I tētahi rā, ka tīmata a Ronit (ehara i tōna ingoa tūturu) ki te mamae puku, ki te poto o te manawa me te ngenge, ā, ka haere ia ki te tākuta mō tētahi whakamātautau toto. Heoi, kāore ia i whakaaro ka tukuna ia ki te hōhipera i roto i ngā haora 24 mō te dialysis nā te ngoikore nui o te whatukuhu.
Ko ia, kāore i whakaaro ko te take o tēnei katoa ko tana whakatikatika i ōna makawe i te rā i mua.
Pērā i a Ronit, e 26 ngā wāhine i Iharaira (ko te toharite kotahi ia marama) e whakaurua ana ki te hōhipera nā te ngoikore nui o ō rātou whatukuhu whai muri i te whakatikatika i ō rātou 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 hei rongoā mō te mate pukupuku.
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 ka pāngia e te ngoikore o te whatukuhu. Te ngoikore o te whatukuhu (whakaahua). (Puna: Wikimedia Commons)
Hei whakautu, i kī atu ahau 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 whara tetahi i te taha hauora. He utu tēnei kāore e tika kia utua e tetahi mō tētahi tikanga whakapaipai māmā noa iho.
I te tekau tau atu i 2000, ka tīmata te puta o ngā pūrongo mō ngā tohu i puta mai i ngā mīhini whakatikatika makawe kei roto te formaldehyde. Ko te take nui o tēnei ko te hongi paoa a te kaiwhakatika makawe i te wā e whakatikatika ana.
Kei roto i ēnei tohu ko te riri o ngā kanohi, te uaua ki te manawa, te ponana o te mata, te poto o te manawa, me te pupuhi o te pūkahukahu.
Ahakoa kāore he formaldehyde 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, he nui ngā oko toto kei roto. Kia tae ki te toto, ka pakaru te waikawa glyoxylic hei waikawa oxalic me te konupūmā oxalate, ka hoki anō ki te toto, ā, ka puta atu i te tinana mā roto i ngā whatukuhu hei wāhanga o te mimi.
Ehara tēnei i te mea rerekē, ka pāngia te katoa e tēnei tukanga ki tētahi taumata, ā, kāore he kino i te nuinga o te wā. Engari ina pāngia e te nui rawa o te waikawa glyoxylic, ka puta te waikawa oxalic, ka arahi ki te ngoikore o te whatukuhu.
I te wā i tirotirohia ai ngā whatukuhu o ngā wāhine i pāngia e te ngoikore o ō rātou whatukuhu whai muri i te whakatikatika i ō rātou makawe, i kitea ngā putunga o te konupūmā oxalate i roto i ngā pūtau whatukuhu.
I te tau 2021, i whakamātau tētahi kōtiro e toru tau te pakeke ki te inu i tētahi hua whakatikatika makawe. I whakamātau noa ia, kāore i horomia, nā te mea he kawa rawa te reka, engari nō reira, he iti noa te nui i mimitia e te kōtiro ki 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 mahi, i aukatia e te Manatū Hauora te tuku raihana mō ngā hua whakatikatika makawe katoa kei roto te waikawa glyoxylic, ā, he pH kei raro iho i te 4.
Engari ko tētahi atu raruraru, ko ngā kōrero kei runga i ngā tapanga o ngā hua whakatikatika makawe, kāore i te pono, i te tino pono hoki. I te tau 2010, i tapaina tētahi hua i Ohio he kore formaldehyde, engari he 8.5 ōrau te formaldehyde i roto. I te tau 2022, i kī tētahi hua o Iharaira kāore he formaldehyde, ā, he 2% noa iho te waikawa glyoxylic i roto, engari he 3,082 ppm te formaldehyde me te 26.8% te waikawa glyoxylic i roto.
He mea whakamere, haunga ngā kēhi e rua o te waikawa oxalic i Ihipa, i ahu mai ngā kēhi katoa o te waikawa oxalic o te ao i Iharaira.
He rerekē te pākia o te ate i roto i ngā wāhine o Iharaira i ngā mea e tupu ana i te ao katoa? He paku "mangere" rānei ngā ira o ngā wāhine o Iharaira e wawahi ana i te waikawa glyoxylic? He whanaungatanga kei waenganui i ngā putunga konupūmā oxalate me te horapa o te mate ira hyperoxaluria? Ka taea te tuku i te maimoatanga kotahi ki ēnei tūroro me ngā tūroro e pāngia ana e te momo hyperoxaluria 3?
Kei te rangahauhia tonutia ēnei pātai, ā, e kore e mōhiotia ngā whakautu mō ngā tau maha. 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 kei roto, ā, kua raihanahia e te Manatū Hauora. Mā tēnei ka āwhina i a koe ki te pupuri i te makawe tika me te tinana hauora. Nā te mea e mōhio ana tātou katoa ko te ataahua tūturu ka ahu mai i roto.