Ka āwangawanga anō hoki koe ina kite koe i te toto iti ina tuwha koe ki roto i te totohu i a koe e parai ana i ō niho? Kāore rānei he take e toto ana ō kapia i ētahi wā? Inaa, he tokomaha te iwi o tō tātou whenua kāore e whakaaro he mea nui tēnei. E whakaaro ana rātou, "He mea noa" ā, kāore e arohia. Heoi, i ētahi wā, he tohu nui te toto o ngā kapia e whakaatu mai ana i tētahi atu raruraru nui i roto i tō tātou tinana. Nō reira, i tēnei rā ka mōhio tātou ki tēnei, arā, ko te 'Toto o ngā Kapia'.
He aha i toto ai ō tātou kapia? He aha ngā take?
Ehara i te mea kotahi anake te take o te toto o ngā kapia, engari he maha ngā take. Ko te nuinga o tēnei mate ka puta mai i ngā raruraru hauora o te waha, engari ka taea hoki e ētahi atu mate hauora o te tinana te puta. Me wehewehe mārama ēnei take.
| Ngā take matua o te toto o ngā kapia | |
|---|---|
| 1. Ngā take e pā ana ki te hauora o ngā niho me te waha | |
| Te akuaku waha ngoikore | Ki te kore koe e parai tika i ō niho, ka piri te kai i waenganui i ō niho, ā, ka puta he kiriuhi kitakita (pēra) ki te rārangi kapia. Koinei te tino take o te mate kapia. |
| Te mate pūkahukahu | Koinei te wāhanga tuatahi o te mate kapia. Ko ngā tohu matua ko te whero, te pupuhi o ngā kapia e toto ana i te wā e parai ana ō niho. |
| Periodontitis (te whakangaromanga o ngā kiko e karapoti ana i ngā niho) | Ki te kore e rongoatia, ka taea e te mate kapia te whanake hei mate kino, ka whakangaromia te wheua me te kiko e karapoti ana i ngā niho, ā, ka tīmata te wetekina o ngā niho. |
| Te momi hikareti | Ka whakaitihia e te kai paipa te rere o te toto ki ngā kapia, ka nui ake ai te mōrearea o te mate kapia. |
| 2. Ngā take e pā ana ki ētahi atu āhuatanga hauora o te tinana | |
| Mate Huka (Diabetes Mellitus) | Ka whakaitihia e te mate huka te kaha o te tinana ki te whawhai ki ngā mate pāwera, ka nui ake te pāngia e te mate kapia. |
| Ngā huringa homoni | Ka nui ake te māuiui me te toto o ngā kapia nā ngā huringa homoni, inā koa i te wā o te pakeketanga, te hapūtanga, me te wā menopause. |
| Ngā ngoikoretanga o te huaora | Ka pā tika te korenga o te huaora C me te huaora K ki ngā kapia toto. |
| Ngā rongoā ārai toto | Ka taea hoki e ngā rongoā anticoagulant, arā, ngā rongoā whakangawari toto e whakamahia ana mō ngā āhuatanga pēnei i te mate ngakau, te whakanui ake i te mōrearea o te toto. |
| Ngā mate e pā ana ki te toto | Ngā mate e pā ana ki te toto totoka, pērā i te hemophilia me te thrombocytopenia. |
| Leukemia | He mate pukupuku tēnei o ngā pūtau toto, ko tētahi o ngā tohu pea ko te toto o ngā kapia. |
He aha ētahi huarahi hei whakahaere i tēnei āhuatanga i te kāinga?
He iti noa ngā mea ngāwari ka taea e koe te mahi i te kāinga hei āwhina i te whakaiti i te toto o ngā kapia. Engari kia maumahara, ki te neke atu i te rua wiki te toto e rere ana ahakoa ēnei mahi, me toro atu koe ki te tākuta.
- Paraia ō niho kia tino pai, kia rua ngā wā i te rā: I te ata, ā, i mua i te moe i te pō, paraia ō niho mō te iti rawa kia rua meneti ki te whakamahi i te paraihe niho kei roto he fluoride.
- Whakamahia he paraihe niho he huruhuru ngohengohe: Ka taea e ngā paraihe he huruhuru mārō te kino i ō kapia, nō reira whiriwhiria tonutia he paraihe niho he huruhuru ngohengohe.
- Mirohia ngā niho i ia rā: Ko te mirohia ngā niho te huarahi pai rawa atu ki te tango i ngā matūriki kai e piri ana i waenga i ngā niho e kore e taea e te paraihe niho te toro atu.
- Horoia tō waha ki te wai tote māhana: Whakarewahia te hawhe tīpune tote ki roto i te karāhe wai ka horoi i tō waha ki taua wai e rua, e toru rānei ngā wā i te rā hei whakahaere i te pupuhi o ngā kapia me ngā mate.
- Kaua e kai paipa rawa: Ki te mea he kai paipa koe, he āwhina nui te whakamutu i te kai paipa mō tō hauora waha me tō hauora whānui.
- Kai i tētahi kai taurite: Kai i ngā kai he nui te huaora C (ārani, rēmana, kuawa) me te huaora K (huawhenua matomato pērā i te pīnihi me te kāreti).
Ka aha mēnā ka warewarehia tēnei e tātou?
Koinei te mea nui rawa atu me mārama tātou katoa. Ki te kore e arohia te toto o ngā kapia hei take iti noa iho, ka kino haere pea te āhua mena he mate kapia te take.
I roto i te wā, ka taea e te mate niho (periodontitis) te whakangaro i te wheua me te kiko e karapoti ana i ngā niho, ka wetekina ngā niho, ā, ka taka takitahi. Ka taea hoki e ia te whakaputa i te manawa kino.
Whakaarohia mēnā ko te take o tō toto kapia he mate hauora kē atu, pērā i te mate huka? Ki te kore koe e aro ki tēnei tohu, ka kino haere te mate taketake. Nō reira kaua rawa e aro ki tēnei.
Āhea tātou me tino kite i te tākuta?
I te nuinga o te wā, ki te whakarerekē koe i ō tikanga parai niho, pērā i te parai i ō niho kia kaha ake, tera pea ka pāngia koe e te toto i ētahi wā. Engari ka mutu i roto i te rā kotahi, e rua rānei. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me toro atu ki te taote niho, ki tō tākuta whānau rānei i taua wā tonu .
- Mena ka toto tonu ō kapia, kāore he take.
- Ki te kore te toto e mutu mō ngā wiki e rua neke atu i muri i tō whakamātau i te tiaki kāinga.
- Mena he whero rawa ngā kapia, he pupuhi, he mamae hoki.
- Mena he haunga kino e puta mai ana i te waha.
- Ki te mea kei te neke haere ō niho.
- Mena kei a koe ētahi atu tohu pēnei i te ngenge me te kirika pinepine me te toto o ngā kapia.
- Kia maumahara ki tēnei: Ki te pāngia koe e te toto nui, kāore e taea te aukati, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Ka tirotirohia koe e tō tākuta ina hiahiatia kia mōhio ai mēnā he mate kapia te take, he raruraru hauora rānei. Mēnā e tika ana, ka tukuna koe e ia ki ngā whakamātautau toto, ā, ka hoatu he maimoatanga tika mō te take.
Karere Tangohia ki te Kāinga
- Ko te toto o ngā kapia te tohu tuatahi me te tohu nui o te mate kapia (gingivitis).
- Ka taea te whakahaere me te ārai i tēnei mā te parai pai i ō niho, te miro niho i ia rā, me te karo i te momi hikareti.
- He tohu anō hoki tēnei nō tētahi atu raruraru hauora nui, pērā i te mate huka, te korenga o ngā huaora, ngā mate toto rānei.
- Ki te kore e pai ake tō āhua i roto i ngā wiki e rua e te tiaki kāinga, me toro atu koe ki tō tākuta niho, ki tō tākuta whānau rānei.
- Kaua e warewaretia tēnei he mea "noa". He mea tino nui kia whiwhi maimoatanga tō hauora i mua i te huri hei mate kino.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He rongoā tino motuhake ngā papa Bosentan (Bosentan / Tracleer) e hoatu ana mō tēhea mate?
Ehara tēnei i te rongoā noa! He rongoā Endothelin Receptor Antagonist tino angitu tēnei i te ao, e āhei ai koe ki te whakangāwari i ngā oko toto i roto i ngā pukahukahu (Pulmonary Arterial Hypertension (PAH), he mate whakamate e whaiti/pakari ai ngā oko toto e haere ana mai i te ngākau ki ngā pukahukahu, ā, ka tino teitei te toto toto i roto i aua uaua, ka pakaru, ka ngoikore ngā pukahukahu me te ngākau!
💬 Ina āraia ngā oko toto e anga atu ana ki ngā pukahukahu, ā, kua tata koe te mate, me pēhea e whakangāwari ai aua oko toto mā te tango i ēnei pire (Bosentan)?
Ka whakahaua ngā oko toto i roto i ngā pukahukahu kia whakawhāitihia e tētahi matū kaha i roto i tō tātou tinana e kiia nei ko te 'Endothelin-1'! He nui tēnei kei ngā tūroro PAH. Ina uru atu tēnei pire ki roto i te toto, ka āraihia e ia te 100% o te tūponotanga kia piri/pēhi i te pātene i runga i ngā kaiwhakawhiwhi (ngā kaiwhakawhiwhi ETA me ETB) i roto i ngā oko toto, ā, ka kati i a rātou. Nā te mea kāore te karere e tae atu ana, ka tino wetekina ngā oko toto (Vasodilation), ā, ka taea e te toto te rere ki ngā pukahukahu i te pēhanga noa.
💬 He aha ngā pānga taha ka mate pea (Ngā Whakatūpato Pouaka Pango) me mōhio te hunga e tango ana i tēnei rongoā (Bosentan)?
Ko te mōrearea nui rawa atu ko te mea kāore e whakaaetia ana tēnei inu mō ngā 'whaea hapū'! Mēnā ka whānau mai he tamaiti i te wā e inu ana i tēnei inu, ka tino pēhia te āhua o te tamaiti (he nui ngā hapa whānau) ā, ka mate i roto! Waihoki, ka taea e tēnei te 'kino 100% i te ate (Hepatotoxicity),' nō reira he mea nui kia whakamātauria ngā whākōkī ate i ia marama.
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