Mena kua kōrero mai tō tākuta kei a koe te Mate Tākihi Mau tonu (CKD), tera pea ka ohorere koe i te ngenge tonu, te mamae e pā ana ki a koe ina piki koe i ngā arawhata, me te kore kaha ki te mahi i tetahi mea. He tokomaha te hunga e whakaaro ana he wāhanga tēnei o te mate tākihi. He pono tēnā, engari ko te tino take o te nuinga o ēnei tohu he hekenga o te nui o te toto i roto i tō tinana, e kiia nei e tātou i roto i te rongoā he anemia. He aha te hononga i waenga i ngā tākihi me te hekenga o te toto i roto i te tinana? I tēnei rā, ka kōrerohia e tātou tēnei mea me te tino māmā, i roto i te huarahi e mārama ai koe.
He aha i iti ai te maha o ngā toto o te hunga whai mate tākihi? Ko ētahi o ngā take matua
He mea nui te hāora kia ora ai, kia mahi tika ai hoki ia pūtau me ia okana o roto i tō tātou tinana. Ka haria e ō tātou toto whero tēnei hāora utu nui mai i ngā pukahukahu puta noa i te tinana. Ko te pūmua i roto i ēnei toto whero e kiia nei ko te hemoglobin te mea e herea ana ki te hāora.
Whakaarohia, ka tawhito, ka whakangaromia hoki ēnei waka e kiia nei ko ngā toto whero i muri i tētahi wā. Nō reira, kei te hanga tonu tō tātou tinana i ngā toto whero hou hei whakakapi i tēnei ngoikoretanga. Ko te wheketere e hanga ana i ēnei toto whero ko tō tātou hinu wheua. Heoi, ko te whakahau kia "tīmata te hanga toto whero ināianei" ka tukuna ki tēnei wheketere e kiia nei ko te hinu wheua e ō tātou whatukuhu. Ina pakaru rātou nā te mate whatukuhu, ka hē te tukanga katoa. E toru ngā huarahi matua ka puta ai.
| Te take o te ngaronga toto | Hei whakarāpopototanga... |
|---|---|
| Te whakahekenga o te homoni EPO | Kāore ngā whatukuhu e whakaputa i te 'tohu' e kī ana ki te hinu wheua kia hanga ngā toto whero. |
| Te poto o te roanga o ngā pūtau toto whero | Ka tere ake te mate o ngā toto whero e hangaia ana i roto i te tinana i te tikanga. |
| Ngā ngoikoretanga matūkai | Kāore i te tinana ngā matūkai e hiahiatia ana hei hanga i ngā pūtau toto whero (rino, huaora B12, folate). |
Take 1: Te Ngaronga o te 'Tohu' hei hanga i ngā toto whero
Ka aroturuki tonu ngā pūtau motuhake i roto i ō tātou whatukuhu i ngā taumata hāora i roto i ō tātou toto. Ina heke te maha o ngā pūtau toto whero i roto i ō tātou toto, ā, ina heke te taumata hāora, ka rongo ēnei pūtau i tēnei ka tukuna he homoni e kiia nei ko te erythropoietin (EPO) ki roto i te toto. Ka haere tēnei homoni EPO ki te hinu wheua ka kī atu, "Āe, me mahi tāua, me hanga he maha atu ngā pūtau toto whero."
Ina pāngia koe e te mate tākihi mau tonu (CKD), ka pakaru haere ō tākihi. Nā tēnei pakaru, kāore e taea e ō tākihi te kite i ngā taumata hāora iti, me te hanga i te homoni EPO. Ina ngaro te EPO, kāore te hinu wheua e rongo i te karere. Nō reira ka tino heke te hanga o ngā pūtau toto whero. Ina kore e taea te hanga i ngā pūtau toto whero hou hei pupuri i te maha o ngā tāngata e mate ana, ka ngoikore te tinana i ngā pūtau toto whero, arā, te anemia.
Take 2: Te poto o te roanga o te ora o ngā toto toto whero
I te nuinga o te wā, e 120 ngā rā e ora ai te toto whero i roto i te tangata hauora. Whai muri i tēnā, ka whakangaromia, ka whakakapia ki tētahi mea hou.
Engari nā ētahi paitini e kohia ana i roto i te toto o te tangata he mate tākihi tōna, kāore he taiao tika mō ēnei toto whero hei nohoanga. Nō reira, ka poto te roa o te ora ki te 70-80 rā . Arā, ka mate wawe ngā toto tawhito, kaua e tatari kia puta mai ngā toto whero hou. Ko tētahi atu take tēnei e whakanui ake ai i te mate toto kore toto.
Take 3: Te kore o te rino me ngā matūkai
Ko te rino te matū matua e hiahiatia ana hei hanga i te waka e kiia nei ko ngā toto whero. Ki te kore he rino, kāore e taea te hanga i te hemoglobin. Ki te kore he hemoglobin, kāore e taea te kawe i te hāora.
Ka whiwhi tātou i te rino mai i ngā kai pēnei i ngā huawhenua rau matomato pēnei i te pīni, te pīnihi, me ngā pata parakuihi kua whakakahangia. Engari tata ki te haurua o te hunga e mate ana i te mate tākihi kino he ngoikore te rino. He maha ngā take mō tēnei.
- Kāore i te rawaka te rino i roto i te kai: I ētahi wā, me whakawhāiti e ngā tūroro whatukuhu ā rātou kai, ā, ka kore pea e kai i ngā kai he nui te rino.
- Te iti o te mimiti rino: Ka taea e te mate tākihi te whakaiti i te kaha o ngā whekau ki te mimiti i te rino.
- Te Ngaronga o te Toto: Mā ngā whakamātautau toto auau ka ngaro haere te toto i roto i te tinana. Waihoki, ki te mea kei te whakahaerehia he dialysis ki tētahi, ka ngaro te toto me te rino i roto i te tinana i taua tukanga.
Haunga te rino, he mea nui anō hoki ngā matūkai pēnei i te huaora B12 me te folate (Folate/Huaora B9) mō te hanganga tika o ngā toto whero. Kāore hoki ētahi tūroro whatukuhu i te nui o ēnei matūkai.
Ētahi atu mea e pā ana ki te anemia
Haunga ēnei tino take, he maha atu anō ngā āhuatanga ka pā ki te mate toto iti o te tangata e mate ana i te whatukuhu.
- Ngā mate pāwera auau
- Te mumura mau tonu i roto i te tinana: Ka tukuna e te tinana ngā matū e kiia nei ko ngā cytokine, e whakaiti ana i te mahi a te hinu wheua.
- Te kore kai
Mena he mate toto iti tōu nā te mate tākihi, tera pea nā tētahi, nā tētahi huinga rānei o ēnei āhuatanga. Nō reira, he pai ake kia kaua e mataku, me kōrero ki tō tākuta kia kitea ai te tino take.
Ko wai kei te nui ake te mōrearea ki te mate toto iti?
Ehara i te mea ka pāngia te katoa e te mate tākihi i te nui o te anemia, engari he nui ake te mōrearea o ētahi tāngata.
- Mena he wahine koe
- Mena he mate huka tōu
- Mena kua tino heke te mahi a tō whatukuhu , kua kore rānei e mahi
Mena kei a koe ngā tohu o te anemia (te ngenge, te ngoikore, te kiri mā, te whanoke), ka tonoa pea e tō tākuta he tatau toto katoa me ngā whakamātautau hei tirotiro i ō taumata rino. Mā tēnei ka whakatauhia te maimoatanga e hiahiatia ana e koe. He maimoatanga anō mō tēnei, pērā i ngā pire rino me ngā werohanga o te homoni EPO.
Karere Tangohia ki te Kāinga
- He hononga tata kei waenganui i te mate tākihi mau tonu (CKD) me te anemia, koinei pea te tino take o te ngenge e pā ana ki a koe.
- Ko te take matua, nā te mea ka whakaitihia e ngā whatukuhu kua pakaru te hanga o te homoni EPO, e tohu ana i a rātou ki te hanga i ngā toto whero.
- Hei tāpiri, ko te tere o te whakangaromanga o ngā toto whero me te kore o ngā matūkai pēnei i te rino me te huaora B12 ka pā mai hoki te anemia.
- Mena kei a koe ngā tohu o te mate toto iti, ki te whakaaro rānei koe kei a koe, me kōrero koe ki tō tākuta. He tino whai hua ngā maimoatanga mōna.
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