I tētahi rā, ka pāngia a Ronit (ehara i tōna ingoa tūturu) e te mamae o te puku, te poto o te manawa me te ngenge, ā, ka haere ia ki te tākuta mō ngā whakamātautau toto. Heoi, kāore ia i whakaaro ka tukuna ia ki te hōhipera i roto i te rā kotahi mō te dialysis nā te ngoikore nui o te whatukuhu.
Ko te tikanga, kāore ia i whakaaro ko te take o tēnei katoa ko te whakatikatika i ōna makawe i te rā i mua atu.
Pērā i a Ronit, e 26 ngā wāhine i Iharaira, ko te toharite kotahi te wahine ia marama, i whakaurua ki te hōhipera nā te ngoikore nui o ō rātou whatukuhu whai muri i ngā maimoatanga whakatikatika makawe.
Ko ētahi o ēnei wāhine te āhua nei ka taea te ora ake i a rātou anō. Heoi, ko ētahi me whakamahi i te dialysis.
E ai ki ētahi, i roto i ngā mano tini o ngā wāhine o Iharaira e whakatikatika ana i ō rātou makawe i ia tau, "26" anake e pāngia ana e te ngoikore o ō rātou whatukuhu.
Hei whakaatu atu ki tēnei, he tino kino te ngoikore o te whatukuhu e hiahiatia ana he dialysis, ā, he morearea hoki ki te ora.
Ka kī atu ngā tūroro kāore rātou e hiahia kia pāngia tetahi e te whara hauora. He utu tēnei kāore e tika kia utua e tetahi mō tētahi tikanga whakapaipai māmā noa iho.
I ngā tau 2000, i puta tuatahi mai ngā tohu mai i ngā mīhini whakatikatika makawe kei roto he formalin. Ko te nuinga o tēnei nā te haunga o ngā haunga e hongihia ana e te kaiwhakapai makawe i te wā e whakatikatika ana.
Kei roto i ēnei tohu ko te riri o ngā kanohi, ngā raruraru manawa, ngā ponana o te mata, te poto o te manawa, me te pupuhi o te pūkahukahu.
Ahakoa kāore he formalin i roto i ngā maimoatanga whakatikatika makawe o ēnei rā, kei roto i tēnā tetahi atu mea: ko te waikawa glyoxylic.
Ka mimitihia tēnei waikawa mā te tumuaki kua tino kapi ngā toto. Kia tae ki te toto, ka pakaru te glyoxylate hei waikawa oxalic me te calcium oxalate, ka hoki anō ki te toto, ā, ka puta atu i te tinana mā roto i ngā whatukuhu i roto i te mimi.
Ehara i te mea rerekē, ka pāngia te katoa e tēnei mate i tētahi taumata, ā, i te nuinga o te wā kāore he kino. Engari ina pāngia te tangata e te nui rawa o te waikawa glyoxylic, ka pāngia pea ia e te paihana waikawa oxalic, ka arahi atu ki te ngoikore o ōna whatukuhu.
Kua kitea ngā putunga konupūmā oxalate i roto i ngā pūtau whatukuhu i te wā o te koiora whatukuhu o ngā wāhine i pāngia e te ngoikore o te whatukuhu whai muri i te whakatikatika i ō rātou makawe.
I te tau 2021, i ngana tētahi kōtiro e toru tau te pakeke ki te inu i te whakahāngai makawe. I whakamātau noa ia, kāore i horomia e ia nā te mea he kawa te reka, engari i horomia e ia tētahi wāhanga iti noa iho i roto i tōna waha. Ko te mutunga iho he ngoikore nui o te whatukuhu e hiahiatia ana he dialysis, ehara i te mate.
Whai muri i tēnei aituā, i aukatia e te Manatū Hauora te tuku raihana mō ngā hua tiaki makawe katoa kei roto te waikawa glyoxylic me te pH i raro i te 4.
Engari ko tētahi atu raruraru, ko ngā kōrero kei runga i ngā tapanga o ngā hua makawe torotika kāore i te pono, i te tino pono rānei. I te tau 2010, i tapaina he hua nō Ohio kāore he formalin, engari he 8.5% te formalin i roto. I te tau 2022, i kī a Iharaira kāore he formalin i roto i te hua, ā, 2% noa iho te waikawa glyoxylic i roto, engari he 3,082 ppm te formalin me te 26.8% te waikawa glyoxylic i roto.
He mea whakamere, haunga ngā kēhi e rua o te waikawa oxalic i Ihipa, ko ngā kēhi katoa o te waikawa oxalic i te ao i ahu mai i Iharaira.
He rerekē te pākia o te ate o ngā wāhine i "Iharaira" i ērā atu o te ao? He paku "mangere" te ira waikawa glyoxylic i roto i ngā wāhine o Iharaira? He hononga kei waenganui i ngā putunga konupūmā oxalate me te horapa o te hyperoxaluria? Ka taea te hoatu i te maimoatanga kotahi ki ēnei tūroro me te hunga he momo 3 hyperoxaluria?
Kei te rangahauhia tonutia ēnei pātai, ā, e kore e mōhiotia ngā whakautu mō ngā tau maha e haere ake nei. Kia tae rā anō ki taua wā, kaua rawa e tukua tetahi wahine i roto i a Iharaira kia tūpono ki tōna hauora.
Waihoki, ki te hiahia koe ki te whakatikatika i ō makawe, kei reira ētahi atu hua haumaru ake kei te mākete, kāore he waikawa glyoxylic, ā, he raihana whai mana nō te Manatū Hauora.