Created at:1/13/2025
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Ko te Icosapent ethyl he rongoā rongoā e mau ana i te ahua parakore o te waikawa ngako omega-3 e kiia nei ko te EPA (eicosapentaenoic acid). Ka tohua pea e tō tākuta tēnei rongoā hei āwhina i te whakaheke i ō taumata triglyceride ina tino tiketike ana, hei whakaiti rānei i tō tūponotanga ki ngā raruraru o te ngākau mena kei a koe kē te mate cardiovascular. Whakaarohia he hinu ika kua whakanuia, he rongoā-a-rongoā he kaha ake, he whāinga ake i ngā taapiri ka taea e koe te hoko i te toa.
Ko te Icosapent ethyl he rongoā waikawa ngako omega-3 tino parakore e puta mai ana i te ahua kapene. Kāore i rite ki ngā taapiri hinu ika noa, ko tēnei rongoā kei roto anake te EPA, kāore he DHA (docosahexaenoic acid), e hanga ana kia hangaia mō te whakamarumaru cardiovascular. Ko te rongoā i ahu mai i te hinu ika engari ka uru ki te horoi nui hei tango i ngā poke me te whakanui i te whakauru kaha.
Ehara tēnei i tō taapiri hinu ika noa i te tatau. Ko te Icosapent ethyl he rongoā rongoā kua whakamatauria i roto i ngā whakamātau haumanu me te whakaaehia e te FDA mō ngā āhuatanga rongoā motuhake. Ko te tukanga horoi ka whakarite kia whiwhi koe i te inenga EPA rite tonu, kaha hoki, karekau he mercury, PCBs, me ētahi atu poke ka kitea i ētahi wā i ngā hua hinu ika noa.
E rua ngā kaupapa matua a te Icosapent ethyl i roto i te rongoā cardiovascular. Tuatahi, ka āwhina i te whakaheke i ngā taumata triglyceride tino tiketike (500 mg/dL neke atu rānei) i roto i ngā pakeke, ā, tuarua, ka whakaiti i te tūponotanga o te whakaeke ngākau, te whiu, me ētahi atu huihuinga cardiovascular i roto i te hunga kua pangia e te mate ngākau, te mate huka rānei me ētahi atu āhuatanga tūpono.
Ka tohua pea tēnei rongoā e tō tākuta mēnā kei te tiketike tonu ō triglycerides ahakoa te whai i te kai iti ngako me te tango i ētahi atu rongoā cholesterol pēnei i te statins. Ka taea e te triglycerides tiketike te whai wāhi ki te pancreatitis, he āhua kino, he āhua e mōrearea ana te ora. Mā te whakaheke i ēnei taumata, ka āwhina te icosapent ethyl ki te tiaki i tō pancreas me tō hauora whānui.
Ka mahi hoki te rongoā hei taputapu ārai tuarua mō te hunga whai mate cardiovascular kua whakatū. Mēnā kua pā koe i te whakaeke ngākau, te whiu, kua tātaihia rānei koe ki te mate uaua coronary, ka āwhina te icosapent ethyl ki te whakaiti i tō mōrearea o ngā āhuatanga cardiovascular ā muri ake nei. Ka mahi tēnei pānga tiaki ahakoa kua pai te whakahaere i tō LDL cholesterol ki ētahi atu rongoā.
Ka mahi te icosapent ethyl mā ētahi tikanga hei tiaki i tō pūnaha cardiovascular. Ka āwhina te EPA i roto i tēnei rongoā ki te whakaiti i te mumura i roto i ō uaua toto, he mea nui tēnei i roto i te whanaketanga o te mate ngākau. Ka āwhina hoki ki te whakapūmau i te pākirikiri i roto i ō uaua, ka iti ake te tūponotanga ki te pakaru me te pā i te whakaeke ngākau, te whiu rānei.
Ka pā te rongoā ki te āhua e tukatukahia ana e tō ate ngā ngako me te āwhina ki te whakaiti i te hanga o te triglycerides. Ka pā hoki te EPA ki te āhua e pōtē ana tō toto, ka iti ake te tūponotanga ki te hanga i ngā pōtē mōrearea ka ārai i te rere o te toto ki tō ngākau, ki tō roro rānei. Ka mahi ngātahi ēnei pānga ki te whakarato i te tiaki cardiovascular whānui.
E whakaarohia ana he rongoā kaha tēnei i runga i ōna painga cardiovascular. Ahakoa kāore i te whakaora i te ora tonu pēnei i ngā rongoā pēnei i te nitroglycerin mō te mamae o te uma, ka whakarato i te tiaki wā roa nui ina whakamahia tonu. I whakaatu ngā whakamātau haumanu i te whakaitinga tata ki te 25% o ngā āhuatanga cardiovascular nui, he painga nui tēnei mō te hauora o te ngākau.
Me inu icosapent ethyl kia rite tonu ki ta te tākuta i whakahau, e rua pea nga wa i te ra i te wa e kai ana. Kei roto i te rongoa nga kapene 1-karamu, a ko te nuinga o nga tangata e rua nga kapene e rua nga wa i te ra, e 4 karamu katoa i te ra. Ma te tango me te kai ka pai ake te ngongo o to tinana i te rongoa, ka whakaiti i te tupono o te puku.
Ka taea e koe te tango i tenei rongoa me nga momo kai katoa, engari ko te kai ngako i roto i to kai ka awhina i te ngongo. Ehara tenei i te mea me kai koe i te kai nui-ngako – ko o kai noa, taurite ka pai. Whakamātauria te tango i o horopeta i te wa kotahi i ia ra kia mau tonu nga taumata i roto i to punaha.
Horomia nga kapene katoa ki te wai. Kaua e kuru, e ngaungau, e wawahi ranei, na te mea ka pa tenei ki te ngongo o te rongoa, ka riri pea te puku. Mena he uaua ki a koe te horomia i nga kapene nui, korero ki to taakuta mo nga rautaki hei ngawari ake ai, engari kaua e whakarereke i nga kapene i runga i a koe ake.
E kitea ana e etahi tangata he pai ki te tango i ta ratou horopeta o te ata me te parakuihi me ta ratou horopeta o te ahiahi me te tina. Ma tenei tikanga ka ngawari ake te mahara ki to rongoa me te whakarite kei te tango koe me te kai e taunakitia ana.
Ko te icosapent ethyl te tikanga he rongoa mo te wa roa me tango e koe mo te wa roa kia mau tonu ai ona painga ngakau. Ko te nuinga o nga tangata e timata ana i tenei rongoa ka haere tonu ki te tango mo nga tau, he rite tonu ki etahi atu rongoa ngakau penei i nga rongoa toto toto tiketike, i nga statins ranei.
Ko te whakamarumaru ngakau e whakaratohia ana e tenei rongoa ka roa noa i te wa e tango ana koe. Mena ka mutu te tango i te icosapent ethyl, ka hoki ano o taumata triglyceride ki o raatau taumata o mua, ka ngaro i a koe nga painga whakamarumaru ki te whakaeke ngakau me te whiu. Koinei te take he mea nui te whakamahi tonu, mo te wa roa.
Ka aroturukihia tō ahunga whakamua e tō tākuta mā ngā whakamātautau toto auau hei tirotiro i ō taumata triglyceride me te hauora ngākau me ngā pūkahukahu whānui. Mā ēnei arowhai e āwhina ana ki te whakarite kia whai hua te rongoā, ā, ka taea e tō tākuta te whakatika i tō mahere maimoatanga ki te hiahiatia. Kaua rawa e mutu te tango i tēnei rongoā me te kore e kōrero tuatahi ki tō kaiwhakarato hauora.
He pai te whakamanawanui a te nuinga o te tangata ki te icosapent ethyl, engari pērā i ngā rongoā katoa, ka pānga taha ki ētahi tāngata. Ko te rongo pai he iti noa ngā pānga taha nui, ā, he tokomaha ngā tāngata kāore he pānga taha.
Koinei ngā pānga taha e pūrongotia ana e koe:
He ngawari noa iho ēnei pānga taha, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā. He mea nui ki te kōrero ki tō tākuta mō ngā tohumate e mau tonu ana, e pā ana rānei.
He iti noa ngā pānga taha engari he nui ake te kino ka pā, ahakoa he iti noa te ōrau o te hunga e tango ana i te rongoā:
Mēnā ka pā ki a koe te mamae o te uma, te ngākau tōtō nui, ngā tohu o te toto nui, ngā tohumate rānei o te tauhohenga mate pāwera pērā i te uaua ki te hā, te pūhi rānei o tō mata, me rapu tonu i te āwhina hauora.
Kāore i te tika te ethyl icosapent mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā. Kaua koe e tango i tēnei rongoā mēnā he pānga tōna ki te ika, te angaanga, ki ētahi atu kai rānei kei roto i te rongoā.
Me whai whakaaro motuhake te hunga e pā ana ki ētahi momo mate i mua i te tīmatanga o te ethyl icosapent. Mēnā he mate ate tō, tērā pea ka hiahia tō tākuta ki te āta mātakitaki i a koe, ki te whakatika rānei i tō mahere rongoā. Ko te hunga he hītori o te atrial fibrillation me kōrero ngā tūponotanga me ngā painga, nā te mea ka taea e te rongoā te whakaoho i ngā wā o te ngākau pōrearea i ētahi tāngata.
Mēnā kei te tango koe i ngā rongoā whakaheke toto pēnei i te warfarin, dabigatran, i te aspirin rānei, me āta mātakitaki tō tākuta i a koe mō ngā tohu o te nui haere o te toto. Ahakoa ka taea e te nuinga o te tangata te tango i te ethyl icosapent me ēnei rongoā, ka piki ake te tūponotanga o te raruraru toto.
Me kōrero ngā wāhine hapū me te whāngai i ngā pēpi i ngā tūponotanga me ngā painga ki tō rātou kaiwhakarato hauora. Ahakoa e kiia ana he haumaru ngā waikawa ngako omega-3 i te wā e hapū ana, kāore anō kia nui te rangahau i ngā horopeta nui e whakamahia ana i roto i te ethyl icosapent i ngā wāhine hapū.
Ko te ingoa mōhio o te ethyl icosapent ko Vascepa, he mea hanga e Amarin Pharmaceuticals. Koinei te putanga tuatahi i whakaaetia e te FDA o te ethyl icosapent kua purea, ā, koinei tonu te waitohu e tino whakahaua ana.
Kua wātea ngā putanga whānui o te ethyl icosapent i ngā tau tata nei, ka taea te āwhina i te whakaiti i te utu o tēnei rongoā. Kei roto i ēnei putanga whānui te whakauru kaha kotahi, ā, ka whai i ngā whakamātautau kaha kotahi hei whakarite kia ōrite ki te putanga waitohu.
Ahakoa ka whiwhi koe i te waitohu Vascepa, i te momo rongoa ranei, me mahi rite tonu te rongoa. Ka taea e to whare rongoa te whakakapi aunoa i te momo rongoa mena kei te wātea, ā, ka hipokina e tō inihua, engari ka taea e koe te pātai ki tō kaipatu rongoa mō ō kōwhiringa.
Ahakoa he ahurei te icosapent ethyl i roto i tōna hanganga EPA kua purea, he kōwhiringa anō mō te whakahaere i ngā triglycerides tiketike me te tūponotanga o te mate ngākau. Ka whakaaro pea tō tākuta ki ēnei kōwhiringa i runga i tō āhuatanga motuhake me te hītori hauora.
Ko ētahi atu rongoā omega-3 i runga i te whakahaunga ko te omega-3-acid ethyl esters (Lovaza) me te omega-3-carboxylic acids (Epanova). Kei roto i ēnei rongoā te EPA me te DHA, kāore i rite ki te icosapent ethyl kei roto anake te EPA. Ko te mea nui e whakamahia ana mō te whakaheke i ngā taumata triglyceride tino tiketike.
Mō te whakahaere triglyceride, ka whakaaro pea tō tākuta ki ngā fibrates pēnei i te fenofibrate, i te gemfibrozil rānei. He rerekē te mahi a ēnei rongoā i ngā omega-3, engari ka whai hua mō te whakaheke i ngā triglycerides. Heoi, kāore e whai hua ana i te tiaki ngākau e tukuna ana e te icosapent ethyl.
Ka taea hoki e te Niacin (huaora B3) i roto i ngā horopeta tiketike te whakaheke i ngā triglycerides, engari he maha ngā pānga taha e kore e pai pēnei i te whero me te kore pea e whai hua ana i te tiaki ngākau e rite ana ki te icosapent ethyl.
He nui ngā painga o te icosapent ethyl i ngā taapiringa hinu ika noa, ko te mea nui i roto i te kaha, te mā, me te whai huatanga kua whakamatauria. Ahakoa kei roto i ngā mea e rua ngā waikawa ngako omega-3, he rongoā i runga i te whakahaunga te icosapent ethyl kua whakamatauria whānuitia i roto i ngā whakamātau haumanu, ā, kua whakamatauria ki te whakaiti i ngā tūponotanga o te mate ngākau.
Ko te tukanga purenga e whakamahia ana hei hanga icosapent ethyl e tango ana i nga poke me te whakakaha i te EPA ki nga taumata rongoa. He rereke te nui o te EPA me te purenga o nga taapiringa hinu ika, a, karekau ratou e whakahaerehia kia rite ki nga rongoa rongoa. Ko te tikanga kare e taea e koe te tino mohio kei te whiwhi koe i te horopeta rite, whai hua me nga taapiringa i runga i te kaute.
Ko te mea nui, kua whakamatauria te icosapent ethyl i roto i nga whakamatautau haumanu nui hei whakaiti i nga whakaeke ngakau, nga whiu, me etahi atu huihuinga ngakau e tata ana ki te 25%. Ko nga taapiringa hinu ika, ahakoa he pai mo te hauora whanui, kaore ano kia whakaatu i te taumata kotahi o te whakamarumaru ngakau i roto i nga rangahau haumanu kaha.
Heoi, he iti ake te utu o nga taapiringa hinu ika, a, he nui pea mo nga tangata e rapu ana i te taapiri omega-3 whanui, kaua ki te whakamarumaru ngakau motuhake. Ka taea e to taakuta te awhina i a koe ki te whakatau ko wai te whiringa e tika ana mo o hiahia hauora takitahi.
Ae, he haumaru te icosapent ethyl mo te hunga mate huka, a, tera pea ka whai hua ano mo te ngakau mo tenei taupori. He nui ake te tupono o te mate ngakau me te whiu o te hunga mate huka, a, i whakaatu nga whakamatautau haumanu he tino whai hua te icosapent ethyl ki te whakaiti i nga huihuinga ngakau i roto i te hunga mate huka.
Kare te rongoa e pa nui ki nga taumata huka toto, no reira kare e pokanoa ki to whakahaere mate huka. Heoi, he mea nui ki te haere tonu ki te aro turuki i to huka toto i runga i te tohutohu a to taakuta me te pupuri i te mana whakahaere mate huka pai i te wa e tango ana i te icosapent ethyl.
Mena ka inu pohehe koe i te icosapent ethyl nui atu i te mea i tohua, whakapā atu ki tō tākuta, ki te kaimātai rongoā rānei mō te tohutohu. Ahakoa te nuinga o te wā ka pai te tango i ngā waikawa ngako omega-3, ko te tango i te nui rawa atu ka piki ake te tūponotanga o te toto, ka pāngia rānei te puku.
Kaua e ngana ki te "whakakapi" i te horopeta atu mā te karo i tō horopeta e whai ake nei. Engari, hoki atu ki tō hōtaka horopeta auau, ā, kia tupato ake i ngā wā e haere ake nei. Mēnā kei te pāngia koe e ētahi tohumate rerekē, kua inu rānei koe i te nui rawa atu, rapua te āwhina hauora.
Mēnā kua ngaro i a koe tētahi horopeta o te icosapent ethyl, tangohia i te wā e mahara ana koe, mena kāore anō i tata te wā mō tō horopeta e whai ake nei. Mēnā kua tata te wā mō tō horopeta e whakaritea ana e whai ake nei, karo i te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.
Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei whakakapi i tētahi horopeta i ngaro, nā te mea ka piki ake te tūponotanga o ngā pānga taha. Mēnā he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakatakoto i tētahi whakamaharatanga ki tō waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe kia noho i runga i te ara.
Me kati anake e koe te tango i te icosapent ethyl i raro i te tohutohu a tō tākuta. E whakarato ana tēnei rongoā i te whakamarumaru ngākau me ngā pūkahukahu e haere tonu ana, ā, mā te kati i te tango ka whakakore i ēnei painga. Ka arotake auau tō tākuta mēnā me haere tonu koe ki te tango i te rongoā i runga i tō hauora whānui me te tūponotanga ngākau me ngā pūkahukahu.
Mēnā kei te pāngia koe e ngā pānga taha, he māharahara rānei ōna ki te rongoā, kōrerohia ēnei ki tō tākuta, kaua ki te kati anake. Ka āhei pea rātou ki te whakatika i tō horopeta, ki te whakaaro rānei i ngā rautaki hei whakaiti i ngā pānga taha i te wā e mau ana i ngā painga ngākau me ngā pūkahukahu.
Āe, he maha ngā wā ka tohua te icosapent ethyl me ētahi atu rongoā mō te ngākau pērā i ngā statins, ngā rongoā mō te pēhanga toto, me ngā rongoā whakaheke toto. Inaha, ko ngā whakamātau haumanu i whakaatu i ōna hua i uru mai te nuinga o ngā tāngata e tango ana i ēnei rongoā kē.
Heoi anō, ki te tango koe i ngā rongoā whakaheke toto, ka mātakitaki tata tō tākuta i a koe mō ngā tohu o te nui haere o te toto. Me mōhio tō tākuta ki ngā rongoā katoa, ngā tāpiringa, me ngā rongoā ka taea te hoko i te tatau, kia kore ai he pānga kino.