He aha te Anakinra: Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

He rongoā ā-tautapa a Anakinra e āwhina ana ki te whakaiti i te mumura i roto i tō tinana mā te aukati i tētahi pūmua motuhake e kīia ana ko interleukin-1 (IL-1). Ko tēnei pūmua te tikanga e āwhina ana i tō pūnaha ārai mate ki te whawhai i ngā mate, engari i ētahi wā ka kaha rawa atu, ka pūhi te mamae i roto i ō hononga me ētahi atu wāhanga o tō tinana.

Ka whiwhi koe i te anakinra hei werohanga ia rā i raro i tō kiri, he rite ki te āhua e whai ana te hunga mate huka i ngā werohanga insulin. E mahi ana te rongoā mā te whakamārie i tō pūnaha ārai mate e kaha rawa ana, ka taea te kawe i te whakamaunga nui mai i te mumura roa me te mamae.

He aha te Anakinra e whakamahia ana?

Ko te anakinra te mea nui e tohutohutia ana mō te rūmātiki, he āhuatanga e whakaeke hē ana tō pūnaha ārai mate i ō hononga ake. E āwhina ana te rongoā ki te whakaiti i te mamae o te hononga, te pūhi, me te mārō e taea ai te uaua o ngā mahi o ia rā.

I tua atu i te rūmātiki, i ētahi wā ka tohutohu ngā tākuta i te anakinra mō ētahi atu āhuatanga mumura. Kei roto i ēnei ko ētahi mate autoinflammatory onge pēnei i te kirika Mediterranean whānau, te mate a Still, me ngā momo mate kirika wā e pā ana ki te wheako o tō tinana i ngā wā o te mumura kāore i te whakamāramahia.

Ka whakaaro pea tō tākuta i te anakinra mō ngā whakamahinga i waho i te tapanga i roto i ngā āhuatanga pēnei i te mura o te kauti kāore e aro ana ki ngā rongoā tuku iho, i ētahi āhuatanga kiri e pā ana ki te mumura rānei. Heoi anō, ko ēnei whakamahinga e hiahia ana ki te arotake me te aroturuki mā te kaiwhakarato hauora.

Me pēhea te mahi a Anakinra?

E mahi ana a Anakinra mā te aukati i te interleukin-1, he pūmua karere e kī ana ki tō pūnaha ārai mate kia waihanga mumura. Whakaarohia te IL-1 hei pūnaha whakaoho e piri ana i ētahi wā ki te tūnga "kei runga", e pā ana ki te mumura kāore i te tika puta noa i tō tinana.

He rongoā whai i te kaupapa tēnei, arā, e arotahi ana ki tētahi wāhanga motuhake o tō pūnaha ārai mate, kaua ki te pēhi i ngā mea katoa. Nā tēnei āta whakatakoto ka ngawari ake i ētahi atu rongoā pēhi ārai mate, ahakoa me mātakitaki tonu.

Ko te tikanga ka tīmata ngā pānga i roto i ngā rā torutoru ki ngā wiki i muri i te tīmatanga o te rongoā. Ko te nuinga o te tangata ka kite i te whakaheke i te mamae o ngā hononga me te pūhihi i te wā e hanga ana te rongoā i roto i tō rātou pūnaha, ka tīmata ki te whakahaere i te tukanga mumura.

Me pēhea taku tango i te Anakinra?

Ka werohia e koe te anakinra ki a koe anō, he werohanga i raro i te kiri, arā, ka werohia ki roto i te kiko momona i raro tonu i tō kiri. Mā tō kaiwhakarato hauora koe e ako i te tikanga tika, ā, ko te nuinga o te tangata ka kite he mea noa i roto i ngā wiki torutoru.

Ko te horopeta noa he 100 mg kotahi i te rā, te tikanga ka hoatu i te wā kotahi i ia rā. Ka taea e koe te werohia ki tō huha, puku, ki te ringa o runga rānei, me te huri i waenga i ngā wāhi rerekē hei ārai i te riri o te kiri. Ka tae mai te rongoā i roto i ngā syringe kua whakakiia i mua, ka rongoa e koe i roto i tō pouaka whakamātao.

Ka taea e koe te tango i te anakinra me te kore kai rānei, nā te mea ka karo te werohanga i tō pūnaha kūnatu. Heoi, waiho te rongoā kia mahana ki te pāmahana rūma mō te 15-30 meneti i mua i te werohanga hei whakaiti i te kore mārie i te wāhi werohanga.

I mua i ia werohanga, horoia ō ringa kia mā, ka horoi i te wāhi werohanga ki te horoi waipiro. Kaua rawa e rūrū te syringe, nā te mea ka pakaru te rongoā. Ki te kite koe i ngā matūriki, i te huringa tae rānei i roto i te otinga, kaua e whakamahi i tērā horopeta, whakapā atu ki tō whare rongoā.

Kia pēhea te roa e tango ana ahau i te Anakinra?

He rerekē te roa o te rongoā anakinra i runga i tō āhuatanga me te pai o tō urupare ki te rongoā. Mō te rūmātōitī, he maha ngā tāngata e tango ana mō ngā tau hei wāhanga o tā rātou mahere whakahaere wā-roa.

Ka arotakehia e tō tākuta tō urupare i muri i ngā marama tuatahi o te rongoā. Mēnā kei te āwhina a anakinra ki te whakahaere i ō tohumate me te kore e pā mai ngā pānga taha e pā ana, ka taea e koe te haere tonu ki te tango i te rongoā mō te wā roa ki te pupuri i aua painga.

Mō ētahi āhuatanga mumura onge, ka poto pea te roa o te rongoā, ā, ka whāia ki ngā pūremu motuhake. Ka mahi tō kaiwhakarato hauora ki a koe ki te whakatau i te roa pai o te rongoā i runga i tō āhuatanga me tō urupare.

Kaua rawa e mutu te tango i te anakinra ohorere me te kore e kōrero tuatahi ki tō tākuta. Ka pā mai te hokinga mai o ngā tohumate ki ētahi tāngata i te wā e whakamutua ana te rongoā, nō reira ka hiahia pea tō kaiwhakarato hauora ki te whakaiti i tō horopeta, ki te whai rānei i tētahi mahere mō te whakahaere i ngā pūremu ka puta.

He aha ngā Pānga Taha o Anakinra?

Pērā i ngā rongoā katoa, ka pā mai ngā pānga taha i te anakinra, ahakoa he maha ngā tāngata e pai ana ki te tango. Ko ngā pānga taha tino noa he ngawari noa iho, ā, ka taea te whakahaere mā te manaaki me te aroturuki tika.

Ko te pānga taha tino auau ka pā mai pea ki a koe ko ngā urupare i te wāhi werohanga. Ka mōrearea pea i te tuatahi, engari ka taea te whakahaere:

• Te whero, te pūhi, te pānga rānei i te wāhi e werohia ana
• Te mamae, te mānukanuka, te wera rānei i te wāhi werohanga
• Ngā puku iti, ngā pūpū rānei e ngaro ana i roto i ngā rā torutoru
• Te riri kiri e pai ake ana mā te huri i ngā wāhi werohanga

Ko ēnei urupare i te wāhi werohanga ka iti haere i te wā e urutau ana tō tinana ki te rongoā. Mā te whakamahi i te tikanga werohanga tika me te huri i ngā wāhi ka āwhina i te whakaiti i ēnei pānga.

Ka pā mai hoki ngā pānga taha whānui ki ētahi tāngata i te wā e urutau ana tō rātou tinana ki te rongoā:

• Ngā mamae mahunga ngawari, ina koa i ngā wiki tuatahi
• Te ngenge iti iho i te tikanga
• Te whakapairuaki, te kore rānei o te puku i ētahi wā
• Ngā tohumate pērā i te makariri pērā i te ihu e rere ana, te korokoro mamae rānei

He maha ngā wā ka pai ake ēnei tohumate i te wā e waia ana tō tinana ki te anakinra, engari whakamōhio atu ki tō tākuta mēnā ka mau tonu, ka kino rānei.

He iti noa iho ngā pānga kino nui ake, engari me whai wāhi tonu ki te rongoā. I te mea e pā ana te anakinra ki tō pūnaha ārai mate, me mātakitaki koe mō ngā tohu o te mate:

• Kirika, makariri, tohumate rite rewharewha rānei kāore e pai ake
• Ngenge rerekē, ngoikore rānei
• Kōroke tonu, uaua rānei te hā
• Ngā mate kiri, patunga rānei kāore e ora tika ana
• Mamae nui, pūhi rānei i ngā wāhi werohanga

Whakapā atu ki tō kaiwhakarato hauora i te wā tonu mēnā ka pā ki a koe ēnei tohumate, te mea pea he tohu tēnei mō te mate nui e hiahia ana ki te rongoā wawe.

He iti noa iho engari he nui ngā pānga kino ka uru ki ngā tauhohenga mate pāwera nui, ahakoa he mea noa iho ēnei. Mātakitaki mō ngā tohu pēnei i te uaua ki te hā, te pūhi nui, te pūhi whānui rānei, me te rapu i te tiaki hauora ohorere mēnā ka puta ēnei.

Ko wai kāore e tika ana kia tango Anakinra?

Kāore te Anakinra i te pai mō te katoa, ā, ko ētahi āhuatanga ka tūpono he mōrearea ki te whakamahi. Ka āta arotake tō tākuta i tō hītori rongoā i mua i te whakahau i tēnei rongoā.

Kāore koe e tango anakinra mēnā he mate kaha tō tinana i tētahi wāhi. I te mea e pēhi ana tēnei rongoā i tētahi wāhanga o tō pūnaha ārai mate, ka taea e ia te whakakino i ngā mate, te ārai rānei i tō tinana mai i te whawhai i a rātou.

Ko ngā tāngata e whai ana i ētahi āhuatanga rongoā me whai tūpato anō, kāore rānei pea e taea te whakamahi anakinra i runga i te haumaru:

• Te mate kohi kaha, tētahi hītori rānei o te mate kohi kāore i rongoatia katoatia
• Te mate tākihi nui, te ngoikore tākihi rānei
• Ngā mate nui o nāianei, tata rānei
• Te mate pāwera mō anakinra, ētahi o ōna kai rānei
• Ngā kano ārai mate ora kua whakaritea i te wā tata

Ka whai whakaaro hoki tō tākuta ki ētahi atu āhuatanga ka pā ki tō kaha ki te whakamahi anakinra i runga i te haumaru, pēnei i tō tau, te āhua o tō hauora whānui, me ētahi atu rongoā e tango ana koe.

Me whai whakaaro motuhake ngā wāhine hapū, ngā wāhine whāngai ū rānei, nā te mea he iti noa ngā kōrero mō te haumaru o te anakinra i te wā e hapū ana, e whāngai ū ana rānei. Ka whakataurite tō tākuta i ngā painga ka puta ki ngā tūponotanga ka pā ki a koe me tō pēpi.

Mēnā he hītori tō koe mō ngā mate hoki mai, he pūnaha ārai mate rānei kua ngoikore i ētahi atu take, tērā pea ka tūtohu tō tākuta kia nui ake te aroturuki, kia kōwhiri rānei i tētahi atu huarahi rongoā.

Ngā Ingoa Waitohu o Anakinra

Kei te wātea te anakinra i raro i te ingoa waitohu Kineret i te nuinga o ngā whenua, tae atu ki te United States. Koinei te ingoa waitohu taketake i whakaaetia tuatahitia ai te rongoā, ā, i hokohoko ai.

I tēnei wā, ko Kineret te waitohu matua e wātea ana, ahakoa ka wātea pea ngā putanga whānui i ētahi rohe i te roanga o te wā. Ka tae mai te rongoā i te ahua o te syringe kua whakakiia i mua, kei roto 100 mg o te anakinra i roto i te whakatakotoranga horopeta kotahi.

I te wā e kōrero ana koe i tō rongoā ki tō tākuta, ki te kaimātai rongoā rānei, tērā pea ka rongo koe i a rātou e kōrero ana ki a ia i tētahi ingoa - anakinra, Kineret rānei - ā, kei te kōrero rātou mō te rongoā kotahi.

Ngā Kōwhiringa kē mō Anakinra

Mēnā kāore te anakinra e pai ana mōu, e pā rānei ngā pānga taha raruraru, he maha ētahi atu rongoā ka taea te rongoā i ngā āhuatanga rite. Tērā pea ka whai whakaaro tō tākuta ki ēnei kōwhiringa kē i runga i tō āhuatanga motuhake me tō hītori hauora.

Ko ētahi atu rongoā koiora e whai ana i ngā wāhanga rerekē o te pūnaha ārai mate ko te adalimumab (Humira), te etanercept (Enbrel), me te infliximab (Remicade). He rerekē te mahi a ēnei i te anakinra engari ka whai hua mō te rūmātiki me ētahi atu āhuatanga mumura.

Mō ētahi mate mumura onge, ka whakaaro pea tō tākuta ki ētahi atu rongoā aukati IL-1 pēnei i te canakinumab (Ilaris) rānei rilonacept (Arcalyst). He rite te mahi a ēnei rongoā ki te anakinra engari he iti noa te auau o te hoatutanga.

Ko ngā rongoā rāhuitanga mate antirheumatic (DMARDs) tuku iho pēnei i te methotrexate rānei sulfasalazine pea he kōwhiringa anō, i runga i tō āhuatanga. He rerekē te mahi a ēnei rongoā engari ka taea te whakahaere i te mumura me te kino o ngā hononga.

Ko te kōwhiringa pai rawa atu kei runga i tō āhuatanga motuhake, te āhua o tō urupare ki te anakinra, me ō āhuatanga hauora takitahi. Ka mahi tō tākuta ki a koe ki te kimi i te kōwhiringa maimoatanga e tika ana.

He Pai Anei te Anakinra i te Methotrexate?

He rerekē rawa te mahi a Anakinra me te methotrexate, nō reira kāore i te tika te whakataurite tika i a rāua. Ka taea e ngā rongoā e rua te whai hua mō te rūmātiki, engari e aro ana rāua ki ngā wāhanga rerekē o te tukanga mumura.

He maha ngā wā e whakaarohia ana te methotrexate ko te paerewa koura mō te maimoatanga tuatahi mō te rūmātiki, nā te mea he whai hua, he iti te utu, ā, he maha ngā tau o ngā raraunga haumaru. I te nuinga o te wā ka whakamātauhia i mua i ngā koiora pēnei i te anakinra.

Ka whakaarohia pea te Anakinra he pai ake mō ngā tāngata kāore i te pai te urupare ki te methotrexate, kāore rānei e taea te aro ki ōna pānga taha. Ka whakamahi tētahi i ngā rongoā e rua i te taha tahi i raro i te tirotiro hauora, nā te mea ka taea e rāua te whakakī i ngā pānga o tētahi ki tētahi.

Ko te kōwhiringa i waenga i ēnei rongoā kei runga i ngā āhuatanga pēnei i te kaha o tō mate, ngā urupare maimoatanga o mua, ētahi atu āhuatanga hauora, me ngā hiahia whaiaro mō te auau werohanga me ngā whakaritenga aroturuki.

Ka whakaaro tō tākuta ki ēnei āhuatanga katoa i te wā e tūtohu ana mēnā me whakamātau tuatahi te methotrexate, me tīmata ki te anakinra, me whakamahi rānei i a rāua i te taha tahi mō te whakahaere mate pai.

Ngā Pātai Auau mō Anakinra

He Haumaru te Anakinra mō ngā Tāngata e mate huka ana?

Ka taea te whakamahi anakinra i runga i te haumaru i roto i nga tangata e mate huka ana, engari me tino aro turuki. Karekau te rongoa e pa tika ana ki nga taumata huka toto, engari ka kaha ake nga mate i roto i nga tangata e mate huka ana.

I te mea ka pehia e anakinra tetahi wahi o to punaha aukati, me tino aro turuki koe mo nga tohu o te mate mena he mate huka koe. Ka tohutohu pea to taakuta kia maha ake nga tirotiro me nga whakamatautau toto kia pai ai te whakahaere i nga ahuatanga e rua.

Mena he mate huka koe, kia mau tonu te whakahaere i te huka toto i te wa e tango ana i te anakinra, na te mea ka awhina tenei i to tinana ki te whawhai i nga mate ka puta mai.

He aha taku mahi mena ka whakamahi pohehe au i te nui rawa o te Anakinra?

Mena ka werohia e koe te nui ake o te anakinra i te mea i tohua, whakapaa atu ki to taakuta, ki te kaimuku rongoa ranei i te wa tonu mo te arahi. Ahakoa he uaua te nui o te horopeta kotahi, ka piki ake to tupono ki nga paanga me nga mate.

Kaua e ngana ki te utu ma te peke i to horopeta e whai ake nei, ma te tango ranei i te iti ake o te rongoa. Engari, whai i nga tohutohu a to taakuta mo te pehea e haere tonu ai me to waarangi horopeta.

Mena ka pa ki a koe nga tohu kino penei i te uaua ki te manawa, te pupuhi nui, nga tohu ranei o te tauhohenga mate pāwera nui i muri i te horopeta nui, rapua tonu te rongoa ohorere.

He aha taku mahi mena ka ngaro au i te horopeta o Anakinra?

Mena ka ngaro koe i te horopeta o te anakinra, tangohia i te wa e mahara ana koe, ki te kore e tata ki te wa mo to horopeta e whai ake nei. I tera keehi, pekehia te horopeta i ngaro, ka haere tonu me to waarangi.

Kaua rawa e tango i nga horopeta e rua i te wa kotahi hei utu mo te horopeta i ngaro, na te mea ka piki ake to tupono ki nga paanga. Mena ka wareware koe i nga horopeta, whakaarohia te whakatakoto i te whakaoho o ia ra, te whakamahi ranei i te taupānga whakamahara rongoa.

Ko te ngaro i ētahi horopeta i ētahi wā, kāore i te mōrearea, engari ngana ki te pupuri i te rite mō ngā hua pai. Mēnā ka ngaro koe i ētahi horopeta i te rarangi, whakapā atu ki tō tākuta mō te tohutohu me pēhea te tīmata anō i tō rongoā i runga i te haumaru.

Āhea Āhau e mutu ai te tango i te Anakinra?

Me mutu anake te tango i te anakinra i raro i te tirotiro a tō tākuta, ahakoa kei te pai ake koe. Ko te mutu ohorere ka arahi ki te hokinga mai o ō tohumate, i ētahi wā ka kīia he mura.

Ka arotakehia e tō tākuta tō āhua i ngā wā katoa, ā, ka tohutohu pea kia mutu te anakinra mēnā kua pūmau tō mate mō te wā roa, mēnā rānei kei te pā koe i ngā pānga taha nui e nui ake ana i ngā painga.

Mēnā ka whakatau koe me tō tākuta ki te mutu te anakinra, ka whakaiti haere pea rātou i tō horopeta, he mahere rānei hei whakahaere i ngā tohumate ka hoki mai i muri i te whakamutunga.

Ka taea e Āhau te haere i te wā e tango ana i te Anakinra?

Āe, ka taea e koe te haere i te wā e tango ana i te anakinra, engari me whai mahere. I te mea me whakamātao te rongoā, me whakarite e koe te rokiroki tika i te wā o tō haerenga mā te whakamahi i te pouaka whakamātao, i te pēke whakawera rānei me ngā pōkai huka.

Kawea mai he rongoā atu mō te wā o ngā whakaroa haerenga, ā, mau mai he reta mai i tō tākuta e whakamārama ana i tō hiahia mō te rongoā me ngā taputapu werohanga. Ka āwhina tēnei i te tirotiro haumaru i ngā rererangi.

Mēnā kei te haere koe ki ngā wāhi e nui ake ana te mōrearea o te mate, kōrerohia ngā whakatūpato atu ki tō tākuta i mua i tō haerenga. Ka tūtohu pea rātou i ngā kano ārai atu, i ngā tikanga ārai rānei kia noho hauora koe i te wā e pōturi ana tō pūnaha ārai mate.