Kua kite koe i te maroke tonu o tō waha, he pōuriuri ō kanohi, he maroke tonu rānei tō puku nā ētahi rongoā e tangohia ana e koe? Tērā pea kei te whakaaro koe he take kē tēnei nā tō mate. Heoi, ko te take pea o tēnei he rongoā kei te tangohia e koe, kāore i te mōhiotia, he āhuatanga anticholinergic. Kaua e manukanuka, he mea tino noa tēnei. I tēnei rā, ka kōrerohia tēnei e tātou i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha tonu ēnei rongoā anticholinergic?
Tērā pea he ahua uaua tēnei ingoa. Engari he tino māmā te kōrero. He whatunga whakamiharo te pūnaha io o tō tātou tinana. Koinei te mea e whakahaere ana i ngā mea katoa mai i ō tātou whakaaro, nekehanga, manawa, me te manawa o te ngākau. He "karere" kei roto i tēnei pūnaha io hei kawe karere ki mua, ki muri. Pērā i te hunga e tuku reta ana i roto i te tari poutapeta. Ka karangatia ēnei karere e tātou ko "(Neurotransmitters)".
Ko tētahi o ngā kaikawe kōrero tino nui ko te acetylcholine .
Nā, kia tirohia tātou te mahi matua a tēnei 'Acetylcholine'. E rua ngā wāhanga matua o tō tātou pūnaha io motuhake.
1. Pūnaha aroha: Koinei tā tātou pūnaha "whawhai-ā-rere" tēnei. He māmā noa iho, ka whakarite tēnei pūnaha i a tātou ki te tūtaki ki tētahi āhuatanga ohorere, wehi, mōrearea rānei. He rite ki te whakateretere i roto i te motuka. Ina whakahohea, ka tere ake te pao o tō tātou ngākau, ka whānui ō tātou kanohi, ā, ka werawera tātou.
2. Pūnaha Parasympathetic: Koinei tā tātou pūnaha "okiokinga-me-te-nakunaku". Ko te tikanga o tēnei, ka āwhina tēnei pūnaha i te tinana ki te marino, ki te nakunaku i te kai, me te wātea. He rite ki ngā parai o te motuka. Ko tā tātou karere e kiia nei ko te 'Acetylcholine' e mahi nui ana i roto i tēnei pūnaha.
Āe, kua mārama kē koe ki te papamuri o te kōrero, tika? Ka mahi ngā rongoā ārai-kōriniki mā te whakararuraru i te mahi a taua karere e kiia nei ko te 'Acetylcholine'. Ko te tikanga, ina haere taua karere ki te wāhi e tika ana kia tukuna tana karere, ka āraia taua wāhi (kaiwhakawhiwhi). Kātahi ka iti haere te mahi a taua pūnaha "whakamarie" (Parasympathetic).
Ki te kī māmā noa, ka aukatihia e ngā rongoā anticholinergic te mahi a te karere e whakahaere ana i ngā tukanga whakangā me te marino i roto i tō tātou tinana.
He aha ngā momo mate e whakamahia ana tēnei rongoā?
Neke atu i te 600 ngā rongoā he āhuatanga ārai-kōriniki. Ko ētahi rongoā he mea hanga hei whakamahi i tēnei āhuatanga ārai-kōriniki hei rongoā i ngā mate. Ko ētahi rongoā he pānga taha tēnei.
I roto i te ripanga i raro nei, me titiro tātou ki ētahi momo rongoā e whakamahi ana i tēnei āhuatanga ārai-kōriniki hei rongoā i ngā mate.
| Ingoa o te rongoā (tauira) | Ngā tauira whakamahinga me te whakamārama māmā |
|---|---|
| Atoropine | He rongoā tēnei e whakamahia whānuitia ana i roto i te Tari Whawhati Tata (ETU). Ka whakamahia hei rongoā i te bradycardia ina puhoi rawa te tere o te manawa, hei rongoā hoki mō te paihana mai i ētahi patupatu. Mēnā ka paihanatia, ka whakapā atu tō tākuta ki te National Poisons Information Center i te Hōhipera ā-Motu mō ētahi atu tohutohu. |
| Ipratropium / Tiotropium | Ka kitea ēnei i roto i ngā inhaler e hoatu ana ki te hunga whai mate manawa pēnei i te mate huango me te COPD. Ka āwhina ēnei rongoā ki te whakawhānui i ngā ara manawa me te whakangāwari i te manawa. |
| Oxybutynin / Solifenacin | Ka hoatu ēnei hei rongoā mō te kore e taea te pupuri i te mimi, he āhuatanga e hiahia ana koe ki te mimi pinepine, ā, he uaua ki te whakahaere i te rere o te mimi. Ka mahi ēnei rongoā mā te whakaiti i te whakahekenga o ngā uaua i roto i te pūkahukahu. |
| Scopolamine | Ka whakamahia ēnei hei rongoā i te ruaki me te whakapairuaki i puta mai i te haere i runga pahi me ngā kaipuke (mate nekeneke). I ētahi wā ka puta mai i te āhua o te pākete. |
| Benztropine / Trihexyphenidyl | Ka āwhina tēnei rongoā ki te whakahaere i ngā tohumate pēnei i te wiri i puta mai i te mate a Parkinson. |
| Diphenhydramine | He maha ngā rongoā e whakamahia ana mō ngā mate pāwera (hei tauira, te piritan) kei roto ēnei. Ko tēnei āhuatanga ārai-kōriniki te take matua e hiamoe ai koe, e maroke ai hoki te waha ina tangohia ēnei. |
Ngā rongoā he pānga taha tēnei
Ahakoa he rerekē te mahi matua a ētahi rongoā, he pānga taha anō hoki tō rātou hei ārai i te horomanga o te ngākau.
- Ko ētahi rongoā tawhito e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te pouri (Ngā rongoā ārai pouri tricyclic). Ka hoatu ētahi rongoā ('ngā rongoā ārai hinengaro') mō ngā mate hinengaro kino pērā i te schizophrenia .
- He maha ngā rongoā mō ngā mate pāwera ('Antihistamine').
He aha ngā pānga taha o ngā rongoā anticholinergic?
Kua mārama pea koe ināianei he aha i maroke ai te waha me te pōuriuri ai te tirohanga i roto i ēnei rongoā. Ina whakaitihia e tātou te mahi a taua pūnaha "whakamarie", ka pāngia te nuinga o ngā mea e whakahaerehia ana e taua pūnaha.
He whakataukī Pākehā tēnei e whakamahia ana e ngā tākuta hei maumahara ki ēnei pānga taha. "Wera rite ki te rāpeti, matapo rite ki te pekapeka, maroke rite ki te wheua, whero rite ki te pīti, porangi rite ki te kaiwhakahā". Ko tōna tikanga "Wera rite ki te rāpeti, matapo rite ki te pekapeka, maroke rite ki te wheua, whero rite ki te pīti, porangi rite ki te kaiwhakahā" . Mā tēnei ka māmā ake te maumahara ki ngā pānga taha matua.
Kia tirohia ngāwaritia ēnei pānga taha me ō rātou pūtake i te ripanga i raro nei.
| Pānga taha | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Waha maroke me ngā kanohi | Mā te pūnaha "marie" ka whakaoho te whakaputanga o te huware me ngā roimata. Ina iti ake te mahi, ka iti ake hoki te whakaputanga o te huware me ngā roimata. |
| Te tirohanga pōuri | Ka pāngia ngā uaua e whakarerekē ana i te rahi o te kamo, ā, ka uaua te kite tata atu. Ka nui haere ngā kamo (ka whānui haere ngā kamo). |
| Te uaua ki te mimi (Te pupuri mimi) | I te mea ka iti ake te ngāwari o ngā uaua o te pūhā, ka uaua ki te whakakore katoa i te pūhā. |
| Te kōroke | Ka puhoi haere te nekehanga o te puku e pā ana ki te tukanga nakunaku. |
| Te tere o te manawa (Tachycardia) | Ka piki ake te tere o te manawa i runga ake i ngā taumata noa nā te mea kua ngoikore te "pēki" e whakahaere ana i te manawa. |
| Pōhēhētanga / Te āhua hinengaro kua rerekē | He mea nui anō hoki te acetylcholine mō te mahara me ngā tukanga whakaaro i roto i te roro. Ina whakararuraruhia, inā koa mō te hunga kaumātua, ka arahi pea ki te pōhēhētanga. |
| Te wera nui me te kiri whero | He huarahi te werawera mā te tinana ki te whakahaere i te pāmahana. Ka taea e ēnei rongoā te whakaiti i te werawera, ka piki ake ai te pāmahana o te tinana. |
Kia pēhea te wā e hiahia ana koe ki te toro atu ki te tākuta?
Mena kua tohua he rongoā anticholinergic ki a koe, he nui ake ngā painga o te tango i tēnei rongoā i ngā pānga taha. Heoi, ki te pāngia koe e tētahi o ēnei e whai ake nei, me kōrero ki tō tākuta.
- Ki te kore tō mate e pai ake i te rongoā.
- Mena he uaua ki a koe te tango i te rongoā e ai ki te tohutohu a te tākuta (hei tauira, mena he uaua ki a koe nā ngā pānga taha).
- Mena he nui rawa ngā pānga taha o te rongoā ka whakararuraru i ō mahi o ia rā (te haere ki te mahi, te taraiwa, te ako).
Whakaarohia, he mate huango tōu, ā, mā te inhaler ka māmā ake te manawa, engari he tino maroke tō waha. He uaua rānei ki a koe te whakahaere i tō mimi, ā, nā te rongoā ka pōuriuri tō tirohanga. I roto i tēnei āhuatanga, ina kōrero koe ki tō tākuta, ka taea e ia te whakarerekē i te horopeta o te rongoā, te tohu rānei i tētahi atu rongoā e puta ai ngā hua ōrite.
Ko te mea nui, ki te pā mai he raruraru ki a koe, kaua e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta. Me kōrero tonu ki tō tākuta, me te whai i āna tohutohu.
Karere Tangohia ki te Kāinga
- Ko te mahi a ngā rongoā ārai-kōriniki mā te aukati i te mahi a te karere matū (Acetylcholine) e mahi ana i roto i te pūnaha "whakamarie" o tō tātou tinana.
- E whakamahia ana tēnei rongoā hei rongoā mō ētahi mate, pērā i te huango, te mate a Parkinson, me te kore e taea te pupuri i te mimi.
- Kei ētahi rongoā mō ngā mate pāwera me te pouri tēnei āhuatanga anticholinergic hei pānga taha.
- Ko ngā pānga taha noa ko te waha maroke, te tirohanga pōuri, te puku pouri, te tere o te pao o te ngakau, me te pōhēhē.
- Ki te mea kei te āwangawanga koe mō ngā pānga taha o tētahi rongoā e tangohia ana e koe, kaua e wehi ki te kōrero mō taua mea, kaua hoki e whakatau i a koe anō, engari me kōrero ki tō tākuta.
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