I ētahi wā ka pēnei tātou, 'Kāore i nui te wai i inuhia e au i tēnei rā, koia te take he iti noa iho taku mimi i mimi ai.' Engari kua pā mai rānei ki a koe tētahi rā, ētahi hāora rānei kāore koe i mimi i te mimi, ahakoa te nui o te wai i inuhia e koe? He iti rawa rānei te nui o te wai i mimihia e koe, kāore e taea e koe te whakaaro? Ehara tēnei i te mea noa. I tēnei rā ka kōrero tātou mō tēnei mate hauora nui e kiia nei ko Anuria . He āhuatanga ohorere tēnei, nō reira he mea tino nui kia mōhio koe ki te aha me mahi mōna.
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He aha te Anuria?
Ko te anuria te wā e mutu katoa ai te whakaputa mimi o ō whatukuhu. Mēnā rānei, ka mutu tō mimi nā te mea he aukati kei roto i tō pūnaha mimi. Koinei te momo tino kino o te mate e kiia nei ko te oliguria . Ko te oliguria te wā e iti rawa ai te nui o te mimi e whakaputaina ana e koe.
Ko te nui o te mimi e tukuna ana e tātou he tohu nui mō tō tātou hauora. Ko ngā whatukuhu o te pakeke hauora e whakaputa ana i te neke atu i te 500 miririta (500 ml) o te mimi ia rā. He rite te rahi ki te pounamu. Mō ngā tamariki, ka rerekē tēnei nui i runga i te tau me te rahi o te tinana.
Heoi, he iti noa te mimi e puta ana i te pakeke e pāngia ana e te anuria i ia rā, i waenga i te 0 me te 100 miririta .
Ko te mea nui ko te Anuria he āhuatanga ohorere hauora . Ki te mea kei te iti iho tō mimi i tō tikanga, me toro atu ki te tākuta tonu. Mā te whiwhi maimoatanga i te wā e taea ai ka ora ai koe.
He aha ngā tohu o te anuria?
Ko te tohu tino kitea o tēnei mate ko te kore, te iti rānei o te mimi e puta mai ana. Heoi anō, tera pea ētahi atu tohu e pā ana ki te mate hauora i puta ai te anuria.
Hei tauira, mēnā ko te anuria i puta mai i ngā āhuatanga pēnei i te mate tākihi, te mate ate, te mate manawa rānei, ka puta pea ēnei tohu e whai ake nei.
| Te āhuatanga matua | Ētahi atu tohu ka puta pea e pā ana ki tēnei |
|---|---|
| Kāore, he iti noa rānei te mimi e puta mai ana (iti iho i te 100mL ia rā). |
|
Ka taea hoki e ngā mate pēnei i te mate huka te kino i ngā whatukuhu. Nō reira, ki te iti noa iho tō mimi e mimihia ana, ā, kei a koe tētahi o ngā tohu kua whakahuatia ake nei, haere tonu ki te rūma ohorere o te hōhipera (ETU).
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Check Availability →He aha te take o te anuria?
E toru ngā momo matua o ngā take o te anuria. Me titiro takitahi tātou ki ēnei.
1. Kāore e ranea te toto, te wai rānei e tukuna ana ki ngā whatukuhu: Kia pai ai te mahi a ngā whatukuhu, me nui te rere o te toto. Mēnā ka iti iho tēnei rere, ka mutu te hanga mimi.
2. Te whakararuraru i te tukanga tātari toto e ngā whatukuhu: Ahakoa e whiwhi toto ana ngā whatukuhu, mō ētahi take ka whakararuhia pea te tukanga tātari i taua toto me te hanga mimi.
3. Te aukati i te ara mimi i muri i te hanganga o te mimi: Ahakoa ka hangaia te mimi e ngā whatukuhu, ki te mea he aukati kei tetahi wāhi i te ara e haere ana te mimi ki te pūkahukahu, e puta atu ai, e kore te mimi e tukuna.
Kei roto i te ripanga i raro nei ētahi tauira e pā ana ki ēnei kāwai take.
| Te kāwai e pā ana te take | Ngā tauira |
|---|---|
| Te hekenga o te toto/wai ki ngā whatukuhu |
|
| Te whakararuraru i te tukanga tātari i roto i ngā whatukuhu | |
| Te aukati i te ara mimi (Te aukati) |
He pēhea te kino o tēnei mate? He raruraru kei reira?
Ae, he mate tino kino te Anuria, ā, he mate morearea hoki. Ka tangohia e ngā whatukuhu ngā para me ngā wai tāpiri mai i te tinana. Ina kore ngā whatukuhu e mahi, ka kohia ēnei para me ngā wai ki roto i te tinana. Ka taea e tēnei te arahi ki te mate.
Ki te kore e rongoatia, ka pāngia ngā whatukuhu e te anuria, ā, ka kore rawa e taea te mahi.
Kia pēhea te nui o te hekenga o te mahi a te whatukuhu i mua i te matenga?
Ka inehia e ngā tākuta te mahi a te whatukuhu mā te whakamātautau e kiia nei ko te eGFR (estimated Glomerular Filtration Rate) . Ina heke te kaha o ngā whatukuhu ki te tātari i ngā para, ka kiia tēnei ko te Mate Whatukuhu Mau tonu (CKD).
E rima ngā wāhanga o te CKD.
- Wāhanga 1: e 90, neke atu rānei te eGFR. Kei te pai te mahi a ngā whatukuhu, engari tera pea ētahi pakaru.
- Wāhanga 5: Kei raro iho i te 15 te eGFR. Ko te tikanga tēnei kua tata te ngoikore o ngā whatukuhu, kua ngoikore kē rānei.
Ki te tae koe ki te wāhanga 5, tērā pea kāore tō ora e ora mēnā kāore koe e whiwhi i te dialysis, i te whakawhitinga whatukuhu rānei.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina kite koe i tētahi tākuta, ka pātai atu ia ki a koe i ētahi pātai e pā ana ki tō hītori hauora me ō tohumate.
- "He aha tāu i inu ai i tēnei rā? E hia te nui o tāu i inu ai?"
- "Nōnahea koe i mimi ai i te wā whakamutunga?"
- "Kei te ahua iti iho tō mimi i tō tikanga?"
- "Kua pāngia koe e te uauatanga o te mimi pēnei i mua?"
- "Kua pupuhi ō waewae me ō waewae?"
- "Kua kite koe i te toto i roto i tō mimi (Hematuria)?"
- "Kua tino ngenge koe i ēnei rā?"
Haunga ēnei pātai, ka tono pea te tākuta i ngā whakamātautau maha hei whakaū i te āhua o te anuria me te tirotiro i te hauora o ngā whatukuhu.
He aha ngā whakamātautau?
| Momo whakamātautau | Whakaahuatanga |
|---|---|
| Ngā whakamātautau mahi whatukuhu | Ka inehia te mahi a te whatukuhu e ngā whakamātautau toto me te tātaritanga mimi. |
| Ngā whakamātautau whakaahua | Ka tirohia e te matawai CT, te matawai MRI rānei ngā mea pēnei i te aukati i ngā whatukuhu me te ara mimi. |
| Te koiora whatukuhu | Ka tangohia he wahi iti o te kiko mai i te whatukuhu, ā, ka tirohia i raro i te karuārai hei tātaritanga i te mate. |
| Matawai whatukuhu | He matawai motuhake hei tirotiro i te rere o te toto ki ngā whatukuhu me tā rātou mahi. |
Me pēhea te rongoā mō Anuria?
Ehara tēnei i te mate e taea te rongoā i te kāinga. Mēnā kua iti haere tō mimi, me toro atu koe ki te tākuta tonu.
Ko te tikanga maimoatanga e whakawhirinaki ana ki te take o te anuria.
- Mena he āhuatanga ohorere pērā i te mate manawa, te sepsis, te ohorere rānei te take, ko te kaupapa matua a ngā tākuta ko te rongoā i taua mate.
- Mena he mate whatukuhu kino tōu, me hiahia pea koe ki te dialysis , ki te whakawhitinga whatukuhu rānei hei horoi i ō toto.
- Mena he aukati kei roto i te ara mimi, ka whakauruhia e te tākuta he catheter hei tere i te tango i te mimi mai i te pūkahukahu. Hei tauira, he catheter Foley , he catheter suprapubic rānei. I ētahi wā, ka whakamahia pea ngā taputapu e kiia nei ko ngā stent ureteral hei pupuri i ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu kia tuwhera tonu.
- Mena nā te matewai i puta ai tēnei āhuatanga, ka whakahokia te makuku o te tinana mā te hoatu wai hei inu, mā te hoatu rānei i te tote (wai ā-uaua - wai ā-infus) mā roto i te uaua.
Ka taea te ārai i te Anuria? Āhea koe me toro atu ki te tākuta?
Mena he mate pūmau tōu e pā ai te anuria, pērā i te mate huka, te mate ngakau rānei, he mea nui kia whai i ngā tohutohu a tō tākuta hei whakahaere i tō mate. Kei roto pea i ēnei tohutohu:
- He aha te kai me te inu, me te aha te rahinga.
- Te tuhi i te taumaha o te tinana i ia rā.
- Te tautuhi i ngā tohu o te pupuhi, te pupuri wai rānei i roto i te tinana.
- Te tango i ngā rongoā kua tohua i te wā tika.
Waihoki, i ngā wā ka pā mai te matewai, pērā i te ruaki, te korere rānei, he mea tino nui kia nui te wai e inumia ana .
Āhea koe me toro atu ki te tākuta?
Mena he mate tākihi, he mate ngākau rānei tōu, ā, ka kite koe kei te iti iho tō mimi i tō tikanga, inā koa mēnā he nui ngā wai e inu ana koe, waea atu ki tō tākuta tonu. Kia tūpato hoki ki ngā panonitanga o te tae o tō mimi (hei tauira, he pouri te tae).
Karere Tangohia ki te Kāinga
- Ko te anuria te wā kāore tō tinana e whakaputa mimi, he iti rānei te mimi e whakaputaina ana. He āhuatanga ohorere hauora nui tēnei.
- Ka taea tēnei te puta mai i ngā tini take, pērā i te matewai, te mate tākihi, te mate ngakau, me te aukati i te ara mimi.
- Ko ngā tohu matua ko te kore e taea te pupuri i te mimi, te pupuhi o te tinana, te ngoikore, me te whanoke.
- Kaua rawa e warewarehia ēnei tohu. Tirohia te tākuta i te wā e taea ai.
- Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mate anuria, ā, kāore e taea te mahi i te kāinga.
- Mā te tautuhi me te maimoatanga wawe ka ārai i te kino tuturu o te whatukuhu, ka whakaora hoki i ngā oranga.
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