tēnei i roto i te tari rongoā, ā, me whakahoki pea i ia wā.

Mō ngā āhua onge pēnei i te polycythemia vera, ka tohutohu pea tō tākuta i ngā rongoā e āwhina ana i te whakaiti i te hanga o ngā pūtau toto whero i roto i tō wheua wheua. E hiahia ana ēnei rongoā ki te aroturuki tupato, ā, ko te tikanga ka whakahaerehia e ngā tohunga e kīia ana ko ngā hematologists.

Āhea au e kite ai i tētahi Tākuta mō te Tau Nui o ngā Pūtau Toto Whero?

Me kite koe i tētahi tākuta mēnā ka pā mai ō tohu tonu e tohu ana i te tau nui o ngā pūtau toto whero, ina koa kei te pā ki tō oranga o ia rā. Kaua e tatari mēnā kei te pā mai ō tohu e pā ana ki te āwangawanga, i te mea ka ārai te kitenga me te rongoā wawe i ngā raruraru.

Whakaritea he hui ki tō tākuta mēnā ka kite koe i te ngenge e kore e pai ake i te okiokinga, te mamae pūpū tonu, te whanoke, te poto o te manawa i ngā mahi o ia rā. E tohu ana ēnei tohu kāore te toto e rere pai ana i tō tinana.

Rapua he āwhina hauora i te wā tonu mēnā ka pā ki a koe ēnei tohu whakatūpato:

• Te mamae pūpū nui: Inā koa, he rerekē i ō mamae pūpū o mua
• Ngā huringa o te tirohanga: Te tirohanga kāore i te mārama, te kite rānei i ngā kōpū
• Te mamae o te uma: He raruraru, he pēhanga rānei i te uma
• Te uaua ki te hā: Te poto o te manawa e kino haere ana
• Te toto rere rerekē: Te ngāwari ki te pāmu, te toto rānei i te ihu, i ngā kapia rānei
• Te ngaro o te rongo, te ngau rānei: Inā koa i ō ringa, i ō waewae rānei

E tohu ana ēnei tohu kei te pōrohe te nui o ngā pūtau toto whero i te raruraru o te rere toto, i ētahi atu raruraru rānei e hiahia ana kia aro tonu. Ka taea e tō tākuta te mahi i ngā whakamātautau toto noa hei tirotiro i ō taumata, hei whakatau i te huarahi pai hei whai.

He aha ngā āhuatanga tūpono mō te whanaketanga o te nui o ngā pūtau toto whero?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whanake i te nui o ngā pūtau toto whero, ā, mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whai i ngā tikanga ārai. Ko ētahi āhuatanga tūpono kei roto i tō mana whakahaere, i ētahi atu e pā ana ki ō ira, ki tō hītori hauora rānei.

He wāhi tō te pakeke me te ira tangata, i te mea he nui ake te nui o ngā pūtau toto whero i ngā pakeke, he paku noa te auau i ngā tāne i ngā wāhine. He mea nui anō tō hītori whānau - mēnā he whanaunga ōu he mate toto, he polycythemia vera rānei, tērā pea he nui ake tō tūponotanga.

Ngā āhuatanga o te noho me te taiao e whakanui ana i tō tūponotanga ko:

• Te kai paipa: Ka nui ake te tūponotanga mā te whakaiti i te hāora i roto i tō toto
• Te noho ki ngā wāhi teitei: Ka urutau tō tinana mā te hanga i ētahi pūtau toto whero anō
• Te kore wai mō te wā roa: Ko te kore inu wai i ngā wā katoa ka tōtika ai tō toto
• Te moe pōuri: Ko ngā mate moe kāore i rongoatia ka whakaiti i ngā taumata hāora i te wā e moe ana
• Ētahi mahi: Ngā mahi e pā ana ki te waro monoxide, ki ngā wāhi teitei rānei

Ko ngā āhuatanga hauora e nui ake ai tō tūponotanga ko ngā mate pūkahukahu roa pēnei i te COPD, i te emphysema rānei, ngā āhuatanga o te ngākau e pā ana ki te tuku hāora, me te mate tākihi. Ki te whai koe i ētahi o ēnei āhuatanga, ka āta titiro tō tākuta ki ō tatauranga toto i ngā wā katoa kia kite wawe i ngā huringa.

He aha ngā raruraru ka puta mai i te nui o te pūtau toto whero?

Ka taea e te nui o te pūtau toto whero te arahi ki ētahi raruraru nui ki te kore e rongoatia, ko te mea nui nā te mea kāore te toto matotoru e rere mā te pūnaha tohanga. Mā te māramatanga ki ēnei raruraru ka whakamārama he aha te mea nui o te rongoā tika.

Ko ngā raruraru e pā ana ki ngā kōpuku toto te mea e mōhiohia ana, ka ngāwari ake te hanga i te wā e matotoru ana tō toto i te tikanga. Ka taea e ēnei kōpuku te haere ki ngā okana nui, ka puta mai ngā raruraru e mōrearea ana ki te ora pēnei i te whakaeke ngākau, te whiu, te pulmonary embolisms rānei (ngā kōpuku i ō pūkahukahu).

Ētahi atu raruraru ka puta mai i te wā roa ko:

• Ngā pūhui toto: Te piki ake o te tūponotanga o ngā pūhui i roto i ngā uaua me ngā ārai toto puta noa i tō tinana
• Ngā raruraru o te ngākau: Ka kaha ake tō ngākau ki te pōpō i te toto matotoru, ka puta pea te korenga o te ngākau
• Whēkau: Ka taea e ngā pūhui toto te aukati i te rere o te toto ki tō roro
• Ngā mate toto: He rerekē, ka whanake ētahi tāngata i ngā raruraru toto ahakoa te toto matotoru
• Te whānuitanga o te pūkahukahu: Ka whānui pea tō pūkahukahu i a ia e mahi ana ki te tātari i te toto matotoru

Ko te rongo pai ko te rongoā tika me te aroturuki, ka taea te ārai i te nuinga o ēnei raruraru. Ka mahi tō tākuta ki a koe kia noho te tatauranga o ō pūtau toto whero i roto i te awhe hauora me te aroturuki i ngā tohu o ngā raruraru.

He pai, he kino rānei te tatauranga tiketike o ngā pūtau toto whero mō te hauora whānui?

Ko te tatauranga tiketike o ngā pūtau toto whero kāore i te pai mō tō hauora whānui, ahakoa te ahua nei he pai te whai i ngā pūtau kawe hāora. Ko te raruraru ko te wā e nui rawa ana ō pūtau toto whero, ka matotoru tō toto, ā, kāore e rere pai ana i roto i tō pūnaha tohanga.

Ahakoa he mea nui ngā pūtau toto whero mō te kawe hāora ki ō kiko, ko te nui rawa ka hanga he tāwāhi i roto i ō uaua toto. Ka kaha tēnei i tō ngākau ki te pōpō i te toto puta noa i tō tinana, ā, ka piki ake tō tūponotanga ki te whanake i ngā pūhui toto ka puta he raruraru nui.

He mea nui ki te mārama i ētahi wā ka piki ake te tinana i te hanga o ngā pūtau toto whero mō ngā take pai, pēnei i te wā e noho ana koe i ngā wāhi tiketike, i te whai rānei i tētahi āhuatanga e whakaiti ana i ngā taumata hāora. I ēnei wā, ko te tatauranga tiketike te urupare tūturu o tō tinana ki te whakarite i te tuku hāora tika.

Ko te mea nui ko te kimi i te taurite tika me te aro ki nga take e huna ana e peia ana to tatauranga kia tiketike rawa. Ma te rongoa tika, ka taea e te nuinga o nga tangata he nui te tatauranga toto whero te whakahaere i to ratau ahuatanga me te pupuri i te hauora pai.

He aha e pohehe ai te Tatauranga Toto Whero Nui?

Ka pohehe pea te tatauranga toto whero nui mo etahi atu ahuatanga na te mea he maha nga tohu kaore i te marama, ka taupokina ki nga raruraru hauora noa. Koinei te take he mea nui te whakamatautau toto tika mo te tātaritanga tika.

Ko te ngenge me te ngoikore e hono ana ki te tatauranga toto whero nui ka pohehe pinepine mo te anemia, koinei te ahuatanga rereke kei a koe he iti rawa nga toto whero. Ka taea e nga ahuatanga e rua te ngenge, engari e hiahia ana ratou ki nga rongoa rereke.

Ko etahi atu ahuatanga e rite ana nga tohu ko:

• Te pouri: Ka taea e nga mea e rua te ngenge tonu me te kore kaha
• Nga raruraru moe: Ka taea e te moe kino te whai i te ngenge mai i te tatauranga toto whero nui
• Nga raruraru thyroid: Ka taea e te thyroid kaha rawa me te kore kaha te ngenge me nga take tohanga
• Te mate ngakau: He poto te manawa me te ngenge he mea noa i roto i nga ahuatanga e rua
• Te mate ngenge mau tonu: He rite tonu te ngenge

I etahi wa, ko nga mea rangitahi penei i te matewai mai i te mate, i te korikori kaha ranei, ka piki ake to tatauranga toto whero i te wa e noa ana. Koinei te take ka hiahia pea to taakuta ki te whakahoki ano i nga whakamatautau toto, ki te tirotiro ranei i to mana wai i mua i te tātaritanga.

Nga Pātai e Pātai pinepine ana mo te Tatauranga Toto Whero Nui

Q1: E hia te roa ka hoki te tatauranga toto whero nui ki te noa?

E hia te wā e roa ai te hoki mai o te tatauranga pūtau toto whero ki te noa, kei runga i te take i piki ai, me te āhua o te rongoā. Mēnā nā te kore wai te take, ka hoki pea ō tatauranga ki te noa i roto i ngā rā torutoru i muri i te inu wai tika. Mō ngā pikinga e pā ana ki te teitei, e 2-4 wiki te roa i muri i te hokinga ki te taumata moana.

I te rongoā i ngā āhuatanga e huna ana, pēnei i te moe moeā, i te mate ngākau rānei, ka roa pea te wiki ki te marama ka kite i te whakapai ake i tō tatauranga pūtau toto whero. Mēnā e hiahia ana koe ki ngā rongoā phlebotomy, ka kite pea koe i te whakapai ake tonu, engari he mea tika te whakahaere tonu.

Q2: Ka pā te kai ki taku tatauranga pūtau toto whero?

Ahakoa kāore te kai e pā tika ana ki te tatauranga pūtau toto whero tiketike, ka pā ētahi āhuatanga kai ki tō āhua. He mea nui te noho wai mā te inu nui i te wai, nā te mea ka nui ake te kukume o tō toto i te kore wai, ka kino ake te raruraru.

E kite ana ētahi tāngata he āwhina te karo i te waipiro, nā te mea ka whai wāhi te waipiro ki te kore wai. Kāore he kai motuhake hei rongoā i te tatauranga pūtau toto whero tiketike, engari ko te pupuri i te kai pai e tautoko ana i te kaha o tō tinana ki te whakautu ki te rongoā.

Q3: He tūāpapa te tatauranga pūtau toto whero tiketike?

Ko ētahi take o te tatauranga pūtau toto whero tiketike he tūāpapa, ina koa ko te polycythemia vera, he āhua ira e pā ana ki te mahi o te wheua wheua. Heoi, ko te nuinga o ngā take o te tatauranga pūtau toto whero tiketike kāore i te riro tika mai i ō mātua.

Mēnā he hītori whānau tōu mō ngā mate toto, mō te polycythemia vera rānei, tērā pea he iti ake te tūponotanga ki te whakawhanake i ngā āhuatanga rite. Ka taea e tō tākuta te kōrero mō te whakamātautau ira mēnā he māharahara mō ngā āhuatanga tūāpapa i tō keehi motuhake.

Q4: Ka taea e te ahotea te pūtake o te tatauranga pūtau toto whero tiketike?

Kāore te pēhanga i te pā tika ki te nui o ngā pūtau toto whero, engari ka taea e te pēhanga mau tonu te whai wāhi ki ngā whanonga me ngā āhuatanga ka pā ki ō tatauranga toto. Hei tauira, ka puta pea te pēhanga ki te kai paipa, te moe kino, te kore wai rānei, ā, ka pā ēnei katoa ki te hanga pūtau toto whero.

I tua atu, ka taea e te pēhanga te whakapōrearea i ngā āhuatanga o raro pēnei i te moe moe, i ngā raruraru ngākau rānei, ka pā tika ki ō tatauranga pūtau toto whero. Ko te whakahaere i te pēhanga mā ngā tikanga whakangā, te whakakori tinana, me te moe tika ka tautoko i tō hauora whānui me te rongoā.

Q5: Me karo au i te whakakori tinana mēnā he nui taku tatauranga pūtau toto whero?

Kāore koe e tika ana kia karo katoa i te whakakori tinana, engari me kōrero koe i tō taumata mahi ki tō tākuta, ina koa he nui rawa te pikinga o tō tatauranga pūtau toto whero. Ka taea e te whakakori tinana māmā, ngawari rānei te whakapai ake i te tohanga toto, ā, he pai pea mō tō hauora whānui.

Heoi anō, me karo koe i te whakakori tinana kaha, roa rānei ka pōhēhē ai te pūnaha ngākau, tae noa ki te whakahaere tika i tō āhuatanga. Ka taea e tō tākuta te āwhina i a koe ki te whakatau i te taumata mahi e haumaru ana, e tika ana mō tō āhuatanga motuhake.