Created at:1/13/2025
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He rongoā whakahau a Palovarotene e āwhina ana ki te whakaiti i te tipu o te kōiwi me te kiko i roto i ngā tāngata e pā ana ki tētahi āhuatanga onge e kīia ana ko te fibrodysplasia ossificans progressiva (FOP). E mahi ana tēnei rongoā waha mā te aukati i ētahi tohu i tō tinana e pā ana ki te huri i ngā kiko ngohengohe pēnei i ngā uaua me ngā uaua ki te kōiwi.
Mēnā kua whakahaua a Palovarotene ki a koe, ki tētahi rānei e manaakitia ana e koe, he pātai pea āu mō te āhua o tana mahi me te aha e tūmanakohia ana. Mā tēnei aratohu koe e ārahi i ngā mea katoa e hiahia ana koe ki te mōhio i roto i ngā kupu māmā, mārama.
He rongoā rongoā whāinga a Palovarotene e pā ana ki tētahi rōpū rongoā e kīia ana ko te retinoic acid receptor gamma agonists. I hangaia motuhake hei rongoā i te fibrodysplasia ossificans progressiva, tētahi āhuatanga e huri haere ai ngā kiko ngohengohe o tō tinana ki te kōiwi.
Ka tae mai te rongoā hei pūmua waha ka tangohia e koe mā te waha. I tēnei wā koinei anake te rongoā i whakaaetia e te FDA mō te FOP, e waihanga ana i tētahi whakatutukitanga nui mō ngā tāngata e noho ana me tēnei āhuatanga onge.
E mahi ana a Palovarotene mā te whāinga i te take pūtake o te FOP i te taumata pūtau. E āwhina ana ki te aukati i te hanganga kōiwi kino e whakaatu ana i tēnei āhuatanga, ahakoa kāore e taea te whakahoki i te kino kua pā.
Ka whakahaua a Palovarotene mō te rongoā i te fibrodysplasia ossificans progressiva i roto i ngā pakeke me ngā tamariki e 8 tau, neke atu rānei, me te taumaha i te 40 kirokaramu, neke atu rānei. He mate ira tino onge te FOP e pā ana ki te 1 i roto i te 2 miriona tāngata puta noa i te ao.
E pā ana tēnei āhuatanga ki te kore e pai te pūnaha whakatika a tō tinana. I te wā e pā ana koe ki te wharanga, te mumura, ki ngā wharanga iti rānei, ka hē te hanga kōiwi me te kirikiri e tō tinana i ngā wāhi e tika ana kia ngohengohe te kiko. I te roanga o te wā, ka puta tēnei ki te ngaronga haere o te nekeneke i te wā e honoa ana ngā hononga.
He mea nui te rongoā i ngā wā "pūhaehae" - ngā wā e kaha ana te hanga iwi hou. I ēnei wā, ka piki pea tō tākuta i tō horopeta hei āwhina i te whakaiti i te nui o te tipu iwi hou.
Ka mahi a Palovarotene mā te aukati i ngā ara pūtau motuhake e whakaoho ana i te hanga iwi me te kirikora. I roto i ngā tāngata e mate ana i te FOP, ka puta he huringa ira e whakahē ana i ngā pūtau ki te whiwhi tohu hē e kī ana kia huri ngā kiko ngawari ki te iwi.
E whāia ana e te rongoā ngā kaiwhiwhi waikawa retinoic i roto i ō pūtau, e āwhina ana i te whakahoki i te whanonga pūtau noa. Whakaarohia me te āwhina ki te "whakaiti i te rōrahi" i ngā tohu e pā ana ki te hanga iwi hē.
E kiia ana he rongoā kaha ngawari tēnei me ngā pānga whāinga. Ahakoa ka taea e ia te whakaroa i te haere o te mate, me mātakitaki tōna whakamahinga nā te mea ka pā tōna pānga me te hiahia ki te horopeta tika.
Tangohia te palovarotene i runga i te tohutohu a tō tākuta, te tikanga kotahi i te rā me te kai. Mā te tango me te kai ka āwhina tō tinana ki te ngongo i te rongoā i te pai ake, ā, ka whakaiti pea i te pōpō o te puku.
Horomia ngā kāpsula katoa me te karaihe wai. Kaua e kuru, e ngaungau, e whakatuwhera rānei i ngā kāpsula, nā te mea ka pā tēnei ki te mahi o te rongoā i tō tinana.
Ka tīmata pea tō tākuta i a koe ki te horopeta iti, ā, ka piki haere i runga i tō urupare. I ngā wā pūhaehae, me tango pea koe i te horopeta teitei ake mō te wā poto, katahi ka hoki ki tō horopeta tiaki.
Whakamātauria ki te tango i tō rongoā i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i tō pūnaha. Ki te mōrearea koe ki te tairongo o te puku, whakaarohia te tango me te kai nui, kaua ki te paramanawa mama.
He rongoā wā-roa te Palovarotene, ā, me whakamahi tonu koe i tēnei rongoā i te wā e whai hua ana ki te whakahaere i tō FOP. I te mea he mate tūturu tēnei, ka whakamahi te nuinga o te tāngata i te rongoā mō te wā roa.
Ka aroturuki tō tākuta i tō haerenga, ā, ka whakatika i tō mahere rongoā i te mea e tika ana. Ko ētahi tāngata ka hiahia ki te whakatika i te horopeta i te wā, i te mea ka mau tonu ētahi i te horopeta kotahi mō te wā roa.
I ngā wā o te pōkae kaha, ka whakamahi pea koe i ngā horopeta teitei ake mō ētahi wiki, marama rānei, katahi ka hoki ki te horopeta tiaki. Mā tō rōpū hauora koe e ārahi i ēnei huringa i runga i ō tohumate me te kaha o te mate.
Pērā i ngā rongoā katoa, ka pā ngā pānga taha ki te palovarotene, ahakoa kāore te katoa e pā ana. Mā te māramatanga ki ngā mea hei mātakitaki ka āwhina i a koe ki te whakahaere i tō rongoā i te huarahi whai hua.
Ko ngā pānga taha noa ka pā ki a koe ko te kiri maroke, te ngaro o ngā makawe, me ngā huringa i ō whao. E pā ana ēnei pānga ki te pānga o te rongoā ki te tipu o te pūtau, ā, he mea whakahaere noa iho mā te atawhai tika.
Ko ēnei ngā pānga taha e pūrongo ana te tāngata:
He maha ngā wā ka pai ake ēnei pānga noa i te wā e urutau ana tō tinana ki te rongoā. Ka taea e tō rōpū hauora te whakarato i ngā rautaki hei āwhina i te whakahaere i ēnei tohumate.
Ka pā pea ngā pānga taha nui ake ki ētahi tāngata, ā, me whai wāhi tonu te rongoā. Ahakoa kāore ēnei i te noa, he mea nui kia mōhio ki a rātou.
Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe ētahi o ēnei tohumate e pā ana:
He mea pāwhara noa ēnei pānga kino, engari he mea nui te mōhio wawe me te rongoā mō tō haumaru me tō oranga.
Kāore a Palovarotene e tika mō te katoa, ā, nā ētahi āhuatanga ka kore e haumaru te whakamahi. Ka āta titiro tō tākuta ki tō hītori hauora i mua i te whakahau i tēnei rongoā.
Kāore koe e tika kia tango palovarotene mēnā kei te hapū koe, kei te whakamahere rānei koe kia hapū, nā te mea ka pā mai ngā hē whānau nui. Me whakamahi ngā wāhine e whānau tamariki ana i te aukati hapū whai hua i te wā o te rongoā me te iti rawa i te marama kotahi i muri i te whakamutu i te rongoā.
Kāore pea ngā tāngata e whai ana i ētahi āhuatanga hauora e tika ana kia tango palovarotene. Ka whakaaro tō tākuta i ēnei āhuatanga i te wā e whakatau ana mēnā he tika tēnei rongoā mōu:
Kāore ngā tamariki kei raro i te 8 tau, i te hunga rānei e iti iho ana te 40 kirokaramu te taumaha e tika ana kia tango i tēnei rongoā, nā te mea kāore anō kia whakatūria te haumaru me te whai huatanga i roto i tēnei taupori.
E wātea ana a Palovarotene i raro i te ingoa waitohu Sohonos i te United States. Koinei anake te āhua o te rongoā e wātea ana i te hokohoko.
He rerekē pea ngā ingoa waitohu o te rongoā i ētahi atu whenua, engari ko Sohonos te ingoa waitohu tuatahi ka kitea e koe i te nuinga o ngā wāhi hauora.
Me whakamahi tonu i te waitohu me te hanganga tika i whakahaua e tō tākuta, nā te mea he rerekē pea ngā hanganga i ngā reiti whakauru, i te whai huatanga rānei.
I tēnei wā, kāore he kōwhiringa kē tika mō te palovarotene mō te rongoā i te FOP. Ko tēnei rongoā te rongoā tuatahi, me te rongoā anake i whakaaetia e te FDA i hangaia mō tēnei āhuatanga onge.
I mua i te wātea o te palovarotene, i arotahi te rongoā mō te FOP ki te manaaki tautoko me te whakahaere tohu. Ka whakamahi pea ētahi tākuta i ngā rongoā kore-tapanga, i ngā rongoā whakamātau rānei i ētahi wā.
Ki te kore e taea e koe te tango palovarotene nā te pānga taha, i ētahi atu take hauora rānei, ka mahi tō tākuta ki a koe ki te whakawhanake i tētahi mahere whakahaere whānui ka uru pea ki te rongoā tinana, te whakahaere mamae, me ētahi atu rongoā tautoko.
Kei te haere tonu te rangahau i ngā rongoā hou mō te FOP, ā, ka whai wāhi pea ngā whakamātau haumanu ki ngā rongoā whakamātau mō ētahi tūroro.
Mai i te mea ko te palovarotene anake te rongoā kua whakaaetia mō te FOP, he uaua te whakataurite ki ētahi atu rongoā. Heoi, he ahunga whakamua nui tēnei i roto i te manaaki FOP.
I mua i te palovarotene, i iti noa ngā kōwhiringa rongoā ki te manaaki tautoko, te rongoā tinana, me ngā rongoā hei whakahaere i ngā tohu pēnei i te mamae me te mumura. Ahakoa he mea nui tonu ēnei huarahi, kāore e aro ki te tukanga mate i raro.
E tuku ana te Palovarotene i te huarahi tuatahi e whai ana ki te whakaroa i te haere o te mate. Kua whakaatu ngā rangahau haumanu ka taea e ia te whakaiti i te hanganga o te wheua me te kiko, ina koa i ngā wā o te mura.
He pai te mahi a te rongoā hei wāhanga o te mahere rongoā whānui e uru ana ki ētahi atu rongoā tautoko. Ka āwhina tō rōpū hauora i a koe ki te mārama ki te pēhea te uru o te palovarotene ki tō rautaki rongoā whānui.
Ka taea te whakamahi marie a Palovarotene e te tini o nga tāngata e pā ana ki ētahi atu āhuatanga hauora, engari me tino mātakitaki. Ka arotakehia e tō tākuta tō hītori hauora katoa me ngā rongoā e inu ana koe i tēnei wā kia mōhio ai mehemea e tika ana māu.
Ko ngā tāngata e pā ana ki ngā raruraru ate, te mate tākihi, te pōuri rānei, tērā pea ka nui ake te mātakitaki i a rātou i te wā e inu ana i te palovarotene. Ka whakatikatikahia e tō rōpū hauora tō mahere rongoā me te hōtaka mātakitaki i runga i ō hiahia ake.
Me whakamōhio tonu ki tō tākuta mō ō āhuatanga hauora katoa me ngā rongoā i mua i te tīmatanga o te palovarotene. Mā tēnei ka āwhina i te whakarite i te huarahi rongoā haumaru me te whai hua.
Mēnā ka inu koe i te nui rawa o te palovarotene i te mea i whakaritea, whakapā atu ki tō tākuta, ki te pūtau whakahaere paitini rānei i te wā tonu. Kaua e tatari kia kite mehemea ka puta ngā tohu, he mea nui te mahi wawe.
Ko te inu i te nui rawa o te palovarotene ka piki ake te tūponotanga o ngā pānga taha nui, tae atu ki ngā tohu paitini o te huaora A pēnei i te mamae nui o te upoko, te whakapairuaki, me ngā huringa o te tirohanga.
Kia mau ki ō inenga, me te whakamahi i te kaiwhakarite pire mēnā he āwhina. Mēnā kāore koe i te mōhio mehemea kua inu koe i tō inenga o ia rā, he pai ake te karo i taua rā, kaua e tūpono ki te inu i te inenga rua.
Mēnā ka ngaro koe i tētahi inenga o te palovarotene, inumia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. I taua wā, karo i te inenga i ngaro, me te haere tonu i tō hōtaka auau.
Kaua e inu i ngā inenga e rua i te wā kotahi hei utu mō te inenga i ngaro, nā te mea ka piki ake tō tūponotanga o ngā pānga taha. Mēnā he maha ngā wā e wareware ana koe ki ngā inenga, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i tētahi taupānga aroturuki rongoā.
Mēnā ka ngaro koe i ngā inenga maha, he pātai rānei āu mō tō hōtaka inenga, whakapā atu ki tō kaiwhakarato hauora mō te ārahitanga mō te pēhea e hoki marie ai ki te ara.
Me whakamutu noa koe te tango palovarotene i raro i te tirotiro a tō tākuta. I te mea he mate tawhito te FOP, he maha ngā tāngata e hiahia ana ki te rongoā wā-roa hei pupuri i ngā painga.
Ka tūtohu pea tō tākuta kia whakamutua te rongoā mēnā ka pā ki a koe ngā pānga taha nui e kore e taea te whakahaere, mēnā rānei ka huri tō āhua i te huarahi e iti ake ai te whai hua o te rongoā.
Mēnā kei te whakaaro koe ki te whakamutu i te palovarotene nā te pānga taha, kōrero tuatahi ki tō rōpū hauora. Ka taea pea e rātou te whakatika i tō horopeta, te whakarato rānei i te tautoko atu hei āwhina i a koe ki te haere tonu i te rongoā i runga i te haumaru.
Ka taea e ētahi rongoā te pā tahi ki te palovarotene, nō reira he mea nui kia kōrero ki tō tākuta mō ngā mea katoa e tangohia ana e koe, tae atu ki ngā rongoā i runga i te whakahaunga, ngā rongoā e hokona ana i te tatau, me ngā tāpiringa.
Me karo i ngā tāpiringa huaora A i te wā e tango ana i te palovarotene, i te mea ka piki ake te tūponotanga o te paitini huaora A. Ka whakatika pea tō tākuta i ngā horopeta o ētahi atu rongoā.
Me kōrero tonu ki tō kaiwhakarato hauora i mua i te tīmatanga o ngā rongoā hou, ngā tāpiringa rānei i te wā e tango ana i te palovarotene. Mā tēnei ka ārai i ngā pānga kino, ka whakarite hoki kia noho haumaru me te whai hua tonu tō rongoā.