Kei te pēhea ō whatukuhu? Kia mōhio tātou mā te matawai whatukuhu.

Kua rongo koe i tētahi matawai whatukuhu, arā, he matawai whatukuhu? Tērā pea kua kī atu tētahi tākuta kia mahia tēnei e koe. Tērā pea kei te hiahia koe ki te mōhio. He aha te matawai whatukuhu? He aha i mahia ai? He mea hei wehi? Ka kōrerohia e tātou ēnei mea katoa i tēnei rā, me te mea kei te kōrero koe ki tētahi hoa.

He aha rawa te matawai whatukuhu?

He whakarāpopototanga noa iho, he whakamātautau motuhake te matawai whatukuhu e tirotiro ana i te pai o te mahi a ō whatukuhu. He whakamātautau whakaahua tēnei nō te ao rongoā karihi. Whakaarohia he rite ki te tango whakaahua o ō whatukuhu, engari kāore e taea te kite i te āhua o ō whatukuhu anake, engari me pēhea hoki tā rātou mahi.

Anei te mea ka tupu: Ka werohia e te kaiwhakarato hauora, he tākuta, he tohunga hangarau rānei, he iti noa te nui o te matū irahiko (e kiia ana ko te 'radioisotope', ko te 'radiotracer' rānei) ki roto i te uaua i roto i tō ringaringa, i tō ringaringa rānei. He iti noa iho tēnei, kāore he kino ki te tinana. Ka haere te matū mā roto i ō toto ki ō whatukuhu. Kātahi ka tukuna koe ki roto i tētahi matawai motuhake. Ka whakamahia e te mīhini te matū irahiko hei kimi i te wāhi o ngā whatukuhu, ā, ka tukuna ngā raraunga, e āhua rite ana ki ngā pikitia, ki tētahi rorohiko.

Mā tēnei matawai whatukuhu ka āwhina i te kite i ngā mate me ngā mate whatukuhu i te wā tōmua . Ka whakamahia hoki hei tirotiro i te pai o te whakawhitinga whatukuhu o te tangata.

He ingoa anō tēnei, kua rongo pea koe i tēnei:

• Te tirotiro whatukuhu
• Te matawai whatukuhu o te rongoā karihi
• Te matawai whatukuhu o te rongoā karihi
• Whakahōutanga

He aha tonu ngā mea ka taea te tirotiro mā te matawai i ngā whatukuhu?

Ka tirohia e tēnei matawai te mahi a ō whatukuhu. Hei tāpiri, ko ō whatukuhu:

• Āhua
• Rahi
• Te wāhi i roto i te tinana

Ka taea hoki e koe te tiki pikitia mārama mō ngā mea pēnei.

He aha koe i tukuna ai kia tirotirohia ō whatukuhu?

Ki te whakapae te tākuta kāore ō whatukuhu e mahi tika ana, ka tonoa e rātou tēnei matawai whatukuhu. Tērā pea ka tonoa e rātou ētahi atu whakamātautau, hei tauira:

• Ngā whakamātautau toto
• Te tātaritanga mimi
• Ngā hihi-X

He tohu pea ēnei o te ngoikore o te mahi a te whatukuhu.

Waihoki, he maha atu anō ngā take ka tonoa ai tēnei matawai e te tākuta:

• Mena he mate pāwera koe ki ngā tae e whakamahia ana i roto i ngā hihi-X, he kōwhiringa haumaru te matawai whatukuhu.
• Mena he kaiwhiwhi koe i te whakawhitinga whatukuhu.
• Ki a koeMena he toto toto tiketike tōu (hypertension).
• Mena he uaua, he kore rānei e taea te mimi nā te mea kua aukatia te whatukuhu .

He aha ngā āhuatanga hauora ka taea te tautuhi mā te matawai whatukuhu?

Ka āwhina tēnei matawai ki te tautuhi i ngā mate hauora maha. Anei ētahi tauira:

• Te toto toto tiketike i roto i ngā uaua matua e tuku toto ana ki ō whatukuhu (e kiia ana ko te 'Renal Hypertension').
• Te pupuhi o ngā whatukuhu (Hydronephrosis) nā te mea kua aukatia ētahi arai.
• He pukupuku whatukuhu, he pukupuku whatukuhu, he whewhe rānei.
• Te whaiti, te aukati rānei i ngā uaua e kawe ana i te toto ki ngā whatukuhu ('Renal artery stenosis').
• Te hekenga o te mahi whatukuhu i muri i te pokanga, i te whakawhitinga whatukuhu rānei.
• Ka hoki te mimi mai i te pūkahukahu ki ngā whatukuhu (reflux Vesicoureteral).

He pēhea te mahi a te matawai whatukuhu?

I te wā o te matawai whatukuhu, ka tangohia e te tohunga hangarau rongoā karihi (he tākuta kua whakangungua motuhake ki te whakamahi i ngā rongoā irahiko me ngā mīhini whakaahua) ngā whakaahua o ō whatukuhu. E whakaatu ana ēnei whakaahua i te rere o te toto ki roto, ki waho hoki i ō whatukuhu. E whakaatu ana hoki i ētahi atu okana i roto i tō pūnaha mimi, tae atu ki:

• Ngā whatukuhu
• Ngā ureter
• tōngāmimi

E whakaatu ana hoki i te nekehanga o te mimi i waenganui i ēnei.

Mā ngā hua o tēnei matawai karihi ka āwhina i tō tākuta kia kite mēnā kei te ngoikore te mahi a ō whatukuhu, mēnā rānei he aukati.

He aha ngā momo matawai whatukuhu e wātea ana?

E whā ngā momo matawai whatukuhu e whakamahia ana e ngā tohunga hangarau rongoā karihi:

1. Te tātaritanga whatukuhu ārai ACE: Ka tirohia e tēnei whakamātautau te whaiti o ngā oko toto e tuku toto ana ki ngā whatukuhu, e hua ai te toto toto tiketike. Ka tangohia ngā pikitia o ō whatukuhu i mua atu, ā, i muri i te hoatutanga o te rongoā toto toto ki a koe (he ārai ACE).

2. Te tātaritanga whatukuhu whakaheke toto: Ka tirohia e tēnei matawai ngā aukati i roto i ngā whatukuhu, ngā raruraru rānei o te rere o te mimi. Ka tangohia ngā pikitia i mua atu, ā, i muri i te hoatutanga o tētahi pire wai (e kiia nei ko te whakaheke toto) hei tirotiro i te nekenga o te mimi i roto i ngā whatukuhu.

3. Tātaritanga kiriuhi whatukuhu: Mā tēnei ka whakamātautau i te pai o te mahi a te kiko i waho o ngā whatukuhu (kikouhi whatukuhu). Ka tukuna he matū irahiko ki a koe mā te IV, kātahi ka tangohia e te kāmera ngā whakaahua o te rauemi i muri i ngā haora e rua.

4. Te rere o te toto ki roto i ngā whatukuhu: Ka tirohia e tēnei whakamātautau rongoā karihi te nui o te toto e rere ana ki ō whatukuhu. Ka inehia e tēnei matawai te whānui o ō uaua whatukuhu me te pai o te mahi a ō whatukuhu. Ka tangohia tonutia ngā whakaahua e te kāmera mō te 20 ki te 30 meneti.

Me pēhea taku whakarite mō te matawai whatukuhu?

I mua i te tirotiro whatukuhu, me hanga e koe he rārangi katoa o ngā rongoā katoa e tangohia ana e koe. Me whakauru atu ki roto ngā huaora me ngā tāpiringa otaota. Me mutu pea te tango i ētahi rongoā i ētahi rā i mua i te tirotiro. Hei tauira, ko ngā rongoā anti-inflammatory kore-steroidal (NSAID), pērā i te ibuprofen (hei tauira, Advil®, Motrin®) me te aspirin (hei tauira, Bayer®, St Joseph®) , ka pā ki ngā hua o tō tirotiro whatukuhu.

He mea nui anō hoki kia kōrerotia ēnei mea ki ō kaiwhakarato hauora:

• He mate pāwera koe (pērā i ētahi rongoā, i te rapa rānei?)
• He mataku ā-papaku tōu? Nā te mea kei te tata pea te kāmera ki tō tinana i te wā e matawaihia ana.
• He wehi koe i ngā ngira (`trypanophobia`)? Mena koinā, mā rātou koe e ako ki ngā huarahi hei ārai i tēnā.
• Kei te whāngai ū koe i tēnei wā? Nā te mea ka taea e te rauemi irahiko te uru ki roto i tō waiū.
• Mena kei te hapu koe, kei te whakaaro rānei koe kei te hapu koe , nā te mea ka kino pea te matawai ki te tamaiti i roto i te kōpū.

Tērā pea ka tono atu ngā tākuta kia nui ake te wai e inumia e koe i mua i te matawai. Me whakawātea pea hoki tō pūkahukahu (arā, te mimi ) i mua i te tīmatanga o te matawai.

Tētahi atu mea, whiriwhiria he kākahu e pai ana ki te mau . He mea pai kia waiho ngā mea whakarewa pēnei i ngā mōhiti me ngā whakapaipai ki te kāinga. Ka taea e rātou te whakararuraru i te matawai.

He aha ngā mea hei tumanakohia i te wā o te matawai?

Ko te tikanga, koinei te mea ka tupu ina mahia he matawai whatukuhu:

• Ka whakanohoia e te tohunga hangarau rongoā karihi he aho IV ki roto i tētahi uaua i roto i tō ringaringa, i tō ringaringa rānei. Kātahi ka werohia he matū e kiia nei ko te radioisotope, ko te radiotracer rānei mā roto.
• Ka meinga koe kia takoto ki runga i te tēpu whakamātautau, ka whakatōkia rānei he ngongo. Ka tukuna e te rauemi irahiko te pūngao (e kiia nei ko ngā hihi gamma). Ka hopukina ēnei hihi e te kāmera gamma, ā, ka tangohia he pikitia o ō whatukuhu. Ka tirohia ēnei pikitia e te tohunga hangarau i runga i te mata rorohiko.
• I runga i te take e mahia ana te matawai whatukuhu, ka tonoa pea koe kia noho puku , kia neke rānei ki ētahi atu tūranga .

Kia pēhea te roa o te matawai whatukuhu?

Ka rerekē te roa o tēnei mahi i runga i te momo matawai whatukuhu. I te nuinga o te wā, mai i te 30 meneti ki te rua hāora te roa. Mā tō kaiwhakarato hauora koe e whakamōhio atu i mua i tēnei.

He aha te mea ka tupu i muri i te matawai?

I muri i te tango a te tohunga hangarau rongoā karihi i tō aho IV, ka taea e koe te hoki ki te kāinga me te tīmata anō i ō mahi o ia rā, me te kore raruraru.

Me pēhea te putanga atu o taua rauemi irahiko i te tinana?

Ka puta te matū e kīia nei ko te "radiotracer" me te "radioisotope" i tō tinana ina mimi koe. Kāore koe e rongo i te mamae, i te kore whakamarie rānei.

He aha ngā mōrearea o te matawai whatukuhu?

He tino iti ngā mōrearea o te matawai whatukuhu. He iti ake te hihi e whakamahia ana i te hihi-X.

Heoi anō, tera ētahi mea kāore e tino onge te tupu:

• Ngā mate pāwera (he tino onge tēnei e tupu ana).
• Te rerekētanga o te tae (whero, papura, parauri, mangu rānei), te pupuhi, te mamae rānei i te wāhi e werohia ai te uaua. Mēnā kāore tēnei mamae e memeha i roto i ētahi rā, me kōrero ki te tākuta.

Ko tētahi atu mea, he mea pai kia karohia te whakapā tata ki ngā tamariki nohinohi me ngā wāhine hapu mō ētahi haora i muri i te matawai.

Āhea ahau ka whiwhi i ngā hua o te matawai?

Ka arotakehia e te tohunga hangarau rongoā karihi, e te tohunga hihi-X rānei ngā hua o tō matawai whatukuhu. Kātahi ka tukuna atu e rātou he pūrongo ki tō tākuta. Ka waea atu tō tākuta ki a koe ki te matapaki i ngā hua, me te kī atu ki a koe he aha te mahi e whai ake nei.

Mena he rerekē ngā hua, he aha tāu e mahi ai i muri mai?

Kia maumahara, i ētahi wā kāore ngā hua e puta mai ana i runga i te tumanako. Kaua e manukanuka.

Mena he rerekē ō hua, ka tono pea tō tākuta i ētahi atu whakamātautau hei whakatau i te mate. Kei roto i ēnei whakamātautau ko:

• Ngā whakamātautau whakaahua tāpiri, pērā i te ultrasound, te MRI, me/ranei te CT scan .
• Ngā whakamātautau mahi tākihi tāpiri.
• He koiora whatukuhu (ko te tango i tētahi wahi iti o te kiko mai i te whatukuhu ka tirotirohia).

Āhea ahau me waea atu ki te tākuta?

Kōrero ki tō tākuta mēnā he pātai āu mō tō matawai whatukuhu. Hei tauira:

• Ngā mea pēnei i te whakarite mō te matawai me te whakahaere i te whakamātautau kia māmā ake ai māu .
• Āhea koe e tumanako ai ki ō hua ?
• Me aha mēnā he rerekē ngā hua .
• He aha tāu mahi e whai ake nei ?

Me kōrero hoki ki te tākuta mēnā kei a koe ētahi o ēnei tohu:

• Ngā tohu o te mate, pērā i te kirika, te rerekētanga o te tae i te wāhi i werohia ai te IV, te pupuhi, te ānini rānei.
• Ki te mea kei te pāngia koe e te mate pāwera.

Hei whakamutunga, kia mahara ki tēnei.

Ka whakamahia e ngā kaiwhakarato hauora ngā matawai whatukuhu hei tātaritanga i ngā mate whatukuhu motuhake. He tino haumaru te nuinga, ā, he iti te mōrearea o ngā raruraru.I muri i te whakamātautau, ka taea e koe te hoki tonu ki ō mahi o ia rā.

Engari, he mea noa te māharahara, te manukanuka rānei mō te whakamātautau pēnei. Kaua e manukanuka. He tino whakangungua, he mātau hoki ō kaiwhakarato hauora kia pai ai te whakamahi i tēnei whakamātautau māu. Mena he pātai, he āwangawanga rānei āu, kaua e mangere ki te pātai atu ki a rātou. He mea tino nui te hauora o ō whatukuhu!

Matawai whatukuhu , matawai whatukuhu, whakamātautau whatukuhu, mate whatukuhu, rongoā karihi, rauemi irahiko, pūnaha mimi