

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko te Asparaginase Erwinia chrysanthemi he rongoā mate pukupuku motuhake e whakamahia ana hei rongoā i te leukemia lymphoblastic acute (ALL) me te lymphoma lymphoblastic. Ko tēnei rongoā e hāngai ana ki te enzyme e mahi ana mā te whakaiti i te asparagine, he waikawa amino e hiahia ana ētahi pūtau mate pukupuku kia ora ai, kia tipu ai, e whakamate ana i ēnei pūtau kino i te wā e kore e pā ana ki ngā pūtau noa.
Ko te Asparaginase Erwinia chrysanthemi he rongoā enzyme i ahu mai i te huakita Erwinia chrysanthemi. No roto i te kāwai rongoā e kīia ana ko ngā enzyme antineoplastic, he pūmua ēnei e taea ana te wawahi i ngā mea motuhake e hiahia ana ngā pūtau mate pukupuku kia ora ai.
He mea nui tēnei rongoā nā te mea he kōwhiringa kē atu i te wā e pā ana ngā tāngata ki ngā pānga pāwera ki te asparaginase i ahu mai i te E. coli. E whakarato ana te putanga Erwinia i ngā painga rongoā kotahi i te wā e tuku ana i tētahi hanganga pūmua rerekē ka pai ake pea te whakamanawanui e ngā tāngata tairongo.
Kāore i rite ki ngā rongoā chemotherapy tuku iho e whakangaro tika ana i te DNA, e mahi ana tēnei enzyme mā te tango i te asparagine mai i te toto. I te mea kāore e taea e ngā pūtau mate pukupuku i roto i te ALL me te lymphoma lymphoblastic te whakaputa i tā rātou ake asparagine, kāore e taea e rātou te hanga i ngā pūmua e hiahia ana rātou kia ora ai.
Ko tēnei rongoā te mea nui e whakamahia ana hei rongoā i te leukemia lymphoblastic acute (ALL) me te lymphoma lymphoblastic i roto i ngā tāngata kua pāwera ki te asparaginase i ahu mai i te E. coli. Ko te ALL he momo mate pukupuku toto e pā ana ki ngā pūtau toto mā, i te wā e pā ana te lymphoma lymphoblastic ki te pūnaha lymphatic.
Ko te rongoā nei e tohua ana hei wāhanga o te hōtaka rongoā matū whakakotahi, kaua hei rongoā motuhake. Ka whakamahia e tō tākuta mate pukupuku tēnei rongoā me ētahi atu rongoā mate pukupuku hei hanga i tētahi mahere rongoā whānui i hangaia mō tō āhuatanga motuhake me tō hītori hauora.
He mea nui mō ngā tūroro kua pā ki ngā pānga pāwera ki ētahi atu momo asparaginase, nā te mea e whakarato ana i tētahi kōwhiringa rongoā nui e taea ai te haere tonu o te rongoā me te kore e haukotia. He mea nui tēnei haere tonu mō te pupuri i te whai huatanga o tō mahere rongoā mate pukupuku whānui.
E mahi ana tēnei rongoā mā te whai i tētahi ngoikoretanga motuhake i roto i ngā pūtau mate pukupuku. Ka taea e ngā pūtau hauora noa te whakaputa i tā rātou ake asparagine, he waikawa amino e hiahiatia ana hei hanga pūmua, engari kāore e taea e ētahi pūtau leukemia me te lymphoma te hanga i tēnei poraka hanga nui i a rātou anō.
I te wā e whiwhi ana koe i tēnei rongoā, ka huri te enzyme i roto i tō toto ka wawahi i te asparagine e noho ana i reira. Ka hangaia tēnei i tētahi taiao e mate ai ngā pūtau mate pukupuku nā te mea kāore e taea e rātou te uru atu ki te asparagine e tino hiahiatia ana e rātou kia ora ai, kia nui haere ai.
Whakaarohia me te tango i tētahi kai nui mai i tētahi tohutao e whakawhirinaki ana ngā pūtau mate pukupuku anake. Ka haere tonu te mahi a ō pūtau noa nā te mea ka taea e rātou te hanga i tā rātou ake asparagine, i te wā e ngoikore haere ana ngā pūtau mate pukupuku, ka mate. Ko tēnei huarahi whai i te whāinga te mea e tino whai hua ai ngā rongoā asparaginase i roto i te rongoā mate pukupuku.
E whakaarohia ana te rongoā nei he kaha ngawari i roto i te whānau asparaginase, e hiahia ana kia āta aroturukihia engari e pai ana te whakawātea i te wā e whakahaerehia ana i raro i te tirotiro hauora.
Ko tēnei rongoā ka tukuna mā te werohanga anake, ki roto rānei i te uaua (intramuscular) ki roto rānei i te uaua (intravenous), ā, me whakahaere e ngā tākuta whai mātauranga i roto i te hōhipera. Kāore e taea e koe te tango i tēnei rongoā i te kāinga, mā te waha rānei.
I mua i ia maimoatanga, ka whakarite tō rōpū hauora i a koe mā te tirotiro i ō tohu nui me te arotake i ngā tohumate e pā ana ki a koe. He meneti noa iho te roa o te werohanga, engari me noho koe i raro i te tirotiro mō tētahi wā i muri mai hei aroturuki i ngā urupare tonu.
Kāore koe e hiahia ki te nohopuku i mua i te maimoatanga, engari he pai ki te kai i tētahi kai māmā i mua hei ārai i te whakapairuaki. Ko te noho pai te wai mā te inu nui i te wai i ngā rā i mua i tō maimoatanga ka āwhina hoki i tō tinana ki te tukatuka i te rongoā i te pai ake.
Ka hoatu e tō rōpū hauora ngā tohutohu motuhake mō ngā rongoā me karo e koe i mua i te maimoatanga, ā, ka whakatikatika i te wā tahi me ō rongoā mate pukupuku kē atu. Me whai tonu i ā rātou tohutohu, i te mea kua āta whakamaherehia te wā me te raupapa o ngā maimoatanga mate pukupuku mō te whai hua nui.
He rerekē te roa o te maimoatanga i runga i tō momo mate pukupuku, te tikanga maimoatanga, me te pai o tō urupare ki te rongoā. Ko te nuinga o ngā tūroro ka whiwhi i tēnei rongoā mō ētahi wiki ki ētahi marama hei wāhanga o tā rātou mahere maimoatanga whānui.
Ka whakatau tō tākuta mate pukupuku i te wā tika i runga i ngā tikanga maimoatanga kua whakatūria mō tō momo leukemia, lymphoma rānei. Kua āta rangahaua ēnei tikanga, ā, kua whakapaihia i ngā tau maha hei whakarato i ngā hua pai rawa atu i te wā e whakaiti ana i ngā pānga taha.
He maha ngā huringa e whai wāhi ana ki te mahere rongoā, me ngā wā okiokinga i waenga i ngā rongoā kia ora ai tō tinana. Ka aroturukihia e tō rōpū hauora ō tatauranga toto me te hauora whānui i ngā wā katoa kia mōhio ai kei te pai te mahi o te rongoā, ā, kei te pai tō tinana ki te rongoā.
He mea nui kia whakaoti i te akoranga rongoā katoa i te mea i whakaritea, ahakoa ka tīmata koe ki te pai ake. Ko te whakamutu wawe i te rongoā ka taea e ngā pūtau mate pukupuku te tipu anō, ā, ka whai wāhi pea ki te whakawhanake i te ātete ki ngā rongoā ā muri ake nei.
Pērā i ngā rongoā mate pukupuku katoa, ka taea e te asparaginase Erwinia chrysanthemi te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te rongoā. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te pūmau ake, ā, ka mōhio ana koe ki te wā ki te whakapā atu ki tō rōpū hauora.
Ko ngā pānga taha tino noa ka pā ki a koe ko:
Ko ēnei tohumate he mea whakahaere noa, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā. Ka taea e tō rōpū hauora te whakarato rongoā me ngā rautaki hei āwhina i te whakaiti i ēnei pānga.
Ko ngā pānga taha nui ake e hiahia ana kia āwhina tonu i te hauora, ahakoa ka puta i te wā iti:
Ko ngā raruraru onge engari he nui pea te kino ko te korenga o te ate, ngā raruraru whakaheke toto, ngā pānga neurological rānei. Ka āta tūtohu tō rōpū hauora i ēnei mā te whakamātautau toto auau me ngā aromatawai haumanu.
Kia mahara kei te mōhio tō rōpū hauora ki te whakahaere i ēnei pānga taha, he maha ngā taputapu hei āwhina i a koe kia pai ake te noho i te wā o te maimoatanga. Kaua rawa e whakaroa ki te pūrongo i ngā tohu, ahakoa te iti o te ahua.
Ko ētahi āhuatanga hauora me ngā āhuatanga ka kore e tika tēnei rongoā, me whai whakatūpato motuhake. Ka āta arotake tō oncologist i tō hītori hauora i mua i te whakahau i tēnei maimoatanga.
Kāore koe e tika kia whiwhi i tēnei rongoā mēnā he:
He whakatūpato motuhake me te aroturuki tata e hiahiatia ana mēnā he:
Me tino whai whakaaro ki te hapū me te whāngai u, nā te mea ka pā kino tēnei rongoā ki ngā pēpi e tipu ana. Ka kōrero tō rōpū hauora i ngā tūponotanga me ngā painga mēnā kei te hapū koe, kei te whakamahere rānei koe kia hapū i te wā o te maimoatanga.
Ka whakataurite tō tākuta i ēnei āhuatanga ki ngā painga o te maimoatanga, i ētahi wā me whai te maimoatanga mate pukupuku ahakoa ētahi āhuatanga tūpono. Ko te mea nui ko te whakarite kia whiwhi koe i te manaakitanga pai rawa atu me te aroturuki me te tautoko tika.
Ko te ingoa waitohu e wātea ana mō tēnei rongoā ko Erwinaze, he mea hanga e Jazz Pharmaceuticals. Koinei te hanganga tuatahi ka kitea e koe i roto i te nuinga o ngā pokapū maimoatanga me ngā hōhipera.
Ko tētahi atu ingoa waitohu ko Rylaze, he hanganga hou ake pea e wātea ana i ētahi rohe. Kei roto i ngā mea e rua te whakauru kaha kotahi engari he rerekē pea ngā hanganga, ngā whakaritenga whakahaere rānei.
Ka whakamahi tō rōpū hauora i te waitohu e wātea ana i tō pokapū maimoatanga, ā, he pai ngā mea e rua mō te rongoā i tō āhuatanga. Ko te whiriwhiri i waenga i ngā waitohu e pā ana ki te wātea, te inihua, me ngā hiahia o tō pokapū maimoatanga, kaua ki te hiahia rongoā.
He maha ngā hanganga asparaginase kē e wātea ana mēnā kāore a Erwinia chrysanthemi e tika ana mō tō maimoatanga. Ko te kōwhiringa kē e tino kitea ana ko te asparaginase i ahu mai i te E. coli, he rite te mahi engari i ahu mai i tētahi puna huakita rerekē.
Ko te Pegaspargase tētahi atu kōwhiringa e whai pānga ana ki te tinana mō te wā roa, e hiahia ana kia iti ake te horopeta. Heoi, ki te mea kua pūtaiao koe ki ngā hua i ahu mai i te E. coli, tērā pea karekau te pegaspargase e tika ana, nā te mea i ahu mai anō i te E. coli.
I ētahi wā, ka whakaaro pea tō tākuta mate pukupuku ki te whakarerekē i tō mahere rongoā whānui mēnā kāore e taea te whakamahi i ngā hua asparaginase. Ka uru pea tēnei ki te whakatika i ētahi atu rongoā chemotherapy, i te wā rānei o te rongoā kia mau tonu ai te whai huatanga i te wā e karo ana i ngā rongoā raruraru.
Ko te kōwhiringa o te rongoā kē e whakawhirinaki ana ki tō hītori hauora motuhake, ngā urupare o mua, me ngā whāinga rongoā whānui. Ka mahi tahi tō rōpū hauora ki a koe ki te kimi i te kōwhiringa e tika ana mō tō āhuatanga takitahi.
Kāore tētahi o ngā rongoā e pai ake ana i tētahi atu, nā te mea e mahi ana rāua i te ara kotahi, ā, he rite te whai huatanga ki te rongoā i te leukemia me te lymphoma. Ko te kōwhiringa i waenga i a rāua e whakawhirinaki ana ki tō manawanui takitahi me tō hītori hauora.
Ko te asparaginase E. coli te mea e whakamahia ana i te tuatahi nā te mea he roa ake te hītori o te whakamahi, ā, he roa ake te wā e mahi ana i roto i te tinana. Heoi, ka pūtaiao ētahi tāngata ki te putanga E. coli, e mea ana kia whai mana te kōwhiringa Erwinia mō te haere tonu o te rongoā.
Ko te putanga Erwinia te mea e pōturi ana te mahi, ā, tērā pea ka hiahia kia nui ake te horopeta, engari e whai ana i tētahi kōwhiringa rongoā nui mō ngā tāngata kāore e taea te whakamahi i ngā hua i ahu mai i te E. coli. He mea nui tēnei ngāwari ki te whakarite kia whiwhi rongoā whai hua ngā tāngata katoa.
Ka kōwhiri tō tākuta mate pukupuku i te kōwhiringa e tika ana i runga i tō mahere rongoā, ngā wheako o mua ki ngā rongoā, me te āhua hauora whānui. He taputapu whai hua ngā rongoā e rua i roto i te rongoā mate pukupuku, ā, ko te whai i ngā kōwhiringa maha e whakarite ana i ngā putanga pai ake mō te nuinga o ngā tāngata.
Ka taea e ngā tūroro mate huka te whiwhi i tēnei rongoā, engari me mātakitaki pū i a rātou nā te mea ka pā te asparaginase ki ngā taumata huka toto. Ka piki pea te huka toto i te rongoā, e hiahia ana kia whakatikatikaina ngā rongoā mate huka, te horopeta rānei o te insulin.
Ka mātakitaki tō rōpū hauora i tō huka toto i te wā o te maimoatanga, ā, ka mahi tahi me koe ki te whakatika i tō mahere whakahaere mate huka i te mea e tika ana. Ka uru pea tēnei ki te tirotiro i ngā taumata huka toto i ngā wā maha, ki te whakarerekē rānei i ō rongoā mate huka mō tētahi wā.
He mea nui kia kōrero koe i ngā huringa i roto i ō tauira huka toto ki tō tākuta mate pukupuku me tō kaiwhakarato tiaki mate huka. Mā te mātakitaki tika me ngā whakatikatika, ka taea e te nuinga o ngā tūroro mate huka te whiwhi i tēnei maimoatanga me te noho pai tonu o te whakahaere huka toto.
Nā te mea ka hoatu tēnei rongoā e ngā tāngata ngaio hauora i roto i ngā wāhi rongoā anake, he tino onge te nui rawa o te horopeta. Ka tātai pū te horopeta i runga i te rahi o tō tinana me tō āhua hauora, ā, he maha ngā arowhai haumaru kei te wāhi.
Mēnā ka puta te nui rawa o te horopeta, ka tīmata tonu tō rōpū hauora i te tiaki tautoko, ka uru pea ki te mātakitaki i ō tohu nui, ngā whakamātautau toto hei tirotiro i te mahi o ngā okana, me ngā maimoatanga hei whakahaere i ngā tohu ka puta.
Ko te mea nui ko tō noho i roto i tētahi wāhi rongoā kei reira ngā tāngata ngaio whakangungu e taea ana te whakautu tere ki ngā raruraru. He wheako tō tō rōpū hauora ki te whakahaere i ngā take e pā ana ki te rongoā, ā, he tikanga kei te wāhi hei whakarite i tō haumaru.
Mēnā ka ngaro i a koe tētahi horopeta kua whakaritea, whakapā atu ki tō rōpū oncology tonu ki te kōrero mō te whakarite anō. He mea tino whakatakoto te wā o te rongoā mate pukupuku, ā, he mea nui te pupuri i te hōtaka rongoā mō te whai hua.
Mā tō rōpū hauora e whakatau te huarahi pai rawa atu i runga i te nui o te wā kua pahure me te wāhi kei roto koe i tō huringa rongoā. Ka taea e rātou te whakarite anō i te horopeta i ngaro mō te tūpono e wātea ana, te whakatika rānei i tō maramataka rongoā.
Kaua e ngana ki te "whakatika" mā te tono rongoā atu, te huri rānei i tō hōtaka i runga i a koe anō. Me whakatau ēnei whakatau e tō tākuta oncology i runga i tō mahere rongoā whānui me te āhua o tō hauora i tēnei wā, kia mōhio ai te haumaru me te whai hua.
Me whakamutu anake e koe tēnei rongoā i te wā e whakatau ana tō tākuta oncology he tika i runga i tō tikanga rongoā me te urupare ki te rongoā. He mea tino hoahoa ngā hōtaka rongoā mate pukupuku, ā, ka pā te whakamutu wawe ki ō hua.
Mā tō tākuta e aroturuki tō ahunga whakamua mā ngā whakamātautau toto auau, ngā rangahau whakaahua, me ngā aromatawai haumanu. I te otinga o tō akoranga rongoā, mēnā rānei kāore e hiahiatia te rongoā, ka whakamutua e rātou i te wā whaimana hei wāhanga o tō mahere rongoā whānui.
Mēnā kei te pā tētahi taha pānga uaua ki a koe, kōrerohia ki tō rōpū hauora, kaua e whakamutu i te rongoā i runga i a koe anō. He maha ngā rautaki ā rātou hei whakahaere i ngā taha pānga i te wā e taea ai e koe te haere tonu ki te whiwhi i tēnei rongoā nui.
Ka taea te haere i te wā o te rongoā, engari me tino whakatakoto me te mahi tahi me tō rōpū hauora. Me mōhio koe ka taea e koe te whiwhi i ō rongoā kua whakaritea, me te whai wāhi ki te manaaki hauora mēnā ka puta ngā raruraru.
Mō ngā haerenga poto, tō tākuta mate pukupuku pea e āhei ana ki te whakatika i tō hōtaka rongoā kia uru ki ngā mahere haerenga. Mō ngā haerenga roa, tērā pea ka hiahia koe ki te whakarite rongoā i tētahi whare hauora e tata ana ki tō ūnga.
Me kōrero tonu ngā mahere haerenga ki tō rōpū hauora i mua i te whakarite. Ka taea e rātou te whakarato aratohu mō te wā, te āwhina ki te whakatikatika i te manaakitanga ki te hiahiatia, me te whakarite kei a koe ngā tuhinga hauora e tika ana me ngā kōrero whakapā ohorere i te wā e haere ana.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.