Created at:1/13/2025
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He rongoā whakahau a Macimorelin e āwhina ana i ngā tākuta ki te tātai i te ngoikoretanga o te homoni tipu i roto i ngā pakeke. E mahi ana mā te whakahihiri i tō tinana ki te tuku homoni tipu, ka taea e ngā tākuta te ine mā ngā whakamātautau toto kia kite ai mehemea kei te pai te mahi a tō repe pituitary.
Ka tae mai tēnei rongoā hei otinga waha ka inu koe, he kōwhiringa watea ake i te whakataurite ki ngā whakamātautau tātai tawhito e hiahia ana ki te werohanga. Ka whakamahia e tō tākuta te macimorelin hei wāhanga o te arotake whānui kia mārama ai mehemea kei te whakaputa tō tinana i te nui o te homoni tipu.
I hangaia te Macimorelin ki te tātai i te ngoikoretanga o te homoni tipu pakeke (AGHD). Ki te whakaaro ngā tākuta kei a koe tēnei āhuatanga, e hiahia ana rātou ki tētahi huarahi pono hei whakamātau i te pai o te whakaputa homoni tipu a tō repe pituitary.
E mahi ana te rongoā hei taputapu tātai kaua hei rongoā. Whakaarohia he whakamātautau ahotea mō tō repe pituitary - e wero ana i tō tinana ki te whakaputa homoni tipu kia taea ai e ngā tākuta te ine i te urupare. Mā tēnei e āwhina ana i a rātou ki te whakatau mehemea e pā ana ō tohumate ki te ngoikoretanga o te homoni tipu, ki tētahi atu āhuatanga rānei.
Ka taea e te ngoikoretanga o te homoni tipu i roto i ngā pakeke te pā ki te ngenge, te ngoikore o te uaua, te pikinga o te ngako tinana, me te whakaheke i te kounga o te ora. Ko te whai i tētahi tātai tika te mahi tuatahi ki te whiwhi i te rongoā tika ki te whai koe i tēnei āhuatanga.
E mahi ana te Macimorelin mā te whai i tētahi homoni tūturu e kīia ana ko te ghrelin, e tohu ana i tō repe pituitary ki te tuku homoni tipu. E whakaarohia ana he mea huna homoni tipu kaha, ko te tikanga he tino whai hua ki te whakaoho i tēnei urupare.
Inā ka tango koe i te macimorelin, ka herea ki ngā kaiwhakawhiwhi motuhake i roto i tō repe roro me te hypothalamus. Mā tēnei mahi here ka tukuna he tohu kaha ki te tuku i te homoni tipu ki roto i ō toto. Ka eke te rongoā ki te tino whai hua i roto i te 45 meneti ki te haora i muri i tō tangohanga.
Ka tango tō rōpū hauora i ngā tauira toto i ngā wā motuhake i muri i tō tangohanga i te rongoā hei ine i te nui o te homoni tipu e whakaputaina ana e tō tinana. E tohu ana te urupare noa kei te pai te mahi o tō repe roro, ā, ko te urupare kino pea e tohu ana i te ngoikoretanga o te homoni tipu.
Ka tango koe i te macimorelin hei horopeta kotahi i roto i te tari o tō tākuta, i tētahi whare rongoā rānei, kāore i te kāinga. Ka tae mai te rongoā hei otinga waha e inu ana koe, ā, e hiahia ana te katoa o te tukanga ki te tirotiro hauora.
I mua i te tango i te macimorelin, me nohopuku koe mō te 8 haora - ko te tikanga kāore he kai, engari ka taea e koe te wai. Ka hoatu e tō tākuta ki a koe ngā tohutohu motuhake mō te wā hei whakamutu i te kai me te inu i mua i tō whakamātautau. He mea nui tēnei wā nohopuku nā te mea ka taea e te kai te whakararu i ngā hua o te whakamātautau.
He reka te reka o te rongoā, ā, ka inu koe i te horopeta katoa i te wā kotahi. I muri i te tangohanga, ka noho koe ki te whare rongoā mō te maha o ngā haora i te wā e tango ana ngā kaiwhakarato hauora i ngā tauira toto i ngā wā motuhake hei ine i ō taumata homoni tipu.
I te wā o te whakamātautau, me noho humārie koe me te karo i te mahi tinana, nā te mea ka pā te korikori tinana ki ngā taumata homoni tipu. Ka aroturukihia koe e tō rōpū hauora puta noa i te tukanga kia mōhio ai koe kei te pai koe me te haumaru.
He whakamātautau tātaritanga kotahi te macimorelin, ehara i te rongoā haere tonu. Kotahi noa te wā ka tango koe i te wā o tō haerenga ki te whare rongoā mō te whakamātautau ngoikoretanga homoni tipu.
E pā ana te katoa o te whakamātautau ki te 3-4 haora mai i te wā ka tango koe i te rongoā tae noa ki te kohikohi i ngā tauira toto katoa. Ko te nuinga o tēnei wā e pā ana ki te tatari i waenga i ngā tango toto, kaua ki te rongoā kaha.
Mēnā ka hiahia tō tākuta ki te whakahoki anō i te whakamātautau mō tētahi take, ka whakarite rātou i tētahi tūtohinga motuhake. Heoi anō, ko te nuinga o te tangata e hiahia ana kia kotahi anake tēnei whakamātautau kia kite mārama i te tūnga o te homoni tipu.
He pai te whakatutuki a te nuinga o te tangata i te macimorelin, engari pērā i ētahi atu rongoā, ka pānga taha pea. Ko ngā mea tino noa he ngawari, he wā poto noa iho, ka puta i te wā, i muri tata rānei i te whakamātautau.
Koinei ngā pānga taha ka pā pea ki a koe i te wā, i muri rānei i te tango i te macimorelin:
Ko ēnei pānga taha noa ka ngaro noa iho i roto i ngā hāora ruarua. Ka mātakitaki te rōpū hauora e aroturuki ana i tō whakamātautau i ēnei urupare, ā, ka āwhina i a koe kia pai ake te tūāhua mēnā ka puta.
Ahakoa he onge, ka pā pea ki ētahi tāngata ngā pānga taha nui ake e hiahia ana ki te āwhina hauora tonu. He mea onge ēnei urupare nui, engari he mea nui kia mōhiotia:
I te mea kei roto koe i tētahi whare hauora i te wā o te whakamātautau, ka taea e ngā kaiwhakarato hauora te whakatika tere i ngā tohumate e pā ana ka puta pea. E whakarite ana tēnei wāhi e mātakitakihia ana i tō haumaru i roto i te tukanga tātaritanga.
Me whakatiki ētahi tāngata i te macimorelin nā te āwangawanga mō te haumaru, te tūponotanga rānei o ngā hua whakamātautau hē. Ka arotake tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei whakamātautau.
Kaua koe e tango macimorelin mēnā kei a koe ēnei āhuatanga:
Me whai whakaaro anō ki te hapū me te whāngai ū, nā te mea kāore anō i whakatauria te haumaru o te macimorelin i ēnei wāhanga. Ka kōrero tō tākuta mō ētahi atu kōwhiringa whakamātautau mēnā kei te hapū koe, kei te whāngai ū rānei.
Ka taea e ētahi rongoā te whakararu i te whai huatanga, te haumaru rānei o te macimorelin. Me mōhio ki te kōrero ki tō tākuta mō ngā rongoā katoa e tango ana koe, tae atu ki:
Ka āwhina tō kaiwhakarato hauora ki te whakatau mēnā he haumaru, he tika hoki te macimorelin mō tō āhuatanga motuhake. Ka tūtohu pea rātou i ētahi atu tikanga whakamātautau mēnā he pānga tō.
Kei te wātea te Macimorelin i raro i te ingoa waitohu Macrilen i te United States. Koinei anake te āhua hokohoko o tēnei rongoā i tēnei wā.
I hangaia te Macrilen e Aeterna Zentaris, i hangaia motuhake mō te tātaritanga o te ngoikoretanga homoni tipu pakeke. Ka kōrero tō tākuta ki a ia i raro i tētahi ingoa - macimorelin, Macrilen rānei - ā, he rite tonu te tikanga o ēnei rongoā.
I te mea he rongoa tātaritanga motuhake tēnei, e wātea ana mā ngā whare hauora e whakamahi ana i te whakamātautau homoni tipu. E kore e kitea e koe i ngā whare rongoā noa, nā te mea me mātakitaki ngā tākuta i te wā e whakahaerehia ana.
He maha atu anō ngā whakamātautau ka taea te tātai i te ngoikoretanga o te homoni tipu, ahakoa he pai me ōna ake here. Māu te tākuta e whiriwhiri te kōwhiringa pai rawa atu i runga i tō āhuatanga me tō hītori hauora.
Ko te whakamātautau manawanui ki te insulin (ITT) te mea e kiia ana ko te paerewa koura mō te tātai i te ngoikoretanga o te homoni tipu. Heoi, me mātakitaki tōtika, nā te mea e pā ana ki te whakaheke i tō huka toto, he mea e kore e pai, ā, he mōrearea pea mō ētahi tāngata.
Ko te whakamātautau whakahihiri arginine tētahi atu kōwhiringa e pai ake ana i te ITT. Ko te Arginine he waikawa amino e whakahihiri ana i te tuku homoni tipu, engari kāore i te kaha pērā i te macimorelin, ā, kāore pea e pai i roto i ngā tāngata katoa.
Ko te whakamātautau whakahihiri glucagon e tuku ana i tētahi atu kōwhiringa, mō ngā tāngata e kore e taea te haere i te whakamātautau manawanui ki te insulin. Ko te Glucagon he homoni e whakahihiri ana i te tuku homoni tipu, ahakoa ka nui ake te whakapairuaki i te macimorelin.
Māu tō tākuta e whakaaro ki ngā āhuatanga pēnei i tō tau, te hauora whānui, ētahi atu āhuatanga hauora, me ngā hua whakamātautau o mua i te wā e whiriwhiri ana i te huarahi tātaritanga e tika ana mōu.
He maha ngā painga o Macimorelin i ngā whakamātautau homoni tipu tuku iho, e waiho ana hei kōwhiringa pai i roto i ngā āhuatanga maha. He pai ake, he pai ake hoki i ētahi atu kōwhiringa i te wā e tuku ana i ngā hua pono.
Ki te whakataurite ki te whakamātautau manawanui insulin, he nui ake te haumaru o te macimorelin nā te mea kāore e tūpono ka heke te huka toto ki te taumata kino. He raru pea te whakamātautau insulin mō te hunga e mate ana i te mate ngākau, i ngā mate hopu, i te mate huka rānei, engari he haumaru te macimorelin mō te nuinga o te tāngata.
He pai ake hoki te macimorelin i ngā whakamātautau i runga i te werohanga. Me inu noa koe i te rongoā, kaua ki te whiwhi werohanga, he mea e pai ana te nuinga o te tāngata. Ka whakakorehia hoki e te ara waha ngā āwangawanga mō ngā tauhohenga i te wāhi werohanga, i te āwangawanga rānei e pā ana ki te ngira.
Ka whai hua te whakamātautau i ngā hua e rite ana ki ngā tikanga tuku iho. E whakaatu ana ngā rangahau e tika ana te tautuhi a te macimorelin i te ngoikoretanga o te homoni tipu me te tairongo me te whaihua nui, ko te tikanga e tika ana te tautuhi i te hunga e mau ana i te āhuatanga me te hunga kāore.
Heoi, kāore te macimorelin i te pai ake mō te katoa. Me whai tonu ētahi tāngata i ngā whakamātautau kē atu i runga i ō rātou āhuatanga hauora motuhake, ki te kore rānei e mārama ngā hua tuatahi. Māu tō tākuta e āwhina ki te whakatau ko tēhea whakamātautau te mea e tika ana mō tō āhuatanga takitahi.
Ka taea te whakamahi i te macimorelin i te nuinga o te wā i runga i te haumaru mō te hunga e mate ana i te mate huka, engari me mātakitaki pai. Kāore te macimorelin e pā ana ki te heke kino o te taumata huka toto, he rerekē ki te whakamātautau manawanui insulin.
Heoi, me nohopuku tonu koe i mua i te whakamātautau, he mea e pā ana ki tō mana whakahaere huka toto. Ka mahi tahi tō tākuta me koe ki te whakatika i ō rongoā mate huka i te wā o te whakamātautau. Ka tūtohu pea rātou kia tirohia ō huka toto i te wā pinepine i mua i te whakamātautau me muri iho.
Ko te whakaritenga nohopuku te 8 hāora i te nuinga o te wā, he mea e taea ana e te nuinga o te hunga e mate ana i te mate huka. Ka mātakitaki tata tō rōpū hauora i a koe i te wā o te whakamātautau kia noho haumaru ō huka toto.
Mēnā ka pāngia koe e te whakapairuaki, te whanoke, te kore rānei e pai i te wā o te whakamātautau, kōrero tonu ki tō rōpū hauora. Kua whakangungua rātou ki te whakahaere i ēnei āhuatanga, ā, ka āwhina i a koe kia pai ake te noho.
Mō te whakapairuaki ngawari, ka tukuna pea e rātou he rongoā anti-nausea, ka tūtohu rānei i ngā huringa tūnga ka āwhina. Mēnā ka whanoke koe, ka takoto koe, ka aroturukihia tō pēhanga toto me te tere o te ngākau.
Kia mahara kei roto koe i tētahi whare rongoā i te wā o te whakamātautau katoa, nō reira kei te wātea tonu te āwhina ngaio. Kaua e whakaroa ki te kōrero mō tētahi āhuatanga e kore e pai - e hiahia ana tō rōpū hauora kia noho haumaru koe, kia pai hoki te noho.
Me whakarite e koe tētahi atu tangata hei taraiwa i a koe ki te kāinga i muri i te whakamātautau macimorelin. Ka taea e te rongoā te whanoke, ā, kua nohopuku hoki koe, ka pā ki tō mōhiotanga me te wā urupare.
E tūtohu ana te nuinga o ngā whare rongoā kia tangohia koe e tētahi hoa, e tētahi mema o te whānau, kia whakamahi rānei i tētahi ratonga taraiwa, kaua e taraiwa i a koe anō. He whakatūpato haumaru tēnei hei tiaki i a koe me ētahi atu taraiwa i te rori.
Ka hoki noa koe i roto i ngā hāora ruarua i muri i te whakamātautau, engari he pai ake te tūpato. Whakarite kia ngāwari koe mō te toenga o te rā, ka hoki ki ngā mahi noa i te rā e whai ake nei.
Ko te tikanga ka whai hua tō tākuta i roto i ngā rā ruarua ki te wiki i muri i tō whakamātautau. Me tātari ngā tauira toto i roto i te taiwhanga, ā, me tino whakamārama ngā hua.
Ka whakarite tō kaiwhakarato hauora i tētahi hui whai muri hei kōrero mō ngā hua me te aha te tikanga mō tō hauora. Ka whakamāramahia e rātou mēnā he noa ngā taumata o tō homoni tipu, mēnā rānei ka hiahiatia he arotake, he rongoā anō.
Mēnā e whakaatu ana ngā hua i te ngoikoretanga o te homoni tipu, ka kōrero tō tākuta i ngā kōwhiringa maimoatanga me ngā mahi e whai ake nei. Mēnā he pai ngā hua, ka āwhina rātou i a koe ki te tūhura i ētahi atu take mō ō tohumate.
He tino tika te whakamātautau macimorelin mō te tātai i te ngoikoretanga o te homoni tipu i roto i ngā pakeke. E whakaatu ana ngā rangahau haumanu e tika ana te tautuhi i te āhuatanga i roto i te 92-96% o ngā keehi.
He nui te tairongo o te whakamātautau (e hopu ana i te nuinga o te hunga e ngoikore ana te homoni tipu) me te tino whaihua (kāore e tātai hē i te hunga kāore he āhuatanga). Nō reira he taputapu tātai pono.
Heoi, pērā i ngā whakamātautau rongoā katoa, kāore i te 100% tino tika. Ka tūtohu pea tō tākuta i ētahi atu whakamātautau, i te arotake rānei mēnā kāore ō tohumate e ōrite ana ki ō hua whakamātautau, mēnā rānei e hiahia ana rātou i ētahi atu kōrero hei tātai katoa.