He aha te Icodextrin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He momo motuhake a Icodextrin o te otinga tātari e whakamahia ana mō te tātari peritoneal, he rongoā e āwhina ana i ō tākihi ki te tātari i ngā para me te wai nui mai i ō toto. He rerekē te mahi a tēnei otinga polymer glucose i ngā wai tātari huka noa, e tuku ana i te tango wai roa ake, he mea whai hua mō ngā tāngata e hiahia ana ō rātou tākihi ki te tautoko atu.

Mēnā kei te tīmata koe, tētahi rānei e manaaki ana koe i te tātari peritoneal, mā te māramatanga ki te mahi a te icodextrin ka āwhina koe ki te whai i te māia atu mō tēnei rongoā nui. Me haere tātou i ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei rongoā i roto i ngā kupu māmā, mārama.

He aha te Icodextrin?

He ngota huka nui a Icodextrin (polymer glucose) i hangaia mō te tātari peritoneal. Kāore i rite ki te huka tepu noa, te glucose rānei, he maha ngā wae huka hono e hanga ana i te icodextrin e mahi ngātahi ana ki te tango pōturi i te wai nui mai i tō tinana i ngā wā roa.

Whakaarohia he āwhina ngawari, roa-ā-mahi e mahi ana i roto i tō puku ki te tango i te wai me ngā hua para e tātarihia ana e ngā tākihi hauora. Ka tae mai te rongoā hei otinga mārama, kōpū e whakauruhia ana ki roto i tō kōhukohu peritoneal mā te catheter motuhake.

He mea nui tēnei otinga nā te mea ka taea te mahi whai hua mō te 12 ki te 16 haora, he mea pai mō ngā wā tātari pō mēnā kei te moe koe. Ka whakatau tō rōpū hauora mēnā he tika te icodextrin mō ō hiahia tātari.

He aha te Icodextrin e whakamahia ana mō?

Ko te icodextrin te mea nui e whakamahia ana mō te tātari peritoneal haere tonu (CAPD) me te tātari peritoneal aunoa (APD) i roto i ngā tāngata e kore e pai ana te tākihi. I hangaia motuhake mō ngā whakawhitinga noho roa, te nuinga o te wā te noho pō i roto i te APD, te noho rā roa rānei i roto i te CAPD.

Ka tohutohu pea tō tākuta i te icodextrin mēnā kei te pā koe i te tango wai kāore i te rawaka mā ngā otinga dialysis e hāngai ana ki te kūhuka. Ka whanake te ētahi tāngata i te manawanui ki ngā otinga kūhuka i te roanga o te wā, ā, ka taea e te icodextrin te whakarato i tētahi huarahi whai hua mō te pupuri i te taurite wai tika.

He whai hua hoki te rongoā mō ngā tāngata he āhuatanga kawe tiketike, arā, ka tere te ngongo o te membrane peritoneal i te kūhuka. I ēnei wā, ka taea e ngā āhuatanga roa ake o te icodextrin te whakarato i te tango wai rite tonu i te roanga o te rā, o te pō rānei.

Me pēhea te mahi a te Icodextrin?

Ka mahi te icodextrin mā tētahi tukanga e kīia nei ko te osmosis, engari i tētahi ara ngawari ake, e mau tonu ana i ngā otinga kūhuka. Ka waihanga ngā ngota icodextrin nui i tētahi kaha tōtō e mau ana i te wai nui mai i ō oko toto ki tō kōhao peritoneal, kei reira ka taea te whakaheke atu.

Kāore i rite ki te kūhuka, e ngongohia ana e tō tinana, he nui rawa ngā ngota icodextrin kia tere te ngongo. Ko te tikanga ka noho rātou i roto i tō kōhao peritoneal mō te wā roa ake, e whakarato ana i te tango wai tonu mō te 16 hāora.

E kiia ana te rongoā he otinga dialysis kaha-āhua. Kāore i te kaha pērā i ngā otinga kūhuka teitei, engari he whai hua ake i ngā mea iti mō te tango wai wā-roa. Mā tēnei ka tino tika mō ngā tāngata e hiahia ana ki te tautoko dialysis rite tonu, e mau tonu ana.

Me pēhea taku tango i te Icodextrin?

Ka whakahaerehia te icodextrin mā tō pūngao peritoneal dialysis, kāore i te tango mā te waha. Me whakamahana te otinga ki te pāmahana tinana i mua i te whakamahi, ka whakaako tō rōpū hauora i a koe me pēhea te mahi i tēnei i te kāinga.

I mua i ia whakawhitinga, me horoi koe i ō ringa kia tino pai, me te whakarite i ō taonga i tētahi wāhi mā. Ka tae mai te otinga icodextrin i roto i ngā pēke kano, e hono tika ana ki tō pūnaha pūngao mā ngā ngongo motuhake.

Ko te nuinga o te tangata e whakamahi ana i te icodextrin mō te wā roa rawa e noho ana rātou, te nuinga i te pō mō ngā tūroro APD, i te wā rānei o te rā mō ngā tūroro CAPD. Ka hoatu e tō nēhi tārai toto ngā whakangungu taipitopito mō te tikanga tika, tae atu ki te āhua o te tirotiro mō ngā tohu o te whakapoke, o ngā raruraru rānei ki te otinga.

Me whai tonu i tō hōtaka kua whakaritea, ahakoa kei te pai koe. He mea nui te tārai toto tonu mō tō hauora, ā, ko te karo, te whakaroa rānei i ngā maimoatanga ka hua te kohikohi wai me te kohikohi paitini.

Kia Pēhea te Roa e Tango Ana ahau i te Icodextrin?

Ka whakamahi koe i te icodextrin mō te wā e hiahia ana koe ki te tārai toto puku, arā, he marama, he tau rānei, i runga i tō āhua whatukuhu me te mahere maimoatanga. Ko ētahi tāngata e whakamahi ana i tēnei mō te wā poto i te wā e tatari ana mō te whakawhitinga whatukuhu, ko ētahi atu pea ka whakamahi i tēnei hei kōwhiringa maimoatanga wā roa.

Ka aroturuki tō tākuta i te pai o te mahi a te icodextrin mō koe mā ngā whakamātautau toto me ngā aromatawai i te tango wai. Ka tirohia e rātou tō mahi whatukuhu, te taurite wai, me te hauora whānui hei whakatau mēnā e hiahiatia ana ētahi whakatikatika ki tō mahere maimoatanga.

Ko te roa o te maimoatanga e whakawhirinaki ana ki tō āhuatanga takitahi. Mēnā ka whiwhi koe i te whakawhitinga whatukuhu, ka taea e koe te whakamutu i te tārai toto katoa. Mēnā ka pai ake tō mahi whatukuhu, ka whakaiti pea tō tākuta i te auau o ngā maimoatanga, ka huri rānei ki tētahi atu huarahi.

He Aha ngā Pānga taha o te Icodextrin?

He pai te whakamanawanui a te nuinga o te tangata ki te icodextrin, engari pērā i ētahi atu rongoā, ka pānga taha. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te noho rite, ki te mōhio hoki ki te wā ki te whakapā atu ki tō rōpū hauora.

Me tīmata tātou ki ngā pānga taha noa pea ka pā ki a koe. He mea whakahaere ēnei, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te maimoatanga:

• He mamae puku ngawari, he pupuhi rānei i te wā o te whakaurunga tuatahi
• He huringa rangitahi i ngā taumata huka toto
• He pikinga taumaha iti mai i te pupuri wai
• He riri kiri ngawari i te taha o te wāhi katita
• Te whakapairuaki, te pōrearea rānei i te kōpū i ētahi wā
• Te ngenge, te ngenge rānei i muri i te maimoatanga

Ko ēnei pānga noa ka tau i te wā e waia ana koe ki te tikanga maimoatanga. Ka taea e tō rōpū hauora te tuku rautaki hei whakaiti i te raruraru me te āwhina i a koe kia pai ake te noho i te wā o te tātai.

Ināianei, me kōrero tātou mō ngā pānga taha kāore i te noa engari he nui ake te kino e hiahia ana kia āta tirohia e te tākuta. Ahakoa he onge ēnei, he mea nui kia mōhio koe ki ngā mea hei mātakitaki:

• Ngā tohu o te peritonitis (te mate o te kōpū peritoneal): kirika, te mamae puku nui, te wai tātai pōkaikaha
• Ngā tauhohenga mate pāwera nui: te uaua ki te manawa, te pūhi o te mata, te korokoro rānei, te pāhēhē whānui
• Te nui o te wai: te pūhi nui, te poto o te manawa, te mamae o te uma
• Ngā raruraru e pā ana ki te katita: te mamae, te whero, te tukunga, te kore rānei e mahi tika
• Ngā taurite hiko nui: te pōrearea uaua, te ngākau kōaro, te rangirua
• Te toto rereke, te pāhēhē rānei

Mēnā ka pā ki a koe ētahi o ēnei pānga taha nui, whakapā atu ki tō pokapū tātai, rapu rānei i te tiaki hauora ohorere tonu. Mā te wawaotanga wawe ka ārai i ngā raruraru me te whakarite i tō haumaru.

Ko wai kāore e tika kia tango Icodextrin?

Kāore a Icodextrin e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau. Ko ētahi āhuatanga, wā rānei ka kore e tika, ka tūpono rānei tēnei rongoā mō koe.

Ko ēnei ngā take nui i pōti ai tō tākuta i tētahi otinga tātai rerekē hei utu mō te icodextrin:

• He mate pānga mō te icodextrin, ētahi wāhanga rānei o te rongoā
• Te ngoikore o te ngākau e uaua ai te whakahaere wai
• Te pokanga puku e kaha ana, e kāore anō kia ora
• Te mate puku mumura nui, ētahi atu mate puku nui rānei
• Ngā piri nui, ngā kiko whara rānei i roto i te puku
• Ētahi momo mate pukupuku e pā ana ki te puku
• Te kore kai nui, te kore pūmua rānei

Ka whakaaro hoki tō rōpū hauora ki tō hauora whānui, tae atu ki te mahi o tō ngākau, te hauora o tō ate, me ētahi atu mate tawhito kei a koe. Kei te hiahia rātou ki te whakarite kia noho haumaru, kia whai hua hoki te icodextrin mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu o te Icodextrin

E wātea ana te Icodextrin i raro i ētahi ingoa waitohu, ko Extraneal te mea e tino tohua ana i roto i te maha o ngā whenua. Ko Baxter Healthcare te kamupene e hanga ana i tēnei waitohu, ā, e wātea whānui ana i roto i ngā whare tātari toto.

Ko ētahi atu ingoa waitohu ko Adept i ētahi rohe, ahakoa e whakamahia ana tēnei mō ētahi atu kaupapa rongoā. Ka mahi tō whare tātari toto me ngā kaiwhakarato motuhake, ā, ka whakamahi pea i ētahi ingoa waitohu rerekē i runga i ā rātou kirimana me te wātea.

Ahakoa te ingoa waitohu, kei roto i ngā rongoā icodextrin katoa te mea kaha kotahi, ā, e mahi ana i te ara kotahi. Ka whakarite tō rōpū hauora kia whiwhi koe i te kukume me te rōrahi tika mō tō tohutohu tātari toto motuhake.

Ngā Kōwhiringa kē mō te Icodextrin

E wātea ana ētahi kōwhiringa kē mō te icodextrin mēnā kāore tēnei rongoā e tika ana mōu, mēnā rānei ka pā mai ētahi pānga kino. Ko ngā kōwhiringa kē e tino kitea ana ko ngā rongoā tātari toto peritoneal e hāngai ana ki te kūhuka i roto i ngā kukume rerekē.

He ngawari ake nga otinga kūhuka iti (1.5%) engari he iti ake te tango wai, he pai hoki mo te hunga he pai te mahi o te whatukuhu. Ko nga otinga waenga (2.5%) e whakarato ana i te tango wai ngawari, a he mea noa te whakamahi mo nga whakawhitinga auau.

Ko nga otinga kūhuka nui (4.25%) e whakarato ana i te tango wai nui rawa atu engari ka uaua ake ki to kiriuhi peritoneal i te roanga o te wa. He otinga ano kei runga i te waikawa amino ka taea te whakarato kai i te wa e mahi ana i te dialysis, ahakoa he iti ake te whakamahi i enei.

Ma to taakuta koe e awhina ki te whakatau ko wai te huinga otinga e pai ana mo o hiahia, a tera pea ka rereke tenei i te wa e tipu ana to ahuatanga.

He pai ake te Icodextrin i nga otinga kūhuka auau?

Ehara i te mea he pai ake te Icodextrin i nga otinga kūhuka, engari he rereke nga painga e whai hua ai mo nga ahuatanga motuhake. Kei runga i o hiahia takitahi te whiriwhiri, te roa o to noho i runga i te dialysis, me te pehea o to tinana e urupare ana ki nga otinga rereke.

Ko te painga nui o te Icodextrin ko tona kaha ki te whakarato i te tango wai tonu mo te 12-16 haora me te kore e ngongo tere penei i te kūhuka. Na tenei ka tino whai hua mo nga wa noho roa me te hunga kua iti ake te urupare ki nga otinga kūhuka i te roanga o te wa.

Heoi ano, kei nga otinga kūhuka o ratou ake painga. He maha nga wa ka pai ake te utu, kua roa te whakamahi me nga korero haumaru kua whakatauhia, a ka taea te whakarato i te tango wai tere ina hiahiatia. He maha nga tangata e pai ana ki nga otinga kūhuka anake.

Ko te huarahi pai rawa atu ko te whakamahi i nga momo otinga e rua i runga i te rautaki. Ma to roopu hauora koe e awhina ki te kimi i te huinga tika i runga i o hiahia tango wai, te oranga, me te pehea o to tinana e urupare ana ki te maimoatanga.

Nga Pātai e Pātai pinepine ana mō Icodextrin

Q1. He haumaru te Icodextrin mō te hunga mate huka?

Āe, he pai te icodextrin mō te hunga mate huka, ā, he pai ake pea i ētahi wā. Kāore i rite ki ngā otinga kūkū, kāore te icodextrin e whakanui nui i ngā taumata huka toto nā te mea he puhoi te urunga mai e tō tinana.

Heoi anō, me mātakitaki tonu koe i tō huka toto, ina koa ka tīmata koe ki te icodextrin, ka huri rānei i tō tikanga tātai. E kite ana ētahi tāngata mate huka ka pai ake te whakahaere i tō rātou huka toto i te whakamahi i te icodextrin mō ngā noho roa, kaua ki ngā otinga kūkū nui.

Me whakatika pea tō mahere whakahaere mate huka i te tīmatanga o te tātai peritoneal me te icodextrin. Mahi tahi me tō rōpū tātai me te kaiwhakarato tiaki mate huka kia pai ai te whakahaere i te huka toto puta noa i tō maimoatanga.

Q2. Me aha au mēnā ka whakamahi au i te nui rawa o te Icodextrin?

Mēnā ka whakauru ohorere koe i te nui rawa o te icodextrin i te mea i whakaritea, kaua e mataku, engari whakapā atu ki tō pokapū tātai tonu mō te ārahi. Ko te whakamahi i te nui rawa o te otinga ka nui te tango wai, ka pēnei pea te pēhanga toto iti, te whanoke, te kōpiko rānei.

Mātakitaki i a koe anō mō ngā tohu o te maroke pēnei i te whanoke, te tere o te ngākau, te ngoikore rānei. Mēnā ka pā koe i ngā tohu kino, rapua te tiaki hauora ohorere tonu. Ka taea e tō rōpū hauora te aromatawai mēnā e hiahia ana koe i te wai atu, i ētahi atu wawaotanga rānei.

Hei aukati i te horopeta ohorere, me tātari tonu i tō rōrahi i whakaritea i mua i te tīmatanga o ia whakawhiti. Kia mau ki te rākau maimoatanga me te whai i tō hōtaka tātai i te mea i whakaritea e tō rōpū hauora.

Q3. Me aha au mēnā ka ngaro au i te horopeta o te Icodextrin?

Mēnā ka ngaro koe i te whakawhiti icodextrin, whakapā atu ki tō pokapū tātai i te wa e taea ai mō te ārahi motuhake. Ko te ngaro i ngā maimoatanga ka nui te hanga wai me te kohinga paitini, he mea kino pea mēnā ka puta tonu.

Kaua e tūāwhiwhi i tō horopeta e whai ake nei hei utu mō te mea i ngaro. Engari, whai i ngā tohutohu a tō rōpū hauora, arā pea ko te whakatikatika i tō wā rānei, te whakamahi rānei i tētahi atu otinga mō tētahi wā poto kia mau tonu ai tō pai o te tātai.

Whakamātau ki te hoki ki tō wā whakarite i te wā e taea ai. Mēnā he maha ngā wā e ngaro ana i a koe ngā maimoatanga nā te wero o te oranga, kōrerohia tēnei ki tō rōpū hauora. Ka āhei pea rātou ki te whakatikatika i tō wā whakarite, ki te whakaaro rānei i ngā rautaki hei āwhina i a koe ki te mau tonu i te maimoatanga.

Q4. Āhea Āhei Ai Au ki te Kati te Tango Icodextrin?

Ka āhei koe ki te kati te whakamahi i te icodextrin i te wā e whakatau ana tō tākuta kāore anō koe e hiahia ana ki te tātai peritoneal. Ka pēnei pea tēnei mēnā ka whiwhi koe i te whakawhitinga whatukuhu, mēnā ka pai ake te mahi o ō whatukuhu, mēnā rānei ka huri koe ki tētahi momo tātai rerekē.

Kaua rawa e kati te whakamahi i te icodextrin i runga i a koe anō, ahakoa kei te pai koe. E whakawhirinaki ana tō tinana ki te tātai auau hei tango i ngā hua para me te wai nui. Ko te kati i te maimoatanga me te kore e tirotirohia e te rōpū hauora ka puta he raruraru kino i roto i ngā rā.

Mēnā kei te whakaaro koe ki te kati i te maimoatanga nā te pānga taha, te āwangawanga rānei o te oranga, kōrerohia ēnei take ki tō rōpū hauora i te tuatahi. Ka āhei rātou ki te whakatikatika i tō mahere maimoatanga, ki te whakarato rānei i ngā otinga hei āwhina i a koe ki te haere tonu i te tātai i runga i te haumaru me te pai.

Q5. Ka Āhei Au te Haere i te Wā e Whakamahi Ana i te Icodextrin?

Āe, ka āhei koe te haere i te wā e whakamahi ana i te icodextrin, engari me mātua whakamahere me te mahi tahi me tō rōpū hauora. He maha ngā tāngata e haere angitu ana mō te mahi, ngā haerenga whānau, ngā hararei rānei i te wā e mau tonu ana i tā rātou tikanga tātai peritoneal.

Ka āhei tō pokapū tātai ki te āwhina ki te whakarite i ngā taonga kia tukuna ki tō ūnga, ki te hono rānei i a koe ki ngā pokapū tātai i te rohe e haere ana koe. Me whakamahere koe i mua, i te nuinga o te wā i ngā wiki i mua, kia mōhio ai kei a koe ngā mea katoa e hiahia ana koe.

Me whakaaro ki te tīmata i ngā haerenga poto e tata ana ki te kāinga kia whakanui i te māia ki te haere me ō taonga haumanu tākihi. Ka taea e tō rōpū hauora te whakarato tohutohu haere me te āwhina i a koe ki te whakarite mō ngā momo āhuatanga ka pā ki a koe i te wā e ngaro ana i te kāinga.