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

He rongoā whakahau a Lesinurad i hangaia hei āwhina i te hunga e mate ana i te kauti ki te whakahaere i o ratou taumata waikawa uric. E mahi ana mā te aukati i ētahi pūmua i roto i ō tākihi e ngongo ana i te waikawa uric, e āhei ai te nui ake o te waikawa uric ki te whakakorehia mā te mimi. Ko tēnei huarahi whai i te whāinga ka āwhina i te aukati i te hanganga o ngā tioi mamae i roto i ngā hononga e whakaatu ana i ngā whakaeke kauti.

He aha te Lesinurad?

No te rōpū rongoā a Lesinurad e kīia ana ko ngā aukati kaikawe waikawa uric. Whakaarohia he kaitiaki āwhina i roto i ō tākihi e whakahihiri ana i tō tinana ki te whakakore i te waikawa uric nui atu i te pupuri. I hangaia te rongoā mō te hunga e nui rawa ana te waikawa uric i roto i ō rātou tinana, e uaua ana rānei ki te whakakore i te waikawa uric.

Ka whakahaua tonu tēnei rongoā me tētahi atu rongoā kauti e kīia ana he aukati oxidase xanthine, pērā i te allopurinol, te febuxostat rānei. Kāore e mahi ana a Lesinurad anake nā te mea e hiahia ana ki tētahi rongoā hoa kia whai hua. Ka tūhonohia e tō tākuta ēnei rongoā kia whai mana pai ai koe ki ō taumata waikawa uric.

He aha te Lesinurad e whakamahia ana mō?

Ka whakahaua a Lesinurad hei rongoā i te kauti i roto i ngā pakeke e tiketike tonu ana te taumata waikawa uric ahakoa te tango i ētahi atu rongoā kauti. He mea motuhake mō te hunga kāore anō i tutuki i ō rātou taumata waikawa uric e whāia ana mā ngā rongoā paerewa anake. Ka tohutohu pea tō tākuta i te lesinurad mēnā kua tango koe i ngā rongoā pērā i te allopurinol engari kei runga tonu ō taumata waikawa uric i te awhe hauora.

He tino whai hua te rongoa nei mō te hunga e kīia ana e ngā tākuta ko te "gout refractory" - arā, ko te gout kāore e pai te urupare ki ngā rongoa noa. Ka whakamahia hoki i te wā e hiahia ana te tangata ki te āwhina atu ki te whakaheke i ō rātou taumata waikawa uric hei ārai i ngā whakaekenga gout ā muri ake nei. Ko te whāinga kia noho i raro iho i te 6 milligrams per deciliter tō waikawa uric, e tino whakaiti ana i tō tūponotanga ki ngā pūhihi mamae.

Me pēhea te mahi a Lesinurad?

Ka mahi a Lesinurad mā te aukati i ngā pūmua motuhake i roto i ō pūkahukahu e kīia ana ko URAT1 me OAT4 transporters. Ko ēnei pūmua te tikanga he rite ki ngā pokapū hangarua, e kukume ana i te waikawa uric ki tō toto, kaua ki te tuku kia puta mā tō mimi. Mā te aukati i ēnei transporters, ka taea e lesinurad ō pūkahukahu te whakakore i te nui atu o te waikawa uric i te mea e tika ana.

E kiia ana he kaha ngāwari tēnei rongoa i roto i tōna whai huatanga. Ka taea e ia te whakaiti i ngā taumata waikawa uric mā te tata ki te 20-30% i te wā e whakamahia ana me ētahi atu rongoa gout. He kaha ake te huarahi whakakotahi i te whakamahi i tētahi rongoa anake, koinei te take ka tohua tonu e tō tākuta me tētahi atu rongoa gout.

Ka tīmata te mahi a te rongoa i roto i ngā hāora torutoru i muri i te tango, engari me tango tonu e koe mō ētahi wiki kia kite i ngā huringa whai tikanga i ō taumata waikawa uric. Ka aroturuki tō tākuta i tō ahunga whakamua mā ngā whakamātautau toto auau kia mōhio ai kei te pai te mahi a te rongoa mōu.

Me pēhea taku tango i a Lesinurad?

Tangohia te lesinurad kia rite ki tā tō tākuta i whakahau ai, te tikanga kotahi i te rā i te ata me te kai. Mā te tango me te kai ka āwhina tō tinana ki te ngongo pai ake i te rongoa me te whakaiti i te tūponotanga o te puku. Ka taea e koe te tango me ngā momo kai katoa, engari he mea nui kia whai mea i roto i tō puku mō te ngongo tika.

Horomia te papa katoa me te karaihe wai ki tonu. Kaua e kuru, e ngaungau, e wawahi ranei i te papa, na te mea ka pa tenei ki te ahua o te tuku i te rongoa ki roto i to tinana. Ki te raru koe ki te horomia i nga pire, korero ki to taakuta mo etahi atu huarahi, engari kaua e whakarereke i te papa i runga i a koe ake.

He mea nui kia noho pai te wai i a koe e tango ana i te lesinurad. Inu kia 8 nga karaihe wai puta noa i te ra hei awhina i ou whatukuhu ki te tukatuka i te waikawa uric nui e whakakorehia ana. Ka awhina ano te wai tika ki te aukati i nga kohatu whatukuhu, he mea e awangawanga ana ki tenei rongoa.

Me tango tonu te lesinurad me etahi atu rongoa rongoa o te mate gout i runga i te tohutohu. Kaua rawa e tango lesinurad anake, na te mea i hangaia kia mahi tahi me nga rongoa penei i te allopurinol, febuxostat ranei. Ka whakarite to taakuta i te wa o nga rongoa e rua mo te tino whai hua.

Kia Pehea Te Roa E Tango Ai Au i te Lesinurad?

Ko te Lesinurad te tikanga he maimoatanga mo te wa roa mo te whakahaere i te gout, he rite ki te tangata e mate ana i te toto toto tiketike, i te mate huka ranei e tango ana i a raatau rongoa tonu. Ko te nuinga o nga tangata me tango tonu kia mau tonu nga taumata waikawa uric hauora me te aukati i nga whakaeke gout. Ka whakatau to taakuta i te roanga tika i runga i to urupare takitahi me te hauora katoa.

Ka kite pea koe i nga whakapainga i roto i o taumata waikawa uric i roto i nga wiki 2-4 o te tiimata i te maimoatanga. Heoi, ka roa pea nga marama ki te whakatutuki i to taumata waikawa uric me te iti ake o nga whakaeke gout. Ka aroturuki to taakuta i to ahunga whakamua me nga whakamatautau toto i nga wa katoa, i te tuatahi ia marama, katahi ka iti ake te auau ka pumau ana o taumata.

Ka taea e ētahi tāngata te whakatika i tā rātou mahere rongoā i te roanga o te wā. Mēnā ka mau tonu ō taumata waikawa uric, ā, kāore koe e pā ana ki ngā whakaeke gout, ka whakaaro pea tō tākuta ki te whakarerekē i tō horopeta, i te huarahi rongoā rānei. Heoi, ko te whakamutu i te rongoā katoa ka arahi pinepine ki te pikinga anō o ngā taumata waikawa uric, nō reira ka haere tonu te nuinga o te tangata ki te tango i te rongoā mō te wā roa.

He aha ngā pānga taha o Lesinurad?

Pērā i ngā rongoā katoa, ka taea e Lesinurad te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko te nuinga o ngā pānga taha he ngawari, he mārama, engari he mea nui kia mōhio ki ngā mea hei mātakitaki. Ka kōrero tō tākuta i ēnei pānga pea ki a koe, ā, ka mātakitaki tata ki a koe, ina koa i te wā tuatahi ka tīmata koe ki te tango i te rongoā.

Anei ngā pānga taha tino noa ka pā pea ki a koe:

• Te mamae o te upoko, e pā ana ki te 1 i roto i te 10 tāngata e tango ana i te rongoā
• Ngā tohumate pērā i te rewharewha, tae atu ki te ngenge, ki te mamae rānei o te tinana
• Te rerenga gastroesophageal (te ngākau pāwera, te rerenga waikawa rānei)
• Te hanganga kōhatu tākihi, ina koa i ngā marama tuatahi o te rongoā
• Ngā whakamātautau mahi tākihi kua piki ake, ka mātakitaki tō tākuta mā te mahi toto

Ko ēnei pānga taha noa ka pai ake i te wā e whakatika ana tō tinana ki te rongoā. Ko te inu i te wai nui me te tango i te rongoā me te kai ka āwhina i te whakaiti i ētahi o ēnei pānga.

Ka pā pea ki ētahi tāngata ngā pānga taha nui ake engari he iti ake te noa e hiahia ana kia aro mai te rongoā tonu:

• Ngā raruraru tākihi nui, tae atu ki te wharanga tākihi koi
• Ngā tohu o ngā take ngākau me ngā uaua, pērā i te mamae o te uma, i te poto rānei o te manawa
• Ngā tauhohenga mate pāwera nui, tae atu ki te pāwera, te pūhi, te uaua rānei ki te manawa
• Te whakapairuaki tonu, te ruaki, te mamae nui rānei o te puku
• Ngā huringa i ngā tauira mimi, i te toto rānei i roto i te mimi

Mena ka pā mai ētahi o ēnei tohumate nui ake, whakapā atu ki tō tākuta tonu, rapu rānei i te manaakitanga hauora ohorere. Ko tō haumaru te mea matua, ā, me arotake wawe ēnei tohumate.

Ko wai kāore e tika kia tango Lesinurad?

Kāore a Lesinurad e tika ana mō te katoa, ā, ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i te rongoā nei. Ko ētahi āhuatanga hauora, ā, ko ētahi āhuatanga ka waiho tēnei rongoā kia kore e haumaru, kia kore rānei e whai hua. Ka whakaaro tō tākuta ki tō pikitia hauora whānui hei whakatau mēnā he tika a lesinurad mōu.

Kāore koe e tika kia tango lesinurad mēnā he āhuatanga ōna e whai ake nei:

• Te mate tākihi nui, te ngoikore rānei o te tākihi
• Te mate tākihi i te wā whakamutunga e hiahia ana ki te tātai
• Ngā kaiwhiwhi whakawhitinga tākihi
• Te mate rāpoi puku, ētahi atu āhuatanga rānei e piki rawa ai te taumata waikawa uric
• Te mōhiotia o te pānga ki a lesinurad, ki ētahi atu whakauru rānei

Ka tūpato anō tō tākuta ki te whakahau i a lesinurad mēnā he raruraru tākihi ōna, he mate ngākau, he hītori rānei mō ngā kōhatu tākihi. Kāore ēnei āhuatanga e aukati ana i a koe ki te tango i te rongoā, engari e hiahia ana kia mātakitaki tata atu, ā, me whakatika pea te inenga.

Me kōrero ngā wāhine hapū, ngā wāhine whāngai ū rānei i ngā tūponotanga me ngā painga ki tō rātou tākuta, nā te mea kāore anō kia tino whakapūmautia te haumaru o lesinurad i te wā o te hapū me te whāngai ū. Ka tūtohu pea tō tākuta i ētahi atu rongoā i ēnei wā.

Ngā Ingoa Pūmau o Lesinurad

Kei te wātea a Lesinurad i raro i te ingoa pūmau ko Zurampic i roto i te maha o ngā whenua, tae atu ki te United States. Koinei te momo rongoā e whakahaua ana i te nuinga o te wā. Kei ētahi rohe pea ētahi atu ingoa pūmau, nō reira he mea nui kia mōhio ki te ingoa whānui (lesinurad) me te ingoa pūmau e whakamahia ana e tō whare rongoā.

He rongoā whakakotahi anō tērā e kīia ana ko Duzallo kei roto ko lesinurad me allopurinol i roto i te papa kotahi. He watea tēnei whakakotahitanga mō ētahi tāngata, nā te mea ka whakaiti i te maha o ngā pire e hiahia ana koe ki te tango i ia rā, i te wā e whakarite ana koe kia whiwhi koe i ngā rongoā e rua e mahi ngātahi ana.

Me mōhio tonu koe kei te whiwhi koe i te rongoā tika mā te tirotiro i ngā ingoa whānui me ngā ingoa waitohu ki tō kai rongoā. Ki te haere koe ki tāwāhi, he rerekē pea te ingoa waitohu, engari me mōhio ngā kaiwhakarato hauora ki te ingoa whānui lesinurad i te ao katoa.

Ngā Kōwhiringa Lesinurad

Ki te kore e tika ana te lesinurad mōu, ki te kore rānei e whai hua ana, he maha ngā rongoā kē atu ka āwhina i te whakahaere i te mate rūmātiki me te whakaheke i ngā taumata waikawa uric. Ka whakaaro tō tākuta ki tō āhuatanga motuhake, tae atu ki tō mahi tākihi, ētahi atu āhuatanga hauora, me te pai o tō urupare ki ngā rongoā o mua.

Ko ētahi atu rongoā whakaheke waikawa uric ko:

• Allopurinol, e whakaiti ana i te hanga waikawa uric, ā, he maha ngā wā ko te rongoā tuatahi
• Febuxostat, tētahi atu rongoā e whakaheke ana i te hanga waikawa uric
• Probenecid, e āwhina ana i ō tākihi ki te whakakore i te waikawa uric i te pai ake
• Pegloticase, he rongoā werohanga kaha mō ngā keehi tino nui

Mō te whakahaere i ngā whakaeke rūmātiki koi, ka tohutohu pea tō tākuta i ngā rongoā anti-inflammatory pēnei i te colchicine, NSAIDs, rānei corticosteroids. He rerekē te mahi a ēnei i te lesinurad engari he wāhanga nui pea o tō mahere whakahaere rūmātiki whānui.

Ka taea hoki e ngā whakarerekētanga o te oranga te mahi hei kōwhiringa nui, hei huarahi tāpiri rānei. Kei roto i ēnei ko te pupuri i te taumaha hauora, te whakaiti i te inu waipiro, te noho pai te wai, me te karo i ngā kai nui i roto i ngā purines. Ka taea e tō tākuta te āwhina i a koe ki te whakawhanake i tētahi huarahi whānui ka whakaiti pea i tō hiahia ki te rongoā.

He Pai Anei te Lesinurad i te Allopurinol?

He rerekē te mahi a Lesinurad me te allopurinol, ā, he mea whakamahi tahi rāua, kaua hei rāpoi anō. Ka whakaiti te allopurinol i te nui o te waikawa uric e hangaia ana e tō tinana, ā, ka āwhina te lesinurad i ō tākihi ki te whakakore i te nui ake o te waikawa uric. He maha ngā wā ka whai hua ake tēnei huinga i te whakamahi i tētahi rongoā anake.

Ko te allopurinol te rongoā tuatahi ka tohua e ngā tākuta mō te mate kōpū, nā te mea kua whakamahia marie mō ngā tau tekau, ā, he pai te mahi mō te nuinga o te tangata. Ko te lesinurad te mea ka tāpirihia i te wā e kore ai te allopurinol anake e ranea ki te whakatutuki i ngā taumata waikawa uric e whāia ana. Whakaarohia te allopurinol hei rongoā tūāpapa, ā, ka whakarato te lesinurad i te tautoko atu i te wā e hiahiatia ana.

Ka whakawhirinaki te whiriwhiri i waenga i ēnei rongoā ki tō āhuatanga takitahi. Ki te whai raruraru tākihi koe, tērā pea ka pai ake te allopurinol ki tō tākuta, nā te mea he rerekē te tukatuka e tō tinana. Ki te mea kei te tango kē koe i te allopurinol engari kei te pā tonu te mate kōpū ki a koe, ko te tāpiri i te lesinurad te mahi e whai ake nei.

Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i te mahi o ō tākihi, ētahi atu rongoā e tango ana koe, me te pai o tō urupare ki ngā rongoā o mua. He maha ngā tāngata e kite ana he pai ake te whakahaere waikawa uric i te huinga o ngā rongoā e rua i te kotahi anake.

Ngā Pātai Auau mō Lesinurad

He Haumaru te Lesinurad mō te Tāngata e Whai Mate Tākihi ana?

Me tino whakaaro ki te lesinurad ki te whai mate tākihi koe, ā, kāore i te tūtohutia mō te tāngata e whai raruraru tākihi nui ana. Ka tirohia e tō tākuta te mahi o ō tākihi mā ngā whakamātautau toto i mua i te tohutohu i te lesinurad, ā, ka haere tonu te aroturuki i a koe i te wā e tango ana koe i te rongoā.

Mēnā he mate tākihi ngawari ki te āhua, ka tohutohu pea tō tākuta i te lesinurad engari ka tīmata pea ki te horopeta iti ake, ā, ka mātakitaki tata atu ki a koe. Ka pēnei pea te rongoā nei i te pēhanga anō ki ō tākihi nā te mea ka whakanui i te nui o te waikawa uric e hiahia ana rātou ki te tukatuka, koinei te take he mea nui kia pai te wai.

Me Pēhea Taku Mahi Mēnā Ka Nui Rawa Taku Tango i te Lesinurad?

Mēnā ka nui rawa tō tango i te lesinurad i te mea i tohutohutia, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei, ahakoa kāore koe e pōuri. Ko te tango i te nui rawa ka whakanui i tō tūponotanga ki ngā raruraru tākihi me ētahi atu pānga taha nui. Kaua e tatari kia kite mena ka puta ngā tohu, he mea nui te aro rongoā wawe.

I a koe e rapu ana i te tohutohu rongoā, inu i te wai nui hei āwhina i ō tākihi ki te tukatuka i te rongoā nui. Kaua e tango i ētahi atu horopeta kia kōrerohia rānei e koe ki tētahi kaiwhakarato hauora. Puritia te pounamu rongoā ki a koe kia kite ai ngā tāngata rongoā i te aha me te nui i tangohia e koe.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Taku Horopeta o te Lesinurad?

Mēnā ka ngaro tō horopeta o te lesinurad, tangohia i te wā e mahara ana koe, i te mea kei te rite tonu te rā. Mēnā kāore koe e mahara ana kia te rā e whai ake nei, waiho te horopeta i ngaro, ā, tangohia tō horopeta e whai ake nei i te wā tika. Kaua rawa e tango i ngā horopeta e rua i te wā kotahi hei utu mō te horopeta i ngaro.

Whakamātauria ki te tango i te lesinurad i te wā kotahi i ia rā hei āwhina i a koe ki te mahara. He maha ngā tāngata e kite ana he āwhina ki te tango i te parakuihi, ki te whakatakoto rānei i tētahi whakamaharatanga i ia rā i runga i tā rātou waea. Mēnā ka wareware koe i ngā horopeta, kōrero ki tō tākuta mō ngā rautaki hei āwhina i a koe ki te pupuri i te piri tonu ki te rongoā.

Āhea Ka Taea e Au te Kati te Tango i te Lesinurad?

Me mutu anake tō tango i te lesinurad i raro i te tirotiro a tō tākuta. Ko te nuinga o ngā tāngata e hiahia ana ki te haere tonu ki te tango i te wā roa ki te pupuri i ngā taumata waikawa uric hauora me te ārai i ngā whakaeke gout. Ko te whakamutu i te rongoā ka pūtake te taumata waikawa uric ki te piki anō i roto i ngā wiki e rua.

Ka whakaaro pea tō tākuta ki te whakatika i tō rongoā mena kua mau tonu ō taumata waikawa uric mō te wā roa, ā, kua whakatutuki i ngā huringa nui o te oranga. Heoi anō, ko ngā huringa ki tō rongoā me āta haere, me te āta mātakitaki. Kaua rawa e mutu te tango lesinurad ohorere, me te kore e kōrero tuatahi ki tō tākuta.

Ka taea e au te inu waipiro i te wā e tango ana au i te Lesinurad?

He pai ake te whakaiti i te inu waipiro i te wā e tango ana i te lesinurad, nā te mea ka raru te waipiro i te kaha o tō tinana ki te whakakore i te waikawa uric, ā, ka pā mai pea ngā whakaeke gout. He raru nui te pia me ngā wairua, nā te mea ka piki ake te hanga waikawa uric, ka whakaheke i te mahi tākihi.

Mēnā ka whiriwhiri koe ki te inu waipiro i ētahi wā, me mahi i runga i te āhua, me inu wai anō kia noho wai. Kōrerohia tō inu waipiro ki tō tākuta, nā te mea ka taea e rātou te whakarato aratohu whaiaro i runga i tō hauora whānui me ngā whāinga whakahaere gout. E kite ana ētahi tāngata ko te karo i te waipiro katoa ka āwhina i a rātou ki te whakatutuki i te mana whakahaere waikawa uric pai ake.