Ngā momo rongoā paturopi mō ngā mate niho
He raruraru hauora noa ngā mate niho, ka pā mai te mamae nui, te pupuhi, te manawa kino, tae atu ki te kirika. Ko te tikanga ka tīmata ngā mate i ngā poka kāore i rongoatia, te mumura o ngā kapia, ngā pakiaka niho kua pangia, ngā whewhe (ngā pute wai) rānei e karapoti ana i te niho me ōna kiko tautoko. I te nuinga o te wā, ehara i te paturopi te rongoā matua mō ngā mate niho, engari ko ngā tikanga niho pēnei i te horoi i te pūtake o te mate, te rongoā i te awa pakiaka, te tango i te whewhe, te tango rānei i te niho. Heoi, tera pea e hiahiatia ngā paturopi mēnā kua horapa te mate, kei te haere tahi me ngā tohu ā-tinana, kei te tūroro rānei ētahi āhuatanga e whakanui ake ana i te mōrearea o ngā raruraru.
E matapakihia ana i roto i tēnei tuhinga ngā momo paturopi e whakamahia whānuitia ana mō ngā mate niho, te wā e tohua ai, me ngā āhuatanga nui mō te whakamahinga haumaru me te whai hua.
Āhea te wā e hiahiatia ai he rongoā paturopi mō te mate niho?
Kāore e hiahiatia ana he paturopi mō ngā mamae niho katoa. Ka mahi ngā paturopi ki ngā huakita, nō reira he pai mēnā he mate huakita kei te horapa. Ko te tikanga, ka whakaarohia e ngā tākuta niho ngā paturopi mēnā:
1. Ka horapa te pupuhi ki ngā paparinga, ki te kauae, ki te kaki rānei.
2. Te kirika, te ngoikore, ngā tohu rānei o te mate urutā.
3. Ngā whewhe e haere tahi ana me te pupuhi nui, te uaua rānei ki te whakatuwhera (trismus).
4. Te whakanui ake i ngā kōpū waikura me te mamae i te wā e horomia ana.
5. Ngā āhuatanga ngoikore o te ārai mate, hei tauira, ngā tūroro e pāngia ana e ētahi mate, e whiwhi ana rānei i te rongoā ārai mate.
Mō ngā mamae nā te poka niho, kāore e horapa te pupuhi, ka arotahi ngā tākuta ki te maimoatanga ā-rohe (ngā whakakī, te maimoatanga awa pakiaka) me te whakamamae i te mamae, kaua ki ngā paturopi.
1. Penicillin (Penicillin V)
Ko te Penicillin V he paturopi rongonui e whakamahia ana mō ngā mate waha nā te mea he tino whai hua ki ngā huakita e puta ai ngā mate niho. Ko ōna painga ko tōna whakamahinga roa me te utu iti.
Heoi, kāore te penicillin e whai hua i ngā wā katoa nā te mea ka taea e ētahi huakita waha te whakaputa i ngā whākōkī e kore ai e whai hua. Hei tāpiri, he mate pāwera ētahi tāngata ki te penicillin, me ētahi atu rongoā.
Whakamahinga whānui: ngā mate niho ngawari ki te pāngia e te mate pāwera, inā koa kāore he whakapae he ātete nui.
2. Amoxicillin
Nō te rōpū penicillin te Amoxicillin, he whānui ake tōna whānuitanga i te Penicillin V. He maha ngā tākuta niho e whiriwhiri ana i te amoxicillin nā te mea he pai te mimiti, ā, he whai hua ki te patu i ngā huakita maha e mate ai ngā niho.
I roto i te mahi, ko te amoxicillin te kōwhiringa tuatahi mō ngā tūroro kāore he mate pāwera, me ngā mate pāwera e hiahia ana ki ngā paturopi.
Ngā Painga: whai hua, e wātea ana i te nuinga o te wā, he ngāwari ki te tango.
Kia mōhio: kāore i te pai mō ngā tūroro e mate pāwera ana ki te penicillin.
3. Amoxicillin–Clavulanate (Amoxicillin–Clavulanate)
Mā te whakakotahitanga o te amoxicillin me te waikawa clavulanic ka āwhina i te rongoā i ngā huakita e whakaputa ana i te beta-lactamase (he whākōkī ka taea te "whakakore" i ētahi paturopi). Nō reira, he maha ngā wā ka whakamahia te amoxicillin–clavulanate mō ngā mate kino ake, ngā mate pūmau, ngā mate rānei e whakapaetia ana he ātete ki te amoxicillin paerewa.
Ngā whakamahinga noa: ngā whewhe kino ake, ngā mate horapa, ngā kēhi rānei kāore e pai ake mā te whakamahi i ngā paturopi raina tuatahi.
Ngā pānga taha ka puta pea: ngā mate nakunaku pērā i te whakapairuaki, te korere rānei, he maha ake ngā wā i te tango i te amoxicillin anake.
4. Clindamycin
He maha ngā wā ka whakamahia te Clindamycin hei rongoā whakakapi mō ngā tūroro e mate pāwera ana ki te penicillin. He whai hua tēnei paturopi ki ngā huakita anaerobic maha (ngā huakita e tupu ana me te kore hāora) e uru pinepine ana ki ngā mate niho me ngā whewhe.
Ahakoa he whai hua te clindamycin, ka ara ake ngā āwangawanga nā te mea ka taea e ia te whakanui ake i te mōrearea o te mate korere kino i puta mai i te mate Clostridioides difficile i roto i ētahi tāngata. Nō reira, me tino rite te whakamahinga ki ngā tohu me ngā whakahaunga a te tākuta.
Ngā whakamahinga noa: ngā tūroro mate pāwera ki te penicillin, ngā whewhe niho, ngā mate kiko ngohengohe huri noa i ngā niho.
5. Metronidazole (Metronidazole)
He tino whai hua te Metronidazole ki ngā huakita anaerobic, e kitea pinepine ana i roto i ngā mate niho me ngā kapia hohonu. Heoi, kāore te metronidazole e whakamahia ko ia anake, engari me te whakamahi tahi me te amoxicillin, te penicillin rānei mēnā e whakapaetia ana kei roto i te mate he ranunga o ngā huakita aerobic me ngā huakita anaerobic.
Ngā whakamahinga noa: ngā whewhe niho, ētahi mate periodontal, te rongoā whakakotahi rānei mō ngā mate kino.
He mea nui: Kāore i te tūtohutia kia whakamahia te Metronidazole me te waipiro nā te mea ka pā mai he urupare kino (whakapairuaki nui, ruaki, tere te pao o te puku). Me whai i ngā tohutohu a tō tākuta mō ngā ārai katoa.
6. Ngā Macrolide: Azithromycin me Erythromycin
Ka taea hoki e ngā macrolides pērā i te azithromycin me te erythromycin te whakamahi hei rongoā rerekē mā ngā tūroro e mate pāwera ana ki te penicillin. He maha ngā wā ka whiriwhiria te Azithromycin nā te mea he watea ake te wā horopeta, ā, he iti ake ngā pānga taha ki te puku i te erythromycin.
Heoi anō, kei ētahi huakita ā-waha e whakaatu ana i tētahi taumata ātete ki ngā macrolides, nō reira ka whakaarohia e te tākuta te āhua o te keehi me te hītori o te whakamahinga paturopi o mua.
Ngā whakamahinga noa: he huarahi kē atu mō te mate pāwera ki te penicillin, ētahi mate ngawari ki te mate pāwera.
7. Ngā Kephalosporin (Ngā Kephalosporin)
Tērā pea ka tohua e ētahi tākuta niho ngā cephalosporins (hei tauira, cefalexin) mō ngā mate niho, inā koa mēnā kāore he mate pāwera nui o te tūroro ki te penicillin. He whanaunga tēnei momo rongoā ki te penicillin, nō reira, mēnā he mate pāwera nui (hei tauira, ngā tauhohenga anaphylactic), me karohia te whakamahinga, me āta whakaarohia rānei, e ai ki te aromatawai a te tākuta.
Te whakamahinga whānui: he huarahi kē atu i ētahi wā, inā koa ngā mate pāwera ngawari ki te pāwera.
Mātāpono Hira: Ehara ngā rongoā paturopi i te whakakapi mō te tiaki niho
Ka taea e ngā paturopi te āwhina i te pehi i te tipu o ngā huakita me te whakaiti i te horapa o te mate, engari kāore e taea te whakakore i te pūtake o te raruraru, pērā i te kōhao hohonu, te kiko penupenu mate, te whewhe rānei e hiahia ana kia tangohia te wai. Ki te kore he maimoatanga tuturu, ka hoki anō te mate i muri i te paunga o ngā paturopi.
Ko ngā tikanga niho e hiahiatia ana i te nuinga o te wā ko:
– Te maimoatanga o te pūtake niho hei horoi i te mate mai i roto i te niho
– Te tango i te wai i roto i te puku hei tango i te wai
– Te horoi i te tartar me te tiaki i ngā kapia mēnā ko te pūtake o te periodontal
– Te tango i te niho mēnā kāore e taea te whakaora
Me pēhea te whakamahi haumaru i ngā rongoā paturopi
Kia pai ai te mahi a ngā paturopi, kia kore ai e puta he raruraru kē atu, me aro ki ēnei mea e whai ake nei:
1. Tangohia kia rite ki te whakahaunga (kaua e whakarerekētia e koe te horopeta me te roa o te whakamahinga).
2. Whakamutua ngā paturopi mēnā kāore tō tākuta e kī kia mutu te tango i ngā paturopi nā te mea kei te pā mai ētahi pānga taha.
3. Kaua e whakamahia ngā paturopi toenga mai i ngā mate o mua.
4. Pūrongohia mēnā he mate pāwera koe ki ngā rongoā, inā koa ki te penicillin, ki te cephalosporin rānei.
5. Kia mataara ki ngā tohu o ngā pānga kino pēnei i te poto o te manawa, te horapa o te whewhe, te pupuhi o te mata, te mate korere kino rānei—rapuhia tonutia te awhina hauora.
6. Kaua e whakaroa i te mahi niho: he "piriti" noa iho ngā paturopi i mua i te whakahaerenga o te maimoatanga matua.
Āhea koe me haere tonu ki te Tākuta, ki te Rūma Whakaora Mate rānei?
Rapua tonutia te āwhina mēnā ka pāngia koe e ēnei āhuatanga:
– Ka tere te pupuhi o te mata/kaki
– Te uaua ki te manawa, te horomi rānei
– He uaua te whakatuwhera i te waha
– Te kirika nui, te makariri, te ngoikore haere rānei
– Mamae nui kāore e pai ake mā te rongoā
Ka mōrearea pea te horapa o te mate niho mēnā kāore e rongoatia.
Te Katinga
Ko ngā momo paturopi noa mō ngā mate niho ko te penicillin (Penicillin V), amoxicillin, amoxicillin-clavulanate, clindamycin, metronidazole, macrolides (azithromycin/erythromycin), me ngā cephalosporins i ētahi wā. Ko te kōwhiringa o te paturopi ka whakawhirinaki ki te kaha o te mate, te momo huakita e whakapaetia ana, ngā mate pāwera, me te hauora whānui o te tūroro.
Ko te mea nui, me whakamahi noa i ngā paturopi i runga i te whakahau a te tākuta, te taote niho rānei, me te rongoā anō hoki i te pūtake o te mate. Mā te tiaki tika me te whakamahinga tupato o ngā rongoā, ka taea te rongoā haumaru me te tere i ngā mate niho, ā, ka ārai i ngā raruraru.
Ki te hiahia koe, ka taea e au te whakarerekē i tēnei tuhinga kia "rongonui" ake mō tētahi rangitaki hauora, kia "pūtaiao" ake rānei me ngā tohutoro me te momo tuhituhi rite ki te puka hautaka.
