He aha te Ingenol: Ngā whakamahinga, te horopeta, ngā pānga taha me ētahi atu

He rongoā ā-roto a Ingenol e tohutohu ana ngā tākuta ki te rongoā i ngā keratoses actinic, arā, ngā pātihi kiri taratara, unahi hoki i puta mai i te kino o te rā. E mahi ana tēnei rongoā i runga i te hātepe hātepe ki te whai i ngā pūtau kiri kōaro ka tupu pea hei mate pukupuku kiri ki te kore e rongoā.

Nō te tipu mai te rongoā nei i tētahi tipu ko Euphorbia peplus, e mōhiotia ana ko te milkweed, te petty spurge rānei. Ka tohutohu pea tō tākuta kiri ki a koe i te ingenol ki te maha ngā keratoses actinic kei tētahi wāhi e hiahia ana ki te rongoā.

He aha te whakamahinga o Ingenol?

E rongoā ana a Ingenol i ngā keratoses actinic, arā, ngā pātihi taratara, rite ki te pepa kirikiri e puta ana ki ngā wāhi e pā ana ki te rā o tō kiri. E kiia ana ēnei pātihi he mea i mua i te mate pukupuku, te tikanga, he kaha ki te huri hei squamous cell carcinoma ki te kore e rongoā.

Ka kitea e koe ngā keratoses actinic ki tō mata, te upoko, ngā taringa, te kaki, ngā ringa, rānei. Ko ēnei wāhi te nuinga o te pānga o te rā i ngā tau. Ka tūpono pea ka taratara ngā pātihi ki te pa atu koe ki tō maihao, ā, ka rerekē te tae mai i te tae kiri ki te parauri-whero.

Ka whiriwhiri te tākuta i te ingenol ina maha ngā keratoses actinic e huihui ana ki tētahi wāhi rongoā. Mā tēnei ka pai ake i te rongoā i ia pātihi takitahi me ētahi atu tikanga pēnei i te whakatio, te waru rānei.

Me pēhea te mahi a Ingenol?

E mahi ana a Ingenol mā te hātepe mahi-rua e whai ana i ngā pūtau kiri kōaro i te wā e tiaki ana i te kiko hauora. Ka whakaoho te rongoā i te mate o ngā pūtau i roto i ngā pūtau kua pakaru e hanga ana i ngā keratoses actinic, e pā ana ki te pakaru me te ngaro atu.

I te wā kotahi, ka whakahohe a Ingenol i tō pūnaha ārai mate ki te mōhio me te whakaeke i ngā pūtau kōaro e toe ana i te wāhi rongoā. Mā tēnei urupare ārai mate e āwhina ana ki te whakarite kia tino tika te rongoā me te whakaiti i te tūponotanga o te hokinga mai o ngā keratoses.

He rongoā kaupapa kaha tēnei. Ka tere ngā pānga ki ētahi atu rongoā kaupapa, engari ko te tikanga tēnei ka kite pea koe i ngā tauhohenga kiri nui ake i te wā o te whakaora.

Me pēhea taku tango i te Ingenol?

Ka whakamahia e koe te ingenol ki te wāhi kiri e pā ana kotahi i te rā mō te 2, 3 rā rānei, i runga i te wāhi e rongoatia ana e koe. Mō te kanohi me te kiri māhunga, ka whakamahi koe mō te 3 rā. Mō ngā wāhi o te tinana pērā i ngā ringa, ka whakamahi koe mō te 2 rā.

I mua i te whakamahi i te hāora, horoia ō ringa kia mā, kia mōhio hoki kei te mā, kei te maroke te wāhi e rongoatia ana. Tōia mai te nui o te hāora hei uhi i te wāhi e rongoatia ana ki te paparanga angiangi, ka mirimiri marie kia ngaro.

Kāore koe e hiahia ki te tango i tēnei rongoā me te kai, te wai rānei i te mea ka whakamahia ki tō kiri. Heoi, me karo koe i te hāora ki te taha o ō kanohi, ō waha, i ngā patunga tuwhera rānei. Whai muri i te whakamahi, horoia ō ringa tonu kia kore ai e horahia te rongoā ki ētahi atu wāhi.

Whakamahia te hāora i te wā kotahi i ia rā, he pai ake i te ahiahi. Ka āwhina tēnei ki te whakaiti i te pānga o te rā ki te wāhi e rongoatia ana i muri tonu i te whakamahi.

Kia Pēhea te Roa o taku Tango i te Ingenol?

He poto rawa te akoranga rongoā me te ingenol - 2 ki te 3 rā katoa. Kāore i rite ki ētahi atu rongoā kaupapa e hiahiatia ana wiki, marama rānei o te whakamahi, ka tere te mahi a te ingenol, ā, ka kaha i tēnei wā poto.

Whai muri i te whakaoti i te huringa rongoā 2, 3 rā rānei, ka mutu katoa te whakamahi i te rongoā. Ka tauhohe tonu tō kiri, ka ora i ngā wiki e whai ake nei, ā, ka roa pea te 2 ki te 4 wiki kia ora katoa.

Kāore koe e hiahia ki te whakahoki i te rongoā ki te kore e puta mai ngā keratoses actinic hou i te wāhi kotahi, ka puta pea tēnei i ngā marama, tau rānei i muri mai. Ka aroturukihia tō kiri e tō tākuta kiri, ā, ka whakatau mēnā e tika ana ngā rongoā ā muri ake nei.

He aha ngā Pānga taha o te Ingenol?

Ko te nuinga o nga tangata ka pa ki nga tauhohenga kiri i te waahi i rongoatia, he tohu tonu enei kei te pai te mahi o te rongoa. He wahanga enei tauhohenga o te tukanga whakaora noa i te wa e marere ana to kiri i nga pūtau kua pakaru.

Ko nga paanga taha tino noa ka kitea e koe ko te whero, te pupuhi, me te ngawari i te waahi i rongoatia. Ko enei tohu ka timata i roto i te ra, e rua ranei i muri i te tiimata o te maimoatanga, ka roa pea mo etahi wiki.

Anei nga tauhohenga ka pa ki a koe, ka timata mai i nga mea tino noa:

• Te whero me te mumura ka tino kitea
• Te pupuhi huri noa i te waahi i rongoatia
• Te wera, te ngau ranei i te wa me muri i te tono
• Te kirinuku, te ngau ranei i te wa e ora ana te kiri kua pakaru
• Te tihore, te ngawha ranei o te kiri
• Te mānukanuka i te waahi maimoatanga
• Te pouri, te whakamarama ranei o te kiri mo te wa poto

E whakaatu ana enei tauhohenga kei te aro tika a ingenol ki nga pūtau rereke. Ahakoa te ahua whakamataku, ehara i te mea kino, ka ngaro i te wa e ora ana to kiri.

Ko nga paanga taha iti noa engari he nui ake te kino ka uru pea ki nga tauhohenga mate pāwera nui, ahakoa he onge enei. Ko nga tohu o te tauhohenga nui ko te pupuhi whanui, te uaua ki te manawa, te pupuhi ranei o to kanohi, ngutu, arero, korokoro ranei.

Ka pa pea etahi tangata ki te mamae o te mahunga, te riri o te kanohi mena ka tata te rongoa ki nga kanohi, ki nga tohu rite ki te rewharewha i te wa o te maimoatanga. He wa poto noa enei paanga, he ngawari tonu.

Ko wai e kore e tango Ingenol?

Kaua koe e whakamahi ingenol mena he mate pāwera koe ki etahi o ona kai, mena kua pa ki a koe nga tauhohenga nui ki nga rongoa kaupapa rite i mua. Ko nga tangata e pa ana ki etahi ahuatanga kiri, ki nga punaha aukati ranei ka hiahia pea ki te karo i tenei maimoatanga.

Ka āta aromatawai tō tākuta mēnā he tika te ingenol māu i runga i tō hītori hauora me tō āhua hauora o nāianei. Ka whakaarohia e rātou ngā āhuatanga pēnei i tō momo kiri, te kaha o ō keratoses actinic, me ētahi atu rongoā e tango ana koe.

Ngā āhuatanga motuhake e kore ai e tika te ingenol ko:

• Te hapū, te whāngai u rānei (kāore anō kia whakatauria te haumaru)
• Ngā mate kiri kaha i te wāhi rongoā
• Ngā patunga tuwhera, ngā tapahi rānei i te wāhi e hiahia ana koe ki te tono i te rongoā
• Te eczema kaha, te psoriasis rānei i te wāhi rongoā
• He hītori o ngā tauhohenga kiri kaha ki ngā rongoā ā-rohe
• Te whakamahi i tētahi rongoā ārai mate i tēnei wā

Ka kōrero tō tākuta kiri ki a koe mō ēnei āhuatanga, ā, ka āwhina i te whakatau mēnā ko te ingenol te kōwhiringa rongoā pai mō tō āhuatanga motuhake.

Ngā Ingoa Waitohu Ingenol

I mua i te wātea o te ingenol mebutate i raro i te ingoa waitohu Picato i roto i te maha o ngā whenua, tae atu ki te United States me Europe. Heoi, i unuhia tēnei rongoā i te mākete e te kaihanga i te tau 2020 nā te āwangawanga haumaru.

I puta te unuhanga i muri i te whakaatu a ngā rangahau i te pōtential piki ake o te mate pukupuku kiri i te wāhi rongoā i ētahi tāngata. Ko te mutunga, kāore anō te ingenol mebutate i te wātea i te hokohoko mō te rongoā i ngā keratoses actinic.

Mēnā i whakahaua koe i mua ki te Picato, te ingenol mebutate rānei, ka tūtohu tō tākuta i ētahi atu rongoā mō ō keratoses actinic. He maha atu ngā kōwhiringa whai hua e wātea ana ka taea te whakatika i ō āwangawanga kiri i runga i te haumaru.

Ngā Kōwhiringa kē Ingenol

Mai i te kore o te ingenol e wātea ana, he maha atu ngā rongoā whai hua mō ngā keratoses actinic kei tō tākuta kiri. He rerekē te mahi a ēnei kōwhiringa kē, engari ka taea te whakatutuki i ngā hua rite i te whakawātea i ngā pūtau kiri kōaro.

Kei roto i ngā rongoā kē atu ko te kirīmi imiquimod, e whakanui ana i tō pūnaha ārai mate ki te whawhai i ngā pūtau hē, me te kirīmi fluorouracil, e aro ana ki ngā pūtau e tere ana te wehe. E rua ngā rongoā e roa ana te wā ki te rongoā i te ingenol engari he pai te haumaru kua whakatūria.

Kei roto i ō kōwhiringa rongoā ināianei:

• Kirīmi Imiquimod (e whakamahia ana 2-3 ngā wā i te wiki mō ētahi wiki)
• Kirīmi Fluorouracil (e whakamahia ana e rua ngā wā i te rā mō te 2-4 wiki)
• Kiriata Diclofenac (e whakamahia ana e rua ngā wā i te rā mō te 2-3 marama)
• Cryotherapy (te whakatio ki te hauota wai)
• Curettage (te waru atu i te kiko hē)
• Photodynamic therapy (rongoā e whakahohehia ana e te mārama)

He rerekē ngā painga me ngā whakaaro o ia kōwhiringa. Mā tō tākuta kiri e āwhina i a koe ki te whiriwhiri i te rongoā pai rawa atu i runga i ō hiahia motuhake, te momo kiri, me ngā āhuatanga o te noho.

Ngā Pātai e Pātai pinepine ana mō Ingenol

He Haumaru te Ingenol mō te hunga he kiri tairongo?

Kāore anō a Ingenol i te wātea i tēnei wā nā te mea e pā ana ki te haumaru i arahina ai ki te tangohanga mai i te mākete i te tau 2020. I te wā i wātea ai, ka taea e ia te whakaputa i ngā tauhohenga kiri nui ahakoa i te hunga kāore he kiri tairongo.

Mēnā he kiri tairongo tō, me hiahia rongoā mō te keratoses actinic, ka taea e tō tākuta kiri te tūtohu i ngā rongoā ngawari ake pēnei i te kiriata diclofenac, te kōrero rānei mō ngā hōtaka rongoā kua whakarerekētia me ētahi atu rongoā ā-roto hei whakaiti i te riri.

Me aha au mēnā i whakamahi au i te Ingenol i mua?

Mēnā i whakamahi koe i te ingenol (Picato) i mua, he mea nui kia haere tonu ngā arotake kiri i te wā katoa me tō tākuta kiri. I tangohia te rongoā nā te mea e pā ana ki te mōrearea pea o te pūtau mate kiri i ngā wāhi rongoā.

Aroturukihia ngā wāhi i whakamahia ai e koe te ingenol mō ngā wāhi hou, huri rānei, ngā tipu rerekē, ngā huringa kiri tonu rānei. Whakapa atu ki tō tākuta kiri i te wā tonu mō ō āwangawanga kia taea e rātou te aromatawai me te whakatika tika.

He aha ngā rongoā pai rawa atu ki te Ingenol i tēnei wā?

Ko ngā rongoā kē atu e tino whakahauhia ana ko te kirīmi imiquimod me te kirīmi fluorouracil, e rua nei he rekoata roa mō te haumaru me te whai hua. Ka tūtohu pea tō tākuta kiri ki te cryotherapy, ki te photodynamic therapy rānei.

Ko te kōwhiringa pai rawa atu ka whakawhirinaki ki ngā āhuatanga pēnei i te maha me te wāhi o ō keratoses actinic, te momo kiri o tō kiri, me tō hiahia mō te roa o te rongoā. E pai ana ētahi tāngata ki ngā rongoā poto, kaha ake, i te wā e pai ana ētahi atu ki ngā kōwhiringa ngawari, roa ake.

Ka taea tonu e au te tiki Ingenol mā ngā Hōtaka Whakauru Motuhake?

Kāore i te wātea te ingenol mebutate mā ngā hōtaka whakauru motuhake, ngā hōtaka whakamahi atawhai rānei mai i te mea i unuhia e te kaihanga i te mākete o te ao. He whānui te unuhanga, ā, e pā ana ki ngā whenua katoa i whakaaetia i mua.

Ka taea e tō tākuta kiri te kōrero mō ngā taunakitanga o nāianei e wātea ana, ā, he pūkete haumaru kua whakamatauria mō te rongoā i ngā keratoses actinic i runga i te whai hua.

Me pēhea te whakataurite o ngā rongoā o nāianei ki ngā mea i tukuna e Ingenol?

He tino whai hua ngā rongoā o nāianei mō ngā keratoses actinic, ā, he painga ki te nui o ngā raraunga haumaru. Ahakoa i tukuna e Ingenol te roa o te rongoā poto rawa atu, ka taea e ngā rongoā kē atu te whakatutuki i ngā hua rite, pai ake rānei me ngā pūkete tūponotanga e mōhiotia ana.

He maha ngā tūroro e kite ana ko ngā rongoā o nāianei, ahakoa e hiahia ana ki ngā wā tono roa ake, he iti ake te kaha o ngā tauhohenga kiri, ā, he nui ake ngā hua e matapaehia ana. Ka taea e tō tākuta kiri te āwhina i a koe ki te mārama ko tēhea kōwhiringa o nāianei e pai ana mō tō āhuatanga motuhake.