Pāhare pāhare pāhare (Urocit-K): He Aratohu Matawhānui mo te Whakamahinga, Te Inenga, me nga Paanga Taha

Te pāhare pāhare pāporo he puhui matū matua me nga tono rongoa tino nui, ina koa ki te whakahaere me te aukati i etahi momo kowhatu whatukuhu. Mena kua whakahuahia e to taakuta tenei rongoa, mena kei te tirotiro koe i nga huarahi hei whakapai ake i to hauora whatukuhu, kua tae mai koe ki te waahi tika. Ko tenei aratohu he ruku hohonu ki te aha te pāhare pāporo citrate, me pehea te mahi, te hiranga o te inenga tika, me te tirohanga maamaa o nga paanga taha. E whai ana matou ki te whakautu i o patai me nga korero pono, ngawari ki te maarama, kia whai mana koe ki te whai korero mohio me to kaiwhakarato hauora.

He aha te tika o te konupora Citrate me pehea te mahi?

Na, he aha tenei mea? I tona uho, pāhare pāhare pāporo Ko te tote pāhare pāporo o te waikawa citric. Ka kite pea koe i runga i nga tapanga ko E332. He ma, he paura tioata kaore he kakara me te reka o te tote. I roto i te ao rongoa, e mohiotia ana ko te kawakawa urinary. He huarahi pai tena ki te kii he pai ki a koe pee iti iho waikawa. Ko te huinga o waikawa citric me te pāhare pāporo citrate he whai hua na te mea ka uru atu ki te tinana, ka uru te citrate ki roto bicarbonate. Ka pehia tenei bicarbonate ki roto i te mimi, te whakanui ake i tona pH ka nui ake te kawakore (ka iti ake te waikawa).

Ko tenei huringa i roto i te matū mimi te mea ngaro o tana angitu. Ko te rongoā tino mahi ma te whakaiti i te nui o te waikawa i roto i te mimi. He iti ake te waikawa o te taiao he iti ake te hoa ki te hanga o etahi tioata. Whakaarohia he whakarereke i nga ahuatanga wai i roto i te puna ika hei aukati i te tipu o te pukohu. Ma te whakarereke i te taiao matū o to ara mimi, pāhare pāhare pāporo ka waihanga i nga tikanga e whakararu ana i te hanga kohatu. Ko tenei tikanga ngawari he taputapu kaha ki te aukati whatukuhu tiaki. Tenei rongoa he mea tino nui tāpiringa mo nga tangata e kaha ana ki te hanga kohuke motuhake.

He maha nga tangata e whakaaro ana mehemea ka taea e ratou te inu noa i te wai rēmana, he nui te citrate. Ahakoa he awhina te citrate kai, ko te nui e hiahiatia ana kia tino huri mimi He maha ake te matū i nga mea ka taea e te nuinga o nga tangata te kai pai. Ko reira he kukū pāhare pāhare pāporo tāpiringa Ka uru mai he rongoa horopeta i roto i te ahua ka taea te whakahaere. Ko te whainga ehara i te mea ko te taapiri i te citrate, engari ko te tuku kia nui ai te rereketanga o to pH mimi me nga taumata citrate, he mahi mo tenei. rongoa he mea hanga motuhake.

He aha te Potassium Citrate i tohuhia mo nga kowhatu whatukuhu?

Ko te take tuatahi ka tohua e nga taote pāhare pāhare pāporo he ki aukati i nga kowhatu whatukuhu. Engari ehara i te mea mo nga kohatu katoa. He tino whai hua mo etahi momo kowhatu whatukuhu, ara nga mea hanga o konupūmā oxalate, waikawa uric, he huinga ranei o nga mea e rua. Ka tipu enei kohatu i roto i te waikawa mimi. Ina to pee he waikawa rawa, konupūmā me te oxalate ranei waikawa uric ka ngawari ki te whakatioata, ka piri tahi, ka puta he kowhatu mamae. Te pāhare pāhare pāporo takahanga i roto me te whakaara i te mimiKo te pH, ka nui ake te kawakore.

Anei me pehea te awhina i nga kohatu rereke:

• Kohatu konupora Oxalate: Ma te whakanui ake i te urinary citrate, tenei rongoā herea ki konupūmā, e whakaiti ana i te nui o konupūmā e wātea ana ki te here ki te oxalate. He iti ake te konupūmā oxalate hanga kohatu. Ko te citrate ano hoki ka aukati tika i te tipu o enei tioata.
• Kohatu waikawa uric: Ko enei kohatu ka hanga tata anake ki te waikawa mimi. Ma te hanga i te mimi kawakore ake, pāhare pāhare pāporo ka awhina ki te memeha waikawa uric, kia ngawari ake te pehia e to tinana i mua i te hanga kohatu.

I tua atu i te aukati, Ka whakamahia te pāhare pāhare pāporo hei rongoa he mate e kiia nei ko te waikawa ngongo ngongo renal, a whatukuhu he take karekau te tinana ki te tuku waikawa ki roto mimi, ka arahi ki waikawa metabolic (toto waikawa). Ma te whakarato i te matū kawakore (bicarbonate, i muri i te pākia), ka awhina i te whakatika i tenei koretake. Ko te tino whainga o tenei rongoa Ko te hanga i tetahi taiao mimi e kaha ana te mahi ārai whatukuhu kohatu mai i te whiwhi turanga. He huarahi kaha ki te whakahaere i tetahi ahuatanga mamae me te haere tonu.

Me pehea taku tango i tenei rongoa mo nga hua pai?

Te whai i nga tohutohu me pehea tangohia tenei rongoa he mea nui mo tona whaihua me te whakaiti i nga paanga taha. Me koe i nga wa katoa tangohia to rongoa rite tonu ki ta to taakuta i whakahau ai. Te pāhare pāhare pāporo me tango nga papa, nga tioata ranei ma te mangai, a ka tino tūtohutia kia kai ma te kai, i roto ranei i te 30 meneti o te kai. Ka awhina tenei ki te whakaiti i te tupono o whekau nga take penei i te puku pouri.

Ko tetahi waahanga nui o te rongoa ko te whakamakuku. Ka tohutohu pea to taakuta kia inu koe te nui o te wai puta noa i te ra. Ehara tenei i te tohutohu hauora whanui noa; he mea nui mo te awhina i te rongoā mahi. He nui ake te wai ka nui ake mimi, e awhina ana ki te whakakore i nga rawa ka taea te hanga kohatu, me te pupuri kia waimeha. Patai atu ki to taakuta mo te nui o te wai e hiahia ana koe ki te inu ia rā. Ko etahi hua pāhare pāporo citrate haere mai i roto i te puka papa tuku-roa. Kaua e kuru, e ngaungau, e wawahi ranei i enei papa. Me horomia katoa e koe. Ka taea e te pakaru te papa te tuku i te katoa horopeta i te wa kotahi, ka piki ake te tupono o te mamae o te puku, neke atu ranei nga paanga kino kino. Mena kei a koe raruraru horomia pire, matapakihia tenei me to taakuta kai rongoā, i te mea tera pea he ahua wai, he karaihe ranei e waatea ana.

Kia mahara, ko te riterite te mea matua. Te tango i te rongoā i nga wa ano i ia ra ka awhina i te pupuri i te taumata pumau o te rongoa i roto i to tinana me te kawakore tonu mimi. Ko tenei ahua pumau te mea pai hei aukati hanga kohatu. He pono ia ra ki a koe whatukuhu hauora.

He aha te inenga angamaheni o te konupora Citrate?

Karekau he whakautu kotahi mo tenei patai. Ko te tika horopeta o pāhare pāhare pāporo he tino takitahi. Ma to taakuta e whakatau te tika horopeta mo koe i runga i nga mea maha, ko nga hua o to toto me te mimi whakamātautau. I mua i te tiimata o te rongoā, ka hiahia pea to taakuta ki te tirotiro i o electrolytes serum (ina koa taumata pāhare pāporo) me to urinary citrate me nga taumata pH.

Te timatanga horopeta he maha nga wa ka whakatikahia i runga i te urupare a to tinana. Me whai auau pea koe mahi toto ki te aroturuki i to taumata pāhare pāporo me te whakarite kia kaua e teitei rawa, he ahuatanga e mohiotia ana hyperkalemia. Ka aro turuki ano to taakuta i to pH mimi ki te kite mena he horopeta he rawaka ki te eke ki te taumata taumata o waikawa (ko te alkalinity ranei, i tenei keehi). Ko tenei aro turuki he waahanga nui o te maimoatanga, me te whakarite i te rongoa he haumaru me te whai hua mo to motuhake tikanga hauora.

He mea nui kia kaua koe e whakatika horopeta i a koe ake. Ko te tango iti kare pea e whai hua ki te aukati kowhatu whatukuhu, i te mea ka nui rawa te tango ka arahi ki te kino pānga taha. Ko te whakahaunga ka whiwhi koe he mea whakarite ki to matū koiora ahurei. Whakawhirinaki te tukanga o te arowhai auau me te mahi toto, i te mea ka taea e to kaiwhakarato hauora te whakatika i to mahere maimoatanga mo te hua pai rawa atu.

He aha nga huanga taha noa o te konupora Citrate?

Ka rite ki tetahi rongoā, pāhare pāhare pāporo mai ki te mōrea o pānga taha. Ko te rongo pai ko te nuinga he ngawari, e pa ana ki te punaha nakunaku. Na te mea ko te rongoa ka whakapataritari i te kopu o te kopu. Ko te tino noa pānga taha ngā:

• Nausea
• Te mamae o te puku, te korenga ranei
• Kore ngawari
• Te ruaki
• Te mamae o te puku

He maha o enei nga paanga o te pāhare pāporo citrate ka taea te whakaiti, te aukati ranei ma te whai i nga tohutohu ki tangohia tenei rongoa me te kai me te te nui o te wai. Mena ka wheako koe i te manawanui, i te raruraru ranei whekau nga tohu, kaua e mutu noa te tango rongoā. Kōrero ki tō tākuta. Ka taea pea e ratou te whakatika i to horopeta whakaarohia he hanga rereke (penei i te papa tuku-roa) hei whakamama i te mamae.

He mea nui ki te wehewehe i waenga i te ngawari ngawari me te hohenga kino ake. Nausea ngawari i muri i a horopeta ka taea te tumanako i te tuatahi, engari he kino, kei te haere tonu ruaki he take ki te waea atu ki to taakuta. Me whai wa pea to tinana ki te whakatika ki te rongoa, engari me whakamohio tonu koe ki to kaihautu hauora mo to ahua. Kei te hiahia ratou ki enei urupare kia pai ai te whakahaere i to maimoatanga.

He Paanga Taha Nui Me Maharahara ahau?

Ahakoa onge, kei reira nga paanga kino kino e hono ana ki pāhare pāhare pāporo tera rapua te aro hauora tonu. Ko te tino awangawanga hyperkalemia, he taumata tino kino o te pāhare pāporo i roto i te toto. No te mea pāhare pāhare pāporo he pāhare pāporo tāpiringa, he morearea tuatahi tenei, ina koa mo te hunga haua whatukuhu mahi.

Rapua te aro hauora mena ka pa ki a koe nga tohu o te hyperkalemia, penei:

• Te ngoikore o te uaua, te karekau ranei
• Te ngunguru, te ngongo ranei o ou ringa, waewae, huri noa i to waha
• He puhoi, he tere, he pahekeheke ranei o te ngakau
• Te rangirua, te awangawanga ranei
• Te tino whanoke, te ngoikore ranei

Ko tetahi atu tino awangawanga ko te irirangi, te kino ranei o te puku, whekau ranei. Me whakapā atu ki tō tākuta ināia ka pā ki a koe te mamae nui o te puku, ka mau tonu ruaki (ina koa he rite te ahua o te papa kawhe), he pango ranei, he kuetu noho. He tohu pea enei mo te whakaheke toto i roto i to ara nakunaku. Ka mutu, ahakoa tino onge, he taumaha tauhohenga mate pāwera ka taea. Nga tohu o te tauhohenga mate pāhare pāporo Ko te citrate ko te ponana, te patito/te pupuhi (ina koa te kanohi, te arero, te korokoro ranei), te whanoke nui, me raruraru horomia manawa ranei. Mena ka pa mai tenei, he ohorere hauora. Ahakoa enei nga paanga kino kino he mea noa, he mea nui kia mohio ki a raatau.

He aha te mea ka ngaro ahau i te horopeta o tenei rongoa?

Kei te wareware ki te tango a horopeta o rongoā tupu ki te katoa. Mena ko koe ngaro tetahi horopeta o pāhare pāhare pāporo, ko te tohutohu whanui ko te hohoro te tango kia mahara koe. Heoi, tera ano tetahi waahanga nui.

Mena kua tata te wa mo to muri mai kua whakaritea horopeta, me tika koe pekehia te horopeta kua ngaro katoa. Kaua e tango taapiri rongoa hei utu mo te mea i ngaro koe. Raarua te horopeta Ka taea e koe te whakanui ake i te mate o te puku, a, ko te mea nui, ka piki ake to mate taumata pāhare pāporo ki tetahi waahi kino. Me hoki mai ano ki to waarangi me te waa e whai ake nei horopeta. Mena he maha nga wa ngaro tetahi horopeta, korero ki to kai rongoā te taote ranei mo nga rautaki hei awhina i a koe ki te maumahara, penei i te whakamahi i te kaiwhakarite pire, i te whakatakoto whakaohooho ia ra ki to waea. He mea nui te riterite mo tenei rongoā ki te whai hua aukati i nga kowhatu whatukuhu.

Ko ehea etahi atu rongoa ka uru ki te konupora Citrate?

Te taunekeneke tarukino he whakaaro nui mo te haumaru. He maha nga momo rongoā kia taunekeneke me pāhare pāhare pāporo, matua ko era e pa ana taumata pāhare pāporo ranei whatukuhu mahi. He mea nui ki te hoatu ki to taakuta he tohu katoa rarangi o nga rongoa kei te tango koe, tae atu ki whakahaunga raau taero, i runga i te hoko rongoā, huaora, me nga taapiri otaota.

Anei etahi o nga mea tino nui kia taunekeneke:

• Nga Diuretics Tiaki Pahaura: He "pire wai" penei i te spironolactone, amiloride, triamterene ranei. Ma ratou e mau to tinana ki te pāhare pāporo, me te tango pāhare pāporo citrate taea arahi ki hyperkalemia.
• ACE Inhibitors me ARBs: Ka taea hoki e enei rongoa whakaheke toto (hei tauira, lisinopril, losartan) te whakanui ake i te pāhare pāporo i roto i te toto. Ko te huinga e hiahia ana kia ata tirotiro.
• Ko etahi atu taapiri konupora: Kei roto i tenei ko nga mea penei Pāhare pūhaumāota he pāhare pāporo rānei i kitea i roto i ngā whakakapinga tote. Ma te whakamahi tahi i a raatau ka nui ake te tupono o overdose.
• Antacids: Kei roto etahi antacids konupūmā, konumohe, konupora ranei, ka pa te ahua o to tinana ki te whakauru me te whakamahi pāhare pāhare pāporo. Hei tauira, etahi matū rite Konutai Acetate ranei Dipotassium Phosphate he taunekeneke ohorere pea ki te kore e aro turukihia.
• Nga raau taero e whakaroa ana i te nakunaku: Ko nga rongoa penei i te atropine, etahi raau taero ranei mo te mate irritable bowel ka nui ake te wa pāhare pāhare pāporo ka noho te papa ki roto i to kopu, ka piki ake te mate o te irirangi.

Me korero tonu ki a koe kai rongoā te taote ranei i mua i te tiimata i tetahi mea hou nga raau taero kore-tohutohu i roto i tenei maimoatanga. Ko te whakahaere tika o nga taunekeneke pea tetahi waahanga nui o te whakamahi haumaru i tenei rongoa.

Ka taea te whakamahi i te konupora Citrate mo nga ahuatanga ke atu i te kauti?

Ahakoa ko tana mahi tuatahi ko te whakahaere kowhatu whatukuhu me te waikawa tubular renal, te tikanga o pāhare pāhare pāporo—te whakaheke i te nui o te waikawa i roto i te mimi—kua tuhurahia mo etahi atu tikanga. Ko tetahi ahuatanga penei kauti. Kauti he ahua o te rewharewha mate na te taumata tiketike o waikawa uric i roto i te toto, ka taea te hanga tioata i roto i nga hononga.

Ko te kaupapa ano e awhina ana ki te aukati waikawa uric kowhatu whatukuhu ka taea hoki te awhina ki te whakahaere kauti. Ma te hanga i te mimi kawakore ake, pāhare pāhare pāporo ka awhina i nga whatukuhu ki te whakaputa waikawa uric mai i te tinana kia pai ake. Ka awhina tenei ki te whakaheke i te whanui waikawa uric te whakaheke i te taumata o te toto te tupono ki te whakawhanake he mate kauti mamae. Ehara i te mea he maimoatanga rarangi tuatahi mo kauti engari ka taea hoki te whakamahi hei rongoa taapiri, ina koa mo nga turoro e rua kauti a waikawa uric kowhatu whatukuhu. Ko nga whakamahinga mo nga ahuatanga kei waho o ona tohu matua kua whakamanahia e te FDA me tino whakahaere i raro i te awhina a tetahi tohunga hauora.

He aha te mea me mohio taku takuta i mua i taku tiimata ki te tango i tenei rongoa?

I mua i to hoatutanga ki a koe a whakahaunga mo pāhare pāhare pāporo, he mea nui kia whai pikitia katoa to taakuta mo to hauora. Ko etahi o mua tikanga hauora ka taea te tango i tenei rongoā mōrearea. Me mohio koe ki te korero ki to taakuta mehemea kei a koe te hitori o tetahi o enei e whai ake nei:

• Ngā Taumata Pahāhā (Hyperkalemia): Mena kei a koe te nui o te pāhare pāporo, koinei rongoā ko te nuinga o te wa e whakahē ana.
• Te mate whatumanawa nui: Ki te kore e pai te mahi o o whatukuhu, kare pea e taea e ratou te whakaputa i te pāhare pāporo, ka puta he hanga kino.
• Te mate a Addison: Ka taea e tenei mate repe adrenal he nui taumata pāhare pāporo.
• Nga raruraru o te puku, te whekau ranei: Ko nga ahuatanga penei i te mate whewhe peptic, te aukati, te nakunaku puhoi ranei ka nui ake te tupono o te irirangi, te aukati ranei i te papa.
• He tauhohenga rerekee, mate mate mate ranei: Korero atu ki to taakuta mena kua pa te kino ki a koe pāhare pāhare pāporo tetahi atu ranei rongoa. Ara etahi atu tote pāhare pāporo, rite Te haukinia pūkawa, ka tohu pea he tairongo.
• Mena kei runga koe i a kai motuhake: Hei tauira, he kai iti-potassium, iti-tote ranei.
• matewai: Kaua e tika tangohia tenei rongoa ki te tino mate wai koe.

Mena kua korerohia koe he raru koe ki nga tohu hiko o to ngakau, kua raru ranei koe ki etahi atu matū penei Konutai Metabisulfite, he mea nui ki te whakapuaki i tenei. Ko te whakarato i enei korero ki mua ka awhina i to taakuta ki te whakatau i te whiringa maimoatanga haumaru me te whai hua mo koe. Mena kei a koe tangohia rawatia me te whakapae an overdose, whakapā atu ki te pokapū whakahaere paihana rapu ohorere ranei aro hauora tonu.

Nga Taketake Matua hei Maharahara

• Whakamahinga Tuatahi: Te pāhare pāhare pāporo he a rongoa tuatahi whakamahia ki aukati i nga kowhatu whatukuhu (konupora oxalate me te waikawa uric) ma te hanga i to mimi iti te waikawa.
• Me pehea te tango: I nga wa katoa tangohia tenei rongoa me te kai, te paramanawa ranei me te inu te nui o te wai ki te whakaiti i te mamae o te kopu me te whakanui i te whai hua.
• He Whaiaro te horopeta: To horopeta he mea whakarite ki a koe i runga i toto me te mimi whakamātautau. Kaua rawa e whakarereke me te kore korero ki to taakuta.
• Painga taha noa: Me tumanako ka taea te ngawari pānga taha penei i te nausea, i te mamae puku ranei. Ka taea te whakahaere i enei.
• Nga Painga Taha Tino: Kia tupato ki nga tohu o te teitei taumata pāhare pāporo (hyperkalemia), penei i te ngoikore o te uaua me te paheketanga o te manawa o te ngakau, me rapu awhina tonu mena ka puta.
• Whakawhanaunga Taaka: Whakamohio atu ki to taakuta mo ia takitahi rongoā Ka tangohia e koe, ina koa nga diuretics me etahi rongoa whakaheke toto, hei karo i nga taunekeneke kino.
• Kia tuwhera me to taakuta: Matapakihia o koutou katoa tikanga hauora, rawa whatukuhu, raruraru ngakau, puku ranei, i mua i te tiimata o te maimoatanga.