Me ako tātou mō te tātari iti i roto i tō whatukuhu: te Pūpū Bowman.

Kua whakaaro kē koe e hia ngā wāhanga iti o ō tātou tinana e mahi pai ana? I tēnei rā ka kōrero tātou mō tētahi wāhanga nui o ō tātou whatukuhu, engari kāore pea i te tino rangona. Ko te ingoa o tēnei wāhanga ko te Bowman's Capsule. Me titiro tātou ki te āhua o tēnei toa iti me āna mahi.

He aha te kāpūru o Bowman?

He kupu ngāwari noa iho, ko te kāpū o Bowman he wāhanga o te nephron i roto i tō whatukuhu. Āe, he aha te nephron? Ko te nephron te wae tātari i roto i tō whatukuhu. He rite ki ngā tātari iti i roto i tā tātou tātari wai i te kāinga. Whakaarohia, tata ki te miriona nephron i roto i te whatukuhu kotahi! E rua miriona tēnā i roto i ngā whatukuhu e rua! Kāore i te mīharo? He wāhanga kei ia nephron e kiia nei ko te glomerulus. Koinei te wāhi ka tīmata ai te mahi tātari i ngā hua para mai i ō toto. He pōro iti rawa te glomerulus o ngā oko toto. Ko te wāhanga e karapoti ana i te glomerulus, te wāhanga e hipoki ana i a ia, e kiia nei ko te kāpū o Bowman . He rite ki te taupoki tiaki mō te glomerulus. Ko te wāhi takoto kau i waenganui i ngā pakitara e rua o tēnei kāpū e kiia nei ko te wāhi o Bowman . E kiia ana hoki tēnei kāpū o Bowman. Hei tauira, kua rongo koe i ngā ingoa pēnei i te kāpū o te glomerular me te kāpū o Malpighian? Koinā hoki te ingoa o rāua. Waihoki, e kiia ana hoki te wāhi o Bowman ko te wāhi kāpū o te glomerular.

He aha te mahi a te Kapū o Bowman?

Ko te kāpū Bowman me te glomerulus ngā mea e hanga tahi ana i te corpuscle whatukuhu. He wāhanga katoa ēnei o te whatukuhu. E mōhio ana koe ki te nui o te mahi a ngā whatukuhu mō ō tātou tinana. Mā rātou e whakahaere te pH o ō tātou toto, e whakahaere te toto toto, ā, e pupuri ana i te taurite electrolyte i roto i te tinana. Waihoki, hei wāhanga o te pūnaha mimi, ko ngā whatukuhu te kawenga mō te tango i ngā hua para mai i te tinana mā te mimi. Nō reira, ko tā tēnei kāpū Bowman he āwhina i te glomerulus ki te tātari i te toto. Ka tomo ngā ngota iti i roto i te toto ki te wāhi Bowman me te kore he aukati. Heoi, i te mea kei te mahi tika te tātari whatukuhu, ka noho tonu ngā mea pēnei i ngā pūtau me ngā pūmua nui ki roto i te toto, ā, kāore e puta. Kātahi ka haere ēnei matūriki ririki mā roto i ngā ngongo ririki i roto i ngā whatukuhu. I reira, ka whakatauhia e ngā whatukuhu ko ēhea matūriki ka mimitihia anō ki roto i te toto, ko ēhea ka tukuna ki roto i te mimi. He tikanga whakamiharo rawa atu, kāore?

Kei hea te Bowman's Capsule?

Kei roto i te cortex whatukuhu te capsule a Bowman, te paparanga o waho o tō whatukuhu. Kei raro i tō rara, i muri i tō puku ngā whatukuhu. E rua ngā whatukuhu i te nuinga o te wā, kotahi kei ia taha o tō tuaiwi. Kei waenganui i ō whekau me te diaphragm. Ka honoa ia whatukuhu ki te pūkahukahu e tētahi ngongo e kiia nei ko te ureter.

He aha te āhua o te kāpūru o Bowman?

Kāore e kitea te kāpū o Bowman e te kanohi tahanga. Me whakamahi i te karu hiko hei tiro. He iti rawa. Ki te whakaahuahia tōna āhua, he rite ki te putea, ki te kapu rānei. E rua ngā paparanga o tēnei kāpū. 1. Paparanga o waho: Ko te paparanga parietal tēnei. He momo kiko tēnei e kiia nei ko te epithelium squamous māmā. 2. Paparanga o roto: Ko te paparanga visceral tēnei. He pūtau motuhake tēnei e kiia nei ko ngā podocytes. Ko te mea tino whakamīharo ko ēnei podocytes he toronga rite ki ngā maihao (pedicles). He rite te hononga o ēnei toronga ki te ringa (interdigitation). Nā te mea he pēnei te hononga, ka taea e ētahi mea te haere mā roto i a rātou, engari kāore e taea e ētahi mea. Ina ora koe, kāore e taea e ngā pūmua me ngā pūtau te haere mā roto i ēnei.

Koinei te tikanga o te horoi me te whakahoki i te toto ki te tinana, ā, ka tukuna ngā para i roto i te tinana hei mimi mā roto i ngā ngongo angiangi (ngā ngongo). Mā te toto toto i roto i te glomerulus (te pēhanga wai toto glomerular) ka āwhina i tēnei. I te tangohia o te wai, ka mimitihia anō te wai me ngā matūkai ki roto i te tinana.

He aha ngā mate e pāngia ana e te Bowman's Capsule?

Ka pāngia hoki te kāpū Bowman e ngā mate e pā ana ki ō whatukuhu. He tino ngāwari ki te pāngia e ngā mate e pā ana ki ngā glomeruli e karapoti ana i te kāpū Bowman. He maha ngā momo mate glomerular. Ka taea te puta mai i ngā āhuatanga taiao ki ngā āhuatanga ira.

• Glomerulonephritis: He mumura , he pupuhi rānei tēnei o ngā glomeruli. Ka puta pea i ngā mate pūnaha ārai mate , i ngā mate ira , i ngā mate pāwera rānei.
• Glomerulosclerosis: Koinei te wā ka whakapakeketia ai ngā glomeruli, ka pakaru ai hoki.

Ki te kore ēnei mate e rongoatia tika, ka mutu ka arahi pea ki te ngoikore o te whatukuhu.Ko te tino take o te mate glomerular me te ngoikore o te whatukuhu ko te mate whatukuhu i puta mai i te mate huka, e mōhiotia ana ko te diabetic nephropathy .

He aha ngā tohu noa o ngā mate e pā ana ki te Bowman's Capsule?

Ko ngā tohu o ngā mate glomerular ko:

• He nui rawa te pūmua i roto i tō mimi (proteinuria) . Ka puta pea he huka i roto i tō mimi.
• Te toto i roto i te mimi (hematuria) . Ka puta pea te tae māwhero, te tae kōra rānei i roto i te mimi.
• He iti te taumata pūmua i roto i te toto (hypoproteinemia) .
• Te pupuhi (edema) o ngā wāhanga o te tinana pēnei i ngā ringaringa me ngā waewae, te pupuhi rānei i te taha o ngā kanohi.

He aha ngā whakamātautau e whakamahia whānuitia ana hei tirotiro i te hauora o te Bowman's Capsule?

He maha ngā whakamātautau e whakamahia ana e ngā tākuta hei ine i te mahi a te whatukuhu, hei kite hoki i ngā raruraru o te whatukuhu. Tērā pea ka tūtohu tō tākuta i ēnei whakamātautau:

• Ngā whakamātautau toto : Ka taea e ēnei te tirotiro i te pai o te tātari toto o ō glomeruli.
• Te tātaritanga mimi: Ka taea e tēnei te ine i ngā mea pēnei i te pūmua me te toto i roto i te mimi.
• Ngā whakamātautau whakaahua pēnei i te ultrasound: Mā ēnei ka taea e ngā tākuta te tirotiro i te rahi me te āhua o ō whatukuhu.
• Ngā whakamātautau mahi a ngā whatukuhu : E whakaatu ana ēnei whakamātautau i te pai o te mahi a ngā whatukuhu.
• Kohikohi whatukuhu: I tēnei mahi, ka tangohia e te tākuta tētahi wahi iti o te kiko mai i te whatukuhu ka tirohia i raro i te karuārai.

He aha ngā maimoatanga mō ngā āhuatanga e pā ana ki te Bowman's Capsule?

Kāore he maimoatanga "kotahi te rahi e tika ana mō te katoa" mō te mate tākihi. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki te āhua o tō mate me tōna kaha. Ko ngā maimoatanga mō ngā mate e pā ana ki te kāpū Bowman ka uru atu ki:

• Ngā kai iti te tote (Ngā kai iti te konutai ).
• Ngā rongoā pēnei i ngā paturopi , ngā rongoā toto toto tiketike, ngā rongoā ārai mate, me ngā steroids .
• Te dialysis .
• Te whakawhitinga whatukuhu .

Me aha ahau hei pupuri i te hauora o taku Bowman's Capsule?

Ko te pupuri i te hauora o ō whatukuhu te mea nui hei pupuri i te hauora o tō kāpū Bowman. He mea nui kia aroturukihia te hauora o tō whatukuhu, kia tirotirohia hoki tō tinana, kia whakamātauhia hoki ngā toto, kia whakamātauhia hoki te mimi. He mea nui rawa atu tēnei mēnā he toto toto tiketike tōu, he momona, he mate huka rānei. Ka taea e koe te whakaiti i tō tupono ki ngā raruraru whatukuhu mā te:

• Te karo, te whakamutu rānei i te momi hikareti.
• Te whakaiti i te nui o te tote e kainga ana e koe.
• Mā te whakanui ake i tō whakakori tinana o ia rā ka āwhina i te whakaheke i te toto toto tiketike.
• Whakawhāitihia te whakamahinga o ngā rongoā anti-inflammatory kore-steroidal (NSAID) . Ki te nui rawa te tango i ēnei ka kino pea ngā whatukuhu.
• Te pupuri i te taumaha hauora.
• Me aro turuki tonu i ngā taumata o tō toto toto.
• Mena he mate huka koe, kia tūpato ki ngā taumata huka toto.

Āhea ahau me toro atu ki te tākuta mēnā he āwangawanga kei ahau mō te Bowman's Capsule, te mate tākihi rānei?

Ki te whakaaro koe he hapa kei roto i ō whatukuhu, me toro atu koe ki te tākuta. Tērā pea ka pāngia koe e ēnei tohu:

• Ngā huringa o tō mimi: mimi toto, mimi pouri, mimi kapua, mimi huka rānei.
• Ngā huringa o te auau o te mimi.
• Ngenge rawa/ ngenge rawa .
• Te toto toto tiketike (hypertension) .
• Ngā mamae o te uaua.
• Te ngaronga o te hiahia kai, te reka whakarewa rānei o te kai.
• Whakapairuaki me te ruaki.
• Te pupuhi, inā koa i te taha o ngā pona waewae, o ngā ringaringa rānei.

Mena kei a koe tētahi o ēnei āhuatanga, ka tūtohu pea tō tākuta kia whakamātauria te mahi a te whatukuhu, kia whakamātauria rānei te toto:

• He hītori whānau mō te mate tākihi.
• Mate huka .
• Mate ngakau .
• Te toto toto tiketike.
• Te momonatanga .
• Te whakamahi pinepine i ētahi rongoā, hei tauira, ngā rongoā mō te toto toto tiketike.

Karere Tangohia ki te Kāinga

He maha ngā mahi nui a ō whatukuhu mō tō tinana. Nō reira, he mea nui kia mau tonu tō toto totoka me te taumata huka toto, kia noho hauora hoki. Ki te whakaaro koe he hapa kei roto i tō pūnaha mimi, ahakoa he mate urutā, he huringa rānei o ō tikanga mimi, kōrero wawe atu ki tō tākuta. Mā rātou e kimi te otinga pai rawa atu māu. Kia maumahara, ko ēnei wāhanga iti o tō tātou tinana te mea e ora ai tātou. Nō reira, ko tā tātou kawenga te tiaki i a rātou.

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Tākihi, kāpūru Bowman, nephron, glomerulus, mate tākihi, pūnaha mimi, hauora