He rite tonu te rongoā e whai hua ana mō te katoa? Me kōrero tātou mō te heke mai o te rongoā: Te Rongoā Tika!

Kua whakaaro koe he aha te rongoā me ngā tikanga maimoatanga kotahi kāore e whai hua mō ngā mate katoa, mō ngā tāngata katoa? I ētahi wā, kāore pea te rongoā e hoatu ana e koe ki tō hoa mō taua mate e whai hua mōu. Koia te take e kōrero ana te ao mō tēnei tikanga hauora hou hei otinga. Ka kiia tēnei ko te 'Rongoā Tika' ko te ``(Rongoā Tika)'' rānei. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha te Rongoā Tika?

He māmā noa iho, he maimoatanga hauora tēnei e tika ana māu, e motuhake ana ki a koe. Whakaarohia ō ira, te taiao e noho ana koe, tō momo noho – he huarahi hou tēnei ki te tango mōhiohio mō ēnei mea katoa, me te whakamahi i aua mea hei hoatu i te tiaki hauora pai rawa atu ki a koe. Mā tēnei, ka taea e ngā kaipūtaiao me ngā tākuta te matapae i mua i te momo tikanga ārai mate, te momo rongoā, me te momo rōpū e tika ana. Ka kiia hoki tēnei ko te 'rongoā whaiaro'.

I te nuinga o te wā, ka kite tātou i ngā tākuta e whakamahere ana i ngā maimoatanga i roto i te huarahi e pai ana mō te 'tangata noa'. Arā, he huarahi 'kotahi te rahi e pai ana mō te katoa'. I roto i tēnei, kāore rātou e whakaaro nui ki ngā rerekētanga iti i waenga i te tangata. Nō reira, he pai te mahi a tēnei huarahi mō ētahi tāngata, mō ētahi mate. Engari, mō ētahi tāngata, mō ētahi mate, kāore e mahi i te katoa. Koinei te otinga mō tēnei, e kiia nei ko te `(Rongoā Tika)`. Ko te tikanga o tēnei ko te whiriwhiri i te maimoatanga e pai ana mō tō tinana, ō ira, me tō āhua noho.

He aha tēnei Kaupapa Rongoā Tika?

He kaupapa tino nui, motuhake tēnei i tīmatahia e te National Institutes of Health (NIH) i te Hononga o Amerika - arā, ko te whare nui rawa atu i reira e rangahau ana i ngā mate me te mahi hei whakapai ake i te hauora - me ētahi atu whare rangahau rongonui o te ao. Ko tā rātou mahi nui ko te kimi i ngā huarahi pai hei whakamahi i ngā mea pēnei i ō ira, tō taiao, me tō momo noho hei rongoā me te ārai i ngā mate.

He whāinga poto, he whāinga roa hoki tō tēnei "Kaupapa Rongoā Tika".

• " Ko te whāinga poto nei ko te kawe mai i tēnei ariā o te "Rongoā Tika" ki te rangahau mate pukupuku. E hiahia ana ngā kaipūtaiao o te US National Cancer Institute ki te mārama ake ki te koiora me ngā ira o te mate pukupuku, me te whakawhanake i ngā maimoatanga hou, whai hua ake. Whakaarohia, ina puta he mate pukupuku, ki te mōhio koe ki te momo mate pukupuku me ngā huringa ira i puta ai, ka taea e koe te hoatu he rongoā e pai ana mōna, tika?"
• " Whāinga mō te wā roa""Ko te kaupapa o tēnei ko te whakawhānui i tēnei `(Te Rongoā Tika)` ki ngā āhuatanga katoa o te hauora. Mō tēnei, kua tīmata te `(NIH)` i tētahi kaupapa rangahau motuhake e kiia nei ko te `(Te Kaupapa Rangahau mō Tātou Katoa)`. Mā roto i tēnei rangahau, kei te kohikohi rātou i ngā mōhiohio mai i tētahi rōpū nui o te tangata he rerekē ngā momo ira me ngā momo noho, ā, mā te whakamahi i aua raraunga, kei te ngana rātou ki te rapu me pēhea te whakapai ake i te hauora mō te katoa."

He aha ngā painga ka riro mai i a Precision Medicine?

Ka taea e tēnei huarahi "Rongoā Tika" te whakapai ake i tō hauora me te tiaki hauora e whiwhi ana koe i roto i ngā huarahi maha. Tirohia ēnei painga:

• Ka taea e tō tākuta te whakamahi i ō mōhiohio ira hei āwhina i ngā mahi hauora o ia rā. Whakaarohia te hiranga o tēnā! Hei tauira, ka nui ake ngā pānga taha o ētahi rongoā ki te hunga whai ira motuhake. Mā te mōhio ki ō mōhiohio ira ka āwhina i a koe ki te karo i te tango i aua rongoā.
• Ka mārama ake tātou ki te take e puta ai ngā mate. Ko te tikanga, kaua e rongoā noa i ngā tohumate, engari ka taea te rongoā i te pūtake o te mate.
• Ka taea e koe te tautuhi i mua ko ēhea ngā maimoatanga e tino tika ana māu . Kātahi ka taea e koe te whakaiti i te whakamahinga o ngā rongoā me ngā pānga taha kāore e hiahiatia. Ka penapena koe i te wā me te moni.
• He maha atu ngā tikanga matatau hei ārai, hei tātaritanga, hei rongoā hoki i ngā mate. Ka taea hoki te whakatau mēnā he mate ira kei roto i te tinana i mua i te whanaketanga.
• Ka māmā ake te uru atu ki ō pūkete hauora hiko (EHR) – arā, ngā pūkete o ō mate, rongoā, me ngā whakamātautau kua rongoatia ki roto i tētahi pūnaha rorohiko. Mā tēnei ka māmā ake te uru atu a ngā tākuta ki ō mōhiohio hauora me te whakamahere maimoatanga.

Kei hea te whakamahinga o Precision Medicine i tēnei wā?

Kei te whakamahia kētia tēnei huarahi "Rongoā Tika" e ngā tākuta i roto i ngā momo mahi rongoā. Ahakoa kei te tīmatanga tonu, he tino whakatenatena ngā hua. Anei ētahi tauira:

• Te mate pukupuku tino tika
• Te rongoā ārai mate pukupuku
• Te rongoā
• Ngā mate onge

Me kōrero taipitopito tātou mō ia o ēnei? Ko reira ka mārama ake ai koe ki te hiranga o tēnei.

He aha te oncology tino tika?

Ko te tikanga, ka whakarōpūhia e ngā tākuta te mate pukupuku mā te wāhanga o te tinana e noho ana (hei tauira, te mate pukupuku pūkahukahu, te mate pukupuku ū) me te momo kiko (hei tauira, te lymphoma). Engari me tēnei "Rongoā Tika", kei te kitea e rātou ngā tohu ngota o ngā momo mate pukupuku rerekē.Arā, pērā i ō tātou tapumati, ka tautuhia e tātou ngā tauira matū iti me ngā huringa ira e motuhake ana ki ia mate pukupuku. Mā te whakamahi i ēnei tohu, ka whakarōpūhia anō ngā mate pukupuku ki ngā momo me ngā momo āhua.

Kua kitea e ngā kairangahau he maha ngā āhuatanga ōrite o ngā mate pukupuku e whanake ana i ngā wāhanga rerekē o te tinana i te taumata ngota. Nō reira, mā tēnei "Precision oncology" ka taea e ngā tākuta te whiriwhiri i ngā maimoatanga i runga i te "waitohu DNA" o te mate pukupuku o te tangata. Ko te tikanga, kaua e hoatu ki te katoa te rongoā kotahi, ka taea e rātou te hoatu i tētahi maimoatanga e hāngai ana ki taua mate pukupuku, ki taua huringa ira. Mā tēnei ka nui ake te tūponotanga kia angitu te maimoatanga.

He aha te rongoā ārai mate pukupuku?

I mōhio koe ka taea e te pūnaha ārai mate o tō tinana te ārai i te whanaketanga o ētahi mate pukupuku? Nā te mea kei a ia te kaha ā-roto ki te kite me te whakangaro i ngā pūtau rerekē. Heoi, i ētahi wā he tino mātanga ngā pūtau mate pukupuku, ā, ka mawhiti atu i tēnei pūnaha ārai mate, ka huna, ka tipu.

Engari, mā tēnei tikanga e kiia nei ko te "whakaora ārai mate pukupuku", kei te tinihanga ngā kaipūtaiao i ngā pūtau mate pukupuku! E mōhio ana koe me pēhea? Ka taea e koe te whakamahi i tō ake pūnaha ārai mate hei whakahaere i te mate pukupuku, ā, i ētahi wā ka taea te whakaora katoa. He tino mīharo tēnei, kāore?

Ka taea e ēnei momo rongoā "whakaora ārai mate pukupuku" te whai i te mahi a ngā ngota pūnaha ārai mate tūturu o tō tinana, te whakapakari rānei i a rātou. Kei roto i ēnei momo rongoā:

• Ka herea ngā paturopi ārai matepukupuku ki ngā pūtau matepukupuku, ā, ka whakangaromia e rātou.
• Ngā tikanga e tango ana i ō ake pūtau ārai mate, ka "whakakaha ake" i a rātou i roto i te taiwhanga, ka whakauru anō ki roto i tō tinana.
• Ko ngā kano ārai mate he kano ārai mate motuhake e whakaako ana i tō pūnaha ārai mate ki te whakaeke i ngā pūtau matepukupuku.

He aha te Pharmacogenomics?

He kaupapa hōhonu tēnei, engari he mea tino nui. Ko te Pharmacogenomics te ako i te urupare a tō DNA ki ngā rongoā e tangohia ana e koe. Ka whakakotahihia e tēnei mara te pharmacology – te ako i ngā rongoā – me te genomics – te ako i ngā ira – hei hanga i ngā rongoā me ngā horopeta haumaru, whai hua e hāngai ana ki ngā huringa motuhake o ō ira.

Ki te kī ngāwari, ko te whāinga o te "Pharmacogenomics" he neke atu i te huarahi "kotahi te rahi e pai ana mō te katoa". E mōhio ana ngā kairangahau inaianei he maha ngā āhuatanga e pā ana ki te urupare a tō tinana ki ngā rongoā rerekē. Ehara i te mea ko tō tau, ko tō ira tangata, ko tō rahi tinana rānei anake. He wāhi nui anō hoki tō ira ki tēnei. E ngana ana te "Precision Medicine" ki te hoatu ki a koe te rongoā tika, i te horopeta tika, mō tō tinana. Kātahi ka mahi tika te rongoā, ā, ka iti ake ngā pānga taha.

Ngā mate onge me te rongoā tika

E ai ki ngā kairangahau, tata ki te 25-30 miriona tāngata i te Hononga o Amerika anake e pāngia ana e ngā mate ira onge. He tūroro pēnei anō hoki i Sri Lanka. He tino uaua te tātaritanga me te rongoā i ēnei mate. He rau ngā raruraru hauora tino uaua kua rangahauhia mā te 'Undiagnosed Disease Program' i te (NIH). Mā roto i taua rangahau, kua taea e rātou te tātaritanga i te maha o aua mate. Nā te whanaketanga o te hangarau ira, kua taea te tautuhi i ngā hapa ira tuturu e puta ai ēnei mate onge.

Kua whakawhānui ake te NIH i tēnei kaupapa ki ētahi atu pokapū puta noa i te motu hei ako i ētahi atu mate. Kei te mahi tahi rātou me ētahi atu hoa mahi ki te whakawhanake tere i ngā maimoatanga whai hua mō ēnei mate onge. He tumanako nui a Precision Medicine mō te hunga pēnei.

He aha te rerekētanga i waenga i te 'Rongoā Tika' me te 'Rongoā Whaiaro'?

E ai ki te US National Research Council, ko te 'Personalized Medicine' he kupu tawhito e whakamahia ana hei tohu i te 'Precision Medicine'. Arā, he rite tonu te tikanga o ngā kupu e rua.

Heoi, kua paku āwangawanga te kaunihera, ina kīia te 'whaiaro', ka whakaaro rātou ka whiwhi ia tangata i tētahi maimoatanga rerekē, he maimoatanga kua whakaritea mōna. Heoi, ehara i te mea ko koe anake te kaupapa o te "Rongoā Tika"'. Engari, ko te kimi i ngā maimoatanga e pai ana mō ngā rōpū tāngata - arā, ko ētahi atu he rite ngā āhuatanga ira me te momo noho ki a koe. Ināianei, ko te "Rongoā Tika" te kupu e whakamahia whānuitia ana, e kiia ana he tika ake. Heoi, kei te whakamahi tonu te iwi i ngā kupu e rua hei whakawhitiwhiti. Ko te mea nui ko te ngana o tēnei tikanga ki te whakarato i te maimoatanga tika ake, whai hua ake, kaua ki te atawhai i te katoa i te huarahi kotahi.

He aha te mea tino nui e hiahia ana tātou ki te kawe ki te kāinga mai i tēnei pūrākau?

Ko ō ira, ko te taiao e noho ana koe, ko tō momo noho – ka pāngia tō hauora e ēnei mea katoa. Ko te whāinga matua o te "Rongoā Tika" he ako i ēnei āhuatanga katoa, me te mahi hei tiaki me te āwhina i a koe. Kātahi, hei utu mō te hoatu i te maimoatanga ōrite ki te katoa, ka taea e ō tākuta te waihanga i tētahi mahere hei ārai me te rongoā i ngā mate e tika ana māu. Kei te whakamahi kē ngā tākuta i te "Rongoā Tika" i roto i ngā momo rongoā. Engari, he maha ngā mea ka taea te whakarerekē i te ao hauora ā muri ake nei, he uaua ki te whakaaro. Nō reira, he tino tumanako nui tēnei mō tō tātou ao hauora ā muri ake nei!

"Kia maumahara, ehara te "Rongoā Tika" i te waihanga i tētahi rongoā ahurei mō te katoa, engari ko te whiriwhiri i te maimoatanga tino tika me te whai hua mō tētahi rōpū tāngata he rite ō rātou āhuatanga ki a koe."

I te haere tonu o te whanaketanga o tēnei hangarau, ka taea e tātou te whawhai angitu ki ngā mate maha atu. Nō reira, he mea tino nui kia noho mōhio tonu tātou ki ngā mea hou pēnei.

Rongoā Tika, Ira Tangata, Maimoatanga Matepukupuku, Rongoā Whaiaro, Rongoā Āpōpō, Hangarau Hauora