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

Ko te Pyrazinamide he rongoā paturopi i hangaia hei whawhai i te huakita kohi (TB). E mahi ana tēnei rongoā hei wāhanga o te huarahi rongoā tōpū, e honoa ana ki ētahi atu rongoā TB kia whakawātea ai te mate mai i tō tinana.

Ka inu koe i te pyrazinamide mō ētahi marama i runga i te tohutohu a tō tākuta. E hiahia ana te rongoā i te manawanui me te rite tonu, engari kua āwhina tēnei rongoā i te miriona tāngata kia ora mai i te TB ina whakamahia tika.

He aha te Pyrazinamide?

No te rōpū rongoā e kīia nei ko ngā āpiha antitubercular te pyrazinamide. I hangaia hei whai i te huakita motuhake e pā ana ki te kohi, e āwhina ana i tō pūnaha ārai mate ki te whawhai i tēnei mate nui.

E pai ana te mahi a tēnei rongoā ina wāwāhi ana, e tipu ana hoki te huakita kohi. E whakararu ana i tō rātou kaha ki te whakaputa uri, e māmā ake ai mō ō pūnaha ārai tūturu o tō tinana me ētahi atu rongoā TB kia whakakore rawa i te mate.

Kāore koe e inu i te pyrazinamide anake mō te rongoā TB. Ka tohutohu tonu ngā tākuta i te taha o ētahi atu rongoā kohi kia kore ai te huakita e whanake i te ātete ki tētahi rongoā kotahi.

He aha te Pyrazinamide e whakamahia ana mō?

E rongoā ana te Pyrazinamide i ngā mate kohi kaha i ō pūkahukahu, ngā kōpuku rāpoi, ētahi atu wāhanga rānei o tō tinana. E whai hua ana i ngā marama tuatahi o te rongoā TB ina teitei rawa ngā uta huakita.

Ka tohutohu pea tō tākuta i tēnei rongoā mēnā he kohi pūkahukahu tō (TB i ō pūkahukahu) he kohi waho-pūkahukahu rānei (TB i waho o ō pūkahukahu). E hiahia ana ngā momo e rua i te huarahi tōpū, tūpato hoki kia mōhio ai te whakaora katoa.

I ētahi wā ka whakamahi ngā tākuta i te pyrazinamide mō te rongoā TB huna, ahakoa kāore i te pōturi. Ko te TB huna te tikanga kei te mau koe i te huakita engari kāore anō kia puta ngā tohu kaha.

Me pēhea te mahi a te Pyrazinamide?

E kiia ana ko te Pyrazinamide he rongoa anti-TB kaha ngawari e mahi ana mā te huri ki tētahi āhua kaha i roto i ngā huakita TB. Kia whakahohehia, ka raru tōna kaha ki te pupuri i tō rātou pakitara o waho hei tiaki i a rātou.

He tino whai hua te rongoa i roto i ngā taiao waikawa, e puta ana i ngā wāhi o te mate TB kaha. Nō reira he tino whai hua mō te rongoa TB i ngā wāhi pēnei i ngā wāhi o te pūkahukahu e hanga ana te mumura i ngā tikanga waikawa.

Inā honoa ki ētahi atu rongoa TB, ka āwhina te pyrazinamide ki te whakaiti i tō wā rongoa katoa mai i te 9 marama ki te 6 marama. Mā tēnei huarahi whakakotahi ka ārai i ngā huakita mai i te whakawhanake i te aukati ki tētahi rongoa kotahi.

Me pēhea taku tango i te Pyrazinamide?

Tangohia te pyrazinamide kia rite ki tā te tākuta i whakahau ai, te tikanga kotahi i te rā me te karaihe wai katoa. Ka taea e koe te tango me te kore kai rānei, ahakoa te tango me ngā kai ka āwhina ki te whakaiti i te pōpō o te puku.

Horomia ngā papa katoa me te kore e kuru, e whati, e ngaungau rānei. Ki te raru koe ki te horomia i ngā pire, kōrero ki tō kaiwhakawhāiti rongoa mō te āhua ka taea te wehe i ngā papa i runga i te haumaru, mēnā rānei he rongoa wai.

Whakamātauria te tango i tō rongoa i te wā kotahi i ia rā kia mau tonu ngā taumata i roto i tō toto. Mā te whakatakoto i tētahi whakaoho i ia rā ka āwhina koe ki te mahara ki tēnei tikanga nui.

Kaua e peke i ngā horopeta, kaua rānei e mutu te tango i te pyrazinamide i mua, ahakoa kei te pai koe. Ka taea e ngā huakita TB te aukati ki te rongoa ki te kore koe e whakaoti i te akoranga katoa i whakahaua e tō tākuta.

Kia pēhea te roa e tango ai au i te Pyrazinamide?

Ko te nuinga o te tangata e tango ana i te pyrazinamide mō ngā marama tuatahi e 2 o tā rātou rongoa TB, ahakoa ka whakatau tō tākuta i te roa tika i runga i tō āhuatanga motuhake. Ko te rongoa TB katoa te tikanga e 6 marama te roa me te maha o ngā rongoa.

Ka aroturukihia e tō tākuta tō ahunga whakamua mā ngā whakamātautau toto me ngā hihi-X o te uma i ngā wā katoa hei whakarite kei te whai hua te rongoā. Mā ēnei whakamātautau e āwhina ki te whakatau i te wā e pai ana ki te whakamutu i te pyrazinamide me te haere tonu ki ētahi atu rongoā TB.

Ko ētahi tāngata e pā ana ki ngā mate TB uaua pea ka roa ake te wā maimoatanga. Ka kōrerohia e tō tākuta ngā whakawhānuitanga maimoatanga ki a koe, me te whakamārama he aha te take e tika ana te wā atu anō mō tō whakaora katoa.

He aha ngā pānga taha o te Pyrazinamide?

Pērā i ngā rongoā katoa, ka pā ngā pānga taha o te pyrazinamide, ahakoa he maha ngā tāngata e pai ana ki te tango. Mā te māramatanga ki ngā mea e tūmanakohia ana ka āwhina koe ki te whai māia ki tō maimoatanga.

Ngā pānga taha noa e pā ana ki te nuinga o ngā tāngata ko:

• Te whakapairuaki, te pōpō rānei o te puku
• Te ngaro o te hiahia
• Te mamae o ngā hononga, te mamae rānei o ngā uaua
• Te ngenge ngawari
• Te piki ake o te tairongo ki te rā

Ko ēnei pānga noa ka pai ake i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi o te maimoatanga.

Ko ngā pānga taha nui ake e hiahia ana ki te āwhina hauora tonu, ahakoa he iti noa iho te auau:

• Te kōwhai o te kiri, o ngā kanohi rānei (jaundice)
• Te mamae nui o te puku
• Te mimi pouri, te tūtae koma rānei
• Te ruaki tonu
• Te mamae nui o ngā hononga me te pūhi
• Te pā mai o te kiri, te mānukanuka nui rānei

Mēnā ka pā ki a koe ētahi o ēnei tohumate nui, whakapā atu ki tō tākuta tonu. Mā ngā whakamātautau toto i ngā wā katoa i te wā o te maimoatanga e āwhina ki te hopu i ngā raruraru ate i te wā wawe.

Ngā pānga taha onge engari nui e hiahia ana ki te āwhina ohorere ko:

• Ngā tauhohenga mate pāwera nui me te uaua ki te hā
• Te kino nui o te ate me te ngenge nui me te rangirua
• Ngā mate toto e pā ana ki te pā mai o te pāpā, te toto rānei
• Ngā tauhohenga kiri nui me te pupuhi

He iti noa te hunga e pā ana ki ēnei raruraru onge, engari mā te mōhio ki ngā tohu whakatūpato ka āwhina koe ki te tiki awhina wawe ki te hiahiatia.

Ko wai e kore e tango i te Pyrazinamide?

Me karo ētahi tāngata i te pyrazinamide nā te piki o te tūponotanga o ngā raruraru nui. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kaua koe e tango i te pyrazinamide mēnā he:

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• Mate ate nui, he mate hepatitis rānei e kaha ana
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• He mate pāwera mō te pyrazinamide, mō ngā rongoā rite rānei
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• Gout nui, he hītori rānei o ngā whakaeke gout nui
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• Mate tākihi nui
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Ko te tikanga, ka whiwhi ngā tāngata e pā ana ki ēnei āhuatanga i ngā hōtaka rongoā TB kē atu, kāore i te pyrazinamide.

Ka whakamahi tō tākuta i te tūpato anō mēnā he:

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• Ngā raruraru ate ngawari ki te āhua
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• Hītori o te whakamahi waipiro
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• Mate huka
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• Mate tākihi
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• Gout, he taumata waikawa uric rānei
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• Te hapū, te whāngai u rānei
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Kāore ēnei āhuatanga e aukati ana i te whakamahi pyrazinamide, engari me mātakitaki tata, me te whakatika i ngā horopeta.

Ngā Ingoa Waitohu Pyrazinamide

I te United States, e wātea ana te pyrazinamide i te tuatahi hei rongoā whānui. Ka kite pea koe i te rārangi ko

Ko ētahi atu kōwhiringa ko te whakawhānui i te rongoā ki te isoniazid me te rifampin mai i te 6 marama ki te 9 marama. Ka whakaaro pea tō tākuta ki te tāpiri i te ethambutol, i te streptomycin rānei ki tō rongoā.

Mō te hunga e mate ana i te TB e ātete ana ki te rongoā, he rongoā motuhake pēnei i te fluoroquinolones, i ngā rongoā werohia rānei o te rārangi tuarua e tika ana. Me mātakitaki tēnei rongoā e ngā tohunga TB.

Ko te kōwhiringa o te kōwhiringa kē e whakawhirinaki ana ki tō āhuatanga motuhake, tae atu ki ngā rongoā TB e tairongo ana te huakita me tō hauora whānui.

He Pai Ake Te Pyrazinamide I Te Ethambutol?

He rerekē ngā mahi a te Pyrazinamide me te ethambutol i roto i te rongoā TB, nō reira ehara i te mea tika te whakataurite tika. He wāhanga nui ngā rongoā e rua o te rongoā TB whānui.

He whai hua te Pyrazinamide i ngā marama tuatahi e 2 o te rongoā i te wā e tino nui ana te utaina o te huakita. Ka āwhina i te whakaiti i te wā rongoā katoa me te pai te mahi i ngā taiao waikawa e huna ana te huakita TB.

Ka whakamahia te Ethambutol puta noa i te rongoā katoa, ā, ka āwhina i te aukati i te ātete ki ētahi atu rongoā TB. He maha ngā wā ka kōwhiria mō te hunga kāore e taea te aro ki te pyrazinamide nā te raruraru ate.

Ka kōwhiria e tō tākuta te huinga pai o ngā rongoā i runga i tō momo TB motuhake, ngā āhuatanga hauora, me ngā whāinga rongoā. He rekoata whakamatau ngā rongoā e rua i roto i te rongoā TB ina whakamahia tika ana.

Ngā Pātai Auau Mō Pyrazinamide

He Haumaru Te Pyrazinamide Mō Ngā Wāhine Hapū?

E whakaarohia ana he haumaru te pyrazinamide i te wā e hapū ana i te rongoā i te mate kohi kaha. Ko ngā painga o te rongoā TB i te wā e hapū ana te nuinga o ngā wā ka nui ake i ngā tūponotanga ki te whaea me te pēpi.

Heoi, ka āta whakataurite tō tākuta i ngā tūponotanga me ngā painga i tō āhuatanga motuhake. E pai ana ētahi tākuta ki ngā rongoā TB kē i te wā e hapū ana, i te mea e pai ana ētahi atu ki te whakamahi i te pyrazinamide ina tika ana.

He aha taku e mahi ai mēnā ka inu au i te nui rawa o te Pyrazinamide?

Mēnā ka inu koe i te nui rawa o te pyrazinamide i te mea i whakaritea, whakapā atu ki tō tākuta, ki te pūtau whakahaere paitini rānei i te wā tonu. Ko te inu i te nui rawa ka piki ake te tūponotanga o te whara o te ate me ētahi atu pānga kino.

Kaua e tatari kia puta mai ngā tohu i mua i te rapu awhina. Mauria te pounamu rongoā ki a koe mēnā me toro koe ki te ruma ohorere, nā te mea ka āwhina tēnei i ngā kaimahi hauora ki te mārama ki te aha me te nui i inumia e koe.

He aha taku e mahi ai mēnā ka ngaro i ahau tētahi horopeta o te Pyrazinamide?

Mēnā ka ngaro i a koe tētahi horopeta, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Kaua rawa e inu i ngā horopeta e rua i te wā kotahi hei utu mō tētahi horopeta i ngaro.

Mēnā kāore koe i te mōhio mō te wā, whakapā atu ki tō tākuta, ki te kaimuku rongoā rānei mō te ārahitanga. He mea nui te pupuri i ngā taumata rongoā rite tonu mō te rongoā TB whai hua, nā reira ngana ki te whakatū i tētahi tikanga hei āwhina i a koe ki te mahara ki tō horopeta ia rā.

Āhea ka taea e au te whakamutu i te inu i te Pyrazinamide?

Me whakamutu anake te inu i te pyrazinamide i te wā e kī ana tō tākuta he haumaru ki te mahi pera. Ko te tikanga ka pēnei i muri i te 2 marama o te rongoā, ka haere tonu koe ki ētahi atu rongoā TB mō te toenga o tō rongoā.

Ka whakamahi tō tākuta i ngā whakamātautau toto, ngā hihi-X o te uma, me ngā ahurea hūpē hei whakatau i te wā e tika ana ki te whakamutu i te pyrazinamide. Ko te whakamutu i te wā tōmua ka hua te rahunga o te rongoā me te TB ātete rongoā.

Ka taea e au te inu waipiro i te wā e inu ana au i te Pyrazinamide?

He pai ake te karo i te waipiro katoa i te wā e inu ana koe i te pyrazinamide. Ka pā te waipiro me te pyrazinamide ki tō ate, ā, ko te whakakotahi i a rāua ka piki ake te tūponotanga o te whara nui o te ate.

Mēnā he āwangawanga āu mō te whakamahi waipiro i te wā o te rongoā TB, kōrerohia tēnei ki tō tākuta. Ka taea e rātou te whakarato tautoko me ngā rauemi hei āwhina i a koe ki te pupuri i te mārohirohi i te wā o tō wā whakaora.