He maha ngā wā ka ngenge koe, ka raru koe i ngā raruraru nakunaku tonu, ka pāngia rānei koe e te mate korere kāore i te whakamāramatia? Kei te kite koe i ngā huringa kiri rerekē, kei te raru rānei koe i ngā hapa mahara? Ahakoa ka taea te hono atu i ēnei tohu ki ngā āhuatanga rerekē, ka tohu pea ēnei tohu katoa ki tētahi āwangawanga hauora motuhake, e warewarehia ana. I tēnei rā, e kōrero ana tātou mō tētahi āhuatanga e mōhiotia ana ko Pellagra .
He aha te Pellagra?
He kupu ngāwari noa iho, ko te Pellagra he mate e puta mai ana i te korenga o te Niacin e kainga ana, e mōhiotia ana ko te Huaora B3 . He momo mate kai koretake tēnei—he korenga matūkai iti rawa. Me hiahia te Niacin ki tō tinana mō te mahi pai o ngā pūtau. Ina heke ngā taumata, ka pā te pānga ki tō pūnaha katoa, inā koa ki te kiri, te waha, te ara nakunaku, me te roro. Ki te kore he wawaotanga hauora tika, ka taea e te Pellagra te arahi ki te kino pumau o ngā io, ā, i ngā wā kino rawa atu, ka mate pea.
Tērā pea koe e whakaaro ana mēnā ka pā tēnei ki te katoa. Ko te tikanga, ko te hunga e kai ana i te kai taurite ka whiwhi i te Niacin e tika ana. Ko te Pellagra tuatahi—nā te korenga o te kai e kainga ana—ka kitea nuitia i ngā rohe kāore e ranea te kai. Heoi, i ngā rohe whakawhanake, tae atu ki a Sri Lanka, he maha ngā wā ka puta te korenga o te Niacin mai i ngā take tuarua. Ko te tikanga o tēnei ko ētahi atu mate hauora, matū rānei kei te aukati i tō tinana ki te mimiti, ki te whakamahi rānei i te Niacin e kainga ana e koe.
He aha te Niacin, ā, he aha koe i hiahia ai?
Whakaarohia te Niacin hei tāpiri wahie e whakarite ana kia pai te oma o te "mīhini" o tō tinana. Pērā i te hiahia o te mīhini ki te wahie kua whakapaia kia mahi ai, me hiahia tō tinana ki te Niacin hei tukatuka i ngā kaora e kainga ana e koe hei pūngao whai hua.
Kia mimitia mā roto i tō whekau iti, ka hurihia te Niacin hei coenzyme nui e kiia nei ko te Nicotinamide Adenine Dinucleotide (NAD) . Neke atu i te 400 ngā whākōkī e tautokohia ana e te NAD i roto i tō tinana. He mea nui te NAD mō te whakaputa i te pūngao pūtau e mōhiotia nei ko te Adenosine Triphosphate (ATP) . Haunga te whakaputa pūngao, he mea nui te NAD mō te whakatika i te DNA me te whakawhitiwhiti kōrero pūtau.
He aha ngā pānga o te korenga o te niacin ki tō tinana?
Nā te mea he mea nui te NAD mō te pūngao pūtau, ka pā te ngoikore ki ngā pūnaha e hiahiatia ana he pūngao nui, he tere rānei te hurihanga o ngā pūtau: tō kiri, te arai o tō ara kai, me tō roro. He maha ngā tākuta e whakaahua ana i ngā tohu matua o Pellagra ko ngā "3 D": Korere, Kirikiri, me te Mate wareware. Ka tāpirihia e ētahi he "D" tuawhā: Te Mate . Ki te kore e rongoatia mō ngā wā roa, ka mate pea te hua.
1. Korere (Mucositis Gastrointestinal)
Ka puta te mate korere ina kore e taea e te arai tiaki o tō arai nakunaku te hanga hou. Ki te kore tēnei arai tiaki, ka uaua tō puku ki te nakunaku i te kai me te tiaki i a ia anō mai i te mate me te whara. Ka hua ake tēnei i te mumura mau tonu puta noa i te arai nakunaku, ka puta mai i te mamae o te puku, te koretake o te kai, te mate waha, me te arero pupuhi, whero.
2. Te kiri māuiui (Te aro ki te kiri)
Ka puta he mate kiri motuhake nā te Pellagra, inā koa i ngā wāhi e pāngia ana e te rā pērā i te mata, te kaki, ngā ringaringa, me ngā waewae. Ki te kore e ranea te kaha pūtau, ka tino pāngia ngā pūtau kiri e te mārama UV. I te tīmatanga, ka whero pea te kiri, ka werawera, ā, ka mutu ka taratara, ka unahi, ka puta he papaka whero-pango (ngā wāhi pouri) . Ko tētahi tohu matua he whitiki matotoru, pōuriuri huri noa i te kaki e mōhiotia ana ko te "kara o Casal," i tapaina i muri i te rata a Don Gaspar Casal, nāna i tautuhi tuatahi te mate i te tau 1735.
3. Te Mate wareware (Te pakaru o te roro me te io)
Nā te mea ka pā te Pellagra ki te whakaputa pūngao i roto i ia pūtau, ka pā ki te roro me te pūnaha io i te mutunga. Ka ngawari pea ngā tohu tōmua, pērā i te ngenge tonu, te kore aro (te koretake), te uaua rānei ki te arotahi. Tērā pea ka pāngia koe e te manukanuka, te pouri rānei.I roto i te wā, ka piki ake ēnei tohu ki te pōhēhētanga me te whakaaro pohehe. I ngā wā tino kino, ka puta te mate wareware tuturu, me ngā ngoikoretanga o te pūnaha io pērā i te kore taurite, te kore haere, te mamae o te uaua, me te wiri.
Kei hea te nuinga o te wā e kitea ai a Pellagra?
I ngā wā o mua, i kitea te Pellagra i waenga i ngā taupori he iti noa ā rātou kai, inā koa ko te hunga e whakawhirinaki nui ana ki te kānga (kānga) hei kai matua, kāore e uru atu ki ngā tāpiringa whai pūmua. Ahakoa kei roto i te kānga te Niacin, kei roto i te āhua "herea" e kore e taea e te tinana tangata te mimiti.
I Amerika Waenganui me Amerika ki te Tonga, ko ngā tikanga tuku iho mō te tukatuka kānga hei tōtīra ko te ruku i te witi ki te wai raima. Mā tēnei tukanga ka tukuna te Niacin kua herea, kia wātea ai ki te tinana. Nō reira, he onge te kitea o te Pellagra ( Pellagra ) i aua rohe.
I ēnei rā, nā te whakanui ake i ngā kai matua pērā i te paraoa me te raihi kua tino whakaitihia te Pellagra tuatahi i ngā wāhi maha o te ao. Heoi, ahakoa he onge, me tūpato tonu tātou ki ngā take tuarua o Pellagra. Ki te whakaaro koe kei a koe ēnei tohu, whakapā atu ki tō hōhipera tata, ki ngā ratonga ohorere rānei.
He aha ngā tohu o te Pellagra?
Anei ngā tohu noa ka kitea pea e koe me Pellagra:
- He mate korere pumau , ka puta he toto i ētahi wā.
- Te mamae o te puku me te koretake o te kai .
- Te kore hiahia kai , te whakapairuaki , me te ruaki .
- Kiri mākūkū, kiri pōrearea rānei.
- He mate waha me te arero whero kanapa, pupuhi.
- Te ngenge nui, te ngoikore, me te āhua kino whānui.
- Ngā huringa wairua me te pouri.
- Ngā tohumate pūnaha io – hei tauira, te wiri o ngā peka, te ngoikore rānei o te ringa.
- Te pōrangi me ngā tohu o te mate wareware.
He aha ngā take o te Pellagra?
Ko te tino take ko te kai kāore i te rawaka te niacin (Huaora B3). Ahakoa ka whiwhi tātou i te niacin mai i ngā momo kai, ko te hunga kāore e uru atu ki ngā kai totika ka ngoikore pea.
Hei tāpiritanga, ka pāngia pea koe e te pellagra nā ētahi atu take . Ko te tikanga kāore e taea e tō tinana te mimiti, te whakamahi rānei i te niacin tika nā tētahi mate hauora kei raro. Ko ētahi tauira ko:
- Ngā mate o te puku e hua ai te koretake o te ngongo – pērā i te mate mumura o te puku (IBD) me te cirrhosis ate.
- Te mate whakamahi waipiro: Ka kino ngā whekau pēnei i te ate i te nui o te inu waipiro, ka whakararu i te mimiti o ngā matūkai nui pēnei i te niacin, ā, ka arahi atu ki te kore kai pai.
- Pokanga karo puku: Whai muri i te pokanga, ka taea e te kino o te arai whekau te whakararuraru i te mimiti o ngā matūkai nui, tae atu ki te niacin.
- Te mate toto kore rino: Me hiahia te tinana ki te rino hei huri me te whakamahi i te niacin.
- Mate Hartnup: He āhuatanga ira e uaua ai te tinana ki te mimiti i ētahi waikawa amino e tika ana mō te whakaputa huaora.
- Te mate Carcinoid:Ka taea e ētahi pūtau pukupuku te whakaiti i te hanga niacin e te tinana.
- Ngā rongoā motuhake: Ko ētahi rongoā ārai-spasm me ngā rongoā chemotherapy ka whakararuraru pea i te pākia o te niacin.
- Mate HIV: Ka taea e te HIV te whakaiti i ngā taumata niacin i roto i te tinana.
Me pēhea te tautuhi i te Pellagra?
Ina toro atu koe ki te tākuta, ka tirotirohia koe e rātou, ka arotakehia ō tohumate, ō hītori hauora, me ō tikanga kai. Mena kei te whakapae tō tākuta kei a koe te pellagra, ka tonoa pea e rātou he whakamātautau mimi hei ine i ngā taumata matū motuhake, hei āwhina i te whakatau mena kei te whiwhi koe i te nui o te niacin i roto i tō tinana. Ka tohua pea e tō tākuta he tāpiringa niacin hei tirotiro mena kei te pai ake ō tohumate; ko tēnei whakamātautau rongoā tētahi atu huarahi tātaritanga e whakamahia ana i Nirogi Lanka me ētahi atu whare hauora.
He aha ngā maimoatanga mō te Pellagra?
Nā te korenga o te niacin (Huaora B3) i puta ai te pellagra, ko te maimoatanga tino whai hua ko te whakakī anō i te matūkai e ngaro ana mā roto i ngā tāpiringa niacin. Ka tere te pai ake o te nuinga o te tangata ina tīmata te maimoatanga. Heoi, me hiahia pea koe ki te tiaki tāpiri mō ngā tohu tuarua pēnei i te mate kiri, te mate waha rānei.
Ko te mea nui, mēnā he mate tuarua te take o tō pellagra, me whiwhi koe i te maimoatanga tika mō taua take hauora.
He pānga taha kei te maimoatanga?
Ina tangohia kia rite ki te whakahaunga a tō tākuta, kāore e maha ngā pānga kino nui e pā mai ana ki ngā tāpiringa niacin. Ko ngā pānga kino ka puta noa mai i te nui rawa o te horopeta, he mea kāore pea i te tūpono ki te tangata e pāngia ana e te ngoikore o te waikawa. Mena ka puta, ka uru atu pea ki ēnei:
- Te whero o te kiri.
- Te mākūkū, te ponana rānei.
- Te pupuhi me te koretake o te kai.
- Te ānini me te whanoke.
Me pēhea te ārai i te Pellagra?
Ko te pupuri i tētahi kai taurite te huarahi māmā ki te whakarite kia rawaka te kai totika. Mena he iti noa āu whiringa kai, ka taea e ngā kai whai kiko me ngā tāpiringa kai te āwhina. Ko te tikanga, me 15mg o te niacin te nui e hiahiatia ana e te pakeke hauora i ia rā, e whakaratohia ana e te tāpiringa huaora B-matatini.
Ko ngā kai e whai kiko ana i te niacin ko:
- Ate kau
- Pīti
- Rewena a te kaihanga pia
- Taro me ngā witi whai rawa
- Ngā ika hinuhinu, pērā i te hāmana me te tuna
- Pīnati
- Rīwai
- Manu
- Raihi
- Ngā purapura putiputi rā
- Ranu pākēti
Mena he mate hauora mau tonu tōu e whakanui ana i te mōrearea o te pellagra, kōrero ki tō tākuta mō tētahi rautaki ārai mō te wā roa, tae atu ki ngā whakarerekētanga ki tō kai, ki ngā tāpiringa, ki ngā rongoā rānei o nāianei.
Kia pēhea te roa o te wā e ora ai i te Pellagra?
Kia tīmata koe ki te tango i ngā tāpiringa niacin, he tokomaha ka kite i ngā whakapainga i roto i ngā rā torutoru. Ko ngā tohumate puku (pērā i te mate korere) ka memeha tuatahi , i roto i te wiki tuatahi. E rua wiki pea te roa o te whakaora i ngā mate kiri me te waha. Tērā pea ka roa ake ngā wā kino. Kia mōhio mai: kāore e taea te whakaora i ētahi wā i ngā kino kino o te pūnaha io me te mate wareware.
E taunaki ana ngā tākuta kia mau tonu te kai taurite hei ārai i te pellagra tuatahi ā muri ake nei. He maha ngā wā ka hono tahi te korenga o te niacin me ētahi atu korenga o ngā matūkai iti, ā, ka taea katoa te whakatika mā te kai hauora.
He uaua ake te rongoā i te pellagra tuarua. Ahakoa he āwhina ngā tāpiringa, kāore pea e ranea mēnā kāore e taea e tō tinana te tukatuka tika i te niacin. I ēnei wā, ko te whakaoranga e whakawhirinaki ana ki te tautuhi me te rongoā i te mate pūtake, he tukanga roa pea tēnei.
Karere Whakamutunga mō te Tango ki te Kāinga
Ahakoa kua whakakorea te nuinga o te pellagra tuatahi i ngā rohe whakawhanake, he mōrearea tonu tēnei mō ngā taupori he iti noa te urunga atu ki te kai. I roto i tō tātou hapori, he āwangawanga tonu te korenga o te niacin tuarua nā te whakamahinga kino o te waipiro me ngā āhuatanga hauora o raro - inā koa ko ērā e pā ana ki te mimiti matūkai. Ki te whakapae koe kei a koe ēnei tohu, rapua tonutia he tohutohu mai i tētahi tohunga hauora i tō hōhipera ā-rohe.
Ko te mea nui kia maumahara, ahakoa ka tīmata te kai totika i te kai e kainga ana e koe, ko ngā tukanga ā-roto o tō tinana te mea e tino whakatau ana i tō oranga. Ka whakawhirinaki tō tinana ki ngā mahi uaua o roto kia noho ora ai. Ki te kite koe i ngā tohu e āwangawanga ana koe—ina koa ko ngā take e pā ana ki tō pūnaha nakunaku—tēnā rapu tohutohu hauora ngaio. Ahakoa he iti noa te korenga o te huaora ka pā kino ki tō hauora. Nō reira, arotahi ki te kai i te kai taurite, kia mau ki te oranga hauora, ā, me toro atu ki te tākuta tonu mēnā he āwangawanga hauora āu.
Pellagra, Niacin, Huaora B3, Te Kore o te Kai, Ngā Mate Kiri, Te Korere, Te Mate Pōuri
