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

He rongoā motuhake te Trientine e āwhina ana ki te tango i te parahi nui mai i tō tinana ina piki ake ki ngā taumata mōrearea. Ko te mea nui e whakamahia ana hei rongoā i te mate o Wilson, he āhua ira onge e kohikohi ana te parahi i roto i tō ate, roro, me ētahi atu okana nā te mea kāore e taea e tō tinana te whakakore tika i te parahi.

E mahi ana tēnei rongoā pēnei i te āwhina tupato, e here ana ki te parahi nui i roto i tō pūnaha me te āwhina i ō tākihi ki te horoi i te parahi mā te mimi. Ahakoa te ahua uaua, kua āwhina marie te trientine i te iwi ki te whakahaere i te nui o te parahi mō ngā tau tekau, e hoatu ana ki ngā tūroro he huarahi pono ki te tiaki i ō rātou okana mai i te kino e pā ana ki te parahi.

He aha te Trientine?

He kaihoko chelating te Trientine, ko te tikanga he rite ki te aukume rāpoi e kukume ana, e here ana ki te parahi i roto i tō tinana. Ko te ingoa katoa o te rongoā ko te triethylene tetramine dihydrochloride, engari ka karangatia e ngā tākuta me ngā tūroro ko te trientine mō te ngāwari.

Ka tae mai tēnei rongoā waha i roto i te puka pūtau, ā, nō te akomanga motuhake o ngā rongoā i hangaia mō te paitini whakarewa, ngā āhua nui rānei. Kāore i rite ki te maha o ngā rongoā noa, he mahi tino arotahi te trientine - e aro ana ki te parahi anake, ā, e āwhina ana i tō tinana ki te whakakore i te nui mā ō tākihi.

Kua whakaaetia te rongoā e te FDA, ā, he rekoata roa tōna mō te haumaru ina whakamahia tika ana i raro i te tirotiro hauora. E kiia ana he rongoā nui mō te iwi e kore e taea te tango i te penicillamine, he rongoā tēnei e tango ana i te parahi.

He aha te Trientine e whakamahia ana?

Ko te mea nui e tohua ana te Trientine mō te mate o Wilson, he āhua ira e pā ana ki te 1 i roto i te 30,000 tāngata puta noa i te ao. I roto i te mate o Wilson, ka ngaro i tō tinana tētahi pūmua motuhake e hiahiatia ana hei kawe i te parahi i tō ate, e pā ana ki te kohikohi mōrearea i roto i ō okana.

Ko te rongoā nei e whakamahia ana i te nuinga o te wā ka kore e taea e ngā tūroro te whakamahi i te penicillamine, te rongoā tuatahi mō te mate o Wilson. E pā ana ētahi tāngata ki ngā tauhohenga pānga, ki ngā pānga taha rānei mai i te penicillamine, nā reira he kōwhiringa nui te trientine.

I ngā wā onge, ka tohutohu pea ngā tākuta i te trientine mō ētahi atu momo paitini parahi, mō ngā āhuatanga taumaha rānei. Heoi, he tino onge ēnei āhuatanga, ā, ka puta anake i raro i ngā āhuatanga rongoā tino motuhake me te aroturuki tupato.

Me pēhea te mahi a Trientine?

Ka mahi a Trientine mā te hanga i ngā here matū kaha ki ngā ngota parahi i roto i tō toto me ō kiko. Whakaarohia he rōpū horoi motuhake e whāinga ana, e hopu ana i te parahi nui rawa atu e kore e taea e tō tinana te whakahaere anake.

Kia herea te trientine ki te parahi, ka hangaia he pūhui tūmau ka taea e ō tākihi te tātari me te whakakore mā te mimi. He ngawari tēnei tukanga engari he whai hua, ka whakaheke haere i ngā taumata parahi i te roanga o te wā, kaua ki te whakaputa i ngā huringa ohorere, whakahirahira.

E kiia ana he kaha te rongoā i roto i tōna kaha here parahi. He kaha rawa ki te tango i te parahi nui rawa atu, engari he ngawari hoki kia kore e tangohia ngā rahinga iti o te parahi e hiahia ana tō tinana mō ngā mahi noa pēnei i te hanga pūtau toto whero me te pupuri i ngā kiko tūhono hauora.

Me pēhea taku tango i te Trientine?

Tangohia ngā kāpene trientine i runga i te puku kau, i te iti rawa i te kotahi haora i mua i ngā kai, i te rua hāora rānei i muri i te kai. Ka taea e te kai te whakararu i te kaha o te rongoā ki te here ki te parahi, nā reira he mea nui te wā mō ngā hua pai.

Horomia ngā kāpene katoa me te karaihe wai katoa. Kaua e whati, e kuru, e ngaungau rānei, nā te mea ka pā tēnei ki te āhua o te rongoā e ngongo ana, e tukuna ana i roto i tō tinana. Ki te uaua ki a koe te horomia i ngā kāpene, kōrero ki tō tākuta mō ngā kōwhiringa kē.

Kaua e tango i te trientine me te miraka, te antacids, me nga taapiringa rino, na te mea ka whakaiti i tona whai huanga. Whakawātea i ēnei mea kia rua haora i muri i te horopeta trientine hei aukati i te pokanoa ki te urunga.

Ka tīmata pea tō tākuta i a koe i runga i te hōtaka horopeta motuhake, he maha ngā wā ka wehea tō horopeta o ia rā ki roto i ngā horopeta iti e rua, e toru rānei puta noa i te rā. Ka āwhina tēnei ki te pupuri i te tango parahi i te wā katoa, me te whakaiti i te tūponotanga o te pōhara o te puku.

Kia Pēhea te Roa e Tango ai au i te Trientine?

Ko te nuinga o te tangata e mate ana i te mate o Wilson me tango trientine mō te ora, nā te mea kāore te āhua ira e ngaro. Ka whakahaere te rongoā i ngā taumata parahi, kaua ki te rongoā i te mate, nō reira ka mutu te rongoā ka whakaae te parahi ki te hanga anō.

Ka aroturuki tō tākuta i ō taumata parahi mā ngā whakamātautau toto me te mimi i ngā wā katoa kia mōhio ai kei te pai te mahi o te rongoā. Ka āwhina ēnei whakamātautau ki te whakatau mēnā e hiahia ana tō horopeta ki te whakatikatika me te whakapūmau kei te noho ngā taumata parahi i roto i te awhe haumaru.

Ka hiahia pea ētahi tūroro ki te okioki rangitahi mai i te rongoā mēnā ka pūta ngā pānga taha, ka hiahia rānei ki te pokanga. Heoi, me whakatau tonu ēnei whakatau me te āwhina a tō tākuta, nā te mea ko te whakamutu i te trientine me te kore e tirotirohia e te tākuta ka arahi ki te kohikohi anō o te parahi.

He Aha ngā Pānga Taha o te Trientine?

Ko ngā pānga taha noa o te trientine he ngawari, he whakahaere hoki. He iti noa ngā raruraru ka pā ki te nuinga o te tangata me tēnei rongoā, ina whakatauritea ki ngā rongoā tango parahi kē.

Ko ngā pānga taha e pūrongo ana i te nuinga o te wā ko te pōhara o te puku, te whakapairuaki, me te korere i ētahi wā. Ka pai ake ēnei tohumate i te wā e urutau ana tō tinana ki te rongoā, i roto i ngā wiki tuatahi o te rongoā.

Anei ngā pānga taha noa ka pā ki a koe:

• Te mamae o te puku, te pōturi rānei
• Te whakapairuaki, ina koa i te tīmatanga o te rongoā
• Te tūtae ngawari, te korere rānei
• Te reka rino i roto i tō waha
• Te mamae mahunga ngawari
• Te ngaro o te hiahia

Ko te tikanga ka ngaro ēnei tohumate i te wā e waia ana tō tinana ki te rongoā, ā, mā te tango i te trientine me te iti o te kai ka āwhina pea ki te whakaiti i te riri o te puku.

He onge ngā pānga kino nui ake, engari ka puta pea i te whakamahinga wā-roa. Me whai whakaaro hauora tonu ēnei, me te aroturuki mā te tōmua hauora.

Ngā pānga kino onge engari nui ko:

• Te anemia kore rino mai i te here rino nui
• Ngā tauhohenga kiri nui, ngā rānei
• Te ngoikoretanga o te uaua, te mamae tahi rānei
• Te pānga kikorangi, te whakaheke toto rānei
• Ngā tauhohenga mate pāwera nui
• Ngā tohumate pērā i te lupus me te pupuhi tahi

Ka aroturukihia e tō tākuta ēnei raruraru mā ngā whakamātautau toto me ngā whakamātau tinana. Mā te kite wawe ka taea te whakatika tere i te rongoā ki te hiahiatia.

Ko wai kāore e tika kia tango i te Trientine?

Ko ngā tāngata e mōhiotia ana he mate pāwera ki te trientine, ki ētahi rānei o ōna whakauru, me karo i tēnei rongoā. Ki te mea kua pā koe i ngā tauhohenga mate pāwera ki ngā kaihoko here rite, kōrerohia tēnei ki tō tākuta i mua i te tīmatanga o te rongoā.

Me whai whakaaro motuhake ngā wāhine hapū, nā te mea ka taea e te trientine te whakawhiti i te arai placental. Ahakoa ka tango ētahi wāhine hapū e mate ana i te mate a Wilson i te trientine i raro i te aroturuki tupato, me whakatau te whakatau i ngā tūponotanga o te kohinga parahi kāore i rongoatia ki ngā pānga pea ki te pēpi e whanake ana.

Me tūpato hoki ngā whaea e whāngai ana i te ū, nā te mea ka taea e te iti o te trientine te uru ki te miraka u. Ka āwhina tō tākuta i a koe ki te whakatau i ngā painga me ngā tūponotanga mō koe me tō pēpi.

Ko te hunga e mate ana i te mate tākihi nui pea me whakatika te horopeta, me kimi rānei i ētahi atu rongoā, nā te mea ka whakawhirinaki a trientine ki te mahi a te tākihi ki te whakakore i te parahi i te tinana.

Ngā Ingoa Waitohu o Trientine

Ko te ingoa waitohu tino rongonui mō te trientine ko Syprine, e wātea ana i Amerika. Koinei te waitohu paerewa mō ngā tau maha, ā, kua whakatūria pai ki te rongoā i te mate o Wilson.

I ētahi whenua, ka wātea pea te trientine i raro i ētahi atu ingoa waitohu, i ngā hanganga rānei o te rongoā whānui. Heoi, nā te āhua motuhake o tēnei rongoā, ka wātea noa iho mā ngā whare rongoā motuhake, i ngā pūnaha hōhipera rānei.

Ka tohutohu tō tākuta i te hanganga pai mō tō āhuatanga, ā, he mea nui kia piri tonu ki te waitohu kotahi, ki te kore tō kaiwhakarato hauora e kī ana kia huri, nā te mea he rerekē pea te āhuatanga o te ngongo o ngā hanganga rerekē.

Ngā Kōwhiringa kē mō Trientine

Ko te Penicillamine te kōwhiringa kē tino rongonui mō te trientine mō te rongoā i te mate o Wilson. Koinei te rongoā tuatahi e whakamātauhia ana e ngā tākuta, engari kāore e taea e ētahi tūroro te aro ki ōna pānga taha, tae atu ki ngā raruraru kiri, ngā raruraru tākihi, te pēhi rānei i te hāora wheua.

Ko te zinc acetate, te zinc sulfate rānei e tohu ana i tētahi atu huarahi rongoā. Kāore i te tango i te parahi pēnei i te trientine, engari ka mahi te zinc mā te aukati i te ngongo parahi i roto i ō pūwero, e ārai ana i te parahi hou kia kore e uru ki tō pūnaha.

Mō ngā tūroro e kore e taea te tango i ēnei rongoā, ka whakaaro pea ngā tākuta ki te ammonium tetrathiomolybdate, he rongoā whakamātau tonu e akona ana. Heoi, ko tēnei kōwhiringa e rāhui ana mō ngā keehi nui i rahua ai ētahi atu rongoā.

E whakamahi ana ētahi tūroro i te rongoā whakakotahi, e tango ana i te zinc me te trientine, te penicillamine rānei, i runga i ō rātou hiahia motuhake, me te pai o te urupare ki ngā rongoā takitahi.

He Pai Ake Te Trientine I Te Penicillamine?

Kāore te trientine me te penicillamine e tino pai ana – kei runga i tō urupare me tō manawanui ki ia rongoā te whiriwhiri. E whai hua ana rāua e rua ki te tango i te parahi nui, engari he rerekē te mahi a rāua, ā, he rerekē ngā pānga taha.

He maha ngā wā ka whakamātauhia te penicillamine i te tuatahi nā te mea he roa te hītori o te whakamahi, ā, he nui ake ngā raraunga rangahau. Heoi, tata ki te 20-30% o ngā tūroro e kore e manawanui ki te penicillamine nā ngā pānga taha pēnei i te pānga kiri, ngā raruraru tākihi, rānei ngā mate toto.

He iti ake ngā pānga taha kino e puta ana i te trientine i te penicillamine, nā reira he kōwhiringa pai mō ngā tūroro e raru ana ki te rongoā tuatahi. He maha ngā tāngata e kite ana he māmā ake te manawanui ki te trientine i te wā roa.

Ka whakaaro tō tākuta ki ngā mea pēnei i ō taumata parahi o nāianei, ētahi atu āhuatanga hauora kei a koe, me te pēhea tō urupare ki te rongoā i te wā e whakatau ana ko tēhea rongoā te mea pai mō tō āhuatanga motuhake.

Ngā Pātai Auau mō Trientine

He Haumaru te Trientine mō te Mate Ngākau?

Āe, he haumaru te trientine mō ngā tāngata e mate ngākau ana. Inaha, ko te whakaiti i ngā taumata parahi ka whai hua ki tō ngākau, nā te mea ka whai wāhi te parahi nui ki ngā raruraru ngākau i roto i ngā tūroro e mate ana i a Wilson.

Heoi, me mahi tahi tō tākuta ngākau me te tākuta e rongoā ana i tō mate a Wilson i tō manaakitanga. Ētahi rongoā ngākau ka pāhekoheko pea ki te trientine, ā, ka pā tō āhuatanga ngākau ki ngā whakatau inenga.

He mea nui ake te aroturuki i te wā e rua ana ō āhuatanga, nā te mea me mōhio tō rōpū hauora kei te kore te tango parahi e pokanoa ki tō rongoā ngākau, ki te kore rānei.

Me aha au mēnā ka inu au i te nui rawa o te Trientine?

Mēnā ka inu koe i te trientine nui atu i te mea i tohua, whakapā atu ki tō tākuta, ki te pokapū whakahaere paitini rānei i te wā tonu. Ko te inu nui rawa atu ka tango i ngā kohuke nui mai i tō tinana, ka pāngia rānei te puku.

Kaua e ngana ki te ruaki i a koe anō ki te kore koe e tohutohutia e ngā tākuta. Engari, inu i te wai nui, ā, rapua te āwhina hauora i te wā tonu hei whakatau mēnā e hiahiatia ana he rongoā.

Kia mōhio ki te nui rawa atu i inu koe, me te wā, nā te mea ka āwhina tēnei mōhiohio i ngā tākuta ki te whakatau i te huarahi pai rawa atu. Kāore te nuinga o ngā horopeta nui i te pāngia nui, engari he pai ake te noho haumaru.

Me aha au mēnā ka wareware au ki te horopeta o te Trientine?

Tangohia te horopeta i warewarehia i te wā tonu ka mahara koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Mēnā e tata ana koe ki te wā o tō horopeta e whai ake nei, waiho te horopeta i warewarehia, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango i ngā horopeta rua hei utu mō tētahi i warewarehia, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha. He pai ake te wareware i tētahi horopeta i te tūpono ki te inu nui rawa atu i te wā kotahi.

Mēnā he maha ngā wā ka wareware koe ki ngā horopeta, whakaarohia te whakatakoto i ngā pūoho waea, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe kia noho i runga i te ara. Ko te inu i ngā horopeta i ngā wā katoa ka āwhina i te tango parahi tonu, me ngā hua rongoā pai ake.

Āhea au e mutu ai te tango i te Trientine?

Me mutu anake te tango i te trientine i raro i te tirotiro a tō tākuta. Ko te nuinga o ngā tāngata e mate ana i te mate a Wilson e hiahia ana ki te rongoā mō te oranga katoa hei ārai i te hokinga mai o te kohinga parahi kino.

Ka whakaiti, ka mutu rānei tō tākuta i tō horopeta mēnā ka pāngia koe e ngā pānga taha, e hiahia ana rānei koe ki te pokanga, mēnā ka iti rawa iho ō taumata parahi. Heoi, ko ēnei whakatau e hiahia ana ki te aroturuki tupato, ā, ko te tikanga ka uru mai ngā whakamātautau toto auau.

Ka huri pea ētahi tūroro ki te rongoā tiaki me te zinc i muri i te pumau o ō rātou taumata parahi me te rongoā trientine. Kei runga i tō urupare takitahi tēnei whakatau, me te aromatawai a tō tākuta i ō hiahia wā-roa.

Ka taea e au te tango i ngā huaora i te wā e tango ana i te Trientine?

Āe, ka taea e koe te tango i te nuinga o ngā huaora i te wā e tango ana i te trientine, engari he mea nui te wā. Me tango ngā tāpiringa rino kia rua haora i muri i te trientine kia kore ai e pokanoa ki te here parahi.

Ka tūtohu pea tō tākuta i ētahi tāpiringa huaora, ina koa ki te whakaatu ngā whakamātautau toto i ngā ngoikoretanga. E hiahia ana ētahi tāngata e tango ana i te trientine i ngā tāpiringa rino mēnā ka here te rongoā ki te rino me te parahi.

Me whakamōhio tonu ki tō tākuta mō ngā huaora, tāpiringa rānei e tango ana koe, nā te mea ka taea e rātou te tohutohu mō te wā tika me te inenga kia mōhio ai koe e mahi pai ana ō tāpiringa me te trientine.