Ko te kōrero kei muri i te whatukuhu: (Renal Cortex) ko tō tātou tinana!

I tēnei rā ka kōrero tātou mō ngā whatukuhu, he okana tino nui o te tinana. Ina koa, ko te wāhanga o waho rawa o te whatukuhu, ko te cortex whatukuhu. He kupu noa iho pea tēnei, engari he wāhi whakamiharo i roto i te tinana e mahi puku ana i te nui o ngā mahi. Nō reira, me ako tātou mō tēnei me ētahi atu kōrero, me te mea kei te kōrero tātou ki tētahi hoa, tika?

He aha te Renal Cortex? Kei hea tōna wāhi?

I te whakarapopototanga, ko te tikanga o te kupu "Cortex" ko te paparanga o waho rawa, ko te hipoki rānei o tētahi okana o roto i tō tātou tinana. Nō reira, ko te Renal Cortex te wāhanga o waho rawa o tō tātou whatukuhu. Ka kiia hoki e ētahi ko te "Kidney Cortex". Ka karapotia e tēnei "Renal Cortex" te wāhanga o roto o te whatukuhu, te medulla . He rite ki te anga. Engari, ehara i te mea kei reira noa iho tēnei "Renal Cortex", engari kua hipokina hoki e tētahi kiriuhi tiaki, he kiko kaha e kiia nei ko te "Renal Capsule". Whakaarohia he rite ki te kiri o te riki, he maha ngā paparanga o ēnei.

Ināianei, i roto i tēnei `(Renal Cortex)`, ka tīmata ngā waeine horoi toto tino nui o tō tātou tinana, arā, ngā `(Nephrons)`. Kāore e taea te whakaaro, tata ki te miriona `(Nephrons)` pēnei i roto i te whatukuhu kotahi! He mea whakamiharo? Ko te waeine tātari matua o tēnei `(Nephron)` ko te glomerulus . Ka honoa tēnei `(Glomerulus)` ki tētahi awa `(Tubule). Mā roto i tēnei awa ka tangohia ngā para, ā, ka mimitihia ngā mea e hiahiatia ana e te tinana ki roto i te tinana. I roto i te `(Renal Cortex)`, he paku piko, he takai, he `(Convoluted)` ēnei awa. Heoi, i roto i te `(Medulla), arā, te wāhanga o roto o te whatukuhu, he paku tika ēnei awa.

Me titiro tātou ki te wāhi kei reira ō tātou whatukuhu. Kei roto i tō tātou uma, i raro noa i te rara, i muri i te puku. I te nuinga o te wā, kei ia taha o te tuaiwi te whatukuhu kotahi. Hei tika ake, kei waenganui i ngā whekau me te diaphragm. Mai i ia whatukuhu, ka tīmata he wāhanga rite ki te ngongo e kiia nei ko te ureter , e hono ana ki te pūkahukahu.

He whero parauri te tae o tēnei `(Renal Cortex)`. Koinei te wāhanga o waho rawa o te whatukuhu. Ka hipokina te `(Medulla)`, arā, te wāhanga o roto o te whatukuhu. Kei roto i te `(Medulla)`, he wāhanga tapatoru iti, e kiia nei ko ngā piramiti whatukuhu . Ka hipokina ēnei `(Renal Pyramids)` e te `(Renal Cortex)` pērā i te taupoki.

He aha te mea e tupu ana i roto i te Renal Cortex? He aha te mahi a te whatukuhu?

Hei wāhanga o tō ara mimi, ka whai wāhi tika te cortex whatukuhu ki te mahi a ō whatukuhu. Ehara i te mea he okana tango para noa iho ngā whatukuhu. He nui atu ā rātou mahi i tua atu i tēnā. Tirohia:

• Whakahaere i te taurite o ngā electrolytes me te wai: Āwhina ki te pupuri i te taumata tote me te wai tika i roto i te tinana.
• Ka whakahaere i tō toto toto me te nui o te wai i waho o ō pūtau (wai o waho o te pūtau).
• Ka āwhina i te hanga o ngā toto toto whero.
• Ka pupuri i te taurite waikawa-pūtake o te tinana.
• Ka whai wāhi ki te hanga o te huaora D.
• Ka whakahaere i te taurite o te konupūmā me te phosphate.
• Ka āwhina anō hoki i te whakaputanga o te hukahuka (Glucogenesis): Ahakoa ko te nuinga o te hukahuka (huka) e hiahiatia ana e tātou ka hangaia e te ate, ko ētahi ka hangaia hoki e ngā whatukuhu.

Whakaarohia te nui o te mahi i roto i tēnei kiriuhi iti! He tino mīharo, kāore?

He aha ngā mate noa ka pā ki te Renal Cortex?

Engari, he maha ngā mate e pā ana ki ngā whatukuhu. Ka pā pea ētahi o ēnei ki te "Renal Cortex".

• Te Mate Tākihi Mau tonu (CKD): He mate pōturi tēnei e ngaro haere ana te mahi a te tākihi. He maha ngā wā ka puta mai i te mate huka, i te toto toto tiketike rānei.
• Matepukupuku Tākihi: Ko te Matepukupuku Pūtau Tākihi te momo matepukupuku tākihi e tino kitea ana.
• Te ngoikore o te whatukuhu / te ngoikore o te whatukuhu: Ka puta ohorere tēnei i te 'tino koi', ka roa rānei te wā ka mau tonu. Ko te mate whatukuhu wāhanga mutunga he āhuatanga e kore ai e mahi tika ngā whatukuhu. Kātahi ka hiahiatia he dialysis.
• Mate Pūkahukahu (Pyelonephritis): Ka puta tēnei momo mate ina piki ake ngā huakita, pērā i te huakita, i roto i ō ureter ki roto i ō whatukuhu. Ka puta ohorere mai ēnei tohu. Ka tohua e ngā tākuta he rongoā paturopi mō tēnei.
• Ngā Kōhatu Tākihi: Ka puta pea ngā tioata i roto i tō mimi, ā, ka ārai i te rere o te mimi. I ētahi wā ka puta noa atu ēnei kōhatu. Tērā rānei he maimoatanga hei wawahi, hei tango atu rānei.
• Ngā Pūwero Whatukuhu / Ngā Pūwero Whatukuhu: Ka puta pea ngā pūwero rite ki te pēke wai i runga i ngā whatukuhu. Ka taea hoki e ēnei pūwero te kino i ngā whatukuhu. Ka tangohia ēnei e ngā tākuta mēnā e tika ana.
• Te Mate Tākihi Polycystic (PKD): He mate ira tēnei. I roto i tēnei mate, he maha ngā pūkahukahu e puta ana i runga i ngā tākihi. Ka taea e te PKD te whakararu i te toto toto tiketike me te ngoikore o te tākihi. Me noho tonu te hunga whai PKD i raro i te tirotiro hauora.

Ētahi atu āhuatanga kino atu

Haunga tēnei, he maha atu anō ngā mate e pā ana ki ngā whatukuhu, ko ētahi he tino kino.

• Te waikawa:Ina kore e mahi tika ngā whatukuhu, ka piki ake te waikawa o te toto. Ka pā mai he maha ngā raruraru hauora. Ki te kore e rongoatia, ka mate pea.
• Te Nephritis Interstitial Whakapeka, Mau tonu rānei: Ka pupuhi ngā whatukuhu, ka arahi pea ki te ngoikore o te whatukuhu.
• Te Nephropathy Mate Huka, te Nephropathy Toto Nui rānei: Ka kino ngā whatukuhu i te toto toto tiketike me te mate huka kāore i te whakahaeretia. Ka kiia hoki tēnei ko te '(Nephropathy)'.
• Ngā Mate o te Pūkahukahu: Ka taea e ēnei mate te pupuhi, te pakaru rānei o ō glomeruli, ka arahi atu ai ki te ngoikore o te whatukuhu.
• Mate Huringa Iti: He mate tākihi anō hoki tēnei. I roto i tēnei, ka pakaru ngā glomeruli, ā, ka puta he nui o te pūmua i roto i te mimi.
• Te Pūmua-mimi me te Mate Pūkahukahu: Ko te pūmua-mimi te wā e nui ana te pūmua i roto i tō mimi. He tohu pea tēnei mō te pakaru o te whatukuhu. Mena he nui te pūmua i roto i tō mimi, he tohu pea tēnei mō te Mate Pūkahukahu. Koinei te wā e turuturu ai te nui o te pūmua mai i ō toto ki roto i tō mimi e ngā whatukuhu kua pakaru.
• Uremia: Ko ngā paitini i tika kia horoia e ngā whatukuhu, ā, kia puta ki roto i te mimi, ka kohia kētia ki roto i te toto. Ka taea e te uremia te whakararu i te ora mēnā kāore e rongoatia.

He aha ngā tohu me ngā āhuatanga noa o te mate tākihi?

He maha ngā raruraru whatukuhu kāore e whakaatu i ngā tohu i ngā wāhanga tōmua. Koinei te mea tino morearea. I te haere whakamua o te kino o te whatukuhu, ka tīmata pea koe ki te pāngia e ngā mea penei:

• Ngā mamae uaua: Ka puta ngā mamae uaua nā te kore taurite o ngā electrolyte i roto i te tinana. Koinei te take o ngā mamae uaua. Heoi, ka pā ki tētahi rōpū uaua.
• He mimi pouri, he mimi toto rānei kei roto: Ina pakaru ngā tātari i roto i ngā whatukuhu, ka turuturu pea ngā toto whero ki roto i te mimi. Ka kiia tēnei ko te "Hematuria".
• Mimi huka: Mena he mimi pupuhi kei roto i te mimi, he nui rawa te pūmua.
• Kiri mākūkū, maroke: Ka mākūkū, ka maroke hoki te kiri mēnā kāore i te taurite te nui o ngā kohuke me ngā matūkai i roto i te toto.
• Te mimi pinepine: Ko ētahi raruraru ki te tātari i ngā para ka meinga pea koe kia mimi pinepine.
• Ngā kanohi pupuhi, ngā pona me ngā waewae pupuhi rānei: Ina heke te mahi a te whatukuhu, ka tīmata te tinana ki te pupuri i te pūmua me te konutai. Ka puta te pupuhi, te pupuhi rānei.
• Ngā raruraru moe, te ngenge me te kore hiahia kai: Ki te kohia ngā paitini ki roto i te toto, ka heke pea tō moe, tō hiahia kai me tō pūngao.

Me pēhea te tirotiro i te hauora o te (Renal Cortex)?

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

• Ngā whakamātautau whakaahua: Hei tauira, ngā hihi-X, ngā karapa CT, ngā MRI, ngā ultrasound, ngā whakaahua rongoā karihi rānei. Ka taea e ēnei te whakaatu i ngā āhuatanga rerekē, i ngā aukati rānei i roto i ngā whatukuhu. Hei tauira, ka taea e rātou te ine i te matotoru o te cortex whatukuhu. Mena he angiangi te cortex, ko te tikanga kua pakaru ngā whatukuhu.
• Ngā whakamātautau toto: Ka taea e ēnei te tirotiro i te pai o te tātari toto o ō glomeruli.
• Biopsy o te whatukuhu: I roto i tēnei tikanga, ka tangohia e te tākuta tētahi tauira iti o te kiko whatukuhu ka tirohia i raro i te karu hiko.
• Ureteroscopy: I roto i tēnei tikanga, ka tukuna e te tākuta he ngongo (endoscope) mā roto i tō urethra hei rapu i ngā āhuatanga rerekē i roto i tō pūkahukahu me ngā ureters.
• Tātaritanga mimi: Ka inehia e tēnei whakamātautau ngā matū motuhake i roto i te mimi, pērā i te pūmua me te toto, hei kimi i ngā āhuatanga rerekē e tohu ana i tētahi mate hauora, i tētahi mate pāwera rānei.
• Ngā Whakamātautau Mahi a te Tākihi / Ngā Whakamātautau Mahi a te Tākihi: Mā ēnei whakamātautau ka kitea te pai o te mahi a ō tākihi. Ko tētahi whakamātautau toto e kiia ana ko te `(Creatinine).` Ka taea e tēnei te aromatawai i te mahi a te tākihi me te kite i te pai o te tango a ō tākihi i ngā para mai i ō toto.

He aha ngā maimoatanga mō ngā mate e pā ana ki te Renal Cortex?

Ko te maimoatanga mō ngā mate e pā ana ki ō whatukuhu me te cortex whatukuhu ka whakawhirinaki ki te āhua o tō mate. Hei tauira, ki te pāngia koe e te mate, ka tohua e tō tākuta he rongoā paturopi.

Mena he mea kei a koe me tango, pērā i te kōhatu tākihi, te pukupuku, te mate pukupuku rānei, me whai pokanga, me mahi rānei i tētahi pokanga.

Me pēhea te pupuri i te hauora o ōku whatukuhu? He mea tino nui!

He mea nui kia tirotirohia te hauora o ō whatukuhu i ia wā, i ia wā. He mea nui rawa tēnei mēnā he raruraru hauora tōu pēnei i te toto toto tiketike, te momona, me te mate huka. Ka taea e koe te whakaiti i tō tupono ki te whakawhanake i ngā raruraru whatukuhu mā te:

• Āta karohia, kati rānei te kai hikareti. He mea tika kia kōrerotia tēnei?
• Whakaitihia te nui o te tote e kainga ana. Ka pā pea tēnei ki te toenga o ngā kohuke i roto i tō toto.
• Inumia he nui te wai. Ka āwhina tēnei i ngā whatukuhu ki te tango i ngā paitini.
• Whakanuia te whakakori tinana i ia rā. Ka āwhina tēnei ki 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 ō whatukuhu.
• Kia mau tonu te taumaha hauora.
• Aroturukihia tō toto toto i ia wā. Mā tēnei ka āwhina i a koe ki te tautuhi wawe i ngā taumata e teitei ake ana i te mea e tumanakohia ana.
• Kia mau ki te whakahaere i tō huka toto, kia mau hoki te whakahaere i tō mate huka.

He aha te rerekētanga i waenganui i te (Renal Cortex) me te (Renal Medulla)?

He kiko matotoru te whatukuhu. Ka kiia tēnei ko te parenchyma whatukuhu . E rua ngā wāhanga o roto, ko te cortex me te medulla. E ai ki tā mātou i kōrero ai i mua, ko te cortex whatukuhu te wāhanga o waho o te whatukuhu, ā, ko te medulla te wāhanga o roto.

He ahua kirikiri te `(Renal Cortex)`. He maeneene ake te `(Medulla)`.

Ahakoa he ngongo kei ngā wāhanga e rua, kei te cortex ngā glomeruli, ngā ngongo piko, me ngā oko toto. Koia te take he āhua kikokore tōna. He āhua tika ake ngā ngongo i roto i te medulla, ā, e kiia ana ko ngā ngongo kohikohi (nā te mea ka kohi mimi). Kei te medulla anō hoki ngā koropiko o Henle, arā, ngā wāhanga ngongo kohikohi āhua-U.

Āhea koe me toro atu ki te tākuta mō ngā raruraru o te whatukuhu?

Ki te whakaaro koe he raruraru tākihi tōu, me toro atu koe ki te tākuta. Tērā pea ka pāngia koe e ēnei tohu:

• Ngā panonitanga o tō mimi (pēnei i te toto i roto i tō mimi, i te tae pouri rānei) ngā panonitanga rānei o ō tikanga mimi (pēnei i te hiahia ki te haere ki te wharepaku i ngā wā katoa, te mamae rānei i te wā e mimi ana).
• Kiri maroke, kiri mākūkū rānei.
• Te ngenge nui.
• Te toto toto tiketike (hypertension).
• Te wiri o ngā uaua.
• Te ngaronga o te hiahia kai, te reka whakarewa rānei o te kai.
• Te mamae o te puku, te ruaki rānei.
• Te pupuhi, inā koa i te taha o ngā pona waewae, o ngā ringaringa rānei.

Mena kei a koe ētahi āhuatanga, ka tono pea tō tākuta i ngā whakamātautau mahi whatukuhu auau:

• Mena he hītori o te mate tākihi tō tetahi o te whānau.
• Mate huka.
• Mate ngakau.
• Te toto toto tiketike.
• Te momona, te taumaha rawa rānei.
• Mena kei te tango koe i ētahi rongoā i ia wā (hei tauira, ngā rongoā mō te toto toto tiketike).

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ki te hiahia koe ki te tiaki i ō whatukuhu, me tīmata koe ki te tiaki i tō hauora whānui i te tuatahi. Ko te tikangaWhakahaerehia tō toto toto me te taumata huka toto, inuhia he nui te wai, kai tika. Me moe nui hoki, me whakakorikori tinana. Ki te kite koe i ētahi huringa o ō tikanga mimi, i tētahi mamae rānei, kōrero ki tō tākuta mō tēnei mea, ā, mahi tahi ki te kimi i tētahi otinga. Kia maumahara, he kaimahi puku ā tātou whatukuhu, nō reira me tiaki pai tātou i a rātou!

` Whākihi, cortex whatukuhu, nephron, mate whatukuhu, mahi whatukuhu, pūnaha mimi, hauora whatukuhu