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

He rongoā whakahau a Tenapanor e āwhina ana ki te whakahaere i te mate puku riri me te pāpā (IBS-C) i roto i ngā pakeke. He rongoā hou tēnei e mahi rerekē ana i te maha atu o ngā rongoā IBS mā te whai i ngā tukanga motuhake i roto i ō pūpū, hei āwhina i te whakaiti i te mamae o te puku me te whakapai ake i ngā nekehanga whekau.

Mēnā kei te raru koe i te korenga o te kōpū me te pāpā, tērā pea i kōrerohia e tō tākuta a tenapanor hei kōwhiringa rongoā. Me haere tātou i ngā mea katoa e hiahia ana koe ki te mōhio mō tēnei rongoā i roto i ngā kupu māmā, mārama.

He aha te Tenapanor?

He rongoā ngota iti a Tenapanor e aukati ana i ētahi ara i roto i te uhi o tō pūpū. Whakaarohia he huarahi whai i te whāinga e mahi ana i roto i tō ara kōpū, kaua ki te pā ki tō tinana katoa.

Ka tae mai te rongoā i roto i te āhua papa, ka tangohia mā te waha. I hangaia kia noho tonu i roto i ō pūpū, ko te tikanga he iti rawa te uru ki roto i ō toto. Ko tēnei mahi ā-rohe e āwhina ana ki te whakaiti i ngā pānga taha e pā ana ki ētahi atu wāhi o tō tinana.

I whakamanahia a Tenapanor e te FDA i te tau 2019 i muri i te whakaaturanga o ngā rangahau haumanu ka āwhina i ngā tāngata whai IBS-C ki te iti ake te mamae o te puku me te nui ake o ngā nekehanga whekau. He huarahi hou tēnei rongoā ki te rongoā i tēnei āhuatanga kōpū noa.

He aha te Tenapanor e whakamahia ana mō?

Kua whakaaetia a Tenapanor ki te rongoā i te mate puku riri me te pāpā (IBS-C) i roto i ngā pakeke. E pā ana tēnei āhuatanga ki te miriona tāngata me te pānga o te mamae o te puku, te pupuhi, me te uaua ki te whai i ngā nekehanga whekau.

Tērā pea ka tūtohu tō tākuta i a tenapanor mēnā ka pā koe i te mamae o te puku e mau tonu ana me te pāpā e pā ana ki tō oranga o ia rā. He tino āwhina te rongoā mō ngā tāngata kāore i kitea he whakamaunga i ngā huringa kai, ngā tāpiringa muka, ētahi atu rongoā rānei.

I tēnei wā, kāore anō kia whakaaetia te tenapanor mō ētahi atu momo pāpāpā, mate kūnatu rānei. He mea hanga motuhake mō te huinga tohu ahurei e whakaatu ana i te IBS-C, e puta ngātahi ana te mamae o te puku me te pāpāpā.

Me pēhea te mahi a Tenapanor?

Ka mahi te Tenapanor mā te aukati i ngā ara ōnaianei-hāora 3 (NHE3) i roto i tō arai whekau. Ko ēnei ara ōnaianei te āwhina i ō whekau ki te tango i te konutai me te wai mai i te kai e kainga ana e koe.

Inā aukatia e te tenapanor ēnei ara, he iti ake te konutai me te wai ka hoki ki tō tinana. Ko te tikanga tēnei ka noho nui ake te wai i roto i ō whekau, e āwhina ana ki te whakangāwari i te tūtae, ā, ka māmā ake, ka pai ake hoki ngā nekehanga whekau.

Te ahua nei ka whakaiti hoki te rongo o ngā io i roto i tō pakitara whekau. Ka āwhina tēnei ki te whakaiti i te mamae o te puku me te kore pārekareka e puta ana i te IBS-C. Ko te pānga tahi e whakatika ana i ngā āhuatanga o te pāpāpā me te mamae o te mate.

E whakaarohia ana he rongoā whai hua te tenapanor mō te IBS-C. Ahakoa kāore pea e mahi mō te katoa, e whakaatu ana ngā rangahau haumanu he maha ngā tāngata e kite ana i te whakapai ake i ō rātou tohu i roto i ngā wiki ruarua i muri i te tīmatanga o te rongoā.

Me pēhea taku tango i te Tenapanor?

Tangohia te tenapanor kia rite ki tā tō tākuta i whakarite ai, te tikanga e rua ngā wā ia rā i mua tonu i ngā kai. Ko te horopeta noa he 50 mg ka tangohia tata ki te 30 meneti i mua i te parakuihi me te 30 meneti i mua i te kai tina.

Ko te tango i te tenapanor i mua i ngā kai ka āwhina ki te whakanui i te mahi o te rongoā i roto i tō pūnaha kūnatu. Ka taea e koe te tango me te wai iti, engari kāore koe e hiahia ki te tango me te miraka, me ētahi momo kai rānei.

Whakamātauria ki te tango i ō horopeta i ngā wā rite tonu i ia rā kia mau tonu ai ngā taumata o te rongoā i roto i tō pūnaha. Ka āwhina te whakatakoto i ngā whakamaharatanga waea ki a koe ki te whakatū i tēnei tikanga, ina koa i te wā e tīmata ana koe i te rongoā.

Mena he raruraru koe ki te horomia i nga papa, korero ki to taakuta mo nga tikanga ka awhina pea. Kaua e kuru, e wawahi ranei i nga papa, na te mea ka pa tenei ki te mahi o te rongoa i roto i to tinana.

Kia Pehea Te Roa E Tango Ai Ahau i te Tenapanor?

Ko te nuinga o nga tangata ka timata ki te kite i nga whakapainga i roto i o raatau tohu IBS-C i roto i te 2 ki te 4 wiki i muri i te tango i te tenapanor i nga wa katoa. Heoi, tera pea etahi tangata e hiahia ana ki te 8 wiki kia pa ki nga painga katoa o te rongoa.

Ko te tikanga ka hiahia to taakuta ki te arotake i te pai o te mahi a te tenapanor mo koe i muri i to tango i te rongoa mo te 4 ki te 6 wiki. Ka nui tenei wa ki te kite mena kei te whakawhiwhia e te rongoa te awhina nui mai i o tohu.

Mena kei te awhina te tenapanor i o tohu, ka tohutohu pea to taakuta kia haere tonu mo te wa e whai hua ana, e pai ana te manawanui. Ka tango etahi tangata mo nga marama, tau ranei hei waahanga o ta raatau mahere whakahaere IBS-C mo te wa roa.

Ko te whakatau mo te roa o te haere tonu i te tenapanor kei runga i to urupare takitahi, i nga paanga taha ka pa ki a koe, me o whainga maimoatanga katoa. Ko nga arowhai i nga wa katoa me to taakuta ka awhina i te whakatau i te huarahi pai mo to ahuatanga.

He aha nga Paanga Taha o te Tenapanor?

Pērā i ngā rongoā katoa, ka taea e te tenapanor te pānga taha, ahakoa kāore te katoa e pā ana ki a rātou. Ko nga paanga taha tino noa he ngawari noa iho, ka pai ake i te wa e urutau ana to tinana ki te rongoa.

Anei nga paanga taha ka tino kitea e koe, me te mahara he maha nga tangata e pai ana ki te tenapanor:

• Korere (koinei te paanga taha tino noa)
• Te pupuhi o te puku, te hau ranei
• Te whakapairuaki
• Te mamae o te puku, te kōpū ranei
• Te whanoke
• Te hau

Ko enei paanga taha noa ka iti ake te kitea i muri i nga wiki tuatahi o te maimoatanga. Mena ka kaha te korere, ka mau tonu ranei, whakapā atu ki to taakuta, na te mea me whakatika e ratou to horopeta, me kii ranei i nga huarahi hei whakahaere i tenei paanga taha.

He iti nei te auau, engari he nui ake te kino o nga paanga taha ka puta, ahakoa he onge. Ka uru pea enei ki te maroke nui mai i te korere tonu, te kore taurite o te hiko, te tauhohenga mate pāwera rānei. Mena ka pā koe ki te mamae nui o te puku, ngā tohu o te maroke pēnei i te tino matewai, te whanoke rānei, ētahi tohu rānei o te tauhohenga mate pāwera, rapua tonu te āwhina hauora.

Ka pā pea te huringa o te ngākau, te āwangawanga rānei ki ētahi tāngata, ahakoa he mea noa tēnei. Mena ka kite koe i ētahi huringa rereke i te āhua o tō ngākau, kōrerohia tēnei ki tō tākuta.

Ko wai kāore e tika kia tango Tenapanor?

Kāore a Tenapanor e tika ana mō te katoa, ā, ka āta whakaaro tō tākuta ki tō hītori hauora i mua i te whakahau i tēnei rongoā. Ko ētahi āhuatanga hauora me ngā āhuatanga ka kore e tika, ka mōrearea rānei tēnei rongoā.

Kāore koe e tango i te tenapanor mēnā kei raro koe i te 18 tau te pakeke, nā te mea kāore anō kia whakatūria tōna haumaru me tōna whai huatanga ki ngā tamariki me ngā taiohi. Kāore hoki te rongoā e tūtohutia i te wā e hapū ana, i te wā e whāngai ana rānei i te u, nā te mea he iti noa ngā raraunga haumaru.

Me karo te tenapanor e te hunga e pā ana ki ētahi āhuatanga kūnatu. Kei roto i tēnei ko te hunga e pā ana ki te mate mumura o te whekau (pēnei i te mate a Crohn, te ulcerative colitis rānei), te mate ate nui, te hītori rānei o te aukati whekau.

Mēnā he raruraru tāu ki te tākihi, ngā āhuatanga o te ngākau, e tango rongoā ana rānei e pā ana ki tō taurite hiko, me aromatawai tō tākuta mēnā he haumaru te tenapanor mōu. Ka pā te rongoā ki ngā taumata konutai, he mea raru pea mō te hunga e pā ana ki ēnei āhuatanga.

Kōrerohia ki tō tākuta mō ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā kore-whakahaere me ngā tāpiringa. Ka pā pea ētahi rongoā ki te tenapanor, ka piki rānei tō tūponotanga ki ngā paanga taha.

Ngā Ingoa Waitohu Tenapanor

Kei te wātea a Tenapanor i raro i te ingoa waitohu Ibsrela i te United States. Koinei anake te ingoa waitohu e hokohoko ana a tenapanor mō te rongoā IBS-C.

He mea hanga a Ibsrela e Ardelyx, te kamupene i whakawhanake i te tenapanor. Ka wātea pea te rongoā i raro i ngā ingoa waitohu rerekē i ētahi atu whenua, engari ko Ibsrela te ingoa ka kitea e koe i roto i ngā whare rongoā o Amerika.

Kāore anō kia wātea ngā momo rongoā whānui o te tenapanor, i te mea kei te tiakina tonutia te rongoā e te pātēneti. Ko te tikanga ko Ibsrela te kōwhiringa anake i tēnei wā mō te whiwhi tenapanor, ka pā ki te utu o te rongoā.

Ngā Kōwhiringa kē atu mō te Tenapanor

He maha atu ngā rongoā ka taea te rongoā i te IBS-C mēnā kāore te tenapanor i te tika mōu, kāore rānei e whai hua. He rerekē te mahi a ia, ā, he pai ake pea i runga i ō tohumate motuhake me te pūkete hauora.

Ko Linaclotide (Linzess) tētahi atu rongoā i whakaritea mō te IBS-C. E mahi ana mā te whakahohe i ētahi kaiwhakawhiwhi i roto i ō whekau hei whakanui i te huna wai me te whakaiti i ngā tohu mamae. He maha ngā tāngata e kite ana he whai hua, ahakoa ka pā te korere hei pānga taha.

Ko Lubiprostone (Amitiza) tētahi atu kōwhiringa e mahi ana mā te whakanui i te wai i roto i ō whekau. Kua roa kē te wātea atu i te tenapanor, ā, he pūkete haumaru kua whakatūria, ahakoa ka pā te whakapairuaki ki ētahi tāngata i te wā e tango ana.

Ko Plecanatide (Trulance) tētahi rongoā hou e mahi ana i te rite ki te linaclotide. Ka iti ake pea ngā pānga taha ki ētahi tāngata, he pai te kōwhiringa mēnā ka pā ngā tohumate hāneanea ki ētahi atu rongoā.

Ka tūtohu pea tō tākuta ki te tīmata ki ngā kōwhiringa i te taha o te porotiti pēnei i te polyethylene glycol (MiraLAX) rānei, ngā rongoā i whakaritea pēnei i te rifaximin (Xifaxan) mō ētahi momo tohumate IBS.

He Pai Ake Te Tenapanor I Te Linaclotide?

He rongoā whai hua te tenapanor me te linaclotide mō te IBS-C, engari he rerekē te mahi, ā, he pai ake pea mō ngā tāngata rerekē. Kāore tētahi i te whānui ake i te

He iti ake pea te korere o Tenapanor i te linaclotide i roto i etahi tangata, he mea nui pea tenei ki te awangawanga koe mo tenei paanga taha. Heoi, kua roa ke te wa e waatea ana a linaclotide, he nui ake hoki te wheako haumanu kei muri.

He pai ake te urupare a etahi tangata ki tetahi rongoa i tetahi atu, a karekau he huarahi pono hei matapae ko wai ka pai ake mo koe me te kore e whakamatau. Ka timata pea to taakuta ki tetahi ka huri ki tetahi atu ki te kore koe e pai te whakamaarama, ki te pa ranei koe i nga paanga taha e raruraru ana.

Ko te whiriwhiri i waenga i te tenapanor me te linaclotide he maha nga wa ka heke ki to tauira tohu takitahi, etahi atu ahuatanga hauora, me te pehea e urupare ana koe ki ia rongoa. E rua e kiia ana he maimoatanga raina tuatahi whai hua mo te IBS-C.

Nga Pātai e Pātai pinepine ana mo Tenapanor

He Haumaru a Tenapanor mo te hunga mate huka?

Ko te tikanga he haumaru a Tenapanor mo te hunga mate huka, na te mea karekau e tino pa ana ki nga taumata huka toto. Ka mahi te rongoa i te rohe i roto i ou whekau, karekau hoki e pokanoa ki nga rongoa mate huka, ki te whakahaere huka ranei.

Heoi, ki te mate huka koe, ka pa ki a koe te korere nui i te wa e tango ana i te tenapanor, ka pa pea tenei ki to whakahaere huka toto. Kia mohio ki te aro turuki i to huka toto, kia pai te wai ki te pa ki a koe tenei paanga taha.

Me whakamohio tonu ki to taakuta kei a koe te mate huka i mua i te tiimata i te tenapanor, na te mea ka hiahia pea ratou ki te aro turuki i a koe, ki te whakatika ranei i to mahere whakahaere mate huka ki te tika.

Me aha ahau ki te tango pohehe au i te nui rawa o Tenapanor?

Mena ka tango pohehe koe i te nui rawa o te tenapanor i whakaritea, whakapaa atu ki to taakuta, ki te kai rongoa ranei i tenei wa tonu mo te aratohu. Ko te tango i te nui rawa ka nui ake te tupono o nga paanga taha, ina koa te korere nui me te matewai.

Aroturukitia ō tohu pēnei i te pāhau tonu, te pāhau puku nui, te whanoke, ngā tohu rānei o te maroke pēnei i te hiakai nui, te waha maroke, te mimi iti rānei. Ki te pā mai ngā tohu nui, rapua tonu te āwhina hauora.

Kaua e ngana ki te "whakatika" i te nui rawa o te rongoā mā te karo i tō horopeta e whai ake nei. Engari, whai i ngā tohutohu a tō tākuta mō te wā ka tīmata anō koe i tō hōtaka horopeta noa.

Me Pēhea Taku Mahi Ki te Ngaro Au i tētahi Horopeta o Tenapanor?

Ki te ngaro koe i tētahi horopeta o tenapanor, tangohia i te wā ka mahara koe, engari mehemea kei roto i ngā hāora torutoru i te wā i tika ai kia tangohia e koe. Ki te tata ana te wā mō tō horopeta e whai ake nei, karohia te horopeta i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango e rua ngā horopeta i te wā kotahi hei whakatika i tētahi horopeta i ngaro, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha. Ko te tango i ngā horopeta rua ka pāhau nui, me ētahi atu tohu e kore e pai.

Ki te wareware pinepine koe i ngā horopeta, whakaarohia te whakatakoto i ngā whakamaharatanga waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe kia noho i runga i te ara. Ko te horopeta rite tonu ka āwhina i te tenapanor kia whai hua mō ō tohu IBS-C.

Āhea Āhau e Kati ai te Tango i te Tenapanor?

Ka taea e koe te whakamutu i te tango i te tenapanor i te wā e whakatau ai koe me tō tākuta he tika, nā te mea kāore te rongoā e pā ana ki te whakawhirinaki tinana. Heoi, ka hoki mai anō ō tohu IBS-C i te wā ka mutu koe te tango.

He maha ngā tāngata e whiriwhiri ana ki te whakamutu i te tenapanor ki te kore rātou e pā ana ki te whakawātea tohu tika i muri i te whakamātau tika mō te 6 ki te 8 wiki. Ko ētahi atu ka mutu pea nā te pānga taha e kore e pai ake i te roanga o te wā.

Ki te āwhina te tenapanor i ō tohu, tērā pea ka hiahia koe ki te haere tonu ki te tango i te wā roa. Kōrerohia me tō tākuta mēhemea he tika tēnei mō tō āhuatanga, me mēhemea ka whai hua ngā okiokinga wā i te rongoā.

Ka Taea e Au te Tango i te Tenapanor me Ētahi Atu Rongoā IBS?

Me whakatau e tō tākuta ētahi atu rongoā IBS e tango ana koe kia mōhio ai he haumaru ki te whakamahi me te tenapanor. Ko ētahi huinga ka piki ake te tūponotanga o ngā pānga taha, ka whakaiti rānei i te whai huatanga o tētahi rongoā.

I te nuinga, ka taea te tango tenapanor me te maha atu o ngā rongoā, tae atu ki ngā whakaiti waikawa, ngā antispasmodics, me te nuinga o ngā awhina keri i runga i te kaute. Heoi, ko te tango i ngā rongoā maha e pā ana ki ngā nekehanga whekau ka piki ake te tūponotanga o te korere.

Me tuku tonu e koe ki tō tākuta te rārangi katoa o ngā rongoā, ngā tāpiringa, me ngā hua i runga i te kaute e whakamahi ana koe. Mā tēnei ka āwhina i a rātou ki te hanga i ngā tūtohutanga maimoatanga haumaru me te whai hua mō tō āhuatanga motuhake.