I haere mai a Nihal (58 tau te pakeke) ki taku whare hauora i te wiki kua taha ake nei, me te tino manukanuka me te ngenge. Kāore he hītori o te mate tākihi i a ia, engari i whakaatuhia e ngā whakamātautau toto kua tere te ngoikore o ōna tākihi e rua.
"E Tākuta Priya, he tikanga taku tango i te Losartan me te rongoā diuretic i ia rā, i whakaritea e te tākuta mō te toto toto tiketike me te mate ngakau. Nō nā tata nei, nā te mamae nui o taku pakihiwi, i hokona e au ngā papa Diclofenac mai i te whare rongoā me te kore he whakahaunga a te tākuta, ā, i haere tonu taku tango i aua papa mō ētahi wiki. Inaianei kua pupuhi ōku waewae e rua, ā, he uaua ki ahau te manawa," te whakamārama a Nihal.
I kōrero mārire atu ahau ki a Nihal, "E Nihal, kua hē rawa atu koe i tētahi hapa tino morearea. Mā te tango i tēnei rongoā mamae pēnei i te diclofenac me ngā pire toto toto me ngā pire wai e tangohia ana e koe, kua tata mutu katoa te rere o te toto ki ngā whatukuhu. I roto i te rongoā, ka kiia tēnei he whammy toru . Kua kino rawa atu ō whatukuhu i tēnei. Me kōrero noa tātou mō tēnei i tēnei rā kia mōhio ai te katoa."
🚨 Ngā Tohu Whero o te ngoikore o te whatukuhu me tere te maimoatanga hauora
Mena ka pāngia koe e ēnei tohu i a koe e whakamahi ana i ngā rongoā whakamamae mamae, me rapu tonu koe i te awhina hauora, he tohu pea tēnei nō te ngoikore o te whatukuhu:
- Te pupuhi ohorere o ngā waewae, o ngā pona waewae, o te mata rānei (Te Pupuri Wai).
- Te poto o te manawa, kāore he take e kitea ana.
- Te ngenge rawa, te ngoikore, te kore ora rānei.
- He hekenga ohorere o te nui o te mimi e puta mai ana ki te taumata tino iti (kāore rānei he mimi e puta mai ana i te katoa).
Te tūponotanga puku o ngā rongoā whakamamae NSAID
He tokomaha te iwi o Sri Lanka e hoko tika ana i ngā NSAID (Non-Steroidal Anti-Inflammatory Drugs) mai i ngā whare rongoā ina pāngia rātou e te mamae o te tinana, te ānini, te mamae rānei o ngā uaua.
Ko ngā tauira matua ko:
- Diclofenac
- Āpipirini
- Ibuprofen
- Waikawa Mefenamic / Ponstan
Ahakoa ka taea e ēnei rongoā te whakamamae i te mamae mō te wā poto, ki te whakamahia tonutia ka pā kino te mahi a te whatukuhu mō te wā roa. He tino teitei te mōrearea ina tangohia ēnei rongoā me ētahi atu rongoā e whakamahia ana mō te toto toto tiketike me te mate manawa.
He aha te "Triple Whammy" e hua ai te ngoikore o te whatukuhu?
Ka taea e ngā tūroro e rongoatia ana mō te toto toto tiketike me te mate manawa te whakamahi i ēnei momo rongoā e toru e whai ake nei, me te kore mōhio, ka whakakorea rawatia te tukanga tātari o te whatukuhu. E mōhiotia ana tēnei i roto i ngā kupu hauora ko te "Triple Whammy":
1.Ngā aukati ACE, ngā ARB rānei: Ko ngā rongoā pēnei i a Captopril , Enalapril , Losartan rānei, e tohua ana e ngā tākuta hei whakaheke i te toto toto, ka whānui ake i ngā uaua toto e kawe ana i te toto mai i ngā whatukuhu, ā, ka whakaiti i te pēhanga i roto i ngā whatukuhu.
2. Diuretics (pire wai): Ngā rongoā e hoatu ana hei tango i te tote me te wai nui mai i te tinana mā te mimi, ka whakaiti i te nui o te toto e rere ana ki ngā whatukuhu.
3. Ngā rongoā mamae NSAID (Diclofenac/Aspirin): Ka ārai ēnei rongoā mamae i te hanga o ngā prostaglandin, e āwhina ana ki te whakawhānui i ngā oko toto i roto i ngā whatukuhu. Ka tino whaiti ngā uaua toto afferent.
Ina puta ngātahi ēnei mahi e toru, ka tino heke te nui o te toto e rere ana ki te whatukuhu, ka ngaro te pēhanga tātari, ā, ka puta te whara whatukuhu whakapeka (AKI) .
Te mōrearea o te hoko rongoā i ngā whare rongoā i runga i te hiahia ohorere
He kaimahi rongoā ngā kaimahi o ngā whare rongoā, ehara i te tākuta hei tātaritanga i ngā mate. Nā te mea kāore rātou e mōhio he aha ngā rongoā roa e tangohia ana e koe i tēnei wā, mā te hoatu i ngā rongoā whakamamae mamae e tonoa ana e koe ka pāngia pea koe e ngā taunekeneke rongoā whakamate pēnei.
He tokomaha te iwi i Sri Lanka e whakamahi ana i ngā rongoā whakamamae mamae māmā noa iho mō te wā roa, kāore e mārama ki ngā pānga taha kino o aua rongoā.
Ngā Mea Me Mahi, Ngā Mea Kaua e Mahi
| ✔️ Ngā mea hei mahi (Mahi) | ❌ Ngā mea kāore e tika ana |
|---|---|
| Ki te tango koe i ngā pire toto toto tiketike, i ngā pire wai rānei, pātai atu ki tō tākuta mō ētahi tohutohu mēnā ka mamae koe, ā, me whakamahi noa i tētahi rongoā haumaru pērā i te Paracetamol. | Kaua e hoko tika i ngā rongoā whakamamae mamae pēnei i te diclofenac, ibuprofen, aspirin rānei mai i ngā whare rongoā, ā, me haere tonu te tango i aua mea me te kore he whakahaunga a te tākuta. |
| Me whakamātau toto māmā (Serum Creatinine/eGFR) i te iti rawa kotahi i te tau hei tirotiro i te mahi a te whatukuhu. | Kaua rawa e whakamahi i ngā rongoā whakamamae mamae NSAID ina pāngia koe e te kirika, ina matewai rānei koe. |
| Me whakaatu ki tō tākuta ngā taipitopito o ngā rongoā roa katoa e tangohia ana e koe i ia wā ka kite koe i a ia. | I te mea kāore pea ngā tohu e puta mai i te pakaru o te whatukuhu i ngā wāhanga tōmua, kaua e tatari kia pāngia koe e te mate ka rapu awhina hauora. |
❓ Ētahi atu pātai pea āu (FAQ)
Ko wai ngā tūroro e mōrearea ana ki te "Triple Whammy"? ▼
He tino teitei tēnei mōrearea mō ngā tūroro e tango ana i ngā ACE inhibitors/ARBs me ngā diuretics (ngā pire wai) mō te toto toto tiketike, te mate ngakau, te ngoikore rānei o te whatukuhu, me te hunga hoki e tango ana i ngā rongoā whakamamae mamae (NSAIDs).
Me hiahia ahau ki te dialysis mēnā he ngoikore taku whatukuhu nā te tango i ngā rongoā whakamamae? ▼
Mena ka puta he whara whatukuhu ohorere, me mahi pea he dialysis mō te wā poto hei whakahaere i ngā paitini i roto i te tinana. I te nuinga o te wā, mā te whakamutu tonu i ngā rongoā whakamamae me te maimoatanga hauora tika, ka taea e ngā whatukuhu te ora ake i roto i ētahi wiki.
Ka pāngia anō hoki ngā whatukuhu e te whakamahinga o te Paracetamol ?
Kāo, he tino haumaru te paracetamol mō ngā whatukuhu ina tangohia i te horopeta kua tohua (kaua e neke atu i te 4g ia rā). Nā te mea ehara te paracetamol i te NSAID, kāore e whakararuraru i te rere o te toto ki ngā whatukuhu.
He aha ngā "Ture mō te Rā Mate"? ▼
I ngā rā ka pāngia koe e te mate korere nui, te ruaki, te kirika nui rānei, ā, ka maroke te wai, me mutu te tango i ngā rongoā pēnei i te ACE inhibitors, ARBs, diuretics, me NSAIDs mō ētahi rā i raro i te tohutohu a te tākuta hei tiaki i ngā whatukuhu, i te mea ka whakaitihia te rere o te toto ki ngā whatukuhu.
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