Tuhinga
He aha te methylene blue e whakarerekē ai i te tae o te mimi, te arero me ngā niho
Ka waiho pea e te methylene blue he tae ki ngā wāhi o te waha ka pāngia e ia, ā, ka whakarerekē pea i te tae o te mimi i muri i tana urunga ki te tinana. He tukanga rerekē ēnei. Ko te arero kikorangi e tohu ana, i te nuinga o te wā, kua pā te waikano ki tētahi mata. Ka tohu pea te mimi kikorangi-kākāriki i te putanga o te waikano mā te pūnaha mimi. Kāore tētahi o ēnei kitenga e ine i tētahi horopeta whai hua, i te ngongo ki te tinana, i te whai huatanga, i te parakore, i te haumaru rānei.
Kaua e tango methylene blue anō nā te mea kāore anō tō mimi kia kikorangi. Kāore he taumata tae mimi kua whakamanahia hei whāinga māu i te kāinga. He mea nui ake ngā tohumate me ngā āhuatanga o te pānga ki te matū i te whai kia ōrite te tae ki tētahi whakaahua.
He aha te mimi e āhua kākāriki ai, kaua ko te kikorangi
E ai ki ngā mōhiohio whakahau mō te PROVAYBLUE ka tukuna ki roto i te ia toto, tata ki te 40% o te methylene blue ka puta ki te mimi me te kore e whakarerekētia. E whakaahua ana taua tatauranga i te nekeneke me te tukatuka o te rongoā i roto i te tinana; ehara i te tikanga hei tātai i tētahi horopeta mā te waha mai i te mimi kei roto i te oko wharepaku.
Kei te mimi kē ētahi matū tae kōwhai. Ka puta pea he āhua kākāriki, he āhua kikorangi-kākāriki rānei ina kitea te waikano kikorangi ki runga i taua papamuri kōwhai. Ka pā hoki te waimehatanga me ngā āhuatanga o te tirohanga ki ngā mea ka kitea e koe: kāore e tika kia ōrite te āhua o te wai i roto i tētahi ngongo whāiti, i tētahi ipu kohikohi hōhonu, me te wai o te wharepaku.
I roto i te pūrongo take whai muri i te pokanga nā Koratala rāua ko Leghrouz, i tukuna te methylene blue mā tētahi ngongo mai i te ihu ki te puku hei tirotiro i tētahi puku kua whakatikahia. Ka kākāriki te mimi o te tūroro, ā, ka memeha te tae i roto i ngā rā e rima. E tuhi ana tēnei i te ahunga o tētahi take haumanu kotahi; kāore e whakarite i tētahi wā mutunga me hoki ai te mimi o ia tangata ki tōna tae o mua.
Ka pēhea mēnā kāore te methylene blue e whakakikorangi i te mimi?
Kāore e taea e te tirohanga ā-kanohi te wehewehe i ētahi whakamārama ka taea: te wā i tirohia ai, te waimehatanga o te mimi, te rahinga o te matū whai tae kei reira, me tōna āhua matū. Ka taea te methylene blue te huri mā te tauhohenga whakaheke hei leucomethylene blue kore tae; i kitea te āhua whakaheke i roto i te mimi whai muri i te tukunga mā te waha e tētahi rangahau tātari mimi tangata. Mā te mātai matū o te methylene blue me te leucomethylene blue e āwhina te whakamārama he aha te tae kikorangi e kitea ana me te noho mai o te pūhui e kore ai e rite te tikanga.
Ko te kore e kite i te kikorangi kāore e whakaū ana i te korenga o te ngongo ki te tinana, i tētahi hua rūpahu, i te pākia tere, i te hiahia rānei kia pāngia anō e te matū. Ko te kite i te kikorangi kaha kāore e whakaū ana i te pai o te ngongo ki te tinana, i tētahi maimoatanga whai hua rānei. Kāore tētahi o ēnei kitenga e whakaatu mēnā he poke kāore e hiahiatia ana kei roto i te hua.
Mō tētahi pātai mō te tuakiri matū, te kukū rānei, whakamahia ngā tuhinga tātari e hāngai ana ki te puranga o te hua. Mō tētahi pātai mō te maimoatanga, whakamahia te aroturuki haumanu kua whakaritea. Ko te tangata e whakataurite ana i ngā hua e rua mā te tae o te mimi kua whakarerekē i ngā taurangi maha i te wā kotahi, tae atu ki te wā me te waimehatanga, me te kore e ine i tētahi o ngā hua.
He aha te arero me ngā niho e poke ai i te tae
Ka waiho pea e te wai e pā ana ki te waha he waikano ki runga i te arero me ngā mata o ngā niho. Kāore pea te tae e hora ōrite nā te kakano o te mata o te arero me ngā toenga kua mau ki reira. E āta whakaahua ana tētahi rangahau whakapoke tae i ngā wharanga o te waha i te whakaeminga o te waikano taikaha ki te mata o runga o te arero me ngā kapiti o ngā pae niho. I rangahaua e taua rangahau tētahi tikanga haumanu hei tautuhi mate. Kāore tēnei e whakamana i te tauira o tētahi poke tae tūpono hei whakamātautau mate waha i te kāinga.
He urupare whaitake te horoi waha māhaki o ia rā ki tētahi poke tae kei te mata, kāore hoki e mamae ana. Kaua e waruwaru i te arero, e whakamahi rānei i ngā tango poke tae mō te whare, i ngā whakarewa matū, i te wai hātea rānei ki roto i te waha. Me aromatawai e tētahi ngaio tiaki niho, e tētahi ngaio hauora rānei tētahi poke tae ka mau tonu ahakoa te horoi noa, tētahi panoni rānei e whai tahi ana i te mamae, i te kōpukupuku tuwhera, i te pupuhi rānei. Kāore he oati e tautokona ana e ngā taunakitanga ka ngaro ia poke tae i roto i tētahi maha hāora kua whakaritea.
Ka taea e te methylene blue te whakapoke i ngā uhi angiangi niho, ngā karauna niho, ngā whakakī niho rānei?
Ka taea e ia te whakapoke i ngā rawa niho, engari kāore te kupu “uhi angiangi niho” e whakaahua ana i tētahi rawa kotahi. He mata rerekē tō tētahi uhi niho hiato, tō tētahi whakatikatika niho uku, me tō te rawa whakapiri e karapoti ana i tētahi whakatikatika niho. Kāore ngā taunakitanga mō tētahi e whakaū i te whanonga o ngā mea katoa atu.
I roto i tētahi rangahau taiwhanga mō ngā kāpia hiato e ono, i whakataurite ngā kairangahau i ngā mata kua waikura i te whakamahinga me ngā mata kāore anō kia waikura, whai muri i te pānga ki te methylene blue 0.5%. I whakaatu ngā inenga mā te tātari i te ngongo o te aho i te whakapokenga tae, me ngā rerekētanga i waenga i ngā rawa me ngā āhuatanga o ngā mata. He tauira taiwhanga ēnei, ehara i te tūroro e inu ana i tētahi hua mō ngā kaihoko. E tautoko ana ngā kitenga i te whai whakaaro nui ki te whakapokenga tae o ngā whakatikatika niho; kāore e matapae mēnā ka poke pūmau tētahi uhi angiangi niho motuhake.
Mēnā ka rerekē te tae o tētahi whakatikatika niho, hoatu ki tō rata niho te tapanga o te hua, te roa o te pānga ki te matū, me ngā taipitopito o te rawa mēnā e mōhiotia ana. Kaua e whakamahi i te kāinga i ngā matū horoi awa pakiaka niho nō tētahi whakamātautau niho. He kaupapa motuhake te horoi whare, e kōrerotia ana i te tango i ngā poke methylene blue i ngā mata me ngā papanga.
He whakatauritenga whakaahua, me tētahi herenga nui
E whakaatu ana ēnei whakaahua kua whakaputaina i taua take haumanu kotahi kua pūrongotia, i roto i ngā āhuatanga tirohanga e rua. E whakaatu ana ēnei he aha te take e hiahiatia ai he hītori pānga ki te matū me tētahi aromatawai haumanu hei whakamārama i tētahi tae e kitea ana.
A. Te pēke whakaheke mimi me ngā ngongo. He mimi kikorangi-kākāriki i kitea whai muri i te kuhunga o tētahi ngongo tōngāmimi ki tētahi tūroro i tae mai nā te kore e taea te whakaputa mimi.
B. Ngā tirohanga o te ipu. Te mimi nō te take kua pūrongotia, kei roto i tētahi ipu kāore i whakahoromatahia. Kāore te pepa e pūrongo ana i te whakamārama kua whakatauritea ki tētahi paerewa, i te taurite mā o te whakaahua, i te ōritetanga rānei o te wā kohikohi.
Ngā whakaahua: Ngā Whakaahua 1 me 2 nō Lionardi, Hengky, me Haruman, 2024, i tāruatia i raro i te CC BY 4.0; i hurihia ki WebP me te kore e whakarerekē i ngā tae, e tapahi rānei. E pūrongo ana ngā kaituhi i te whakaaetanga a te tūroro kia whakaputaina. I whakapaetia ko te methylene blue, engari kāore i whakaūngia mā te tātari matū, i roto i te rongoā tuku iho i whakamahia. He whakaahua haumanu ēnei e tohua ana ō rātou puna, ehara i te paerewa tae kua whakatikahia kia tika, i te taunakitanga rānei e whakaū ana i te tuakiri o te methylene blue. He pikitia whakamārama te uhi.
Ko ēhea panoni me aromatawai?
| Kitenga | Ngā mea ka whakaūngia, me ngā mea kāore e whakaūngia | Te mahi whai muri |
|---|---|---|
| He mimi kikorangi-kākāriki whai muri i tētahi pānga haumanu e mōhiotia ana, kāore hoki he tohumate hou | E hāngai ana ki te putanga o te waikano; kāore e whakaū ana i te mahi noa o ngā tākihi, i te angitu rānei o te maimoatanga | Whāia ngā tohutohu a te rōpū e maimoa ana i a koe, ā, kōrerotia te pānga ki te matū i mua i te whakamātautau mimi |
| Kāore he mimi kikorangi e āta kitea ana | Kāore e whakaū ana he iti rawa te pānga ki te matū | Kaua e whakapiki i te pānga ki te matū kia puta ai he tae |
| He poke tae ki te mata o te arero, o ngā niho rānei, kāore e mamae ana | E hāngai ana ki te pānga o te waikano ki taua wāhi; kāore e ine i te pānga ki te tinana whānui | Whakamahia te horoi māhaki o ia rā; rapua he tohutohu tiaki niho mēnā ka mau tonu |
| He panoni i te mimi e whai tahi ana i te toto, i te mamae i te mimi, i te kirikā, i te mamae rānei i te taha o te tinana | Kāore te hītori whakamahinga waikano e whakakore i te tūponotanga o tētahi atu mate | Rapua wawe he aromatawai hauora |
| Ka kikorangi-hina ohorere ngā ngutu, te arero rānei, me te uaua o te hā, te mamae o te uma, te rangirua rānei | Kāore e haumaru te whakapae he poke tae noa i te mata | Waea atu ki ngā ratonga ohotata |
E tohutohu ana ngā aratohu a te NHS mō te toto i roto i te mimi kia aromatawaitia, ahakoa he iti te rahinga, he wā kotahi noa rānei i puta ai. Ki tāna aratohu mō te kikorangi o te kiri me ngā ngutu, he āhuatanga ohotata te kikorangi-hina ohorere o ngā ngutu, te arero, te kanohi rānei. Kaua e whakaroa i te tiaki hauora i a koe e ngana ana ki te horoi atu i te tae.
He tūraru anō tō te methylene blue ki te hemolysis, arā, te whakangaromanga o ngā pūtau toto whero, inarā mēnā he hapa G6PD. Me aromatawai wawe te ngoikore hou, tino kaha, te kōwhaitanga rānei o ngā karu whai muri i te pānga ki te matū, ahakoa i te tuatahi he āhua waikano noa tō te panoni o te mimi. E inaki ana ēnei ki ngā tohumate kua pūrongotia o te pakarutanga o ngā pūtau toto whero e pā ana ki te G6PD. E whakamārama ana te aratohu haumaru methylene blue whānui ake i ngā āhuatanga e kore ai e tika te whakamahi me ngā pāhekoheko e hāngai ana.
Kawea mai te ipu, tētahi whakaahua rānei o tōna tapanga, te rahinga me te wā o te pānga ki te matū, me tō rārangi rongoā. Whakamōhiotia te taiwhanga mō te methylene blue: ka whakararu pea i ngā whakamātautau mimi e whakawhirinaki ana ki tētahi tohu kikorangi. He whai hua ake taua hītori i te ngana ki te whakawā i te kaha o te kikorangi o te tauira.