Kāore hoki e taea e koe te mimi? He mate kino tēnei? Me ako tātou mō (Anuria).

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.

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 .

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.

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).

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.

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?

Me pēhea te rongoā mō Anuria?

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).